Application - YLP-US Partner-Fy 2023.docx
DOCX document 103 KB Posted
- Opportunity number
- BH-007-FY2023
- Issued by
-
Department of State US Embassy Sarajevo
About this file
Application Form
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Text version
PROJECT PROPOSAL
Application Number:
YOUTH LEADERSHIP PROGRAM AND TEACHER DEVELOPMENT PROGRAM
1. APPLICANT’S CONTACT INFORMATION
a. Implementing organization or individual:
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): |
| Amount of cost share, if any (USD): |
| Total cost (USD): |
3. ELEVATOR PITCH
4. DEFINITION OF SITUATION
5. PROJECT OUTCOMES
6. DESCRIPTION OF PROJECT ACTIVITIES
7. ACTIVITY LOCATIONS
8. PROJECT BENEFICIARIES
9. PROJECT SCHEDULE AND TIMELINE
10. PROJECT PARTNERS
11. ANTICIPATED OUTPUTS OF THE PROJECT
12. MONITORING AND EVALUATION PLAN
13. PROJECT PUBLICITY
14. PROJECT SUSTAINABILITY
15. BACKGROUND OF IMPLEMENTING ORGANIZATION OR INDIVIDUAL
16. KEY PERSONNEL
17. PREVIOUS U.S. GOVERNMENT FUNDING
18.DETAILED BUDGET (itemize any amount larger than $200):
| A |
| B |
| C |
| ITEM |
| NO. OF UNITS |
| PRICE PER UNIT |
| TOTAL |
(AxB)
| 1. |
| Personnel |
SUBTOTAL A
| 1. |
| Fringe |
SUBTOTAL B
| 1. |
| Travel |
SUBTOTAL C
| 1. |
| Supplies |
SUBTOTAL D
| E. |
| Contractual |
SUBTOTAL E
| F. |
| Other Direct Costs |
SUBTOTAL F
TOTAL DIRECT COSTS (A+B+C+D+E+F)
| G. |
| Indirect costs |
SUBTOTAL G
U.S. SHARE OF COSTS (A+B+C+D+E+F+G)
RECIPIENT SHARE OF COSTS
19.BUDGET NARRATIVE
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