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HomeMy WebLinkAboutExhibit 18The Children's Trust Grant Application Forms Organizational Capability A. Agency Description (2 pages maximum, not including attachments) Provide a clear description of the Agency, including its mission, history, and particular qualifications as related to the current bid solicitation. Include a listing and description of agency accreditations and licensure relevant to the field, if applicable (i.e., accrediting or licensing body, level and period of accreditation/licensure, etc.). CURRENT OR PAST PROVIDERS OF THE CHILDREN'S TRUST ARE NOT REQUIRED TO COMPLETE THIS SECTION, UNLESS THEY WISH TO PROVIDE UPDATED OR CHANGED INFORMATION. Describe Agency's overall approach to ensuring cultural competence in its current organization, as well as the plan to ensure cultural competence in implementing the proposed project. CURRENT OR PAST PROVIDERS OF THE CHILDREN'S TRUST ARE NOT REQUIRED TO COMPLETE THIS SECTION, UNLESS THEY WISH TO PROVIDE UPDATED OR CHANGED INFORMATION. Attach the Agency's organizational chart(s) that clearly indicate the current fiscal, administrative, and programmatic reporting structures, as well as how the proposed program will fit within the larger organization. include document(s) in the Supporting Documents section, in the order indicated in the Table of Contents. CURRENT OR PAST PROVIDERS OF THE CHILDREN'S TRUST ARE NOT REQUIRED TO RESUBMIT THE ORGANIZATIONAL CHART IF THE MOST CURRENT VERSION IS ALREADY ON FILE AND NOTED AS SUCH ON THE COVER PAGE 2. ONLY THE ORGANIZATIONAL CHART FOR THE PROPOSED PROGRAM IS REQUIRED WITH THIS APPLICATION. If explanation is needed, include a narrative description of the organizational chart(s) below: Attach the Agency's 2004 financial audit and related management letter. If the Agency's fiscal year ends after June 30, 2004 and the audit of 2004 financial statements has not been completed, the Agency may provide the audited financial statements for its 2003 fiscal year. If in business for less than 18 months, or if Agency total budget is less than $300,000, attach a copy of the most recent un- audited financial statements. Either must be completed by a registered CPA and conducted in accordance with generally accepted accounting principles. Include documents in the Fiscal/Policy Materials section, in the order indicated in the Table of Contents. CURRENT OR PAST PROVIDERS OF THE CHILDREN'S TRUST ARE NOT REQUIRED TO RESUBMIT AUDITS/FINANCIAL STATEMENTS IF THE 2004 VERSION IS ALREADY ON FILE AND NOTED AS SUCH ON THE COVER PAGE 2. If explanation is needed, include a narrative description of the audit/financial statements and findings below: The Children's Trust Grant Application Forms Organizational Capability B. Experience (2 pages maximum, not including attachments) Did the proposed program operate prior to current funding request? ❑ YES ❑ NO If YES, list funding source(s), dollar amount(s), time period(s), and current status of each, for the past three (3) years, as shown in these examples: Alliance for Human Services, $45,000, 7/1/03-6/30/04, project completed/not renewed Center for Substance Abuse Prevention, $200,000, 10/1 /04-9/30/07, project currently ongoing CURRENT OR PAST PROVIDERS WISH TO PROIVIDEEN'S UPDAT UPDATED OR CNANGEDUST ARE NOT OlN ORMATlONED TO MPLETE THIS SECTION, UNLESS THE es bescribe the Agency's relevant experiences do5 organizational qualiuccesses in fcationssa dcaccompQshments, d to the current bid solicitation and proposal. Summarize9 including the scope of work conducted, a description of related funded work conducted within the past three years, and performance measures achieved. CURRENT OR PAST PROVIDERS OF TPRO1VLDRDEEUPDAN'S RTED OR HANGEDUST ARE NOT (INFORM UIRED �IONMPLETE THIS SECTION, UNLESS THEY WISHO Attach any relevant documentation or evidence of past successes achieved, such as funder monitoring reports, program evaluation summaries, generalintheresponse traba endorsement, publications, work samples, etc. These should be described � - — document s in the Su • •ortinDocuments section in the order indicated in the Table of Contents. The Children's Trust Grant Application Forms Organizational Capability C. Staffing (1 page maximum, not including attachments) Describe how the project will be appropriately staffed, including employees, subcontractors, consultants, and volunteers. Explain the staffing plan for how primary activities will be conducted, ncluding responsibilities for specific activities and deliverables (Le., a brief summary of the detailed jo • descriptions). Provide a narrative description of the number and types of positions and the staf' experiences and credentials required, using the same title labels as in budget worksheets (note tha since the Budget Justification includes all staff titles, names, salaries, percent efforts, and credentials, such a detailed breakdown is NOT required in this section). Out -of -school programs are strongl encouraged to employ at least one licensed or certified education professional. Also, briefly describe the Agency's approach to staff training and orientation required for working within the proposed program. Based an the proposed staffing plan and number of participants to be served, what is the maximu ratio of participants -to -staff? Maximum of children/ outh for every one adult. Attach Staff Resumes for the project director and other key personnel (including consultants) t• ndicate relevant experience of each person to the professional team. These should be summarized i the narrative response above. Include document(s) in the Supporting Documents section, in the orde ndicated in the Table of Contents. Attach Job Descriptions for the project director and other key personnel (including consultants) t• ndicate the specific duties and contributions of ach person to the Include document( s) )f essional team. n the Supporting hDocumentese • be summarized in the narrative response above. section, in the order indicated in the Table of Contents.