Funding Application Form
Under call of proposals for sub-granting
Advocacy NGOs networks for sustainable use of energy and natural
resources in the Western Balkans and Turkey – ETNAR
PROJECT CODE: IPA-CSF-2014/351-683, under IPA Civil Society
Deadline for submission of concept notes and applications:
Date: 30 April 2015, time: 23.59
The applications MUST be sent by e-mail to info@etnar.net, by April 30th 2015 at 23.59.
In the subject it has to be stated the following: Project proposal under the call Advocacy
NGOs networks for sustainable use of energy and natural resources in the Western
Balkans and Turkey – ETNAR, IPA-CSF-2014/351-683.
Title of the
project/campaign:
Location(s) of the action:
Name of the applicant
Nationality of the
applicant1
Applicant's contact details for the purpose of this action
Postal address:
Telephone number: (fixed and mobile)
Country code + city code + number
Fax number: Country code + city code +
number
Contact person for this action:
1
For organisations, the statutes must make it possible to ascertain that the organisation was set up by an act governed
by the national law of the country concerned. In this respect, any legal entity whose statutes have been established in
another country cannot be considered an eligible local organisation.
Contact person's email:
Address:
Website of the Organisation:
Any change in the addresses, phone numbers, fax numbers and in particular e-mail, must
be notified in writing to the Contracting Authority. The Contracting Authority will not be
held responsible in case it cannot contact an applicant.
SUMMARY OF THE ACTION
Please complete the table below which should not exceed 1 page. (The minimum size of the font is
Arial 10, page margins minimum 2 cm)
Title of the action:
Location(s) of the
action: - specify
country(ies),
region(s
Total duration of
the action
(months), starting
date:
Amount of
requested
contribution, Total
amount (in Euro)
Objectives of the
action
Stakeholders2
Estimated results
Main activities
2
“Stakeholders” are the groups/individuals who are likely to affect or be affected by the implementation
of the strategy. They include “Final beneficiaries” who will benefit from the action in the long term at the level
of the society or sector at large.
PROJECT DESCRIPTION
Please describe (in total up to 5 pages, minimal font Arial 10, page margins minimum 2 cm)
1. PROJECT RELEVANCE
Give a brief situation assessment - what problem will the project / campaign address and how
does it fit with the priorities and the scope of the call?
2. What is the overall goal of the project / campaign? (Overall Goal: Overall or long-term goal of
your project)
3. Which are the objectives of the project / campaign? (Objectives: Short-term objectives;
measurable and achievable inter-mediate results that will help you achieve your long-term
goal)
4. What impacts/results will you achieve? Be gender specific in describing the impacts of your
project. (Impact/results: A description of how your target audience benefits from the project;
how people’s lives will be changed as a result of the project. Target audience: Who -gender
specific- will benefit from your activities )
5. What will be the key outputs of your project / campaign? (Outputs: Direct results of an
organization’s activities. These may be the packages of goods and services offered by the
project (publication, video, CD, etc)
6. What are the activities you will carry out in order to reach your objectives?
7. How will you measure the impacts? Which indicators will you use to measure the impacts?
(Indicators: Describes how you have measured your impacts)
8. Work plan (please indicate time period the grant will cover and tentative duration and order of
the activities).
Activity/ Month
1
2
3 4
5
6
7
8
9
10
Preparation
Activity 1 (title)
Execution
Activity 1 (title)
Preparation
Activity 2 (title)
Etc.
9. Methodology
project team, partners, visibility, media strategy, fundraising and sustainability of the campaign
10. Project resources needed (include your budget in the separate excel data – sheet)
BEFORE SENDING YOUR PROPOSAL, PLEASE CHECK THAT EACH OF THE FOLLOWING POINTS IS
COMPLETE AND RESPECTS THE FOLLOWING CRITERIA:
Title of the Proposal: <indicate the title>
To be filled in by
the applicant
Yes
No
PART 1 (ADMINISTRATIVE)
1. The correct grant application form, published for this call for proposals, has been used
2. The proposal is typed and is English. Where more than one language is allowed, the proposal is
drafted in the language most commonly used by the target population in the country in which the
action takes place.
3 An electronic version of the proposal is sent by e-mail to info@etnar.net, prior the deadline
4.
The budget is presented in the format requested, is expressed in EURO and is enclosed
5.
The duration of the action is no more than 15 months
6.
The requested contribution is between 5000 EURO and 8000 EURO (the minimum and maximum
allowed)
11. The requested contribution is between 50% and 90% of the estimated total eligible costs (minimum
and maximum percentage allowed)
5