north carolina council for women councilforwomen.nc
DESCRIPTION
North Carolina Council for Women http://www.councilforwomen.nc.gov 2011-2012 Grant Information Session. Jacqueline Jordan, Grants Administrator Direct Line-919-733-9689 [email protected] Todd Moore, Grants Administrator Direct Line-919-715-9439 [email protected]. - PowerPoint PPT PresentationTRANSCRIPT
North Carolina Council for Women
http://www.councilforwomen.nc.gov
2011-2012 Grant Information Session
North Carolina Council for Women
http://www.councilforwomen.nc.gov
2011-2012 Grant Information Session
Contact Information919-733-2455-Main #
TOLL FREE #- 877-502-9898
Contact Information919-733-2455-Main #
TOLL FREE #- 877-502-9898
Jacqueline Jordan, Grants AdministratorDirect Line-919-733-9689
Todd Moore, Grants AdministratorDirect [email protected]
Session ObjectivesSession Objectives
http://www.councilforwomen.nc.gov
To gain a basic understanding of Grant Application process
To identify key components of Grant Application
To be able to complete and submit the Grant Application components successfully
http://www.councilforwomen.nc.gov
To gain a basic understanding of Grant Application process
To identify key components of Grant Application
To be able to complete and submit the Grant Application components successfully
FY11-12 Grant Applications
are available online
FY11-12 Grant Applications
are available online
www.councilforwomen.nc.gov
This year’s process will allow submission of GrantApplications via email Applications should be sent via:
www.councilforwomen.nc.gov
This year’s process will allow submission of GrantApplications via email Applications should be sent via:
FY11-12 Grant Cycle FY11-12 Grant Cycle
PLEASE BE MINDFUL
The “Grant” Application Process initiates the “NEW” Grant Cycle
The “FY11-12” Grant Cycle begins July 1st, 2011 for eligible applicants
“FY11-12” Grant funds are not available for issuance prior to July 1st,
2011
Eligible “FY11-12” applicants will have to complete a “FY11-12” (Grant) Contract prior to issuance of grant funds
The (Grant) Contract process is expedited upon notification & availability of the “FY11-12 Grant Cycle funds”
PLEASE BE MINDFUL
The “Grant” Application Process initiates the “NEW” Grant Cycle
The “FY11-12” Grant Cycle begins July 1st, 2011 for eligible applicants
“FY11-12” Grant funds are not available for issuance prior to July 1st,
2011
Eligible “FY11-12” applicants will have to complete a “FY11-12” (Grant) Contract prior to issuance of grant funds
The (Grant) Contract process is expedited upon notification & availability of the “FY11-12 Grant Cycle funds”
Grant Applications are due
Friday April 15th
Grant Applications are due
Friday April 15th
ALL Grant Applications and signature pages must be received by NC CFW Grants Administrators no later than Friday, April 15th 5:00pm
***Pages of the Grant Application that require signatures PLUS requested Policies must be mailed
Mailing address: 1320 Mail Service Center Raleigh NC 27699-1320
Physical address:422 North Blount St Raleigh NC 27601
ALL Grant Applications and signature pages must be received by NC CFW Grants Administrators no later than Friday, April 15th 5:00pm
***Pages of the Grant Application that require signatures PLUS requested Policies must be mailed
Mailing address: 1320 Mail Service Center Raleigh NC 27699-1320
Physical address:422 North Blount St Raleigh NC 27601
How to submit grant
applications
How to submit grant
applications
Via Email: [email protected] Subject line should contain…
Full name of program & county location & type of grant being submitted (DV or DH or SA)
FOR SIGNATURE PAGES PLUS requested Policies….
Via US Mail Only: NC CFW-Grants Section 1320 Mail Service Center Raleigh NC 27699-1320
Via Federal Express/UPS/Hand Delivery: NC CFW-Grants Section 422 N. Blount Street Raleigh NC 27601
Via Email: [email protected] Subject line should contain…
Full name of program & county location & type of grant being submitted (DV or DH or SA)
FOR SIGNATURE PAGES PLUS requested Policies….
Via US Mail Only: NC CFW-Grants Section 1320 Mail Service Center Raleigh NC 27699-1320
Via Federal Express/UPS/Hand Delivery: NC CFW-Grants Section 422 N. Blount Street Raleigh NC 27601
Significant to this cycle(FY11-12)
Significant to this cycle(FY11-12)
Full Legal Name of Program must be providedALL requested Policies must be submittedDetermination of Funding Level must be
addressed If applicable, Applicants must provide amount of
funds returned to NC CFW (Due to recent budgetary concerns, this may affect future funding amounts! )
Full Legal Name of Program must be providedALL requested Policies must be submittedDetermination of Funding Level must be
addressed If applicable, Applicants must provide amount of
funds returned to NC CFW (Due to recent budgetary concerns, this may affect future funding amounts! )
DETERMINATION OF FUNDING LEVEL
DETERMINATION OF FUNDING LEVEL
How do you determine your level of funding?
The category determines your annual reporting requirement @ NCGrants.gov
(N.C. Gen. Stat.143C-6-22 & 23 9 N.C.A.C. Subchapter 3M.0205-attachment D of Contract)
Level 1 Reporting: Your program is… Receiving less than $25,000 in total state issued grant
funds
Level 2 Reporting: Your program is… Receiving at least $25,000, but less than $500,000
total state issued grant funds
Level 3 Reporting: Your program is… Receiving $500,000 or more in total state issued grant
funds
How do you determine your level of funding?
The category determines your annual reporting requirement @ NCGrants.gov
(N.C. Gen. Stat.143C-6-22 & 23 9 N.C.A.C. Subchapter 3M.0205-attachment D of Contract)
Level 1 Reporting: Your program is… Receiving less than $25,000 in total state issued grant
funds
Level 2 Reporting: Your program is… Receiving at least $25,000, but less than $500,000
total state issued grant funds
Level 3 Reporting: Your program is… Receiving $500,000 or more in total state issued grant
funds
POLICIES REQUESTED
(All of the Policies must be submitted in the order listed below)
POLICIES REQUESTED
(All of the Policies must be submitted in the order listed below)
Conflict of Interest Policy
Confidentiality Policy
Non-discrimination Policy
Organizational Code of Conduct Policy
Internal Controls Policy
Recordkeeping Policy
Whistleblower Policy
Conflict of Interest Policy
Confidentiality Policy
Non-discrimination Policy
Organizational Code of Conduct Policy
Internal Controls Policy
Recordkeeping Policy
Whistleblower Policy
The “Request for Program Policy Page”
will need to be signed & submitted for each grant application
The “Request for Program Policy Page”
will need for each box/area that lists a Policy to include:Approval Date & Effective Date
The “Request for Program Policy Page”
Should be attached at the very beginning/on the front of the series of Policies submitted
The “Request for Program Policy Page”
will need to be signed & submitted for each grant application
The “Request for Program Policy Page”
will need for each box/area that lists a Policy to include:Approval Date & Effective Date
The “Request for Program Policy Page”
Should be attached at the very beginning/on the front of the series of Policies submitted
Displaced Homemaker Applicants ONLY
Displaced Homemaker Applicants ONLY
The Displaced Homemaker grant is competitive
Applications will be reviewed by the NC CFW’s grants committee (Not the NC CFW grants staff)
Grant funds will be awarded to no more than 35 applicants
It is important to be clear and concise withALL Grant Application items
The DV & SA Grant Application
The DV & SA Grant Application
The DV & SA grant is not competitive
It is still important to provide clear answers that pertain to the specific grant for which you are applying
NCCFW grants staff advise applicant to exercise caution when “cutting/copying” & “pasting” information on the DV & SA Grant Application
The DV & SA grant is not competitive
It is still important to provide clear answers that pertain to the specific grant for which you are applying
NCCFW grants staff advise applicant to exercise caution when “cutting/copying” & “pasting” information on the DV & SA Grant Application
Match RequirementMatch Requirement
Programs applying for funds must match state appropriated funds (DV,SA & DH ONLY)The match requirement does not apply to Marriage License fees and/or Divorce filing fees
The match must be generated locally and represent a minimum of 20% of the total state appropriated award
The match requirement is designed to encourage sustainability of the program by diversifying the funding base and gaining local support for the program’s efforts
Programs applying for funds must match state appropriated funds (DV,SA & DH ONLY)The match requirement does not apply to Marriage License fees and/or Divorce filing fees
The match must be generated locally and represent a minimum of 20% of the total state appropriated award
The match requirement is designed to encourage sustainability of the program by diversifying the funding base and gaining local support for the program’s efforts
Match RequirementMatch Requirement
For example, if the total grant award is $10,000 a $2,000 match is required.
Examples of sources for local matches include: Fundraisers Grants from private organizations such as churches,
foundations, or business firms United Way Civic Groups Local government units including city and county
government In-kind goods or services calculated at fair market
value
For example, if the total grant award is $10,000 a $2,000 match is required.
