PDC Project Pre-Assessment

Organization

Contact Name

Position/title

Email

Phone Number

Other contact information

Project

Purpose: The purpose of this project is to……

Target group

Number (amount involved in the change process)

Projected Start Date (DD/MM/YY)

Location

Country

City

Region (if applicable)

Population

Language (s)

Access Restrictions

Resources

Staff number Obtained

Native Yes No

Non-native Yes No

Financing

Amount (Euros) Obtained In Process Not Obtained

Development

Operation

Facilities

Equipment

Partners/Support

Other helpful information