Bureau of Autism Services Support Group Project Grants

Transcription

1 Bureau of Autism Services Pennsylvania Department of Public Welfare Health & Welfare Building, Room th & Forster Streets Harrisburg, Pennsylvania ANNOUNCEMENT December 2007 Bureau of Autism Services Support Group Project Grants The Pennsylvania Department of Public Welfare, Bureau of Autism Services, is pleased to announce the availability of project grants up to $3,000. The Bureau will award funds to small organizations that support individuals with an Autism Spectrum Disorder (ASD) and their families. Applications are due by not later than 4:00pm, February 8, 2008 and awards will be announced on or about February 29, I. ORGANIZATIONS ELIGIBLE FOR FUNDS: a. Are Pennsylvania not-for-profit organizations with 501(c)(3) certification. If an organization does not have its own 501(c)(3) certification, the applying organization must partner with an organization that has a 501(c)(3) certification. The organization with 501(c)(3) certification will act as a fiscal agent or sponsor for the applicant organization. b. Are led by families and/or individuals with ASD and support families and/or individuals with ASD and have at least 15 parents/self-advocates as active participants. c. Have total income from all sources, over the past two years, of less than $50,000. II. PROJECTS ELIGIBLE FOR FUNDS: [ a. Must be completed by July 1, b. Cost no more than $3,000 (or, if the cost exceeds $3,000, the organization has the resources to provide the excess funds and the total project cost does not exceed $5,000). c. Focus on problem areas or areas where there are clear gaps in services for individuals with ASD and their families. d. Projects which may be eligible for funding may include (but are not limited to) those which: Raise community awareness of ASDs. Provide information and education to organizations participants (e.g. conferences, workshops, trainings). Provide networking opportunities for participants. Support recreation programs for individuals with ASD. Support group respite programs (e.g. drop-off programs, outside of the home. e. Grant funds may not be used to: Purchase or lease furniture or equipment Pay salaries to the organization s officers or members Pay for activities that are reimbursable by PA Dept. of Education or EPSDT/MA services

2 III. GRANT AWARD CRITERIA: a. Scope/impact of project (number of individuals with ASD or families served, type of information provided). b. Extent to which project addresses problem areas or gaps in services and resources. c. Overall clarity of proposal. d. Reasonableness of proposed budget. IV. GRANT AWARD FUNDING a. The anticipated award decision date is on or about February 29, Organizations which have been awarded grant funding will be contacted via . b. 50% of the amount of the grant award will be funded on or about March 7, The remaining grant amount will be disbursed after submission of final report and invoices (see Section V). c. List of grantees may be posted on the Bureau of Autism website: d. Acknowledgement on any materials produced by the grant recipient communicating the program must include the following sentence on flyers and announcements, etc.: Grant funding provided by Pennsylvania Department of Public Welfare, Bureau of Autism Services. V. FINAL REPORT AND INVOICE PROCEDURES: On or before July 31, 2008, grantees will need to submit the items listed below. The remaining 50% disbursement under the grant will be disbursed by no later than August 31, 2008, providing the project has been completed as approved and all required documentation (invoices, forms, etc.) has been submitted. a. Brief report on the group s activities funded by the grant b. A final accounting of expenses (Form B) c. Itemized receipts reflecting services provided with the grant funds. VI. SUMMARY OF DEADLINES DATES a. Proposals must be received on or before 4:00pm, February 8, b. Award Date on or about February 29, c. Initial Funding Date On or about March 7, d. Project Completion Date July 1, 2008 e. Final Report and Invoices Due July 31, 2007 f. Final Funding Date August 31, 2008 VII. PROPOSAL SUBMISSION CHECKLIST Proposal submission must include the following: a. Completed application form (Form A) which lists addresses for contact person, background information on the applicant organization, including history, experience, program operation financial information, active participants and names of officers or organizing committee members. b. Copy of 501(c)(3) certification. If group does not have 501(c)(3) status, the 501(c)(3) certification letter of the fiscal agent is included along with a letter from the fiscal agent agreeing to assume that role. 2

3 Proposals may be sent by or by U.S. Mail and must be received or postmarked by no later than 4:00pm February 8, Phone inquiries or faxed applications will not be accepted. Incomplete applications will not be reviewed nor will they be returned to sender. Send proposal with attachments via with subject line: SUPPORT GROUP GRANTS to: OR Send proposal with attachments by mail to: Attn: Support Group Grants Pennsylvania Department of Health & Welfare Bureau of Autism Services Health & Welfare Bldg. 7 th and Forster Sts. Rm 501 Harrisburg, PA

4 Bureau of Autism Services Support Group Project Grants FORM A APPLICATION FORMAT Applicant Information: Name of Applicant Organization: Contact Person (Authorized Organizational Representative AOR) EIN/FID Number: Organization name on file with the PA. Dept. of State for the EIN/FID number listed: Fiscal Agent/Sponsor Contact Person (Authorized Organizational Representative, only if different from Applicant Organization name above): Authorized Organizational Representative. The authorized organizational representative is the designated representative of the applicant/recipient organization with authority to act on the organization s behalf in matters related to the award and administration of grants. In signing a grant application, this individual agrees that the organization will assume the obligations imposed by applicable Federal statutes and regulations and other terms and conditions of the award, including any assurances, if a grant is awarded. These responsibilities include accountability both for the appropriate use of funds awarded and the performance of the grant-supported project or activities as specified in the approved application. Organizational Information (mission, history, number of participants) List the type of support services and resources the applicant organization provides to its participants 4

5 Detailed Description of Proposed Project Proposed Budget Expenses: Itemized Activity Expenses/Purchases #1: = $ #2: = $ #3: = $ #4 = $ #5 = $ #6 = $ #7 = $ TOTAL = $ *May not exceed $3,000 Provide any additional budget justification details. (Attach additional pages, if needed) : Authorized Organizational Representative Signature: Title: Printed Name: 5

6 Bureau of Autism Services Support Group Project Grants FORM B FINAL REPORT FORMAT Applicant Information: Name of Applicant Organization: Contact Person (Authorized Organizational Representative AOR) EIN/FID Number: Organization name on file with the PA. Dept. of State for the EIN/FID number listed: Fiscal Agent/Sponsor Contact Person (Authorized Organizational Representative, only if different from Applicant Organization name above): Authorized Organizational Representative. The authorized organizational representative is the designated representative of the applicant/recipient organization with authority to act on the organization s behalf in matters related to the award and administration of grants. In signing a grant application, this individual agrees that the organization will assume the obligations imposed by applicable Federal statutes and regulations and other terms and conditions of the award, including any assurances, if a grant is awarded. These responsibilities include accountability both for the appropriate use of funds awarded and the performance of the grant-supported project or activities as specified in the approved application. Describe Project Outcomes: Describe Challenges/Opportunities: 6

7 Actual Project Expenses: Itemized Activity Expenses/Purchases #1: = $ #2: = $ #3: = $ #4 = $ #5 = $ #6 = $ #7 = $ (attach additional sheets, if necessary) TOTAL = $ *May not exceed $3,000 Explain variances between proposed and actual final budget: Attach original receipts, invoices or other proof of cost for every purchase listed within your itemized budget. Also attach sign-in sheets, public notices, flyers, etc. I certify that the above information is true and correct to the best of my knowledge: Authorized Organizational Representative Signature: Title: Printed Name: 7