Partnership Funding Application Form

Please click here to apply/renew your Valcare membership for 2021 first before you are allowed to apply for funding.

Complete the form below and attach the relevant documents for our office to process your application.

Tips to ensure a smooth application process:

• Please use Chrome as your browser.


• This form can't be saved mid-way and will need to be completed in one go. We recommend that you check and prepare all required information and documentation before commencing. It will take about 15 minutes to complete.


• Type all information in the fields and do not use the copy and paste function.


• If you see an error message in red, this indicates the specific section that you need to correct.


• The documents that you need to upload, should not be larger than 5MB each.


• The budget document must be in Excel format and the others can be any of the other formats as stated on the application form.


• Your submission is final and no additional documents or information will be accepted after your application has been received.


• If you are still struggling to submit the form, please try it from another computer.


• If you’re not able to submit the application form at all, even after you have followed all the above steps, please make an appointment with our Administrative Assistant to help you. You are welcome to bring your laptop to our office, or use Valcare's computer to submit the form. Please make sure you bring the relevant documents on a USB drive. You can schedule an appointment by emailing reception@valcare.org.za

Organisation Details

Name of organisation *

Primary contact for organisation
First name *
Last name *
Cellphone no *
E-mail *

Point of contact for project/ funding application
First name *
Last name *
Cellphone no *
E-mail *

Project information

Project name for which funding is requested *
Project Description [250 words] *

Project location *
FranschhoekGouda/Saron/HermonKlapmutsMbekweniSimondiumStellenboschWellingtonPaarlPaarl-EastOther

Other Project location

Please specify your focus area for which funding is requested *
A. Primary beneficiary your organisation reaches. (select multiple)
Youth (18-35)Vulnerable Children (0-18)Older Persons (65+)Persons with DisabilitiesVulnerable WomenChildren and FamiliesPrisoners and Ex-OffendersHomeless PeopleNonProfit Organisations
Please Specify Other

Please specify the primary service your organisation provides *
B. Primary service your organisation provides.
Skills Development and Job ReadinessTraining and Capacity Building for OrganisationsSport and RecreationEarly Childhood DevelopmentEducation SupportFood and Nutritional SupportSocial Services and Social Well-beingHealth CareCommunity Safe SpacesCommunity Engagement and Advocacy
Please Specify Other

Number of beneficiaries per age group
Children 0-5 *
Children 6-12 *
Children 13-18 *
Young Adults 19 - 25 *
Young Adults 26-35 *
Adults 35-59 *
Elderly 60+ *

Total number of beneficaries

Can you confirm that 75% of your beneficiaries are individuals who meet the definition Black as defined in terms of the Department of Trade and Industry's Broad-based Black Economic Empowerment(B-BEE) Codes of Good Practice
YesNo

Funding information

Total amount requested *

Funding activities requested *
OperationalTrainingProgrammeServicesOnce-offOther

Specify Other

Please note the following documents need to accompany your application form: total budget, project programme, NGO/NPO registration document, detailed application (optional) and a Cover letter no more than 2 pages long.

- The following file types are allowed: pdf, jpg, bmp, png, doc, docx, xls, xlsx.
- Maximum size per file: 5MB.

Total detailed budget in which project budget is highlighted (Excel format) *

Project Timelines *

NGO/NPO registration document *

Detailed application (optional)

A Cover letter no more than 2 pages long *

* Required fields.

For any queries / questions, please contact +27 (0) 21 872 2365|admin@valcare.org.za.