Grant Application form.docx

DOCX document 50 KB Posted

Attached to
English Access Microscholarship for Students with Disabilities
Opportunity number
DOS-BAGHDAD-PD-2024-007
Issued by

About this file

This document is a Grant Application form for the U.S. Embassy Grants Program. It requires general information about the applicant organization, including the organization's name, address, website, and Unique Entity Identifier (UEI) number. It also requests background information on the organization's past grants received from the U.S. Government and other sources.

The document outlines the required elements of the project description, including the project name, duration, start and end dates, executive summary, project justification, goals and objectives, activities, monitoring and evaluation plans, key personnel, project partners, strengths and innovation, and sustainability. It includes a budget summary template and requires a detailed budget in a spreadsheet format, as well as a budget narrative.

The related federal grant opportunity is the "English Access Microscholarship for Students with Disabilities" program, which is funded by the U.S. Department of State and aims to provide English language skills and an appreciation for American culture and democratic values to economically disadvantaged students, with a focus on including and supporting students with disabilities.

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Text version

U.S. EMBASSY GRANTS PROGRAM

APPLICATION FORMAT

Last Updated: 01/16/2023 Page 1 of 3

1. GENERAL INFORMATION:

1.1. Applicant Organization

a. Organization (English):

b. Organization (Original):

C. Address: d. City/Town: e. District:

f. Website: g. UEI#:

1.2. Organization leader/signee of the grant agreement

a. Last Name: b. First Name:

C. Tel: d. Mobile: f. E-mail:

2. BACKGROUND OF ORGANIZATION:

2.1. Description

2.2. Past Grants received from the U.S. Government Agencies

2.3. Past Grants (Other)

3. PROJECT DESCRIPTION:

3.1. Project Information

Project Name:

Duration (months): Start date (mm/dd/yyyy): End date (mm/dd/yyyy):

3.2. Executive Summary

3.3. Project Justification

3.4. Project Goals and Objectives

3.5. Project Activities

3.6. Monitoring and evaluation

3.7. Key Personnel

3.8. Project Partners

3.9. Strengths and Innovation

3.10. Sustainability

4. BUDGET:

4.1. Budget Summary

Category
Description/details
Requested

Personnel

Fringe Benefits

Travel

Equipment

Supplies

Contractual

Other Direct Costs

Indirect Costs

Total Requested

Contributions

Project Total

Note: Please submit a detailed budget in a spreadsheet format

4.2 Budget Narrative

4.3 Miscellaneous

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