FY2021_APS_application.doc

U.S. EMBASSY MOSCOW

GRANT COVER SHEET FY 2021

Applicant name

Applicant’s Contact Information

(Name, Position, E-mail, Cell phone, Work/Home Phone, Address):

Today’s Date

Project Dates

(proposed start and end)

Project Title

Amount Requested

U.S. EMBASSY MOSCOW

FY 2021 GRANT APPLICATION

(not to exceed 5 pages for small grants, no page limit for large grants)

Please attach all required documents separately and send to grantsrussia@state.gov .

Proposal Summary: Short narrative (1-2 paragraphs) that outlines the proposed project, including project objectives and anticipated impact.

Insert text here - not to exceed 5 pages for small grants. There is no page limit for large grants Introduction to the Organization or Individual applying: A description of past and present operations, showing ability to carry out the project, including information on all previous grants from the U.S. Embassy and/or U.S. government agencies.

Insert text here Problem Statement and Project Goals and Objectives: A concise description of the problem you are addressing and a description of what the project is intended to achieve.

Insert text here Project Activities: A description of project activities and how they will help achieve the objectives.

Insert text here Project Beneficiaries: A description of who will be targeted and benefit from this program.

Insert text here Proposed Project Schedule: The proposed timeline for the project activities. Include the dates, times, and locations of planned activities and events.

Insert text here Key Personnel: Names, titles, roles and experience/qualifications of key personnel involved in the project. What proportion of their time will be used in support of this project?

Insert text here Project Partners: Names and type of involvement of key partner organizations and sub-awardees, if any.

Insert text here Expected Results: What is the expected outcome of this project, and how will the activities be monitored? What is success, and how will you measure it?

Insert text here Future Funding or Sustainability: Applicant’s plan for continuing the program beyond the grant period, or the availability of other resources to continue the program, if applicable.

Insert text here Public Engagement Plan: Applicant’s strategy for creating content for social media, the web, or printed materials that promote the project activity or joint U.S.-Russian cooperation during the program timeline. List all media and social media you plan to use.

Insert text here

Monitoring and Evaluation Plan: The M&E plan should include a brief narrative section about how project deliverables will be disseminated and what data will be analyzed and how the results will be presented Insert text here Additional information and instructions Please list all prior U.S. Embassy and U.S. government grants:

· Have you registered with SAMS? Yes/No (This is mandatory for grants over $24,000.)

· Do you have a DUNS number? Yes/No (This is mandatory for grants over $24,000.)

All grantees must annually update SAM registration and have a valid DUNS number to receive funding from the U.S. government. Visit www.SAM.gov and the Embassy website (ru.usembassy.gov) for instructions.

Required attachments Please send the following documents along with this proposal:

· Excel Budget Spreadsheet (the budget should be detailed, realistic, reasonable and should not include costs that are unreasonable or unnecessary).

· Budget Justification Narrative: Use a separate sheet of paper to describe each of the budget expenses in detail.

· CV or resumes of key personnel who are proposed for the project.

If applicable:

· Letters of support from project partners, if any, describing the roles and responsibilities of each partner.

· Official permission letters, if required for project activities with program partners, for instance.

If you have questions, we can be reached at grantsrussia@state.gov