APPLICATION FORM 
 
 FOR COMMUNITY BASED/ NON-PROFIT ORGANISATIONS 

BROADCAST PROJECTS 
Guidelines: 

1. This is the application form to fill in if you are registered as a Section 21 compnay, NPO, NGO, CBO or cooperative. If you are registered as a sole proprietorship; close corporation, or private company, then you need to complete the Small Commercial Media Application Form.
2. Give as much detail as possible (do not leave any blank spaces). Incomplete applications will be returned to you for more information which will delay the approval process.
3. Please complete the application form in English.
4. Should you fax or email your application, please ensure that certified copies of the required documents are submitted to our offices (No application will be assessed without the copies)
5. Please submit an electronic copy of the completed application form to info@mdda.org.za, if you have access to email or the internet.
6. Submit your application form with all required documents to:

 

Postal Address    Physical Address

MDDA     15 Sherborne Road

P.O. BOX 42846   Ristone Office Park

FORDSBURG    PARKTOWN

2093      2193 

Tel: 011 726 3336

Fax: 011 726 5087

Email: Info@mdda.org.za 

1. In addition to the application form, you also need to submit the following documentation. Please note that your application will not be processed until the MDDA has received all of this documentation.

• Certified copy of your founding documents (Constitution and registration documents). The MDDA is unable to provide any support if you are not a legal entity.
• VAT registration number or Tax clearance certificate
• Previous Audited Financial Statements
• An affidavit that you are not owned or controlled by:

• Any media entity (Caxton, Kagiso Media, SABC, Primedia, Johcom, ETV, Mnet, Independent Newspapers, Media 24 etc.) that funds the MDDA
• Any political party
• Government
• Business Plan.
• Budget (your request to the MDDA)
• Three year financial projections / plan
• A copy of your broadcast licence
• A copy of your programming schedule
• A copy of your editorial Policy covering issues of
  • Content as compared to Advertising
  • Percentages of language use
  • Talk as compared to music
  • Local as compared to national and international content
• Policy documents Human resources Policy, Financial Management Policy, Employment Equity Policy
• Copies of Management Curriculum Vitae’s (CV’s)
• Organogram or organisational structure.
  

For any queries/ assistance, please contact the MDDA on 011 726-3336

1. The Applican

1. Name of Organisation
2. Physical Address
3. Postal Address
4. Organisations Contact details

1. Please provide us with your banking details.

1. Is your organisation registered? If so, what is its legal status
2. What is your registration number?
7. Description of the Applicant
   

2.1. Give us background about the project (Include information about when it started, how It started, who initiated it and why) 

 2.2. Give us a summary of the area in which the project will be implemented (Include

Information about the other forms of media that exists in that area)

1. What are the goals and objectives of your project? (What are you trying to achieve with this project?)
2. What are your projects main activities? (current/ intended)
3. What is your project’s total cost?
4. How much are you requesting from the MDDA?
5. Please provide a detailed itemised breakdown of your budget
   

The following is an example of how to put together a budget. Please ensure that your budget is in this format which this level of detail. Please also ensure that you submitted three VAT inclusive quotations for any printing or equipment requests.  

EXAMPLE:

1. What will the funds be used for?
9. Justification
   1. What community problems/ issues is your project trying to address?
   2. What other forms of media already exist in your targeted area? (newspapers, magazines, newsletters, television, radio)
   3. How is your media project different from the ones already existing in your targeted area?
   4. Describe the target group that your project intends to reach and explain why you have chosen that group. (Include issues of gender, age group, disability, socio-economic status, literacy levels, HIV/AIDS etc.)
   5. How has the target group and the target area been identified?
   6. How does your project contribute towards addressing the issues/ problems experienced within your community (Refer to issues on 3.1.)
   7. How does your project promote the use of the local African languages? Culture?
   8. What impact would this project have on the targeted people and areas?
      3.9. How do you/ intend marketing your project to the intended target groups and areas? 
10. Ownership
    1. Is the community involved in the project?
    2. How is the community involved?
    3. What procedures/ systems are in place for the project to report and account to the community?
    4. Please provide information about members of your governing body on the table below:

1. How were these people elected into their positions?
5. Sustainability
   1. How many people are employed in this project? What skills do they have to ensure the successful implementation of the project?

1. What resources do you have?

1. Who are your partners? What contribution/ role do these partners play in assisting the project to realise its objectives?
2. Is your organisation a member of any media networks or Associations in the country? If so, please list the partners?
3. What other sources of funding does your organisation have?

1. How will your organisation ensure that the project continue to exist beyond the MDDA grant?

Please check if you have submitted the following: