Seven Directions Technical Assistance Application

Basic Information

Seven Directions is seeking applications from tribal and urban Indian organizations to receive technical assistance (TA) in implementing opioid overdose prevention projects or public health capacity projects. TA will be tailored to specific program needs. Up to 20 tribes or urban Indian organizations will be selected. Applications should be submitted by March 13, 2020.

Question Title

* 1. Organization Information

Organization Name

Are you a 1704 or 1803 Cooperative Agreement Recipient? (Y/N)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 2. TA Application Contact Person

Name

Title

Email Address

Phone Number

Question Title

* 3. TA Application Alternate Contact Person

Name

Title

Email Address

Phone Number