Proposal Template.docx

CIVIL SOCIETY MINI GRANTS PROGRAM

Public Affairs Section U.S. Mission to Yemen

APPLICATION FORM

1. Project title:

2. Total requested budget:

3. Implementing partner/NGO Information

3.1. Name of the organization: 3.2. Phone & Fax numbers:

3.3. Address: 3.4. Email

3.5. Project officer: 3.6.: Cell number:

3.7. List the name(s) of the person(s) who will be responsible for implementing and managing the project. Please attach/email a copy of each person’s resume.

4. Project period:

Project start date: / / Project end date: / /

5.

Project summary: (Please provide a description of the project’s objectives, intended outcomes, beneficiaries, and general plan of action)

6. Describe the expected long-term effects of the project. Will the project be able to continue after funding from the U.S. Mission to Yemen ends?

Budget summary:

1- Personnel:

Use this budget category for wages and salaries of temporary or permanent staff who will be working directly for the applicant on the project.

2- Fringe Benefits:

Use this budget category for benefits (if accounted for separately) for temporary or permanent staff who will be working directly for the applicant on the project.

3- Travel:

Use this budget category for the estimated costs of travel and per diem for this project. If the project involves international travel, include a brief statement of justification for that travel either in the Project Activities Description or as an Attachment.

4- Equipment:

Use this budget category for all tangible, non-expendable (non disposable) machinery, furniture, and other personal property having a useful life of more than one year (or a life longer than the duration of the project), and a cost of $5,000 or more per unit.

5- Supplies:

Use this category for building, conservation, and other materials that will be consumed (used up) during the course of the project. If an item costs more than $5,000 per unit, then put it in the budget under Equipment.

6- Contractual Use this budget category for goods and services that the applicant intends to acquire through a contract with a vendor, such as masonry repair and repointing services that include the costs of materials as part of a contract, or professional photographic services that include photographic prints as part of the contract.

8- Other Direct Costs Use this budget category for other costs directly associated with the project, which do not fit any of the other categories. Examples include shipping costs for materials and equipment, and the costs of utilities (water, electricity, Internet) required for the project.

BUDGET GUIDELINES

Program expenses should cover all costs for the project activities. They may include all honoraria to specialists or associates; travel/per diem/lodging expenses for trips; and all expenses for seminars or conferences (speaker’s fee, preparation of materials and room rental).

Salaries should be paid only to the people who will spend a majority of their time on the project and have signed contracts. The salary should be calculated on the total number of hours worked for the duration of the project. Salary levels should be reasonable and no higher than other local salaries, and should include all local taxes.

Equipment means computer, copying machine, printer or other technical devices necessary for the fulfillment of the project (for example, the purchase of a computer for organizing a conference is not a justified expense). Remember that renting equipment for a specific project activity is often preferable to the Commission than outright purchase.

Administrative expenses include communication expenses (phone, fax, e-mail, postage); bank taxes; copying and print services; office materials (paper, toner, envelopes, etc. Bank charges should be pre-calculated and included in the budget. Please note that any interest earned on the grant sum must be returned to the U.S. Government.

The use of “miscellaneous expenses” as a budget item is unacceptable. Cocktail parties and meals not integral to a program event are not acceptable grant expenses. An effort should be made to secure funding from other sources for food costs.

Entertainment costs (amusement, diversion, social activities, ceremonials, alcoholic beverages, cocktail parties) are not allowable expenses. PLEASE NOTE THAT THE BUDGET ITEMS CANNOT BE CHANGED DURING THE FULFILLMENT OF THE PROJECT.

7. How will the project be run? Please describe your plans for monitoring and evaluation.

Field visits

Progress Reports

Financial Reports

End of Project Report

Evaluation Report

8. Briefly describe your organization by answering the following questions:

8.1. What type of organization are you (e.g., NGO, for-profit, educational institute, etc.)?

8.2. When was your organization established?

8.3. What is your organization’s approximate size of membership?

8.4. What is the mission of your organization?

8.5. Has your organization received financial assistance from other donors? If so, please name any donors, the date and amount of awards?

CIVIL SOCIETY MINI GRANTS PROGRAM

Public Affairs Section U.S. Mission to Yemen Yemen Affairs Unit/YAU

10. Please give a detailed description of your project’s activities in accordance with the objectives you listed in question # 4:

Objective #1:

Objective #2:

Objective #3:

Any additional info you would like to add: