Grant Application - Mercy Without Limits

Step 1 - Organizational Information

Official Registered Name *

Please provide the full legal name of your organization.

Address *

Include your organization's mailing address.

Website

If applicable, include your organization's website.

Mission Statement

Describe your organization's mission and primary objectives.

Year Founded *

Provide the year your organization was established.

Tax-Exempt Status (or Registration Number) *

Is your organization a 501(c)(3) tax-exempt organization? Provide your EIN.

Primary Contact Name *

Primary Contact Title *

Primary Contact Telephone *

Primary Contact Email *

Step 2- Project Overview

Project Title *

Project Summary *

Provide a brief summary (250 words or less) of the project, including its goals and expected outcomes.

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Project Start Date *

Project End Date *

Project Location *

Where will the project be implemented?

Senior Project Manager

Field Manager / Coordinator

Number of Regular Staff

Partnerships

List other notable organizations, institutions and individuals who will be involved in the project delivery.

Step 3 - Project Details

Objectives *

List the specific objectives of the project. These should be measurable and time-bound.

Expected Outcomes *

What are the anticipated outcomes of the project? How will the project make a difference?

Activity *

List the key activities and timeline to be carried out.

Activity Start Date *

Activity End Date *

Monitoring Strategy *

Describe how the progress of the project will be monitored. What methods and tools will be used for data collection on key performance indicators (KPIs), and how will beneficiary feedback be incorporated?

Sustainability *

Explain how the project will be sustained after the grant funding ends. Will the project continue to have an impact?

Lessons Learned *

How will lessons learned from the project be captured and utilized? Explain the processes for documenting, analyzing, and applying these lessons to future initiatives.

Step 4 - Beneficiaries

Number of Direct Beneficiaries

Households: *

Men: *

Women: *

Boys: *

Girls: *

PWDs: *

Beneficiary Demographics *

Detail the demographic characteristics of the beneficiaries (e.g., age, gender, socioeconomic status, geographic location).

Selection Criteria *

Explain the criteria or process used to select the beneficiaries. How does your organization ensure that the most vulnerable or deserving individuals are chosen?

Beneficiary Involvement *

Describe how beneficiaries are involved in the planning and implementation of the project. Are their voices or needs considered in decision-making?

Step 5 - Post-Project Management / Sustainability / Exit Strategy

Define concrete measures that your organization will take in the post-project period to monitor project interventions and provide assistance to project beneficiaries. *

Indicate recurring cost, if any, needed to manage post-project operations and indicate how this cost will be managed by your organization. *

Who will take ownership of tangible outputs, such as constructed facilities or the forming of management committees? *

Does your organization have an Exit Strategy? If yes, please define. *

Step 6 - Budget

A. Staff and Other Personal Costs

A1 Direct Project Staff

Budget Line

Budget Line Description

Quantity

Unit Cost(USD)

Duration(monthly)

Allocation%

Total Cost(USD)

A2 Support Staff

Budget Line

Budget Line Description

Quantity

Unit Cost(USD)

Duration(monthly)

Allocation%

Total Cost(USD)

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Sub Total

$1213213123

B. Supplies, Commodities, Materials

Budget Line

Budget Line Description

Quantity

Unit Cost(USD)

Duration(monthly)

Allocation%

Total Cost(USD)

Layout

Sub Total

$1223123

C. Equipment (Assets)

C1 Office Furniture and Equipment

Budget Line

Budget Line Description

Quantity

Unit Cost (USD)

Duration (monthly)

Allocation%

Total Cost(USD)

C2 Field Project Equipment

Budget Line

Budget Line Description

Quantity

Unit Cost (USD)

Duration (monthly)

Allocation%

Total Cost(USD)

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Sub Total

$ 4444444534

D. Contractual Services

Budget Line

Budget Line Description

Quantity

Unit Cost (USD)

Duration (monthly)

Allocation%

Total Cost(USD)

Indirect &Contingency

Item description

No. of units

Unit value

Cost

Others contribution

Requested from MWL

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TOTALS

Cost

Others contribution

Requested from PAUSA

Layout (copy)

PERCENTAGES

Others contribution

Requested from PAUSA

File Upload
-Please attach all available quotes for expected spending with this document. The budget should be in USD.PAUSA will not be responsible for any losses incurred as a result of any exchange rate losses and/or any domestic bank fees incurred. These should be taken into consideration when submitting the project budget Use additional sheets for detailed budget while strictly following this template.
-Program Cost includes direct project related costs such as: staff working full time on project implementation; rent of the office directly overseeing project activities; material, equipment, stationary, utilities, vehicle rental to be used only for project implementation, and MWL USA’s branding & marking related cost (plaques/signboards/banners etc.)
-Administrative Cost includes expenses that indirectly support project implementation such as: support staff cost (finance persons, M&E, management etc.).Note: The cost proposed should be realistic and based on recent market surveys/trends. MWL USA reserves the right to independently verify the proposed cost estimates.

File Upload

Click or drag a file to this area to upload.

Other Funding Sources

List other funding sources that will contribute to the project. Include the amount and status of each contribution.

Step 10 - Declaration

I confirm that the information provided in this Grant Application Form is correct and I am authorized by the organization to complete and submit the application on its behalf.

Name *

Title *

Date *

Signature *

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Step 1 - Organizational Information

Step 2- Project Overview

Step 3 - Project Details

Step 4 - Beneficiaries

Number of Direct Beneficiaries

Step 5 - Post-Project Management / Sustainability / Exit Strategy

Step 6 - Budget

A. Staff and Other Personal Costs

A1 Direct Project Staff

A2 Support Staff

B. Supplies, Commodities, Materials

B. Supplies, Commodities, Materials

C. Equipment (Assets)

C1 Office Furniture and Equipment

C2 Field Project Equipment

D. Contractual Services

Indirect &Contingency

TOTALS

PERCENTAGES

Step 10 - Declaration

CONTACT US

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