South-South Experience Exchange Facility Trust Fund South-South Facility - TF071093 Draft Grant Funding Request (GFR) Template South-South Experience Exchange Facility Trust Fund (South-South Facility) Draft Grant Funding Request (GFR) Template 1. The South-South Facility draft GFR template is an expanded version of your approved Idea Brief. This completed template will form the basis for all the information that you will need to enter in the SAP GFR. 2. Before you begin drafting the GFR, please review the following documents: 3. Preparing the Idea Brief and Grant Funding Request (GFR) for South-South Facility Funding: Detailed Guidelines, and the example of a completed GFR template. Guidelines and Operating Procedures for Application, Approval, and Execution of Grants for the South-South Facility. For more information, please contact the South-South Secretariat: Design Support: Trust Fund Policy: Program Manager: 4. Shobha Kumar: 202-458-7021, skumar1@worldbank.org Degi Young: 202-473-6506, dyoung3@worldbank.org Jessica Poppele: 202-458-2707, jpoppele@worldbank.org When you have completed the draft GFR template, please submit the following documents to the South-South Facility Secretariat (southsouthfacility@worldbank.org): The completed draft GFR template. The completed budget report. A signed letter from the relevant ministry of each of the requesting client countries, requesting the exchange, addressed to the country director (or designated country manager) and copied to the Minister of Finance. Attach the English translation of the letter (if applicable). South-South Experience Exchange Facility Trust Fund South-South Facility - TF071093 Draft Grant Funding Request (GFR) Template Basic Data A1. Title of activity: Click here to enter text. A2. Grant amount (maximum $150,000): Click here to enter text. A3. Managing Unit name (LCSPP): A4. Requesting Country VPU: Click here to enter text. Choose an item. A5. Task team leader:1 Click here to enter text. A6. Team members: Click here to enter text. A7. Estimated Begin date: Click here to enter text. A8. Estimated End date: A9. Project ID:2 Click here to enter text. Click here to enter text. A10. Project name: Click here to enter text. A11. Theme: Click here to enter text. A12. Sector: Click here to enter text. A13. Amount of BB or another trust fund that can be used to support Bank staff and travel costs related to this proposal:3 A14. Sector manager endorsing activity: Click here to enter text. A15. Requesting country(ies):4 Click here to enter text. A16. Requesting-country director endorsing activity:5 A17. Requesting countries that are not receiving South-South Facilities Funds:6 A18. Knowledge-providing country(ies): Click here to enter text. A19. Knowledge-providing country director(s) endorsing the exchange: Click here to enter text. 1 Click here to enter text. Click here to enter text. Click here to enter text. TTL must be TLAP-accredited and TTL-eligible; the TTL of the SEETF grant must be the same as the TTL of the associated project. 2 Create a new code of project type “TE” if the exchange is not already related to an ongoing or planned activity/project. 3 SEETF does not finance Bank staff costs or provide any trust-fund administrative resources to TTLs. 4 IDA and Blend countries (countries eligible for both IDA and IBRD funding) are eligible for SEETF funding. 5 This endorsement may be delegated to the country manager. 6 Proposals should make clear that these countries will participate at their own expense. South-South Experience Exchange Facility Trust Fund South-South Facility - TF071093 Draft Grant Funding Request (GFR) Template 1. Strategic Context (for each knowledge-requesting country) a. What is the country-driven development goal for which this just-in-time exchange will develop capacity and serve to catalyze action? The development goal statement should clearly articulate economic and/or social benefits. Click here to enter text. b. What evidence is there that the knowledge-requesting country(ies) and the participating organizations are committed to the development goals? Describe this commitment in terms of budget allocation, political declaration, longer-term funding, synergy with ongoing World Bank-funded projects and the Country Assistance Strategy, or other considerations, and list any related ongoing Bank-financed projects or Bank-supported activities. Click here to enter text. c. Why can the proposed experience exchange initiative not be financed by Bank funds? Click here to enter text. d. How is the grant related to other projects financed by the Bank and other financiers/donors? Click here to enter text. 2. Rationale and Capacity Development Objectives a. Describe the institutional capacity challenge(s) that the requesting country(ies) would like the just-in-time exchange to address. Select one or more of the following problem areas and provide a brief description of the capacity challenge: (a) key stakeholders attach low priority to the development goal; (b) there are deficiencies in policies, rules, standards, or other formal incentives guiding the pursuit of the development goal; and (c) one or more organizations charged with achieving the development goal are characterized by weak performance. Click here to enter text. b. What is the capacity development objective that each requesting country would like this exchange to support? Please consult the Detailed Guidelines. Click here to enter text. South-South Experience Exchange Facility Trust Fund South-South Facility - TF071093 Draft Grant Funding Request (GFR) Template 3. Participant Profile a. Describe the participants that you are targeting in each knowledge-requesting country. Provide a brief profile/description of the participants and explain how they are positioned to play an active role in bringing about the desired reforms to support achievement of the development goal in their countries. Click here to enter text. 4. Intermediate Capacity Outcomes (ICOs) a. What intermediate capacity outcomes are expected to result from the exchange activities? ICOs should be directly linked to advancing the overall capacity-development objective; select any and all of the following that apply: Action and behavioral change o Enhanced knowledge and skills o Raised awareness Altered processes and relationships o Improved teamwork o Strengthened coalition o Enhanced network New products and services o Formulated policies and strategies o Implemented strategies and plans Click here to enter text. b. For each ICO targeted by the knowledge exchange initiative, specify how this change will be measured. The process of selecting and assigning measures should always include the consideration of existing data sources and /or the feasibility of collecting the relevant data. Please consult the Guidelines for details on types of changes to measure. Click here to enter text. c. For each measure stated above, specify the baseline value(s) and date(s). Click here to enter text. d. For each measure stated above, specify the target value(s) and date(s). Click here to enter text. 5. Knowledge Providers a. Provide a clear rationale for your selection of the specific knowledge provider/s. Explain who are the knowledge providers and why the knowledge provider’s experience is directly relevant for the knowledge-requesting country(ies) and will help support the achievement of the capacity development objective(s). Click here to enter text. South-South Experience Exchange Facility Trust Fund South-South Facility - TF071093 Draft Grant Funding Request (GFR) Template 6. Knowledge Exchange Design a. Describe the mix and types of instruments/activities that will be used for this knowledge exchange, the sequence and content focus of the planned activities, and the objectives and outputs; and explain how the expected outputs will feed into the intermediate capacity outcomes. Click here to enter text. b. As part of the overall knowledge-exchange design process, explain how you are involving the knowledge recipients and the knowledge providers in the planning, implementation, and followup of the knowledge exchange. Click here to enter text. 7. Grant Activity Risk Rating a. Choose one: High risk Modest risk Substantial risk Negligible or low risk b. Please consider what are the main risks related to the Grant financed activity? Are there any risks that the planned instrument(s) and activities will not lead to the targeted intermediate capacity outcome? Are there any potential conflicts of interest for the Bank? Briefly specify the main risks and explain how will these risks/conflicts be monitored and managed? Click here to enter text. 8. Likelihood of Sustainability/Impact a. Explain what factors will help to ensure that this just-in-time exchange will be effective in contributing to the desired longer-term impact. Click here to enter text. 9. Budget a. Attach a brief budget of expenses for the proposed exchange, using the attached budget template.