Project Concept form (PDF) - UNDP Trinidad and Tobago

UNDP-Social Development / Global Environment Facility Small Grants Programmes
Project Concept Form
Instructions: Upon submission of this form, please attached background information on your organization (its date of
establishment, organization registered with, total membership, purpose/mission, geographic focus of work, sectoral focus
of work, source, type and value of recent grants). You may also attach any additional information which you believe would
be helpful in reviewing your project concept. Please note that if you are unable to complete your answers in the space
provided below, you may use an additional sheet of paper and attach it to the form when you are sending it in to us.
Section A: Information About Your Organization
Tick appropriate box Non-Governmental Organization (NGO) ? Community Based Organization (CBO) ?
Name of Organization: Acronym of Organization:
Mailing Address:
Contact Person:
Name:
Position:
Telephone: Fax: Email:
Section B: Information on the Proposal/Project (Please explain as precisely as possible)
Project Title:
Project Type: Please tick the relevant area(s) below which your project concept addresses.
UNDP Focal Areas:
? Poverty and Social Equity
? HIV/AIDS
? Democratic Governance
? Environment and Energy
(Specify focal area)
__________________________
Project Activities:
? Capacity Building
? Promotion of Sustainable Livelihoods
? Promotion of healthy family functioning in poor communities
? Promotion of gender equity among participants and
beneficiaries
Project Site: Project Duration:
Project Description:
What are the issues to be addressed by the project?
What specific activities will be carried out to implement the project? Please be as concrete as possible.

Who will benefit from your project (please indicate numbers)? How will they benefit?
What are the expected results of the project? What results will be sustainable?
How will you evaluate the achievements and shortcomings of your project?
Section C: Information About Your Project’s Estimated Budget
Total Project Budget: TT$……………… UNDP SGP Support Requested: TT$………………
A) Planning grant support for project preparation TT$…………
OR
B) Project grant support for project implementation (TT$)
Equipment:
Material:
Workshop:
Training/Capacity-Building:
Education Awareness:
Labor:
Transport:
Contracts/Technical Assistance:
Administration:
Sharing experiences and Networking:
Other (Specify)
TT$____________________________Total:
Other Support:
A) Co-funding {Sources and Amounts [TT$]}: B) In-Kind {Sources and Description}
1. 1.
2. 2.
3. 3.
Submitted By: ……………………………………………………………….…………………………………………………
Name and position of Organization’s representative
Signature: ……………………………………………… Date: ………./………../………./
Please return completed form to:
Community Outreach & Response Initiative, UNDP, UN House
3A Chancery Lane, Port of Spain, Trinidad. Tel: 623-7056, Fax: 623-1658
Email: registry@undp.org.tt