CONCEPT PAPER FORMAT for SMALL GRANTS PROGRAM

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Concept Paper Format for the
USAID’s Small Grants Program
Small Grants and Ambassador’s Fund Program (SGAFP)
Small Grants and Ambassador’s Fund Programme
Project Office: 10, Street No. 30, F-7/1, Islamabad
T: +92 51 2656433-35; Fax. No. +92 51 2656436
Email: info@sgafp.org.pk
Website: www.sgafp.org.pk
USAID Disclaimer: This application guideline and form for the Small Grants Program is made possible with support from the American people delivered
through the United States Agency for International Development (USAID). The contents are the sole responsibility of National Rural Support Programme
(NRSP) and do not necessarily reflect the views of USAID or the United States Government.
USAID’s Small Grants and Ambassador’s Fund Program
CONCEPT PAPER FORMAT for SMALL GRANTS PROGRAM
Note:
1. The total length of the concept paper must not exceed 6 pages, excluding any annexure.
2. All concept papers must be submitted directly to the SGAFP through email
applications@sgafp.org.pk or hard copy to the central program office in Islamabad. Any
expenditure associated with the preparation and submission of the application will be the
responsibility of the applicant.
Concept Paper submission date: --------------------------------------------------------------------------------------
Section A: The Applicant Organization
a.
b.
c.
d.
Name of the organization:
Date of establishment:
Date of registration:
Type (CBO/NGO/ Private Sector / others –
specify). Specify the relevant law under which
the entity is registered.
e.
f.
g.
h.
i.
j.
k.
l.
Name of head of the organization:
Postal address:
Office phone numbers:
Fax:
Email:
Website:
Key contact person (name & designation):
Cell number of the key contact person:
Section B: The Proposed Project
1. Grant Activity Title: -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------2. Duration (months): -----------------------------3. Sector (Please check one)
 Energy
 Education
 Health – mother & child healthcare, hygiene
 Economic Growth – (including Agriculture)



Governance
Gender
Stability in Khyber Pakhtunkhwa & FATA
Note:
1.
SGAFP strongly encourages the applicants to focus on one sector and related activities instead of proposing
activities in multiple sectors.
2.
Gender and Governance will also be crosscutting for all sectors.
Concept Paper Format for the USAID’s Small Grants Program
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USAID’s Small Grants and Ambassador’s Fund Program
4. Project Location:
Please tick the relevant Province/Region and provide details
Province/Region








District(s)
Tehsil(s)
Union
Council(s)
AJK
Balochistan
FATA
Gilgit-Baltistan
Islamabad Capital Territory (ICT )
Khyber Pakhtunkhwa
Punjab
Sindh
5. Background and Need for the Project
Briefly describe the situation/circumstances which have led to the need to develop the proposed project.
Support your arguments with primary and/or secondary research and statistics. Please give complete and
appropriate references where required. Please note that USAID encourages demand oriented projects.
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------6. Measurable Project Objectives and Key Activities
Please briefly mention all project objectives with key activities to achieve these objectives.
Project Objectives
Key Activities
1)
2)
3)
7. Project Implementation Methodology
Provide a well-articulated implementation methodology reflecting systematic flow of activities and focusing on
community involvement in the design and implementation of proposed project.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------8. Proposed Project Beneficiaries
Please provide details on (a) beneficiary’s type & numbers (in terms of households, persons, institutions etc.): and (b)
methodology for beneficiary selection. Kindly highlight as to how will the organization ensure inclusion of disadvantaged
groups and gender equity in the later.
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Concept Paper Format for the USAID’s Small Grants Program
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USAID’s Small Grants and Ambassador’s Fund Program
9. Indicative cost of the Project – Pak. Rupees
Amount
Category
US $ *
PKR.
% of Total Cost
a. Organizational contribution (if any)
b. Third party contribution (if any)
c. Grant funding requested from
SGAFP
Total estimated cost
* 1 US$ = PKR: ---------------11. Itemized Budget: Please attach a brief breakdown of the cost or itemized budget in Pak rupees (PKR). This
is an essential part of the concept paper. The itemized budget can be presented on the following format:
Activity
Unit
Type
Unit
No.
Unit
Cost
Total
Estimated
Cost
Funds
requested
from
USAID
Applicant
Cost
Share *
A. Program Cost **
B. Administrative Cost ***
Total
* The applicant cost share under Small Grants Program is not mandatory. However SGAFP strongly encourages
applicant’s cost share in cash or in kind.
** Program Cost includes direct project related costs such as: staff working full time on project implementation; rent of
the office directly overseeing project activities; material, equipment, stationary, utilities, vehicle rental and POL to be used
only for project implementation, and USAID’s branding & marking related cost (plaques/signboards/banners etc.)
*** Administrative Cost includes expenses that indirectly support project implementation such as: support staff cost
(finance persons, M&E, management etc.); rent of organization’s other office(s); project’s audit; etc.
Note: In event of any third party contribution, please add another column. The cost breakdown listed therein should
be in accordance with the guidelines given above.
12. Details of previously completed and ongoing projects (giving the latest project at the
top) for the last three years
S.
Project Name Funding Project
Project
Total
Major Achievements
No.
Agency Duration Location(s) Budget
(From –
(PKR)
To)
Concept Paper Format for the USAID’s Small Grants Program
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USAID’s Small Grants and Ambassador’s Fund Program
Section C: Declaration from the Applicant
S. No.
Statements
Yes
1.
Whether organization will need necessary permissions such as: No Objection Certificate
(NOC)/Letter of Commitments (LoC)/Memorandum of Understanding (MOU) from
government and/or other stakeholders to implement the project? If Yes, please provide
a list. These will be required upon the approval of concept and at the time of submitting
full application.
2.
The organization will be able to implement the proposed project without creating any
local conflict
3.
The organization will fully comply with USAID’s branding & marking requirements as
explained at SGAFP’s website
4.
The organization confirms that the project location is safe and subject to the approval
of project, SGAFP’s staff can undertake monitoring visits safely.
Submitted by:
Signature of Authorized Person
Name
Date:
Designation:
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No.
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