Professional Documents
Culture Documents
Application Form FY2021 v8 Final
Application Form FY2021 v8 Final
Application Form FY2021 v8 Final
IMPORTANT: While filling out this form, please pay careful attention to all the
instructions in Appendix A of the Notice of Funding Opportunity (NOFO) or the Annual
Program Statement (APS). (All NOFOs and APS can be found on our website at
https://rs.usembassy.gov/education-culture/grants-programs.) If your application is
incomplete, it will be considered technically ineligible, and your project will not be
considered for funding by the review committee.
Are you yourself (if applying as an individual) or is a key leader in your organization an
alumnus, i.e., a past participant, of an exchange program supported by PAS, the U.S. State
Department’s Bureau of Educational and Cultural Affairs (ECA), or another part of the U.S.
Government? (Please go to https://rs.usembassy.gov/education-culture/exchange-programs/
to see our current “List of Exchange Programs in Serbia Since 2001.”)
☐ No.
☐ Yes. Please tell us:
the name of the exchange program:
the dates when the program took place (approximately):
(if applying as an organization) the name of the person who participated in the
exchange program and his/her position in your organization:
a. Date of Application
b. Grant Program
c. Program Theme
d. Project Title in
English (Max 100
characters)
e. Project Title in
Local Language (Max
100 characters)
1
f. Legal Name of
Applicant (Individual
or Organization) in
Local Language
g. English Translation
of Organization Name
(Optional)
i. Contact
Information
j. Website and/or
Social Media
k. Grant Amount
Requested from PAS $_______________
PROJECT PROPOSAL
o. Overall Project Goal(s) (Max 500 characters for each box checked)
Select up to three:
☐ Promote general awareness about an issue.
☐ Educate, teach, or train others.
☐ Promote dialogue or debate.
☐ Shift attitudes or opinions.
☐ Inspire action or change.
☐ Create or strengthen linkages or connections.
☐ Strengthen the capacity of a group or organization.
Brief explanation:
2
p. Participants, Audiences, and Beneficiaries (Max 2000 characters)
Primary:
Secondary (if applicable):
Location(s):
☐ Belgrade ☐ Bujanovac ☐ Kragujevac ☐ Nis
☐ Novi Pazar ☐ Novi Sad ☐ Subotica ☐ Vranje
☐ Other:
t. Monitoring & Evaluation (M&E) Plan: Tracking Progress and Measuring Impact,
Changes, or Results (Max 2000 characters)
BACKGROUND
3
o Source of funding:
o Grant program:
o Amount:
o Dates:
o Short description:
o Analysis:
o Links:
aa. Total Project Cost, including Contributions, Donations, and Cost Share
Funding Source Budget Item(s) + Contact Info. AMOUNT
Public Affairs Section See Excel Spreadsheet. $___
(PAS)
Applicant $___
Partner $___
Partner $___