ARKANSAS DEPARTMENT OF FINANCE AND ADMINISTRATION

Justice Assistanceand State Drug Crime Enforcement

And Prosecution Grant Programs

REQUEST FOR APPLICATION 2017-18

COVER PAGE

  1. APPLICANT ORGANIZATION

  1. MAILING ADDRESS

  1. CITY/STATE
/ 4. ZIP CODE
5. TYPE OF APPLICANT / (Local) Multi-jurisdictional Drug Task Force
6. AUTHORIZED OFFICIAL (NAME/TITLE)
7. FEDERAL INDENTIFICATION / 8. IS THE APPLICANT DELINQUENT ON ANY FEDERAL FUNDS? / SELECT ONEYESNO
9. WOULD THE FUNDS BEING REQUESTED REPLACE PRIOR LOCAL OR STATE SUPPORT FOR THIS PROJECT? / SELECT ONEYesNo
9a. IF YES, EXPLAIN:
10. PLEASE INDICATE THE TYPE OF AGENCY FOR WHICH YOU ARE SEEKING FUNDING / Multi-jurisdictional Drug Task Force
11. TOTAL AMOUNT OF FUNDS REQUESTED / $ DTF should contact grants analyst directly to confirm total of last years’ grants / 12. Match will be calculated by the Grantee and will be reflected in the award document. / 10% for JAG
20% for SDCEPF
13. PREVIOUS YEAR JAG BUDGET / FEDERAL / $ / STATE / $ / LOCAL / $
14. TITLE OF PROJECT / 15. CURRENT DUNS # EXPIRATION DATE
15a.DUNS # / 16. TYPE OF PROJECT / Multijurisdictional Drug Task Force

APPLICATION DEADLINE: June 12, 2017 AT 4:30 P.M.

Applications must be postmarked or hand delivered by that date

ARKANSAS DEPARTMENT OF FINANCE AND ADMINISTRATION

Justice Assistanceand State Drug Crime Enforcement

And Prosecution Grant Programs

2017-18 APPLICATION COVER PAGE-2

17. POPULATION OR CLIENTS TO BE SERVED
18. AREA(S) TO BE SERVED BY PROPOSED PROJECT / COUNTY(IES) / JUDICIAL DISTICT(S) / CONGRESSIONAL DISTRICT(S)
PLEASE PROVIDE CONTACT INFORMATION FOR MATTERS INVOLVING THIS APPLICATION
19. PREFIX / Select OneMr.Ms.Mrs. / SPECIFY OTHER
20. FIRST NAME / 21. MIDDLE INITIAL
23. LAST NAME
24. PHONE NUMBER / - - / 25. ALTERNATE CONTACT NUMBER / - -
26. E-MAIL ADDRESS
27. Secondary E-MAIL ADDRESS

APPLICATION DEADLINE: June 12, 2017 AT 4:30 P.M.

Applications must be postmarked or hand delivered by that date