Download - RECABASO Round 2 Application Form
Regional AIDS Training NetworkP.O Box 16035-00100, Nairobi, Kenya
Tel: +254-20-2635929, 2635938, Mobile: +254 73499975, 724255849Email: [email protected], Website: www.ratn.org
Appendix to the Expression of Interest
APPLICATION FORM
A.1 Applicant identification
INFORMATION REQUIREDCONTACT DETAILS Address:
Telephone:Fax:E-mail:Website:
REGISTRATION DETAILS
Date of registration:Country of registration:Registration number:
A.2 Contact person
INFORMATION REQUIREDTITLE Mr/Ms/Dr/other NAME Surname:
First name: DESIGNATIONCONTACT DETAILS
Email:Tel:
B. Applicant Profile
What is the mission statement of the applicant organisation?
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Regional AIDS Training NetworkP.O Box 16035-00100, Nairobi, Kenya
Tel: +254-20-2635929, 2635938, Mobile: +254 73499975, 724255849Email: [email protected], Website: www.ratn.org
B1. Type of your organisation (please tick/shade) appropriately:
(a) Community-based organisations (CBO) working on HIV and AIDS
(b) National Network of AIDS Service Organisations
(c) National Civil Society Organisation working on HIV and AIDS
(d) Other Specify
B2. Please list any organisations /bodies that your organisation is a member of or is affiliated to;
B3. Provide the following details on size of your organisation in terms of number of permanent staff and budget in the last three (3) years
Year No. of full time staff Annual Budget (US$)201220112010
B4. Please provide an overview of the project (s) or programmes your organisation has implemented in the past three years:
Name of project Keys Project Outcome(s)
Year(s) of implementation
Donor(s)
1.2.3.
C. Applicant’s Information for RBM intervention
C1. Describe how your organisation applies or understands Results Based Management principles?
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Regional AIDS Training NetworkP.O Box 16035-00100, Nairobi, Kenya
Tel: +254-20-2635929, 2635938, Mobile: +254 73499975, 724255849Email: [email protected], Website: www.ratn.org
C3. Please answer the following question by ticking the appropriate box
i. Question Advanced Beginning Not Started
Don’t know
ii. To what extent is your organisation using results information to manage and adjust on-going operations, strategic plans, policies and resources
iii. To what extent is there tangible support from management for building and supporting results-based management?
iv. To what extent is RBM-based training available to managers and staff throughout the organisation?
v. To what extent do the appraisal systems in your organisation relate individual accomplishments to outcomes?
vi. To what extent do your organisation’s values and ethics reflect an outcome focus?
vii. To what extent is risk management systematically practiced in your organisation and linked to outcomes
viii. To what extent does your business plan/strategic plan specify organisation-wide performance expectations that are clear, concrete and time-bound?
ix. To what extent are outcome measurements linked to financial measures
x. To what extent is evaluation integrated into the management of programs and policies
xi. To what extent are results data used for internal managing?
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Regional AIDS Training NetworkP.O Box 16035-00100, Nairobi, Kenya
Tel: +254-20-2635929, 2635938, Mobile: +254 73499975, 724255849Email: [email protected], Website: www.ratn.org
C4 Overall, how would you rate your organisation in terms of practice of Results Based Management?
1. Advanced 2. Not started
3. Beginning 4. Do not know/ Not sure
C5. Briefly describe why your organisation is applying for capacity building for Results Based Management (RBM) (If space is not enough use separate page but maximum one (1) page)
C6. Does your organisation have the following documents? Please tick as appropriate Type of Document Yes No Not
Applicable1. Constitution for the Organisation2. Registration certificate3. Audited Accounts for last Financial Year4. Annual Report for last Financial Year5. Organisational chart6. Current Strategic Plan 7. Annual work-plan8. Monitoring and Evaluation Plan/Framework9. Organisational Capacity Statement/Profile
C7. If yes to C6 (6) above, is the current Strategic Plan fully funded? (tick one)
Yes fully funded Yes Partially funded Not funded
………………………………………END…………………………………………
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Regional AIDS Training NetworkP.O Box 16035-00100, Nairobi, Kenya
Tel: +254-20-2635929, 2635938, Mobile: +254 73499975, 724255849Email: [email protected], Website: www.ratn.org
ANNEX 2 to the Call for Expression of Interest
RECABASO/11/12RECABASO: Eligibility Criteria
IMPORTANT: RECABASO Team reserves its right to verify the accuracy of the information provided by the Applicant by means of due diligence, if required.
ELIGIBILITY CRITERIA System of appraisal (for RECABASO use only)
Yes / No
1.1 The Applicant is an AIDS service organisation
1.2 The Applicant is based in the Eastern and Southern African region
1.5 The Applicant has declared interest in RBM capacity building
1.6 The Expression of Interest is prepared in accordance with Annex 1 to the Call for Expression of Interest. All necessary supporting documents are provided.
1.7 The Expression of Interest and the relevant appendices/annexes are duly signed.
1.9 The Expression of Interest is submitted both by registered mail and e-mail.
1.10 The Expression of Interest is submitted within the Deadline.
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Regional AIDS Training NetworkP.O Box 16035-00100, Nairobi, Kenya
Tel: +254-20-2635929, 2635938, Mobile: +254 73499975, 724255849Email: [email protected], Website: www.ratn.org
ANNEX 3 to the Call for Expression of Interest
RECABASO/11/2012RECABASO: Award Criteria
No. AWARD CRITERIA Evaluation (weighting)
For RECABASO use only
1.1 Eligibility criteria met as per Annex 1 30
1.2 The applicant’s organisational governance structure 20
1.5 Applicant’s demonstrated need and interest in Results Based Management
20
1.6 Applicant’s potential to demonstrate results 10
1.7 Assessment of relevant supportive document 20
Total 100
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