Promising Practices Cohort Questionnaire
Grant Number
*
e.g. PR-1
Legal Agency Name
*
City and State
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Name of Program Manager
*
Email Address of Program Manager
*
example@example.com
Phone Number of Program Manager
*
-
Area Code
Phone Number
Will this be a one-year or two-year program?
*
One-Year Program
Two-Year Program
1. How many Holocaust survivors do you anticipate serving through this program?
*
2. Please describe your Promising Practice program as an executive summary. Please include how you will incorporate PCTI principles into all aspects of your program.
*
200 words max.
0/200
3. What are the objectives of your program and how do you plan to meet these objectives?
*
200 words max.
0/200
4. Provide a brief description of the Holocaust survivor population in the community that you plan to serve through this grant.
*
200 words max.
0/200
5. The Centers for Disease Control (CDC) continues to recommend social distancing, regular hand-washing and disinfecting, wearing a mask, and monitoring health regularly. How will you adapt your programming to ensure the safety of Holocaust survivors during the COVID-19 pandemic?
*
200 words max.
0/200
6. Describe any other challenges you anticipate while planning and implementing this program and how you may overcome them.
*
200 words max.
0/200
7. How do you plan to evaluate the outcomes of your project?
*
200 words max.
0/200
8. How do you plan to sustain your program after JFNA's grant funding ends?
*
200 words max.
0/200
9. The work plan should be completed using the template provided. It provides a schematic overview of the narrative, including anticipated timelines, objectives, and activities associated with the proposal. Please upload your completed work plan here:
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Please use the following naming convention: Agency Name_Grant Number_Work Plan
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10. Explain the rationale of your proposed budget, including program revenue sources and program expenses. Please explain the numbers and decisions behind the proposed budget. Include an explanation of program expenses, including personnel, program activities, and overhead. Explain in-kind funds, including how you will assess monetary value for donated goods and services (e.g. personnel space, etc.). Include whether the matching funds have been secured or are anticipated.
*
200 words max.
0/200
11. Provide a brief description of plans to meet the minimum match requirement.
*
200 words max.
0/200
12. The program budget should be submitted using the template provided. Please upload your completed budget here:
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Please use the following naming convention: Agency Name_Grant Number_Budget
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