Grant Application Form

Note: The MAITS Grant Conditions and Grant Assessment Criteria (below) should be referred to when completing this form.

Applicant Name

Last name (BLOCK CAPITALS): *

Forenames: *

Title: *

Contact details

Address: *

Telephone Number: *

Email Address: *

How did you hear about MAITS?: *

Professional Registration Number: *

Do you have a current CRB certificate?: *

Yes

Give a brief summary of the intended purpose of your trip: *

Please give details of the host organisation(s), including client group, services provided, professionals employed and staffing levels: *

Dates of intended trip: *

Project

Project details: *

The goals and objectives of your proposed trip and explain how these were identified together with the host organisation.
Anticipated activities and outcomes of your trip.
Plans for ensuring sustainability where appropriate.

Outline your intended methods for monitoring and evaluating your input.: *

Include also ideas of how to measure the impact of your intervention after 6 months and 1 year

Outline a draft schedule / timetable of your visit: *

Outline the total breakdown of costs and specific funding being requested from MAITS: *

Personal details

Main area of expertise: *

Current post and professional experience with dates: *

Educational background: *

Any other relevant information: *

e.g. Previous experience of working overseas, roles you have/have had that require(d) a high level of independence and self-reliance, and/or problem-solving skills and/or teamwork.

First Referee

This should be your present employer / manager

Name: *

Address: *

Telephone Number: *

Email Address: *

Second Referee

This should be someone who has known you for at least two years

Name: *

Address: *

Telephone Number: *

Email Address: *

Please also attach proof of your registration with your professional body, your current CRB certificate and also an accompanying letter from your overseas partner organisation confirming that this grant proposal was jointly written with them: *

Scanned copies are acceptable.
MAITS guarantees the confidentiality of the personal data provided by the applicants and the automatic treatment of the same according to the personal data protection legislation.

Grant Conditions

1) The project must provide support to those working with people with special needs (in one of the strategic countries listed on the MAITS website, and/or otherwise agreed with MAITS).
2) MAITS must be satisfied with the proposed VOP's qualifications, experience and/or record.
3) A grant form must be completed in full and submitted to MAITS for assessment.
4) The VOP must apply to register with MAITS to be considered for the grant, which includes attending a MAITS information day.
5) The VOP must use best reasonable efforts to make contact with other relevant disability organisations in the local area during his/her trip, with the aim of enabling the largest possible number of people to benefit from the VOP’s input.
6) The Volunteer must use his / her best reasonable efforts to complete their project in accordance with the agreed aims and objectives.
7) Upon return, the VOP must provide MAITS with a full report of the work carried out by him / her on the project, using the MAITS report guidelines. The VOP(s) may be asked to present at a MAITS day and/or to attend a meeting to discuss their project outcomes and plans for future input. They will also be expected to hand over to future volunteers going out to the same project. All materials developed on the project will also be shared with MAITS.
8) Receipts must be provided by the VOP to MAITS (on request) in order to claim back any expenses previously agreed by MAITS.

Grant Assessment Criteria
Organisation level
1) Evidence of partnership with local organisation/Institute and proposal arrived at jointly, demonstrated through accompanying letter.
2) Evidence that the organisation/Institute is considered a Centre of Excellence or is locally recognised and thus has the ability to support capacity-building in other organisations within their local network.
Project level
1) Evidence of proposed input being responsive to local needs and that these cannot be accessed at a local/regional level.
2) Proposal involves knowledge & skills sharing/ transfer with local professionals and workers. Emphasis is on training and capacity building through joint working and/or formal teaching (eg workshops, courses, lectures).
3) Proposal involves empowerment of local workforce (e.g. through train the trainer programmes, co-presenting with local professionals/staff).
4) Grant application does or could forward MAITS Mission and Strategic Objectives.
Please note that MAITS accepts no liability whatsoever for the conduct of the Volunteer and the Project.
Your details will be kept on a database but only staff directly involved with this project will have access to them. MAITS guarantees the confidentiality of the personal data provided by the volunteers and the automatic treatment of the same according to the UK personal data protection legislation
Please click Yes below to confirm that all project objectives and details were developed in joint partnership with the host organisation(s)

Confirm: *

Yes