Final Proposal Form

FINAL PROPOSAL FORM

West Balkan Development Marketplace 2006

FINAL PROPOSAL FORM
West Balkan Development Marketplace 2006:
Innovations in Job Creation in Formal Sector

WHO CAN SUBMIT

This form is to be used ONLY by those who have been notified by the respective World Bank Offices in Albania, Bosnia and Herzegovina, Kosovo, Macedonia and Serbia and Montenegroof reaching the FINALIST stage and have received an e-mail inviting them to submit a FULL Proposal. To verify whether youhave been selected for the second round submission, please visit or contact the World Bank Country Office in your country.

TIME LINE

March 17, 2006Announcement of finalists

March 22, 2006Confirmation of finalists to continue in the competition through to the final event

April 17, 2006Completed, final proposal e-mailed to:(), NO LATER THAN 5 PM LOCAL TIME ON APRIL 17, 2006

HOW TO SUBMIT

The proposal can ONLY be submitted as a Word attachment r by mailto Zyra e Bankes Boterore, Deshmoret e 4 shkurtit, Vila nr. 34, TIRANE, SHQIPERI. The PAGE LIMIT WILL BE STRICTLY ENFORCED. The Full Proposal form must be submitted in English ONLY, must adhere to the template provided and should not exceed SEVEN PAGES.

WHAT TO SUBMIT

The Development Marketplace accepts only the following attachments or documents submitted to the competition:

Full Proposal in English completed based on our Form template and adhering to the page limits (REQUIRED)
Copy of legal registration document required in your country (REQUIRED)
Curriculum Vitae or resume (maximum of 2 pages) of proposed Project Team Leader (OPTIONAL)

Please also note that we will not review any other documents other than the ones listed above.

ORGANIZATION INFORMATION
1. Name of organization:
2. Contact person: / 3. Title of contact person: / 4. Phone Number:
5. Fax number: / 6. E-mail address: / 7. Street Address:
8. City/ Town/ Village:
9. Type of organization (tick in box below)
Academic / Non-Governmental Organization / Private-for-profit
International NGO / Cooperative / Individual
Foundation / Government agency / Other (specify type of organization)
BASIC PROJECT INFORMATION
10. Title of your project proposal:
11. Project Summary (Suggested limit: 250 words)Please summarize your project. The summary should include three main sections: Objective, Rationale, Effectiveness (See for examples Annex Aat the end of this form):
12. Total amount needed to implement the project proposal (in US$):
PROJECT DETAILS
13. How will your project address the problem of unemployment? (Suggested limit: 200 words):
14. Briefly describe what makes your project innovative. (Suggested limit: 200 words)(Please refer to Annex B forthe “Typology of Innovation” at the end of this form):
15. What are the expected results and beneficiaries of your project at the end of the one-year implementation period?Indicate how many beneficiaries your project expects to reach within the funding and duration of Development Marketplace support(Suggested limit: 150 words):
16. Briefly describe how your project can be replicated/expanded (Suggested limit: 150 words):
17. Is your project addressing the issue of youth unemploymentand/or regional cooperation? If yes, briefly describe how (Suggested limit: 150 words):
ACTIVITIES OF THE PROJECT
18. Project implementation and milestones (Suggested limit: 800 words)
List and describe the concrete activities that the project will undertake to implement for the duration of the grant.If selected as a winner, your project will be given an initial payment (~50%) to begin implementation. You will then be expected to meet the first set of milestones before being paid the remainder of the grant funds. Therefore, please structure your implementation plan/ timeline under two sets of milestones that will correspond with the project payments.
Implementation Activities/ Milestones after first payment:
-
-
-
Implementation Activities/ Milestones after second payment
-
-
19. Organizational Sustainability: Project Team and Partners (Suggested limit: 200 words)
Applicant Organization: Describe the role of the applicant organization.
Main Partner Organization (if applicable):Please list the contact information of your partner organization and explain the partner’s role in your project.
MONITORING
20. Briefly describe how will you monitor the progress of the project (Suggested limit: 150 words):
EVALUATION
21. Briefly describe what will you consider to be the success of the proposed project (Suggested limit: 150 words):
BUDGET
22. Please provide financing information and a detailed estimate of the budget for project activities:
CO-FINANCING
CO-FINANCING / AMOUNT (IN USD)

APPLICANT CONTRIBUTION

1). Cash
2). Non-Cash

West Balkan DM CONTRIBUTION

OTHER SOURCES (if any)

