1、1老牛基金会项目申请书(Lao-Niu Foundation Project Application)项 目 基 本 信 息(Basic Information of Project)项目名称(Name of Project) 实施周期(implementation cycle)项目地点 (Project location)项目预算 (Project Budget)申请资金Application for fund配套资金及来源 Matched fund and its resources启动情况 (Startup situation)（请描黑）(Please paint in black) 往
2、年已开展项目，申请资金扩大项目影响力The project has been launched in past years, applying fund to enlarge project impact 新设立项目，老牛基金会是唯一资助方 New project, Lao Niu Foundation is the only donor. 新设立项目，联合发起 New project, which is launched jointly. 公益领域Philanthropy Area环境保护 Environmental Protection 文化教育 Culture decision-maki
3、ng mechanism of significant event）姓 名Name学 历Education Background专 业 技 能 Professional Skill主 要 工 作 经 历 Main Working Experience在 项 目 中 负 责 工 作the responsible work in the project 2、 项目核心成员 Core Member of Project53、 第三方执行机构情况The Third Execution Party Information （200 字以内，如果是协议方直接执行，则此栏不用填写）In side 200 c
4、haracters, if project is executed by agreement party, please do not fill this item. 4、 外部资源支持 External resources to support （200 字以内 inside 200 characters）项目实施计划 Project Implementation Plan时间Time阶段目标 Stage Target活动 Activity成果Outcomes（短期、中期及长期 short-term, middle term and long-term）见证材料 Witness Materi
5、al拨付款节点 Payment Node6财务明细说明 Financial Details Instruction活动内容 Activity Content用途Usage单位 Unit单价 Unit price数量 Qty.说明Instruction金额Amount备注Remarks阶段目标 1 Stage Target 1阶段目标 2 Stage Target 2阶段目标 3 Stage Target 3活动费用小计 阶段目标 1+阶段目标 2+阶段目标 3=Stage target 1+Stage target 2+ Stage target3=7Subtotal cost of activity 管理费用 Management Cost 税金 Tax预算总额 Total Amount of Budget
