sasp grant application
DESCRIPTION
SASP Grant ApplicationTRANSCRIPT
SASP FORMULA GRANT PROGRAM
Program Scope Purpose Areas: Overall, the purpose of the SASP Formula Grant Program, is to provide intervention, advocacy, accompaniment (e.g., accompanying victims to court, medical facilities, police departments, etc.), support services, and related assistance to:
• Adult, youth, and child victims of sexual assault; • Family and household members of such victims; and • Those collaterally affected by the victimization (e.g., friends, coworkers, classmates), except for the perpetrator of such victimization.
To best address OVW’s Priority Areas for FY 2013, ACASA is encouraging agencies to place emphasis on providing the necessary staff to carry out intervention and related assistance to victims and to increase support for underserved populations in a culturally appropriate manner, with special emphasis on African-American communities and other communities of color, as well as Lesbian Gay Bisexual Transgender – Questioning (LGBTQ) communities. Intervention and related assistance may include:
• 24-hour hotline services providing crisis intervention services and referral; • Accompaniment and advocacy through medical, criminal justice, and social support systems, including medical facilities, police, and court proceedings; • Crisis intervention, short-term individual and group support services, and comprehensive service coordination and supervision to assist sexual assault victims and non-offending family or household members; • Information and referral to assist the sexual assault victim and non-offending family or household members; • Community-based, linguistically and culturally specific services and support mechanisms, including outreach activities for underserved communities. As defined in the Violence Against Women Act, 42 U.S.C. §13925 (17), “linguistically and culturally specific services” means “community-based services that offer full linguistic access and culturally specific services and resources, including outreach, collaboration, and support mechanisms primarily directed toward underserved communities.”; • The development and distribution of materials related to the services described in the previous bullets.
Out-of-Scope Activities: The following activities are out of scope and will not be supported by SASP Formula Grant Program grant funding:
• Research projects; sexual assault forensic examiner projects; prevention efforts (e.g., bystander intervention, presentations on healthy relationships, etc.); criminal justice-related projects, including law enforcement, prosecution, courts, and forensic interviews; and providing domestic violence services that do not relate to sexual violence.
SASP FAQs
Q: Can I put general educational information about sexual assault on the brochures produced using SASP funds? A: No. SASP funded brochures are to be about the services provided, where to receive services, and who may receive services, and not about general education.
Q: May funds be used to support services to children? A: Yes. Services rendered to children do not have to be in connection to serving an adult parent and there is no age restriction on providing services to children.
Q: May funds be used to support projects that include education and prevention activities? A: No. Funds may be used for outreach to inform persons about the services provided by a specific program. For example, a program could use pamphlets, brochures, or community presentations to announce the services available under the grant.
Q: Are volunteer related expenses allowable under this program? A: Yes. Examples would include training and supervision of volunteers.
Q: Is there a limitation on the types of sexual violence SASP funds may be used to address? A: Funds may be used to address intimate partner, stranger and non‐stranger sexual assault as well as adult, adolescent and child sexual violence. All may be served, including male, female and LGBTQ.
Q: May SASP funds be used for advocate training? A: Yes. Training may be provided for volunteers or employees that will provide specific grant‐funded services, but may not be used to provide a generalized statewide training.
Q: May funds be used for general professional training (i.e. for law enforcement, mental health, prosecutors, etc.)? A: No, nor may funds be used to develop training curriculums.
Q: May grantees serve adult survivors of child sexual abuse or other survivors of a non‐recent assault? A: Yes. There are no limits on when the assault must have occurred.
Q: May Sexual Assault Nurse/Forensic Examiner programs be funded? A: No. SASP funds cannot support activities that are conducted by or inherent to the criminal justice system such as sexual assault nurse/forensic examiner programs, law enforcement investigations, and/or prosecution of sex crimes. However, SASP funds can support advocates from non‐profit, non‐governmental agencies accompanying a victim through any aspect of the criminal justice system.
Q: May Sexual Assault Response Teams (SART) be funded? A: No. However, if an advocate position is funded under the grant, the advocates’ time in attending SART meetings may be covered as part of the advocacy he or she provides.
Q: May SASP funds support a hotline? A: Yes. To the extent the hotline is for sexual assault victims. If the hotline covers a broader array of issues, the costs should be pro‐rated according to the percentage of calls that are for sexual assault. In order for a multi‐issue hotline to receive SASP funds, the people who answer the hotline would need to have sexual assault specific training.
