Empress Shôken Fund

Complete this form fully. Be concise, but ensure all needed information is included and is accurate.
Fill in the budget using the annexed template in CHF.
Upload any supporting documentation required for question 10
Print, sign and upload the Senior leadership Commitment using the annexed template
(Optional) We would welcome a short video (maximum one minute) presenting the project

The fund encourages imaginative approaches and learnings, so that funded projects will contribute to our increasing effectiveness globally. Please review the Project Report form to ensure that you will be able to collect relevant information during project implementation. Also, please be sure to familiarize yourself with all the necessary documents you can find here. For any additional information, please contact esf.secretariat@ifrc.org

**Please note that you can use the “Print” feature to complete your application form offline prior to online submission.

1. Name of applicant National Society

Name

Title

Phone

The phone number is not valid.

Email

The email is not valid.

Title of the ESF initiative

Total requested amount in CHF (max CHF 30 000)

5. Category under which application is made

Please indicate which activity your project relates to (see article 3 of the Regulations).

6. Executive summary (max 300 words)

7. What is the need/problem this project will address?

8. How will this project address the need/problem?

9. List any assumptions you have made in planning the project, together with how you will test each assumption

10. Are you seeking, or have you been pledged, any other sources of funding for this project?

If yes, please indicate the amount and attach supporting documentation.

11. Describe if you plan to involve partners/other actors, within or beyond the RCRC movement, with a common interest in addressing the problem.

12. What do you hope to learn in carrying out this project?

13. What will success look like?

14. What is the planned scale of your project? How many people and communities will be helped, affected, involved, etc.?

Documents to upload

Budget

Please upload the completed template. The uploader approves the following file types: doc, docx, xls, xlsx, pdf, jpg, jpeg, png, zip.

Annexed template

Governing Board and Senior Management commitment

Please upload the template signed and stamped by the Secretary General/Director General /CEO. The uploader approves the following file types: doc, docx, xls, xlsx, pdf, jpg, jpeg, png, zip.

Annexed template

Additional supporting documents and materials

The uploader approves the following file types: doc, docx, xls, xlsx, pdf, jpg, jpeg, png, zip.