General Information Organisation Name * Location of Operations(insert country, province, district separate multiple locations with ; text box stretchable) *e.g. Laos, Luang Prabang, Pak Ou; Indonesia, Western Sumatra, Pariaman; Solok Nature of Projects(you may select more than 1) * Income Generation Community Participation & Capacity Building Water & Sanitation Conservation & Resource Management Healthcare Education Others Smallest Donation Accepted in USD * Funding Information Project Name (please create new forms for multiple projects) Project Synopsis(not more than 1,000 words, text box stretchable) insert text Stage of Project Proposal Pilot Running Others Duration Less than 1 year 1 to 3 years 3 to 5 years More than 5 years Region(insert country, province, district separate multiple locations with ; text box stretchable) e.g. Laos, Luang Prabang, Pak Ou; Indonesia, Western Sumatra, Pariaman; Solok Amount Requested in USD Customisabilty Yes No Accepts Volunteers Yes No Accepts GC's Representative(s) During Field Visits Yes No Contact Information Name * Designation (if applicable) Email Address * Contact Number Send me a copy. Please enter the following security code: ... Not readable? Change text.
