2023 Proposal Template.docx
DOCX document 74 KB Posted
- Attached to
- HIV-Quick Impact to local communities
- Opportunity number
- MAPUTO-PCO-FY24-01
- Issued by
-
Department of State US Embassy Maputo
About this file
This document contains a template for a 2023 proposal submission to the PEPFAR Community Grants Department in Mozambique under the FY24 HIV-Quick Impact to local communities federal grant opportunity. The template requests organization and contact details, past experience carrying out programs, goals and objectives, a 3-page narrative outlining the proposed project and problem statement, a timeline with quarterly activities and deliverables, a monitoring and evaluation plan with performance indicators and targets, and attachments including CVs and references. The related federal grant opportunity is solicited by the US Embassy Maputo under the US President's Emergency Plan for AIDS Relief Programs federal grant program. Proposals are due by the end date listed in the solicitation number MAPUTO-PCO-FY24-01. Awards will support local HIV impact projects in key populations such as adolescent girls and young women, pregnant and breastfeeding women, children, people living with HIV, and key affected populations.
Proposal Template
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Other files
| File | Type | Posted |
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| Budget Guidance and Template for New Awards (FY2023).xlsx | XLSX spreadsheet | |
| 2023 Budget Narrative Template.docx | DOCX document | |
| COP23 Notice of Funding Opportunity Guidance.pdf |
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Text version
Please provide DETAILED COMPLETE ANSWERS for the following question. Answers are limited to the space available in this form. DO NOT send printed, scanned, or photographed versions of this form. Complete this Application of Interest electronically and return it to PEPFAR in its original Microsoft Word format.
A. Summary Page Name of Organization: Click or tap here to enter text.
Project Title: Click or tap here to enter text.
Project Province: Click or tap here to enter text.
Project District:Click or tap here to enter text.
Funding amount:Click or tap here to enter text.
Direct Project Beneficiaries (please check one):
☐Adolescent Girls and Young Women (AGYW) ☐ Key Populations (KP) ☐ Pregnant and breast-feeding women.
☐ Children (Boys and girls) ☐ People Living with HIV (PLHIV)
PEPFAR Community Grants Department FY24 HIV-Quick Impact to local communities B.
2SENSITIVE BUT UNCLASSIFIED
C. Proposal Summary
1. Introduction to the Organization
Organization Address: Click or tap here to enter text.
Organization Email Address: Click or tap here to enter text.
Organization Phone Number: Click or tap here to enter text.
Unique Entity ID: Click or tap here to enter text.
Primary Contact Details Contact Person:Click or tap here to enter text.
Position: Click or tap here to enter text.
Contact Number: Click or tap here to enter text.
Email: Click or tap here to enter text.
Secondary Contact Details Contact Person:Click or tap here to enter text.
Position:Click or tap here to enter text.
Contact Number:Click or tap here to enter text.
Email:Click or tap here to enter text.
· A description of past and present operations, showing ability to carry out the program, including information on all previous grants from the U.S. Embassy Mozambique and/or U.S. government agencies if any. (Half page))
2. Program Goals and Objectives
GOAL:
Click or tap here to enter text.
OBJECTIVES:
Click or tap here to enter text.
Click or tap here to enter text.
Click or tap here to enter text.
Click or tap here to enter text.
1.
3. Proposal Summary
A brief narrative that outlines the proposed project. It should communicate a clear and concise problem statement and why the proposed project is needed. Also states the activities which will be performed to achieve the objective and explain the influence of the project both during and after the project period. (2 pages – 3 pages)
4. Timeline
| Primary Activities, Deliverables, and/or Milestones |
| Q1 |
(Range of months) Q2 (Range of months) Q3 (Range of months) Q4 (Range of months)
| Project Monitoring Plan |
| X |
| XYZ Activity |
| X |
| X |
| X |
| X |
Activity 123
| X |
| X |
Etc.
5. Program Monitoring and Evaluation Plan
| Performance Indicators |
| Data Source |
| Baseline |
| Expected Results |
| Inputs |
| Outputs |
| Targets |
| Completion Date |
Project Objective 1: (list policy objective)
Activity 1.1: (list activity)
Activity 1.2: (list activity)
Activity 1.3: (list activity)
Activity 1.4: (list activity)
Outcomes:
Project Objective 2: (list policy objective)
Activity 2.1: (list activity)
Activity 2.2: (list activity)
Activity 2.3: (list activity)
Activity 2.4: (list activity)
Outcomes:
Project Objective 3: (list policy objective)
Activity 3.1: (list activity)
Activity 3.2: (list activity)
Activity 3.3: (list activity)
Activity 3.4: (list activity)
Outcomes:
6. Attachments
· 1-page CV or resume of key personnel who are proposed for the project.
· Recommendations from previous funding agencies indicating successful implementation of projects.
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