SF424-Application for Federal Assistance (Individual).pdf
PDF 107 KB Posted
- Attached to
- Marine and Blue Economy Hackathon Federal grant opportunity
- Opportunity number
- ECO-NOFO-FY24-02
- Issued by
- Department of State US Embassy Abuja
About this file
This document is a Request for Federal Assistance (SF-424) form for an individual applicant. The key details are:
The applicant is applying for a federal grant under the Department of State's Environmental and Scientific Partnerships and Programs (CFDA 19.017). The funding opportunity is the Marine and Blue Economy Hackathon, a two- to three-day event that will bring together government officials, private sector experts, academics, entrepreneurs, and students to crowdsource innovative technical solutions to marine and blue economy-related problems in Lagos, Nigeria. The selected implementing partner will define three problem statements related to areas such as sustainable fisheries, plastic pollution, coastal resilience, and marine conservation. Participants will form teams to develop solutions, and a winning solution will be selected and awarded a prize. Applicants must demonstrate a commitment to inclusive participation, reaching out to marginalized populations and ensuring balanced participation. The form collects standard applicant information such as name, contact details, project details, and applicant signature.
SF424-Application for Federal Assistance (Individual)
View the file
Other files for this federal grant opportunity
| File | Type | Posted |
|---|---|---|
| NOFO Full Instructions.pdf | ||
| Marine and Blue Economy Hackathon NOFO Full Instructions.pdf | ||
| Request for Advance or Reimbursement (SF270).pdf | ||
| Budget Information for Non-Construction Programs (SF-424A).pdf | ||
| Assurances for Non-Construction Programs (SF-424B).pdf | ||
| Application for Federal Assistance (SF-424).pdf |
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Application for Federal Domestic Assistance- Individual D:20061031132426- 05'00' D:20061031132805- 05'00'
* 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):
* Telephone Number (Daytime):
Fax Number:
* Email:
* Street1:
Street2:
* City:
County/Parish:
* State:
Province:
* Zip/Postal Code:
* Country:
b. Address Telephone Number (Evening):
Telephone Number (Evening):
APPLICATION FOR FEDERAL ASSISTANCE SF 424 - INDIVIDUAL
APPLICATION FOR FEDERAL ASSISTANCE S F 424 - INDIVIDUAL
OMB Number 4040-0005 Expiration Date: 02/28/2026
a. Name and Contact Information A. Name and Contact Information
* 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
U.S. Citizenship: Select Yes if applicant is a citizen of the United States.
Select No if applicant is a permanent resident and enter the Alien Registration Number. Select No if applicant is a foreign national and enter the country of citizenship and start date of most recent residency in the United States.
U.S. Citizenship is required: Select Yes if Applicant is a Citizen of the United States. Select No if Applicant is a permanent resident and enter the Alien Registration Number. Select No if Applicant is a foreign national and enter the country of Citizenship and start date of most recent residency in the United States.
* 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)
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 218, Section 1 0 0 1) ** 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:
N: No
| Funding Opportunity Title: Pre-populated from the Application cover sheet.: |
| XDPFirstField: |
| Mandatory: |
| Name of Federal Agency: Pre-populated from the Application cover sheet.: |
| CFDA Number: Pre-populated from the Application cover sheet.: |
| CFDA Title: Pre populated from the Application cover sheet.: |
| Date Received: Completed by Grants.gov upon submission.: |
| Funding Opportunity Number: Pre populated from the Application cover sheet.: |
| First Name: Enter the First Name. This field is required.: |
| Middle Name: Enter the Middle Name.: |
| Last Name: Enter in the Last Name. This field is required.: |
| Daytime Phone Number: Enter the daytime Telephone Number. This field is required.: |
| Evening Phone Number: Enter the evening Telephone Number.: |
| Email: Enter a valid Email Address. This field is required.: |
| Fax Number: Enter in the Fax Number.: |
| Street1: Enter first line of the Street Address. This field is required.: |
| Street2: Enter second line of the Street Address.: |
| City: Enter the City. This field is required.: |
| County/Parish: Enter the County/Parish.: |
| Close Form Button: Click this button to return to the cover sheet of this Grant Application: |
| Previous Page Button: Click to go to previous page: |
| Next Page Button: Click to go to next page: |
| Print Page Button: Click to print this page: |
| About Button: Click here for more information about this form.: |
| Prefix: Select the Prefix from the provided list or enter a new Prefix not provided on the list.: |
| Suffix: Select the Suffix from the provided list or enter a new Suffix not provided on the list.: |
| Country: Select the Country from the provided list. |
This field is required.: NIU: NIUE
| ZIP/ Postal Code: Enter the nine-digit Postal Code (e.g., ZIP code). This field is required if the country is the United States.: |
| State: Select the state, U S possession or military code from the provided list. This field is required if Country is the United States.: CO: Colorado |
| Province: Enter the Province.: |
| btnExport: |
| TextField1: |
| ViewBurdenStatement: |
| U.S. Citizenship is required: Select Yes if Applicant is a Citizen of the United States. Select No if Applicant is a permanent resident and enter the Alien Registration Number. Select No if Applicant is a foreign national and enter the country of Citizenship and start date of most recent residency in the United States.: |
| U.S. Citizenship: Select Yes if applicant is a citizen of the United States. : |
| U.S. Citizenship: Select No if applicant is a permanent resident and enter the Alien Registration Number. Select No if applicant is a foreign national and enter the country of citizenship and start date of most recent residency in the United States.: |
| Alien Registration Number: Enter the Alien Registration Number.: |
| Citizenship Country: Select the Country from the provided list. |
This field is required if the applicant is not a U.S. Citizen.:
Residency Start: Enter the start date of the most recent residency in the U.S. Enter in the format MM/DD/YYYY. This field is required if the applicant is not a U.S. Citizen.:
| DataEnteredCitizenship: |
| Congressional District of Applicant: Enter the Congressional District in the format: 2 character State Abbreviation - 3 character District Number. Examples: CA-005 for California's 5th district, CA-012 for California's 12th district, NC-103 for North Carolina's 103rd district. This field is required. |
If outside the US, enter 00-000.:
| Project Title: Enter a brief, descriptive title of the project. This field is required.: |
| Project Description: Enter a brief description of the project. |
This field is required.:
End Date: Enter the end date for the proposed project.
Enter in the format MM/DD/YYYY. This field is required.:
Proposed Project Start Date: Enter the start date for the proposed project.
Enter in the format MM/DD/YYYY. This field is required.:
| I Agree is required: Check to select.: |
| I Agree: Check to select. This field is required.: N: No |
| Signature: Enter the Signature. This field is required.: |
| Date Signed: Enter the Date Signed. Enter in the format MM/DD/YYYY. This field is required.: |
| LastField: |
File details come from the government source that posted it. Updated .