Project Title:
Project Duration (Months):
Project Location:
Target Group(s):
(e.g., women farmers, youth, persons with disabilities, GBV survivors)
What bigger change will your project contribute to (beyond the project period)?
Example:
“Reduced gender-based violence in X community.”
Your Impact Statement:
What change will happen during your project period (1–2 years)?
Example:
“More survivors of GBV access support services.”
Your Outcome Statement:
List up to 4 key results your project will deliver.
Example:
List the main activities you will carry out.
You do NOT need to describe every small detail.
Example:
Your Activities:
What could prevent your project from succeeding?
Example:
Risk 1:
How will you reduce this risk?
Risk 2:
How will you reduce this risk?
How will the benefits of your project continue after HoM funding ends?
Examples:
Your Response:
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