Q: Are women’s only or men’s only support groups allowable? A: Yes, assuming that the gender‐specificity is for therapeutic reasons. Services should be available for victims of both genders.
Q: How long is “short‐term counseling?” A: Up to one year.
SEXUAL ASSAULT SERVICES PROGRAM (SASP) 2013‐14 APPLICATION
SCHEDULE OF ACTIVITIES
DATES/DEADLINES EVENT
April 8, 2013 Request for Proposals Packet sent to Rape Crisis Programs (Questions may be asked during this time.)
May 3, 2013 Advisory Council Meeting w/SASP Technical Assistance
May 17, 2013 Application Submission Deadline, 4:00 p.m. (Applications received after this deadline will not be accepted.)
May 20 – 31, 2013 Proposal Review and Selection
June 5, 2013 Applicants Notified
June 18, 2013 Awards signed and submitted to ACASA
July 1, 2013 Project start date
SEXUAL ASSAULT SERVICES PROGRAM (SASP) 2013‐14 APPLICATION
COVER PAGE
Page 1 of 1
1. Applicant Organization
2. Mailing Address (Street/P.O. Box)
3. City/State 4. Zip Code
5. Type of Applicant
6. Federal Identification Number
7. DUNS Number
8. Would the federal funds being requested replace prior local or state support for this project?
8a. If yes, explain
9. Authorized Official (Name/Title)
10. Amount of funds requested:
11. Indicate the counties to be served by this project and whether or not the subgrant organization currently provides sexual assault victim services to the indicated areas.
Counties to be served by SASP funding: Currently Providing Sexual Assault Services
(Y/N)
Total Sexual Assault Victims Served in Last 12 Months (From All Funding
Sources)
12. Please enter organization’s official mission statement.
13. Please attach a copy of the applicant’s organizational chart: (ATTACHMENT I)
14. If the organization received any findings or corrective action plan as a result of any financial audit, license review, administrative proceeding or contract monitoring review in the past 12 months, please explain:
Please provide contact information for matters involving this application
First Name
Middle Initial
Last Name
Phone Number
Alternate Contact Phone Number
E‐mail address
SEXUAL ASSAULT SERVICES PROGRAM (SASP) 2013‐14 APPLICATION
PROJECT NARRATIVE
Page 1 of 6
Applicant Organization
AGENCY CAPACITY
SERVICES: (check all that apply, currently funded by any and all funding sources) (Indicate only sexual assault services currently provided by the applicant organization; do not include those provided through domestic violence or shelter services.)
Yes No
1. 24‐hour hotline answered by people trained in sexual assault dynamics
2. Medical accompaniment
3. Crisis intervention
4. Criminal justice system accompaniment
5. Individual support services
6. Group support services
7. Information and referral (in person) to assist victim and family
8. Community‐based linguistically and culturally specific services
9. Outreach activities for underserved communities
10. Develop and/or distribute materials on issues related to sexual assault
11. List any other services currently provided by the applicant.
STAFFING: Yes No
12. Does the applicant currently have a sexual assault staff position(s)?
If no, skip to #17
13. Please list the job title(s) and hours/week for this staff position:
Title Hrs.
14. Please attach job descriptions for all staff currently providing sexual assault services: (ATTACHMENT II)
15. Please list funding source for each position (if position is paid from more than one source, list source and hours/week funded by each source).
Title Funding Source Hrs.
16. How many current staff members are ACASA‐certified Sexual Assault Victim Advocates?
17. For Dual Agencies: Describe the role of the rape crisis program; how organization provides support; and explain the division of program operations. (Additional space provided on next page.)
SEXUAL ASSAULT SERVICES PROGRAM (SASP) 2013‐14 APPLICATION
PROJECT NARRATIVE
Page 2 of 6
Applicant Organization
18. (Optional) Additional Information on Agency Capacity (Use the space below to provide any additional information you would like to share about your agency’s ability to carry out the project being proposed, such as staff qualifications, stability of agency, commitment and support of governing body. Dual agencies can also use this space to expand on answer for #17.)
SEXUAL ASSAULT SERVICES PROGRAM (SASP) 2013‐14 APPLICATION
PROJECT NARRATIVE
Page 3 of 6
Applicant Organization
PROJECT NEED
19. Please identify the specific need for this project, including the population to be served, existing services, and obstacles currently faced by proposed victim population. Be sure to include relevant data or information to support the need for the project.
