Appendix D- Attach-ment 9_Sample Congressional Notification.docx

Attachment 9 – Sample Congressional Notification

Applicants must follow the exact format below and include the completed Congressional Notification. The Project Description for the Congressional Notification must not exceed 35 lines nor exceed more than one page. If the application is funded, this information will be shared with members of Congress and the media and may be posted to the DFC & CARA website.

Grant Recipient Organization:

Grant Recipient Contact Name:

Grant Recipient Contact Mailing Address:

Grant Recipient Contact E-Mail Address:

Grant Recipient Contact Phone:

Coalition Name:

Coalition Community:

Coalition Contact Name:

Coalition Contact Physical Address:

Coalition Contact E-Mail Address:

Coalition Contact Phone:

[Name of State] Serving Federal Congressional District(s): [ ] Coalition Located in Federal Congressional District: [ ]

Project Description

The [Coalition Name] was awarded a FY 2021 Comprehensive Addiction and Recovery Act (CARA) Local Drug Crises Grant in the amount of $ [fill in amount requested] by the White House Office of National Drug Control Policy, in cooperation with the Centers for Disease Control and Prevention (CDC). The Coalition serves [Community/Town], [State], a community of [total population]. The goals of the coalition are to reduce opioid, methamphetamine, and/or prescription drug use/misuse among youth and change the culture and context regarding acceptability of youth opioid, methamphetamine, and/or prescription drug use/misuse. The coalition will achieve its goals by implementing these strategies [Provide a one-sentence description on your strategies. Coalitions may also provide a description of special efforts, initiatives, and/or approaches (i.e. drugged driving, opioid prevention, etc.)]: