Youth Solidarity Fund Application Form 2019 Please reply to the following questions in a clear and succinct fashion. Only responses in English are accepted. All questions marked with an asterisk (*) require a response. Application guidelines for the Youth Solidarity Fund can be found here. Please read the guidelines carefully before applying. UNAOC will also facilitate a webinar series to help applicants strengthen their applications. More information about the webinars can be found here. Deadline Extended: Applications close on 30 August 2019, 5:00 p.m. Eastern Standard Time 6 September 2019, 5:00 p.m. Eastern Standard Time in New York. Organization Details Name of organization * Headquarters' location (country) * Select country Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d’Ivoire Croatia Cuba Cyprus Czech Republic Democratic People’s Republic of Korea Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka State of Palestine Sudan Suriname Swaziland Sweden Switzerland Syria Tajikistan Thailand The former Yugoslav Republic of Macedonia Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Republic of Tanzania United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Yemen Zambia Zimbabwe Address of organization * Include street address, city/town, province/state/region, country, zip code Telephone number of the organization * Please include the country code. Email of the organization * If needed, we want to be able to reach the leadership of your organization. Main source of information for the organization is * Website Facebook page OtherOther Website Please share your website, if any. Facebook page Please share your Facebook page, if any. Twitter account Please share your Twitter account, if any. Instagram account Please share your Instagram account, if any. Is your organization youth-led? Are the majority of leadership positions in the organization filled by youth between the ages of 18 and 35? * Yes No Which of the following best describe your organization/network/initiative? * An international organization An international network A national network A national organization A local organization A regional network of organizations An informal youth initiative A youth council OtherOther How many employees, volunteers or members? Please answer to the best of your knowledge. Employees * Volunteers * Members * Describe your organization/network/initiative in two or three sentences. Tell us about its main activities and mandate. * Please use a maximum of 75 words or less. Was your organization registered at least 2 years ago (August 2017 or earlier)? * Yes No Date that the organization was officially registered (must match date appearing on the registration certificate) * Please use the calendar to select the date that your organization was officially registered. Please use dd/mm/yyyy for the date format. Annual budget in USD, 2018 * Annual budget in USD, 2017 * Did your organization receive a grant or an award from the UNAOC in the past? * Yes No If yes, please specify which one(s) Intercultural Innovation Award PeaceApp PLURAL+ Youth Solidarity Fund Project Coordinator Details Please use details of your passport. If you do not have a passport, use details of your national identification card. First Name / Given Name (exactly as it appears in your international passport) * Middle Name (exactly as it appears in your international passport, if applicable) Last Name / Family Name (exactly as it appears in your international passport) * Full Name (exactly as it appears in your international passport) * Gender * Male Female Nationality (as per the international passport you would use to travel. If you hold more than one citizenship, give us the country whose passport you would most likely travel with) * Select nationality Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d’Ivoire Croatia Cuba Cyprus Czech Republic Democratic People’s Republic of Korea Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka State of Palestine Sudan Suriname Swaziland Sweden Switzerland Syria Tajikistan Thailand The former Yugoslav Republic of Macedonia Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Republic of Tanzania United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Yemen Zambia Zimbabwe Date of birth * Please use the calendar to select date of birth. Please use dd/mm/yyyy for the date format. Country of birth * Select country of birth Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d’Ivoire Croatia Cuba Cyprus Czech Republic Democratic People’s Republic of Korea Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka State of Palestine Sudan Suriname Swaziland Sweden Switzerland Syria Tajikistan Thailand The former Yugoslav Republic of Macedonia Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Republic of Tanzania United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Yemen Zambia Zimbabwe Primary email address is * Work email Personal email Primary email address * Secondary email address is * Work email Personal email Secondary email address * Did you ever take part in a UNAOC programme or event? (Summer School, Youth Solidarity Fund, Intercultural Innovation Award, PLURAL+, PeaceApp, Youth Event at the UNAOC Global Forum, Fellowship Programme, Young Peacebuilders) * Yes No If yes, please specify which one(s): Fellowship Programme Intercultural Innovation Award PeaceApp PLURAL+ Summer School Young Peacebuilders Youth Event at the UNAOC Global Forum Youth Solidarity Fund Project Overview Project title * Project start date * Please use the calendar to select project start date. Please use dd/mm/yyyy as the date format. Note that the project must be implemented between November 2019 and November 2020. Project end date * Please use the calendar to select project end date. Please use dd/mm/yyyy as the date format. Note that the project must be implemented between November 2019 and November 2020. Location of activities: Primary country of implementation * Select country Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d’Ivoire Croatia Cuba Cyprus Czech Republic Democratic People’s Republic of Korea Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka State of Palestine Sudan Suriname Swaziland Sweden Switzerland Syria Tajikistan Thailand The former Yugoslav Republic of Macedonia Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Republic of Tanzania United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Yemen Zambia Zimbabwe Location of activities: City/Cities in the primary country * Location of activities: Country #2 (if applicable) Select country Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d’Ivoire Croatia Cuba Cyprus Czech Republic Democratic People’s Republic of Korea Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka State of Palestine Sudan Suriname Swaziland Sweden Switzerland Syria Tajikistan Thailand The former Yugoslav Republic of Macedonia Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Republic of Tanzania United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Yemen Zambia Zimbabwe Location of activities: City/Cities in country #2 (if applicable) Please list any other location where the project will be implemented Total amount requested (in US Dollars) * Please note that the amount requested must be no more than 50% of your organization’s annual budget in 2018. Total amount requested (in local currency) * Please note that the amount requested must be no more than 50% of your organization’s annual budget in 2018. Exchange rate used: 1 USD = * Project Information Analysis of the Problem(s) or Issue(s): Describe the problem(s) or issue(s) the project aims to address. Why is this project necessary and relevant and how is this related to the UNAOC mandate? * Please use a maximum of 250 words or less. Project Objective(s): What do you want to achieve by implementing the project? * Please use a maximum of 150 words or less. Project Outcomes: State the main outcomes of your project (maximum of three) and be as specific as possible for each outcome. First project outcome * Please use a maximum of 30 words or less. Second project outcome Please use a maximum of 30 words or less. Third project outcome Please use a maximum of 30 words or less. Project Outputs: State the main outputs of your project (maximum of three) and be as specific as possible for each outcome. First project output * Please use a maximum of 30 words or less. Second project output Please use a maximum of 30 words or less. Third project output Please use a maximum of 30 words or less. Project Activities: Describe the main activities you will implement to address the stated problem(s)/issue(s). How will these activities help you reach the project objective(s) and produce the expected outcomes? First project activity * Please use a maximum of 50 words or less. Second project activity Please use a maximum of 50 words or less. Third project activity Please use a maximum of 50 words or less. Fourth project activity Please use a maximum of 50 words or less. Fifth project activity Please use a maximum of 50 words or less. Target audience: Who are you targeting in your activities? How will you ensure that they will be impacted by your project? * Please use a maximum of 100 words or less. What is the total number of youth you are planning to reach/involve (both directly and indirectly)? Indirect reach * Direct reach * Gender Mainstreaming: How will you ensure gender balance and promote gender mainstreaming throughout your project? * Please use a maximum of 100 words or less. Marginalized Youth: Will your project reach out to marginalized youth? How? * Please use a maximum of 100 words or less. Prevention of Violent Extremism: How does your project serve the objective of preventing violent extremism in your community by advancing values such as respect for diversity, tolerance and social cohesion? * Please use a maximum of 100 words or less. Innovative and Effective Use of Seed Funding: How will your project use seed funding to implement innovative and effective approaches to intercultural or interfaith dialogue, and advance the mission of UNAOC? * Please use a maximum of 100 words or less. Sustainability: How will you ensure sustainability of your project's results and impact? * Please use a maximum of 150 words or less. Monitoring and Evaluation: What type of monitoring and evaluation methods will you use? * Please use a maximum of 150 words or less. Partner(s): Do you have partners in this project? * Yes No Who are they? What is their role? Will they receive any funds? * Please use a maximum of 100 words or less. Passport of Project Coordinator: Please upload a picture or scan of the project coordinator's passport identification page. If the project coordinator does not have an international passport, upload his or her national identification card. Make sure that the scan includes both picture and the information about the name, date of birth, passport number and validity of the document (date issued, date of expiration). If you upload only the page with the picture or only the page with the name, birth date, etc., the application will not be reviewed. * Drop a file here or click to upload Choose File Maximum upload size: 2.1MB Accepted formats include: JPG, PNG, GIF, TIFF, and PDF. Supporting Documents Registration certificate of the organization * Drop a file here or click to upload Choose File Maximum upload size: 2.1MB Can be submitted in original language of the country where the organization is registered. Translations may be requested during later stages of the selection process. Accepted formats include: JPG, PNG, GIF, TIFF, DOC and PDF. Statutes (constitution, by-laws, etc.) of the organization * Drop a file here or click to upload Choose File Maximum upload size: 2.1MB Can be submitted in original language of the country where the organization is registered. Translations may be requested during later stages of the selection process. Accepted formats include: JPG, PNG, GIF, TIFF, DOC, and PDF. Organizational chart, depicting the ages of key decision makers within the organization * Drop a file here or click to upload Choose File Maximum upload size: 2.1MB Accepted formats include: JPG, PNG, GIF, TIFF, DOC, and PDF. Biography of the current Executive/Managing Director, showing date of birth * Drop a file here or click to upload Choose File Maximum upload size: 2.1MB Must be submitted in English, 1 page maximum. Accepted formats include: JPG, PNG, GIF, TIFF, DOC, and PDF. Resume/CV of the Project Coordinator * Drop a file here or click to upload Choose File Maximum upload size: 2.1MB Must be submitted in English, 2 pages maximum. Accepted formats include: JPG, PNG, GIF, TIFF, DOC, and PDF. Project Budget Please use the template available here (click to download template). Upload Project Budget * Drop a file here or click to upload Choose File Maximum upload size: 2.1MB Accepted formats include: DOC and PDF. Webinars Did you watch the webinar "Introduction to UNAOC and the Youth Solidarity Fund"? * Yes No What was the watch word in the webinar "Introduction to UNAOC and the Youth Solidarity Fund"? Did you watch the webinar "Understanding Impact"? * Yes No What was the watch word in the webinar "Understanding Impact"? Did you watch the webinar "What is Social Innovation"? * Yes No What was the watch word in the webinar "What is Social Innovation"? Did you watch the webinar "Introduction to Conflict Transformation"? * Yes No Agreements I confirm that the information provided above (and any associated information which I have provided in reference to this application), is true and complete. I recognize and accept that providing false, misleading, or intentionally incomplete information will provoke immediate refusal of my application. * Yes Date * If you are human, leave this field blank.