MEPI Alumni Status Summary Information

MEPI Alumni Status Summary Information

Applicants may qualify for preference based on the status of at least one individual at the organization. The qualifying individual must be key staff on the project you are currently proposing.

MEPI Alumni are DEFINED as:

• former participants of the exchange programs;
• or beneficiaries in previous MEPI training programs lasting more than 5 weeks;
• or individuals who have held a leadership role supporting MEPI programming at an organization that has received a previous MEPI grant.

Please select one of the following options:

☐We do not claim Alumni status. (You do not need to complete the rest of this form.)

☐ We should be considered for MEPI Alumni preference. One or more key staff for this project are MEPI Alumni.

(Please complete the rest of this form accordingly.)

What type of alumnus status do you qualify for? Select all that apply.

☐ I participated in a MEPI leadership exchange program. (Complete Section A below.)

☐ I participated in a MEPI training program of 5 weeks or longer. (Complete Section B below.)

☐ I have held a leadership role within a MEPI grantee organization. (Complete Section C below.)

1. Leadership Exchange Alumni

If you previously participated in a MEPI exchange program, please complete the following. If not, skip to the next section.

1. Name ofindividual who qualifies as this type of Alumni:Click or tap here to enter text.

1. Select the type of exchange program you participated in:

☐Student Leaders

☐Tomorrow’s Leaders

☐Leaders for Democracy

☐Other MEPI Leadership Exchange

1. Start Date:Click or tap to enter a date.

End Date:Click or tap to enter a date.

1. Training Participant Alumni

If you previously participated in a MEPI training activity with a duration of at least 5 weeks, please complete the following. If not, skip to the next section.

1. Name ofindividual who qualifies as this type of Alumni:Click or tap here to enter text.

1. Title of training program:

1. Implementing Organization(s) (host(s) of training):

Click or tap here to enter text.

1. Start Date:Click or tap to enter a date.

End Date:Click or tap to enter a date.

1. Location of Training: Please include city and country.

Click or tap here to enter text.

1. Alumnus has held a leadership position at an organization working on a previous MEPI project.

NOTE: This individual must be key staff on the proposed project ANDmust have held a leadership role supporting MEPI programming at an organization that has received a previous MEPI grant.

If an individual at your organization has previously worked on other MEPI programming, and meets BOTH of the above criteria, please complete the following.

1. Name ofindividual who qualifies as this type of Alumni:Click or tap here to enter text.
2. What was your position or title during this previous MEPI work?

Click or tap here to enter text.

1. Name of organization where you worked on previous MEPI project:

Click or tap here to enter text.

1. How long were you with this organization?

Click or tap here to enter text.

1. For how many months did you work on the previous MEPI project?

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1. Title of Previous MEPI Project:Click or tap here to enter text.

1. Award Issue Date:Click or tap to enter a date.

1. Period of Performance:

From:Click to enter a date.To:Click to enter a date.

1. Total Budget (USD):Click or tap here to enter text.

1. Award Number (if known):Click or tap here to enter text.