Applicant TypeIndividual YouthYouth NGO / Group / InitiativePrefixMr.Mrs.Ms.Mx.MissDr.Prof.First Name *Middle Name *Last Name *Date of Birth *(DD/MM/YYYY)Brief Description of Group *Who are you? How long have you been working together? What is your mandate?Relevant Experience *Describe previous climate, community, or youth initiatives you have led or participated in.Project Title *Project Location / Governorate in Yemen *Where will this project be implemented?Thematic Pillar SelectionSelect the single pillar that best describes the primary focus of your proposal:Pillar 1 — Capacity Building & Leadership DevelopmentPillar 2 — Community-Based Climate InitiativesPillar 3 — Policy Advocacy & Movement BuildingProblem StatementWhat specific climate or community problem does your proposal address? Why is it a priority in your context? (2–4 sentences)Proposed Solution & Project SummaryIn 4–6 sentences, describe your proposed project: what you will do, how, who will benefit, and what change you expect to create.Project Activities & ApproachList the main activities in order. For each, briefly explain the methodology and who is responsible.Target BeneficiariesWho will directly benefit from this project? (e.g., rural youth, displaced families, school girls, farmers)Expected Outcomes & IndicatorsWhat will change as a result of your project? List 2–3 specific, measurable outcomes and how you will track them.Project Implementation TimelineBriefly outline key activities and milestones for each month of the implementation period (Sep 2026 – Mar 2027).September 2026Proposed Activities / MilestonesOctober 2026Proposed Activities / MilestonesNovember 2026Proposed Activities / MilestonesDecember 2026Proposed Activities / MilestonesJanuary 2027Proposed Activities / MilestonesFebruary 2027Proposed Activities / MilestonesMarch 2027Proposed Activities / MilestonesRisk Assessment & MitigationIdentify at least two potential risks to project implementation (e.g., security, access, weather, coordination) and describe your mitigation approach for each.List how you plan to spend the full $500 grant. All budget lines must be clearly justified. The total must equal exactly $500 USD.Budget Item / DescriptionQty / UnitAmount (USD)Justification / NotesDoes your proposal prioritize any of the following groups? (Select all that apply)Women & girlsDisplaced / refugee youthYouth with disabilitiesRural or remote communitiesYouth from conflict-affected areasOther (describe below)How does your proposal advance climate justice or equity?How will your project reach or benefit marginalized communities?How will the impact of your project continue after the grant ends?Could this project be replicated in other communities or governorates? Describe how.Applicant Certification & DeclarationBy submitting this proposal, the applicant(s) certify that: ▸ All information in this proposal is truthful, accurate, and complete. ▸ Grant funds will be used exclusively for the activities described in the proposal. ▸ Funds will NOT be used for lobbying, political campaigning, voter registration, or private benefit. ▸ I/we agree to comply with OFAC, anti-terrorism, and anti-bribery requirements in full. ▸ Projects involving children or vulnerable adults will include a safeguarding plan for AYSDN review. ▸ I/we will submit a final narrative report and financial accounting by March 15, 2027. ▸ Any unspent funds will be returned to AYSDN promptly upon project completion.Lead Applicant / Authorized SignatoryTitle / RoleOrganization / Group NameEmail AddressPhonePhone / WhatsApp (with country code)Date(DD / MM / YYYY)Governorate / Location in YemenSignatureConsent *Yes, I agree with the privacy policy and terms and conditions.Submit
