Download:
pdf |
pdfOMB Clearance
1121-NNNN
OMB
Clearance#No.:
1122-0008
Expiration Date
/
Expiration
Date:/09/30/2007
U.S. Department of Justice
Office on Violence Against Women
SEMI-ANNUAL PROGRESS REPORT FOR
Training Grants to Stop Abuse and Sexual Assault
Against Older Individuals or Individuals with Disabilities
Brief Instructions: This form must be completed for each Training Grants to Stop Abuse and Sexual Assault
Against Older Individuals or Individuals with Disabilities (Training Grants Program) grant received. The grant
administrator or coordinator must ensure that the form is completed fully with regard to all grant-funded
activities. Grant partners, however, may complete sections relevant to their portion of the grant. Grant
administrators and coordinators are responsible for compiling and submitting a single report that reflects
all information collected from grant partners.
All grantees should read 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 completed by all grantees. In section C,
subsections C1 and C2 must be completed by all grantees. In subsections A2 and C3, grantees must answer
an initial question about whether they engaged in certain activites 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.
The activities of volunteers or interns may be reported if they are coordinated or supervised by Training
Grants Program-funded staff or if Training Grants Program funds substantially support their activities.
For further information on filling out this form, refer to the separate set of instructions, which contains
detailed definitions and examples, illustrating how questions should be answered.
SECTION
Section A:
Section B:
Section C:
C1:
C2:
C3:
Section D:
Appendix A:
General Information
Purpose Areas
Function Areas
Training
Coordinated Community Response
Products
Narrative
Status of Goals and Objectives Table
Page Number
1
4
5
5
8
9
10
11
Grants to Stop Abuse and Sexual Assault Against Older Individuals or Individuals with Disabilities • Office on Violence Against Women
SECTION
OMB Clearance
Clearance #No.:
1121-NNNN
OMB
1122-0008
Expiration Date:
Date /09/30/2007
/
Expiration
GENERAL INFORMATION
A
All grantees must complete this section.
/
1.
Date of report
2.
Current reporting period
3.
Grantee name
4.
Grant number
/
✔
(format date with 6 digits - 01/31/04)
January 1-June 30
✔
July 1-December 31
(Year)
(the federal grant number assigned to your Training Grants Program)
5.
Type of funded organization
(Check the one answer that best describes the organization receiving the Training Grants Program grant.)
Court
Disability advocacy agency/organization
Domestic violence program
Dual sexual assault/domestic violence program
Elder services agency
Faith based organization
Judicial organization
Law enforcement agency
National criminal justice constituency organization
Prosecutor
Sexual assault program
State
Tribe
Unit of local government
University/college
Other(specify):
6. Point of contact (person responsible for the day-to-day coordination or administration of the grant)
First
Name
Name
MI
Last Name
Agency/organization
(if different from grantee name)
Agency/organization name
(if different from grantee name)
Address
Address
State
City
Telephone
Facsimile
Telephone
Facsimile
E-mail
Email
Zip Code
7. Does this grant specifically address tribal populations?
(Check yes if your Training Grants Program grant focuses on tribal populations, and indicate which tribes or
nations you serve or intend to serve.)
Yes
No
If yes, which tribes/nations:
GrantsAbuse
to Stopand
Abuse
and Sexual
Assault
Against
Older
Individuals
Individuals with
with Disabilities
Officeon
onViollence
Violence Against
Women
Grants to Stop
Sexual
Assault
Against
Older
individuals
ororIndividuals
Disabilities•. 1 . •Office
Against
Women
OMB Clearance
Clearance #No.:
1121-NNNN
OMB
1122-0008
Expiration Date:
Date /09/30/2007
/
Expiration
8.
Percentage of Training Grants Program funds directed to each statutory purpose
(Provide appropriate percentages to reflect the time and/or resources you have devoted to each of these areas during the current reporting period. The total of all the percentages should be 100%.)
Throughout this form, the term sexual assault includes both assaults committed by offenders who are
strangers to the victim/survivor and assaults committed by offenders who are known to, related by blood or
marriage to, or in a dating relationship with the victim. The term domestic violence applies to any pattern of
coercive behavior that is used by one person to gain power and control over a current or former intimate partner. Domestic violence includes dating violence, which is violence committed by a person who is or has been
in a social relationship of a romantic or intimate nature with the victim. Elder abuse is the physical, sexual,
emotional or financial abuse or neglect or abandonment of an older person by a family member, fiduciary
agent, or caregiver.
