MECKLENBURG COUNTY JCPC: APPLICATION EVALUATION TOOL FOR 2018-2019 FUNDING

Program Name: ______Amount Requested: ______

INSTRUCTIONS: Please use this tool to guide your review of the funding applications. After reviewing each section, assign a score from the following scale:Recommendation for consideration of funding to the JCPC (circle one) 1: Not Recommended; 2; 3: Possible Recommendation; 4; 5: Recommended

COUNTY DISQUALIFIERS (Application will be excluded from consideration if not included) / Y / N / Comments
Conflict of Interest Form
No Over Due Tax Form
Proof of 501(c)(3) Status
Proof of One Month Operating Expenses
COMMUNITY NEED and
ORGANIZATIONAL CAPACITY / Y / N / Comments
Does the application provide compelling data on the need for the program in Mecklenburg County?
Does the program adequately demonstrate its ability to address the need?
Does the program address one or more of the risk and protective factors listed on the RFP?
Are the qualifications and responsibilities of staff and volunteers explained and appropriate for program goals?
Are there community partnerships that strengthen the program?
Is the target population described?
Is the program accessible to youth? (Bus line? Bus Passes? Transportation?)
For previously/currently funded programs: In the last calendar year that the program was funded, did it operate at or near capacity?
Recommendation for consideration of funding to the JCPC (circle one) 1: Not Recommended; 2; 3: Possible Recommendation; 4; 5: Recommended
PROGRAM OUTCOMES/EVALUATION / Y / N / Comments
Does the program provide services that:
Decrease delinquent behavior and/or gang participation?
Divert individuals from delinquent behavior and/or gang participation?
Does the proposed program provide a SPEP service?
Does the proposal provide measurable objectives for the program’s impact on participant’s behaviors that will lead to reduction of subsequent juvenile adjudications?
Can the program explain its methods for measurement and evaluation?
Does this program use Best Practices or Evidence Based Models and explain them?
Does the program provide evidence of successful past performance for the target population?
Are proposed program services appropriate for achieving desired outcomes
For previously/currently funded programs:
In the last calendar year that the program was funded, were measurable objectives met?
For previously/currently funded programs:
If the program has a SPEP score, what is the most recent one?
Recommendation for consideration of funding to the JCPC (circle one) 1: Not Recommended; 2; 3: Possible Recommendation; 4; 5: Recommended
PROGRAM FINANCIALS / Y / N / Comments
Is the funding request appropriate for the successful implementation of the program?
Is it clearly indicated how JCPC funds will be spent?
Is there an adequate plan for financial sustainability?
For currently funded programs:
If the funding request has increased or decreased, is it clear why?
Recommendation for consideration of funding to the JCPC (circle one) 1: Not Recommended; 2; 3: Possible Recommendation; 4; 5: Recommended
Score: ______ / Comments: