Under the Project Logic, Activities Are Linked Through the Following Outcomes As Follows

APPLICATION FOR AN OSIWA GRANT Section 1: Overview/Cover Program Area: Please indicate Political Governance/Economic Governance/Law, Justice and Human what OSIWA thematic area(s) Rights your project covers Project Title: Amount Requested: Project Geographic Location: Organization Name: Organization Head: Primary Contact Person: Organization Contact Detail: Mailing address: Telephone number (including country and area codes): Facsimile number (including country and area codes): E-mail address: Date Submitted: Project Summary: Please provide a brief summary of your proposed work in the box below

For official use: Date received: Program Area: Program officer assigned: Section 2: Project Background Please use this template to guide your proposal creation which must be based on the following guidelines. Proposals should not exceed 20 single-spaced pages (excluding appendices). Additional details on how to prepare a proposal are available on the OSIWA website http://www.osiwa.org PROBLEM/ISSUE/CHALLENGES DEFINITION: Normally about a quarter of your entire proposal, this section should describe the problem that this project should solve. If the proposal is for the second phase of a project or you have received OSIWA funding in the past for similar work, please describe the results of the previous work and indicate why additional research is required.

PROJECT CONTEXT: The section should address the specific context of your project and should seek to respond to these questions: what is the immediate environment (local, national or global) surrounding your specific

1 project? What is the specific relevance of your project within this context? Provide relevant statistical information or data that may justify your project. Existing gaps that this project intends to achieve. What particular social, environmental or other problems are you trying to address during this grant period?

Section 3: Project Description CONTEXT: What are the broader issues, framework that this project is required to address? RATIONALE/JUSTIFICATION: This section focuses on discussing the justification of this project and should respond to questions such as why this project is important. Why should your specific organization provide this solution and how does this project relate to OSIWA and its objectives and/or why should OSIWA support this project? What is your contribution to addressing the challenges, gaps and problems identified, what is your contribution using this project to the building of Open Societies? What evidence do you have that these problems are pressing? How do the organization’s objectives relate to OSIWA's grant making strategies/priorities? What makes the project unique, catalytic, and innovative? PROJECT DESCRIPTION: The section below allows you a free flow narrative of your project. Following sections would request specific responses to questions. You may include project methodology or detailed implementation plan in the box below. I. Methodology and Implementation

OVERALL PROJECT OBJECTIVE: This short section should provide the overall general objective(s) if the project. The general objective should state the development goal being pursued by the project.

SPECIFIC OBJECTIVES: The specific objectives should indicate the specific types of outputs to be produced, the impact on target audience to be reached and the capacity to be reinforced. These objectives should be concrete, measurable and achievable. PROJECT ACTIVITIES: What activities would be carried out to achieve each specific objective you have listed above? Please break down the activities per specific objectives. It is possible that there are cross cutting activities. Please address this in your narrative section above. The activities should be listed depending on whether they are lobbying activities or not. (For a definition of Lobbying, please refer to the Memorandum attached on the Grant section of the website)

1) Lobbying Activities List lobbying activities

2) Non Lobbying Activities List Non Lobbying activities

2 EXPECTED OUTCOMES: What particular intermediate and ultimate outcomes are you trying to achieve and how do these outcomes relate to addressing the problems you have identified? TARGET BENEFICIARIES: Who would benefit from this project? A few comments on how they would benefit would be useful. YOUTHS: Are youth or youth related groups (targeted) beneficiaries of this project? Does this project have any relevance for the youth? Does it highlight specific youth related issues? Please give a brief description of how the project is relevant to the youth and how youth may benefit from its implementation. WOMEN: Does this project have any impact on gender related issues? Are women and girls (targeted) beneficiaries of this project? Briefly specify how women and young girls will benefit from this project. VULNERABLE AND MARGINALIZED GROUPS: Are other vulnerable and marginalized groups’ beneficiaries of this project? Please specify how and why the group(s) is vulnerable or marginalized and briefly describe how the project will impact or provide solutions to their situation. PROJECT PARTNERS: What other partners would be engaging in the project? Perhaps there are components of the overall project that you may be unable to deliver, please list other partner contributions to the overall project objective. You may also specify coalition partners in cases where projects have been developed by a coalition. You may want to list partner contribution in kind here as well. The details of which can be provided in the budget. COMMUNICATION AND ADVOCACY: What are your communications and advocacy plans for this project? How do you plan to communicate about this project whilst it is going on and at the end? PROJECT SCHEDULE AND DURATION: The project schedule should include a list of key outputs and milestones (key events or deliverables) that can be related to the items included in the project budget and activities. Activity Who When Remarks

MONITORING AND EVALUATION: Please propose a mechanism for monitoring or following up the specific activities you have defined. How do you intend to evaluate the results and/or impact of the project? Please ensure that monitoring and evaluation mechanisms are within the timeframe and the budget of the project. SUSTAINABILITY: How does your organization intend to sustain this project?

RISK FACTORS:

3 What significant challenges do you face or might face in terms of your capacity to achieve your intended output.

PARTNERS AND AFFILIATES: What partners or affiliates would you work with in order to achieve the defined objectives? List each partner and their role in the project.

Section 4: Budget This section should be completed using the attached budget form which is downloadable from the OSIWA website. OSIWA provides no more than 10% of institutional support. This includes personnel salaries, office equipment, administrative support for project implementation, meetings or conferences, phones, faxes, and similar costs. Please also ensure you include budget notes to each budget line item. All budgets must be provided in US$. You may indicate your local currency and the exchange rate used in the section provided for such. This form provides just a summarized version of the budget form.

Section 5: Organizational Information In this section, OSIWA seeks to understand the objectives of your organization and its structures. The likelihood of your grant being considered lies very much with the information provided in this section. Please include additional certification, incorporation documents. ORGANIZATION GOVERNANCE STRUCTURES: In this section, explicitly specify the following: Board. Describe the board, its members and the board chair of the organization. Include full details including their names, designation within their respective organizations, position held in your organization and their responsibilities.

Organizational background. Please describe your organization, dates they were formed, incorporated, country of incorporation, its specific mandate, goals and objectives, vision and mission statements, previous activities. Please make sure to include incorporation documents, financial statements (audited where possible), annual report, etc. as attachments to your proposal.

Section 6: Project Management Structure: Qualifications and Experience of Project Team PROJECT LEADER Name: CURRICULUM VITAE: Please include up-to-date curriculum vitae that provide the following information. Work experience: List all positions held beginning with current position.

Academic qualifications: List chronologically (starting with most recent) all degrees, diplomas, or

4 certificates held or expected

Credentials: List up to six awards, distinctions, or professional designations you have received and feel are pertinent to this application

Publications: List your relevant professional publications.

Other information: Include any other information you feel is relevant to this application.

KEY MEMBERS OF PROJECT TEAM (for each member of the team attach brief curriculum vitae)

Family name: Sesay Given Names: Benjamin Sesay Job Title: Administrative Officer Project role/responsibility: Will be basically responsible for the full administration of the entire project. Will help to coordinate the various project activities and also ensure accountability and transparency. Qualification:

Family name: Given Names: Job Title: Project Officer Project role/responsibility: Qualification:

Conflict of Interest: Please state any relationship, friendship or association with any OSIWA board or staff member. The list of Board and staff members is available on our website http://www.osiwa.org

Section 7: Logical Framework This section summarizes your entire project into a simplified logical framework that can be easily understood. Under the project logic, activities are linked through the following outcomes as follows:

Activity Objective Deliverables

Please ensure that your answers are concise and that the entire application is not more than 20 pages long.