THIS
		IS
		A
		SAMPLE
		GMS
		FORM.
		DO
		NOT
		USE
		THIS
		FORM
		TO
		SUBMIT
		YOUR
		FINAL
		DATA
		TO
		OVW. 
 
 
	
	 
		OMB
		Clearance
		#
		1122-0011 Expiration
		Date:08/30/2014 
	
SEMI-ANNUAL PROGRESS REPORT FOR
	 Grants
	to
	Support
	Tribal
	Domestic
	Violence
Grants
	to
	Support
	Tribal
	Domestic
	Violence
	
	 and
	Sexual
	Assault
	Coalitions
	                                      and
	Sexual
	Assault
	Coalitions
	
	
Brief Instructions: This form must be completed for each Grant to Support Tribal Domestic Violence and Sexu- al 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 dur- ing 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 Co- alitions 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 de- tailed definitions and examples, illustrating how questions should be answered.
	
	
	
	
 
 Section	Page
	Number
Section	Page
	Number
| 
							 Section A: | 
							 General Information | 
							 1 | 
| A1: | Grant Information | 1 | 
| A2: | Staff Information | 3 | 
| Section B: | Purpose Areas | 4 | 
| Section C: | Function Areas | 6 | 
| C1: | Training | 6 | 
| C2: | Education | 10 | 
| C3: | System Advocacy | 13 | 
| C4: | Policies | 17 | 
| C5: | Products | 20 | 
| C6: | Topics of Technical Assistance | 21 | 
| C7: | Organizational Development and Capacity Building | 24 | 
| Section D: | Narrative | 25 | 
	
	
	
	
	
	
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • Of fi ce on Violence Against Women
 
 
 
SECTION
A1
GENERAL INFORMATIONGrant information
	 
					 
					 
					 
					 
					 
					 
					 
					 
					 
 
 
		
			
		
				 
			
					
					
					
				 
		
					
					
					
					
					
					
		 1.	Date
	of
	report
	 1.	Date
	of
	report
All grantees must complete this section.
	
	
 Current
		reporting
		period
Current
		reporting
		period
✔ January 1- June 30
✔ July 1-December 31 (Year)
	 
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		Date06 
	
						 
						 
						 
						  
 
			
				
			
					 
			
						
						
						
						
			
	 4.	Grant
	number
	 4.	Grant
	number
(the federal grant number assigned to your Tribal Coalitions Program grant)
	
	
	
 5.	Type
	of
	grantee
	organization
	 5.	Type
	of
	grantee
	organization
(Check one.)
	 
 Established
	tribal
	coalition
	Individual
Established
	tribal
	coalition
	Individual
Other non-profit
 6.	Type
	of
	Coalition
	(Check
	one.)
	 6.	Type
	of
	Coalition
	(Check
	one.)
	 
 
 Sexual
	assault
	coalition
	Domestic
	violence
	coalition
Sexual
	assault
	coalition
	Domestic
	violence
	coalition
Dual sexual assault/domestic violence coalition
	 7.	Point
	of
	contact
	 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
	 
				
	E-mail
Address
	  
					 
	City		State	Zip
	      
	code
	 	
	
	Telephone	Facsimile
	 
				
	E-mail 
	 				
	
	
	 
 8.	What
	percentage
	of
	your
	tribal
	coalition
	operating
	budget
	is
	funded
	by
	this
	Tribal
	Coalitions
	Pro-
	gram
	grant?
	 8.	What
	percentage
	of
	your
	tribal
	coalition
	operating
	budget
	is
	funded
	by
	this
	Tribal
	Coalitions
	Pro-
	gram
	grant?
	
	
 
 9.	What
	tribal
	population(s)
	is(are)
	served
	by
	your
	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
	grant
	funds?
	 10.
	
	Did
	this
	tribal
	coalition
	exist
	prior
	to
	receiving
	Tribal
	Coalitions
	grant
	funds?
Yes No
	
	
Tribal Coalitions Program Semi-annual Progress Report • 1 • Of fi ce on Violence Against Women
	 
		OMB
		Clearance
		#
		1121-0284 Expiration
		Date: 
 
(Report the total number of organizational members, including sexual assault programs, domestic vio- lence 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 per- sons, not programs.)
 Coalition
members	Number
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 0
Total number of individual members
Tribal Coalitions Program Semi-annual Progress Report • 2 • Of fi ce on Violence Against Women
 
 
SECTION
A2 Staff InformationWere 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
12
No—skip
to
section
B
Yes—answer
question
12
No—skip
to
section
B
 12.
Staff
 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 loca- tion. 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)
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
0.00
	 
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		Da 
 
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • 3 • Of fi ce on Violence Against Women
	 
		SECTION 
 
 
	
	
grantees must complete this section.
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
Check
	ALL
	that
	apply
Purpose areas
Increasing awareness of domestic violence/dating 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 com- munities to enhance access to essential services to American Indian women victimized by domestic/dating and sexual violence
	 
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		Clearance
		#
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		Date: 
 
	
	 
 13a.
	Program
	priority
	areas
	addressed
	by
	your
	grant
13a.
	Program
	priority
	areas
	addressed
	by
	your
	grant
	 (In
	addition
	to
	the
	purpose
	areas
	identified
	above,
	the
	Tribal
	Coalition
	Grant
	Program
	Application
	and
	Program
	Guidelines
	may
	have
	identified
	several
	program
	priorities
	that
	would
	receive
	priority
	consider-
	ation.
	If
	your
	project
	addressed
	any
	of
	these
	priority
	areas
	during
	the
	current
	reporting
	period,
	list
	them
	below.)
(In
	addition
	to
	the
	purpose
	areas
	identified
	above,
	the
	Tribal
	Coalition
	Grant
	Program
	Application
	and
	Program
	Guidelines
	may
	have
	identified
	several
	program
	priorities
	that
	would
	receive
	priority
	consider-
	ation.
	If
	your
	project
	addressed
	any
	of
	these
	priority
	areas
	during
	the
	current
	reporting
	period,
	list
	them
	below.)
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
			 Culturally
			specific
			activities
Culturally
			specific
			activities
	 
 
 (List
	all
	culturally-specific
	activities
	that
	your
	tribal
	coalition
	engaged
	in
	during
	the
	current
	reporting
	pe-
	riod
	in
	the
	community(ies)
	you
	serve.
	Check
	the
	box
	in
	the
	first
	column
	if
	the
	activity
	was
	funded
	with
	Tribal
	Coalitions
	Program
	funds.)
(List
	all
	culturally-specific
	activities
	that
	your
	tribal
	coalition
	engaged
	in
	during
	the
	current
	reporting
	pe-
	riod
	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. | 
	
	
	
	
	
	
	
	 
 Tribal
	Coalitions
	Program
	Semi-annual
	Progress
	Report
	•
	4
	•
	Of
	fi
	ce
	on
	Violence
	Against
	Women
Tribal
	Coalitions
	Program
	Semi-annual
	Progress
	Report
	•
	4
	•
	Of
	fi
	ce
	on
	Violence
	Against
	Women
 
	OMB
	Clearance
	#
	1121-0284
	Expi:
	10/31/2007 
 15.
(OPTIONAL)
Additional
information
 15.
(OPTIONAL)
Additional
information
 (Use
the
space
below
to
discuss
the
effectiveness
of
your
culturally-specific
activities
funded
or
sup-
ported
by
your
Tribal
Coalitions
Program
grant
and
to
provide
further
explanation
on
how
these
activi-
ties
increase
the
safety of
American
Indian/Alaska
Native
women.)
(Maximum
-
2000 characters)
(Use
the
space
below
to
discuss
the
effectiveness
of
your
culturally-specific
activities
funded
or
sup-
ported
by
your
Tribal
Coalitions
Program
grant
and
to
provide
further
explanation
on
how
these
activi-
ties
increase
the
safety of
American
Indian/Alaska
Native
women.)
(Maximum
-
2000 characters)
Tribal Coalitions Program Semi-annual Progress Report • 5 • Of fi ce on Violence Against Women
 
	OMB
	Clearance
	#
	1121-0 10/31/2007 
 
 
 
 
SECTION
C1
FUNCTION AREASTraining
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
subsection
C2
Yes—answer
questions
16-19
No—skip
to
subsection
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 vic- tims/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
 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 Coali- tions 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 | 
				 Domestic | Sexual | 
				 Sexual | 
				 Domestic | Sexual | 
				 Sexual | 
				 Domestic | Sexual | |
| assault/ | assault/ | assault/ | |||||||
| assault | violence | domestic | assault | violence | domestic | assault | violence | domestic | |
| violence | violence | violence | |||||||
 
 
 
 
 
 
 
 
 
 Computer-
based
training
Computer-
based
training
 Conferences
Teleconferences
Conferences
Teleconferences
Videoconfer- ences
 
 
 
 
 
 
 
 
 
 Workshops/
seminars
Workshops/
seminars
Other (specify):
Tribal Coalitions Program Semi-annual Progress Report • 6 • Of fi ce on Violence Against Women
	 Number
	of
	people
	trained
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
staff
development
training
should
not
be
counted.
If
you
do
not
know
how
many
people
to
report
in
spe-
cific
categories,
you
may
report
the
overall
number
in
“Multidisciplinary.”)
(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
staff
development
training
should
not
be
counted.
If
you
do
not
know
how
many
people
to
report
in
spe-
cific
categories,
you
may
report
the
overall
number
in
“Multidisciplinary.”)
People trained Number
 
 Attorneys/law
students
(does
not
include
prosecutors)
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 | 
						 | 
						 | |
	 
		OMB
		Clearance
		#
		1121-0284 Expiration
		2007 
					Other
					(specify): 
					 
					 
					 
					 
					 
					 
					 
					0 
					  
 
 
 
 
 
 
 
			
		
				 
			
					
					
					
					
					
				 
			
					
				 
		
					
					
		
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • 7 • Of fi ce on Violence Against Women
Training content areas
(Indicate all topics covered in training events provided with your Tribal Coalitions Program-funds during the cur- rent reporting period. Check all that apply.)
	 Sexual
	assault,
	domestic
	violence/dating
	violence
	and
	stalking
Sexual
	assault,
	domestic
	violence/dating
	violence
	and
	stalking
Advocacy for American Indian and/or Alaska Na- tive women
	 Child
	custody
	in
	the
	context
	of
	violence
	against
	women
Child
	custody
	in
	the
	context
	of
	violence
	against
	women
	 Child
	witnesses
	in
	the
	context
	of
	domestic
	violence/dating
	violence
Child
	witnesses
	in
	the
	context
	of
	domestic
	violence/dating
	violence
 Confidentiality
Confidentiality
	 Cultural
	issues
	specific
	to
	American
	Indians
	and/or
	Alaska
	Natives
Cultural
	issues
	specific
	to
	American
	Indians
	and/or
	Alaska
	Natives
	 Dating
	violence
	overview,
	dynamics,
	and
	services
Dating
	violence
	overview,
	dynamics,
	and
	services
	 Domestic
	violence
	overview,
	dynamics,
	and
	ser-
	vices
Domestic
	violence
	overview,
	dynamics,
	and
	ser-
	vices
 Drug
	facilitated
	sexual
	assault
Drug
	facilitated
	sexual
	assault
	 Dynamics
	and
	history
	of
	violence
	against
	Ameri-
	can
	Indian
	and/or
	Alaska
	Native
	women
Dynamics
	and
	history
	of
	violence
	against
	Ameri-
	can
	Indian
	and/or
	Alaska
	Native
	women
	 
 Historical
	trauma
	 Indian
	Child
	Welfare
	Act
Historical
	trauma
	 Indian
	Child
	Welfare
	Act
Safety planning for victims/survivors
	 Sexual
	assault
	overview,
	dynamics,
	and
	services
Sexual
	assault
	overview,
	dynamics,
	and
	services
	 
 
 
 Stalking
	overview,
	dynamics,
	and
	services
	Supervised
	visitation
	and
	exchange
Stalking
	overview,
	dynamics,
	and
	services
	Supervised
	visitation
	and
	exchange
Other (specify):
	
	
	 
 
 Organizational
	community
	response
	Coalition
	development
	Collaboration
Organizational
	community
	response
	Coalition
	development
	Collaboration
	 
 Coordinated
	community
	response
	Discrimination
	and
	oppression
	issues
	Evaluation
Coordinated
	community
	response
	Discrimination
	and
	oppression
	issues
	Evaluation
	 Federal
	agency
	response
	to
	sexual
	assault
	and
	domestic
	violence/dating
	violence
	(IHS,
	BIA,
	FBI,
	USAO)
Federal
	agency
	response
	to
	sexual
	assault
	and
	domestic
	violence/dating
	violence
	(IHS,
	BIA,
	FBI,
	USAO)
 Outreach
Outreach
	 
 
 Program
	accessibility
	Program
	rules
Program
	accessibility
	Program
	rules
Public benefits (TANF, disability, food stamps, unemployment, etc.)
 Response
	teams
	(DART,
	DVRT,
	SART)
Response
	teams
	(DART,
	DVRT,
	SART)
	 
 Strategic
	planning
	Technology
Strategic
	planning
	Technology
Tribal strategies to address sexual assault or do- mestic violence/dating violence, or stalking
	 
 
 Victim
	service
	administration
	and
	operations
	Other
	(specify):
Victim
	service
	administration
	and
	operations
	Other
	(specify):
	
	
		
Other underserved populations
Issues specific to American Indian and Alaska Native victims/survivors who
	 are
	elderly
are
	elderly
	 are
	homeless
	or
	living
	in
	poverty
	are
	isolated
	or
	institutionalized
are
	homeless
	or
	living
	in
	poverty
	are
	isolated
	or
	institutionalized
	 are
	lesbian,
	gay,
	bisexual,
	transgender,
	or
	intersex
are
	lesbian,
	gay,
	bisexual,
	transgender,
	or
	intersex
	 have
	disabilities
have
	disabilities
	 
 have
	mental
	health
	issues
	live
	in
	rural
	areas
have
	mental
	health
	issues
	live
	in
	rural
	areas
	 live
	in
	urban
	areas
live
	in
	urban
	areas
	 Other
	(specify):
Other
	(specify):
	 
	
		
	
	
	
Justice system
	 Court
	procedures
Court
	procedures
	 Decreasing
	dual
	arrests/identifying
	predomi-
	nant
	aggressor
Decreasing
	dual
	arrests/identifying
	predomi-
	nant
	aggressor
	 
 
 Domestic
	violence
	statues/code
	development
	Evidence
	analysis,
	collection,
	and
	preservation
	Evidence-based
	prosecution
Domestic
	violence
	statues/code
	development
	Evidence
	analysis,
	collection,
	and
	preservation
	Evidence-based
	prosecution
 
 Firearms
	and
	domestic
	violence/dating
	violence
	Judicial
	response
Firearms
	and
	domestic
	violence/dating
	violence
	Judicial
	response
	 Law
	enforcement
	response
	(including
	protocols,
	arrest
	policies,
	and
	evidence
	collection)
Law
	enforcement
	response
	(including
	protocols,
	arrest
	policies,
	and
	evidence
	collection)
	 
 Mandatory
	reporting
	requirements
	Pro-arrest
	policies
Mandatory
	reporting
	requirements
	Pro-arrest
	policies
	 Prosecution
	response
Prosecution
	response
 Protection
	orders
	(including
	full
	faith
	and
	credit)
Protection
	orders
	(including
	full
	faith
	and
	credit)
	 Sex
	offender
	registry(ies)
Sex
	offender
	registry(ies)
	 
 
 Sexual
	assault
	forensic
	examinations
	Sexual
	assault
	statutes/codes
	Stalking
	statutes/codes
Sexual
	assault
	forensic
	examinations
	Sexual
	assault
	statutes/codes
	Stalking
	statutes/codes
	 Tribal
	jurisdiction
	and
	Public
	Law
	280
Tribal
	jurisdiction
	and
	Public
	Law
	280
 Other
	(specify):
Other
	(specify):
	 
	
		
	 
		OMB
		Clearance
		#
		1121-0284
		Exp
		10/31/2007 
 
 
	 
		OMB
		Clearance
		#
		1121-0284 Expi:
		10/31/2007 
 (Use
the
space
below
to
discuss
the
effectiveness
of
your
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.)
(Maximum
-
2000
characters)
(Use
the
space
below
to
discuss
the
effectiveness
of
your
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.)
(Maximum
-
2000
characters)
Tribal Coalitions Program Semi-annual Progress Report • 9 • Of fi ce on Violence Against Women
 
	OMB
	Clearance
	#
	1121- 67 
	SECTION 
 
 
 
Were your Tribal Coalitions Program funds used for education activities during the current reporting pe- riod?
Check yes if Tribal Coalitions Program-funded staff engaged in education activities or if Tribal Coalitions Program were used to directly support education activities.
 Yes—answer
questions
20-23
No—skip
to
C3
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 provid- ing information on sexual assault, domestic violence, dating violence, and stalking that enables a profes- sional 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
 20.
Education
events
(Report the total number of education events provided during the current reporting period.)
 Total
number
of
education
events
provided
Total
number
of
education
events
provided
 21.
People
educated
with
Tribal
Coalitions
Program
funds
 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 
					 
					 
					 
					 
					  
	
		
	
				 
			
				 
		
		
			
				 
		
	
					
					
					
					
					
	
| Community businesses (retail stores, pharmacies) | 
					 | 
					 | 
 
					Community
					groups
					(service
					or
					social
					groups) 
					 
					 
					 
					 
					Community
					members 
					 
					 
					 
					 
					 
					 
					 
					 
					 
					 
					  
	
		
	
				 
			
					
					
					
					
				 
		
		
			
					
					
					
					
					
					
				 
		
	
					
					
					
					
					
	
 
					Faith-based
					groups 
					 
					 
					 
					 
					 
					 
					 
					 
					 
					 
					 
					 
					  
	
		
	
				 
			
					
					
					
					
					
					
				 
		
		
			
					
					
				 
		
	
					
					
					
					
					
	
| Parents/guardians | 
					 | 
					 | 
					 | 
					 | 
					 | 
					 | 
 Students
Tribal
elders
Students
Tribal
elders
Tribal government/tribal government agency staff
Victims/survivors (do not count psychoeducational support groups)
Women’s groups Other (specify):
Total 0 0
Tribal Coalitions Program Semi-annual Progress Report • 10 • Of fi ce on Violence Against Women
 22.
Topics
of
education
events
provided
with
Tribal
Coalitions
Program
funds
 22.
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 vio- lence, and stalking
	 Dating
	violence
	overview,
	dynamics
	and
	ser-
	vices
Dating
	violence
	overview,
	dynamics
	and
	ser-
	vices
	 Domestic
	violence
	overview,
	dynamics
	and
	services
Domestic
	violence
	overview,
	dynamics
	and
	services
 Historical
	trauma
Historical
	trauma
	 
 
 Indigenous
	awareness
	programs
	Mandated
	reporting
	of
	child
	victimization
	Safety
	planning
Indigenous
	awareness
	programs
	Mandated
	reporting
	of
	child
	victimization
	Safety
	planning
 Sex
	offender
	registry(ies)
Sex
	offender
	registry(ies)
	 Sexual
	assault
	overview,
	dynamics,
	and
	ser-
	vices
Sexual
	assault
	overview,
	dynamics,
	and
	ser-
	vices
	 
 Stalking
	overview,
	dynamics,
	and
	services
	VAWA
Stalking
	overview,
	dynamics,
	and
	services
	VAWA
	 Youth
	awareness
	of
	sexual
	assault,
	domestic
	violence/dating
	violence,
	and
	stalking
Youth
	awareness
	of
	sexual
	assault,
	domestic
	violence/dating
	violence,
	and
	stalking
	 
 
 Workplace
	violence
	Other
	(specify):
Workplace
	violence
	Other
	(specify):
How to help American Indian or Alaska Na- tive victims/survivors who:
	 are
	elderly
are
	elderly
	 
 are
	homeless
	or
	living
	in
	poverty
	are
	isolated
	or
	institutionalized
are
	homeless
	or
	living
	in
	poverty
	are
	isolated
	or
	institutionalized
	 are
	lesbian,
	gay,
	bisexual,
	transgender,
	or
	intersex
are
	lesbian,
	gay,
	bisexual,
	transgender,
	or
	intersex
	 have
	disabilities
have
	disabilities
	 
 
 have
	mental
	health
	issues
	have
	substance
	abuse
	issues
	live
	in
	rural
	areas
have
	mental
	health
	issues
	have
	substance
	abuse
	issues
	live
	in
	rural
	areas
	 
 
 live
	in
	urban
	areas
	Other
	(specify):
live
	in
	urban
	areas
	Other
	(specify):
	 
		 10/31/2007 
		
		
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • 11 • Of fi ce on Violence Against Women
 
	OMB
	Clearance
	#
	1121-0284 10/31/2007 
 (Use
the
space
below
to discuss
the
effectiveness
of
your
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.)
(Maximum
-
2000
characters)
(Use
the
space
below
to discuss
the
effectiveness
of
your
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.)
(Maximum
-
2000
characters)
Tribal Coalitions Program Semi-annual Progress Report • 12 • Of fi ce on Violence Against Women
 
 
 
 
OMB Clearance # 1121-0284
Expiration Date: 10/31/2007
SECTION
C3 System AdvocacyWere 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
Yes—answer
questions
24-27
No—skip
to
C4
 24.
System
advocacy
activities
  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.)
| Systems advocacy | Sexual assault | Domestic violence | 
 
 
 
 
 
 Appointed
tribal
and
state
commissions
Community,
regional,
statewide
task
force/caucus
Multidisciplinary
working
groups
Appointed
tribal
and
state
commissions
Community,
regional,
statewide
task
force/caucus
Multidisciplinary
working
groups
 
 
 Project-specific
interagency
working
groups
Tribal
systems
advocacy
Project-specific
interagency
working
groups
Tribal
systems
advocacy
Other (specify):
Tribal Coalitions Program Semi-annual Progress Report • 13 • Of fi ce on Violence Against Women
 
	OMB
	Clearance
	#
	1121-028
	10/31/2007 
 
 
 25.
Improved
system
response
  25.
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.)
(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) | 
					 | 
					 | 
					 | 
					 | 
					 | |
| Child welfare agency | 
					 | 
					 | 
					 | 
					 | 
					 | |
| 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 agency staff (IHS, BIA, FBI) | 
					 | 
					 | 
					 | 
					 | 
					 | 
					 | 
| Government agency staff (state and local) | 
					 | 
					 | 
					 | 
					 | 
					 | 
					 | 
| 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
					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 
					 
					 
					 
					 
					Tribal
					government/tribal
					government
					agency 
					 
					 
					 
					 
					Victims/survivors 
					 
					 
					 
					 
					Other
					(specify): 
					 
					 
					 
					 
					Total 
					0 
					0 
					0 
					0  
 
 
 
 
 
	
		
	
				 
		
		
			
					
				 
			
					
					
					
					
				 
		
		
			
					
					
					
					
				 
			
					
					
					
					
				 
		
		
			
					
					
					
					
				 
			
					
					
					
					
				 
		
		
			
					
					
					
					
				 
			
					
					
					
					
				 
		
		
			
					
					
					
					
				 
			
					
					
					
					
				 
		
	
	
	 
		OMB
		Clearance
		#
		1121-0284
		Expiration
		Date:
		10/31/2007 
(Indicate other methods used during the current reporting period to coordinate tribal victim services ac- tivities 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
E-mail
 
 
 E-mail
listserv
Fax
Newsletter
E-mail
listserv
Fax
Newsletter
 
 Telephone/conference
call
Toll-free
telephone
number
Telephone/conference
call
Toll-free
telephone
number
 Tracking
availability
of
victim
services
Tracking
availability
of
victim
services
 
 
 U.S.
Mail
Web
site
U.S.
Mail
Web
site
 Other
(specify):
Other
(specify):
Tribal Coalitions Program Semi-annual Progress Report • 15 • Of fi ce on Violence Against Women
	 
		OMB
		Clearance
		#
		1121-0284
		Expiration
		Date:
		10/31/2007 
 (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.)
(Maximum
-
2000
characters)
(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.)
(Maximum
-
2000
characters)
Tribal Coalitions Program Semi-annual Progress Report • 16 • Of fi ce on Violence Against Women
 
	SECTION 
 
Were 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 proto- cols 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
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.
  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
	popula-
	tions
Appropriate
	response
	to
	underserved
	popula-
	tions
 
 Confidentiality
Confidentiality
	 
 Procedures
	for
	anonymous,
	confidential,
	or
	Jane
	Doe
	reporting
	of
	sexual
	assault
Procedures
	for
	anonymous,
	confidential,
	or
	Jane
	Doe
	reporting
	of
	sexual
	assault
 
 Training
	standards
	for
	staff
	and
	volunteers
Training
	standards
	for
	staff
	and
	volunteers
Staff, board, and/or volunteers represent the diversity of your service area
 
 Standards
	of
	service
Standards
	of
	service
	 
 
 Victim/survivor
	informed
	about
	Crime
	Victims
	Compensation
	and
	Victim
	Impact
	Statements
Victim/survivor
	informed
	about
	Crime
	Victims
	Compensation
	and
	Victim
	Impact
	Statements
	 
 Other
	(specify):
Other
	(specify):
Law enforcement
SA DV
	 
 Appropriate
	response
	to
	underserved
	popula-
	tions
Appropriate
	response
	to
	underserved
	popula-
	tions
Prosecution
SA DV
	 
 Appropriate
	response
	to
	underserved
	popula-
	tions
Appropriate
	response
	to
	underserved
	popula-
	tions
	 
 Mandatory
	training
	on
	sexual
	assault,
	domes-
	tic
	violence/dating
	violence,
	and/or
	stalking
Mandatory
	training
	on
	sexual
	assault,
	domes-
	tic
	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
	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
No
	victims/survivors
	polygraphed
Protection order enforcement (including full faith and credit)
	 
 
 
 
 
 
 
 Sexual
	assault
	response
	and
	protocols
	Stalking
	response
	and
	protocols
	Vertical
	prosecution
Sexual
	assault
	response
	and
	protocols
	Stalking
	response
	and
	protocols
	Vertical
	prosecution
	 
 
 Victim
	witness
	notification
	Other
	(specify):
Victim
	witness
	notification
	Other
	(specify):
	 
 Identifying
	primary
	aggressor/discouraging
	dual
	Court
Identifying
	primary
	aggressor/discouraging
	dual
	Court
arrest
	 
 
 Immediate
	access
	to
	protection
	order
	informa-
	tion
Immediate
	access
	to
	protection
	order
	informa-
	tion
	 
 
 Mandatory
	training
	on
	sexual
	assault,
	domestic
	violence/dating
	violence,
	and/or
	stalking
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
	charge
	to
	sexual
	assault
	victims/survivors
	for
	any
	cost
	associated
	with
	forensic
	exam
	 
 
 
 No
	victims/survivors
	polygraphed
	Pro-arrest/mandatory
	arrest
No
	victims/survivors
	polygraphed
	Pro-arrest/mandatory
	arrest
Procedures for anonymous, confidential, or Jane Doe reporting of sexual assault
	 
 Protection
	order
	enforcement
	(including
	full
	faith
	and
	credit)
Protection
	order
	enforcement
	(including
	full
	faith
	and
	credit)
	 
 
 Providing
	information
	to
	victims/survivors
	about
	victim
	services
Providing
	information
	to
	victims/survivors
	about
	victim
	services
	 
 
 
 
 Sexual
	assault
	response
	and
	protocols
	Stalking
	response
	and
	protocols
Sexual
	assault
	response
	and
	protocols
	Stalking
	response
	and
	protocols
	 
 Other
	(specify):
Other
	(specify):
SA DV
	
	
 
 Accelerated
	trial
	schedules
Accelerated
	trial
	schedules
	 Appropriate
	response
	to
	underserved
	popula-
	tions
Appropriate
	response
	to
	underserved
	popula-
	tions
	 Dedicated
	sexual
	assault
	or
	domestic
	vio-
	lence/dating
	violence
	docket
Dedicated
	sexual
	assault
	or
	domestic
	vio-
	lence/dating
	violence
	docket
	 
 
 Full
	faith
	and
	credit
	for
	protection
	orders
	Immediate
	access
	to
	obtain
	protection
	orders
Full
	faith
	and
	credit
	for
	protection
	orders
	Immediate
	access
	to
	obtain
	protection
	orders
Judicial monitoring of sexual assault, domes- tic violence/dating violence, and/or stalking offenders
	 
 Mandatory
	training
	on
	sexual
	assault,
	domes-
	tic
	violence/dating
	violence,
	and/or
	stalking
Mandatory
	training
	on
	sexual
	assault,
	domes-
	tic
	violence/dating
	violence,
	and/or
	stalking
	 No
	charge
	to
	sexual
	assault
	victims/survivors
	for
	any
	cost
	associated
	with
	forensic
	exam
No
	charge
	to
	sexual
	assault
	victims/survivors
	for
	any
	cost
	associated
	with
	forensic
	exam
	 
 
 
 
 
 
 Policy
	against
	mutual
	restraining
	orders
	Procedures
	for
	courtroom
	security
	Other
	(specify):
Policy
	against
	mutual
	restraining
	orders
	Procedures
	for
	courtroom
	security
	Other
	(specify):
	 
		OMB
		Clearance
		#
		11 10/31/2007 
 
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • 17 • Of fi ce on Violence Against Women
 
	OMB
	Clearance
	#
	1121-02
	10/31/2007 
SA DV
 
 Mandatory
training
on
sexual
assault,
domestic
violence/dating
violence,
and/or
stalking
Mandatory
training
on
sexual
assault,
domestic
violence/dating
violence,
and/or
stalking
 
 Strategies
to
assist
and
protect
victims/survivors
during
probation
Strategies
to
assist
and
protect
victims/survivors
during
probation
 
 Perform
checks
on
police
logs,
criminal
and
civil
databases
Perform
checks
on
police
logs,
criminal
and
civil
databases
 
 Special
procedures
for
cases
involving
diverse,
underserved
populations
Special
procedures
for
cases
involving
diverse,
underserved
populations
 
 
 Offender
monitoring
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
victim/survivor
Advocate
response
in
emergency
room
Appropriate
response
to
underserved
populations
Forensic
evidence
collection
and
documentation
Forensic
exams
not
billed
to
victim/survivor
 
 Mandatory
training
on
sexual
assault,
domestic
violence,
and/or
stalking
Mandatory
training
on
sexual
assault,
domestic
violence,
and/or
stalking
 
 
 Routine
screening
and
referrals
for
sexual
as-
sault,
domestic
violence/dating
violence,
and/or
stalking
Routine
screening
and
referrals
for
sexual
as-
sault,
domestic
violence/dating
violence,
and/or
stalking
 
 Other
(specify):
Other
(specify):
	
Tribal Coalitions Program Semi-annual Progress Report • 18 • Of fi ce on Violence Against Women
 
	OMB
	Clearance
	#
	1121-028 10/31/2007 
 29.
(OPTIONAL)
Additional
information
 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.)
(Maximum
-
2000 characters)
how
these
policies
increase
the
safety of
American
Indian/Alaska
Native
women.)
(Maximum
-
2000 characters)
Tribal Coalitions Program Semi-annual Progress Report • 19 • Of fi ce on Violence Against Women
 
	SECTION 
 
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 supported the development, revision, or distribution of products.
 
 Yes—answer
question
30
No—skip
to
section
C6
Yes—answer
question
30
No—skip
to
section
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
 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
de-
veloped
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.”)
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
de-
veloped
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
	 
		OMB
		Clearance
		#
		1121-0284
		Expiration
		Date:
		10/31/2007 
 
	
Brochures Manuals Newsletter Training curricula Training materials Reports
Web site
(report number of page views in the used or distrib- uted column)
	
	
	
	
Videos
	
	
	
	
Other (specify):
	
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • 20 • Of fi ce on Violence Against Women
 
 
SECTION
C6 Technical AssistanceWere your Tribal Coalitions Program funds used to provide technical assistance during the current re- porting 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
Yes—answer
questions
31-33
No—skip
to
C7
 31.
Number
of
technical
assistance
activities
 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 count- ed as one activity.)
	 Recipients
	of
	technical
	assistance	Number
	of
	site
	visits
Recipients
	of
	technical
	assistance	Number
	of
	site
	visits
Number of other technical assistance consultations
	 
		OMB
		Clearance
		#
		1121-02
		10/31/2007 
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 Order tribal coalition Prosecutor’s office (tribal)
Prosecutor’s office (non-tribal)
Sexual assault forensic examiners/sexual assault nurse examiner Sexual assault program (tribal)
Sexual assault program (non-tribal)
Tribal community groups
Tribal government/Tribal government agency University/school
Youth program Other (specify):
Total 0 0
Tribal Coalitions Program Semi-annual Progress Report • 21 • Of fi ce on Violence Against Women
 
	OMB
	Cle 0/31/2007 
 32.
Topics
of
technical
assistance
 32.
Topics
of
technical
assistance
(Check the topics that apply to technical assistance provided with Tribal Coalitions Program funds dur- ing 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
Topics
of technical
assistance	Sexual
assault
Domestic
violence
Coordinated community response Court response
Curricula and training issues
Developing or enhancing culturally appropriate services for un- derserved populations
Developing or enhancing appropriate services for elder victims/ survivors
Developing or enhancing appropriate services for victims/survi- vors 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):
Tribal Coalitions Program Semi-annual Progress Report • 22 • Of fi ce on Violence Against Women
 
	OMB 10/31/2007 
 (Use
the
space
below
to
discuss
the
effectiveness
of
technical
assistance
activities
funded
or
support-
ed
by
your
Tribal
Coalitions
Program
grant
and
to
provide
further
explanation
on
how
these
activities
increase
the
safety of
American
Indian/Alaska
Native
women.)
(Maximum
-
2000
characters)
(Use
the
space
below
to
discuss
the
effectiveness
of
technical
assistance
activities
funded
or
support-
ed
by
your
Tribal
Coalitions
Program
grant
and
to
provide
further
explanation
on
how
these
activities
increase
the
safety of
American
Indian/Alaska
Native
women.)
(Maximum
-
2000
characters)
Tribal Coalitions Program Semi-annual Progress Report • 23 • Of fi ce on Violence Against Women
 
 
 
SECTION
C7
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 organiza- tional development and/or capacity building.
 Yes—answer
questions
34-35
No—skip
to
section
D
Yes—answer
questions
34-35
No—skip
to
section
D
 34.
Coalition
development
and
capacity
building
 34.
Coalition
development
and
capacity
building
 (Check
all
activities
that
were
engaged
in
with
Tribal
Coalitions
Program
funds
during
the
current
re-
porting
period.)
(Check
all
activities
that
were
engaged
in
with
Tribal
Coalitions
Program
funds
during
the
current
re-
porting
period.)
	
	
	
Board member development Communication (TTY, language lines, etc.) Develop personnel policies
Emergency preparedness
Activity
	 
		 10/31/2007 
 
		
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?
	 35.
	
	Do
	you
	consider
	system
	privacy
	and/or
	security
	when
	purchasing
	or
	developing
	software?
	 Yes
	No
Yes
	No
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • 24 • Of fi ce on Violence Against Women
 
 
SECTION
D NARRATIVE
 All
grantees
must
answer
question
36.
All
grantees
must
answer
question
36.
Please limit your response to the space provided.
 
 36.
Report
on
the
status
of
the
goals
and
objectives
for
the
tribal
coalitions
(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
explana-
tion
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
 36.
Report
on
the
status
of
the
goals
and
objectives
for
the
tribal
coalitions
(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
explana-
tion
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.)
Page 26.
	
	
	 All
	grantees
	must
	answer
	questions
	37
	and
	38
	on
	an
	annual
	basis.
	Please
	submit
	this
	information
	on
	the
	January
	to
	June
	reporting
	form
	only.
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.
	 
 37.
	What
	do
	you
	see
	as
	the
	most
	significant
	areas
	of
	remaining
	need,
	with
	regard
	to
	improving
	services
	to
	victims/survivors
	of
	sexual
	assault,
	domestic
	violence/dating
	violence
	and
	stalking,
	increasing
	victims/survivors
	safety
	and
	enhancing
	community
	response
	(including
	offender
	accountability
	for
	both
	batterers
	and
	sex
	offenders)?
	(Consider
	geographic
	area
	served,
	service
	delivery
	systems,
	types
	of
	victimization,
	jurisdictional
	issues,
	and
	challenges
	and
	barriers
	unique
	to
	the
	tribal
	communities
	 37.
	What
	do
	you
	see
	as
	the
	most
	significant
	areas
	of
	remaining
	need,
	with
	regard
	to
	improving
	services
	to
	victims/survivors
	of
	sexual
	assault,
	domestic
	violence/dating
	violence
	and
	stalking,
	increasing
	victims/survivors
	safety
	and
	enhancing
	community
	response
	(including
	offender
	accountability
	for
	both
	batterers
	and
	sex
	offenders)?
	(Consider
	geographic
	area
	served,
	service
	delivery
	systems,
	types
	of
	victimization,
	jurisdictional
	issues,
	and
	challenges
	and
	barriers
	unique
	to
	the
	tribal
	communities
served by your tribal coalitions.)
Page 29.
	
	
	 
 38.
	What
	has
	the
	Tribal
	Coalitions
	Program
	funding
	allowed
	you
	to
	do
	or
	maintain
	that
	you
	could
	not
	do
	without
	receiving
	this
	funding?
	(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
	Ameri-
	can
	Indian
	and/or
	Alaska
	Native
	women?
	Provide
	specific
	examples
	in
	your
	answer
	[e.g.,
	opened
	an
38.
	What
	has
	the
	Tribal
	Coalitions
	Program
	funding
	allowed
	you
	to
	do
	or
	maintain
	that
	you
	could
	not
	do
	without
	receiving
	this
	funding?
	(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
	Ameri-
	can
	Indian
	and/or
	Alaska
	Native
	women?
	Provide
	specific
	examples
	in
	your
	answer
	[e.g.,
	opened
	an
office with two full-time staff].)
Page 31.
	
	
	 Questions
	39
	and
	40
	are
	optional.
Questions
	39
	and
	40
	are
	optional.
PLEASE LIMIT YOUR RESPONSE TO TWO PAGES FOR EACH QUESTION.
	 
 39.
	Provide
	additional
	information
	regarding
	the
	effectiveness
	of
	your
	grant-funded
	program.
	(If
	you
	have
	other
	data
	or
	information
	that
	you
	have
	not
	already
	reported
	in
	answers
	to
	previous
	questions
	that
	demonstrate
	the
	effectiveness
	of
	your
	Tribal
	Coalitions
	Program
	grant,
	please
	provide
	it
	below.
	Refer
	 39.
	Provide
	additional
	information
	regarding
	the
	effectiveness
	of
	your
	grant-funded
	program.
	(If
	you
	have
	other
	data
	or
	information
	that
	you
	have
	not
	already
	reported
	in
	answers
	to
	previous
	questions
	that
	demonstrate
	the
	effectiveness
	of
	your
	Tribal
	Coalitions
	Program
	grant,
	please
	provide
	it
	below.
	Refer
to the separate instructions for a fuller explanation and examples.)
Page 33.
	
	
	 
 40.
	Provide
	any
	additional
	information
	that
	may
	provide
	explanation
	about
	the
	data
	submitted.
	(If
	you
	have
	any
	information
	that
	could
	be
	helpful
	in
	understanding
	the
	data
	submitted,
	please
	answer
	this
	question.
	For
	example,
	if
	two
	grant
	reports
	were
	submitted,
	you
	may
	explain
	how
	the
	data
	was
	ap-
	portioned
	to
	each
	report;
	if
	you
	funded
	staff
	but
	did
	not
	report
	any
	activities,
	you
	may
	explain
	why;
	or
	if
	you
	did
	not
	use
	program
	funds
	to support
	either
	staff
	or
	activities
	during
	the
	reporting
	period,
	please
40.
	Provide
	any
	additional
	information
	that
	may
	provide
	explanation
	about
	the
	data
	submitted.
	(If
	you
	have
	any
	information
	that
	could
	be
	helpful
	in
	understanding
	the
	data
	submitted,
	please
	answer
	this
	question.
	For
	example,
	if
	two
	grant
	reports
	were
	submitted,
	you
	may
	explain
	how
	the
	data
	was
	ap-
	portioned
	to
	each
	report;
	if
	you
	funded
	staff
	but
	did
	not
	report
	any
	activities,
	you
	may
	explain
	why;
	or
	if
	you
	did
	not
	use
	program
	funds
	to support
	either
	staff
	or
	activities
	during
	the
	reporting
	period,
	please
explain how program funds were used, if you have not already done so.)
Public Reporting Burden
Page 35.
	 
		OMB
		Clearance
		#
		1121-0284
		Expiration
		Date:
		10/31/2007 
	
Paperwork Reduction Act Notice. Under the Paperwork Reduction Act, a person is not required to re- spond 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, 800 K Street, NW, Washington, DC 20531.
	
	
Tribal Coalitions Program Semi-annual Progress Report • 25 • Of fi ce on Violence Against Women
Report on the status of the goals and objectives for the tribal coalitions - Question #36
Back to Instructions
Goals/Objectives
Status
	
	
	
	
	
	
	
	
	
	
Key Activities
	
	
	
	
	
	
	
	
	
Comments
	
	
	
	
	
	
	
	
	
	
Goals/Objectives
	
	
	
	
	
	
	
	
	
Key Activities
	
	
	
	
	
	
	
	
	
Comments
Status
	 
		OMB
		Clearance
		#
		1121-0284
		Expiration
		Date:
		10/31/2007 
 
	
	
	
	
	
	
	
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • 26 • Of fi ce on Violence Against Women
Report on the status of the goals and objectives for the tribal coalitions - Question #36 (cont. 1)
Back to Instructions
Goals/Objectives
	
	
Status
	
	
	
	
	
	
	
	
	
	
Key Activities
	
	
	
	
	
	
	
	
	
Comments
	
	
	
	
	
	
	
	
	
	
Goals/Objectives
	
	
	
	
	
	
	
	
	
Key Activities
	
	
	
	
	
	
	
	
	
Comments
Status
	 
		OMB
		Clearance
		#
		1121-0284 Expiration
		Date:
		10/31/2007 
 
	
	
	
	
	
	
	
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • 27 • Of fi ce on Violence Against Women
Report on the status of the goals and objectives for the tribal coalitions - Question #36 (cont. 2)
Back to Instructions
Goals/Objectives
	
	
Status
	
	
	
	
	
	
	
	
	
	
Key Activities
	
	
	
	
	
	
	
	
	
Comments
	
	
	
	
	
	
	
	
	
	
Goals/Objectives
	
	
	
	
	
	
	
	
	
Key Activities
	
	
	
	
	
	
	
	
	
Comments
Status
	 
		OMB
		Clearance
		# 31/2007 
 
	
	
	
	
	
	
	
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • 28 • Of fi ce on Violence Against Women
	
	
 Back
	to
	Instructions
Back
	to
	Instructions
OMB Clearance # 1122-0011 Expiration Date: 06/30/2011
	
	
	 
		OMB
		Clearance
		#
		1121-0284 Expiration
		Date:
		10/31/2007 
 
 
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • 29 • Of fi ce on Violence Against Women
 
	OMB
	Clearance
	#
	1121-0284 E 
 
Tribal Coalitions Program Semi-annual Progress Report • 30 • Of fi ce on Violence Against Women
 
	OMB
	Clearance
	#
	1121- 0/31/2007 
 
What has the Tribal Coalitions funding allowed you to do or maintain that you could not do without receiving this funding? - Question #38
Tribal Coalitions Program Semi-annual Progress Report • 31 • Of fi ce on Violence Against Women
	
	
 Back
	to
	Instructions
Back
	to
	Instructions
	
	
	 
		OMB
		Clearanc
		10/31/2007 
 
	 
	
What has the Tribal Coalitions funding allowed you to do or maintain that you could not do without receiving this funding? - Question #38 (cont.)
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • 32 • Of fi ce on Violence Against Women
	
	
ICBacR to lnstructionsj
	
	
OMB Clearance # 1122-0011 Expiration Date: 06/30/2011
	 Provide
	additional
	information
	regarding
	the
	effectiveness
	of
	your
	grant-funded
	
	program.
	-
	Question
	#39
Provide
	additional
	information
	regarding
	the
	effectiveness
	of
	your
	grant-funded
	
	program.
	-
	Question
	#39
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • 33 • Office on Violence Against Women
	 ICBacR
	to
	lnstructionsj
ICBacR
	to
	lnstructionsj
OMB Clearance # 1122-0011 Expiration Date: 06/30/2011
	 Provide
	additional
	information
	regarding
	the
	effectiveness
	of
	your
	grant-funded
	
	program.
	-
	Question
	#39
Provide
	additional
	information
	regarding
	the
	effectiveness
	of
	your
	grant-funded
	
	program.
	-
	Question
	#39
(cont.)
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • 34 • Office on Violence Against Women
 
tsacR to lnstructionsj OMB Clearance # 1122-0011
Expiration Date: 06/30/2011
Provide a ny additional information that may provide explanation about the data submitted. - Question #40
Tribal Coalitions Program Semi-annual Progress Report • 35 • Office on Violence Against Women
	 BacR
	to
	
	lnstructionsj
BacR
	to
	
	lnstructionsj
OMB Clearance # 1122-0011 Expiration Date: 06/30/2011
	 
	
Provide a ny additional information that may provide explanation about the data submitted. - Question #40
(cont.)
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
Tribal Coalitions Program Semi-annual Progress Report • 36 • Office on Violence Against Women
 
	OMB
	Clearance
	# 2007 
 
 Validate
Validate
Tribal Coalitions Program Semi-annual Progress Report • 37 • Of fi ce on Violence Against Women
	 
		THIS
		IS
		A
		SAMPLE
		GMS
		FORM.
		DO
		NOT
		USE
		THIS
		FORM
		TO
		SUBMIT
		YOUR
		FINAL
		DATA
		TO
		OVW. 
	
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