For a copy of this page as a Microsoft Word document please see Project Request Instructions.

Institutions and individuals may make a request online or by mailing or emailing a copy of the Project Request Form as a Microsoft Word document to contact ANMF.

When working with the Microsoft Word document, to move from one question to another, use the Tab or Page Up and Page Down keys. The form may also be printed and filled out on paper.

The responses in the first two sections (Project Request Summary and Submitted By) should be brief. If you use the electronic form, your responses will be restricted automatically. The rest of the responses may be as long as you wish, although we urge you to be succinct. Answering electronically, the form will expand automatically to accommodate long answers. Answering on paper, please feel free to use additional sheets of paper, taking care to label your responses so it will be clear which question you are answering.

The America Nepal Medical Foundation is dedicated to maintaining a fair, open and transparent process of granting awards. For this reason, and in the spirit of sharing knowledge to promote the development of health care delivery in Nepal, our policy is to share as much information as is consistent with legitimate concerns for privacy. Please be advised that we will make available to the public the information included in the Project Summary section (Title, Location, Time Frame and Summary), whether or not your project is approved and supported by ANMF. Your submission of a proposal is construed as permission to do so.

All information in Bulletin Board Requests will be posted to the Bulletin Board and made public.

If your Fund Raising Project or Funded Project proposal is approved, we will make public, unless you specifically indicate that we may not, all of the information in your application. Your refusal to allow ANMF to make some or all of this information public may influence our decision whether or not to approve your project.

If your Fund Raising Project or Funded Project proposal is not approved, we will not make public, unless you specifically indicate that we may, the information in the section Submitted By (Institution, Mailing Address, Person to Contact, Email Address and Telephone numbers). We will make public, unless you specifically indicate that we may not, the information in the remaining sections of the application. Your refusal will not influence our decision whether or not to approve your project.

For further information contact ANMF.
 

Instructions for filling out the application form

Summary

Bulletin Board Request: Please check this box if you would like ANMF to consider your proposal as a Bulletin Board Request. This means, if your request will automatically be added to the ANMF Bulletin Board. You may submit your proposal as a Bulletin Board Request at the same time as submitting it as a Fund Raising Project and/or as a Funded Project.

Bulletin Board Requests are:

  • not reviewed by ANMF
  • generally not considered for funding by ANMF (unless also submitted as Funded Project proposals)
  • posted immediately to the Bulletin Board
  • fulfilled by donors who contact the requester directly and make arrangements for any transaction

  • removed after one year on the Bulletin Board, unless specifically renewed by the requester
  • removed from the Bulletin Board if adopted by ANMF as a Funded Project

If your Bulletin Board Request is fulfilled, even partially, we ask that you inform us so we can update the Bulletin Board.

Fund Raising Project: Please check this box if you would like ANMF to consider your project immediately as a Fund Raising Project. This means, if your project is approved by ANMF/Nepal, ANMF will promote your project in its outreach and fund raising efforts, but will not necessarily commit ANMF funds. You may submit your proposal as a Fund Raising Project at the same time as submitting it as a Bulletin Board Request and/or as a Funded Project.

A Fund Raising Project is one for which ANMF commits only to trying to raise funds (or to find equipment, personnel, etc.). ANMF will promote Fund Raising Projects in its outreach and fund raising efforts. All Fund Raising Projects must be approved by ANMF/Nepal. ANMF will process Fund Raising Project applications as they are received.

Fund Raising Projects are:

  • reviewed by ANMF/Nepal
  • generally not considered for funding by ANMF (unless also submitted as Funded Project proposals)
  • if approved by ANMF/Nepal, promoted by ANMF in its outreach and fund raising efforts

Funded Project: Please check this box if you would like ANMF to fund your project  (or provide equipment, personnel, etc.). This means your project will be considered for ANMF funding according to our annual proposal processing timetable (see Proposal Deadlines). You may submit your proposal as a Funded Project at the same time as submitting it as a Fund Raising Project and/or as a Bulletin Board Request.

Funded Projects are:

  • reviewed by ANMF/Nepal
  • if approved by ANMF/Nepal, reviewed by ANMF/America
  • if approved by ANMF/America, funded by ANMF
  • of three types:
    • Time-Critical Projects do not wait for the annual review and funding process. ANMF reserves funds to meet small, time-critical projects on an as-needed basis throughout the year. ANMF will strive to process them as quickly as possible. ANMF has a limited budget for time-critical projects. 
    • Normal Projects will be funded annually on a competitive basis. See the timeline for normal project proposals.  
    • Development Projects have a scope beyond ANMF's normal budget and require special resource development efforts. Even if you have a project that appears to be much larger than what we normally support, let us know what you need and we will see what we can do.

Time-Critical Project: Please check this option if you feel your Funded Project should not wait for the annual review and funding process. Funds will be reserved to meet small, time-critical projects on an as-needed basis throughout the year. ANMF will strive to process them as quickly as possible.

Normal Project: Please check this option for normal Funded Projects. Normal Projects will be funded annually on a competitive basis. 

Development Project: Please check this option if you feel your project has a scope beyond ANMF's normal budget and will require special resource development efforts. Development Projects will be processed as received and not according to our annual proposal processing timetable.

Title: Please enter the name by which you would like ANMF to refer to your project.

Location: Please enter the location or locations where your project will take place.

Time Frame: Please enter the time interval when you expect your project will take place.

Summary: Please enter a short (100 words or less) summary of your project here.

Total Funds Requested: Please enter the total funds requested of ANMF to provide for the material, training, advisors, travel, stipends and other assistance requested.
 

Submitted By

Person to Contact: Please enter the name of the contact person in the organization that will be responsible for the project.

Institution: If this request is to be considered only as a Bulletin Board Request, you may enter either the name of an individual or of an organization. If this request is to be considered as a Fund Raising Project or Funded Project, please enter the name of the organization that will be responsible for the project. ANMF makes grants only to institutions, not to individuals.

Mailing Address: Please enter the mailing address of the organization that will be responsible for the project.

Email address: Please enter the email address of the contact person in the organization that will be responsible for the project.
 

Items Requested

Material Requested: Please enter a description of the materials, equipment and other items that you are requesting.

Training Requested: Please enter a description of the training, education and advice that you are requesting.

Advisors/Instructors: Please enter a description of the trainers, educators, instructors and advisors that you are requesting.

Travel/Expenses: Please enter a description of the travel and living expenses for persons receiving or providing training or services that you are requesting.

Grants/Stipends: Please enter a description of the grants and stipends needed for persons taking part in this project.

Other: Please enter a description of any other assistance that you are requesting.
 

Description

Please fully describe your project. Your description may be as long as needed.
 

Budget

Please include a complete budget for your project, indicating clearly those items you are asking ANMF to fund. Please present all expenditures to be made in Nepal in Nepal rupees, not in U.S. $. 
 

Sustainability

ANMF is not able to provide ongoing funding for projects in Nepal. For a project that will persist beyond the time frame given in this proposal, please include how you envision the project will be sustained in the future.
 

Assessment

Please explain how you will assess the ongoing progress and final success of your project. Indicate what measures you will employ, how you will perform ongoing and final assessments, and how you will report results to ANMF.
 

Additional Information You Wish to Include

Please include any additional information you would like to bring to ANMF's attention in considering this project proposal.

 

March 27, 2009 10:05 AM 09