CRIME PREVENTION AND JUSTICE ASSISTANCE DIVISION



CRIME PREVENTION AND JUSTICE ASSISTANCE DIVISIONDEPARTMENT OF THE ATTORNEY GENERALAPPLICATION FOR GRANT FY 2017 EDWARD BYRNE MEMORIAL JUSTICE ASSISTANCE GRANT (JAG)PART I. TITLE PAGEA.PROJECT TITLE: FORMTEXT ?????B.APPLICANT AGENCY: FORMTEXT ?????C.SYSTEM FOR AWARD MANAGEMENT (SAM)REGISTRATION: FORMCHECKBOX Yes FORMCHECKBOX NoDUNS No. FORMTEXT ?????D.APPLICATION RANKING WITHIN AGENCY:_________ (as determined by agency head)E.ADDRESS: FORMTEXT ?????City FORMTEXT ?????Zip FORMTEXT ?????F.PRIMARY PLACE OF PERFORMANCE:City FORMTEXT ?????State FORMTEXT ?????Zip + 4 digits FORMTEXT ?????- FORMTEXT ????G.PROJECT PERIOD:From FORMDROPDOWN 1, FORMDROPDOWN To FORMDROPDOWN FORMDROPDOWN , FORMDROPDOWN H.AUTHORIZED PROGRAM AREA: FORMDROPDOWN I.PRIORITY AREA: FORMDROPDOWN and FORMDROPDOWN J.TYPE OF APPLICATION:New FORMCHECKBOX Continuation FORMCHECKBOX K.TOTAL PROJECT AMOUNT:$ FORMTEXT ?????L.OTHER FUNDING SOURCES:Is the proposed project seeking other sources of funding? Yes FORMCHECKBOX No FORMCHECKBOX If yes, then provide name of the source or grant program and the amount of funds that is being sought: Source FORMTEXT ????? Amount $ FORMTEXT ?????M.PROJECT DIRECTORName: FORMTEXT ?????Title: FORMTEXT ?????Address: FORMTEXT ?????Telephone FORMTEXT ?????E-Mail: FORMTEXT ?????N.FINANCIAL OFFICERName: FORMTEXT ?????Title: FORMTEXT ?????Address: FORMTEXT ?????Telephone: FORMTEXT ?????E-Mail: FORMTEXT ?????FOR CPJAD USEDate received:Project Number:EXHIBIT AAPPLICATION FOR GRANT FY 2017 EDWARD BYRNE MEMORIAL JUSTICE ASSISTANCE GRANT (JAG)PART II. DESCRIPTION OF PROJECTA.THE PROBLEM FORMTEXT ?????B.GOALS AND OBJECTIVES FORMTEXT ?????C.PROJECT ACTIVITIES FORMTEXT ?????D.PROJECT ORGANIZATION AND MANAGEMENT FORMTEXT ?????E.PERSONNEL FORMTEXT ?????F.BRIEF PERSONNEL BIOGRAPHIES FORMTEXT ?????G.PARTICIPATING AGENCIES FORMTEXT ?????H.PERFORMANCE INDICATORS/OUTCOME MEASURES FORMTEXT ?????I.PROBABILITY TO IMPROVE THE CRIMINAL JUSTICE SYSTEM AND SUSTAINABILITY PLAN FORMTEXT ?????APPLICATION FOR GRANTFY 2017 EDWARD BYRNE MEMORIAL JUSTICE ASSISTANCE GRANT (JAG)PART III. BUDGET DETAIL AND EXPLANATIONBUDGET DETAIL: COST ELEMENTAMOUNTA. Salaries and WagesPosition TitleNo. of PositionsMonthly rateSubtotal FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Position TitleNo. of Positions FORMDROPDOWN No. of Hours FORMDROPDOWN FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ?????Total Salaries and Wages$ FORMTEXT ?????B. Fringe BenefitsEmployee Benefits @ FORMTEXT ?????%Position TitleNo. of PositionsMonthly RateSubtotal FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????Position TitleNo. of Positions FORMDROPDOWN No. of Hours FORMDROPDOWN FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ?????Total Fringe Benefits$ FORMTEXT ?????C. Consultants/ContractsScope of Consultant/ContractEstimated CostLength of Consultant/Contract ServiceSelect as Appropriate FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Consultant FORMCHECKBOX Contract FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Consultant FORMCHECKBOX ContractItemize for mainland/interisland airfare, ground transportation, rental car, per diemUnit CostNo. of Travelers as applicableNo. of DaysSubtotal FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?? FORMTEXT ??$ FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?? FORMTEXT ??$ FORMTEXT ?????Total Consultants/Contracts$ FORMTEXT ?????COST ELEMENTAMOUNTD. Transportation and SubsistenceItemize for mainland/interisland airfare, ground transportation, rental car, per diemUnit CostNo. of Travelers as applicableNo. of DaysSubtotal FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?? FORMTEXT ??$ FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?? FORMTEXT ??$ FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?? FORMTEXT ??$ FORMTEXT ?????Total Transportation and Subsistence$ FORMTEXT ?????E. Office SuppliesItemize supplies and related costs such as printing, paper, binders, etc.QuantityCost by UnitSubtotal FORMTEXT ????? FORMTEXT ???$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ???$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ???$ FORMTEXT ?????$ FORMTEXT ?????Total Office Supplies$ FORMTEXT ?????F. EquipmentSpecify equipment that will be purchased, leased, or rented.QuantityCost by UnitSubtotal FORMTEXT ????? FORMTEXT ???$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ???$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ???$ FORMTEXT ?????$ FORMTEXT ?????Total Equipment$ FORMTEXT ?????G. Other CostsQuantityCost by UnitSubtotal FORMTEXT ????? FORMTEXT ???$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ???$ FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ???$ FORMTEXT ?????$ FORMTEXT ?????Total Other Costs$ FORMTEXT ?????H. Indirect CostsBaseRate (%)Subtotal FORMTEXT ?????$ FORMTEXT ??? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ??? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ??? FORMTEXT ?????$ FORMTEXT ?????Total Indirect Costs$ FORMTEXT ????? FORMTEXT TOTAL PROJECT COSTS $ FORMTEXT ?????BUDGET EXPLANATION: Salaries and Wages FORMTEXT ?????Fringe Benefits The composite fringe benefit rate is at FORMTEXT ?????% for FORMTEXT ????? (list positions). The rate consists of the following fringe benefit items and computed rates: FORMTEXT ?????Consultants/Contracts FORMTEXT ?????Transportation and Subsistence FORMTEXT ?????Office Supplies FORMTEXT ?????Equipment FORMTEXT ?????Other Costs FORMTEXT ?????Indirect Costs FORMTEXT ????? ................
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