EWI Application Form for Women Theologians

Ecumenical Women’s Initiative

APPLICATION FORM FOR WOMEN THEOLOGIANS

Please carefully read through the document “Guidelines and Criteria for Proposals“
before you begin to fill out this Application Form.

A. PERSONAL INFORMATION

1. Name:

2. Date and place of birth:

3. Contact address:

4. Tel/fax:

5. E-mail:

6. Address of institution where you work/study:

B. PROFESSIONAL INFORMATION

1. Education:

2. Level:

3. Additional education:

4. Experience in the specialist field connected to this project (theme, donor, location, …):

5. Current professional position and responsibilities:

C. PROJECT INFORMATION

1. Title of project:
2. Summary – briefly describe (in no more than 10 sentences) the problem which you seek to address,
the people who will benefit from this project, activities and aims.

3. Underline one the fields within which your project falls:

• peace-building and reconciliation
• ecumenical and inter-religious dialogue
• gender advancement.

4. Location:

5. Project time frame:

6. What problem does your project seeks to address?

7. What is the project’s main aim?

8. Describe the planned activities and explain in what way it is innovative?

9. List the activities, timeframe and person responsible for the planned activities. (Describe each activity
in detail and where needed please extend the table).

1
 EWI Application Form for Women Theologians

activity timeframe Person responsible

10. List the indicators which will point to the project aims having been achieved. (Indicators must be
measurable).

11. How will this project be monitored?

12. What are the expected results?

13. List all that is needed in order to implement this project:

14. Total amount requested from EWI (in EUR):

15. Do you plan to continue your engagement with this issue following the close of the project?

D. BANKING INFORMATION
1. Bank details*
a. bank
b. bank address
c. BIC/SWIFT code
d. name and address of partner organisation
e. account no. of partner organisation / IBAN

*please refer carefully to Guidelines and Criteria.

Please give contact details for at least 3 individuals from your faculty, religious communities or other
who can recommend your engagement in this proposed activity. (State name, position and
organisation, telephone and e-mail).

1. ...........................................................................................
2. ............................................................................................
3. ............................................................................................

Please underline how you learned of the EWI Call for Proposals:
a. through NGO networks b. through magazines/journals c. through colleagues/friends
d. through faculties e. other

NOTE:

The Budget table below must be completed and sent with the Application Form.
The Glossary may be used to clarify terms used.

Place and date: ……………………… Signature …………………………

2
 EWI Application Form for Women Theologians

EWI BUDGET TABLE

Please describe all planned costs and their sources as EWI. If the project will be implemented in
Croatia the budget should be in HRK. For all other countries the budget should be in EUR. (Please use
the EWI budget table and for all budget items put short description in your project proposal).

PROJECT TITLE

amount other
cost per
no. description unit amount total requested funding
unit
from EWI sources

A. DIRECT COSTS

Salaries for full time project

1.
personnel

1.a Bookkeeper

2. Honorariums

3. Project implementation costs

4. Communication costs

5. Travel costs

6. Banking costs

B. OFFICE COSTS

TOTAL OF ALL PROJECT

C.
COSTS: