Youth Violence Prevention Program

Youth Violence Prevention Program is sponsored by California Office of the Attorney General. This program provides funding to nonprofit organizations in California for programs aimed at preventing youth violence through mentorship and community engagement.

Community Drug Abuse Prevention Grant Program - PA Office of Attorney General Community Drug Abuse Prevention Grant Program The Community Drug Abuse Prevention Grant Program funds and supports parent, school, and community-led grassroots initiatives that provide education, prevention, and safe alternatives to drug and alcohol abuse to help keep Pennsylvania youth and communities healthy and drug-free.

Community Drug Abuse Prevention Grant Program Please contact the following with any questions regarding the Grant Program: grants@attorneygeneral. gov The OAG Grant Program is funded from the Substance Abuse Education and Demand Reduction Fund established by Act 198 of 2002.

" * " indicates required fields The Community Drug Abuse Prevention Grant Program was created to foster parent, school and community groups in leading grassroots efforts to prevent the consequences of drug and alcohol abuse from harming Pennsylvanians, especially children and young adults.

Grant funding is available to help communities provide safe alternatives to drug and alcohol abuse, as well as fact-based education, prevention, or intervention efforts related to drug and alcohol abuse — including the violence and other consequences that these substances can cause. You must acquire a Commonwealth Vendor Registration Number for your organization to apply for a grant. This is a Commonwealth requirement.

If you do not have one or would like to check if your organization has one, please visit the Pennsylvania Office of Budget’s website by clicking here .

Federal ID of Applicant Organization (if applicable) Name of Applicant * Name of the individual or organization to whom the grant would be awarded Name of representative of Applicant and their title * This is the person who is authorized to sign a grant agreement if one were to be awarded Commonwealth Vendor Registration Number * Contact Name and Title * Point of contact for the OAG to communicate with regarding the application Pennsylvania Alabama Alaska Arizona Arkansas Armed Forces Americas (except Canada) Armed Forces Europe, Canada, Africa, Middle East Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States Of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming County * Adams Allegheny Armstrong Beaver Bedford Berks Blair Bradford Bucks Butler Cambria Cameron Carbon Centre Chester Clarion Clearfield Clinton Columbia Crawford Cumberland Dauphin Delaware Elk Erie Fayette Forest Franklin Fulton Greene Huntingdon Indiana Jefferson Juniata Lackawanna Lancaster Lawrence Lebanon Lehigh Luzerne Lycoming McKean Mercer Mifflin Monroe Montgomery Montour Northampton Northumberland Perry Philadelphia Pike Potter Schuylkill Snyder Somerset Sullivan Susquehanna Tioga Union Venango Warren Washington Wayne Westmoreland Wyoming York Email Address of Contact * Phone Number for Contact * 1.

Is Applicant a 501(c)(3) or 501(c)(4) non-profit organization or governmental entity? * Anticipated Start Date of Project * Provide a description of Applicant * (i.e. organizational structure, if any; number of years in existence; general operations etc.) 2. Have you received a grant from the OAG previously?

* Press the button to create a new lines. 3. Identify all officers of the Applicant Date of Birth (DOB) is collected for criminal history search.

4. Describe key individuals involved with the Project. 5.

Include what work each individual will perform, their qualifications, and prior experience with the Project. * 6. Describe any organizations that the Applicant will partner with during this Project.

* 7. Describe their roles in this Project. * 8.

Describe the target audience of the Project, including the geographical area to be served * 9. How many participants are expected * 10. Describe the Event or Project and how it will utilize the requested grant funds, including its intended start date and duration.

* 11. Describe how the Project provides substance abuse education or encourages reduction of demand for illegal substances. * 12.

Describe how you will measure the effectiveness of the Event or Project. * 13. Describe how this or similar projects have been shown to be effective in the past.

* 14. Approved grant expenditures will be distributed as a reimbursement after all required documentation has been received. An exception may be made for instances where financial hardships are evident.

Do you understand? * Yes, I am ok with reimbursement. Yes, I understand and I want to be considered for upfront payments.

Up-front payment request Please detail the reason(s) why an up-front payment is necessary. 15a. Please provide documentation or calculation regarding how you determined the amount needed to pay for items that will be funded by the grant.

* Please provide quotes, estimates, or screenshots that show vendor information and expenditure details. If you prefer to do so, you may email these documents to grants@attorneygeneral. gov. Your application isn’t complete until we receive these documents.

15b. If needed, supply additional information below on your documentations or calculations. 16.

Are you providing matching funds towards this Project? * Describe the source of these funds and description of how these funds will be utilized for the Event or Project. * 17.

In the last five years, has the Applicant or any of the individuals involved in the Event or Project: been indicted or convicted of a crime involving moral turpitude or business honesty or integrity in any jurisdiction; been suspended, debarred or otherwise disqualified from entering into any Agreement with any governmental agency; had any business license or professional license suspended or revoked; had any sanction or finding of fact imposed as a result of a judicial or administrative proceeding related to fraud, extortion, bribery, bid rigging, embezzlement, misrepresentation or anti-trust; and been, and is not currently, the subject of a criminal investigation by any federal, state or local prosecuting or investigative agency and/or civil anti-trust investigation by any federal, state or local prosecuting or investigative agency In the last five years, has the Applicant or any of the individuals involved in the Event or Project: – response to bullet list.

* If so, please provide details 18. Do you certify that the individuals involved in this Event or Project including anyone who will handle grant funds has NOT been involved in grants or other funding that was found to be mismanaged or misused by your organization or a grant/funding agency? * 19.

Do you certify that as of the date of this application the Applicant has no tax liabilities or other Commonwealth obligations, has filed a timely administrative or judicial appeal if such liabilities or obligations exist, or is subject to a duly approved deferred payment plan if such liabilities exist? * Instructions: Add a description and expenditure amount for each grant item. Press the button to create a new row.

Please only enter whole dollar amounts and numbers only. Grant Funded * Expenditures If you would like to provide letters of support or additional documentation, please do so here: