Public Engagement Application Form

							CIDA CPB Public Engagement Fund Application Form

Canadian International Development Agency Canadian Partnership Branch

Public Engagement Fund (PEF) Application Form

Version: June 2009

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CIDA CPB Public Engagement Fund Application Form

INTRODUCTION
This application form is divided into four sections. PART 1 contains a description of the proposal. PART 2 focuses on results-based management. PART 3 presents the budget. PART 4 contains additional requirements. Before you complete the form, please read the information provided in the Guidelines. Make sure that the Organization and the proposal meet the eligibility criteria. PROJECT TITLE (max. 40 characters including the spaces): __________________. SUMMARY  In one page, summarize the general characteristics of the proposed project. Among other things, explain how the proposed project targets one or more of CIDA’s areas of focus, and one or more of the Millennium Development Goals. (Preference will be given to projects designed to engage youth or diaspora in international development.) Please include key project activities, useful opportunities for participation, and expected results. Please note that this will form the basis for the project information that will be published if the project is approved. (1 page maximum.)

PART 1
1.1 – OVERVIEW Capacity of Applicant Organization  Describe the Organization’s capacity in terms of human and financial resources to execute the project. Include value-added that the Organization brings to the proposed project beyond financial resources. If applicable, please mention the contribution of other Canadian donors to the proposed project. Strategic Planning  Demonstrate how this project has been incorporated into the Organization’s strategic plan and supported by the Board of Directors. Public Engagement Experience  Summarize the Organization’s past experience in planning and delivering public engagement projects in Canada, or projects related to international development issues.  Describe the Organization’s approach to public engagement in an international development environment. 1.2 – PROJECT DESCRIPTION   Indicate the proposed project’s ultimate outcome and results. Link the project to the logic model. Provide a concise but detailed description of the project and its various activities. In the case of a two-year project, please describe the progress that the project will allow during this two-year period.

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For organizations that currently receive funding from the Public Engagement Fund (PEF), explain how this project is different from other projects. For organizations that currently receive CIDA or CPB funding for public engagement activities, show the value added of this project. Indicate the proposed project’s start and end dates.

Project Duration What is the duration of your project in number of years or months? Sectors of Focus and Millennium Development Goals  Please describe how the proposed project will contribute to one or more of CIDA’s areas of focus. (Environmental sustainability and equality between women and men are crosscutting themes. They must be expressly and systematically mainstreamed in policies, programs, and projects where applicable.) o Promoting good governance. o Improving health. o Strengthening basic education. o Supporting private-sector development. o Advancing environmental sustainability.  Describe how the proposed project will contribute to one or more of the Millennium Development Goals (MDGs). o Eradicate extreme poverty and hunger. o Achieve universal primary education. o Promote gender equality and empower women. o Reduce child mortality. o Improve maternal health. o Combat HIV/AIDS, malaria and other diseases. o Ensure environmental sustainability. o Develop a global partnership for development — all by 2015. Where applicable, describe how the proposed project will focus on engaging youth or diaspora in international development.

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Target Clientele  Describe the clientele and/or community targeted by the proposed project, and explain why the Organization is targeting this specific group. (Where applicable, describe how the project will target youth or diaspora.)  Explain the Organization’s experience working with the target group.  Indicate how the project will appeal to both women and men. Scope and Visibility  Describe the proposed project’s expected scope and visibility, including the project’s geographic scope.  Determine how many people will benefit from the proposed project, directly and indirectly, and provide gender-specific data about them.  Explain how CIDA’s contribution to the project will be recognized.

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1.3 – PARTNERSHIPS      Describe the participation of other partners/organizations, their role, and their contribution to the proposed project. For collaborative projects, you are strongly advised to include letters of support from key partners involved in the project. For partners who must travel abroad for the proposed project (such as students who will visit a developing country to make a video), please describe the nature of the Organization’s relationship with the developing-country partner. If applicable, indicate the name of the developing-country partner. Indicate how long the relationship has existed. Describe what will be the respective roles of the Canadian and developing-partner organization(s) in the project.

1.4 – SUSTAINABILITY  Indicate if the results of the proposed project’s activities will be sustainable over time, after the project ends. Identify opportunities for beneficiaries to continue to participate in international development activities after the proposed project ends.

1.5 – PAST ACHIEVEMENTS AND LESSONS LEARNED   Describe the lessons that the Organization has learned from previous public engagement initiatives and that apply to the proposed project. Show how the proposed project is related to past achievements of public engagement activities.

1.6 – PRESENTATION OF RESULTS   Describe how results will be measured and presented. Explain how the Organization will know that participants are better informed and/or play a more active role in international development activities.

1.7 – REPORTING OF RESULTS  Describe the strategies that the Organization will use to report lessons learned from the project to other organizations and to Canadians.

1.8 – REQUIREMENTS RELATED TO CROSSCUTTING THEMES EQUALITY BETWEEN WOMEN AND MEN  State how the proposed project contributes to the objectives of CIDA’s Policy on Gender Equality. Where possible, use the categories and terms used in Tool 1 of CIDA’s Framework for Assessing Gender Equality Results.

Note – It is not enough merely to describe the Organization’s principles of equality between women and men. You must describe the issues/messages and key strategies that will enable you to raise public awareness of equality between women and men.

