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ASA global Project Proposal Application Form
Before phrasing your proposal please read the "ASA Factsheet 2018" (pdf document).
A-1 Information on host organization in Germany
Contact details of host organization in Germany
Name of the
organization
Type of
organization
Postal
address
Federal State
Phone
E-mail
Homepage
Fax
The organization exists since:
Has the organization ever proposed an ASA or GLEN project?
Yes, year(s):
Has the project been realized as ASA or GLEN project?
Yes, year(s):
Does the organization submit several project proposals for the ASA program 2018?
Yes, in which other program format/field of activity
No
No
No
Contact person for the ASA program and the participants (this person will communicate with the
participants before the beginning of the project and will supervise their work in Germany)
Surname
First name
Position
Phone
E-mail
Fax
If a second organization in Germany is involved:
Name of the
organization
Type of
organization
Postal
address
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A-2 Information on host organization in African, Asian, Latin American or South-Eastern
European country
Contact details of host organization in in African, Asian, Latin American or South-Eastern European
country
Name of the
organization
Type of
organization
Postal
address
Country
Phone
E-mail
Homepage
Continent
Fax
The organization exists since:
Has the organization ever proposed an ASA or GLEN project?
Yes, year(s):
Has the project been realized as ASA or GLEN project?
Yes, year(s):
Does the organization submit several project proposals for the ASA program 2018?
Yes, in which other program format/field of activity
No
No
No
Contact person for the program and the participants (this person will communicate with the
participants before the beginning of the project and will supervise them in the partner country)
Surname
First name
Position
Phone
E-mail
Fax
A-3 Information on Cooperation between the host organizations in Germany and in
African, Asian, Latin American or South-Eastern European country
Cooperation exists since:
Fields of cooperation:
First cooperation for an ASA global project (formerly ASA-SouthNorth project) in:
Have the organizations ever proposed this ASA global project together?
Yes, year:
No
Has the project been realized within ASA global?
Yes, year:
No
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A-4 Information on person proposing the project
Contact details of the person proposing the project
Last name
First name
Organization
(if applicable)
Position
(if applicable)
Postal address
Phone
E-mail
Fax
How did you hear about ASA for the first time?
Internet
ASA approached me directly
Personal contacts / colleagues
In another way (please specify):
I am a (former) ASA participant, Year:
Format (basic, global or GLEN):
Program offer (ASA, ASA-Kommunal, ASApreneurs, ASA University Cooperation):
Which persons/institutions were involved in designing the project proposal?
If the person proposing the project is not part of the host organization:
Information about the person proposing the project:
Please explain shortly:
 What is your intention in proposing the project?
 How are you related to the host organizations?
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B-1 Presentation of the host organization in Germany
Please answer the following questions precisely.
1.1. What work does the organization do? What are its objectives?
1.2. How is the organization integrated locally (political, social, economic, ecological context)? Does
the organization cooperate with other organizations (national and international)? If yes, with
which organizations and in which type of projects?
1.3. How many people work for the organization (employees / volunteers)? How will the supervision
of the participants be organized? How and by whom will the participants be supported in daily
life?
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1.4. How will the organization deal with possible language difficulties during the project? What
means of support can you provide regarding language?
1.5. What working conditions can you offer the participants (work space, computer, etc)?
1.6. The host organization in Germany must provide accommodation for participants from the
partner organization. A support provided to the participants from Germany in finding an
accommodation is also desirable. Where could the participants from Germany be
accommodated? Will you be able to help them find accommodation? If yes, what will be the
approximate costs for the participants?
Will you be able to provide the participants from
Germany a suitable accommodation free of
charge?
If “No”, could you assist the participants in
finding a suitable accommodation?
Which would be the average cost for
accommodation at the project place?
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Yes
No
Yes
No
Maximal cost
minimal cost
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1.7. How will the organization promote the ASA global project towards appropriate candidates from
Germany and support the acquisition of participants from its surroundings?
1.8. How will the organization assure the co-finanication of the project phase in Germany? How will
the additional funds be acquired/ provided?
1.9. Describe the security situation in the region in which the organization works. If there are
conditions which are special to the region please explain those.
1.10. Visa
Is your organization registered in you country or
has the organization a legal status?
It will be necessary for the participants in order
to apply for a visa to receive a written reference
from your organization. Is your organization
willing to write such a written reference for the
participants?
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Yes
No
Yes
No
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B-2 Presentation of the host organization in African, Asian, Latin American or SouthEastern European country
Please answer the following questions precisely.
2.1. What work does the organization do? What are its objectives?
2.2. How is the organization integrated locally (political, social, economic, ecological context)? Does
the organization cooperate with other organizations (national and international)? If yes, with
which organizations and in which type of projects?
2.3. How many people work for the organization (employees / volunteers)? How will the supervision
of the participants be organized? How and by whom will the participants be supported in daily
life?
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2.4. How will the organization deal with possible language difficulties during the project? What
means of support can you provide regarding language?
2.5. What working conditions can you offer the participants (work space, computer, etc)?
2.6. A support provided to the participants from Germany (and in some cases also to the participants
from the partner country) in finding an accommodation is desirable. Where could the
participants from Germany be accommodated? Will you be able to help them find
accommodation? If yes, what will be the approximate costs for the participants?
Are you able to provide the participants from
Germany a suitable accommodation free of
charge?
If “No”, could you assist the participants in
finding a suitable accommodation?
Which would then be the average cost for
accommodation at the project place?
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Yes
No
Yes
No
Maximal cost
minimal cost
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2.7. How will the organization promote the ASA global project and find appropriate candidates for
participation from its surroundings?
2.8. Describe the security situation in the region in which the organization works. If there are
conditions which are special to the region please explain those.
2.9. Visa
Is your organization registered in your country or Yes
has the organization a legal status?
It might be necessary for the participants in
Yes
order to apply for a visa to receive a written
reference from your organization. Is your
organization willing to write such a written
reference for the participants?
In your opinion, which kind of visa is the best
one to implement a project internship with your
organization?
No
No
Attention! A tourist visa is not sufficient in most of our partner countries. It is the responsibility of the
interns to find out which visa is the best one to implement the project internship in the project
country. An unauthorized entry with a wrong visa can have severe consequences for the interns (fine,
imprisonment, entry ban in the project country et cetera). In this case, the ASA program is free to
cancel the project internship.
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C Detailed information concerning the ASA global project
Please answer the following questions precisely.
Project title
Required language
skills
3.1. What are the goals of the ASA project? How are the goals related to the objectives of both
organizations?
3.2. What do you expect from the participants? How should they contribute to your work? What is
the benefit for your organizations of hosting ASA participants and an ASA project? (if different for
both organizations please specify for both)
3.3. What can the participants learn about global challenges and how these challenges influence the
hosting countries and their population in particular?
3.4. What will the concrete tasks of the participants during both phases of the project be?
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When planning the participants' tasks please make sure to give them enough time and space for
cross-cultural learning, especially during the project phase in Germany since the team will then
start working together. Do not overload with activities, give also time to adjust. Also please
consider the time gap between the proposal and the beginning of the internship in April 2018.
Therefore, please describe in your project proposal a possible scope of duties, with which the
participants can cope during their stay. After the participants' selection phase, in March 2018,
please specify the tasks together with the participants.
3.5. What specific knowledge / skills should the participants have? What experience acquired in the
past could be useful for their work during the project?
The ASA program will refer to these requirements for choosing the participants from Germany for
the proposed project, if your proposal is accepted. It also helps you as organizations to identify
candidates from your regions.
3.6. The ASA program is a learning and qualification program dedicated to development education. It
is aimed at young people who want to understand global interdependencies, who ask critical
questions and who want to strengthen a fair world. After their project internship, the participants
should get involved in sustainable development and promote the understanding of global
interdependencies. How could the participants gain and practice such competences for their
future engagement during the project?
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3.7. Please write a short summary about the whole project and try to emphasize on the task of the
internship. This will help us to promote the project and address possible candidates in case the
proposal is approved.
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Project Allocation in the field of development politics
(select one or two options)
1 Economy, labour
2 Education
3 Gender
4 Civil participation
5 Health
6 Youth child care
7 Culture
8 Rural development
9 Media and
information
10 Human rights
11 Sustainable economy
12 Urban development
13 Climate and environmental
protection
14 Conflict management
15 Migration
Time of implementation of the internship
The three-month project phase in Germany must take place between April and June 2018. The threemonth project phase in the country in Africa, Asia, Latin America or South-Eastern Europe must take
place between July 2018 and January 2019. In case the 2nd project phase should take place at a
specific or within a certain time of that period, please indicate the precise period of time:
From:
Until:
Please note: Only in exceptional cases, internships can take place later than mentioned above. Please
contact the ASA team!
Desired Number of participants from Germany (minimum 1, maximum 2):
Including, if possible:
Desired number of jobholders (with non-academic background):
Desired number of students (with academic background):
Desired Number of participants from the country in Africa, Asia, Latin America or South-Eastern
Europe(minimum 1, maximum 2):
Including, if possible:
Desired number of jobholders (with non-academic background):
Desired number of students (with academic background):
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Declaration of honour
(to be signed by the person(s) proposing the project)
Name of the person(s)
proposing the project
I undersigned certify that the information contained in this application is correct to the best of my
knowledge.
I agree that in case of admission to the ASA program all data provided in this form may be used for
managing the ASA program as far as the right for privacy is respected.
I commit to informing the ASA program about all changes affecting the possible implementation of
the proposed project
In case that I am applying for the partial scholarship myself, I confirm that the project could take
place without my participation.
