CALIFORNIA GOVERNOR’S OFFICE OF EMERGENCY SERVICES

TEEN DATING VIOLENCE PREVENTION(TV) PROGRAM

PROGRESS REPORT

1] / Project Title / 2] / Grant Award #
3] / Recipient / 4] / Grant Period
5] / Address / 6] / Report Period
7] / Prepared by / 8] / Title
9] / Phone Number / 10] / Email Address

PROGRESS REPORT

1stProgress Report: April 1, 2017 to June 30, 2017(due July 31, 2017)

Final: Covers the entire grant period, April 1, 2017 – March31, 2018 (due April 30, 2018)

Extension: Covers the entire extended grant period, April 1, 2017 – Sept30, 2018 (due Oct 31, 2018)

BUDGET

1. / Total grant award including match: / $
2. / Total funds expended and reported to date: / $
3. / Total match reported: / $
4. / Total grant balance: / $

YES NODoes the project need technical assistance?

YES NOProject Director has reviewed this report.

REVIEWERS COMMENTS (For Cal OES use only):

Approved______

Program SpecialistDate

INSTRUCTIONS: All data must be supported by source documentation that is retained by the recipient and made available to Cal OES upon request.

SECTION I. PERSONNEL

Name of Staff / Position / % Grant Funded

Yes

/

No

/

Have delays occurred in the hiring of personnel for positions identified in the Grant Award? If yes, please explain below.

Yes / No / Have any of the job duties or personnel percentages, as detailed in the Grant Award Agreement, changed? If yes, please explain below.Please note, a Grant Award Modification OES 2-223 is required if personnel percentages have been changed.
If necessary, please explain any of the items noted above. Please attach an additional page if additional space is needed.
SECTION II. PROGRAMMATIC OBJECTIVES & NARRATIVE
  1. Skills-Based Trainings.

April – June 2017 / July – Sept 2017 / Oct – Dec 2017 / Jan – March 2018 / Extension
April – June 2018 / Extension
July – Sept 2018 / TOTAL
# of skills-based trainings attended
# of attendees
  1. Networking Opportunities attended.

April – June 2017 / July – Sept 2017 / Oct – Dec 2017 / Jan – March 2018 / Extension
April – June 2018 / Extension July – Sept 2018 / TOTAL
# of teleconferences attended
# of attendees
# of webinars attended
# of attendees
# of other networking opportunities attended
# of attendees
  1. Describe results of the annual School Climate Survey.
  1. Trainings for School Staff and Administrators

April – June 2017 / July – Sept 2017 / Oct – Dec 2017 / Jan – March 2018 / Extension
April – June 2018 / Extension
July – Sept 2018 / TOTAL
# of trainings
# of attendees

Please explain the types of trainings attended:

  1. Describe establishment of the Youth Leadership Team or updates.
  1. Describe efforts made to ensure that policies and procedures are in place.
  1. Describe implementation of a school-based educational component or updates.
  1. Describe the School-Wide Teen Dating Violence Prevention Campaign.

SECTION III. PROJECT NARRATIVE AND OUTREACH

Discuss applicable information:
  • Any delays and/or problems in implementation
  • Those activities supporting each objective which are not currently operational or in place
  • Any accomplishments, community involvement, media events, awards etc.

TV Progress Report / May 2017
1