DEMOCRACY COMMISSION SMALL GRANTS

Public Affairs Office

U.S. Embassy Belgrade

APPLICATION FORM

The Application Must Be Submitted in English

Please type your answers

UNDER EACH QUESTION (not above)

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I. What THEME (from the website) does this project fall under:

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II. i. Name of the project:

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II. ii. Name of the organization (in English):

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II. iii. Name of the organization (in original language):

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II iv. Address:

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II. v. Phone and fax numbers; e-mail address:

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II. vi. Represented by (name, title of person who has signature authority):

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III. i. Background of the representative (please state the representative’s
title and background and attach CV of the people who will be engaged in
the project):

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III. ii. Background on the organization (please attach a copy of the
registration papers):

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IV. Any previous U.S. Government funding (include Dem Com, USAID or
NED funding):

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V. Project dates (you can list approximate dates):

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VI. Amount requested (in US$):

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VII. Executive paragraph (5-10 sentences to describe project):

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VIII. Project purpose (what goals will be achieved and how the results will
be determined or measured):

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IX. Project Justification (please describe the need or problems the project
will solve and the target groups):

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X. Project Sustainability:

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XI. Detailed description of the project and project activities:

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XII. Detailed budget (use extra sheets if necessary and give narrative
explanation):

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XIII. How will you meet the program and financial reporting requirements
(e.g., who will prepare the financial report?):

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XIV. Other sources of support for this project (including the applicant
organization):

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XV. Other organizations you applied to with the same project and status
of your application:

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Name of Applicant

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City, date
Signature of
Applicant