USAID Youth Excel Request for Concept Notes FY22-Youth Excel-Grant Competition-02

USAID Youth Excel: Our Knowledge Leading Change Program Grant Competition

Using ‘Research-to-Change’ (Implementation Research) to Strengthen Menstrual Health and Hygiene Management for Girl’s Education in Malawi and Zambia

Request for Concept Notes No. FY22-Youth Excel-Grant Competition-02

A. Key Information

Proposed Activity Title*

Proposed Activity Start Date*

Anticipated start date in July 2022.

Proposed Activity End Date*

Anticipated duration is 8 months with anticipated end date in February 2023.

Proposed Funding Amount in Local Currency*

Local Currency*

Proposed Funding Amount in US Dollar Equivalent* $

Funding may be requested in the range of USD $40,000 to $50,000.

Organization Legal Name*

Address*

Address Line 1

Address Line 2

City

Organization Country*

Malawi Zambia

Please select if your organization is locally based and registered in Malawi or Zambia.

Organization DUNS Number

Please provide DUNS Number if available.

Signatory Name *

Signatory Title *

Signatory Phone *

Signatory Email *

C. Past Performance

Please list 3-5 donor-funded projects of similar size and scope that demonstrate your organization’s capacity to successfully implement the proposed concept.

Project #1 (Required)

Project Name*

Project Number*

Donor*

Prime Recipient*

Please list the prime recipient organization that received funding directly from the donor. The prime recipient could be your organization or another organization if your organization was a sub-recipient.

Project Funding Amount (USD)* $

Please list the amount of funding in USD that your organization received for this project.

Project Start Date*

Project End Date*

Reference Name *

Please provide the name of a reference from the donor or prime recipient who can speak to your organization's performance on this project.

Reference Title *

Reference Email Address *

Reference Phone Number *

Project Description *

500 characters

Key Results and Accomplishments*

500 characters

Project #2 (Required)

Project Name*

Project Number*

Donor*

Prime Recipient*

Project Funding Amount (USD)* $

Please list the amount of funding in USD that your organization received for this project.

Project Start Date*

Project End Date*

Reference Name *

Please provide the name of a reference from the donor or prime recipient who can speak to your organization's performance on this project.

Reference Title *

Reference Email Address *

Reference Phone Number *

Project Description *

500 characters

Key Results and Accomplishments*

500 characters

Project #3 (Required)

Project Name*

Project Number*

Donor*

Prime Recipient*

Project Funding Amount (USD)* $

Please list the amount of funding in USD that your organization received for this project.

Project Start Date*

Project End Date*

Reference Name *

Please provide the name of a reference from the donor or prime recipient who can speak to your organization's performance on this project.

Reference Title *

Reference Email Address *

Reference Phone Number *

Project Description *

500 characters

Key Results and Accomplishments*

500 characters

Would you like to add another project (optional)?*

Yes No

Project #4

Project Name*

Project Number*

Donor*

Prime Recipient*

Project Funding Amount (USD)* $

Please list the amount of funding in USD that your organization received for this project.

Project Start Date*

Project End Date*

Reference Name *

Please provide the name of a reference from the donor or prime recipient who can speak to your organization's performance on this project.

Reference Title *

Reference Email Address *

Reference Phone Number *

Project Description *

500 characters

Key Results and Accomplishments*

500 characters

Would you like to add another project (optional)?*

Yes No

Project #5 (Optional)

Project Name*

Project Number*

Donor*

Prime Recipient*

Project Funding Amount (USD)* $

Please list the amount of funding in USD that your organization received for this project.

Project Start Date*

Project End Date*

Reference Name *

Please provide the name of a reference from the donor or prime recipient who can speak to your organization's performance on this project.

Reference Title *

Reference Email Address *

Reference Phone Number *

Project Description *

500 characters

Key Results and Accomplishments*

500 characters

E. Attachments

Required: Please provide a letter of support from donor on the current activity to which you are proposing to add implementation research component using the template provided with this application. The purpose of the letter of support is to confirm that the current donor will permit Youth Excel to contribute funding for implementation research. Please do not provide reference letters from other donors; they will not be taken into account for concept note review. No File Chosen

File uploads may not work on some mobile devices.

Optional: please share up to three materials (up to 25 MB each; may be attachments in any format or or a link provided in a document) that demonstrate your organization’s commitment, impact, and learning related to menstrual health and hygiene management, girl’s education, and positive youth development. No File Chosen

File uploads may not work on some mobile devices.

Optional

File uploads may not work on some mobile devices.

Optional

File uploads may not work on some mobile devices.

Optional

Save and Resume Later

Progress

A. Key Information

B. Technical Questions

C. Past Performance

Project #1 (Required)

Project #2 (Required)

Project #3 (Required)

Project #4

Project #5 (Optional)

D. Certifications

E. Attachments