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Youth Nutrition Grant Application Form
Youth Nutrition Grant Application Form
Sector
Education
Healthcare
Economic Development
Organization Name
Contact Name
First
Last
Contact Title
Legal/administrative structure:
(What is your legal status, state when incorporated, how long in existence, how is the organization governed, number of full-time staff, what measures do you have for keeping grant funds separate from your operating funds)
Mailing Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Country
Office Phone
Mobile Phone
Email
*
Name of Person Responsible for project implementation and administration of funds:
Mission of organization
(1-3 sentences)
Amount
(state whether JA or US Dollars) $
Project Start Date
Month
1
2
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6
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12
Day
1
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31
Year
2024
2023
2022
2021
2020
2019
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2015
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2012
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2006
2005
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1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Project End Date
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
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3
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5
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Year
2024
2023
2022
2021
2020
2019
2018
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2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
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1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
List dates of prior application for an AFJ Grant
List AFJ grant awarded (year and $ amount)
PROJECT SUMMARY
Title of Project:
Project Summary
(3-5 sentences describing purpose of grant, program, and expected outcomes)
Where will project activities take place?
If you are seeking partial funding from AFJ for a larger project, which will involve funding from other donors, please state whether you have the other funds in place, and whether/how the project will go ahead if other donations are not forthcoming.
Are you applying to the AFJ Discretionary Grants Program for the aspects of the program other than nutrition? (If yes, it is recommended but not required that these applications are filed simultaneously)
Please set out details specifically related to the Youth Nutrition Grant including number of participants, age range of participants, number of meals to be provided and whether you will be purchasing cooked meals, cooking the meals, providing a food package etc.
Describe the need to be addressed by the project. Is there a specific problem which will be addressed, if so, describe the problem, how many people are affected by it, how adverse or critical is the problem to the wider society?
Describe the objectives and activities of the project.
Describe your institutional or other capacity to carry out the objectives above. Who will implement and monitor the project, and how?
Who would benefit from the services and activities provided under this grant? How many people, what ages, where, what demographic, etc.
Do you have any plan to continue the funded activities past the term of the grant? If so, please describe.
Do you have specific measurable goals for the project? How will the benefits of this project be measured in relation to activities, achievement and objectives and possible partnerships? How will you know if the project has been successful? Do you plan to assess the project’s success? If so, how?
What synergies might be realized, e.g., could the project be replicated elsewhere, be repeated the following year, or serve as a model for others? Is there any training aspect of the project?
PROJECT BUDGET
Please
download the Budget Sheet
, fill it out and upload it here.
Upload your Nutrition budget sheet as a Word Document, Acrobat PDF or Powerpoint.Include number of participants, weeks, meals per week, cost per meal etc. (File size should be smaller than 2MB).
2MB Limit. (File formats: pdf, doc, docx, ppt, pptx)
Accepted file types: pdf, doc, docx, ppt, pptx, Max. file size: 2 MB.
Upload your project budget sheet as a Word Document, Acrobat PDF or Powerpoint.(File size should be smaller than 2MB).
2MB Limit. (File formats: pdf, doc, docx, ppt, pptx)
Accepted file types: pdf, doc, docx, ppt, pptx, Max. file size: 2 MB.
Please provide a copy of your organization’s last two (2) years financial statements.
Upload your file as a Word Document, Acrobat PDF or Powerpoint. (File size should be smaller than 2MB).
Accepted file types: png, jpg, gif, txt, doc, pdf, ppt, pptx, Max. file size: 2 MB.
Please provide a copy of your organization’s Board of Directors/Governing Body including name, position, and contact information.
Upload your file as a Word Document, Acrobat PDF or Powerpoint. (File size should be smaller than 2MB).
Accepted file types: png, jpg, gif, txt, doc, pdf, ppt, pptx, Max. file size: 2 MB.
Please provide a copy of your organization’s certification under the Jamaica Charities Act, 2013.
Upload your file as a Word Document, Acrobat PDF or Powerpoint. (File size should be smaller than 2MB).
Accepted file types: png, jpg, gif, txt, doc, pdf, ppt, pptx, Max. file size: 2 MB.
Please attach pictures of the grant program/recipients, if available (optional).
One or 2 pictures only. (File size should be smaller than 1MB).
Drop files here or
Select files
Accepted file types: png, jpg, gif, txt, doc, pdf, Max. file size: 1 MB.
ELECTRONIC SIGNATURE
Name
First
Last
Title
Date
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Phone
This field is for validation purposes and should be left unchanged.
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