2015-16 Agency Partner Grant Program Orientation December 8, 2014 Dutchess County Department of Planning and Development
Community Investment Programs Community Development Block Grant Municipal Consolidation & Shared Services Grant Agency Partner Grant
Funding Categories Economic & Cultural Benefit Health & Human Service Environmental & Agricultural Sustainability
Economic & Cultural Benefit Employee Skill Development & Workforce Training Literacy Assistance Support Youth Vocational Assistance
Health & Human Service Anti-Bullying Awareness & Education Domestic Violence & Sexual Assault Prevention & Education Drug Addiction Prevention & Education Elder Abuse Awareness & Education Financial Fitness, Budgeting & Planning Human Trafficking Prevention & Education Juvenile Detention/PINS Diversion & Prevention
Health & Human Service Substance Abuse/Mental Illness Insurance Legal Advocacy Nutrition Assistance & Physical Health Education Poverty & Homeless Assistance Senior Transportation
Environmental & Agricultural Sustainability Agriculture & Farming Sustainability Greenway Compact & Smart Land Use Policy Development Recycling Education & Promotion
Timeline/Process November 25, 2014 Application released January 8, 2015 Applications due by 12:00 p.m. January to March 2015 Application review March 2015 County Executive announcement of 2015-2016 awards April 1, 2015 Program year start
Application
Application Breakdown Program/Program Outcome Description Program Monitoring and Evaluation Organizational Information Budget
Program/Program Outcome Description
Program Monitoring and Evaluation Monitoring How? How often? Who? Results? Incorporate findings to improve program and ensure success Evaluation Clients, staff, volunteers, and board members
Organizational Information Agency Organizational Chart Agency Staff List Agency Board List
Agency and Program Budget Agency Name: 2015-16 AGENCY PARTNER GRANT Agency Budget Income Expenses Total Government Grants/Contracts Total Personnel Detail "Government" below: State Grants/Contracts Detail "Personnel" below: Salary Fringe/Benefits Number of Full Time Employees: Number of Part Time Employees: Federal Grants/Contracts Total Subcontractors Detail "Subcontractors" below: County Grants/Contracts Consultants' Fees Total Foundation Grants Funds to Customers (wages, stipends, etc.) Detail "Foundation Grants" below: Staff Training Costs Dues/fees to national or state affiliates Equipment Occupancy (include utilities) Operation (travel, supplies, printing, phone, postage, etc.) Total United Way Grants Other Detail "United Way Grants" below: Detail "Other" below: Total Corporate Support Detail "Corporate Support" below: Donor Choice (United Way and/or Federated Campaigns) Fund Raising Events and Product Sales Membership & Program Fees Medicaid Reimbursement Other Detail "Other" below: Total Income Total Expense
Agency and Program Budget 2015-2016 Program Budget Program Name: Personnel Title Annual Salary Percent of Time on this Program Program Total Requested from this funder Paid for by Paid for by Paid for by Paid for by Client Fees Paid for by Agency Discretionary Money In Kind Contributions Total Funding Test $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Subtotal Personnel Services Costs $0 $0 $0 $0 $0 $0 $0 $0 Fringe Benefit Rate (percent): 0% Subtotal Fringe $0 $0 $0 $0 $0 $0 $0 $0 Non-Personnel Services Contractual/Consulting Services $0 Detail Contracts/Consulting $0 $0 Equipment Rental $0 Vehicle Lease(s) Travel Equipment Purchase Supplies Other Expenses $0 Detail "Other Expenses" Staff Training Insurance Occupancy Dues to National or State Affiliates Client costs/funds to customers Printing Indirect Costs TOTAL OTHER THAN PERSONNEL TOTAL PERSONNEL $0 $0 $0 $0 $0 $0 $0 $0 TOTAL EXPENSE $0 TOTAL REQUESTED FROM THIS FUNDER
Expectations Contract Requirements IRS Confirmation of not-for-profit status W9 Form Certificate of Insurance County must be listed as additional insured Accompanying Endorsement
Billing/Reimbursement Quarterly Submissions Payment Request Agency Summary (if applicable) Budget Modification (if applicable) Progress Report Backup Documentation Time sheets, receipts, travel/mileage reimbursement, etc.
Application Overview Be concise and specific Focus on the program and how it will meet the need Send as attachments to communitygrants@dutchessny.gov Due Thursday, January 8 th by 12:00 p.m.
Application Review Among the items considered by the committee: Identified Need Efficiency Outcome
Agency Partner Grant Questions?
Contact Information Dutchess County Department of Planning & Development 27 High Street Poughkeepsie, NY 12601 Phone: 845-486-3600 Fax: 845-486-3610 Email: communitygrants@dutchessny.gov Website: www.dutchessny.gov