Small grant request – Fondation Mérieux

My request

0 - Eligible countries

* Required fields

Country of project implementation *

Has your organization previously received support from the Mérieux Foundation grant program? If so, you must specify in your application the link between the submitted project and the project that received support. *

Yes

1 - My organisation

* Required fields

Name and acronym of organization *

Legal status *

Year of creation *

Address *

Postal code

City *

Country *

Phone

Website *

Mission of the organization *

2 - Legal representative of the organization

First name *

Last name *

Function *

Email *

Phone

Is the organization's legal representative also the point of contact for this grant application? *

Yes

3 - Contact Person

My project

4 - General Information

5 - Context and justification of the project

6 - Project objectives

7 - Project beneficiaries

8 - Activities

9 - Expected changes and indicators

10 - Sustainability of the project

11 - Operational partners

12 - Budget and financial partners

13 - Documents to attach

Copy of the official statutes of the structure*

Copy of the registration declaration with the competent authorities of the country of intervention*

Activity report for the structure’s two previous years*

Budget and accounts for the previous financial year of the structure (certified by the competent authorities)* Certified by the competent authorities

Detailed project budget according to the following model: Download the file *

Any reference to financial and operational partners of the structure

Any useful document relating to the project

14 - Finalization