Other CRT #4 CRT #5 CRT #6 Counties CRT POC Information Name: Name: Name: Phone: Phone: Phone: Email: Email: Email: # of mtgs. per yr. Date of last mtg. held CRT supported with STOP funds. (yes or no) CRT Members Active MOU Active MOU Active MOU Participant Attached Participant Attached Participant Attached Law Enforcement Courts Probation Prosecution Victim Services Culturally Specific Services Sexual Assault Response Teams: If a SART exist, is it a separate team from the CRT? ___Yes ____No SART #1 SART #2 SART #3 Counties SART POC Information Name: Name: Name: Phone: Phone: Email: Email: Email: Mtgs. Held per yr. Date of last mtg. held # of SANEs SART is supported with STOP funds (yes or no) See Instructions for sample Memorandum of Commitment for Coordinated Response Teams. Applicant Disclosures of Pending Applications: Applicants are to disclose whether they have pending applications for federally and or state funded grants that include requests for funding to support the same project being proposed under this solicitation and will cover the identical cost items outlined in the budget in the application under this solicitation. Mark none if you have no pending applications. Federal or State Solicitation Name / Name/Phone/E-mail for Point of Funding Agency Project Name Contact at Funding Agency
Other CRT #4 CRT #5 CRT #6 Counties CRT POC Information Name: Phone: Email: Name: Phone: Email: Name: Phone: Email: # of mtgs. per yr. Date of last mtg. held CRT supported with STOP funds. (yes or no) CRT Members Active Participant MOU Attached Active Participant MOU Attached Active Participant MOU Attached Law Enforcement Courts Probation Prosecution Victim Services Culturally Specific Services Sexual Assault Response Teams: If a SART exist, is it a separate team from the CRT? ___Yes ____No SART #1 SART #2 SART #3 Counties SART POC Information Name: Email: Name: Phone: Email: Name: Phone: Email: Mtgs. Held per yr. Date of last mtg. held # of SANEs SART is supported with STOP funds (yes or no) See Instructions for sample Memorandum of Commitment for Coordinated Response Teams. Applicant Disclosures of Pending Applications: Applicants are to disclose whether they have pending applications for federally and or state funded grants that include requests for funding to support the same project being proposed under this solicitation and will cover the identical cost items outlined in the budget in the application under this solicitation. Mark none if you have no pending applications. Federal or State Funding Agency Solicitation Name / Project Name Name/Phone/E-mail for Point of Contact at Funding Agency
2018%20STOP%20Application_0.docx