Gender and Development (GAD) Grant Application Form

Date: Name: Sector: Site / Province: Project or Activity Theme: Amount Requested (Up to $50): Brief Description of Project or Activity: E-mail: Phone:

Timeline of Project (When do you plan to initiate and finish project):

Expected Outcomes:

Would you like assistance from GAD in the form of advice, resources, or facilitators during the implementation of your project? Budget: (Example budget for a demonstration organic garden project: $40 in seeds from Melo and $10 for roundtrip transportation costs from site to Las Tablas)

Have you applied for a GAD grant before? Have you been awarded a GAD grant before?

Yes or No Yes or No

Will you be able to submit a short 1-4 min video to GAD describing your project at the conclusion of your project?

Yes or No

Submit completed form to GAD by emailing a copy to

gadpanama@gmail.com