RFA #103425-03-23-2026-001 English for STEM Professionals Course

1. Name of Organization:
2. UEI Number: 3. EIN/TIN No:
4. Is your organization accredited? If so, indicate the accrediting organization.

Yes:

No
5. Do you have a valid registration with SAM (System for Award Management)?

Yes

No
6. Name & Title of Proposed Technical Monitor/Principal Investigator:
7. TM/PI E-mail Address and Phone Number:
8. TM/PI Mailing Address:
9. Name & Title of Contracts/Grants Administrator:
10. Contracts/Grants Administrator E-mail Address and Phone Number:
11. Contracts/Grants Administrator Mailing Address:
CAPABILITY
1 2 . Have you developed and delivered online
courses for non-native English speakers:

Yes

No
What year did you most recently offer online
courses for non-native English speakers?
Canvas
Blackboard


Moodle
Google Classroom

13.
Other:
If you have previously developed and
delivered online courses, check the
platform(s) used.
15.Have you ever published courses or course
materials as Open Educational Resources (OER)?

Yes

No
If yes, what time of licensing was used?
SUMMARY
14.Have you developed a course or course
materials on the topic of English for STEM?
Yes No
If yes, briefly describe these projects:
ATTACHMENT B - FY26-103425-03-23-2026-001
English for STEM Professionals

16. Previous Grant Experience:
Provide the following information about up to four recent and similar U.S. government grants
awarded to your institution. Provide the name of the grant, funding level, funding organization, period
of performance, and brief description of objectives and results.
Name of Grant:
Funding level: Period of Performance:
Funding Organization:
Description:
Name of Grant:
Funding Level: Period of Performance:
Funding Organization:
Description:
Name of Grant:
Funding Level: Period of Performance:
Funding Organization:
Description:
Name of Grant:
Funding Level: Period of Performance:
Funding Organization:
Description:
BUDGET SUMMARY
17. Total Development Cost:
18. Total Delivery Cost:
19. Total Project Budget:
20. Indirect Rate (Percent):
CERTIFICATION/SIGNATURE:
Sign Here: