Humanitarian assistance Children Legal services Families Educational services (trainings, Women extracurricular activities) Youth / adolescents Health services (medical consultations, People / Children with physical / mental disabilities medical supplies, rehabilitation People with medical/health needs services) Elderly people Psychosocial services Beneficiaries / Legal offenders / people at risk Sector(s) (individual/group/family counselling) Target groups People addicted to drugs, alcohol or substances Inclusion and participation-oriented Refugees or displaced persons services (cultural / sport activities) Minorities / LGBT Community mobilization Media Advocacy and lobbying Community Employment/Entrepreneurship CSO/national or local government support Other _____________________ Other _________________ Name of Applicant: Project title: Coordinator / Lead applicant Co-beneficiary Affiliated entity Objectives: Role: Sub-contractor Other _____________________________ Total budget of the Budget of the Target region(s) / Donor(s) to the Action Partner organization(s) Dates (from..to) Action Applicant community(ies) (name(s)) (if any) dd/mm/yyyy (EUR) (EUR)
Sector(s) Humanitarian assistance Legal services Educational services (trainings, extracurricular activities) Health services (medical consultations, medical supplies, rehabilitation services) Psychosocial services (individual/group/family counselling) Inclusion and participation-oriented services (cultural / sport activities) Community mobilization Advocacy and lobbying Employment/Entrepreneurship support Other _________________ Beneficiaries / Target groups Children Families Women Youth / adolescents People / Children with physical / mental disabilities People with medical/health needs Elderly people Legal offenders / people at risk People addicted to drugs, alcohol or substances Refugees or displaced persons Minorities / LGBT Media Community CSO/national or local government Other _____________________ Name of Applicant: Project title: Objectives: Role: Coordinator / Lead applicant Co-beneficiary Affiliated entity Sub-contractor Other _____________________________ Target region(s) / community(ies) Total budget of the Action (EUR) Budget of the Applicant (EUR) Donor(s) to the Action (name(s)) Partner organization(s) (if any) Dates (from..to) dd/mm/yyyy
625_SGP_Application-form%20ENG.docx