Emergency Response Grant

* indicates that you will not be able to submit an application without providing this information
Does your organisation have a history of working with marginalised populations (LGBT+ people; sex workers; people living with HIV; and people who use drugs) on HIV-related human rights issues?
- Yes
- No
Please tell us in a few words what your organisation focuses on.

Applicant Contact details
Name*
Last name*
Job title*
Email address*
Phone number

About your organisation
What country is your organisation based in?*
Name of your organisation*
Street Address*
Town/City*
State/Province
Zip/Postal Code*
Director's first name*
Director's Last name*
Director email*
Website
Facebook
What was your organisation's annual incomes last year (in USD)?
What year was your organisation founded?*

References
If you have applied to the Rapid Response Fund before, please provide reference number(s)
Has your organisation received funding in the past 2 years (excluding from Frontline AIDS)?*
- Yes
- No
Please tell us the name of the main project that you received funding for
Name of donor*
Contact person at donor organisation*
Contact person job title*
Contact person work email address*
Contact person telephone*
Provide details of two organisations that you have worked with on HIV-related advocacy, human rights, or programmes for marginalised populations in the past 2 years, and who have agreed to provide you with a reference.

Frontline AIDS will contact these organisations as part of our due diligence process. We may be delayed if you do not provide accurate contact details. We strongly suggest that you inform these individuals that we will be contacting them.

We may on occasion ask for additional documents to support our due diligence processes.

First referee
Organisation*
Website*
Contact first name*
Last name*
Job title*
Email address*
Phone*
Brief description of how you have worked with this organisation*
Second referee
Organisation*
Website*
Contact first name*
Last name*
Job title*
Email address*
Phone*
Brief description of how you have worked with this organisation*

Network Membership
Is your organisation a member of any of the following LGBT or key population networks? (You can select more than one from the list)

Details of application
Describe the external threat to your HIV-related human rights work OR the urgent opportunity for change in HIV-related human rights.*
How is the threat or opportunity impacting on marginalised communities specifically?*
Explain why there is a need to respond urgently and why your organisation is best placed to respond to the threat or opportunity.*
Tell us what you would like to do respond to the threat or opportunity.*
What do you hope the result of your actions will be, and how will you know you have achieved your result?*
How many months will your intervention take to complete? (Note: the Rapid Response Fund is intended to address urgent situations so organisations proposing interventions which will last longer than 6 months should ensure that they have provided a very strong explanation about the need to respond urgently)
- One month
- Two months
- Three months
- Four months
- Five months
- Six months
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How many people will indirectly benefit from your proposed intervention
Select what populations groups will benefit from your intervention (Select as many as required by holding down the Ctrl key whilst selecting):*
Please select who created the situation or event that requires a rapid response (Select as many as required by holding down the Ctrl key whilst selecting):*

Budget
Please note that we can only provide grants up to $15,000 or local currency equivalent.
What currency do you want to receive your grant in? (Please make sure to budget in this currency)*
Direct costs of activities Please describe each activity and its estimated cost. Please note that we cannot support some items, including rent, medication, food and toiletries for individuals. Please see our Frequently Asked Questions for more information.
Amount in selected currency
Activity Desc 1
Activity Cost 1
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Activity Desc 15
Activity Cost 15
Overhead costs
A maximum of 12% of your activities budget can be used on your organisation's overhead costs such as office rent, salaries, insurance, equipmen, security, etc.
Have you applied to any other donors for funding for these activities?*
- Yes
- No
Please tell us who*
How did you learn about the Rapid Response Fund?*
Which key population network?
Please tell us where
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Phone
This field is for validation purposes and should be left unchanged.

Emergency Response Grant

Step 1 of 8

Applicant Contact details

About your organisation

References

First referee

Second referee

Financial information

Network Membership

Details of application

Budget

ACT Up/New York
African Men for Sexual Health and Rights (AMSHER)
African Sex Workers Alliance (ASWA)
AIDS and Rights Alliance of Southern Africa (ARASA)
Asian Network of People who Use Drugs
Asia Pacific Coalition for Male Sexual Health (APCOM)
Asia Pacific Network of PLHIV (APN+)
Asia Pacific Network of Sex Worker Projects (APNSWP)
Asia Pacific Trans Network (APTN)
Cameroonian Foundation for AIDS (CAMFAIDS)
Caribbean Form For Liberation And Acceptance Of Genders And Sexuality (CariFLAGS)
Caribbean Regional Network of People with HIV/AIDS (CRN+)
Caribbean Vulnerable Communities (CVC)
CARIFLAGS Caribbean Forum for Liberation and Acceptance of Genders and Sexualities
Coalition for Refugees and Migrants in SA (CORMSA)
Coalition of African Lesbians (CAL)
Coalition of the Defence of Sexual Rights (CDSR)
GAY AND LESBIAN COALITION OF KENYA (GALCK)
Ghana HIV/AIDS Network (Ghanet)
Global Network of People Living with HIV (GNP+)
Global Network of Young People Living with HIV (Y+)
GMT HIV Prevention Network Kenya (GHPN-Ke)
HIVOS
HRAPF (Human Rights Awareness and Promotion Forum)
INTERFAITH DIVERSITY NETWORK OF WEST AFRICA IDNoWA)
International Lesbian, Gay, Bisexual, Trans & Intersex Association (ILGA)
International Network for People who Use Drugs
MARPI
MARPS NETWORK
Men Against AIDS Youth Group (MAAYGO)
Network of Sex Work Projects (NSWP)
Nyanza and Rift Valley Coalition of Kenya (NYARWEK)
Other
Pan Africa ILGA
Positive Vibes
REDLACTRANS
Sexual Minorities Uganda (SMUG)
South African National AIDS Council (SANAC)
Southern Africa Trans Forum (SATF)
Stay Awake Network Activities (SANA)
Tanzania Council for Social Development (TACOSODE)
Tanzania Human Rights Defenders Coalition (THRDC)
The Networking HIV/AIDS Community of South Africa (NACOSA)
Women and Harm Reduction International Network (WHRIN)