Proposal Content Checklist
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4S
I
TATE OF
LLINOIS
D
H
S
EPARTMENT OF
UMAN
ERVICES
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
é
_______
Appendix E: LCB: Resum
s/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)
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