Project Application Form

Thank you for your interest in our organization. The Eye Care Foundation works with partners on her projects in several countries in Asia and Africa. In order to review your project proposal, we kindly ask you to fill in the form below. Only requests sent by this form are eligible.

Title of the project
Project start date
Datumnotatie:MM slash DD slash JJJJ
Project end date
Datumnotatie:MM slash DD slash JJJJ
Project area
District Province Country
Applicant
Organisation
Website
Name of the applicant
First name Last name
Title
Address of the applicant
Street+number Extra address line Zipcode City State / Provice Country
Telephone
Email address
Amount
Total Project Budget
Including co-funding (cash and or kind contribution)
Amount requested from ECF

Description of the problem to be addressed (max. 250 word)
How does the project solve this problem (max. 250 word)
Description of the targets (quantitative & qualitative)
Description of target area and population (max. 250 words)
Description of what the government and other stakeholders are already doing to address the problem/issue (max. 250 words)

Expected impact (max. 100 words)
Expected outcomes (max. 100 words)
Description of activities (max. 250 words)
Description of materials – if needed (max. 250 words)
(Intended) partners (max. 100 words)
Description of the costs
Description of the approaches used in the project (max. 100 words)
Description of project sustainability
Description of the how the monitoring and evaluation will be done (max. 500 words)
Extra information
You can upload any extra information here

Project Application Form

Applicant

Amount

Extra information