Form 1122-0010 Semi annual Progress Report for State Coalitions Program

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U.S. Department of Justice
Office on Violence Against Women
SEMI-ANNUAL PROGRESS REPORT FOR
Grants to State Sexual Assault and
Domestic Violence Coalitions Program
Brief Instructions: This form must be completed for each Grants to State Sexual Assault and Domestic Violence Coalitions Program (State Coalitions Program) 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 and D of this form must be completed by
all grantees. In section A, subsection A1 must be answered by all grantees. In subsection A2 and section C, grantees
must answer an initial question in each subsection about whether they engaged in certain activities during the current
reporting period. If the response is yes, then the grantee must complete that subsection. If the response is no, the rest
of that subsection is skipped.
For example, (1) if you only provided training and technical assistance with staff funded under this grant during the
current reporting period, you would complete sections A, B, C1, C5, and D (and answer ‘no’ in C2-C4 and C6-C8); or, (2)
if you provided training and technical assistance with staff funded under this grant and grant-funded staff developed
products during the current reporting period, you would complete sections A, B, C1, C3, C5, and D (and
answer ‘no’ in C2, C4, C6-C8).
The activities of volunteers or interns should be reported if they were coordinated or supervised by State Coalitions
Program-funded staff or if State Coalitions Program funds substantially supported their activities.
For further information on filling out this form, refer to the separate set of instructions, which contains detailed
definitions and examples illustrating how questions should be answered.

SECTION
Section A:
A1:
A2:
Section B:
Section C:
C1:
C2:
C3:
C4:
C5:
C6:
C7:
C8:
Section D:

General Information
Grant Information
Staff Information
Program Activities
Function Areas
Training
System Advocacy
Products
Public Awareness
Technical Assistance
Standards of Service
Underserved Populations
Organizational Development and Capacity Building
Narrative

Page Number
1
1
2
3
4
4
8
11
12
14
17
18
20
21

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A1

GENERAL INFORMATION
Grant Information

All grantees must complete this subsection.

1.

Date of report

2.

Current reporting period

3.

Grantee name

4.

Grant number (the federal grant number assigned to your State Coalitions Program grant)

5.

Type of grantee organization (Check one.)

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

January 1-June 30

✔

July 1-December 31

(Year)

Dual Sexual Assault/Domestic Violence Coalition
Sexual Assault Coalition
Domestic Violence Coalition

6.

Point of contact (person responsible for the day-to-day coordination of the grant)
               MI

First Name

    Last Name

Agency/organization name
Address
City

State

Telephone

Zip Code
Facsimile

E-mail

7.

What percentage of your total operating budget is funded by the State Coalitions Program grant?

8.

Coalition members (Report the total number of organizational members, including sexual assault programs,

(Do not include pass-through funding that the coalition awards to local sexual assault or domestic violence programs.)

domestic violence programs, other victim services agencies, and other organizational members, as applicable
to your state coalition. Report the total number of individual members, if applicable to your state coalition. Individual members are individual persons, not programs.)
Organizational members

Number

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

0

Total number of individual members

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A2

Staff Information

Were State Coalitions Program funds used to fund staff positions during the current reporting period?
Check yes if State Coalitions Program funds were used to pay staff, including part-time staff and contractors.
Yes—answer question 9
No—skip to Section B

9.

Staff (Report the total number of full-time equivalent (FTE) staff funded by the State Coalitions Program grant

during the current reporting period. Report staff by the function(s) performed, not by title or location. Include
employees who are part-time and/or partially funded with these grant funds as well as consultants/contractors.
Report grant-funded overtime. 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 State Coalitions Program funds, you would report that as .5 FTE. 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 for part-time staff and contractors.)
Staff

FTE(s)

Administrator (fiscal manager, executive director)
Attorney
Communications specialist (public awareness, media relations)
Information technology staff
Paralegal
Program coordinator (training coordinator, outreach coordinator)
Support staff (secretary, administrative assistant, accountant, bookkeeper)
Systems advocate
Technical assistance provider
Trainer
Translator/interpreter
Other (specify):
TOTAL

0.00

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B

PROGRAM ACTIVITIES

All grantees must complete this section.

10. Program activities (Check all program activities your State Coalition engaged in during the current reporting

period. Check the appropriate box to indicate whether the activity was supported with State Coalitions Program
funds or another funding source.)

State Coalitions
Program funded

Other funding
source

Program activities

Providing technical assistance to member programs.
Expanding the technological capacity of coalitions and/or member
programs.
Developing or enhancing appropriate standards of services for member
programs, including culturally appropriate services to underserved
populations.
Conducting statewide, regional and/or community-based meetings
or workshops for victim advocates, survivors, legal service providers,
and criminal justice representatives.
Bringing local programs together to identify gaps in services and to
coordinate activities.
Increasing the representation of underserved populations in coordination
activities, including providing financial assistance to organizations that
serve underserved communities to participate in planning meetings, task
forces, committees, etc.
Engaging in activities that promote coalition building at the local and/or
state level.
Coordinating federal, state and/or local law enforcement agencies to
develop or enhance strategies to address identified problems.

11. Other activities (List all other activities, not included in question 10, that your State Coalition Program grant

engaged in during the current reporting period. Check the appropriate box to indicate whether the activity was
supported with State Coalitions Program funds or another funding source.)
State Coalitions
Program funded

Other funding
source

Activity

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

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C1

FUNCTION AREAS
Training

Were your State Coalitions Program funds used for training during the current reporting period?

Check yes if State Coalitions Program-funded staff provided training or if State Coalitions Program funds were
used to directly support the training.
Yes—answer questions 12-15
No—skip to C2

For purposes of this reporting form, training means providing information on sexual assault, dating violence,
domestic violence, and stalking that enables professionals to improve their response to victims/survivors as it relates to their role in the system. Education means providing general information that will increase public awareness of sexual assault, dating violence, domestic violence, or stalking. In this subsection, report information on
training activities. Educational activities should be reported in subsection C4 Public Awareness.

12. Type and number of training events provided (Report the number of statewide, regional, and community-

based training events by the type of training that were either provided by State Coalitions Program-grant funded
staff or directly supported with State Coalitions Program funds. Staff development training provided to State Coalitions Program-funded staff should not be counted. Use the SA/DV columns if training events focused on both
sexual assault and domestic violence.)
Type of training
Statewide
Sexual Domestic SA/
assault violence/ DV
dating
violence

Total number of training events
Regional
Sexual Domestic
assault violence/
dating
violence

SA/
DV

Community-based

Sexual
assault

Domestic
violence/
dating
violence

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

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SA/
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13. Number of people trained (Report the number of people trained during the current reporting period by State

Coalitions Program-funded staff or training supported by State Coalitions Program funds. Use the category that is
most descriptive of the people attending the training event. If you do not know how many people to report in specific categories, you may report the overall number in “Multidisciplinary.” Please use only as a last resort. State
Coalitions Program-funded staff attending training should not be counted. Total person-hours are calculated by
multiplying the number of people trained by the length of the individual training event.)

People trained

Number

Person-hours

Advocacy organization staff (NAACP, AARP)
Attorneys/law students (does not include prosecutors)
Batterer intervention program staff
Board members
Child welfare workers/children’s advocates
Corrections personnel (probation, parole, and correctional facilities
staff)
Court personnel (judges, clerks)
Educators (teachers, administrators, etc.)
Faith-based organization staff
Government agency staff (vocational rehabilitation, food stamps, TANF)
Health professionals (doctors, nurses, does not include sexual assault
forensic examiners (SAFE) or sexual assault nurse examiners (SANE))
Immigration organization staff
Law enforcement officers
Legal services staff (does not include attorneys)
Mental health professionals
Military command staff
Multidisciplinary (various disciplines at same training)
Prosecutors
Sex offender treatment program staff
Sexual assault forensic examiners/sexual assault nurse examiners
(SAFE/SANE)
Social service organization staff (non-governmental – food bank,
homeless shelter)
Substance abuse treatment provider
Translators/interpreters
Tribal government/tribal government agency staff
Victim advocates (non-governmental, includes domestic violence,
sexual assault, dual)
Victim assistants (governmental, includes victim-witness specialist/
coordinator)
Volunteers
Other (specify):
TOTAL

0

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0.00

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14. Training content areas (Indicate all topics addressed in training events provided with your State Coalitions Program funds during the current reporting period. Check all that apply.)
Sexual assault, domestic violence, dating violence, and
stalking

Underserved populations
Issues specific to victims/survivors who:

Advocate response

live in rural areas

Child witnesses

are American Indian or Alaska Native

Confidentiality

are Asian

Cyberstalking

are black or African American

Dating violence overview, dynamics, and services

are elderly

Domestic violence overview, dynamics, and services

are Hispanic or Latino

Drug facilitated sexual assault

are homeless or living in poverty

Forensic evidence collection and documentation

are immigrants, refugees, or asylum seekers

Mandatory reporting requirements
Response to victims/survivors who are incarcerated

are lesbian, gay, bisexual, transgender, or
intersex

Response to victims/survivors who have been trafficked

are Native Hawaiian or other Pacific Islander

Safety planning for victims/survivors

have disabilities

Sexual assault overview, dynamics, and services

have limited English proficiency

Stalking overview, dynamics, and services

have mental health issues

Supervised visitation and exchange

have substance abuse issues

Other (specify):

Other (specify):

Justice system

Organizational community response

Civil court procedures

Board roles and fiduciary responsibilies

Criminal court procedures

Collaboration

Decreasing dual arrests/identifying predominant
aggressor

Coordinated community response

Domestic violence statues/codes

Discrimination and oppression issues

Firearms and domestic violence

Emergency preparedness

Immigration

Evaluation

Judicial response

Outreach to diverse/underserved populations

Law enforcement response

Program accessibility

Pro-arrest policies

Program rules

Probation response

Response teams (DART, DVRT, SART)

Prosecution response

Safety planning

Protection orders (including full faith and credit)

Standards of service

Sexual assault forensic examinations

Strategic planning

Sexual assault statutes/codes

Technology

Stalking statutes/codes

Technology safety issues

Tribal jurisdiction and Public Law 280

Victim service administration and operations

Other (specify):

Other (specify):

Community response to sexual assault

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15. (Optional) Additional information (Use the space below to discuss the effectiveness of training activities
funded or supported by your State Coalitions Program grant and to provide any additional information you would
like to share about training activities beyond what you have provided in the data above. An example might include a change in how area hospitals respond to victims of domestic violence, dating violence, sexual assault,
and stalking after a state-wide training for hospital staff.) (Maximum - 2000 characters)

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C2

System Advocacy

Were your State Coalitions Program funds used for system advocacy during the current reporting
period? Check yes if State Coalitions Program-funded staff engaged in system advocacy or if State Coalitions Program

funds directly supported system advocacy. System advocacy is an activity intended to affect policy and/or procedural
change in order to improve institutional response to sexual assault and/or domestic violence.
Yes—answer questions 16-19
No—skip to C3

16. System advocacy activities (Indicate the system advocacy activities convened or participated in with State Coalitions Program funds during the current reporting period. Check all that apply.)
Systems advocacy

Sexual assault

Domestic violence/
dating violence

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

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17. Improved system response (Report the total number of statewide, regional, and local meetings convened and/
or attended by State Coalitions Program-funded staff during the current reporting period.)
Agency/organization

Number of meetings
convened

Number of meetings
attended

Sexual
assault

Sexual
assault

Domestic
violence/
dating
violence

Domestic
violence/
dating
violence

Advocacy organization (NAACP, AARP)
Batterer intervention program
Child welfare
Corrections (probation, parole, correctional
facility)
Court (state or local)
Crime victim compensation
Domestic violence program
Dual sexual assault and domestic violence
program
Educational institution/organization
Faith-based organization
Federal criminal justice
Other federal entities/officials
Government agency (Social Security, TANF)
Health/mental health organization
Law enforcement (state or local)
Legal services organization (legal services, bar
association, law school)
Multi-disciplinary group/task force
Organizations representing underserved
populations
Prosecutor’s office (state or local)
Sex offender management/sex offender treatment provider
Sexual assault forensic examiners/sexual assault nurse examiners program (SAFE/SANE)
Sexual assault program
Social services organization (non-governmental - food bank, homeless shelter)
Substance abuse services
Tribal government/tribal government agency
University/school
Victims/survivors
Other (specify):
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18. Coordination activities (Indicate methods used during the current reporting period to coordinate state victim

services activities and/or to collaborate and coordinate with federal, state, and local entities engaged in activities
to reduce or end violence against women. Check all that apply.)
Email

Tracking availability of victim services

E-mail listserv

U.S. mail

Facsimile

Webinar

Newsletters

Web site

Telephone/conference call

Other (specify):

Toll-free telephone number

19. (Optional) Additional information (Use the space below to discuss the effectiveness of system advocacy
activities funded or supported by your State Coalitions Program grant and to provide any additional information
you would like to share about your system advocacy activities beyond what you have provided in the data above.
An example might include: We convened a multi-disciplinary task force of domestic violence programs, sexual
assault programs, and tribal government agencies which met for one in-person and 3 follow-up phone sessions
to develop policies and procedures for more effectively serving tribal populations in our state resulting in an ongoing collaboration with tribal leaders and a new level of trust.) (Maximum - 2000 characters)

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C3

Products

Were your State Coalitions Program funds used to develop, substantially revise, or distribute products
during the current reporting period? Check yes if State Coalitions Program-funded staff developed products or if
State Coalitions Program funds directly supported the development, revision, or distribution of products.
Yes—answer question 20
No—skip to C4

20. Use of State Coalitions Program funds for product development, substantial revision, or distribution

(Report the number of products developed, substantially revised, or distributed with State Coalitions Program
grant funds during the current reporting period. Report the number of new products developed or substantially
revised during the current reporting period; the title/topic and intended audience for each product developed, revised, or distributed; and the number of products used or distributed. If a product was created in or translated into
a language other than English, including Braille, indicate the language. Report on products that were newly developed or substantially revised during the current reporting period, whether or not they were used or distributed,
and on products that were previously developed or revised but were used or distributed during the current reporting period. Do not report the number of products printed or copied; only report the number developed or revised—
in most cases that number will be one for each product described —and/or the number used or distributed. See
separate instructions for examples of how to report under “developed or revised” and “used or distributed.”)
Products

Number
developed
or revised

Title/topic

Intended
audience

Number
used or
distributed

Other
languages

Brochures
Manuals

Newsletter
Training
curricula
Training
materials
Reports
Fact sheets
Web site

(report number of
page views in the
used or distributed
colulmn)

Videos
Other (specify):

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C4

Public Awareness

Were your State Coalitions Program funds used for public awareness activities during the current
reporting period? Check yes if State Coalitions Program-funded staff were used to support public awareness activities
or if State Coalitions Program funds were used to directly support public awareness activities.
Yes—answer questions 21-22
No—skip to C5

21. Public awareness activities (Indicate the activities that were supported with State Coalitions Program funds

during the current reporting period. Indicate by checking the appropriate box[es] whether the focus of the activity
was sexual assault, domestic violence, dating violence, stalking, or a combination of those issues. Check all that
apply.)
Activities

