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Micah Network Short Proposal Template Section A Basic Information (Please let Supporting Partner know if changes occur in the information below during the project) The project title: Name of the Implementing Partner requesting funding: Description of the project: what are you planning to do why does it need to be done where will it be, who will benefit Maximum 200 words Name and role of head of Implementing Partner: Name and role of person managing this project: Address: Telephone: Landline Mobile Fax: E-mail: Website: Legal status of Implementing Partner/Registration number: Name of local partners of the Micah Network Proposal Template – Short (Version date: September 2014) Page 1 of 24

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Micah Network Short Proposal Template

Section A Basic Information(Please let Supporting Partner know if changes occur in the information below during the project)

The project title:

Name of the Implementing Partner requesting funding:

Description of the project:● what are you planning to do● why does it need to be done● where will it be,● who will benefit

Maximum 200 words

Name and role of head of Implementing Partner:

Name and role of person managing this project:

Address:

Telephone:Landline Mobile

Fax:

E-mail:

Website:

Legal status of Implementing Partner/Registration number:

Name of local partners of the Implementing Partner involved in this project:

Timing of Project:Start Date End Date

Duration of Project:

Location of project area (district, town, region, country):

Date the proposal was written (or date of latest revision)

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Section B Financial Summary(State currency and ensure to include all who are contributing financially)

The amount that you are requesting from the Supporting Partner, with details of other contributions as set out in the table below.

Activity Year Year 1 Year 2 Year 3Supporting PartnerSecond Supporting Partner: (state name)(if applicable / add further lines if needed)Local and other income

Total

Section C Problems / Issues to be Addressed (maximum one page)(Briefly outline what the project is seeking to impact / transform using the questions below as a guide)

● What specific problem(s) and opportunity(s) will the project address?● How have you identified this need? eg Through previous experience, needs assessments, surveys, requests

from communities etc.● What are the root causes of the problem(s), such as underlying policies and practices? What do you hope to

change with this project? ● Why have you chosen to do this? Why has the community chosen you to do this and what is their response

to the proposed project?● In what way will the community be different if the project is successful? ● What role will the local church have in this project?

Section D Project Overview (Consider the short, medium and longer term changes you hope to see and how you plan to get there)

● What specific long term change will you bring about through this project? ● What steps do you need to take to bring about that change?● What are the main activities you need to carry out for each step?● How will you try to ensure that the changes you bring about continue after the project has ended?● How do you see the overall well-being of the community and their environment being affected by this

project?● Does this project fit within a larger program? If so, what program, and how does it contribute to the wider

program aims?● How will relationships with other stakeholders change as a result of this project (including with government

decision-makers if advocacy is going to be done)?● How will you monitor and measure the progress of the project against your stated targets?● Have you collected baseline data against which you can measure change? If not, will this be a part of the

initial phase of the project?

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Section E Project Participants(Consider the people involved in this project and the impact on their lives)

● Who will benefit directly from the project?● Who will benefit indirectly from the project?● How will project participants be able to provide feedback to project staff and what mechanisms are in place

to respond to feedback?● State the total number of people (those benefiting directly and indirectly) in each category and how you

obtained these numbers.

CategoryNumber of people

PercentageDirect Indirect

Men (over 18 years old)

Women (over 18 years old)

Boys ( up to 18 years old)

Girls (up to 18 years old)

TOTAL

Section F Project Summary InformationPlease complete either Section F (i) Simplified Logical Framework or Section F (ii) Project Plan Summary. (Examples are attached in Annexes 1 and 2)

EITHER (i) Simplified Logical Framework Indicators need to be SMART:● Specific – What will you do and with who?● Measurable – how will you measure progress towards the objectives?● Attainable – need to be realistic● Relevant – objectives need to make a difference and be important to the people involved● Time bound – when do you hope to achieve the objective?

Objectives Indicators

Goal

Purpose(s)

Outputs

Activities

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OR (ii) Project Plan SummaryThis section asks you to summarise what you will do over the life of the project (up to a maximum of three years).

Part 1 asks you to describe the overall hope or goal for the project/church/community and then to describe in general terms the activities you plan to do and how they will contribute to that goal. The activities you list in Part 1 will summarise what you plan to do over the life of the project.

