| Organization
Name |
Legal title [return
to form] |
| Head
of Organization |
Highest person of authority [return
to form] |
| Contact for Proposal |
Person in charge of this proposal.
If same as head of organization, type SAME. [return
to form] |
| Board Members |
If any. If none, enter NONE. [return
to form] |
| Year Founded |
[return
to form] |
| Year Legal
Recognition |
If not legally recognized, enter
NONE or NA |
| Type of Organization |
Choose one descriptor from list.[return
to form] |
| Address |
Street address. [return
to form] |
| Country |
Only projects to be carried out
in these countries will be considered for funding. |
| Telephone |
[return
to form] |
| Fax |
[return
to form] |
| E-mail |
[return
to form] |
| |
Part 2: Proposal
|
| |
| Project Title |
Please be brief. [return
to form] |
| Location |
Location where project will be
carried out. [return to form] |
| Estimated
Duration |
In months. [return
to form] |
| Synopsis |
Brief (3 sentences) description
of measurable goals to be achieved. What will the project accomplish? [return
to form] |
| Activities |
What will be done to achieve these
goals. Please list in logical or chronological order. [return
to form] |
| Beneficiaries |
Provide an estimate for the number
of direct beneficiaries from project activities.
Describe how the beneficiaries will benefit from project activities.
Describe how beneficiaries participate in the design and implementation
of the project.
[return to form] |
| Participation |
Identify those groups who will
contribute to, or participate in project activities.
Describe how each group will participate.
Explain how decisions will be made about project activities and who
will implement these decisions.
[return to form] |
| |
Part 3: Funding/Counterpart
|
| Cash vs. In-Kind |
Cash refers to financial contributions,
all other contributions are considered in-kind. Estimate the value of in-kind
contributions using generally accepted metrics. For example, volunteer
labor should be valued by multiplying the number of volunteer hours by
either the minimum wage or the average hourly wage of those volunteering.
Contributions of goods and services should be valued at market rate. [return
to form] |
| CTF |
The fund will only contribute cash.[return
to form] |
| Beneficiaries |
Refers to direct beneficiaries
of project activities. Consider all in-kind donations such as volunteer
labor, use of meeting space, etc. [return
to form] |
| Private Sector |
Consider all in-kind donations
such as volunteer labor, use of meeting space, etc. [return
to form] |
| Public Sector |
Consider all in-kind donations
such as volunteer labor, use of meeting space, etc. [return
to form] |
| Diaspora |
Consider all in-kind donations
such as volunteer labor, use of meeting space, etc. [return
to form] |
| Other |
Consider all in-kind donations
such as volunteer labor, use of meeting space, etc. [return
to form] |
