Application -BOLD-Civic engagement-Fy 2020.doc
DOC document 218 KB Posted
- Attached to
- BOLD CIVIC ENGAGEMENT Federal grant opportunity
- Opportunity number
- 007-FY2020
- Issued by
- Department of State US Embassy Sarajevo
About this file
Application form
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| NOFO BOLD Civic Engagement-Irma1-2020 novi 1.docx | DOCX document |
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Text version
PROJECT PROPOSAL
U.S. Embassy
AEECA-BOLD CIVIC ENGAGEMENT
1. APPLICANT’S CONTACT INFORMATION
a. Implementing organization:
b. Contact Person and Title:
c. Address/ Postal Code and City:
d. Phone number:
e. E-mail:
2. BASIC INFORMATION ABOUT THE PROPOSAL
| A. |
| Project title: |
| B. |
| Amount requested (USD): |
| Cost Share (USD) IF APPLICABLE: |
| Total Cost (USD): |
3. ELEVATOR PITCH
(SHORT SUMMARY OF THE PROJECT, NOT TO EXCEED 50 WORDS)
4. PROBLEM STATEMENT
5. PROJECT GOALS AND OBJECTIVES
6. DESCRIPTION OF THE PROJECT ACTIVITIES
7. ACTIVITY LOCATIONS
8. PROJECT BENEFICIARIES
9. PROJECT SCHEDULE AND TIMELINE
10. PROJECT PARTNERS
11. KEY PERSONNEL
12. ANTICIPATED OUTCOMES OF THE PROJECT
13. PROJECT SUSTAINABILITY
14. MONITORING AND EVALUATION PLAN
15. BACKGROUND OF IMPLEMENTING ORGANIZATION
16. PREVIOUS U.S. GOVERNMENT FUNDING
17. DETAILED BUDGET ( itemize any amount larger than $ 200)
| A |
| B |
| C |
| D |
| E |
| ITEM |
| NO. OF UNITS |
| PRICE PER UNIT |
| U.S. SHARE OF THE COST |
| APPLICANT’S SHARE OF THE COST |
(IF ANY)
TOTAL
(A x B)
(C+D)
| A. |
| Personnel |
SUBTOTAL A
| B. |
| Fringe |
SUBTOTAL B
| C. |
| Travel |
SUBTOTAL C
| D. |
| Supplies |
SUBTOTAL D
| E. |
| Contractual |
SUBTOTAL E
| F. |
| Other Direct Costs |
SUBTOTAL F
GRAND TOTAL (A+B+C+D+E+F)
18. BUDGET NARRATIVE
Molimo pročitajte svaku izjavu ispod i oznacite svaki okvir za potvrdu da je vaš prijedlog u skladu sa sljedećim smjernicama:
Posjedujemo saglasnost učesnika i partnera za realizaciju projekta.
Datum pocetka projekta nije fiksan i moze se prilagoditi dinamici evaluacije projekta od strane donatora (u slucaju da se datum pocetka projekta ne moze mijenjati, ostaviti prazno, a datum navesti u projektnoj aplikaciji).
Troskovi projekta navedeni u budžetu ne ukljucuju PDV.
Svi troskovi projekta su jasno definisani i ne ukljucuju definicije tipa nepredvidjeni troskovi, ostali troskovi i sl.
Svi troskovi veći od 200 dolara su raščlanjeni ukoliko je to moguće (npr. 2 dana X 20KM x 3 osobe).
Aplikacija koja se nalazi u prilogu ne premašuje 6 stranica uključujući i budžet.
Ja vaše ime i prezime , kao osoba odgovorna ispred naziv vaše organizacije., potvrđujem sve gore navedeno.
THIS SPACE FOR INTERNAL U.S. EMBASSY USE ONLY
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