Issue
Domestic
violence
Sexual
assault
Elder abuse, neglect
and exploitation2
Violence against individuals who are older
%
%
%
%
%
Violence against individuals with disabilities3
%
%
%
%
N/A
% %
0.00
%
Total
% %
0.00
%
Total
0.00
% %
0.00
% %
%
100%
0.00 %
2
Include here only abuse, neglect and exploitation by non-intimate partners and non-family members that is not
already included under the preceding categories.
3
OVW recognizes that there are individuals who do not consider themselves to be “individuals with disabilities”
and who do not identify with this designation. However, for the purposes of the Training Grants Program, “individuals with disabilities” refers to all individuals covered under the definition contained in the Americans with
Disabilities Act (42 U.S.C. §12102(2)).
to Stopand
Abuse
and Sexual
Assault
Against
Older
IndividualsororIndividuals
Individuals with
Officeon
on Viollence
Violence Against
Women
Grants to Grants
Stop Abuse
Sexual
Assault
Against
Older
individuals
withDisabilities
Disabilities• . 22 .•Office
Against
Women
SECTION
OMB Clearance
Clearance #No.:
1121-NNNN
OMB
1122-0008
Expiration Date:
Date /09/30/2007
/
Expiration
A2
Staff information
Were Training Grants Program funds used to fund staff positions during the current reporting period?
Check yes if Training Grants 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 under this grant during the current reporting period. Include employees who are part time and/or only partially funded with Training Grants Program
funds, as well as contractors. If an employee or contractor was not employed or utilized over the entire reporting period, report the average. Round to the second decimal. See separate instructions for examples of
how to calculate FTEs for part-time staff and contractors.)
Staff
Grant-funded staff
Administrator (fiscal manager, executive director)
Program coordinator (training coordinator)
Support staff (secretary, administrative assistant)
Trainer
Other (specify)
TOTAL
0.00
Grants
Stop Abuse
and Sexual
Assault
Against
Olderindividuals
Individuals or
with
Disabilities
• 3. 3• . Office
Against
Women
Grants to
StoptoAbuse
and Sexual
Assault
Against
Older
orIndividuals
Individuals
with
Disabilities
Officeon
onViolence
Viollence
Against
Women
SECTION
OMB Clearance
Clearance #No.:
1121-NNNN
OMB
1122-0008
Expiration Date:
Date /09/30/2007
/
Expiration
B
PURPOSE AREAS
All grantees must complete this section.
10. Purpose areas
(Check all purpose areas that apply to activities supported by Training Grants Program funds during the
current reporting period.)
Check ALL
that apply
Program Purpose Areas
Assist law enforcement officers, prosecutors, and relevant officers of Federal, State, tribal,
and local courts in recognizing, addressing, investigating, and prosecuting instances of elder
abuse, neglect, and exploitation.
Assist law enforcement officers, prosecutors, and relevant officers of Federal, State, tribal,
and local courts in recognizing, addressing, investigating, and prosecuting instances of violence against individuals with disabilities, including domestic violence and sexual assault.
Assist law enforcement officers, prosecutors, and relevant officers of Federal, State, tribal,
and local courts in recognizing, addressing, investigating, and prosecuting instances of violence against older individuals, including domestic violence and sexual assault.
Stop Abuse
and Sexual
Assault
AgainstOlder
Older individuals
Individuals ororIndividuals
withwith
Disabilities
• 4 . •4 .Office
Violence
Against
Women
Grants Grants
to StoptoAbuse
and Sexual
Assault
Against
Individuals
Disabilities
Officeonon
Viollence
Against
Women
SECTION
OMB Clearance
Clearance #No.:
1121-NNNN
OMB
1122-0008
Expiration Date:
Date /09/30/2007
/
Expiration
FUNCTION AREAS
Training
C1
All grantees must answer this section.
11. Training events
(Report the total number of training events provided during the current reporting period that were either provided by Training Grants Program-funded staff or directly supported by Training Grants Program funds. Staff
development training provided to Training Grants Program-funded staff should not be counted.)
