PROJECT PROPOSAL FORM

ACTIVITY TO BE CREDITED FOR TASTM

Title of Activity / Program

Proposed by:

Partners International Organization:

National Organization:

Local Organization:

Duration of Activity

Schedule

Budget (if any)

Goal

Objective 1.

2.

3.

4.

Sub-activities

Assisted by:

Assessed and Recommended by:

_______________________________________
MSEC Chairman

Approved by:

_______________________________________
Warden