Virtual Office Hours - The 10 Percent C culturally Specific Victim Service

Size: px
Start display at page:

Download "Virtual Office Hours - The 10 Percent C culturally Specific Victim Service"

Transcription

1 Virtual Office Hours Chat Transcript March 3, 2014 Please find an amended transcript of the chat that occurred on March 3, 2014 below. The content was reorganized for clarity and consistency, with additional information gathered after the call to answer questions included as an addendum to the transcript. *Question sent in before the virtual office hours. Hi Everyone, welcome to the virtual office hours! I just want to verify there is no narrative requirement in the STOP application. We just submit the STOP Plan. This is how it appears to us, Michelle. Misty Kifer: On the culturally-specific 10% set aside, does this have to go to a culturally specific organization or can it go to a victim service provider who uses the funds only for a culturally specific group? Hi Misty, In answer to your question about the 10% culturally specific set aside, please take look at FAQ #10, p. 17. It provides a comprehensive answer to the question of what kind of organization can receive funds under the 10% culturally specific victim service set aside. Misty, this question is an important one. We want to check with Marnie at OVW to make sure we're providing you with an accurate answer. We'll try to get in touch with Marnie today about this. If we are not providing, or do not plan to provide legal assistance based on the new purpose area #5, can we just submit something that says NA? 1

2 Michelle, are you wondering whether you still need to submit the legal assistance certification letter if you won't be using STOP funds for legal assistance? Yes Thanks for the clarification, Michelle. Our understanding is that the certification is not required if you will not be providing legal assistance with STOP funds. However, you may want to submit a certification letter, just to be safe, in case a subgrantee does end up providing legal assistance in some form. Thanks Leah Meyers: Can we submit the certification letter later if we do end up funding legal services? Leah, we'll need to check on this for you with Marnie. It might just be safest to submit a letter now, however. We'll check on this for you, though. Lisa Secondo: Regarding the legal service cert letter, item #4 "grantee" refers to the SAA as primary recipient? Can we revise the language to read "sub-recipient"? Lisa, this seems reasonable, given that this certification was created for the LAV program, in which grantees are the legal assistance providers. However, again, this is an administrative question best answered by OVW. We can add this to our list of questions to ask Marnie, if that would help. 2

3 Given that the information about the plan has been coming out in a variety of formats and very recently including the details in the solicitation, can we assume it is okay that our plan does not follow the order of the sections as they are listed in the solicitation? We sent out the plan for review and approval prior to the solicitation. It does not have the same headings and is not in the same order. Should I be worried? So long as you address the elements of the checklist, you should be fine. The downside of doing that is it will make it harder for OVW to find the various sections and required elements. If you have the time, you may wish to go back and change the section headings for reader ease. Thanks. I created a crosswalk with the appropriate page numbers corresponding to the solicitation so I am hoping that will help OVW. Michelle, it's good that you created this crosswalk. That should help a great deal. Leah Meyers: Is there a time frame for the STOP IP? It used to be three years but I do not see a specific time period now. Your plan can cover whatever time your state would like, but you just need to specify the timeframe. On page 21 of the solicitation it states that states and territorial agencies are responsible for ensuring STOP subgrantees that are eligible as a nonprofit org meet 501 (3) status. Has any guidance been given around this? You would need to ask the organizations for proof of their 501(c)3 status, which they should have received from the IRS. We don't know of any specific guidance; you should just ensure that they have that proof as an attachment to their application, for instance. 3

4 Misty Kifer: Our state laws at the moment do not allow for protection orders for stalking or sexual assault when there is not a domestic or dating relationship. I know this is a requirement but our deadline to change the law was last July and VAWA 2013 didn't become effective until October Should we be worried that we cannot certify the fees and costs certification? We think the best option for you on this certification is to check in directly with your program manager at OVW. It is my understanding that we are required to submit the documentation of collaboration for the Plan as an attachment to the IP (page 24 of the revised IP Tool). Given this document is 2 pages (or longer depending on the info included in the chart) I'm a bit concerned about the number of attachments. Is it ok to scan the individual forms into 1 attachment to make it easier to upload into GMS? If we do that will the size of the document be an issue? Sounds like a great idea, but if size is an issue, contact GMS tech support to ensure it will still work. The last point in the Implementation Plan requirements in the solicitation mentions section 393A of the Public health Services Act but when I look at that section it isn't RPE, it is on traumatic brain injury. Is the wrong section listed? Michelle, that section was recodified, I believe. You can find the correct section through the STOP Implementation Plan Tool. The statutory language for 42 U.S.C. 300u-6(g) is included in it. I can also send it to you. Michelle, here is the language of the PHSA: Public Health Service Act (42 U.S.C. 300u-6(g)). The Public Health Service Act defines racial and ethnic minority groups as follows (42 U.S.C. 300u-6(g)): (g) Definitions For purposes of this section: (1) The term racial and ethnic minority group means American Indians (including Alaska Natives, Eskimos, and Aleuts); Asian 4

5 Americans; Native Hawaiians and other Pacific Islanders; Blacks; and Hispanics. (2) The term Hispanic means individuals whose origin is Mexican, Puerto Rican, Cuban, Central or South American, or any other Spanish-speaking country. Under the reallocation for PREA, if we fund the department of correction to sub-contract with a local rape crisis center to provide confidential services to this population, can we fund this under the law enforcement allocation or does it have to come from victim services or discretionary? I was thinking we could use LE funds as this would be for LE but after the call last week with Tara, I'm unsure. Will all the funds going to corrections be totally subcontracted to rape crisis for victim services? Yes, I believe we would be looking to have the DOC submit a proposal to subcontract the full award to the local RCC for victim services. Response: We need to check into this, but we think it would come out of your PREA reallocation but would need to be our of victim services or discretionary allocation as it sounds like the services would benefit victims, and not be for enhancing law enforcement. Addendum to Candice's Question re: PREA reallocation - also see FAQ pg 16 in the allocations section, question #3 - Should states make decisions to award law enforcement, prosecution, court, and victim services funds based on the purpose for which the funds will be used or the type of agency applying for the funds? According to the FAQ page 5 question #13 sexual assault forensic exams, the allocation the funds should come from LE, PRO or DIS. Based on FAQ pg 16 in the allocation section, question #3, I would think an argument can be made that victims benefit from a SANE exam. Therefore, could we fund SANE services through VS or do we have to abide by the FAQ on page 5 #13? 5

6 We believe that sexual assault exams need to be funded from the law enforcement, prosecution, or discretionary, because the SANE exam is to enhance the criminal justice case. Though the victim does benefit to some degree, it seems the main purpose of the SANE exam is for law enforcement and prosecution. This is based on the FAQ both on pg 5 and pg 16. If you want to fund out of victim services, we would recommend that you discuss this with your program manager or Marnie Shiels. We have some questions that we thought you find of interest. Q: What is the best way to implement the new requirement that we consult with the FVPSA, VOCA and RPE efforts in my state? There s no single best way to say how to do this because every state and territory is different. There are a number of strategies you can explore: find out who is in charge of these programs and plans in your jurisdiction and introduce yourself. Read the most recent plans and see what might overlap with what the priorities are under STOP. Share this information with the STOP planning team. Knowledge of how these other programs allocate funds can help the IP and STOP dollars go further so you can leverage resources, better address gaps in funding, and ensure that efforts are not duplicated. Also note that not all states and territories have formal written plans. If not, you can look at the application the program submitted for funding and see its priority areas and funding goals. Keep notes on your contacts and the information you garner and exchange so you can explain how the IP and planning process impacts AND is impacted by these other federally funded programs. *Diana Fleming: Question from Administrator on prior Virtual Office Hours: How do you identify Population specific organizations and what is meant by meaningful input (process and challenge of review of IP)? 6

7 In order to identify population specific organizations in your state, you may want to: Ask your VOCA or FVPSA coordinators if they have ideas or are funding such organizations Ask your Coalitions, as many will have a Communities of Color or Underserved Populations Committee Ask your Domestic Violence and/or Sexual Assault Coordinating Councils/Response Teams who they would suggest Ask your primary domestic/sexual violence programs if they can identify organizations Meaningful Input of population specific organizations/underserved communities Process Include in s, conference calls, meetings May need to individually call or meet with organizations/communities initially to build rapport and investment Documentation can include: s, Meeting Minutes, Meeting Sign-ins, IP Plan Review Comment Sheets, Letters of Support, etc. Hi Everyone, Thank you for participating in today's virtual office hours. Please be on the lookout for the transcripts as well as continuing to check ALSO s VAWA 2013 Resources web page for more information: Thank you for your participation. Please contact ALSOSTAARProjectTA@also-chicago.org with any more questions or thoughts. 7

Virtual Office Hours Chat February 26, 2014

Virtual Office Hours Chat February 26, 2014 Virtual Office Hours Chat February 26, 2014 Please find an amended transcript of the chat that occurred on February 26, 2014 below. The content was reorganized for clarity and consistency, with additional

More information

Violence Against Women Formula Grants

Violence Against Women Formula Grants User Guide Violence Against Women Formula Grants STOP Violence Against Women Formula Grants Number: 16.588 Agency: Department of Justice Office: Violence Against Women Office Program Information Authorization

More information

Tennessee Office of Criminal Justice Programs STOP VIOLENCE AGAINST WOMEN IMPLEMENTATION PLAN

Tennessee Office of Criminal Justice Programs STOP VIOLENCE AGAINST WOMEN IMPLEMENTATION PLAN Tennessee Office of Criminal Justice Programs STOP VIOLENCE AGAINST WOMEN IMPLEMENTATION PLAN 2014 2015 2016 Prepared for: Office on Violence Against Women 145 N St., NE, Suite 10W.121 Washington, D.C.

More information

OVW Fiscal Year 2015 Rural Sexual Assault, Domestic Violence, Dating Violence and Stalking Program. Solicitation Solicitation Release Date

OVW Fiscal Year 2015 Rural Sexual Assault, Domestic Violence, Dating Violence and Stalking Program. Solicitation Solicitation Release Date U.S. Department of Justice Office on Violence Against Women (OVW) OVW Fiscal Year 2015 Rural Sexual Assault, Domestic Violence, Dating Violence and Stalking Program Solicitation Solicitation Release Date

More information

1. All bureaus should ensure that every grantee meets high performance standards.

1. All bureaus should ensure that every grantee meets high performance standards. Regarding the Office on Victims of Crime (OVC), the Office on Violence Against Women (OVW), and the Community Oriented Policing Services (COPS) Office Multi-agency Recommendations 1. All bureaus should

More information

S T O P Program. Services Training Officers Prosecutors. 2012 Report Part A

S T O P Program. Services Training Officers Prosecutors. 2012 Report Part A S T O P Program Services Training Officers Prosecutors 2012 Report Part A 2012 Report Contents Contents... i List of Tables... ii Acknowledgments... v Introduction... 1 Background... 3 Statutory Purpose

More information

Semi-Annual Progress Report for Legal Assistance for Victims Grant Program. AGENCY: Office on Violence Against Women, Department of Justice

Semi-Annual Progress Report for Legal Assistance for Victims Grant Program. AGENCY: Office on Violence Against Women, Department of Justice This document is scheduled to be published in the Federal Register on 10/09/2015 and available online at http://federalregister.gov/a/2015-25768, and on FDsys.gov DEPARTMENT OF JUSTICE [OMB Number 1122-0007]

More information

STATE OF OREGON - OREGON YOUTH AUTHORITY EMPLOYMENT APPLICATION PERSONAL INFORMATION PREFERENCES EDUCATION COLLEGE/UNIVERSITY EDUCATION

STATE OF OREGON - OREGON YOUTH AUTHORITY EMPLOYMENT APPLICATION PERSONAL INFORMATION PREFERENCES EDUCATION COLLEGE/UNIVERSITY EDUCATION STATE OF OREGON - OREGON YOUTH AUTHORITY EMPLOYMENT APPLICATION State of Oregon Website: http://www.oregonjobs.org For instructions on where to submit your application please see the Description section

More information

SDVCJ Grant Program Consultation Framing Paper

SDVCJ Grant Program Consultation Framing Paper Consultation Question 1: Should the Office on Violence Against Women (OVW) and the Bureau of Justice Assistance (BJA), in the absence of a FY 2016 Congressional appropriation, set aside funds from OVW

More information

Federal revenues deposited into the Crime Victims Fund come from the following sources:

Federal revenues deposited into the Crime Victims Fund come from the following sources: Page 1 of 3 OVC HOME MORE OVC FACT SHEETS LIBRARY & MULTIMEDIA Site Search Crime Victims Fund Text size: A A The Crime Victims Fund (the Fund), established by the Victims of Crime Act of 1984 (VOCA), is

More information

ATTORNEY APPLICATION FOR EMPLOYMENT DIVISION OF LAW DEPARTMENT OF LAW AND PUBLIC SAFETY STATE OF NEW JERSEY

ATTORNEY APPLICATION FOR EMPLOYMENT DIVISION OF LAW DEPARTMENT OF LAW AND PUBLIC SAFETY STATE OF NEW JERSEY ATTORNEY APPLICATION FOR EMPLOYMENT DIVISION OF LAW DEPARTMENT OF LAW AND PUBLIC SAFETY STATE OF NEW JERSEY The Division of Law provides legal counsel and representation to agencies of State government

More information

City of Tuscaloosa Affirmative Marketing Policy for Affordable Housing Programs

City of Tuscaloosa Affirmative Marketing Policy for Affordable Housing Programs City of Tuscaloosa Affirmative Marketing Policy for Affordable Housing Programs Note: Affirmative Marketing procedures do not apply to families with Section 8 tenant-based rental housing assistance or

More information

INVENTORY OF SERVICES AND FUNDING SOURCES FOR PROGRAMS DESIGNED TO PREVENT VIOLENCE AGAINST WOMEN

INVENTORY OF SERVICES AND FUNDING SOURCES FOR PROGRAMS DESIGNED TO PREVENT VIOLENCE AGAINST WOMEN OMB #: 0920-375 Expires: 9/30/96 INVENTORY OF SERVICES AND FUNDING SOURCES FOR PROGRAMS DESIGNED TO PREVENT VIOLENCE AGAINST WOMEN Conducted by Westat, Inc. for Centers for Disease Control and Prevention

More information

This solicitation was released on or about January 7, 2016. Eligibility

This solicitation was released on or about January 7, 2016. Eligibility U.S. Department of Justice Office on Violence Against Women (OVW) OVW Fiscal Year 2016 Improving Criminal Justice Responses to Sexual Assault, Domestic Violence, Dating Violence, and Stalking Grant Program

More information

California Northstate University College of Pharmacy Transfer Student Application

California Northstate University College of Pharmacy Transfer Student Application California Northstate University College of Pharmacy Transfer Student Application California Northstate University College of Pharmacy Transfer Student Application This admission application packet is

More information

APPLICATION FOR EMPLOYMENT INSTRUCTION SHEET

APPLICATION FOR EMPLOYMENT INSTRUCTION SHEET APPLICATION FOR EMPLOYMENT INSTRUCTION SHEET Thank you for your interest in Navarro College. Please take a moment to read the following instructions before completing this application. Please follow the

More information

APPLICATION TO RN TO BSN PROGRAM

APPLICATION TO RN TO BSN PROGRAM School of Nursing APPLICATION TO RN TO BSN PROGRAM Fall Nursing Application Filing Period March 1 st to April 30 th Space is limited and applicants will be admitted in the order in which the application

More information

FIREFIGHTER/PARAMEDIC EMPLOYMENT APPLICATION (Please Print)

FIREFIGHTER/PARAMEDIC EMPLOYMENT APPLICATION (Please Print) FIREFIGHTER/PARAMEDIC EMPLOYMENT APPLICATION (Please Print) FOR OFFICE USE ONLY CITY OF SPRINGFIELD, OHIO PERSONNEL DEPARTMENT 76 EAST HIGH STREET SPRINGFIELD, OHIO 45502 INSTRUCTIONS: Please fill out

More information

Total Males Females 34.4 36.7 (0.4) 12.7 17.5 (1.6) Didn't believe entitled or eligible 13.0 (0.3) Did not know how to apply for benefits 3.4 (0.

Total Males Females 34.4 36.7 (0.4) 12.7 17.5 (1.6) Didn't believe entitled or eligible 13.0 (0.3) Did not know how to apply for benefits 3.4 (0. 2001 National Survey of Veterans (NSV) - March, 2003 - Page 413 Table 7-10. Percent Distribution of Veterans by Reasons Veterans Don't Have VA Life Insurance and Gender Males Females Not Applicable 3,400,423

More information

APPLICATION TO RN TO BSN PROGRAM

APPLICATION TO RN TO BSN PROGRAM School of Nursing Applications are being accepted NOW for Fall 2010! APPLICATION TO RN TO BSN PROGRAM Fall Nursing Application Filing Period Is NOW for Fall 2010 Space is limited and applicants will be

More information

Department of Criminal Justice Services Frequently Asked Questions (FAQ)

Department of Criminal Justice Services Frequently Asked Questions (FAQ) Department of Criminal Justice Services Frequently Asked Questions (FAQ) Physical Evidence Recovery Kit (PERK) Authorization and Payment: Improving Access to Sexual Assault Forensic Examinations Amendments

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT USE ONLY BLACK INK OR TYPEWRITER ON THIS FORM. INCOMPLETE APPLICATION MAY DISQUALIFY YOU FROM FURTHER CONSIDERATION. APPLICATION FOR EMPLOYMENT METROPOLITAN TRANSPORTATION AUTHORITY The MTA is an Equal

