(NCAs) Applicant User Guide - HRSA

4.3.2 Form 12: Contact Information
Form 12: Contact Information asks for contact information for your application.
Click Update in the Action column of the status table (or click Form 12 on the Program Specific Information
left side menu) to access Form 12: Contact Information.
Enter a chief executive officer (optional) and a contact person (required). The contact person should be the
primary communications liaison for any program specific information being submitted as part of this
application. Data entry is required in fields marked with an asterisk (*).
4.3.2.1 Add a Chief Executive Officer
1. Click the Add Chief Executive Officer button
The
CONTACT INFORMATION form opens ( Figure 32).
Figure 32: Contact Information, Chief Executive Officer
The TITLE OF POSITION field is
prepopulated with the title “Chief
Executive Officer” when you click the
Add Chief Executive Officer button.
2. Complete the form.
3. Click the Save and Continue button.
4.3.2.2 Add a Contact Person
1. Click the Add Contact Person button
The
CONTACT INFORMATION form opens ( Figure 33).
User Guide for Applicants National Training And
Technical Assistance Cooperative Agreements
(Ncas) Applicant User Guide
28 National Training and Technical Assistance
Cooperative Agreements (NCAs)