Rwanda Non-Communicable Diseases Programme: call for proposals

This is a call for proposals and application form aimed at organisations who would like to deliver a grant to support community palliative care in Rwanda on behalf of the Scottish Government. The deadline for applications is 5 July 2024.


Document 1 – Application Form – Scottish Government Rwanda NCD Health Programme 2024

Applicant Organisation Name: Click or tap here to enter text.

Main Contact person during application assessment process:

Name: Click or tap here to enter text.

Email: Click or tap here to enter text.

Phone: Click or tap here to enter text.

Section 1: Declaration

I apply on behalf of the organisation Click or tap here to enter text.for a grant as proposed in this application in respect of expenditure to be incurred over the proposed funding period on the activities described within the application form and supporting documentation.

I certify that, to the best of my knowledge and belief, the statements made by me in this application are true and the information provided is correct.

This form should be signed by an individual authorised by the applicant organisation to submit applications and sign grant agreements on their behalf.

Signature Click or tap here to enter text. Print Name Click or tap here to enter text.

Position Click or tap here to enter text.

Date Click or tap to enter a date.

Section 2: Applicant Information

Q1. Name of organisation. Click or tap here to enter text.

Q2. Contact Details of Organisation:

a. Address:Click or tap here to enter text.

b. Postcode: Click or tap here to enter text.

c. Telephone: Click or tap here to enter text.

d. Fax: Click or tap here to enter text.

e. Website:Click or tap here to enter text.

Q3. . Is your organisation a registered charity? If yes, what is your charity number?

a. Charity No: Click or tap here to enter text.

b. What is the status of your organisation? Choose an item.

i. If other, please specify Click or tap here to enter text.

c. When was your organisation formally constituted? Click or tap here to enter text.

Q4. If you are submitting this bid as part of a consortium please confirm you have carried out due diligence on all proposed partners, providing details of all checks carried out, including the dates. Please include details here regarding any policies your partner organisation has with regards to safeguarding, including the process in place to report any suspected misconduct which may arise involving any aspect of the programme.

Click or tap here to enter text.

Q5. Programme Manager details: this is the person who will have overall responsibility for monitoring the progress of the programme, budget management, project reports and will be the main point of contact for the Scottish Government.

a. Name: Click or tap here to enter text.

b. Position in organisation: Click or tap here to enter text.

c. Telephone: Click or tap here to enter text.

d. E-mail: Click or tap here to enter text.

Q6. If your organisation is including salary costs in the programme budget for staff, please indicate which staff members you anticipate being involved and how many hours a week you would expect them on average to spend on this programme. Briefly describe their role and responsibilities in relation to the programme. Max 250 words.

Click or tap here to enter text.

Section 3: Partner Information

If bidding as part of a consortium, all partners should be detailed here. Please duplicate questions below as needed.

Q7. Contact details of partner organisation for this programme (if applicable).

a. Organisation Click or tap here to enter text.

b. Type of Organisation: Click or tap here to enter text.

c. Address: Click or tap here to enter text.

d. Postcode: Click or tap here to enter text.

e. Telephone: Click or tap here to enter text.

f. Email: Click or tap here to enter text.

g. Website: Click or tap here to enter text.

h. What is your relationship with this partner? Please including the number of years you have worked together.

Click or tap here to enter text.

i. What kind of agreement do you have in place? Choose an item.

Please ensure a copy is included with your application.

Q8. Partner’s Programme Manager details:

a. Name: Click or tap here to enter text.

b. Position in organisation: Click or tap here to enter text.

c. Telephone: Click or tap here to enter text.

d. E-mail: Click or tap here to enter text.

Contact

Email: intdev.health@gov.scot

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