Pr439 d1735 Application Form With Signature 2

7/30/2019 Pr439 d1735 Application Form With Signature 2

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1International Fund for Cultural Diversity - Application Form for Programmes/Projects - 2012

Form n (to be completed by UNESCO)

1. Name of applicant:This entity will be responsible for implementing the project, including its financial management.

Ministerio de Cultura y Juventud de Costa Rica (MCJ).

2. Type of applicant:

The beneficiaries of the IFCD are developing and least-developed countries that are StateParties to the Convention. This applies to all types of applicants. See the Explanatory Note for acomplete list of eligible applicants. Please check only one of the below:

1For the purpose of the IFCD, institutional infrastructure should not be interpreted as physical construction or

restoration but rather as management, human resources, etc.

International Fund for Cultural Diversity (IFCD)

Application Form for Programmes/Projects

for Parties and NGOs

NB: International NGOs must fill out a separate form

The IFCD provides support for programmes/projects undertaken by applicants fromdeveloping countries that are Parties to the Convention. Proposals may be aimed atfacilitating the introduction of cultural policies, strengthening institutional infrastructure

1,

providing capacity building opportunities, fostering new cultural industries, protectingcultural expressions at risk.

APPLICATION PROCEDURE:Parties and national NGOs submit Applications both in original signed form and in digitalform (in .rtf, or .doc format) to their countrys National Commission for UNESCO or analternative official channel designated by the State Party. The National Commissions willreview the applications and submit up to four shortlisted ones (two from Parties and twofrom NGOs) to the UNESCO Secretariat.

APPLICATIONDEADLINES:

Applicants are to consult their National Commissions for UNESCO to find out about thedeadline for receipt of applications at the national level.

The deadline for the UNESCO Secretariat to receive funding applications from NationalCommissions is 30 June 2012, midnight CET.

Applications received after this deadline will not be eligible for evaluation.


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XX State PartyNGO

Please check below if the following applies to your entity/organization:

Represents vulnerable groups and other social groups (Article 7 of the 2005 Convention)

3. About the Applicant

Please note that the applicant will need to have a bank account registered in the name of the

organization if the project is approved.

3.1. Main mission and activities of applicant:

In the case of an NGO application, please provide its date of establishment, main activities, websiteand any other relevant information to show its direct relevance to the objectives of the Convention.

(Max. 400 words)

Mission

The Ministerio de Cultura y Juventudis the governing body of national policies in these areas, and

it is in charge of promoting and preserving the diversity and cultural diversity, as well as to

facilitate the participation of all social sectors in the processes of cultural and artistic

development, without regard to gender, ethnicity, and geographic location by opening up spaces

and opportunities that foster revitalization of traditions and cultural events, the enjoyment of

cultural goods and services and the creation and appreciation of art in its various manifestations.

Strategic Objectives of the Institution

1) To promote, preserve, and project all different cultural forms in every region and among

all different human groups that coexist within and outside of our territory. Thus, we will be

able to promote participatory model for development that will allow the communities to

enjoy the goods and the social, cultural, and artistic services.

2) To promote the creation of spaces, opportunities and mechanisms that will promote civil

participation. So, that all communities will be able to access and enjoy the goods and the

social, cultural, and artistic services to improve their quality of life.

3) To encourage the cultural and artistic promotion, as well as their different manifestations

at the country, regional, and community level to stimulate and support designers, artistic

groups, cultural organizations, and the community overall. As a result, all of these wouldbe encouraged to participate in the different management and cultural development

processes, as well as to revitalize and to promote values, traditions and cultural and

artistic manifestations that strengthen the national identity.

4) To recover, preserve, protect, and spread our historical and cultural heritages respect in

different fields: architectural, documentary, bibliographical, archeological, and intangible

heritage to strengthen our identity as a country.


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5) To create spaces and opportunities that increase the youths participation without regard

to gender to make them participate in the decision making and solution building processes

in an organized and compromised way, so that they can share their initiatives, requests,

and expectations.

6) To design and implement policies and actions addressed to develop the Sistema Nacional

de Bibliotecas (National Library Organization) turning them into entities of information

and communication able to promote and encourage reading by using new technologies

available, especially those peoples who have been historically excluded.

3.2. Name and position of key staff members directly employed by the applicant and workingon the programme/project:

Please list all key persons working on the proposed programme/project, their position in yourorganization and their main activities/areas of responsibility.

Anah Moyano Larrea, Advisor to the Ministers Office on International Relations and Coordinator ofthe Comisin de Cultura y Economa.Carmen Luisa Madrigal Girn, Advisor to the Ministers Office on Institutional Affairs, responsible forthe project "Caribbean Cultural Corridor," and Coordinator of the Unidad Tcnica-MCJfor theProyecto Limn Ciudad Puerto.

Alejandro Tosatti Franza, Vice-Minister Adviser's Office, experiencedproject developer focused onthe design of cultural identity.

Ana Lorena Herrera Loaiza, Head ofDepartamento de Cooperacin Internacionalof the Ministeriode Cultura y Juventud

4. Title of the program / project: Strengthening the Capacity of the Costa Rican Caribbean

Cultural Industry on Music, Gastronomy, and Craft/Design.

___________________________________________

5. Length of programme/project: This is a nine-month-and-a-half project, and it will be running

resources from March of 2013, as indicated.

Please note that programmes/projects must begin in March 2013 at the earliest. UNESCO cannotissue contracts for approved programmes/projects prior to this date.

6. Brief summary of the programme/project:

Please provide a brief summary description of the programme/project. A more detailed descriptionof activities and expected results is requested in sections 11 and 14 below.

(150 to 250 words)

Beginning date: 03/01/13 End date: 12/15/13


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The project has been designed to develop the skills of the cultural industry through a process of

training farmers and tradition holders from the Caribbean in three fields: music, craft/design, and

gastronomy.

It attempts to improve life quality for the people of this area which is known by the

resourcefulness of their cultural diversity. This improvement should acknowledge, make visible,and empower their identity by cherishing their products, which are their cultural expression.

The purpose is to develop and strengthen the skills of the beneficiaries through a process of three

components:

The first component aims to develop human cultural capital by improving their specific production

techniques to their process. This component will target 60 beneficiaries.

The second component aims to develop the product design, emphasizing on identity.

The third component will address the same beneficiaries of the previous component, and, at the

same time, it will aim to develop entrepreneurial skills of farmers (12 farmers in each group is

estimated).

For the organization of the project, it has been established to hire a support staff consisting of one

producer and two people responsible for formulating and ensuring that the conceptual framework

of the proposal is met.

7. Fields of activity of the IFCD addressed in the programme/project:

Please indicate which fields of activity of the IFCD are covered by the project (see paragraph 6.1 oftheGuidelines on the use of resources of the Fundadopted by the Conference of Parties in June2009). Check more than one box if necessary.

introducing cultural policies and/or strengthening the institutional infrastructure;

XX strengthening existing cultural industries or creating new ones.

8. Country context and justification of the programme/project

8.1. Please identify and explain the specific needs, priorities and challenges (economic, politicaland social aspects) faced by your community/city/region/country (depending on the scope ofyour project) in the field of culture, and indicate how your project is designed to respond to them

in a targeted and direct manner.

(Max. 400 words)

Context:

Limn province is the Caribbean area of our country. Limn is a sociocultural placecharacterized by its natural richness, a vast patrimony, and an afro Caribbean, indigenous,Chinese among its most distinctive cultural heritage.
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Puerto Limn, the capital of the province, is the most important port of the country, but thesurrounding communities face severe problems, which are reflected on the unemployment,poverty, and low social development indicators. All these trigger alcoholism, drug addiction,high school drop outs, in addition to the discrimination against this Caribbean region in anational context.

Without taking into consideration its ports and all the economic activity they bring to the

province, the fact that there is a different productive structure oriented towards traditionalactivities, considering the limited industrial development and the lack of productive sectors thatlimit the levels of investment, employment, and income that could benefit the region, reactivatethe economy, or improve the life quality of the population.

Justification:

Having to face these issues, the existence of sociocultural capital is an important strength of theregion, despite being underestimated, that has to be exploited on processes that lead to localdevelopment, which tends to strengthen the organizational base, the identity, and theentrepreneurial character of the farmers and tradition holders by strengthening the culturalindustries of the region.

The Calypso music, for example, is the less professional developed music expression in thecountry, in spite of being of great artistic quality. It is the less known and the worst paid. The

Caribbean food is not fully integrated on the national gastronomy, but it is considered to be anexotic dish. The local craft/design is poorly projected, and despite its beautiful naturalresources, it is hard to be set as a tourist destination mainly because of all the social prejudicesagainst the population of the area.

Having this in mind, this project has as main objective to promote the development of culturaland social capital on the population to improve the quality of life of the community through theprocess previously explained.

8.2. Please provide information about other actors working in your field of activity and

programmes/projects already started at the national and/or local level responding to the specificneeds, priorities and challenges previously described. Indicate whether and how these actorsand/or programmes/projects will be associated with your project, and what value your fundingrequest adds to the work that is already being carried out in your field.

(Max. 400 words)

In the Costa Rican Caribbean, efforts have been made by the Instituto Nacional de Aprendizaje

(INA, translated as National Training Institute), the Instituto Nacional de la Mujer(INAMU,

translated as the National Institute of Women), and the Ministerio de Economa, Industria y

Comercio (MEIC, translated as The Ministry of Economy, Industry, and Commerce ) towards the

formation of MSMEs, but these training efforts are not directed exclusively to the cultural sector,

so that their essential purpose is the generation of MSMEs or jobs, and not as envisaged ourproject, the preservation and dissemination of Caribbean cultural heritage.

In this regard, UNESCO-San Jos has identified the different cultural entrepreneurs of the

Caribbean region.

The MCJ has already worked withal of these entities in several ways; thus, there is fluid

communication to avoid rework.


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For this specific project, an ally with INA to develop the components regarding design and business

strengthening is being considered. In this way, the level of expertise will increase which will

generate more support for the main purpose of the project.

The MCJ is currently working with MEIC and the Municipality of Limn on Proyecto Limn Ciudad

Puerto, and it is working with UNESCO and community organizations on Proyecto Corredor CulturalCaribe. These two projects are closely related to this project and they could benefit from each

other.

The Ministerio de Cultura y Juventudwill be the entity developer and will work in several ways

with the entities previously mentioned.

9. Objectives:

Please describe the specific objectives of the programme/project (and not of the applicant). Theseshould be in accordance with the main objectives and priorities of the IFCD (see Explanatory Note).Please distinguish between your short term and longer term objectives.

Please indicate how these objectives contribute to the promotion of gender equality and/or youth inthe fields of activity of the IFCD.

(Max. 400 words)

General Objective

To strengthen the capacities of the cultural industry in craft/design, music and gastronomy from

the Costa Rican Caribbean through training farmers and tradition holders to promote their

organization, as well as the design, production, and marketing of their products and cultural

services, moving from acknowledging and empowering the socio cultural capital, which in turn,

preserves and safeguards the cultural heritage of the region.

To achieve this general objective three specific objectives have been proposed.

Specific Objectives

1. To teach three workshop courses that will allow the development of human cultural capital,

focusing on the intangible value of their products.

2. To teach three workshop courses that will allow the Caribbean farmer the development of their

products by improving the design of them.

3. To teach three workshop courses to develop skills and business skills in Caribbean farmers.

4. To establish the necessary organizational structure for project implementation.


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10. Beneficiaries:

Please specify which group(s) will directly and indirectly benefit from the implementation of yourproject and how.

(Max. 200 words)

Direct beneficiaries

Project will benefit 60 people directly, farmers in the region of the Costa Rican Caribbean.

The training process includes in its first stage 3 workshop courses (one for each specialty:

craft/design, gastronomy, or music) of 20 participants each, depending on the promotion of this

process. Three new groups will be formed on the next training stage, and this will also be made

with the third training stage (it is estimated that in the last two stages of training, there will be a

total of 12 students involved per course, i.e. 36 direct beneficiaries).

Indirect beneficiaries

The project's ultimate goal is to create conditions so that farmers could be able to establish

themselves as cultural enterprises. Thus, those who could be constituted as such will demand

products such as raw materials, equipment, and furnishings creating a positive linkage to these

providers and making them into indirect beneficiaries.

On the other hand, it is important to notice that, in general, the Costa Rican society will be an

indirect beneficiary of the project, and that it ensures the conservation of cultural heritage of

Costa Rican Caribbean food, music, and craft.

11. Main activities of the programme/project:

Please describe the proposed activities, the location(s) where they will be held and numberthem in the order in which they will take place. Information about activities to be undertaken toraise awareness of the programme/project in your country should also be included. You maywish to group the activities (research, workshops, publications, consultations, promotion, etc.)into distinct categories such as, but not limited to:

- capacity-building;

- mapping/inventorying;

- promoting exchange, interaction and network-building;

- awareness-raising and visibility.

Please make sure that each activity corresponds to the objectives, as described in section 9, tothe expected results, as described in section 14, and to the budget, as described in section 16.

(400to 800 words)


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OBJECTIVES ACTIVITIES LOCATION

1. To form a conceptual and

productive team that ensures the

implementation of the project in

the proposed conceptual

framework.

1.1 To validate the profile of staff to recruit

and to prepare terms of reference.San Jos, Costa

Rica

1.2 To make the recruitment process.

1.3 To conduct the staffs induction.

2. To teach a workshop course

that allows the development of

human cultural capital, focusing

on the intangible value of its

products.

2.1 To validate the workshops syllabus. Limn-San Jos

2.2 To prepare training materials for the

workshop.

San Jos

2.3 To flesh out the logistics to deliver the

workshop course.

Limn

2.4 To hire the workshop-course teachers. Limn-San Jos

2.5 To acquire food services for

participants of the training process.

Limn

2.6 To run the workshop course. Limn

3. To teach a workshop coursethat allows the Caribbean farmer

the development of their

products by improving the design

of it.

3.1 To validate workshop syllabus. Limn-San Jos

3.2 To prepare training materials for the San Jos


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12. Activities implementation schedule:

Please provide an implementation schedule for your activities in the table below, making sure tonote the beginning and end dates of all activities.

NB: As stated in section 5, programmes/projects cannot start earlier than March 2013.

Description of Activity Beginning

date

End date

workshop.


workshop course.

Limn




Limn


4. To teach a workshop course to

develop skills and business skills in

the Caribbean farmers.

4.1 To validate workshop syllabus. Limn-San Jos

4.2 To prepare training materials for the

workshop.

San Jos


workshop course.

Limn




Limn


4.7 To evaluate the formation process of

the three courses.

Limn


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1.1 To validate the profile of staff to

recruit and to prepare terms of

reference.

03/01/13 03/01/13

1.2 To make the recruitment

process. 03/01/13 03/15/13

1.3 To conduct the staffs induction.

03/18/13 03/20/13

2.1 To validate the workshops

syllabus.

03/18/13 03/20/13

2.2 To prepare training materials

for the workshop.

03/20/13 03/29/13

2.3 To flesh out the logistics todeliver the workshop course.

03/18/13 03/22/13

2.4 To hire the workshop-course

teachers.

03/18/13 03/29/13



03/18/13 03/29/13

2.6 To inaugurate the Process of

Formation

04/01/13 04/01/13

2.7 To run the workshop course. (3

hours / day, 2 times / week, total

96 hours)

04/01/13 06/28/13

3.1 To validate workshop syllabus. 06/03/13 06/07/13


for the workshop.

06/10/13 06/21/13

3.3 To flesh out the logistics to

deliver the workshop course.

06/03/13 06/07/13


teachers.

06/03/13 06/14/13



06/17/13 06/28/13


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DE72 hours)

07/01/13 09/27/13

4.1 To validate workshop syllabus. 07/22/13 07/26/13


for the workshop.

07/29/13 08/09/13

4.3 To flesh out the logistics to

deliver the workshop course.

07/22/13 07/26/13


teachers.

08/12/13 08/23/13



08/12/13 08/23/13



72 hours)

09/30/13 11/29/13

4.7 To evaluate the formation

process of the three courses.

11/25/13 11/29/13

13. Contractors, subcontractors, consultants and experts:

Please list the diverse contractors, subcontractors, consultants and/or experts who will participate inthe implementation of the activities of the proposed programme/project who are not employed byyour organization. Please indicate each persons specific field of competence, role(s) andresponsibility(ies), as well the reason(s) for which the applicant is calling upon their intervention. Allpaid interventions must be reflected in the budget.

Indicate whether: the contractor, subcontractor, consultant or expert field experience, role(s) and

responsibility(ies), reason(s), subcontractor, consultant or expert is being engaged

The Ministerio de Cultura y Juventudwill hire the expert personnel to undertake this project,

prioritizing the local human resources.

Indicate whether: contractor,

subcontractor, consultant or

expert

Field of expertise, role(s) and

responsibility(ies)

Reason contractor,

subcontractor, consultant

or expert is being engaged


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14. Expected results:

Please use the table below to clearly indicate the expected results of your programme/projectand indicate how you will know whether such results have been achieved. The expected resultsshould be concrete and measurable and will serve as the base for the evaluation of theprogramme/project after its completion. The results should be correlated with the objectives,activities and budget, described in sections 9, 11 and 16 respectively, including those thatpursue the promotion of gender equality. The number of expected results must match thenumber of activities listed under section 12.

Expected Results Indicators Means of verification

1.1 A work team (three people)

formed to efficiently implement

the project.

1.2 Management plan of the

projects implementation.

Number of staff employed by

the number of staff scheduled to

be hired times one hundred.

Number of plans activities

carried out, among the many

activities scheduled in the plan,

per times one hundred.

.

Record file of the hiring

process, Institutional

Procurement and Ministers

Office.

Record file in the Office of

the Minister and in the

Department of International

Cooperation. During the

project, an evaluation will

be held to control the level

of actual progress of the

project.

2 Three courses given to 60

Caribbean farmers (a group of

crafts, another of music, and the

last one of gastronomy, each

group made up of 20

participants), where they

developed their product with a

high cultural value.

2 Number of courses, including

the amount of courses

programmed times one

hundred.

Archivo del Despacho

Ministerialand the

Departamento de

Cooperacin Internacional








Ministerialand the

Departamento de


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group made up of 20

participants), in which they

developed the design with their

products identity.

hundred. Cooperacin Internacional





group made up of 20

participants), where they

developed their skills and

business skills.




hundred.


Ministerialand the

Departamento de

Cooperacin Internacional

* Indicators are used to measure progress related to an expected result or an aspect of it.

** Means of verification are data sources and methodologies used to measure and analyzeperformance.

15. Sustainability:

Please explain the expected impact of your programme/project on the emergence of a dynamic

cultural sector, on sustainable development and on poverty reduction in your country. Describe the

short (immediately following the end of your programme/project), medium (within five years) and

long-term (within 15-20 years) conditions that would enable your programme/projects gains to be

sustainable.

(Max. 400 words)

The project will directly impact the local economy as it is aimed to strengthen the capacities of

farmers in craft, music, and cuisine of the Caribbean region of Costa Rica. The giving of knowledge,

skills, and abilities to these farmers is improving their products, in terms of production techniques,

design, and marketing, and it is also improving the creation of MSMEs that are able to stay and

grow in the formal economy.

Another important impact is an intangible or a non-pecuniary, such as the preservation of

intangible cultural heritage, as these farmers are carriers of knowledge which in turn can betransmitted to others and, thus, ensure the preservation of the Caribbean cultural heritage in

these three fields.

Moreover, this project represents the starting point of the alliance between the Ministerio de

Cultura y Juventudand the INA to create a project to establish a cultural business incubator in the

Caribbean region of Costa Rica. This alliance will strengthen the participation of the Instituto Mixto


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de Ayuda Social(IMAS, translated as Joint Social Assistance Institute), as it can allocate resources

for funding for the creation of cultural MSMEs.

With the claim that the Caribbean farmer has the ability to live out of their cultural products and

make them part of the formal economy, without a doubt will be a positive chain in the local

economy, bringing collaterally other indirect beneficiaries of the production process andcommercial. It should not be overlooked that, the Port of Limon has great tourist potential, where

the products of these farmers have almost a guaranteed market.

In the longer term, we tried to teach a new course to the successful recipients of this training

process to prepare them as new trainers, so that their experience and knowledge can be

transmitted over the Caribbean and new farmers.

16. Budget16.1 Budget summary:

Total funding requested from the IFDC (may not exceed USD100,000): USD 100,000+

Total co/self-funding: USD 52,574

=

Total project cost: USD 152,574

16.2 IFCD funding budget breakdown:

Please fill in the table below with information on all foreseen expenditure items and their cost inUSD for the amount of IFCD funding requested (the total amount of this budget must match theUSD figure quoted on the first line of section 16.1). At the end of the programme/project, alloriginal invoices and supporting documents must be sent to UNESCO. A pro forma invoice forequipment will be required.

Budget of the Project

ExpenditureResults

N

Unit # of

units

(in

USD)

Total

quantity

Costs

(in USD)

1. Salaries / fees

1.1 Project staff 1,2,3 y 4 Per month 2,000 1 18,000


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1.1 Project staff of the Ministerio de Cultura y

Juventud (4 person) 1,2,3 y 4

Per month Per

of time 750 9 27,000

1.2 Experts / consultants 2 Per month 700 5 10,500



Sub total salaries / fees 70,200

2. Travel and per diem

2.2 Land transportation 1 Per day 16 12 192

2.2 Land transportation 2,3 y 4 Per day 16 72 1,152

2.3 Acco+35274+modations 1,2,3 y 4 Per 3 person 50 85 4,250

2.5 Per diem for domestic missions / trips 1,2,3 y 4 Per day 20 80 1,600

2.6 Seminar / conference participants 2, 3 y 4

Per day Per 65

person 6 65 /72day 28,080

2.6 Seminar / conference participants Per day

Subtotal travel and per di em 35,274

3. Equipment and supplies

3.2 Equipment (total based on pro forma invoiceenclosed with the application) 2,3 y 4 Per month 500 9 4,500

3.3 Other (please specify) supplies 1,2,3 y 4 Per month 200 9 1,800

3.3 Other (please specify) Material of work of the

participants 2,3 y 4 Per person 200 132 26,400

Subtotal equipment and supplies 32,700

4. Communication

4.1 Publications (editing, design, printing, etc.) 2 2,000 3 6,000

Subtotal communicat ion 6,000

5. Other costs, services

5.2 Evaluation 2,3 y 4 3,000 3,000

5.4 Rent of conference / seminar rooms 2, 3 y 4 Per month 600 9 5,4005.5 Other (please specify)

Subtotal other costs, services

NB: Overhead costs should not make up more than 7% of total direct costs of the programme/project.

Total costs

152,574

* See Annex 1 to this Form for a sample budget.

** As a guide, it is advised that overhead costs should not exceed 7% of the total budget.

*** Expenditures such as the purchase of a vehicle or construction / renovation of a building arenot eligible for IFCD funding.

16.3 Total project cost breakdown:

If the funds requested from the IFCD will only cover a portion of a larger programme/project,please provide the provisional budget for the entire programme/project by filling in the tablebelow with information on all foreseen expenditure items and their cost in USD. Pleasespecify the amount that will be IFCD, self or co-funded. In the case of co-funding, pleaseindicate whether or not additional resources are already available or when they are likely tobecome available and by whom. Written confirmation of co-financing may be requested.


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Budget According to Source of Financing

ExpenditureResults

N

Costs

(in USD)

Contribution

IFCD

Self-

Funding

1. Salaries / fees1.1 Project staff 1,2,3 y 4 18,000 18,000

1.1 Project staff of the Department of Culture and

Youth (4 person) 1,2,3 y 4 27,000 27,000

1.2 Experts / consultants 2 10,500 10,500



Sub total salaries / fees 70,200 39,000 31,200


2.2 Land transportation 1 192 192

2.2 Land transportation 2,3 y 4 1,152 1,152

2.3 Acco+35274+modations 1,2,3 y 4 4,250 4,2502.5 Per diem for domestic missions / trips 1,2,3 y 4 1,600 1,600

2.6 Seminar / conference participants 2, 3 y 4 28,080 28,080

2.6 Seminar / conference participants

Subtotal travel and per diem 35,274 35,274 0


3.2 Equipment (total based on pro forma invoice

enclosed with the application) 2,3 y 4 4,500

4,500

3.3 Other (please specify) supplies 1,2,3 y 4 1,800 1,800

3.3 Other (please specify) Material of work of the

participants 2,3 y 4 26,400

20,000 6,400

Subtotal equipment and supplies 32,700 20,000 6,300

4. Communication

4.1 Publications (editing, design, printing, etc.) 2 6,000 6,000

Subtotal communicat ion 6,000 6,000 0


5.1 Studies, surveys (purchase of data)

5.2 Evaluation 2, 3 y 4 3,000 3,000

5.3 Translation, interpreters

5.4 Rent of conference / seminar rooms 2, 3 y 4 5,400 5,400

5.5 Other (please specify)

Subtotal other costs, services 8,400

Total 100,000 52,300

The self-finance budgetary content is approved by the Legislative on December,according to the budgetary process established by our country.

17. Non-financial contributions. If any, of what kind and from what sources?


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18. Previous funding from UNESCO for similar or related programmes/projects:

If you have ever received any funds from UNESCO (either from Headquarters, a Field Office oran Institute) to implement (a) programme/project(s) similar to or related to the project that you

are currently proposing, please provide below detailed information on its title, period, contractnumber, funding source, etc.

(Max. 400 words)

19. Contact person for correspondence:

Title (Ms/Mr, etc.): Ms

Family name: Herrera Loaiza

Given name: Ana Lorena

Position(s): Head of Departamento de Cooperacin Internacional

Complete mailingaddress:

Ministerio de Cultura y Juventud, San Jos Costa Rica, entre las calles 11 y 15 ylas avenidas 3 y 7

Telephone number: (506) 2258-2251

Fax number: (506) 2258-2251

E-mail address: [email protected]

Other relevantinformation:

20. Commitment to submit a report on the execution of the programme/project:

As stated in paragraph 18 of the Guidelines on the use of the Fund: The applicants shallsubmit a mandatory descriptive, analytical and financial report on the execution of theprogramme/project and the realization of expected results. The report must be presented to theSecretariat six months after the conclusion of the programme/project as foreseen within thetime frame. No financial contributions for new projects will be allocated to applicants who havenot submitted this report.

The full text of Article 18 is available at:http://www.unesco.org/culture/culturaldiversity/article18_en.pdf

XX I commit to respect the provisions of paragraph 18 of the Guidelines.

XX I certify that all information contained in this application is truthful.


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12/06/28

Date

Ana Lorena Herrera Loaiza Head of Dpto. Cooperacin Internacional

Name and title

Stamp and signature of the applicant

NB: This appl icat ion is n ot val id and cann ot be accepted by the UNESCO Secretariat

unless i t is signed.


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Annex 1: Sample budget

You may wish to use the suggested budget model below. Please note, however, that you should

only use the sections relevant to your programme/project and adapt it as necessary.

ExpenditureActivity

N

Unit # of

units

Unit rate

(in USD)

Costs

(in USD)1. Salaries / fees

1.1 Project staff Per month

1.2 Experts / consultants Per day/week

1.3 Administrative / support staff Per month

Sub total salaries / fees


2.1 Air transportation Per flight

2.2 Land transportation Per day/week

2.3 Visa fees Per person

2.4 Per diem for international missions / trips Per day

2.5 Per diem for domestic missions / trips Per day2.6 Seminar / conference participants Per day

Subtotal travel and per diem


3.1 Rent of vehicle(s) Per vehicle

3.2 Equipment (total based on pro forma invoice

enclosed with the application)


Subtotal equipment and supplies

4. Communication

4.1 Publications (editing, design, printing, etc.)

4.2 Press conferences

4.3 Other promotional activities, events,

advertisements, etc. (please specify)

Subtotal commu nicat ion


5.1 Studies, surveys (purchase of data)

5.2 Evaluation

5.3 Translation, interpreters

5.4 Rent of conference / seminar rooms


Subtotal other costs, services

6. Overhead

6.1 Rent of office space

6.2 Postage, office supplies, etc. (please specify)


Subtotal ov erhead

NB: Overhead costs should not make up more than 7% of total direct costs of the programme/project.


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Total costs


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Annex 2: Checklist

Please go through the checklist below prior to submitting the Application Form.

General

1Original signature of the person empowered to sign it on behalf of the

applicant.

2Application prepared in English and/or French (requests in other languages will

not be retained).

3All sections of the application form are filled in, respecting word counts

indicated in each section.

4 Expected results correspond to the main activities.

5 Detailed budget breakdown is provided in USD and by type of expenditure.

6 Electronic format of the proposal is prepared in standard .rtf or .doc format.

7Application to be sent both electronically and by post to the National

Commissions.

Annex 3: Evaluation Grid (for information)

Evaluation criteria Score (number of points)

Relevance/appropriateness of the project to the

fields of activity of the IFCD

from 0 to 4

Feasibility of the proposed programme/project from 0 to 4

Expected results from 0 to 4

Potential impact from 0 to 4

Levels of funding requested from the IFCD from 0 to 4

4 meets entirely the criteria established by the Conference of Parties and the

Intergovernmental Committee

3 addresses the majority of the criteria

2 addresses half of the criteria

1 addresses less than half of the criteria

0 does not address the criteria at all


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