REPUBLIC OF UGANDA

MINISTRY OF GENDER, LABOUR AND

SOCIAL DEVELOPMENT
YOUTH LIVELIHOOD PROGRAMME (YLP)
YOUTH PROJECTS APPLICATION FORM

PROJECT IDNO: ………………………………

(Assigned by the District Focal Point Person after Project
Approval)

Instructions for filling the Youth Project Application Form:

 The application from is filled after the Youth have completed the planning for their Priority
Project.
 The filling of the form shall be facilitated by the Sub-county CDO/ACDO or a person designated
by the Sub-county Chief.
 Fill in Triplicate: One copy for the Project file at the Sub-county, one for the Project file at the
District and another to be retained in the Project file at the Group level.
 Each copy of the application form must have passport size photographs of all the beneficiaries
selected during the community meeting.
 Attach the EPRA report, minutes and attendance lists of the community participatory planning
meeting(s), Business Plan and any other relevant documents.
 Submit the completed and signed copies to the Sub-county through the Sub-county Focal Point
Person (CDO/ACDO)
 The Youth Project Application Form is not for Sale.

1.0 Youth Project Identification Information:

1.1 Project
Name:___________________________________________________________________________________
__

1.2 Component (i.e. Skills Development or Livelihood Support):

__________________________________________

1.3 Sector (e.g. Agriculture, Trade & Industry

etc):________________________________________________________

1.4 Project Type (e.g. Dairy Production, Carpentry, Fish farming

etc.):________________________________

1.5 Project Location:

Village/Cell: ____________________________________ Parish/Ward:

_____________________________________

Page 1 of 16
 Sub-county/Division/Town
Council:__________________________________________________________________
District: ________________________________Location (tick appropriate box): Rural  
Urban  

1.6 Project Contact Person (Name & Telephone of Chairperson of the Youth Interest
Group):

Name:___________________________________________Telephone:_____________________________
__________

2.0 Project Description/Details:

2.1 Project Objectives (Why the Youth need the Project?):

________________________________________________________________________________________
___________

________________________________________________________________________________________
___________

2.2 Project Justification (What were the reasons for the choice of the Project as
opposed to other options?):

________________________________________________________________________________________
___________

________________________________________________________________________________________
___________

2.3 Number of Direct Beneficiaries Selected : Total: ____________ Male :____________

Female:_______________

2.4 Estimated Project Implementation Period (From Launching to Commissioning):

_______________________

2.5 Expected Project Benefits:

________________________________________________________________________________________
___________
Page 2 of 16
 ________________________________________________________________________________________
___________

2.6 How will the Project Benefits be shared among the Members?

________________________________________________________________________________________
___________

____________________________________________________________________________________________
_______

2.7 Does the Project Require Land?.............................. Yes [ ] No [ ]

If YES, has the Land been Acquired? ..................... Yes [ ] No [ ]

If YES, Attach a Valid Land Agreement.

3.0 Sustainability Arrangements

3.1 What plans/arrangements are in place to ensure continuity of the Project and longer
term benefits to the members?

________________________________________________________________________________________
___________

____________________________________________________________________________________________
_______

______________________________________________________________________________________
_____________

____________________________________________________________________________________________
_______
3.2 What capacity limitations does the group have in implementing the Project?

________________________________________________________________________________________
___________

____________________________________________________________________________________________
_______

Page 3 of 16
 ________________________________________________________________________________________
___________

3.3How does the group intend to address the capacity limitations stated in 3.2, above?
______________________________________________________________________________________
_____________

____________________________________________________________________________________________
_______

________________________________________________________________________________________
___________

3.4What risks are involved in implementing the Project?

______________________________________________________________________________________
_____________

____________________________________________________________________________________________
_______

________________________________________________________________________________________
___________

3.5How does the group intend to prevent or mitigate the risks identified in 3.4, above?

______________________________________________________________________________________
_____________

____________________________________________________________________________________________
_______

________________________________________________________________________________________
___________

4.0 Environmental and Social Safeguards

4.1 What potential adverse environmental and social effects/impact may occur as
result of implementation of the Project? (State the mitigation measures for each).

N Potential Environmental Effects Proposed Mitigation Measures

o
1
2
3
4
N Potential Social Effects Proposed Mitigation Measures
o
1

Page 4 of 16
2
3
4

Page 5 of 16
Table 1: ACTION PLAN
List the major activities to be undertaken under the Project
Activities to be Undertaken Who will carry out When will the At what cost will Remarks
the activity? activity be carried the activity be
out? done (UGX.)?