Examples of sources for local matches include: Fundraisers Grants from private organizations such as churches,
foundations, or business firms United Way Civic Groups Local government units including city and county
government In-kind goods or services calculated at fair market
value
GRANT CHECKLIST (the emailed forms)
GRANT CHECKLIST (the emailed forms)
Grant Application Coversheet Program Narrative Section Projected Income Statement (Excel
Attachment) Budget Proposals (Excel Attachments)
DH, DV, SA State Funds 20% Matching Funds for the State Funds Marriage License Fees for DV Programs Divorce Filing Fees for DH Programs
Grant Application Coversheet Program Narrative Section Projected Income Statement (Excel
Attachment) Budget Proposals (Excel Attachments)
DH, DV, SA State Funds 20% Matching Funds for the State Funds Marriage License Fees for DV Programs Divorce Filing Fees for DH Programs
GRANT CHECKLIST (mailed forms)
GRANT CHECKLIST (mailed forms)
These items are provided by the applicant Applicant’s/Agency -501(c) (3) Applicant’s/Agency-Articles of Incorporation Applicant’s/Agency Bylaws
Applicant’s-List of CURRENT members of the Board, including the Finance Committee
Request for Program Policy and the requested “Policies” listed on the page
Certification Page Verification of Review of Grant Application “Page”
These items are provided by the applicant Applicant’s/Agency -501(c) (3) Applicant’s/Agency-Articles of Incorporation Applicant’s/Agency Bylaws
Applicant’s-List of CURRENT members of the Board, including the Finance Committee
Request for Program Policy and the requested “Policies” listed on the page
Certification Page Verification of Review of Grant Application “Page”
GRANT CHECKLIST (mailed forms)
GRANT CHECKLIST (mailed forms)
Applicants that are submitting multiple applications
can mail one (1) of each requested Program/Agency’s 501c (3) Articles of Incorporation Program/Agency Bylaws
BUT Applicant will also need to provide a “cover sheet” that will list the grant funds associated with above items Example:”These Articles of Incorporation apply to DV and/or SA
application “
Applicants that are submitting multiple applications
can mail one (1) of each requested Program/Agency’s 501c (3) Articles of Incorporation Program/Agency Bylaws
BUT Applicant will also need to provide a “cover sheet” that will list the grant funds associated with above items Example:”These Articles of Incorporation apply to DV and/or SA
application “
For Governmental Entities For Governmental Entities
Community Colleges are EXEMPT
The “Governmental Tax Exempt” Form must be submitted
If this does not apply to your “Governmental” Agency/Program…please provide documentation with explanation as to why this does not apply to you.
Community Colleges are EXEMPT
The “Governmental Tax Exempt” Form must be submitted
If this does not apply to your “Governmental” Agency/Program…please provide documentation with explanation as to why this does not apply to you.
GRANT CHECKLIST (the mailed forms)
GRANT CHECKLIST (the mailed forms)
“Request for Program Policy” PLUS the requested Policies
ALL Programs/Agencies (Government & Non-government) must submit 1(one) copy of each Policy requested
Applicants that are submitting multiple applications can…Mail one (1) of each Policy requestedBUT Applicant will also need to provide a “cover sheet” that willlist the grant funds associated with that Policy
Example: This “Conflict of Interest” Policy applies to DV and/or SA application
“Request for Program Policy” PLUS the requested Policies
ALL Programs/Agencies (Government & Non-government) must submit 1(one) copy of each Policy requested
Applicants that are submitting multiple applications can…Mail one (1) of each Policy requestedBUT Applicant will also need to provide a “cover sheet” that willlist the grant funds associated with that Policy
Example: This “Conflict of Interest” Policy applies to DV and/or SA application
GRANT CHECKLIST (the mailed forms)
GRANT CHECKLIST (the mailed forms)
“Request for Program Policy” & the requested Policies
The “Request for Program Policy” must be“signed” and submitted for each grant application
The “Request for Program Policy” should be attached to the front of the series of “Policies” requested
“Request for Program Policy” & the requested Policies
The “Request for Program Policy” must be“signed” and submitted for each grant application
The “Request for Program Policy” should be attached to the front of the series of “Policies” requested
The use of “BLUE” Ink is strongly suggested
The use of “BLUE” Ink is strongly suggested
Mail one (1) original and two (2) copiesOf the “Signature Pages” listed below
Request for Program Policy “Page” Certification “Page” Verification of Review of Grant Application
“Page”
Mail one (1) original and two (2) copiesOf the “Signature Pages” listed below
Request for Program Policy “Page” Certification “Page” Verification of Review of Grant Application
“Page”
Email Section of Grant [email protected]
Email Section of Grant [email protected]
The next slides will cover the sections/pages of the Grant Application that will need to be “Emailed”
[email protected] Subject line should contain…
Full name of program & county location…type of grant being submitted (DV or DH or SA)
The next slides will cover the sections/pages of the Grant Application that will need to be “Emailed”
[email protected] Subject line should contain…
Full name of program & county location…type of grant being submitted (DV or DH or SA)
County (If more than one county will be served with the 1 grant award, list the counties)
New Applicant this year: Yes or NO
Full Legal Name of Agency/Program: Also Known As:
Federal Tax ID: (Also known as Contract Number) Printed Name of Executive Director & Email Address: Printed Name of Program Director & Email Address: Agency/Program Status: Government Operated OR Private, Non-
Profit Agency/Program’s Fiscal Year: (January-December) or (July-June) Year Agency/Program Started Providing Services:
County (If more than one county will be served with the 1 grant award, list the counties)
New Applicant this year: Yes or NO
Full Legal Name of Agency/Program: Also Known As:
Federal Tax ID: (Also known as Contract Number) Printed Name of Executive Director & Email Address: Printed Name of Program Director & Email Address: Agency/Program Status: Government Operated OR Private, Non-
Profit Agency/Program’s Fiscal Year: (January-December) or (July-June) Year Agency/Program Started Providing Services:
The Grant Application Cover Sheet
The Grant Application Cover Sheet
The Grant Application Cover Sheet(continued)
The Grant Application Cover Sheet(continued)
Year Agency/Program was Incorporated: Date Agency/Program received non-profit status:
Is Agency/Program a subsidiary of another organization? YES/NO
Agency/Program’s Administrative Office Address Agency/Program’s Mailing Address & Hours of Operation Agency/Program’s Office/Fax# & Crisis Line# (DV/SA Only)
Number of Employees to be funded by NC CFW funds ___ full-time ___ part-time
Shelter capacity (applies to DV application)
Program’s website address:
Year Agency/Program was Incorporated: Date Agency/Program received non-profit status:
Is Agency/Program a subsidiary of another organization? YES/NO
Agency/Program’s Administrative Office Address Agency/Program’s Mailing Address & Hours of Operation Agency/Program’s Office/Fax# & Crisis Line# (DV/SA Only)
Number of Employees to be funded by NC CFW funds ___ full-time ___ part-time
Shelter capacity (applies to DV application)
Program’s website address:
The Grant Application Cover Sheet(SPECIAL NOTE)
The Grant Application Cover Sheet(SPECIAL NOTE)
DH/DFF Grant Application….
Does Your Program receive DV/MLF funds from NC CFW? Does Your Program receive SA funds from NC CFW?
DV/MLF Grant Application…
Does Your Program receive DH/DFF funds from NC CFW? Does Your Program receive SA funds from NC CFW?
SA Grant Application….
Does Your Program receive DV/MLF funds from NC CFW? Does Your Program receive DH/DFF funds from NC CFW?
DH/DFF Grant Application….
Does Your Program receive DV/MLF funds from NC CFW? Does Your Program receive SA funds from NC CFW?
DV/MLF Grant Application…
Does Your Program receive DH/DFF funds from NC CFW? Does Your Program receive SA funds from NC CFW?
SA Grant Application….
Does Your Program receive DV/MLF funds from NC CFW? Does Your Program receive DH/DFF funds from NC CFW?
Determination of Level of Funding Determination of Level of Funding
Provide your program’s full legal name and tax identification number
Please indicate only one (1) level of funding
DOES YOUR SPECIFIC PROGRAM MEET LEVEL 1 REPORTING? YES NOReceiving less than $25,000 in total state issued grant funds
DOES YOUR SPECIFIC PROGRAM MEET LEVEL 2 REPORTING? YES NOReceiving at least $25,000 but less than $500,000 in total state issued grant funds
DOES YOUR SPECIFIC PROGRAM MEET LEVEL 3 REPORTING? YES NOReceiving $500,000 or more in total state issued grant funds
Provide your program’s full legal name and tax identification number
Please indicate only one (1) level of funding
DOES YOUR SPECIFIC PROGRAM MEET LEVEL 1 REPORTING? YES NOReceiving less than $25,000 in total state issued grant funds
DOES YOUR SPECIFIC PROGRAM MEET LEVEL 2 REPORTING? YES NOReceiving at least $25,000 but less than $500,000 in total state issued grant funds
DOES YOUR SPECIFIC PROGRAM MEET LEVEL 3 REPORTING? YES NOReceiving $500,000 or more in total state issued grant funds
PROGRAM NARRATIVE CRITERIAPROGRAM NARRATIVE CRITERIA
PLEASE BE SURE TO PROVIDE THE TITLE OF THE SECTION THAT YOU ARE RESPONDING TO…
IN ORDER TO ALLOW THE GRANT REVIEWER THE ABILITY TO VERIFY THAT ALL ITEMS
RECEIVED A RESPONSE
Example: Provide your Board’s sustainability plan for the program
Our Board’s sustainability plan consists of…..
