Kentucky
Title II – 2013OJJDP Formal Grant: Disproportionate Minority Contact
2017-2018 Request for Proposals
The deadline to apply is July 15, 2017, 5:00 p.m. For more information,see Submission Instructions on page 23.
Approximately $80,000 will be available through the Office of Juvenile Justice and Delinquency Prevention (OJJDP) of the U.S. Department of Justice.
The funds have been earmarked for public and private non-profit organizations, city or county governments for addressing disproportionate minority contact in Jefferson, Fayette, Christian, and Hardin counties. Funds will be dispersed as a sub grant to local non-profit agencies and/or local units of government for assessments, research and programming that addresses disproportionate minority contact. The population to be served will include males and/or females ages 10-18. State agencies are not eligible to apply. Award recipients will be required to accept all DJJ referrals.
The application can be accessed from June 15- July 15, 2017 via the Department of Juvenile Justice website at .The deadline to apply is July 15, 2017, 5:00 p.m. For more information, contact Stephanie Reynolds at 502-573-2738 or by email at .
The funding cycle for the grant will be October 1, 2017 through September 30, 2018.
APPLICATION REQUIREMENTS
All Applicants must successfully submit an application by PDF to Stephanie Reynolds () by July 15, 2017 by 5:00pm to be considered. All information is required. Ensure you read, address, and submit all required information. Missing information may cause the application to not be considered for funding.
Agency Name:
Project Name:
Agency Address:
City/State/Zip+4
Federal Tax ID Number:
DUNS Number: (N/A if do not have one)
KY Vendor Number: (N/A if do not have one)
Has your agency received DJJ funding in the past?
YES
NO
If yes
Dates:
Has your agency received federal funding in the past?
YES
NO
If yes,
What agency or office?
Dates:
Funding amount:
Have you ever received a Corrective Action Plan?
Contact information: No dual roles should be assigned:
- Agency Representative/CEO – The agency contact responsible for accepting the conditions of the grant award.
Prefix:
Name:
Title:
Address:
City/State/Zip+4
Phone
- Project Director: The agency contact responsible for the operation pf the project and program activity reporting.
Prefix:
Name:
Title:
Address:
City/State/Zip+4
Phone
- Financial Officer: The agency contact responsible for all financial aspects of the grant’s management, including financial report submission.
Prefix:
Name:
Title:
Address:
City/State/Zip+4
Phone
Agency Information
Provide a brief description of the agency implementing this grant project. Information should include the mission statement, location of the program. This section should not exceed one (1) page. The recommended font is Times New Roman, 12 point and should be double-spaced.
Project/Program Description
Provide a clear and concise description of how the proposed program will be addressing needs of minority youth and how this intervention’s target population will be directed towards impacting the mitigation of DMC. This should include target populations and referral source as well as facility and staffing information including projected days(s) and time(s) of operation.. If this will be a new program for your agency, include information on start up, staffing and facility. This section should not exceed five (5) pages. The recommended font is Times New Roman, 12 point and should be double-spaced.
Geographic Boundaries:
Identify what areas this project will serve including schools and/or zip codes or designated neighborhood in the county to be served.
- Jefferson County: ______
- Fayette County: ______
- Christian County: ______
- Hardin County: ______
Serving Families:
- Yes (Please identify how parental, familial or youth guardian’s services and involvement are integrated and addressed in this project).
- No
Program Component Totals:
Total Number of Program Components:
Total Number of Youths to be Served:
Total Number of Families to be Served:
Total Number of Programming Hours:
Resources and Collaborations:
Clearly and concisely, indicate what resources and collaborations will be established and/or utilized to assist with successful implementation/continuation of this project as well as achieve established goals for the program/project. These may include, but are not limited to, indications of in-kind contributions, collaborations, information sharing efforts, or use of volunteers or referral contacts. (Please include any letters of agreement for in-kind match or collaborations).
Also identify additional sources of funding that will compliment this project in the format below. For each source of funding, you must complete amount, grant period for which it is funded, and how funds are generated.
Source of Funding & How Funds will be Utilized / Estimated Value of Donated Service or Good / Period in which donated goods or services will be received / Federal State or Privately Generated (choose one)Goals, Objectives, and Performance Measures
Goals and Objectives: Provide the goals and objectives for the proposed intervention.
Goals should be more general: (i.e. To address minority over-representation at arrest (point of contact).
The objective should be based on outcomes off the RRI and local assessment as well as actionable (i.e. intervention/strategies), measurable (i.e. expected outcomes) and obtainable (considering contextual considerations and recommendations from local assessment.)
Goals / Objectives / Short or Long Term Goal / Anticipated Date of CompletionPerformance Measures:.Evaluation of a project will consist of the accumulation of quantitative information (process measures) as well as a qualitative assessment (outcome measures).
Award recipients will be required to assist in data collections as required for this grant by the Office of Juvenile Justice and Delinquency Prevention. Measures in bold are required as well as a minimum of two non-mandatory outputs and outcomes are required.
Agency is willing to measure, track, and report on the identified output and outcome indicators in the prescribed format?
_ YES
_ NO
**Agency Representative/CEO must Initial
Agency has the technology needed to collect data in the prescribed format?
_ YES
_ NO
**Agency Representative/CEO must Initial
OUTPUTS / Relevant to Project?Number of Full-Time Employees Funded by Title II Federal Funds / ☐Yes ☐No
Number of Programs Implemented / MANDATORY
Number and Percentage of Program Staff Trained / ☐Yes ☐No
Number of Hours Program Staff Training Provided. / ☐Yes ☐No
Number of Non-Program Personnel Trained / ☐Yes ☐No
Number of Program/Agency Policies or Procedures Created, Amended, or Rescinded / ☐Yes ☐No
Number of Program Materials Developed / ☐Yes ☐No
Number of Program Youth Served / MANDATORY
Number of Service Hours Completed / ☐Yes ☐No
Average Length of Stay in Program / ☐Yes ☐No
Number of Planning Activities Conducted / ☐Yes ☐No
Number of Assessment Studies Conducted / ☐Yes ☐No
Number of Data Improvement Projects Implemented / ☐Yes ☐No
Number of Objective Decision-Making Tools Developed / ☐Yes ☐No
Number of Program/Agency Policies or Procedures Created, Amended, or Rescinded. / ☐Yes ☐No
OUTCOMES / Relevant to Project?
Number of State Agencies Reporting Improved Data Collection Systems / MANDATORY
Number of Local Agencies Reporting Improved Data Collection Systems / MANDATORY
Number of Minority Staff Hired / ☐Yes ☐No
Number of Percent of Program Youth Who Offend or Re-Offend / MANDATORY
Number and Percent of Program Youth Exhibiting Desired Change in Behavior (At least one area below must be checked.)
- Substance Use
- School Attendance
- Family Relationships
- Anti-Social Behaviors
☐Yes ☐No
☐Yes ☐No
☐Yes ☐No
☐Yes ☐No
Number and Percent of Program Youth Completing Requirements / MANDATORY
Number and Percent of Program Families Satisfied with Program / ☐Yes ☐No
Number and Percent of Program Staff with Increased Knowledge of Program Area / ☐Yes ☐No
Number and Percent of Non-Program Personnel with Increased Knowledge of Program Area. / ☐Yes ☐No
Number of Contributing Factors Determined from Assessment / MANDATORY
Number of Contact Points Reporting Reduction in Disproportionality at the Local Level / MANDATORY
Number and Percent of Recommendations from Assessment Studies Implemented / MANDATORY
You will be required to report quarterly progress on all Performance Measures that are selected above. The Department of Juvenile Justice may require additional reporting items from this list as its discretion.
Clearly and concisely, describe a comprehensive plan for obtaining required information and data for evaluation of the program (outputs and outcomes). Also indicate the plan for measuring the parity changes in local DMC as a result of this project/program being implemented.
Data Sources: (Check all that are applicable)
☐Program Attendance Records
☐School Referral Records
☐School Attendance Records
☐Court Records
☐Incident Reports
☐Case Records
☐Other: ______
Data Collection Method:
Who will collect the data?
When will the data be collected?
How will the data be used?
Timeline of Activities
Present an outline of projected activities directed toward the implementation//continuation of this program/project by quarter. The recommended font is Times New Roman, 12 point and should be double-spaced. This section should not exceed 3 pages.
First Quarter
October:
November:
December:
Second Quarter
January:
February:
March:
Third Quarter
April:
May:
June:
Fourth Quarter
July:
August:
September:
Budget
Grants will be dispersed via reimbursement on a monthly basis. Program costs may be dispersed as a per diem rate inclusive of personnel costs. Grantees should plan to continue projects beyond grant cycle. Clearly and concisely, describe continued plans for obtaining sustainability and fill in chart information as needed.
What needs continued funding? / What sources will be sought out? / Who will pursue the sources? / What is the projected date sources will be obtained?(1)
(2)
(3)
(4)
*Applicants must attach a full agency budget.
Personnel
Please attach a current job description and resume for each position.
Name:Position:
Annual Salary:
Percent on Project:
Total Annual Salary:
Number of Months on Project:
Project Salary:
Fringe Benefits / Rate Per Month / Total
Flexible Spending or Health
Employee Retirement
Agency Retirement
Workers Compensation
FICA
Unemployment Insurance
Other (Total Annual Cost)
Total Fringe
Annual Grant Salary
Federal Share
Total Cost
Contractual Services
The rate is not to exceed $81.25 per hour ($650 per day max) unless approved.
Name / Affiliation / Specialty / Federal Share / Total CostContractual Services Total:
Travel and Training
Requested travel expenses shall not exceed the established mileage and substance policy as set forth by the Commonwealth of Kentucky, Finance and Administration Cabinet. If agency travel and reimbursement policies are more restrictive than state and/or federal regulations, the most restrictive rate or policy must be used to determine the cost assigned to the budget.
