CERF Application Template July2015 EN Chapeau

Application for Grant Funding [Country Name]

| CERF Application for Grant Funding | [email protected] | cerf.un.org Sections I and II below should be completed only once for each application. Cluster or sector leads should contribute to the overall development of sections I and II and in particular each cluster/sector shall provide inputs for question 14c. Individual agencies participating in the application should complete project proposals (Section III). Please refer to Annex B: Example of a Results Framework and Project Implementation Plan, and Annex A: Budget Guidance including the budget tool.

I. APPLICANT INFORMATION

1. Country

2. Resident/Humanitarian Coordinator

3. Name and contact information of person to be Name: Telephone: contacted on this grant request and reporting Agency: Email:

II. OVERALL GRANT REQUEST

A. SUMMARY

4. CERF grant window Rapid Response Underfunded Emergencies

5a. Total amount required for the humanitarian response US$ For the rapid response window, this amount should reflect the humanitarian requirements for the new crisis that triggered the application to CERF. Include only funding requirements for the F immediate emergency assistance to the new or increased caseload. u For the underfunded emergencies window, this amount should correspond to the overall n humanitarian requirement in the country. d i 5b. Total amount received for the humanitarian response US$ n Indicate the amount received against the total indicated in 5a above. g 5c. Total amount of CERF funding requested US$ Insert the total cost of this CERF submission. Please note that CERF rapid response normally only funds a portion of the total humanitarian requirement (i.e. amount in 5a) to jump-start operations. 6. Geographical areas of implementation (by first and second level administrative divisions)1

A 7a. Total number of individuals directly f affected by the current crisis f e 7b. Total number of individuals directly c targeted with CERF funding2

1 First administrative level can be provinces, states, governorates or regions. Second administrative level can be districts, prefectures, municipalities, cantons or townships.

2 State the total number of beneficiaries from this CERF application, which can be an estimate. In most cases, this will not be the sum of the beneficiaries in each sector provided in 7c as affected people may receive assistance through CERF projects in multiple cluster/sectors.

| CERF Application for Grant Funding | [email protected] | cerf.un.org 7c. Number of individuals directly targeted Cluster/Sector Female Male Total with CERF funding by cluster or sector, based on the projects included in this application. Add or delete rows as necessary.

i n d i 8. Is this submission based on one or more needs assessments? Yes  Please indicate the type (e.g., joint multi-sector assessments, Multi-Cluster/Sector Initial Rapid Assessment (MIRA), etc.) and date of assessment(s) undertaken, and humanitarian partners involved:

No  Explanation:

9. Do the requesting agencies have the capacity for immediate implementation and timely delivery of assistance (access, sufficient staff, clearance for imports, etc.) following the approval of funding by the ERC? Yes No

If ”No” or in case of expected limitations, please explain:

10. Strategic statement on the use of CERF funds: In about 100 words, please provide a brief summary of the grant request: What is the emergency? Who are you supporting? Where, and for what impact? What kind of activities will you implement?

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| CERF Application for Grant Funding | [email protected] | cerf.un.org B. Humanitarian Context and Response (2 pages max)

11. Humanitarian situation (1 page): What are the causes of the humanitarian situation? How has it deteriorated? Who is affected? Describe the humanitarian situation and the main humanitarian consequences informed by needs assessments. For the underfunded emergencies window, describe the overall humanitarian situation; for the rapid response window, describe the new crisis for which CERF support is requested.

GUIDANCE (delete when completed) - Describe the causes of the crisis and its humanitarian consequences. Include relevant political, socio-economic and physical aspects. Refer to relevant needs assessments and summarize key humanitarian data (mortality rates, nutritional status, etc.), including those in a Humanitarian Needs Overview, if applicable. - State the dates that the Government officially declared a disaster or requested international assistance, if applicable. - Highlight any sudden deterioration in the humanitarian situation that led to a CERF request, in particular, for the rapid response window. - Describe the composition of the affected population, highlighting the most vulnerable groups. State the number of people affected by the crisis, as well as the number of people requiring humanitarian assistance, disaggregated by sex, age and other characteristics. - Provide a gender analysis to describe the differential needs of women, girls, boys, and men, of different ages and to indicate gender inequalities and how these may worsen in the current context. Highlight information with regard to gender- based violence, if relevant.

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12. Humanitarian response strategy (1 page): What is the overall humanitarian response plan? What are the strategic objectives of the response? How many people are targeted in total? Where? What are the priorities?

GUIDANCE (delete when completed) - Outline the overall humanitarian response strategy or plans developed in response to the recent crisis, such as a Humanitarian Response Plan (HRP) or any other joint or Government-led response. - Highlight the priority humanitarian actions and immediate response gaps in relevant sectors or clusters. - Identify any constraints faced in the implementation of the humanitarian response strategy. These could be related to security, access, capacity, data availability, etc.

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C. Grant Request Justification (3 pages max)

13. Rationale for the CERF request (1 page): What is the trigger for the CERF request? What is the current funding situation? How can CERF funds make a difference in the humanitarian response at this stage?

13a. Rationale for the CERF request (only for rapid response requests)

GUIDANCE (delete when completed) - Explain the trigger that prompted this CERF application highlighting the deterioration of the humanitarian situation. Include any relevant data to demonstrate a deteriorating situation over the past weeks. Please refer to specific findings from needs assessments.

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13b. Funding analysis (complete for both rapid response and underfunded emergencies requests)

GUIDANCE (delete when completed)

| CERF Application for Grant Funding | [email protected] | cerf.un.org - How much funding is required for the humanitarian response? Explain here the total amount noted in Question 5a. For rapid response requests, estimate the total funds required to address the new or increased humanitarian needs. - Please provide a short analysis of the funding situation for this emergency, including funding by cluster, funding trends and information on other donor resources available (including hard pledges and funding from pooled funds, if applicable). - Explain the significant implications of funding shortages and gaps on the lives of the affected population. - Describe the fundraising strategy beyond CERF’s contribution and explain how a CERF allocation will be used to leverage additional resources.

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14. Proposed CERF response (2 pages): What are the strategic objectives of the CERF submission? What priorities will CERF support? Who is supported, with what and where? How will CERF funds complement other resources? How did humanitarian partners jointly prioritize the CERF request? How are the different activities interlinked under the strategic objectives?

14a. Outline of CERF strategy, priorities and complementarity

GUIDANCE (delete when completed) - State the key strategic objectives of the CERF request that are specific, measurable, achievable, realistic and timely. - Briefly outline the particular needs to be addressed and the type of response activities that will be supported with CERF funds. - Describe the target areas and populations that will be assisted (disaggregated by sex, age and other relevant characteristics). - Provide a brief overview of the integrated CERF package and how the clusters/sectors and partners will complement one another in carrying out the proposed interventions. - How will CERF funds complement other resources? - If a country-based humanitarian pooled funding (CBPF) mechanism exists, explain how it will be used to complement the funds requested from CERF. If the country-based pooled fund is not used for this crisis please explain why. - Provide the key advocacy message that can be sent through this CERF allocation.

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14b. How was the overall CERF strategy developed? How did the Humanitarian Country Team jointly prioritize the request? What criteria were used and which factors considered?

GUIDANCE (delete when completed) - Describe the consultation process for developing this CERF application and the stakeholders (including implementing partners) involved. How were clusters/sectors involved? If no cluster/sector system exists, explain how the country team has consulted humanitarian partners through other coordination mechanisms.3 - How were activities prioritized to be included in this CERF request? What factors were considered to strategically focus the CERF request (for example, severity of need, access, implementation capacity of UN agency and partners, current or projected funding, etc.)? - Describe whether any existing frameworks were used during the prioritization, e.g. a Humanitarian Needs Overviews, Humanitarian Response Plans, or other strategic tools. - Were gender experts involved in the prioritization process? How? - How were affected people involved in assessments? - If a country-based humanitarian pooled fund exists, how did the CERF process complement the local pooled fund process? Were the same procedures used? - What are the operational constraints in the emergency? Provide risk analysis and mitigating measures.

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3 The ‘Principles of Partnership,’ endorsed by the Global Humanitarian Platform in 2007 may provide some guidance, see www.globalhumanitarianplatform.org/doc00002628.doc

| CERF Application for Grant Funding | [email protected] | cerf.un.org 14c. How did the relevant clusters/sectors prioritize activities and projects? What methodology or criteria were used?

GUIDANCE (delete when completed) For each cluster/sector, please briefly describe the following (to be prepared by the cluster/sector leads): - The rationale and approach/methodology used to prioritize the cluster/sector response. This should include a description of the criteria and parameters followed to select projects for inclusion in this CERF submission, and how the cluster/sector and potential implementing partners were involved and consulted. - If the supported projects are part of a Humanitarian Response Plan or similar document, describe how the supported activities in the grant request support the cluster objectives and strategic objectives of the HRP. - Explain how agencies’ past performance and implementation capacity were considered during prioritization (including implementation of past CERF grants if relevant). - If applicable, describe how the CERF prioritization process was complementary to prioritization processes for country- based pooled funds. - If more than one project is proposed, provide a brief overview of the integrated CERF package and how the projects will complement one another in carrying out the proposed interventions. - If applicable, describe how the activities funded by CERF will contribute to building resilience of the affected populations and fit within longer-term vulnerability reduction strategies. - Please also describe if and how cost effectiveness and value-for-money were considered when selecting projects and partners to address the identified and prioritized needs. - Include information on any gender analysis undertaken by the sector/cluster for effective targeting of this CERF grant. Highlight the sector-specific vulnerabilities of any groups and geographic locations that require particular attention. - Explain briefly how affected people were involved in the design of the cluster/sector response, in particular the most vulnerable people.4

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14d. How will the Resident and Humanitarian Coordinator and the Humanitarian Country Team be kept abreast of the implementation of the CERF grant?

GUIDANCE (delete when completed) - A CERF application is a collective request for funding by humanitarian partners under the leadership of the RC/HC and CERF grants are allocated by the ERC as a consolidated package in support of a joint strategy. - Agencies shall therefore during the implementation period provide the RC/HC, the HCT, OCHA and relevant cluster coordinators with timely and accurate information on implementation status of the CERF grants. The RC/HC should use her/his authority to request necessary information from agencies. - Please explain here the planned arrangements to keep the RC/HC and HCT abreast of the implementation of the CERF grant during the implementation period.5

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D. CERF APPLICATION SUMMARY TABLE*

Country:

CERF window: Rapid Response Underfunded Emergencies

4 As per the IASC’s five Commitments on Accountability to Affected People/Populations (CAAPs, details at: http://www.humanitarianinfo.org/iasc/).

5 The CERF secretariat can advise on good practices and make available a simple template that can serve as basis for CERF recipient agencies to provide an interim update to the RC/HC and HCT.

| CERF Application for Grant Funding | [email protected] | cerf.un.org HRP project Total Project Amount Amount Requesting Cluster/Sector Project Title code Requirement received to requested from Agency (if applicable) (US$) date (US$) CERF (US$) 1 2 3 4 5 6 7 8 9 10 TOTAL REQUESTED FROM CERF US$

*Please fill out one table listing all projects submitted as part of this grant request. Add or delete rows from the table as required.

| CERF Application for Grant Funding | [email protected] | cerf.un.org