Prospect Research Request Form
If you see this don't fill out this input box.
General Information
First name:
Last name:
Email:
Phone number:
Department:
School:
Principal Investigator:
Project Information
Name of project:
Project duration:
Project summary:
Project goals:
State the need for your project. Explain why there is a need in our community/country/world for this project.
Is this project religious-focused; faith-based?
Yes
No
Project Purpose
Research
Education
Training
Other
Keywords to describe the project, to be used for the prospect research:
Geographic focus
Timeline
What is the timeline for the proposed project?
Is the project new or on going?
New
Ongoing
Outcomes
What outcomes do you anticipate at the end of the project?
What are the expected results of the project? If possible, include number of people being served.
How will the project be evaluated in terms of meeting stated goals and objective? Examples: surveys, assessments, metrics, etc.
Potential Funders
Have you already identified potential funders?
Yes
No
If answered yes, please list the potential, identified funders.
Financial
What is the total budget for the project?
What is the amount needed from a funder?
Project Budget Narrative- State in detail what you are requesting of the funder and explain in narrative form each part of the request
Explain how this program will be sustainable after the funding period ends.
