Division of Community Health and Prevention
Sub-Grant A - Local Capacity Building Grant

PROPOSAL CONTENT CHECKLIST

Sub-Grant Component Checklists 11-17-11 (doc)

Sub-Grant Component Checklists 11-17-11 (pdf)

Division of Community Health and Prevention

Sub-Grant A - Local Capacity Building Grant

PROPOSAL CONTENT CHECKLIST - Page 1 of 4

Applicant:

Service Area:

Plan: ____ of ____

The proposal should contain the following in this order:

Application and Plan for Human Services Program Cover Page

  • Secretary of State - Corporation File Detail Report
  • W-9
  • Appendix A: Audited Financial Statements
  • This PROPOSAL CONTENT CHECKLIST
  • Appendix B: Executive Summary
  • Agency Qualifications/Organizational Capacity (5 pages maximum)
  • Service Area (3 pages maximum)
  • Needs Statement (7 pages maximum)
  • Description of Program Services (10 pages maximum)
  • Agency Evaluation and Reporting (3 pages maximum)
  • Budget
  • Budget Narrative (4 pages maximum)
  • Appendix C: LCB: Organizational Chart
  • Appendix D: LCB: Resumé/Job Description of Project Director
  • Appendix E: LCB: Resumés/Job Descriptions for Key Personnel
  • Appendix F: LCB: Letters of Commitment - Local Capacity
  • Appendix G: LCB: Assurance of Delivery of Evidence-based Services
  • Appendix H: LCB: Letters of Commitment - LCP Coalition
  • Appendix I: LCB: School Demographic Table (optional)

Division of Community Health and Prevention

Sub-Grant B - Direct Services Grant

PROPOSAL CONTENT CHECKLIST - Page 2 of 4

Applicant:

Service Area:

Plan: ____ of ____

The proposal should contain the following in this order:

  • Application and Plan for Human Services Program Cover Page
  • Secretary of State - Corporation File Detail Report
  • W-9
  • Appendix A: Audited Financial Statements
  • This PROPOSAL CONTENT CHECKLIST
  • Appendix B: DS: Executive Summary
  • Agency Qualifications/Organizational Capacity (5 pages maximum)
  • Service Area (3 pages maximum)
  • Needs Statement (5 pages maximum)
  • Description of Program Services (20 pages maximum)
  • Agency Evaluation and Reporting (3 pages maximum)
  • Budget
  • Budget Narrative (4 pages maximum)
  • Appendix C: DS: Organizational Chart
  • Appendix D: DS: Resumé/Job Description of Project Director
  • Appendix E: DS: Resumés/Job Descriptions for Key Personnel
  • Appendix F: DS: Agency's standards-based curriculum - Youth Prevention Education
  • Appendix G: DS: Letters of Commitment - Youth Prevention Education
  • Appendix H: DS: Letters of Commitment - Agency's standards-based curriculum - Parent/Family Education
  • Appendix I: DS: Letter of Commitment - Parent/Family Education
  • Appendix J: DS: Letter of Commitment - Mentoring
  • Appendix K: DS: Letter of Commitment - Communication Campaign
  • Appendix L: DS: Letter of Commitment - Illinois Youth Survey Participation
  • Appendix M: DS: School Demographic Table (optional)

Division of Community Health and Prevention

Sub-Grant C - Strategic Prevention Framework

PROPOSAL CONTENT CHECKLIST - Page 3 of 4

Applicant:

Service Area:

Plan: ____ of ____

The proposal should contain the following in this order:

  • Application and Plan for Human Services Program Cover Page
  • Secretary of State - Corporation File Detail Report
  • W-9
  • Appendix A: Audited Financial Statements
  • This PROPOSAL CONTENT CHECKLIST
  • Appendix B: SPF: Executive Summary (1 page maximum)
  • Agency Qualifications/Organizational Capacity (5 pages maximum)
  • Service Area (3 pages maximum)
  • Needs Statement (5 pages maximum)
  • Description of Program Services (10 pages maximum)
  • Agency Evaluation and Reporting (3 pages maximum)
  • Budget
  • Budget Narrative (4 pages maximum)
  • Appendix C: SPF: Organizational Chart
  • Appendix D: SPF: Resumé/Job Description of Project Director
  • Appendix E: SPF: Resumés/Job Descriptions for Key Personnel
  • Appendix F: SPF: Letter of Commitment - SPF Coalition
  • Appendix G: SPF: Letters of Commitment - IYS, Core Assessment
  • Appendix H: SPF: School Demographic Table (optional)

Division of Community Health and Prevention

Sub-Grant D - Statewide Capacity Building

PROPOSAL CONTENT CHECKLIST - Page 4 of 4

Applicant:

Service Area:

Plan: ____ of ____

The proposal should contain the following in this order:

  • Application and Plan for Human Services Program Cover Page
  • Secretary of State - Corporation File Detail Report
  • W-9
  • Appendix A: Audited Financial Statements_______ 
  • This PROPOSAL CONTENT CHECKLIST
  • Appendix B: SCB: Executive Summary
  • Agency Qualifications/Organizational Capacity (5 pages maximum)
  • Service Area (3 pages maximum)
  • Needs Statement (4 pages maximum)
  • Description of Program Services (8 pages maximum)
  • Agency Evaluation and Reporting (3 pages maximum)
  • Budget
  • Budget Narrative (4 pages maximum)
  • Appendix C: SCB: Organizational Chart
  • Appendix D: SCB: Resumé/Job Description of Project Director
  • Appendix E: SCB: Resumés/Job Descriptions for Key Personnel
  • Appendix F: SCB: Letters of Commitment - State