EWI “Women, Peace and Disarmament” – Application Form
Ekumenska inicijativa žena Četvrt kralja Slavca 3, 21310 Omiš – Hrvatska Tel: +385 21 862 599 Fax: +385 21 757 085 e-mail: [email protected]
EWI “Women, Peace and Disarmament” – Application Form
APPLICATION FORM – Event competition
General Information required:
A. Event Information
1. Name of project leader:
2. Tel/fax, mobile, e-mail:
3. Total event budget:
4. Amount requested from EWI:
5. Please indicate whether this event will be co-funded by other sources (name and amount):
6. Event location:
B. Organisational Information
1. Organisation:
2. Address (street, town/city):
3. Country:
4. Name of authorised representative:
5. Tel/fax, mobile, e-mail:
6. Year of registration:
Ekumenska inicijativa žena Četvrt kralja Slavca 3, 21310 Omiš – Hrvatska Tel: +385 21 862 599 Fax: +385 21 757 085 e-mail: [email protected]
EWI “Women, Peace and Disarmament” – Application Form
7. Total realised income in the previous financial year:
8. Purpose and field(s) of activity:
9. Is your NGO a current partner of the EWI or has your NGO partnered with the EWI in the past?
1. Event title:
2. In which way does your idea/event approach the topic of “Women, disarmament and peace” in a surprising, fresh, inventive,
thought-provoking or innovative way? (max. 200 words)
3. What is the objective of the event, how do you plan to reach it and how do you assess whether the goal is reached? (max.
200 words)
Ekumenska inicijativa žena Četvrt kralja Slavca 3, 21310 Omiš – Hrvatska Tel: +385 21 862 599 Fax: +385 21 757 085 e-mail: [email protected]
EWI “Women, Peace and Disarmament” – Application Form
4. Your event should be as visible as possible. Describe your approach of reaching this goal. (e.g. How are you going to make
the public aware of the event?, Are you going to approach the media and if so how?) (max. 200 words)
5. Your idea has to be realistic and feasible. Please describe the best and the worst case scenario. How do you plan to deal with
the worst case scenario? (max. 200 words)
6. Do you have any experience in planning and implementation of such an event? Are there any aspects/areas where you will
need or want to engage others? If so, who will be engaged at what stage and what are their qualifications and experience?
Ekumenska inicijativa žena Četvrt kralja Slavca 3, 21310 Omiš – Hrvatska Tel: +385 21 862 599 Fax: +385 21 757 085 e-mail: [email protected]
EWI “Women, Peace and Disarmament” – Application Form
7. Outline of activities
Describe in detail the steps to take to make the event happen (planning, implementation and evaluation).
No.
Title of Activity
Duration
(month &
duration)
Location
Person(s)
responsible, persons
involved
Media involvement
Possible
challenges
(What could go
wrong?)
1.
2.
3.
If needed elaborate on the activities below and/or extend the table.
1.
2.
3.
…
Ekumenska inicijativa žena Četvrt kralja Slavca 3, 21310 Omiš – Hrvatska Tel: +385 21 862 599 Fax: +385 21 757 085 e-mail: [email protected]
Means to deal
with challenges
EWI “Women, Peace and Disarmament” – Application Form
C. ADDITIONAL INFORMATION
1. Is cooperation with other organisations or institutions planned during the implementation of this event (local, regional, state
and/or religious institutions…)?
2. Please use this space to include any additional information which would allow us to better understand your planned activity:
3. List contact details for at least 3 persons from institutions, religious communities or donors who are well acquainted with the
work of your group (name, position, organisation, telephone and e-mail):
a. ...........................................................................................
b. ..........................................................................................
c. ..........................................................................................
Ekumenska inicijativa žena Četvrt kralja Slavca 3, 21310 Omiš – Hrvatska Tel: +385 21 862 599 Fax: +385 21 757 085 e-mail: [email protected]
EWI “Women, Peace and Disarmament” – Application Form
CHECK LIST:
Copy of organisation’s registration
Completed Application Form in electronic form
Budget table in electronic form
Signature of project leader
Signature of authorised representative
Official stamp
Place and date:
Ekumenska inicijativa žena Četvrt kralja Slavca 3, 21310 Omiš – Hrvatska Tel: +385 21 862 599 Fax: +385 21 757 085 e-mail: [email protected]