FORM A for DDETFP Local Competition.docx

FORM A: IHE TECHNICAL APPLICATION INFORMATION SHEET & CHECKLIST

INSTITUTION TECHNICAL APPLICATION INFORMATION

General Application Data

1. Institution Name:________________________________________________________________

2. Fellowship Program category (check one):

3. Do any of the following academic programs exist at the institution?

4. Provide web link to the institution course catalog: ________________________________________ Historical Program Data

5. Has the institution administered the DDETFP in previous years? No Yes If yes, please identify the last academic year of participation:

2018 2019 2020 2021 2022 Other________________

APPLICATION FORMS[footnoteRef:1] CHECKLIST [1: Available on Grants.gov ]

TECHNICAL APPLICATION CONTENT CHECKLIST

Program Administration Plan (Narrative Response Required) Describe how the DDETFP Local Competition Fellowship Program will be managed by your institution. Identify the Campus Program Manager and the Grant Official. A Key Contacts Form must be submitted for each of the individuals included.

Selection Panel Evaluation Plan (Narrative Response Required) Describe the evaluation and ranking process that will be used to complete this activity. This narrative should include a complete list of the DDETFP Local Competition Selection Panel members comprised of a minimum of three members including at least one individual who is employed by the local FHWA Division Office. A Key Contacts Form must be submitted for each of the individuals included.

Campus Recruitment Plan (Narrative Response Required) Describe how the DDETFP Local Competition Fellowship Program will be advertised, announcements and application distributed, panels convened, and student designees selected and notified. Please include a Timeline / Schedule that includes the following chart at the end of the Campus Recruitment Plan.

Campus Recruitment Plan Timeline / Schedule

Planned Announcement Posting

Institutional Application Due

DDETFP Local Competition Selection Panel Meeting

Submission of Proposed Recipient Package

DDETFP Local Competition Campus Announcement (Attachment Required) Submit a copy of the proposed campus announcement(s) you intend to use to announce the funding opportunity to students on your campus.

NOFO Questions (Narrative Response Required) Address nine (9) items for Section 7. OTHER SUBMISSION REQUIREMENTS (7a-7i) in the NOFO.