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<br />Region V Children's Services Coordinating Committee <br />Grant Application Checklist <br /> <br />Please complete the "Applicant" pOl1ion of this checklist and return it with your <br />application. Applications will not be considered if incomplete. <br /> <br />Applicant <br /> <br />RVCSCC <br /> <br />1) Application must be postmarked by April 16. 2002 <br />or delivered by deadline of 4:00 p.m., April 16. 2002 GJ <br /> <br />D <br /> <br />2) Region V CSCC Grant Application Cover Sheet is complete. uu <br /> <br />D <br /> <br />3) Total Application cloes not exceed six (6) typewritten pal!es <br />(including budget narrative, but excluding budget reporting form 0 <br />and collaborative support form) <br /> <br />D <br /> <br />4) Three year project funding projections (if the project is to be 00- [i] <br />going) have been provided. <br /> <br />D <br /> <br />5) The collaborative lorm of support has been provided. <br />Signatures of support from the applicant agency 0 <br />,viii not count as a support shmatllre. <br /> <br />D <br /> <br />6) One (1) original plus seven (7) copies of the complete <br />application has been provided. GJ <br /> <br />D <br /> <br />7) A copy of the fiscal agent's most recent audit, audit <br />summar)'. or CPA review has been provided. GJ <br /> <br />D <br /> <br />8) Please check off the county(s) to be served by the project or program. <br /> <br /> <br />Q Cass UU Ransom 0 Richland 0 Sargent [] Steele 0 Traill <br /> <br />G) Numb~r of Children/ Families to actually be served? 2,000 + <br /> <br />6 <br />