How did you provide these services before you received this grant? If funding is not awarded for this application, explain below how the services requested with this application will be affected. Will they be discontinued or picked up with other funding? No more than ONE (1) page, including this page. Do not delete these directions. ___________________________________________________________________________ Funding Sources for Domestic Violence Legal Programs (Include all funding for domestic violence legal programs within the organization. Do not include this funding request. The figures shown below are for the period of July 1, 2017, to June 30, 2018.) FUNDING SOURCE AMOUNT Local Funding $ Private $ Funding/Contributions U.S. Department of Justice $ (VAWA, VOCA or other) United Way $ State Appropriations $ (do not include DV funding) Department of Mental $ Health Dept. of Children and $ Family Services Department of Human $ Services - Federal and State Department of Health $ Federal and State Dues, Program Fees, Misc. $ Court Fines and Fees $ Other: $ $ $ $ TOTAL $ Please indicate below the number of Full Time and Part Time positions in the program. Full time positions: Part time positions:
How did you provide these services before you received this grant? If funding is not awarded for this application, explain below how the services requested with this application will be affected. Will they be discontinued or picked up with other funding? No more than ONE (1) page, including this page. Do not delete these directions. ___________________________________________________________________________ Funding Sources for Domestic Violence Legal Programs (Include all funding for domestic violence legal programs within the organization. Do not include this funding request. The figures shown below are for the period of July 1, 2017, to June 30, 2018.) FUNDING SOURCE AMOUNT Local Funding $ Private Funding/Contributions $ U.S. Department of Justice (VAWA, VOCA or other) $ United Way $ State Appropriations (do not include DV funding) $ Department of Mental Health $ Dept. of Children and Family Services $ Department of Human Services - Federal and State $ Department of Health Federal and State $ Dues, Program Fees, Misc. $ Court Fines and Fees $ Other: $ $ $ $ TOTAL $ Please indicate below the number of Full Time and Part Time positions in the program. Full time positions: Part time positions:
2020%20DV%20application.docx