Once form is completed click the
button above, enter AFA Title &
Number in the subject line and a
ttach the completed template.
WV Bureau for Behavioral Health
Announcement of Funding Availability (AFA) Proposal Template
AFA Number
AFA Title
Total Amount of Funding Requested
Applicant Organization Name
Applicant Organization Contact Information
Address (Line Two)
West Virginia
Phone Number
Fax Number
Web Address
Name of Applicant Organization Director
Phone Number
E-mail Address
Name of Applicant Organization Chief Fiscal Officer/Financial Director
Phone Number
E-mail Address
Name of Project Officer / Lead Contact (Name & Title)
Phone Number
E-mail Address
Required Documents
Project Narrative
Attachment 3: Letters of Support
Attachment 1: Targeted Funding Budget
and Budget Narrative
Proposal Statement of Assurance
Attachment 2: Valid WV Business License
Attachment 4: Site Plans and/or Construction Drawings
Attachment 5: Verification of Match
Attachment 6: Attestation Letter for Life and Safety
Assessment and WVARR Certification
Instructions for Attaching Files
1. For each attachment, ensure the file name matches the text on the form
2. Near the top on the right hand side, click "Comment"
3. Click the Icon that looks like a paperclip ---------------------------->
4. Move your mouse to the appropriate box on the form and click
5. Locate the file on your computer, select it, and click "Open".
A paperclip will appear in (or near) the box on the form and your file will be
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