Coordinate and Affiliate Organization Micro Grant Application Form

Coordinate & Affiliate Organization Micro Grant Application

"*" indicates required fields

Your Name*

First Last

Your Email Address*

Name of Coordinate or Affiliate Organization*

Your Role in Coordinate or Affiliate Organization*

Please list the highest ranking organizational officer if it is not you (Name and Email).

Activities & Budget

Please describe the project or program that this grant would support (150 Word Max)*

Please feel free to elaborate on the larger project if there is one. If this is a single project/program/event, please share how it fits into your organization’s goals.

Please describe how this furthers ASA's mission of encouraging the production and dissemination of knowledge about Africa (100 Word Max)*

What is the current status and/or timeline of this activity?*

Please include specific dates if you have them. Is it already under way, or just in the idea stage? Please be as specific as possible.

Who will administer this activity? (Please include contact information if different from the applicant and/or highest officer)*

How will ASA funds specifically be used?*

Please be as specific as possible. Please note that awardees may request to have ASA pay expenses directly under some circumstances (hotel nights, airfare, reimbursement, etc). Advanced understanding of where funds will be allocated will be helpful to the staff should your project receive funds.

If ASA funds will not cover the entire cost of the activity, how will other funds be solicited or provided?*

Please Note: All Awardees will be required to provide a brief write-up and photographs upon completion of the funded activity, including how the final funds were used. The update will become public in an ASA publication after internal review. By selecting this button, you agree to these terms should you be awarded a grant.*

I agree to the above stated terms.