Spreadsheet: 381d101a-a90d-4a95-a620-8cc65cbb94d6
Sheet: Sheet1

PROPOSED PROJECT BUDGET AND JUSTIFICATION FORM | Unnamed: 1 | Unnamed: 2 | Unnamed: 3
Please provide in the non-shaded areas the cost of specific items (in whole US dollars) for your project depending on the Line Description rows. Use the “Requested from amfAR” column only if sole funding is being requested from the GMT Initiative. If you have secured additional funding from other sources, please use the “Other Funding for Project” column accordingly. Details of the specific items in your budget as well as any restricted funds from other donor organizations should be provided in the “Justification” column. Please delete the example if you need to use an extra row.  If more rows are needed they can be inserted.  The amount requested from amfAR may not exceed $20,000 USD. (See the instructions, the second tab below, for information about the budget categories. Guidance for developing a more detailed budget for the GMT Initiative project is available on request).  Budget and Justification Form must be submitted in English. Although not optimal, approximate translations generated by a web-based translation tools (e.g., Google translate) will be accepted.
Line Description | Requested from [NAME] | Other Funding for Project | Justification (be SPECIFIC and DETAILED)
A. Salaries and Fees to Support People  (including consultants)
For example: Project Coordinator | 1500 |  | For example: salary (half time) for 12 months ($125 per month) to recruit peer educators & create and manage the peer educator training program of the project ($125 x 12 = $1,500)
For example: Monitoring and Evaluation Consultant | 800 |  | For example: salary (full time) for 1 month (totaling $800) to assist in M&E activities and report
Subtotals | 2300 | 0
B. Stipends and/or Other Incentives for Volunteers
For example: $10 mobile phone vouchers |  | 200 | For example: 5 peer educators receive a mobile phone voucher for each peer education program they complete; 4 peer education programs are planned ($10 x 5 x 4 = $200)
Subtotals | 0 | 200
C. Project Related Materials/Supplies (including supplies for HIV prevention, treatment, etc. see instructions on next tab for more information)
For example: IEC materials | 500 | 500 | For example: design & produce 5 different pamphlets for distribution ($100 x 5 = $500); printing cost of 5,000 pamphlets ($500) to be donated by local print shop ($.10 x 5,000)
For example: clipboards for outreach note taking | 50 |  | 10 clipboards @ $5 each = $50
Subtotals | 550 | 500
D. Equipment (such as telephone, fax, computer, or printer)
For example: cell phone rental | 1800 |  | For example: 1 cell phone per outreach group (3 groups total) to communicate with the project coordinator & the other outreach groups, $100 per month for a total of 6 months ($100 x 3 x 6 = $1,800)
Subtotals | 1800 | 0
E. Venue Rental and Supplies for Trainings/Meetings/Workshops etc. and Related Costs (see instructions on next tab for more information)
For example: coffee/tea and snacks for training | 250 |  | For example: 5 peer trainings to be held every other month for 10 peer educator per training at $5 per peer educator ($5 x 10 x 5 = $250)
Subtotals | 250 | 0
F. Local Travel
For example: transportation stipend |  | 1000 | For example: $10 local transportation stipend per peer educator (10 total) for 10 months ($10 x 10 x 10 = $1,000). This cost will be covered by our organization.
Subtotals | 0 | 1000
[NAME] and Related Costs
[NAME] and Other Direct Costs
For example: Organizational Strategic Planning Session with board | 100 | 100 | For example:  $100 will be set aside to defer costs associated with a strategic planning session for the organization (board, staff, and volunteers)
Subtotals | 100 | 100
I. Fees, Insurance and Taxes (include any fee or payment to a "sponsor organization" if applicable) | 150 |  | For example:  annual audit fee = $150
J. Total Request from each source (up to $20,000 from [NAME]) | 5150 | 1800
K. Total Project Budget | 6950