Total number of training events provided
12. People trained with Training Grants Program funds and person-hours of training
(Report the number of people trained during the current reporting period by type of agency and the number of
person-hours of training. Person-hours are calculated by multiplying the number of people trained by the
length of the individual training sessions. For example: 12 prosecutors attend a one-hour training [12 personhours] and 5 prosecutors attend an eight-hour training [40 person-hours] for a total of 52 person-hours.)
People trained
Number of people trained
Number of person-hours
Corrections personnel (probation, parole and
correctional facility staff)
Court officers (state or local)
Court officers (federal)
Court officers (tribal)
Law enforcement officers (state or local)
Law enforcement officers (federal)
Law enforcement officers (tribal)
Prosecutors (state or local)
Prosecutors (federal)
Prosecutors (tribal)
Victim witness specialist
Other (specify):
TOTAL
0
0.00
Stop Abuse
and Sexual
Assault
Against
Older
Individuals or
or Individuals
Individuals with
Disabilities
• .55•. Office
Office on
Against
Women
Grants toGrants
Stop to
Abuse
and Sexual
Assault
Against
Older
individuals
with
Disabilities
onViolence
Viollence
Against
Women
OMB Clearance
Clearance #No.:
1121-NNNN
OMB
1122-0008
Expiration Date:
Date /09/30/2007
/
Expiration
13. Training content areas
(Indicate all topics covered in training events provided by your Training Grants Program staff, or directly supported by Training Grants Program funds, during the current reporting period. Check all that apply.)
Elder Disabled
Sexual assault, domestic violence,
elder abuse and exploitation
Elder Disabled
Issues specific to
victims/survivors who:
ADA and other anti-discrimination laws or requirements
are American Indian or Alaska
Native
Adult Protective Services reporting requirements
are Asian
Domestic violence overview, dynamics, and
services
are Hispanic or Latino
are black or African American
are elderly or disabled
Domestic violence statutes/codes
are homeless or living in poverty
Effective communication with individuals
who are older or individuals with disabilities
are immigrants, refugees, or
asylum seekers
Impact of aging and/or disabilities
are isolated or institutionalized
Judicial response to domestic violence
are lesbian, gay, bisexual,
transgender, or intersex
Judicial response to elder abuse and exploitation
Judicial response to sexual assault
are Native Hawaiian or other
Pacific Islander
Law enforcement response to domestic violence (recognizing, addressing, investigating)
have mental health problems
Law enforcement response to elder abuse
and exploitation (recognizing, addressing, investigating)
live in rural areas
Law enforcement response to sexual assault (recognizing, addressing, investigating)
Probation response to sexual assault, domestic violence, elder abuse and exploitation
Prosecution response elder abuse and exploitation
have substance abuse problems
Other (specify):
Elder Disabled
Community response
Coordinated community response
Response teams (DART, DVRT,
SART)
Other (specify):
Prosecution response to domestic violence
Prosecution response to sexual assault
Protection orders (including full faith and
credit)
Sexual assault overview, dynamics and services
Sexual assault statutes/codes
Other ( specify)
Grants
Stop Abuse
and Sexual
Assault
AgainstOlder
Older individuals
Individuals ororIndividuals
with
Disabilities
• 6. 6.
• Office
Against
Women
Grants to
StoptoAbuse
and Sexual
Assault
Against
Individuals
with
Disabilities
Officeon
onViolence
Viollence
Against
Women
OMB Clearance
Clearance #No.:
1121-NNNN
OMB
1122-0008
Expiration Date:
Date /09/30/2007
/
Expiration
14. Training on protocols and policies shared at institutes, workshops, and conferences during the
current reporting period
(Indicate the content of training on protocols and policy development and implementation shared at
institutes, workshops and conferences. Check all that apply.)
Court
Prosecution
Law
Enforcement
Probation
and Parole
Mandatory training on domestic violence, sexual
assault and elder abuse and exploitation
Procedures for ensuring access for individuals
with disabilities
Procedures for ensuring access for individuals
who are older
Procedures for scheduling interpreters for
individuals who are hearing impaired or deaf
Procedures involving individuals who have
difficulties with communication
Procedures for hearings involving individuals
who have difficulties with communication
Other (specify)
Stop Abuse
and Sexual
Assault
AgainstOlder
Older individuals
Individuals ororIndividuals
withwith
Disabilities
• 7. •
Against
Women
Grants Grants
to StoptoAbuse
and Sexual
Assault
Against
Individuals
Disabilities
7. Office
Officeon
onViolence
Viollence
Against
Women
SECTION
OMB Clearance
Clearance #No.:
1121-NNNN
OMB
1122-0008
Expiration Date:
Date /09/30/2007
/
Expiration
C2
Coordinated Community Response
All grantees must complete this section.
15. Coordinated community response activities
(Check the appropriate boxes to indicate the agencies or organizations, even if they are not memorandum of
understanding [MOU] partners, that you provided onsite consultation to; attended invitational meetings with;
engaged in planning, development, implementation of training with; or engaged in partnership, team building,
and cross training with during the current reporting period. In the last column, indicate the agencies or organizations with which you have an MOU for purposes of the Training Grants Program grant.)
Agency/community
Onsite
consultation
Collaboration activities
Invitational Planning, develop- Partnership, team
MOU
meetings ment, implementa- building, and cross partner
tion of training
training
Adult protective services
Community advocacy organization (NAACP, LGBTQ organizations)
Corrections (probation, parole,
correctional facilities staff)
Court
Disability advocacy program
Domestic violence program
Elder advocacy program( Gray
Panthers)
Faith-based organization
Governmental agency (food
stamps, TANF, SSDI, etc.)
Health/mental health organization
Law enforcement
Legal services organization (legal services, bar association,
law school)
Prosecutor’s office
Sexual assault program
Social service organization
(food bank, homeless shelter.)
Tribal government/Tribal government agency
Other victim services organization
Other (specify)
to Stop Abuse
and Sexual
Assault
Against
Older
Individuals or
or Individuals
Individuals with
• .8.
8 •Office
Officeon
onViollence
Violence Against
Women
Grants toGrants
Stop Abuse
and Sexual
Assault
Against
Older
individuals
withDisabilities
Disabilities
Against
Women
SECTION
C3
OMB Clearance No.: 1122-0008
Expiration Date: 09/30/2007
Products
Were your Tranining Grants Program funds used to develop, substantially revise, or
distribute products during the current reporting period ?
Check yes if Training Grants Program-funded staff developed products of if Training Grants Program funds
directly supported the development, substantial revision, or distribution of products.
Yes—answer question 16
No—skip to D
16. Use of Training Grants Program funds for product development, substantial revision, or distribution
(Report the number of products developed, substantially revised, or distributed with Training Grants Program
funds during the current reporting period. Report the number of new products developed or substantially
revised during the current reporting period; the title/topic; 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.)
Number
developed
or revised
Title/topic
Intended
audience
Number
used or
distributed
Other
languages
Brochures
Manuals
Question 16 continued on next page
Grants to Stop Abuse and Sexual Assault Against Older individuals or Individuals with Disabilities . 9. Office on Viollence Against Women
Question 16 continued.
Number
developed
or revised
Title/topic
Intended
audience
Number
used or
distributed
Other
languages
Training curricula
Training materials
Other (specify)
Grants to Stop Abuse and Sexual Assault Against Older individuals or Individuals with Disabilities 10. Office on Viollence Against Women
SECTION
OMB Clearance
Clearance #No.:
1121-NNNN
OMB
1122-0008
Expiration Date:
Date /09/30/2007
/
Expiration
D
NARRATIVE
All grantees must answer question 17.
PLEASE LIMIT YOUR RESPONSE TO FOUR PAGES FOR THIS QUESTION.
17. Report on the status of the goals and objectives for this grant.
(Using Appendix A as a guide, 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 18 and 19 on an annual basis. Submit this information on the
January to June reporting form only.
PLEASE LIMIT YOUR RESPONSE TO TWO PAGES FOR EACH QUESTION.
18. What do you see as the most significant areas of remaining need, with regard to obstacles faced
by individuals with disabilities or who are older?
(Consider the following issues among others: responsiveness of the criminal justice system at the local,
state and federal levels to people with disabilities and individuals who are older; cross-training of elder and
disability advocates and sexual and domestic violence advocates; community, regional or state-based issues;
particular racial, ethnic, cultural or social issues that need to be addressed in training.)
Click here to answer
19. What has Training Grants Program funding allowed you to do that you could not do prior to receiving this funding?
(For example, expand training to new law enforcement jurisdictions; purchase TTY’s for all prosecutors in our
jurisdiction. Provide specific examples in your answer.)
Click here to answer
Question 20 is optional.
PLEASE LIMIT YOUR RESPONSE TO TWO PAGES FOR THIS QUESTION.
20. Provide any additional information that you would like us to know about your Training Grants Program 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 Training Grants Program-funded program 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, institutionalization of training curricula, the removal or reduction of barriers
and challenges for victims/survivors who are older or disabled, use of volunteers and/or interns to complete
activities, promising practices, and positive or negative unintended consequences.)
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, 810 7th Street, NW, Washington, DC 20531.
to Stop and
Abuse
and Sexual
Assault
Against
Older
Individualsor
or Individuals
Individuals with
• .11.
10 •
Office
Violence Against
Grants toGrants
Stop Abuse
Sexual
Assault
Against
Older
individuals
withDisabilities
Disabilities
Office
ononViollence
AgainstWomen
Women
APPENDIX A
Back to Question
Report on the status of the goals and objectives for the Training Grants Program Question 17.
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)
Question 17 - APPENDIX-A continued on next page
Grants to Stop Abuse and Sexual Assault Against Older individuals or Individuals with Disabilities .12. Office on Viollence Against Women
APPENDIX A
Back to Question
Report on the status of the goals and objectives for the Training Grants Program Question 17.
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)
Question 17 - APPENDIX-A continued on next page
Grants to Stop Abuse and Sexual Assault Against Older individuals or Individuals with Disabilities .13. Office on Viollence Against Women
APPENDIX A
Back to Question
Report on the status of the goals and objectives for the Training Grants Program Question 17.
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)
Question 17 - APPENDIX-A continued on next page
Grants to Stop Abuse and Sexual Assault Against Older individuals or Individuals with Disabilities .14. Office on Viollence Against Women
OMB ClearanceNo.: 1121-0280
to Question
ExpirationBack
Date: 07/31/2004
Question 18. What do you see as the most significant areas of remaining need, with regard to obstacles faced
by individuals with disabilities or who are older ?
Question 18 - Continued on next page
Grants to Stop Abuse and Sexual Assault Against Older individuals or Individuals with Disabilities .15. Office on Viollence Against Women
OMB ClearanceNo.: 1121-0280
to Question
ExpirationBack
Date: 07/31/2004
Question 18 - Continued
Question 18. What do you see as the most significant areas of remaining need, with regard to obstacles faced
by individuals with disabilities or who are older ?
Grants to Stop Abuse and Sexual Assault Against Older individuals or Individuals with Disabilities .16. Office on Viollence Against Women
OMB ClearanceNo.: 1121-0280
to Question
ExpirationBack
Date: 07/31/2004
Question 19. What has Training Grants Program unding allowed you to do that you could not do prior to
receiving this funding?
Question 19 - Continued on next page
Grants to Stop Abuse and Sexual Assault Against Older individuals or Individuals with Disabilities .17. Office on Viollence Against Women
OMB ClearanceNo.: 1121-0280
Back07/31/2004
to Question
Expiration Date:
Question 19 - Continued
Question 19. What has Training Grants Program unding allowed you to do that you could not do prior to
receiving this funding?
Grants to Stop Abuse and Sexual Assault Against Older individuals or Individuals with Disabilities .18. Office on Viollence Against Women
OMB ClearanceNo.: 1121-0280
Back07/31/2004
to Question
Expiration Date:
Question 20. Provide any additional information that you would like us to know about your Training Grants Program
and/or the effectiveness of your grant.
Grants to Stop Abuse and Sexual Assault Against Older individuals or Individuals with Disabilities .19. Office on Viollence Against Women
OMB ClearanceNo.: 1121-0280
Back07/31/2004
to Question
Expiration Date:
Question 20 - Continued
Question 20. Provide any additional information that you would like us to know about your Training Grants Program
and/or the effectiveness of your grant.
Grants to Stop Abuse and Sexual Assault Against Older individuals or Individuals with Disabilities .19. Office on Viollence Against Women
OMB Clearance No.: 1122-0008
Expiration Date: 09/30/2007
Validate
File Type | application/pdf |
File Title | TRAINING_FORM |
Subject | Training Form |
File Modified | 2007-09-04 |
File Created | 2006-09-07 |