Sexual assault

Domestic violence/
dating violence

Stalking

Community organizing/community events (rallies,
speak outs, Take Back the Night, vigils)
Educational exhibits (Clothesline Project, silent
witness, information tables)
Media campaigns (press conferences, public service announcements, articles)
Productions for public awareness (video series,
theater productions)
Other (specify):

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22. (Optional) Additional information (Use the space below to discuss the effectiveness of public awareness
activities funded or supported by your State Coalitions Program grant and to provide any additional information
you would like to share about your public awareness activities beyond what you have provided in the data above.
An example might include developing a video series documenting the most effective advocacy provided to victims
in rural communities, resulting in more awareness of the challenges and successes involved in this work being
brought to community events, and training sessions.) (Maximum - 2000 characters)

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C5

Technical Assistance

Were your State Coalitions Program funds used to provide technical assistance during the current
reporting period? Check yes if State Coalitions Program-funded staff provided technical assistance or if State Coalitions Program funds directly supported the provision of technical assistance.
Yes—answer questions 23-25
No—skip to C6

23. Number of technical assistance activities (Report the total number of technical assistance activities pro-

vided to programs during the current reporting period, indicating whether they were site visits or other types of
consultations. Consultations may include in-person, telephonic, electronic, or other types of contact. Each contact
should be counted as one activity.)
Recipients of technical assistance

Number of site visits

Number of other technical
assistance consultations

Batterer intervention program
Corrections (probation, parole, and
correctional facility)
Court (state or local)
Disability organization
Domestic violence program
Dual sexual assault and domestic violence program
Elder organization
Faith-based organization
Forensic examiner program
Government agency
Health care provider (excluding forensic
examiner)
Immigration organization
Law enforcement (state or local)
Legal services/attorneys/law students
Mental health care provider
Military command staff
Other state coalition
Prosecutor’s office (state or local)
Sexual assault program
Stalking program
Tribal sexual assault or domestic violence program
University/school
Youth program
Other (specify):
TOTAL

0

0

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24. Topics of technical assistance (Check the topics that apply to technical assistance provided with State Coali-

tions Program funds during the current reporting period. The technical assistance provided may be categorized by
more than one topic. Check all that apply.)
Topics of technical assistance

Sexual assault

Domestic violence/
dating violence

Board development
Civil codes
Coordinated community response
Court response
Creating/sustaining diverse organizations
Criminal codes
Curricula and training issues
Developing or enhancing appropriate services for elder victims
Developing or enhancing appropriate services for victims who have
disabilities
Developing or enhancing culturally appropriate services for
underserved populations
Forensic evidence collection and documentation
Grant writing/reporting
Law enforcement response
Local policies and practices
Program development
Program evaluation
Probation and parole response
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
Standards of service
State policies and practices
Technology and technology capacity (data collection systems and
confidentiality)
Technology safety and security
Victim service administration and operations
Other (specify):

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25. (Optional) Additional information (Use the space below to discuss the effectiveness of technical assistance
activities funded or supported by your State Coalitions Program grant and to provide any additional information
you would like to share about your technical assistance activities beyond what you have provided in the data
above. An example might include site visits to organizations working with older women in 3 counties to document
best practices when working with older victims of domestic violence, resulting in open conversations with those
providing services and requests for more training on effective advocacy for this underserved population)
(Maximum - 2000 characters).

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SECTION

OMBOMB
Clearance
1122-0010
Clearance #
# 1121-0280
Expiration
Date 06/30/2011
: 07/31/2004
Expiration
Date:

C6

Standards of Service

Were your State Coalitions Program funds used to develop or enhance standards of service for
member programs/agencies during the current reporting period? Check yes if State Coalitions Program-fund-

ed staff were used to develop or enhance standards of service or if State Coalitions Program funds were used to directly
support the development or enhancement of standards of service.
Yes—answer question 26
No—skip to C7

26. Development or enhancement of standards of service for member programs/agencies (Indicate if
State Coalitions Program funds were used to develop, implement, or enhance standards of service or provide
training on standards of service for member programs. Check all that apply.)
Sexual assault

Domestic violence/
dating Violence

Developing standards of service for member programs/agencies
Implementing standards of service for members
Enhancing standards of service for member programs/agencies
Training on standards of service for members

State Coalitions Program Semi-annual Progress Report • 17 • Office on Violence Against Women
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SECTION

Clearance #1122-0010
# 1121-0280
OMBOMB
Clearance
Expiration
Date:
07/31/2004
Expiration Date: 06/30/2011

C7

Underserved Populations

Were your State Coalitions Program funds used to develop or enhance standards of service for underserved populations or to encourage the representation of underserved populations in coordination activities during the current reporting period? Check yes if State Coalitions Program-funded staff were used to develop
or enhance services for underserved populations or if State Coalitions Program funds directly supported representation
of underserved populations in coordination activities.
Yes—answer questions 27-29
No—skip to C8

27. Activities addressing underserved populations (Check all activities in which State Coalitions Program funds
were used to develop or enhance services for underserved populations or to encourage the representation of underserved populations in coordination services. Check the boxes in the appropriate columns to indicate whether
the activities you engaged in were for sexual assault or domestic violence programs/services.)
Activity

Sexual assault

Domestic violence/
dating violence

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

28. Underserved populations (Indicate which underserved populations were addressed in the activities indicated
in question 27. Check all that apply.)

Victims/survivors who:
live in rural areas

are lesbian, gay, bisexual, transgender, or intersex

are American Indian or Alaska Native

are Native Hawaiian or other Pacific Islander

are Asian

have disabilitites

are black or African American

have limited English proficiency

are elderly

have mental health issues

are Hispanic or Latino

have substance abuse issues

are homeless or living in poverty

Other (specify):

are immigrants, refugees, or asylum seekers

State Coalitions Program Semi-annual Progress Report • 18 • Office on Violence Against Women
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OMB Clearance # 1122-0010
Expiration Date: 06/30/2011

29. (Optional) Additional information (Use the space below to discuss the effectiveness of activities to reach underserved populations funded or supported by your State Coalitions Program grant and to provide any additional
information you would like to share about your activities beyond what you have provided in the data above. An
example might include: We are identifying gaps in service for immigrants and refugees in our state through interviews with service providers for this underserved population. This has resulted in the identification of the need to
include immigrants and refugees in two upcoming meetings to develop action steps.) (Maximum - 2000 characters)

State Coalitions Program Semi-annual Progress Report • 19 • Office on Violence Against Women
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SECTION

OMBOMB
Clearance
1122-0010
Clearance## 1121-0280
Expiration
Date:06/30/2011
07/31/2004
Expiration
Date:

C8

Organizational Development
and Capacity Building

Were your State Coalitions Program funds used for organizational development and/or capacity building
during the current reporting period? Check yes if State Coalitions Program-funded staff were used for organiza-

tional development and/or capacity building activities or if State Coalitions Program funds were used to directly support
organizational development and/or capacity building.
Yes—answer questions 30-31
No—skip to Section D

30. Coalition development and capacity building (Check all of the activities that were engaged in with State Coalitions Program funds during the current reporting period.)
Anti-oppression work
Board of directors
Communication (TTY, language lines, etc.)
Emergency preparedness
Equipment purchase (computers, printers, faxes, telephones, cell phones, etc.)
Evaluation/outcome measures
Identifying gaps in services
Internet capacity/e-mail accounts/listserv
Office space
Outreach to diverse/underserved populations
Personnel policies
Software purchase or development
Staff development
Strategic planning
Technology security and safety
Toll-free telephone line
Web site development or enhancement
Other (specify):

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

State Coalitions Program Semi-annual Progress Report • 20 • Office on Violence Against Women
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SECTION

OMBOMB
Clearance
1122-0010
Clearance#
# 1121-0280
Expiration
Date 06/30/2011
: 07/31/2004
Expiration
Date:

