SayPro Community Request Form Template: A standard template for community groups to request technical assistance, detailing their specific needs, project goals, and contact information.

SayPro: Community Request Form Template

The Community Request Form is an essential tool for ensuring that SayPro can effectively assess and respond to the technical assistance needs of community groups. This template will help gather all the necessary details to understand the scope, urgency, and resources required to support a community’s development projects. By providing clear and comprehensive information, the form ensures that technical assistance is aligned with the community’s goals and is delivered in a timely and organized manner.

Here’s a detailed breakdown of the Community Request Form Template:

1. Header Section

The header provides essential information about the community group and helps SayPro easily identify the request. It also ensures that the form is clearly attributed to the right community group or initiative.

A. Community Group Information

• Community Group Name: [Enter the name of the community group or organization requesting assistance]
• Primary Contact Name: [Enter the name of the main point of contact]
• Title/Role: [Enter the title or role of the main contact person]
• Contact Information:
  • Phone Number: [Enter phone number with country code]
  • Email Address: [Enter email address]
  • Mailing Address: [Enter the physical address, including city, state/province, and postal code]

B. Date of Request

• Date Submitted: [Enter the date the form is being submitted]

2. Project Overview

This section helps SayPro understand the background of the project and the key goals the community group is working to achieve. It sets the context for the technical support required.

A. Project Title

• Project Name/Title: [Enter the name or title of the project for which assistance is being requested]

B. Project Description

• Brief Project Overview: [Provide a concise description of the project, outlining the purpose, target community, and anticipated outcomes]
• Project Start Date: [Enter the expected start date]
• Project End Date (if applicable): [Enter the expected completion date]

C. Goals and Objectives

• Primary Goals of the Project: [List the main goals the community group hopes to achieve through the project]
• Specific Objectives: [Provide a list of specific, measurable objectives that align with the overall project goals]

3. Technical Assistance Needs

This section is the heart of the form. It details the exact nature of the technical support being requested and specifies the type of expertise or intervention required.

A. Type of Assistance Needed

• Select the type of technical assistance needed (check all that apply):
  • IT/Technology Support (e.g., website development, software solutions, database management)
  • Project Management (e.g., planning, resource allocation, risk management)
  • Capacity Building (e.g., training, leadership development, volunteer management)
  • Infrastructure Design/Construction (e.g., community building, road design, sanitation projects)
  • Data Collection and Analysis (e.g., surveys, data management, reporting)
  • Financial Management (e.g., budgeting, financial planning, fundraising)
  • Other: [Please specify if the technical assistance is not listed above]

B. Description of the Technical Needs

• Specific Areas of Assistance: [Provide a detailed description of the technical assistance required. Explain the challenges being faced and how SayPro’s assistance would support the project. For example, “We need help in designing a data collection system for monitoring the water sanitation project.”]
• Urgency and Timeline: [Indicate the urgency of the request and any critical deadlines. For example, “We need support within the next 3 weeks to ensure the timely completion of our project phase.”]

C. Existing Resources

• Current Resources Available: [List any existing resources or assets the community group has, including technical infrastructure, personnel, or equipment that could support the project. This helps SayPro understand the baseline and avoid redundancy in support.]
  • Example: “We already have basic laptops, but we lack software solutions for data analysis.”

D. Expected Outcomes

• Outcomes from the Technical Assistance: [Describe what the community group hopes to achieve from the technical assistance provided. For example, “We hope to implement an efficient data collection system that improves the monitoring and reporting of our community health initiatives.”]

4. Project Sustainability

This section helps ensure that the community group is planning for the long-term sustainability of the project after the technical assistance is provided.

A. Long-term Impact

• How will the project be sustained after the technical assistance is provided?: [Describe how the community group plans to continue the project beyond SayPro’s support. Will they rely on local resources, training, or partnerships to ensure ongoing success?]

B. Capacity for Project Continuation

• What plans do you have for building internal capacity within your community group to carry forward the project?: [Describe how the community group will build its internal capacity, such as through training, local partnerships, or volunteer involvement.]

5. Budget Information

This section allows SayPro to understand any financial considerations related to the project. It also helps to evaluate whether financial resources are available or if additional funding is required.

A. Estimated Budget

• Total Estimated Budget for the Project: [Enter the overall project budget estimate]
• Budget Breakdown (if applicable):
  • Personnel Costs
  • Materials/Equipment Costs
  • Training and Capacity Building Costs
  • Other Costs (please specify)

B. Funding Sources

• Do you have secured funding for the project?:
  • Yes
  • No
• If Yes, please specify the sources of funding: [List the funding sources, such as government grants, local donations, or partnerships.]
• If No, what additional funding or support do you require from SayPro?: [Explain any financial support or resources required from SayPro.]

6. Contact Details for Follow-Up

This section ensures that SayPro can easily follow up with the community group if additional information is needed or if the request is approved.

A. Secondary Contact Information (if applicable)

• Name: [Enter the name of another individual who can provide further details or assistance]
• Role/Title: [Enter the role of this secondary contact person]
• Phone Number: [Enter the phone number]
• Email Address: [Enter the email address]

7. Signature and Authorization

This section serves as a formal acknowledgment from the community group, indicating that they understand the terms and conditions of the request process and are committed to fulfilling the necessary obligations.

A. Authorization

• By signing below, the undersigned confirms that the information provided in this request is accurate, and the community group agrees to follow through with the responsibilities outlined in the request for assistance.
• Signature of Authorized Representative: __________________________
• Name: [Print name]
• Title/Role: [Enter title]
• Date: [Enter date]

8. Submission Instructions

Provide clear instructions on how the form should be submitted to SayPro.

• Please submit the completed form via email to: [Insert email address]
• Or by mail to: [Insert mailing address]
• Submission Deadline (if applicable): [Insert deadline if there is one]
• For inquiries or assistance completing the form, contact: [Insert contact information]

Conclusion

This Community Request Form template is designed to gather all necessary information to evaluate the technical assistance needs of community groups effectively. By using this form, SayPro can ensure that requests are clearly defined, well-organized, and aligned with the goals of the organization. In turn, SayPro will be able to provide targeted, effective support to empower community groups in achieving their development objectives.