Submitted by carib on Sun, 2017-04-23 21:49 Nature of Organisation * - Select -Small BusinessMedium EnterpriseLarge BusinessGovernmentHotel Nature of Activity * - Select -Non-ProfitSportingCharitableReligiousEducationalProfitArts & CultureTourismEnvironmentOther If the organisation is a business, what is the current standing of the business' account with LUCELEC? * - Select -PoorFairGoodExcellent How many people will be impacted by the event/activity/project? * - Select -1-2526-5051-7576-100101-150151-200201-300301-400401-500501-10001001-2000More than 2000 Is the activity/event/project sustainable? * YES NO How will the activity/event/project be sustained? * - Select -Self-sustainingmore Trust supportother supportno mechanism at this time Has the Organistion Received Assistance from LUCELEC before? * YES NO How long ago? * - Select -1-12 months13-24 monthsMore than 24 months How much? * - Select -less than $1,000less than $2,000less than $3,000less than $5,000less than $10,000$10,001 - $20,000$20,001 - $30,000$30,001 - $50,000$50,001 - $100,000More than $100,000 Has the organisation fulfilled its reporting requirements? * YES NO What is the track record of the organisation in handling similar type projects? * - Select -PoorFairGoodExcellent What is the budget for the activity? * - Select -less than $1,000less than $2,000less than $3,000less than $5,000less than $10,000$10,001 - $20,000$20,001 - $30,000$30,001 - $50,000$50,001 - $100,000More than $100,000 What percentage of the budget is being requested of LUCELEC? * - Select -10%20%30%40%50%60%70%80%90%100% Does the organisation have the capapcity to deliver the project as described? * - Select -PoorFairGoodExcellent Is this a one-time sponsorship? * YES NO Will there be need for continuing assistance? * - Select -YESNO What is the overall estimated duration of commitment that may be required? * - Select -1 year2 years3 yearsmore than 3 years What is the overall estimated value of commitment that may be required? * - Select -less than $1,000less than $2,000less than $3,000less than $5,000less than $10,000$10,001 - $20,000$20,001 - $30,000$30,001 - $50,000$50,001 - $100,000More than $100,000 What percentage of the budget has the organisation been able to raise or is being provided by other sources? * - Select -10%20%30%40%50%60%70%80%90%100% Would LUCELEC be comfortable associating with this and any other supporting/collaborating organisations? * YES NO Rate the level of economic impact the event/activity/project is likely to have * - Select -PoorFairGoodExcellent Submit
