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INSTRUCTIONS
<br />1. 'OR THIS ASSISTANCE.
<br />Pinpo. Imic, social, financial,
<br />Instituui 19 a solution. Oem.
<br />onstrate M. 'he principal and
<br />subordinate p ling documen.
<br />tation or other •rests other
<br />than the applicant . T teased on
<br />planning studies shou. F
<br />2. RESULTS OR BENEI -.
<br />Identify results and benefits
<br />when applying for a grant It. O
<br />health center provide a dexriptjoi. s
<br />facility, how the facility will be used. G
<br />will benefit the general public. O
<br />3. APPROACH.
<br />l^
<br />a. Outline a plan of action pertaining to thL O
<br />detail of how the proposed work will be
<br />plished for each grant program, function or ac,
<br />provided in the budget. Cite factors which might
<br />tolerate or decelerate the work and your reason fo.
<br />taking this approach as opposed to others. Describe
<br />any unusual features of the project such as design or
<br />technological innovations, reductions in cost or time,
<br />or extraordinary social and community involvement.
<br />b. Provide for each grant program, function or activity,
<br />quantitative monthly or quarterly projections of the
<br />sccomplishments to.t» achieved in' such terms as the
<br />number of jobs created; the number of people served;
<br />and the rumba of patients treated. Where amom-
<br />plishments cannot be quantified by activity or func-
<br />tion, list them in chronological order to show the
<br />schedule of accomplishments and their target dates.
<br />e. Identify the kinds of data Go' be collected and main.
<br />tained and discuss the criteria to be used to evaluate
<br />the results and successes of the project. Explain the
<br />methodology that will be used to determine if the
<br />needs identified and discussed are being met and If
<br />the results and benefits identified in item 2 are being
<br />achieved.
<br />d. List organizations, cooperators, consultants, or other
<br />key individuals who will work on the project along
<br />with a short description of the nature of their effort
<br />or contribution.
<br />4. GEOGRAPHIC LOCATION.
<br />Give a precise location of -the project or area to be served
<br />by the proposed project. Maps or other graphic aids may be
<br />m ached.
<br />6. IF APPLICABLE, PROVIDE THE FOLLOWING IN.
<br />FORMATION:
<br />a. For research or damonstration assistance requests,
<br />present a biographical sketch of the program director
<br />with the following information; name, address, phone
<br />number, background, and other qualifying experience
<br />for the project. Also, list the name, training end back-
<br />ground for o"r key personnel engaged in the
<br />.O project.
<br />'%Iscuss accomplishments to data and list in chrono.
<br />Al order a schedule of accomplishments, progress
<br />'estones anticipated with the new funding to-
<br />A there have been significant changes in the
<br />Ictives, location approach, or time delays,
<br />-stify. For other requests for changes or
<br />�laln the reason for the change(s). If
<br />T 4 rues have changed or on extension
<br />/L < explain the circumstances and
<br />/ 'vt has been exceeded, or if
<br />•e changed more than the
<br />ti Attschment K to Of-
<br />s• Circular No. A -102,
<br />axp T ' its affect on the
<br />Proles '�
<br />c. For suppl. �� loin the rea-
<br />son for the s Iditional
<br />funding.
<br />O
<br />s
<br />CJD -15
<br />PART IV
<br />PROGRAM NARRATIVE
<br />Prepare the t
<br />yam narrative statement in accordance with
<br />the fpllov
<br />-uctiont for all new grant programs. Re-
<br />queats r
<br />'on or nlunding and changes on an
<br />ow,
<br />' respond to item 5b only. Requests
<br />fo•
<br />-4 should respond to question 6c
<br />1. 'OR THIS ASSISTANCE.
<br />Pinpo. Imic, social, financial,
<br />Instituui 19 a solution. Oem.
<br />onstrate M. 'he principal and
<br />subordinate p ling documen.
<br />tation or other •rests other
<br />than the applicant . T teased on
<br />planning studies shou. F
<br />2. RESULTS OR BENEI -.
<br />Identify results and benefits
<br />when applying for a grant It. O
<br />health center provide a dexriptjoi. s
<br />facility, how the facility will be used. G
<br />will benefit the general public. O
<br />3. APPROACH.
<br />l^
<br />a. Outline a plan of action pertaining to thL O
<br />detail of how the proposed work will be
<br />plished for each grant program, function or ac,
<br />provided in the budget. Cite factors which might
<br />tolerate or decelerate the work and your reason fo.
<br />taking this approach as opposed to others. Describe
<br />any unusual features of the project such as design or
<br />technological innovations, reductions in cost or time,
<br />or extraordinary social and community involvement.
<br />b. Provide for each grant program, function or activity,
<br />quantitative monthly or quarterly projections of the
<br />sccomplishments to.t» achieved in' such terms as the
<br />number of jobs created; the number of people served;
<br />and the rumba of patients treated. Where amom-
<br />plishments cannot be quantified by activity or func-
<br />tion, list them in chronological order to show the
<br />schedule of accomplishments and their target dates.
<br />e. Identify the kinds of data Go' be collected and main.
<br />tained and discuss the criteria to be used to evaluate
<br />the results and successes of the project. Explain the
<br />methodology that will be used to determine if the
<br />needs identified and discussed are being met and If
<br />the results and benefits identified in item 2 are being
<br />achieved.
<br />d. List organizations, cooperators, consultants, or other
<br />key individuals who will work on the project along
<br />with a short description of the nature of their effort
<br />or contribution.
<br />4. GEOGRAPHIC LOCATION.
<br />Give a precise location of -the project or area to be served
<br />by the proposed project. Maps or other graphic aids may be
<br />m ached.
<br />6. IF APPLICABLE, PROVIDE THE FOLLOWING IN.
<br />FORMATION:
<br />a. For research or damonstration assistance requests,
<br />present a biographical sketch of the program director
<br />with the following information; name, address, phone
<br />number, background, and other qualifying experience
<br />for the project. Also, list the name, training end back-
<br />ground for o"r key personnel engaged in the
<br />.O project.
<br />'%Iscuss accomplishments to data and list in chrono.
<br />Al order a schedule of accomplishments, progress
<br />'estones anticipated with the new funding to-
<br />A there have been significant changes in the
<br />Ictives, location approach, or time delays,
<br />-stify. For other requests for changes or
<br />�laln the reason for the change(s). If
<br />T 4 rues have changed or on extension
<br />/L < explain the circumstances and
<br />/ 'vt has been exceeded, or if
<br />•e changed more than the
<br />ti Attschment K to Of-
<br />s• Circular No. A -102,
<br />axp T ' its affect on the
<br />Proles '�
<br />c. For suppl. �� loin the rea-
<br />son for the s Iditional
<br />funding.
<br />O
<br />s
<br />CJD -15
<br />
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