Project Abstract Submission Form

Project Abstract Submission Form

AMBASSADORS FUND FOR CULTURAL PRESERVATION 2016 LARGE GRANTS PROGRAM

PROJECT ABSTRACT – SUBMISSION FORM

______

  1. Project Title: no more than 5 words
  1. Project Dates: cannot exceed 5 years

START: Click here to enter a date. END: Click here to enter a date.

  1. Project Location: must be in Mongolia

City/Soum: Click here to enter a date. Province/Aimag: Click here to enter a date.

  1. Project Site: please check one, and input the official name of the site

☐Major Ancient Archeological Site

☐Historic Building

☐Historic Monument

☐Major Museum Collection that are accessible to the public and protected by the Mongolian law.

Name of the Site: Click here to enter text.

Funding Priority: please check one or all that apply

☐preventive conservation (addressing conditions that damage or threaten the site)

☐stabilization (reducing the physical disturbance [settling, collapse, etc.] of a site)

☐conservation (addressing damage or deterioration to a collection or sites)

☐consolidation (connecting or reconnecting elements of a site)

☐anastylosis (reassembling a site from its original parts)

☐restoration (replacing missing elements to recreate the original appearance of a site, usually appropriate only with fine arts, decorative arts, and historic buildings)

  1. Project Applicant Information:
  1. Official Name of Organization: Click here to enter text.

☐NGO☐Government Organization

  1. Name and Title of Person in Charge: Click here to enter text.

Brief BIO/background information: (max: 50 words)

  1. Name and Title of Project Coordinator: Click here to enter text.

Brief BIO/background information: (max: 50 words)

  1. Official Address: Click here to enter text.
  2. Mailing Address: Click here to enter text.
  3. Point of Contact Details (Name/Title/Email/Phone): Click here to enter text.
  4. DUNS number:

☐With DUNS Number, the number is: Click here to enter text.; last checked: Click here to enter a date.

☐Pending; registered: Click here to enter a date.

☐No DUNS number; reason: Click here to enter text.

  1. SAM Registration:

☐Registered; last checked: Click here to enter a date.

☐Pending; registered: Click here to enter a date.

☐Not Registered; reason: Click here to enter text.

  1. Special Designation: please check one or all that apply

☐National Monument

☐World Heritage Site

☐Other; please explain: Click here to enter text.

  1. Laws Protecting the Site or Collection: please cite the law in the space below:
  1. Project Summary: that includes project purpose, objectives and desired results (200 words)
  1. Statement of Importance: highlighting the historic, architectural, artistic, or cultural (non-religious) values of the site or collection (within 100 )
  1. Budget: Total Requested from AFCP: Click here to enter text.

Category / Description Details / Requested
Personnel
Fringe Benefits
Travel
Equipment
Supplies
Contractual
Other Direct Costs
Total Requested
Cost-Share
Project Total

Budget Narrative: Please explain all line items in the space below in max of 150 words

  1. Please provide 1-2 pictures/images – if applicable in the space provided

Please be reminded:

The deadline for submitting project abstracts to the U.S. Embassy Ulaanbaatar is noon 12:00 on Friday February 12, 2016. If abstracts advance to Round 2, the deadline for submitting full project proposals is noon 12:00 on Monday, March 14, 2016. Proposals must be submitted in English by email to . Only emailed proposals will be accepted.

Top View