Submission Date: June8 ~ July8, 2015

2015 GREEN ASIA GRANT

(1) APPLICATION FORM

※Please type in English.Use Calibri font, size 11

Basic Information / Entity name
President
Phone / Fax
E-mail / Website
Address / (zipcode - )
Project details / Project Title
Subject / Please check the appropriate box below.
Biodiversity ( ) / Climate Change( ) /
Renewable Energy ( ) /Natural Disaster and Other Environmental Issues in Local Areas ( )
Type / Please check the appropriate box below.
Campaign ( )/Education ( )/Research ( )
Objective
Duration / YYYY/MM/DD – YYYY/MM/DD
Target Group / (Include expected no. of people or families)
Target Area
Brief Description / Briefly describe your main activities related to the project.
Expected Results
Budget / Write total budget
Project Manager Contact Info. / Name / Position/ Title
Phone Number / E-mail
Where did you hear about GAG?
(Check one) / ( ) The ASEAN-Korea Center
( ) The Sungkonghoe University Master of Arts in Inter-Asia NGO Studies (MAINS) Program
( ) The Ewha University Asian Center for Women’s Studies
( ) AsiaN News Network
( ) Through the Government or Embassy
( ) fundsforNGOs (
( ) SNS or other website
( ) Other (please specify: )
By submitting this application, I wish to apply for Korea Green Foundation’s 2015 GREEN ASIA GRANT. I certify that all information is factually true and honestly presented.
Signature of Representative ______
Name ______
Date ______

2015 GREEN ASIA GRANT

(2) PROJECT PROPOSAL

1.Project Description

Project Title :

2. Background & Necessity of Project

(Please describe specific information as regarding target area, environment, stakeholders and network.)

3. Project Objectives

4. Proposed Activities and Specific Plan for Action

5. Expected Results

6. Budget

•Insert lines and item category, if it’s needed.

•Please convert into USD and clarify the exchange rate.

•Labor cost and any salary for office staffs must not exceed 10% of the total grant.

( Exchange rate : 1USD = )
Description / Total
(Local currency) / USD ($)
Activity Cost
(Direct expenses for the project)
Sub-total
Operational Cost
(Indirect expenses) / ex) salaries
ex) Transportation
ex)
Sub-total
Total

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Submission Date: June8 ~ July8, 2015

2015 GREEN ASIA GRANT

(3) APPLICANT(ORGANIZATION) INFORMATION

1. Basic Information

Current Status
of the Applicant / Organization name / President name
Founded Date / No. of Members / (Subscription-based Members)
Registered Date
No. of Employee
Location
(City)
Mission Statement
(Objective of Foundation)
Main
Activities
Emergency Contact / Name / Position of applicant
Phone/
Cell / E-mail

2. Personnel & Organizational Structure

(i.e. list the members of the applicant’s administrative board body, or that of equivalent)

3. Main Projects being carried out

4. 2014 Financials

(Indicate the sum of each category and Revenue/ Expenditure.)

5. Main Project Agenda/Plan for 2015

6. References

(Korean organizations are prioritized)

Name of Organization / Contents
Address
Contact Info. / Email.
Tel.
Name of Representative
Website
(Please specify the cooperative projects and events with the organization)
Address
Contact Info. / Email.
Tel.
Name of Representative
Website
(Please specify the cooperative projects and events with the organization)

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