01-01 Project Application Form - A-Standard - E

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Proposal for Financial Support

(Standard A)

Version as of:      

Your project proposal to the Protestant Agency for Diakonia and Development Bread
for the World – Protestant Development Service (hereafter referred to as financing
partner) must contain the following information in order to check whether support is
possible. Please consider all points listed. This document should not exceed a
maximum of 15 pages; any necessary additional information ought to be attached on
separate sheets. In case you are not in a position to provide information on all the
points, kindly state so and give reasons for it.

1. General Information

Name of organisation      


Address      
Contact person      
E-mail      
Fax      

Project title      


For which period of time is the project      
planned (project period)?
For which period is funding requested      
from the financing partner?
What are the total planned expenditures      
of the project?
What is the amount requested from the      
financing partner?
To which other (national/international)      
organisations have you applied for
funding?

Is this project a new one or a continuation of an ongoing project phase?


continuation new project

In case of continuation:
Who is funding the current project activities?

     

Antrag auf finanzielle Förderung_A-Standard_E 05.09.2014


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In case of continuation:
Kindly provide a short overview of the achievements and lessons learnt during the
ongoing phase.

     

2. Project Background
Please describe the social, political, ecological and economic background
 in the country / in the region

     

 in the project area

     

3. Problem Description
Kindly describe and analyse the situation/problem intended to be addressed by the
project. Describe in particular how men and women are affected in general and/or in
different ways (gender analysis). Kindly provide an attachment for baseline data if
available.

     

4. Target Groups
Kindly provide information on the target groups – direct and indirect target groups if
applicable and elaborate on
 number of persons, according to sex and age
 ethnic particularities (if applicable)
 social, economic and cultural status
 if the target group is organised: structure, working methods etc. of the
organised groups
 participation of the target group in the planning process and the further
participation in the implementation, monitoring and evaluation of the project

     

5. Expected Outcome and Impact


Please define the development goal to which the project aims to contribute (impact
level).

     

Kindly specify the project objective to be accomplished within the project period
(outcome level).

     

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Please spell out up to three indicators to monitor the extent the project objective has
been achieved.

      

      

      

If possible, kindly provide at least one indicator differentiated by sex or add a gender
dimension to one of the indicators

If the planned project is composed of different project components, kindly use the
spread sheet attached.

If possible, kindly describe possible unintended (positive and negative) outcomes or


impacts of the project.

     

Has the baseline data been collected and documented? If not: When and how do you
intend to collect and document the data?

     

Which instruments and methods do you intend to apply to assess the outcome of the
project?

     

Which measures do you intend to apply to ensure the sustainability of the above
stated intended outcome?

     

6. Activities
Please describe in detail the measures and activities planned to achieve the project
objective.

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Kindly note to the following:

 Please state if any activities specifically target either women or men.


 In case the project has several objectives, kindly use the spread sheet attached (p.
6).
 The activities should be aligned to the structure of the budget.
 Kindly check whether an external evaluation needs to be scheduled for the
respective project period. If so: Please specify when.

     

7. Budget
Please attach the project’s statement of income and expenditure to the project
application form.

The statement of expenditure should refer to the following main cost items:

 Activities (stated separately for each project component if applicable)


 Personnel costs (including salary structure)
 Recurrent costs (material costs and other non-personnel costs)
 Investment costs (non-reoccurring costs)

The income statement should reflect the income according to funding sources, e. g.
 Confirmed monetary contribution of your organisation
 Confirmed monetary contribution of target groups
 Confirmed funding by other sources within your country
 Confirmed international funding
 Funds requested from the financing partner

Please make sure that total expenditure equals total confirmed income.

8. Risk Assessment
Please describe possible risks that might jeopardise project implementation and
achievement of the project objective.

If there are any risks, how may you address them?

     

9. Recommendations
Do you cooperate with churches or church organisations in the implementation of the
project? If so: Please describe the scope of cooperation.
Please add a letter of recommendation from a church or church organisation related
to your working environment, if possible. If not: Kindly provide a letter of
recommendation from a NGO known to the financing partner or from a government
body.

     

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Place/Date:       Place/Date:      

Protestant Agency for Diakonia and      


Development for Bread for the World –
Protestant Development Service

Name/s: Name/s:
           

           

Position/s: Position/s:
           

           

...................................................................... ....................................................................
Signature Stamp and signature of the Project Partner’s
authorized legal representative

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Annex to 01-1 (project application form)

Objective
Component Indicator Activities

1.             1.            

2.      

3.      

2.             1.            

2.      

3.      

3.             1.            

2.      

3.      

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