SMALL GRANTS APPLICATION

The mission of Malaria Partners International (MPI) is to ignite an international Rotarian campaign to end malaria.

MPI’s Small Grants Program supports Rotary Clubs in malaria endemic regions to take direct action in controlling the spread of malaria in their communities.

Please note: Applicants must apply on behalf of Rotary Clubs, Rotaract Clubs or on behalf of a collaboration of Rotary Clubs (e.g., Rotary Malaria Coordinating Committee of Mali). If awarded, we provide up to $10,000 USD. Approved projects will receive up to $5,000 USD from MPI matched by up to $5,000 USD from a fund established by the Bill & Melinda Gates Foundation and administered by the Seattle Rotary Service Foundation. We expect Host Rotary entities to contribute financially to project budgets, as they are able.

Contact Details

Name of Host Rotary Club or names of Collaboration of Clubs(Required)

Rotary District(Required)

Name of primary contact for this application(Required)

First Last

Email of primary contact(Required)

Phone Number of primary contact

Have you received a grant from MPI in the past? If yes, please note the year and project.(Required)

Are you applying on behalf of a Rotary Club, a collaboration of Rotary Clubs, or a Rotaract Club?(Required)

Yes

Does this application address malaria control, prevention, and/or elimination?(Required)

Yes

Is your Rotary Club prepared to present evidence that it is a Club in good standing with Rotary International?(Required)

Yes

If your grant is approved, will your Host Club or collaboration of clubs, and all implementing partners, enter a combined, mutually agreeable MOU with Malaria Partners International, and open a separate bank account to manage these funds?(Required)

Yes

Please briefly describe previous Rotary project(s) that the host organization has been involved in.

If there is no previous experience, please write N/A.

Project Details

Name of Project(Required)

Country Where Project Is Located(Required)

Project Location (Please upload a country/regional map which highlights the location and nearest city or town of the project)(Required)

Accepted file types: jpg, gif, png, pdf, docx, Max. file size: 256 MB.

Grant Amount Requested (in USD)(Required)

Total Project Cost (in USD)(Required)

Is this grant request part of a larger request for a Global Grant?(Required)

Yes

If yes, what is the amount of the total project budget for the Global Grant?

Total Amount (local currency)

Total Amount (USD)

Estimated Project Start Date(Required)

MM slash DD slash YYYY

Please note: it may take several weeks/months to approve this project, so start dates should be estimates.

What is the estimated duration of your project? (days, weeks, or months)(Required)

Project Description

Please describe the community needs that this project will address:(Required)

Maximum Characters 2000

Please list the project objectives:(Required)

Maximum Characters 2000

Please describe the project activities, indicating who will accomplish each:(Required)

Maximum Characters 2000

How will the Host Club measure the success of the project objectives?(Required)

Maximum Characters: 2000

Please list any non-Rotarian organizations with whom the Host Club will partner with in implementing the project:(Required)

Please write N/A if you will not be partnering with any non-Rotary organizations.

How many people will benefit from the project directly?(Required)

How many people will benefit from the project indirectly (radio ads, signage, public presentation audiences, podcast listeners, etc)?(Required)

How will the impacts of your project be sustained over time?(Required)

Maximum Characters: 2000

Please describe how the proposed project will be publicized within your Rotary District, your community, your region, and/or more broadly?(Required)

Maximum Characters: 2000

Please describe how your Rotary Club will maintain an active role in this project now and in the future?(Required)

Maximum Characters: 2000

Project Funding Budget

Please provide all sources of funding for this project.

Host Rotary Club or collaborative organization(Required)

Total Amount (local currency)

Total Amount (USD)

Other Rotary Club(s), if any (e.g., international clubs)

Total Amount (local currency)

Total Amount (USD)

District Grant(s), if any

Total Amount (local currency)

Total Amount (USD)

Other Funding Sources

Total Amount (local currency)

Total Amount (USD)

List any In-Kind Contributions(Required)

If you have no in-kind contributions, please write N/A. Please note: the value of in-kind donations should not be added to the financial budget

*Please use the budget template here then upload it below before submitting your application.

Upload your budget template here:(Required)

Accepted file types: excel, docx, xlsx, pdf, Max. file size: 256 MB.

Please make sure your budget details the following: Expense Description; Quantity Unit Cost (local currency);Total Cost (local currency); and Total Cost (USD). Please do not add the value of in-kind donations to your project's financial budget. Please note: Adding source documents to verify costs strengthens the budget presentation.

Please upload any additional documents that support your application such as photos of exisiting conditions and of key location elements.

Drop files here or

Accepted file types: jpg, gif, png, pdf, excel, docx, Max. file size: 256 MB.

Please note: this is not required and will not impact the evaluation of your application one way or the other.

SMALL GRANTS APPLICATION

The mission of Malaria Partners International (MPI) is to ignite an international Rotarian campaign to end malaria.

MPI’s Small Grants Program supports Rotary Clubs in malaria endemic regions to take direct action in controlling the spread of malaria in their communities.

Contact Details

Project Details

Project Description

Project Funding Budget

*Please use the budget template here then upload it below before submitting your application.

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