HTWF Application for Funding
Please fill in this form to apply for funding from HTWF. Kindly note that all fields need to be filled in for a successful submission. We will use the personal data you are sharing with us solely for the purpose of responding to your application.

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If you chose "Other" for Type of Organization, please explain here (max. 255 characters).
strategy & focus, organization & structure (max. 800 characters).
800 characters remaining
please specify the project name(s) and application year(s).
1000 characters remaining
City and Country
Please indicate the focus areas of your project:
Please indicate all aspects your project will cover:
If you chose "Other" above, please explain here (max. 1000 characters).
1000 characters remaining
Please elaborate on the following subjects (max. 800 characters):
1. Project aim(s)
2. Project relevance
3. Who and how many stakeholders will benefit from the project?
800 characters remaining
Information on project leader and project team (education / experience / location), roles and responsibilities (max. 800 characters).
800 characters remaining
please specify any networks and partnerships you operate with (public and private, national and international) (max. 800 characters)
800 characters remaining
Please specify how you plan on tracking and measuring project success (max. 800 characters)
800 characters remaining
How do you ensure/envision project sustainability (max. 800 characters)
800 characters remaining

Requested financial donation from HTWF (excluding technology). Enter the details for each year, and the total, on separate lines.
1000 characters remaining
 
Enter the number of Sonova BTE hearing instruments requested for the project. Enter the details for each year, and the total, on separate lines.
1000 characters remaining
Enter the number of Sonova Cochlear Implant hearing instruments requested for the project. Enter the details for each year, and the total, on separate lines.
1000 characters remaining
Enter the number of Sonova Roger hearing instruments requested for the project. Enter the details for each year, and the total, on separate lines.
1000 characters remaining
Enter the number of Sonova Roger hearing instruments requested for the project. Enter the details for each year, and the total, on separate lines.
1000 characters remaining
Enter the quantity of Verification (REM) equipment requested for the project. Enter the details for each year, and the total, on separate lines.
1000 characters remaining
Enter the quantity of Tympanometers requested for the project. Enter the details for each year, and the total, on separate lines.
1000 characters remaining
Enter the quantity of OAE equipment requested for the project. Enter the details for each year, and the total, on separate lines.
1000 characters remaining
Enter the quantity of ABR equipment requested for the project. Enter the details for each year, and the total, on separate lines.
1000 characters remaining
Enter the quantity of Audiometers requested for the project. Enter the details for each year, and the total, on separate lines.
1000 characters remaining
Enter the quantity of VRA equipment requested for the project. Enter the details for each year, and the total, on separate lines.
1000 characters remaining
Enter the details for each year on separate lines.
1000 characters remaining
      Press SUBMIT APPLICATION below to send us your information.