Form 1122-0011 Semi-annual Progress Report for Grants to Support Tribal

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U.S. Department of Justice
Office on Violence Against Women
SEMI-ANNUAL PROGRESS REPORT FOR
Grants to Support Tribal Domestic Violence
and Sexual Assault Coalitions
Brief Instructions: This form must be completed for each Grant to Support Tribal Domestic Violence and Sexual
Assault Coalition (Tribal Coalitions) grant received. The grant administrator or coordinator must ensure that the
form is completed fully with regard to all grant activities. Throughout this form, Tribal Coalitions funds include the
mandated 25% non-federal grant match.
All grantees should read through each section to determine which questions they must answer based on the activities engaged in under this grant during the current reporting period. Sections B, D and subsection A1 of this form
must be completed by all grantees. In subsection A2 and section C, grantees must answer an initial question in
each subsection about whether they engaged in certain activities during the current reporting period. If the response is yes, then the grantee must complete that subsection. If the response is no, the rest of that subsection
is skipped.
For example, 1) if you only provided training and technical assistance with staff funded under this grant during the
current reporting period, you would complete A1, A2, B, C1, C6, and D (and answer ‘no’ in C2-C5 and C7-C9); or,
2) if you provided training and technical assistance with staff funded under this grant and grant-funded staff developed products during the current reporting period, you would complete sections A, B, C1, C4, C6, and D (and answer ‘no’ in C2, C3, C5, C7-C9).
The activities of volunteers or interns may be reported if they are coordinated or supervised by Tribal Coalitions
grant-funded staff or if Tribal Coalitions funds substantially support their activities.
For further information on filling out this form, refer to the separate set of instructions, which contains detailed
definitions and examples, illustrating how questions should be answered.
SECTION
Section A:
Section B:
Section C:
C1:
C2:
C3:
C4:
C5:
C6:
C7:
C8:
C9:
Section D:
Appendix A:

General Information
Program Activities
Function Areas
Training
System Advocacy
Policies
Products
Education
Topics of Technical Assistance
Standards of Service
Other Underserved Populations
Organizational Development and Capacity Building
Narrative
Status of Goals and Objectives Table

Page Number
1
4
5
5
8
11
12
14
13
16
15
18
17
18
19
19
20
20
21
21
22

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GENERAL INFORMATION
Grant information

A1

All grantees must complete this section.
/

1.

Date of report

2.

Current reporting period

3.

Grantee name

4.

/

(format date with 6 digits - 01/31/04)
✔

January 1- June 30

✔

July 1-December 31

(Year)

Grant number
(the
assigned
to to
your
Tribal
Coalitions
grant)
(the federal
federal grant
grant number
number[s]
assigned
your
Tribal
Coalitions
grant)

5.

Type of organization
(Check one)

Sexual assault coalition
Domestic violence coalition
Dual sexual assault/domestic violence coalition
Tribal government
6.

Point of contact
(person responsible for the day-to-day coordination or administration of the grant)
Last Name
First Name
MI
Name
Agency/organization (if different from grantee name)
Agency/organization name (If different from grantee name)
Address
Address
City
Telephone
Telephone

State

Zip Code

Facsimile
Facsimile

E-mail
E-mail

7.

What percentage of your tribal coalition operating budget is funded by this Tribal Coalitions
grant?

8.

What tribal population(s) is(are) served by your Tribal Coalitions grant?

9.

Did this tribal coalition exist prior to receiving Tribal Coalitions grant funds?
Yes
No

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10. Coalition members
(Report the total number of organizational members, including sexual assault programs, domestic violence
programs, other victim services agencies, and other organizational members, as applicable to your tribal
coalition. Report the total number of individual members, if applicable, to your tribal coalitions. Individual
members are individual persons, not programs.)
Coalition members

Number

Sexual assault programs/rape crisis centers
Domestic violence programs
Dual sexual assault and domestic violence programs
Tribal victim services agencies
Other victim service providers
Other organizational members
Total number of organizational members

0

Total number of individual members

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Staff Information

A2

Were Tribal Coalitions funds used to fund staff positions during the current reporting period?
Check yes if Tribal Coalitions funds were used to pay staff, including part-time staff and contractors.

Yes—answer question 11
No—skip to Section B
11. Staff
(Report the total number of full-time equivalent [FTE] staff funded by your Tribal Coalitions grant during the
current reporting period. Include employees who are part-time and/or only partially funded with these grant
funds as well as contractors. If an employee or contractor was not employed or utilized over the entire repor ting period, report the average. Round to the second decimal. See separate instructions for examples of how
to calculate FTEs for part-time staff and contractors.)
Staff

Grant-funded staff

Administrator (executive director, fiscal manager)
Civil attorney
Information technology specialists
Native women/tribal cultural specialist
Paralegal
Program coordinator (training coordinator, outreach coordinator)
Support staff (secretary, administrative assistant)
System advocate
Technical assistance provider
Trainer/educator
Other (specify):
Total

0.00

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PROGRAM ACTIVITIES

B

All grantees must complete this section.

12. Program Activities
(Check all program activities supported with Tribal Coalitions funds during the current reporting period.)
Check ALL
that apply

Program activities
Bringing local tribal programs together to identify gaps in services and to coordinate activities
Conducting statewide, regional and/or tribally-based meetings or workshops for tribal victim
advocates, survivors, community members, legal services staff, health care professionals,
and criminal justice representatives
Coordinating and presenting public awareness or community education programs (including
education for youth) to increase understanding of domestic violence and sexual assault
Developing or enhancing appropriate standard of services for service providers
Engaging in systems advocacy to effect policy and/or procedural change in order to improve
institutional responses to domestic violence and sexual assault
Establishing and maintaining an office and hiring staff (reasonable costs in connection with
the establishment of an organization are allowable)
Expanding the capacity of coalitions
Providing technical assistance to coalition members, programs, organizations, and service
providers
Providing limited direct services and advocacy to victims of domestic violence and sexual
assault including crisis hotlines, assistance with shelter and transitional housing, court
accompaniment, referrals, support groups, and civil legal services

13. Other activities
(List all other activities, not included in question 12, which your tribal coalitions engaged in during the current
reporting period. Check the box in the first column if the activity was funded with Tribal Coalitions funds.)
Tribal Coalitions
funded

Activity
a.
b.
c.
d.
e.
f.

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C1

FUNCTION AREAS
Training

Were your Tribal Coalitions funds used for training during the current reporting period?
Check yes if Tribal Coalitions-funded staff provided training or if Tribal Coalitions funds were used to directly
support the training.

Yes—answer questions 14-16
No—skip to C2
For the purposes of this reporting form, training means providing information on sexual assault, dating violence, domestic violence, and stalking that enables a person to improve their response to victims/survivors
as it relates to their role in the system. Education means providing general information that will increase
awareness of sexual assault, domestic violence, and stalking. Education should be reported in section C5

14. Type and number of training events provided
(Report the number of statewide, regional, and tribal-based training events by the type of training that were
either provided by Tribal Coalitions-funded staff or directly supported with Tribal Coalitions funds. Staff development training provided to Tribal Coalitions-funded staff should not be counted. Use the Sexual assault/
Domestic violence columns if training events focused on both sexual assault and domestic violence.)
Type of training
Statewide
Sexual Domestic
assault violence

Total number of training events
Intra-state regions

Sexual
assault/
Domestic
violence

Sexual Domestic
assault violence

Sexual
assault/
Domestic
violence

Tribal

Sexual Domestic
assault violence

Sexual
assault/
Domestic
violence

Computer-based training
Conferences
Teleconferences
Videoconferences
Workshops/seminars
Other (specify):

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15. Number of people trained
(Report the number of people trained during the current reporting period by Tribal Coalitions-funded staff or
training supported by Tribal Coalitions funds. Use the category that is most descriptive of the people attending the training event. Tribal Coalitions-funded staff attending staff development training should not be
counted.)
People trained

Number

Attorneys/law students
Batterer intervention program staff
Child protective service workers
Children’s advocates (not affiliated with CPS)
Community advocacy organization staff (National Indian Council on Aging,
National Congress of American Indians)
Correction personnel (probation, parole, and correctional facilities)
Court personnel (tribal)
Court personnel (non-tribal)
Domestic violence program staff (tribal)
Domestic violence program staff (non-tribal)
Educators (teachers, administrators, etc.)
Faith-based organization staff
Federal agency staff (BIA, HIS, FBI)
Health professionals (excluding forensic examiners)
Law enforcement officers (tribal)
Law enforcement officers (non-tribal)
Legal services staff
Mental health professionals
Multidisciplinary group (various disciplines at same training)
Other government agency staff (vocational rehabilitation, food stamps,
TANF)
Prosecutors (tribal)
Prosecutors (non-tribal)
Sexual assault forensic examiners
Sexual assault program staff (tribal)
Sexual assault program staff (non-tribal)
Social service organization staff
Tribal community groups
Tribal elders
Tribal government
Tribal government/Tribal government agency staff
Victim-witness specialists
Volunteers
Other (specify)
Total

0

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16. Training content areas
(Indicate all topics covered in training events provided by your Tribal Coalitions-funded staff or directly
supported with Tribal Coalitions funds during the current reporting period. Check all that apply.)
Sexual assault, domestic violence and stalking
Advocacy for American Indian and/or Alaska
Native women
Child custody in the context of violence
against women
Child witnesses in the context of domestic
violence
Confidentiality
Cultural issues specific to American Indians
and/or Alaska Natives
Dating violence overview, dynamics, and
services
Domestic violence overview, dynamics, and
services
Drug facilitated sexual assault
Dynamics and history of violence against
American Indian and/or Alaska Native women
Indian Child Welfare Act
Safety planning for victims/survivors
Sexual assault overview, dynamics, and
services
Stalking overview, dynamics, and services
Supervised visitation and exchange
Tribal strategies to address sexual assault
or domestic violence
Other (specify):

Organizational community response
Coalition development
Collaboration
Coordinated community response
Discrimination and oppression issues
Evaluation
Federal agency response to sexual assault
and domestic violence (IHS, BIA, FBI, USAO)
Outreach
Program accessibility
Program rules
Public benefits (TANF, disability, food stamps,
unemployment, etc.)
Response teams (DART, DVRT, SART)
Strategic planning
Technology
Victim service administration and operations

Other underserved populations
Issues specific to American Indian and Alaska
Native victims/survivors who
are elderly
are disabled
are homeless or living in poverty
are isolated or institutionalized
are lesbian, gay, bisexual, transgender, or
intersex
have mental health problems
have substance abuse problems
Other (specify):

Justice system
Court procedures
Decreasing dual arrests/identifying predominant aggressor
Domestic violence statues/code development
Evidence analysis, collection, and preservation
Evidence-based prosecution
Firearms and domestic violence
Immigration statutes
Judicial response
Law enforcement response (including protocols, arrest policies, and evidence collection)
Mandatory reporting requirements
Pro-arrest policies
Prosecution response
Protection orders (including full faith and
credit)
Sexual assault statutes/code development
Stalking statutes/code development
Tribal jurisdiction and Public Law 280
Other (specify):

Other (specify):

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System Advocacy

C2

Were your Tribal Coalitions funds used for system advocacy during the current reporting period?
Check yes if Tribal Coalitions-funded staff engaged in system advocacy or if Tribal Coalitions funds directly
support system advocacy. (System advocacy is activity intended to effect policy and/or procedural change in
order to improve institutional response to sexual assault and/or domestic violence.)

Yes—answer questions 17-19
No—skip to C3
17. System advocacy activities
(Indicate the system advocacy activities convened or participated in with Tribal Coalitions funds during the
current reporting period. Check all that apply.)
Systems advocacy

Sexual assault

Domestic violence

Appointed tribal and state commissions
Community, regional, statewide task force/caucus
Multidisciplinary working groups
Project-specific interagency working groups
Tribal systems advocacy
Other (specify):

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18. Improved system response
(Report the total number of statewide, regional, and local meetings convened and/or attended by Tribal Coalitions-funded staff during the current reporting period. Report based on the primary group in attendance. If
there were multiple agencies or organizations at the meeting, count the meeting as a multidisciplinary meeting. Each meeting should be counted only once.)
Agency/organization/people

Number of meetings
convened
Sexual
assault

Domestic
violence

Number of meetings
attended
Sexual
assault

Domestic
violence

American Indian or Alaska Native women
Batterer intervention program
Child advocacy organization (not affiliated with CPS)
Child welfare agency
Community advocacy organizations (National Indian Council on Aging, National Congress of American Indians)
Corrections (probation, parole, correctional facility)
Court (tribal)
Court (non-tribal)
Crime victim compensation
Domestic violence program (tribal)
Domestic violence program (non-tribal)
Dual sexual assault and domestic violence program (tribal)
Dual sexual assault and domestic violence program
(non-tribal)
Educational institution/University/School
Faith-based organization
Federal government agencies (IHS, BIA, FBI)
Government agency (INS, Social Security, TANF)
Health/mental health organization
Law enforcement agency (tribal)
Law enforcement agency (non-tribal)
Legal services organization (legal services, bar
association, law school)
Multi-disciplinary group/task force
People representing other underserved populations
Prosecutor’s office (tribal)
Prosecutor’s office (non-tribal)
Sexual assault forensic examiner program
Sexual assault program (tribal)
Sexual assault program (non-tribal)
Social services organization (food bank, homeless shelter)
Substance abuse services
Tribal community groups
Tribal elders
Tribal government/Tribal government agency
Victims/survivors
Victim-witness specialists
Other (specify):
Total

0

0

0

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19. Coordination activities
(Indicate other methods used during the current reporting period to coordinate tribal victim services activities
and/or to collaborate and coordinate with federal, state, and local entities engaged in activities to reduce or
end violence against women. Check all that apply.)
E-mail listserv
Toll-free telephone number
Tracking availability of victim services
Web site
Other (specify):

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C3

Policies

Were your Tribal Coalitions funds used to develop, substantially revise, or implement policies or
protocols during the current reporting period?
Check yes if Tribal Coalitions-funded staff developed, substantially revised, or implemented policies or
protocols or if Tribal Coalitions funds were used to directly support the development, substantial revision,
or implementation of policies or protocols.

Yes—answer question 20
No—skip to C4
20. Types of policies and/or protocols developed, substantially revised, or implemented during the
current reporting period.
(Check all the policies or protocols developed, substantially revised, or implemented with Tribal Coalitions
funds during the current reporting period. Use the SA column for policies and/or protocols addressing sexual
assault and the DV column for those addressing domestic violence.)
Victim services

Court

SA DV

SA DV
Appropriate response to underser ved populations
Confidentiality
Training standards for staff and volunteers
Staff, board, and/or volunteers represent the
diversity of your service area
Standards of service
Victim/survivor informed about Crime Victims
Compensation and Victim Impact Statements

Accelerated trial schedules
Appropriate response to underser ved populations
Dedicated sexual assault or domestic violence docket
Full faith and credit for protection orders
Immediate access to obtain protection orders
Judicial monitoring of sexual assault, domestic
violence, and/or stalking offenders
Mandatory training on sexual assault, domestic
violence, and/or stalking
Policy against mutual restraining orders
Procedures for courtroom security
Other (specify):

Other (specify):

Law enforcement
SA DV
Appropriate response to underser ved populations
Identifying primary aggressor/discouraging dual
arrest
Immediate access to protection order information
Mandatory training on sexual assault, domestic
violence, and/or stalking
No victims/survivors polygraphed
Pro-arrest/mandator y arrest
Protection order enforcement (including full faith
and credit)
Providing information to victims/survivors about
victim services

Probation and parole policies
SA DV
Mandatory training on sexual assault, domestic
violence, and/or stalking
Strategies to assist and protect victim/survivor
during probation and parole
Perform checks on police logs, criminal and civil
databases
Special procedures for cases involving diverse,
underserved populations
Offender monitoring

Other (specify):

Other (specify):

Prosecution

Health care

SA DV

SA DV
Appropriate response to underser ved populations
Mandatory training on sexual assault, domestic
violence, and/or stalking
No victims/survivors polygraphed
Protection order enforcement (including full faith
and credit)
Vertical prosecution
Victim witness notification

Advocate response in emergency room
Appropriate response to underser ved populations
Forensic evidence collection and documentation
Forensic exams not billed to victim/survivor
Mandatory training on sexual assault, domestic
violence, and/or stalking
Routine screening and referrals for sexual assault,
domestic violence, and/or stalking

Other (specify):

Other (specify):

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Products

C4

Were your Tribal Coalitions funds used to develop, substantially revise, or distribute products during
the current reporting period?
Check yes if Tribal Coalitions-funded staff developed products or if Tribal Coalitions funds directly supported
the development, revision, or distribution of products.

Yes—answer question 21
No—skip to section C5
21. Use of Tribal Coalitions funds for product development, substantial revision, or distribution
(Report the number of products developed, substantially revised, or distributed with Tribal Coalitions funds
during the current reporting period. Report the number of new products developed or substantially revised
during the current reporting period; the title/topic; the intended audience for each product developed, revised, or distributed; and, the number of products used or distributed. If a product was created in or translated into a language other than English, including Braille, indicate the language. Report on products that
were newly developed or substantially revised during the current reporting period whether or not they were
used or distributed, and on products that were previously developed or revised but were used or distributed
during the current reporting period.)
Number
Products developed
Products
or revised

Number
developed
or revised

Number

Title/topic

Title/topic

Other
IntendedIntendedNumber
used or Other
used or
languages
audience
audience
languages
distributed
distributed

Brochures
Brochures
Manuals

Newsletter
Training curricula
Manuals
Training materials
Reports
Newsletter

Web site

(report number of
page views in the
used or distributed
column)
Training
curricula

Videos

Tribal Codes
Other (specify):
Training
materials

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Number
Products developed
or revised

Title/topic

Intended
audience

Number
used or
distributed

Other
languages

Reports

Web site
(report no.
of page
views in
the used or
distributed
column)

Videos

Tribal
Codes

Other
(specify):

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Education

C5

Were your Tribal Coalitions funds used for education activities during the current reporting period?
Check yes if Tribal Coalitions-funded staff were used to support education activities or if Tribal Coalitions
funds were used to directly suppor t education activities.

Yes—answer questions 22-25
No—skip to C6
For the purposes of this reporting form, education means providing general information that will increase
awareness of sexual assault, domestic violence, and stalking. Training means providing information on
sexual assault, domestic violence, and stalking that enables a person to improve her/his response to victims/survivors of sexual assault, domestic violence, and stalking. In this subsection, report information on
education only.

22. Education events
(Report the total number of education events provided during the current reporting period that were either
provided by Tribal Coalitions-funded staff or directly supported by Tribal Coalitions funds.)
Total number of education events provided

23. People educated with Tribal Coalitions funds
(Report the number of people attending education events during the current reporting period.)
People attending event

Number
Tribal
Non-tribal

Child care providers
Community advocacy organizations (National Indian Council on Aging, National
Congress of American Indians)
Community businesses (retail stores, pharmacies)
Community groups (service or social groups)
Community members
Employers
Faith-based groups
Men’s groups
Parents/guardians of students
Students
Tribal elders
Tribal government/tribal government agency staff
Victims/survivors (do not count psychoeducational support groups)
Women’s groups
Other (specify):
Total

0

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24. Topics of education events provided with Tribal Coalitions funds
(Indicate all topics covered in education provided with your Tribal Coalition funds during the current reporting
period. Check all that apply).

Sexual assault, domestic violence and stalking
Dating violence overview, dynamics and services
Domestic violence overview, dynamics and services
Indigenous awareness programs
Mandated reporting of child victimization
Safety planning
Self-defense
Sexual assault overview, dynamics, and services
Sexual harassment overview, dynamics, and services
Stalking overview, dynamics, and services
Youth awareness of sexual assault, domestic violence, and stalking
Workplace violence
Other (specify):

How to help American Indian or Alaska Native victims/survivors who:
live in rural areas
are Asian
are black or African American
are disabled
are elderly
are Hispanic or Latino
are homeless or living in poverty
are immigrants, refugees, or asylum seekers
are lesbian, gay, bisexual, transgender, or intersex
are Native Hawaiian or other Pacific Islander
have mental health problems
have substance abuse problems
Other (specify):

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C6

Technical Assistance

Were your Tribal Coalitions funds used to provide technical assistance during the current reporting
period?
Check yes if Tribal Coalitions-funded staff provided technical assistance or if Tribal Coalitions funds directly
supported the provision of technical assistance.

Yes—answer questions 25-26
No—skip to C7
25. Number of technical assistance activities
(Report the total number of technical assistance activities provided to programs during the current reporting
period, indicating whether they were site visits or other types of consultations. Consultations may include inperson, telephonic, electronic, or other types of contact. Each contact should be counted as one activity.)
Recipients of technical assistance

Number of
site visits

Number of other technical
assistance consultations

Batterer intervention program
Child welfare agency (Child Protective Services)
Community advocacy organizations (National Indian Council
on Aging, National Congress of American Indians)
Corrections (probation, parole, correctional facility)
Court (tribal)
Court (non-tribal)
Domestic violence program (tribal)
Domestic violence program (non-tribal)
Dual sexual assault and domestic violence program
Faith-based organization
Federal agencies (BIA,CIA,FBI,IHS)
Health/mental health organization
Law enforcement (tribal)
Law enforcement agency (non-tribal)
Legal services organization (legal services, bar association,
law school)
Prosecutor’s office (tribal)
Prosecutor’s office(non-tribal)
Sexual assault forensic examiners
Sexual assault program (tribal)
Sexual assault program (non-tribal)
Tribal community groups
Tribal government/Tribal government agency
University/school
Other (specify)
Total

0

0

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• Office
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26. Topics of technical assistance
(Check the topics that apply to technical assistance provided with Tribal Coalitions funds during the current
reporting period. The technical assistance provided may be categorized by more than one topic. Check all
that apply.)
Topics of technical assistance

Sexual assault Domestic violence

Coordinated community response
Court response
Criminal codes
Curricula and training issues
Developing or enhancing culturally appropriate services for
underserved populations
Forensic evidence collection and documentation
Law enforcement response
Probation response
Program development
Program evaluation
Prosecution response
Response to domestic violence victims/survivors
Response to sexual assault victims/survivors
Response to stalking victims/survivors
Safety planning
Standards of service
Technology and technology capacity (data collection systems
and confidentiality)
Technology safety and security
Tribal codes
University/school
Victim service administration and operations
Other (specify):

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C7

Standards of Service

Were your Tribal Coalitions funds used to develop or enhance standards of service for law enforcement, prosecution, courts, probation or victim services programs/agencies during the current
reporting period?
Check yes if Tribal Coalitions-funded staff were used to develop or enhance standards of service or if Tribal
Coalitions funds were used to directly support the development or enhancement of standards of service.

Yes—answer question 27
No—skip to C8
27. Standards of service
(Indicate if Tribal Coalitions funds were used to develop, implement, or enhance standards of service or provide training on standards of service for law enforcement, prosecution, courts, probation, or victim services
programs/agencies. Check all that apply.)
Sexual assault Domestic violence
Developing standards of service for law enforcement, prosecution,
courts, probation, and/or victim services
Implementing standards of service for law enforcement, prosecution, courts, probation, and/or victim services
Enhancing standards of service for law enforcement, prosecution,
courts, probation, and/or victim services
Training on standards of service for law enforcement, prosecution,
courts, probation, and/or victim services

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C8

Other Underserved Populations

Were your Tribal Coalitions funds used to develop or enhance services for underserved populations
or to encourage the representation of underserved populations in coordination activities during the
current reporting period?
Check yes if Tribal Coalitions-funded staff were used to develop or enhance services for underserved
populations or if Tribal Coalitions funds directly supported representation of underserved populations in
coordination activities.

Yes—answer question 28-29
No—skip to C9
28. Activities addressing underserved populations
(Check all activities that were engaged in with Tribal Coalitions funds to develop or enhance services for
underserved populations or to encourage the representation of underserved population in coordination
activities. Check the boxes in the appropriate columns to indicate whether the activities you engaged in
were for sexual assault or domestic violence programs/services.)
Activity

Sexual assault Domestic violence

Developing/distributing materials for underserved populations
Developing policy
Identifying gaps in services
Identifying underserved populations
Increasing organizational capacity for anti-oppression work
Coordinating a task force/caucus to address issues
concerning underserved populations
Supporting representatives of underserved groups to
participate in meetings
Training/technical assistance regarding culturally
appropriate services for underserved populations
Other (specify):

29. Underserved populations
(Indicate which underserved populations were addressed in the activities indicated in question 28. Check all
that apply.)

American Indian and/or Alaska Native victims/survivors who:
are elderly
are homeless or living in poverty
are lesbian, gay, bisexual, transgender, or intersex
have disabilities
have mental health problems
have substance abuse problems
live in rural areas
Other (specify):

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Domestic Violence
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and Sexual
Sexual Assault
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C9

Organizational Development and
Capacity Building of Tribal Coalitions

Were your Tribal Coalitions grant funds used for organizational development and/or capacity building
during the current reporting period?
Check yes if Tribal Coalitions funded staff engaged in organizational development and/or capacity building or
if Tribal Coalitions grant funds were used to directly support organizational development and/or capacity
building.

Yes—answer questions 30-31
No—skip to D
30. Coalition development and capacity building
(Check all activities that were engaged in with Tribal Coalitions funds during the current reporting period.)
Activity
Anti-oppression work
Board member development
Communication (TTY, language lines, etc.)
Develop personnel policies
Emergency preparedness
Equipment purchase (computers, printers, faxes, telephones, cell phones, etc.)
Evaluation/outcome measures, development or tracking
Identify gaps in service
Internet/e-mail /listserv development
Office space (opening/maintaining)
Outreach to underserved populations
Software purchase or development
Staff development
Strategic planning
Technology security and safety
Toll-free telephone line operation
Web site development or enhancement
Other (specify):

31. Do you consider system privacy and/or security when purchasing or developing software?
Yes
No

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D

NARRATIVE

All grantees must answer question 32
Please limit your response to four pages for this question. To answer this question go to Page 22.
32. Report on the status of the goals and objectives for the tribal coalitions
(Using Appendix A, report on the status of the goals and objectives for your grant as of the end of the current
reporting period, as they were identified in your grant proposal or as they have been added or revised. Indicate whether the activities related to your objectives for the current reporting period have been completed,
are in progress, are delayed, or have been revised. Comment on your successes and challenges, and provide
any additional explanation you feel is necessary for us to understand what you have or have not accomplished relative to your goals and objectives. If you have not accomplished objectives that should have been
accomplished during the current reporting period, you must provide an explanation.)

All grantees must answer questions 33 and 34 on an annual basis. Please submit this information
on the January to June reporting form only.
Please limit your response to two pages for each question.
33. What do you see as the most significant areas of remaining need, with regard to increasing
victim/survivor safety and offender accountability? To answer this question go to Page 25.
(Consider geographic area served, service delivery systems, types of victimization, and challenges and
barriers unique to the tribal communities served by your tribal coalitions.)

34. What has the Tribal Coalitions funding allowed you to do or maintain that you could not do
without receiving this funding? To answer this question go to Page 27.
(For example, has the funding enabled you to identify and eliminate gaps in services; improve services to
tribal populations; or, improve criminal justice response to American Indian and/or Alaska Native women?
Provide specific examples in your answer [e.g., opened an office with 2 full time staff].)

Question 35 is optional.
Please limit your response to two pages for each question.
35. Provide any additional information that you would like us to know about your Tribal Coalitions
grant and/or the effectiveness of your grant. To answer this question go to Page 29.
(If you have other data or information regarding your program that would more fully or accurately reflect the
effectiveness of your Tribal Coalitions-funded program than the data requested on this form, answer this
question. If you have not already done so elsewhere on this form, feel free to discuss any of the following:
systems-level changes, collaborations, the removal or reduction of barriers and challenges for American Indian and/or Alaska Native victims/survivors, and promising practices.)

Public Reporting Burden
Paperwork Reduction Act Notice. Under the Paperwork Reduction Act, a person is not required to respond to a collection
of information unless it displays a currently valid OMB control number. We try to create forms and instructions that are
accurate, can be easily understood, and which impose the least possible burden on you to provide us with information.
The estimated average time to complete and file this form is 60 minutes per form. If you have comments regarding the
accuracy of this estimate, or suggestions for making this form simpler, you can write to the Office on Violence Against
Women, U.S. Department of Justice, 810 7th Street, NW, Washington, DC 20531.

