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Io"@H.ŏ)bH͸znq*qqtt%&+.F''Gt%t%t%>>O-t%t%t%͸))))))))qt%t%t%t%t%t%t%t%t% :  Grant Proposal Information Project Name: Organization Name: Institutional Official authorized to submit and accept grants on behalf of the organization: PrefixFirst name SurnameSuffixTitleTelephone  Address   FaxE-mail Web site  Project Director/Primary Contact: PrefixFirst name SurnameSuffixTitleTelephone  Address   FaxE-mail Web site  U.S. Tax Status (Refer to HYPERLINK "http://www.gatesfoundation.org/grantseeker/Pages/tax-status-definitions.aspx"Tax Status Definitions):Geographic Location(s) of project: Amount Requested From Foundation ($USD):  $Project Duration (months): Estimated Total Cost of Project ($USD): $Organizations total revenue for most recent audited financial year ($USD):  $ Grantee Geography Reporting Request Geographic Location(s) of Work refers to all locations (country, and sub-region/state if known) in which work would be performed for this project. This includes locations in which sub-grantees or sub-contractors will work should this project be funded. Please provide educated estimates for the proposed location and approximate amount to be spent in each location. For example: A $1,000,000 grant may reflect $400,000 to be spent in the United States and $600,000 to be spent in South Africa. If you have staff working in multiple locations, costs may be allocated to the location where they spend the majority of time. Please reflect the total requested grant amount in the space provided and add rows as necessary. Location (Country and Sub-Region/State if known)Total Planned Spend ($)Total Requested Amount:$ Geographic Areas Served refers to all countries benefitting or intended to benefit from this project. This is where the target population is located not where the work is occurring. Please provide educated estimates for location and the approximate amount, based on the total requested amount that is estimated to benefit each location. For example: A $1,000,000 grant may include field work in Kenya and research at the headquarters in the UK but the $1,000,000 grant is ultimately intended to benefit the people of Kenya. For India and China, include the names of states. World is an acceptable response if there will be broad public benefit or if the intended geography(s) are unclear. Please reflect the total requested grant amount in the space provided and add rows as necessary. Geographic Area(s) ServedLocation (Country, include States for India and China)Benefit ($)Total Grant Amount$ Frequently Asked Questions (FAQs) Geographic Location of Work Where do I allocate overhead costs such as administrative, indirect, travel, general, etc? Overhead costs should be assigned to the location where the project is being managed (i.e. headquarters) Example: If $400k is going to a sub-grantee in Tanzania to purchase and distribute supplies (of which $50k has been spent), $600k is going to Kenya to perform a soil study (of which $200k has been spent), and $100k is allocated to manage the grant (of which $40k has been spent). Geographic Location(s) of WorkLocation (Country and Sub-Region/State if known)Spent ($)Yet To Be Spent ($)Total Planned Spend ($)Tanzania$50,000$350,000$400,000Kenya$200,000$400,000$600,000Washington DC (HQ)$40,000$60,000$100,000Total Grant Amount$ 1,100,000 What if staff are working in multiple locations? If staff are working across multiple locations, costs should be allocated to the location where they spend a majority of their time. If this is unclear, default to where the staff are based (e.g. Headquarters). What if I dont know where we will be working? If an educated guess cannot be made at where work will be performed, funds should be allocated to the headquarter location until the next reporting cycle when the location(s) become clearer. Where should I assign work that has no specific location? All non-specific activities should be allocated to the headquarter location. Geographic Areas Served Where do I allocate overhead costs such as administrative, indirect, travel, general, etc? The same allocation percentage used to define the geography(s) served should be used for allocating overhead costs. Example: If you have a $1.1M grant of which $400k will serveAfrica, $600k will serve Asia, and $100k is overhead, allocate the overhead as $40k to Africa (40%) and $60k to Asia (60%). What if the benefiting geography(s) are unclear at this point? The funds should be allocated to the lowest geographical denominator possible. If you are unable to specify country, region, or even continent, please allocate to World. What if the geography(s) have been identified but the amount of benefit has not been determined? If an educated estimate cant be made on the allocations across the known geographies, then the funds should temporarily be spread evenly across the applicable geographies. Geographic Area(s) ServedLocation (Country, include States for India and China)Benefit ($)Tanzania$500,000Kenya$500,000Ghana$500,000Total Grant Amount$ 1,500,000 What if the grant is not specifically intended to impact a particular geography (i.e. broad public benefit)? Allocate the funds to the geography World. Please contact your Program Coordinator or Program Officer if you have questions regarding geography reporting. Grant Proposal - Summary Information Please delete all instructions prior to submitting. Charitable Purpose: Please limit to 255 characters. Example: to support an effective and transferable program model for..  