For Further Information, Call (473) 440 2097 Ext. 314

For Further Information, Call (473) 440 2097 Ext. 314

Email completed applications in Microsoft Word doc format to by 30 January 2016.

For further information, call (473) 440–2097 ext. 314

PROJECT DESCRIPTION

Name of Organisation / Project Title
Type of Project(Select from these priority areas: education, community development-social services, arts-heritage-culture, sport, environment, science and technology, energy)
Project Summary:Briefly describe your project (maximum 50 words)
Number of Beneficiaries(no. of males, no. of females) / Project Beneficiaries(women, youth, etc.)
Location of Beneficiaries:(address of beneficiaries)
Date of Implementation/Duration
(Start date/number of implementation days) / Area of Project Implementation
(address where project will be implemented)

BACKGROUND/SITUATION ANALYSIS

What prompted the project?
Are there existing concerns or potential problems that you want to address?

PROJECT OBJECTIVES/STRATEGIES

What does the project hope to achieve?

PROJECT WORKPLAN(add further rows as needed)

What are the tasks that you must implement to meet the objectives?
Phase / Activity
(list all activities for each phase, even where request is for partial funding) / Estimated timeframe / Activity
Output / Indicators/
Measurements / Inputs
Needed

DESIRED IMPACT AND OUTCOME OF THE PROJECT

What are the long term effects of the project?(Economic, social, cultural, environmental, technological, etc.)
How will you ensure sustainability of the project outcomes?
What are the linkages with other similar initiatives?
What are the long term impacts of the project?(Economic, social, cultural, environmental, technological, etc.)
How will you ensure sustainability of the project outcomes?

BUDGET

Budget Requirement
(overall amount needed) / Budget Requested
(state amount you are requesting from the GCPI) / Your Organisation’s Contribution
List other sources of funding, amount of funding and attach copies of commitment letters

DETAILED BUDGET REQUIRED (add further rows as needed)

Budget Item / Description / Amount Needed / Proposed Source(s)
Estimates provided(3 estimates required for goods and services. Estimates should detail specifications, warranties, shipping costs and other relevant costs)

RISK MANAGEMENT PLAN

What are the risks and factors that may hamper or hinder the successful implementation of project activities and achievement of project outputs?
What are the measures that would mitigate these risks?

PROJECT ORGANISATION AND STAFFING

Office Address / Project Manager
Contact Details / Directors
Telephone
Mobile
Email
Management Staff
Certificate and Articles of Incorporation
Financial Statements

OTHER RELEVANT INFORMATION

Include any other information that will support the request for funding,such as:
  • Proof of Land Ownership for Infrastructure Projects
  • Approved drawings
  • Marketing Plan — plan for making your project and activities visible
  • Profile/brochure of the organization
  • Endorsement and recommendation letters
  • Other documents to support the request

Email completed applications in MS Word doc format to y 30 January 2016 | for further information call (473) 440–2097 ext. 314

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