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My Organization

In order to apply for this grant, your organization must be one of the following:

If you do not have a UEI number, please enter a zero

Application Overview

Additional Questions

Required Documents

The document(s) listed in the Opportunity Details must be required when you register. When submitting your application, please click the Upload button and select the prepared document. Only PDF, Microsoft Word, PowerPoint and Excel formats will be accepted.

Compensated Officials

In your organization's preceding completed fiscal year, did your organization receive 80 percent or more of its annual gross revenues in Federal awards and $25,000,000 or more in annual gross revenues from Federal awards?

Does the public have access to information about the compensation of the executives in this organization through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986?

Please list five compensated employees of your organization and their compensation amounts pursuant to Federal reporting requirements.


Authorized Representative:
Grant Contact:

Upon approval, the Grant Contact may be asked to submit activity reports related to the distribution.

By submitting 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 information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Section 1001 and Title 31, Sections 3729-3730 and 3801-3812)