Project proposal to

Open Call

for Ukrainian Civil-Society Organisations

working in the field of EU Accession and Rule of Law

Applicant details:

Name of organisation
Full address of the organisation
Type of organisation	☐ Think tank ☐ Analytical centre ☐ Research centre ☐ Media ☐ Business association ☐ _________________ (other)
Type of registration Please indicate whether your organisation registered as NGO and whether it has the status of a non-entrepreneurial and non-profit organization.	Registered as NGO ☐ Yes ☐ No Non-entrepreneurial status ☐ Yes ☐ No Non-profit status ☐ Yes ☐ No
Entity Registration Number As per the Unified State Register of Legal Entities, Individual Entrepreneurs and Non-Governmental Organizations
Field of work Please mention here the main fields of activity of your organisation
Level of experience Please state how long your organisation has been active and list up to three project examples
Size of the organisation Please state the number of staff
Business volume Please state the annual turnover of your organisation (most recent business year or average of past five years)
International support and cooperation	Previous co-operation with GIZ ☐ Yes ☐ No Previous experience with other donors ☐ Yes ☐ No If yes, please state the project names, partners, durations and budgets:
Compliance with the law and anti-Corruption Please confirm the statement on the left side	☐ We hereby confirm that no allegations have been made or investigations carried out in the last five years in relation to the organisation, members of its executive bodies or executive managers concerning breaches of the law, corruption or other offences (e.g. fraud, misappropriation, breach of trust). In addition, we confirm that an effective system of preventing and system for preventing and combating corruption is established and consistently implemented.
Contact details (contact person, e-mail, tel.)

Project proposal details:

Title of the Project
Overall concept Please summarise your project proposal as well as the main philosophy and strategy behind it. In doing so, please include some elaborations on why you think the project provides an innovative approach. Max. 1 page
Goals and outcomes Please provide clear goals and verifiable outcomes of the project. Max. 1 page
Methodology and planned activities Please describe the methodology and the planned activities. Please state how you intend to use the items indicated in your budget proposal. Max. 2 pages
Timeline and milestones Please indicate the timeline for project implementation and indicate the milestones. Max. 0.5 pages
Impact Please describe the impact that you want to achieve with the project for Ukraine and its EU accession in the area of the “Fundamentals”. Max. 0.5 pages.
Umbrella approach Please describe how your project will empower civil society as a whole. Please state which other organisations you want to address or co-operate with. Max. 1 page
Gender Equality Please, describe the project transparency and its contribution to gender equality. Max. 0.5 pages
Sustainability Outline how the results are to be secured and maintained after completion of the project. Max. 0.5 pages
Risks Please indicator, which factors you expect to possibly threaten the success of your project. Please describe how you intend to mitigate these risks. Max. 0.5 pages

Please sign/stamp your application!

(Place, date)	(Name of signatory)