General Applicant Information.docx
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- Opportunity number
- CDC-RFA-CE20-200406CONT24
About this file
This document contains general applicant information and questions for a Drug-Free Communities Support Program grant opportunity from the Centers for Disease Control and Prevention. Applicants must provide key personnel details including the Authorized Organization Representative, Program Director, and Project Coordinator. Statutory requirements include the coalition's mission statement focusing on youth substance use prevention and a list of targeted substances. Coalition and community information questions address the date established, ZIP codes served, population size and demographics of the area, and SAM registration date. The related federal grant program is the Drug-Free Communities Support Program Grants administered by the Department of Health and Human Services with the purpose of establishing and strengthening community coalitions to prevent and reduce youth substance use. Awards under this program will fund applicants who have completed the first five-year cycle or experienced a lapse in funding.
General Applicant Information.docx
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Other files
| File | Type | Posted |
|---|---|---|
| Foa_Content_of_CDC-RFA-CE20-200406CONT24.pdf | ||
| CDC-RFA-CE20-2004CC06CONT24 _ Attachments_Supporting Materials_Feb 12.docx | DOCX document | |
| Ten-Year Funding Limit.docx | DOCX document | |
| Statement of Legal Eligibility.docx | DOCX document | |
| Sector Table.docx | DOCX document | |
| Memorandum of Understanding.docx | DOCX document | |
| Disclosure of Prior DFC Funding.docx | DOCX document | |
| Congressional Notification.docx | DOCX document |
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General Applicant Information You must provide responses to the required information below.
KEY PERSONNEL
| IInformation Required |
| Response |
1. Authorized Organization Representative (AOR) Name/Title Address (No P.O. Boxes) City/State/ZIP Phone Number E-mail Address
2. Program Director/Principal Investigator (PD/PI) Name/Title Address (No P.O. Boxes) City/State/ZIP Phone Number E-mail Address
3. Project Coordinator Name/Title Address (No P.O. Boxes) City/State/ZIP Phone Number E-mail Address
STATUTORY REQUIREMENTS
4. Requirement 3: Mission Statement: Provide the coalition’s Mission Statement. The mission statement must focus on the prevention and reduction of youth substance use in the community served.
5. List the substances of use by youth addressed in this application.
COALITION AND COMMUNITY INFORMATION
6. What is the date that the Coalition was established?
Provide month, day, and year.
| 7. List all ZIP codes served by the coalition. (Look up a ZIP code at USPS.com.) |
8. Do any of the ZIP codes served by your coalition overlap with those of other DFC-funded coalitions? If yes, provide a Letter of Mutual Cooperation.
9. What is the population size of the community served by the coalition?
10. What is the median income in the community the coalition intends to serve?
11. What is the racial/ethnic demographic make-up of the community being served by the coalition? Please provide percentages available from the U.S. Census.
12. Does the coalition serve a federally recognized tribal area?
13. Does the coalition have representation from the Bureau of Indian Affairs, the Indian Health Service, or a tribal government agency with expertise in the field of substance use?
14. Enter your SAM registration date.
Failure to have an active registration will make your application ineligible.
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