Immigrant Integration Small Grants Scheme 2008

1. Contact Details

Name of organisation: ___________________________________

___________________________________

Name of contact person(s): ___________________________________

___________________________________

Address for correspondence: ___________________________________

___________________________________

___________________________________

Phone no: ___________________________________

Mobile no: ___________________________________

Fax no: ___________________________________

Email address: ___________________________________

Website: ___________________________________

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 Immigrant Integration Small Grants Scheme 2008

2. Applicant Organisation Details

2.1. Type of the group/organisation. Please tick/provide info where

appropriate. Is your group/organisation:

- Minority Ethnic Led Organisation

(see Guidance Notes section 1.1. for Definition)

- Voluntary Local Community Group

- Other (please specify) _________________________________________

2.2. Number of members in the organisation:

Members Number
Volunteers:

Paid Staff:

Other Members (please specify):

__________________________________________

Total number of members in the organisation:

2.3. How many years has your organisation been in existence?:

___________________________________________________________

2.4. Please describe the activities your organisation is presently involved in

(attach the evidence available of these activities):
________________________________________________________________
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 Immigrant Integration Small Grants Scheme 2008

3. Project Details
3.1. Title of new project:
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3.2. Project aims and objectives:

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3.3. Project description

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 Immigrant Integration Small Grants Scheme 2008

3.4. Project timeline. When are you planning to undertake your

events/activities (indicate the date/s if known)? How long will the activities
run, how many days or evenings are involved, or how often per
week/month?
Please complete also the Project Time Plan attached in a separate sheet.
________________________________________________________________
________________________________________________________________
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3.5. Please describe the need for this project and how these needs were
identified. How were various communities (e.g. Irish, immigrants, ethnic
minorities) consulted in relation to the project? How was it advertised?:
________________________________________________________________
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3.6. Outline how the above project will support the integration of
immigrants into the Irish society. How does your project promote
interaction between immigrants and the local community?:
________________________________________________________________
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 Immigrant Integration Small Grants Scheme 2008

3.7. Please provide information about the target group of your project. Tick
all the relevant boxes and provide additional information about the target
group (age, nationality, sex) if appropriate in the spaces below.
Please outline an approximate breakdown of the numbers expected to
benefit from the project (if possible):

Target Group Number

Legally resident Immigrants:
_______________________________________________
_______________________________________________
People from the local community:
_______________________________________________
_______________________________________________
Other, please specify (e.g. asylum seekers):
_______________________________________________
_______________________________________________
Total number of people to benefit:

3.8. Please indicate how you will measure the success of the proposed
project by listing below four performance indicators:
(see Guidance Notes section 3.2. for definition and examples)
(1)______________________________________________________________
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(2)______________________________________________________________
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(3)______________________________________________________________
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(4)______________________________________________________________
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 Immigrant Integration Small Grants Scheme 2008

4. Project Costs:

Please provide a detailed breakdown of the estimated costs related to each

element of the project:
See Guidance Notes sections 1.2. and 1.3. for admissible and inadmissible costs.

__________________________________ € _________________
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TOTAL PROJECT COSTS € _________________

TOTAL AMOUNT OF GRANT NOW SOUGHT? € _________________

If you have included expenses, which do not come within the remit of the
Scheme as outlined in the Guidance Notes section 1.3., please explain the
reasons for their inclusion.

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 Immigrant Integration Small Grants Scheme 2008

5. Funding details
5.1. Has your organisation applied, or do you intend to apply, for a grant
towards this project or any aspect of this project, from any other source?

YES/NO __________________________

If YES, please name the organisation(s) to which you have applied or

intend to apply, the amount of grant you applied for and the amount
received from them if any:
Organisation/Statutory Agency € Amount sought € Amount received

5.2. Are you receiving any funding for purposes other than this project
from any other source?

YES/NO __________________________

If YES, please specify amount, source and the purpose of the funding
received:

€ Amount Source Purpose

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 Immigrant Integration Small Grants Scheme 2008

6. Previous funding details

6.1. Have you ever received funding under previous Small Grants
Schemes?
(YES/NO): ______________________

If YES please answer the following questions:

6.2. Please complete the table below:
1. Please provide the year in which it was granted as well as the amount received, the
name of the Scheme (see all the Scheme names below) and the title of the project held.
2. Confirm that the Income & Expenditure Report was submitted for each of the grants
received.

Previous SGS Funding details

Report
€ Amount submit
Year Name of the Scheme * Project Title (short description)
received ted
(Y/N)

* Scheme names:

• Small Grant Scheme 200_ for Asylum Seekers Support (any year starting
2001-2007)
• Immigrant Integration Fund 2006 (funding issued at the end of 2006 beginning
2007)
• Small Grant Scheme 2007 for Immigrant Integration (funding issued at the end
of 2007)

6.3. Are you still using any of the grants received under the previous
Schemes for on-going projects?

YES/NO ________________________

If YES please provide the name of the Small Grant Scheme under which
funding was received and the balance outstanding.

Name of the Scheme € Balance outstanding

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 Immigrant Integration Small Grants Scheme 2008

6. Additional Documentation and Information required

7.1. VAT no _______________________________

7.2. Tax Registration no _______________________________

or Charitable Status (CHY) no

7.3. Please ensure (and tick where appropriate) that you have attached the
following documentation:

Charities:

• A copy of the letter from the Revenue Commissioners

confirming the organisation’s tax free status

• A copy of the most recent audited accounts

Other Organisations:

• A copy of the current tax clearance certificate

• A copy of the most recent audited accounts

7. Bank Details

Name of Bank: ___________________________________

Address: ___________________________________
___________________________________
___________________________________
Sort code: ___________________________________
Account no.: ___________________________________

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 Immigrant Integration Small Grants Scheme 2008

DECLARATION

To be completed by the person responsible for project implementation and

to whom all correspondence should be addressed.

On behalf of ____________________________________________ I wish to

apply for a grant towards the project as outlined above; and I hereby
declare that the information given in this form is true and complete to the
best of my knowledge. I also undertake, on behalf of the above named
organisation, to comply with the grant guidelines and conditions for
funding under the scheme as outlined in the Guidance Notes.

Name: _____________________ Signature: ____________________

Date: _____________________
______________________________________________________________

Freedom of Information Act

Any information provided by you in this application may be subject to release in

accordance with the obligations of the Department of Justice, Equality and Law
Reform under the Freedom of Information Act, which came into force on 21 April,
1998. If you believe that any of the information supplied by you should not be
disclosed because of its sensitivity, you should identify this information and state
the reasons for its sensitivity. The Department will consult with you about this
sensitive information before making a decision on any Freedom of Information
request received.
______________________________________________________________
Completed Application Forms should be sent by post to:

Danuta Strazdonika
Small Grants Schemes 2008
Office of the Minister for Integration
43/49 Mespil Road
Dublin 4

Tel: 01 6473123

The deadline for receipt of completed application forms is

29th February 2008.

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 Immigrant Integration Small Grants Scheme 2008

Project Time Plan

List the main activities of your project on the left hand column and insert on the calendar dates/periods when they occur.
See example on the next page.

Project Activities Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

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 Immigrant Integration Small Grants Scheme 2008

Example Project Time Plan

List the main activities of your project on the left hand column and insert on the calendar dates/periods when they occur.
Project Activities Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Planning and set up

X X
(meetings to be held)

Advertising and recruit

X X
participants

Activities /classes

Parade X

Interim Report X

Exhibition 15/8/08

Closing ceremony,
08/10/08
presentation of certs

Project Evaluation X

Final Report X

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Immigrant Integration Small Grants Scheme 2008

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