Institut für Auslandsbeziehungen e.V. (ifa)
Abteilung Dialoge
Charlottenplatz 17
70173 Stuttgart
CrossCulture Internships Plus 2017
Application For Project Funding
1.
Applicant (person responsible for the project)
Institution
Name, function
Street
Town
Country
E-mail
Telephone
2.
Specifications of the project
2.1. Project title
2.2. Period of project implementation (dd/mm/yyyy/-dd/mm/yyyy)
2.3. Country & specific location of implementation
2.4. Requested funding (according to budget plan)
3.
Confirmation of applicant
With my signature I confirm that Institut für Auslandsbeziehungen e.V. (ifa) may use and
record my data for internal documentation and administration. Furthermore, ifa is allowed
to pass them on to the Federal Foreign Office (Auswärtiges Amt).
,
Place, country
Date
Signature of the applicant
,
Place, country
Date
Authorized Signature for implementing Organisation
CrossCulture Internships Plus 2017
Project Description
1.
Brief overview of the project
Project title
Project country and
location(s)
Summary
description of the
project
(Main goals,
activities, target
groups, expected
results)
2.
Information on the applicant
Name
Position/function
within your home
organisation/company
Year & duration of
your CrossCulture
Internship
Name and address of
your host
organisation
E-mail
Telephone/mobile
3. Organisation of the applicant for project implementation
Please name an organisation which confirmed its willingness to implement the planned project. The
organisation will be in charge for signing the funding agreement and for the administration of the project
funds though its bank account.
Name of organisation
Please indicate legal
status (eventually
official registration
No.)
Address
Telephone
E-mail / Website
Name, function and
contact of contact
person involved in
project
A)
Sector/Sphere
of activity
B)
Location(s)
C)
Short
description of
organisation (history,
goals, organisational
structure, etc..)
4.
Information on other implementing partner organisations (if applicable):
Name of organisation
Legal status/ official
registration
Address
Telephone
E-mail / Website
Name, function and
contact of contact
person involved in
project
A)
Sector/Sphere
of activity
B)
Location(s)
C)
Short
description of
organisation (history,
goals, organisational
structure, etc..)
5.
Description of the Project (max. 3 pages)
Project Background & Situation Analysis
Please describe the local context and the main motives for suggesting this project: Where do you plan to
implement the project? What is the general situation in the country/region/location? Which problems the
project wants to tackle? Who are key actors and other stakeholders involved?
Main Goals of the Project
Please formulate one to maximum three goals. The project objective(s) should be as concrete as possible
and realistically achievable within the planned timeframe.
Project Planning: Activities & Expected Results
Please describe shortly
a) planned activities in the following time table, including specific measures or tools to be used
b) organisations or persons needed to carry out the respective activities
c) expected results for this activity
From – To
Short description of activities
and approach
Persons involved (names Expected results /
& function/role)
specific objectives
to be achieved
Target Group
Describe the project's target persons or groups: Who will benefit from the project, who will be actively
engaged in project activities? How do you reach the persons you would like to involve and integrate into
the activities of the project?
Cooperating Partners
Please list all other cooperating partners (organisations and individuals) which are not formal
implementing organisations. Please describe shortly their role and functions within the project.
Risks
Which special circumstances could hinder the intended project success? Please describe shortly eventual
risks and how you can manage them.
Follow-Up & Sustainability
What will you do to make the project outcomes and results sustainable? Please describe shortly if there
are follow-up measures (e.g. spreading or publishing results) and how you try to assure the continuity of
the project.