SERVICES: Indicate the service(s) to be provided with SASP funding, check all that apply. Yes No
20. 24‐hour hotline providing rape crisis intervention services and referral
21. Medical accompaniment
22. Crisis intervention
23. Criminal justice system accompaniment
24. Individual support services
25. Group support services
26. Information and referral (in person) to assist victim and family
27. Linguistically and/or culturally specific services (use #35 to describe activities)
28. Outreach activities for underserved communities (use #35 to describe activities)
29. Develop and/or distribute materials on sexual assault services (use #35 to justify activity)
30. Other (specify)
SEXUAL ASSAULT SERVICES PROGRAM (SASP) 2013‐14 APPLICATION
PROJECT NARRATIVE
Page 4 of 6
Applicant Organization
STAFFING: Yes No
31. Does the applicant intend to use SASP funds for staff position(s)?
32. Please list the job title(s) and FTEs for this position(s). Title FTE
33. If position is split between funding sources, please explain the number of hours/week paid by each source:
34. Include the job description for this position: (ATTACHMENT III)
35. Use this space, if applicable, to respond to #27, #28 and/or #29.
36. Please provide information on community support and/or collaboration of community partners in carrying out this project.
SEXUAL ASSAULT SERVICES PROGRAM (SASP) 2013‐14 APPLICATION
PROJECT NARRATIVE
Page 5 of 6
Applicant Organization
GOALS and OBJECTIVES
Please state the goals and objectives to be accomplished by SASP funding. Be sure to include the measurement(s) to be used to determine the desired long‐term impact of the project, as well as the date of completion for each objective.
GOAL
OBJECTIVE
COMPLETION DATE
MEASUREMENT
SEXUAL ASSAULT SERVICES PROGRAM (SASP) 2013‐14 APPLICATION
PROJECT NARRATIVE
Page 6 of 6
Applicant Organization
ADDITIONAL INFORMATION (Use this space to provide any additional information you feel is relevant to this application.)
SEXUAL ASSAULT SERVICES PROGRAM (SASP)2013-14 APPLICATION
BUDGET
APPLICANT ORGANIZATION
0.00
Worker's Comp.
0.00
0.00
Health Insurance ( Federal Request not to exceed 390/month)
FICA
State Unemployment3.6%percent of the first 12,000 in salary for
each position:
Established applicant rate, not to exceed
TOTAL PROJECT
TOTAL MANDATED BENEFITS
EMPLOYER BENEFITS
Employer benefits include all other benefits offered to employees through group policies held by the applicant
such as health insurance, retirement, life insurance, etc.
BUDGET CATEGORIES
SALARIES
MANDATED BENEFITS
7.65% of salary
TOTAL EMPLOYER BENEFITS
Hourly Rate
Total Hrs.
Work Per
Week
TOTAL SALARIES
Hours/Week
Devoted to
SASP
Position
1 of 2
SEXUAL ASSAULT SERVICES PROGRAM (SASP)2013-14 APPLICATION
BUDGET
APPLICANT ORGANIZATION
0.00
0.00
0.00
0.00
TOTAL MAINTENANCE AND OPERATIONS
TOTAL PROFESSIONAL/CONTRACT SERVICES
TOTAL PROJECT BUDGET
TOTAL CAPTIAL OUTLAY
PROFESSIONAL/CONTRACT SERVICES
Include any professional service needed to ensure success of the project, be sure to include the rate.
MAINTENANCE AND OPERATIONS
CAPITAL OUTLAY
2 of 2
ARKANSAS COALITION AGAINST SEXUAL ASSAULT
SEXUAL ASSAULT SERVICES PROGRAM
2013-14 SUBGRANT AGREEMENT
Special Conditions: The Subgrantee agrees to:
I. Employ designated Advocate whose responsibility it is to provide sexual assault victim services as defined in ACASA’s Standards of Operations Manual.
II. Ensure that each person funded under this project is certified as a sexual assault victim advocate within three months of hire.
III. Clearly identify the person within the agency with supervisory responsibilities over each Advocate.
IV. Obtain approval from ACASA for all Advocate training paid for through these funds prior to submitting registration for the event. Staff attending training events may be required to present a summary of the training to ACASA and/or other Subgrantees.
V. Obtain approval from ACASA for all project products paid for through these funds, including but not limited to brochures, posters and billboards.
VI. Ensure that the Executive Director of the agency attend at least two member Advisory Council meetings held quarterly by ACASA for the purpose of providing information/orientation and/or receive training.
VII. Ensure that each person paid for through these funds attends at least two member Advisory Council meetings held quarterly by ACASA for the purpose of providing information/orientation and/or receive training.
VIII. Participation of Subgrantee’s Executive Director in technical assistance calls and/or Webinars as required by ACASA for the purpose of meeting the intent of this grant program.
IX. Consent to scheduled routine site visits by ACASA staff for purpose of technical assistance and/or project evaluation.
X. Provide appropriate financial and program documentation for program monitoring/evaluation.
XI. Notify ACASA of any change in personnel assigned to the Advocate and/or supervisor positions within five days of change.
XII. Be familiar with and meet ACASA’s Standard of Services. XIII. Adherence to all applicable federal/state regulations and laws regarding the funding
source.
Contract Termination: The performance of work under this agreement may be terminated by ACASA whenever the Subgrantee defaults in performance of this agreement and fails to cure the default within a period of ten business days after receipt of notice specifying the default. Conditions generating a default include but may not be limited to:
I. Failure to submit required quarterly reports by designated deadline. II. Failure to submit monthly reimbursement invoice by designated deadline.
III. Failure to comply with Special Conditions listed above. IV. Loss of resources from other funding sources which would affect carrying out goals
and objectives of this project. V. Agency having an outstanding debt to any state or federal agency.
Termination will be effected by sending Subgrantee a notice of termination. The Subgrantee will be paid for the work completed as of receipt of the notice of termination upon receipt of any previously un-submitted required reports.
Record Keeping/Oversight:
I. The Subgrantee will maintain accurate and complete records and statistical information on all services provided under this funding source and shall submit quarterly reports on the forms designated by ACASA. Failure of the Subgrantee to provide required reports by the designated deadline may result in payment being withheld from the Subgrantee and affect subsequent years’ funding.
II. The Subgrantee will maintain adequate financial records of the funds received under this agreement and will maintain timesheets designating time spent by Advocates fully or in part under this agreement. A Project Budget must accompany this agreement.
III. The Subgrantee shall provide immediate oral and written notice to ACASA regarding any program or financial status that will impact upon the delivery of services to victims, to include but not be limited to, personnel issues or financial issues, such as loss of funding, agency litigation, bankruptcy, facility shut down; or any situation which may prevent or interfere with the Subgrantee meeting obligations under this agreement.
This agreement is hereby accepted in its entirety, including attachments referred to above.
SUBGRANTEE AUTHORIZED OFFICIAL
By_______________________________________________ Signature
Title______________________________________________
Organization Name: ___________________________________________________________ Date_____________________________________________
SEXUAL ASSAULT SERVICES PROGRAM (SASP) 2013‐14 APPLICATION
PROJECT NARRATIVE
By initialing this certification, the applicant’s authorized official (the highest ranking official in the organization) is indicating the applicant’s willingness to comply with applicable state and federal regulations, including but not limited to:
o Executive Order 12549
o 28 CFR http://www.archives.gov/federal-register/cfr/subject-title-28.html
Part 18 – Criminal Justice Information Systems Part 20 – Confidentiality of Identifiable Research and Statistical Information Part 23 – Criminal Intelligence Systems Operating Policies Part 30 – Intergovernmental Review of Department of Justice Programs and
Activities Part 42 – Nondiscrimination/Equal Employment Opportunities Part 61 – Procedures for Implementing the National Environment Policy Act Part 67 – Debarment and Suspension Part 67 – Sections 67.615 and 67.620 – Drug-Free Workplace Part 69 – Restrictions on Lobbying
o Executive Order 13166 o Executive Order 98-04 o Hatch Act o Civil Rights Act 42 USC 2000d-2000c 20 USC 1681-1688 42 USC 6101 et seq 29 USC 794
The applicant’s initials further certifies that the proposed federal budget supplements existing funds and in no way supplants (replaces) funds that have been budgeted for the same purpose.
FAILURE TO TRUTHFULLY DISCLOSE INFORMATION WILL DISQUALIFY APPLICANT FROM CONSIDERATION OR MAY RESULT IN REVOCATION OF FUNDS.
_______________________ Initials for Authorized Official