Part 2 asks for the numbers of people you think will be involved in different parts of the project.

Part 3 asks about how you will keep track of the changes taking place as a result of the activities you are doing.

Part 1 In a few sentences, describe what you believe the situation will be like for people or church or communities at the end of this project. Where possible please consider political, economic, social and environmental changes.

These are the 2 - 4 specific LONG TERM changes the project will aim to achieve, over the course of the project:

These groups of activities will be done over the life of the project to achieve this change:

These are the signs of transformation that will indicate if this change has been achieved:

1. ● ● ● ●

2. ●● ● ●

3. ●● ● ●

Use another row if you need. Normally a project will not focus on more than five main changes.

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Part 2Using the changes in the first column from your table above, how many people and groups do you think will participate in each “change” you have listed in the life of the project?

Long TermChange Men Women Children Older

PeoplePeople w/Disabilities Minorities Others

1.

2.

3.

(Men / Women: 19 -69 years; Children under 18 years; Older People: over 70 years; Others – state group tracked)

Part 3Again, using the changes listed in the first column from your table, describe what you will do on a regular basis to check whether progress is being made towards each of the changes you believe will happen.

Long Term Change How we will keep track of progress towards change:1.

2.

3. Use another row if you need

What will you do with the information when it is collected and how will this information be used to help in continuing to plan the project activities?

Section G Project BudgetsPlease complete the separate Excel spreadsheet entitled Micah Network Financial Proposal Template

You will need to provide a detailed budget for the first year and an estimate of budgets for later years; you will normally provide budgets and annual plans at the start of each project year.

Section H Bank Details*** Section H of this form is not used by Tearfund ***

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Tearfund’s Additional Requirements

Section Summary

Section CompletedYes / No

I – The Local Church

J – Project Safeguarding Risk Assessment

K – Method of Counting Beneficiaries

L – Quality Standards and Verification

Section I The Local ChurchLocal Church Mobilisation and Christian Witness:

Please estimate the number of new churches to be mobilised during each year of the project and hence the total for the life of the project.

Year Number

1

2

3

Total

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Section J Project Safeguarding Risk AssessmentMark in the yellow section if applicable to your project, and indicate mitigation measures in your particular context.(If you answer Yes to sections 1-7, or No to section 8-10 please complete the yellow sections as this explains how you will manage the risk to try and reduce or remove it).

Type of risk Description of risk Please answer Yes or

No

What mitigation measures will you put in place to reduce or eliminate this risk?

Who is responsible?

By when?

1. Vulnerable groups targeted by project

Are children and/or vulnerable adults the main beneficiaries of the project?

eg - ensure that all staff/volunteers are trained in their safeguarding responsibilities ,are vetted before appointment and adequately supervised

2. Weak state of safeguarding in area

Are local safeguarding law and culture very poor or weak?

Ensure that partners have robust safeguarding policies that reflects Tearfund’s safeguarding principles and good practice

Will the the project area be in an emergency situation and/or remote area which might affect local safeguarding procedures?

eg - Specific rules and procedures will be set up for accessing the camp to deliver the cash.

3. Access to carers

Are children or vulnerable adults temporarily away from their parents or carers to take part in project activities?

eg - ensure that parents/carers are kept fully informed of their children’s whereabouts and have access to them. The children must be fully supervised by at least two members of staff

Do project activities mean that children and/or vulnerable adults come into contact with risks such as environmental/health and safety hazards, armed conflicts?

Conduct a thorough health and safety of the premises/ environment and identify all risks and how to mitigate them prior to setting up project. Ensure that premises is sufficiently protected

4. Increasing level of Vulnerability

Does the project increase the vulnerability of children or vulnerable adults eg by affecting the power dynamics within the community.(eg by giving cash to child-headed households)?

5. Level of contact/access to children/ vulnerable adults and staff supervision

Do project activities require any of the following:● Overnight activities (eg staying

in camps, safe homes)● Transporting beneficiaries to

and from activities● One-to-one, physical contact

eg - Whenever possible a second person will be present in activities. Activities will be conducted in spaces where others can see

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and/or home visits (eg counselling, health services, hygiene home visits)?

Do project activities involve staff or representatives being by themselves with children or vulnerable adults, eg in a classroom or training, counselling, care or advice setting?

eg - apply the two rule principle so that staff are not left alone with children and there is at least two people present

6. Delivery of the project?

Is the project totally or partially run by volunteers and/or associates/contractors/ visitors?

eg - there should be at least 1 fully paid and vetted member of staff who is always present to supervise volunteers

7.

Confidentiality/ Data protection

Will children and/or vulnerable adults stories, videos or photographs be uploaded to the internet, used on social media or used to raise funds at any point?

eg - Consent forms will be used to take pictures or gather personal information. The information will be kept only accessible to the M&E Officer.When developing stories, personal information and location of beneficiaries will be protected.

8. Safe Recruitment issues

Are safe recruitment practices such as background checks and references followed during recruitment?

eg - ensure that all staff are appropriately vetted, DBS in UK, police checks/international criminal checks/references and cross checks before appointment

Have the representatives/ associates/contractors involved in the project signed the code of conduct of the organisation?

eg - Verification/triangulation of documentation during recruitment

9. Training gaps

Have representatives/ associates/contractors/drivers received safeguarding training to understand their duty of care towards children and vulnerable adults; their safeguarding responsibilities and Tearfund’s/partner incident reporting system?

eg - Ensure that all staff undertake TF’s safeguarding compliance training as part of their induction and that more practically focused training is organised for them and that staff are adequately supervised in their work

10.

Safeguarding Awareness

Do all children and vulnerable adults on the project and their carers understand their safeguarding rights?

Do all children and vulnerable adults on the project know about Tearfund’s/partner’s safeguarding reporting/complaints procedure? Do all children and vulnerable

Provide easy to understand child and beneficiary safeguarding policies and posters that explain safeguarding rights in relevant community languages. This should also explain how to report concerns and incidents to TF -ditto-

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adults on the project know who to report any safeguarding concerns or allegations?

-ditto-

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Section K Method of counting beneficiariesMethod: Beneficiary Numbers:Please estimate the total number of beneficiaries being served during each year of the project. (Column A)

Of those in A, how many are new to the project each year? (Column B)

Of those in B, how many have already been reported (since 2007) in other Tearfund supported projects? (Column C)

Hence determine for each year the number of new Tearfund beneficiaries. (Column D = column B – column C)

Project Year

Total being served each year

Number new to project each year

Previously reported elsewhere

New to Tearfund each year

A B C D = B-C1

2

3

Total

Of the total beneficiaries for all years of the project (total of column B), what percentage are:

Female and over 18 years %

Female and under 18 years %Male and over 18 years %Male and under 18 years %Total 100%

Beneficiaries by Sector:Please state the number of beneficiaries receiving assistance during the life of the project in each of the sectors in the table. It is recognised that the same person may be receiving benefits in more than one area so could be recorded more than once, and that the totals cannot be aggregated. Local level advocacy will often be connected with support in one of the other sectors.

HIVHealth and NutritionWater and SanitationBasic Education and LiteracyVulnerable childrenLivelihoods and ShelterEnvironmental Sustainability and Disaster Risk ReductionLocal level Advocacy(Others – please state)

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Section L Quality Standards VerificationThis form requires partners to briefly outline how the quality standards will be reflected in the project implementation. All of the eight Quality Standards are deemed non-negotiable so all questions below must be answered.

Brief Responses Only:

1. BehavioursHow are staff made familiar with the organisation's values, the types of unacceptable conduct (eg exploitation and abuse of children and vulnerable adults, fraud, bribery) and their disciplinary procedures? How will the communities be made aware of what constitutes unacceptable behaviour of staff?

2. Impartiality & Targeting

How are beneficiaries selected? How will communities be involved in beneficiary selection? Describe how this is based on need and on the most vulnerable people being reached.

3. AccountabilityHow are community groups participating in the planning of the project? Are staff openly sharing information about the project's aims and ensuring people can give feedback about its delivery? How will the communities be involved in the feedback mechanisms’ design?

