Andean Outeach Program

**IMPORTANT GRANT INFO**

Grants for Spring 2008

Grant Levels:

Grant at $500 USD

Grants at $250 USD

Basic Requirements:

1. Applicant must be volunteering in Peru, Ecuador or Bolivia.

2. Applicant must volunteering for a minimum period of 5 weeks.

3. Applicant must be (or plan to be) volunteering with a local or international volunteer program and have a confirmed volunteer assignement.

Andean Outreach Program Volunteer Grant Application

Title:
First Name:
Last Name:
Email Address:
Country of Residence:
From which country do you hold a passport:
Passport Number:
City / Town :
Home Address:
Apartment Number:
Zip Code:
Date of Birth:format (mm/dd/yyyy) Example December 11, 1983 = (12/11/1983)
Phone Number:
Country that you are (will be) volunteering:
City or Village where you are (will be volunteering):
Program or group that you are (plan to) volunteer with:
Duration of your volunteer assignment:
What grant amount are you requesting:	$200 USD $300 USD $500 USD Other - Specify Below
To comply with Federal Anti-terrorists Guidelines, we are required to ask if this project will aide or involve terrosist activities. Please indicate below.	No, this project will not aide terrorist activities Yes, this project will aide terrorist activities
Please briefly describe your project:
Please describe your project's goals:
Please give us a description of your project's cost:
Please describe your plan of action and how you plan to accomplish these project goals:
Please indicate what deliverable or reports the AOP can expect during and after completion of your project (example - photos, updates, reports, testimonials):
Please tell us why this grant request should be considered above others: