Engineering Fund Application Form

1. Applicant Information

Full Name*

EIZ Membership Number*

Membership Category*
-- Select Category --EngineerTechnologistTechnicianCraftspersonStudent Member

Email Address*

Phone Number*

Physical Address*

2. Project/Activity Information

Project/Activity Title*

Funding Category*
-- Select Category --Engineering research and innovationProfessional development and capacity-buildingCommunity or industry-based projectsEngineering education initiativesTechnical publications and prototypesOther activities aligned with EIZ mandate

Thematic Area(s)* (Select all that apply)
Renewable Energy & Energy EfficiencyClimate Change Adaptation & ResilienceSolid Waste Management & Circular EconomyAI for Sustainable Development

Project Summary/Abstract* (Max 300 words)

Project Objectives*

Expected Impact*

3. Timeline and Budget

Proposed Start Date*

Proposed End Date*

Project Duration (in months)*

Total Budget Requested (ZMW)*

Budget Justification*

4. Supporting Documents

Formal Application Letter* (PDF/DOCX, Max 5MB)

Detailed Project Proposal* (PDF/DOCX, Max 5MB)

Work Plan and Timeline* (PDF/DOCX, Max 5MB)

Detailed Budget Document* (PDF/Excel/DOCX, Max 5MB)

Proof of EIZ Membership & Good Standing* (PDF/DOCX, Max 5MB)

5. Declaration

Declaration
I hereby declare that the information provided in this application is true and accurate to the best of my knowledge. I understand that incomplete applications will not be considered and that only shortlisted applicants will be contacted.

Full Name (As Signature)*

Date of Submission*