Form 1122-0011 Semi Annual Progress Report for Tribal Coalitions Progra

Semi-annual Progress Report for the Grants to Support Tribal Domestic Violence and Sexual Assault Coalitions

TribalCoalitionsFormGMSSample2014

Semi-annual Progress Report for the Grants to Support Tribal Domestic Violence and Sexual Assault Coalitions

OMB: 1122-0011

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THIS IS A SAMPLE GMS FORM. DO NOT USE THIS FORM TO SUBMIT YOUR FINAL DATA TO OVW.


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OMB Clearance # 1122-0011

Expiration Date:08/30/2014


U.S. Department of Justice Office on Violence Against Women

SEMI-ANNUAL PROGRESS REPORT FOR

Shape2 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 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.




Shape3 Shape4 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

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SECTION

A1

GENERAL INFORMATION

Grant information

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1. Date of report

All grantees must complete this section.


  1. Current reporting period

January 1- June 30

July 1-December 31 (Year)

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  1. Shape16






    Grantee name

4. Grant number

(the federal grant number assigned to your Tribal Coalitions Program grant)



5. Type of grantee organization

(Check one.)

Shape18 Shape19 Established tribal coalition Individual

Other non-profit

6. Type of Coalition (Check one.)

Shape20 Shape21 Shape22 Sexual assault coalition Domestic violence coalition

Dual sexual assault/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)

Shape24 Address City State Zip code Telephone Facsimile E-mail

Shape25 8. What percentage of your tribal coalition operating budget is funded by this Tribal Coalitions Pro- gram grant?


Shape26 9. What tribal population(s) is(are) served by your Tribal Coalitions Program grant?




Shape27 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

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    Coalition members

(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.)

Shape29 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

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SECTION

A2 Staff Information

Were Tribal Coalitions funds used to fund staff positions during the current reporting period?

Check yes if Tribal Coalitions funds were used to pay staff, including part-time staff and contractors.

Shape32 Shape33 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 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.)


Shape34 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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Tribal Coalitions Program Semi-annual Progress Report 3 Of fi ce on Violence Against Women

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SECTION

B All


PURPOSE AREAS

grantees must complete this section.

    1. Purpose Areas

(Check all purpose areas that apply to activities supported with Tribal Coalitions Program funds during the current reporting period.)

Shape39 Shape40 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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Shape43 13a. Program priority areas addressed by your grant

Shape44 (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.)















    1. Culturally specific activities

Shape45 Shape46 Shape47 (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.







Shape48 Shape49 Tribal Coalitions Program Semi-annual Progress Report 4 Of fi ce on Violence Against Women

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15. (OPTIONAL) Additional information

Shape51 (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)


































































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SECTION

C1

FUNCTION AREAS

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.

Shape57 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

(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

Shape58 Shape59 Shape60 Shape61 Shape62 Shape63 Shape64 Shape65 Shape66 Shape67 Computer- based training

Shape68 Conferences Teleconferences

Videoconfer- ences

Shape69 Shape70 Shape71 Shape72 Shape73 Shape74 Shape75 Shape76 Shape77 Shape78 Workshops/ seminars

Other (specify):


















Tribal Coalitions Program Semi-annual Progress Report 6 Of fi ce on Violence Against Women


  1. Number of people trained

Shape79 (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

Shape80 Shape81 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





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Other (specify):








0



Total



Tribal Coalitions Program Semi-annual Progress Report 7 Of fi ce on Violence Against Women

  1. 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.)

Shape93 Sexual assault, domestic violence/dating violence and stalking

Advocacy for American Indian and/or Alaska Na- tive women

Shape94 Child custody in the context of violence against women

Shape95 Child witnesses in the context of domestic violence/dating violence

Shape96 Confidentiality

Shape97 Cultural issues specific to American Indians and/or Alaska Natives

Shape98 Dating violence overview, dynamics, and services

Shape99 Domestic violence overview, dynamics, and ser- vices

Shape100 Drug facilitated sexual assault

Shape101 Dynamics and history of violence against Ameri- can Indian and/or Alaska Native women

