Appendix 1 - MEPI Local Grants Project Narrative Application.docx

MEPI Local Grants Program Project Narrative Application

The Project Narrative Application provides detailed information about your proposed project. Your responses to the questions below will be used to determine if your application will be considered for funding as a MEPI Local Grant. Your responses should provide a clear and concise description of your project. The Project Narrative document must not exceed a total of ten (10) pages. If selected for funding, you will have the opportunity to work with the grants management staff of one of the U.S. Department of State’s Assistance Coordination Regional Offices to create a more detailed statement of work.

Organization Name

Organization Point of Contact (Please include name, title, email address, and phone number)

Country

Project Title

Please list the cities that your project will target

Summary In no more than 350 words, please provide a basic description of the project, including need, goal, scope, activities, and how you will measure success.

Problem Statement What issue will your project address? Please provide background information identifying what the problem is, including examples, research, or other evidence as available. For this section, it is important to be specific about what aspects of a potentially bigger problem your project will address. For example, if your project focuses on women’s rights, your problem statement might focus on women’s political participation or combatting domestic violence, for instance.

In addition to describing the problem you wish to address, please also explain why it is important to address it. In other words, what will happen if the issue is not solved? This section should be no more than 500 words.

Project Objectives What result(s) do you intend to achieve through this project? At the end of a successful project. What will you have to show? How will you know whether you have achieved the desired result(s)? How will you ensure that you can demonstrate evidence of success? Please include a list of each project goal and number them (1, 2, 3, etc.). This section should be no more than 500 words.

Project Approach Please describe how you plan to implement this project. Who do you plan to work with? For example, will you work with partner organizations, local government offices, etc.? Please be specific. Will you focus on one geographic area at a time, or have multiple ongoing locations for implementation? This section should be no more than 500 words.

Project Activities Please complete the table below outlining all planned project activities with a corresponding timeline. Please identify target completion dates for each activity. We understand that these dates are estimates and may be subject to change. Please add additional lines to the table as needed. In the first column labeled “Goal,” please list any/all of your project goals (as you have identified and numbered in the section above) that correspond to each activity. Please see the first line in the table below as an example.

Project Activity Timeline

Ex.:

Ex.:

Ex.:

Activity 1. Technical training for textile industry.

We will hold 3 trainings in 3 different locations to train 25 people per training. At least 10 participants per training will be women.

Ex.:

Training 1: City X Training 2: City Y Training 3: City Z Ex.:

Training 1: 10/2019 Training 2: 12/2019 Training 3: 02/2020

Who are the direct beneficiaries of your project?

How long will it take to implement this project?

Information for Applicant: Branding All materials produced under a MEPI award, including but not limited to training materials, materials for recipients, or materials to communicate or promote with foreign audiences a program, event, project, or some other activity under this agreement, must be marked appropriately with the standard U.S. flag in a size and prominence equal to (or greater than) any other logo or identity, AND with the standard MEPI logo (to be provided for use). Sub-recipients and subsequent tier sub-award agreements are also subject to the marking requirements.

The following are potential exceptions:

· Where a clear identification with the U.S. government or the U.S. flag would create a demonstrable security threat to the U.S. government, its personnel, partners, the project participants or beneficiaries, or the project or venue of the activity.

· Where a clear identification with the U.S. government or the U.S. flag would undermine the objectives of the activity.

Will you be able to comply with the branding requirements for your project if it were to be funded under the MEPI Local Grants Program?

☐Yes ☐No

If not, what would be the reason(s) for requesting a waiver?

Organization and Partner Information

Describe your organization’s mission and purpose. This section should be no more than 200 words.

In what year was your organization established?

Is your organization registered under applicable law in your country?

☐Yes ☐No

Do you have partner organizations working with you on this project?

☐Yes ☐No

If yes, list name(s) of your partner organizations and how they will assist on the project.

Does your organization have a UEI/DUNs number?

☐Yes ☐No

If yes, please list your UEI/DUNs number below.

Does your organization have a NCAGE number?

If yes, please list your NCAGE number below.

Does your organization have a SAM.gov Registration?

☐Yes ☐No

Has your organization received financial assistance from the US government and/or other donors in the past?

☐Yes ☐No

If yes, please list past donors with corresponding information as indicated in this table: (Please add additional rows as needed.)

1.

2.

3.

4.

Has your organization been convicted of a felony criminal violation under a U.S. Federal law within the preceding 24 months?

Do you qualify as MEPI alumni (having participated in MEPI programs before)?

☐Yes ☐No

- 1 - MEPI Local Grant Project Narrative Application March 5, 2019

- 3 - MEPI Local Grant Application