1999 Grant application kit (Georgia. Children and Youth Coordinating Council)

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GRANT APPLICATION KIT

Office of the Governor Children and Youth Coordinating Council
Suite 410 10 Park Place South Atlanta, Georgia 30303
Telephone: (404) 656-1725 www.cycc.state.ga.us
This publication has been especially prepared under Grant #97JF-FX-0013 (Office of Juvenile Justice and Delinquency Prevention, United States Department of Justice) and Grant #1-XO1-MC0000-7-01 (United States Department of Health and Human Services). The Children and Youth Coordinating Council hopes this edition will serve the needs of those entities eligible for funding in providing services to Georgia's children, youth and families.

TABLE OF CONTENTS
INTRODUCTION....................................................... 1
APPLICATION CRITERIA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
APPLICATION SUBMISSION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
DEADLINE= MARCH 8, 1999 AT 5:00 P.M.
APPLICATION REVIEW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
NOTIFICATION OF AWARDS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
GRANT AWARD AMOUNTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
FUND AVAILABILITY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
GENERAL FUNDING POLICIES: Juvenile Justice,Title V Prevention .............................. 5 Abstinence Education......................... . . . . . . . . . . . . . . . . . . . . 7
CONTINUATION FUNDING POLICIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
UNALLOWABLE GRANT EXPENDITURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
SUBGRANTEE REPORTING REQUIREMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
INSTRUCTIONS FOR COMPLETING PROJECT NARRATIVE . . . . . . . . . . . . . . . . . . . . . . 12
PROCESS FOR MINI-GRANTS AND FORMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Mini-Grant Application (3 Pages)
APPLICATION CHECKLIST AND FORMS Application Face Sheet Detailed Budget Summary Detailed Budget Narrative Letter of Consent Audit Information Certification of Equal Employment Program Certification Regarding Lobbying, Debarment & Drug-Free Workplace Non-Supplanting Certification
ADDITIONAL INFORMATION CYCC Board Members CYCC Technical Assistance Directions and Map to CYCC Office

1999 CYCC Application Kit

INTRODUCTION

Page 1

The CYCC receives an annual allotment of grant funds from the United States Department of Justice, Office of Juvenile Justice and Delinquency Prevention (OJJDP), and from the Georgia State Legislature. These grant funds are provided to prevent and control juvenile delinquency, to deinstitutionalize juvenile offenders, to provide for the total separation of juvenile and adult offenders, to establish community-based programs, and to improve opportunities for at-risk children and their families. For the spring 1999 funding cycle, the CYCC has approximately $1.3 million available for new programs. The CYCC will determine, based on program areas, which applicants receive federal or state funds.
In addition to juvenile justice funding, the CYCC will administer $43,995 in 1999 for abstinence education programs. Due to the limited amount of new funding for abstinence education, the Council will issue approximately 9-12 one-time, single-year mini grants of $5,000 or less during this grant cycle. These funds are allocated to Georgia from the United States Department of Health and Human Services.
Each program area and funding capacity is explained in detail in the accompanying 1999 Request for Proposals.

APPLICATION CRITERIA
The Children and Youth Coordinating Council will accept grant applications from state and local governments, school systems and non-profit 501 (c)(3) organizations, including religious groups that possess a 501 (c)(3) or group tax exemption status. Refer to the 1999 Request for Proposals for descriptions of eligible applicants for each program area.
DURING JANUARY 13-22, 1999, THE COUNCIL WILL SPONSOR SIX GRANT WRITING WORKSHOPS ACROSS THE STATE. PRIOR TO THE SUBMISSION OF A GRANT PROPOSAL, A REPRESENTATIVE OF THE APPLYING AGENCY MUST ATTEND ONE OF THE WORKSHOPS IN ORDER TO BE CONSIDERED ELIGIBLE FOR FUNDING. THOSE APPLICANTS SEEKING SECOND OR THIRD YEAR CYCC FUNDING ARE NOT REQUIRED TO ATTEND A WORKSHOP UNLESS SUBMITTING AN APPLICATION FOR A NEW PROGRAM.
Applicants must identify and provide letters of support from public and private agencies and organizations with which the applicant has or will coordinate vital project activities. These letters should be addressed to the Council Executive Director and must be submitted with the proposal.
Applications which are jointly presented from two agencies (i.e., county government and a non-profit agency) must submit an agreement between the two entities, defining who the lead applicant will be, and how paperwork will flow.

1999 CYCC Application Kit

Page 2

Non-profit organizations applying for funds must have been in existence for at least 12 months and must have their 501 (c)(3) status at the time of filing the application and must provide a certified financial statement (audit) with the application. Those organizations that do not have an audit must submit a financial compilation/summary with the application. The compilation must include the six items listed below as mandated by O.C.G.A. 50-20-3.

1. The non;.profit contractor's financial condition at the end of the previous fiscal year, including revenues and expenditures for that fiscal year.

2. An individual listing of each employee and his/her salary and reimbursable expenses.

3. A listing by category of the sources of income of the non-profit organization.

4. A listing of the source or sources of all public funds received by the non-profit contractor and the program for which the funds were received.

5. A statement (letter) by the organization's president or person responsible for the financial statements stating the accounting basis of presentation and describing any respects in which the statements were not presented on a basis consistent with the statements prepared for the preceding fiscal year.

6. A copy of the non-profit status form 501 (c)(3) issued by the Internal Revenue Service. Note: religious organizations may fall under a group tax exemption status and must provide verification from the IRS of this exemption. (Do not send a copy of the tax return or a copy of incorporation by the GA Secretary of State.)

Applicants must also certify that an Equal Employment Opportunity Plan exists which is consistent with federal guidelines for minority persons and females. This requirement is mandatory for any organization requesting $25,000 or more in grant funds and having 50 or more employees (certification included in appendix section).

Should you have any questions in completing an application for grant funds or if you need technical assistance on program development, CYCC staff is available to assist you. A telephone listing of technical staff is provided in the back of this booklet.

