G1
GRANT CONCEPT PROPOSAL
Proposal reference number (leave this blank)
assigned by the Foundation to your concept proposal
Ce formulaire peut-être rempli en Français, en Portugais ou en Anglais. This form may be completed in English,
Portuguese, or French. Este formulário pode ser preenchido em Inglês, Francês ou Português.
SECTION A
Project name
Name of individual or Town and country from
lead organisation which work will be led
Please select the type of grant that you are applying for and note which sections of this form must be completed
depending on which type of grant you apply for:
MARK (X) SECTIONS OF FORM TO
TYPES OF GRANTS
ONE OPTION BE COMPLETED
Namaqualand Daisy grants are for individuals only, including
activists, artists, researchers and others. The maximum grant A, B, C, E, G
is ZAR 10,000 for work lasting up to 12 months.
Inyosi or Honey Bee grants are for smaller organizations that
want support for a small project or to get started. The
maximum grant is ZAR 50,000 for work lasting up to 12 A, B, C, D, F, G
months.
Hungwe or Fish Eagle grants are for established organizations
that need support for a project. The maximum grant is ZAR A, B, C, D, F, G
200,000 for work lasting up to 18 months.
Mosu or Umbrella Tree grants are for support to anchor
organizations working at a national or regional level, to
achieve their existing programme and organizational A, B, C, D, F, G
development activities. The maximum grant is ZAR500,000
for work lasting up to 24 months.
Which ONE of the following strategies does your proposed work most accurately fit into on the whole? This is the
main type of activity that that the project will do to achieve its outcomes. Mark (X) only one option.
Movement building, safety, and COVID-
Knowledge development Advocacy
19 resilience
Mass media voice and visibility Fundraising Other (specify)
Which ONE of the following thematic areas does your proposed work most accurately fit into when taken as a
whole? This is the main target group (constituency), the main purpose (function), or the main social sector (field) in
which the project activities seek to achieve specific outcomes. Mark (X) only one option.
Religion Traditional leaders Parents & Families of LGBTI people
Business and economic participation Labour and trade unions Pride events
Community organizing Strategic learning Policy and legal reform
General social attitudinal change Philanthropy development Wellbeing
Sports Arts Other (specify)
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Total grant amount requested from the Other Foundation in
South African Rands (ZAR)
Period of work proposed (number of months)
Does your proposed work advance the human rights, wellbeing, and/or social inclusion of lesbian, gay,
bisexual, transgender, and/or intersex people in one or more of the 13 eligible countries? YES or NO?
DETAILS OF CONTACT PERSON
First name Last name / surname
Telepone country
Telephone number Fax nunber
code
Mobile number Email address
Physical address
Postal address
Country
SECTION B
Please provide the contact details of two people who know you and your work so that we can contact them to get
references.
DETAILS FOR REFERENCE 1
First name Last name / surname
Telepone country
Telephone number Fax nunber
code
Mobile number Email address
DETAILS FOR REFERENCE 2
First name Last name / surname
Telepone country
Telephone number Fax nunber
code
Mobile number Email address
SECTION C
What is the main PROBLEM that your work will address? (no more than 150 words)
What is the MAIN long-term AIM or GOAL of the project or organization. State only one aim or goal in one sentence.
What will the main OUTCOMES of the proposed work be? These are the intended short-term and medium-term
effects of the work you plan to do in the period you mentioned above. Outcomes give an indication of the intended
impact of the work. List no more than three main outcomes in one sentence each.
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How will you achieve these outcomes? Describe no more than three of the main ACTIVITIES that you will undertake
to achieve these outcomes. Be very specific. These activities should reflect the key milestones towards achieving
the project outcomes listed above.
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Who do you think will benefit most
from this work?
How many people do you estimate
will benefit from this work?
How do you believe they will
benefit? (no more than 100 words)
Why do you think this work is
important and why does it deserve
to be funded? (no more than 150
words)
What is unique or particularly
innovative about how you will do
this work? (no more than 50 words)
In which countries will this work be done? Mark (X) all the relevant options.
