Proposal Form.docx

U.S. Embassy Grants Program

PROPOSAL FORM

Read carefully the instructions supplied with this document.

The proposals that do not follow the guidelines and the instructions provided with this form will not be reviewed.

1. BACKGROUND OF ORGANIZATION:

1.1 Description:

1.2 Past Grants (U.S. Embassy)

1.3 Past Grants (Other)

2. Project Description:

2.1 Project Information

a. Project Name:

b. Duration (months): c. Start date (mm/dd/yyyy): d. End date (mm/dd/yyyy):

2.2 Executive summary:

2.3 Project Justification:

2.4 Project Goal and Objectives:

2.5 Project Activities:

2.6 Monitoring and evaluation:

2.7 Key Personnel:

2.8 Project Partners:

2.9 Strengths and Innovations:

2.10 Sustainability:

3. Certification:

By signing this application, I certify that the statements contained in this form are true, complete and accurate to the best of my knowledge.

I am aware that any false statements or claims may disqualify my organization from receiving this and any future awards.

I agree

By marking the checkbox below I certify that I have read and understood the instructions provided with this form before filling out this document.

I have read the instructions provided with this form

Authorized Representative: Please enter name here Date:

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