application form. - Urbis Foundation

Funding application
Dec. 2016
I. Information applicant:
1. Data applicant
(Organization name, address, contact person, email, telephone)
2. Information about implementing organization at partner country (If not applicant, max. 10
lines)
3. Information about the non-profit status and the objectives from applicant and promoter
(max. 10 lines)
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4. Capacity description applicant/promoter in partner country
(Financial and personnel, max. 10 lines)
5. Presentation project experiences applicant/promoter (max. 10 lines)
II. Project information
1. Project title
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2. Project country
(Country and area/region)
3. Project description
3.1 Project objectives (max. 3 lines)
3.2 Connection between the proposed project and the funding guidelines from URBIS
FOUNDATION
(Renewable energies, training/further education, gender equality, max. 10 lines)
3.3 Initial situation and problem description present project (max. 10 lines)
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3.4 Target group description and description of correspondent objectives from project and
stakeholder needs (max. 10 lines)
3.5 Interaction between proposed measures and desired outcome (max. 5 lines)
3.6 Possible risks and risk mitigation measures (max. 10 lines)
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3.7 Prospective project duration and activity plan (key aspects, max. 10 lines)
3.8 How sustainability is assured after the project duration terminates? (max. 10 lines)
III. Costs and finance
1. Project scope:
2. Own resources:
3. Other third-party resources
4. Applied grant to URBIS FOUNDATION:
………….€
………….€
………….€
………….€
Please enclose a detailed budget
Date:
Signature:
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