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////////////////////////////////////////////////// ////////////////////////////////////////////////// ////////////////////////////////////////////////// ////////////////////////////////////////////////// //////////////////AAAA absolute 4 39 extent 945 3 3 absolute 7 357 extent 178 22 * Application Filing Name: Helvetica 8 bold within TOOLBAR absolute 83 9 Save save Helvetica 8 plain center 191 191 191 application/x-xfdl;content-encoding="asc-gzip" ButtonSubmit ButtonPrint HELP18 Save: Select to save. iVBORw0KGgoAAAANSUhEUgAAAEkAAAAZCAMAAABKI/MZAAAABG dBTUEAAFjH/EfgAgAAACBjSFJNAAB6JQAAgIMAAPn/AACA5gAA dS4AAOpfAAA6lwAAF29p5MQrAAADAFBMVEUDBAoBAgYFCRcUI1 gTIVMVJFoRHUcMFDEoNWQ+SGtiaYQlLEOZnKaHiIoAAQK5urqb nJtgYF49PTxUVFOsrKrExMOnp6alpaSgoJ/l5eXW1tZwcHArKy sdHR0ODg4AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA 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submissionCaching.saveForm() : "" 1 set(global.global.cached_copy,"on") FIELD7 ButtonSave on HELP17 Submit: Select to submit. absolute 411 -2 extent 34 27 5 readonly off absolute 638 2 extent 307 33 Grant Application Package Helvetica 14 bold right Grant Application Package readonly 0 ButtonCancel field_instruction1 absolute 180 58 extent 370 22 readonly Helvetica 8 bold Enter Opportunity Title field_instruction1 AgencyName Rural Domestic Violence, Dating Violence, Sexual Assault, Stalking, and Child Abuse Enforcement Assistance Program HELP8 absolute 180 80 extent 370 22 Helvetica 8 bold left readonly Enter Offering Agency's Name OpportunityTitle CFDANumber Office of Violence Against Women HELP9 absolute 180 102 extent 80 22 readonly Helvetica 8 bold Enter the CFDA Number AgencyName CFDATitle 16.589 HELP10 absolute 180 124 extent 370 22 readonly Helvetica 8 bold Enter CFDA Description CFDANumber OpportunityID Rural Domestic Violence and Child Victimization Enforcement Grant Program HELP11 absolute 180 146 extent 170 22 readonly Helvetica 8 bold Enter the Opportunity Number CFDATitle OpeningDate OVW-2007-1499 HELP12 absolute 180 192 extent 100 22 readonly Helvetica 8 bold Enter the Opportunity Open Date OpportunityID ClosingDate 12/19/2006 HELP14 absolute 180 214 extent 100 22 readonly Helvetica 8 bold Enter the Close Date OpeningDate AgencyContactInfo 02/15/2007 HELP15 absolute 180 237 extent 280 60 Helvetica 8 bold left readonly Enter Agency Contact Information ClosingDate always HELP16 Sandy Thurston Program Specialist 202/307-6026 www.ovw.rural@usdoj.gov absolute 629 60 extent 323 188 Helvetica 8 bold This electronic grants application is intended to be used to apply for the specific Federal funding opportunity referenced here. If the Federal funding opportunity listed is not the opportunity for which you want to apply, close this application package by clicking on the "Cancel" button at the top of this screen. You will then need to locate the correct Federal funding opportunity, download its application and then apply. readonly wordwrap 123 207 253 123 207 253 This electronic grants application is intended to be used to apply for the below referenced funding opportunity. If this is not the correct funding opportunity, cancel this application, determine which funding opportunity you are interested in, and download the appropriate application package. field_Grant_Application_Package OpportunityTitle 0 transparent absolute 189 357 extent 452 22 HELP1 Enter Application Filing Name. This field is required. string mandatory 1 40 INDV_Applicant_Check SUBMISSION_NAME absolute 764 355 extent 110 22 HELP1 SubmissionDef.SubmissionTitle.value string mandatory 1 40 off SubmissionTitle MandatoryAvailable Enter the name or alias of this application. This field is required. iVBORw0KGgoAAAANSUhEUgAAAEkAAAAZCAMAAABKI/MZAAAABG dBTUEAAFjH/EfgAgAAACBjSFJNAAB6JQAAgIMAAPn/AACA5gAA dS4AAOpfAAA6lwAAF29p5MQrAAADAFBMVEUBAQR4eX4TIVMLEz AVJFoSH00QG0MsOGKXmqUlLENFTWgGCxoAAQK5urpgYF49PTxU VFOsrKrj4+LExMOnp6alpaSgoJ+cnJuKionl5eXW1tZpaWkrKy sdHR0ODg4AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAADM/vU8AAACJElEQVR4nGIQkGYUF6MYCApLAQQQA7+A tIQIxYBXSggggBj4+QUkBCkGwkJCAAEENIlfWpxiICwlBRBAIJ MEWCgGIsLCAAFEPZMAAoh6JgEEENwkVm5pXklJDi4WZnlJSS4g l19SEsQEASkOdjCTCywKFgYzwIALahJAAMFMYpWXlpQUEZaUYp cHm8QmD1QKYoLiGGgDiCnJyAxSBRaWlwGLAwl2qEkAAQQziVte WFJGXl5ckhFiEjPMJHkgkIEaKs4tLy6CEIZQbFCTAAIIZpK8vB TIJFl+TiwmSUvygpiMwvLywowQYWaYScxMUJMAAghhkjjQUmkZ eTY0k8BAWAbE5JOUlQMSYGGwFjAFC3GAAEKYJCcC0sPLhWYSJJ ykQUwZSQF+SRlcJgEEEMwkoFPkZfkkpCBhi+Y7fojv5CWlpaXk cZkEEEBwk3ikpRFhi2YSVLe8iIi4CE6TAAIIEXdSkvwg20Xk5X klOYB8cRATpJYNGOLCYJMYJaWkcZoEEECIcAKlJ2CICMjLCwCD GJi0QEyUcJLnA4nhMgkggBBukucDpnFeAW4gS0BcSlJKnJ8bFn fC0tyQ1CgpKYvTJIAAQqRxKGCFsxjgLKCoPBoAmwSmYCYBBBBS vgPJcLMCWeBUJ8/MysIM1cYNZjIDVTAzQzFQB5SCmQQQQNQrCw ACCGQSPx/FgFFUECCAwCZRDoDVCkAAUckkoL8AAohqJvEDBBgA nb93LiSj0+0AAAAASUVORK5CYII= absolute 218 -1 extent 52 32 absolute 140 712 extent 40 22 absolute 809 679 extent 87 22 GRANT off absolute 397 680 extent 87 22 5 1 0 off absolute 567 680 extent 87 22 5 1 0 off absolute 744 679 extent 61 22 Type off absolute 334 680 extent 61 22 Sig Count off absolute 504 681 extent 61 22 Attach Count off within TOOLBAR absolute 64 9 extent 15 27 1 off within TOOLBAR absolute 120 9 extent 15 27 1 off within TOOLBAR absolute 176 9 extent 15 27 1 off within TOOLBAR absolute 246 9 extent 15 27 1 off This field is required. absolute 5 105 extent 111 22 CFDA Number: Helvetica 8 bold absolute 5 59 Opportunity Title: Helvetica 8 bold absolute 5 81 extent 114 24 Offering Agency: Helvetica 8 bold absolute 5 239 extent 110 22 Agency Contact: Helvetica 8 bold absolute 5 194 extent 164 22 Opportunity Open Date: Helvetica 8 bold absolute 5 216 extent 165 22 Opportunity Close Date: Helvetica 8 bold absolute 446 0 extent 190 40 off AgencyID USDOJ-OJP-OVW absolute 273 -3 extent 67 38 [SF424-V2.0, DOJ_CertificationCompliance-V1.1, SF424B-V1.1, Project-V1.1, Budget-V1.1] Mandatory Form Ids from TLKFORMS off absolute 358 0 extent 53 38 [FaithBased_SurveyOnEEO-V1.2] Optional Form Ids from TLKFORMS off absolute 11 378 extent 380 125 SubmissionDef.MandatoryAvailable_GROUP Mandatory Documents HELP3 Helvetica 8 plain Helvetica 8 bold The list of Mandatory Documents SUBMISSION_NAME OpenMandatoryAvailable absolute 161 518 Open Form off strlen(SubmissionDef.MandatoryAvailable.value) > "0" ? "on" : "off" toggle(activated, "off", "on") == "1" ? set("SubmissionDef.OpenMandatoryAvailable.url[0]", SubmissionDef.MandatoryAvailable.value->pageID) : "" pagedone #SF424.global HELP5 Open Form from Mandatory Documents MandatoryAvailable MandatoryToSubmissionButton absolute 403 382 extent 97 35 Move Form to Submission List Helvetica 6 plain center absolute 416 418 extent 71 22 off strlen(SubmissionDef.MandatoryAvailable.value) > "0" ? "on" : "off" => Helvetica 8 bold toggle(activated, "off", "on") == "1" ? SubmissionDef.MandatoryCount.value > "0" ? set("MandatoryAvailable.value->group", "SubmissionDef.MandatoryCurrent_GROUP") + set("MandatoryCurrent.group", "garbage") + set("MandatoryCurrent.group", "MandatoryCurrent_GROUP") + set("SubmissionDef.MandatoryCount.value", MandatoryCount.value + "-1") : "" : "" HELP2 Mandatory Submission Button. Move the selected Mandatory Document to the Mandatory Completed Documents Submission list. OpenMandatoryAvailable MandatoryCurrent absolute 403 447 extent 97 35 Move Form to Documents List Helvetica 6 plain center absolute 416 483 extent 71 22 off strlen(SubmissionDef.MandatoryCurrent.value) > "0" ? "on" : "off" Helvetica 8 bold toggle(activated, "off", "on") == "1" ? SubmissionDef.MandatoryCount.value >= "0" ? set("MandatoryCurrent.value->group", "SubmissionDef.MandatoryAvailable_GROUP") + set("MandatoryAvailable.group", "garbage") + set("MandatoryAvailable.group", "MandatoryAvailable_GROUP") + set("SubmissionDef.MandatoryCount.value",SubmissionDef.MandatoryCount.value + "+1") : "" : "" OpenMandatoryCurrent OptionalAvailable absolute 511 378 extent 380 125 MandatoryCurrent_GROUP Mandatory Completed Documents for Submission HELP4 Helvetica 8 plain Helvetica 8 bold The list of Mandatory Documents which have been completed and are ready for submission MandatoryToSubmissionButton OpenMandatoryCurrent absolute 661 518 extent 71 22 Open Form off strlen(SubmissionDef.MandatoryCurrent.value) > "0" ? "on" : "off" toggle(activated, "off", "on") == "1" ? set("SubmissionDef.OpenMandatoryCurrent.url[0]", SubmissionDef.MandatoryCurrent.value->pageID) : "" pagedone #SF424.global HELP6 Open Form from Mandatory Documents which have been completed and are ready for submission MandatoryCurrent SubmissionToMandatoryButton absolute 11 548 extent 380 125 SubmissionDef.OptionalAvailable_GROUP Optional Documents HELP3 Helvetica 8 plain Helvetica 8 bold The list of Optional Documents SubmissionToMandatoryButton OpenOptionalAvailable absolute 161 678 Open Form off strlen(SubmissionDef.OptionalAvailable.value) > "0" ? "on" : "off" toggle(activated, "off", "on") == "1" ? set("SubmissionDef.OpenOptionalAvailable.url[0]", SubmissionDef.OptionalAvailable.value->pageID) : "" pagedone #SF424.global HELP5 Open Form from Optional Documents OptionalAvailable OptionalToSubmissionButton absolute 403 547 extent 97 35 Move Form to Submission List Helvetica 6 plain center absolute 416 583 extent 71 22 off strlen(SubmissionDef.OptionalAvailable.value) > "0" ? "on" : "off" => Helvetica 8 bold toggle(activated, "off", "on") == "1" ? set("OptionalAvailable.value->group", "SubmissionDef.OptionalCurrent_GROUP") + set("OptionalCurrent.group", "garbage") + set("OptionalCurrent.group", "OptionalCurrent_GROUP") : "" HELP2 Optional Submission Button. Move the selected Optional Document to the Optional Completed Documents Submission list. OpenOptionalAvailable OptionalCurrent absolute 403 612 extent 97 35 Move Form to Documents List Helvetica 6 plain center absolute 417 648 extent 71 22 off strlen(SubmissionDef.OptionalCurrent.value) > "0" ? "on" : "off" toggle(activated, "off", "on") == "1" ? set("OptionalCurrent.value->group", "SubmissionDef.OptionalAvailable_GROUP") + set("OptionalAvailable.group", "garbage") + set("OptionalAvailable.group", "OptionalAvailable_GROUP") : "" Helvetica 8 bold OpenOptionalCurrent ButtonSubmit absolute 511 548 extent 380 125 OptionalCurrent_GROUP Optional Completed Documents for Submission HELP4 Helvetica 8 plain Helvetica 8 bold The list of Optional Documents which have been completed and are ready for submission OptionalToSubmissionButton OpenOptionalCurrent absolute 661 679 extent 71 22 Open Form off strlen(SubmissionDef.OptionalCurrent.value) > "0" ? "on" : "off" toggle(activated, "off", "on") == "1" ? set("SubmissionDef.OpenOptionalCurrent.url[0]", SubmissionDef.OptionalCurrent.value->pageID) : "" pagedone #SF424.global HELP6 Open Form from Optional Documents which have been completed and are ready for submission OptionalCurrent FIELD3 absolute 7 708 extent 132 29 Instructions Helvetica 10 bold 123 207 253 readonly 0 Instructions OpenOptionalCurrent absolute 9 740 extent 55 43 DATA3 Number 1 absolute 72 745 extent 878 22 Enter a name for the application in the Application Filing Name field. wordwrap readonly 0 1. Enter a name for the application in the Application Filing Name field. FIELD2 Helvetica 8 bold absolute 94 766 extent 854 54 - This application can be completed in its entirety offline; however, you will need to login to the Grants.gov website during the submission process. - You can save your application at any time by clicking the "Save" button at the top of your screen. - The "Submit" button will not be functional until the application is complete and saved. never readonly 0 - This application can be completed in its entirety offline; however, you will need to login to the Grants.gov website during the submission process. - You can save your application at any time by clicking the Save button at the top of your screen. - The Submit button will not be functional until the application is complete and saved. 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///////////////////////////////wAA absolute 136 710 extent 1 26 Open Selected Form Listing of opened forms. Select the form and click the 'Open Form' button. Move the selected from the Mandatory Documents List to the Mandatory Completed Documents for Submission. Open Selected Form absolute 5 127 extent 131 22 CFDA Description: Helvetica 8 bold absolute 5 149 Opportunity Number: Helvetica 8 bold absolute 6 299 extent 945 3 3 absolute 1 707 extent 945 3 3 absolute 629 61 extent 2 186 2 absolute 949 67 extent 2 180 2 absolute 629 246 extent 321 1 absolute 629 61 extent 321 1 absolute 9 735 extent 128 1 absolute 9 710 extent 1 26 absolute 10 807 extent 50 49 DATA4 Number 2 absolute 71 819 extent 879 22 Open and complete all of the documents listed in the "Mandatory Documents" box. Complete the SF-424 form first. wordwrap readonly 0 2. Open and complete all of the documents listed in the Mandatory Documents box and Optional Documents box. FIELD2 FIELD5 Helvetica 8 bold absolute 90 840 extent 860 250 -It is recommended that the SF-424 form be the first form completed for the application package. Data entered on the SF-424 will populate data fields in other mandatory and optional forms and the user cannot enter data in these fields. -The forms listed in the "Mandatory Documents" box and "Optional Documents" may be predefined forms, such as SF-424, forms where a document needs to be attached, such as the Project Narrative or a combination of both. "Mandatory Documents" are required for this application. "Optional Documents" can be used to provide additional support for this application or may be required for specific types of grant activity. Reference the application package instructions for more information regarding "Optional Documents". -To open an item, simply click on it to select the item and then click on the "Open" button. When you have completed a form or document, click the form/document name to select it, and then click the => button. This will move the form/document to the "Completed Documents" box. To remove a form/document from the "Completed Documents" box, click the form/document name to select it, and then click the <= button. This will return the form/document to the "Mandatory Documents" or "Optional Documents" box. -When you open a required form, the fields which must be completed are highlighted in yellow. Optional fields and completed fields are displayed in white. If you enter invalid or incomplete information in a field, you will receive an error message. never readonly 0 -The documents listed in the Mandatory Documents box and Optional Documents may be predefined forms, such as SF-424, or documents that need to be attached, such as a program background statement. Mandatory Documents are required for this application. Optional Documents can be used to provide additional support for this application or may be required for specific types of grant activity. Reference the application package instructions for more information regarding Optional Documents. -To open an item, simply click on it to select the item and then click on the Open button. When you have completed a form or document, click the form/document name to select it, and then click the >> button. This will move the form/document to the Completed Documents box. To remove a form/document from the Completed Documents box, click the form/document name to select it, and then click the << button. This will return the form/document to the Mandatory Documents or Optional Documents box. -When you open a required form, the fields which must be completed are highlighted in yellow. Optional fields and completed fields are displayed in white. If you enter invalid or incomplete information in a field, you will receive an error message. FIELD4 absolute 11 1071 DATA5 Number 3 absolute 72 1089 extent 876 22 Click the "Submit" button to submit your application to Grants.gov. wordwrap readonly 0 3. Click the Submit button to submit your application to Grants.gov. Helvetica 8 bold absolute 91 1110 extent 854 54 - Once you have properly completed all required documents and saved the application, the "Submit" button will become active. - You will be taken to a confirmation page where you will be asked to verify that this is the funding opportunity and Agency to which you want to submit an application. never readonly 0 - Once you have properly completed all required documents and saved the application, the Submit button will become active. - You will be taken to a confirmation page where you will be asked to verify that this is the funding opportunity and Agency to which you want to submit an application. 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////////////////////////////////////////////////// ////////////////////////////////8AAP////////////// ////////////////////////////////////////////////// ////////////////////////////////////////////////// ////////////////////////////////////////////////// ///////////////////wAA//////////////////////////// ////////////////////////////////////////////////// ////////////////////////////////////////////////// ////////////////////////////////////////////////// //////AAA= absolute 180 169 extent 170 22 readonly Helvetica 8 bold Enter the Opportunity Number HELP13 absolute 5 172 Competition ID: Helvetica 8 bold absolute 403 720 extent 87 22 5 1 1.00 off absolute 250 720 extent 150 22 CoverSheet Version off absolute 540 150 extent 80 40 -42 ApplicationID off absolute 10 1170 extent 80 22 Pulled Duns Number readonly off Helvetica 4 plain Helvetica 4 plain pagedone once 0 #SubmissionAffidavit.global SubmissionAffidavit.SubmittedStatus.value == "" ? "off" : SubmissionAffidavit.SubmittedStatus.value == "Submitted" ? "on" : SubmissionAffidavit.SubmittedStatus.value == "Exited" ? "off" : "off" absolute 30 304 extent 920 50 Helvetica 8 bold 2 I will be submitting applications on my behalf, and not on behalf of a company, state, local or tribal government, academia, or other type of organization. absolute 510 200 extent 110 40 000000000INDV INDV DUNS off absolute 510 250 extent 110 40 Parent Form off SF424 absolute 600 250 extent 110 40 FormFamily ID off 7 absolute 720 250 extent 110 40 FormFamily Name off SF424 Family absolute 11 310 extent 17 20 off readwrite 1 1 off within TOOLBAR absolute 265 10 extent 161 22 Check Package for Errors toggle(activated,"off","on") == "1" ? set("numErrors", checkValidFormats("errorList")) +. (numErrors != "0" ? get("errorList[0]->acclabel") != "0" ? viewer.messageBox("A total of " +. get("numErrors") +. " error(s) found. Only one error can be displayed at a time.\n\nThe last error was found in the form titled \"" +. page_title +. "\". The field is: "+. get("errorList[0]->acclabel") +. "\n\n\n\n(For Helpdesk: error at " +. get("errorList[0]") +. ") ", "Information", "OK | ICONINFORMATION") +. set ("activated","off") : viewer.messageBox("A total of " +. get("numErrors") +. " error(s) found. Only one error can be displayed at a time.\n\nThe last error was found in the form titled \"" +. page_title +. "\". "+. get("errorList[0]->acclabel") +. "\n\n\n\n(For Helpdesk: error at " +. get("errorList[0]") +. ") ", "Information", "OK | ICONINFORMATION") +. set ("activated","off") : SubmissionDef.MandatoryCount.value > "0" ? viewer.messageBox("Mandatory forms must be filled out and moved to the completed side.", "Information", "OK | ICONINFORMATION") : viewer.messageBox("No errors found.", "Information", "OK | ICONINFORMATION")): "" strlen(errorList[0]) > "0"? substr(errorList[0],"0",(strpbrk(errorList[0],".")-"1")):"" strlen(error_substring) > "0" ? error_substring != "SubmissionDef" ? get(error_substring +.".label") == "" ? get(error_substring +.".global.label") : get(error_substring +.".label") : "Submission" : "" 191 191 191 HELP3 Click here to check package for errors. Select form and click the Mandatory Submission Button to move the form to the Submission List. Enter Opportunity Title Enter Offering Agency's Name Enter the CFDA Number Enter CFDA Description Enter the Opportunity Number Enter the Opportunity Number Enter the Opportunity Open Date Enter the Close Date Enter Agency Contact Information Submit: Select to submit. Save: Select to save. Print: Select to print. Cancel: Select to cancel. SubmissionDef.MandatoryAvailable_GROUP SF424 Application for Federal Assistance (SF-424) SubmissionDef.SF424 #SF424.global SubmissionDef.MandatoryAvailable_GROUP DOJ_CertificationCompliance Certification of Compliance SubmissionDef.DOJ_CertificationCompliance #DOJ_CertificationCompliance.global SubmissionDef.MandatoryAvailable_GROUP SF424B Assurances for Non-Construction Programs (SF-424B) SubmissionDef.SF424B #SF424B.global SubmissionDef.MandatoryAvailable_GROUP Project Project Narrative Attachment Form SubmissionDef.Project #Project.global SubmissionDef.MandatoryAvailable_GROUP Budget Budget Narrative Attachment Form SubmissionDef.Budget #Budget.global SubmissionDef.OptionalAvailable_GROUP FaithBased_SurveyOnEEO Faith Based EEO Survey SubmissionDef.FaithBased_SurveyOnEEO #FaithBased_SurveyOnEEO.global DACA1ECC-17BE-4CF5-868B-43EB25CF4AB8 letter 120 8.0;10.5 Affidavit Helvetica 8 plain absolute 638 2 extent 307 33 Grant Application Package Helvetica 14 bold right Grant Application Package readonly 0 LABEL28 Test3 absolute 271 121 extent 395 25 0 Helvetica 8 bold mine all mine SubmissionDef.OpportunityTitle.value readonly LABEL28 AgencyName absolute 271 151 extent 410 25 0 readonly Helvetica 8 bold Department of Health and Human Services SubmissionDef.AgencyName.value OpportunityTitle CFDANumber absolute 271 178 extent 238 25 readonly 0 Helvetica 8 bold 42.001 SubmissionDef.CFDANumber.value AgencyName CFDATitle absolute 271 207 extent 555 25 Helvetica 8 bold 0 Books for the Blind and Physically Handicapped SubmissionDef.CFDATitle.value readonly CFDANumber OpportunityID absolute 19 234 extent 130 26 Opportunity Number: Helvetica 8 plain absolute 271 236 extent 395 25 0 Helvetica 8 bold HHS-MINE SubmissionDef.OpportunityID.value readonly CFDATitle FIELD3 absolute 271 294 extent 395 25 0 Helvetica 8 bold SubmissionDef.OpeningDate.value readonly OpportunityID absolute 271 323 extent 395 25 0 Helvetica 8 bold SubmissionDef.ClosingDate.value readonly absolute 270 352 extent 410 25 readonly 0 Helvetica 8 bold SubmissionDef.SUBMISSION_NAME.value LABEL3 absolute 20 176 extent 96 26 CFDA Number: Helvetica 8 plain absolute 80 720 off strlen(PAGE2.SignatureDSP5.signer) != "0" ? "on" : "off" off off absolute 143 55 extent 620 45 Application Submission Verification and Signature Palatino 16 bold center readonly 0 Application Submission Verification and Signature FIELD1 OpportunityTitle absolute 5 -9 extent 199 52 DATA1 Grants.gov logo absolute 4 39 extent 945 3 3 absolute 141 414 extent 614 31 Do you wish to sign and submit this Application? Courier New 12 bold center 133 177 252 readonly 0 Do you wish to submit this Application? SubmissionTitle absolute 18 451 extent 913 201 Please review the summary provided to ensure that the information listed is correct and that you are submitting an application to the opportunity for which you want to apply. If you want to submit the application package for the listed funding opportunity, click on the "Sign and Submit Application" button below to complete the process. You will then see a screen prompting you to enter your user ID and password. If you do not want to submit the application at this time, click the "Exit Application" button. You will then be returned to the previous page where you can make changes to the required forms and documents or exit the process. If this is not the application for the funding opportunity for which you wish to apply, you must exit this application package and then download and complete the correct application package. Courier New 8 bold left readonly 0 Please review the summary provided to ensure that the information listed is correct and that you are submitting an application to the opportunity for which you want to apply. If you want to submit the application package for the listed funding opportunity, click on the Sign and Submit Application button below to complete the process. You will then see a screen prompting you to enter your user ID and password. If you do not want to submit the application at this time, click the Exit Application button. You will then be returned to the previous page where you can make changes to the required forms and documents or exit the process. If this is not the application for the funding opportunity for which you wish to apply, you must exit this application package and then download and complete the correct application package. wordwrap absolute 32 658 extent 295 45 Sign and Submit Application Arial 12 bold HELP1 (toggle(activated, "off", "on") == "1") ? submissionCaching.removeForm() : "" toggle(activated, "off", "on") == "1" ? set("global.global.ufv_settings[modifiable]", "off") + set("SubmissionDef.ButtonSubmit.active", "off") + set("SubmissionDef.ButtonSave.active", "off") : "" done Sign and Submit Application button. application/x-xfdl;content-encoding="asc-gzip" value) + "&CFDANumber=" + URLEncode(SubmissionDef.CFDANumber.value) + "&CFDATitle=" + URLEncode(SubmissionDef.CFDATitle.value) + "&OpportunityID=" + URLEncode(SubmissionDef.OpportunityID.value) + "&OpportunityTitle=" + URLEncode(SubmissionDef.OpportunityTitle.value)+ "&AgencyName=" + URLEncode(SubmissionDef.AgencyName.value) + "&OrgDuns=" + URLEncode(SubmissionDef.DUNSNUMBER.value) ]]> absolute 735 658 extent 189 45 Exit Application Arial 12 bold (toggle(activated, "off", "on") == "1") ? submissionCaching.removeForm() + set("SubmittedStatus.value","Exited"): "" global.global.cached_copy == "on" ? set(global.global.cached_copy,"off") : "" pagedone #SubmissionDef.SUBMISSION_NAME HELP2 Exit Application button. The Exit Application button will return you to the previous page. However, it will not stop the submission to DTC if the Sign and Submit Application button has already been selected. Button that allows the user to sign and submit the Application Package for approval. However, if there are any changes to the Application Package that have not been saved, you will be unable to submit the Application Package until the file is saved. absolute 19 351 extent 161 26 Application Filing Name : Helvetica 8 plain absolute 100 720 extent 124 45 DirtyFlag off global.global.dirtyflag Courier New 7 plain off absolute 258 720 extent 141 45 Signature Value off SubmissionAffidavit.SignValidation.value off absolute 417 720 extent 137 45 Valid Formats 2 checkValidFormats() off FIELD1 absolute 19 205 extent 125 26 CFDA Description: Helvetica 8 plain absolute 19 118 extent 125 26 Opportunity Title: Helvetica 8 plain absolute 19 147 extent 125 26 Offering Agency: Helvetica 8 plain absolute 19 292 extent 155 26 Opportunity Open Date: Helvetica 8 plain absolute 19 322 extent 155 26 Opportunity Close Date: Helvetica 8 plain absolute 6 402 extent 945 3 3 absolute 7 711 extent 945 3 3 Qk0WegAAAAAAADYAAAAoAAAAxwAAADQAAAABABgAAAAAAOB5AA 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ApplicantTypeGroup A: State Government A: State Government ApplicantTypeGroup B: County Government B: County Government ApplicantTypeGroup C: City or Township Government C: City or Township Government ApplicantTypeGroup D: Special District Government D: Special District Government ApplicantTypeGroup E: Regional Organization E: Regional Organization ApplicantTypeGroup F: U.S. Territory or Possession F. U.S. Territory or Possession ApplicantTypeGroup G: Independent School District G: Independent School District ApplicantTypeGroup H: Public/State Controlled Institution of Higher Education H: Public/State Controlled Institution of Higher Education ApplicantTypeGroup I: Indian/Native American Tribal Government (Federally Recognized) I: Indian/Native American Tribal Government (Federally Recognized) ApplicantTypeGroup J: Indian/Native American Tribal Government (Other than Federally Recognized) J: Indian/Native American Tribal Government (Other than Federally Recognized) ApplicantTypeGroup K: Indian/Native American Tribally Designated Organization K: Indian/Native American Tribally Designated Organization ApplicantTypeGroup L: Public/Indian Housing Authority L: Public/Indian Housing Authority ApplicantTypeGroup M: Nonprofit with 501C3 IRS Status (Other than Institution of Higher Education) M: Nonprofit with 501C3 IRS Status (Other than Institution of Higher Education) ApplicantTypeGroup N: Nonprofit without 501C3 IRS Status (Other than Institution of Higher Education) N: Nonprofit without 501C3 IRS Status (Other than Institution of Higher Education) ApplicantTypeGroup O: Private Institution of Higher Education O: Private Institution of Higher Education ApplicantTypeGroup P: Individual P: Individual ApplicantTypeGroup Q: For-Profit Organization (Other than Small Business) Q: For-Profit Organization (Other than Small Business) ApplicantTypeGroup R: Small Business R: Small Business ApplicantTypeGroup S: Hispanic-serving Institution S: Hispanic-serving Institution ApplicantTypeGroup T: Historically Black Colleges and Universities (HBCUs) T: Historically Black Colleges and Universities (HBCUs) ApplicantTypeGroup U: Tribally Controlled Colleges and Universities (TCCUs) U: Tribally Controlled Colleges and Universities (TCCUs) ApplicantTypeGroup V: Alaska Native and Native Hawaiian Serving Institutions V: Alaska Native and Native Hawaiian Serving Institutions ApplicantTypeGroup W: Non-domestic (non-US) Entity W: Non-domestic (non-US) Entity ApplicantTypeGroup X: Other (specify) X: Other (specify) on SubmissionType off This is a default radio choice for the SubmissionType radio group. This radio is generated with visibility set to "off." absolute 149 129 extent 61 30 ApplicationTypeRadioRequiredField SubmissionType_ChangedApplication 0 readonly off 0 0 0 0 0 0 absolute 25 98 extent 159 26 HELP4 Type of Submission: Select one type of submission in accordance with agency instructions. One selection is required. SubmissionType_Preapplication AboutButton string vfd_required on ApplicationType off This is a default radio choice for the ApplicationType radio group. This radio is generated with visibility set to "off." absolute 378 129 extent 14 30 RevisionType ApplicationType_Revision 0 readonly off 0 0 0 0 0 0 absolute 257 98 extent 150 27 HELP3 Type of Application: Select one type of application in accordance with agency instructions. One selection is required. ApplicationType_New SubmissionTypeDefaultRadioChoice string vfd_required * 1. Type of Submission: absolute 27 100 extent 154 22 HELP1 1. Type of Submission: Select one type of submission in accordance with agency instructions. One selection is required. Preapplication absolute 45 127 extent 90 22 1-1 helptip_SubmissionType_Preapplication Submission Type Preapplication: Select if the type of submission is a Preapplication. optional Mandatory.value == "on" ? "mandatory" : "optional" SubmissionType off absolute 27 127 extent 14 22 SubmissionType_Application SubmissionTypeRadioRequiredField Submission Type Preapplication: Select if the type of submission is a Preapplication. Application absolute 45 154 extent 80 22 1-2 helptip_SubmissionType_Application Submission Type Application: Select if the type of submission is an Application. 18 1 optional Mandatory.value == "on" ? "mandatory" : "optional" SubmissionType off absolute 27 154 extent 14 22 SubmissionType_ChangedApplication SubmissionType_Preapplication Submission Type Application: Select if the type of submission is an Application. Changed/Corrected Application absolute 45 181 extent 195 22 1-3 helptip_SubmissionType_ChangedApplication Submission Type Changed Application: Select this submission if requested by the agency to change or correct a previously submitted application. Unless requested by the agency, applicants may not use this to submit changes after the closing date. 47 1 optional Mandatory.value == "on" ? "mandatory" : "optional" SubmissionType off absolute 27 181 extent 14 22 SubmissionTypeDefaultRadioChoice SubmissionType_Application Submission Type Changed Application: Select this submission if requested by the agency to change or correct a previously submitted application. Unless requested by the agency, applicants may not use this to submit changes after the closing date. * 2. Type of Application: absolute 259 100 extent 144 22 HELP2 2. Type of Application: Select one type of application in accordance with agency instructions. One selection is required. New absolute 277 127 extent 39 22 2-1 helptip_ApplicationType_New Application Type New: Select New if the application is being submitted to an agency for the first time. 5 1 optional Mandatory.value == "on" ? "mandatory" : "optional" ApplicationType off absolute 259 127 extent 14 22 ApplicationType_Continuation ApplicationTypeRadioRequiredField Application Type New: Select New if the application is being submitted to an agency for the first time. Continuation absolute 277 154 extent 90 22 2-2 helptip_ApplicationType_Continuation Application Type Continuation: Select Continuation if the submission is an extension for an additional funding/budget period for a project with a projected completion date. This can include renewals. 20 1 optional Mandatory.value == "on" ? "mandatory" : "optional" ApplicationType off absolute 259 154 extent 14 22 ApplicationType_Revision ApplicationType_New Application Type Continuation: Select Continuation if the submission is an extension for an additional funding/budget period for a project with a projected completion date. This can include renewals. Revision absolute 277 181 extent 62 22 2-3 helptip_ApplicationType_Revision Application Type Revision: Select Revision if the submission is a change in the Federal Government's financial obligation or contingent liability from an existing obligation. 13 1 optional Mandatory.value == "on" ? "mandatory" : "optional" ApplicationType off absolute 259 181 extent 14 22 ApplicationTypeDefaultRadioChoice ApplicationType_Continuation Application Type Revision: Select Revision if the submission is a change in the Federal Government's financial obligation or contingent liability from an existing obligation. absolute 419 126 extent 259 22 RevisionTypeGroup HELP5 Revision Type: Select a revision type from the list provided. A selection is required if Type of Application is Revision. 2-10 SF424.ApplicationType_Revision.value == "on" ? "on" : "off" string vfd_required RevisionOtherSpecify ApplicationTypeDefaultRadioChoice RevisionTypeGroup RevisionTypeGroup A: Increase Award RevisionTypeGroup B: Decrease Award RevisionTypeGroup C: Increase Duration RevisionTypeGroup D: Decrease Duration RevisionTypeGroup E: Other (specify) RevisionTypeGroup AC: Increase Award, Increase Duration RevisionTypeGroup AD: Increase Award, Decrease Duration RevisionTypeGroup BC: Decrease Award, Increase Duration RevisionTypeGroup BD: Decrease Award, Decrease Duration 2-12 helptip_RevisionOtherSpecify Other (specify): Please specify the type of revision. This field is required if E. Other is checked. 35 1 absolute 419 179 value != "E: Other (specify)" ? set("value","") : ""]]> SF424.RevisionType.value->value == "E: Other (specify)" ? "on" : "off" string vfd_required 0 21 SF424.RevisionType.value->value == "E: Other (specify)" ? "mandatory" : "optional" ApplicantID RevisionType Other (specify): Please specify the type of revision. This field is required if E. Other is checked. 3-0 helptip_DateReceived Completed by Grants.gov upon submission. absolute 27 243 extent 210 19 Helvetica 6 plain 1 3-0 * 3. Date Received: absolute 27 215 extent 127 23 Date Received: Completed by Grants.gov upon submission. 4. Applicant Identifier: absolute 259 215 extent 135 22 4-0 helptip_ApplicantID Applicant Identifier: Enter the applicant's control number, if applicable. 49 1 absolute 259 242 string optional 0 30 FederalEntityIdentifier RevisionOtherSpecify Applicant Identifier: Enter the applicant's control number, if applicable. 5a. Federal Entity Identifier: absolute 27 276 extent 168 22 5-A helptip_FederalEntityIdentifier Federal Entity Identifier: Enter the number assigned to your organization by the Federal agency. 49 1 absolute 27 303 FederalAwardIdentifier ApplicantID string optional 0 30 Federal Entity Identifier: Enter the number assigned to your organization by the Federal agency. * 5b. Federal Award Identifier: absolute 435 276 extent 181 22 5-B helptip_FederalAwardIdentifier Federal Award Identifier: For new applications leave blank. For a continuation or revision to an existing award, enter the previously assigned Federal award identifier number. If a changed/corrected application, enter the Federal Identifier in accordance with agency instructions. 41 1 absolute 435 303 StateReceiveDate FederalEntityIdentifier string vfd_required 0 25 Federal Award Identifier: For new applications leave blank. For a continuation or revision to an existing award, enter the previously assigned Federal award identifier number. If a changed/corrected application, enter the Federal Identifier in accordance with agency instructions. 6. Date Received by State: absolute 27 371 extent 183 22 6-1 date optional 1 10 MM/DD/YYYY helptip_StateReceiveDate Date Received by State: Enter the date received by the State, if applicable. Enter in the format mm/dd/yyyy. 10 1 absolute 214 371 StateApplicationID FederalAwardIdentifier Date Received by State: Enter the date received by the State, if applicable. Enter in the format mm/dd/yyyy. 7. State Application Identifier: absolute 310 371 extent 177 22 7-0 string optional 0 30 helptip_StateApplicationID State Application Identifier: Enter the identifier assigned by the State, if applicable. 49 1 absolute 491 371 OrganizationName StateReceiveDate State Application Identifier: Enter the identifier assigned by the State, if applicable. * a. Legal Name: absolute 27 439 extent 104 22 8-a helptip_OrganizationName Organization Name: Enter the legal name of the applicant that will undertake the assistance activity. This field is required. 98 1 absolute 135 439 EmployerTaxpayerIdentificationNumber StateApplicationID string vfd_required 1 60 Mandatory.value == "on" ? "mandatory" : "optional" Organization Name: Enter the legal name of the applicant that will undertake the assistance activity. This field is required. * b. Employer/Taxpayer Identification Number (EIN/TIN): absolute 27 473 extent 329 22 8-b helptip_EmployerTaxpayerIdentificationNumber EIN/TIN: Enter either TIN or EIN as assigned by the Internal Revenue Service. If your organization is not in the US, enter 44-4444444. This field is required. 49 1 absolute 27 500 string vfd_required 9 30 Mandatory.value == "on" ? "mandatory" : "optional" DUNSNumber OrganizationName EIN/TIN: Enter either TIN or EIN as assigned by the Internal Revenue Service. If your organization is not in the US, enter 44-4444444. This field is required. * c. Organizational DUNS: absolute 435 473 extent 167 22 8-c helptip_DUNSNumber DUNS Number: Enter the DUNS or DUNS+4 number of the applicant organization. This field is required. 22 1 1 toggle(SubmissionDef.INDV_Applicant_Check.value) == "1" ? SubmissionDef.INDV_Applicant_Check.value == "on" ? set("SF424.DUNSNumber.value","000000000INDV") +. set("SF424.DUNSNumber.editstate","readonly") : set("SF424.DUNSNumber.value","") +. set("SF424.DUNSNumber.editstate","readwrite") : "" "0" ? viewer.messageBox("You have entered an invalid Duns Number please try again.") +. set("value", "") : "" ]]> absolute 435 500 Street1 EmployerTaxpayerIdentificationNumber string vfd_required 9 13 Mandatory.value == "on" ? "mandatory" : "optional" DUNS Number: Enter the DUNS or DUNS+4 number of the applicant organization. This field is required. * Street1: absolute 27 568 extent 65 22 8-d1 string vfd_required 1 55 helptip_Street1 Street1: Enter the first line of the Street Address. This field is required. 