The Core Partnership New Partner Application Form

All fields marked with * are required and must be filled.

Thank you so much for your interest in the Core Partnership with Blood:Water. We are looking forward to getting to know more about your organization and work.

We strongly encourage you read the detailed RFA Guidelines to understand more about our partnership model, instructions for successful submission and stages of the process. This application should not take more 45 minutes to prepare pulling information from already existing sources. Any questions can be submitted as referenced in the guidlines before 28th February 2023. Application submissions will close on 30th April 2023.

We remain grateful for your committed service.

Organization Name(Required)

Full name then acronym ex: Hope For the Future (HFF)

Physical Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

www.bloodwater.org

Primary Contact(Required)

Primary(Required)

Designation(Required)

Email(Required)

Contact Telephone Number With Country Code(Required)

Organization Description & Operating Structure

Organization Registration Type(Required)

Primary Country of Registration(Required)

Year of Registration(Required)

Does your organization have multiple country registrations and offices? If yes, list all below with a description of the function each office serves. (150 word limit)

How do you identify your organization's core missional work (sector focus/alignment)(Required)

Advocacy

Community Development (Generalized)

Education

Health (Generalized)

HIV/AIDS

WASH

Other

Is Your Organization African Founded?(Required)

Is Your Organization African-led?(Required)

Your current governing body is comprised of all African nationals.

If No, please explain what is the composition of the board

What percentage of the Executive Leadership Team including the governing board are female(Required)

100%

75% to 99%

50% to 74%

Less than 50%

Is your Executive Director female?(Required)

Yes

How many people make up your team across the below designations

Board Members

Please enter a number from 0 to 50.

Payroll

Employees on Payroll

Please enter a number from 0 to 500.

Volunteers

Volunteers (Number)

Please enter a number from 0 to 5000.

How many people make up your team across the below designations

Your Why: Please share with us why you exist and what you are endeavoring to see happen? (100 word limit)

Please share what guides your current strategy and direction. (250 word limit)

Please share what role(s) the community plays in your organization and the work you do? Be specific about what this looks like at various levels as is relevant. (500 word limit) *(Required)

Please share with us the current scope of your work. This can be programmatic, geographic, people with shared experiences or similar. Feel free to tell us what you do not do. Are there guide-rails or boundaries that define what is within your scope as well. *(Required)

Impact: When you look at your reason for existing, what are the achievements, and missional outcomes that demonstrate the impact you are making to date? *(Required)

Organization's Financial Information

The following section will offer context to your organization's financial scope and experiences, with a focus on the past 3-years.

Organization's Current Operating Budget (2023) (Total USD)(Required)

ex 10,000

Organization's Current Projected Revenue (2023) (Total USD)(Required)

ex 10,000

Organization's Last Operating Budget (2022) (Total USD)(Required)

ex 10,000

When does your fiscal year end?

Example: December

In the last 3 years, has the organization managed a grant of 25,000 USD or more?(Required)

Primary Revenue Sources: kindly share the current and active highest 3 funding sources or partnerships in USD.

Name/Source

Amount Total (USD)

Start (Year)

End (Year)

% of Total Budget

Maximum of 3 Revenue Sources

Funding History: Please use the below to share the previous funding sources or partnerships that supported your efforts within the last 3 calendar years and are no longer in actively funding you. *

Name/Source

Amount Total (USD)

Start (Year)

End (Year)

How was this positioned

Maximum of 3 Funding History

Impact of the Covid Pandemic

We recognize that many organizations have been impacted and are still recovering from the impact of the COVID-19 pandemic. Beyond the immediate lockdown and programmatic shifts, if your organization was impacted in other ways that changed the trajectory of your operations please share with us so we understand where you are now and how you are coping.

Did you experience a major funding gap in the last two years that resulted in a change in organization's structure, operations or program strategy?(Required)

If you selected yes, please explain what your current set-up is. What are your plans for the immediate future to adapt or restore stability?

ex: Tell us about any changes of mission or program strategy, senior leadership changes, major funding gaps and operational pauses that you may still be adapting or recovering from.

The Blood: Water Core Grant Partnership - Programmatic Alignment

In this section we would like to hear more about your partnership alignment with the Core Grant. We will ask some questions about the intended programmatic focus of the grant and previous experiences you have in this kind of work. This is not a proposal, rather some preliminary context setting of your organization's work that offers our team an understanding of the need you are responding to and your existing expertise in the areas of interest to determine the degree of alignment with the Core Partnership's parameters, as shared in the RFA guidelines.

Did you experience a major funding gap in the last two years that resulted in a change in organization's structure, operations or program strategy?(Required)

The initiative area represents the central goal or majority focus of the grant work, however does not limit the scope of work conducted. A partner can work across all areas beyond their primary initiative area.

Within the above selected primary initiative area is there a focus within the Initiative Area that your programming will respond to? (optional)

Cross-cutting - Gender: Women and girls

HIV + WASH Integration

WASH - Climate Resiliance

HIV/AIDS - Vulnerable sub-populations

No focus - programming generalized within the primary initiative area.

The Need & Context: We would like to hear about the issues/challenges that the partnership will be directly responding to. How will this partnership and grant be best positioned to address this uniquely compared to your current partners or programming? (200 word limit)(Required)

Previous Work & Programmatic Expertise: Why is your organization best placed to carry out the proposed work specific to HIV or WASH? Please include any current or previous programmatic work, skills or collaborative partners/institutions that that you work with for technical soundness. (250 words maximum)*(Required)

Organizational Strengthening: When you consider the health and longevity of your organization, what are your organizational strengthening goals that you are working towards with the highest priority in the next 2-4 years? (250 word limits) *(Required)

Please share how your organization applies information and learning to inform how you work. *(Required)

How did you hear about the Partnership RFA?

Blood:Water Partner

Blood:Water Website or Staff Referral

Institutional Friend/Collaborator of Blood:Water

Other

Please specify Referral partner, staff or Friend/Collaborator:

Supporting Documentation File Upload

In the below section please upload the following documents only. We kindly request you do not send additional files not requested.
1. Two letters of reference with contact information: Speaking to the credibility of your organization by other donors, partners, beneficiaries or community representatives
2. Most recent audit report and tax returns: in support of your financial accountability and management practices, no earlier than 2021.
3.Copy of registration documents: validating your legitimate operations in accordance with local government.

Attachments(Required)

Accepted file types: pdf, doc, docx, xlx, zip, jpg, jpeg, png, gif, Max. file size: 40 MB.

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