4. GenderHow is the project being designed to take into account different roles and vulnerabilities of men and women and to prevent an increase in the vulnerability of women?How is the project being designed to promote inclusiveness of both men and women, and enhancing the safety of women and girls?

5. EmpowermentHow is the project being designed to engage all vulnerable groups, build their capacities and, at the very least, prevent their dependency on the support you are aiming to provide?

6. Resilience How is the project being designed to build up community capacity and address long-term vulnerability to disasters? How will the project ensure that it is not contributing to environmental degradation?

7. ProtectionHow is the project being designed to ensure safety, security and dignity of the communities and avoid unintended risks, including heightening tension or making people more vulnerable to physical harm?

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8. Technical QualityHow is the project design ensuring that the assistance provided is in line with communities’ preferences? How is the project design ensuring its outputs will be of a good technical standard and culturally appropriate?

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ANNEX 1 Glossaryactivities are the actual tasks to be done to achieve the desired outputs.

advocacy means speaking with and on behalf of the poor to address underlying causes of poverty, bring justice and support development through influencing the policies and practices of the powerful.

evaluation means an assessment carried out during, or after, the end of a project to show its impact.

goal means the wider development objective—the ultimate result toward which the project is contributing.

impact means long term sustainable changes—positive or negative, expected or unexpected which occur in the context in which the project operates.

Implementing Partner means the organisation applying for support under these Guidelines and who will be responsible for the direct implementation of project activities.

indicators (referred to as objectively verifiable indicators) are ways of measuring progress toward the goal. They are targets or standards to be met at every stage.

inputs means the resources needed to implement activities (eg staff, bricks, vehicles, teaching materials, food, money).

means of verification are methods for collecting the information (data) required to assess progress against indicators.

monitoring means a structured and continuous process of measuring progress towards objectives.

objectives is a general word used for desired changes or results; outputs are the short term immediate results arising from the project’s activities, outcomes the short-medium term changes and impact (or goal) the long term change.

outputs means the products or work targets needed to be done to achieve the project purposes or outcomes.

programs are planned, coordinated group of activities, procedures, etc., to achieve a particular goal.

projects are ‘stand alone’ activities aimed at a limited outcome. A number or series of such projects can be the components of a project.

participation is used to refer specifically to processes in which interested parties take an active part in planning and decision-making, implementation, learning and evaluation.

project participants are those people who are engaged with or participate in the project’s activities. Sometimes they are called beneficiaries. Those who benefit directly are those who are the primary recipients of, or participants in the benefits of the activities. Those who benefit indirectly are those people who receive benefits from the project through their relationship with participants or as a result of secondary outcomes that affect wider community members who are not immediately engaged with the project.

purposes means the specific change(s) that a project will contribute to the goal.

risk is the potential of unwanted events or consequences occurring. When these events or consequences do occur, they can result in reduced project effectiveness and impact on the lives of the beneficiaries.

stakeholder means a person, group or institution with an interest or concern in something, eg in a project, policy or initiative.

Supporting Partner means the organisation for which the proposal is being prepared, with a view to that organisation providing financial and other support for the project.

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ANNEX 2 Logical Framework ExampleObjectives Indicators

Goal Decreased incidence and impact of diarrhoeal disease

Mortality rate due to diarrhoeal disease reduced by 5% by end of Year 3Incidence of diarrhoeal disease in diocese reduced by 50% by end of Year 3

Purpose(s)Improved access to, and use of, safe water in diocese

All households accessing at least 15 litres water per person per day by end of Year 3Average distance of households to nearest safe water less than 500m by end of Year 3

Outputs1. Participatory management system set up for needs

identification, planning and monitoring

Diocese and community joint plans and budgets in place by end of Month 9At least 90% of WUCs raise local contributions by end of Year 1

2. Improved sources of safe waterAt least 90% improved or new sources of safe water established and in operation by end of Year 2

3. Raised community awareness of good hygiene practicesNumber of people washing hands after defecating increased to 75% of target population by end of Month 30

Activities1.1 Establish water user committees (WUCs)

30 WUCs established in five diocesan regions by end of Month 3Once established, WUC meetings held once per month

1.2 Provide training for WUC members in surveying, planning, monitoring and proposal writing

All WUC members trained by end of Month 5

1.3 Communities carry out baseline and monitoring surveys of water use and needs and submit proposals

All WUCs complete baseline surveys and submit proposals by Month 7

1.4 Hold Diocese, District Water Dept and WUC regional planning meetings

Agreement reached with Water Dept and all WUCs by end of Month 9

2.1 WUCs select Community Water Workers (CWWs) and agree incentives

Two CWWs selected by each community by end of Month 9

2.2 Train CWWs to dig and cover wells and to maintain and repair hand-pumps

All CWWs attend training by end of Year 1

2.3 Upgrade current wells and establish new wells

60 current wells deepened, covered and functioning at end of Month 2130 new wells established and in operation by end of Month 21

2.4 Arrange for District Water Dept to test water quality All sources tested before use

2.5 CWWs repair and maintain hand-pumps 97% of hand-pumps in diocese function at end of Year 2

3.1 Train existing Community Health Promoters to increase their knowledge of diarrhoeal disease and the need for good hygiene practice

Three CHPs per community attend training and score at least 90% in a post-training test by end of Year 1

3.2 CHPs train men, women and children in good hygiene practice

80% of community members trained by end of Year 2

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ANNEX 3 Project Plan Summary ExamplePart 1

At the end of this project, we can see the 40 schools in the district providing quality education to primary aged children. Teachers will want to turn up to teach and parents will want to send their boys and girls to school. Parents will also get involved in supporting teachers and the school facilities. Each school will have a well that is managed and maintained by local people. Local community leaders will be impressed with the improvement and will be willing to fund our school facilities application for local government support. Local government will be paying teachers’ salaries and school meals.

These are the specific changes the project will achieve:

We are going to do these sets of activities over the life of the project to achieve the change

What will indicate if the change has been achieved?

1. Each school in the district has 4 trained teachers providing quality teaching for children

● Provide 3 months of training to 160 teachers

● Distribute new course curriculum books to teachers

● Establish a teacher support network at all 40 schools

● Meet with local government officials to negotiate pay for teachers’ salaries.

120 trained teachers at the schools will share their knowledge with others, improving the overall level of education children are receiving.

2. Parents are cooperating together to support each of the 40 schools

● Form 40 Parent Committees (PCs), one at each of the schools.

● Provide training to the PCs in planning and simple budgeting

● Help develop links between the PCs and local community leaders, local government, and the teachers

40 Parent Committees will be meeting at least quarterly to discuss issues, make plans and advocate with local government to improve school facilities.

3. Children at the schools have access to clean water and their health has improved.

● Survey current water sources● Rehabilitate existing wells or drill

new wells where necessary● Form local water user groups and

provide maintenance training● Provide health and hygiene training

materials to local teachers● Baseline survey of existing hygiene

related illnesses and regular monitoring

Children at the 40 schools, and other community members, will be accessing clean drinking water and exercising good health and hygiene behaviours.The incidence of hygiene related illnesses will have decreased among the children attending the 40 schools.

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Part 2

Long TermChange

Men Women ChildrenOlder

PeoplePeople w/Disabilities

Minorities Others

1. Each school in the district has 4 trained teachers providing quality teaching for children and being paid salaries by local government

80 80 6400 25

2. Parents are cooperating together to support each of the 40 schools

240 240 65

3. Children at the schools have access to clean water and their health has improved.

120 120 6400 40 20

Part 3

Long Term Change How we will keep track of progress towards change:

1. Each school in the district has 4 trained teachers providing quality teaching for children and being paid salaries by local government

● Attendance records at teacher training workshops● Monitoring and follow up visits to teachers● Attendance registers for teachers and children at the schools● Student and parent feedback through PCs● Notes of meetings with local government officials about

teachers’ salaries

2. Parents are cooperating together to support each of the 40 schools

● Monitoring visits to Parent Committees (PCs) to assess and provide feedback to the groups

● Results from the PC self-assessment exercises and Participatory Impact Monitoring tool

● Feedback from teachers

3. Children at the schools have access to clean water and their health has improved.

● Health surveys and monitoring compared with baseline● KAP survey at end of the project● Periodic observation and monitoring of the wells and user

committees

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