E-mail Amount requested & project timeline Timeline for your project: Amount requested From: __________________________ (dd/mm /yyyy) $____________________ To:___________________________ (dd/mm /yyyy) Please include a detail timeline stating the monthly activities. Please indicate the number of beneficiaries:______________ Information needed for evaluating your request. Please state the amount that the organization / institution will provide to at least double the amount requested to the Mexican Government /IME Becas Cantidad $______________ Information needed for evaluating your request. Other Fundings Presently, does your organization / institution receive other financial support for the development of the programs for which you are applying from IME-Becas? Yes _____ No _____ If so, how much does your organization / institution receives each year? $______________ How long will this funding last? _____________________________________ Include a three pages proposal with the following guidelines. Include all the documents requested. (See additional information). I hereby certify that all information contained in this application form is true. _________________________________ ____________________________________ Name Place and Date
E-mail Amount requested & project timeline Amount requested $____________________ Timeline for your project: From: __________________________ (dd/mm /yyyy) To:___________________________ (dd/mm /yyyy) Please include a detail timeline stating the monthly activities. Please indicate the number of beneficiaries:______________ Information needed for evaluating your request. Please state the amount that the organization / institution will provide to at least double the amount requested to the Mexican Government /IME Becas Cantidad $______________ Information needed for evaluating your request. Other Fundings Presently, does your organization / institution receive other financial support for the development of the programs for which you are applying from IME-Becas? Yes _____ No _____ If so, how much does your organization / institution receives each year? $______________ How long will this funding last? _____________________________________ Include a three pages proposal with the following guidelines. Include all the documents requested. (See additional information). I hereby certify that all information contained in this application form is true. _________________________________ ____________________________________ Name Place and Date