Application Form – The Prince Bernhard Nature Fund

Grant Application Form 2020

Please write the application in English. To save your entries and continue later, scroll down and click "Save and Continue Later"

Organisation name*
Project Title*
Project Summary*
Organisation description*
Organisation website
Did your organisation receive financial support from the PBNF before?*
In what year(s) did your organization receive a PBNF grant, and how high was the grant?
How does this new application relate to the former financed project(s), including lessons learned? (Please note that no new funding will be provided before a report has been received about the effectiveness of earlier funding):*
Focus Species
Is your project directed towards a specific species?*
How many focus species does the project have?
You can indicate up to 4 different focus species here. If your project is directed towards a group of more than 4 species, please select the 4 most important here and mention the rest in your project description.
What is your project's focus species?
Untitled
Species Category
Red List Status
What is the species status, according to the IUCN Red List? When in doubt, refer to https://www.iucnredlist.org/
What is your project's 2nd focus species?
Untitled
Species Category
Red List Status
What is the species status, according to the IUCN Red List? When in doubt, refer to https://www.iucnredlist.org/
What is your project's 3rd focus species?
Untitled
Species Category
Red List Status
What is the species status, according to the IUCN Red List? When in doubt, refer to https://www.iucnredlist.org/
What is your project's 4rd focus species?
Untitled
Species Category
Red List Status
What is the species status, according to the IUCN Red List? When in doubt, refer to https://www.iucnredlist.org/
Project description
The problem*
The context*
Target group*
Expected direct results*
Project start- and end dates
Start date*
Date Format: MM slash DD slash YYYY
End date*
Date Format: MM slash DD slash YYYY
Project location
If your project is not located in a city, please put here the city closest to your project site.
City*
Country*
Address or description of project location*
Description of location's specific nature, biodiversity, socio-economic, and institutional characteristics:*
Project details
Project objective*
Project activities*
Expected local project results*
Importance and expected outcomes towards international nature conservation.*
Give indication of the mid- and long term sustainability of the project results, i.e. how will the results be sustained once the PBNF Funding will have been fully used? Please include max. three critical success factors:*
Project budget
Budget Currency (EURO / US$)
Total Project Budget*
Total Project Budget*
Please upload your specified budget at the end of the form
Amount requested from Prince Bernhard Nature Fund (PBNF)*
Please indicate in your specified budget which cost items you request from the PBNF. Please mind the maximum grant is €/$ 20.000.
Amount requested from Prince Bernhard Nature Fund*
To complete the total budget, from which other sources have you requested funds?
Contribution Source Amount (€/$) Already confirmed?
Contribution of the proposing organisation
In Cash (€/$) In Kind
Partners and references
Name and role of local partner-organisation(s) like community-based organisations, local government and private sector:*
Name and contact details of reference person 1*
Name and contact details of reference person 2*
Contact Information
Contact person*
Function*
Telephone number*
Email address*
Organization banking details
Bank account number*
BIC or SWIFT number
IBAN number
Uploads
Detailed Budget*
Please upload your detailed budget here! Please check that the detailed budget is the total budget. Please indicate in the budget what part/which items you are requesting from PBNF
Consent*
I agree to the privacy policy.
I hereby agree to the PBNF Privacy Policy as stipulated on https://www.pbnf.nl/privacy-policy/
As described in the Privacy Policy, The PBNF is partnering with other donor organisations to develop a database of conservation projects and conservationists. This is in order to help highlight the work and raise the profile of grant recipients amongst participating donor organisations and eventually amongst the broader donor community. Please, if any information in your application is sensitive and you don't want it to be shared in this database or become public, contact us and we will take this into account.
Name
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Grant Application Form 2020

Focus Species

Project description

Project start- and end dates

Project location

Project details

Project budget

Partners and references

Contact Information

Organization banking details

Uploads

Links

Contacts

Contribution Source	Amount (€/$)	Already confirmed?