1st time applicants will have a box that will allow them to indicate… FIRST TIME APPLICANT, NOT APPLICABLE
NO MORE THAN 3000 CHARACTERS ALLOWED PER RESPONSETABLE/BOX PROVIDED IN EACH SECTION
100 POINTS TOTAL FOR DISPLACED HOMEMAKER APPLICANTS
omplete at the time of submission
No more than 1000 characters per bulleted item allowed
PLEASE BE SURE TO PROVIDE THE TITLE OF THE SECTION THAT YOU ARE RESPONDING TO…
IN ORDER TO ALLOW THE GRANT REVIEWER THE ABILITY TO VERIFY THAT ALL ITEMS
RECEIVED A RESPONSE
Example: Provide your Board’s sustainability plan for the program
Our Board’s sustainability plan consists of…..
1st time applicants will have a box that will allow them to indicate… FIRST TIME APPLICANT, NOT APPLICABLE
NO MORE THAN 3000 CHARACTERS ALLOWED PER RESPONSETABLE/BOX PROVIDED IN EACH SECTION
100 POINTS TOTAL FOR DISPLACED HOMEMAKER APPLICANTS
omplete at the time of submission
No more than 1000 characters per bulleted item allowed
History of Program (15pts for DH)History of Program (15pts for DH)
What is your specific Program’s mission and if you are a multi-service agency how does the specific Program fit into the mission of your organization-(5pts DH)
Describe outreach and three (3) significant or unique accomplishments of your specific Program during the past year and provide evidence of success-(5pts DH)
List and describe whether or not your specific Program met projected goals during the previous year, if projected goals were not met, please explain why they were not met-(5pts DH)
What is your specific Program’s mission and if you are a multi-service agency how does the specific Program fit into the mission of your organization-(5pts DH)
Describe outreach and three (3) significant or unique accomplishments of your specific Program during the past year and provide evidence of success-(5pts DH)
List and describe whether or not your specific Program met projected goals during the previous year, if projected goals were not met, please explain why they were not met-(5pts DH)
Program Need (40 pts for DH)(Purpose/justification of request for funds)
Program Need (40 pts for DH)(Purpose/justification of request for funds)
Explain why there is a need for your specific Program within your community-(15pts DH)(Please include content that will provide success stories of your program)
Describe barriers that affect current service delivery and training-(10pts DH)
Explain why there is a need for your specific Program within your community-(15pts DH)(Please include content that will provide success stories of your program)
Describe barriers that affect current service delivery and training-(10pts DH)
Program Need Continued (40 pts for DH)(Purpose/justification of request for funds)
Program Need Continued (40 pts for DH)(Purpose/justification of request for funds)
FOR DH APPLICANTS ONLY…
Provide data on the probable number of Displaced Homemakers in the area (accordance to G.S. 143B-394.5A) (5pts DH)
Provide data on the availability of resources for training & education in the area (accordance to G.S. 143B-394.5A) (5pts DH)
Provide data on viable living wage job opportunities in the area(accordance to G.S. 143B-394.5A) (5pts DH)
FOR DH APPLICANTS ONLY…
Provide data on the probable number of Displaced Homemakers in the area (accordance to G.S. 143B-394.5A) (5pts DH)
Provide data on the availability of resources for training & education in the area (accordance to G.S. 143B-394.5A) (5pts DH)
Provide data on viable living wage job opportunities in the area(accordance to G.S. 143B-394.5A) (5pts DH)
Program Need Continued (40 pts for DH)(Purpose/justification of request for funds)
Program Need Continued (40 pts for DH)(Purpose/justification of request for funds)
FOR DH APPLICANTS ONLY…
Possible Resources for data requested
https://www.ncesc.com/default.aspxhttp://www.ncjustice.org/
http://www.ncruralcenter.org
FOR DH APPLICANTS ONLY…
Possible Resources for data requested
https://www.ncesc.com/default.aspxhttp://www.ncjustice.org/
http://www.ncruralcenter.org
Objectives of ProgramFY10-11-present cycle(DV & SA Applicants)
Objectives of ProgramFY10-11-present cycle(DV & SA Applicants)
List three (3) measurable objectives listed during FY10-11 cycle
Explain why the objectives were essential to the specific Program
Describe the projected outcomes for each of the FY10-11 objectives
Describe the method(s) utilized to evaluate the program’s effectiveness
List three (3) measurable objectives listed during FY10-11 cycle
Explain why the objectives were essential to the specific Program
Describe the projected outcomes for each of the FY10-11 objectives
Describe the method(s) utilized to evaluate the program’s effectiveness
Objectives of Program FY11-12-future cycle(DV & SA Applicants)
Objectives of Program FY11-12-future cycle(DV & SA Applicants)
List three (3) measurable objectives for FY11-12 cycle
Explain why the objectives are essential to the specific Program
Describe the projected outcomes for each of the FY11-12 objectives
Describe the method(s) utilized to evaluate the program’s effectiveness
List three (3) measurable objectives for FY11-12 cycle
Explain why the objectives are essential to the specific Program
Describe the projected outcomes for each of the FY11-12 objectives
Describe the method(s) utilized to evaluate the program’s effectiveness
Objectives of Program (DH-18 pts total)
Objectives of Program (DH-18 pts total)
FOR DH APPLICANTS ONLY…
List three (3) measurable objectives and describe the projected outcome for each objective listed-(12pts)
Explain why the objectives are essential to the Displaced Homemaker Program and describe the method(s) utilized to evaluate the program’s effectiveness-(6pts)
FOR DH APPLICANTS ONLY…
List three (3) measurable objectives and describe the projected outcome for each objective listed-(12pts)
Explain why the objectives are essential to the Displaced Homemaker Program and describe the method(s) utilized to evaluate the program’s effectiveness-(6pts)
Board Participation & Community Support
(DH-12pts)
Board Participation & Community Support
(DH-12pts)
Describe the Governing Board’s role and participation with the program including the monitoring & evaluation process-(5pts)
List and describe partnership, community supporters, & collaborations-(2pts)
Provide details of your Board’s sustainability plan as it relates to funding for your specific Program-(3pts)
Provide details on the Board’s diversity including gender, race/ethnicity, geographic make up-(2pts)
Describe the Governing Board’s role and participation with the program including the monitoring & evaluation process-(5pts)
List and describe partnership, community supporters, & collaborations-(2pts)
Provide details of your Board’s sustainability plan as it relates to funding for your specific Program-(3pts)
Provide details on the Board’s diversity including gender, race/ethnicity, geographic make up-(2pts)
Personnel (DH-5pts)
Personnel (DH-5pts)
Provide details of your efforts to address diversity-(3pts) (Assess if the staff reflect the community that you serve?)
Provide a job description of each specific Program position(s) that will be funded by NC CFW that will include-(2pts)
Position/Title; Knowledge, skills & abilities; Duties of position; Training/credentials required
Specify which grant fund will be utilized to fund position-(DV/MLF;SA;DH/DFF)
You can list the positions and description of each in the table OR Attach each job description that addresses the positions listed
Provide details of your efforts to address diversity-(3pts) (Assess if the staff reflect the community that you serve?)
Provide a job description of each specific Program position(s) that will be funded by NC CFW that will include-(2pts)
Position/Title; Knowledge, skills & abilities; Duties of position; Training/credentials required
Specify which grant fund will be utilized to fund position-(DV/MLF;SA;DH/DFF)
You can list the positions and description of each in the table OR Attach each job description that addresses the positions listed
Personnel (DH Applicants)
Personnel (DH Applicants)
The NC Council for Women strongly encourages Displaced Homemaker applicants to assess the positions that will be funded by the NC CFW funds.
143B-394.6 Staff for Center-To the maximum extent feasible, the staff of the center, including technical, administrative, and advisory positions, shall be filled by displaced homemakers
The NC Council for Women strongly encourages Displaced Homemaker applicants to assess the positions that will be funded by the NC CFW funds.
