2019 NATIONAL CRIME VICTIMS’ RIGHTS WEEK (NCVRW) Community Awareness Projects (CAP) PROPOSAL APPLICATION Email completed application as attachment to or mail to NCVRW CAP, 5702 Old Sauk Road, Madison, WI 53705. All fields are required. Do not include additional pages or attachments Applications must be received no later than 11:59 pm Eastern Time, Friday, November 2, 2018 Applicants must read and follow the Applicant Guide available at SECTION 1: ORGANIZATIONAL INFORMATION Applicant Agency DUNS Number Mailing Address (9 digits - required) City: State: Zip: Name of Contact Salutation: First: Last: Amount Requested: $ Tel Fax (xxx-xxx-xxxx): (xxx-xxx-xxxx): (Must equal Total Project Cost in Section 3) Email Web Site Type of Organization (select only one) Non-Profit Public/Governmental Agency Faith-Based Organization Tribal Organization Community Coalition/Grassroots Organization Other (describe:) Yes No Is the agency/organization suspended or barred from receiving federal funding? Does the agency require internal confidentiality agreements or statements from employees or Yes No contractors that prohibit or otherwise restrict employees or contractors from reporting waste, fraud, or abuse? Has the lead agency or any of the major project partners received previous NCVRW CAP funding? Yes No 2004 2005 2006 2007 2008 2009 2010 2011 If Yes, for which year(s): 2012 2013 2014 2015 2016 2017 2018 Briefly describe the and services. (250 words). applicants’ experience providing/advocating crime victims’ rights
2019 NATIONAL CRIME VICTIMS’ RIGHTS WEEK (NCVRW) Community Awareness Projects (CAP) PROPOSAL APPLICATION Email completed application as attachment to or mail to NCVRW CAP, 5702 Old Sauk Road, Madison, WI 53705. All fields are required. Do not include additional pages or attachments Applications must be received no later than 11:59 pm Eastern Time, Friday, November 2, 2018 Applicants must read and follow the Applicant Guide available at SECTION 1: ORGANIZATIONAL INFORMATION Applicant Agency Mailing Address DUNS Number (9 digits - required) City: State: Zip: Name of Contact Salutation: First: Last: Tel (xxx-xxx-xxxx): Fax (xxx-xxx-xxxx): Amount Requested: $ (Must equal Total Project Cost in Section 3) Email Web Site Type of Organization (select only one) Non-Profit Faith-Based Organization Community Coalition/Grassroots Organization Public/Governmental Agency Tribal Organization Other (describe:) Is the agency/organization suspended or barred from receiving federal funding? Yes No Does the agency require internal confidentiality agreements or statements from employees or contractors that prohibit or otherwise restrict employees or contractors from reporting waste, fraud, or abuse? Yes No Has the lead agency or any of the major project partners received previous NCVRW CAP funding? Yes No If Yes, for which year(s): 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Briefly describe the applicants’ experience providing/advocating crime victims’ rights and services. (250 words).
19cap_dl.docx