Angola Botswana Lesotho
Madagascar Malawi Mauritius
Mozambique Namibia Seychelles
South Africa Swaziland Zambia
Zimbabwe Southern African Regional level Other (specify)
SECTION D
DETAILS OF LEAD ORGANIZATION
Full name of lead
organization
Telepone country code Telephone number Fax nunber
Acronym for lead Email
organization address
Physical address
Postal address
Town and country
Non-binary /
Gende Non-
Name of person who heads the organisation Woman Man conforming /
r Other
Name of contact person for financial
management
When was the organization
Website address
established
Is your organization registered? YES or NO? Registration number
If YES, what is the legal status / type of
VAT number (if applicable)
organization that it is registered as?
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List the names, gender, country of origin and contact details of the board of directors or trustees of the
organisation
Name Gender Country of Origin Contact Number Email address
ORGANISATIONAL CAPACITY
What previous work have you or your organization
done that demonstrates you have the skills and
capacity to do this work?
If you plan to work with other organizations to do this
work, please name the organizations.
Do you already have some other funding to do this
work? If yes, please indicate the amount and the
source of funding.
Have you approached any other donors for new
funding for the same work? If yes, please list the
donors.
Is there a bank account in the exact name of the
individual or orgnization applying for this grant? YES
or NO?
Is the office hosted in another
Does the organization have an office? YES or NO?
organization? YES or NO?
Does your organization have staff? YES or NO? If ‘yes’, how many staff?
Please give the names Name 1 Position 1
and positions of two staff
members Name 2 Position 2
Does the organization have members? YES or NO? If ‘yes’, how many members?
What was the organization’s total annual spending Does the organization have an
in the last financial year? (In US Dollars) annual audit? YES or NO?
If your organization is NOT registered, you must have a registered partner organization that can receive a grant for
you before a grant from the Other Foundation can be given. You may submit this concept proposal without having
a fiscal host partner organisation but you msut get a fiscal host partner organization if your concept proposal is
approved to be taken to the next stage of the process.
CONFIRMATION OF SPONSOR ORGANIZATION
If your organization is NOT registered, do you already have a fiscal host partner organization? YES or NO?
SECTION E
DEMOGRAPHIC DATA: This section will enable us to map where and whom we are getting proposals from.
Responses to these questions will not prejudice your application in any way.
Where do you live? Mark (X) only one option.
Rural area Peri-urban area Other (specify)
Small city or town (please name the place in the space alongside, e.g. Francistown)
Township linked to major urban centre (please name the place in the space alongside, e.g. Umlazi)
Major urban centre (please name the place in the space alongside, e.g. Luanda)
In terms of sexual orientation, how do you identify yourself? Mark (X) only one option.
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Straight / Heterosexual Bisexual Gay man
Lesbian Asexual Don’t know / Other
In terms of gender, how do you identify yourself? Mark (X) only one option.
Man Woman Gender non-binary / non-conforming
Don’t know / Other
In terms of the relation between sex assigned at birth and gender, how do you identify yourself? Mark (X) only one
option.
Cisgender Transgender Don’t know / Other
In terms of your biological sex, how do you identify? Mark (X) only one option.
Intersex Other Don’t know
What is your age? Mark (X) only one option.
Under 25 years old Between 25 years and 45 years old Over 45 years old
What is your “race”? Mark (X) only one option.
Black White Don’t know / Other
What is your employment status? Mark (X) only one option.
Unemployed and looking for work Self employed Employed part-time
Employed full time Full time student (not working) Other
What are your living arrangements? Mark (X) only one option.
I live in a property that I own I live in a property that I rent I rent a room in a shared house
I live with my parents I live in an informal settlement I do not have formal housing
I live in a hosel or student accommodation Other (specify)
Do you identify with a particular religious tradition? Mark (X) only one option.
Buddhist African Traditional Religion Anglican Christian
Roman Catholic Christian Evangelical Christian African Indigenous Church Christian
Lutheran Christian Methodist Christian Pentecostal Christian
Muslim Hindu Jewish
Orthodox Christian No religion Other
Do you have any special needs related to
Yes No Please specify:
disability?
SECTION F
DEMOGRAPHIC DATA: This section will enable us to map where and whom we are getting proposals from.
Responses to these questions will not prejudice your application in any way.
