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
管理费用Management Cost
税金Tax
预算总额Total Amount of Budget
姓名Name：
手机Cell phone：
座机Phone：
邮箱Email：
项目负责人Responsible 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）
老牛基金会项目申请书
(Lao-Niu Foundation Project Application)
项目基本信息(BasicInformation of Project)
项目名称
(Name of Project)
实施周期(implementation cycle)
项目地点(Project location)
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
AdvantageAnalysis
5、劣势分析
Disadvantage Analysis
6、机遇分析
Opportunity Analysis
Organization introduction, and its honors etc.(In side 200 characters, please submit the Institution legal person registration certificate, organization code certificate and tax registration certificate as the attached documents )
7、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）
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
机构名称
Organization Name
机构成立时间Established Date of Organization
年月日
Date(yy/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
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 Analysis
1、问题产生原因
Cause of the problem
2、项目使命
Project mission
3、项目目标
Project Target
3、第三方执行机构情况
TheThirdExecutionPartyInformation
（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.
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■)
往年已开展项目，申请资金扩大项目影响力
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=
4、外部资源支持
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）
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
公益行业推动Philanthropic industrial promotion
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
2、项目核心成员
CoreMember of Project
姓名Name
学历Education Background
专业技能Professional Skill
主要工作经历Main WБайду номын сангаасrking Experience
在项目中负责工作the responsible work in the project
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.