ICR Policy 9: Block Grant Request Form

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Related Documents under Category: Policy for ICRE → Procedures & Guidelines to Implement Guidelines for a Working Relationship

ELC-PNG PARTNERS FORUM
BLOCK GRANT REQUEST FOR ________
  1. NAME OF BLOCK GRANT
  2. TOTAL REQUEST
  3. SUMMARY OF ALL SECTIONS/DIVISIONS AND THE SEGMENTS OF EACH
  4. PERSON WHO WILL SUPERVISE AND AUTHORIZE PAYMENTS FROM THE BLOCK GRANT?
  5. PERSON WHO WILL MAINTAIN RECORDS AND DO BOOKKEEPING FOR THE BLOCK GRANT ACCOUNT?
  6. CHURCH ENDORSEMENT (BOARD RESOLUTION AND/OR COMMITTEE RESOLUTIONS)
  7. SECTION AND/OR DIVISION REQUESTS
    1. PERSON RESPONSIBLE FOR THIS SECTION TO
      1. AUTHORISE REQUESTS
      2. GIVE REPORTS
    2. SEGMENTS OF EACH SECTION GIVE
      1. DESCRIPTIVE TITLE
      2. PERSON RESPONSIBLE FOR PREPARING THIS SEGMENT AND TO GIVE REPORT
      3. SHORT, PRECISE DESCRIPTION OF THE IMPLEMENTATION PLAN AND THE MEASURES TO BE TAKEN
      4. EXPECTED OUTCOME
      5. DO YOU COUNT ON VOLUNTARY WORK OR FREE SERVICES FOR THE PLANNING OR IMPLEMENTATION OF THE PROJECT? IF SO, PLEASE EXPLAIN.
      6. IF IT IS FREE LABOUR OR LOCAL MATERIAL, HAS IT BEEN FULLY DISCUSSED WITH THOSE WHO SHALL BRING IT IN?
      7. DETAILED BUDGET
      8. ELC-PNG COMPONENT AND LOPC COMPONENT
      (THIS INFORMATION MUST GIVE ENOUGH DETAIL THAT WHEN REQUESTS ARE MADE TO THE PROJECT OFFICE THEY WILL BE ABLE TO IDENTIFY THE PROGRAM AND SEE THAT YOUR REQUEST WAS APPROVED IN THE BLOCK GRANT.)

SIGNATURE & DATE

Revisions

Project Office
6 February 2002

ELC-PNG Partners Forum
13 September 2004

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