SDGG 2017 Application Checklist.docx

FY 2017 Socially-Disadvantaged Groups Grant Program Application Checklist

Before you submit your application, please be sure you have addressed all of the following elements.

Required forms (see links below for fillable forms) ☐Form SF-424, “Application for Federal Assistance” (DUNS number/SAM CAGE code) ☐Form SF-424A, “Budget Information-Non-Construction Programs” ☐Form SF-424B, “Assurances - Non-Construction Programs” ☐Form AD-3030, “Representations Regarding Felony Conviction and Tax Delinquency Status for Corporate Applicants” (required only for corporate applicants) ☐Certification regarding Federal judgements

Table of Contents ☐Page numbers included for each part of the application

Executive Summary ☐One page description of your proposed project

Eligibility Discussion (4 page limit) ☐Applicant Eligibility ☐Meet Applicant Type Requirements ☐Meet Board of Directors/ Governing Board Requirement ☐Use of Funds ☐Project Area ☐Grant Period ☐Satisfactory Performance (if applicable)

Scoring Criteria ☐Technical Assistance (3 page limit) ☐Experience (3 page limit) ☐Commitment (3 page limit) ☐Work Plan/Budget (6 page limit) ☐Local Support (3 page limit)

Performance Evaluation Measures ☐Estimates provided for performance evaluation measures

Appendices ☐ Appendix A – Verification Documents for Applicant Organization ☐ Appendix B – Resumes ☐ Appendix C – Local Support Letters

Required Standard Form Links

Form SF-424 Instructions http://www.grants.gov/web/grants/form-instructions/sf-424-instructions.html

Form SF-424, “Application for Federal Assistance” http://apply07.grants.gov/apply/forms/sample/SF424_2_1-V2.1.pdf

Form SF-424-A Instructions http://www.grants.gov/web/grants/form-instructions/sf-424a-instructions.html

Form SF-424A, “Budget Information-Non-Construction Programs” http://apply07.grants.gov/apply/forms/sample/SF424A-V1.0.pdf

Form SF-424B, “Assurances - Non-Construction Programs” http://apply07.grants.gov/apply/forms/sample/SF424B-V1.1.pdf

Form AD-3030, “Representations Regarding Felony Conviction and Tax Delinquency Status for Corporate Applicants” http://www.ocio.usda.gov/document/ad3030

USDA is an equal opportunity provider and employer.

USDA is an equal opportunity provider, employer and lender.

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