PAS Abuja Grants Application Form.doc

Embassy Abuja Grants Program Embassy of the United States of America

Abuja, Nigeria

APPLICATION FORM

Please follow the guidelines as you complete the application. The application must be submitted in English. Applications that do not meet minimum requirements set forth in this document will not be considered.

I. General Information Project Title:

Organization Name:

Organization Address:

Organization DUNS Number:

Project Coordinator Name & Position:

Address:

Office Telephone:

Mobile:

E-mail:

Proposed Duration of Project: Months

Requested Funds: $ (USD)

II. Project Goal/Executive Summary While you may briefly explain the underlying problem, the main focus of this section is a summary of the project goal(s). What is it that the project will accomplish? The project goal must be specific, detailed, clear, and achievable within the project timeframe. Include who will benefit from the project and how. Please limit this section to a maximum of 300 words.

III. Project Activities Please give a step-by-step account of all activities that will take place during the project’s implementation. Be specific, detailed, and clear. Please limit this section to a maximum of 500 words.

Note: Funding for publications is limited, and only publications with high quality content will be accepted. You may research publications already available that can be reproduced and used when implementing your project. If you still want to produce your own materials for distribution, you have to submit the full content of the publication along with your application.

IV. Indicators and Monitoring and Evaluation Plan How will you measure your project’s results? What are the indicators demonstrating achievements? For example, number of training seminars conducted, number of radio programs broadcast or articles published, how direct beneficiaries have been impacted, etc. How will you monitor and evaluate these indicators? What is the plan to organize the information and on what timeline? Please limit this section to a maximum of 300 words.

V. Project Sustainability Explain how the project is going to continue and/or how achieved results will be sustained after the grant project concludes. Please limit this section to a maximum of 200 words.

VI. Excel Budget

ALL BUDGETS MUST BE SUBMITTED IN A SEPARATE MICROSOFT EXCEL DOCUMENT

All expenses must be calculated in advance and be realistic. Although the maximum grant amount is $50,000, the Embassy usually selects for funding projects with smaller budgets.

Please prepare a detailed breakdown of expenses and complement with a budget narrative. Each line must be sufficiently detailed as to enable a reviewer to understand how a number was determined. The budget narrative puts the numbers into context.

· Programming expenses cover all costs for programmatic activities (e.g., for a conference or training session, this may include room rental, travel/per diem/lodging expenses, honoraria for specialists, costs for educational materials, etc). Note: Per diem/food expenses together should rarely exceed 10 percent of the total grant;

· Salaries should be paid only to persons who are or will be in a contractual relationship and who will spend a majority of their time on the project. The salary should reflect the percentage of their time to be spent on the project. Salary levels must be in line with local salaries for a comparable activity;

· Equipment includes computers, copying machines, printers, or other technical devices. If the proposal seeks funding to purchase equipment, the application must specify the same (e.g., one Pentium IV 2.26 GHz RAM 256 DDL266 CD-ROM 52xASUS). Ideally, the proposal should include estimates from three different vendors. Any equipment requested must be necessary for the fulfillment of the project;

· Administrative expenses can include communication expenses (e.g., phone, fax, e-mail, postage), copying and printing services, and office materials (e.g., paper, toner, envelopes);

· Entertainment costs (e.g., alcoholic beverages, cocktail parties) are not allowable expenses. A budget line item for “miscellaneous expenses,” “unforeseen items,” or “etc.” is not allowed.

VII. Background of Applicant Organization

Explain when and why the organization was founded, its mission and goals, its principal activities and achievements, its funding, its registration status, and its staffing pattern. Please note that you are required to attach to the application the CV, resume, or personal history (no longer than a page) of each of the principal staff members who will be carrying out the proposed project. Please limit this section of your application to 500 words.

VIII.

Previous/Other Funding

Has your organization ever applied for a U.S. Mission Nigeria grant (Abuja/Lagos)? (Yes/No)

Has your organization ever received a U.S. Mission Nigeria grant (Abuja/Lagos?

(Yes/No)

If yes, please list grant title(s), amount(s), date(s) of each grant.

Has your organization ever received other international funding?

(Yes/No)

If yes, please list grant title(s), amount(s), date(s) of each grant your organization has received within the past five years.

Is your organization currently applying for other international funding? (Yes/No)

If so, please give grant title, amount, dates and donor organization(s):

How did you hear about the Embassy Abuja Grants Program? (Mark appropriate option) Embassy website ____

Newspaper ____ (if yes, please give newspaper name)

Social network (Facebook/Twitter/other) ____

Another NGO/initiative group ____

Other ____

IX. SUBMISSION

All proposals must be submitted by email. No hardcopies, please!

Send your email to: PASAbujaGrants@state.gov Subject line of the email: [Your Organization’s Name]: Embassy Abuja Grants Proposal

Body of the email: No narrative necessary. Just enter the following information:

· The name of your organization

· The name of the project coordinator and

· The project coordinator’s telephone number/cell phone number

Attachments of the email:

· This Embassy Abuja Grants Program application form

· The budget as a separate Microsoft Excel document

· SF-424 forms for either an organization or individual as required

· CVs, resumes, or personal histories (no longer than a page) of the principal staff member(s) who will carry out the proposed project � EMBED Word.Picture.8 ���

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