Revised application format for approved proposals

May 17, 2010

Peace Summit phase II Funds Reporting, Monitoring and Evaluation FORM

 Group / project name……………………………………………………………………

Location: ……………………………..Group Leader: …………………..……………

Group contact: ………………………………………………………………….…………

Group under which organization:……………………………………………….

Group Members:

  1.                                                                   6.
  2.                                                                   7.
  3.                                                                   8.
  4.                                                                   9.
  5.                                                                   10.
Goal
Objective (s)
Project start date: Project end date:
Activities Planned start date Planned end date cost
1.      
2.      
3.      
4.      
5.      
6.      

1. Project Design

Project Purpose (from the original proposal Form)

(1 sentence only, describing the expected change. The direct benefit the project will achieve resulting from the activities and results. (The reason for doing the project )

 

2. Achievement of Project Purpose

Purpose level indicators

(from original proposal)

Status before the project started

(from original proposal)

Outcome achieved at the end of the project Source of information (where you obtain the information or evidence)
1.      
2.      
3.      
4.      
5.      

 

Has the project purpose been achieved? If not, give reasons. Please state the sources of evidence
 

 

 

Have any external factors contributed to the achievement of the project purpose? Please describe.
 

 

 

Please describe any unplanned outcomes?
 

 

 Outputs

Outputs (from original proposal) Indicator of success

(from original proposal)

Result at the end of the project.
1.    
2.    
3.    
4.    
5.    

Project Activities

Were all activities completed? If not, give details
 

 Project Expenditure

Planned Total Cost   Variance

(difference between planned cost and actual cost)

   
   
Actual Total Cost    
   

 Sustainability

 What evidence do you have that the benefits of your project will be sustained? Please describe
 

 Key Lessons Learned

What were the three main lessons learned that could be applicable to running this type of project again elsewhere?
1.
2.
3.

 

Signed ………………………………………………………………………

Name ………………………………………………………………………

Position Held……………………………………………………………….

Implementing Organization/ Group Name……………………………………….

 Project coordination Comments

Please make an assessment of whether this is a fair and accurate report.  
Is there a key lesson the post has learnt from this project? Please describe.  
Following completion of the project what are the next steps? (E.g. Is an evaluation required or desirable? Will there be a follow on project?)  

 Signature…………………………………………………..

Name………………………………………………………..

Position……………………………………………………..

Post………………………………………………………….

 Date…………………………………………………………..

 Peace Summit peer review committee Comments

PRC Team comments