22007 Outreach Support Program Application

22007 Outreach Support Program

+ APPLICATION +
The purpose of the Outreach Events program is to connect farmers, ranchers, and forest landowners to the 22007 Discrimination Financial Assistance Program (DFAP) through outreach and technical assistance events. Funding recipients will plan, market, and host the outreach/technical assistance events and coordinate with the DFAP Regional Hub vendors.

There will be two types of events:
1. Outreach/Education: An outreach/education event should be marketed to potential DFAP applicants, and should offer them an overview of the program, including eligibility, timelines, preparation useful prior to application, available assistance. Any such event should include information on technical assistance and how and when to obtain it, including a chance to sign up for one-on-one help.
2. Technical assistance: A technical assistance event will provide a higher level of guidance on application completion. Attendees will also receive direct assistance with accessing the DFAP application portal and completing the application.
The type of each event will be determined after communication and coordination with the Regional Hub vendors. The event could be a combination of the two types.

SUBCONTRACTOR INFORMATION

The information below is collected for contracting purposes. Please consult with your organization or institution so there are no delays in processing your application.
Institution or Organization Name*
If your institution or organization is not available in the drop down list, contact 22007@extension.org
Institution or Organization UEI*
Institution or Organization EIN*
SUBCONTRACTOR CONTACT INFORMATION
Principle Investigator Name*
22007 Outreach Program Leader
Email*
example@example.com
Telephone*
Authorized Official Name*
Email*
example@example.com
Telephone*
Financial Contact Name*
Email*
example@example.com
Telephone*
Invoice/Payment Email*
example@example.com
ACH or Bill.com Invite Email*
If you would like to receive payment via ACH, please add the email address where you would like to receive the invitation to Extension Foundation Bill.com.
Payment Address*

22007 Outreach Support Program

Applicant Information
Please describe your organization's or institution’s mission.*

0/250
Please describe your organization's or institution’s direct connection to agricultural producers.*

0/250
Briefly describe the organization's or institution’s capacity to plan, market, and host accessible, culturally and linguistically appropriate outreach and/or technical assistance events targeted toward agricultural producers and coordinate with the Discrimination Financial Assistance Program Regional Hub vendors.*

0/250

Complete the table with the proposed event locations, targeted audience/s, and number of attendees:

	Event Location	Existing Event? Or will plan event?	If planning event, please share brief details.	Targeted Audience/s	Projected date	# of Estimated Attendees
Event 1
Event 2
Event 3

By submitting this application, you agree to the 22007 Outreach Support Program Expectations:
- Must be a verified non-profit organization or institution of higher education;
- Commit to plan, market, and host three in-person events with a target of at least 35 attendees per event;
- Coordinate with the funder organization (Extension Foundation) and the DFAP Regional Hub Vendors to facilitate their 22007 activities at the events; and
- Submit required reporting event outcomes. Reports to be submitted via provided webform for each event and need to include PI name, organization/institution name, date, time, place, number of attendees, and a description of what occured at the event.
- You have communicated and received approval from your Director/Administrator/Supervisor about hosting 3 events for the 22007 Outreach Support Program.
- Should you come in contact with personal records and documentation, you will maintain confidentiality of all records and ensure all records are not shared with unauthorized individuals for any reason; receive approval from USDA before sharing or allowing access to any private or confidential records.
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