What type of organization are you? Mark (X) only one option.
Non-Governmental Organization Private Company / Consultancy Legal / Paralegal Advice Office
University Centre / Research Organization Arts / Cultural Group Community-based Organization
Government or Intergovernment Agency Media / Publishing House Faith-Based Institution
School Funding Agency Social Movement / Advocacy Group
Trade Union Youth Group Psycho-social Support Group
Health Service Delivery Organization Other (specify)
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Which category below most accurately describes the identity of your organization as a whole? Mark (X) only one
option.
An intersex people’s organization A transgender people’s organization A lesbian women’s organization
An all-inclusive LGBTI / queer people’s
A bisexual people’s organization A gay men’s organization
organization
None of the above / Other
Which major area does the work of your organization focus on? Mark (X) only one option.
Gerneral human rights, social and
General advoccacy on LGBTI rights HIV / AIDS or health
economic justice advocacy
Rights advocacy but focused specifically on
Gender or gender-based violence Visibility of LGBTI people
lesbians or gay men or trangender people, etc
Institutional transformation Religious ministry and outreach Women’s rights / Feminism
Public policy development Psychosocial support and wellbeing News and related media production
Labour relations / workplace issues Law reform Social networking
Funding Other (specify)
What is the geographic focus or reach of most of your organization’s work? Mark (X) only one option.
Institutional Local community City / Town
Provincial National Cross border / More than one country
Southern African regional level Africa-wide Global
Which one of the following major activities captures most of the work of your organization? Mark (X) only one
option.
General advocacy Public information Research
Religious ministry Service provision Teaching / Institutional education
Arts / Cultural expression Journalism Litigation / Legal advice
Social dialogue LGBTI community organizing Other (specify)
Which is the main target group of the work that you have proposed to do in this project? Mark (X) only one option.
The general public Faith communities Lesbian women
Women Transgender people Gay men
Intersex people Policymakers in southern Africa LGBTI people in general
Researchers Funders Private companies
Bisexual people Overseas governments Young people
People who experience disabilities Non-governmental Organizations Other (specify)
In terms of sexual orientation, how do most of the people that work in the organisation identify? Mark (X) only one
option.
Straight / Heterosexual Bisexual Gay men
Lesbian An even mix of all these Don’t know / Other
In terms of gender, how do most of the people that work in the organisation identify? Mark (X) only one option.
Men Women Gender non-binary / non-conforming
An even mix of the above Don’t know / Other (specify)
In terms of the relation between sex assigned at birth and gender, how do most of the people that work in the
organisation identify? Mark (X) only one option.
Cisgender Transgender Don’t know / Other
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In terms of biological sex, how do most of the people that work in the organisation identify? Mark (X) only one
option.
Intersex Other Don’t know
What is the age group of most people in your organisation? Mark (X) only one option.
Under 25 years old Between 25 years and 45 years old Over 45 years old
What is the “race” of most people in your organisation? Mark (X) only one option.
Black White Other
Does your organization target or serve mostly people belonging to a particular religious tradition? Mark (X) only
one option.
Buddhist African Traditional Religion Anglican Christian
Roman Catholic Christian Evangelical Christian African Indigenous Church Christian
Lutheran Christian Methodist Christian Pentecostal Christian
Muslim Hindu Jewish
No it does not focus on one faith
All Christian Churches Other
tradition
SECTION G
DECLARATION
I, being the person responsible for the work proposed, confirm that all the information given in this application is
correct and that any organisation mentioned as a partner organisation in this proposal as part of an alliance or
coalition or other collaborative arrangment, is aware of this application and consents to its submission. I agree that
the contact details given in this form may be added to the Other Foundation’s database of contacts for the
distribution of communications from the Foundation.
Full name in lieu of
Designation
signature
Date Place
NOTE: When completed, this entire form should be no longer than 7 pages. Applications that are longer than 7 pages may not be considered.
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Please make sure that you submit your application by the closing date that is given on our website at
www.theotherfoundation.org/grants. Late applications will not be accepted. You must submit your application by email to
[email protected]. Do not send any appendices or attachments other than this concept proposal form.
Applications submitted by fax or post or in any other way will not be accepted.
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