Juntanza Fund Application
Thank you for applying to the Juntanza Fund, a global youth-led grantmaking initiative!  We fund youth-led programs and organizations addressing hunger, education, and mental health at the intersection of racial and gender equity. Grants will range from $5,000-$10,000 USD. Young leaders (under age 25) from the US, Colombia, Cambodia, Kenya, or Somalia are eligible to apply. The deadline is AUGUST 6, 2021.

*Be sure to check the application guidelines for more details on eligible projects. We HIGHLY RECOMMEND that you work on your responses in a Word document or GoogleDocs and then copy and paste your responses into this form. This GoogleForm may not save your responses until you submit the full form. Please plan to spend between 2-6 hours to complete this application.

You may complete the form in either English, Khmer, or Spanish.

Este formulario de aplicación está en inglés. En caso de necesitar ayuda para su traducción puede remitir un correo electrónico a yac@comicrelief.org. También puede diligenciar el formulario en español y nosotros realizaremos la traducción de sus respuestas.

ទម្រង់ពាក្យស្នើសុំនេះ ត្រូវបានសរសេរឡើងជាភាសាអង់គ្លេស។ ប្រសិនបើអ្នកត្រូវការជំនួយបកប្រែសំណួរ សូមផ្ញើអ៊ីម៉ែលទៅកាន់ yac@comicrelief.org អ្នកក៏អាចបំពេញចម្លើយរបស់អ្នកនៅក្នុងទម្រង់ពាក្យស្នើសុំជាភាសាខ្មែរបាន ហើយបន្ទាប់មកយើងខ្ញុំនឹងបកប្រែចម្លើយរបស់អ្នកជាភាសាអង់គ្លេស។
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Email *
1. Eligibility Check *
Please verify that you meet the requirements for applying before submitting your application. Please check all that apply.
Required
2. Applicant Information
To be completed by the primary point of contact
Full name (first and last) of primary point of contact for the proposal *
Email address of primary point of contact *
3. Project Information (Overview)
Project Name *
This name should include a brief description of the program and where it is located. Limit to 1 sentence.
Summary of funding request *
In 3-4 sentences, please describe the program or project that you’d like us to fund.
Which issue area(s) does this program align with? *
Required
What throughline(s) does the proposed program align with? (Select all that apply) *
Required
Where will this program take place? *
Please note the City, State/Province, and Country
Proposed program start date *
Should be between October 1, 2021 and January 15th 2022 (to be written in Month, Day, Year format)
MM
/
DD
/
YYYY
What is the duration of the program? *
4. Program Design
Statement of need: What is the problem you are trying to address/solve? *
Respond with 4-6 sentences max.
What is your solution? *
Respond with 4-6 sentences max.
Who will be leading this program/project? *
A requirement of this funding is that the organization and/or program be lead by youth under the age of 25. Please describe who the young program leaders are, any relevant info about them, and their ages. --- ESPANOL: Un requisito de esta financiación es que la organización y / o el programa sean dirigidos por jóvenes menores de 25 años. Describa quiénes son los jóvenes líderes del programa, cualquier información relevante sobre ellos y sus edades.
Why are you, your organization, or campaign best positioned to address this issue? *
1-2 paragraphs max.  What previous experience do the program leaders bring to this work? (Lived experience, professional or academic experience and skills?)  What experience, achievements and expertise does the organization bring serving this community?  How do you engage and partner with the local community in designing and running your program?
How does this program strengthen gender and/or racial equity in your community? *
 1-2 paragraphs max. (E.g. racial equity, gender equity, rural/urban disparities, equity for minority ethnic or other groups)
5. Proposed Activities and Monitoring & Evaluation
What activities will take place during the grant period? *
Please provide a description of activities and a timeline for each activity.
Target Population *
Respond with 4-6 sentences max. How old are the target program participants?  What is their gender, race/ethnicity/income level?  Share any other relevant socio-economic characteristics (level of vulnerability, poverty, etc.)
How many people under 25 will be directly participating in and benefitting from this program? *
What are the top 3 goals of your proposed program? *
Respond with 4-6 sentences max and how will you ensure that you meet them (e.g. will you conduct a survey of program participants?)
6. Program Budget
What is the total budget for this program in USD? *
How much does it cost to run this program?
How much are you requesting from the Juntanza Fund in USD? *
We recommend you request between $5,000-$10,000 USD with a maximum of $10,000 USD. Write only the $ amount in USD.
What are your main budget items? *
Please list out the main items for your budget and their costs (this should total the amount requested from the Juntanza Fund). Budget line items may include: program staff salaries/stipends; administrative staff salaries/stipends; food; consultant or speaker fees; materials such as paper, pens, flip charts, etc.; software licensing fees like zoom or google drive; rent for office or meeting space; etc. If your grant is approved, you will be asked to share a more detailed budget that you will be requested to report back on.
7. Organization Information
This section should include information about the nonprofit sponsoring or implementing this program. Please be sure to reach out to the sponsoring organization to collect this information and then add it in below.
Name of Organization *
Organization's website *
Organization Mission and Purpose *
1 paragraph max
Organization History *
1 paragraph max. Why was your organization founded? Who founded it?
Leadership *
Please provide a list of Board members and their affiliations. Please provide a bio for the organization’s CEO or Executive Director and any other relevant senior staff
Child Safeguarding Practice or Child Protection Policy *
How does this program and organization keep children and vulnerable adults safe? This can include any mandatory training, reporting requirements, policies, or procedures in place to safeguard these populations. If you have a safeguarding policy, please provide a link here.
Youth Engagement *
Please describe how your organization incorporates the voices, experiences, and wisdom of youth to inform your programming and organizational strategies. Please include (if available): Percent of staff under 25 years old; percent of senior leadership under 25 years old; percent of Board under 25 years old; percent of program participants under 25 years old.
Organization Annual Budget in USD *
Number of full-time employees *
List your top 5 funding sources *
Please share a link to your organization's annual budget *
You can send a link to a Dropbox or other file sharing service
Please share a link to your organization's nonprofit/NGO registration certificate *
You can send a link to a Dropbox or other file sharing service. In the US this is ("501c3 letter of determination"). COLOMBIA (“Certificado de Existencia y Representación Legal"). CAMBODIA (Certificate of Registration of Domestic Association of Non-Governmental Organization; or Registration Letter from the Ministry of Interior).  KENYA ("Certificate of Registration” with the Non-Governmental Organizations Board)
A copy of your responses will be emailed to the address you provided.
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