Page 6 of 16
Activities to be Undertaken Who will carry out When will the At what cost will Remarks
the activity? activity be carried the activity be
out? done (UGX.)?

If the space provided in this Table is not enough, photocopy this page before filling and fix it in the right position

Page 7 of 16
 Table 2: PROJECT BUDGET

Indicate the breakdown of the Projects cost for all inputs/activities in the Table below:
No. Activity /Item to be procured Unit Quantit Unit Price Total Cost Remarks
y (UGX.) (UGX.)

Page 8 of 16
Table 3: PROJECT BENEFICIARIES’ INFORMATION AND MEMBERS CO-GUARANTEE SHEET
We the undersigned members of the ________________________________ Youth Project undertake to co-guarantee
ourselves for purposes of implementation of the Project and to ensure that we individually and collectively meet all the
obligations spelt out for beneficiaries under the Youth Livelihood Programme.

Name of Beneficiary Sex Age Village Household Passport size photo Signature/
Size Thumb print
1.

2.

3.

Page 9 of 16
Name of Beneficiary Sex Age Village Household Passport size photo Signature/
Size Thumb print

4.

5.

6.

7.

Page 10 of 16
Name of Beneficiary Sex Age Village Household Passport size photo Signature/
Size Thumb print

8.

9.

10.

Page 11 of 16
Name of Beneficiary Sex Age Village Household Passport size photo Signature/
Size Thumb print

11.

12.

13.

Page 12 of 16
Name of Beneficiary Sex Age Village Household Passport size photo Signature/
Size Thumb print

14.

15.

Page 13 of 16
 Table 4: BENEFICIARIES BY CATEGORY
Provide information on each and every Beneficiary in the table below. Note that one
Beneficiary may fall in more than one category (eg. A person may be a male, youth with
disability, living with HIV, as well as O’level school dropout. Such a person should therefore be
included in all those categories).

Category of Youth Frequency (Number)

1. Male
2. Female
Male Female Total
3. Not had opportunity to attend formal education
4. School dropouts (primary)
5. Completed primary school (P.7)
6. School dropouts (O’level)
7. Completed O’level
8. School dropouts (A’level)
9. Completed A’level
10. Dropouts from training/tertiary institutions
11. Completed tertiary institutions (including University)
12. Youth with Disability
13. Youth Living with HIV/AIDS
14. Single parent Youth
15. Others (Specify………………………………………….)

Table 5: YOUTH PROJECT MANAGEMENT

A: Youth Project Management Committee (YPMC):
Position Name Sex Village Signature
1. Chairperson
2. Secretary
3. Treasurer
4. Committee Member
5. Committee Member
B: Youth Procurement Committee (YPC):
Position Name Sex Village Signature
1. Chairperson
2. Vice Chairperson
3. Secretary
4. Committee Member
5. Committee Member

C: Social Accountability Committee (SAC):

Position Name Sex Village Signature
1. Chairperson
2. Vice Chairperson
3. Secretary
4. Committee Member
5. Committee Member

Page 14 of 16
5.0 Beneficiaries Selection
Confirmation of beneficiary list by the Selection Committee:
N Name Position Signature Date
o

6.0 Youth Group Endorsement

BUDGET:
 Total Project Budget
UGX…………………………………………………………………………..............................................
.............................
 Amount in words:
………………………………………………………………………………………………….........................
.......................................
……………………………………………………………………………………………………......................
.........................................................................

BENEFICIARIES:
 Total Number of
Beneficiaries……………………………………………………….......................................................
..................................
 Number of Female Beneficiaries
…………………………………………………………...............................................................
(…….....%)
7.0 TITLE Recommender
Chairperson Secretary Treasurer
I ………………………………………………………………. do certify that the beneficiaries of t
“……………………………………………………………………………………………Youth Project”, list
above, are personally known to me and that they are bona fide residents of the proposed locatio
of the Project.

I do recommend them for a Revolving Fund Support of Ushs. …………………………………………

under the Youth Livelihood Programme (YLP), Ministry of Gender, Labour and Soc
Development.

I do commit to constantly advise them to ensure that the funds are used for the purpose f
which it is approved and that they meet their obligations under the Programme in a time
manner.

Name of Recommender:………………………………………………… Position/Title

………………………..........................................
Signature: ………………………………………Date:………………………………....Villag
………………………………………………………………

Page 15 of 16
Parish:……………………………Sub-county:……………………………………District:
………………………........ Telephone:…………………
Attach all Relevant Documents including:
 Business Plan and Budget Details
 Land Agreement (if any)
 Minutes/EPRA and attendance lists for community participatory meetings

Page 16 of 16