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Project Submission Form

By Anonymous - Posted on 10 July 2009

Please submit your project using this form.

Personal Information

Your Gender: *

Male

Female

Your name: *

This is as you want it to be associated with the project.

Name on your passport: *

This is needed to allow you to pick up the funds.

Your email address: *

Your Peace Corps address: *

Location of community where you live: *

Your telephone phone number: *

Your Skype name: *

Links to your website, blog, and/or Facebook, LinkedIn, Twitter, etc. accounts:

Your close of service date: *

Peace Corps Staff Contacts:

Please provide us with contact information for Peace Corps staff, such as AO, APCD(s), PTO, CD. Include name, title, and email address.

Project Information

Location of project : *

Example: Ban Huay Lue Luang, Muang District, Chiang Rai Province, Thailand

Description of project community: *

Description of project: *

You must include a complete description of the project. “I want to build a well.” is not sufficient. Please be sure your proposal contains answers to the following questions: Where specifically is the work being done? What technology is being used? What are the steps to be taken? Who will do the work? What are our funds to be used for? How is the community participating?

Community Organization: *

Name of community organization with which you are working.

Numbers of people affected by the project: *

Requested dollar amount: *

The maximum requested amount is $555. 10% of the requested amount will go to credit card charges and bank transfer fees. Thus, for example, if you request, and your project is approved for, $400, you will actually receive $360.

Assurances

Ready to Start: *

This project is ready to start, and will be completed within 1 month of funding.

Pictures: *

I will send you 3 pictures of the site and community right now. If one includes me, it is a group picture. (Pictures are sent by email to mail@appropriateprojects.com)

Authorization: *

Appropriate Projects and Water Charity are authorized to use my descriptions and pictures to raise funds for the project. The pictures are mine, and I have a right to publish them.

Final Report: *

When I'm done, I will submit a final report by email to mail@appropriateprojects.com describing the scope of the project, how the work progressed, and the end result. If there were any reactions or quotes from the community, I will relay those as well. Finally, I will send you at least 3 pictures relating to the completion of the project.

Project Submission Form

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Project Submission Form

AP Projects by Country

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Visit Water Charity

Project Status

FUNDS NEEDED

PARTNERS

Syndicate