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Office of the Chief Technology Officer, Washington, DC, US

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  • Application Cover Page and Program Location – to be submitted on line
  • Application Narrative (not to exceed 6 pages)
  • Summer Program Budget
  • Organization Annual Budget
  • Certifications and Assurances
  • Sample syllabus of proposed summer program by week including theme; the objective of learning; anticipated activities; ultimate deliverable or end product, if any
  • Program Logic Model and/or Theory of Change
  • Internal Revenue Service Determination Letter of 501(c)(3) non-profit status, dated December 7, 2018, or earlier
  • District of Columbia, DCRA Certificate of Incorporation or District of Columbia Registration as Foreign Entity dated December 7, 2018 or earlier
  • Clean Hands Certificate with the DC Office of Tax and Revenue dated December 7, 2019, or later
  • Certificate of Good Standing with the DC Department of Consumer and Regulatory Affairs valid, or renewed to be valid, through dated August 27, 2021, or later
  • District of Columbia Basic Business License Charitable Solicitation valid, or renewed, through August 27, 2021 or later
  • Financial statements and audits or financial review report for FY18 and FY19
  • Pages 1-6 of signed IRS Form-990 for FY18 and FY19 
Application Narrative Click Here to Upload
Summer Program Budget Click Here to Upload
Organization Annual Budget Click Here to Upload
Sample syllabus of proposed summer program by week including theme; the objective of learning; anticipated activities; ultimate deliverable or end product, if any Click Here to Upload
Program Logic Model and/or Theory of Change Click Here to Upload
Internal Revenue Service Determination Letter of 501(c)(3) non-profit status, dated December 7, 2018, or earlier Click Here to Upload
District of Columbia, DCRA Certificate of Incorporation or District of Columbia Registration as Foreign Entity dated December 7, 2018 or earlier Click Here to Upload
Clean Hands Certificate with the DC Office of Tax and Revenue dated December 7, 2019, or later Click Here to Upload
Certificate of Good Standing with the DC Department of Consumer and Regulatory Affairs valid, or renewed to be valid, through dated August 27, 2021, or later Click Here to Upload
District of Columbia Basic Business License Charitable Solicitation valid, or renewed, through August 27, 2021 or later Click Here to Upload
Financial statements and audits or financial review report for FY18 and FY19 Click Here to Upload
Pages 1-6 of signed IRS Form-990 for FY18 and FY19 Click Here to Upload