2012 OCFS/DIVISION OF YOUTH SERVICES GRANT APPLICATION CHECKLIST

These are the documents that need to be completed and submitted to the Division of Youth Services for 2012 funding consideration.  The forms listed below in numbers 1-5 can all be found on our website along with helpful Technical Assistance Documents.  Go online to: 2012 OCFS Grant Applications

1. OCFS Form 5001 (Individual Program Application – Program Information).  Please make sure that original signatures of your Executive Director or Municipal Supervisor/Mayor are included.  
   
   
2. OCFS Form 5002 (Agency Program Profile).  Please make sure that your demographic data is complete and adds up in each category to equal the Projected Total Program Enrollment (#of youth to be served).  Make sure you do not go over the 100 word limit in each of the Features of Positive Youth Development.  
   
   
3. OCFS Form 5003 (Program Summary-Program Components).  This section pertains to the Touchstone Life Areas, Goals, Objectives, and Service Opportunities & Supports (SOS).  The minimum requirement per program application is one Life Area, one Goal, one Objective, and one SOS.  The maximum allotment is two Life Areas, two Goals, three Objectives per Goal, and two SOS per Objective. 
   
   
4. OCFS Form 5005 (Program Budget).  Please fill this out for your program according to the instructions. 
   
   
5. 2012 OCFS/Division of Youth Services Grant Application.  The grant application includes the Program Summary Sheet (Attachment I), Logic Model (Attachment II), Objectives Report Form (Attachment III), and Board List (Attachment IV). 
   
   
6. Memorandums of Understanding or Letters of Agreement - If your program is held offsite at a school, another agency or location, please provide MOU’s or Letters of Agreement indicating the relationship and outline what the host site agrees to provide.  If your program engages with another agency to provide services to your customers on a regular basis, then an MOU is needed.  MOU’s are not needed for the referrals.  
   
   
7. Submit One copy of the most recent agency audit or the most recent IRS Form 990 (Return of Organization Exempt From Income Tax) 
   
   
8. The original and 10 copies of the entire grant (except # 6 and # 7 above) must be submitted to the Division of Youth Services by Friday, September 23, 2011 at 3:00 pm.