Attachment 1. Statement of Interest Template_eng.docx

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Attached to
Democracy Commission Small Grants Program
Opportunity number
STI400-24-AW-0002
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This document is an Attachment 1. Statement of Interest Template for the Notice of Funding Opportunity related to the Democracy Commission Small Grants Program. The template provides instructions for applicants to complete and submit a 3-page Statement of Interest for the grant opportunity.

The federal grant opportunity, solicitation number STI400-24-AW-0002, is sponsored by the U.S. Department of State and has four funding topics: 1) Equal Rights for Marginalized Communities, 2) Enabling Environment for Media and the Free Flow of Information, 3) Countering Violent Extremism, and 4) Low Emissions Development Planning for Energy. The program aims to empower marginalized groups, promote press freedom, counter violent extremism, and support low-emissions development in Tajikistan. Eligible applicants include civil society organizations, media professionals, and government bodies. The grant funding instrument is a Grant under the AEECA/ESF PD Programs (CFDA 19.900). The document does not provide details on application deadlines, award amounts, or other submission requirements.

Attachment 1. Statement of Interest Template

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Phones:(992 372) 29-20-00
Fax:(992 372) 29-20-50

https://tj.usembassy.gov/

Address: 109 A Ismoili Somoni Street Dushanbe, Tajikistan Embassy of the United States of America

Attachment A: Statement of Interest Please complete this form per the instructions listed in Section E. Technical Requirements for Application in the Notice of Funding Opportunity. This submission must be limited to 3 pages. Incomplete submissions may not be reviewed. Applications that exceed three pages will be disqualified.

1. Applicant Organization Information Applicant Organization

Organization Name

Organization Director Name

Title

Telephone

Mobile

Email

Preferred method of contact

2. Proposed Project Description Project Information

Project Title

Priority Theme

Project Duration

Geographic Area(s) of Activities

Target Audience

Funding Requested

Previous U.S. Government Grants Received

Current U.S. Government Grants

3. Project Goals and Justification Problem Statement

Problem Description: What problem do you intend to address by implementing this grant?

Project Purpose: How does your program plan to address the problem listed above? What is the goal of your project?

Target Audience: Please explain why your target audience is an important population for the project to reach.

Objectives: Which objectives from the NOFO will your program address? Explain what success will look like on this program.

Action Plan: Provide a brief work plan that clearly identifies each step you will take to plan and implement this project.

Expected Outcomes: What specific change(s) do you expect to occur after the end of the project as a result of the project activities?

Support for Diversity, Equity, Inclusion, and Accessibility (DEIA): Describe how you plan on incorporating principles of DEIA and engaging underserved communities in their program administration, design, and implementation.

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