Draft Application Template

National Government –Local Government

Fund support for Solid Waste Management

A. BASIC PROJECT AND PROPONENT INFORMATION

I. Activity/project being applied for (please check appropriate box)

Solid waste collection equipments

Establishment of materials recovery facilities

Closure and rehabilitation of open or controlled disposal facility

Establishment of categorized sanitary landfills or any of its components

Alternative technology for residual waste management

II. Proponent

Proponent

Principal In charge

Position

Principal contact person

Telephone number

Fax number

Email address

Signature of Principal
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B. STATUS OF SOLID WASTE MANAGEMENT (USE ANOTHER SHEET IF

NECESSARY)

yes no Description
Segregation at source

Segregated collection

Materials recovery facilities

Disposal
Open dumpsite

Controlled dumpsite

Sanitary landfill

Residuals management through

alternative technology
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C. PROJECT DESCRIPTION

1. Project Background: (Describe the reasons for undertaking the proposed

project by providing brief but specific answers to the questions below. Please use
another sheet of paper if space is insufficient. )

a. What is the primary SWM problem being addressed by the Project?

b. What has been the previous work done by the proponent LGU in this
area?

c. Describe the main significance and benefit of the proposed project? ( if

possible quantify)

d. What are the expected direct or indirect benefits of the introduction of

the project?

e. Are there other related government or donor-funded SWM projects or

programs that will be supported by the Project?
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2. Implementing Organization. (Describe briefly the Key information about the

city/municipality which may include the following: Location of the city/municipality
including map indicating locations of barangays, as well as residential, commercial, and
industrial centers, and agricultural areas, Land area, Current population for each barangay,
indicating rural and urban areas, 10-yr projection of population, List of industries within the
city/municipality Land use map, in particular showing the urban and rural land use
classification, Major transportation routes and traffic conditions, geography, geology,
hydrology, soil and climate of the area or region

Also describe briefly the proponent organisation’s vision-mission-goals in relation

to improving SWM services in the area. This section should be consistent with
the 10 year SWM plan of the LGU. The proponent can include relevant
documents, i.e. Sanggunian resolution, executive-legislative agenda, or policy
statements.)

3. Project Objectives. (Identify at most 3 objectives of the Project)

4. Expected Results. (Describe the expected project outputs, development

benefits and impacts (institutional, gender, financial, environmental) of the
Project

5. Proposed Methodology and Approach (Provide a brief statement of how

the project will be conducted, sufficient to justify the indicative time and budget
estimates)
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a. Describe the project components including the technical and financial

design and analysis (if applicable).
b. Describe possible risks to achieving the planned outcomes, including
environmental risk and how they will be addressed.
c. Describe the monitoring and evaluation framework/ scheme.
d. Present the Project Implementation Plan / Scheme.

6. Project Management.(Provide a brief statement of how the project will be

managed)

a. Identify the number and members of the Proposed Project

Implementation Team and describe their tasks, functions and
responsibilities, status of assignment (full-time/part-time), status of
employment (regular/contracted);

Name Office/ Position Task/Assignment Status of Status of

department Assignment Employment

7. Community Participation (Describe the beneficiary group/ community, their

role in the project and the change impact the project will have on them)

8. Gender and Social Issues (Indicate how the project outcomes will affect
gender roles or be integrated into existing roles or its effect on existing
relationships/roles of men and women in the area)

9. Sustainability Plan/Mechanism
(Indicate how it is envisaged or expected that the outputs might be sustained at
the institutional level or by beneficiaries)
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D. INDICATIVE BUDGET

Attach the Project Indicative Budget, including the following:

a. Total Project Cost, Grant support, Counterpart

b. Grants and Counterpart Utilization Schedule

c. Tranche and Milestone Schedule (indicative implementation

schedule

d. Financial projections-cash flow, income statement relevant to the

project type
Draft Application Template