10. Areas served by this project (Counties/Cities/Statewide) 11. Type of Agency (Check only 1) Government Agency Nonprofit Organization Federally Recognized Tribal Government/Agency/Organization Campus Organization 12. Use of funds (Check all that apply) Expand or enhance an existing project not funded by VOCA in the previous year Start up a new victim services project Start up a new Native American victim services project Expand or enhance an existing Native American project 13. Identify the services to be provided by the Victims Assistance and Match Funds (Check all that apply) Information & Referral Personal Advocacy/Accompaniment Emotional Support or Safety Services Shelter/Housing Services Criminal/Civil Justice System Assistance Assistance with Filing Crime Victim Reparation (CVR) claims Assisting victims with registration with VINE 14. Project Summary: (150 words or less) 15. Identify types of victims to be served with requested Victim Assistance funds and Match funds: Child Abuse/Physical Elder Abuse Child Abuse/Sexual Adult Survivors of Incest or Child Sexual Abuse DUI/DWI Victims Survivors of Homicide Victims Domestic Violence Victims Robbery Adult Victims/Sexual Assault Assault Other List – 16. Agency Staff & Volunteers # Full Time (volunteers are required) Total # of agency volunteers (excluding board members) # of volunteers that support this project only (FTE) Section II: Total # of paid agency staff (FTE) Budget Summary # of paid agency staff requested/match for VOCA (FTE)
10. Areas served by this project (Counties/Cities/Statewide) 11. Type of Agency (Check only 1) Government Agency Nonprofit Organization Federally Recognized Tribal Government/Agency/Organization Campus Organization 12. Use of funds (Check all that apply) Expand or enhance an existing project not funded by VOCA in the previous year Start up a new victim services project Start up a new Native American victim services project Expand or enhance an existing Native American project 13. Identify the services to be provided by the Victims Assistance and Match Funds (Check all that apply) Information & Referral Personal Advocacy/Accompaniment Emotional Support or Safety Services Shelter/Housing Services Criminal/Civil Justice System Assistance Assistance with Filing Crime Victim Reparation (CVR) claims Assisting victims with registration with VINE 14. Project Summary: (150 words or less) 15. Identify types of victims to be served with requested Victim Assistance funds and Match funds: Child Abuse/Physical Child Abuse/Sexual DUI/DWI Victims Domestic Violence Victims Adult Victims/Sexual Assault Other – List Elder Abuse Adult Survivors of Incest or Child Sexual Abuse Survivors of Homicide Victims Robbery Assault 16. Agency Staff & Volunteers (volunteers are required) # Full Time Total # of agency volunteers (excluding board members) # of volunteers that support this project only (FTE) Total # of paid agency staff (FTE) # of paid agency staff requested/match for VOCA (FTE) Section II: Budget Summary
VOCA-Transitional-App-2017.docx