Global Humanitarian Fund Application

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Global Humanitarian Fund Application

Please complete the application below. GHF Funds are awarded quarterly in April, October and February each year.

* = required field

Applicant Information and Project Overview

Please complete the application below. Be aware that the approval process may take up to four weeks, please plan accordingly.

Proposal Submitted By: *

First

Last

Email Address *

Project and/or Travel Title *

Project/Trip is (select one) *

International

Domestic

Requested Amount *

MSOE Faculty Advisor *

First

Last

Faculty Advisor Email Address *

Project/Trip Overview (explain your overall project and how funds from the GHF will help) *

Primary Contact's Name *

First

Last

Date *

YYYY

Primary Contact's Chair/VP/Club Advisor Name *

First

Last

Date *

YYYY

Budgetary Requirements: Individual Costs

Preference will be given to funding MSOE faculty and student projects and/or trip expenses. Priority will be given to applicants that demonstrate a financial commitment to their projects by successful fundraising initiatives, and other funding sources.
In the spaces below, please note all estimated expenses, current amount funded and source* of that funding and the amount requested from GHF
*For funding source input F=fundraising initiatives, P=personal funds, O=other funding sources

Airfare and Fees *

Land Transportation (domestic and international) *

Entrance/Exit Fees *

Vaccinations/Medical Exam/First Aid Training *

Travel Insurance *

Visas *

Phone/Communication Fees *

Lodging *

Food *

Other (please explain) *

Budgetary Requirements: Project Costs

In the spaces below, please note estimated expenses, amount funded source* and amount requested from GHF
*For funding source input F=fundraising initiatives, P=personal funds, O=other funding sources

Materials *

In-country Coordination/NGO *

Local Skilled Labor *

Equipment Rental *

Local Unskilled Labor *

Professional Labor *

Total Costs

In the spaces below, please total individual and project costs listed in the Budgetary Requirements section.
*For funding source input F=fundraising initiatives, P=personal funds, O=other funding sources

Estimated Expenses: Totals from above (individual and project costs) *

Amount Funded: Totals from above (individual and project costs) *

Source: Totals from above (individual and project costs) *

Amount Requested from GHF: Totals from (individual and project costs) *

Amount Requested from GFH: Percent of project requested to be funded by GHF *

Fundraising

Please use the following text box to describe fundraising efforts that the organization has undertaken or plans to do for this project. Please be sure to note which sources, if any, are from MSOE.

Source *

Amount *

Travel Documents (only for international travel)

Applicants must attach documents from CDC and government travel websites when submitting this application. Applicants are required to check website again one week prior to travel for changes in travel safety status and inform the GHF Committee of changes in status.

Attach the “Safety and Security” section of the U.S. State Department’s travel information about your destination (http://travel.state.gov).

Attach the U.S. Centers for Disease Control and Prevention – “Health Information for Travelers” for your destination (http://wwwnc.cdc.gov/travel/). Please pay careful attention to the COVID-19 requirements for the country you will be traveling to (e.g., proof of vaccination or test requirements).

Attach Visa criteria for your destination country. If the country requires a Visa application prior to travel, proof of application acceptance must be shown prior to release of funds. NOTE: Please be aware of different requirements for international travelers.

Traveler List

Please use the entire space below to list all who will be traveling on the project and their role (e.g., faculty advisor, project mentor, project manager, etc.).

Name and Role *

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Milwaukee School of Engineering

Global Humanitarian Fund Application

Applicant Information and Project Overview

Budgetary Requirements: Individual Costs

Budgetary Requirements: Project Costs

Total Costs

Fundraising

Travel Documents (only for international travel)

Traveler List

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