90 1 optional Mandatory.value == "on" ? "mandatory" : "optional" absolute 152 568 Street2 DUNSNumber Street1: Enter the first line of the Street Address. This field is required. Street2: absolute 36 595 extent 62 22 8-d2 string optional 0 55 helptip_Street2 Street2: Enter the second line of the Street Address. 90 1 absolute 152 595 City Street1 Street2: Enter the second line of the Street Address. * City: absolute 27 622 extent 44 22 8-d3 string vfd_required 1 35 helptip_City City: Enter the City. This field is required. 57 1 optional Mandatory.value == "on" ? "mandatory" : "optional" absolute 152 622 County Street2 City: Enter the City. This field is required. County: absolute 36 649 extent 54 22 8-d4 string optional 0 30 helptip_County County: Enter the County. 49 1 absolute 152 649 State City County: Enter the County. * State: absolute 27 676 extent 66 22 8-d5 helptip_State State: Select the state, US possession or military code from the provided list. This field is required if Country is the United States. 90 1 StateGroup absolute 152 676 Country.value->value == "USA: UNITED STATES" ? "on" : "off" string vfd_required 0 55 value == "USA: UNITED STATES" ? "mandatory" : "optional"]]> Province County State: Select the state, US possession or military code from the provided list. This field is required if Country is the United States. Province: absolute 36 703 extent 62 22 8-d6 helptip_Province Province: Enter the Province. 49 1 absolute 152 703 value != "" && Country.value->value != "USA: UNITED STATES" ? "on" : "off"]]> string optional 0 30 Country State Province: Enter the Province. * Country: absolute 27 730 extent 67 22 8-d7 toggle(value) == "1" ? Country.value->value == "USA: UNITED STATES" ? set("Province.value", "") : set("State.value", "") : "" helptip_Country Country: Select the Country from the provided list. This field is required. 80 1 CountryGroup CountryUSA absolute 152 730 string vfd_required 1 49 Mandatory.value == "on" ? "mandatory" : "optional" ZipCode Province Country: Select the Country from the provided list. This field is required. * Zip / Postal Code: absolute 27 757 extent 122 22 8-d8 helptip_ZipCode Zip / Postal Code: Enter the Postal Code (e.g., ZIP code). This field is required if Country is the United States. 49 1 absolute 152 757 string vfd_required 0 30 value == "USA: UNITED STATES" ? "mandatory" : "optional"]]> DepartmentName Country Zip / Postal Code: Enter the Postal Code (e.g., ZIP code). This field is required if Country is the United States. Department Name: absolute 27 825 extent 119 22 8-e1 helptip_DepartmentName Department Name: Enter the name of primary organizational department, service, laboratory, or equivalent level within the organization which will undertake the assistance activity. 49 1 absolute 27 852 string optional 0 30 DivisionName ZipCode Department Name: Enter the name of primary organizational department, service, laboratory, or equivalent level within the organization which will undertake the assistance activity. Division Name: absolute 435 825 extent 94 22 8-e2 helptip_DivisionName Division Name: Enter the name of primary organizational division, office, or major subdivision which will undertake the assistance activity. 49 1 absolute 435 852 string optional 0 30 Prefix DepartmentName Division Name: Enter the name of primary organizational division, office, or major subdivision which will undertake the assistance activity. Prefix: absolute 27 920 extent 47 22 8-f1 string optional 0 10 helptip_Prefix Prefix: Select the Prefix from the provided list or enter a new Prefix not provided on the list. 17 1 PrefixGroup absolute 118 920 FirstName DivisionName PrefixGroup Mr. PrefixGroup Mrs. PrefixGroup Miss PrefixGroup Ms. PrefixGroup Dr. PrefixGroup Rev. PrefixGroup Prof. Prefix: Select the Prefix from the provided list or enter a new Prefix not provided on the list. * First Name: absolute 354 920 extent 87 22 8-f2 string vfd_required 1 35 helptip_FirstName First Name: Enter the First Name. This field is required. 57 1 optional Mandatory.value == "on" ? "mandatory" : "optional" absolute 446 920 MiddleName Prefix First Name: Enter the First Name. This field is required. Middle Name: absolute 27 947 extent 87 22 8-f3 string optional 0 25 helptip_MiddleName Middle Name: Enter the Middle Name. 41 1 absolute 118 947 LastName FirstName Middle Name: Enter the Middle Name. * Last Name: absolute 27 974 extent 84 22 8-f4 string vfd_required 1 60 helptip_LastName Last Name: Enter the Last Name. This field is required. 98 1 optional Mandatory.value == "on" ? "mandatory" : "optional" absolute 118 974 Suffix MiddleName Last Name: Enter the Last Name. This field is required. Suffix: absolute 27 1001 extent 49 22 8-f5 string optional 0 10 helptip_Suffix Suffix: Select the Suffix from the provided list or enter a new Suffix not provided on the list. 17 1 SuffixGroup absolute 118 1001 Title LastName SuffixGroup Jr. SuffixGroup Sr. SuffixGroup M.D. SuffixGroup Ph.D Suffix: Select the Suffix from the provided list or enter a new Suffix not provided on the list. Title: absolute 27 1035 extent 38 22 8-f6 string optional 0 45 helptip_Title Title: Enter the position title. 73 1 absolute 69 1035 OrganizationAffiliation Suffix Title: Enter the position title. Organizational Affiliation: absolute 27 1069 extent 153 22 8-f7 helptip_OrganizationAffiliation Organizational Affiliation: Enter the organization if different from the applicant organization. 98 1 absolute 27 1096 string optional 0 60 PhoneNumber Title Organizational Affiliation: Enter the organization if different from the applicant organization. * Telephone Number: absolute 27 1130 extent 129 22 8-f8 string vfd_required 1 25 helptip_PhoneNumber Telephone Number: Enter the daytime Telephone Number. This field is required. 41 1 optional Mandatory.value == "on" ? "mandatory" : "optional" absolute 160 1130 Fax OrganizationAffiliation Telephone Number: Enter the daytime Telephone Number. This field is required. Fax Number: absolute 498 1130 extent 88 22 8-f9 string optional 0 25 helptip_Fax Fax Number: Enter the Fax Number. 41 1 absolute 590 1130 Email PhoneNumber Fax Number: Enter the Fax Number. * Email: absolute 27 1164 extent 60 22 8-f10 "0" ? viewer.messageBox("You have entered an invalid email address please use \"@\" in your email address") +. set("value", "") +. set("focused", "on") : ""]]> helptip_Email Email: Enter a valid Email Address. This field is required. 98 1 absolute 91 1164 string vfd_required 0 60 Mandatory.value == "on" ? "mandatory" : "optional" Fax Mandatory Email: Enter a valid Email Address. This field is required. 2-4 string optional helptip_d1e2800 * If Revision, select appropriate letter(s): absolute 419 100 extent 238 21 Helvetica 7 plain 6-0 string optional helptip_d1e4295 State Use Only: absolute 27 337 extent 126 22 Helvetica 8 bold 8-0 string optional helptip_d1e4640 8. APPLICANT INFORMATION: absolute 27 405 extent 206 22 Helvetica 8 bold 8-d string optional helptip_d1e5100 d. Address: absolute 27 534 extent 85 22 Helvetica 8 bold 8-e0 string optional helptip_d1e6250 e. Organizational Unit: absolute 27 791 extent 161 22 Helvetica 8 bold 8-f0 string optional helptip_d1e6595 f. Name and contact information of person to be contacted on matters involving this application: absolute 27 886 extent 622 22 Helvetica 8 bold absolute 21 208 extent 913 2 2 absolute 21 269 extent 913 2 2 absolute 21 330 extent 913 2 2 absolute 21 364 extent 913 2 2 absolute 21 432 extent 913 2 2 absolute 21 466 extent 913 2 2 absolute 21 527 extent 913 2 2 absolute 21 561 extent 913 2 2 absolute 21 784 extent 913 2 2 absolute 21 818 extent 913 2 2 absolute 21 879 extent 913 2 2 absolute 21 913 extent 913 2 2 absolute 21 1028 extent 913 2 2 absolute 21 1062 extent 913 2 2 absolute 21 1123 extent 913 2 2 absolute 21 1157 extent 913 2 2 absolute 21 1191 extent 913 2 2 absolute 21 398 extent 913 2 2 StateGroup StateGroup AL: Alabama StateGroup AK: Alaska StateGroup AZ: Arizona StateGroup AR: Arkansas StateGroup CA: California StateGroup CO: Colorado StateGroup CT: Connecticut StateGroup DC: District of Columbia StateGroup DE: Delaware StateGroup FL: Florida StateGroup GA: Georgia StateGroup HI: Hawaii StateGroup ID: Idaho StateGroup IL: Illinois StateGroup IN: Indiana StateGroup IA: Iowa StateGroup KS: Kansas StateGroup KY: Kentucky StateGroup LA: Louisiana StateGroup ME: Maine StateGroup MD: Maryland StateGroup MA: Massachusetts StateGroup MI: Michigan StateGroup MN: Minnesota StateGroup MS: Mississippi StateGroup MO: Missouri StateGroup MT: Montana StateGroup NE: Nebraska StateGroup NV: Nevada StateGroup NH: New Hampshire StateGroup NJ: New Jersey StateGroup NM: New Mexico StateGroup NY: New York StateGroup NC: North Carolina StateGroup ND: North Dakota StateGroup OH: Ohio StateGroup OK: Oklahoma StateGroup OR: Oregon StateGroup PA: Pennsylvania StateGroup RI: Rhode Island StateGroup SC: South Carolina StateGroup SD: South Dakota StateGroup TN: Tennessee StateGroup TX: Texas StateGroup UT: Utah StateGroup VT: Vermont StateGroup VA: Virginia StateGroup WA: Washington StateGroup WV: West Virginia StateGroup WI: Wisconsin StateGroup WY: Wyoming StateGroup AS: American Samoa StateGroup FM: Federated States of Micronesia StateGroup GU: Guam StateGroup MH: Marshall Islands StateGroup MP: Northern Mariana Islands StateGroup PW: Palau StateGroup PR: Puerto Rico StateGroup PS: Trust Territory of Pacific StateGroup VI: Virgin Islands of the U.S. StateGroup FQ: Baker Island StateGroup HQ: Howard Island StateGroup JQ: Johnston Atoll StateGroup KQ: Kingman Reef StateGroup MQ: Midway Islands StateGroup BQ: Navassa Island StateGroup LQ: Palmyra Atoll StateGroup WQ: Wake Island StateGroup AA: APO/FPO Central and South America StateGroup AE: APO/FPO Europe, Middle East, and Africa StateGroup AP: APO/FPO Korea, Japan, Philippines, Other Pacific CountryGroup CountryGroup AFG: AFGHANISTAN AFGHANISTAN 1664 CountryGroup ALB: ALBANIA ALBANIA 1664 CountryGroup DZA: ALGERIA ALGERIA 1664 CountryGroup AND: ANDORRA ANDORRA 1664 CountryGroup AGO: ANGOLA ANGOLA 1664 CountryGroup AIA: ANGUILLA ANGUILLA 1664 CountryGroup ATA: ANTARCTICA ANTARCTICA 1664 CountryGroup ATG: ANTIGUA AND BARBUDA ANTIGUA AND BARBUDA 1664 CountryGroup ARG: ARGENTINA ARGENTINA 1664 CountryGroup ARM: ARMENIA ARMENIA 1664 CountryGroup ABW: ARUBA ARUBA 1664 CountryGroup AUS: AUSTRALIA AUSTRALIA 1664 CountryGroup AUT: AUSTRIA AUSTRIA 1664 CountryGroup AZE: AZERBAIJAN AZERBAIJAN 1664 CountryGroup BHS: BAHAMAS BAHAMAS 1664 CountryGroup BHR: BAHRAIN BAHRAIN 1664 CountryGroup BGD: BANGLADESH BANGLADESH 1664 CountryGroup BRB: BARBADOS BARBADOS 1664 CountryGroup BLR: BELARUS BELARUS 1664 CountryGroup BEL: BELGIUM BELGIUM 1664 CountryGroup BLZ: BELIZE BELIZE 1664 CountryGroup BEN: BENIN BENIN 1664 CountryGroup BMU: BERMUDA BERMUDA 1664 CountryGroup BTN: BHUTAN BHUTAN 1664 CountryGroup BOL: BOLIVIA BOLIVIA 1664 CountryGroup BIH: BOSNIA AND HERZEGOWINA BOSNIA AND HERZEGOWINA 1664 CountryGroup BWA: BOTSWANA BOTSWANA 1664 CountryGroup BVT: BOUVET ISLAND BOUVET ISLAND 1664 CountryGroup BRA: BRAZIL BRAZIL 1664 CountryGroup IOT: BRITISH INDIAN OCEAN TERRITORY BRITISH INDIAN OCEAN TERRITORY 1664 CountryGroup BRN: BRUNEI DARUSSALAM BRUNEI DARUSSALAM 1664 CountryGroup BGR: BULGARIA BULGARIA 1664 CountryGroup BFA: BURKINA FASO BURKINA FASO 1664 CountryGroup BDI: BURUNDI BURUNDI 1664 CountryGroup KHM: CAMBODIA CAMBODIA 1664 CountryGroup CMR: CAMEROON CAMEROON 1664 CountryGroup CAN: CANADA CANADA 1664 CountryGroup CPV: CAPE VERDE CAPE VERDE 1664 CountryGroup CYM: CAYMAN ISLANDS CAYMAN ISLANDS 1664 CountryGroup CAF: CENTRAL AFRICAN REPUBLIC CENTRAL AFRICAN REPUBLIC 1664 CountryGroup TCD: CHAD CHAD 1664 CountryGroup CHL: CHILE CHILE 1664 CountryGroup CHN: CHINA CHINA 1664 CountryGroup CXR: CHRISTMAS ISLAND CHRISTMAS ISLAND 1664 CountryGroup CCK: COCOS (KEELING) ISLANDS COCOS (KEELING) ISLANDS 1664 CountryGroup COL: COLOMBIA COLOMBIA 1664 CountryGroup COM: COMOROS COMOROS 1664 CountryGroup COD: CONGO, Democratic Republic of (was Zaire) CONGO, Democratic Republic of (was Zaire) 1664 CountryGroup COG: CONGO, People's Republic of CONGO, People's Republic of 1664 CountryGroup COK: COOK ISLANDS COOK ISLANDS 1664 CountryGroup CRI: COSTA RICA COSTA RICA 1664 CountryGroup CIV: COTE D'IVOIRE COTE D'IVOIRE 1664 CountryGroup HRV: CROATIA (local name: Hrvatska) CROATIA (local name: Hrvatska) 1664 CountryGroup CUB: CUBA CUBA 1664 CountryGroup CYP: CYPRUS CYPRUS 1664 CountryGroup CZE: CZECH REPUBLIC CZECH REPUBLIC 1664 CountryGroup DNK: DENMARK DENMARK 1664 CountryGroup DJI: DJIBOUTI DJIBOUTI 1664 CountryGroup DMA: DOMINICA DOMINICA 1664 CountryGroup DOM: DOMINICAN REPUBLIC DOMINICAN REPUBLIC 1664 CountryGroup TLS: EAST TIMOR EAST TIMOR 1664 CountryGroup ECU: ECUADOR ECUADOR 1664 CountryGroup EGY: EGYPT EGYPT 1664 CountryGroup SLV: EL SALVADOR EL SALVADOR 1664 CountryGroup GNQ: EQUATORIAL GUINEA EQUATORIAL GUINEA 1664 CountryGroup ERI: ERITREA ERITREA 1664 CountryGroup EST: ESTONIA ESTONIA 1664 CountryGroup ETH: ETHIOPIA ETHIOPIA 1664 CountryGroup FLK: FALKLAND ISLANDS (MALVINAS) FALKLAND ISLANDS (MALVINAS) 1664 CountryGroup FRO: FAROE ISLANDS FAROE ISLANDS 1664 CountryGroup FJI: FIJI FIJI 1664 CountryGroup FIN: FINLAND FINLAND 1664 CountryGroup FRA: FRANCE FRANCE 1664 CountryGroup FXX: FRANCE, METROPOLITAN FRANCE, METROPOLITAN 1664 CountryGroup GUF: FRENCH GUIANA FRENCH GUIANA 1664 CountryGroup PYF: FRENCH POLYNESIA FRENCH POLYNESIA 1664 CountryGroup ATF: FRENCH SOUTHERN TERRITORIES FRENCH SOUTHERN TERRITORIES 1664 CountryGroup GAB: GABON GABON 1664 CountryGroup GMB: GAMBIA GAMBIA 1664 CountryGroup GEO: GEORGIA GEORGIA 1664 CountryGroup DEU: GERMANY GERMANY 1664 CountryGroup GHA: GHANA GHANA 1664 CountryGroup GIB: GIBRALTAR GIBRALTAR 1664 CountryGroup GRC: GREECE GREECE 1664 CountryGroup GRL: GREENLAND GREENLAND 1664 CountryGroup GRD: GRENADA GRENADA 1664 CountryGroup GLP: GUADELOUPE GUADELOUPE 1664 CountryGroup GTM: GUATEMALA GUATEMALA 1664 CountryGroup GIN: GUINEA GUINEA 1664 CountryGroup GNB: GUINEA-BISSAU GUINEA-BISSAU 1664 CountryGroup GUY: GUYANA GUYANA 1664 CountryGroup HTI: HAITI HAITI 1664 CountryGroup HMD: HEARD AND MC DONALD ISLANDS HEARD AND MC DONALD ISLANDS 1664 CountryGroup HND: HONDURAS HONDURAS 1664 CountryGroup HKG: HONG KONG HONG KONG 1664 CountryGroup HUN: HUNGARY HUNGARY 1664 CountryGroup ISL: ICELAND ICELAND 1664 CountryGroup IND: INDIA INDIA 1664 CountryGroup IDN: INDONESIA INDONESIA 1664 CountryGroup IRN: IRAN (ISLAMIC REPUBLIC OF) IRAN (ISLAMIC REPUBLIC OF) 1664 CountryGroup IRQ: IRAQ IRAQ 1664 CountryGroup IRL: IRELAND IRELAND 1664 CountryGroup ISR: ISRAEL ISRAEL 1664 CountryGroup ITA: ITALY ITALY 1664 CountryGroup JAM: JAMAICA JAMAICA 1664 CountryGroup JPN: JAPAN JAPAN 1664 CountryGroup JOR: JORDAN JORDAN 1664 CountryGroup KAZ: KAZAKHSTAN KAZAKHSTAN 1664 CountryGroup KEN: KENYA KENYA 1664 CountryGroup KIR: KIRIBATI KIRIBATI 1664 CountryGroup PRK: KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF 1664 CountryGroup KOR: KOREA, REPUBLIC OF KOREA, REPUBLIC OF 1664 CountryGroup KWT: KUWAIT KUWAIT 1664 CountryGroup KGZ: KYRGYZSTAN KYRGYZSTAN 1664 CountryGroup LAO: LAO PEOPLE'S DEMOCRATIC REPUBLIC LAO PEOPLE'S DEMOCRATIC REPUBLIC 1664 CountryGroup LVA: LATVIA LATVIA 1664 CountryGroup LBN: LEBANON LEBANON 1664 CountryGroup LSO: LESOTHO LESOTHO 1664 CountryGroup LBR: LIBERIA LIBERIA 1664 CountryGroup LBY: LIBYAN ARAB JAMAHIRIYA LIBYAN ARAB JAMAHIRIYA 1664 CountryGroup LIE: LIECHTENSTEIN LIECHTENSTEIN 1664 CountryGroup LTU: LITHUANIA LITHUANIA 1664 CountryGroup LUX: LUXEMBOURG LUXEMBOURG 1664 CountryGroup MAC: MACAU MACAU 1664 CountryGroup MKD: MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF 1664 CountryGroup MDG: MADAGASCAR MADAGASCAR 1664 CountryGroup MWI: MALAWI MALAWI 1664 CountryGroup MYS: MALAYSIA MALAYSIA 1664 CountryGroup MDV: MALDIVES MALDIVES 1664 CountryGroup MLI: MALI MALI 1664 CountryGroup MLT: MALTA MALTA 1664 CountryGroup MTQ: MARTINIQUE MARTINIQUE 1664 CountryGroup MRT: MAURITANIA MAURITANIA 1664 CountryGroup MUS: MAURITIUS MAURITIUS 1664 CountryGroup MYT: MAYOTTE MAYOTTE 1664 CountryGroup MEX: MEXICO MEXICO 1664 CountryGroup MDA: MOLDOVA, REPUBLIC OF MOLDOVA, REPUBLIC OF 1664 CountryGroup MCO: MONACO MONACO 1664 CountryGroup MNG: MONGOLIA MONGOLIA 1664 CountryGroup MSR: MONTSERRAT MONTSERRAT 1664 CountryGroup MAR: MOROCCO MOROCCO 1664 CountryGroup MOZ: MOZAMBIQUE MOZAMBIQUE 1664 CountryGroup MMR: MYANMAR MYANMAR 1664 CountryGroup NAM: NAMIBIA NAMIBIA 1664 CountryGroup NRU: NAURU NAURU 1664 CountryGroup NPL: NEPAL NEPAL 1664 CountryGroup NLD: NETHERLANDS NETHERLANDS 1664 CountryGroup ANT: NETHERLANDS ANTILLES NETHERLANDS ANTILLES 1664 CountryGroup NCL: NEW CALEDONIA NEW CALEDONIA 1664 CountryGroup NZL: NEW ZEALAND NEW ZEALAND 1664 CountryGroup NIC: NICARAGUA NICARAGUA 1664 CountryGroup NER: NIGER NIGER 1664 CountryGroup NGA: NIGERIA NIGERIA 1664 CountryGroup NIU: NIUE NIUE 1664 CountryGroup NFK: NORFOLK ISLAND NORFOLK ISLAND 1664 CountryGroup NOR: NORWAY NORWAY 1664 CountryGroup OMN: OMAN OMAN 1664 CountryGroup PAK: PAKISTAN PAKISTAN 1664 CountryGroup PSE: PALESTINIAN TERRITORY, Occupied PALESTINIAN TERRITORY, Occupied 1664 CountryGroup PAN: PANAMA PANAMA 1664 CountryGroup PNG: PAPUA NEW GUINEA PAPUA NEW GUINEA 1664 CountryGroup PRY: PARAGUAY PARAGUAY 1664 CountryGroup PER: PERU PERU 1664 CountryGroup PHL: PHILIPPINES PHILIPPINES 1664 CountryGroup PCN: PITCAIRN PITCAIRN 1664 CountryGroup POL: POLAND POLAND 1664 CountryGroup PRT: PORTUGAL PORTUGAL 1664 CountryGroup QAT: QATAR QATAR 1664 CountryGroup REU: REUNION REUNION 1664 CountryGroup ROU: ROMANIA ROMANIA 1664 CountryGroup RUS: RUSSIAN FEDERATION RUSSIAN FEDERATION 1664 CountryGroup RWA: RWANDA RWANDA 1664 CountryGroup KNA: SAINT KITTS AND NEVIS SAINT KITTS AND NEVIS 1664 CountryGroup LCA: SAINT LUCIA SAINT LUCIA 1664 CountryGroup VCT: SAINT VINCENT AND THE GRENADINES SAINT VINCENT AND THE GRENADINES 1664 CountryGroup WSM: SAMOA SAMOA 1664 CountryGroup SMR: SAN MARINO SAN MARINO 1664 CountryGroup STP: SAO TOME AND PRINCIPE SAO TOME AND PRINCIPE 1664 CountryGroup SAU: SAUDI ARABIA SAUDI ARABIA 1664 CountryGroup SEN: SENEGAL SENEGAL 1664 CountryGroup SYC: SEYCHELLES SEYCHELLES 1664 CountryGroup SLE: SIERRA LEONE SIERRA LEONE 1664 CountryGroup SGP: SINGAPORE SINGAPORE 1664 CountryGroup SVK: SLOVAKIA (Slovak Republic) SLOVAKIA (Slovak Republic) 1664 CountryGroup SVN: SLOVENIA SLOVENIA 1664 CountryGroup SLB: SOLOMON ISLANDS SOLOMON ISLANDS 1664 CountryGroup SOM: SOMALIA SOMALIA 1664 CountryGroup ZAF: SOUTH AFRICA SOUTH AFRICA 1664 CountryGroup SGS: SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS 1664 CountryGroup ESP: SPAIN SPAIN 1664 CountryGroup LKA: SRI LANKA SRI LANKA 1664 CountryGroup SHN: ST. HELENA ST. HELENA 1664 CountryGroup SPM: ST. PIERRE AND MIQUELON ST. PIERRE AND MIQUELON 1664 CountryGroup SDN: SUDAN SUDAN 1664 CountryGroup SUR: SURINAME SURINAME 1664 CountryGroup SJM: SVALBARD AND JAN MAYEN ISLANDS SVALBARD AND JAN MAYEN ISLANDS 1664 CountryGroup SWZ: SWAZILAND SWAZILAND 1664 CountryGroup SWE: SWEDEN SWEDEN 1664 CountryGroup CHE: SWITZERLAND SWITZERLAND 1664 CountryGroup SYR: SYRIAN ARAB REPUBLIC SYRIAN ARAB REPUBLIC 1664 CountryGroup TWN: TAIWAN TAIWAN 1664 CountryGroup TJK: TAJIKISTAN TAJIKISTAN 1664 CountryGroup TZA: TANZANIA, UNITED REPUBLIC OF TANZANIA, UNITED REPUBLIC OF 1664 CountryGroup THA: THAILAND THAILAND 1664 CountryGroup TGO: TOGO TOGO 1664 CountryGroup TKL: TOKELAU TOKELAU 1664 CountryGroup TON: TONGA TONGA 1664 CountryGroup TTO: TRINIDAD AND TOBAGO TRINIDAD AND TOBAGO 1664 CountryGroup TUN: TUNISIA TUNISIA 1664 CountryGroup TUR: TURKEY TURKEY 1664 CountryGroup TKM: TURKMENISTAN TURKMENISTAN 1664 CountryGroup TCA: TURKS AND CAICOS ISLANDS TURKS AND CAICOS ISLANDS 1664 CountryGroup TUV: TUVALU TUVALU 1664 CountryGroup UGA: UGANDA UGANDA 1664 CountryGroup UKR: UKRAINE UKRAINE 1664 CountryGroup ARE: UNITED ARAB EMIRATES UNITED ARAB EMIRATES 1664 CountryGroup GBR: UNITED KINGDOM UNITED KINGDOM 1664 CountryGroup USA: UNITED STATES UNITED STATES 1664 CountryGroup UMI: UNITED STATES MINOR OUTLYING ISLANDS UNITED STATES MINOR OUTLYING ISLANDS 1664 CountryGroup URY: URUGUAY URUGUAY 1664 CountryGroup UZB: UZBEKISTAN UZBEKISTAN 1664 CountryGroup VUT: VANUATU VANUATU 1664 CountryGroup VAT: VATICAN CITY STATE (HOLY SEE) VATICAN CITY STATE (HOLY SEE) 1664 CountryGroup VEN: VENEZUELA VENEZUELA 1664 CountryGroup VNM: VIET NAM VIET NAM 1664 CountryGroup VGB: VIRGIN ISLANDS (BRITISH) VIRGIN ISLANDS (BRITISH) 1664 CountryGroup WLF: WALLIS AND FUTUNA ISLANDS WALLIS AND FUTUNA ISLANDS 1664 CountryGroup ESH: WESTERN SAHARA WESTERN SAHARA 1664 CountryGroup YEM: YEMEN YEMEN 1664 CountryGroup YUG: YUGOSLAVIA YUGOSLAVIA 1664 CountryGroup ZMB: ZAMBIA ZAMBIA 1664 CountryGroup ZWE: ZIMBABWE ZIMBABWE 1664 Select one type of submission in accordance with agency instructions. One selection is required. Select one type of application in accordance with agency instructions. One selection is required. Type of Application: Select one type of application in accordance with agency instructions. One selection is required. Type of Submission: Select one type of submission in accordance with agency instructions. One selection is required. 0-2 string optional helptip_d1e1647 Application for Federal Assistance SF-424 absolute 27 62 extent 456 26 Helvetica 10 bold 2-4 string optional helptip_d1e2800 * Other (Specify) absolute 419 153 extent 119 21 Helvetica 7 plain Revision Type: Select a revision type from the list provided. A selection is required if Type of Application is Revision. letter 120 8.0;10.5 B4B0B557-1BCE-436A-B637-1AB3D7FDA416 SF424 Page 2 ApplicantTypeCode1 absolute 960 1260 extent 1 1 within TOOLBAR absolute 38 30 Mandatory Helvetica 5 plain Helvetica 5 plain ( (SubmissionDef.SF424.group == "SubmissionDef.MandatoryCurrent_GROUP") || (SubmissionDef.SF424.group == "SubmissionDef.MandatoryAvailable_GROUP")|| (SubmissionDef.SF424.group == "SubmissionDef.OptionalCurrent_GROUP")) ? "on" : "off" off CloseForm AdditionalProjectTitle_view0 within TOOLBAR absolute 877 26 extent 75 35 About $Revision: 1.23 $ toggle(activated,"off","on") == "1" ? viewer.messageBox("Form Version: " +. get("AboutButton.formversionnumber") +. " ", "Information", "OK | ICONINFORMATION") : "" AboutButtonHelp About Button: Click here for more information about this form. ApplicantTypeCode1 PrintButton within TOOLBAR absolute 111 26 extent 105 35 Close Form pagedone Helvetica 8 plain #SubmissionDef.global CloseButtonHelp Close Form Button: Click this button to return to the cover sheet of this Grant Application. GotoPreviousPage Mandatory within TOOLBAR absolute 678 30 extent 80 30 Next Page (or empty) Helvetica 5 plain Helvetica 5 plain off readonly SF4243 PrintButton PreviousPage within TOOLBAR absolute 348 26 extent 105 35 Previous pagedone Previous Page Button: Press to go to Previous Page. PreviousButtonHelp "#" + PreviousPage.value + ".global" off PreviousPage.value != "" ? "on" : "off" GotoNextPage CloseForm within TOOLBAR absolute 474 26 extent 105 35 Next pagedone NextButtonHelp Next Page Button: Press to go to Next Page. "#" + NextPage.value + ".global" on NextPage.value != "" ? "on" : "off" PreviousPage GotoPreviousPage within TOOLBAR absolute 588 30 extent 80 30 Previous Page (or empty) Helvetica 5 plain Helvetica 5 plain off SF424 NextPage GotoNextPage within TOOLBAR absolute 720 26 extent 105 35 Print Page Print Page Button: Print this Page. print

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PrintButtonHelp AboutButton NextPage Print Page Button: Print this Page. Close Form Button: Click this button to return to the cover sheet of this Grant Application. Previous Page Button: Press to go to Previous Page. Next Page Button: Press to go to Next Page. About Button: Click here for more information about this form. Reset Record Button: Click here to blank out all fields. Previous Record Button: Click for previous record. All mandatory entries in this current record must be filled in before moving to the previous record is allowed. Next Record Button: Click for next record. All mandatory entries in this current record must be filled in before moving to the next record is allowed. 9. Type of Applicant 1: Select Applicant Type: absolute 27 100 extent 323 22 Helvetica 8 bold 9-0 helptip_ApplicantTypeCode1 Type of Applicant 1: Select the appropriate applicant type. A selection is required. SF424.ApplicantTypeGroup absolute 27 127 extent 822 22 string vfd_required 1 82 Mandatory.value == "on" ? "mandatory" : "optional" ApplicantTypeCode2 AboutButton Type of Applicant 1: Select the appropriate applicant type. A selection is required. Type of Applicant 2: Select Applicant Type: absolute 27 154 extent 317 22 9-1 helptip_ApplicantTypeCode2 Type of Applicant 2: Select the appropriate applicant type. 100 2 SF424.ApplicantTypeGroup absolute 27 181 extent 822 22 string optional 0 82 ApplicantTypeCode3 ApplicantTypeCode1 Type of Applicant 2: Select the appropriate applicant type. Type of Applicant 3: Select Applicant Type: absolute 27 208 extent 314 22 9-2 helptip_ApplicantTypeCode3 Type of Applicant 3: Select the appropriate applicant type. 100 2 SF424.ApplicantTypeGroup absolute 27 235 extent 822 22 string optional 0 82 ApplicantTypeOtherSpecify ApplicantTypeCode2 Type of Applicant 3: Select the appropriate applicant type. * Other (specify): absolute 27 262 extent 118 22 9-3 helptip_ApplicantTypeOtherSpecify Other (specify): Enter the applicant type here if you selected "Other (specify)" for Type of Applicant. 49 1 absolute 27 289 SF4242.ApplicantTypeCode1.value->value == "X: Other (specify)" || SF4242.ApplicantTypeCode2.value->value == "X: Other (specify)" || SF4242.ApplicantTypeCode3.value->value == "X: Other (specify)" ? "on" : "off" string vfd_required 0 30 value == "X: Other (specify)" || SF4242.ApplicantTypeCode2.value->value == "X: Other (specify)" || SF4242.ApplicantTypeCode3.value->value == "X: Other (specify)") ? "mandatory" : "optional"]]> value != "X: Other (specify)" && SF4242.ApplicantTypeCode2.value->value != "X: Other (specify)" && SF4242.ApplicantTypeCode3.value->value != "X: Other (specify)" ? set("value", "") : "" ]]> AgencyName ApplicantTypeCode3 Other (specify): Enter the applicant type here if you selected "Other (specify)" for Type of Applicant. * 10. Name of Federal Agency: absolute 27 323 extent 225 22 Helvetica 8 bold 10-0 helptip_AgencyName Agency Name: Enter the name of the Federal Agency. This field is required. 98 1 absolute 27 350 CFDANumber ApplicantTypeOtherSpecify readonly SubmissionDef.AgencyName.value string vfd_required 1 60 Mandatory.value == "on" ? "mandatory" : "optional" Agency Name: Enter the name of the Federal Agency. This field is required. 11. Catalog of Federal Domestic Assistance Number: absolute 27 384 extent 342 22 Helvetica 8 bold 11-0 helptip_CFDANumber CFDA Number: Pre-populated from the Application cover sheet. 25 1 absolute 27 411 readonly SubmissionDef.CFDANumber.value string optional 0 15 CFDAProgramTitle AgencyName CFDA Number: Pre-populated from the Application cover sheet. CFDA Title: 18 1 absolute 27 438 11-1 helptip_CFDAProgramTitle CFDA/Program Title: Pre-populated from the Application cover sheet. 100 2 wordwrap absolute 27 465 readonly SubmissionDef.CFDATitle.value FundingOpportunityNumber CFDANumber string optional 0 120 CFDA/Program Title: Pre-populated from the Application cover sheet. * 12. Funding Opportunity Number: absolute 27 515 extent 286 22 Helvetica 8 bold 12-0 helptip_FundingOpportunityNumber Opportunity Number: Pre-populated from the Application cover sheet. This field is required. 65 1 absolute 27 542 readonly SubmissionDef.OpportunityID.value FundingOpportunityTitle CFDAProgramTitle string vfd_required 1 40 Mandatory.value == "on" ? "mandatory" : "optional" Opportunity Number: Pre-populated from the Application cover sheet. This field is required. * Title: absolute 27 569 extent 51 22 12-1 helptip_FundingOpportunityTitle Opportunity Title: Pre-populated from the Application cover sheet. This field is required. 100 5 wordwrap absolute 27 596 readonly SubmissionDef.OpportunityTitle.value CompetitionIdentificationNumber FundingOpportunityNumber string vfd_required 1 255 Mandatory.value == "on" ? "mandatory" : "optional" Opportunity Title: Pre-populated from the Application cover sheet. This field is required. 13. Competition Identification Number: absolute 27 694 extent 304 22 Helvetica 8 bold 13-0 helptip_CompetitionIdentificationNumber Competition Number: Pre-populated from the Application cover sheet. 65 1 absolute 27 721 readonly SubmissionDef.field_CompetitionID.value CompetitionIdentificationTitle FundingOpportunityTitle string optional 1 40 Competition Number: Pre-populated from the Application cover sheet. Title: absolute 27 748 extent 61 22 13-1 helptip_CompetitionIdentificationTitle Competition Title: Pre-populated from the Application cover sheet. 100 5 wordwrap absolute 27 775 readonly AffectedAreas CompetitionIdentificationNumber string optional 1 255 Competition Title: Pre-populated from the Application cover sheet. 14. Areas Affected by Project (Cities, Counties, States, etc.): absolute 27 873 extent 387 22 Helvetica 8 bold 14-0 helptip_AffectedAreas Affected Areas: List the areas or entities using the categories (e.g., cities, counties, states, etc.) specified in agency instructions. 73 1 absolute 27 900 extent 806 86 ProjectTitle CompetitionIdentificationTitle wordwrap string optional 0 250 Affected Areas: List the areas or entities using the categories (e.g., cities, counties, states, etc.) specified in agency instructions. * 15. Descriptive Title of Applicant's Project: absolute 27 998 extent 323 22 Helvetica 8 bold Attach supporting documents as specified in agency instructions. absolute 27 1107 extent 397 22 Helvetica 8 plain HELP4 15-0 helptip_ProjectTitle Project Title: Enter a brief, descriptive title of the project. This field is required. 100 4 wordwrap absolute 27 1025 string vfd_required 1 200 Mandatory.value == "on" ? "mandatory" : "optional" AdditionalProjectTitle_add0 AffectedAreas Project Title: Enter a brief, descriptive title of the project. This field is required. Add Attachments enclose AdditionalProjectTitle_attDataGroup0 absolute 27 1134 extent 124 22 HELP1 Add Attachment Button: Select to add attachment(s). AdditionalProjectTitle_delete0 ProjectTitle Delete Attachments remove AdditionalProjectTitle_attDataGroup0 HELP2 Delete Attachment Button: Select to delete attachment(s). absolute 155 1134 extent 124 22 AdditionalProjectTitle_view0 AdditionalProjectTitle_add0 View Attachments display AdditionalProjectTitle_attDataGroup0 HELP3 View Attachment Button: Select to view attachment(s). absolute 283 1134 extent 124 22 AdditionalProjectTitle_delete0 Mandatory Additional Project Title: Attach file(s) using the appropriate buttons. 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. If outside the US, enter 00-000. This field is required. Program District: 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. If all districts in a state are affected, enter "all" for the district number. Example: MD-all for all congressional districts in Maryland. If nationwide (all districts in all states), enter US-all. If the program/project is outside the US, enter 00-000. This field is required. Additional Congressional Districts: Attach a file using the appropriate buttons. Start Date: Enter the date in the format MM/DD/YYYY. This field is required. End Date: Enter the date in the format MM/DD/YYYY. This field is required. Version 02 Helvetica 10 plain absolute 837 62 extent 90 26 right OMB Number: 4040-0004 absolute 765 9 extent 162 22 right Expiration Date: 01/31/2009 absolute 753 29 extent 174 22 right absolute 21 55 extent 2 1108 2 absolute 932 55 extent 2 1108 2 0-2 string optional helptip_d1e1647 Application for Federal Assistance SF-424 absolute 27 62 extent 456 26 Helvetica 10 bold absolute 21 55 extent 913 2 2 absolute 21 93 extent 913 2 2 absolute 21 316 extent 913 2 2 absolute 21 377 extent 913 2 2 absolute 21 508 extent 913 2 2 absolute 21 687 extent 913 2 2 absolute 21 866 extent 913 2 2 absolute 21 991 extent 913 2 2 absolute 21 1161 extent 913 2 2 absolute 21 1100 extent 913 2 2 Add Attachment Button: Select to add attachment(s). Delete Attachment Button: Select to delete attachment(s). View Attachment Button: Select to view attachment(s). Attach file(s) using the appropriate buttons. letter 120 8.0;10.5 B4B0B557-1BCE-436A-B637-1AB3D7FDA416 SF424 Page 3 CongressionalDistrictApplicant absolute 960 1260 extent 1 1 within TOOLBAR absolute 38 30 Mandatory Helvetica 5 plain Helvetica 5 plain ( (SubmissionDef.SF424.group == "SubmissionDef.MandatoryCurrent_GROUP") || (SubmissionDef.SF424.group == "SubmissionDef.MandatoryAvailable_GROUP")|| (SubmissionDef.SF424.group == "SubmissionDef.OptionalCurrent_GROUP")) ? "on" : "off" off CloseForm AuthorizedRepresentativeEmail within TOOLBAR absolute 877 26 extent 75 35 About $Revision: 1.23 $ toggle(activated,"off","on") == "1" ? viewer.messageBox("Form Version: " +. get("AboutButton.formversionnumber") +. " ", "Information", "OK | ICONINFORMATION") : "" AboutButtonHelp About Button: Click here for more information about this form. CongressionalDistrictApplicant PrintButton within TOOLBAR absolute 111 26 extent 105 35 Close Form pagedone Helvetica 8 plain #SubmissionDef.global CloseButtonHelp Close Form Button: Click this button to return to the cover sheet of this Grant Application. GotoPreviousPage Mandatory within TOOLBAR absolute 678 30 extent 80 30 Next Page (or empty) Helvetica 5 plain Helvetica 5 plain off readonly SF4244 PrintButton PreviousPage within TOOLBAR absolute 348 26 extent 105 35 Previous pagedone Previous Page Button: Press to go to Previous Page. PreviousButtonHelp "#" + PreviousPage.value + ".global" off PreviousPage.value != "" ? "on" : "off" GotoNextPage CloseForm within TOOLBAR absolute 474 26 extent 105 35 Next pagedone NextButtonHelp Next Page Button: Press to go to Next Page. "#" + NextPage.value + ".global" on NextPage.value != "" ? "on" : "off" PreviousPage GotoPreviousPage within TOOLBAR absolute 588 30 extent 80 30 Previous Page (or empty) Helvetica 5 plain Helvetica 5 plain off SF4242 NextPage GotoNextPage within TOOLBAR absolute 720 26 extent 105 35 Print Page Print Page Button: Print this Page. print

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PrintButtonHelp AboutButton NextPage Print Page Button: Print this Page. Close Form Button: Click this button to return to the cover sheet of this Grant Application. Previous Page Button: Press to go to Previous Page. Next Page Button: Press to go to Next Page. View Attachment Button: Select to view attachment. Add Attachment Button: Select to add attachment. Delete Attachment Button: Select to delete attachment. About Button: Click here for more information about this form. Reset Record Button: Click here to blank out all fields. Previous Record Button: Click for previous record. All mandatory entries in this current record must be filled in before moving to the previous record is allowed. Next Record Button: Click for next record. All mandatory entries in this current record must be filled in before moving to the next record is allowed. on StateReview off This is a default radio choice for the StateReview radio group. This radio is generated with visibility set to "off." absolute 585 508 extent 54 30 Available StateReviewRadioRequiredField 0 readonly off 0 0 0 0 0 0 absolute 25 511 extent 556 27 HELP4 Application Subject to Review: One selection is required. string vfd_required StateReviewDefaultRadioChoice TotalEstimatedFunding on DelinquentFederalDebt off This is a default radio choice for the DelinquentFederalDebt radio group. This radio is generated with visibility set to "off." absolute 644 565 extent 67 38 StateReview_NotCovered StateReview_NotSelected 0 readonly off 0 0 0 0 0 0 absolute 25 625 extent 562 28 HELP5 Applicant Delinquent on Federal Debt: A selection is required. DelinquentFederalDebt_Yes StateReview_NotCovered string vfd_required * a. Federal absolute 27 317 extent 85 22 18-a right helptip_FederalEstimatedFunding Federal Estimated Funding: Enter the dollar amount. This field is required. absolute 158 317 ApplicantEstimatedFunding ProjectEndDate dollar comma_delimit vfd_required 0 999999999999.99 Mandatory.value == "on" ? "mandatory" : "optional" Federal Estimated Funding: Enter the dollar amount. This field is required. * b. Applicant absolute 27 344 extent 93 22 18-b right helptip_ApplicantEstimatedFunding Applicant Estimated Funding: Enter the dollar amount. This field is required. absolute 158 344 StateEstimatedFunding FederalEstimatedFunding dollar comma_delimit vfd_required 0 999999999999.99 Mandatory.value == "on" ? "mandatory" : "optional" Applicant Estimated Funding: Enter the dollar amount. This field is required. * c. State absolute 27 371 extent 79 22 18-c right helptip_StateEstimatedFunding State Estimated Funding: Enter the dollar amount. This field is required. absolute 158 371 LocalEstimatedFunding ApplicantEstimatedFunding dollar comma_delimit vfd_required 0 999999999999.99 Mandatory.value == "on" ? "mandatory" : "optional" State Estimated Funding: Enter the dollar amount. This field is required. * d. Local absolute 27 398 extent 71 22 18-d right helptip_LocalEstimatedFunding Local Estimated Funding: Enter the dollar amount. This field is required. absolute 158 398 OtherEstimatedFunding StateEstimatedFunding dollar comma_delimit vfd_required 0 999999999999.99 Mandatory.value == "on" ? "mandatory" : "optional" Local Estimated Funding: Enter the dollar amount. This field is required. * e. Other absolute 27 425 extent 76 22 18-e right helptip_OtherEstimatedFunding Other Estimated Funding: Enter the dollar amount. This field is required. absolute 158 425 ProgramIncomeEstimatedFunding LocalEstimatedFunding dollar comma_delimit vfd_required 0 999999999999.99 Mandatory.value == "on" ? "mandatory" : "optional" Other Estimated Funding: Enter the dollar amount. This field is required. * f. Program Income absolute 27 452 extent 127 22 18-f right helptip_ProgramIncomeEstimatedFunding Program Income Estimated Funding: Enter the dollar amount. This field is required. absolute 158 452 TotalEstimatedFunding OtherEstimatedFunding dollar comma_delimit vfd_required 0 999999999999.99 Mandatory.value == "on" ? "mandatory" : "optional" Program Income Estimated Funding: Enter the dollar amount. This field is required. * g. TOTAL absolute 27 479 extent 80 22 18-g right helptip_TotalEstimatedFunding Total Estimated Funding: Enter the total dollar amount. This field is required. absolute 158 479 readonly toggle(SF4243.FederalEstimatedFunding.value) == "1" || toggle(SF4243.ApplicantEstimatedFunding.value) == "1" || toggle(SF4243.StateEstimatedFunding.value) == "1" || toggle(SF4243.LocalEstimatedFunding.value) == "1" || toggle(SF4243.OtherEstimatedFunding.value) == "1" || toggle(SF4243.ProgramIncomeEstimatedFunding.value) == "1" ? strlen(SF4243.FederalEstimatedFunding.value) != "0" || strlen(SF4243.ApplicantEstimatedFunding.value) != "0" || strlen(SF4243.StateEstimatedFunding.value) != "0" || strlen(SF4243.LocalEstimatedFunding.value) != "0" || strlen(SF4243.OtherEstimatedFunding.value) != "0" || strlen(SF4243.ProgramIncomeEstimatedFunding.value) != "0" ? set("value", SF4243.FederalEstimatedFunding.value + SF4243.ApplicantEstimatedFunding.value + SF4243.StateEstimatedFunding.value + SF4243.LocalEstimatedFunding.value + SF4243.OtherEstimatedFunding.value + SF4243.ProgramIncomeEstimatedFunding.value) : set("value", "") : "" StateReviewRadioRequiredField ProgramIncomeEstimatedFunding dollar comma_delimit vfd_required 0 9999999999999.99 Mandatory.value == "on" ? "mandatory" : "optional" Total Estimated Funding: Enter the total dollar amount. This field is required. * 19. Is Application Subject to Review By State Under Executive Order 12372 Process? absolute 27 513 extent 551 22 Helvetica 8 bold HELP2 19. Is Application Subject to Review By State Under Executive Order 12372 Process?: One selection is required. a. This application was made available to the State under the Executive Order 12372 Process for review on absolute 45 540 extent 622 22 . absolute 761 540 extent 21 22 19-a helptip_Available State Review Available: Click to select option. optional Mandatory.value == "on" ? "mandatory" : "optional" StateReview off absolute 27 540 extent 14 22 StateReviewAvailableDate StateReviewDefaultRadioChoice State Review Available: Click to select option. b. Program is subject to E.O. 12372 but has not been selected by the State for review. 100 2 absolute 45 567 extent 536 22 19-b helptip_StateReview_NotSelected State Review Not Selected: Click to select option. 100 2 optional Mandatory.value == "on" ? "mandatory" : "optional" StateReview off absolute 27 567 extent 14 22 DelinquentFederalDebtDefaultRadioChoice StateReviewAvailableDate State Review Not Selected: Click to select option. c. Program is not covered by E.O. 12372. 65 1 absolute 45 594 extent 536 22 19-c helptip_StateReview_NotCovered State Review Not Covered: Click to select option. 65 1 optional Mandatory.value == "on" ? "mandatory" : "optional" StateReview off absolute 27 594 extent 14 22 DelinquentFederalDebtRadioRequiredField DelinquentFederalDebtDefaultRadioChoice State Review Not Covered: Click to select option. 19-a1 helptip_StateReviewAvailableDate State Review Date : Enter the date in the format MM/DD/YYYY. 10 1 absolute 671 540 SF4243.Available.value == "on" ? "on" : "off" date vfd_required 1 10 MM/DD/YYYY StateReview_NotSelected Available State Review Date : Enter the date in the format MM/DD/YYYY. * 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.) absolute 27 628 extent 558 22 Helvetica 8 bold HELP3 20. Is the Applicant Delinquent On Any Federal Debt?: A selection is required. Yes absolute 45 655 extent 49 22 20-1 helptip_DelinquentFederalDebt_Yes Delinquent on Debt: Click to select option. 5 1 optional Mandatory.value == "on" ? "mandatory" : "optional" DelinquentFederalDebt off absolute 27 655 extent 14 22 DelinquentFederalDebt_No DelinquentFederalDebtRadioRequiredField Delinquent on Debt: Click to select option. No absolute 153 655 extent 43 22 20-2 helptip_DelinquentFederalDebt_No Not Delinquent on Debt: Click to select option. 4 1 optional Mandatory.value == "on" ? "mandatory" : "optional" DelinquentFederalDebt off absolute 135 655 extent 14 22 BUTTON1 DelinquentFederalDebt_Yes Not Delinquent on Debt: Click to select option. 21-1 helptip_CertificationAgree Certification Agree: Check to select. This field is required. off absolute 27 764 extent 17 22 SubmissionTypeRadioRequiredField BUTTON1 Certification Agree: Check to select. This field is required. Prefix: absolute 27 875 extent 50 22 22-1 helptip_Prefix AOR Prefix: Select the Prefix from the provided list or enter a new Prefix not provided on the list. 17 1 PrefixGroup absolute 123 875 FirstName SubmissionTypeRadioRequiredField string optional 0 10 PrefixGroup Mr. PrefixGroup Mrs. PrefixGroup Miss PrefixGroup Ms. PrefixGroup Dr. PrefixGroup Rev. PrefixGroup Prof. AOR Prefix: Select the Prefix from the provided list or enter a new Prefix not provided on the list. * First Name: absolute 354 875 extent 86 22 22-2 helptip_FirstName AOR First Name: Enter the First Name. This field is required. 57 1 absolute 444 875 MiddleName Prefix string vfd_required 1 35 Mandatory.value == "on" ? "mandatory" : "optional" AOR First Name: Enter the First Name. This field is required. Middle Name: absolute 27 902 extent 92 22 22-3 helptip_MiddleName AOR Middle Name: Enter the Middle Name. 41 1 absolute 123 902 LastName FirstName string optional 0 25 AOR Middle Name: Enter the Middle Name. * Last Name: absolute 27 929 extent 90 22 22-4 helptip_LastName AOR Last Name: Enter the Last Name. This field is required. 98 1 absolute 123 929 Suffix MiddleName string vfd_required 1 60 Mandatory.value == "on" ? "mandatory" : "optional" AOR Last Name: Enter the Last Name. This field is required. Suffix: absolute 27 956 extent 55 22 22-5 helptip_Suffix AOR Suffix: Select the Suffix from the provided list or enter a new Suffix not provided on the list. 17 1 SuffixGroup absolute 123 956 AuthorizedRepresentativeTitle LastName string optional 0 10 SuffixGroup Jr. SuffixGroup Sr. SuffixGroup M.D. SuffixGroup Ph.D AOR Suffix: Select the Suffix from the provided list or enter a new Suffix not provided on the list. * Title: absolute 27 990 extent 52 22 22-6 helptip_AuthorizedRepresentativeTitle AOR Title: Enter the position title. This field is required. 73 1 absolute 83 990 AuthorizedRepresentativePhoneNumber Suffix string vfd_required 1 45 Mandatory.value == "on" ? "mandatory" : "optional" AOR Title: Enter the position title. This field is required. * Telephone Number: absolute 27 1024 extent 129 22 22-7 helptip_AuthorizedRepresentativePhoneNumber AOR Telephone Number: Enter the daytime Telephone Number. This field is required. 41 1 absolute 160 1024 AuthorizedRepresentativeFax AuthorizedRepresentativeTitle string vfd_required 1 25 Mandatory.value == "on" ? "mandatory" : "optional" AOR Telephone Number: Enter the daytime Telephone Number. This field is required. * Email: absolute 27 1058 extent 62 22 22-8 "0" ? viewer.messageBox("You have entered an invalid email address please use \"@\" in your email address") +. set("value", "") +. set("focused", "on") : ""]]> helptip_AuthorizedRepresentativeEmail AOR Email: Enter a valid Email Address. This field is required. 98 1 absolute 93 1058 AuthorizedRepresentativeFax Mandatory string vfd_required 1 60 Mandatory.value == "on" ? "mandatory" : "optional" AOR Email: Enter a valid Email Address. This field is required. Fax Number: absolute 498 1024 extent 83 22 22-9 helptip_AuthorizedRepresentativeFax AOR Fax Number: Enter the Fax Number. 41 1 absolute 585 1024 AuthorizedRepresentativeEmail AuthorizedRepresentativePhoneNumber string optional 0 25 AOR Fax Number: Enter the Fax Number. 22-10 helptip_AORSignature Completed by Grants.gov upon submission. absolute 280 1092 extent 216 19 Helvetica 6 plain 1 22-10 * Signature of Authorized Representative: absolute 27 1092 extent 249 22 AOR Signature: Completed by Grants.gov upon submission. 22-11 helptip_DateSigned Completed by Grants.gov upon submission. 10 1 absolute 607 1092 extent 216 19 Helvetica 6 plain 1 22-11 * Date Signed: absolute 509 1092 extent 94 22 Date Signed: Completed by Grants.gov upon submission. 18-0 string optional helptip_d1e10505 18. Estimated Funding ($): absolute 27 283 extent 205 22 Helvetica 8 bold 21-0 string optional helptip_d1e12345 21. *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 1001) absolute 27 689 extent 800 70 Helvetica 8 bold 21-2 string optional helptip_d1e12575 ** 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. absolute 27 791 extent 800 38 22-0 string optional Authorized Representative: absolute 27 841 extent 195 22 Helvetica 8 bold Authorized Representative: Fill In or n/a 23-0 string optional helptip_d1e14185 Authorized for Local Reproduction absolute 27 1126 extent 203 22 23-1 string optional helptip_d1e14300 Standard Form 424 (Revised 10/2005) absolute 680 1126 extent 247 22 right 23-2 string optional helptip_d1e14415 Prescribed by OMB Circular A-102 absolute 701 1146 extent 226 22 right OMB Number: 4040-0004 absolute 765 9 extent 162 22 right Expiration Date: 01/31/2009 absolute 753 29 extent 174 22 right absolute 21 55 extent 2 1065 2 absolute 932 55 extent 2 1065 2 absolute 21 55 extent 913 2 2 absolute 21 276 extent 913 2 2 absolute 21 310 extent 913 2 2 absolute 21 506 extent 913 2 2 absolute 21 621 extent 913 2 2 absolute 21 682 extent 913 2 2 absolute 21 834 extent 913 2 2 absolute 21 868 extent 913 2 2 absolute 21 983 extent 913 2 2 absolute 21 1017 extent 913 2 2 absolute 21 1051 extent 913 2 2 absolute 21 1085 extent 913 2 2 absolute 21 1119 extent 913 2 2 absolute 234 655 extent 110 22 Explanation HELP1 Explanation: Select button to add an explanation on the federal delinquent debt of the Applicant organization. pagedone #SF4244.global SF4243.DelinquentFederalDebt_Yes.value == "on" ? "on" : "off" CertificationAgree DelinquentFederalDebt_No Explanation: Select button to add an explanation on the federal delinquent debt of the Applicant organization. 0 readonly off 0 0 0 0 0 0 absolute 45 762 extent 82 26 string vfd_required Prefix CertificationAgree ** I AGREE absolute 48 764 extent 75 22 Helvetica 8 bold Application Subject to Review: One selection is required. Applicant Delinquent on Federal Debt: A selection is required. Application Subject to Review: One selection is required. Applicant Delinquent on Federal Debt: A selection is required. 0-2 string optional helptip_d1e1647 Application for Federal Assistance SF-424 absolute 27 62 extent 456 26 Helvetica 10 bold * a. Applicant absolute 27 127 extent 97 22 Attach an additional list of Program/Project Congressional Districts if needed. absolute 27 161 extent 542 22 16-a helptip_CongressionalDistrictApplicant Applicant District: 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. If outside the US, enter 00-000. This field is required. 10 1 absolute 128 127 CongressionalDistrictProgramProject AboutButton string vfd_required 1 6 Mandatory.value == "on" ? "mandatory" : "optional" Applicant District: 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. If outside the US, enter 00-000. This field is required. * b. Program/Project absolute 528 127 extent 130 22 16-b helptip_CongressionalDistrictProgramProject Program District: 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. If all districts in a state are affected, enter "all" for the district number. Example: MD-all for all congressional districts in Maryland. If nationwide (all districts in all states), enter US-all. If the program/project is outside the US, enter 00-000. This field is required. 10 1 absolute 663 127 string vfd_required 1 6 Mandatory.value == "on" ? "mandatory" : "optional" AdditionalCongressionalDistricts0 CongressionalDistrictApplicant Program District: 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. If all districts in a state are affected, enter "all" for the district number. Example: MD-all for all congressional districts in Maryland. If nationwide (all districts in all states), enter US-all. If the program/project is outside the US, enter 00-000. This field is required. 16-c helptip_AdditionalCongressionalDistricts readonly AdditionalCongressionalDistricts_data0.filename Additional Congressional Districts: Attach a file using the appropriate buttons. absolute 27 188 AdditionalCongressionalDistricts_add0 CongressionalDistrictProgramProject Additional Congressional Districts: Attach a file using the appropriate buttons. AddButtonHelp Add Attachment Button: Select to add attachment. Add Attachment enclose on AdditionalCongressionalDistricts_data0 strlen(AdditionalCongressionalDistricts0.value) > "0" ? "off" : "on" toggle(active, "on", "off") == "1" ? set("AdditionalCongressionalDistricts_delete0.focused", "on") : "" absolute 277 188 extent 124 22 AdditionalCongressionalDistricts_delete0 AdditionalCongressionalDistricts0 DeleteButtonHelp Delete Attachment Button: Select to delete attachment. Delete Attachment remove on AdditionalCongressionalDistricts_data0 strlen(AdditionalCongressionalDistricts0.value) > "0" ? "on" : "off" toggle(active, "on", "off") == "1" ? set("AdditionalCongressionalDistricts_add0.focused", "on") : "" absolute 405 188 AdditionalCongressionalDistricts_view0 AdditionalCongressionalDistricts_add0 ViewButtonHelp View Attachment Button: Select to view attachment. View Attachment display on AdditionalCongressionalDistricts_data0 strlen(AdditionalCongressionalDistricts0.value) > "0" ? "on" : "off" absolute 523 188 ProjectStartDate AdditionalCongressionalDistricts_delete0 * a. Start Date: absolute 27 249 extent 95 22 17-a helptip_ProjectStartDate Project Start Date: Enter the date in the format MM/DD/YYYY. This field is required. 10 1 absolute 126 249 ProjectEndDate AdditionalCongressionalDistricts_view0 date vfd_required 1 10 MM/DD/YYYY Mandatory.value == "on" ? "mandatory" : "optional" Project Start Date: Enter the date in the format MM/DD/YYYY. This field is required. * b. End Date: absolute 569 249 extent 89 22 17-b helptip_ProjectEndDate Project End Date: Enter the date in the format MM/DD/YYYY. This field is required. 10 1 absolute 662 249 ProjectEndDate.value) ? viewer.messageBox("CHECK DATES! The start date you entered is later than the end date.", "OK") +. set("ProjectEndDate.value", "") +. set("ProjectEndDate.focused", "on") : "" ]]> FederalEstimatedFunding ProjectStartDate date vfd_required 1 10 MM/DD/YYYY Mandatory.value == "on" ? "mandatory" : "optional" Project End Date: Enter the date in the format MM/DD/YYYY. This field is required. 16-0 string optional helptip_d1e9700 16. Congressional Districts Of: absolute 27 100 extent 212 22 Helvetica 8 bold 17-0 string optional helptip_d1e10160 17. Proposed Project: absolute 27 222 extent 156 22 Helvetica 8 bold absolute 21 93 extent 913 2 2 absolute 21 154 extent 913 2 2 absolute 21 215 extent 913 2 2 Version 02 Helvetica 10 plain absolute 837 62 extent 90 26 right letter 120 8.0;10.5 B4B0B557-1BCE-436A-B637-1AB3D7FDA416 SF424 Page 4 DelinquentFederalDebtExplanation absolute 960 1260 extent 1 1 Version 02 Helvetica 10 plain absolute 837 62 extent 90 26 right OMB Number: 4040-0004 absolute 765 9 extent 162 22 right Expiration Date: 01/31/2009 absolute 753 29 extent 174 22 right absolute 21 55 extent 2 1185 2 absolute 932 55 extent 2 1185 2 absolute 21 55 extent 913 2 2 absolute 21 93 extent 913 2 2 absolute 21 1238 extent 913 2 2 within TOOLBAR absolute 38 30 Mandatory Helvetica 5 plain Helvetica 5 plain ( (SubmissionDef.SF424.group == "SubmissionDef.MandatoryCurrent_GROUP") || (SubmissionDef.SF424.group == "SubmissionDef.MandatoryAvailable_GROUP")|| (SubmissionDef.SF424.group == "SubmissionDef.OptionalCurrent_GROUP")) ? "on" : "off" off CloseForm FIELD1 absolute 841 1114 extent 29 28 off DelinquentFederalDebtExplanation Mandatory within TOOLBAR absolute 877 26 extent 75 35 About $Revision: 1.23 $ toggle(activated,"off","on") == "1" ? viewer.messageBox("Form Version: " +. get("AboutButton.formversionnumber") +. " ", "Information", "OK | ICONINFORMATION") : "" AboutButtonHelp About Button: Click here for more information about this form. DelinquentFederalDebtExplanation PrintButton within TOOLBAR absolute 111 26 extent 105 35 Close Form pagedone Helvetica 8 plain #SubmissionDef.global CloseButtonHelp Close Form Button: Click this button to return to the cover sheet of this Grant Application. GotoPreviousPage Mandatory within TOOLBAR absolute 678 30 extent 80 30 Next Page (or empty) Helvetica 5 plain Helvetica 5 plain off readonly PrintButton PreviousPage within TOOLBAR absolute 348 26 extent 105 35 Previous pagedone Previous Page Button: Press to go to Previous Page. PreviousButtonHelp "#" + PreviousPage.value + ".global" off PreviousPage.value != "" ? "on" : "off" GotoNextPage CloseForm within TOOLBAR absolute 474 26 extent 105 35 Next pagedone NextButtonHelp Next Page Button: Press to go to Next Page. "#" + NextPage.value + ".global" off PreviousPage GotoPreviousPage within TOOLBAR absolute 588 30 extent 80 30 Previous Page (or empty) Helvetica 5 plain Helvetica 5 plain off SF4243 NextPage GotoNextPage within TOOLBAR absolute 720 26 extent 105 35 Print Page Print Page Button: Print this Page. print

current

PrintButtonHelp AboutButton NextPage Print Page Button: Print this Page. Close Form Button: Click this button to return to the cover sheet of this Grant Application. Previous Page Button: Press to go to Previous Page. Next Page Button: Press to go to Next Page. View Attachment Button: Click here to view the attachment. Add Attachment Button: Click here to add an attachment. Delete Attachment Button: Click here to delete the attachment. About Button: Click here for more information about this form. Reset Record Button: Click here to blank out all fields. Previous Record Button: Click for previous record. All mandatory entries in this current record must be filled in before moving to the previous record is allowed. Next Record Button: Click for next record. All mandatory entries in this current record must be filled in before moving to the next record is allowed. The following field should contain an explanation if the Applicant organization is delinquent on any Federal Debt. Maximum number of characters that can be entered is 4,000. Try and avoid extra spaces and carriage returns to maximize the availability of space. absolute 27 127 extent 800 38 20-1b helptip_DelinquentFederalDebtExplanation Delinquent Debt Explanation: Field provides an explanation of the delinquent federal debt of the Applicant organization. It can contain a maximum of 4000 characters. 100 66 wordwrap absolute 27 170 SF4243.DelinquentFederalDebt_Yes.value == "on" ? "on" : "off" FIELD1 AboutButton string vfd_required 0 4000 Delinquent Debt Explanation: Field provides an explanation of the delinquent federal debt of the Applicant organization. It can contain a maximum of 4000 characters. 0-2 string optional helptip_d1e1647 Application for Federal Assistance SF-424 absolute 27 62 extent 456 26 Helvetica 10 bold 0-2 string optional helptip_d1e1647 * Applicant Federal Debt Delinquency Explanation absolute 27 100 extent 336 22 Helvetica 8 bold letter 120 8.0;10.5 F20BD555-4CEB-476D-A0A4-0A3667257653 DOJ_CertificationCompliance AuthPrefix1 within TOOLBAR absolute 122 26 extent 105 35 Close Form pagedone Helvetica 8 plain #SubmissionDef.global HELP1000 Close Form Click this button to return to the cover sheet of this Grant Application. within TOOLBAR absolute 38 30 Mandatory Helvetica 5 plain Helvetica 5 plain ( (SubmissionDef.DOJ_CertificationCompliance.group == "SubmissionDef.MandatoryCurrent_GROUP") || (SubmissionDef.DOJ_CertificationCompliance.group == "SubmissionDef.MandatoryAvailable_GROUP")|| (SubmissionDef.DOJ_CertificationCompliance.group == "SubmissionDef.OptionalCurrent_GROUP")) ? "on" : "off" GotoPreviousPage FIELD1 off within TOOLBAR absolute 678 30 extent 80 30 Next Page (or empty) Helvetica 5 plain Helvetica 5 plain off readonly AuthPrefix1 PreviousPage within TOOLBAR absolute 348 26 extent 105 35 Previous pagedone HELP3000 "#" + PreviousPage.value + ".global" off PreviousPage.value != "" ? "on" : "off" GotoNextPage Mandatory within TOOLBAR absolute 474 26 extent 105 35 Next pagedone HELP2000 "#" + NextPage.value + ".global" on NextPage.value != "" ? "on" : "off" PreviousPage GotoPreviousPage within TOOLBAR absolute 588 30 extent 80 30 Previous Page (or empty) Helvetica 5 plain Helvetica 5 plain off NextPage GotoNextPage absolute 340 12 extent 258 38 U.S. Department of Justice center Times New Roman 11 bold absolute 350 67 extent 436 23 Office of Community Oriented Policing Services(COPS) center Times New Roman 11 plain italic absolute 23 213 extent 722 216 Instructions: All agencies applying for COPS funding must submit this Certification with their application. The applicant's Authorized Organizational Representative (AOR) is required to certify that both the Law Enforcement Executive/Program Official and the Government Executive/Financial Official reviewed and signed the forms in the application that require such signatures and represent that the grantee will comply with grant requirements. The signatures must be made by the actual executives unless there is an officially documented authorization for a delegated signature. The original of all signed forms must be retained by the grantee for inspection when requested. Times New Roman 11 bold absolute 133 121 extent 705 30 Certification of Review and Representation of Compliance with Grant Times New Roman 12 bold absolute 370 150 extent 151 30 Requirements Times New Roman 12 bold absolute 19 106 extent 745 1 absolute 28 530 extent 469 29 the Authorized Organizational Representative (AOR) of Times New Roman 12 plain absolute 934 490 extent 18 29 , Times New Roman 12 plain absolute 29 490 extent 22 29 I, __________________________ the Authorized Organizational Representative (AOR) of Times New Roman 12 plain absolute 27 559 extent 111 29 (legal name) Times New Roman 12 plain absolute 471 562 extent 487 29 certify that the Law Enforcement Executive/Program Official Times New Roman 12 plain absolute 142 562 extent 325 23 HELP50 readonly AuthPrefix2 AuthSuffix1 SF424.OrganizationName.value string vfd_required 1 60 Mandatory.value == "on" ? "mandatory" : "optional" Legal name of the organization that will undertake the assistance activity. This should normally be the name under which the organization has registered with the Business Partner Network. This field is required. absolute 26 586 extent 836 29 and the Government Executive/Financial Official have reviewed and signed each of the signature forms. Times New Roman 12 plain absolute 89 752 extent 110 29 E-Signature: Times New Roman 12 plain absolute 204 784 extent 297 22 Times New Roman 7 plain readonly AuthSuffix2 Mandatory HELP2 Fill out the SF-424 to populate this field. SF4243.AuthorizedRepresentativeTitle.value string vfd_required 1 45 Mandatory.value == "on" ? "mandatory" : "optional" absolute 89 781 extent 110 29 Title: Times New Roman 12 plain absolute 89 810 extent 110 29 Date Signed: Times New Roman 12 plain absolute 90 666 extent 411 29 Authorized Organizational Representative Times New Roman 12 plain absolute 844 702 extent 50 22 Suffix: absolute 844 725 extent 32 22 HELP58 FIELD1 AuthLastName2 readonly Fill out the SF-424 to populate this field. SF4243.Suffix.value string optional 0 10 Fill out the SF-424 to populate this field. absolute 541 725 extent 295 22 HELP57 AuthSuffix2 AuthMiddleName2 readonly Fill out the SF-424 to populate this field. SF4243.LastName.value string vfd_required 1 60 Mandatory.value == "on" ? "mandatory" : "optional" Fill out the SF-424 to populate this field. absolute 367 702 extent 90 24 Middle Name: absolute 149 725 extent 204 22 HELP44 AuthMiddleName2 AuthPrefix2 readonly Fill out the SF-424 to populate this field. SF4243.FirstName.value string vfd_required 1 60 Mandatory.value == "on" ? "mandatory" : "optional" Fill out the SF-424 to populate this field. absolute 368 725 extent 171 23 HELP56 AuthLastName2 AuthFirstName2 readonly Fill out the SF-424 to populate this field. SF4243.MiddleName.value string optional 0 25 Fill out the SF-424 to populate this field. absolute 149 702 extent 77 24 First Name: absolute 542 702 extent 88 24 Last Name: absolute 93 725 extent 35 22 HELP55 AuthFirstName2 LEGAL_NAME readonly Fill out the SF-424 to populate this field. SF4243.Prefix.value string optional 0 10 Fill out the SF-424 to populate this field. absolute 92 702 extent 50 22 Prefix: absolute 61 478 extent 867 49 1 off absolute 897 494 extent 34 22 HELP58 readonly LEGAL_NAME AuthLastName1 Fill out the SF-424 to populate this field. SF4243.Suffix.value string optional 0 10 absolute 538 494 extent 354 22 HELP57 readonly AuthSuffix1 AuthMiddleName1 Fill out the SF-424 to populate this field. SF4243.LastName.value string vfd_required 1 60 Mandatory.value == "on" ? "mandatory" : "optional" absolute 114 494 extent 246 22 HELP44 readonly AuthMiddleName1 AuthPrefix1 Fill out the SF-424 to populate this field. SF4243.FirstName.value string vfd_required 1 60 Mandatory.value == "on" ? "mandatory" : "optional" absolute 364 494 extent 171 23 HELP56 readonly AuthLastName1 AuthFirstName1 Fill out the SF-424 to populate this field. SF4243.MiddleName.value string optional 0 25 absolute 68 494 extent 42 22 HELP55 readonly AuthFirstName1 Fill out the SF-424 to populate this field. SF4243.Prefix.value string optional 0 10 Enter date with zeros included: example 03/08/2004 for March 8th, 2004 absolute 204 754 extent 330 22 Completed by Grants.gov upon submission. 111 111 111 absolute 203 812 extent 280 22 Completed by Grants.gov upon submission. 111 111 111 absolute 851 -2 extent 106 19 OMB No. 1103-0027 Helvetica 6 plain left 0 0 0 239 239 239 transparent Fill out the SF-424 to populate this field. letter 120 8.0;10.5 55A9C73B-A51B-4394-A951-F9C43C96D4D4 424B-Page1 CloseForm absolute 100 370 extent 20 32 1. Helvetica 9 plain absolute 49 108 extent 899 161 1 absolute 764 16 extent 184 26 OMB Approval No. 4040-0007 right absolute 784 36 Expiration Date 04/30/2008 right absolute 254 76 extent 464 40 ASSURANCES - NON-CONSTRUCTION PROGRAMS Helvetica 10 bold center absolute 50 111 extent 890 102 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0040), Washington, DC 20503. Helvetica 9 plain absolute 50 215 extent 890 55 PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. Helvetica 10 bold absolute 75 268 extent 47 32 NOTE: Helvetica 8 bold absolute 134 273 extent 809 67 Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. Helvetica 9 plain absolute 46 340 extent 558 23 As the duly authorized representative of the applicant, I certify that the applicant: Helvetica 9 plain absolute 129 368 extent 437 123 Has the legal authority to apply for Federal assistance and the institutional, managerial and financial capability (including funds sufficient to pay the non-Federal share of project cost) to ensure proper planning, management and completion of the project described in this application. Helvetica 9 plain absolute 580 368 extent 375 413 Act of 1973, as amended (29 U.S.C. §794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee- 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and, (j) the requirements of any other nondiscrimination statute(s) which may apply to the application. Helvetica 9 plain absolute 100 493 extent 20 32 2. Helvetica 9 plain absolute 129 492 extent 375 136 Will give the awarding agency, the Comptroller General of the United States and, if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. Helvetica 9 plain absolute 100 626 extent 20 32 3. Helvetica 9 plain absolute 129 629 extent 375 78 Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. Helvetica 9 plain absolute 100 709 extent 20 32 4. Helvetica 9 plain absolute 129 708 extent 375 67 Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. Helvetica 9 plain absolute 100 772 extent 20 32 5. Helvetica 9 plain absolute 129 776 extent 375 108 Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§4728-4763) relating to prescribed standards for merit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). Helvetica 9 plain absolute 100 885 extent 20 32 6. Helvetica 9 plain absolute 129 885 extent 375 149 Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681- 1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c