Organisation support

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Attention! For security reasons and to prevent data leakage, you will not be able to save the form and continue filling it out later. Therefore, we advise you to first make a draft of the application in Word format and then copy/paste the content to the online form.

General information about the applicant

Name of organization/ civic initiative

Field(s) of activity (women's rights, human rights, ecology, journalism, etc.):

Field(s) of activity (women's rights, human rights, ecology, journalism, etc.):
Field(s) of activity (women's rights, human rights, ecology, journalism, etc.):

How long has your NGO/initiative been operating?

First name and last name as in passport:

Contact person/person filling the application form.

Preferred name (if different from passport name):

Your position/role at organization/civic initiative

Preferred pronoun:

Sex/gender

Email (we highly recommend using Proton email address):

Phone number for Signal:

For security reasons, we ask you to provide your Proton email address and the phone number where you can be reached on Signal. If you do not use these services, please register, as further communication will be carried out through them. If by any case you find difficulties to use them as normal, they are accessible when using a VPN. When using Signal, make sure that your privacy settings indicate that you can be found by your phone number

Security situation

Please describe how the political situation affects your work/activities, what problems you are currently facing, and what security measures have been taken so far

Please describe the urgency of the situation you are facing and how it relates to your project, activities, and/or the political situation

Assistance requested

Please briefly describe your project, formulate the main goal you want to achieve with this support

The geographic region in which the project is planned to be implemented and what is the target group

In which country are you located and plan to be located during the project?

Please briefly explain the needs of your project's target groups. How did you assess them?

Please provide a list of actions you will take. For each action, specify what result (i.e., a specific, quantifiable result) you will achieve, when and where you will implement it, what indicator will measure the result, and confirmation.

Activities and results
Activity Short-term result Implementation period Location Indicator Confirmation

Project results:

Please justify each action: how does it meet the needs of the target group and how does each action contribute to the achievement of the project results (i.e., the specific impact or benefit created during the grant period)? The results should be consistent with the objectives described above.

What are your strategies for ensuring the project's sustainable impact even after its completion?

Budget

All expenses must be stated in euros.

Budget details

Description	Type of unit	Unit cost (€)	Number of units	Total cost (€)
Description	Type of unit Type of unit Enter other…	Unit cost (€)	Number of units	Total cost (€)
Description	Type of unit Type of unit Enter other…	Unit cost (€)	Number of units	Total cost (€)
Description	Type of unit Type of unit Enter other…	Unit cost (€)	Number of units	Total cost (€)
Description	Type of unit Type of unit Enter other…	Unit cost (€)	Number of units	Total cost (€)
Description	Type of unit Type of unit Enter other…	Unit cost (€)	Number of units	Total cost (€)

more lines

Grand Total:

Project duration (in month):

Co-financing. If the project is also financed from other sources, please specify which ones.

Co-financing. If the project is also financed from other sources, please specify which ones.
Co-financing. If the project is also financed from other sources, please specify which ones.

References: 2 recommendations from people you have worked with (name, contact details for secure communication)?

References: 2 recommendations from people you have worked with (name, contact details for secure communication)?
References: 2 recommendations from people you have worked with (name, contact details for secure communication)?
References: 2 recommendations from people you have worked with (name, contact details for secure communication)?

Please name two people (not from the same organization) and be sure to let them know that we will contact them.

Have you received funding from other donors in the last 12 months?

Please tell us how you found out about this grant competition

Additional information

Please add any additional information that you believe is important to share.

The project team will do everything possible to maintain the security and confidentiality of the information received.

Once you submit your application, you will lose access to the information you have submitted. If you wish to save your application for personal use, please click “Preview” and print the web page; then click “Submit” to send your application.

Please note: for security reasons, you will not receive any confirmation by email.

We will contact you within 3 weeks of submitting your application.