Proposal Writing Intake Form

Name *

Email address *

Program Goal (What are you trying to accomplish?)

Program Objectives (What does success look like?)

Population to be Served (Who and the number of people you are helping?)

Proof That the Issue Needs to be Addressed (Proof that there is a problem.)

Anticipated Program Activities (What you are going to do to make things better?)

Anticipated Timeframe for the Intervention (How much time will it take for what you want to do?)

Anticipated Staff and Partners (Who will carry out the work you are proposing?)

Indicators/Evidence that Program was Successful

Anticipated Program Funding Source (Where will the money come from?)

The Magi Group, LLC