civil society initiative scheme (CSIS)
Support to Public Empowerment: Civil Society Initiatives to Benefit communities in gjilan/gnjilane and prizren regions                                                   

ANNEX I: PROJECT APPLICATION AND BUDGET FORMAT

Project Title:

APPLICANT:

Name of Organization		:
Mailing Address		:
Telephone			:
Fax				:
E-mail				:
Internet address		:
Head of Organization		: (name & title) 
Project Manager		: (name & title) 

PROJECT:			
Nature of the project (please select one of the following priorities):			

•	Priority Theme 1: Empowerment of vulnerable groups (Youth, women, persons with disabilities, communities) 
•	Priority Theme 2: Strengthening public participation (Transparency in municipal decision making, public information and outreach) 
•	Priority Theme 3: Improving access to municipal services (Education, health, civil registration, etc.)

Project starting date		:
Project duration		:
Geographical Area		:

BUDGET:

Total Project Budget		: 
Requested CSIS contribution:
I-	
PROJECT APPLICATION

1.	Project Summary: (max. 1 page)
Project Summary should include brief information on the proposing organization, project objectives and outputs, project rationale including its linkages to the CSIS. It should also include information on the total budget of the project and amount requested from CSIS.

2.	Organizational Information: (max 1 page)
	2.1 The nature of the organization 
•	Legal status
•	Purpose of the organization
•	Date of establishment
•	Structure
•	Membership
•	Annual budget (2010)

	2.2 Administrative issues
•	Number of paid staff
•	Affiliation to associations or umbrella networks 
•	Registration as an NGO, if available 

	2.3 Target population group

	2.4 Previous experience related to the proposed project

3.	Project Rationale (max. 1 page)

•	Description of the issues that the project will address
•	Description of the project’s linkages to the CSIS
•	Description of the project’s linkages to other local and regional projects, supported by the government, OSCE or any other donor/partner.
4.	Project Purpose (max. half page)
Outline the project purpose in this Section without explaining how you’ll achieve them or the activities you will carry out.  Having a limited number of Project Purposes helps keep focus.
5.	Project Results (max. half page)
Results are the objectives in terms of the services, the products, and the deliverables that the beneficiaries will receive as the outcome/product of the Project’s implementation. Prioritise in order to keep focused: trying to achieve too many results may weaken the Project.
6.	Target Beneficiaries (max 1 page)

•	Brief description of project’s target beneficiaries and how they will be involved in the project activities

•	Brief description of how the project will integrate youth and gender concerns.

7.	Project Activities (max. 2 and half pages)

•	Description of what the project will do to produce the expected results and achieve the project purpose. There should be a clear linkage between the activities and results. Add more Results and Activities, if necessary.  

Result 1: Indicate the result that this project will deliver.
Activity 1.1: Describe the planned activities and tasks necessary to achieve Result 1

Activity 1.2: Describe the planned activities and tasks necessary to achieve Result 1

	Essential inputs to accomplish Result 1	EUR	
Staff Costs		
Consultants/SSAs		
Travel		
Training/Meeting		
Accommodation and Meals		
Supplies		
Other 		
Total for Result 1:		

Result 2: Indicate the result that this project will deliver.
Activity 2.1: Describe the planned activities and tasks necessary to achieve Result 2

Activity 2.2: Describe the planned activities and tasks necessary to achieve Result 2

	Essential inputs to accomplish Result 2	EUR	
Staff Costs		
Consultants/SSAs		
Travel		
Training/Meeting		
Accommodation and Meals		
Supplies		
Other		
Total for Result 2:		

8.	Implementation Modalities (max. 2 and half pages)

8.1 Project calendar 
                                                                                                 Time (months)

Activities

	1	2	3	4	5	6	7	
1.									
2.									
3.									
4.									
5.									

8.2 Monitoring and Evaluation

•	Indicate the frequency and methods by which the project will be monitored. 
•	For each result include a few objectively verifiable and measurable indicators and what evidence will be used as a means of verification.
8.3 Partnership Framework
Indicate partner organizations, if applicable. Describe partner(s)’s responsibilities and roles (i.e., division of activities between the applicant and partners). 

8.4 Communication and outreach 
Brief description of how the project will promote its activities and ensure their visibility as well as communicate and publicise project results and lessons learned.

8.5 Sustainability 
Brief description of how the sustainability of the project will be ensured.

II-	BUDGET
Project budget must be adequate to attain the project’s objective(s) and target outputs, the budget items and cost estimates should be realistic vis-à-vis the activities and the proposed expenditures should primarily relate to the project content rather than reflecting institutional overheads. 
Clarify specific details for each cost line, for example, the number of experts multiplied by the number of days worked multiplied by the daily fee. 
With regard to the salary budget line, for each position relating to the project you should include the gross figure that takes into account tax and pension; you should indicate for each position what percentage of time the person will spend working on the project. 
Project Financial Resource Requirements (EUR)	
	Staff Costs		
Add Staff Costs Category here  	EUR	
	Total for Staff Costs	EUR	
		
	Expert Costs		
Add Expert Costs Category here  	EUR	
	Total for Expert Costs	EUR	
		
Travel Costs		
Add Travel Costs Category here  	EUR	
Total for Travel Costs	EUR	
		
Training/Meeting Costs		
Add Training/Meeting Costs Category here  	EUR	
Total for Training/Meeting Costs	EUR	
		
Accommodation and Meals Costs		
Add Accommodation and Meals Costs Category here  	EUR	
Total for Accommodation and Meals Costs	EUR	
		
Supplies		
Add Supplies Costs Category here  	EUR	
Total for Supplies Costs	EUR	
		
Other		
Add Other Costs Category here  	EUR	
Total for Other Costs	EUR	
		
Total funds requested from CSIS for the project implementation:	EUR	

Contribution by the Applicant (EUR)	
Total funds contributed by the Applicant for the project implementation(if any):
	EUR