General Applicant Information.docx
DOCX document 27 KB Posted
- Opportunity number
- CDC-RFA-CE-25-0114
About this file
The file "General Applicant Information.docx" is a detailed application template for the Drug-Free Communities (DFC) Support Program, requiring comprehensive organizational and community information from potential applicants. The document mandates submission of key personnel details including Authorized Organization Representative, Program Director/Principal Investigator, and Project Coordinator, along with specific community-related data such as coalition establishment date, service area ZIP codes, population size, median income, and tribal area representation. Applicants must provide a mission statement focused on youth substance use prevention, list targeted substances, and demonstrate compliance with statutory requirements like SAM registration.
Critical application components include verifying coalition representation across 12 community sectors, addressing at least two substances of concern, and documenting potential overlaps with other DFC-funded coalitions. The template serves as a comprehensive information-gathering instrument for the CDC's Drug-Free Communities Support Program, which aims to establish collaborative efforts to prevent and reduce youth substance abuse. Applicants must meticulously complete all sections to ensure eligibility for the federal grant opportunity, which provides funding to support community-based substance use prevention strategies targeting youth populations aged 18 and younger.
General Applicant Information.docx
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Other files
| File | Type | Posted |
|---|---|---|
| CDC-RFA-CE-25-0114 - DFC New _26Sep25_UPDATE.pdf | ||
| Ten-Year Funding Limit.docx | DOCX document | |
| Statement of Legal Eligibility.docx | DOCX document | |
| Sector Table 2025.docx | DOCX document | |
| Memorandum of Understanding.docx | DOCX document | |
| General Applicant Information.docx | DOCX document | |
| Disclosure of Prior DFC Funding.docx | DOCX document | |
| Congressional Notification.docx | DOCX document | |
| 2025 Supporting Materials (1).docx | DOCX document | |
| CDC-RFA-CE-25-0114 - DFC New 19Mar25.pdf |
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Text version
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. 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. Does the coalition serve a federally recognized tribal area?
12. 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?
13. Enter your SAM registration date.
Failure to have an active registration will make your application ineligible.
File details come from the government source that posted it. Updated .