48 CFR § 653.219-71 - 653.219-71 DOS form DS-4053, Department of State Mentor-Protégé Program Application.

---
identifier: "/us/cfr/t48/s653.219-71"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "48 CFR § 653.219-71 - 653.219-71   DOS form DS-4053, Department of State Mentor-Protégé Program Application."
title_number: 48
title_name: "Federal Acquisition Regulations System"
section_number: "653.219-71"
section_name: "653.219-71   DOS form DS-4053, Department of State Mentor-Protégé Program Application."
chapter_number: 6
chapter_name: "DEPARTMENT OF STATE"
subchapter_number: "H"
subchapter_name: "CLAUSES AND FORMS"
part_number: "653"
part_name: "FORMS"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "40 U.S.C. 486(c); 22 U.S.C. 2658."
regulatory_source: "53 FR 26180, July 11, 1988, unless otherwise noted."
cfr_part: "653"
---


# 653.219-71 653.219-71   DOS form DS-4053, Department of State Mentor-Protégé Program Application.

As prescribed in 619.102-70(i), DS-4053 is prescribed for use in applying for an agreement under the Department of State Mentor-Protégé Program.

[69 FR 19345, Apr. 13, 2004]