Please provide the legal name of the organization and include U.S. headquarters and in-country contact information, if applicable.

2. Country(ies) of Donation

Please provide the name of the recipient country.

Please complete the following table:

Provide a short paragraph of program objectives. A bulleted format is acceptable.

Briefly state what you plan to accomplish by using the requested agricultural commodity and financial assistance.

(a) For activities that use USDA commodities for direct feed, barter or food for work only, please provide details of each activity, specifically addressing the bulleted questions/issues below.   For activities involving monetization of USDA commodities, please skip to section 6(e) to provide details.   

In a couple of paragraphs please identify the criteria and methodology used to target the geographic area(s) and the beneficiary group(s). Criteria and methodology should help to distinguish why some regions or beneficiary groups will receive resources (funds or agricultural products) while others will not. Consider the following questions when preparing your response:

• Why did you select the particular geographic area(s), institutions and/or beneficiaries?
• Which methodology did you use to select targeted beneficiary group? Which sources of information did you use, e.g., government agency, computer database, interviews, assessments, etc.?
• With whom did you collaborate to target a particular region, institution or beneficiary?

Please complete the following table and include positions critical to the implementation of the activities.  Include U.S. headquarters positions, if applicable, as well as positions in country. This section should not be used to describe the background or expertise of the people expected to fill these positions.

Please list the contributions of any other donors or private sector entities that will be needed to implement the program.

Additionally, if you are requesting USDA/FAS funds to cover activities that would "enhance the effectiveness*" of the program, please complete the following table.  The total of these activities should equal the "Activities" line in the table in the Introductory Statement in the USDA/FAS column.

*Please refer to 7 CFR 1599.4(b)(6) for further explanation.

Please include the statement, "All other costs for this program not covered by resources provided by FAS will be borne by (name of your organization).

Please identify any entity located in the importing country that will receive commodities or commodity sale proceeds from you, the applicant, for the purpose of implementing program activities described in Section 6(e). Describe each entity’s qualifications and capability to perform its program responsibilities. (Note: The applicant is expected to enter into an agreement with any recipient agency listed and hold it responsible for properly using the commodities or proceeds. See 7 C.F.R. section 1599.10). A copy of this agreement should be provided to USDA/FAS upon request.

Please specify any government, nongovernmental or private sector entities in the country that will be involved in the program and explain how the program will strengthen or increase the capabilities of such entities to further economic development in the country.

Please state the means of notifying consumers in the recipient country of the source of donated commodities.

(1) Key measurable or identifiable activities should be pulled from Section 5(a) if barter, direct feed or food for work, or from Section 6(e) if monetization.

(2) Describe the type and number of beneficiaries, if applicable.

(3) Give the number of meals served.

(4) Provide time frame in terms of months.

(5) Include the particular region(s) or area(s) of the country, if applicable.

(6) If appropriate, include the amount of agricultural commodity in metric tons (MT).

All signed agreements will be expected to evaluate the project objectives using the suggested, but program relevant, progress indicators below.

The McGovern-Dole International Food for Education and Child Nutrition Program will be evaluated against Cooperating Sponsor’s collected baseline data, which should be incorporated into the relevant progress indicators below. Please include quantitative target goals established against those baseline values. Select the target goal numbers and disperse on an appropriate timeline for achieving program implementation progress. Please note that the model has four time periods; however, more than four time periods may be used. Please indicate the period of time being used, e.g. months, quarters, annually, etc.

Please provide a justification when proposing to monetize or barter commodities. This justification should include benefits that can be reached only through these processes.

If commodities are bartered, please provide a separate table including commodity type and tonnage.

Please provide a paragraph or two that provides assurances that the current commercial markets will not be adversely affected by the sale or barter of the commodities. Include information on trade of the same and similar commodities from the U.S. and other countries into this market. Discuss current trading partners. Include both commercial as well as traditional regional stakeholders. Discuss the optimal timing of the sale in terms of periods of heightened demand, seasonality, harvest time, etc.

