Proposal Cover Page Submitted in response to the

DoD Cyber Scholarship Program Grant Solicitation Academic Year 2021-2022

School Name: ________________________________________________________

University Information:

Address:

Address:

City: State: Zip Code:

Phone Number: Fax Number:

Principal Investigator/Project Director/Technical POC:

Name: Email:

Co- Principal Investigator/Project Director/Technical POC:

Name: Email:

Name: Email:

University Office of Business Negotiations/Financial POC:

Pre Grant Negotiations

Name: Email:

Name: Email:

Post Grant Issues (Invoices)

Name: Email:

Name: Email:

Did your university receive $750,000.00 or more in Federal Awards during the last fiscal year? YES ______ NO ______

If yes, please attach as a PDF the A-133 Summary of Auditor’s Results only (this should be one page) (an example can be found here: https://public.cyber.mil/cysp/documents-library/

Proposal Summary

Funds requested for Basic / Recruitment Student Scholarships:

Funds requested for Annex I / Retention Student Scholarships:

Funds requested for Annex II / Capacity Building:

Total Funds Requested:

Annex II / Capacity Building DoD Partnerships

Outreach to Academia

Mandatory Required Codes / Registrations: Applications missing the following items will be

deemed incomplete and not accepted.

Provide a response for each:

Data Universal Numbering System (DUNS):

Commercial and Government Entity Code (CAGE):

Taxpayer Identification Number (TIN):

The following registrations were verified and or updated:

Central Contractor Registration (CCR): Registration Attached:

Acquisition Resource Center Registration (ARC): Registration Attached:

Signature of Authorized University Official:

_____________________________ _______________ Date

Required Grant Start Date:

Fall Semester Start Date: