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A. Executive Summary (IS points) <br /> 1. Provide a clear overview of the program. Be as succinct and as comprehensive as <br /> possible. <br /> 2. Include the number and ages of youth your program will serve <br /> 3. State the total amount of funds you are requesting <br /> 4. Include a statement of need and the anticipated impact of the program <br /> Define the area within Hawaii County to be served by the program <br /> B. Need for Program (10 points) <br /> Provide community demographic information, resources and background on your <br /> community. Articulate the need for a Title V program in your community. <br /> C. Organizational Capacity of Provider (15 points) <br /> Provide background information as to the ability of your agency to successfully <br /> implement the proposed program. Include applicant history of program design, <br /> program implementation and information on key staff (or how staff will be recruited <br /> and trained). <br /> D. Program Plan (25 points) <br /> Provide information on the program you are offering. Describe in detail how the <br /> program you are planning will reach their target population and how they will be <br /> implemented to preventjuvenile delinquency. <br /> <br /> E. Timeline (5 points) <br /> Provide timeline of project strategies and activities <br /> <br /> F. Outcome Criteria and Evaluation Measures (10 points) <br /> Provide information on the desired outcomes of the project and the means by which <br /> these outcomes will be measured. <br /> <br /> G. Budget & Budget Narrative (10 points) <br /> 1. Budget -Breakdown of expenditures <br /> a. Personnel Cost <br /> b. Supplies <br /> c. Postage, freight, delivery <br /> d. Telephone <br /> e. Publications & Printing <br /> f. Mileage <br /> g. Airfare <br /> h. Subsistence/Per Diem <br /> i. TaxiBus Fare/Rent-A-Car <br /> j. Lease/Rental of Space <br /> k. Lease/Rental of Motor Vehicle <br /> 1. Utilities <br /> m. Repair & Maintenance <br /> 8 <br /> <br />