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Where projects will implement major activities focusing on equality between women and men, their logic model and performance measurement framework must include results (immediate and intermediate outcomes) relating to equality between women and men. ENVIRONMENTAL SUSTAINABILITY Environmental Assessment of Proposed Activities: Applicants must consider environmental issues associated with the theme addressed, regardless of the sectoral focus of the project. This includes both beneficial and adverse environmental effects. Consider links between environmental sustainability and CIDA’s other sectors of focus (governance, health, education, private-sector development), and to fields such as agriculture, water and sanitation, and so on. For assistance in identifying potential environmental effects, you may wish to consult CIDA’s Environmental Handbook for Community Development Initiatives and Additional Resources: Accompanying Document of the Environment Handbook (particularly “Tools for the Identification of Environmental Effects”.) Where possible, applicants should also consider best environmental practices related to public engagement activities. This includes such activities as double-sided printing, organizing “green” meetings (e.g. reusable versus disposable tableware), holding conference calls instead of faceto-face meetings, choosing environmentally friendly transportation, and so on.  Describe any beneficial and/or adverse environmental effects associated with the proposed project. If no assessment is provided, the applicant must provide acceptable justification.

PART 2 – RESULTS-BASED MANAGEMENT
Before you complete this section, please read all of the information in Section 5.0, ResultsBased Management, of the Guidelines. For advice on how to complete the following tables, please see RBM Tools at CIDA: How-to Guide. 2.1 – Logic Model (LM) 2.3 – Performance Management Framework (PMF) 2.4 – Risk Register

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2.1 – LOGIC MODEL (LM)
Title Country/Region/ Institution No. Budget Team Leader Duration

Date___________

ULTIMATE OUTCOME  INTERMEDIATE OUTCOMES  100 IMMEDIATE OUTCOMES  110 OUTPUTS  110 ACTIVITIES  120  210  310  120  210 310 200  300 

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Note The boxes in the table are for illustration purposes only. Applicants may adjust the number of boxes to suit the needs of the project. (In other words, you may add or delete boxes). It is not the number of boxes that matters, but rather the logical relationship among result levels.

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2.2 – PERFORMANCE MEASUREMENT FRAMEWORK (PMF)
Date_____________
Title Country/Region /Institution No. Budget
1

Team Leader Duration
3

EXPECTED OUTCOMES ULTIMATE OUTCOME (Long-term)

INDICATORS

2

BASELINE DATA

TARGETS

DATA SOURCES

DATA COLLECTION METHODS

FREQUENCY

RESPONSIBILITY

INTERMEDIATE OUTCOMES (Medium-term)

IMMEDIATE OUTCOMES (Short-term)

Outputs

1 Taken from logic model 2 Based on gender and environment, where possible 3 Including time period (where possible)

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2.3 – RISK REGISTER
Title Country/Region/ Institution No. Budget Team Leader Duration

Date____________

Risk Definition Operational Risks Op1 Op2 Implementation delayed owing to … Add lines as needed

Risk Level (Add columns as needed)
(Date 1) (Date 2) (Date 3)

Indicate result level from LM of 1 investment

Mitigation Measures Required

Responsibility

Project

Program manager Program manager

Financial Risks Fin1 Fin2 Possibility that funding may not be harmonized with … Add lines as needed

Development Risks Dev1 Dév2 Messages might not be adapted to the targeted audience Add lines as needed

Reputational Risks Messages might be misunderstood… Add lines as needed

1

Acronyms: Ultimate outcome (UO); intermediate outcome (ITO); immediate outcome (IMO); output (O); project as a whole (P)

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PART 3 – BUDGET
This section tells you how to provide information about the Organization and the project’s finances, so that CIDA can assess: - the Organization’s financial resources and its capacity for project cost sharing with CIDA; - the accuracy of the proposed project budget and the eligibility of the costs indicated. Before you complete each budget table, please read the information in Section 11.0, Finance, of the Guidelines. 3.1 – Table 1 – Forecast Project Revenue Allocation Overview: To help CIDA to assess the project’s financial resources, Table 1 presents all of the Organization’s sources of revenue to be allocated to the project. Revenue: Indicate the revenue, by source, that should be used to fund the project for its entire duration. State whether the contribution has been confirmed. If the Organization is entitled to make a portion of its contribution in kind, please indicate the source and type (hours spent volunteering, donations of material and equipment, and so on). 3.2 – Table 2 – Project Budget Overview: In Table 2, indicate all project costs that CIDA and the applicant organization will meet. See Section 11.0, Finance, of the Guidelines for information on cost sharing, in-kind contributions, contribution sources, international travel costs, indirect costs, and cashflow forecasts. 3.3 – Table 3 – Salary, Benefits, and Level of Effort Overview: Table 3 provides detailed and useful information about salary and benefits paid in the project. The Organization must show the level of effort of each position for which it plans to seek reimbursement of all or part of salary and benefit costs.

PART 4 – ADDITIONAL REQUIREMENTS
A complete application includes a proposal, the completed RBM tables, and the completed budget tables. Organizations must also submit all of the following documents. 4.1 4.2 A copy of their bylaws A copy of their letter of incorporation/registration, letters patent, or other proof of their not-for-profit legal status under the laws of Canada, or of a province or territory of Canada An anti-corruption declaration attached on their official letterhead Letters of support from significant partners if this is a collaborative project

4.3 4.4

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