Grant Application form.docx

DOCX document 47 KB Posted

Attached to
Women and Technology initiative
Opportunity number
DOS-BAGHDAD-PD-2023-0015
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 project details such as description, justification, goals, activities, monitoring plans, key personnel, partners, strengths, and sustainability approach. 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 a Women and Technology initiative offered through the Department of State at the US Embassy in Baghdad under the Investing in People in The Middle East and North Africa federal grant program. It does not specify the assistance type or award details. Relevant organizations should submit applications using the provided format by the given deadlines.

Grant application form

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SF424A-V1.0.pdf PDF
SF424_4_0-V4.0.pdf PDF
Women and Technology Initiative-NOFO.pdf PDF

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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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