Expense / Federal Share / Total CostAirfare
Lodging
Meals
Mileage
Registration/Tuition Fee
Miscellaneous
Travel Total
Operating Expenses
Examples of Operating Expenses include supplies, rent, utilities, postage, etc.
Item / Federal Share / Total CostOperating Expenses Total
Budget Narrative
Provide detailed information pertaining to each of the expenditures listed in your budget. Please provide any necessary justification for listed items. This should include a narrative detailing calculation method and necessity of all project costs listed on above budget (Personnel, Contractual Services, Training and Travel, and Operating Expenses).
Budget Summary
Federal Share / Total Funding- Personnel
- Contractual Services
- Travel/Training
- Operating Expenses
- Miscellaneous
Totals
Capabilities and Competencies
This section should describe the experience and capability of the applicant to implement and manage this project and its associated federal funding, highlighting any previous experience implementing projects of similar design or magnitude. This section should not exceed two (2) pages. The recommended font is Times New Roman, 12 point and should be double-spaced.
Attachments
Required:
- At least two (2) letters of support from a community partner to express support for the program.
- Job Descriptions (relevant to the Personnel section).
- Resumes of pertinent staff involved with the program.
- Full agency budget
- Agency Policy & Procedures manual
- Agency Organizational Chart
- Copy of appropriate insurances/licenses/certifications (program specific)
- Audit (see page 22)
Optional:
Additional letters of support from community partners.
Scoring Criteria:
A panel of subject matter experts will review and score the application based on the following criteria-
35% Project/Program Description (includes Timeline of Activities)
35% Capabilities/Competencies (includes relevant attachments)
20% Budget
10% Performance Measures
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER
RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS
Applicants should refer to the regulations cited below to determine the certification to which they are required to attest.Applicants should also review the instructions for certification included in the regulations before completing this form.Signature of this form provides for compliance with certification requirements under 28 CFR Part 69, “New Restrictions on Lobbying” and 28 CFR Part 67, “Government-wide Debarment and Suspension (Non-procurement) and Government-wide Requirements for Drug-Free Workplace (Grants).”The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of Justice determines to award the covered transaction, grant, or cooperative agreement.
**Agency Representative/CEO must Initial by each line on ALL sections.
- LOBBYING
As required by Section 1352, Title 31 of the U.S. Code, and implemented at 28 CFR Part 69, for persons entering into a grant or cooperative agreement over $100,000, as defined at 28 CFR Part 69, the applicant certifies that:
___(a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the marking of any Federal grant, the entering into any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal grant or cooperative agreement;
___(b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form – LLL, “Disclosure of Lobbying Activities,” in accordance with its instructions;
___(c) The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including sub-grants, contracts under grants and cooperative agreements, and subcontracts) and that all sub-recipients shall certify and disclose accordingly.
- DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS (DIRECT RECIPIENT)
As required by Executive Order 12549, Debarment and Suspension, and implemented at 28 CFR Part 67, for prospective participants in primary covered transactions, as defined at 28 CFR Part 67, Section 67.510—
A. The applicant certifies that it and its principal:
____(a) Are not presently debarred, suspended, proposed for debarment,
declared ineligible, sentenced to a denial of Federal benefits by a State or
Federal court, or voluntarily excluded from covered transactions by any
Federal department or agency,
____(b) Have not within a three-period preceding this application been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contact under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
____(c) Are not presently indicated for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or Local) with commission of any offenses enumerated in paragraph (1)(b) of this certification; and
____(d) Have not within a three-year period preceding this application had one or more public transactions (Federal, State, or Local) terminated for cause or default; and
B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application.
3. DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and implemented at 28 CFR Part 67, Subpart F, for grantees, as defined at 28 CFR Part 67 Sections 67.615 and 67.620.
A. The applicant certifies that it will or will not continue to provide a drug-free workplace by:
___(a) Publishing a statement notifying employees that the unlawful
manufacture, distribution, dispensing, possession, or use of a controlled
substance is prohibited in the grantee’s workplace and specifying the actions
that will be taken against employees for violation of such prohibition;
___(b) Establishing an on-going drug-free awareness program to inform
employees about:
(1) The dangers of drug abuse in the workplace;
(2) The grantee’s policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee
assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse
violations occurring in the workplace;
___(c) Making it a requirement that each employee to be engaged in the
performance of the grant be given a copy of the statement required by
paragraph (a);
___(d) Notifying the employee in the statement required by paragraph (a) that,
as a condition of employment under the grant, the employee will:
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her conviction for a violation of a
criminal drug statute occurring in the workplace no later than five calendar
days after such conviction;
___(e) Notifying the agency, in writing, within 10 calendar days after receiving
notice under subparagraph (d)(2) from an employee or otherwise receiving
actual notice of such conviction.Employers of convicted employees’ must
provide notice, including position title, to: Department of Justice, Office of