Johns Hopkins International Injury Research Unit
Saving of Lives from Drowning – Grants Initiative
FORM A – Project Proposal
ORGANIZATION
Organization’s legal name
University/ Hospital / Research Institute/
My organization is Nongovernmental/Governmental NonGovernmental/Other (please specify)
Registered Address Telephone Number +
Fax Number +
APPLICANT CONTACT INFORMATION
Position/Title
(Dr / Ms /Miss / Mrs/
Mr etc)
Contact
person
First name
Family name
Email
Secondary email
PARTNERING ORGANIZATION CONTACT INFORMATION (if applicable)
Position/Title
(Dr / Ms /Miss / Mrs/
Mr etc)
Contact
person
First name
Family name
Email
Secondary email
PARTNER CONTACT INFORMATION
Position/Title
(Dr / Ms /Miss / Mrs/
Mr etc)
Contact
person
First name
Family name
Email
Secondary email
PROJECT
Project title (20 words or less)
Total amount requested in USD
Duration of project (in months)
Up to 12 months
Proposed start date of project
Project outreach:
population (number of people) that will be
directly affected by your project
Notes:


Please respect the maximum word count indicated for each section.
Text boxes are indicative only. Font size should be kept to 11pt. To enlarge the box,
simply keep typing. To reduce it, delete line spaces.
PART A: PROJECT SUMMARY
Provide a concise summary of your proposal (250 words maximum). Should summarize all central
elements of the proposal.
Proposal form – Page 2
PART B: BACKGROUND AND JUSTIFICATION
Describe briefly the context in which the project will take place. Outline the main drowning
problem that your project addresses. Describe the main actors – target group, implementing
partners etc. in this project. Include any existing or planned complementary activity by
organizations in your country (government, NGOs, international bodies etc). Indicate how
cooperation and coordination will be ensured. (1000 words max.)
PART C: PROJECT GOALS AND OBJECTIVES
What is the overall purpose of the project. What are the measurable objectives. Each specific
objective should be clearly stated, measurable and attainable during the proposed project
timeline. (250 words max.)
Proposal form – Page 3
PART D: EXPECTED RESULTS OF PROJECT
Expected results should directly correspond to specific objectives and project activities. They should
be concrete, practical and achievable. (250 words max.)
PART D: TARGET GROUPS
Describe specific target groups of your project, relevant stakeholders to be addressed and
potential allies. Also describe how you plan to mobilize/inform/engage the broader
community/citizens
Proposal form – Page 4
PART E: DESCRIPTION OF ACTIVITIES
i) Describe the proposed activities and how they help achieve the project goal and objectives. If
your organization will implement this project in partnership with another organization or
association, identify the role of the prospective partner in implementing this activity. Include the
desired timetable for the activities and a brief discussion of how activities will be sustainable after
the funding period ends. Include a desired timetable for the project activities. (1500 words max.)
ii) Monitoring and Evaluation (800 words max) Explain how you will monitor the effectiveness of
your strategies and activities in order to check on progress and make any necessary mid-course
changes. Include the monitoring and evaluation activities in your desired timetable.
Proposal form – Page 5
PART F: PAST EXPERIENCE OR PERFORMANCE
A description of applicant’s previous work and experience in implementing similar activities. (500
words max.)
PART F: SIGNIFICANCE & IMPACT
What is the major policy or operational impact of your project? How will it change the world of
drowning prevention/control? (250 words max.)
ADDITIONAL DOCUMENTS: In addition to this proposal form, please submit the following
documents:
1) Budget (please refer to template which can be downloaded from the IIRU website:
http://www.jhsph.edu/research/centers-and-institutes/johns-hopkins-internationalinjury-research-unit/research/Bangladesh_drowning/
2) CVs of key personnel
3) Supporting letters from the head of the institution and collaborating partners (if
applicable)
Proposal form – Page 6
While the following documents are not required to be submitted along with the application
form, all applicants must have them ready at the time of submitting the proposal:

International Bank Wire Information

Letter of introduction from the Bank

Copy of the Institution’s registration certificate

Most recent financial report

Financial and administrative management and procurement manual
Proposal form – Page 7