Grant Program & Congressional Program Sponsor District(s) Applicant: Faith Based Yes Organization? No Applicant Federal Yes Best Practice? ID Number: No Jurisdiction(s) Served and Zip +4 Codes: Program Sponsor Congressional District(s) Program Title: Certified Crime Yes Prevention No Community? Grant Period: October 1, 2016- June 30, 2017 DUNS NUMBER: Type of Continuation Continuation of Grant Rural Application: Number_________________ Urban Suburban Project Director Finance Officer Project Administrator Name: Title: Address including Zip+4: Phone: Fax: E-Mail: Signature of Project Administrator: Brief Project Description: Project Budget DCJS Funds Local Match Total Requested Federal State Personnel Consultants Travel Equipment Supplies/Other Indirect Costs Total Requested
Grant Program & Program Sponsor Congressional District(s) Applicant: Faith Based Organization? Yes No Applicant Federal ID Number: Best Practice? Yes No Jurisdiction(s) Served and Zip +4 Codes: Program Sponsor Congressional District(s) Program Title: Certified Crime Prevention Community? Yes No Grant Period: October 1, 2016- June 30, 2017 DUNS NUMBER: Type of Application: Continuation Continuation of Grant Number_________________ Rural Urban Suburban Project Director Project Administrator Finance Officer Name: Title: Address including Zip+4: Phone: Fax: E-Mail: Signature of Project Administrator: Brief Project Description: Project Budget DCJS Funds Local Match Total Requested Federal State Personnel Consultants Travel Equipment Supplies/Other Indirect Costs Total Requested
vstop-grant-application-form-cover-sheet-attachment-ia.docx