D

NARRATIVE

All grantees must answer question 32.
Please limit your response in the space provided.
32. Report on the status of the goals and objectives for the State Coalitions Program grant. (Report on

the status of the goals and objectives for your grant as of the end of the current reporting period, as they were
identified in your grant proposal or as they have been added or revised. Indicate whether the activities related to
your objectives for the current reporting period have been completed, are in progress, are delayed, or have been
revised. Comment on your successes and challenges, and provide any additional explanation you feel is necessary for us to understand what you have or have not accomplished relative to your goals and objectives. If you
have not accomplished objectives that should have been accomplished during the current reporting period, you
must provide an explanation.) Click here to answer

All grantees must answer questions 33 and 34 on an annual basis. Please submit this information on
the January to June reporting form only.
Please limit your response to two pages for each question. (Maximum 8000 characters)
33. 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
victim/survivor safety, and enhancing community response (including offender accountability for
both batterers and sex offenders)? (Consider geographic regions, underserved populations, service delivery
systems, types of victimization, and challenges and barriers unique to your state.) Click here to answer

34. What has the State 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 gaps in services,

improve culturally appropriate services to underserved populations, staff coalition office full time, or increase the
participation rate of historically underserved communities in coordination meetings? Provide specific examples in
your answer.) Click here to answer

Questions 35-36 are optional.
Please limit your response to two pages for each question. (Maximum 8000 characters)
35. Provide any additional information that you would like us to know about your State Coalitions Program grant and/or the effectiveness of your grant. (If you have other data or information regarding your

program that would more fully or accurately reflect the effectiveness of your State Coalitions Program grant than
the data you have been asked to provide on this form, answer this question. If you have not already done so elsewhere on this form, you may want to report on systems-level changes, community collaboration, the removal or
reduction of barriers and challenges for victims/survivors, use of volunteers and/or interns to complete activities,
promising practices, and positive or negative unintended consequences.) Click here to answer

36. Provide any additional information that you would like us to know about the data submitted. (If you

have any information that could be helpful in understanding the data you have submitted in this report, please
answer this question. For example, if you submitted two different progress reports for the same reporting period,
you may explain how the data was apportioned to each report; or if you funded staff—e.g., trainers—but did not
report any corresponding training 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.) Click here to answer
Public Reporting Burden
Paperwork Reduction Act Notice. Under the Paperwork Reduction Act, a person is not required to respond to a collection of
information unless it displays a currently valid OMB control number. We try to create forms and instructions that are accurate,
can be easily understood, and which impose the least possible burden on you to provide us with information. The estimated
average time to complete and file this form is 60 minutes per form. If you have comments regarding the accuracy of this estimate, or suggestions for making this form simpler, you can write to the Office on Violence Against Women, U.S. Department of
Justice, 800 K Street, NW, Washington, DC 20531.

State Coalitions Program Semi-annual Progress Report • 21 • Office on Violence Against Women
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OMB Clearance # 1122-0010
Expiration Date: 06/30/2011

Report on the status of the goals and objectives for the State Coalitions Program grant. Question 32.
Back to Question

Status
(completed, in progress,delayed, revised)

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

Key Activities

Comments (successes, challenges, explanations)

Status
(completed, in progress,delayed, revised)

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

Key Activities

Comments (successes, challenges, explanations)

State Coalitions Program Semi-annual Progress Report • 22 • Office on Violence Against Women
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OMB Clearance # 1122-0010
Expiration Date: 06/30/2011

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

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

Key Activities

Comments (successes, challenges, explanations)

Status
(completed, in progress,delayed, revised)

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

Key Activities

Comments (successes, challenges, explanations)

State Coalitions Program Semi-annual Progress Report • 23 • Office on Violence Against Women
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OMB Clearance # 1122-0010
Expiration Date: 06/30/2011

Report on the status of the goals and objectives for the State Coalitions Program grant. Question 32 (cont.)
Back to Question

OMB ClearanceNo.: 11210280
Expiration Date: 07/31/2004

Status
(completed, in progress,delayed, revised)

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

Key Activities

Comments (successes, challenges, explanations)

Status
(completed, in progress,delayed, revised)

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

Key Activities

Comments (successes, challenges, explanations)

State Coalitions Program Semi-annual Progress Report • 24 • Office on Violence Against Women
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OMB Clearance # 1122-0010
Expiration Date: 06/30/2011

Report on the status of the goals and objectives for the State Coalitions Program grant. Question 32 (cont.)
Back to Question

Status
(completed, in progress,delayed, revised)

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

Key Activities

Comments (successes, challenges, explanations)

Status
(completed, in progress,delayed, revised)

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

Key Activities

Comments (successes, challenges, explanations)

State Coalitions Program Semi-annual Progress Report • 25 • Office on Violence Against Women
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OMBOMB
Clearance
Clearance## 1122-0010
1121-028
Expiration
Dat e:
07/31/2004
Expiration
Date:
06/30/2011
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 victim/survivor safety, and enhancing community response (including offender accountability for both batterers and sex offenders)? Question #33
Back to Question

State Coalitions Program Semi-annual Progress Report • 26 • Office on Violence Against Women
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OMB
Clearance ##1121-0280
OMB
Clearance
1122-0010
Expiration
Date: 07/31/2004
Expiration Date:
06/30/2011

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 victim/survivor safety, and enhancing community response (including offender accountability for both batterers and sex offenders)? Question #33 (cont.) Back to Question

State Coalitions Program Semi-annual Progress Report • 27 • Office on Violence Against Women
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OMB
Clearance ##1121-028
OMB
Clearance
1122-0010
Expiration
Date: 07/31/2004
Expiration Date:
06/30/2011

What has the State Coalitions Program funding allowed you to do or maintain that you could not do without receiving this funding?
Question #34
Back to Question

State Coalitions Program Semi-annual Progress Report • 28 • Office on Violence Against Women
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OMB
Clearance
1122-0010
OMB
Clearance ##1121-028
ExpirationDate:
Date: 07/31/2004
Expiration
06/30/2011
What has the State Coalitions Program funding allowed you to do or maintain that you could not do without receiving this funding?
Question #34 (cont.)
Back to Question

State Coalitions Program Semi-annual Progress Report • 29 • Office on Violence Against Women
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OMBOMB
Clearance
1122-0010
Clearance #
# 1121-0280
Expiration
Date:06/30/2011
07/31/2004
Expiration
Date:
Provide any additional information that you would like us to know about your State Coalitions Program grant and/or the effectiveness
of your grant. Question #35
Back to Question

State Coalitions Program Semi-annual Progress Report • 30 • Office on Violence Against Women
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OMB
Clearance
1122-0010
OMB
Clearance ##1121-0280
Expiration
Date: 06/30/2011
07/31/2004
Expiration
Date:
Provide any additional information that you would like us to know about your State Coalitions Program grant and/or the effectiveness
of your grant. Question #35 (cont.)
Back to Question

State Coalitions Program Semi-annual Progress Report • 31 • Office on Violence Against Women
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OMB Clearance # 1122-0010
Expiration Date: 06/30/2011
Provide any additional information that you would like us to know about the data submitted. Question #36

Back to Question

State Coalitions Program Semi-annual Progress Report • 32 • Office on Violence Against Women
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OMB Clearance # 1122-0010
Expiration Date: 06/30/2011
Provide any additional information that you would like us to know about the data submitted. Question #36 (cont.)

Back to Question

State Coalitions Program Semi-annual Progress Report • 33 • Office on Violence Against Women
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OMB
ClearanceNo.:
1121-0280
OMB
Clearance No.:
1122-0010
Expiration
Date:
07/31/2004
Expiration Date: 06/30/2011

Validate

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