Rainforest Action Network Climate Action Fund Grant Application
SECTION I - CONTACT INFORMATION
Name of the Organization:
Contact Person's Title:
Contact Person's Email:
Name, title and email of person submitting this form (if different than contact person):
SECTION II - FINANCIAL SITUATION
Organizational Budget Last Year:
Main Sources of Funds Last Year:
Organizational Budget This Year:
What are your main sources of (planned) funding this year?
SECTION III - HISTORY & PURPOSE OF ORGANIZATION
When was the organization formed?
Where was it formed?
Is this a legally registered non-profit equivalent organization? If no, why not?
What is your organization's purpose or mission?
How does your organization seek to achieve its purpose or mission?
SECTION IV - FISCAL SPONSOR INFORMATION, IF APPLICABLE
Name of Fiscal Sponsor Organization: (if fiscal sponsor is needed, but has not been identified, please indicate in the text box - this does not affect the application)
Fiscal Sponsor Address:
Name and Title of Director at Fiscal Sponsor that Can Sign a Grant Agreement:
Name and email of contact person at fiscal sponsor organization to be contacted regarding the grant agreement if a grant is approved:
Percentage of grant withheld by fiscal sponsor, if applicable:
SECTION V - PROJECT PROPOSAL
Have you received a grant from Rainforest Action Network or Global Greengrants Fund before? If so, what year(s)?
Please describe why your project is needed; what problem/issue does it address? If applicable, please include a brief description of the local social and environmental context/issues where this project will take place:
Briefly describe the proposed objectives that the funding requested in this proposal would enable the organization to accomplish:
For each objective, please briefly describe the activities planned to achieve it and the expected results:
Briefly describe the communities or areas that will benefit from this project (i.e. how many communities, number of people or households, size of the area, geography, etc.):
If applicable, please include information regarding how the community or communities where the project is centered an/or that will be impacted by the initiative have been engaged in the decision-making process related to the above described activities:
What is the timeline of the project and for which period are you seeking funding for from this grant?
Please provide a simple line-item budget for the project (please note any funding already secured):
If it is possible to estimate, how many tons of greenhouse gases will be mitigated if you achieve your goal? Alternatively, how many units of fossil fuels are you attempting to keep from being extracted or combusted?
Does your project fit into one of our two basic categories?
1. Local resistance by frontline and impacted communities to prevent the extraction of fossil fuels such as coal, tar sands, oil and gas.
2. Local resistance by frontline and impacted communities to decommission or to prevent the construction of large point sources of greenhouse gas emissions. (A large point source is defined as any source larger than 100,000 tons of CO2.
Does your project meet the following two criteria?
1. Involves community organizing and mobilization as a major strategy towards achieving its goal.
2. Achievement of applicant goals would result in a significant positive climate mitigation impact.
SECTION VI - ADDITIONAL INFORMATION
Please provide contact info for two references:
Please list the full names of the organization's primary staff, officers and members of its Board of Directors (or similar governing body):
Optional: Send a jpeg of your organization in action or other relevant photo (less than 5MB). Please indicate if you would like the photo to be credited in a specific way.
Additional photos may be sent to email@example.com.
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Photo credit (optional):
Do you authorize Rainforest Action Network and/or Global Greengrants Fund* to list your organization and a brief description of your grant in English on our website(s) or other publications produced by RAN and/or GGF and, if applicable, use the photo(s) provided for the same purpose if a grant is approved and distributed related to this application?
*RAN is an advisor to Global Greengrantsfund and may consider this application for a grant recommendation to GGF.
Please note: RAN understands the need for some projects to remain confidential and therefore permission related to the above in no way impacts the application review process.
I certify that the information given in this application is correct to the best of my knowledge.
If you agree, please provide your digital signature below:
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