Application for Training and Technical Assistance to Implement the Lethality Assessment Program Maryland Model (LAP) INSTRUCTIONS. Project Description

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1 INSTRUCTIONS Project Description Application for Training and Technical Assistance to Implement the Lethality Assessment Program Maryland Model (LAP) Page 1 of 23 INSTRUCTIONS This project was supported by Grant No TA-AX-K057 awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this publication are those of the authors and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women. Project Description The Office on Violence Against Women (OVW) has awarded the Maryland Network Against Domestic Violence (MNADV) funding under the OVW Technical Assistance Program to provide training and technical assistance (TA) to communities across the country in promoting and enhancing strategies to reduce intimate partner homicide through the Lethality Assessment Program Maryland Model (LAP). Through this award, MNADV provides cost-free train-the-trainer instruction and TA on how to implement LAP to community-based domestic violence service programs (DVSPs) and their partner law enforcement agencies. The LAP, created by MNADV in 2005, is an innovative program that is designed to prevent intimate partner homicides and serious abuse. As a part of the LAP, officers use an evidence-based, 11- question instrument called the Lethality Screen to assess a victim s risk of being killed by an intimate partner. When a victim is identified as High-Danger according to their answers on the Screen or the circumstances of the call for service, the officer calls the DVSP hotline immediately from the scene and offers the victim the chance to speak with an advocate about their safety and the DVSP s services. The LAP enables officers and advocates to work as equal partners in a more coordinated, communicative, and collaborative way to engage victims who otherwise may not access the life-saving services of the DVSP. The LAP is one of only two models of evidence-based intimate partner homicide prevention to be honored as a promising practice by the U.S. Department of Justice. It has also been validated as a supported intervention according to the Centers for Disease Control s Continuum of Evidence-Based Effectiveness.

2 INSTRUCTIONS - Eligibility Eligibility These criteria are further explained on pg In summary, applicants must meet the following criteria: Teams of at least one (1) law enforcement agency and at least one (1) community-based DVSP 1 serving the same jurisdiction; At least one (1) law enforcement agency or DVSP on the team must be an OVW grantee or subgrantee (see pgs ); Local or statewide partners (e.g., local prosecutor s office or statewide domestic violence coalition) may be included as third-party signatories on this application; Applicant law enforcement agencies and DVSPs must have language access policies and procedures in place that comply with Title VI of the Civil Rights Act of 1964 and the Safe Streets Act of 1968 (see pgs ); Applicant DVSPs must have policies and procedures in place that provide access for individuals with disabilities per the Americans With Disabilities Acts of 1990 and 1991 (see pgs ); Applicant law enforcement agencies and DVSPs must meet the minimum required criteria for implementing the LAP set forth in the Implementation Readiness Checklist (see page 20); Applicant law enforcement agencies and DVSPs must agree to the conditions set forth in the Letter of Commitment (see pgs ); and The highest-ranking officials of each law enforcement agency, DVSP, and third-party signatory (if applicable) must sign the accompanying attachments with original signatures (see pgs ). 1 A community-based DVSP is the local service provider that has confidential advocates who provide comprehensive services (residential and non-residential) to victims of domestic violence 24 hours a day, 7 days a week. An advocate or victims services unit located within a police department is not considered a community-based DVSP. If you have questions about whether your program would be considered a community-based DVSP, please ask MNADV. Page 2 of 23

3 INSTRUCTIONS Scope of the Project Scope of the Project The following is an overview of the application, preparation, training, and implementation processes. Step 1: Application Submission and Teleconferences Teams that are interested in applying for MNADV s training and TA for LAP implementation must submit all necessary forms and be available for all required communications according to the timeline provided. See more details on the application process, and how to apply, on pgs Step 2: Train-the-Trainer Preparation for Approved Jurisdictions Policymakers Teleconference After an approved team selects a train-the-trainer date, the Team Coordinator works with MNADV to schedule the Policymakers Teleconference, a two-hour teleconference which MNADV facilitates to explain the administrative and policy-related decisions that jurisdictions need to make to ensure smooth implementation of the LAP. We encourage the Team Coordinator, command and executive staff (heads of agencies preferred), managers or supervisors of patrol officers and hotline advocates, and trainers who will be responsible for conducting LAP in-service sessions to attend this teleconference. This teleconference must happen at least two months prior to the selected train-the-trainer date. Debrief Teleconference One to two weeks after the Policymakers Teleconference, MNADV will have a check-in teleconference with the Team Coordinator to discuss any questions or concerns that came up during the Policymakers Teleconference, and to begin to talk about train-the-trainer logistics. After this teleconference, MNADV will send a password-protected link to an online portal of training and implementation materials for the Team Coordinator to distribute to each law enforcement agency and DVSP. Logistics Teleconference One to two weeks before the train-the-trainer, MNADV will speak with the Team Coordinator to gather additional information, review progress on the Policy Decisions Worksheet, and prepare for the train-the-trainer. Page 3 of 23

4 Step 3: Train-the-Trainer Session Two MNADV trainers will conduct a one-day train-the-trainer session at the location of the approved jurisdiction s choosing. This mandatory training will last approximately eight hours, including lunch and breaks. There are no discipline-specific break-out sessions; law enforcement and DVSP staff will be together the entire day. Attendees must include law enforcement and DVSP staff who will provide the in-service training to patrol officers and hotline advocates.*ideally, command and management staff would also attend. MNADV offers a second day of supplemental training, which may involve reviewing the in-service training materials, discussing the policy and administrative decisions that have yet to be finalized, or a more in-depth training on specific modules touched on in Day 1. Jurisdictions may request this extra training, or it may be required based on our assessment of each jurisdiction s unique needs. *Additional law enforcement agencies or DVSPs that have not been formally approved to implement LAP may not attend the train-the-trainer as observers. Step 4: Training and Implementation In-Service Webinar MNADV offers two webinars one for DVSP trainers, one for law enforcement trainers to emphasize key points DVSP and law enforcement trainers will need to communicate to hotline advocates and patrol officers during their LAP in-service training sessions. This webinar may be viewed in lieu of, or in addition to, any supplemental training the jurisdiction may receive, explained in Step 3. Pre-Implementation Teleconference Prior to any agency or DVSP conducting their in-service training, MNADV will facilitate a preimplementation teleconference with the Team Coordinator and representatives from each agency and DVSP to ensure that all of the administrative and policy-related decisions listed on the Policy Decisions Worksheet have been made. In-Service Training Trainers who attended the LAP train-the-trainer session will train their respective staff within four months of the train-the-trainer. Because in-service schedules for law enforcement agencies are often set at the beginning of the year, the train-the-trainer date that an approved jurisdiction selects must take in to account this deadline. The in-service curriculum for law enforcement is approximately 50 minutes in length, and must be delivered in one continuous session of time (i.e., the curriculum may not be broken down into smaller, roll-call segments). The in-service curriculum for DVSPs is approximately hours in length. MNADV provides all in-service training curricula and PowerPoints. Page 4 of 23

5 Step 4: Training and Implementation cont. Implementation Implementation must also occur within six months of the train-the-trainer. If there are multiple law enforcement agencies participating in LAP, they may all choose to implement at the same time, or separately, whenever each is ready. The only caveat is that the DVSP be ready to start receiving hotline calls from officers before officers start administering the Screen to victims. The Team Coordinator will notify MNADV of the jurisdiction s implementation date(s) once it is decided. Step 5: Sustainability Data Collection Participating law enforcement agencies and DVSPs will collect several data points, outlined in a document that MNADV will provide to approved jurisdictions, and report them to MNADV for at least the first twelve months of implementation. The purpose of this data collection is to track the quality of implementation and compare to historical averages reported by Maryland and nationwide implementers. When the jurisdiction is approaching their sixth month of implementation, MNADV will contact the Team Coordinator to send links to online surveys for patrol officers and hotline advocates to complete in order to gauge the attitudes, practices, and perceptions of LAP held by front-line staff. Technical Assistance MNADV will provide ongoing TA regarding policy development, training, and implementation. TA will be provided in the form of , teleconference, newsletters/updates, webinars, etc. Page 5 of 23

6 INSTRUCTIONS How to Apply How to Apply Selecting a Team Coordinator In order to fill out the application paperwork, the team of at least one (1) law enforcement agency and at least one (1) community-based DVSP from the same jurisdiction must first select a LAP Team Coordinator. The Team Coordinator must be someone who has the skill-set and capacity to coordinate stakeholders and communicate promptly and effectively with MNADV. Some of the responsibilities that the Team Coordinator must be able to perform include: Serving as MNADV s primary point of contact for participating law enforcement agencies and DVSP(s) throughout the application, preparation, training, and implementation phases of LAP; Ensuring that deadlines for application submission, training, implementation, and data collection are met; Participating in all pre-training, training, and post-training activities and communications, as outlined in Scope of the Project on pgs. 3-5; Coordinating all train-the-trainer logistics; Organizing regular LAP meetings with representatives from participating law enforcement agencies and DVSP(s) to enhance coordination, problem-solve LAP-related issues, and monitor the quality of implementation; Monitoring the need for and organizing re-training of LAP (e.g., due to changes in leadership or turnover of front-line personnel) and/or supplemental training to enhance LAP implementation (e.g., predominant aggressor training); and Maintaining contact with MNADV for TA, as needed. Application Timeline The application process for LAP training and TA is completed in two stages. Stage 1 involves the submission of Form A and the accompanying Signature Pages (pgs ), as well as phone interviews with stakeholders. If a jurisdiction is successful in Stage 1, they will be notified of their preliminary approval. Stage 2 involves the submission of Form B, and additional phone interviews. If a jurisdiction is successful in Stage 2, they will be notified of their final approval status. MNADV will then begin working with the approved jurisdiction to schedule a train-the-trainer date and prepare the jurisdiction for training. Below is the specific timeline of the application process: Page 6 of 23

7 Stage 1: Preliminary Approval Process 2/1/2017: Form A Deadline Form A must be submitted by this deadline in order for a site to be considered for this application cycle. Applicants may also submit Form B by this deadline, but Form B will not be required until 3/15/ /1/2017-3/1/2017: Preliminary Applicant Interviews and Assessment MNADV will assess the application and conduct interviews via teleconference with several individuals from the applicant team including the Executive Director of the DVSP and Team Coordinator to learn more about the community s interest in, need for, and challenges to implementing LAP. The Team Coordinator will assist MNADV in scheduling these interviews expeditiously. 3/1/2017: Sites Notified of Preliminary Approval Based on Form A submissions, complete Signature Pages, and preliminary interviews, MNADV will accept sites for preliminary approval. These sites will then be invited to enter the next stage of the application process. Stage 2: Final Approval Process 3/15/2017: Form B Deadline If the site did not submit Form B along with Form A, it must do so by this deadline. Because of the short time period between preliminary approval and the Form B Deadline, MNADV encourages applicants to work on Form B in conjunction with Form A or throughout the preliminary approval process. 3/15/2017-4/15/2017: Secondary Applicant Interviews and Assessment MNADV will conduct a second round of in-depth interviews with various stakeholders, including each applicant law enforcement agency, to further gauge the jurisdiction's capacity to sustain the LAP effectively. The Team Coordinator will assist MNADV in scheduling these interviews expeditiously. 4/15/2017: Selected Sites Notified of Final Approval Based on Form B submissions and interviews, applicants will be accepted for final approval. At this point, train-the-trainer details and schedules will be discussed. Accepted jurisdictions will be required to send in their train-the-trainer date preferences by 6/15/2017. Page 7 of 23

8 Selection Criteria MNADV will consider the following criteria when reviewing the applications we receive: 1. The demonstrated ability of the applicant jurisdiction to meet the minimum criteria for implementing the LAP (outlined in the Implementation Readiness Checklist on page 20); 2. The demonstrated ability of the applicant law enforcement agencies and DVSP(s) to work together in the development, training, and implementation of the LAP in their jurisdictions; 3. The demonstrated willingness of the applicant jurisdiction to sustain implementation of the LAP; 4. The community s experience with domestic violence, and in particular, with fatal or near-fatal incidents of domestic violence; 5. The number and size of applicant law enforcement agencies; and 6. The size and demographics (gender, age, ethnicity, socioeconomic status, rural vs. urban, etc.) of the population being served that demonstrate the diversity of the jurisdiction. The jurisdictions currently implementing LAP are diverse in size, in geography, in demographics, and in the level of pre-existing collaboration between law enforcement and the DVSP. MNADV seeks to set LAP participants of all circumstances up for success by using a strengths-based, customized approach to training and TA for each community. Application Submission Requirements The required documents for each Stage of the application process must be completed in the fillable PDF format only, with narrative responses typed and not hand-written. Completed forms may be faxed or scanned and ed. Applicants will receive an confirmation upon receipt of their application. Late applications will not be accepted. Send application documents to: Fax: (301) LAPInfo@mnadv.org Contact Information For assistance, contact the Maryland Network Against Domestic Violence at (301) or LAPInfo@mnadv.org. Page 8 of 23

9 FORM A Applicant and Team Coordinator Information Application for Training and Technical Assistance to Implement the Lethality Assessment Program Maryland Model (LAP): FORM A This project was supported by Grant No TA-AX-K057 awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this publication are those of the authors and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women. Form A and the Signature Pages must be submitted by 2/01/2017 for preliminary approval in Stage 1. Applicant Information State/Territory in which the applicant jurisdiction is located: County(ies) in which the applicant jurisdiction is located: Number of intimate partner homicides in the last five years: Please explain what this number includes. Example: This number just includes the number of victims of intimate partner violence who were killed by their partners or This number includes all intimate partner-related homicides, including collateral deaths associated with intimate partner homicide, such as bystanders, other friends/family members, perpetrator suicide, and children of the victim. Team Coordinator Information A designated representative will serve as the Team Coordinator for this project and will coordinate with MNADV to fulfill the jurisdiction s training and TA activities as necessary. Name of the Team Coordinator: Title (and rank, if applicable): Agency/Program/Organization: Page 9 of 23

10 Street Address: City, State, ZIP Code: Telephone: Fax: Form A and the Signature Pages have been completed to be the best of our knowledge and ability. Signature of Team Coordinator Date Page 10 of 23

11 FORM A Participant and Demographic Information Participant and Demographic Information 1. For each applicant law enforcement agency included in this application, please list the: a) name of law enforcement agency, name of the highest-ranking official, and the contact information ( address and direct phone number) for the highest-ranking official; b) name of the law enforcement agency s partner DVSP, name of the highest-ranking official at the DVSP, and the contact information ( address and direct phone number) for the highest-ranking official; c) specific municipalities, towns, or other jurisdictions served by the law enforcement agency; and d) estimated served population of the law enforcement agency. Page 11 of 23

12 2. For each applicant DVSP included in this application, please describe the: a) Residential and non-residential services available to clients; b) Working relationships with other community-based DVSPs or culturally specific programs that provide DV services. Page 12 of 23

13 3. Please provide demographic information for the populations served by the law enforcement agency(ies) and DVSP(s) in this application by referencing U.S. Census Bureau data for your county and/or municipality. If there are demographic realities that you feel are not reflected in these statistics, or that are different amongst various municipalities in your jurisdiction, please add additional insights in the comment boxes provided a) Fill out these boxes with data on the racial and ethnic make-up of your jurisdiction s residents.. % White alone (not Hispanic or Latino). % Hispanic or Latino alone. % African American or Black alone. % American Indian and Alaska Native alone. % Asian alone. % Native Hawaiian or Other Pacific Islander alone. % Two or more races Please comment on characteristics of the demographic makeup of your jurisdiction that you feel are not reflected in the percentages above, or that you would like to explain further (e.g., There is a significant and growing population of Iraqi refugees in Example City PD s service population, which is not reflected in our census data. ). Page 13 of 23

14 b) Check the geographic classification of your jurisdiction, according to census data or personal opinion. Rural Urban Suburban Please justify your above choice and provide additional information on aspects of the physical environment of your jurisdiction that would pertain to implementation of the LAP (e.g., mountain communities that are difficult for police to access in winter, lack of public transportation for rural residents, etc.). Page 14 of 23

15 c) Fill in the percentage of the jurisdiction s population who live below the poverty line. % of the population lives below the poverty line. Please comment on characteristics of the socioeconomic status of your jurisdiction s residents that you feel are not reflected in the percentage above, or that you would like to explain further (e.g., the % is low because there are smaller, dense areas of poverty within affluent communities). d) Please add any relevant information regarding special populations (e.g., large student population, large elderly population, heavy influx of tourists in the summer, hunting is a popular sport so most residents own guns, etc.). Page 15 of 23

16 FORM A Narrative Questions Narrative Questions Please answer each of the following questions on a separate sheet of paper, labeled "Form A Narrative Questions," and include when you submit your paperwork to MNADV. A. Tell us why your team is interested in implementing the LAP. B. The LAP results in an increased use of DVSP resources and services. Please specifically describe the resources available in the community (both the DVSP s and other victim-services agencies ) and the DVSP s plan to handle the increased use of its services. C. The success of the LAP requires coordination, communication, and cooperation between law enforcement and the DVSP. Describe how your team has worked collaboratively in the past to serve victims of domestic violence. Include details of any specific projects, grants, task forces, joint trainings, and/or coordinated community response or fatality review team meetings, if applicable. If your team has not worked closely together in the past, what is your plan for improving your cooperative efforts in the future? D. Please specifically explain how your jurisdiction plans to sustain ongoing implementation of the LAP. Include details about any funding set-asides for implementation or memoranda of understanding between agencies, if applicable. Page 16 of 23

17 SIGNATURE PAGES Attachment 1 Application for Training and Technical Assistance to Implement the Lethality Assessment Program Maryland Model (LAP): Signature Pages This project was supported by Grant No TA-AX-K057 awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this publication are those of the authors and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women. Attachment 1 (page 1 of 3) OVW Project Eligibility Requirements FOR DOMESTIC VIOLENCE SERVICE PROGRAMS Each applicant DVSP must check each appropriate box. If your team has more than one applicant DVSP, please have each program submit its own Attachment My applicant DVSP is a current OVW grantee or sub-grantee. Note: This includes STOP and ICJR or GTEAP funds that your program can receive directly, or as passthrough funds from a state or local entity. Your program s financial manager should know whether your program currently receives OVW funds. If the DVSP does not receive OVW funding, it does not necessarily render the application ineligible. However, if the DVSP does receive OVW funding, directly or indirectly, this field is mandatory. The current OVW grant award number is: 2. My applicant DVSP is NOT a current OVW grantee or sub-grantee, and I have verified this with my program s financial manager. 3. My applicant DVSP has language access policies and procedures in place that comply with Title VI of the Civil Rights Act of 1964 and the Safe Streets Act of My applicant DVSP has policies and procedures in place that provide access for individuals with disabilities per the Americans with Disabilities Acts of 1990 and Page 17 of 23

18 I, the undersigned, certify that the conditions indicated above are true for my program. Applicant DVSP Signature of Highest-Ranking Official Date Print Name Name of DVSP Page 18 of 23

19 SIGNATURE PAGES Attachment 1 Attachment 1 (page 2 of 3) OVW Project Eligibility Requirements FOR LAW ENFORCEMENT AGENCIES Each applicant law enforcement agency must check each appropriate box. If your team has more than one applicant law enforcement agency, please have each agency submit its own Attachment My applicant law enforcement agency is a current OVW grantee or sub-grantee. Note: This includes STOP and ICJR or GTEAP funds that your agency can receive directly, or as passthrough funds from a state or local entity. Your agency s financial manager should know whether your program currently receives OVW funds. If the agency does not receive OVW funding, it does not necessarily render the application ineligible. However, if the agency does receive OVW funding, directly or indirectly, this field is mandatory. The current OVW grant award number is: 2. My applicant law enforcement agency is NOT a current OVW grantee or subgrantee, and I have verified this with my agency s financial manager. 3. My applicant law enforcement agency has language access policies and procedures in place that comply with Title VI of the Civil Rights Act of 1964 and the Safe Streets Act of I, the undersigned, certify that the conditions indicated above are true for my agency. Applicant Law Enforcement Agency Signature of Highest-Ranking Official Date Print Name Name of Law Enforcement Agency Page 19 of 23

20 SIGNATURE PAGES Attachment 1 Attachment 1 (page 3 of 3) OVW Project Eligibility Requirements FOR THIRD-PARTY ORGANIZATIONS Each applicant third-party organization (state coalition, prosecutor s office, etc.) must check the appropriate box. If your team has more than one applicant third-party organization, please have each organization submit its own Attachment 1. If your team is NOT applying with a third-party organization, leave this page blank. 1. My applicant third-party organization is a current OVW grantee or sub-grantee. Note: This includes STOP and ICJR or GTEAP funds that your organization can receive directly, or as pass-through funds from a state or local entity. Your organization s financial manager should know whether your program currently receives OVW funds. If the organization does not receive OVW funding, it does not necessarily render the application ineligible. However, if the organization does receive OVW funding, directly or indirectly, this field is mandatory. The current OVW grant award number is: 2. My applicant third-party organization is NOT a current OVW grantee or sub-grantee, and I have verified this with my organization s financial manager. I, the undersigned, certify that the conditions listed above are true for my organization. Applicant Third-Party Organization Signature of Highest-Ranking Official Date Print Name Name of Third Party Organization Page 20 of 23

21 SIGNATURE PAGES Attachment 2 Attachment 2 Implementation Readiness Checklist This Implementation Readiness Checklist sets out the minimum required criteria, or Core Elements, needed to implement the LAP. Please check each box, indicating that your jurisdiction meets this minimum criteria. 1. This team consists of at least one (1) law enforcement agency and at least one (1) community-based DVSP serving the same jurisdiction. (See the definition of communitybased DVSP in the footnote on page 2). 2. The law enforcement agency(ies) and DVSP(s) in this application have communicated specifically about the LAP, and have decided collaboratively that they wish to participate in the LAP as partners. 3. The DVSP(s) in this application currently manages a 24/7 hotline available for officers to call, or can commit to manage a 24/7 hotline for officers if approved for LAP training The DVSP(s) that manages the hotline has the ability to offer both residential and non-residential services to High-Danger victims during the LAP hotline call The law enforcement agency(ies) and DVSP(s) in this application agree to use the 11-question Lethality Screen for Law Enforcement Officers, and to not modify the questions on this Screen. 6. The law enforcement agency(ies) in this application agree to administer the Screen and place a hotline call to the DVSP from the scene of a domestic call for service. 7. The law enforcement agency(ies) in this application agree to encourage officers to 2 By "24/7 hotline," we mean that officers must be able to have 24/7 access to a confidential advocate from their partner community-based DVSP. If your DVSP does not operate a 24/7 hotline (e.g., your calls roll over to a local or national hotline after-hours, or you have an answering machine or call-back service that is not a direct connection), your program must be willing and able to commit to designating a local LAP line that is available for officers 24/7. MNADV can provide technical assistance around making these arrangements, if this is the case for your program. 3 If residential and non-residential services are offered by different programs in your community, or in different locations, the advocate answering the LAP hotline call must be able to simultaneously book appointments or approve requests for safe accommodation for High-Danger victims during the LAP hotline call for both agencies or locations. Again, we can provide technical assistance around this coordination, if this is the case for your community. Page 21 of 23

22 make their best effort to place this phone call from a safe phone namely, a phone to which the victim s partner does not have access. 8. The law enforcement agency(ies) in this application agree to encourage High- Danger victims to speak on the phone with a hotline advocate. 9. The DVSP(s) in this application agree to conduct immediate safety planning and encourage High-Danger victims to take advantage of their services. 10. _ The law enforcement agency(ies) in this application agree that their officers will remain on the scene and offer victims privacy during the 5-10 minute confidential hotline conversation. We, the undersigned, certify that our team meets all the Core Elements set forth above. Please submit signatures for additional applicant law enforcement agencies or DVSPs on a separate page labeled SIGNATURE PAGES Attachment 2. Applicant Law Enforcement Agency Signature of Highest-Ranking Official Date Applicant DVSP Signature of Highest-Ranking Official Date Print Name Name of Law Enforcement Agency Print Name Name of DVSP Page 22 of 23

23 SIGNATURE PAGES Attachment 3 Page 23 of 23 Attachment 3 Letter of Commitment We, the undersigned, are submitting this Letter of Commitment which states that, if our team is selected, our law enforcement agency(ies) and DVSP(s) agree to all of the following: To comply with the minimum criteria set forth in the LAP Implementation Readiness Checklist. To commit to having our respective law enforcement agency(ies) and DVSP(s) participate as a team in the development, training, and implementation of the LAP. To appoint a contact person who will serve as our Teams Coordinator and who will work with MNADV in scheduling training and TA activities as necessary to fulfill the requirements of the project. Should the contact person leave their position or decide not to become involved in the program, we will promptly assign another individual to fulfill the duties of the contact person. To appoint a contact person who will serve as each agency s representative and who will work with MNADV and the Team Coordinator to ensure all program requirements are met. For representatives from our command and management staff to participate in a Policymakers Teleconference at a mutually agreed upon time at least two months prior to the train-the-trainer session (see Scope of the Project, pgs. 3-5). To coordinate a full-day train-the-trainer session on a date agreed upon with MNADV (see Scope of the Project, pgs. 3-5). To continue to demonstrate a readiness, willingness, and commitment to implement the LAP throughout the training and implementation period. To participate in all of the Steps outlined in the Scope of the Project on pgs To ensure that the train-the-trainer session is attended by trainers from the approved law enforcement agency(ies) and DVSP(s) who will train their respective staff. To complete the in-service trainings of patrol officers and hotline advocates within four months from the date of the train-the-trainer (see Scope of the Project, pgs. 3-5). These in-service sessions must be conducted in one continuous session of time. Staff may be trained in smaller groups of people (e.g., by shift, patrol district, or organizational department), but the in-service curriculum may not be divided into smaller segments.

24 To implement the LAP in our jurisdiction within six months from the date of the train-the-trainer (see Scope of the Project, pgs. 3-5). To collect LAP data and submit the collected data to MNADV for at least the first twelve months of implementation (see Scope of the Project, pgs. 3-5). To disseminate the online surveys that MNADV will provide to participating officers and hotline advocates in order to evaluate attitudes toward and impact of the LAP after six months of implementation. To not make any changes to the LAP s Core Elements (outlined in Attachment 2 Implementation Readiness Checklist) for at least twelve months after implementation. To make a good-faith commitment to institutionalize the LAP within participating agencies and programs. Please submit signatures for additional applicant law enforcement agencies or DVSPs on a separate page labeled SIGNATURE PAGES Attachment 3. Applicant Law Enforcement Agency Signature of Highest-Ranking Official Date Applicant DVSP Signature of Highest-Ranking Official Date Print Name Name of Law Enforcement Agency Print Name Name of DVSP Page 24 of 23