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Entrepreneurship, Economic Development and Rule of Law
Profile Application Form

Attention! The applicant must fill in all fields of this application form marked with yellow color.

Please consider this application for the following competition(s):  

Entrepreneurship
Economic Development
Rule of Law

1. Organization Name:  
2. Organizations’ physical address
and mailing address, if different:
(Country, City, Post Code, Street Address)		  
3. Telephone:  
4. Fax  
5. E-mail:  
6. Contact Person:  
7. Type of the organization
(non-profit, for profit (commercial),
university, etc.): 		 
8. Tax identification number [for US-based organizations, enter Employer Identification Number (EIN), for organizations in other countries, insert equivalent code (ОГРН) or indicate N/A]  
9. Year established  
10. How long has your organization been legally registered?  
11. Overall mission of organization  
12. Please list 2-3 key activity areas of the organization:  
 
 
13. Annual operating budget  
14. Please list your organization’s past and current sources of major funding and amounts. Make sure to list the name of funder(s) and total amount of grant funds for the past 5 years:  
15. Describe your accomplishments in the strategic sector(s) that you selected (be as specific as possible):  
16. Name and overview of project  
17. What specific outcomes are to be achieved  
18. Project start and end dates  
19. Will any part of this project involve lobbying?  



20. Briefly describe activities that you would be interested in implementing within the project.
Please be sure that the activities are relevant to at least one of the three strategic sectors of the USRF Supporting Program. 		 
21. Budget for project  
Amount Requested:   $
Amount of Co-funding:   $
Total Cost of The Project:   $