US-Grants-Program-Application-Form.docx

DOCX document 52 KB Posted

Attached to
2025 Public Diplomacy Small Grants Program Federal grant opportunity
Opportunity number
SMK800-25-PAS003
Issued by
Department of State US Embassy Skopje

About this file

This is a U.S. Embassy Grants Program application form template, associated with the 2025 Public Diplomacy Small Grants Program (Solicitation SMK800-25-PAS003) administered by the U.S. Embassy in North Macedonia. The form requires applicants to provide organizational details, background information, project descriptions, and budget summaries across five main sections.

The associated grant opportunity focuses on strengthening U.S.-North Macedonia ties through cultural and exchange programming, with priority areas including youth development in STEM, civic engagement, and promotion of U.S. values. The program falls under CFDA 19.040 (Public Diplomacy Programs) and is managed by the Department of State's U.S. Embassy in Skopje. Key requirements include an American cultural element or connection with U.S. experts/organizations. Ineligible activities include travel to the U.S. for professional development, political campaigns, religious activities, construction programs, and ongoing salary costs. The application template requires detailed project information including goals, activities, monitoring plans, and a comprehensive budget breakdown with narrative justification.

Proposed application form

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Annual Program Statement PD DP.docx DOCX document

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Text version

U.S. Embassy Grants Program

APPLICATION FORMAT

Last Updated: 09/17/2010 Page 1 of 3

Read carefully the instructions supplied with this document.

1. GENERAL INFORMATION:

1.1. Applicant Organization

a. Organization (English):

b. Organization (Original):

c. Address: d. City/Town: e. District:

f. Website: g. Tax Code:

1.2. Organization leader

a. Last Name: b. First Name: c. Title:

c. Tel: d. Mob: e. Fax: f. E-mail:

2. BACKGROUND OF ORGANIZATION:

2.1. Description

2.2. Past Grants (U.S. Embassy)

2.3. Past Grants (Other)

3. PROJECT DESCRIPTION:

3.1. Project information

a. Project Name:

b. Duration (months): c. Start date (mm/dd/yyyy): d. End date (mm/dd/yyyy):

3.2. Executive summary:

3.3. Project Justification:

3.4. Project Goal 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
$0.00
Fringe Benefits
$0.00
Travel
$0.00
Equipment
$0.00
Supplies
$0.00
Contractual
$0.00
Other Direct Costs
$0.00
Indirect Costs
$0.00

Total Requested:

0.00

Contributions
$0.00

Project Total

$0.00

Note: Please submit a detailed budget in a spreadsheet format

4.2 Budget narrative

4.3 Miscellaneous

5. Certification:

By signing this application, I certify that the statements contained in this form are true, complete and accurate to the best of my knowledge.

I am aware that any false statements or claims may disqualify my organization from receiving this and any future awards.

|_| I agree

By marking the checkbox below I certify that I have read and understood the instructions provided with this form before filling out this document

|_| I have read the instructions provided with this form

Authorized Representative: Please enter name here Date:

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