Project Description (describe how the funds would be used to meet the charitable purpose, limit to 150 words):  Grant Proposal - Narrative Please follow the outline below, limiting your narrative to 20 pages or less (this limit excludes the Budget Narrative and all appendices). Please use 12-pt font and 1-inch margins; include your organization's name and page number in the footer; and the date submitted in the header. Please delete all instructions prior to submitting. For reference, basic definitions of  HYPERLINK \l "KeyTerms" terms for these sections are defined on page 10-11. I.Background and Rationale Clearly articulate the problem you are addressing, including the scope, history, and causes of the problem. (Please include data if possible.) Provide a summary of the existing efforts in the field; describe how the proposed project relates to the broader context of ongoing activities in the field and how your effort to solve the problem would be unique or complementary to the existing efforts. Please describe your  HYPERLINK \l "VisionSuccess" vision of success for solving the problem stated above. What are the necessary steps to achieve your vision of success? What assumptions underlie these steps? II. Project Objectives (Please use attached table format in Appendix A, if helpful.) Describe the overall HYPERLINK \l "Objective"objective(s) of the project. Describe how achieving these objectives will contribute to reaching your broader vision of success for the field. Please specify the measurable  HYPERLINK \l "Output" outputs and  HYPERLINK \l "Outcome" outcomes to be accomplished by the project, showing how these relate to specific project objectives and  HYPERLINK \l "Activity" activities. For all activities, outputs, and outcomes, please specify the  HYPERLINK \l "Indicator" indicator(s) that will be used to measure progress and the  HYPERLINK \l "Baseline" baseline or  HYPERLINK \l "Counterfactual" counterfactual against which these will be measured. Describe how the expected outputs and outcomes will generate knowledge that will move the field forward against the problem. Describe how the project will contribute to, yet avoid duplication of, other initiatives in the field. III. Project Design and Implementation Plan Please describe the project design and major activities required to achieve the stated objectives. Specify the geographic area(s) where the project will take place and number of beneficiaries over time. Describe how your project design will test or demonstrate the  HYPERLINK \l "Scalability" scalability of the approach being used. Describe how your project design will test or demonstrate the  HYPERLINK \l "Sustainability" sustainability of the approach being used. Where relevant, describe how your project improves upon current business models, products, processes and/or technologies. Please provide data from any preliminary studies that support the technical feasibility of the proposed work. Indicate partners involvement where relevant by providing the specific details of the collaboration and how each organizations work complements the others. Include a clear project timeline, indicating who is responsible for what activity and when it will be implemented. (Appendix B offers a template to use for the timeline and  HYPERLINK \l "Milestone" milestones [see next point], but other formats are also acceptable.) Please identify key milestones that will be used to measure progress on the implementation of project activities along the timeline. If the grant is funded, release of subsequent grant payments by the foundation will be based on achieving the specified milestones. IV. Potential Risks Please articulate the risks that could inhibit the success of the project. Describe the strategies your organization will employ to mitigate these risks. V. Monitoring and Evaluation Please describe the proposed methodology for measuring project success according to the indicators previously specified. (Reference can be made to text/table from Section II.B above.) Indicate how and when you plan to assess the results through internal and/or external evaluations, describing the approach to data collection, analysis and decision-making. Include information regarding dissemination of results both during and at the end of the project period. VI. Organizational Capacityand Management Plan Please provide a brief description of the organization's history, mission, and structure. Please provide a summary of current operations, staffing levels and financial results. If applicable, please list your top three current donors, activities being funded, and total contributions from each during the last fiscal year. Describe previous experience in developing, implementing, and managing projects in the geographical and technical areas proposed, including measure(s) of success as well as lessons learned. Explain the management structure and plans for administering the project. Please describe the capacity of the management team (including any key proposed co-recipients and/or sub-grantees) to administer this project. Describe key staff positions required to perform the major activities, including title, qualifications, responsibilities and percent full-time equivalent (FTE). General administrative staff may be grouped together. Identify which staff are already employed and which will be hired for the project. Please include salary information in the Budget Narrative section. Please provide in Appendix E background information on key staff and significant consultants/collaborators. If a consortium is submitting the proposal, please provide the information above for each organization in the consortium. Budget Narrative The budget component of the grant proposal includes a Budget Spreadsheet (Appendix C) and this corresponding Budget Narrative. Together, they must clearly link the funding you have requested to the major activities described in section III: Project Design and Implementation. The Budget Narrative and Spreadsheet should only include the funds requested from the Foundation, not the total project budget. The Budget Narrative must describe and justify the cost assumptions for each category and line item in the Budget Spreadsheet. The Budget Spreadsheet must include all costs associated with the projects major activities by year in U.S. dollars.Please use the budget Spreadsheet Template provided, which allows for a project term of up to five years with five major activities. Please adjust the template length to accommodate the size and scope of your project. The major activity worksheets will auto-populate the Total Project Costs worksheet. Explanations for the categories and budget line items are provided in the Budget Justification section below. A. Personnel List personnel costs, excluding fringe benefits, for each requested staff position. FTE (full-time equivalency or percentage of effort for the proposed project) should be indicated for each position. Individually list key personnel and group together administrative staff. The Budget Justification should include all positions with their base annual salary. Note: if the application requests funding for U.S. government entities, no salary can be claimed for U.S. government employees. B. Fringe Benefits List benefit costs related to personnel involved with the project, including pension contributions and other benefits provided to the employees. Please group the positions in the same manner as in section A: Personnel. The Budget Narrative should include the description and rate of benefits for each position. C. Travel Include transportation costs directly related to the major activities, including expenses for all modes of transportation, lodging, meals, automobile expenses, mileage reimbursement, and per diem payments. If your organization has a per diem policy, these should not exceed the U.S. Government rates for domestic travel or the  HYPERLINK "http://whqmarcopolo.who.int/perdiem/pdindex.asp" WHO/UN or  HYPERLINK "http://www.state.gov/m/a/als/prdm/" U.S. Department of State rates for international travel for the location. Travel can be grouped according to trip(s) as long as all cost assumptions are detailed in the Budget Narrative. D. Equipment Use of any equipment purchased with grant funds is limited to charitable purposes for the depreciable life of the equipment. This includes computers, printers, faxes, telephones, and vehicles, etc., purchased for use in the project. The Budget Narrative should include an itemized list of equipment to be purchased and cost and depreciation assumptions. Items that cannot be considered dedicated project equipment (e.g., vehicles used for some fraction of the time) should be justified in relation to the activity proposed, and all operating costs must be identified. For equipment to be shipped to developing countries, applicants should request waiver of import fees where possible. As needed, funds should be requested to insure and maintain critical pieces of equipment. Please note that for many non- U.S. entities, U.S. tax law considerations may affect whether the foundation will permit purchase of equipment with a depreciable life that is greater than the grant period being requested. In such cases, leasing would be preferable. Please be certain to discuss this with your program officer as you are developing a budget plan. E. Supplies The Budget Narrative should include an itemized list of supplies to be purchased and all cost assumptions. For Section F and G below, please indicate any previous experience that your organization has in making grants or subcontracts to any named outside entity. If not, describe in the narrative your process to establishing their bona fides and fiscal and delivery capabilities. F. Contracted Services Include all agreements to be made and/or negotiated with other entities and the price and deliverables over a specified period in relation to the activities proposed. The Budget