01. Attachment 1 - Application Summary Coversheet.docx

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Supporting Citizen Journalists Federal grant opportunity
Opportunity number
SCAISB-20-AW-006-04012020
Issued by
Department of State US Embassy Islamabad

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01. Attachment 1 - Application Summary Coversheet

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U.S. MISSION TO PAKISTAN PUBLIC AFFAIRS SECTION

U.S. DEPARTMENT OF STATE

APPLICATION SUMMARY COVERSHEET

This is a required form and must be included in the application package. Applicants MUST submit a separate Application Summary Coversheet for each application that clearly outlines under which project the application is submitted for. Applicants who submit one proposal covering more than one project may not be considered for funding. Please note that applicants who do not label their proposal and which project they are applying for may not be considered for funding.

Funding Title:

Funding Opportunity No:

Applicant Organization’s Name:

Postal Address:
House XXXX, Street XXXX, Area XXXXXXXXXX, City XXXXXXXXX, Country XXXXXXXXXX, Zip Code XXXX.
Point of Contact:
Mr. John Smith

List up to five Key Individuals (financial) and their positions:

Key Individuals are staff with the ability to handle or direct funds.

1. Mr. John Smith – President

2. Mrs. John Smith – Executive Director

3. Ms. Elizabeth Smith – Programs Manager

4. Mr. John Smith – Accounts Manager

5. Ms. Elizabeth Smith – Project Coordinator

Proposed Project Title:

Total Estimated Funding in USD:
$ X,XXX,XXX.00
Duration of the Project:
12 Months
List of Partners, Sub-Awardees, or Contractor Organizations: If any, do not use acronyms.
1.3.
2.4.

List up to five Key Individuals (financial) and their positions from Partner, Sub-Awardees or Contractor Organization:

Key Individuals are staff with the ability to handle or direct funds.

1. Mr. John Smith – President

2. Mrs. John Smith – Executive Director

3. Ms. Elizabeth Smith – Programs Manager

4. Mr. John Smith – Accounts Manager

5. Ms. Elizabeth Smith – Project Coordinator

Implementation Location(s) of Activities:

Check all that apply.

|_| Islamabad / Rawalpindi|_| Balochistan
|_| Punjab|_| KP/FATA
|_| Sindh|_| Gilgit-Baltistan

|_| Other specify: __________________ |_|United States (specify location): __________________

Application Summary Coversheet 1 image1.png

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