(Please note in case you would like to apply for the scholarship: proposing a project does not
automatically entitle you to participate in the program. You have to go through the normal
application process for participants, although your application will be considered with priority. The
proposal can only be accepted if you confirm that the internship can take place even if you are not
chosen as a participant.)
_____________________________
Place, date
_____________________________________
Signature
_____________________________
Place, date
_____________________________________
Signature
Please hand in the signed declaration of honour and of cooperation by August 15th 2017
by e-mail to
[email protected]
or by fax to the following number: +49 (0)30 - 254 82 – 359
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Declaration of cooperation and financing
of the host organization in Germany
(to be signed by the contact person, responsible for supervising the interns)
Title of the project
Host countries
Germany and
Hosting organization
Germany
Hosting organization
African, Asian, Latin
American or SouthEastern European
country
We agree to cooperate with the organization mentioned above and the ASA program of
ENGAGEMENT GLOBAL gGmbH within the proposed project and to supervise the ASA participants.
We hereby declare that we have read the document "Ergänzung Finanzierung Format global 2018”
and that the proposed project is financially secured in accordance with these instructions. All
necessary costs that are not covered by the ASA-subsidy will be covered by our organization or
financed through external funds.
We commit to:
 appointing a contact person from our organizations as mentor for the ASA participants
 coordinating the project planning with the ASA participants during the preparatory phase (by
communication via e-mail etc. as from March 2018)
 helping the participants with their application for a visa for the period of the internship
 booking the flights for the participants from African, Asian, Latin American or South-Eastern
European country
 helping the participants with orientation in their new environment (for example by finding
accommodation)
 holding an initial meeting with the ASA participants upon their arrival and regular meetings during
their stay with our organization
 ensuring the adequate working conditions and resources necessary for the implementation and
the carrying out of the internship
 Informing the ASA program about all changes affecting the possible implementation of the
proposed project.
We agree that in case of admission to the ASA program the organizational data provided in this
proposal form may be used for managing the ASA program as far as the right for privacy is respected.
We agree that the organizational contact details (e-mail, phone number) are listed in official program
reports and that the contact details can be shared with other ASA-Partner organisations for
networking and exchange.
Yes
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_____________________________
Place, date
_____________________________________
Name and position
_____________________________________
Signature
Please hand in the signed declarations of honour and of cooperation by August 15th 2017
by e-mail: [email protected]
or fax to the following number:+49 (0)30 - 254 82 – 359
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Declaration of cooperation
of the host organization in an African, Asian, Latin American or South-Eastern European country (to
be signed by the contact person, responsible for supervising the interns)
Title of the project
Host countries
Germany and
Hosting organization
Germany
Hosting organization
African, Asian, Latin
American or SouthEastern European
country
We agree to cooperate with the organization mentioned above and the ASA program of
ENGAGEMENT GLOBAL gGmbH within the proposed project and to supervise the ASA participants.
We commit to:
 appointing a contact person from our organizations as mentor for the ASA participants
 coordinating the project planning with the ASA participants during the preparatory phase (by
communication via e-mail etc. as from March 2018)
 helping the participants with their application for a visa for the period of the internship
 helping the participants with orientation in their new environment (for example by helping them
finding accommodation)
 holding an initial meeting with the ASA participants upon their arrival and regular meetings during
their stay with our organization
 ensuring the adequate working conditions and resources necessary for the implementation and
the carrying out of the internship
 Informing the ASA program about all changes affecting the possible implementation of the
proposed project.
We agree that in case of admission to the ASA program the organizational data provided in this
proposal form may be used for managing the ASA program as far as the right for privacy is respected.
We agree that the organizational contact details (e-mail, phone number) are listed in official program
reports and that the contact details can be shared with other ASA-Partner organisations for
networking and exchange.
Yes / No
_____________________________
Place, date
_____________________________________
Name and position
_____________________________________
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Signature
Please hand in the signed declarations of honour and of cooperation by August 15th 2017
by e-mail: [email protected] or fax to the following number:
+49 (0)30 - 254 82 – 359
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Handing in the project proposal:
After having completed the form, please send the following documents by e-mail to the ASA
program:
Project proposal application form
Declaration of honour signed by the person(s) proposing the project
Declaration of cooperation and financing signed by the host organization in Germany
Declaration of cooperation signed by the host organization in Africa, Asia, Latin America or
Southeast Europe
Provisional plan of financing of phase phase in Germany (Ausgaben- und Finanzierungsplan
Projektpraktikum Deutschland_2018_Vorlage) filled out by the host organization in Germany
Please turn in all documents no later than August 15th 2017!
We invite you to send them in as soon as possible, in order to give us the possibility to make
comments on your proposal and see if anything is missing or not yet sufficient.
The final decision whether the project proposal can be accepted or not is taken by a project selection
commission in October 2017.
If you have further questions or need support concerning the project proposal please do not hesitate
to contact us:
[email protected]
You will find further information about the ASA program on:
http://en.asa-programm.de/english/home/
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