Shape102 Shape103 Historical trauma Indian Child Welfare Act

Safety planning for victims/survivors

Shape104 Sexual assault overview, dynamics, and services

Shape105 Shape106 Shape107 Shape108 Stalking overview, dynamics, and services Supervised visitation and exchange

Other (specify):


Shape109 Shape110 Shape111 Organizational community response Coalition development Collaboration

Shape112 Shape113 Coordinated community response Discrimination and oppression issues Evaluation

Shape114 Federal agency response to sexual assault and domestic violence/dating violence (IHS, BIA, FBI, USAO)

Shape115 Outreach

Shape116 Shape117 Shape118 Program accessibility Program rules

Public benefits (TANF, disability, food stamps, unemployment, etc.)

Shape119 Response teams (DART, DVRT, SART)

Shape120 Shape121 Strategic planning Technology

Tribal strategies to address sexual assault or do- mestic violence/dating violence, or stalking

Shape122 Shape123 Shape124 Victim service administration and operations Other (specify):

Other underserved populations

Issues specific to American Indian and Alaska Native victims/survivors who

Shape125 are elderly

Shape126 are homeless or living in poverty are isolated or institutionalized

Shape127 are lesbian, gay, bisexual, transgender, or intersex

Shape128 have disabilities

Shape129 Shape130 have mental health issues live in rural areas

Shape131 live in urban areas

Shape132 Other (specify):



Justice system

Shape133 Court procedures

Shape134 Decreasing dual arrests/identifying predomi- nant aggressor

Shape135 Shape136 Shape137 Domestic violence statues/code development Evidence analysis, collection, and preservation Evidence-based prosecution

Shape138 Shape139 Firearms and domestic violence/dating violence Judicial response

Shape140 Law enforcement response (including protocols, arrest policies, and evidence collection)

Shape141 Shape142 Mandatory reporting requirements Pro-arrest policies

Shape143 Prosecution response

Shape144 Protection orders (including full faith and credit)

Shape145 Sex offender registry(ies)

Shape146 Shape147 Shape148 Sexual assault forensic examinations Sexual assault statutes/codes Stalking statutes/codes

Shape149 Tribal jurisdiction and Public Law 280

Shape150 Other (specify):

Shape151 Shape152 Shape153

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Tribal Coalitions Program Semi-annual Progress Report 8 Of fi ce on Violence Against Women

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    (OPTIONAL) Additional information

Shape155 (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

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67

SECTION

C2 Education

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.

Shape160 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

(Report the total number of education events provided during the current reporting period.)


Shape161 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.)






Shape162

People attending event

Number

Tribal

Non-tribal







Child care providers


Community businesses (retail stores, pharmacies)







Shape163

Community groups (service or social groups)





Community members













Employers



Shape164

Faith-based groups















Men’s groups


Parents/guardians







Shape165 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

(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

Shape168 Dating violence overview, dynamics and ser- vices

Shape169 Domestic violence overview, dynamics and services

Shape170 Historical trauma

Shape171 Shape172 Shape173 Indigenous awareness programs Mandated reporting of child victimization Safety planning

Shape174 Sex offender registry(ies)

Shape175 Sexual assault overview, dynamics, and ser- vices

Shape176 Shape177 Stalking overview, dynamics, and services VAWA

Shape178 Youth awareness of sexual assault, domestic violence/dating violence, and stalking

Shape179 Shape180 Shape181 Workplace violence Other (specify):

How to help American Indian or Alaska Na- tive victims/survivors who:

Shape182 are elderly

Shape183 Shape184 are homeless or living in poverty are isolated or institutionalized

Shape185 are lesbian, gay, bisexual, transgender, or intersex

Shape186 have disabilities

Shape187 Shape188 Shape189 have mental health issues have substance abuse issues live in rural areas

Shape190 Shape191 Shape192 live in urban areas Other (specify):

Shape193



10/31/2007







































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23. (OPTIONAL) Additional information

Shape195 (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

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SECTION

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.)

Shape203 Shape204 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.)


