[Embassy Tel Aviv MEPI SMALL GRANTS PROPOSAL Template, FY
2006]{.underline}

**For information on the State Department's Middle East Partnership
Initiative and the latest "Current Opportunities," check the Department
MEPI website frequently!
[www.mepi.state.gov](http://www.mepi.state.gov/), or get to it via the
US Embassy website at www.israel.usembassy.gov**

**All draft MEPI small grant proposals for FY06 are due to US Embassy
Tel Aviv by March 6, 2006.**

**For questions regarding reform proposals affecting the Israeli Arab
sector (the exclusive focus of this MEPI small grants competition),
please read the attached instructions and call Deputy MEPI Coordinator
Roger Webb, 03 510 3823 or email <WebbRC@state.gov> and Manal Haddad
<haddadmm@state.gov>. Good luck!**

**Page One**

# Project Title:      

**Participating Organization(s) (Name and Full contact info):**

**Name and Title of Responsible Official(s) in Participating
Organization(s):**

**Period of Project (*note maximum is 12 months*):**

**Anticipated Project Award: (*note minimum 10,000, maximum 25,000*)**

**Embassy/Consulate Project Officer and contact info:**

**One paragraph Abstract of Project Activities:**

**(for Embassy use:) Date Approved by Ambassador:**

**(for Embassy use:) Name of Ambassador:**

**Pages 2-3 \-- Narrative Description of Project (*two-page MAXIMUM*).
Include:**

**Project Rationale from Country Perspective:**

**Contributions to MEPI Regional Objectives (i.e., *advancing regional
reform in one or more of the four pillars, see
[www.mepi.state.gov](http://www.mepi.state.gov/). Include:***

**Innovation in Idea or Approach :**

**Any related programs already operating in country (if yes, please
describe):**

**Main Results and potential impacts to be realized by the project:**

**Specific inputs to MEPI alumni network (*ie, how will
alumni/"graduates" of this project be organized to follow up with each
other and/or alumni of other projects in the region?)***

> **Summary of Implementer's Workplan (include major activities, target
> audiences):**

**Specific Deliverables:**

**Public Diplomacy elements and approach:**

**Program Evaluation Plan (include who, when, how):**

**Role of Embassy, if any, in Project implementation:**

**Page Four \-- Schedule of activities by timeline, performance
benchmarks and scheduled reporting (*during and at end of the project
period*).**

**Page Five -- Profile of Participating Organizations and bio data on
project leaders. Include:**

**Name of Participating Organization, full contact information,
officials responsible for program and financial administration of
project.**

**Brief History of Organization : (type of organization, when
established , size of membership, distribution
(local/national/international) of membership, mission of organization,
past and ongoing activities, annual budget and source of funds,
publications, etc.)**

**Biodata on project leader(s) and financial officer for the project:
DPOB, passport information, citizenship, education (institution, degree,
area of study); relevant experience, years with organization**

**Page Six**

### BUDGET SUMMARY

**(hint: *Call the US Embassy while your proposal is still in draft for
assistance on what types of expenses are allowable under this grant,
versus what types of expenses you should expect to cover with other
non-US government funds.)***

Name of Project, Participating Organization(s), Project Begin and End
Dates, Total Value of Award; Complete information on bank account,
banking institution, and financial officer of participating organization
to receive project monies

## Salaries and Benefits

Project Director (annual or hourly rate, percentage of time or total
hours spent on project, total direct cost, fringe rate and fringe if
relevant)

On Board Project Staff (Trainers, office support directly linked to
project)

Outside consultants to be paid through project(e.g. computer
specialists, trainers, accountants)

[Travel]{.underline}

In-country (please distinguish between (a) travel for project
implementers, and (b) travel expenses for participants invited to
programs (e.g. workshops) supported by the project. Include only
transportation and per diem costs.

[Equipment and Supplies:]{.underline}

[Contractual Services:]{.underline}

Include nonconsultant services, such as hiring of meeting rooms,
publication of training materials, workshop and research reports.

[Other Direct Charges:]{.underline}

[Fixed Administrative Overhead in lieu of direct costs (15 percent of
total direct costs):]{.underline}

[Cost sharing:]{.underline} A cost share of 20 percent of total project
costs is normally expected. This may be met by participating
organizations through contributions in-kind, by waiver or reduction of
fixed administrative overhead, or by other specific arrangements to be
specified.

[Total costs:]{.underline}