Appendix D- Attach-ment 8_General Applicant Information.docx
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- Opportunity number
- CDC-RFA-CE21-2103
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Appendix D- Attach-ment 8_General Applicant Information.docx
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| File | Type | Posted |
|---|---|---|
| Foa_Content_of_CDC-RFA-CE21-2103_revised020421.pdf | ||
| Foa_Content_of_CDC-RFA-CE21-2103 (5).pdf | ||
| Appendix D- Attach-ment 1_Assurance of Legal Eligibility.docx | DOCX document | |
| Appendix D- Attach-ment 2_MOU_.docx | DOCX document | |
| Appendix D- Attach-ment 3_Disclosure of DFC Support Program Funding.docx | DOCX document | |
| Appendix D- Attach-ment 5_Coalition Meeting Minutes.docx | DOCX document | |
| Appendix D- Attach-ment 7_CARA Act Program Evaluation Requirements.docx | DOCX document | |
| Appendix D- Attach-ment 9_Sample Congressional Notification.docx | DOCX document | |
| Appendix C - Review and Selection Process.docx | DOCX document | |
| Appendix D- Attach-ment 6_Key Personnel Resumes.docx | DOCX document | |
| Appendix B- Resources on Evidence-Based and Practice-Based Strategies and Activities.docx | DOCX document | |
| Appendix D- Attach-ment 4_Statement of Rates.docx | DOCX document | |
| Appendix A - Pre-Submission Verification Checklist for CARA.docx | DOCX document |
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Attachment 8 – General Applicant Information
Applicants must provide responses to the required information below.
Information Required
Response
1. For the Program Director/Principal Investigator, please provide the following information:
· Name
· Address (No P.O. Boxes)
· Phone Number
· E-mail Address The Program Director/Principal Investigator (PD/PI) is the individual who provides daily oversight of the grant, including fiscal and personnel management, community relations, implementation, and evaluation.
2. For the Program Coordinator, please provide the following information:
· Address (No P.O. Boxes)
· Phone Number
· E-mail Address The Program Coordinator is the individual who coordinates the work of the coalition and DFC activities, including training, coalition communication, data collection, and information dissemination.
3. For the Business Official, please provide the following:
· Title
· Organization
· Address
· Phone
4. Identify Federal Congressional District of the CARA- funded Coalition. Go to http://www.house.gov/representatives/find-your-representative for more information.
5. List Federal Congressional Districts served by coalition. Go to http://www.house.gov/representatives/find-your-representative for more information (Item 16 on SF-424).
6. What is the population size of the county or counties served by the coalition?
7. What is the median income in your area or county?
8. Does your coalition serve a rural, urban, or a suburban area? (Choose one)
9. What is the racial/ethnic demographic make up of the county or counties that your coalition serves? Please provide percentages, which are available from the US Census.
US Census data can be found at the following resource: https://www.census.gov/acs/www/data/data-tables-and-tools/data-profiles/
10. When was the coalition created? Provide an approximate day, month, and year.
11. Provide the date you registered in the SAM.
NOTE: Failure to have an active registration will make your application ineligible.
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