Systems advocacy

Sexual assault

Domestic violence

Shape205 Shape206 Shape207 Shape208 Shape209 Shape210 Appointed tribal and state commissions Community, regional, statewide task force/caucus Multidisciplinary working groups

Shape211 Shape212 Shape213 Project-specific interagency working groups Tribal systems advocacy

Other (specify):







































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25. Improved system response

Shape219 Shape220 (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)




























Shape221 Shape222 Shape223 Shape224 Shape225 Shape226

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


Tribal Coalitions Program Semi-annual Progress Report 14 Of fi ce on Violence Against Women

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    Coordination activities

(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.)


Shape228 E-mail

Shape229 Shape230 Shape231 E-mail listserv Fax Newsletter

Shape232 Shape233 Telephone/conference call Toll-free telephone number

Shape234 Tracking availability of victim services

Shape235 Shape236 Shape237 U.S. Mail Web site

Shape238 Other (specify):

















































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    (OPTIONAL) Additional information

Shape243 (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

Shape244 Shape245

SECTION

C4 Policies

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.

Shape246 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

Shape249 Shape250 Appropriate response to underserved popula- tions

Shape251 Shape252 Confidentiality

Shape253 Shape254 Procedures for anonymous, confidential, or Jane Doe reporting of sexual assault

Shape255 Shape256 Training standards for staff and volunteers

Staff, board, and/or volunteers represent the diversity of your service area

Shape257 Shape258 Standards of service

Shape259 Shape260 Shape261 Victim/survivor informed about Crime Victims Compensation and Victim Impact Statements

Shape262 Shape263 Other (specify):

Law enforcement

SA DV

Shape264 Shape265 Appropriate response to underserved popula- tions

Prosecution

SA DV

Shape266 Shape267 Appropriate response to underserved popula- tions

Shape268 Shape269 Mandatory training on sexual assault, domes- tic violence/dating violence, and/or stalking

Shape270 Shape271 No charge to victims/survivors for any costs related to the prosecution of sexual assault, domestic violence/dating violence and/or stalking

Shape272 Shape273 No victims/survivors polygraphed

Protection order enforcement (including full faith and credit)

Shape274 Shape275 Shape276 Shape277 Shape278 Shape279 Shape280 Shape281 Sexual assault response and protocols Stalking response and protocols Vertical prosecution

Shape282 Shape283 Shape284 Victim witness notification Other (specify):

Shape285 Shape286 Identifying primary aggressor/discouraging dual Court

arrest

Shape287 Shape288 Shape289 Immediate access to protection order informa- tion

Shape290 Shape291 Shape292 Mandatory training on sexual assault, domestic violence/dating violence, and/or stalking

Shape293 Shape294 Shape295 No charge to sexual assault victims/survivors for any cost associated with forensic exam

Shape296 Shape297 Shape298 Shape299 No victims/survivors polygraphed Pro-arrest/mandatory arrest

Procedures for anonymous, confidential, or Jane Doe reporting of sexual assault

Shape300 Shape301 Protection order enforcement (including full faith and credit)

Shape302 Shape303 Shape304 Providing information to victims/survivors about victim services

Shape305 Shape306 Shape307 Shape308 Shape309 Sexual assault response and protocols Stalking response and protocols

Shape310 Shape311 Other (specify):

SA DV


Shape312 Shape313 Accelerated trial schedules

Shape314 Appropriate response to underserved popula- tions

Shape315 Dedicated sexual assault or domestic vio- lence/dating violence docket

Shape316 Shape317 Shape318 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

Shape319 Shape320 Mandatory training on sexual assault, domes- tic violence/dating violence, and/or stalking

Shape321 No charge to sexual assault victims/survivors for any cost associated with forensic exam

Shape322 Shape323 Shape324 Shape325 Shape326 Shape327 Shape328 Policy against mutual restraining orders Procedures for courtroom security Other (specify):

Shape329 Shape330

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Probation

SA DV

Shape332 Shape333 Mandatory training on sexual assault, domestic violence/dating violence, and/or stalking

Shape334 Shape335 Strategies to assist and protect victims/survivors during probation

Shape336 Shape337 Perform checks on police logs, criminal and civil databases

Shape338 Shape339 Special procedures for cases involving diverse, underserved populations

Shape340 Shape341 Shape342 Offender monitoring

Other (specify):

Health care

SA DV

Shape343 Shape344 Shape345 Shape346 Shape347 Shape348 Shape349 Shape350 Advocate response in emergency room Appropriate response to underserved populations Forensic evidence collection and documentation Forensic exams not billed to victim/survivor

Shape351 Shape352 Mandatory training on sexual assault, domestic violence, and/or stalking

Shape353 Shape354 Shape355 Routine screening and referrals for sexual as- sault, domestic violence/dating violence, and/or stalking

Shape356 Shape357 Other (specify):







































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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

Shape359 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

Shape360 Shape361

SECTION

C5 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 supported the development, revision, or distribution of products.

Shape362 Shape363 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

Shape364 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

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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

Shape367 Shape368

SECTION

C6 Technical Assistance

Were 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.

Shape369 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 count- ed as one activity.)

Shape370 Recipients of technical assistance Number of site visits

Number of other technical assistance consultations

Shape371

OMB Clearance # 1121-02 10/31/2007

Batterer intervention program /offender monitoring 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 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

Shape372

OMB Cle

0/31/2007

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.)

Shape373 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

Shape374

OMB

10/31/2007

33. (OPTIONAL) Additional information

Shape375 (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

Shape379 Shape380 Shape381

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.

Shape382 Yes—answer questions 34-35 No—skip to section D

34. Coalition development and capacity building

Shape383 (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

Shape386 Shape387


10/31/2007

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?

Shape389 Yes No



















Tribal Coalitions Program Semi-annual Progress Report 24 Of fi ce on Violence Against Women

Shape390 Shape391

SECTION

D NARRATIVE

Shape392 All grantees must answer question 36.

Please limit your response to the space provided.

Shape393 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.


Shape394 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.

Shape395 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.


Shape396 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.


Shape397 Questions 39 and 40 are optional.

PLEASE LIMIT YOUR RESPONSE TO TWO PAGES FOR EACH QUESTION.

Shape398 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.


Shape399 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.

Shape400

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

Shape404 Shape405

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

Shape406 Shape407

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

Shape408 Shape409

OMB Clearance #

31/2007











Tribal Coalitions Program Semi-annual Progress Report 28 Of fi ce on Violence Against Women


Shape410 Back to Instructions

OMB Clearance # 1122-0011 Expiration Date: 06/30/2011


Shape412 Shape413 Shape414

OMB Clearance # 1121-0284

Expiration Date: 10/31/2007

What do you see as the most significant areas of remaining need, with regard to improving services to vic- tims/survivors of sexual assault, domestic violence/dating violence; and stalking; increasing victims/survi- vors safety; and enhancing community response (including offender accountability for both batterers and sex offenders? - Question #37


































































Tribal Coalitions Program Semi-annual Progress Report 29 Of fi ce on Violence Against Women

Shape415 Shape416

OMB Clearance # 1121-0284

E

What do you see as the most significant areas of remaining need, with regard to improving services to vic- tims/survivors of sexual assault, domestic violence/dating violence, and stalking; increasing victims/survi- vors safety; and enhancing community response (including offender accountability for both batterers and sex offenders? - Question #37 (cont.)


































































Tribal Coalitions Program Semi-annual Progress Report 30 Of fi ce on Violence Against Women

Shape422 Shape423

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


Shape424 Back to Instructions


Shape425 Shape426

OMB Clearanc 10/31/2007

OMB Clearance # 1122-0011 Expiration Date: 06/30'/2011

Shape428

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

Shape429 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


Shape430 ICBacR to lnstructionsj

OMB Clearance # 1122-0011 Expiration Date: 06/30/2011

Shape431 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

Shape432

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


Shape433 BacR to lnstructionsj

OMB Clearance # 1122-0011 Expiration Date: 06/30/2011

Shape434

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


Shape435 Shape436

OMB Clearance #

2007

OMB Clearance # 1122-0011 Expiration Date: 06/30/2011



Shape437 Validate




































































Tribal Coalitions Program Semi-annual Progress Report 37 Of fi ce on Violence Against Women

Shape8

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