ASA Global Project Proposal Application Form

ASA global Project Proposal Application Form

Before phrasing your proposal please read the "ASA Factsheet 2018" (pdf document).

A-1 Information on host organization in Germany

Contact details of host organization in Germany

Name of the organization
Type of organization
Postal address
Federal State
Phone / Fax
E-mail
Homepage

The organization exists since:

Has the organization ever proposed an ASA or GLEN project? Yes, year(s): No

Has the project been realized as ASA or GLEN project? Yes, year(s): No

Does the organization submit several project proposals for the ASA program 2018?

Yes, in which other program format/field of activity No

Contact person for the ASA program and the participants (this person will communicate with the participants before the beginning of the project and will supervise their work in Germany)

Surname
First name
Position
Phone / Fax
E-mail

If a second organization in Germany is involved:

Name of the organization
Type of organization
Postal address

A-2 Information on host organization in African, Asian, Latin American or South-Eastern European country

Contact details of host organization in in African, Asian, Latin American or South-Eastern European country

Name of the organization
Type of organization
Postal address
Country / Continent
Phone / Fax
E-mail
Homepage

The organization exists since:

Has the organization ever proposed an ASA or GLEN project? Yes, year(s): No

Has the project been realized as ASA or GLEN project? Yes, year(s): No

Does the organization submit several project proposals for the ASA program 2018?

Yes, in which other program format/field of activity No

Contact person for the program and the participants (this person will communicate with the participants before the beginning of the project and will supervise them in the partner country)

Surname
First name
Position
Phone / Fax
E-mail

A-3 Information on Cooperation between the host organizations in Germany and in African, Asian, Latin American or South-Eastern European country

Cooperation exists since:
Fields of cooperation:

First cooperation for an ASA global project (formerly ASA-SouthNorth project) in:

Have the organizations ever proposed this ASA global project together?

Yes, year: No

Has the project been realized within ASA global?

Yes, year: No

A-4 Information on person proposing the project

Contact details of the person proposing the project

Last name
First name
Organization
(if applicable)
Position
(if applicable)
Postal address
Phone / Fax
E-mail

How did you hear about ASA for the first time?

Internet
ASA approached me directly / Personal contacts / colleagues
In another way (please specify):
I am a (former) ASA participant, Year:
Format (basic, global or GLEN):
Program offer (ASA, ASA-Kommunal, ASApreneurs, ASA University Cooperation):

Which persons/institutions were involved in designing the project proposal?

If the person proposing the project is not part of the host organization:

Information about the person proposing the project:

Please explain shortly:

What is your intention in proposing the project?
How are you related to the host organizations?

B-1 Presentation of the host organization in Germany

Please answer the following questions precisely.

1.1.What work does the organization do? What are its objectives?

1.2.How is the organization integrated locally (political, social, economic, ecological context)? Does the organization cooperate with other organizations (national and international)? If yes, with which organizations and in which type of projects?

1.3.How many people work for the organization (employees / volunteers)? How will the supervision of the participants be organized? How and by whom will the participants be supported in daily life?

1.4.How will the organization deal with possible language difficulties during the project? What means of support can you provide regarding language?

1.5.What working conditions can you offer the participants (work space, computer, etc)?

1.6.The host organization in Germany must provide accommodation for participants from the partner organization. A support provided to the participants from Germany in finding an accommodation is also desirable. Where could the participants from Germany be accommodated? Will you be able to help them find accommodation? If yes, what will be the approximate costs for the participants?

Will you be able to provide the participants from Germany a suitable accommodation free of charge? / Yes No
If “No”, could you assist the participants in finding a suitable accommodation? / Yes No
Which would be the average cost for accommodation at the project place? / Maximal cost minimal cost

1.7.How will the organization promote the ASA global project towards appropriate candidates from Germany and support the acquisition of participants from its surroundings?

1.8.How will the organization assure the co-finanication of the project phase in Germany? How will the additional funds be acquired/ provided?

1.9.Describe the security situation in the region in which the organization works. If there are conditions which are special to the region please explain those.

1.10.Visa

Is your organization registered in you country or has the organization a legal status? / Yes No
It will be necessary for the participants in order to apply for a visa to receive a written reference from your organization. Is your organization willing to write such a written reference for the participants? / Yes No

B-2 Presentation of the host organization in African, Asian, Latin American or South-Eastern European country

Please answer the following questions precisely.

2.1. What work does the organization do? What are its objectives?

2.2.How is the organization integrated locally (political, social, economic, ecological context)? Does the organization cooperate with other organizations (national and international)? If yes, with which organizations and in which type of projects?

