GENDER EQUITY PROGRAM (GEP) Request for ... - Aurat Foundation

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(6)Initial Environmental Examination FormGender Equity ProgramGrant # , (Grant Title)A. Applicant informationContractor/grantee(organization)Individual contactand titleActivity (briefdescription)Address, phoneand email(if available)AmountLocation of activityStart and end dateof activityB. Activities, screening results, and recommended determinationTABLE 1Proposed Sub-activitiesScreening result(Step 3 of instructions)Very Low RiskModerate RiskHigh RiskRecommended Determinations(Step 6 of instructions. Completefor all moderate and high-riskactivities)No significantadverse impactWith specifiedmitigation, nosignificantadverse impact,SignificantAdverseimpact22
C. Summaryof recommendedd determinationsThe activity contains. . .Very low risk sub-activitiesAfter environmental review, sub-activities determined tohave nosignificant adverse impactsAfter environmental review, sub-activities determined tohave nosignificant adverse impacts, given appropriatemitigation and monitoringAfter environmental review, sub-activities determined tohave significant adverse impacts(equivalent regulation 2166 terminology)categorical exclusion(s)negative determination(s) )negative determination(s) ) with conditionspositive determination(s)D. Certification:I, the undersigned, certifythat:1. The information on this form is correct and complete2. The following actions have been and will be taken to assuree that the activity complies with environmentalrequirements for the (Project name) under the Code of Federal Regulations 22 CFR 216:• T hese design elements and best practices willl be followed inn implementing this activity, except with theapproval of USAID.• Any specific mitigation or monitoring measures described inn the attached information will be implementedintheir entirety.• Compliance withthese conditions will be regularly confirmed and documented by on-site inspectionsduring the activity and at its completion.SignatureDateBELOWTHIS LINE FOR USAID USE ONLYApprovalUSAID Project Officer Approved RejectedUSAID MEOor DMEO Approved Rejected(print name)(print name)(signature)(signature)USAID comments: (if documentation is rejected, comments must be provided to applicant23
Page 1 and 2: GENDER EQUITY PROGRAM(GEP)Supported
Page 3 and 4: ContentsSection 1: Summary Informat
Page 5 and 6: Section 2: Sub-Grant Information2.1
Page 7 and 8: the related geographical hubs in wh
Page 9 and 10: • Integrate the products into the
Page 11 and 12: • Arranging ToTs of the sub-grant
Page 13 and 14: their maximum potential• Developi
Page 15 and 16: aising training with detailed guide
Page 17 and 18: Minimum suggested outputs:• Recru
Page 19 and 20: 5.2 Eligibility Criteria1. The orga
Page 21 and 22: Previous similar donor-funded proje
Page 23 and 24: Section E: Grant BudgetThe detailed
Page 25 and 26: ANNEX 1: Required Certifications(1)
Page 27 and 28: I hereby certify that within the la
Page 29 and 30: (4)Certification Regarding Debarmen
Page 31: (5)752,7101 VOLUNTARY POPULATION PL
Page 35 and 36: ANNEX 3: Sample BudgetName of Organ

GENDER EQUITY PROGRAM (GEP) Request for ... - Aurat Foundation

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