Telkom Foundation Application Form PDF Details

At the heart of community development and innovation, the Telkom Foundation offers a beacon of hope and support through its comprehensive Application for Funding. Aimed at nurturing projects across various sectors such as education, skills development, and entrepreneurship, this application form is a gateway for organisations to access much-needed financial assistance. With a structured format that requires details about the organisation seeking support, including its registration status, governance, and a brief history, the form is meticulously designed to gather all pertinent information. It also delves into specifics about the proposed project, asking for insights into the focus area, the rationale behind the need for funding, and the expected impact on the community, including the primary beneficiaries and any potential job creation. The process is underscored by a commitment to transparency and accountability, as applicants are asked to provide a comprehensive list of previous funding and clarify their project's alignment with the Telkom Foundation's mission and vision. Completing and submitting this application does not guarantee funding but marks the start of a potential partnership aimed at creating meaningful change. Organisations are reminded to furnish all required documentation and adhere to specified guidelines, ensuring their request is considered accurately and fairly.

QuestionAnswer
Form NameTelkom Foundation Application Form
Form Length8 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min
Other namestelkom foundation funding application form, motsepe foundation funding for npo 2021 online application, eskom funding npo application form, cell c funding application form

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TELKOM

FOUNDATION

Telkom Foundation

Private Bag X780, PRETORIA, 0001

152 Vermeulen Street

3rd Floor Telkom Towers East Pretoria, 0002

APPLICATION FOR FUNDING

Name of Organisation Applying for Financial Assistance

Name of Project for which Assistance is being sought

OFFICIAL USE (Not to be completed by applicant)

Area of Focus

Blue Flags/Emergencies

Entrepreneurship

Education

Innovation

 

 

Primary Education

Skills Development

 

 

Literacy

Other

specify

 

 

 

Numeracy

English

 

 

 

Secondary Education

Other (please specify)

Mathematics

 

 

A) TELL US ABOUT YOUR ORGANISATION

Organisation Contact

Name of Organisation

Mr

Mrs

Ms

Dr

Prof

Rev

Other

Name & Surname of Project

 

 

 

 

 

Co-ordinator/Project Manager

 

 

 

 

Postal Address

 

 

 

 

 

Physical Address

 

Postal Code

Tel No.

Fax No.

Cell No.

Email

Website (if applicable)

 

Bank Account details

Bank

Type of Account

Branch

Branch No.

Account Holder

Account No.

Auditor details

Auditor Name

Postal Address

Tel No.

 

Fax No.

 

Registration details

How is your organisation registered?

Trust

NPO

CBO

FBO

Other

NPO No. (if applicable)

 

 

 

PBO No.

 

ICT

Physical Science

Date Received

Reference No.

Received by

Unit

Postal Code

Postal Code

PAGE 1

Telkom Foundation: APPLICATION FOR FUNDING (continue)

Registration details (continue)

Is your organisation registered for Section 21

YES

NO

Tax exemption in terms of section 10 (1)(f) of the

(non-profit)?

Income Tax Act

 

 

Tax exemption in terms of section 18A of the Income

YES

NO

 

Tax Act.

 

 

 

 

If yes, please attach a certified copy of the necessary authority from the Tax Exemption Units for SARS & your NPO Certificate

If you are an income generating project, has your organisation registered for:

Section 21 (non-profit)

YES

NO

Registration No.

 

 

Cooperative

YES

NO

Registration No.

 

Sole Proprietorship

YES

NO

Registration No.

 

 

Closed Corporation

YES

NO

Registration No.

 

 

Partnership

YES

NO

Registration No.

 

 

 

Voluntary association

YES

NO

Registration No.

 

 

NPO

YES

NO

Registration No.

 

 

 

Governance

Name of Trustees/Members of the Board

Designation

Identity Number

or Advisory Management Committee

 

 

 

 

 

YESNO

HDI/PDI Status

Name of Manager responsible for daily opera- tions and any other key managers in organisation

Designation

Identity Number

HDI/PDI Status

Brief history of Organisation (complete on seperate paper if more space is required)

Date Established

Mission Statement

PAGE 2

Telkom Foundation: APPLICATION FOR FUNDING (continue)

Brief history of Organisation (continue)

Service to Community

Major Achievements

OFFICIAL USE

NB! Please attach a copy of:

Verified (office use only)

Constitution

Organisational Proit

Previous Funding

Provide details and totals of all donations/grants received during the last two complete financial years:

Year

Amount

Donor

Do you receive financial or other support from Government (provincial or your municipality)? Please provide details below:

Year

Amount

Donor

Do you receive financial or other support from any other Corporate Social Investment program? Please provide details below:

Year

Amount

Donor

PAGE 3

APPLICATION FOR FUNDING (continue)

Previous Funding (continue)

Please add any comment you may feel necessary

Provide details of any previous funding or material support from Telkom Foundation:

Year

Amount of financial support

Type of support

UNDERTAKING

I certify to the correctness of all information, igures, data and documentation contained herein and attached to this funding application.

I also undertake to supply additional information if required by Telkom Foundation. I also indicate my willingness to abide by the rules, regulations and instruc- tions issued by Telkom Foundation in respect of any funding awarded and agree to subject my organisation to any audit or monitoring and evaluation initiative required by Telkom Foundation.

I also understand that completion and submission of this document does not commit ARM to approving this application and subsequent funding.

Date application submitted

Position in the Organisation

Signature

B) TELL US ABOUT YOUR PROJECT

This part of the application form focuses on the project for which you are seeking funding or support:

Project

Name of Project

Focus Area (Select from categories below)

Categories

Blue Flag/Emergency

Education

Entrepreneurship

Please note:

Your request will not be considered for appriasal should it fall outside the scope of our Mission & Vision statements. Refer to detail on the Telkom Foundation Website Alternatively refer to the heading REFERRALS for a list of other organisations that might be better suited to your needs or more able to assist you with your request for funds.

Other (please specify)

PAGE 4

APPLICATION FOR FUNDING (continue)

Location of project roll out

National

YES

NO

 

 

 

Province (please specify)

Eastern Cape

Freestate

Gauteng

KwaZulu Natal

Limpopo

 

Mpumalanga

Northern Cape

North West

Western Cape

 

Location (Indicate Town/Village/Informal settlement)

Need and rationale of project to be funded

Comment

What community support do you have for this project?

How will the community be involved in the project?

Primary beneficiaries of the project

Nr of children

 

Nr of children

 

Nr of children

 

Nr of children

 

Nr of youth

 

Nr of adults

 

Nr of women

 

Nr of senior

 

Nr of disabled

 

Nr of men

< 6 years old

 

Gr 1 to Gr 7

 

Gr 8 to Gr 12

 

Gr 1 to Gr 7

 

aged 18 - 21

 

over 21 & older

 

 

 

citizens

 

persons

 

 

Will the project ultimately beneit a wider number than the primary beneiciaries? If yes, indicate how many.

Will any new jobs be created with this project?

YES

NO

If, yes how long will it take to materialise?

Immediately

 

In 3 -12 Months

Summary description of project to be funded

Purpose Statement

PAGE 5

APPLICATION FOR FUNDING (continue)

Summary description of project to be funded (continue)

Project Objectives

Project Deliverables

Project success factors

How do you intend to monitor and evaluate the project?

Project Personnel

What staff resources will be allocated to this project?

Will the project make use of Volunteers?

YES

NO

If yes, indicate how many

NB! Please attach the CVs of the Key personnel

Do you require any training support for your staff?

If yes, what kind of training would be useful?

PAGE 6

APPLICATION FOR FUNDING (continue)

Funding Needs

What is the total cost of the entire project for the year?

R

Indicate how much money you would like Telkom Foundation to consider

R

donating to you

 

How will you use this money?

Please indicate on which items or activities you will spend the donation that you would like

Cost of item or activity

NB! Please attach a detailed project budget to this application

Donations in Kind

If you do not need money but would prefer donations in kind, please indicate:

 

Training

Infrastructure/buildings

Office Equipment

Computers

Office or Project Furniture

Mentorship

Prizes for functions

Transport

Other

Please explain how these items or support activities will assist your organisation to achieve its project objectives

Additional Funders

Have you approached any funders to support this project?

Have you received any feedback or promises of support from Government, National Agencies or other Funders?

Have you received any feedback or promises from any other Corporate Social Investment group for this project? If yes - please specify name

YES

NO

If yes, who?

YES

NO

If yes, please specify name of funders to support this project

 

YES

NO

If yes, please specify name of funders to support this project

 

Previous funding by the Telkom Foundation for the project

Have you ever received funding from the Telkom

YES

NO

If yes, when?

Foundation for this project?

 

 

 

If yes, please provide detail of funds or support provided

 

 

 

PAGE 7

APPLICATION FOR FUNDING (continue)

Sustainability of project to be funded

In the event of Telkom Foundation approving your application, how will the project continue after Telkom Foundation stops funding the project?

Training

If training is involved, are you an accredited training Provider?

Is this particular programme you intend to deliver as part of this project, accredited

YES

NO

If yes, please provide

 

 

your accreditation no.

YES

NO

 

Signatories

Name of authorised

 

Person

 

Designation

 

Date

Authorised Signature

 

Submission of application form

 

Contact Person

Fax No.

To Post:

To Deliver:

Postal Address

Physical Address

Postal Code

Postal Code

The following documentation needs to accompany this application:

• Constitution

• Tax excemption unit (if applicable)

• Organisational Proit

• NPO Certiicate

CVs of the Key personnel

Details of previous funds or support

Detailed project budget

provided by Telkom Foundation

PAGE 8

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