CONCEPT FORM
Date of application: / Application submitted to:Project name:
Legal name of applicant:
Acronym:
Legal status:
Business registration number
Fiscal number
Address:
Phone:
E-mail:
Webpage:
Name of legal representative:
Contact person:
Position:
Phone:
E-mail:
1) Briefly describe who you are, about your organization/company
· when established
· key product or service
· number of employees (male, female)
· annual turnover
· market position
· who are the owners
2) What is the problem that you want to solve?
3) Please give a summary of the proposal you are seeking funding for in order to solve the problem:
4) Who are the beneficiaries and how will they benefit?
5) Duration of activities
6) Please describe the alignment of the project idea results with Eye’s following outputs:
· 1,500 jobs created as a result of changes facilitated by EYE
Results table:
Areas of intervention / Results value
Better skills (education & training) / n/a
Labour market information and services, and Career guidance services (public& private) / n/a
Jobs created & matched
Investment leveraged
Others (please specify e.g minorities, women etc)
7) Objectives: project idea must support the key objective:
1) Businesses and social enterprises in targeted economic sectors increase their revenues, investment and create new jobs
State will you support this objective:
8) Previous grants: Information on support from EYE and /or other donors over the past three years
Name of Donor/Project / Amount / Year / Purpose of the grant
9) Cost of project and details of other funding
Reminder: The applicant must be able to cover at least 50% of the cost for investment in this new service.
How much does this investment cost and what are the costs related?
Own investment
Resources from third party
Amount requested from EYE:
Total estimated project cost:
Uses: (add rows as needed)
Purchase of services
Purchase of equipment
Purchase of materials
Other
TOTAL
Please add in annex if you have more detailed costing
Submitted by: ______
Evaluation Criteria
EYE will evaluate the projects together with BCC based on the following criteria:
Impact and sustainability:§ Can the solution potentially be replicated elsewhere in similar or other contexts?
§ Is the idea potentially interesting for others to copy?
§ Can a larger number of businesses benefit from using the proposed approach?
§ Does it offer systemic change?
§ Does the impact of the project have potential to continue after the initial implementation period?
Innovation:
§ Compared with what is being done currently in the country and specifically in the targeted intervention, is the idea new and different?
§ Is the proposed project idea innovative/unique and does it has realistic chances to become self-sustained in the market?
§ Does the idea bring together partners that do not typically work together in this area?
§ Is it targeting a new sector, not typically covered by such an intervention?
§ Does it have other innovative features?
Budget and cost-effectiveness:
§ Is the ratio between the estimated costs and the expected results satisfactory?
§ Is the proposed expenditure necessary for the implementation of the action?
Management – Applicant technical ability:
§ Do the organizations involved have the capacity to implement the project?
§ What are the risks associated with the project and how will the applicant take them into consideration in managing the risks;
§ Does the applicant have the capacity to implement, manage, and understand the project he/she proposes?
Potential for implementation:
§ Does the proposed plan lead to anticipated results?
§ Are the timeframes and resources reasonable?
EYE and BCC reserves the right not to provide any support if evaluation shows that the project do not meet the criteria and do not contribute to achieve project results.
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