SayPro Departmental Funding Needs Request Form

Section 1: Department Information

• Department Name: ___________________________________________
• Department Head/Manager: ___________________________________
• Contact Email: _____________________________________________
• Contact Phone Number: ______________________________________
• Date of Request Submission: _________________________________

Section 2: Funding Request Summary

• Project/Program Name: _______________________________________
• Funding Period Requested: From _______________ To _______________
• Total Amount Requested: ___________________ (Specify currency)

Section 3: Purpose and Justification

• Brief Description of Project/Program:
  (Explain the main objectives and activities of the project or program.)
• Strategic Alignment:
  (Describe how this request aligns with SayPro’s mission, goals, and impact priorities.)
• Needs Assessment:
  (Provide data or context supporting the need for funding, including any gaps or challenges.)

Section 4: Detailed Funding Breakdown

Section 5: Expected Outcomes and Impact

• Quantifiable Outcomes:
  (List specific, measurable results expected from funded activities.)
• Beneficiaries:
  (Describe target populations and estimated numbers to be served.)
• Long-term Impact:
  (Explain how the funding will contribute to sustainable change or organizational growth.)

Section 6: Monitoring and Reporting Plan

• How will progress be tracked and reported?
• Key Performance Indicators (KPIs):
• Frequency of Reporting:
  ☐ Monthly ☐ Quarterly ☐ Bi-Annually ☐ Annually

Section 7: Approval and Endorsements

Section 8: Additional Comments or Attachments

(Attach any supporting documents such as project proposals, previous funding reports, letters of support, etc.)

Form Prepared By: ______________________
Date: ______________________