FY23 TCP Organization Description Template.docx

DOCX document 45 KB Posted

Attached to
Cooperative Agreements with Technical Assistance Providers for the Fiscal Year 2023 Thriving Communities Program
Opportunity number
DOT-TCP-FY23-01
Issued by

About this file

This template provides guidance for applicants seeking cooperative agreements from the Department of Transportation's Thriving Communities Program Capacity Builders initiative. It outlines an organization description template for Capacity Builder applicants, requesting information on organization name, role, size, certifications, services provided, and key staff members. The template aims to help applicants complete the organization description requirement for the Fiscal Year 2023 Thriving Communities Program notice of funding opportunity, under which the Department of Transportation Federal Aviation Administration will award cooperative agreements to technical assistance providers through its Thriving Communities Program.

Organization Description Template

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FY 2023 THRIVING COMMUNITIES PROGRAM

ORGANIZATION DESCRIPTION TEMPLATE

This template is intended to help Capacity Builder applicants complete the “Organization Description” requirement detailed in Section D.2(c) of the Notice of Funding Opportunity. DOT recommends, but does not require, the use of this template. A one-page profile should be provided for each member of the Capacity Builder team included in the application (i.e., the table below should be completed separately for each organization).

ORGANIZATION NAME

ORGANIZATION ROLE ON CAPACITY BUILDER TEAM

NUMBER OF ORGANIZATION EMPLOYEES

ORGANIZATION CERTIFICATIONS (CHECK ANY/ALL THAT APPLY)
☐Certified disadvantaged business enterprise (e.g., 8(a) business) (as defined by the Small Business Administration (SBA))

☐Small business (as defined by the SBA) ☐Historically Black College or University ☐Minority Serving Institution ☐HUBZone ☐Woman-owned small business ☐Service-disabled veteran-owned small business

SUMMARY OF SERVICES PROVIDED BY ORGANIZATION

KEY STAFF MEMBERS, INDICATING HOW TEAM MEMBERS REPRESENT THE TYPES OF COMMUNITIES AND STAKEHOLDERS TO BE SERVED image1.png

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