Note: The following evaluation form permits us to determine the relative significance, feasibility, duration, and post-project implications of funding requests submitted to CARO. The "request for support" materials should be completed to the extent reasonable in order to help CARO make a funding decision about the request that has been submitted. CARO rates and ranks in priority order for funding the requests for support that it receives.

Some sections may not be applicable for a given project, in which case, mark with NA for that particular question or section.

Project Title: ______________________________________________________________________

Organization: _____________________________________________________________________

Address: ________________________________________________________________________

City: __________________ State: __________________ ZIP: __________________

Contact Person: __________________ Phone: __________________

Project start date: __________________ Ending date: __________________

Total funds requested: __________________ (Attach an itemized budget.)





Type of Project (see "Activities Supported")

Please mark the category that best fits the proposed project.

[ ] Research, art, or evaluation project

[ ] Consultation on a project already underway at organization submitting request

[ ] Consultation on proposal or project development in which HRC will play assisting role

[ ] Conference, workshop or training session

[ ] Joint proposal development between the HRC and a CBO or other organization

Project description (use additional sheet if necessary): _____________________________________________________________________

_____________________________________________________________________





(a) Is this request likely to be on a one-time basis, or is it a multi-phase activity? Do you anticipate submitting future requests to CARO for this or related activities?

_____________________________________________________________________

_____________________________________________________________________

(b) CARO has limited human and technological resources. Describe the magnitude of effort required by CARO itself in order to successfully complete the project.

_____________________________________________________________________

_____________________________________________________________________

(c) To what extent will the staff of the submitting organization or community persons participate in the project?

_____________________________________________________________________

_____________________________________________________________________

(d) Does the project have the endorsement of the head of the submitting organization? Will the head of the submitting organization be actively participating? If not, who will?

_____________________________________________________________________

_____________________________________________________________________

(e) Will the project generate income (e.g., through the sale of products or services, registration fees, etc.) ? If so, what organization or individual will receive the income?

_____________________________________________________________________

_____________________________________________________________________

(f) Will organizations other than CARO participate actively? Will they contribute financial, human or other resources to the project?

_____________________________________________________________________

_____________________________________________________________________

(g) Is this project being submitted or likely to be submitted to other funding entities (e.g., other units of ASU, foundations, corporations, units of government, etc.)?

_____________________________________________________________________

_____________________________________________________________________

(h) Does the project involve activities (such as research on human subjects) which require approval from ASUšs Human Subjects review committee.

_____________________________________________________________________

_____________________________________________________________________

(i) For projects involving specific individuals (rather than history, art, literature, etc.), how did the target population or clientele participate in this project request?

_____________________________________________________________________

_____________________________________________________________________

(j) Post-project status. Will this project likely incur costs and/or effort by CARO after it is completed? For example, will there be significant documentation costs? Distribution costs (e.g., over the internet, in published form, CD-ROM manufacture, etc.)?

_____________________________________________________________________

_____________________________________________________________________

(k) Does the proposed project have in place a mechanism to evaluate its success and to make that evaluation available to CARO?

_____________________________________________________________________

_____________________________________________________________________

(l) For projects which request $1,000 or more from CARO, complete the following:

• What is the likelihood of a major impact coming from this project such as the submission of a grant proposal or significant economic development?

  _____________________________________________________________________
  
  _____________________________________________________________________
  
  

• Is there a likelihood that the CBO and CARO will jointly submit a grant proposal as part of or as the result of the project?

  _____________________________________________________________________
  
  _____________________________________________________________________
  
  

• Why has the CBO submitted this proposal to CARO rather than self-fund it or find support from other sources?

  _____________________________________________________________________
  
  _____________________________________________________________________