More information

TESTIMONY OF ATTORNEY GENERAL ANNE MILGRAM JOINT MEETING OF THE ASSEMBLY JUDICIARY AND LAW & PUBLIC SAFETY COMMITTEES MARCH 12, 2009

TESTIMONY OF ATTORNEY GENERAL ANNE MILGRAM JOINT MEETING OF THE ASSEMBLY JUDICIARY AND LAW & PUBLIC SAFETY COMMITTEES MARCH 12, 2009 TESTIMONY OF ATTORNEY GENERAL ANNE MILGRAM JOINT MEETING OF THE ASSEMBLY JUDICIARY AND LAW & PUBLIC SAFETY COMMITTEES MARCH 12, 2009 Good morning Chairwoman Greenstein, Chairman Johnson and members of

More information

APPLICATION TO RN TO BSN PROGRAM

APPLICATION TO RN TO BSN PROGRAM School of Nursing ONE UNIVERSITY CIRCLE TURLOCK, CALIFORNIA 95382 WWW.CSUSTAN.EDU PHONE (209) 667-3141 FAX (209) 667-3690 APPLICATION TO RN TO BSN PROGRAM Fall Nursing Application Filing Period February

More information

o Please include me on the ACCBO Email List

o Please include me on the ACCBO Email List ACCBO 2054 N Vancouver Ave, Portland OR 97227-1917 (503)231-8164 E-Mail: accbo@accbo.com APPLICATION FOR CRM RECERTIFICATION Name Date Address o Please include me on the ACCBO List City Home Phone State

More information

T.E.A.C.H. Early Childhood North Carolina Master s Degree/Emphasis in Early Childhood Leadership and Management Scholarship Application

T.E.A.C.H. Early Childhood North Carolina Master s Degree/Emphasis in Early Childhood Leadership and Management Scholarship Application T.E.A.C.H. Early Childhood North Carolina Master s Degree/Emphasis in Early Childhood Leadership and Management Scholarship Application Section I: Demographics for all applicants Date Social Security #

More information

NON-DEGREE STUDENT APPLICATION PROCESS

NON-DEGREE STUDENT APPLICATION PROCESS NON-DEGREE STUDENT APPLICATION PROCESS Thank you for your interest in taking classes as a non-degree student at St. Mary s College of Maryland. Individuals who wish to take a limited number of credit classes

More information

2010 Biennial Report to Congress on the Effectiveness of Grant Programs Under the Violence Against Women Act

2010 Biennial Report to Congress on the Effectiveness of Grant Programs Under the Violence Against Women Act 2010 Biennial Report to Congress on the Effectiveness of Grant Programs Under the Violence Against Women Act Table of Contents Introduction... 1 OVW Grant Programs... 5 Discretionary Grant Programs...

More information

ACHIEVE Human Services, Inc.

ACHIEVE Human Services, Inc. ACHIEVE Human Services, Inc. 3250-A East 40th Street, Yuma, AZ 85365 Phone: (928) 341-0335 Fax: (928) 341-9462 OUR MISSION STATEMENT: Empower the individuals that we serve to live their lives to their

More information

OREGON DEPARTMENT OF JUSTICE STOP VIOLENCE AGAINST WOMEN ACT (VAWA) AND SEXUAL ASSAULT SERVICES PROGRAM (SASP) GRANT MANAGEMENT HANDBOOK

OREGON DEPARTMENT OF JUSTICE STOP VIOLENCE AGAINST WOMEN ACT (VAWA) AND SEXUAL ASSAULT SERVICES PROGRAM (SASP) GRANT MANAGEMENT HANDBOOK OREGON DEPARTMENT OF JUSTICE STOP VIOLENCE AGAINST WOMEN ACT (VAWA) AND SEXUAL ASSAULT SERVICES PROGRAM (SASP) GRANT MANAGEMENT HANDBOOK Attorney General Ellen F. Rosenblum Oregon Department of Justice

More information

SOUTHEASTERN TECHNICAL INSTITUTE

SOUTHEASTERN TECHNICAL INSTITUTE SOUTHEASTERN TECHNICAL INSTITUTE COSMETOLOGY CULINARY ARTS HEATING, VENTILATION AND AIR CONDITIONING APPLICATION FOR ACADEMIC YEAR 2016-2017 250 Foundry Street South Easton, MA 02375 Phone: 508.238.1860

More information

Pages 1 of 8 Employment Application - Tennessee

Pages 1 of 8 Employment Application - Tennessee Page 1 of 8 Employment Application Tennessee College of Applied Technology Position Applying For: Personal Information: First Name: Middle Name: Last Name: Maiden Name (If applicable): Address: City: State

More information

Date: Employment Status. What is your current job title? Family Based Professional Non-Teaching Professional Staff Non-Teaching Support Staff

Date: Employment Status. What is your current job title? Family Based Professional Non-Teaching Professional Staff Non-Teaching Support Staff T.E.A.C.H. Early Childhood WASHINGTON, DC Associate/Bachelor s Degree Scholarship Program Application Return this application and all supporting documentation to: NBCDI Attn: T.E.A.C.H. 1313 L Street,

More information

PERMIAN BASIN REGIONAL PLANNING COMMISSION GRANT APPLICATION SUBMISSION POLICIES

PERMIAN BASIN REGIONAL PLANNING COMMISSION GRANT APPLICATION SUBMISSION POLICIES PERMIAN BASIN REGIONAL PLANNING COMMISSION GRANT APPLICATION SUBMISSION POLICIES Contact your Criminal Justice Planner at 432/563-1061 to receive information regarding the grant process. All applicants

More information

Collection: Hispanic or Latino OR Not Hispanic or Latino. Second, individuals are asked to indicate one or more races that apply among the following:

Collection: Hispanic or Latino OR Not Hispanic or Latino. Second, individuals are asked to indicate one or more races that apply among the following: Overview: The United States Office of Management and Budget (OMB) issued standards for maintaining, collecting, and reporting federal data on race and ethnicity. On October 19, 2007 the Department of Education

More information

REQUIREMENTS FOR ORIGINAL OPTOMETRY LICENSURE

REQUIREMENTS FOR ORIGINAL OPTOMETRY LICENSURE REQUIREMENTS FOR ORIGINAL OPTOMETRY LICENSURE Applicants must have attained their 18 th birthday. The academic requirements are at least six calendar years at the college level, four years of which shall

More information

OVW Fiscal Year 2014 Grants to Reduce Sexual Assault, Domestic Violence, Dating Violence, and Stalking on Campus Program Solicitation

OVW Fiscal Year 2014 Grants to Reduce Sexual Assault, Domestic Violence, Dating Violence, and Stalking on Campus Program Solicitation U.S. Department of Justice Office on Violence Against Women (OVW) OVW Fiscal Year 2014 Grants to Reduce Sexual Assault, Domestic Violence, Dating Violence, and Stalking on Campus Program Solicitation Solicitation

More information

Table A. Characteristics of Respondents that completed the survey

Table A. Characteristics of Respondents that completed the survey Table A. Characteristics of Respondents that completed the survey Characteristic Category Weighted Un- weighted Number % Number % Age 18 years old 4,111 8.8 700 8.4 19 years old 8,605 18.3 1,421 17.0 20

More information

MINORITY AND WOMEN-OWNED BUSINESS UTILIZATION AGREEMENT

MINORITY AND WOMEN-OWNED BUSINESS UTILIZATION AGREEMENT MINORITY AND WOMEN-OWNED BUSINESS UTILIZATION AGREEMENT This MINORITY AND WOMEN-OWNED BUSINESS UTILIZATION AGREEMENT ( Agreement ) is entered into as of, 20, by and among ( General Contractor ), having

More information

Health Care Compliance Certificate

Health Care Compliance Certificate Health Care Compliance Certificate The Health Care Compliance Certificate provides the unique skills needed to guide a health care organization through the complex maze of government laws and regulations.

More information

Associate Degree Scholarship Application Checklist Family Home Provider

Associate Degree Scholarship Application Checklist Family Home Provider Associate Degree Scholarship Application Checklist Family Home Provider Please submit all of the following information with your completed application. Complete application (all sections completed) Copy

More information

Volunteer Intern/Clerk Applications. Academic Status. Undergrad Graduate Student Law Student (1L) (2L) (3L) (Circle One) Application Term

Volunteer Intern/Clerk Applications. Academic Status. Undergrad Graduate Student Law Student (1L) (2L) (3L) (Circle One) Application Term OFFICE OF THE STATE S ATTORNEY COOK COUNTY, ILLINOIS ANITA ALVAREZ 69 W. Washington, Suite 3200 STATE S ATTORNEY Chicago, Illinois 60602 Volunteer Intern/Clerk Applications Academic Status Undergrad Graduate

More information

Annual Report On Insurance Agent Licensing Examinations

Annual Report On Insurance Agent Licensing Examinations Annual Report On Insurance Agent Licensing Examinations For the year ended December 31,, 2012 New York State Department of Financial Services Benjamin M. Lawsky, Superintendent INTRODUCTION The Report

More information

Neillsville Care & Rehab

Neillsville Care & Rehab 216 Sunset Pl Phone: (715) 743-5444 Fax: (715) 743-5448 An Equal Opportunity, Affirmative Action Employer Employment Application Position Applying for: PLEASE PRINT IN INK PERSONAL DATA LAST NAME FIRST

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Instructions for Applicants to the PhD Program Web page address: www.son.rochester.edu The University of Rochester School of Nursing uses a self-managed application

More information

Speech-Language Pathologist Limited License Application Checklist

Speech-Language Pathologist Limited License Application Checklist Speech-Language Pathologist Limited License Application Checklist I. All Applicants Must Submit: $100.00 Fee (check or money order payable to the Board of SLP) A recent 2x2 passport size color photo Signed

More information

Jump-Start/Final Step Scholarship Application Checklist Teachers and Directors of Centers

Jump-Start/Final Step Scholarship Application Checklist Teachers and Directors of Centers Checklist Teachers and Directors of Centers Please submit all of the following information with your completed application. Complete application (all sections completed) Copy of child care center/family

More information

A Guide to Federal Resources for Preventing and Responding to College Sexual Assault

A Guide to Federal Resources for Preventing and Responding to College Sexual Assault A Guide to Federal Resources for Preventing and Responding to College Sexual Assault How to Navigate the Funding Process U.S. Senator Kirsten Gillibrand New York 2015 *Note: This document will be updated

More information

Evidence Checklist FOR IMMIGRANT VICTIMS APPLYING FOR THE CRIME VICTIM VISA (U VISA) 1

Evidence Checklist FOR IMMIGRANT VICTIMS APPLYING FOR THE CRIME VICTIM VISA (U VISA) 1 Evidence Checklist FOR IMMIGRANT VICTIMS APPLYING FOR THE CRIME VICTIM VISA (U VISA) 1 This is a comprehensive list. In most cases, these documents are not mandatory. However, the more documentation available,

More information

Licensed Independent Clinical Social Workers Renewal/Reinstatement Application

Licensed Independent Clinical Social Workers Renewal/Reinstatement Application Vermont Secretary of State Attn: Renewal Clerk Office of Professional Regulation 89 Main St. 3 rd Floor Montpelier, VT 05620-3402 Clinical Social Workers 802-828-1505 renewalclerk@sec.state.vt.us www.vtprofessionals.org

More information

SOUTHEASTERN TECHNICAL INSTITUTE

SOUTHEASTERN TECHNICAL INSTITUTE SOUTHEASTERN TECHNICAL INSTITUTE DENTAL ASSISTING MEDICAL ASSISTING APPLICATION FOR ACADEMIC YEAR 201 6-2017 250 Foundry Street South Easton, MA 02375 Phone: 508.238.1860 Website: www.stitech.org Southeastern

More information

A Quick Summary for Domestic Violence Advocates

A Quick Summary for Domestic Violence Advocates A Quick Summary for Domestic Violence Advocates of the March 2010 HMIS Final Regulations The final regulations for HMIS were released in March 2010 and these regulations are generally a positive step in

More information

DOMESTIC VIOLENCE COURTS/DOCKETS AND FUNDING. February 6, 2015

DOMESTIC VIOLENCE COURTS/DOCKETS AND FUNDING. February 6, 2015 DOMESTIC VIOLENCE COURTS/DOCKETS AND FUNDING February 6, 2015 Presenters Honorable Steven D. Aycock, (Ret.), Judge-in-Residence, National Council of Juvenile and Family Court Judges Kelly Gaines Stoner,

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION SPALDING COUNTY BOARD OF COMMISSIONERS 119 E. Solomon Street, P.O. Box 1087 Griffin, Georgia 30224 www.spaldingcounty.com EMPLOYMENT APPLICATION SPALDING COUNTY ONLY ACCEPTS APPLICATIONS FOR CURRENTLY

More information

Updated 01.22.14. Doctor of Pharmacy (Pharm. D.) Transfer Student Application

Updated 01.22.14. Doctor of Pharmacy (Pharm. D.) Transfer Student Application Updated 01.22.14 Doctor of Pharmacy (Pharm. D.) Transfer Student Application Doctor of Pharmacy (Pharm. D.) Transfer Student Application This application is for students interested in transferring to the

More information

Associate Degree Scholarship Application Checklist

Associate Degree Scholarship Application Checklist Associate Degree Scholarship Application Checklist Please submit all of the following information with your completed application. Complete application (all sections completed) Copy of child care center/family

More information

ADMISSIONS APPLICATION

ADMISSIONS APPLICATION Office of Admissions & Recruitment 210 Herrick Road, Newton Centre, MA 02459-2243 USA 001-617-964-1100, x2430 800-964-2687, x2430 Fax 001-617-831-1630 admissions@ants.edu INSTRUCTIONS PLEASE TYPE OR PRINT

More information

Bachelor s Degree Scholarship Application Checklist

Bachelor s Degree Scholarship Application Checklist Bachelor s Degree Scholarship Application Checklist Please submit all of the following information with your completed application. Complete application (all sections completed) Copy of child care center/family

More information

MIDLAND COLLEGE HUMAN RESOURCES

MIDLAND COLLEGE HUMAN RESOURCES MIDLAND COLLEGE HUMAN RESOURCES 3600 N. Garfield. Midland, TX 79705-6397 Telephone: (432) 685-4532 Fax: (432) 685-6480 Website: www.midland.edu Equal Employment Opportunity Policy: Midland College declares

More information

C.1.5.2 (Procedure) Small, Minority, and Women Owned Business Enterprise Program PURPOSE DEFINITIONS

C.1.5.2 (Procedure) Small, Minority, and Women Owned Business Enterprise Program PURPOSE DEFINITIONS PURPOSE Alamo Colleges encourages the use of Small, Minority, and/or Women Owned Business Enterprises as herein below defined to assist in the implementation of this procedure through race, ethnicity,

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING. Accelerated Bachelor s Program for Non-Nurses

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING. Accelerated Bachelor s Program for Non-Nurses UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Bachelor s Program for Non-Nurses Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing.

More information

Sample Employment Application

Sample Employment Application Employment Application Please complete application in full and answer all questions completely. Type or print legibly. Indicate N/A if not applicable. Do not indicate See Résumé. A résumé may be attached

More information

Application for Employment

Application for Employment Human Resources 2405 East College Way Mount Vernon, WA 98273-5899 Job Line 360-416-7800 Fax 360-416-7878 E-mail: employ@skagit.edu Website: www.skagit.edu Application for Employment Skagit Valley College

More information

APPLICATION FOR APPOINTMENT TO BERKLEY/ALBANY MENTAL HEALTH COMMISSION

APPLICATION FOR APPOINTMENT TO BERKLEY/ALBANY MENTAL HEALTH COMMISSION Thank you for your interest in improving community mental health in Berkeley and Albany. Below is some important information about the Berkeley/Albany Mental Health Commission you should review before

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION 1161 E. Covina Blvd. Covina CA 91724 (626) 966-1632 Fax (626) 859-5249 EMPLOYMENT APPLICATION Aurora Behavioral Health Care - Charter Oak Hospital is an equal opportunity employer. Charter Oak Hospital

More information

EmployAble Pilot Study. Participant Screening and Pre-Survey

EmployAble Pilot Study. Participant Screening and Pre-Survey EmployAble Pilot Study Participant Screening and Pre-Survey EmployAble is a model Virtual Employment Orientation, Training, Resource and Support Center. It is funded by the Kessler Foundation and has been

More information

Table A. Characteristics of Respondents that completed the survey

Table A. Characteristics of Respondents that completed the survey Table A. Characteristics of Respondents that completed the survey Characteristic Category Weighted Un-weighted Number % Number % Age 18 years old 759 3.0 228 3.4 19 years old 1,462 5.7 400 6.0 20 years

More information

New York City School Construction Authority APPLICATION FOR. Minority/Woman Business Enterprise (M/WBE) CERTIFICATION

New York City School Construction Authority APPLICATION FOR. Minority/Woman Business Enterprise (M/WBE) CERTIFICATION New York City School Construction Authority APPLICATION FOR Minority/Woman Business Enterprise (M/WBE) CERTIFICATION APPENDI E(4) DOCUMENT CHECKLIST AND INSTRUCTIONS Supplier Only M/WBE Certification is

More information

2016 Visiting Undergraduate Student Application

2016 Visiting Undergraduate Student Application Hofstra University Office of Undergraduate Admission 100 Hofstra University Hempstead, NY 11549-1000 516-463-6700 hofstra.edu 2016 Visiting Undergraduate Student Application Matriculation A visiting undergraduate

More information

LINCOLN SCHOOL DISTRICT 156 410 157 th Street Calumet City, Illinois 60409-4798

LINCOLN SCHOOL DISTRICT 156 410 157 th Street Calumet City, Illinois 60409-4798 LINCOLN SCHOOL DISTRICT 156 410 157 th Street Calumet City, Illinois 604094798 Dear Applicant: APPLICATION FOR EMPLOYMENT FOR CERTIFIED PERSONNEL We welcome your application for employment in Lincoln Elementary

More information

Office of Human Resources 8470 North Overfield Road Coolidge, AZ 85128 CENTRAL ARIZONA COLLEGE EMPLOYMENT APPLICATION

Office of Human Resources 8470 North Overfield Road Coolidge, AZ 85128 CENTRAL ARIZONA COLLEGE EMPLOYMENT APPLICATION Office of Human Resources 8470 rth Overfield Road Coolidge, AZ 85128 CENTRAL ARIZONA COLLEGE EMPLOYMENT APPLICATION AN AFFIRMATIVE ACTION AND EQUAL OPPORTUNITY EMPLOYER Phone: (520) 494-5235 www.centralaz.edu

More information

NON-DEGREE/SPECIAL STUDENT ENROLLMENT

NON-DEGREE/SPECIAL STUDENT ENROLLMENT NON-DEGREE/SPECIAL STUDENT ENROLLMENT Enrolling as a non-degree student enables a person to take one or two graduate level social work courses per term in order to help focus their interests, to test capabilities

More information

Kentucky Justice & Public Safety Cabinet. Grants Management Branch

Kentucky Justice & Public Safety Cabinet. Grants Management Branch Kentucky Justice & Public Safety Cabinet Grants Management Branch 125 Holmes Street Frankfort, KY 40601 Catalog of Federal Domestic Assistance Number: 16.588 Violence Against Women Act (VAWA) STOP FORMULA

More information

Compensation. Financial Assistance. Resources. Office of Attorney General. for Victims of Crime in the Commonwealth of Massachusetts

Compensation. Financial Assistance. Resources. Office of Attorney General. for Victims of Crime in the Commonwealth of Massachusetts Resources If you are a crime victim, you have certain rights under Massachusetts Law, and you are eligible for certain services. For further information about victim rights and victim services, contact

More information

HIV and Hepatitis Social Marketing Campaign Application

HIV and Hepatitis Social Marketing Campaign Application Funding Title Office of Minority Health Resource Center (OMHRC) HIV and Hepatitis Social Marketing Campaign Subcontracts Funding Source OMHRC s HIV/AIDS and Hepatitis Awareness, Screening and Referrals

More information

DELTA STATE UNIVERSITY ROBERT E. SMITH SCHOOL OF NURSING RN TO BSN CONMPLETION PROGRAM APPLICATION

DELTA STATE UNIVERSITY ROBERT E. SMITH SCHOOL OF NURSING RN TO BSN CONMPLETION PROGRAM APPLICATION RN TO BSN CONMPLETION PROGRAM APPLICATION I am applying for the Summer of Full-time Part-time 1. Name in Full (Last) (First) (Middle) 2. Home Address (Number & Street or RFD) (City) (State) (Zip) (County)

More information

Office of the Inspector General U.S. Department of Justice

Office of the Inspector General U.S. Department of Justice Office of the Inspector General U.S. Department of Justice Audit of the Office on Violence Against Women Tribal Domestic Violence and Sexual Assault Coalitions Grants Awarded to the Native Alliance Against

More information

University Of Rochester School of Nursing. Leadership in Health Care Systems Masters Program Clinical Nurse Leader

University Of Rochester School of Nursing. Leadership in Health Care Systems Masters Program Clinical Nurse Leader University Of Rochester School of Nursing Leadership in Health Care Systems Masters Program Clinical Nurse Leader Thank you for your interest in the University of Rochester School of Nursing Clinical Nurse

More information

*****THIS FORM IS NOT A PROTECTIVE ORDER APPLICATION OR A PROTECTIVE ORDER*****

*****THIS FORM IS NOT A PROTECTIVE ORDER APPLICATION OR A PROTECTIVE ORDER***** SHAREN WILSON CRIMINAL DISTRICT ATTORNEY OF TARRANT COUNTY, TEXAS PROTECTIVE ORDER UNIT Family Law Center Phone Number 817-884-1623 200 East Weatherford Street # 3040 Fax Number 817-212-7393 Fort Worth,

More information

This report summarizes the information gathered by the National Sexual Violence Resource Center

This report summarizes the information gathered by the National Sexual Violence Resource Center National Sexual Assault Response Team Survey Report author - Jennifer Zajac 2009 This report summarizes the information gathered by the National Sexual Violence Resource Center (NSVRC) via a web-based

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING RN to BS Program Web Page Address: www.son.rochester.edu

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING RN to BS Program Web Page Address: www.son.rochester.edu UNIVERSITY OF ROCHESTER SCHOOL OF NURSING RN to BS Program Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing combined RN to BS Program

More information

Violent Victimization of College Students, 1995-2002

Violent Victimization of College Students, 1995-2002 U.S. Department of Justice Office of Justice Programs Bureau of Justice Statistics Special Report National Crime Victimization Survey January 25, NCJ 26836 Violent Victimization of College Students, By

More information

APPENDIX A. Definitions of Terms

APPENDIX A. Definitions of Terms APPENDIX A. Definitions of Terms This appendix provides explanations and definitions useful to understanding the Disparity Study. These definitions are only relevant in the context of the ITD Disparity

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Masters Program for Non-Nurses

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Masters Program for Non-Nurses UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Masters Program for Non-Nurses Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing.

More information

9. WILL THE INFORMATION I GIVE BE CHECKED? Yes and we may also ask you to send written proof.

9. WILL THE INFORMATION I GIVE BE CHECKED? Yes and we may also ask you to send written proof. Dear Parent/Guardian: Children need healthy meals to learn. Your child s school offers healthy meals every school day. Your childr en may qualify for free meals or for reduced price meals. 1. DO I NEED

More information

1. Name Last First Middle/Maiden. 2. Home Address. 3. Home Phone Alternate # Email. 4. Date of Birth Social Security #

1. Name Last First Middle/Maiden. 2. Home Address. 3. Home Phone Alternate # Email. 4. Date of Birth Social Security # State of Maryland Department of Health and Mental Hygiene Board of Examiners for Audiologists, Hearing Aid Dispensers and Speech-Language Pathologists 4201 Patterson Avenue, Baltimore, Maryland 21215-2299

More information

State Guidelines Point in Time and Housing Inventory Count of Homeless Persons. January 2016

State Guidelines Point in Time and Housing Inventory Count of Homeless Persons. January 2016 State Guidelines Point in Time and Housing Inventory Count of Homeless Persons January 2016 Contact Information For more information concerning these Guidelines, and the Homelessness Housing and Assistance

More information

Compliance Review of Georgia Criminal Justice Coordinating Council (09-OCR-0083)

Compliance Review of Georgia Criminal Justice Coordinating Council (09-OCR-0083) U.S. Department of Justice Office of Justice Programs Office for Civil Rights Washington, D.C. 20531 CERTIFIED MAIL: RETURN RECEIPT REQUESTED Mr. Robert Thornton Program Director 104 Marietta Street, Suite

More information

Food Safety and Inspection Service Research Participation Program

Food Safety and Inspection Service Research Participation Program Food Safety and Inspection Service Research Participation Program Application Date: Applicant Type: If other, please specify: Position Posting Number: 1. Name: First Name Middle Name Last Name Suffix 2.

More information

State VOCA Administration and GIS Mapping

State VOCA Administration and GIS Mapping How State VOCA Administrators Can Use GIS State VOCA administrators can use GIS in many ways. As an analytical tool, GIS can identify trends and patterns not discernible by tabular inquiries. An example

More information

Consultant Application

Consultant Application Consultant Application Education Service Center Region 12 2101 W. Loop 340 Waco, Texas 76712 254-297-1212 254-666-0625 The Education Service Center Region 12 does not discriminate on the basis of race,

More information

Johns Hopkins University School of Medicine. Application for Postdoctoral Research Fellowship Training

Johns Hopkins University School of Medicine. Application for Postdoctoral Research Fellowship Training Johns Hopkins University School of Medicine Application for Postdoctoral Research Fellowship Training General Instructions for Completion of this Application Each section must be complete and legible or

More information

*****THIS FORM IS NOT A PROTECTIVE ORDER APPLICATION OR A PROTECTIVE ORDER*****

*****THIS FORM IS NOT A PROTECTIVE ORDER APPLICATION OR A PROTECTIVE ORDER***** SHAREN WILSON CRIMINAL DISTRICT ATTORNEY OF TARRANT COUNTY, TEXAS PROTECTIVE ORDERS Family Law Center Phone Number 817-884-1623 200 East Weatherford Street # 3040 Fax Number 817-212-7393 Fort Worth, Texas

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Nurse Practitioner Masters Program Web Page Address: www.son.rochester.edu

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Nurse Practitioner Masters Program Web Page Address: www.son.rochester.edu UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Nurse Practitioner Masters Program Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing Nurse Practitioner

More information

Review of the Office of Justice Programs Forensic Science Improvement Grant Program. December 2005

Review of the Office of Justice Programs Forensic Science Improvement Grant Program. December 2005 U.S. Department of Justice Review of the Office of Justice Programs Forensic Science Improvement Grant Program December 2005 I-2006-002 EXECUTIVE SUMMARY The Department of Justice Paul Coverdell Forensic

More information

March 24, 2014. Massachusetts Association of Hispanic Attorneys 16 Beacon Street Boston, MA 02108

March 24, 2014. Massachusetts Association of Hispanic Attorneys 16 Beacon Street Boston, MA 02108 HAMPDEN COUNTY LAWYERS FOR JUSTICE, INC. 95 State Street, Suite 1026 Springfield, MA 01103-2037 Telephone; (413) 732-7110 FAX: (413) 732-6545 E-mail: hampdenba@gmail.com March 24, 2014 Massachusetts Association

More information

What is your racial origin? (check all that apply) White Black or African Descent

What is your racial origin? (check all that apply) White Black or African Descent W-1QMB (Rev. 4/10) State of Connecticut Department of Social Services Medicare Savings Programs Application/Redetermination (QMB, SLMB, ALMB) Do you need a reasonable accommodation or special help to complete

More information

U.S. Department of Justice Office on Violence Against Women ANNUAL PROGRESS REPORT FOR Sexual Assault Services Formula Grant Program

U.S. Department of Justice Office on Violence Against Women ANNUAL PROGRESS REPORT FOR Sexual Assault Services Formula Grant Program U.S. Department of Justice Office on Violence Against Women ANNUAL PROGRESS REPORT FOR Sexual Assault Services Formula Grant Program Brief Instructions: This form must be completed for all Sexual Assault

More information

Homebuyer(s) Property Address 8-30-13 REQUIREMENT DOCUMENT LENDER COMMENTS

Homebuyer(s) Property Address 8-30-13 REQUIREMENT DOCUMENT LENDER COMMENTS Frederick County Department of Housing and Community Development Neighborhood Conservation Initiative (NCI) Program LENDER CHECKLIST for NCI/AG APPLICATION PACKAGE Homebuyer(s) Property Address 8-30-13

More information

TRAINING REQUIREMENTS FOR STAFF, VOLUNTEERS, INTERNS, AND LEADERS DESIGNATED WITH

TRAINING REQUIREMENTS FOR STAFF, VOLUNTEERS, INTERNS, AND LEADERS DESIGNATED WITH TRAINING REQUIREMENTS FOR STAFF, VOLUNTEERS, INTERNS, AND LEADERS DESIGNATED WITH RESPONSIBILITY FOR THE OVERSIGHT OF THE GRANT FUNDED ACTIVITIES Non-profit Organizations: Leaders may be the Board of Directors

More information