Document 6562060

National Youth Council is the Advocate, Connector and Enabler for Youth.
Prided as Singapore's premium graduate club, NUSS is a common meeting
Together with our partners, NYC develops a vibrant and supportive environment
ground for fellow graduates to engage with each other and enjoy the finer
for youth who are inspired to dream and committed to action to bring about a future
things in life. NUSS offers abundant opportunities for members to share and
that they want.
delve in the strong and lasting intellectual heritage amassed over the years.
NYC is part of the People's Association Network.
GRANT APPLICATION FORM
Instructions:
1.
2.
Complete the application form. All sections are compulsory unless otherwise stated.
Submit the grant application form with all necessary supporting documents to the National University of Singapore Society
at least 8 weeks before the programme/project commencement date for all grant schemes.
Applicants are advised to read the grant guidelines and FAQ prior to the grant application.
3.
Successful applicants can receive up to $3,000/- or 80% of project cost, whichever is lower, to cover project costs.
(1) APPLICANT (Refers to Staff-In-Charge, Project Team Leader, Youth Applicant, Principal Investigator / Researcher, etc.)
Name as in NRIC/Passport
Mr
(underline surname)
Ms
Mrs
Mdm
Dr
NRIC/Passport No.* (Please delete accordingly.)
Nationality (Please tick accordingly. Only Singaporeans and Singapore PRs can apply for all grants. Foreigners can only apply for SAYF.)
Singaporean
Singapore PR (Resident of _________________ {country})
Date of Birth
(ddmmyyyy)
Race
Occupation
Age
Gender: Male/Female *
Section/Dept/Faculty/Organisation
Address
Contact Details
(Office/Home)
(Mobile)
(Fax)
(Email)
Page 1 of 3
(2) INTER-BANK GIRO DETAILS FOR PAYMENT
(a) Please provide bank details of Youth Applicant/Team Leader/Team Member/Team Leader’s
(b) The grant will be credited into the bank account, if the application is approved.
Bank Name
Branch Name
Account Number
Name of Account Holder
(3) DECLARATION AND ACCEPTANCE
1.
I hereby certify that the information given is to the best of my knowledge and I agree to abide by all the terms and conditions on NUSSNYC grants. I understand that the application will be decided at the sole discretion of NUSS/NYC. I also understand that NUSS/NYC has
the right to reject my application should the information I submit be incomplete and/or inaccurate. NUSS/NYC shall reserve the right to
review, reduce, suspend, terminate or withdraw the assistance in accordance with the stated terms and conditions. NUSS/NYC reserves
the right to act on the breach of its terms and conditions at any point in time. Any decision undertaken by NUSS/NYC is final.
2.
I have also ensured the following in my submission (Please '√'):
□ I have completed all relevant sections of the application form, including the relevant Annex and the budget template.
□ I have attached all other necessary documents [e.g. Appendix-Project Team Details and other supporting documents] required for my
application to be processed.
3.
I understand that upon receipt of my satisfactorily completed application, NUSS will notify me the outcome of the project application.
Funds disbursement for a successful application will be made to my account as provided within 8 weeks from date of notification.
4.
I understand that NUSS/NYC reserves the right to share information pertaining to my grant application with relevant stakeholders at its
sole discretion.
Name and Signature of Applicant
Date
Revised as of 02 May 2013
Page 2 of 3
(4) PROGRAMME/PROJECT
Name of Programme/Project
Date(s)/Duration of Programme/Project
Venue of Programme/Project
(Please indicate State/Province/Country if programme is conducted overseas.)
Grant Amount Requested for Programme/Project: S$ _____________________________
Outreach Numbers
(if applicable)
No. of Youth Leaders (Organising Team):
No. of Spectators:
(Youth Leaders are people who organise or spearhead proposed event)
(Please provide particulars of each team member, including team
leader/applicant, using the Project Team Details template at the Appendix.)
(Spectators are people who attend the event e.g. crowd during
an exhibition or concert performance audience)
No. of Volunteers (excluding core organising team):
(Volunteers are people who help out on event day)
No. of Participants:
(Participants are people who take part in the event e.g.
performers, workshop trainees, competition entrants etc)
No. of Beneficiaries:
(Beneficiaries are people you help in a community service project e.g. the people
you fund-raise or volunteer for, or deliver a service to)
Please tick the most relevant category for your project.
Programme/Project Category
Arts, Culture & Heritage
Community Service
Technology & Knowledge Transfer
Education
Environment
Health
Leadership
Mentoring
Research
Social Enterprise & Income Generation
Sports & Adventure
Special Needs
Youth Development
Others: __________________________
(5) PROJECT PROPOSAL
Please complete the respective Annex C - Project Proposal template and submit together with your application.
Please submit the completed application with all necessary supporting documents to the National University of Singapore Society
EMAIL: ycmgrant@nuss.org.sg
FAX: (65) 6778 8095
or MAIL: Membership Services
The National University of Singapore Society
Kent Ridge Guild House
9 Kent Ridge Drive
Singapore 119241
Revised as of 02 May 2013
Page 3 of 3
Annex C
YOUNG CHANGEMAKERS (YCM) GRANT
PROPOSAL TEMPLATE
Note: Please include the team members’ details in Appendix.
1. Provide a detailed description of the project.
2. Provide details of the project’s objectives and measurable outcomes.
3i. Describe how this project meets the needs of your target community.
Please also provide details of the beneficiaries of your project.
3ii. [For OS-YCM Applicants only]: Describe how the project will promote
interactions amongst Overseas Singaporeans (e.g. in the form of networking,
exchange of ideas, experience, etc.
4. For repeated projects (i.e. projects that have received YCM funding
previously), , please explain how this latest project is significantly different/
better than the previous project .
5. Provide details of project partners, if any.
APPENDIX
Details of Project Team Members
Instructions for Use
1. Please follow the specified format - an example has been provided to illustrate the required format.
2. Please include the particulars of all project team members, including the leader(s) in this form.
3. Do not leave any cell empty unless otherwise stated.
S/N
As appears in passport
Family name
Given name
e.g. Tan
e.g. Beng Seng
For Singaporeans & PRs only:
NRIC No.
(Leave the field blank if not applicable)
e.g. S1234567A
For non-Singaporeans and non-PRs only:
Date of Birth
Foreigner No.
DD
MM YYYY
(Leave the field blank if not applicable)
e.g. XYZ-12345-7
e.g.12 12
1980
Age
Gender
(M/F)
e.g. 30
e.g. M
Page 1 of 2
Mailing Address
Email Address
Handphone No.
e.g. Blk 1 Toa Payoh Lor 1 #11-1234 S(310001)
e.g. abc@yahoo.com
e.g. 91234567
Nationality
Ethnic Group
e.g. Singaporean e.g. Chinese
Religion
Organisation & Employee or
Institution & Student
(Type Nil/NA if not applicable)
e.g. BJC student
Page 2 of 2