Grant Application form.docx

DOCX document 47 KB Posted

Attached to
English Access Microscholarship Program for Sheikhan, Duhok Governorate
Opportunity number
DOS-BAGHDAD-PD-2023-014
Issued by

About this file

This document contains an application format for a U.S. Embassy grants program. The application requests general organization information including name, address, website, and leadership details. It also requests background on the organization, past grants received, and a project description covering the project name, dates, executive summary, justification, goals, activities, monitoring and evaluation plan, key personnel, partners, strengths, and sustainability. The budget section requests a summary, narrative, and spreadsheet with categories for personnel, fringe benefits, travel, equipment, supplies, contractual costs, other direct costs, and indirect costs.

The related federal grant opportunity is for an English Access Microscholarship Program in Sheikhan, Duhok Governorate, Iraq. The solicitation number is DOS-BAGHDAD-PD-2023-014 and is issued by the Department of State through the US Embassy in Baghdad. The federal grant program funding this opportunity is 19.021 - Investing in People in The Middle East and North Africa.

Application Form

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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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