1.Proposal Template_2024.pdf

U.S. Embassy Accra Grants Program

Application Template

Note: This is a recommended template and not a requirement. Questions can be directed to: PASAccraGrant@state.gov

1. GENERAL INFORMATION

Applicant Organization:

Organization Name:

Address:

Street Address

City/Town

District

Website (if applicable)

Social Media Page (if applicable, platform and link)

Organization Director:

First Name Last Name

Title

Telephone

Mobile

Email

Preferred method of contact

2. BACKGROUND OF ORGANIZATION

2.1 Registration Information:

Is the organization registered, incorporated, or licensed as a legal entity? ☐ Yes* ☐ No *If yes, attach a copy of organization’s registration form.

Date of incorporation or registration (MM/DD/YYYY):

Date organization was founded:

How organization is primarily funded:

CVs attached in Appendix A for each staff member on the project? ☐ Yes ☐ No

2.2 Organization Mission:

2.2.1 What is the purpose (or mission statement) of your organization?

mailto:PASAccraGrant@state.gov

2.2.2 How, if at all, is your organization different than other organizations that work in this field?

2.3 Summary of Expertise: Detail your past work in this area so PAS can better understand your organizations’ record of performance and ability to succeed in future projects.

2.3.1 Describe past work in this topic area:

2.3.2 Describe any best practices or lessons learned in previous projects:

2.3.3 From previous work in this area, have you developed networks with other organizations or groups that also work in this field? How, if at all, will this award contribute to those networks?

2.4 Project Partners: Are you going to carry out project activities in partnership with other organizations?

If yes, list the organization name and describe their role in the project.

3. PAST GRANTS

3.1 Grants funded by U.S. Embassy

Have you ever received a previous grant from the U.S. Embassy? USAID, Public Affairs, or another US

Government entity? ☐ Yes ☐ No

If yes, provide a list to include:

Project name; Project amount; Period of performance and Results achieved on this program to date.

3.2 Grants funded by other donor organizations

Have you ever received funding from any other donor organization? ☐ Yes ☐ No

If yes, list:

Project name:

Project amount:

Period of performance:

Results achieved on this program to date:

4. PROPOSED PROJECT DESCRIPTION

4.1 Project Information

Project Name:

Duration (months)

Projected Start and End Date:

Funding Requested

Location(s) for Implementation

Program Area ☐ Peace and Security ☐ Media and Press Freedom ☐ Democracy and Civil Society

4.2 Project Goals and Justification

4.2.1. Elevator Pitch: Provide a brief synopsis advocating the core project idea and how it supports U.S.

Mission to Ghana strategic objectives through outreach to the targeted audiences.

4.2.2 Problem Statement: What problem do you intend to address by implementing this grant?

4.2.3 Problem Statement Justification: What evidence, experience or other information supports your problem statement? Why is this a priority?

4.2.4 Goals: What does success look like on this program?

Short-term Outcomes: What specific change(s) do you expect to occur during the grant as a direct result of program activities?

Long-term Outcomes: What specific change(s) do you expect to occur after the program ends that are a direct result of program activities?

4.2.5 What potential obstacles exist that could effect the implementation of the program? For example:

obtaining government approval, media/press concerns, availability of electricity/internet

4.2.6 How does your program plan to address the obstacles listed above?

4.2.7 American Content: Explain how you are incorporating a strong American element and/or connection with American expert(s), organization(s), or institution(s) to promote increased understanding of U.S. policy and perspectives.

4.3 Participants / Audience

4.3.1 Describe the target participants in this program. Be as specific as possible. Possible participant characteristics may include: gender, age-range, education level, geographic location, occupation, socio-economic level, level of education, interests, etc.

4.3.2 Why are these individuals an important population to reach?

4.3.3 How will your organization access those participants?

4.3.4 Explain the criteria you will use to choose participants.

4.3.5 Explain the steps of your participant selection process to ensure you reach the target audience above.

5. PROPOSED WORK PLAN

Proposed Project Activities: Provide a detailed work plan that clearly identifies each step you will take to plan and implement this project. Please include an activities calendar divided by months/weeks and responsible people as in the example below.

Implementation Activities Time period Personnel/Responsible

Organization Resources required, if any

Planning Activities (meetings, obtaining venues, equipment and/or staff)

(for example: staff time, and funding for office space)

Major Project activities

Follow-on activities

6. BUDGET

6.1 Budget Summary

Category Description/Details Amount Requested

Personnel

Fringe Benefits

Travel

Equipment

Supplies

Contractual

Other Direct Costs

Indirect Costs

Total Requested

Project Total

6.2 Budget Notes

1. All project expenses should be calculated in advance and must be realistic.

2. Budgets shall be submitted in U.S. dollars and final grant agreements will be conducted in U.S. dollars.

3. Applicants must submit both a detailed budget and budget narrative justification.