Utah Office for Victims of Crime VAWA S.T.O.P. Formula Grant – Fast Track Application Checklist | 2017

‘FAST TRACK’VAWA GRANT APPLICATION CHECKLIST

To ensure that all sections of the application are included, check off each item as completed. Attach this checklist to your application as verification that each item has been completed, that signatures have been provided where needed and all required letters and other attachments are included.

IMPORTANT: You may copy and paste your 2016 VAWA Grant

application text only for the sections highlighted in yellow, if there are no changes.

GRANT SECTION
APPLICATION
Cover Sheet - Signatures required
Required VAWA Questions
BUDGET SECTION
MATCH SECTION
INDIRECT COSTS
PROJECT COMPARISON SUMMARY
VAWA FUNDED EQUIPMENT SUMMARY - Signature required
VAWA NARRATIVE:
Section A: Statement of Need and Target Population -
Section B: Priority Areas
Minimum of 3 Current Letters of Collaboration
Section C: Program Plan and Evaluation
Section D: Statistic Reporting
Section E: Record of Providing Effective Services
Report on two (2) years - (Jan 1, 2016 – Dec 31, 2016) (Jan 1, 2016 – Sept 2016)
Section F: VOCA Sub grantees
Section G: Project Administration
ATTACH - Organizational Chart
ATTACH - Roster of Governing Board
ATTACH - Position Title and Job Description for VAWA funded staff
ATTACH - Position Title and Job Description for VAWA Match Volunteer
Section H: Additional Resources
Section I: Agency Budget - ATTACH – Agency Budget which has been highlighted
ATTACHMENTS – 1- 501(c)(3) 2- Legal Assist Letter
CERTIFICATIONS/FORMS
Certified Assurances Directions and Grant Conditions
Certified Assurances
Grant Conditions - Signature required
Standard Assurances - Signature required
Violence Against Women Act Non-Discrimination Certification - Signature required
Civil Rights Requirements and EEOP Certification - Signature required
Certification Lobby, Debarment, Suspensions, Ineligibility, Drug-Free etc. CHECK – Place of Performance and Signature required
Certification Regarding Compliance With Victims’ Rights - Signature required
Audit Requirements - Signature required
Certification Regarding Suspension and Debarment - Signature required
Sexual Assault Set Aside Compliance Requirement - Signature required
Certification Regarding Training with Rape Crisis Training Mandate - Signature
Certification Regarding Confidentiality and Privacy Requirements – Signature
Compliance with Delivery of Legal Assistance Requirement - LETTER REQUIRED
Certification regarding Activities that Compromise Victim Safety and Recovery-Signature
FFATA Certification
Executive Order: Seat - Belt
Executive Order: Text Messaging while driving

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