2.3.How many people work for the organization (employees / volunteers)? How will the supervision of the participants be organized? How and by whom will the participants be supported in daily life?

2.4.How will the organization deal with possible language difficulties during the project? What means of support can you provide regarding language?

2.5.What working conditions can you offer the participants (work space, computer, etc)?

2.6.A support provided to the participants from Germany (and in some cases also to the participants from the partner country) in finding an accommodation is desirable. Where could the participants from Germany be accommodated? Will you be able to help them find accommodation? If yes, what will be the approximate costs for the participants?

Are you able to provide the participants from Germany a suitable accommodation free of charge? / Yes No
If “No”, could you assist the participants in finding a suitable accommodation? / Yes No
Which would then be the average cost for accommodation at the project place? / Maximal cost minimal cost

2.7.How will the organization promote the ASA global project and find appropriate candidates for participation from its surroundings?

2.8.Describe the security situation in the region in which the organization works. If there are conditions which are special to the region please explain those.

2.9.Visa

Is your organization registered in your country or has the organization a legal status? / Yes No
It might be necessary for the participants in order to apply for a visa to receive a written reference from your organization. Is your organization willing to write such a written reference for the participants? / Yes No
In your opinion, which kind of visa is the best one to implement a project internship with your organization?

Attention! A tourist visa is not sufficient in most of our partner countries. It is the responsibility of the interns to find out which visa is the best one to implement the project internship in the project country. An unauthorized entry with a wrong visa can have severe consequences for the interns (fine, imprisonment, entry ban in the project country et cetera). In this case, the ASA program is free to cancel the project internship.

C Detailed information concerning the ASA global project

Please answer the following questions precisely.

Project title
Required language skills

3.1.What are the goals of the ASA project? How are the goals related to the objectives of both organizations?

3.2.What do you expect from the participants? How should they contribute to your work? What is the benefit for your organizations of hosting ASA participants and an ASA project? (if different for both organizations please specify for both)

3.3.What can the participants learn about global challenges and how these challenges influence the hosting countries and their population in particular?

3.4.What will the concrete tasks of the participants during both phases of the project be?

When planning the participants' tasks please make sure to give them enough time and space for cross-cultural learning, especially during the project phase in Germany since the team will then start working together. Do not overload with activities, give also time to adjust. Also please consider the time gap between the proposal and the beginning of the internship in April 2018. Therefore, please describe in your project proposal a possible scope of duties, with which the participants can cope during their stay. After the participants' selection phase, in March 2018, please specify the tasks together with the participants.

3.5.What specific knowledge / skills should the participants have? What experience acquired in the past could be useful for their work during the project?

The ASA program will refer to these requirements for choosing the participants from Germany for the proposed project, if your proposal is accepted. It also helps you as organizations to identify candidates from your regions.

3.6.The ASA program is a learning and qualification program dedicated to development education. It is aimed at young people who want to understand global interdependencies, who ask critical questions and who want to strengthen a fair world. After their project internship, the participants should get involved in sustainable development and promote the understanding of global interdependencies.How could the participants gain and practice such competences for their future engagement during the project?

3.7.Please write a short summary about the whole project and try to emphasize on the task of the internship. This will help us to promote the project and address possible candidates in case the proposal is approved.

Project Allocation in the field of development politics

(select one or two options)

1 Economy, labour
2 Education
3 Gender
4 Civil participation
5 Health / 6 Youth child care
7 Culture
8 Rural development
9 Media and information
10 Human rights / 11 Sustainable economy
12 Urban development
13 Climate and environmental protection
14 Conflict management
15 Migration

Time of implementation of the internship

The three-month project phase in Germany must take place between April and June 2018. The three-month project phase in the country in Africa, Asia, Latin America or South-Eastern Europe must take place between July 2018 and January 2019. In case the 2nd project phase should take place at a specific or within a certain time of that period, please indicate the precise period of time:

From:Until:

Please note: Only in exceptional cases, internships can take place later than mentioned above. Please contact the ASA team!

Desired Number of participantsfrom Germany (minimum 1, maximum 2):

Including, if possible:

Desired number of jobholders (with non-academic background):

Desired number of students (with academic background):

Desired Number of participantsfrom the country in Africa, Asia, Latin America or South-Eastern Europe(minimum 1, maximum 2):

Including, if possible:

Desired number of jobholders (with non-academic background):

Desired number of students (with academic background):

Declaration of honour

(to be signed by the person(s) proposing the project)

Name of the person(s) proposing the project

I undersigned certify that the information contained in this application is correct to the best of my knowledge.

I agree that in case of admission to the ASA program all data provided in this form may be used for managing the ASA program as far as the right for privacy is respected.

I commit to informing the ASA program about all changes affecting the possible implementation of the proposed project

In case that I am applying for the partial scholarship myself, I confirm that the project could take place without my participation.

(Please note in case you would like to apply for the scholarship: proposing a project does not automatically entitle you to participate in the program. You have to go through the normal application process for participants, although your application will be considered with priority. The proposal can only be accepted if you confirm that the internship can take place even if you are not chosen as a participant.)

______

Place, dateSignature

______

Place, dateSignature

Please hand in the signed declaration of honour and of cooperation by August 15th 2017

by e-mail to

or by fax to the following number: +49 (0)30 - 254 82 – 359

Declaration of cooperation and financing

of the host organization in Germany

(to be signed by the contact person, responsible for supervising the interns)

Title of the project
Host countries / Germany and
Hosting organization
Germany
Hosting organization African, Asian, Latin American or South-Eastern European country

We agree to cooperate with the organization mentioned above and the ASA program of ENGAGEMENT GLOBAL gGmbH within the proposed project and to supervise the ASA participants.

We hereby declare that we have read the document "Ergänzung Finanzierung Format global 2018” and that the proposed project is financially secured in accordance with these instructions. All necessary costs that are not covered by the ASA-subsidy will be covered by our organization or financed through external funds.

We commit to:

appointing a contact person from our organizations as mentor for the ASA participants
coordinating the project planning with the ASA participants during the preparatory phase (by communication via e-mail etc. as from March 2018)
helping the participants with their application for a visa for the period of the internship
booking the flights for the participants from African, Asian, Latin American or South-Eastern European country
helping the participants with orientation in their new environment (for example by finding accommodation)
holding an initial meeting with the ASA participants upon their arrival and regular meetings during their stay with our organization
ensuring the adequate working conditions and resources necessary for the implementation and the carrying out of the internship
Informing the ASA program about all changes affecting the possible implementation of the proposed project.

We agree that in case of admission to the ASA program the organizational data provided in this proposal form may be used for managing the ASA program as far as the right for privacy is respected.

We agree that the organizational contact details (e-mail, phone number) are listed in official program reports and that the contact details can be shared with other ASA-Partner organisations for networking and exchange.

Yes / No

______

Place, dateName and position

______

Signature

Please hand in the signed declarations of honour and of cooperation by August 15th 2017

by e-mail:

or fax to the following number:+49 (0)30 - 254 82 – 359

Declaration of cooperation

of the host organization in an African, Asian, Latin American or South-Eastern European country(to be signed by the contact person, responsible for supervising the interns)

Title of the project
Host countries / Germany and
Hosting organization
Germany
Hosting organization African, Asian, Latin American or South-Eastern European country

We agree to cooperate with the organization mentioned above and the ASA program of ENGAGEMENT GLOBAL gGmbH within the proposed project and to supervise the ASA participants.

We commit to:

appointing a contact person from our organizations as mentor for the ASA participants
coordinating the project planning with the ASA participants during the preparatory phase (by communication via e-mail etc. as from March 2018)
helping the participants with their application for a visa for the period of the internship
helping the participants with orientation in their new environment (for example by helping them finding accommodation)
holding an initial meeting with the ASA participants upon their arrival and regular meetings during their stay with our organization
ensuring the adequate working conditions and resources necessary for the implementation and the carrying out of the internship
Informing the ASA program about all changes affecting the possible implementation of the proposed project.

We agree that in case of admission to the ASA program the organizational data provided in this proposal form may be used for managing the ASA program as far as the right for privacy is respected.

Yes / No

______

Place, dateName and position

______

Signature

Please hand in the signed declarations of honour and of cooperation by August 15th 2017

by e-mail: or fax to the following number:

+49 (0)30 - 254 82 – 359

Handing in the project proposal:

After having completed the form, please send the following documents by e-mail to the ASA program:

Project proposal application form

Declaration of honour signed by the person(s) proposing the project

Declaration of cooperation and financing signed by the host organization in Germany

Declaration of cooperation signed by the host organization in Africa, Asia, Latin America or Southeast Europe

Provisional plan of financing of phase phase in Germany (Ausgaben- und Finanzierungsplan Projektpraktikum Deutschland_2018_Vorlage) filled out by the host organization in Germany