Narrative should include concise descriptions of the work to be performed, rates, and specify whether the contract is confirmed or projected. G. Sub-grants to Other Organizations Identify funds that will be used to make grants to other organizations in furtherance of the project. The Budget Narrative should include descriptions of the work to be conducted by the sub-grants and names of organizations, if known. H. Consultants List amounts paid to individuals and specify what services they rendered. Explain whether the payment(s) is based on an agreed total amount, or agreed per diem rate including travel and other related expenses. Include fees paid to outside attorneys, accountants, or auditors.The Budget Narrative should include descriptions of the work to be performed, rates, and specify whether the consulting contract is confirmed or projected. I. Indirect Cost Allowances Indirect costs are overhead expenses incurred as a result of the project but not easily identified with the projects activities. These are administrative expenses that are related to overall general operations and are shared among projects and/or functions. Examples include executive oversight, accounting, grants management, legal expenses, utilities, and facility maintenance. In so far as possible, identifiable (allocable) costs should be requested and justified in the proposal as direct costs, including those for dedicated ongoing project management, facilities and support. Applicants familiar with U.S. government indirect cost policy should note this categorization differs from instructions in the U.S. Office of Management and Budget Circular, where typically some of these expenses can only be treated as indirect costs. Rates: These rates are maximum allowances. If the organization has lower rates, the lower rates should be used. To the extent that indirect costs are applicable, they are subject to the following limits: Up to 10% for U.S. universities and other academic institutions Up to 15% for non-U.S. academic institutions and all private voluntary and non-government organizations, regardless of location No indirect costs will be paid to government agencies Rates apply both to the primary grantee, sub-grantees, and sub-contracts that are part of the proposal Modified Direct Costs: Indirect cost rates are applicable to direct costs on a modified total direct-cost basis. Modified direct costs include: Personnel, wages, and benefits Materials, supplies, and services Travel Other costs specifically allocable to the project Modified direct costs exclude: Items of equipment and capital expenditures Sub-grants (see below) Sub-contracts (see below) Provision for sub-grants and sub-contracts: The foundation allows the primary applicant to request on behalf of sub-grantees indirect cost rates of up to 10% for U.S. universities and other academic institutions and up to 15% for other NGOs on the amounts designated for sub-grants. The foundation only allows the indirect cost rates (10% and 15% limited above) to be applied to sub-grants/contracts that are designated for research and development. The primary applicant may also request on its own behalf the standard indirect cost rate to be applied to the first $100,000 of a sub-grant or sub-contract, if applicable. These indirect cost allowances may be applied annually by the primary organization for only as long as each sub-grant or sub-contract exists. J. Support for Proposed Project from Other Sources This section must be completed by all applicants. Indicate either none, or include the name of other donor organizations (specify committed and/or potential), and the respective grant amounts. The Budget Narrative should include an explanation of the support to be provided, and whether the support is committed or potential. If the proposal requests only partial funding for components of the project and will depend on funds from other sources, please describe your contingency plans if full project funding does not become available. Please use the table format provided below (create as many lines as necessary): Other DonorAmount U.S.$% of projectCommitted or Potential Appendices Appendix materials do not count against page limits. Please do not include additional appendices beyond the materials requested below unless specifically requested by Global Development program staff. Appendix A: Project Objectives Please see attached table for guidance. Appendix B: Timeline Please use the attached template to complete the project timeline and milestones. If more appropriate to your organization, please provide similar information using the project management software application of your choice, and incorporate it into a text file. Appendix C. Budget Spreadsheet Please use the attached budget template, linking all categories and line items to the Budget Narrative. Note: if your project is funded, this format will be used for annual reporting purposes. Appendix D. Financial and Tax Information 1. If your organization is a U.S. public charity, please include a copy of the organizations most recent 990-tax form. For all other organizations, please include the most recent financial statement. If this is not available electronically, please fax separately to 206-709-3155, using a copy of the full proposal summary information page as the coversheet. 2. If your organization is a public charity, private foundation, government unit, non-charitable tax-exempt organization, or international organization by executive order, please include an electronic copy of the valid IRS determination letter. If this is not available electronically, please fax separately to 206-709-3155, using a copy of the proposal summary information page as the coversheet. Appendix E. Biographical Information Please provide biographical information on the following order: Institutional Official, Project Director, key staff, and if applicable, significant consultant (s)/collaborator(s) in the following format. Do not exceed two pages per individual. Last Name, First Name, middle initial: Project Role: (e.g., Project Director, key staff, consultant etc.) Positions Held: Start with the most recent position and provide information for the last ten years. Including dates of employment, organization, position title, and a brief description of the positions responsibilities. Education: Degree(s), Year of Highest Degree, Discipline. Institution. Representative Publications: Identify no more than five of the most important and relevant peer-reviewed publications. Include full citation with titles, authors, and journal source for each. Do not submit copies of publications Appendix F. Citations List any critical references to your work or the work of others that support your projects approach. References must include the title, names of all authors, book or journal, volume number, page numbers, and year of publication. References should be limited to the relevant literature. Proposal Review Criteria All grant proposals will be reviewed internally and, in most cases, externally, prior to funding decisions. Unless you are given other information by the Program Officer, grant proposals will be evaluated using the following criteria: Strategic Alignment: How well does the projectalign withthe foundations priorities for this sector? How clear is the definition of success for this project, and does that support our learning activities in this sector? Impact, Sustainability, and Scalability: Is the project addressing inequity problems and/or demonstrating how that could be done effectively in the future? How many people will benefit from the intervention, product or strategy (both directly and indirectly)? Does the project have the ability to continue delivering results after the funding period of this grant and/or test an approach that could do that in the future? Is the project model capable of being scaled to reach significant numbers of poor people? Approach: Are the proposed project design and methodology adequately developed, well integrated, and appropriate to the aims of the proposal? Are the proposed implementation plan, timeline and milestones appropriate, feasible and technically sound? Are operational and funding partnerships appropriate and sustainable? Are potential risks clearly identified and acknowledged? Is the proposal clear and complete in its response to all sections of the Narrative? Organizational Strengths: What is the organization's comparative advantage in conducting the proposed work? What is the organizations track record in managing such projects? Does the organization have the research, technical, management and leadership capability to implement a project of this nature and scope? Do the proposed project team leaders and members have the necessary expertise, experience and commitment to implement the project? Measurable results: Are indicators of success and expected results appropriate and measurable? Budget: Is the budget narrative clear and complete? Are costs reasonable for the work described? Are salaries in line with other comparable positions in the field? Are indirect costs, if any, within foundation guidelines? Key Terms Activity: A task or process that uses inputs to produce a projects output(s). Each major project activity should be identified clearly on the timeline and the budget worksheet. An example of an activity is: Design a training program for X# of homeless people that provides them with the skills needed to apply for an entry-level job. Baseline: The situation prior to the start of the project. This can be used as a reference point against which the outputs and outcomes of the project are measured. An example of a baseline is: The # of homeless people entering the training program who were unemployed. Counterfactual: The situation that would have occurred in the absence of the project. This can also be used as a reference point against which the outputs and outcomes of the project are measured. An example of a counterfactual is: # of homeless people would have found jobs without the training program. Indicator: Specific unit of information that measures aspects of a projects performance. Examples of indicators are: # of people graduating from the job training program (output) or the # of graduates who obtain and hold a job for more than 1 year (outcome). Milestone: A significant point of achievement or development during the implementation phase of a project activity. Milestones must be measurable as subsequent funding disbursements may depend on reaching a milestone or milestones. An example of a milestone is: The first class of # homeless people completes the job training program. Objectives: The conceptual aim of the project; the condition that will exist when the project has been successfully completed. The objective should include the desired long-term impact or effect of the project that will result if the projects outcomes are achieved. An example of an objective is: To enable homeless people to get jobs and stay employed over the long-term. Output: The work product or service (also called a deliverable) that results directly from a project activity. An example of an output is: # homeless people have been trained for entry-level jobs in the food service industry. Outcome: The measurable consequence of an activity and an output. An example of an outcome is: # homeless people out of the # graduates from the training class hold jobs in the food service industry for at least # year(s). Scalability: The capacity of the approach used in a project to be readily expanded in the same location and/or replicated elsewhere at a large scale. An example of scalability is: Within # year(s), the organization implementing the project can be training # of homeless people every # weeks in our city and # other cities in the state. Sustainability: The capacity of an activity implemented in a project to continue after the project has been completed. To be sustainable, an activity must demonstrate that it will receive all needed operational (e.g. maintenance and spare parts) and financial (e.g.collection of adequate fees) support for the foreseeable future. An example of sustainability is: An endowment has been capitalized with sufficient funds to pay for the job training program for the next # of years. Vision of Success: Description of the desired state of the field in the future, where the number of years in the future is specified. This description should not be abstract - it should contain as concrete a picture as possible, and also provide the basis for formulating the proposed objectives. An example of a vision of success is: Within 10 years, we have reduced by half the number of homeless people in our city. Note: Wherever possible, the terms defined above should be SMART: Specific, Measurable, Achievable, Relevant, and Time-based. Proposal Privacy Notice and Warranty Notice. To help evaluate proposals and projects, all documents including concept paper, proposals, annual reports and associated materials submitted to the foundation (collectively, Submission Materials) may be subject to confidential external review by independent subject matter experts in addition to analysis by foundation staff. Please consider carefully the information included in the Submission Materials. If you have any doubts about the wisdom of disclosure of confidential or proprietary information, the foundation recommends you consult with your legal counsel. You may wish to consider whether such information is critical for evaluating the submission, and whether more general, non-confidential information may be adequate as an alternative for these purposes. We respect confidential information we receive. Nonetheless, notwithstanding your characterization of any information as being confidential, the foundation may disclose all information contained in Submission Materials to the extent it determines is necessary to evaluate the proposed project and the manner and scope of potential funding, including to external peer reviewers under terms of confidentiality, and as may be required by law. Warranty. By submitting any Submission Materials, the applicant/grantee warrants to the foundation that they have the right to provide the information submitted. Applicants with questions concerning the contents of their Submission Materials may contact the foundation Program Officer. Sample Table for Appendix A Objectives and Outcomes Vision of Success:Within 10 years, we have reduced by half the number of homeless people in our cityProject Objective 1:  To enable homeless people to get jobs and stay employed over the long-termActivitiesOutputsOutcomes (Short- and Long-Term)Design training program Hire staff to run the training program Conduct training programs Refer graduates for job placement Conduct post-placement training services # of staff trained # of participants graduated # of graduates receiving a job within # of days after graduation Measurement tools and instruments developed Promising and best practices identified & published # of graduates who obtain a job and stay employed for more than one year # of graduates who are successful in finding a home within one year % of students extremely satisfied with training program after # years since graduation # of other training facilities incorporating best practices Project Objective 2: To expand affordable housing for the homelessActivitiesOutputsOutcomes (Short- and Long-Term)6. 7.     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