Grants:APG/Proposals/2013-2014 round2/Wikimedia Norge/Letter of intent

Purpose of this document

This document is the first critical step of the funds application process. Funds-seeking entities will fill out the top of this document a few months ahead of the application deadline (8 June for Round 1 and 8 November for Round 2) to indicate their interest in applying for funds in the upcoming round. WMF staff will use the checklist on the bottom half of this document to ensure that applicants are eligible to apply for FDC funds. Entities are responsible for meeting eligibility criteria before applying for FDC funds.

It is important to note that entities submitting letters of intent are now asked to include a dollar figure (or a figure in local currency). Entities will not be tied to these notional figures. The initial request amount will be used internally for FDC planning purposes.

Letter of intent

November 10, 2013

To Whom It May Concern:

I am authorized by the Board of Directors of the Wikimedia Norge (Wikimedia Norway) chapter to inform you that the Wikimedia Norge intends to seek funding from the Funds Dissemination Committee for support of specified programs or activities relating to our organization.

I recognize that seeking funds from the FDC is contingent upon compliance with the eligibility requirements outlined in the checklist below, and that to the best of my knowledge my organization is eligible or is on a plan to be eligible based on these criteria.

If requested, I will provide the Wikimedia Foundation with the details of the governing board members, senior management and key employees associated with my organization to be screened for compliance with US law. If requested, for each individual, I will provide full name in English, in the language of origin, any other names used, country of residence, and place and date of birth.

We currently plan to request funds in Round 2. At that time, we will submit our annual plan with full financials. We anticipate that our funding request may be approximately US$ 200,000.

Sincerely,
Erlend Bjørtvedt
Vice Chairman

Eligibility checklist and rubric

To be completed by WMF staff

To be considered an "eligible entity," organizations should be in compliance with legal and contractual obligations, as outlined below:

Criteria	Obligation	Met obligation?
Affiliate Organization	Recognized as an affiliate organization as defined in the Board Resolution dated March 31, 2012	Yes/No/NA
Track record of grant requests or successful campaigns	Has received at least two prior grants from WMF; OR Has received at least one grant and participated in one fundraising campaign as a payment processor; OR Has participated in at least two fundraising campaigns as a payment processor	Yes/No/NA
In compliance with Chapter Agreement	Supplied a written activity and financial report in English at least once a year to the Foundation, within four months of entity's fiscal year end.	Yes/No/NA
	WMF has verified that Chapter adequately meets conditions of the Chapter Agreement	Yes/No/NA
In compliance with WMF Grant Agreement (if applicable)	Published a complete report on the funded activities within 3 months of the project end date	Yes/No/NA
In compliance with local laws	In compliance with all applicable laws governing organizations of their type in their country	Yes/No/NA
In compliance with relevant U.S. laws	Organization has the necessary controls and monitoring in place to know that the organization, its Board, senior management, key employees and any individuals or groups that it provides funding to are not on any terrorist watchlist, are not engaged in money laundering, and are using all donor funds for charitable, non-political purposes.	Yes/No/NA