APPLICATION FORM

A. ORGANISATIONAL INFORMATION

1. Name of organisation:

2. Title of project:

3. Address:

4. Full name of person responsible for the project::

5. Tel/fax, e-mail, mob. of person responsible :

6. Why does your organisation exist and what are its aims?

B. PROJECT DESCRIPTION

1. Project summary – briefly describe (in no more than 150 words)

2. Underline one the fields within which your project falls:

1. peace-building and reconciliation
2. ecumenical and inter-religious cooperation
3. gender advancement

3. Describe the problem your project seeks to address. How was this problem
identified and whom does it affect?

4. Briefly describe the social, economic and political context in which the project will
be implemented.

Ekumenska inicijativa žena

Poljički trg 2a, 21310 Omiš – Hrvatska
Tel: +385 21 862 599 Fax: +385 21 757 086 e-mail: ewsf@ewsf.hr
C. PROJECT IMPLEMENTATION

1. Activities

a. Location:

b. Timeframe:

c. List the activities chronologically and person responsible for each of the planned
activities. (Describe each activity in detail and where needed please extend the
table).

Time of
Activity implementation Location Project personnel/
no. (date & duration of name of trainer
each activity)

1.

2.

3.

Description of each activity:

1.

2.

3.

2. Beneficiary group

a. Describe the beneficiary group and include number, gender, age, religious and
ethnic background as well as the criteria by which they have been selected.

b. Who will be included in the project's implementation and what are their
qualifications and experience?

3. Monitoring and Evaluation

Ekumenska inicijativa žena
Poljički trg 2a, 21310 Omiš – Hrvatska
Tel: +385 21 862 599 Fax: +385 21 757 086 e-mail: ewsf@ewsf.hr
a. Who is responsible for monitoring this project? Please describe how monitoring
will be done?

b. What is the project’s long term aim and what will change in your community
following the project’s implementation?

c. What are the project’s short term aims and in what way will this benefit the
beneficiary group following this project?

d. List the indicators which point to the project aims having been achieved.
(Indicators must be measurable).

e. What are the project's follow-up plans?

D. BUDGET

1. Total amount requested from EWI (in EUR):

2. Bank details:
a. bank
b. bank address
c. BIC/SWIFT code
d. full name and address of organisation
e. organisation’s account no. / IBAN

2. Are there already any other means secured for this project? If so please list
them*.

E. ADDITIONAL INFORMATION
Ekumenska inicijativa žena
Poljički trg 2a, 21310 Omiš – Hrvatska
Tel: +385 21 862 599 Fax: +385 21 757 086 e-mail: ewsf@ewsf.hr
1. Please use this space to include any additional information which would allow us
to better understand your planned activity:

2. List contact details for at least 3 institutions religious communities or donors who
are well acquainted with the work of your group (state name, position and
organisation, telephone and e-mail):

a. ...........................................................................................

b. ..........................................................................................

c. ..........................................................................................

3. Underline how you learned of the EWI Call for Proposals:

a. through NGO networks (please name)
b. through magazines/journals (please name)
c. through colleagues/friends
d. through faculties
e. other

NOTE:
The Budget table below must be completed and sent with the Application Form.
The Glossary may be used to clarify terms used.

Place and date: ………………………

Signature of person responsible for the project: ………………………………………….

Ekumenska inicijativa žena

Poljički trg 2a, 21310 Omiš – Hrvatska
Tel: +385 21 862 599 Fax: +385 21 757 086 e-mail: ewsf@ewsf.hr
 EWI BUDGET TABLE

Please describe all planned costs and their sources as EWI. If the project will be implemented
in Croatia the budget should be in HRK. For all other countries the budget should be in EUR.
(Please use the EWI budget table and for all budget items put short description in your project
proposal).

PROJECT TITLE

amount other
cost per
no. description unit amount total requested funding
unit
from EWI sources

A. PROJECT COSTS

Salaries for full time project

1.
personnel

Bookkeeper

2. Honorariums

3. Project implementation costs

4. Communication costs

5. Travel costs

6. Banking costs

B. OFFICE COSTS

TOTAL OF ALL PROJECT

C.
COSTS:

Ekumenska inicijativa žena

Poljički trg 2a, 21310 Omiš – Hrvatska
Tel: +385 21 862 599 Fax: +385 21 757 086 e-mail: ewsf@ewsf.hr