DRAFT OMB Clearance # 1122-0011
Expiration Date: / /
U
.S.
Department of Justice
O
ffice
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.
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 staff funded under this grant only provided training and technical assistance during the current reporting period, you would complete A1, A2, B, C1, C6, and D (and answer ‘no’ in C2-C5 and C7); or, 2) if staff funded under this grant provided training and technical assistance and developed products with staff funded under this grant during the current reporting period, you would complete A, B, C1, C4, C5, C6, and D (and answer ‘no’ in C2, C3, and C7.)
The activities of volunteers or interns should be reported if they were coordinated or supervised by Tribal Coalitions Program-funded staff or if Tribal Coalitions Program 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 Page Number
Section A: General Information 11
A1 Grant Information 1
A2 Staff Information 33
Section B: Purpose Areas 4
Section C: Function Areas 56
C1 Training 56
C2 Education 810
C3 System Advocacy 102
C4 Policies 1315
C5 Products 147
C6 Technical Assistance 158
C7 Organizational Development and Capacity Building 1820
Section D: Narrative 1921
A. General Information
A1. Grant information
All grantees must complete this section.
1. Date of report ____________________
2. Current reporting period January 1- June 30 July 1-December 31 (Year)
3. Grantee name
4. Grant number (the federal grant number assigned to your Tribal Coalitions Program grant)
5. Type of grantee organization (Check one)
Established tribal coalition
Individual
Other non-profit
6. Type of coalition
Sexual assault coalition
Domestic violence coalition
Dual sexual assault and domestic violence coalition
7. Point of contact (person responsible for the day-to-day coordination of the grant)
First name MI Last name
Agency/organization name (If different from grantee name)
Address
City_________________________State___________________Zip Code_____________________
Telephone Facsimile
8. What percentage of your tribal coalition operating budget is funded by this Tribal Coalitions Program
grant?
9. What tribal population(s) is(are) served by your Tribal Coalitions Program grant?
10. Did this tribal coalition exist prior to receiving Tribal Coalitions Program grant funds?
Yes
No
11. Coalition members (Report the total number of organizational members, including sexual assault programs, domestic violence programs, other victim services agencies, and other organizational members. Report the total number of individual members of your tribal coalitions, if any. 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 organizational members |
|
Total number of organizational members |
|
Total number of individual members |
A
2.
Staff Information
Were Tribal Coalitions Program funds used to fund staff positions during the current reporting period? Check yes if Tribal Coalitions Program funds were used to pay staff, including part-time staff and contractors.
Yes--answer question 12
No--skip to Section B
12. Staff (Report the total number of full-time equivalent [FTE] staff funded by your Tribal Coalitions Program grant during the current reporting period. Report staff by the function(s) performed, not by title or location. Include employees who are part-time and/or only partially funded with these grant funds as well as consultants/contractors. If an employee or contractor was employed or utilized for only a portion of the reporting period, prorate appropriately. For example, if you hired a full-time administrator in October who was 100% funded with Tribal Coalition Program funds, you would report that as .5 FTEs. Report all FTEs in decimals, not percentages. One FTE is equal to 1,040 hours—40 hours per week x 26 weeks. See separate instructions for examples of how to calculate FTEs.)
Staff |
FTE(s) |
Administrator (executive director, fiscal manager) |
|
Attorney |
|
Communication specialist (public awareness, media relations) |
|
Information technology staff |
|
Program coordinator (training coordinator, outreach coordinator) |
|
Support staff (administrative assistant, accountant, bookkeeper) |
|
System advocate |
|
Technical assistance provider |
|
Trainer/educator |
|
Tribal cultural specialist |
|
Other(specify):_________________________________ |
|
Total |
|
B
.
PURPOSE AREAS
All grantees must complete this section.
13. Purpose Areas (Check all purpose areas that apply to activities supported with Tribal Coalitions Program funds during the current reporting period.)
Check ALL that apply |
Purpose Areas |
|
Increasing awareness of domestic violence and sexual assault against American Indian and Alaska Native women |
|
Enhancing the response to violence against American Indian and Alaska Native women at the tribal, Federal, and State levels |
|
Identifying and providing technical assistance to coalition membership and tribal communities to enhance access to essential services to American Indian women victimized by domestic and sexual violence |
13a. Program priority areas addressed by your grant (In addition to the purpose areas identified above, the Tribal
Coalitions Grant Program Application and Program Guidelines may have identified several program priorities that would
receive priority consideration. If your project addressed any of these priority areas during the current reporting period,
list them below.)
|
14. Culturally-specific activities (List all culturally-specific activities that your tribal coalition engaged in during the current
reporting period in the community(ies) you serve. Check the box in the first column if the activity was funded with Tribal
Coalitions Program funds)
Tribal Coalitions funded |
Activity |
|
a. |
|
b. |
|
c. |
|
d. |
|
e. |
|
f. |
15. (Optional) Additional information (Use the space below to discuss the effectiveness of culturally-specific activities funded or supported by your Tribal Coalitions Program grant and to provide further explanation on how these activities increase the safety of American Indian/Alaska Native women.)
C. FUNCTION AREAS
C
1.
Training
Were your Tribal Coalitions Program funds used for training during the current reporting period? Check yes if Tribal Coalitions Program-funded staff provided training or if Tribal Coalitions Program funds were used to directly support the training.
Yes--answer questions 16-19
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 professionals to improve their response to victims/survivors as it relates to their role in the system. Education means providing general information that will increase public awareness of sexual assault, domestic violence, dating violence, and stalking. In this subsection, report information on training activities. Education should be reported in subsection C2.
16. 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 Program-funded staff or directly supported with Tribal Coalitions Program funds. Staff development training provided to Tribal Coalitions Program-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 |
Total number of training events |
||||||||
Statewide |
Intra-state regions |
Tribal |
|||||||
Sexual assault |
Domestic violence |
Sexual assault/Domestic violence |
Sexual assault |
Domestic violence |
Sexual assault/Domestic violence |
Sexual assault |
Domestic violence |
Sexual assault /Domestic violence |
|
Computer-based training |
|
|
|
|
|
|
|
|
|
Conferences |
|
|
|
|
|
|
|
|
|
Teleconferences |
|
|
|
|
|
|
|
|
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Videoconferences |
|
|
|
|
|
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|
|
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Workshops/ seminars |
|
|
|
|
|
|
|
|
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Other (specify): __________ |
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1
7.
Number
of people trained (Report
the number of people trained during the current reporting period by
Tribal Coalitions Program-funded staff or training supported by
Tribal Coalitions Program funds. Use the category that is most
descriptive of the people attending the training event. Tribal
Coalitions Program-funded staff attending training should not be
counted. If you do not know how many people to report in specific
categories, you may report the overall number in
“Multidisciplinary.”)
People trained |
Number |
Attorneys/law students (does not include prosecutors) |
|
Batterer intervention program/offender accountability staff |
|
Child protective service workers |
|
Children’s advocates (not affiliated with CPS) |
|
Correction personnel (probation, parole, and correctional facility staff) |
|
Court personnel (tribal—judges, clerks) |
|
Court personnel (non-tribal—judges, clerks) |
|
Domestic violence program staff (tribal) |
|
Domestic violence program staff (non-tribal) |
|
Educators (teachers, administrators, etc.) |
|
Faith-based organization staff |
|
Federal agency staff (BIA, IHS, FBI) |
|
Health professionals (doctors, nurses; does not include forensic examiners) |
|
Law enforcement officers (tribal) |
|
Law enforcement officers (non-tribal) |
|
Legal services staff (does not include attorneys) |
|
Mental health professionals |
|
Military command staff |
|
Multidisciplinary (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 nurse examiners (SAFE/SANE) |
|
Sexual assault program staff (tribal) |
|
Sexual assault program staff (non-tribal) |
|
Social service organization staff (non-government—food bank, homeless shelter, etc.) |
|
Tribal community groups |
|
Tribal elders |
|
Tribal government/Tribal government agency staff |
|
Victim assistants (governmental, includes victim-witness specialist/coordinator) |
|
Volunteers |
|
Other (specify): |
|
Total |
|
18. Training content areas (Indicate all topics covered in training events provided with your Tribal Coalitions Program funds during the current reporting period. Check all that apply.)
Sexual assault, domestic violence, dating 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/dating 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
Historical trauma
Indian Child Welfare Act
Safety planning for victims/survivors
Sexual assault overview, dynamics, and services
Stalking overview, dynamics, and services
Supervised visitation and exchange
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/dating 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
Tribal strategies to address sexual assault or domestic violence/dating violence, or stalking
Victim service administration and operations
Other (specify):
Other underserved populations
Issues specific to American Indian and Alaska Native victims/survivors who
are elderly
are homeless or living in poverty
are isolated or institutionalized
are lesbian, gay, bisexual, transgender, or intersex
have disabilities
have mental health issues
have substance abuse issues
live in rural areas
live in urban areas
Other (specify):_______________________
Justice system
Court procedures
Decreasing dual arrests/identifying predominant aggressor
Domestic violence statues/codes
Evidence analysis, collection, and preservation
Evidence-based prosecution
Firearms and domestic violence/dating violence
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)
Sex offender registry(ies)
Sexual assault forensic examinations
Sexual assault statutes/codes
Stalking statutes/codes
Tribal jurisdiction and Public Law 280
Other (specify)::
19. (Optional) Additional information (Use the space below to discuss the effectiveness of training activities funded or supported by your Tribal Coalitions Program grant and to provide further explanation on how these activities increase the safety of American Indian/Alaska Native women.)
C
2.
Education
Were your Tribal Coalitions Program funds used for education activities during the current reporting period? Check yes if Tribal Coalitions Program-funded staff engaged in education activities or if Tribal Coalitions Program funds were used to directly support education activities.
Yes--answer questions 20-23
No--skip to C3
For the purposes of this reporting form, education means providing general information that will increase public awareness of sexual assault, domestic violence/dating violence, and stalking. Training means providing information on sexual assault, domestic violence, dating violence and stalking that enables a professional to improve her/his response to victims/survivors of sexual assault, domestic violence, dating violence and stalking. In this subsection, report information on education activities. Training should be reported in subsection C1.
20. Education events (Report the total number of education events provided during the current reporting period.)
Total number of education events provided _________
21. People educated with Tribal Coalitions Program funds (Report the number of people attending education events during the current reporting period. Use the category that is most descriptive of the people who attended the educational event.)
People attending event |
Number |
|
|
Tribal |
Non- tribal |
Child care providers |
|
|
Community businesses (retail stores, pharmacies) |
|
|
Community groups (service or social groups) |
|
|
Community members |
|
|
Employers |
|
|
Faith-based groups |
|
|
Men’s groups |
|
|
Parents/guardians |
|
|
Students |
|
|
Tribal elders |
|
|
Tribal government/tribal government agency staff |
|
|
Victims/survivors (do not count psycho-educational support groups) |
|
|
Women’s groups |
|
|
Other (specify) |
|
|
Total |
|
|
2
2.
Topics of education events provided with Tribal Coalitions Program
funds (Indicate
all topics covered in education provided with your Tribal Coalitions
Program funds during the current reporting period. Check all that
apply.)
Sexual assault, domestic violence, dating violence and stalking
Dating violence overview, dynamics and services
Domestic violence overview, dynamics and services
Historical trauma
Indigenous awareness programs
Mandated reporting of child victimization
Safety planning
Sex offender registry(ies)
Sexual assault overview, dynamics, and services
Stalking overview, dynamics, and services
VAWA
Youth awareness of sexual assault, domestic violence/dating violence and stalking
Workplace violence
Other (specify):
How to help American Indian or Alaska Native victims/survivors who:
are elderly
are homeless or living in poverty
are isolated or institutionalized
are lesbian, gay, bisexual, transgender, or intersex
have disabilities
have mental health issues
have substance abuse issues
live in rural areas
live in urban areas
Other (specify):
23. (Optional) Additional information (Use the space below to discuss the effectiveness of education activities funded or supported by your Tribal Coalitions Program grant and to provide further explanation on how these activities increase the safety of American Indian/Alaska Native women.)
C3. System Advocacy
Were your Tribal Coalitions Program funds used for system advocacy during the current reporting period? Check yes if Tribal Coalitions Program-funded staff engaged in system advocacy or if Tribal Coalitions Program funds were used to directly support system advocacy. (System advocacy is an 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 24-27
No--skip to C4
24. System advocacy activities (Indicate the system advocacy activities convened or participated in with Tribal Coalitions Program funds during the current reporting period. Check all that apply.)
System 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): _________________________ |
|
|
2
5.
Improved system response (Report
the total number of statewide, regional, and local meetings convened
and/or attended by Tribal Coalitions Program-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 |
Number of meetings attended |
||
|
Sexual assault |
Domestic violence |
Sexual assault |
Domestic violence |
American Indian or Alaska Native women |
|
|
|
|
Batterer intervention program/offender accountability staff |
|
|
|
|
Child advocacy organization (not affiliated with CPS) |
|
|
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Child welfare agency |
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|
|
|
Corrections (probation, parole, correctional facility) |
|
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Court (tribal) |
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Court (non-tribal) |
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Crime victim compensation |
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Domestic violence program (tribal) |
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Domestic violence program (non-tribal) |
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Dual sexual assault and domestic violence program (tribal) |
|
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|
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Dual sexual assault and domestic violence program (non-tribal) |
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Educational institution/university/school |
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Faith-based organization |
|
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Federal agency staff (IHS, BIA, FBI) |
|
|
|
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Government agency staff (state and local) |
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Health/mental health organization |
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Law enforcement agency (tribal) |
|
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Law enforcement agency (non-tribal) |
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Legal services organization (legal services, bar association, law school) |
|
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Multi-disciplinary group/task force |
|
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People representing other underserved populations |
|
|
|
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Prosecutor’s office (tribal) |
|
|
|
|
Prosecutor’s office (non-tribal) |
|
|
|
|
Sexual assault nurse examiner/sexual assault forensic examiner program (SANE/SAFE) |
|
|
|
|
Sexual assault program (tribal) |
|
|
|
|
Sexual assault program (non-tribal) |
|
|
|
|
Social services organization (food bank, homeless shelter) |
|
|
|
|
Substance abuse services |
|
|
|
|
Tribal community groups |
|
|
|
|
Tribal elders |
|
|
|
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Tribal government/Tribal government agency |
|
|
|
|
Victims/survivors |
|
|
|
|
Other (specify): |
|
|
|
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Total |
|
|
|
|
2
6.
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
Fax
Newsletter
Telephone/conference call
Toll-free telephone number
Tracking availability of victim services
U.S. Mail
Web site
Other (specify):
27. (Optional) Additional information (Use the space below to discuss the effectiveness of system advocacy activities funded or supported by your Tribal Coalitions Program grant and to provide further explanation on how these activities increase the safety of American Indian/Alaska Native women.)
C4. Policies
W
ere
your Tribal Coalitions Program funds used to develop or
substantially revise policies or protocols during the current
reporting period? Check
yes if Tribal Coalitions Program-funded staff developed or
substantially revised policies or protocols or if Tribal Coalitions
Program funds were used to directly support the development or
substantial revision of policies or protocols.
Yes--answer questions 28-29
No--skip to C5
28. Types of policies and/or protocols developed or substantially revised during the current reporting period. (Check all the policies or protocols developed or substantially revised with Tribal Coalitions Program 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
SA |
DV |
|
|
|
Appropriate response to underserved populations |
|
|
Confidentiality |
|
|
Procedures for anonymous, confidential, or Jane Doe reporting of sexual assault |
|
|
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 |
|
|
Other (specify) : ______________________ |
Law enforcement
SA |
DV |
|
|
|
Appropriate response to underserved populations |
|
|
Identifying primary aggressor/discouraging dual arrest |
|
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Immediate access to protection order information |
|
|
Mandatory training on sexual assault, domestic violence/dating violence, and/or stalking |
|
|
No charge to sexual assault victims/survivors for any cost associated with forensic exam |
|
|
No victims/survivors polygraphed |
|
|
Pro-arrest/mandatory arrest |
|
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Procedures for anonymous, confidential, or Jane Doe reporting of sexual assault |
|
|
Protection order enforcement (including full faith and credit) |
|
|
Providing information to victims/survivors about victim services |
|
|
Sexual assault response and protocols |
|
|
Stalking response and protocols |
|
|
Other (specify): ______________________ |
Prosecution
SA |
DV |
|
|
|
Appropriate response to underserved populations |
|
|
Mandatory training on sexual assault, domestic violence/dating violence, and/or stalking |
|
|
No charge to victims/survivors for any costs related to the prosecution of sexual assault, domestic violence/dating violence and/or stalking |
|
|
No victims/survivors polygraphed |
|
|
Protection order enforcement (including full faith and credit) |
|
|
Sexual assault response and protocols |
|
|
Stalking response and protocols |
|
|
Vertical prosecution |
|
|
Victim witness notification |
|
|
Other (specify): _____________________ |
Court
SA |
DV |
|
|
|
Accelerated trial schedules |
|
|
Appropriate response to underserved populations |
|
|
Dedicated sexual assault or domestic violence/dating violence docket |
|
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Full faith and credit for protection orders |
|
|
Immediate access to obtain protection orders |
|
|
Judicial monitoring of sexual assault, domestic violence/dating violence, and/or stalking offenders |
|
|
Mandatory training on sexual assault, domestic violence/dating violence, and/or stalking |
|
|
No charge to sexual assault victim/survivor for any cost associated with forensic exam |
|
|
Policy against mutual restraining orders |
|
|
Procedures for courtroom security |
|
|
Other (specify): _______________________ |
Probation
SA |
DV |
|
||
|
|
Mandatory training on sexual assault, domestic violence/dating violence, and/or stalking |
||
|
|
Strategies to assist and protect victims/survivors during probation |
||
|
|
Perform checks on police logs, criminal and civil databases |
||
|
|
Special procedures for cases involving diverse, underserved populations |
||
|
|
Offender monitoring |
||
|
|
Other (specify): ________________ |
Health care
SA |
DV |
|
|
|
Advocate response in emergency room |
|
|
Appropriate response to underserved populations |
|
|
Forensic evidence collection and documentation |
|
|
Forensic exams not billed to victims/survivors |
|
|
Mandatory training on sexual assault, domestic violence/dating violence, and/or stalking |
|
|
Routine screening and referrals for sexual assault, domestic violence/dating violence, and/or stalking |
|
|
Other (specify): ____________________ |
29. (Optional) Additional information (Use the space below to discuss the effectiveness of policies you have developed or implemented that were funded or supported by your Tribal Coalitions Program grant and to provide further explanation on how these policies increase the safety of American Indian/Alaska Native women.)
C
5.
Products
Were your Tribal Coalitions Program funds used to develop, substantially revise, or distribute products during the current reporting period? Check yes if Tribal Coalitions Program-funded staff developed products or if Tribal Coalitions Program funds were used to directly support the development, revision, or distribution of products.
Yes--answer question 30
No--skip to C6
30. Use of Tribal Coalitions Program funds for product development, substantial revision, or distribution (Report the number of products developed, substantially revised, or distributed with Tribal Coalitions Program 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. Do not report the number of products printed or copied; only report the number developed or revised—in most cases that number will be one for each product described—and/or the number used or distributed. See separate instructions for examples of how to report under “developed or revised” and “used or distributed”.)
Products |
Number developed or revised |
Title/topic |
Intended audience |
Number used or distributed |
Other languages |
Brochures |
|||||
Manuals |
|||||
Newsletter |
|||||
Training curricula |
|||||
Training materials |
|||||
Reports |
|||||
Web site (report number of page views in the used or distributed column) |
|||||
Videos |
|||||
Other (specify):
|
|||||
C6. Technical Assistance
W
ere
your Tribal Coalitions Program funds used to provide technical
assistance during the current reporting period?
Check
yes if Tribal Coalitions Program-funded staff provided technical
assistance or if Tribal Coalitions Program funds were used to
directly support the provision of technical assistance.
Yes--answer questions 31-33
No--skip to C7
31. 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 in-person, 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/offender monitor program |
|
|
Child welfare agency (Child Protective Services) |
|
|
Corrections (probation, parole, correctional facility) |
|
|
Court (tribal) |
|
|
Court (non-tribal) |
|
|
Disability organization |
|
|
Domestic violence program (tribal) |
|
|
Domestic violence program (non-tribal) |
|
|
Dual sexual assault and domestic violence program |
|
|
Elder organization |
|
|
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) |
|
|
Military command staff |
|
|
Other tribal coalition |
|
|
Prosecutor’s office (tribal) |
|
|
Prosecutor’s office (non-tribal) |
|
|
Sexual assault forensic examiners/sexual assault nurse examiners (SAFE/SANE) |
|
|
Sexual assault program (tribal) |
|
|
Sexual assault program (non-tribal) |
|
|
Tribal community groups |
|
|
Tribal government/Tribal government agency |
|
|
University/school |
|
|
Youth program |
|
|
Other (specify): |
|
|
Total |
|
|
3
2.
Topics of technical assistance (Check
the topics that apply to technical assistance provided with Tribal
Coalitions Program 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 |
|
|
Curricula and training issues |
|
|
Developing or enhancing culturally appropriate services for underserved populations |
|
|
Developing or enhancing appropriate services for elder victims/survivors |
|
|
Developing or enhancing appropriate services for victims/survivors who have disabilities |
|
|
Forensic evidence collection and documentation |
|
|
Law enforcement response |
|
|
Probation response |
|
|
Program development |
|
|
Program evaluation |
|
|
Prosecution response |
|
|
Response to dating violence victims/survivors |
|
|
Response to domestic violence victims/survivors |
|
|
Response to sexual assault victims/survivors |
|
|
Response to stalking victims/survivors |
|
|
Safety planning |
|
|
Sex offender registry(ies) |
|
|
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): _____________________________________ |
|
|
Other (specify): |
|
|
33. (Optional) Additional information (Use the space below to discuss the effectiveness of technical assistance activities funded or supported by your Tribal Coalitions Program grant and to provide further explanation on how these activities increase the safety of American Indian/Alaska Native women.)
C
7.
Organizational Development and Capacity Building
Were your Tribal Coalitions Program grant funds used for organizational development and/or capacity building during the current reporting period? Check yes if Tribal Coalitions Program-funded staff engaged in organizational development and/or capacity building activities, or if Tribal Coalitions Program funds were used to directly support organizational development and/or capacity building.
Yes--answer questions 34-35
No--skip to section D
34. Coalition development and capacity building (Check all activities that were engaged in with Tribal Coalitions Program funds during the current reporting period.)
Activity |
|
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):______________________ |
|
35. Do you consider system privacy and/or security when purchasing or developing software?
Yes
No
D. NARRATIVE
All grantees must answer question 36
Please limit your response to four pages for this question.
All grantees must answer questions 37 and 38 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.
Questions 39 and 40 are optional.
Please limit your response to two pages for each question.
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.
File Type | application/msword |
File Title | DRAFT |
Last Modified By | catherine m. poston |
File Modified | 2008-04-28 |
File Created | 2008-04-25 |