ORGANIZATIONAL STRUCTURE OF PROFESSIONAL, KEY MANAGEMENT, DIRECT CARE STAFF, AND FOSTER PARENTS: Attach a copy of your Operation's Board of Directors including: Full names; Titles; Addresses; Email addresses; and Phone numbers. Attach a copy of your Operation's professional organizational that clearly depicts lines of authority. Attach a copy of your Operation's professional staffing plan, which must contain: Minimum qualifications for the position; and The primary roles of that position. Professional and Key Management Staff What is the level of experience (in months or years) with fiscal and/or programmatic components of federal or state programs? If some positions are not applicable, indicate as such. Position Name Experience Position Name Experience President/CEO Comptroller/CFO Executive Director Program Director Treatment / Administrator Clinical Director Chief Operating LCCA or Officer LCPAA Attach current resumes and Professional Licenses for the President/CEO, Executive Director, Administrator, Chief Operating Officer, Comptroller/CFO, Program Director, Clinical Director, and Licensed Child-Care Administrator for the Operation for which you are submitting an Application. Attach copies of licenses of any professional licensed employee of the organization, including licensed professional therapists. What is the annual turnover rate for professional and key management Staff within the last 12 months? FINANCIAL CAPACITY:
ORGANIZATIONAL STRUCTURE OF PROFESSIONAL, KEY MANAGEMENT, DIRECT CARE STAFF, AND FOSTER PARENTS: Attach a copy of your Operation's Board of Directors including: Full names; Titles; Addresses; Email addresses; and Phone numbers. Attach a copy of your Operation's professional organizational that clearly depicts lines of authority. Attach a copy of your Operation's professional staffing plan, which must contain: Minimum qualifications for the position; and The primary roles of that position. Professional and Key Management Staff What is the level of experience (in months or years) with fiscal and/or programmatic components of federal or state programs? If some positions are not applicable, indicate as such. Position Name Experience Position Name Experience President/CEO Comptroller/CFO Executive Director Program Director Administrator Treatment / Clinical Director Chief Operating Officer LCCA or LCPAA Attach current resumes and Professional Licenses for the President/CEO, Executive Director, Administrator, Chief Operating Officer, Comptroller/CFO, Program Director, Clinical Director, and Licensed Child-Care Administrator for the Operation for which you are submitting an Application. Attach copies of licenses of any professional licensed employee of the organization, including licensed professional therapists. What is the annual turnover rate for professional and key management Staff within the last 12 months? FINANCIAL CAPACITY:
2-6-1-GRO-Open-Enrollment-Application-Attachments-Required-Forms.docx