RAM-Global Grant Application

Instructions: The Applicant must be a registered member of RAM-Global. If this funding is to contribute to a Rotary Global Grant, please provide details of the GG (number, when submitted, approval status, copy of Grant application).

You will have the opportunity to save this form and finish it at another time. Please make sure you enter your email address correctly, as that is where you will receive the edit link as well as how the RAM-Global team will communicate with you.

Project Title *

Project Location and Country *

Applicant Name *

First Name Last Name

This grant request is for: *

Grant request amount in USD$

Attach the letter of support from your Rotary/Rotaract Club *

Is this grant part of a larger project? *

No Yes

Total Project Budget (in USD$) *

The overall project aims to: *

Is this funding contributing to a Rotary Global Grant? *

No Yes

Global Grant Number *

Global Grant Submission Date *

Global Grant Application Status *

Rotary Global Grant Application *

Project Rationales *

In this section, please include any relevant information to support your application for funding.

Project Goals *

Please state the number of direct project beneficiaries and the outcomes for those beneficiaries

Project Objectives *

Please include number of direct beneficiaries in each of your objectives.

How would you describe your project? Does your project fall into one of these categories? *

Community/Organization needs assessment for malaria control/elimination/prevention of re-establishment that will precede a Global Grant Malaria Pilot Project Malaria Information/Education/Communication (IEC) project Involves Malaria Community Health Care Workers Malaria adjunct to existing Rotary Global Grant Involves working with other Rotary Action Groups (RAGS) Other

Explain *

Project Partners *

Please list each partner and roles and responsibilities in the Project (i.e. "in-kind contributions)

Your Project Budget

Please attach a project budget. An example is shown below.

Project Budget *

Your Project Timeline

Please attach a project timeline. An example is shown below.

Project Timeline *

Project Start Date *

Date

Project End Date *

Date

End date cannot be before start date.

Project acknowledgement to RAM-Global *

I understand that acceptance of this grant means that the RAM-Global must be acknowledged as a contributor to the project and the Ram-Global logo must be included on all information, education and communication materials (posters, banners, t-shirts, flyers, etc.)

Help us make your project famous in the Rotary world
RAM-G would like to tell the story of your project on our website, at Rotary Conventions and in newsletters. Photos are an important part of this work. RAM-G requires a Consent form in order to use your photos.

Any photos submitted for project updates or as part of the final report may be used in our marketing materials to highlight the work of our grant recipients, share impact stories and further our mission to eradicate malaria. You will need to send us a photo release along with your photos. Download the photo release.

By accepting this grant, you agree to submit a final report to RAM-Global within 6 weeks of the completion of you project

I agree to the terms and conditions of this grant. All information included here is true to the best of my knowledge.

Clear

RAM-Global Small Grant Application