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Please complete this application form in full. All questions are mandatory.
All information provided will be treated in the strictest confidence and only be made available to members of the grant selection panel .

The application form is the initial step in the application process. We may follow up with specific questions seeking further information and/or verification and interviews.

For further information and conditions please refer to the FAQ sheet.

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* 1. Name and official address of publication/station/media

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* 2. Name and address of company which owns your media (if different from above)

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* 3. Type of Media

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* 4. Company/media Registration certificate / Please upload

PDF file types only.
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* 5. Your tax registration number

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* 6. Region in which you operate?

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* 7. Name and contact details of Chief Executive/Chair of Board

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* 8. Name and contact details of Chief Editor

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* 9. Please complete the attached identity verification forms

(Download the forms, complete them and upload completed forms)

PDF, DOC, DOCX file types only.
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* 10. Annual revenue in 2022

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* 11. Annual revenue in 2023

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* 12. Name and contact details of person responsible for this application

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* 13. How have your revenues changed since September 2023 ? Please explain.

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* 14. What percentage of your revenue comes from the following sources

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* 15. Total costs

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* 16. What percentage of your costs derive from the following sources?

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* 17. How many journalists does your media employ? Give a numerical breakdown of your editorial staff.

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* 18. Do journalists have written contracts?

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* 19. What is the minimum wage for journalists in your media?

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* 20. Does your media have a safety protocol for journalists?

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* 21. Profit/loss

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* 22. Based on your current financial status how long would your existing cash flow last?

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* 23. Has your company awarded dividends to shareholders/owners in the past 3 years?

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* 24. Please provide a copy of your audited accounts/tax declaration/financial report from 2022 and 2023 (upload pdf)

PDF file types only.
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* 25. Name of your bank

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* 26. Do you have any other current grants?

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* 27. The International Fund defines public interest media as that which creates and distributes content that:

Exists to inform the public on matters that concern them or helps to ensure that power is held to account;
Provides fact-based information in a trustworthy manner;
Commits to the demonstrable pursuit of truth, for example through sourcing practices and the representation of the audiences it hopes to serve;
Is editorially independent;
Is transparent about processes, finances and policies used to produce it.

Does your media meet the IFPIM definition of public interest?

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* 28. What is your vision for how you are reporting in the current environment?

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* 29. We value media that produce original content. Tell us how you do that and approximately what percentage of your content is original ?

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* 30. Is content available free?

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* 31. If paid for, is it by

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* 32. What percentage of your content is..?

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* 33. What is your target audience ?

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* 34. Can you describe your product and the role you play in the media ecosystem?

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* 35. How would you want your audiences to describe you?

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* 36. Give details of your audience/reach – total numbers of visitors/viewers/readers and audience share (max 200 words).
Provide links to any relevant reports/data relating to your audience.

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* 37. Do you have journalists based in Gaza?

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* 38. Does your media have an ethical code which governs your reporting?

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* 39. Please upload a copy of your ethical code

PDF file types only.
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* 40. How much are you applying for?

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* 41. Please explain why you are applying for the above amount .

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* 42. How many journalists salaries/freelances will the funds support? How will receipt of the funds enable you to maintain/produce more public interest content? (max 300 words)

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* 43. Submitting

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