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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) 往年
2、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 & Education 公益行
3、业推动 Philanthropic industrial promotion 救灾帮困及其他 Disaster Relief and Poverty Alleviation or others 项目参与方 (Project participant)项目概述 (Project overview)（100字以内）(Inside 100 characters)申 请 机 构 信 息 Application Organization Information机构名称 Organization Name机构成立时间 Established Date of Organization年 月 日 Date(yy
4、/mm/dd): 机构类别 Organization Category联系地址Contact Address机构网站Organization Website机构微信公众号Organization WeChat Public No. 能否出具公益事业捐赠统一票据 Whether the organization could provide unified donation bill of public welfare career 机构负责人Responsible person of organization 姓名Name：手机Cell phone：座机Phone：邮箱Email：项目负责人 R
5、esponsible person of project姓名Namer：手机Cell Phone：座机Phone：邮箱Email：机构简介、所获荣誉等（200字以内，机构法人登记证书、组织机构代码证及税务证作为附件提交）Organization introduction, and its honors etc. (In side 200 characters, please submit the Institution legal person registration certificate, organization code certificate and tax registratio
6、n certificate as the attached documents )列举一个自有品牌项目案例Please list a own brand project case项目需求分析 Project Requirements Analysis1、 问题产生原因 Cause of the problem2、项目使命 Project mission3、项目目标 Project Target 整体目标Overall Target：阶段目标 Stage Target：目标1 Target 1：目标2 Target 2：目标3 Target 3：目标4 Target 4：4、优势分析 Advan
7、tage Analysis5、劣势分析 Disadvantage Analysis 6、机遇分析 Opportunity Analysis7、风险分析及对策 Risk Analysis and Treatment项目执行条件 Project Execution Condition 1、 团队架构Team Structure（各方权责；重大事件决策机制Rights and obligation of each party; decision-making mechanism of significant event）2、 项目核心成员 Core Member of Project姓名Name学历
8、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 3、 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 characters, if project is executed by agreement party, please do not fill this item. 4、 外部资源支持
9、 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 Material拨付款节点 Payment Node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 Subtotal cost of activity 阶段目标1+阶段目标2+阶段目标3=Stage target 1+Stage target 2+ Stage target3=管理费用 Management Cost 税金 Tax预算总额 Total Amount of Budget 7
老牛会捐赠项目立项报告书-LaoNiuFoundation