TOTAL FINANCING (A+B+C)
PROJECT COST
Activity / A / B / A*B / Total
$
Unit cost $ / Number of units / Total cost $ (A*B)
Personnel
Materials and
Equipment
Training (if any)
Travel (if any)
Other
Evaluation
TOTAL
DMFunding
ApplicantFunding
Other Sources
23. How will your project continue beyond the phase funded by the West Balkan Development Marketplace? Provide an estimate of when you expect to cover your operational costs through revenues. (Suggested limit: 150 words, beside the table):
PROJECTED INCOME STATEMENT
YEAR ONE / YEAR TWO
REVENUES
Sale of Goods and Services / $ - / $ -
$ - / $ -
$ - / $ -
$ - / $ -
Totals / $ - / $ -
EXPENSES
Personnel / $ - / $ -
Material and Equipment / $ - / $ -
Training / $ - / $ -
Travel / $ - / $ -
Other / $ - / $ -
Evaluation/Dissemination / $ - / $ -
General/Overhead / $ - / $ -
Totals / $ - / $ -
NET GAIN (LOSS) / $ - / $ _-

Please sign below to affirm that the information you have provided is to the best of your knowledge true and complete. If you provide any information which you know is false, or if you withhold relevant information, this may lead to your proposal being rejected and disqualification from participating in the competition.

Signature of organization contact person: / Date:

ANNEX A

SAMPLE PROPOSAL SUMMARIES FROM PAST DM WINNERS

SAMPLE 1: Rental Service for Electricity in Rural Villages

OBJECTIVE:To provide electricity to rural households in Lao PDR by providing affordable and reliable solar electricity through rental services.

RATIONALE:The lack of electrification is a major concern of rural villages. The availability of electricity-dependent lighting and communication equipment can have a direct impact on poverty and education. For example, lighting enables productive activities after dark, thereby freeing up time in the day for outside activities. But according to government figures, 60 percent of Lao villages in remote areas will not benefit from the electric grid for many years. In addition, villagers find alternative sources of electricity, such as solar-power systems, an expensive investment and would prefer a cheaper and more flexible option.

EFFECTIVENESS:By providing rental solar equipment, the project makes electricity affordable for the majority of rural households or villages without the use of subsidies. The rental system encourages reliable servicing, allows consumers the flexibility of returning or changing the system to suit their needs, and creates local jobs through the service delivery mechanism. The project will set up at least 120 new solar systems in at least 10 new villages and train local hires to efficiently conduct financial and technical tracking. In addition the project will capitalize on the community’s favorable attitude to modernization by creating a mental association of nature conservation efforts with “modern” solar energy systems, thus creating goodwill towards environmentalists’ efforts to protect the biodiversity of the region through sustainable use of natural resources.

SAMPLE 2: Jetted Wells – Low-Cost Water Supply in Record Time

OBJECTIVE: To provide clean water to rural, coastal areas by rapidly constructing low-cost, jetted wells with hand pumps in a limited area with the potential to reach all coastal areas.

RATIONALE:Madagascar is not on track for achieving the MDGs for water: access to safe drinking water is 14 percent in rural areas and drops to zero in many isolated villages. In addition, sanitation habits are poor, resulting in high levels of water-borne disease and child mortality. The few existing water projects are expensive and/or difficult to scale up. At the same time, many rural areas contain sources of water stored in naturally occurring, shallow, sandy aquifers, but the local communities lack the means to tap into this groundwater.

EFFECTIVENESS: This project combines two low cost technologies: well jetting (directing a powerful stream of water to cut a well) and the Canzee hand pump (draws water out of the well), to provide clean water to local communities. The team expects to construct 150 wells in 7 months, proving that a large number of wells can be constructed very rapidly. The team would also use the wells’ natural sand filtration to clean the water, thus avoiding the use of costly disinfectant chemicals. Moreover, the pump will be manufactured locally so that it would be available widely and at low cost. The project expects to provide more than 15,000 villagers with access to safe drinking water with the potential of scaling it up to reach one million people in Madagascar’s coastal areas.

ANNEX B

DEVELOPMENT MARKETPLACE - TYPOLOGY OF INNOVATION

Ideas can be judged as innovative in a variety of ways. DM does not currently prioritize one kind of innovation over another. Some ideas may combine several forms of innovation. Here is a typology of innovation based on our experience:

New beneficiary group (e.g. imprisoned women, isolated indigenous groups)
New geographic area (e.g. something that worked in Sri Lanka being tried in Armenia)
New technology (e.g. water filtration device, web-based auction)
New combination of existing processes or technologies (e.g., Bollywood film songs with Hindi subtitling to teach literacy in India)
Old technologies used for a new purpose (e.g., motorcycles retrofitted with sidecars to take rural residents to clinics in Zimbabwe)
New delivery method or support process (e.g. community-based decision on beneficiaries, on-line delivery, community-based M&E)
New financing method (e.g. swap or barter instead of credit)
New partners or new entities delivering services or producing goods (e.g., mining company providing home-based care for AIDS patients)