Office of the Assistant Secretary
Divisions of Alcohol and Substance Abuse, Developmental Disabilities, Family and Community Services, Mental Health, and Rehabilitation Services

Maximizing Accountability and Excellence Initiative (FY15)

Request for Proposal for Title XX and DFI - Services for DHS Open Door Program


Attachment B - Proposal Content Checklist for Region 5

The proposal should contain the following in order.  Each section should be clearly labeled and tabbed:

  • Applicant Cover Sheet
  • This PROPOSAL CONTENT CHECKLIST
  • Executive Summary
  • Mandatory Requirements
    • Evidence of non-profit 501c3 status
    • Identification of target community within Region 5
    • Evidence of fiscal stability - Last two years audited financial statements
    • Agreement to follow the Open Door Policy Manual guidelines
    • Statement agreeing to conduct an Open Door Program Evaluation
    • Linguistic and Cultural Competency Plan (Attachment F)
  • Organization Qualifications/Organizational Capacity
  • Purpose of Funding
  • Target Population
  • Community Outreach and Collaboration
  • Evaluation and Monitoring
  • Budget Forms and Budget Justification
  • Appendix A: Resumes
    • Applicant's Executive Director
    • Program Director
  • Appendix B: Job Descriptions
    • Program Director
    • Other Grant Funded Employees
  • Appendix C: Organizational Chart
  • Appendix D: Letters of Agreement/Support from collaborating agencies/organizations (if applicable)
  • Appendix E: Board of Directors list (if applicable)
  • Appendix F: Tax-exemption documentation (if applicable)

FORM