U.S.

EMBASSY GRANTS PROGRAM

APPLICATION FORMAT
Read carefully the instructions supplied with this document.
The applications that do not follow the guidelines and the instructions provided with this form will not be reviewed.
Citii cu atenie instruciunile pentru completarea acestui formular
Proiectele care nu vor urma instruciunile nu vor fi admise la concurs.

1. GENERAL INFORMATION:
1.1. Applicant Organization (skip to 1.2. if applying for individual grant)
a. Organization name (English): The municipal enterprise Apa-Canal of Ungheni

city____________________________
b. Organization name (Original Legal Name): ntreprinderea Municipal Ap-Canal din Ungheni
c. Website: https://apaungheni.wordpress.com/

d. Fiscal Code: 1002609000747

1.2. Applicant Information

a. Last Name: Scutaru

b. First Name: Petru

d. Street address: National,2

e. City: Ungheni

c. Title: Director
f. District: Ungheni

g. Tel: +37323623685 h. Mob: +37369035032 i. Fax: +37323623685 j. E-mail: petru_scutaru@mail.md

2. BACKGROUND OF ORGANIZATION OR INDIVIDUAL

2.1. Description

The Municipal enterprise "Apa-Canal" of Ungheni was founded in 2000, November 8, according to the
legislation of the Republic of Moldova as a municipal enterprise.
The main aim of the company is capturing, processing and drinking water, waste water cleaning, selling
material contract or numerar.
Services provided by the company are used by Ungheni population - 36 million inhabitants, budgetary
organizations, industry, small and medium business.
2.2. Past Grants (U.S. Embassy)

2.3. Past Grants (Other)

Rehabilitation and replacement of equipment systems of water supply and sewerage of 6 cities of Moldova
-Installing pumps leves I (Pumping station)
-The amount of grant: 35128 $/526488,0 MDL

Last Updated: 08/13/2014

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3. PROJECT DESCRIPTION:
3.1. Project information
a. Project Name: Protect water essence of life of all species on Earth! Campaign Information and

Awareness on water !
b. Duration (months): 6 c. Start date (mm/dd/yyyy): 4/1/2015
8/30/2015

d. End date (mm/dd/yyyy):

3.2. Executive summary:

Municipal Enterprise "Water Canal" Ungheni require the amount of $ 3,000 for the Implementation of a project
(implementation period of 5 months),through which we want to organize an information and awareness
campaign for residents.
Through which we want to organize an information and awareness campaign for residents
This proposed new campaign derives from an objective necessity, considering the fact that we find that our
consumers are misinformed in which also concerns the final product which we can delive-Drinking Water.
3.3. Project Justification:

Aim of the project proposed is an increase in the levels of target information to the public on measures for the
protection of the environment, focused on increasing awareness of special importance of water resources.
3.4. Project Goal and Objectives

O1: development of a receptive attitude to dealing with ecology through behavior modeling everyday the
residents of the city Ungheni and awareness measures necessary for the protection of the environment and
reduce the risk of pollution of the waters;
O2: An increase in the levels of education and information to pupils in schools city on the need to use
reasonable drinking water as well as to protect water sources;
O3: Informing the public with reference to steps taken of water until it reaches a final product and then
delivered to the consumer( started water);
3.5. Project Activities

3.6. Monitoring and evaluation

3.7. Key Personnel

3.8. Project Partners

3.9. Strengths and Innovation

3.10. Sustainability

Last Updated: 08/13/2014

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4. BUDGET:
4.1. Budget Summary
Category

Description/details

Personnel
Fringe Benefits
Travel
Equipment
Supplies
Contractual
Other Direct
Costs
Indirect Costs

Requested

$0.00
$0.00
$0.00
$0.00
$0.00
$0.00

$0.00

$0.00

Total
Requested:

Contributions

0.00

$0.00
$0.00

Project Total

4.2 Budget narrative

4.3 Miscellaneous

5. Certification:
By signing this application, I certify that the statements contained in this form are true, complete
and accurate to the best of my knowledge.
I am aware that any false statements or claims may disqualify my organization from receiving this
and any future awards.
I agree
By marking the checkbox below I certify that I have read and understood the instructions provided
with this form before filling out this document
I read and followed the instructions provided with this form
Authorized Representative: Please enter name here
Date:

PLEASE SUBMIT THIS DOCUMENT ELECTRONICALLY IN ORIGINAL .DOC FORMAT.

Last Updated: 08/13/2014

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