Summary Coversheet.docx

U.S. Consulate General Hong Kong & Macau Public Affairs Section Grant Application Summary Coversheet

A. Application Information

Date of this application

Project title

Project total cost (in U.S. dollars)

Amount requested from U.S. Consulate General (in US dollars)

Project start date Project end date

B. Applicant’s Information

Name of Grant recipient:

Name of individual or organization: should match with the name of the bank A/C for which grant amount is received

Type of Applicant ☐ Foreign Commercial Firm ☐ Foreign Education Institution ☐ Foreign Government ☐ Foreign Individual ☐ Foreign NGO/PVO ☐ Public International Organization ☐ U.S. Commercial Firm ☐ U.S. Educational Institution ☐ U.S. Individual ☐ U.S. Local Government ☐ U.S. State Government ☐ U.S. Non-Profit Organization

Office address

Unique Entity identifier (If you don’t have one, click HERE to obtain one)

Name and title of person responsible for the application

Name and title of person with legal authority to sign the grant

Brief description of your organization’s mission (maximum half page)

C. Project Information

Project Description, Objectives & Expected Outcome and Long-Term Impact Please describe the exact activities that the grant will support. Be as specific as possible. If this grant is part of a larger project, clearly define what part of the grant Consulate funding will support.

Project Description:

Project Objectives:

Expected Outcomes and Long-Term Impact:

Project Justification (maximum half a page) Please explain how proposed program meets Consulate’s program priority areas (listed on page one of Notice of Funding Opportunity) and strengthens ties between U.S. & Hong Kong and U.S. & Macau.

Proposed Events & Timeline (maximum half a page)

Target Audience

Target demographic for this program:

Estimated number of participants:

Budgeted Income Will this program generate income? Is there a cost for participants? Please provide calculation with explanation.

Budgeted Expenses Please provide detailed budget in U.S. dollars. You may add more lines if needed.

Item (e.g.: personnel, travel, hotel, per diem, materials, supplies, contractual, etc.)

Cost Sharing (Amount that your organization/other sponsors will cover)

Requested from U.S. Consulate

Total Cost

TOTAL COST OF PROJECT:

Budget Narrative Please provide supplementary explanation for the budget items if necessary.

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