1999 CYCC Application Kit
APPLICATION SUBMISSION

Page 3

Applicants must submit an original and five (5) additional copies of the grant application. The original of the application should be bound by binder clip only: however, the copies may be stapled or bound. The narrative portion of the application must follow an outline form as described on page 12.
Applications must be postmarked with a United States Post Office postmark or other carriers which provide date verification (Federal Express, etc.) by March 8, 1999 and mailed to the following address. METERED POSTMARKS WILL NOT BE ACC~PTED. If desired, proposals may be hand-delivered by 5:00 p.m. on March 8, 1999. [Directions to the CYCC office are located in the back of this booklet.]
Children and Youth Coordinating Council Suite 410, 10 Park Place South Atlanta, Georgia 30303
Applicants will not receive verification from the CYCC regarding receipt of the application package. In addition, due to the anticipated large volume of applications, we ask that you do not call the office to verify receipt. Applicants wishing to verify receipt are encouraged to use a return receipt service provided by the post office or other such carriers.
Applications may be rejected by the CYCC with no action taken for two reasons:
1) LATE SUBMISSION: It is the responsibility of the applicant to ensure that the proposal is received by the CYCC by the specified deadline. NO EXCEPTIONS!
2) INCOMPLETE APPLICATION: Applications will be considered incomplete if any of the following elements are missing;
a. Original signature of the applying agency's executive officer.
b. Grant Application Face Sheet

c. Detailed Budget Summary d. Budget Narrative e. Project Narrative

g. Certifications h. An original and five (5) copies of the application documents

1999 CYCC Application Kit
APPLICATION REVIEW

Page 4

Each application received by the CYCC will be reviewed to ensure that the proposed project meets the established requirements and objectives of the program area. The application will also receive a budgetary review to ensure reasonableness and allowability of costs. Applicants may be requested by CYCC staff to provide further information during the review process.
Applications will be reviewed in a competitive manner by the Council and staff based on such factors as: the seriousness and extent of the problems to be addressed; existing availability (or lack thereof) of local resources; clarity and feasibility of program design and methodology; cost effectiveness; the likelihood of permanent funding of the project; the degree of volunteer support and interagency collaboration; and compatibility with the program areas described in the 1999 Reguest for Proposals.
NOTIFICATION OF AWARDS

Applicants will be notified in writing of the Council's decision by May 31, 1999. Applicants whose projects are denied will be notified of such denial. The applicant will also be notified of the right to appeal the denial and given procedures for initiating an appeal.
GRANT AWARD AMOUNTS

Due to the limited amount of funds available, it may be necessary for the Children and Youth Coordinating Council to reduce the amount of the grant award from that requested by the applicant. In addition, the Council reserves the right to negotiate budgetary changes with the applicant prior to executing the grant award agreement. The applicant may decline to accept the amended or reduced grant award, or the applicant may request a commensurate amendment or reduction in the scope of the project.
FUND AVAILABILITY

If, during the term of the grant award, the funds appropriated for the purposes of the grant award are reduced or eliminated by the Georgia State Legislature or the United States Government, the Children and Youth Coordinating Council may immediately terminate or reduce the grant award by written notice to the grantee. However, no such termination or reduction shall apply to allowable costs already incurred by the grantee to the extent that funds are available for payment of such costs.

1999 CYCC Application Kit
A. GENERAL FUNDING POLICIES for: > Juvenile Justice Delinquency Prevention & Treatment
> Title V Prevention

Page 5

1. The principal purpose of the Council's grant program is to provide seed money for the development of new or expanded programs serving at-risk children and youth which are to be continued permanently with local or state funding at the conclusion of Council funding.

2. Funding will usually be provided either for the initiation of new projects or for expanding the capacity of established programs. Requests for the funding of existing operating costs of established programs will not be considered.

3. One of the Council's primary objectives is to reduce th~ over-representation of minority youth in the state's secure juvenile facilities and the juvenile justice system as a whole. Programs serving minority youth are, therefore, a primary focus of the Council's grant program and will be given a high priority in funding decisions.

4. Applications providing for intensive collaboration between local organizations will be given a high priority by the Council as will programs which incorporate parenting classes or similar types of parental involvement for the parents of participants.

5. Funding cannot be provided to supplant (i.e., replace) obligations that clearly belong to local or state units of government.

6. Funding requests to establish programs that fall within the primary responsibilities of other organizations will be given a low priority in Council funding decisions.

7. Applications for educational programs operating during normal school hours at school facilities will be given a low priority in Council funding decisions.

8. Because the primary emphasis of the Council's grant program is to prevent youth from either entering the juvenile justice system or from incarceration once they have offended, requests for the funding of secure institutional programs will not be considered.

9. Council grant funds may not be utilized under any circumstances for construction purposes.

10. Programs will be funded for one-year periods renewable each year for a total of three years, unless otherwise noted in the 1999 Request for Proposals.

11. Second- and third-year continuation grants will be awarded primarily on the basis of the project's prior year(s)' accomplishments, past success in meeting the Council's administrative requirements and the degree of local commitment to continuing the program permanently at the conclusion of Council funding.

1999 CYCC Application Kit

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12. The Council will solicit applications for new programs through a competitive grants program between January 1 and March 15 of each year. Application notices will be distributed to a wide variety of child-serving agencies and organizations, and mandatory pre-application workshops will be held across the state for all interested parties. Awards resulting from this process will normally be announced by June 1 of that year.

In addition, applications for second- and third-year continuation funding only will be reviewed through a competitive process during the fall of each year.

13. The CYCC will ensure that program proposals for all congressional districts are given equal consideration during its grant review process.

14. In order to respond to specific needs as they arise, the CYCC reserves the right to designate particular funding priorities during each funding cycle.

15. Matching funds and/or in-kind services are encouraged but not required unless otherwise noted in the 1999 Request for Proposals. However, all successful thirdyear-continuation applications over $10,000 will be subject to a 25% reduction in funding from the first-year award for the project. Note: CYCC funding. in many instances. may not be sufficient to fully implement the program. Therefore. local match should be noted in the application.

16. Due to the limited amount of funds available each year, the Council reserves the right to reduce the amount of any grant award from that requested by the applicant.

17. All projects administered by a non-government entity are required to have an active advisory council composed of representative members of the community and social service professionals. Subgrantees are, however, encouraged to utilize existing organizations, such as local coalitions on children and youth, for this purpose._

18. The CYCC considers the gathering and reporting of data on program accomplishments to be critical. Evaluation findings must be included in applications for continuation (showing progress to date) and in the annual program report required after the end of each project year. Evaluation findings should demonstrate both the successful implementation of the program and the impact of the program on its participants and/or the community as a whole.

19. The CYCC requires all subgrantees to perform background investigations on all project staff and volunteers providing direct services to program participants. Discretion is left to subgrantees in determining methodology for completing background investigations, but a description of this methodology must be included in the application for funding.

1999 CYCC Application Kit
B. GENERAL FUNDING POLICIES for:
> Abstinence Education Mini-Grant Applications

Page 7

1. Only programs adhering to the provisions of Public Law 104-193 regarding "Abstinence Only" education programs are eligible for funding.

2. The principle purpose of this grant program is to provide seed money for the development of new or expanded programs which are to be continued permanently with local or state funding at the conclusion of grant funding, or provide funding for one-time purchases to enhance or develop appropriate abstinence education projects.

3. Funding cannot be provided to supplant obligations that clearly belong to local or state units of government.

4. Funding requests for programs and/or activities that fall within the primary responsibilities of other organizations will be given a low priority in Council funding decisions.

5. Grant funds may not be utilized under any circumstances for construction purposes.

6. Successful applicants are required to provide matching funds and/or in-kind services totaling 37.5% of the amount of grant funding awarded.

7. Due to the limited amount of funds available each year, the Council reserves the right to reduce the amount of any grant award from that requested by the applicant.

8. Funding awarded through this program area cannot be utilized in any fashion for family planning purposes.

CONTINUATION FUNDING POLICIES

Although a project may anticipate funding for a three-year period, it must annually submit a proposal and compete for funding. Initial funding is no guarantee of continued funding. An annual submission will allow a project to improve or modify its objectives or activities and to be assessed to the degree in which it has succeeded in reaching its annual objectives. Continuation of a previously funded project will be dependent on the subgrantee's ability to:
(1) demonstrate the project's prior year(s)' accomplishments;
(2) show that the project is addressing a high priority CYCC problem area; and

(3) demonstrate strong likelihood that the project will be continued beyond CYCC funding.

1999 CYCC Application Kit
UNALLOWABLE GRANT EXPENDITURES

Page 8

The following types of expenditures cannot be purchased with grant funds as prescribed by federal, state and Council regulations.
Restricted by Federal Regulations:
1. Supplantation. Grant funds cannot be used to supplant (replace) existing funds in order to free up those funds for another use.
2. Cost of grant preparation including fees paid to consultants.
3. Land Acquisition.
4. Compensation offull-time federal employees (salary payments, consulting fees, or other payments are prohibited).
5. Military-type equipment including weapons.
6. Lobbying Efforts. Includes fees to lobby; printing and publicity efforts; campaign contributions; letter-writing and telephone campaigns to influence federal and state legislation; and legislative liaison activities, EXCEPT direct testimony regarding effectiveness of grant program.
7. Fund-Raising Efforts. Cost of organized fund-raising or salary of individual engaged in fund-raising activity. This does not prohibit fund-raising efforts of non-profit organizations when financed with other sources of income.
8. Corporate Formation.
9. Imputed Interest.
10. Consulting fees must not exceed $450.00 for an 8-hour day in accordance with federal regulations. Consultant rates should be appropriate and commensurate with the type of work performed. Consultants employed by state or local governments will be allowed only when the government entity will not provide those services without cost. In these cases, the rate of compensation is not to exceed the daily salary rate paid by the government entity. (For the compensation formula related to consultants associated with educational institutions, contact CYCC Project Manager).
Source: OJP (Office of Justice Programs) Financial Guide, September 1996, as amended.

1999 CYCC Application Kit
Restricted by State Regulations:

Page 9

1. Mileage in excess of $.25 per mile. Source: State of Georgia Travel Regulations, July 1998.

2. Political activity including endorsement of any political candidate or party; use of equipment, postage, stationery or personnel on behalf of any candidate or any question of public policy subject to a referendum; and the display of political posters, stickers or other printed material. Source: O.C.G.A. 50-2-3.

Restricted by Council Policy:

1. Construction costs including capital improvements.

2. Building Rental/Lease.

3. Salary increases which result in overall award increase are prohibited unless actual number of hours worked are increased. However, salary increases will be allowed if the agency can shift grant funds among categories without increasing the grant award.

4. Indirect Costs.

5. Honoraria. Payments to participating individuals or guests other than for documented professional services actually rendered (no speaker's fees).

6. Uniform Rental.

7. Computer purchases unless directly utilized by program participants and unavailable through other sources.

8. Vehicle purchases unless deemed crucial to the success of the program and determined to be unavailable through other sources.

Note: Requested expenditures using grant funds must be directly related to the grant program, not overall agency usage.

1999 CYCC Application Kit
SUBGRANTEE REPORTING REQUIREMENTS

Page 10

Applicants which receive grant awards are required to file certain reports and meet special requirements during the project year.
I. Reports Required
A. Financial Reports (monthly or quarterly)
1. Expenditure Report/Reimbursement Request - submitted within 30 days after the end of each grant quarter, or may be submitted monthly. PLEASE NOTE THAT GRANT FUNDS ARE PROVIDED ON A REIMBURSEMENT BASIS ONLY.
2. Supporting data must be maintained by the subgrantee relating the expenditure of grant and local funds when required. This data includes time and attendance records, equipment purchases, travel logs, supply purchases, inventory records, and consultants' contracts.

3. Attendance at a 3-hour grants management workshop (held within one month of award notification) is mandatory prior to the release of grant funds. In the event of non-attendance at the workshop, it is the responsibility of the subgrantee to arrange a meeting at the CYCC office to receive assistance.
8. Programmatic Reports (quarterly)
1. Notice of Implementation - submitted within 60 days of award notification documenting the implementation ofthe project orjustifying the delay in implementation.
2. Progress Reports - submitted within 30 days of the end of each quarter.
3. Final Evaluation Report- due at the conclusion of each project (within 30 days) and must be approved by CYCC staff prior to release of the final reimbursement.
II. Applicable Grant Management Guidelines
A. Federal Requirements
1. 0MB Circular A-87, Cost Principles for State and Local Governments
2. 0MB Circular A-110, Grants and Agreements with Institutions of Higher Education,- Hospitals and Other Non-Profit Organizations

1999 CYCC Application Kit

Page 11

3. 0MB Circular A-122, Cost Principles for Non-Profit Organizations

4. 0MB Circular A-133, Single Audit Act

5. U.S. Department of Justice, Office of Justice Programs (OJP) Financial Guide, September 1996 as amended

B. State and Local Requirements

1. State law, or local ordinances

2. State and/or local purchasing laws and regulations

3. CYCC Subgrantee Financial and Grants Management Manual (copy provided to all subgrantees upon receipt of grant award)

More details on grant management requirements are available from the staff of the Children and Youth Coordinating Council and will be presented in detail at the grants management workshop held within one month of grant award issuance.

Ill. Audit Requirements

The CYCC will condition every grant award to require that the subgrantee provide for an independent audit (or financial compilation) of its financial operations, including compliance with applicable federal and state laws and regulations, and that the CYCC be provided with a copy of such audit reports within 15 days of issuance.

The audit/compilation shall be made in accordance with 0MB Circular A-133 (Single Audit Act) and must also be in compliance with all applicable State of Georgia laws (O.C.G.A. 50-20-2 through 50-20-8).

1999 CYCC Application Kit

Page 12

INSTRUCTIONS FOR COMPLETING PROJECT NARRATIVE

The following information provides a description of the necessary components to be contained in the project narrative portion of your proposal. The entire project narrative must be limited to 10 pages. Please prepare the narrative in an outline form as indicated below.
I. PROBLEM STATEMENT
This section should begin with a brief description of the program's format and general purpose. The applicant should then illustrate the need for the project, providing specific local data concerning the specific problem(s) and risk factors to be addressed. Data concerning racial and ethnic composition of the population, population underage 20, child poverty rate, teen birth rate, school dropout rate, and juvenile court trends should be provided in this section. If the project targets a particular neighborhood within the county/city, specific background information should, if possible, be provided concerning that community. If possible, data should be provided concerning risk factors which may be altered as a result of the program (i.e., recidivism, school attendance rates).
The applicant may also describe existing gaps in local services for at-risk children and youth and how the proposed project will address these needs. It is not necessary for this section to be extensive. However, it should clearly define the problem(s) and risk factors targeted by the program as well as the population to be served.
II. PROGRAM GOALS
The applicant should list the program's primary goals in a clearly defined and measurable manner. Goals should relate directly to the issues and risk factors discussed in the problem statement. Whenever possible, goals should be measurable as compared to available baseline data (i.e., to improve the grades of program participants during the year; or to prevent participants from re-offending after entering the program) and must be consistent with the objectives of the specific program area described in the Council's Request for Proposals (RFP).
Program goals should usually be limited to ten or less and should consist of a combination of performance and outcome measures.
A. Performance Goals
Performance goals relate to the implementation and actual operation of the program and set standards used to determine the project's success in actually delivering services. They must include the estimated number of participants to be served annually and the projected daily capacity of the program. Performance goals may also include such things as instituting specific activities or the delivery of a specified quantity of various services. An example of performance goals for a typical program might be:

1999 CYCC Application Kit

Page 13

(1) to serve 60 youth annually during four 12-week sessions serving 15 youth at a time.

(2) to provide structured recreation and hourly tutoring sessions for all participants three evenings a week.

(3) to conduct weekly group counseling sessions.

(4) to conduct six-week parent education courses open to parents of all participants.

It is not necessary to include official performance goals for all program activities or components. The program's goals should, however, address those activities considered most crucial to intervening in the risk factors identified by the program as its primary focus.

Performance goals should be realistic and as uncomplicated as possible and must be measurable through the program's evaluation component. Although these goals should be tailored to the specific activities and target population of each project, they usually should include, at a minimum, measures relating to number of participants enrolled, number completing the program, and quantity and quality of services provided. Other performance goals may be designated to reflect the focus of individual programs.

B. Outcome Goals

Outcome goals specify the actual impact that the program expects to have on its participants and/or the community as a whole. Program outcomes should relate directly to program activities and risk factors targeted by the project. For example, a delinquency prevention program might focus_ on reducing delinquency by improving the grades and school attendance of program participants. In this instance, the program's outcome goals might be:

(1) to increase the grade point averages of program participants by at least one letter grade after they have completed the program.

(2) for program participants with histories of chronic truancy, to improve their school attendance; or, for program participants to achieve school attendance levels equal to that of the school system as a whole.

(3) to prevent participants from entering the juvenile justice system after entering the program.

1999 CYCC Application Kit

Page 14

(4) to reduce the annual number of juvenile court referrals for the county over a three-year period.

If the program focuses on working with juvenile offenders, then preventing re-offenses would be a primary outcome goal for the project. Other examples of outcome goals would be:

(1) to reduce the juvenile court commitment or detention rate;

(2) to reduce a targeted community's school dropout rate;

(3) to reduce teenage pregnancy rates;

(4) for a specified percentage of program participants, to obtain employment after completing the program;

(5) to increase self-esteem or a particular area of knowledge for program participants as measured by pre-test and post-test scores. However, increasing standardized test scores should be adopted as a goal only if applicants are confident that they will be capable of consistently conducting pre-testing and post-testing on all clients.

Outcome goals should be realistic and as uncomplicated as possible and must be measurable through the program's evaluation component. Although these goals should be tailored to the specific activities and target population of each project, they usually should include, at a minimum, measures relating to academic performance, school attendance or behavior, and juvenile court involvement. Other outcome goals may be designated to reflect the focus of individual programs.

Ill. EVALUATION PLAN

The evaluation plan should explain what data will be collected, how it will be analyzed, and who will be responsible for the data collection. For example, an evaluation plan for a delinquency prevention program might gather data on grades, school attendance and juvenile court referrals on a quarterly basis for program participants and the school system or county as a whole. These data may be analyzed by comparing program participants to themselves over time and by comparing them to the average for their community.

The evaluation plan should allow for the assessment of the program's progress in meeting each goal and should represent a balance between the need to effectively document the program's success or failure and the necessity to develop a plan that is practical and within the applicant's capacity to complete. Factors such as the extent and type of local data available and staff resources should be carefully considered in developing this plan.

1999 CYCC Application Kit
IV. METHODS AND PROCEDURES

Page 15

The applicant should describe the format and methodology to be used in the program. New programs should provide a timetable for program implementation which includes a specific implementation date. The applicant should provide a description of the program's referral process, the type and frequency of proposed activities/services and, when applicable, a tentative schedule of program operations. All of the program's components should be described as well as the project's overall format and organization. Applicants must also include a description of their current background investigations policy or plans to perform background investigations for direct service project staff and volunteers if funded.

V. PREVIOUS PROGRAM ACCOMPLISHMENTS

Second or third-year applications for continuation funding must provide a description of program activities and accomplishments to date. This should include a summary of program activities, the number of youth served to date and data concerning the project's progress up to the time of application in meeting its goals. This information is a crucial component of continuation applications. Applicants should also describe any problems encountered with the program's original design and corrective action taken.

This section does not apply to first-year applications for the development of completely new programs. However, first-year applications to expand or enhance existing programs should provide a summary of the organization's current structure and activities and should discuss how the proposed project would impact current services.

VI. CONTINUATION PLAN

The applicant should describe its strategy for obtaining permanent financial support for the project at the conclusion of CYCC funding. This should include a description of existing local financial and volunteer support for the project and the applicant's plan for involving other local organizations and individuals in acquiring permanent funding.

1999 CYCC Application Kit
PROCESS FOR MINI-GRANTS

Page 16

ONE-TIME requests for $5,000 or less are subject to special application and evaluation procedures. Applicants of this type will be allowed to utilize an abbreviated application form in lieu of the project narrative required of other applicants. Abstinence education proposals must contain a minimum of 37.5% local matching funds and/or in-kind services and meet criteria outlined in the RFP on pages 27-29. However, there are no matching requirements for all other mini-grant applications. Additionally, mini-grant recipients will not be required to submit quarterly progress reports but will be required to submit a final evaluation report. The subgrantee will also be allowed to submit an annual financial summary in lieu of an audit. Expenditure reports must, however, be submitted each quarter even if expenses were not incurred during that quarter.
Applicants for ONE-TIME awards of $5,000 or less must complete the following forms located in this package:
Mini-Grant Application (3 pages) Budget Narrative Letter of Consent (non-profit organizations only) Audit Information Form Letters of Support Certified Financial Statements (non-profit organizations only)
Agencies submitting an application under this process should submit only an original and one (1) copy of the application.

NOTE: Projects awarded under this category are not eligible for continuation funding.

CHILDREN AND YOUTH COORDINATING COUNCIL Suite 410, 10 Park Place South Atlanta, Georgia 30303 Phone: (404) 656-1725

DATE RECEIVED

LBAVII: BLANK
(CYCC Use Only)
APPLICATION NUMBER

MINI-GRANT APPLICATION (One-Time Request of $5,000 or Less)

Pae1of3

1. Applicant Name, Address & Telephone#

5. Contact Person, Address & Telephone#

2. Amount Requested $_ _ _ _ _ __

3. Grant Program (check below):

Juvenile Justice

Abstinence Education

4. Project Title _ _ _ _ _ _ _ _ _ _ _ _ __

I.

Project Summary:

A.

Problem Statement

6. Number of Youth to be Served _ __ 7. Congressional District(s) _ _ __ 8. Federal Employer ID# _ _ - _ _ _ _ _ _ _

B. Project Goals/Objectives

MINI-GRANT APPLICATION Page 2 of3
C. Proposed Program Activities (include proposed start-up date)

II. Continuation Plan (if program includes ongoing services)

Ill.

Explain why other resources are not available or cannot be utilized for this purpose.

Signature of Applicant Executive Officer

Title

Date

MINI-GRANT APPLICATION Page 3 of 3
Note: Only abstinence education mini-grant applications must include matching funds.
BUDGET CATEGORY (Attach Budget Narrative Describing All Entries) A. PERSONAL SERVICES: 1. Salaries

DETAILED BUDGET SUMMARY
For CYCC Use Only Subgrant Number

REQUESTED BUDGET

GRANT FUNDS

MATCHING FUNDS

APPROVED BUDGET

D Federal D State

MATCHING FUNDS

2. Fringe Benefits: B. REGULAR OPERATING:

Sub-Total

C. TRAVEL: D. EQUIPMENT:

Sub-Total Sub-Total

E. PER DIEM, FEES & CONTRACTS: F. TELECOMMUNICATIONS:
GRAND TOTALS
R = 1/99

Sub-Total Sub-Total Sub-Total

INSTRUCTIONS FOR COMPLETING DETAILED BUDGET SUMMARY
GENERAL INFORMATION
The Detailed Budget Summary should be completed for each of the six major categories for which funding is being requested. For each item listed within a given category, simply show the appropriate grant and matching funds of the total cost of the item in the appropriate column under "Requested Budget." DO NOT WRITE under the heading of "Approved Budget," as this is for Council use only.
USE ONLY WHOLE DOLLAR FIGURES.
Do not complete the space marked "Subgrant Number" as this will be assigned by the Council.
SUBGRANT CHART OF ACCOUNTS
The following indicates the appropriate allocation of grant expenditures for each budget category. This information has been adapted from the State of Georgia accounting system for ease in reporting grant funds from various state agencies.
PERSONAL SERVICES Regular Salaries Employer Paid Benefits {FICA, Retirement, Etc.) Health Insurance, Liability Insurance, Etc.
REGULAR OPERATING Supplies & Materials Insurance Postage Dues & Subscriptions Registration Fees Duplication Expenses Snacks
TRAVEL Staff Travel, Lodging, Subsistence Vehicle Rental
EQUIPMENT Purchases over $1,000 Rental of Equipment
PER DIEM, FEES & CONTRACTS Consultant Fees Contracts Stipends
TELECOMMUNICATIONS Vendor Payments
TOTAL REQUESTED BUDGET
List the sum of the category sub-totals for grant and matching funds (if available) with a grand total project cost. If additional space is needed, please continue on plain white paper 8 x 11 clearly specifying the category.
* ATTACH A BUDGET NARRATIVE DESCRIBING ALL ENTRIES (GRANT & MATCH)*

APPLICATION FORMS TO BE COMPLETED
The following forms in this packet are to be completed and included with the proposal. Please use the checklist below to insure completeness and required sequence.
Application Face Sheet
Detailed Budget Summary
Budget Narrative
Project Narrative (Limit= 10 pages)
I. Problem Statement II. Program Goals 111. Evaluation Plan IV. Methods and Procedures V. Previous Program Accomplishments VI. Continuation Plan
Letter of Consent (non-profit organizations & school systems only) [Not Applicable to Abstinence Education Proposals]
Audit Information Form
Certification of Equal Employment Program
Certification Regarding Lobbying, Debarment & Drug-Free Workplace
Non-Supplanting Certification
Support Letters (to be included with proposal, not mailed separately)
Certified Financial Statement (non-profit organizations only) * send only 1 copy with proposal
Additional Application Components for Title V Proposals:
Comprehensive Three-Year Prevention Plan
Coalition Membership Roster
Coalition Resolution/Authorization by County Commission
Submit an original and 5 additional copies of the proposal. Refer to page 3 for packaging instructions.
Exception: For mini-grant applications, refer to page 16 for a listing of required proposal components.

APPLICATION FACE SHEET
CHILDREN AND YOUTH COORDINATING COUNCIL Suite 410, 10 Park Place South Atlanta, Georgia 30303 Phone: (404) 656-1725

LEAVE BLANK (CYCC USE ONLY)

Date Received

Application Number

1. Applicant (Name, Address & Telephone)
2. Applicant Executive Officer (Name & Title) 3. Financial Officer (Name & Telephone)
11. Project Title: 12. Project Summary:

4. Implementing Agency (Name, Address & Telephone)
5. Project Director (Name, Address & Telephone)
6. Amount Requested $ _ _ _ _ __ 7. Federal Employer ID# _ _ _ _ _ _ _ _ _

8. Grant Program: (check one) Juvenile Justice Title V Prevention Abstinence Education
9. Type of Application: (check one) Initial/First Year Continuation (List All Previous Grant Numbers)
10. Congressional District(s) _ __

13. No. of Pages in Application

14. No. of Paid Project Staff

15. No. of Anticipated Project Volunteers

16. Is the applicant delinquent on any federal debt? _ _Yes _ _ _ No

If yes, attach a detailed explanation.

17. I, the undersigned authorized representative of the applicant, have read, understand and agree to all relative conditions specified in the Children and Youth Coordinating Council's Request for Proposals and Application Kit, and having read all attachments thereto do submit this application on behalf of the applicant If awarded a grant to implement the provision herein, I do certify that all applicable federal and state laws, rules and regulations applicable thereto will be followed.

Applicant Executive Officer (Signature & Date)

Implementing Agency Executive Officer (Signature & Date)

Title

Title

R= 1/99

INSTRUCTION FOR COMPLETING APPLICATION FACE SHEET

1. Enter the name, address, and telephone number of the organization that will administer the grant funds and be responsible for a financial audit.

2.

Enter the name and title of the person who is the executive officer of the agency listed as

applicant.

3.

Enter the name and telephone number of the person who will be responsible for financial matters

relating to the project, such as accounting and financial reports. This person must be able to

answer questions relating to the proposed budget.

4.

Enter the name, address, and telephone number of the organization that will be responsible for

implementing the project. (Agency may be the same as in #1 .)

5.

Enter the name, address, and telephone number of the person who will be responsible for

implementing and overseeing the project. This person must be able to answer questions relating

to the project narrative.

6.

Enter the amount requested. PLEASE USE A WHOLE DOLLAR AMOUNT.

7.

Enter the applicant's Federal Employer Identification Number (EIN) for accounting purposes.

8.

Indicate which grant program for which you are applying. (Refer to Request for Proposals)

9.

Indicate whether funding is requested for a new (initial) project or continuation of a currently

funded project. If a continuation project, indicate previous grant number(s) under which the

project was funded.

10. Enter the congressional district(s) in which the project is located.

11. Enter the formal title of the project, which is brief and descriptive.

12. Develop a brief summary of the project The summary should explain the project's operation and how the project will accomplish its objectives. The summary should not exceed the space provided.

13. Enter the total number of pages in the application.

14. Enter the number of paid project staff.

15. Enter the number of anticipated project volunteers.

16. Indicate whether the Applicant is delinquent on any federal debt. If the answer is "yes," include a detailed explanation.

17. The application must be signed by the applicant's executive officer. The application should be dated when signed, and the appropriate title of the signer should be in the space provided.

NOTE: The application must be endorsed by the executive officer of the Implementing Agency, if different than the Applicant.

DETAILED BUDGET SUMMARY

For CYCC Use Only Subgrant Number

BUDGET CATEGORY
A. PERSONAL SERVICES: 1. Salaries

REQUESTED BUDGET

GRANT FUNDS

MATCHING FUNDS

APPROVED BUDGET

D Federal D State

MATCHING FUNDS

2. Fringe Benefits: B. REGULAR OPERATING:

Sub-Total

C. TRAVEL:

Sub-Total

D. EQUIPMENT:

Sub-Total

E. PER DIEM, FEES & CONTRACTS:

Sub-Total

F. TELECOMMUNICATIONS:

Sub-Total

GRAND TOTALS
R = 1/99

Sub-Total

INSTRUCTIONS FOR COMPLETING DETAILED BUDGET SUMMARY
GENERAL INFORMATION
The Detailed Budget Summary should be completed for each of the six major categories for which funding is being requested. For each item listed within a given category, simply show the appropriate grant and matching funds of the total cost of the item in the appropriate column under "Requested Budget." DO NOT WRITE under the heading of "Approved Budget," as this is for Council use only.
USE ONLY WHOLE DOLLAR FIGURES.
Do not complete the space marked "Subgrant Number" as this will be assigned by the Council.
SUBGRANT CHART OF ACCOUNTS
The following indicates the appropriate allocation of grant expenditures for each budget category. This information has been adapted from the State of Georgia accounting system for ease in reporting grant funds from various state agencies.
PERSONAL SERVICES Regular Salaries Employer Paid Benefits (FICA, Retirement, Etc.) Health Insurance, Liability Insurance, Etc.
REGULAR OPERATING Supplies & Materials Insurance Postage Dues & Subscriptions Registration Fees Duplication Expenses Snacks
TRAVEL Staff Travel, Lodging, Subsistence Vehicle Rental
EQUIPMENT Purchases over $1,000 Rental of Equipment
PER DIEM, FEES & CONTRACTS Consultant Fees Contracts Stipends
TELECOMMUNICATIONS Vendor Payments
TOTAL REQUESTED BUDGET
List the sum of the category sub-totals for grant funds and local funds (if available) with a grand total project cost. If additional space is needed, please continue on plain white paper 8 x 11 clearly specifying the category.
* COMPLETE A BUDGET NARRATIVE AS DESCRIBED ON THE NEXT PAGE*

DETAILED BUDGET NARRATIVE
This section should be prepared in addition to the Detailed Budget Summary form. The purpose of this narrative is to show how the budget figures were computed and how budgeted items relate to the project. The budget narrative should reflect both requested grant funds and matching funds. Source(s) of matching funds should be explained. Examples of the detail that should be included in the budget narrative are as follows:
PERSONAL SERVICES: Each staff position related to the project should be listed for a defined period of time (monthly, annually) and percentage of time to be dedicated to the project. Indicate the number of hours to be worked, cost per hour and total cost for grant period. If the position is currently on payroll, list current hours and salary with an explanation of request for additional grant funding. The basis for salary increases (continuation projects) should be included. Fringe benefits should be defined and computed separately from the salary cost.
REGULAR OPERATING: List each items in this category by major types (i.e., supplies, educational materials, snacks, etc.) showing basis for computation.
TRAVEL: Purpose of travel and estimated cost of each trip must be documented. Travel reimbursement should be indicated at cost per mile. (i.e., 1000 miles x .25 per mile = $250). Registration fees, admission fees and food related to field trips should be listed under Regular Operating.
EQUIPMENT: If the budget includes acquisition of equipment, a list of each equipment item and amount budgeted for each item must be included. Justification for equipment acquisition also must be included.
PER DIEM, FEES & CONTRACTS: List consultants/stipends/contracts by name (if known), rate of pay, time period, total cost and purpose.
TELECOMMUNICATIONS: Indicate cost and purpose of requested grant funds and/or matching funds for telecommunications. Please note that requested grant funds must be directly related to project cost and must not be an existing cost.
NOTE: Please use only whole dollar amounts for every entry.
There are several restrictions on the use of project funds. Refer to pages 8-9 for an explanation of unallowable expenditures. Also, the description of the grant program in the RFP may include individual restrictions.
If only a portion of the specific project is to be funded with CYCC funds, the entire project budget should be presented on the Budget Narrative, with special note made of the source(s) of funds.

LETTER OF CONSENT
[Not Applicable to Abstinence Education Proposals]
Local public and private agencies that are not general purpose governments must obtain, and submit along with the application, written consent from the local unit of general purpose government to be a direct recipient of funds for the community's use. (This requirement applies to public school systems as well.) This requirement may be waived if verification is submitted with the application that funding for the project was sought from the local unit of general government, and the funding request was denied. Note: some
counties require a formal presentation to be voted on at a commission meeting.
Therefore, please allow sufficient time to gain approval. A sample letter is provided below.
SAMPLE
The intent of this letter is to inform you that the _ _ _ _ County Board of Commissioners give their consent to Applying Agency Name, headquartered in _ _ _ _ _ _ County, to be a direct recipient of grant funds from the Governor's Children and Youth Coordinating Council and to use these funds in their program for the betterment of the youth in our community.

AUDIT INFORMATION

FISCAL YEAR PERIOD:

Enter Dates (i.e., Jan. 1-Dec. 31; July 1-June 30; Oct. 1-Sept. 30)

DATE OF LAST AUDIT:

DATE OF NEXT AUDIT:

Should a grant award be issued to your agency, note the approximate date the

audit/comilation will be submitted to CYCC:

(to be submitted verifying receipt & expenditure of CYCC funding)

Applying Agency Name
Note: Most grants will cover two fiscal periods, and thus, two audits/compilations will need to be submitted to CYCC.

CERTIFICATION OF EQUAL EMPLOYMENT PROGRAM

1.

I, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, certify that the

(agency executive officer)

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ has formulated an (applying agency)

Equal Employment Opportunity Program in accordance with 28 CFR 42.301,

et seq., subpart E, that it has been signed into effect by the proper agency

authority and disseminated to all employees, and that it is on file in the office of:

(person's name)
(address)
(title) for review or audit by officials of the Children and Youth Coordinating Council or the Office for Civil Rights, U.S. Office of Justice Programs, as required by relevant laws and regulations.

(signature)

(date)

**************************************************************************************************** Certification (no EEOP required)

2.

I, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, hereby certify that the

(agency executive officer)

_ _ _ _ _ _ _ _ _ _ _ _ _ _, has less than 50 employees and (applying agency)

is not required to maintain an EEOP, pursuant to 28 CFR 42.301, et seq.

(signature)

(date)

US DEPARTMENT OF JUSTICE OFFICE OF JUSTICE PROGRAMS OFFICE OF THE COMPTROLLER
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS
Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification included in the regulations before completing this form. Signature of this form provides for compliance with certification requirements under 28 CFR Part 69, "New
Restrictions on Lobbying" and 28 CFR Part 67. "Government-wide Debarment and Suspension (Nonprocurementl and
Government-wide Requirements for Drug-Free Wortcplace (Grants)." The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of Justice determines to award the covered transaction, grant, or cooperative agreement.

1. LOBBYING
As required by Section 1352. Title 31 of the U.S. Code, and implemented at 28 CFR Part 69, for persons entering into a grant or cooperative agreement over $100.000, as defined at 28 CFR Part 69, the applicant certifies that:
(al No Federal appropriated funds have been paid or will be,1 paid. by or on behalf of the undersigned, to any person for in- fluencing or attempting to influence an officer or employee of any agency. a Member of Congress. an officer or employee of Congress. or an employee of a Member of Congress in con nection with the making of any Federal grant. the entering into of any cooperative agreement. and the extension. continuation, renewal. amendment. or modification of any Federal grant or cooperative agreement;
(bl If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency. a Member of Congress. an officer or employee of Congress. or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form - LLL. "Disclosure of Lobbying Activities." in accordance with its instructions;
(cl The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subgrants. contracts under grants and cooperative agreements. and subcontracts) and that all subrecipients shall certify and disclose accordingly.
2. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS (DIRECT RECIPIENT)
As required by Executive Order 12549, Debarment and Suspension, and implemented at 28 CFR Part 67, for prospective participants in primary covered transactions, as defined at 28 CFR Part 67, Section 67.510-
A. The applicant certifies that it and its principals:
(al Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal department or agency;
(bl Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaini_ng. attempting to obtain, or performing a

public (Federal, State, or locall transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft. forgery, bribery, falsification or destruction of records, making false statements. or receiving stolen property;
(cl Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal. State, or local) with commission of any of the offenses enumerated in paragraph I 1llbl of this certification; and
(di Have not within a three-year period preceding this application had one or more public transactions (Federal. State, or local) terminated for cause or default; and
8. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application.
3. DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and implemented at 28 CFR Part 67, Subpart F, for grantees, as defined at 28 CFR Part 67 Sections 67.615 and 67.620-
A. The applicant certifies that it will or will continue to provide a drug-free workplace by:
(al Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition;
(bl Establishing an on-going drug-free awareness program to inform employees about-
11I The dangers of drug abuse in the workplace;
121 The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation. and employee assistance programs; and
141 The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;
(cl Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (al;
(di Notifying the employee in the statement required by paragraph (al that, as a condition of employment under the grant, the employee win-

O.J,. l'ORM oe11e 1311IJ RE,.LACES OJ,. FORMS oe112. ,oe113 ANO ,oe11' WHICH ARE OBSOLETE.

111 Abide by the terms of the statement; and
121 Notify the employer in writing of his or her conviction for a violation of I criminal drug statute occurring in the workplace no later than five calendar days aher such conviction;
(el Notifying the agency, in writing, within 10 calendar days
after receiving notice under subparagraph ldll21 from an
employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice. including position title, to: Department of Justice, Office of Justice Programs, ATTN: Control Desk. 633 Indiana Avenue. N.W.. Washington, O.C. 20531. Notice shall include the identification numberlsl of each affected grant;
(fl Taking one of the following actions. within 30 calendar days of receiving notice under subparagraph ldll21, with respect to any employN who is so convicted-
(1I Taking appropriate personnel 111ction against such an employee, up to and including termination. consistent with the requirements of the Rehabilitation Act of 1973. as amended; or
(21 Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal. State. or local health, law enforcement. or other appropriate agency;
lg) Making a good faith effort to continue to maintain a drug-
free workplace through implementation of paragraphs (al, lb). lcl, ldl, (el. and If).
B. The grantee may insert in the space provided below the sitelsl for the performance of work done in connection with the specific grant:
Place of Performance (Street address. city, county, state, zip code)

Check O if there are workplaces on file that are not indentified here.
Section 67, 630 of the regulations provides that I grantee that is I State may elect to make one certification in each Federal fiscal year. A copy of which should be included with each application for Department of Justice funding. States and State agencies may elect to use OJP Form 4061/7.
Check D if the State has elected to complete 0JP Form
406117.
DRUG-FREE WORKPLACE (GRANTEES WHO ARE INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and
implemented at 28 CFR Part 67, Subpart F. for grantees. n
defined at 28 CFR Part 67; Sections 67.615 and 67.620-
A. As a condition of the grant, I certify that I will not engage in the unlawful manufacture, distribution, dispensing. possession, or use of a controlled substance in conducting any activity with the grant; and
8. If convicted of a criminal drug offense resulting from 1 violation occurring during the conduct of any grant activity, I will report the conviction, in writing, within 10 calendar days of the conviction. to: Department of Justice. Office of Justice Programs, ATTN: Control Desk, 633 Indiana Avenue. N.W. Washington, D.C. 20531.

As the duly authorized representative of the applicant. _I hereby certify that the applicant will comply with the above certifications. 1. Grantee Name and Address:

2. Application Number and/or Project Name

3. Grantee IRSNendor Number

4. Typed Name and Title of Authorized Representative

5. Signature

6. Date

NON-SUPPLANTING CERTIFICATION
Regulations adopted by the U.S. Office of Juvenile Justice and Delinquency Prevention (OJJDP) require certification to the effect that federal funds have not been used to increase state or local funds that would, in the absence of such federal aid, be made available for juvenile justice and delinquency prevention. This form should be used by applicants in making required certification. This certification is required as part of the initial proposal for grant funds to the Children and Youth Coordinating Council.
CERTIFICATION: I certify that OJJDP funds will not be used to supplant state or local funds that would otherwise be available for juvenile justice assistance. I further certify that the project proposed in the grant application meets all the requirements of the Juvenile Justice and Delinquency Prevention Act and its implementing guidelines; that all the information presented is correct; that there has been appropriate coordination with affected agencies; and that the applicant will comply with the provisions of the OJJDP Act, all applicable federal and state laws, and the above-mentioned certification should a grant be awarded.
Signature of Applicant Executive Officer
Typed Name and Title
Date

Children and Youth Coordinating Council Board Members

Fern Patterson, CYCC Chair 1588 Riverside Drive, N.E. Gainesville, Georgia 30501
James M. Baker President, Chaseland Corporation Post Office Box 870068 Morrow, Georgia 30260-0068
Carolyn H. Bell 21 0 East Bolton Street Savannah, Georgia 31401
Karl Belle Isle 6640 Akers Mill Road Apartment 21 A-2 Atlanta, Georgia 30339
Patricia Colson 781 Lake Laurie Valdosta, Georgia 31604
Homer A. Day, Ed.D. 616 Golden Road Tifton, Georgia 31794
Honorable Deborah Edwards Houston County Juvenile Court 202 Carl Vinson Parkway Warner Robins, Georgia 31088
Jo Granberry Executive Director Albany/Dougherty 2000 3207 Trowbridge Road Albany, Georgia 31707
Andrew Harris, Jr. 2283 North Decatur Road Decatur, Georgia 30033
Neal Jackson Colwell Banker Jackson Realty 316 North Broad Street Monroe, Georgia 30655

Reverend John W. Kay Professor of Religion and Philosophy Young Harris College Post Office Box 125 Young Harris, Georgia 30582
Honorable Larry Mims Solicitor, State Court of Tifton Post Office Box 1 Tifton, Georgia 31793
William Anthony (Tony) Moye, R.Ph. President, Maye's Pharmacy 230 Covington Street McDonough, Georgia 30253
Sheriff Jimmie Murkerson 402 South Boulevard Blakely, Georgia 31723
Tony Sammons Georgia Power Post Office Box 1358 Brunswick, Georgia 31521
Renee Seabrook 2035 Marbut Forest Drive Lithonia, Georgia 30058
Chief James A. Smith Tifton Police Department 127 North Central Avenue Tifton, Georgia 31793
Michelle Smith 1707 Chandler Road Apartment 115 Statesboro, Georgia 30458
Sharon Steele, M.D. 1408 Vista Leaf Drive Decatur, Georgia 30033
Ted Stone Route 20, Box 385 Macon, Georgia 31211

TECHNICAL ASSISTANCE
If you have any questions while preparing a grant application, my staff is available for technical assistance. Below are the names, direct telephone numbers and e-mail addresses of staff members who can assist you.
~~
Executive Director

PROGRAMMATIC QUESTIONS?
(program development, goals, objectives, evaluation measures)

Juvenile Justice & Title V Prevention Questions, Call:

Pete Colbenson Juvenile Justice Specialist

(404) 657-6982 cyccpete@mindspring.com

or

Don Wilkinson Policy Coordinator

(404) 651-9028 cyccdwilk@mindspring.com

Abstinence Education Questions, Call:

Suzanne Luker Program Coordinator

(404) 656-1725 cyccsluker@mindspring.com

FINANCIAL/ADMINISTRATIVE QUESTIONS?
(budget summary, budget narrative, allowable costs, application forms)

Susan Atkins Project Manager

(404) 656-9692 cyccsatkins@mindspring.com

DIRECTIONS TO CYCC OFFICE
The following directions are provided should you choose to hand deliver the grant package. As parking is limited near Underground Atlanta and Georgia State University, we suggest you drive to the front of the building and leave your package in the lobby (a drop-off box will be provided) and between 4 - 5 p.m., a staff member will be at the front doors to receive the packages. Should you wish to park and come to the office, there are several parking lots ranging in cost of $3- $8.
(1) Allright Parking Lot located at corner of Central Ave. and Wall St. (2) Allright Parking Lot located at corner of Central Ave. and Decatur St. (3) 90 Central Parking Lot located on Central Ave. @ Underground Atlanta .
(painted whale mural on building)
Office is located on the block of Edgewood Avenue/Park Place South/Decatur Street in the 10 Park Place South Building (Ste. 410). Seven-story building with shops/restaurants on ground level. Entrance lobby is located mid-way at the gold-framed double doors with brass lights.
SEE AREA MAP ON BACK
From the Northside of Atlanta: Take 1-75 or 1-85 South to Downtown Connector. Exit 97 (Courtland Avenue). Continue on Courtland to the seventh traffic light at Edgewood Avenue. Turn right on Edgewood and continue to second traffic light. Woodruff Park is located just in front and to your right. Turn left onto Park Place South; building is on your immediate left.
From the Southside of Atlanta: Take 1-75 or 1-85 North to Downtown Connector. Exit 94 (Edgewood Avenue). Turn left onto Edgewood and continue until you cross Peachtree Center Avenue. The next intersection will be Edgewood and Park Place South. Turn left onto Park Place South; building is on your immediate left.
- or- Take Exit 91 (Central Avenue/GA Dome). Continue on Central Avenue for 8 blocks and turn left onto Edgewood Avenue (4th traffic light passed Coke Pavilion @ Underground). Go 2 blocks and turn left onto Park Place South; building is on your immediate left.
From 1-20 West Bound: Exit 24 (Capitol Avenue). Turn right onto Capitol Avenue. At the corner of State Capitol, turn left onto Martin Luther King, Jr. Drive. At second traffic light, turn right onto Central Avenue (at Underground Atlanta). At fourth traffic light, turn left onto Edgewood Avenue. At first traffic light, turn left onto Park Place South; building is on your immediate left.
From 1-20 East Bound: Exit 22 (Windsor/Spring/Stadium). Continue to 3rd traffic light and turn left onto Central Avenue. Continue on Central Avenue toward Underground Atlanta. Pass Coke Pavilion and at fourth traffic light, turn left onto Edgewood Avenue. At first traffic light, turn left onto Park Place South; building is on your immediate left.

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