MEPI ALUMNI SMALL GRANTS PROPOSAL TEMPLATE Project Title: Country/Region: Grantee (For group projects, please provide

corresponding information for all project leaders): Address: Email and telephone: Website: Implementing Partner(s), if any: Duration: Project Start Date: Project End Date: Amount of Grant in USD: Project Summary (Maximum 150 words):

1. PROJECT DESCRIPTION (Your project description should include a background relevant to your proposed activities and discuss the value that your project brings to your local community or your targeted beneficiaries) Maximum 500 words

2. DETAILED PROJECT STRATEGY (Please explain in detail the steps you propose for the successful implementation of your project) Maximum 300 words

3. PROJECT TIMELINE (Please propose a six-month or shorter time-line that is relevant to your project, in table format. In Tunisia, for instance, if your project is related to the upcoming legislative and Presidential elections, your timeline would be related directly to the election schedule). Maximum 300 words

4. BENEFICIARIES AND GEOGRAPHIC SCOPE (Please explain who your targeted beneficiaries are and where the project will be implemented) Maximum 150 words

5. SUSTAINABILITY STRATEGY (Please explain how your project will be sustainable once your small grant funding ends) Maximum 300 words

6. PROJECT GOAL, OUTCOMES AND INDICATORS Overall project goal (What do you seek to achieve? Please suggest the key indicators you are trying to track on this project.) [One paragraph]

Expected outcomes (Please list three primary outcomes that will result from the implementation of your project) Outcome 1: Outcome 2: Outcome 3:

7. MONITORING PROJECT PROGRESS: BASELINE DATA AND TARGETS

Outcome 1: Baseline: (What is the starting point against which you will evaluate the impact of your project? If there are statistics or numbers by which you can measure the baseline, please include them. ) Baseline: Relevant Work Plan Activity: (What are the activities you will organize to get from your baseline to your target?) Target: (What do you expect your project to achieve?) Monitoring: (How will you know if you have achieved your target? What statistics will you use to measure this?)

Activity(ies):

Target:

Monitoring:

Baseline:

Activity(ies):

Target:

Monitoring:

Baseline:

Activity(ies):

Target:

Monitoring:

Outcome 2: Baseline: Activity(ies): Target: Monitoring:

Baseline:

Activity(ies):

Target:

Monitoring:

Baseline:

Activity(ies):

Target:

Monitoring:

Outcome 3: Baseline: Activity(ies): Target: Monitoring:

Baseline:

Activity(ies):

Target:

Monitoring:

Baseline:

Activity(ies):

Target:

Monitoring:

8. BUDGET (Please see attached budget template) Total Grant = $5000 US Detailed Project Costs: (Clearly provide a detailed breakdown of all projected expenses. Grant cannot be used to purchase electronic equipment, office furniture, or other office equipment) 9. FINAL REPORT AND PROJECT EVALUATION SUBMISSION DATE: