Lisle Mini-Grant Application Form 2006

Lisle Project Proposal Form
DIRECTIONS:  Please complete the information below which is relevant to your particular project.  If it 
is necessary to provide more information than the space available, please use attachments.  Please do 
not exceed 3 pages not including the budget materials. 
 
Lisle's purpose is stated as follows:  Lisle is committed to broadening global awareness and increasing 
appreciation of cultures through bringing together persons of diverse religious, cultural, sexual, 
political, and racial backgrounds, to interact, and to consider reflectively their experience. The 
Lisle is committed to providing an experiential education approach which emphasizes cooperative, 
democratic leadership, and participation.  Lisle supports experiences where program participants enhance 
their communication skills, discover greater tolerance for diverse ideas, and gain greater respect for 
all life. Conflict resolution, community building, and increased knowledge of self are common outcomes 
of programs supported by Lisle. Lisle seeks to support organizations and individuals which exemplify 
multicultural/multiracial decision-making, planning, and administration.
 
Contact Information:
1.  Project Title _________________________________________________________________
2.  Project Director ______________________________________________________________
3.  Address______________________________________________________________________
4.  City/State____________________________________________Zip____________________
5.  Country____________________________________________________________________
6.  Home Telephone (____) _________________ 7.  Work Telephone (___)________________
8.  e-mail address:___________________________________  9.  Fax #:(____)_____________
10.  Web site __________________________________________________________________
11.  Contact Person Information and short biography (if other than Project Director) ____________________________________________________________________________________________________________________________________________________________
12.  Lisle Mentor Information and short biography(if other than Project Director) ____________________________________________________________________________________________________________________________________________________________
	
13.  Personal or Organizational mission statement __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

14.  Proposal  Request (what are you asking of Lisle?) 		
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Project Description:

15.  Purpose of the Project ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

16.  Project Focus Population: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
17. Project  Population Size _______________________________________________________
18.  Project Duration: ____________________________________________________________ 

Goals and Objectives which will be achieved by the project: 			

19.  For the individuals participating in the project: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

20.  For the communities where the project is located:
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

21.  For you or the organization proposing this project: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Relationship to Lisle Goals and Purposes: 

22.  How does the project purpose relate to the goals and purposes of Lisle in terms of changes in 
behaviors, attitudes and understanding: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
23.  Activities planned to achieve the goals:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Summarize the timeline for activities and experiences:

24. Evaluation Design (How you intend to evaluate the project to provide evidence that your goals and 
objectives were achieved): __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 
25. Planned Follow -up Activities (How will participants be encouraged to become active community 
members?): ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

26. USE ATTACHED PAGE: Proposed Budget (include any other funding which has been committed, overhead as 
a total and a % of project.  Also indicate concretely how the funds will be used.  Provide a statement 
of the rationale for the need for Lisle support):

Applicant Signature: _____________________________________________
Date: ___________________________