FY23 State DV Funding Application

FY23 State DV Funding Application
$171,800 to $345,000 is available in FY23 State DV Funding.

Please DO NOT use this application if you are requesting multiple funding streams from ICDVVA in FY23. The combined FY23 application for State and Federal funds can be found on our website here.

To be eligible for State domestic violence grants, a project must provide a safe house or refuge and a crisis line. Other services which may be provided include, but are not limited to:

(1) Counseling;
(2) Educational services for community awareness, for prevention of domestic violence and for the care, treatment and rehabilitation of parties to domestic violence;
(3) Support groups;
(4) Assistance in obtaining legal, medical, psychological or vocational services;
(5) Housing in the form of hotel/motel vouchers.
Applications are due on Friday, June 3, 2022, by 5:00 PM (MST).

For more information, please see the FY23 State DV Application Instructions available on the ICDVVA website.
Eligible Applicants

QUALIFICATIONS OF APPLICANTS. To qualify for State domestic violence grants, applicants must:
(1) Propose to operate and provide an eligible project;
(2) Be a private, nonprofit corporation of the state of Idaho, or a public entity of the state of Idaho;
(3) Provide matching monies equal to twenty-five percent (25%) of the amount of the grant. The applicant may contribute to or provide the required local matching funds. The value of in-kind contributions and volunteer labor from the community may be computed and included as part of the local matching requirement;
(4) Require persons employed by or volunteering services to the project to maintain the confidentiality of any information that would identify individuals served by the project; such information identifying individuals served by the project shall be subject to disclosure according to chapter 1, title 74, Idaho Code;
(5) Provide a policy of nondiscrimination in its admissions and provision of services on the basis of race, religion, gender, color, age, marital status, national origin or ancestry.
I. Applicant Information
Date

Month Day Year
Date
Organization Name *
My organization: *

is currently funded by the Idaho Council on Domestic Violence and Victim Assistance (ICDVVA): If yes, please use the combined FY23 Grant Application unless you ONLY want State DV funds in FY23. is not currently funded by ICDVVA
Contact Name (Primary Contact for the Grant) *

First Name Last Name
Email *
example@example.com
My organization (check all that apply): *

Operates a 24-hour crisis line Operates a shelter or uses hotel/motel vouchers to house individuals Is a private, nonprofit corporation of the state of Idaho, or a public entity of the state of Idaho Has a policy of nondiscrimination in its admissions and provision of services on the basis of race, religion, gender, color, age, marital status, national origin or ancestry. Will ensure that no funds from a State DV grant will fund batterer programs ALL OF THE ABOVE are true for my organization
Idaho Public Health Region(s) where services are provided (check all that apply):

Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Statewide
Please complete the following budget table: *
II. Funding Request Summary
Line Item
Brief Description:

0/250
Amount requested:
Line Item
Brief Description:

0/250
Amount requested:
Line Item
Brief Description:

0/250
Amount requested:
Line Item
Brief Description:

0/250
Amount requested:
Line Item
Brief Description:

0/250
Amount requested:
Line Item
Brief Description:

0/250
Amount requested:
Total Amount Requested
Please describe how your organization would use the funds to prioritize delivery of direct services to victims: *

0/550
If you have requested Salaries and Benefits funding, please complete the following:

If you are not currently funded by the ICDVVA, please fill out the following section:
III. Organization Overview
Executive Director *

First Name Last Name
Physical Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mailing Address:

Same as Physical Address Different than Physical Address
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Please provide information about your website and social media accounts.
How many years have you been in operation?
Have you ever been funded by ICDVVA?

Yes No
If you have been funded by ICDVVA, please indicate which years:
Please list any other funding you receive:
Please provide your organization's mission statement and a brief description of the services you provide:

0/500
Submitted by: *

First Name Last Name
Date

Month Day Year
Date
Signature *

Clear

Thank you for your interest in ICDVVA funding. Your organization does not meet the eligibiilty criteria for these funds at this time. For more information, contact us at info@icdv.idaho.gov.

Should be Empty:

FY23 State DV Funding Application

I. Applicant Information

II. Funding Request Summary

III. Organization Overview