SECTION I: Cover Page/Checklist

Illinois Coalition Against Domestic Violence

Request for Continuation Proposal (RFCP) ~ FY15VAWA SERVICES

SECTION I
Cover Page/Checklist
Complete this form in its entirety
Region:(North Collar, North Rural, Central, Southern, Cook Co.)
Organization Name:
Organization Address:
Organization FEIN:
Proposal Written By:
(Name and Title)
Proposal Approved and Submitted By: (Name and Title)
Contact Person for Information Related to this VAWASTOPGrant:
(Name, Telephone Number and Email)
Application Checklist:
(1) / ___ / Cover Page/Checklist (attached);
(2) / ___ / Board Authorization Form;
(3) / ___ / ICADV Assurances/Agreements;
(4) / ___ / VOCA Eligibility Requirements;
(5) / ___ / State of Illinois Drug Free Workplace Act;
(6) / ___ / Federal Debarment Certification;
(7) / ___ / Illinois Debarment Certification;
(8) / ___ / Equal Employment Opportunity Plan Certification;
(9) / ___ / Civil Rights Compliance Certification;
(10) / ___ / Faith Based Organization Self Report;
(11) / ___ / Victim Compensation Awareness Certification;
(12) / ___ / Service Data Tables (descriptive data and service data tables) (attached);
(13) / ___ / Proposal Narrative (attached);
(14) / ___ / Job Description(s) (attached);
(15) / ___ / Proposed Budget and Budget Narrative (attached in separate Excel spreadsheet).

SECTION I (continued)

General Description of Service Area and Agency
Geographic Area Served:
Total Population Served:
List your SPECIFIC PROJECT POSITIONS :
Job Title Hrs./Week Funded by VAWA Project (Y or N)
1)
2)
3)
4)
5)
6)
List the police departments with which your agency works:
List the State’s Attorneys’ Offices with which your agency works:
List the other agencies working with adults with which your agency works:
How many volunteers does your agency utilize and in what capacity?
List all satellite office sites where FUNDED services are provided on a regularly scheduled basis:

Illinois Coalition Against Domestic Violence

Request for Continuation Proposal (RFCP) ~ FY15VAWA SERVICES

SECTION II
Proposal Narrative
Refer to Proposal Content Checklist (in the RFCP instructions document) when completing this section of the proposal. It is important that you include all required components in each section. Points will be deducted for missing information. This section has been formatted for double spacing. DO NOT change the format of the text. Replace the “Insert … here” text with your response in each section. Be sure that throughout the narrative, the different services the program provides are clearly described.
SECTION II - 1. SUMMARY OF PROJECT
Provide a brief summary of your agency that includes a summary of all of the services provided to underserved populations.
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Provide a summary description of your funded project and what it seeks to achieve.
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Tell us what staff position(s) and volunteer(s) will be supported by the funded project.
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What are the hours of operation of the funded project?
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Where will funded projects be provided?
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SECTION II - 2. REVIEW OF PROGRESS MADE
SERVICE OBJECTIVES
Review of progress on your Service Objectives from July through December should be inserted into your Service Objectives tables in Section II Proposal Narrative, #4 Project Response, Service Objective Tables, Review of Progress Made columns. However, we ask that you provide a brief narrative here, describing accomplishments of thefunded project to put the measurable service objectives into context for the reader. Please do not simply list service categories and the number of hours of service you provided. For example: “We provided 100 hours of civil legal advocacy to 45 victims” is not sufficient. Instead, please explain what exactly the advocate does: “We provided information to victims about order of protection remedies and helped victims obtain orders of protection by assisting them with paperwork and advocating on their behalf with the judge.”
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OUTCOME OBJECTIVE
What are your accomplishments on the funded project’sOutcome Objective in July through December of this fiscal year? State the Outcome Objective; describe how your agency is measuring progress on this Outcome Objective; and state the current progress on this Outcome Objective in July through December of the fiscal year.
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SERVICE AND OUTCOME OBJECTIVES
If your agency is not meeting its Service Objectives and/or Outcome Objectives thus far in the fiscal year for the funded project, please explain why these objectives aren’t being met and what your agency is doing to address this problem. Also, if you had to revise your objectives in FY14, please explain why.
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Assess the strengths and weaknesses of the funded project. Share information about the funded project’s successes or outstanding accomplishments. Also describe the project’s challenges or areas of potential improvement.The weaknesses should pertain to your program, not weaknesses of the overall community such as lack of funding, challenging judges, etc. Please discuss what your program could be doing better. Answers including references to funding will result in a loss of points.
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Explain how the funded project will address any weaknesses during the upcoming grant period.
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If appropriate, briefly describe other recent accomplishments of your organization in the area of Servicesto underserved populations that may not have been directly supported by the funded project.
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SECTION II - 3. STATEMENT OF PROBLEM
Describe the problems faced by the targeted unserved/underserved population of victims of domestic violence. This should support your argument of why your agency needs this continued funding. Identify the specific types of problems faced by victims in your service area. Include data and other information that substantiate the existence of the problem(s) and justify the need for continued funding for this project. Please contact your county agencies for recent data on problems you identify.
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SECTION II - 4. PROJECT RESPONSE
Explain how the funded project will reduce or eliminate the problem(s) you listed in the Statement of Problem section. Your answer must relate specifically to the problems listed in Section II-3.
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Explain what the funded position(s) will do to reach the Service Objectives that you entered in the Direct Client Services table. Clearly describe both the day to day activities and any special projects of the funded position(s). Also inform the reader about how you reach the population(s) you want to serve, and provide examples of the types of interventions you make that benefit the survivor.
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Describe your plans for community presentations, if applicable and funded by the project. What organizations will you target and why did you select them? This information should correspond to the service objectives entered in the Community Presentations Table.
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Describe how this VAWA funded project fits into your larger services program within your agency.
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Describe your project’s working relationship with other providers or groups: (e.g. local law enforcement, legal aid, substance abuse treatment agency, Latino services task force, state’s attorney, court personnel, community leaders, etc).
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Add one Outcome Objective. An outcome objective should describe the impact that the services you provide have on clients. The Outcome Objective should be measurable in some way and should describe what you will do to achieve the objective.
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SERVICE OBJECTIVES INSTRUCTIONS

A. DIRECT CLIENT SERVICES TABLE

To project your service numbers for FY15, use your actual service data for the first 6 months of FY14. Use the InfoNet Standard Reports with the Funding Filter for your VAWA STOP project to determine these numbers for FY14. Use those as a baseline to determine your projections for FY15.

If the supervision of volunteers was supported by the VAWA project grant funds, include clients and services hours provided by those volunteers also.

Complete only the service categories that apply to your funded project. Your project should be devoted to serving the unserved or underserved population: those service categories are highlighted for you in bold. You may provide hours in other direct client services categories on a limited, as needed basis.

ORDER OF PROTECTION TABLE

If your funded project will be assisting survivors with obtaining orders of protection you must complete this table.

If the supervision of volunteers was supported by the VAWA project grant funds, include orders of protection with which your staff and volunteers are assisting.

COMMUNITY PRESENTATIONS TABLE

If your funded project will include presentations to criminal justice personnel, medical personnel, and/or community groups, enter your objectives for those services in this table.

Group all public education presentations together; group professional training activities together; list any other presentation activities separately in the blank lines provided.

To project your presentations numbers for FY15, use your actual presentations data for the first 6 months of FY14. Use the InfoNet Community & Institutional Reports with the Funding Filter for your VAWA STOP project to determine these numbers for FY14 and use those numbers as a baseline for making FY15 projections.

VAWA STOP SERVICES
SERVICE OBJECTIVES TABLE: DIRECT CLIENT SERVICES
Categories / Review of Progress Made - FY14 Actual
July 13- Dec. 13 / FY14 Service Objectives
July 13 – June 14 / FY15 Service Objectives
July 14 – June 15
Adult / Child / Hours / Adult / Child / Hours / Adult / Child / Hours
Adult Group Counseling
Art Therapy
Child Care
Civil Legal Advocacy/OP
Collaborative Case Management
Conflict Resolution
Criminal Legal Adv./Charges
Criminal Legal Adv/OP
DV Court Orientation
Economic Assistance
Educational Assistance
Employment Assistance
Evaluation/Assessment
Family Counseling
Group: Therapy
Group: Children’s Counseling
Group: IDVA Advocacy
Housing Advocacy
IDVA Legal Services/Attorney
Individual Children’s Counseling
Individual Therapy
In Person Counseling
Legal Advocacy/Advocate
Legal Services/Attorney
Legal Services/Attorney – Type 2
Life Skills
Lock Up/Board Up
Medical Assistance
Other Advocacy
Parental Services
Substance Abuse Services
Telephone Counseling
Transportation
TOTALS—Direct Client Services (insert UNDUPLICATED totals for each column)
LATINA PROJECTS ONLY (rural and chemical dependency projects do not need to complete this table. / How many unduplicated survivors will be served by these grant funds? / Because the funded advocate often doesn’t provide service only to Latinas, please tell us, of those total survivors served, how many will be Latina?
VAWA STOP
SERVICE OBJECTIVES TABLE: ORDERS OF PROTECTION
Categories / Review of Progress Made - FY14 Actual
July 13- Dec. 13 / FY14 Service Objectives
July 13 – June 14 / FY15 Service Objectives
July 14 – June 15
Number of Orders filed this period
Number Clients filing Ops
Originally sought EOPs
Originally sought IOPs
Originally sought POPs
Upgrade: EOP to IOP
Upgrade: EOP to POP
Upgrade: IOP to POP
Activity: Modified
Activity: Extended
VAWA STOP
SERVICE OBJECTIVES TABLE: COMMUNITY PRESENTATIONS
Categories / Review of Progress Made - FY14 Actual
July 13- Dec. 13 / FY14 Service Objectives
July 13 – June 14 / FY15 Service Objectives
July 14 – June 15
# Presentations / # Participants / Presentation Hours / # Presentations / # Participants / Presentation Hours / # Presentations / # Participants / Presentation Hours
Public Education
Professional Training
VAWA STOP
EXPLAIN DIFFERENCES IN FY14 to FY15PROJECTIONS
In the Direct Client Services Table AND/OR The Community Presentations Table above were there any increases or decreases in projections for service categories, overall hours/clients served, and/or presentations between FY14 and FY15 that are equal to or greater than 25%? If yes…
Insert explanation here if you had fluctuations of 25% or more.
SECTION II - 5. EVALUATION
Evaluation of Service Objectives
Who is responsible for measuring progress on the funded project’s Service Objectives and what steps will be taken to ensure that person is monitoring progress throughout the year?
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What specific InfoNet reports will be generated? What specific service categories will be reviewed?
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How often will these reports be generated, reviewed and compared to annual Service Objectives to monitor the project’s progress?
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Who is responsible for updating and maintaining the Funding For Staff Statement for the funded project? If that person is unable to perform this function, who will step in to maintain the Statement?
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Evaluation of Outcome Objective
Who is responsible for measuring progress on the Outcome Objective; who is responsible for monitoring progress on the Outcome Objectives;and what steps will be taken to ensure that person is monitoring progress throughout the year?
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Illinois Coalition Against Domestic Violence

Request for Continuation Proposal (RFCP) ~ FY15VAWA SERVICES

SECTION III
Budget Detail and Budget Narrative
This page is a place holder to remind you that the budget spreadsheet is part of your application. The budget is completed in a separate Excel workbook and should be submitted at the same time this application file is submitted for application.
SECTION IV
Job Description
Job Description(s) of funded position(s)
Insert Job Description(s) here including duties and qualifications for each position funded by this project. Indicate which position is funded bythis project.