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GRANT APPLICATION INSTRUCTIONS

By Carl Carter,2014-06-17 04:50
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GRANT APPLICATION INSTRUCTIONS ...

    Children’s Trust Fund

    GRANT APPLICATION INSTRUCTIONS

     Carefully read all instructions and guidelines that relate to your program

A. General Instructions

1. Type the application.

2. Submit additional forms as requested on Application Checklist.

3. Confine the narrative to the space provided. Do not submit any additional

     material as an appendix, unless listed on the attachment checklist above.

4. Complete applications must be received at the Children’s Trust Fund by the specified deadline noted.

     Copies sent by fax will NOT BE ACCEPTED.

5. Send all application materials to the Children’s Trust Fund, 450 Capitol Avenue, Hartford, CT 06106.

    B. PROGRAM FACE SHEET INSTRUCTIONS

     Indicate whether this program is funded by State or Federal funds.

     1. Indicate type of program or service.

     State the program name and location where services will be delivered.

     2. Indicate ONLY the Primary Targeted Population to be served. Note either children or parents, or both by

     selecting families.

     3. Indicate the COMPLETE LEGAL name of your agency. State your mailing address (not the program

     location).

     4. If you are applying as an agency state your Federal ID (FEIN) number; or a city or town state your town

     code.

     5. Specify the towns to be served by this program; or if your program will serve an entire region, state

     the region.

     6. Indicate the name, telephone, and fax number of the Executive Director.

     7. Indicate the person that may be contacted regarding program issues.

     8. Indicate the person that may be contacted regarding budget issues.

     9. Indicate the funding period.

     of .

     10 & 11. Indicate the Fiscal Year information requested on each face sheet. State the amounts and

     percentages of Income and Expenses for this program for each fiscal year. The total of #10 must be the

     same as the total of #11.

    C. PROGRAM NARRATIVE INSTRUCTIONS - Follow Carefully

     1. Program Description:

     Provide a thorough, yet succinct, description of the services to be provided during the contract period.

     Specify only those services to be carried out under this award. Do not reduce the type. All program

     guidelines indicated in the RFP must be addressed.

     2. Provide a description of the target population for the program, including age, gender, ethnicity, income

     level, geographic area, and any other factors that characterize the group. (i.e. adverse living conditions,

     family structure and dynamics, physical and/or emotional health, educational status, etc.)

     3. Describe the service model or approach the program will utilize. Provide the rational behind this program

     choice.

     4. Briefly describe the staffing plan.

     5. Not Applicable leave blank

     6. A. Subcontractors: List agencies or individuals with whom you have an agreement to provide services for

     this program, and for which there will be a monetary compensation. Identify the agency or individual and

     state the specific services they will provide for this program. Signed letters specifying the services,

     compensation and other agreements must be attached.

     B. Coordination: Identify any agencies that will be directly involved in implementing the program and

     that will not receive any compensation for the service. State the service that each listed agency will

     provide. If the service is critical to the implementation of your program (i.e. primary referral source,

     training, resource for volunteers) letters of agreement must be attached.

     7. Provide a breakdown of the Primary Clients to be served by this program.

     The number must agree with the number indicated on Page 1 of this application. Explain how the numbers

     were determined. Identify the age range of children and youth to be served by this program. Children’s

     Trust Fund prevention programs should serve only a small percentage of CTF Clients - 1 to 2%.

8. PROGRAM OPERATING HOURS

     A. Indicate the specific hours the PROGRAM (not agency) will be in operation. These are the hours in

     which the contractor agrees to provide program services directly or through another agency (agreement

     must be attached).

     B. Indicate the total number of weeks per year the program will be in operation. DO NOT subtract weeks

     to account for staff member vacation schedules. DO indicate whether the program is funded for a partial

     of .

     year or if the program operates on a school calendar year or full year schedule. If the entire agency

     (program) closes during certain weeks (i.e. Christmas) DO not include these in the total weeks of

     program operation per year.

     C. Describe how a request for service after normal hours will be handled, and how emergency referrals

     after program hours will be managed. Please explain any on-call arrangements.

     9. Indicate the estimated percentage of time that service will be delivered at each of the settings listed during

     the contract period.

     10. The information in this chart must agree with the staffing pages of the budget. Indicate all staff

     (including those to be hired) who will be providing services in the program, whether funded by CTFC or

     other sources. For each of the categories, indicate both the full time equivalency of all staff in the

     particular category as well as the actual number of staff who are included in the FTE’s. Some staff may

     be recorded twice in the chart if they work in both direct service and administration. For staff to be hired,

     complete the FTE’s and # of positions. You do not need to identify gender or ethnicity for those to

     be hired.

     11. PROJECT WORK PLAN. Present a work plan for the program services you previously described in #1.

     The work plan included activities for the entire program, not just the CTFC funded portion. Attach as

     many additional pages as necessary.

THE WORK PLAN MUST INCLUDE:

     A. GOALS - Please note stated program goals in the Request for Proposal

     B. OBJECTIVES - State specific result to be achieved. Include major steps to be taken to

     implement the program; i.e. recruit program participants, provide supervision to staff.

     C. ACTIVITIES -Actions which describe the steps to be taken to achieve the objectives. Clearly

     state who, how, where and when.

     D. STAFF POSITIONS RESPONSIBLE - Indicate the specific staff person who will be

     responsible for each activity.

     E. EXPECTED OUTCOMES AND MEASURES OF SUCCESS -

     Indicate what you hope to accomplish. Describe how this accomplishment will be measured both

     qualitatively and quantitatively. Outcomes and measures of success should relate to the objective,

     not the activities, and should be client/participant related whenever possible.

     F TIMETABLE - Indicate specific dates when the work on an objective and related activities will

     begin and end. DO NOT USE “ongoing” or “July - June” in the timetables. Be as specific as

     possible.

     of .

     Children’s Trust Fund

     450 Capitol Avenue

     Hartford, CT 06106

     Part III

     PROGRAM FACE SHEET

State Funds_______ Federal Funds_________

1) Type of Program/Service:____________________________________________________________

     Program Name:____________________________________________________

     Program Location: _________________________________________________

2) PRIMARY CLIENTS ARE THOSE SERVED FOR THE FISCAL YEAR STATED BELOW ONLY

     PRIMARY CLIENTS ONLY

    # Children ___________________ # Families __________________ # Parents ___________________

3) Legal Name of Contractor:

     Mailing Address:

    ______________________________________________________________________________________________________________

    4) Federal Identification No./Social Security No./ Town and Dept. Code:

    5) Towns to be served:

    ______________________________________________________________________________________________________________

    6) Executive Director Telephone #: Fax #: ______________________________________________________________________________________________________________

    7) Program Contact Person: Telephone #: Fax #: ______________________________________________________________________________________________________________

    8) Fiscal Contact Person: Telephone #: Fax #: ______________________________________________________________________________________________________________

    9) FY_________Funding Period Begin Date: Ending Date:

    ______________________________________________________________________________________________________________

    10) FY________ EXPENSES 11) FY__________ INCOME A. Direct Service A. Amount Requested

     Personnel $_____________ _____% from CTFC $____________ ______%

    B. Admin/Support