THE UNIVERSITY OF HONG KONG

THE HONG KONG JOCKEY CLUB CENTRE FOR SUICIDE RESEARCH AND PREVENTION

WeCare Fund for Student-Initiated Youth Suicide Prevention Projects 2017

Template for Project Proposal

Notes:
i.  Please read the Application Guidelines (http://csrp.hku.hk/wecare-fund-projects-2017-guideline) before preparing your proposal with this template. In planning for your proposed project, it is important to note that if approved, your project should be completed by 31/07/2018.
ii. Applicants should be students from post-secondary institutions in Hong Kong as listed on the above website.
iii.  Each proposed project should include one professional advisor, preferably a member from the Student Affairs Office at your institute (e.g. clinical psychologist, psychiatrist, counsellor, school social worker, or other relevant areas.)
iv.  Please use font size not smaller than point 12 and avoid excessively long proposal. There is no need to include this page in your proposal.
v. Applicants may provide supplementary information as appendix of the proposal.
vi.  Applicants must provide all the information required in the proposal template. CSRP reserves the right not to consider an application which is incomplete or not in the specified format.
vii.  Information provided in this proposal will be used in the assessment process and may be used for CSRP publications (e.g. newsletters, website, etc.).
viii.  The soft copy of this template can be downloaded from the CSRP website: (http://csrp.hku.hk/wecare-fund-projects-2017-guideline).
ix.  The deadline of application is 06/08/2017

THE UNIVERSITY OF HONG KONG

THE HONG KONG JOCKEY CLUB CENTRE FOR SUICIDE RESEARCH AND PREVENTION

WeCare Fund for Student-Initiated Youth Suicide Prevention Projects 2017

Project Proposal

SUMMARY INFORMATION

1.  Project Title (in both English and Chinese)

2.  Project Team Members (include Project Leader)

Name / Name in Chinese / Student Number / Institution / Programme / Year of Study / Contact Number / Email

3.  Project Leader

4.  Project Professional Advisor

Name: / Name in Chinese
(if applicable):
Post Title: / Post Title in Chinese (if available):
Professional field: / Affiliated organization:
Telephone: / Email:

5.  Target Institution

PROJECT DETAILS

6.  Summary Description

(Please summarize your proposed project concisely in 1-2 sentences in both English and Chinese, e.g. The proposed project aims to [achieve what/key potential impact] for [main target beneficiaries] by [doing what and how]…)

6.1 In English:
6.2 In Chinese:

7.  Project Objectives

8.  Themes of the Project

Please tick where appropriate.

£ / Reaching out to peers with emotional distress/suicidal risk
£ / Encourage help-seeking among students when having emotional distress or feeling suicidal
£ / Mental health promotion among students

9.  Describe the Implementation plan (with timeline, what will be done in the project and how)

10.  List the Target Beneficiaries and Expected Number of Beneficiaries

11.  List the Deliverables

12.  Describe the Expected Impacts, i.e. what changes will be made by the project on the target beneficiaries listed?

13.  How to Collect Evidence of Impacts and How to Evaluate Impacts?

14.  What will be the possible challenges and How to overcome them?

15.  What are your expectations from CSRP?

BUDGET

16.  Budget Request

Item / Amount Requested (HK$) / Justifications on the amount requested and how each budget item relates to the expected deliverables and the evidence collection process described above
Service (specify the items in rows below)
Equipment (specify the items in rows below)
General Expenses (specify the items in rows below)
Travelling (specify the items in rows below)
Miscellaneous (specify the items in rows below)
Total

Note 1: Overseas travel will not be supported.

Note 2: Examples of items in different categories:

-  Service: such as design, printing, multimedia production, professional/instructor/speaker fee, server hosting etc.

-  Equipment: such as audio and visual equipment, office equipment, other machinery etc.

-  General expenses: such as stationery, refreshment, venue rental, reference books, incentives for participants, transportation of equipment/project materials etc., except travelling expenses of project members or travelling allowance for participants

-  Travelling: refers to travelling expenses of project members or travelling allowance for participants such as travelling to and from function venues, etc.

-  Miscellaneous: such as contingency and for items that cannot be classified to the above categories.

SIGNATURES

Signature of
Project Leader: / Date:
Signature of Project Professional Advisor: / Date:

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Version: 7 June 2017