IWCM use only

IWCM GRANT REQUEST

FORM

st

FORMULAR DE APLICARE PENTRU GRANT

1 rd

pts:

2nd rd

pts:

Finals

NoA

Name of Organization:
Denumirea organizaiei:
:

Address

(Adres/ ):

APPLICATION
GUIDELINES
Applications may be completed in English,
Romanian or Russian.
IWCM supports
projects for the benefit of needy Moldovan
citizens, with preference given to Moldovan
women and children. Please be sure to
explain in the application who are the
intended beneficiaries of the proposed
project.
IWCM
prefers
to
support
organizations with a clear vision of their
mission and goals and who will be able
to demonstrate tangible, measurable results
of IWCM assistance. Organizations that
employ or otherwise provide direct personal
benefits to IWCM members are ineligible to
receive IWCM grant funds.

APPLICATION
PROCEDURES
1. The IWCM Grants Committee will meet in
October 2016 to
consider grant
applications. To be considered for the 2016
grant cycle, completed applications must be
received no later than October 16, 2016.
2. A completed application must include:
coversheet (this page), project description,
projects budget with narrative, a brief
narrative that describes the goals of the
project, the proposed activities to be
undertaken or methods, the expected
results, and the qualifications of the
individuals involved in the project. Late or
incomplete applications will be reviewed
only if funds are available.
3. Selected Grant applicants will be notified
of IWCM decision in November 2016. Grant
funds will be available from January 10,
2017 to August 31, 2017.

GHID DE APLICARE
Formularele de aplicare pot fi completate n
limbile englez, romn sau rus. CIFM
sprijin proiectele care i vizeaz pe
beneficiarii reprezentani ai pturile socialvulnerabile din republic, dnd preferin
femeilor i copiilor. V rugm s explicai
neaprat n formulare care vor beneficiarii
int a proiectului propus. CIFM prefer s
sprijine organizaiile ce au o viziune clar
asupra misiunii i scopurilor sale i care vor fi
n stare s demonstreze rezultate tangibile i
msurabile a asistenei CIFM. Organizaiile
care au angajai membri ai CIFM sau care
ntr-un anumit fel ofer beneficii directe
membrilor CIFM nu snt eligibili pentru fondul
de grant.

PROCEDURI DE
APLICARE

,
,
. ,

.

. ,

,

.

1. Comisia de granturi a CIFM se va aduna n

luna octombrie 2016 pentru a examina
formularele de aplicare pentru grant. Pentru
a participa la ciclul de granturi din 2016,
formularele de aplicare trebuie prezentate nu
mai trziu de 16 octombrie 2016.

1.
2016 .,
.

2016 ,

16- 2016.

2. Un formular de aplicare completat va

include: foaia de titlu (aceast pagin),
descrierea proiectului, bugetului proiectului
cu descrierea narativ, o scurt descriere
narativ a scopurilor proiectului, activitile
propuse sau metodele, rezultatele ateptate
i calificrile persoanelor implicate n proiect.
Formularele incomplete sau prezentate mai
trziu vor fi examinate doar dac rmn
fonduri disponibile.

2. :
( );
;
;
;
,
;
, ,

,
.

3. Aplicanii vor afla rezultatele grantului n

luna noiembrie 2016. Fondurile grantului vor
fi disponibile de la 10 ianuarie 2017 pn la
31 august 2017.

3.

2016.

10- , 2017 31- 2017.

Deadline: Applications must be received by IWCM by October 16, 2016

Applications received after this date will be considered only if funds are available.
Submit applications to: IWCM Grants Committee via e-mail at iwcmgrants@yahoo.com
Data limit: formularele de aplicare trebuie prezentate CIFM pn la data de 16 octombrie, 2016.
Formularele incomplete sau prezentate mai trziu vor fi examinate doar dac rmn fonduri disponibile.
Prezentai formularele de aplicare comisiei de granturi ai CIFM prin e-mail iwcmgrants@yahoo.com
: 16-oe , 2016.
, , .
. : iwcmgrants@yahoo.com

1. GENERAL INFORMATION/ INFORMAII GENERALE/ :

1.1. Applicant Organization/ Organizaia aplicant/
a. Name of Organization:
Denumirea organizaiei:
:

b. Year Founded:

c. Is the organization legally registered?

Anul de fondare:
:

d. Address

Organizaia este legal nregistrat?

?

(Adres/ ):

Yes
Da

No
Nu

e. Phone (Telefon /):

f. Fax ():
____________________________________________________________________________________________
g. E-mail

(. ):

h. President (Principal Officer)

(Preedintele sau conductorul organizaiei/ - ):

1.2. Project Coordinator/ Coordonatorul proiectului/

a. Full Name
b. Address

(Nume deplin/ ):

(Adres/ ):

c. Tel (Telefon /):

d. Cell (Telefon mobil/ ):
_______________________________________________________________________________________________
f. E-mail

(. ):

2. BACKGROUND OF ORGANIZATION:
INFORMAII ADUGTOARE A ORGANIZAIEI:
:
2.1 Purpose/activities of your organization

//Scopul/activitile organizaiei Dvs. // /

2.2. Who and how many benefit from the organizations activities:
Indicai cine i numrul celor ce pot beneficia n urma activitilor organizaiei:
?

2.3. Assistance from other donors over the past five years and expected in 2017:
Asisten din partea altor finanatori n 2007 i asisten posibil n 2015:
2007 2015:

Please specify donors/how much in kind or cash:

Specificai, v rog, finanatorii i suma (numerar/cash):
, :

2.4. Proposed Operating Budget for 2017/ Bugetul operaional din 2017/
2017:

3. PROJECT DESCRIPTION/ DESCRIEREA PROIECTULUI/ :

3.1. Specify assistance requested from IWCM:

Specificai asistena solicitt de la CIFM:

:

3.2. Present your projects itemized budget with narrative:

Prezentai bugetul proiectului Dvs cu descrierea cheltuielilor:
:

Please provide an explanation of each budget item. The budget explanation should contain enough
information to show that the costs are reasonable and directly related to the plan of activities for the
project.
Prezentai, v rog, explicaii pentu fiecare linie de buget. Detalierea bugetului trebuie s conin destul informaie pentru a arta
c costurile sunt rezonabile i relevante planului de activiti a proiectului.
.
, , .

3.3. If you receive assistance from IWCM, what kind of benefits do you expect? Please also
indicate when you expect to see results from our assistance, such as 3 months, 6 months
or 1 year?
Dac primii asisten din partea CIFM ce fel de beneficii ateptai? Indicai, v rog, cnd presupunei s obinei rezultate n urma
acestei asistene, ca de exemplu n 3 luni, 6 luni sau un 1 an.
, ? ,
- 3 , 6 1 ?

3.4. Why do you think your request should be given priority by IWCM?
De ce credei c cererea Dvs trebuie s aib prioritate?
, ?

Applicants Name/ Numele aplicantului/ :

Date/ Data/ :