CALIFORNIA GOVERNOR’S OFFICE OF EMERGENCY SERVICES

TEEN DATING VIOLENCE PREVENTION (TV) PROGRAM

PROGRESS REPORT

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

PROGRESS REPORT

Status Report: April 1, 2016 to June 30, 2016 (due July 31, 2016)

1st Progress Report: April 1, 2016 to September 30, 2016 (due October 31, 2016)

Final: Covers the entire grant period, April 1, 2016 – March 31, 2017 (due April 30, 2017)

BUDGET

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

YES NO Does the project need technical assistance?

YES NO Project Director has reviewed this report.

REVIEWERS COMMENTS (For Cal OES use only):

Approved ______

Program Specialist Date

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
1. 
2. 
3. 
4. 
5. 
6. 
7. 

Yes

/

No

/

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

Yes / No / Have any of the job duties or personnel percentages, as detailed in the Grant Subaward, changed? If yes, please explain below. Please note, a Grant Subaward 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 / July – September / October – December / January - March / TOTAL
# of skills-based trainings attended
# of attendees

2.  Networking Opportunities attended.

April – June / July - September / October – December / January - March / TOTAL
# of teleconferences attended
# of attendees
# of webinars attended
# of attendees
# of other networking opportunities attended
# of attendees

3.  Describe results of the annual School Climate Survey.

4.  Trainings for School Staff and Administrators

April – June / July – September / October – December / January - March / TOTAL
# of trainings
# of attendees

Please explain the types of trainings attended:

5.  Describe establishment of the Youth Leadership Team or updates.

6.  Describe efforts made to ensure that policies and procedures are in place prior to educational sessions with students.

7.  Describe implementation of a school-based educational component or updates.

8.  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 / June 2016
2