In a table similar to the one shown below, please list the commodity, tonnage per shipment, estimated sales price per ton (taking into account packaging requirements or bulk delivery), and estimated proceeds in U.S. dollar equivalency. Following the chart, please note the date and the exchange rate used. Please include an estimate of any interest that is expected to be earned and provide the estimated interest rate and estimated investment time period.

Please provide a paragraph or two that describes how the commodities will be sold. Indicate who are the potential buyers given the market for the commodities. Discuss how the private sector buyers will be encouraged to participate in the sales process. Discuss any constraints that may hinder or aid in the sales process, e.g., number of buyers, number of banks, letter of credit fees, storage facilities at processing plants, etc. Indicate which measures the applicant will undertake to guard against an unfair disadvantage based on limited potential buyers.

This section should be used to account for how the proceeds from the monetization of commodity will be used.  Total direct costs (ITSH, activity costs, and other direct costs) and indirect costs must not exceed the estimated proceeds as listed in Section 5(c).  Also, please include a statement of how unexpected increases or decreases in proceeds or additional funds due to reduced ITSH costs will be distributed across activities.  Administrative and ITSH costs may not be increased.

*Must conform to any negotiated indirect cost recovery agreement with a U.S. government agency.

Following the chart, please provide a detailed description of each activity that will be funded with monetization proceeds. A concise, informative paragraph or two per activity should suffice. Please include the following:

• Explain how your organization will use resources identified to carry out the program activities.
• Indicate each major expenditure and the amount or percentage of proceeds to be used (e.g., equipment procurement, recipient agencies, training consultants, training materials, storage, distribution, etc.)
• Provide a description of what each entity will do to implement key activities (e.g., your organization, consultant, food processor, local government or non-governmental organization).
• Explain how your organization will monitor implementation of the key activities to ensure that the objectives are met (e.g., site visits, recipient agency agreements with third parties, training of collaborators, etc.)

Please provide a paragraph or two that describes how the applicant will ensure that it receives payment for the sales and that the proceeds are deposited into a separate interest-bearing account. Discuss how and when the proceeds will be disbursed from the account for program activities. Discuss who will have access to the funds and how the accounts will be monitored and audited. If special banking issues are involved, the applicant should describe any actions needed to safeguard deposits.

The main purpose of this section is to provide assurances to USDA that the port, transportation infrastructure, and storage facilities are sufficient to prevent undue spoilage or waste.

Please provide one or two paragraphs that describe in a logical sequence the following:

(1) the discharge port facilities in the importing country, including offloading and storage capacity, number of discharge berths, depth of draft, and who will receive the commodities at the discharge port, (2) the mode of transport used to move the commodities from the discharge port to your warehouse, (3) storage capacity, structure and level of security, (4) any processing or repackaging that you, the applicant, will arrange prior to the sale of the commodities, or a short statement declaring that no reprocessing or repackaging will take place, (5) movement of food from warehouse to schools or feeding centers, and (6) steps taken to prevent undue spoilage or waste.

Please be familiar with and provide information about local customs, duties, and taxes that may be applicable for the commodities to enter the country. The applicant should list any special laws or taxes that may apply and explain how these laws and/or taxes will affect either distribution and/or monetization.

For direct feeding programs, the applicant must indicate that the commodities will be imported and distributed free from all customs, duties, tolls, and taxes. Please refer to, or if possible, quote from any written documentation that supports duty-free entry.

For monetization programs, if the commodities will not enter duty free, indicate who will be responsible for paying applicable customs, duties, or taxes and how this payment will affect the amount of sales proceeds realized from the sale. For example, if the buyer will pay the duty, is the sales price representative of a fair market price given this stipulation?

Please provide information indicating how the commodities were selected. Describe why the commodities can be imported and distributed without a disruption to local production and marketing patterns along with no adverse affect on prices of the same or like products (substitutable commodities) within the importing country. Highlight current local agricultural risks, aberrations, and marketing practices for locally produced foods. Discuss how these factors have been considered in the commodity selection process and monetization plan. Please include recent production and consumption statistics along with sources to support these statements. Do not repeat information provided in sections 6(b), 6(c) or 6(d) of this document.