2009

Tutorials Projects Workshop

Sample Form for submission of draft
Source: CajaSol Foundation, 2008
Sociocultural Project
http://sociocultural.mforos.com http://www.monitorsociocultural.com
Applicant Entity
Project Submission Form
Project Title
Social Action Program
Call
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Newsletter
1. This document, which is the main instrument for project appraisal should be c
ompleted in a concrete, concise and tailored to what is claimed. The space is fo
r guidance regarding the extent of the information requested. 2. To help this pr
emise have any doubt, has prepared a guide that guides about the contents that a
re required to include in the various points of the form. 3. The contents must c
onform to the rules of the call and be a true reflection of the reality of the e
ntity. 4. Arial 10 is the font type and size to use to complete this document.
Social Action Programme Call LEGAL REPRESENTATIVE Mr. / Ms. Entity ID Title Addr
ess states that, in view of the Call 2008 Social Action Programme for initiative
s and social projects of the Foundation Cajasol, the presentation of the form to
the program has been approved by the highest representative bodies of instituti
onal and management the entity. Thus, the entity meets the conditions required t
o be covered by this announcement and accepts all terms of the same bases. Ask t
o be granted the provision of project managed by this entity, to perform in tota
l amounting to
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€ to € a budget.
Applicant Entity Data
Attached are the documents required by the requirements of this notice in the ve
racity of which I certify. In on of of
I.
General Aspects of the Entity Applicant
Signature of legal representative and seal of the Institution
1. Legal form
Cooperatives Association of Social Initiative Foundation Other (specify)
Personal data is transferred to the Foundation Cajasol under this announcement a
nd the consent of affected persons for treatment or disposal, shall have been ob
tained in accordance with the provisions of Law 15/1999 of 13 December, Protecti
on of Personal Data, assuming the participating entities with their legal obliga
tions in this regard.
Project Submission Form
page
2
Call Social Action Program
2. Brief Description of the Entity
Intervention Goals Geographic Location Type
II.
Entity Applicant Resources
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1. Financial Resources (financial)
Entity Type or Subject
Private Public
Instrument
2. Material Resources
Activities according to statutes Ownership Scheme Resources
Other Property Rental Sale
3. Members of the governing bodies of the Entity
Name Position Principal Function
3. Human Resources
3.1
N º Workers Personal Journey
Partial Complete Partial Complete Partial Complete
Type
Voluntary Temporary Fix
Main Task
No. Hours
Project Submission Form
page
3
Call Social Action Program
3.2
Do you have an active volunteer program? No Yes (shares)
III.
Experience of Applicant Entity
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1. Experience in social projects (point to
least three)
Project Title Date Number execution target group beneficiaries Total budget
4. Associative
4.1
Do you work in network through provincial institutions, regional, national and /
or international? No Yes (please specify types and reasons)
2.
4.2
Is it an entity declared of Public Utility? Yes No
Experience in the type of action requested or to deal with the collective
Implementation Date Number beneficiary target group Total budget
Project Title
5.
Action taken by the Bank for better management and transparency of the same
Yes Action Date: Date: Date: No
4
Programme planning Development of strategic plans external audits in the last th
ree years
Project Submission Form
page
Call Social Action Program
IV.
Value of the applicant with the Foundation or Cajasol Cajasol
Projects funded in previous calls by the Foundation Cajasol (formerly Fundación
El Monte)
Project Title Start Date End Date
I.
Area where you want to execute the Project
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1.
1.
The geographical, social, cultural, economic and political
2. Cajasol Is client?
Yes No
2. Projects
Project Title
made by Company or by others with similar or complementary content to that prese
nted (check at least three)
Executing agency execution date Headline Impact
II.
Project Development
1. Type (see coding projects in the Guide)
Area of Operation Type Geographic Location
Project Data
page 5
Project Submission Form
Call Social Action Program
2. Diagnosis and justification
4. Institutions involved
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3. Nature and Description
Objectives
5. Staff assigned
Name Type Activity in the project cost-time Hours
Activities
6. Beneficiary group
Men Expected Results
No. No. Direct Beneficiaries Indirect Beneficiaries
6
Women
Total
Project Submission Form
page
Call Social Action Program
7. Lead time
Planned Start Date End date scheduled
10.
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Innovative aspects and multiplier effects
Innovative aspects
8. Monitoring and Evaluation Process
Assessment Verification Indicators Sources Multiplier effects
Monitoring
11. 9. Dissemination activities planned
Viability and sustainability
Project Submission Form
page
7
Call Social Action Program
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III.
Schedule and Methodology
Download file format on the website.
IV.
Budget
Download file format on the website.
Project Submission Form
page
8