Tribal
Sexual Assault
Assault Coalitions
Coalitions Semi-annual
Semi-annualProgress
ProgressReport
Report •. 21.
on Violence
Against
Women
Tribal Domestic
Domestic Violence
Violence and
and Sexual
20Office
• Office
on Violence
Against
Women

APPENDIX A

OMB Clearance No. 1122-0011
Expiration Date: 10/31/2007

Report on the status of the goals and objectives for the Tribal Coalitions Program grant. Question 32.
Status
(completed, in progress,delayed, revised)

Back to Instructions

Goals/Objectives (Describe your goals and objectives, as outlined in your grant proposal, or as revised)

Key Activities

Comments (successes, challenges, explanations)

Status
(completed, in progress,delayed, revised)

Back to Instructions

Goals/Objectives (Describe your goals and objectives, as outlined in your grant proposal, or as revised)

Key Activities

Comments (successes, challenges, explanations)

Tribal Domestic Violence and Sexual Assault Coalitions Semi-annual Progress Report . 22. Office on Violence Against Women

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APPENDIX A

OMB Clearance No. 1122-0011
Expiration Date: 10/31/2007

Report on the status of the goals and objectives for the Tribal Coalitions Program grant. Question 32. (cont. 1)
Status
(completed, in progress,delayed, revised)

Back to Instructions

Goals/Objectives (Describe your goals and objectives, as outlined in your grant proposal, or as revised)

Key Activities

Comments (successes, challenges, explanations)

Status
(completed, in progress,delayed, revised)

Back to Instructions

Goals/Objectives (Describe your goals and objectives, as outlined in your grant proposal, or as revised)

Key Activities

Comments (successes, challenges, explanations)

Tribal Domestic Violence and Sexual Assault Coalitions Semi-annual Progress Report . 23. Office on Violence Against Women

Tribal Domestic Violence and Sexual Assault Coalitions Semi-annual Progress Report • 21 • Office on Violence Against Women

APPENDIX A

OMB Clearance No. 1122-0011
Expiration Date: 10/31/2007

Report on the status of the goals and objectives for the Tribal Coalitions Program grant. Question 32. (cont. 2)
Status
(completed, in progress,delayed, revised)

Back to Instructions

Goals/Objectives (Describe your goals and objectives, as outlined in your grant proposal, or as revised)

Key Activities

Comments (successes, challenges, explanations)

Status
(completed, in progress,delayed, revised)

Back to Instructions

Goals/Objectives (Describe your goals and objectives, as outlined in your grant proposal, or as revised)

Key Activities

Comments (successes, challenges, explanations)

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Tribal Domestic Violence and Sexual Assault Coalitions Semi-annual Progress Report • 21 • Office on Violence Against Women

What do you see as the most significant areas of remaining need, with regard to increasing
victim/survivor safety and offender accountability? - Question #33

OMB Clearance No. 1122-0011
Expiration Date: 10/31/2007

Back to Instructions
Tribal Domestic Violence and Sexual Assault Coalitions Semi-annual Progress Report . 25. Office on Violence Against Women

What do you see as the most significant areas of remaining need, with regard to increasing
victim/survivor safety and offender accountability? - Question #33 (cont.)

OMB Clearance No. 1122-0011
Expiration Date: 10/31/2007

Back to Instructions
Tribal Domestic Violence and Sexual Assault Coalitions Semi-annual Progress Report . 26. Office on Violence Against Women

What has Tribal Coalitions funding allowed you to do or maintain that you
could not do without receiving this funding? - Question #34

OMB Clearance No. 1122-0011
Expiration Date: 10/31/2007

Back to Instructions
Tribal Domestic Violence and Sexual Assault Coalitions Semi-annual Progress Report . 27. Office on Violence Against Women

What has Tribal Coalitions funding allowed you to do or maintain that you could
not do without receiving this funding? - Question #34 (cont.)

OMB Clearance No. 1122-0011
Expiration Date: 10/31/2007

Back to Instructions
Tribal Domestic Violence and Sexual Assault Coalitions Semi-annual Progress Report . 28. Office on Violence Against Women

Provide additional information that you would like us to know about your Tribal Coalitions grant
and/or the effectiveness of your grant - Question #35

OMB Clearance No. 1122-0011
Expiration Date: 10/31/2007

Back to Instructions
Tribal Domestic Violence and Sexual Assault Coalitions Semi-annual Progress Report . 29. Office on Violence Against Women

Provide additional information that you would like us to know about your Tribal Coalitions grant
and/or the effectiveness of your grant - Question #35 (cont.)

OMB Clearance No. 1122-0011
Expiration Date: 10/31/2007

Back to Instructions
Tribal Domestic Violence and Sexual Assault Coalitions Semi-annual Progress Report . 30. Office on Violence Against Women

OMB Clearance No. 1122-0011
Expiration Date: 10/31/2007

Validate