Name of your organization:

Your first and last names:

Your position in the organization:

The country where the organization is established:

E-mail:

Optional - Website:

Is your organization officially registered as an NGO in your country? Yes No

Have you already submitted a project to 1% for Development? Yes No

If "Yes", please enter the month and year of submission.(MM/YYYY)

Have you had a project funded by 1% for Development? Yes No

If "Yes", please enter the starting month and year.(MM/YYYY)

If you have made more than one previous submission or had more than one project already financed by 1%, please give the date of the latest proposal and/or project.

Tell us about your project

Please give a short, clear title for your project that indicates its objectives:

(70 characters maximum)

Region/village/community where the project will take place:

Country where the project will take place:

Type of project - sector of activity:
Select up to two sectors which best describe your area of activity

• Agriculture
• Education and training
• Health
• Water and sanitation
• Small and micro business
• Other (please specify):

What is the total budget of your project?

Currency: - please select - Afghani Algerian Dinar Argentine Peso Armenian Dram Aruban Florin Australian Dollar Azerbaijanian Manat Bahamian Dollar Bahraini Dinar Baht Balboa Barbados Dollar Belarussian Ruble Belize Dollar Bermudian Dollar Bolivar Boliviano Brazilian Real Brunei Dollar Bulgarian Lev Burundi Franc Canadian Dollar Cape Verde Escudo Cayman Islands Dollar CFA Franc BCEAO CFA Franc BEAC CFP Franc Chilean Peso Colombian Peso Comoro Franc Congolese Franc Convertible Mark Cordoba Oro Costa Rican Colon Croatian Kuna Cuban Peso Czech Koruna Dalasi Danish Krone Denar Djibouti Franc Dobra Dominican Peso Dong East Caribbean Dollar Egyptian Pound El Salvador Colon Ethiopian Birr Euro Falkland Islands Pound Fiji Dollar Forint Ghana Cedi Gibraltar Pound Gourde Guarani Guinea Franc Guyana Dollar Hong Kong Dollar Hryvnia Iceland Krona Indian Rupee Iranian Rial Iraqi Dinar Jamaican Dollar Jordanian Dinar Kenyan Shilling Kina Kip Kuwaiti Dinar Kwacha Kwanza Kyat Lari Lebanese Pound Lek Lempira Leone Liberian Dollar Libyan Dinar Lilangeni Lithuanian Litas Loti Malagasy Ariary Malaysian Ringgit Mauritius Rupee Mexican Peso Moldovan Leu Moroccan Dirham Mozambique Metical Mvdol Naira Nakfa Namibia Dollar Nepalese Rupee Netherlands Antillean Guilder New Israeli Sheqel New Romanian Leu New Taiwan Dollar New Zealand Dollar Ngultrum North Korean Won Norwegian Krone Nuevo Sol Ouguiya Pa’anga Pakistan Rupee Pataca Peso Convertible Peso Uruguayo Philippine Peso Pound Sterling Pula Qatari Rial Quetzal Rand Rial Omani Riel Rufiyaa Rupiah Russian Ruble Rwanda Franc Saint Helena Pound Saudi Riyal Serbian Dinar Seychelles Rupee Singapore Dollar Solomon Islands Dollar Som Somali Shilling Somoni South Sudanese Pound Sri Lanka Rupee Sucre Sudanese Pound Surinam Dollar Swedish Krona Swiss Franc Syrian Pound Taka Tala Tanzanian Shilling Tenge Trinidad and Tobago Dollar Tugrik Tunisian Dinar Turkish Lira Turkmenistan New Manat UAE Dirham Uganda Shilling Unidad de Fomento Unidad de Valor Real US Dollar Uzbekistan Sum Vatu WIR Euro WIR Franc Won Yemeni Rial Yen Yuan Renminbi Zambian Kwacha Zimbabwe Dollar Zloty Amount:

All the requested amounts must be in the local currency used for project expenditures. The total budget includes your NGO contributions, contributions by the direct beneficiaries if they are not members of your NGO, funding from other partners and the expected 1% Fund contribution.

Total amount that will be requested from the 1% for Develoment Fund:

Of the requested amount, what amount will be spent on salaries?

Of the requested amount, what amount will be spent on administrative costs?

What are the three main expenses that would require funding from the 1% for Develoment Fund and the amounts of each? (At least one required.)

References

If the 1% Fund proceeds further with the evaluation of your proposal, two reference letters will be required. One reference must be from an international, well-established NGO, preferably one that has either visited and/or financed some of your earlier projects. The other reference may come from a well-established national NGO (not a local NGO). A reference by a Fund member may replace one of these references. (Note: the member cannot be part of the Fund’s Management Committee). Please name below the two NGOs that will provide you with reference letters.

Reference 1 (international NGO):

Reference 2 (well-established national NGO):

Optional - 1% Fund member endorsing your project: