SAFARICOM FOUNDATION PROPOSAL APPLICATION FORM
GET STARTED ON THE JOURNEY
Provide details about yourself, your organization, and your project below to partner with us today
*Before filling the form, please read carefully the application guidelines and the application criteria
1. General Information
0.1 (a) - Applicant’s Details (At Least 2 people)
Contact Person Full Name Phone Number Email Postal Address
Contact Person Full Name Phone Number Email Postal Address
0.1 (b) - Project Details
Project Title Thematic Area/Pillar
Select One Health Education Empowerment
Project Timeline/ Duration Project Implementation Duration Requested Funding (Ksh)
Number of Months:
Project Location
County Sub-County Ward
0.1 (c) - Organization Details
Organization's Name Registration Number Date of Registration Annual Turnover/ Income
MM / DD / YYYY
Organization ’s Management Team
Name Position/ Title Email Postal Address
Name Position/ Title Email Postal Address
Name Position/ Title Email Postal Address
2. Your Project
0.2 (a) - Project Summary
Give a brief description of the project (Max 500 words).
0.2 (b) - Project Objectives
How will the funding of this project improve the lives of the community it serves? (Max 500 Words).
0.2 (c) - Project Beneficiaries
Number of people to benefit from the project: (For example 240 students in a secondary school)
0.2 (d) - Project Sustainability
How will the project continue to operate beyond the Safaricom Foundation funding? (Max 500 Words)
3. Your Budgets
Outcome / Benefit/Goal
eg Increasing access to educational opportunities for children with disabilities.
Activity Cost/Unit (Ksh.) Number Total Cost