PUBLIC AFFAIRS SECTION, U.S.

EMBASSY ISLAMABAD
U.S. DEPARTMENT OF STATE

APPLICATION SUMMARY COVERSHEET

This is a required form and must be included in the application package. Applicants MUST submit a separate Application
Summary Coversheet for each application that clearly outlines under which project the application is submitted for.
Applicants who submit one proposal covering more than one project may not be considered for funding. Please note that
applicants who do not label their proposal and which project they are applying for may not be considered for funding.

Funding Title:
Funding Opportunity No:
Applicant Organization’s Name:
Postal Address:
Point of Contact:
List up to five Key Individuals
(financial) and their positions:
Key Individuals are staff with the
ability to handle or direct funds.
Proposed Project Title:
Total Estimated Funding in USD:
Duration of the Project:
List of Partners, Sub-Awardees, or
Contractor Organizations: If any,
do not use acronyms.
List up to five Key Individuals 1. Mr. John Smith – President
(financial) and their positions from
Partner, Sub-Awardees
Contractor Organization:
Key Individuals are staff with the
ability to handle or direct funds.
Implementation Location(s)
Activities:
Check all that apply.
House XXXX, Street XXXX, Area XXXXXXXXXX, City XXXXXXXXX,
Country XXXXXXXXXX, Zip Code XXXX.
Mr. John Smith
1. Mr. John Smith – President
2. Mrs. John Smith – Executive Director
3. Ms. Elizabeth Smith – Programs Manager
4. Mr. John Smith – Accounts Manager
5. Ms. Elizabeth Smith – Project Coordinator
$ X,XXX,XXX.00
XX Months
1. 3.
2. 4.
2. Mrs. John Smith – Executive Director
or
3. Ms. Elizabeth Smith – Programs Manager
4. Mr. John Smith – Accounts Manager
5. Ms. Elizabeth Smith – Project Coordinator
of Islamabad / Rawalpindi Balochistan
Punjab KP/FATA
Sindh Gilgit-Baltistan
Other specify: __________________
United States (specify location): __________________

Application Summary Coversheet

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 1. Paragraph 1: Executive Summary:

2. Paragraph 2: Summary of Grantee Expertise, Previous Experience on this subject:

3. Paragraph 3: Logistics, including Selection of Participants:

4. Paragraph 4: Project Monitoring and Evaluation Plan:

Application Summary Coversheet

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