Medium Grant Application

To apply to the Medium grant, please complete the online application below.

General Information
Short Answer Questions
Additional Documents
Review & Submit

Order Number

Organization Details:

Organization Name

Organization established since

Organization Location

Organization URL

Does the organization have a fiscal agent? *

Yes

Employer Identification Number - EIN

organization's activities

Checks payable to

(Checks cannot be made payable to individuals.)

Grant Information:

Has this organization been the recipient of any grant before? *

Yes

Is the location of the project/activity on which the grant will be spent different from the organization address above? *

Yes

Amount requested

Date required by

Please provide details of project / activity on which the grant will be spent?

Please provide breakdown of costs for the purpose of this application

Who will be the direct and indirect beneficiaries of the project / activity?

Primary Contact Information:

Contact Name

Position of Applicant

Email Address

Short Answer Questions

Your answers to these questions will help us understand your organisation and how you work within the context of your community.

We are interested in finding out whether you have some of the key characteristics and qualities we are looking for as this helps us to identify the groups we think we are best placed to help.

Don’t worry about making your application ‘professional’ or glossy – we are looking for openness and a clear sense of the work you do and how and why you do it.

Remember that when we use the word community we don’t just mean your local area: your community can also be a ‘community of interest’ – a group of people with a particular shared need, experience or identity.

Make sure that your application tells us how many people your organization works with (or the number of people you are hoping to reach if you are looking for funding for a new project or are a new organization). This helps us to get an idea of the scale and scope of your work.

You don’t need to provide a detailed description or full costings of the work you are seeking funding for at this stage. We will ask you for more information if your application goes through to the second stage.

Ultimately we want to understand the vision and energy that inspire your work and how you think the LDF funding could help develop it.

Please tell us about the work that you do.

What practical difference do you want to make?

Tell us something about the community you work with and the challenges it is currently facing.

What strengths and opportunities do you see in your community?

How can LDF best help you? What’s the amount of Grant this work will require?

Please submit your introductory letter by uploading it as a PDF below. Applications without an introductory letter cannot be considered.

Please upload any further information which you feel is relevant to your application but which is not covered by the previous questions in this application. Supporting documents (e.g. budget submissions, project outlines, quotations for equipment etc) must be submitted with your application if appropriate.

All documents must be in PDF format. This helps to preserve the integrity of your application and makes it easier for us to see your information the way you would like us to.

All uploads must not exceed 10 MB combined. Anything larger than this may lead to technical issues, at your end as well as ours!

Add additional document(s) to your application:

Application Summary:

Please review application summary for accuracy below before pressing "submit" to send application to LDF.

Success message will display letting you know that application was submitted when form processes successfully.

If you need assistance with this application, please reach out to one@southsudanunite.com.

Declaration:

By clicking "submit," I confirm that I am authorised by the applying organization to make this application and that the information supplied on this form is accurate. I will inform the Luol Deng Foundation if any information relating to this application changes.