1. Organization (Name, website, contact person for the project, contact person's phone and email). *
Your answer
2. Project Title and one sentence describing project. *
Your answer
3. Location of Project (country, region, town). *
Your answer
4. Brief Description of Proposal (less than 250 words if possible): *
Your answer
5. a) Approximate number of beneficiaries: *
Your answer
5. b) Approximate number of households impacted:
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6. Implementation Plan (less than 200 words if possible). Including this such as timelines, plan for sustainability, how you will monitor implementation of project, how you are involving the community) : *
Your answer
7. Please list other partners (municipal government or other stakeholders) in the project. *
Your answer
8. Total Budget for the project. Please state in US dollars. *
Your answer
9. Funds requested from Meal-a-Day? Please state in US dollars. *
Your answer
10. Funding from other sources. Please name. Please state in US dollars.: *
Your answer
11. Please email a detailed (line item) budget to shawnemoynihan@gmail.com. Please use the Project Title from question 2 in the subject line of the email. *
Required
12. Is there anything else that you would like add? Pictures or other files can be emailed to us at shawnemoynihan@gmail.com.
Your answer
A copy of your responses will be emailed to the address you provided.