{form_title}

Company name	{companyName}
Company address	{companyAddress}
City	{City}
Country	{country}
Zip Code (where applicable)	{zipCode8}
Organisation Website (where applicable)	{organisationWebsite}
Organisation President / Executive Director	{organisationPresident}
Title	{Title}
Phone Number (including country code)	{phoneNumber13}
E-Mail Address	{E-Mail Address}
Contact Person	{Contact Person }
Title	{Title}
Phone Number (including country code)	{phoneNumber}
E-Mail Address	{E-Mail Address}
Brief company history (100 words)	{briefCompany}
Applicant organisation is a registered company	{applicantOrganisation}
Applicant can show evidence of implementing budgets similar to the amount requested	{applicantCan}
Applicant organisation can show evidence of compliance with Nigerian tax requirements	{applicantOrganisation72}
Applicant organisation can begin project implementation no later than September 1st 2017	{applicantOrganisation78}
Applicant organisation is willing and able to select target geographical areas in collaboration with the Challenge Fund team	{applicantOrganisation80}
Total Program Budget (in GBP)	{totalProgram40}
Requested Amount (in GBP)	{requestedAmount}
Percent of Total Budget	{Percent of Total Budget}
Applicant organisation has received grant funds from other sources to implement the relevant project	{applicantOrganisation88}
Source of grant funds	{sourceOf}
Amount of grant funds	{amountOf}
Describe proposed product or service (500 words)	{describeProposed93}
Explain how your product or service is innovative (e.g. new to Nigeria, new solution for the education sector, previously untried in the low-cost private school market) (250 words)	{explainHow}
Explain how your product of service will improve learning outcomes in low-cost private schools -priority will be given to applications that demonstrate a clear theory of change (300 words)	{explainHow100}
How many schools, pupils, teachers, parents, or Associations will benefit from your product or service by August 2018?	{howMany114}
How many schools, pupils, teachers, parents, or Associations will benefit from your product or service in the next 5 years?	{howMany}
How many schools, pupils, teachers, parents, or Associations will benefit from your product or service in the next 10 years?	{howMany116}
Provide brief summary of previous history of work with private schools, particularly in the low cost sector (250 words)	{provideBrief}
Explain whether this offering fits in with core business functions or represents a new area of operation. If new, provide justifications for the change in focus (200 words)	{explainWhether96}
Provide evidence that your organisation is aware of regulations that apply to private schools and that your product or service has been designed in mind (300 words)	{provideEvidence}
Does your product or service have the potential to improve schools' scores against the Graded Assessment of Private Schools (GAPS) criteria?	{doesYour}
Describe how use of your product or service will improve schools' scores against the GAPS criteria (250 words)	{describeHow}
Provide a timeline of project activities, with start and end dates for all activities. All projects must be completed by March 2018 (500 words)	{provideA}
Explain how your project will be sustained after March 2018 (e.g. source of additional funds, plans to transform the product or service into a scaleable, profitable offering) (400 words)	{explainHow109}
Identify primary risks in project implementation and provide outline mitigation strategies (400 words)	{identifyPrimary}
Provide a plan for monitoring and evaluating progress against project objectives (400 words)	{provideA110}
Provide a plan for disseminating information about project activities, successes, and challenges (250 words)	{provideA111}
Resumes of all company personnel taking part in the project, specifying roles and responsibilities on this project (single PDF file)	{resumesOf122}
Completed budget form	{completedBudget}
Evidence of company registration	{evidenceOf}
Evidence of compliance with tax regulations for the past three years (or fewer where the company is less than three years old)	{evidenceOf125}

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