Intent to Apply for Competitive AmeriCorps Funding

2022-2023 Program Year | Competitive Funding

The completion of the Intent to Apply form assists Serve Idaho in planning for the review process. If you have any questions about the proposal you are considering, or wish to discuss AmeriCorps programming opportunities, please contact Grants Officer Kim Empey at Kimberly.Empey@labor.idaho.gov or at (208) 332-3578 ext 3930

Intent to Apply forms are required and must be completed and submitted by 4pm MST Wednesday October 20, 2021.

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* 1. Legal Applicant Organization Name

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* 2. Legal Applicant Organization Mailing Address

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* 3. Legal Applicant Organization DUNS Number (If organization does not have a current DUNS number state N/A)

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* 4. Legal Applicant Organization EIN

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* 5. Primary Contact Information (Person within your organization that should be contacted for all matters related to this Application)

Name

Email Address

Phone Number

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* 6. Indicate your Organization Type

Indian Tribe (2 CFR 200.54)

Institution of Higher Education (2 CFR 200.55)

Local Government (2 CFR 200.64)

Nonprofit Organization ( 2 CFR 200.70)

State (2 CFR 200.90)

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* 7. Does the Legal Applicant Organization have prior experience administering state and/or federal grant funds as the Legal Applicant Organization for administering the funds? Previous experience is not required. (select all that apply)

Yes, State funds in 2018, 2019 and/or 2020

Yes, Federal funds in 2018, 2019 and/or 2020

Served as an AmeriCorps VISTA placement site in 2018, 2019 and/or 2020

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* 8. Does the Legal Applicant Organization have prior experience administering an AmeriCorps State grant through Serve Idaho? (Previous experience is not required)

Yes

Other (please specify)

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* 9. Indicate with of the following Audits of the Legal Applicant Organization could be provided to Serve Idaho as part of the submitted application?

2018 Single Audit (formerly A-133)

2019 Single Audit (formerly A-133)

2018 Independent Financial Statement Audit

2019 Independent Financial Statement Audit

No, The Legal Applicant Organization does not have a completed Audit

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* 10. Please indicate which CNCS Focus Area(s) your AmeriCorps member activities will be focused in. For a full description of each Focus Area, see the Notice.

Disaster Services

Economic Opportunity

Education

Environmental Stewardship

Healthy Futures

Veterans and Military Families

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* 11. Please provide a brief description of the proposed AmeriCorps program. Include what community need(s) the members will address, the approximate number of members requested, and the communities in which they will serve.
Serve Idaho requires a minimum of 10 members for each grant application.

Character limit 1,500.