ASSESSMENT APPLICATION FORM FOR INDIVIDUALS

Dear INDIVIDUAL applicant, please use this form to express your idea, anticipated outcomes, and other requested information for the proposed project/ requests.
Your response will be used to assess about the needs of your project, however it's not a commitment by Grace and Hope Beyond Borders to fund your request.
Once completed, please hit submit at the bottom of the page and send an email to info@graceandhopebeyondborders.org to indicate you have submitted an assessment application including any attachment if required.
Once we receive your application, we will reach out to you and let you know within a reasonable turn around time about the next steps.

GAHBBs Board of Directors

Privacy and Non-confidentiality Notice
GAHBBs is required by the IRS to publish a list of its donations. We may also provide a general description of our donations on our web site, in press releases, and in other materials subject to GAHBBs Privacy Policy which you can refer to using this link, http://goo.gl/jEDlnm


PROJECT/REQUEST TITLE *
Your answer
PROJECT/REQUEST DURATION *
Your answer
START DATE *
MM
/
DD
/
YYYY
REQESTED AMOUNT (US) *
Your answer
PROSPECTIVE RECIPIENT BASIC INFORMATION *
Organization/ Individual
Required
YOUR LEGAL NAME *
Your answer
YOUR MAILING ADRESS - INCLUDE MULTIPLE STREET ADDRESS IF APPLICABLE *
Your answer
DATE APPLICATION IS SUBMITTED *
SUBMISSION INFORMATION
MM
/
DD
/
YYYY
SUBMITTED BY (INCLUDE TITLE, EMAIL ADDRESS AND PHONE NUMBER) *
Your answer
Describe your intended project and the overall approach you will take to achieve the intended results of this project. A detailed implementation plan is not needed at this stage (but may be required once donation is approved) *
Project/Request Details
Your answer
What is the primary outcome(s) or result(s) this project will achieve or significantly contribute to? *
Project Outcomes
Your answer
How will you know when that result(s) has been achieved (how will the result be measured)? *
Project Outcomes
Your answer
What are the critical outputs or intermediate outcomes that will lead to these results? *
Project Outcomes
Your answer
What experience do you have to implement the proposed work? *
Organizational Fit
Your answer
Describe your initial view of challenges to the success of this project and any early thoughts on mitigation. *
Risks and Challenges
Your answer
Comments (Optional)
Your answer
Submit
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