SF-424 INDIVIDUAL APPLICATION FOR FEDERAL ASSISTANCE.pdf

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Attached to
FY24 Annual Call For Proposals
Opportunity number
OFOP0001318
Issued by

About this file

This document is an SF-424 Individual Application for Federal Assistance, a standard federal form for individual applicants seeking grant funding. The form collects key applicant information, including name, contact details, citizenship status, and proposed project details. The related federal grant opportunity is the FY24 Annual Call for Proposals from the U.S. Department of State's Public Affairs Section at the U.S. Embassy in Kingston, Jamaica. This grant program, under CFDA 19.040 for Public Diplomacy Programs, provides funding to support U.S. foreign policy goals, national interests, and national security through informing and influencing foreign publics. The deadline for this annual grant program is necessary to allow sufficient time for processing and awarding programs before the end of the fiscal year on September 30, 2024.

SF-424 INDIVIDUAL APPLICATION FOR FEDERAL ASSISTANCE

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* 3. DATE RECEIVED:

5. APPLICANT INFORMATION

* 1. NAME OF FEDERAL AGENCY:

2. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER:

* 4. FUNDING OPPORTUNITY NUMBER:

* TITLE:

CFDA TITLE:

Prefix: * First Name: Middle Name:

* Last Name: Suffix:

* Telephone Number (Daytime):

Fax Number:* Email:

* Street1: Street2:

* City: County/Parish:

* State: Province:

* Zip/Postal Code:* Country:

b. Address

Telephone Number (Evening):

APPLICATION FOR FEDERAL ASSISTANCE SF 424 - INDIVIDUAL

OMB Number 4040-0005 Expiration Date: 01/31/2023

a. Name and Contact Information

USA: UNITED STATES

* c. Citizenship Status:

U.S. Citizenship

If No

6. PROJECT INFORMATION

If permanent resident of U.S., enter the Alien Registration #:

* If foreign national, enter country of citizenship:

* If foreign national, enter start date of most recent residency in U.S.:

d. * Congressional District of Applicant:

* a. Project Title:

* b. Project Description:

APPLICATION FOR FEDERAL ASSISTANCE SF 424 - INDIVIDUAL

Yes No

* c. Proposed Project:

7. * By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties (U.S. Code, Title 18, Section 1001)

** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions.

* Date Signed:

Start Date: End Date:

* Signature:

** I AGREE

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