143B-394.6 Staff for Center-To the maximum extent feasible, the staff of the center, including technical, administrative, and advisory positions, shall be filled by displaced homemakers
Budget Effectiveness (DH- 10 pts) Budget Effectiveness (DH- 10 pts)
Describe how the specific Program will provide the 20% match-(5pts)
Describe the basis of accounting that your specific Program will utilize and how the accounting records will be maintained to ensure consistency and accountability of the state issued grant funds (5pts)
Describe how the specific Program will provide the 20% match-(5pts)
Describe the basis of accounting that your specific Program will utilize and how the accounting records will be maintained to ensure consistency and accountability of the state issued grant funds (5pts)
Budget Effectiveness Budget Effectiveness
Please provide the specific grant award amounts your program received during the FY09-10 grant cycle OR…FIRST TIME APPLICANT, NOT APPLICABLE
Total DV amount received? Total MLF amount received? Total SA amount received? Total DH amount received? Total DFF amount received?
Did your program return any specific Program funds during the FY09-10 Grant Cycle? If so, specify which grant/how much was returned & why
DV amount returned? MLF amount returned? SA amount returned? DH amount returned? DFF amount returned?
OR…FIRST TIME APPLICANT, NOT APPLICABLE
Please provide the specific grant award amounts your program received during the FY09-10 grant cycle OR…FIRST TIME APPLICANT, NOT APPLICABLE
Total DV amount received? Total MLF amount received? Total SA amount received? Total DH amount received? Total DFF amount received?
Did your program return any specific Program funds during the FY09-10 Grant Cycle? If so, specify which grant/how much was returned & why
DV amount returned? MLF amount returned? SA amount returned? DH amount returned? DFF amount returned?
OR…FIRST TIME APPLICANT, NOT APPLICABLE
Grant Application ChartsGrant Application Charts
Funding Sources must be provided for the past 2 years
FY10-11 and FY09-10
ALL of the Mandated Services data must be completed on each chart
Funding Sources must be provided for the past 2 years
FY10-11 and FY09-10
ALL of the Mandated Services data must be completed on each chart
FUNDING SOURCESList ALL funding sources for the past 2 years for the
program(FY10-11 & FY09-10)
FUNDING SOURCESList ALL funding sources for the past 2 years for the
program(FY10-11 & FY09-10)
List Funding List Funding SourceSource
This applies to the This applies to the most recent year. most recent year. Please state yearPlease state year
List Amount List Amount ProvidedProvided
Year Funds Year Funds ProvidedProvided
$$
$$
$$
$$
$$
DV/SA MANDATED SERVICESDV/SA MANDATED SERVICES
Statutory Statutory ServicesServices
Plan for Provision Plan for Provision of Serviceof Service
Additional Additional CommentsComments
Hotline ServicesHotline Services
Crisis Crisis Intervention/ReferrIntervention/Referr
alal
TransportationTransportation
ShelterShelter
Advocacy & Advocacy & CounselingCounseling
Community Community EducationEducation
Staff TrainingStaff Training
Program Fees for Program Fees for Victim ServicesVictim Services
DH MANDATED SERVICESDH MANDATED SERVICES
Statutory Statutory ServicesServices
Plan for Provision Plan for Provision of Serviceof Service
Additional Additional CommentsComments
Outreach, Intake & Outreach, Intake & Orientation Referral, Orientation Referral,
Follow-upFollow-up
Job CounselingJob Counseling
Job Training/Job Job Training/Job PlacementPlacement
Health EducationHealth Education
Financial Services Financial Services
Educational Educational ServicesServices
CERTIFICATION PAGE
(Requires Signature of Board Treasurer/Equivalent)
CERTIFICATION PAGE
(Requires Signature of Board Treasurer/Equivalent)
Certification of Matching FundsThis is to certify that this agency has received funds and/or services in an amount necessary to provide the required match, or that the agency has anticipated funds and/or services for the required match for the “2011-2012” year and has supporting documentation on file
Certification of Non-LobbyingThis is to certify that this agency will not use any funds received from this grant for lobbying to influence legislators to support or vote for or against legislation or appropriations.
Certification of Insurance and/or BondingThis is to certify that all employees, volunteers and board members who handle funds are properly insured and/or bonded to insure that all monies are safeguarded.
Signatures certify that all information subscribed to above is true and accurate
Certification of Matching FundsThis is to certify that this agency has received funds and/or services in an amount necessary to provide the required match, or that the agency has anticipated funds and/or services for the required match for the “2011-2012” year and has supporting documentation on file
Certification of Non-LobbyingThis is to certify that this agency will not use any funds received from this grant for lobbying to influence legislators to support or vote for or against legislation or appropriations.
Certification of Insurance and/or BondingThis is to certify that all employees, volunteers and board members who handle funds are properly insured and/or bonded to insure that all monies are safeguarded.
Signatures certify that all information subscribed to above is true and accurate
VERIFICATION OF REVIEW OF GRANT APPLICATION VERIFICATION OF REVIEW OF GRANT APPLICATION
Provide Program’s Full Legal Name: Provide Program’s Full Legal Name: County Location: County Location:
Tax Identification #Tax Identification #
The persons whose signatures appear below, certify that they The persons whose signatures appear below, certify that they have have
reviewed the information within the Grant Application and verify reviewed the information within the Grant Application and verify that it isthat it is
true and accurate.true and accurate.
______________________________________________________________ ________________________________________________________________Board Chair/Designee (Signature)Board Chair/Designee (Signature) Executive Director/Equivalent Executive Director/Equivalent (Signature)(Signature)
______________________________________________________________ ______________________________________________________________________Board Chair/Designee (Printed Name)Board Chair/Designee (Printed Name) Executive Director/Equivalent Executive Director/Equivalent (Printed Name)(Printed Name)
__________________________________________________________ ________________________________________________________________________DateDate Date Date
Grant Application Checklist
Grant Application Checklist
The Projected Income Statement & Budget Proposals are posted as separate Excel Documents
Applicants will have to access the Excel Documents and complete the data (ww.councilforwomen.nc.gov)
Applicants will have to submit the Projected Income Statement& Budget Proposals as email attachments( [email protected])
Budget Proposal Amounts
Budget Proposal Amounts
Should be based on “reasonable” amounts
Fiscal Fiscal Year Year
Amount Amount IssuedIssued
Fiscal Fiscal Year Year
Amount IssuedAmount Issued
09-1009-10 DV=$45,286.DV=$45,286.0808w/exception to w/exception to GatesGates
08-0908-09 DV=$45,342.32DV=$45,342.32w/exception to Gatesw/exception to Gates
09-1009-10 SA=$62,736.SA=$62,736.2424
SA=$27,016.SA=$27,016.8686
08-0908-09 SA=$64,175.42SA=$64,175.42
SA=28,834.57SA=28,834.57
09-1009-10 MLF=$22,65MLF=$22,656.806.80w/exception to w/exception to GatesGates
08-0908-09 MLF=$21,735.35MLF=$21,735.35w/exception to Gatesw/exception to Gates
09-1009-10 DFF=$45,83DFF=$45,839.949.94
08-0908-09 DFF=$52,563.06DFF=$52,563.06
09-1009-10 DHDH=$11,139.=$11,139.0000 THRUTHRU
$4,138.00$4,138.00
08-0908-09 DHDH=$16,150.00(gr=$16,150.00(greatest)eatest) ThruThru
$4,275.00(least)$4,275.00(least)
Displaced Homemaker LegislationDisplaced Homemaker Legislation
The Fund shall be administered by the North Carolina Council for Women in accordance with Article 1 of Chapter 143 of the General Statutes and shall be used to make grants to up to 35 centers for displaced homemakers
The NC CFW Grant’s committee will review the Applications & determine the grant award recipients
The Fund shall be administered by the North Carolina Council for Women in accordance with Article 1 of Chapter 143 of the General Statutes and shall be used to make grants to up to 35 centers for displaced homemakers
The NC CFW Grant’s committee will review the Applications & determine the grant award recipients
Displaced homemaker means an individual who:
Displaced homemaker means an individual who:
Has worked in his or her own household & has provided unpaid household services; and
Is unable to secure gainful employment due to the lack of required training, age, or experience; or is unemployed or underemployed; and
Has been dependent on the income of another household member but is no longer adequately supported by that income, or is receiving support but is within two years of losing the support, or has been supported by public assistance as the parent of minor children but is no longer eligible, or is within two years of losing the eligibility.
Has worked in his or her own household & has provided unpaid household services; and
Is unable to secure gainful employment due to the lack of required training, age, or experience; or is unemployed or underemployed; and
Has been dependent on the income of another household member but is no longer adequately supported by that income, or is receiving support but is within two years of losing the support, or has been supported by public assistance as the parent of minor children but is no longer eligible, or is within two years of losing the eligibility.
North Carolina Council for Women
ALL applicants will be notified of grant award eligibility by July 1st
NC CFW may not be able to provide an actual grant award amount during the initial grant award notification
919-733-2455TOLL FREE #- 877-502-9898
http://www.councilforwomen.nc.gov
North Carolina Council for Women
ALL applicants will be notified of grant award eligibility by July 1st
NC CFW may not be able to provide an actual grant award amount during the initial grant award notification
919-733-2455TOLL FREE #- 877-502-9898
http://www.councilforwomen.nc.gov