Hazmat Training: NFPA 472 Core NFPA 472 Chemical Specific Training Gap Other (Specify) Competency Training Mission Specific Training Analysis Competency (to be completed by the applicant) Tentative Project Dates Proposed Start Date Proposed Completion Date Estimated Cost of the Project Amount of HMEP funds requested If you are willing to accept partial funding, indicate the amount Match share (multiply the amount of HMEP funds requested by 0.25, which Full Partial equals to the (20/80) % Match share) Description Of Match (All Match must be non-federal (e.g. EMPG, DHS, etc.), not allocated to other grant)) Match Description Full ($) Partial ($) Type of match (soft-match or cash, or both) Source (time of fire fighter, law enforcement, students, citizen, first responder, others, etc.) Other (describe, e.g. indirect cost) Salary and/or fringe benefit (rate x hours)* Facility space used for planning/exercise HMEP project related travel (planning/training) to be used as match Equipment used for training/exercise (describe) Other allowable match (describe) Total match (non-federal and not used for any other federal and/or state funded projects) *Prevailing market rate can be used for salary, fringe benefits, equipment, and facilities if exact values are not known PROJECT NARRATIVE NEEDS ASSESSMENT: NEEDS ASSESSMENT: PROGRAM NEED = (DESIRED PROGRAM ACTUAL PROGRAM) – Describe the (hazmat planning, training, or exercise) using the steps below. jurisdiction’s current need Perform an accurate needs assessment, assess your hazmat program, identify gaps in planning and training, and provide a synopsis of the analysis. For exercise projects, describe if this is part of training and exercise plan. If so, county’s multi-year include a copy of the training and exercise plan. If you have conducted exercises in county’s multi-year the past with HMEP grant funds, explain how the current project differs from the previous ones. Explain if the county revised their plan based on the gap analysis or provided trainings to fill the gaps. Evaluate needed tasks, activities, and any supplies and equipment for the upcoming period. Determine if the needs coincide with the goals of your agency, and if the needs are feasible.
Hazmat Training: NFPA 472 Core Competency Training NFPA 472 Mission Specific Competency Chemical Specific Training Training Gap Analysis Other (Specify) Tentative Project Dates (to be completed by the applicant) Proposed Start Date Proposed Completion Date Estimated Cost of the Project Amount of HMEP funds requested If you are willing to accept partial funding, indicate the amount Match share (multiply the amount of HMEP funds requested by 0.25, which equals to the (20/80) % Match share) Full Partial Description Of Match (All Match must be non-federal (e.g. EMPG, DHS, etc.), not allocated to other grant)) Match Description Full ($) Partial ($) Type of match (soft-match or cash, or both) Source (time of fire fighter, law enforcement, students, citizen, first responder, others, etc.) Other (describe, e.g. indirect cost) Salary and/or fringe benefit (rate x hours)* Facility space used for planning/exercise HMEP project related travel (planning/training) to be used as match Equipment used for training/exercise (describe) Other allowable match (describe) Total match (non-federal and not used for any other federal and/or state funded projects) *Prevailing market rate can be used for salary, fringe benefits, equipment, and facilities if exact values are not known PROJECT NARRATIVE NEEDS ASSESSMENT: NEEDS ASSESSMENT: PROGRAM NEED = (DESIRED PROGRAM – ACTUAL PROGRAM) Describe the jurisdiction’s current need (hazmat planning, training, or exercise) using the steps below. Perform an accurate needs assessment, assess your hazmat program, identify gaps in planning and training, and provide a synopsis of the analysis. For exercise projects, describe if this is part of county’s multi-year training and exercise plan. If so, include a copy of the county’s multi-year training and exercise plan. If you have conducted exercises in the past with HMEP grant funds, explain how the current project differs from the previous ones. Explain if the county revised their plan based on the gap analysis or provided trainings to fill the gaps. Evaluate needed tasks, activities, and any supplies and equipment for the upcoming period. Determine if the needs coincide with the goals of your agency, and if the needs are feasible.
FFY%202018-2019%20HMEP%20Subgrant%20Application%20120117.docx