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<br />State Council on Developmental Disabilities <br />Form 1 (2 of 2) <br />Checldistffable of Contents <br />Community Program Development Grant <br />FY 2005-06 <br /> <br />Exhibit A - Attachment 1 <br />Program Description <br />Page 2 of 17 <br />Agreement # C280501 0 <br /> <br />The following forms must be completed in type form, all pages must be numbered and in <br />sequential order. Titles and subtitles as shown in the guidelines must be used. <br /> <br />liST PAGE NUMBERS BELOW EACH FORM LISTED BELOW: <br /> <br />(Check that each document is attached and list pag~ number.) <br />V'T Form 1 Cover Sheet and Checklist (Not to exceed 2 pages) <br />(pages!J) <br />LForm 2 Project Profile (1 page), SWDID8IY (1 page) and Narrative (Not to exceed 7 pages) <br />(pages ~ -10) <br />V Form 3 Project Management Plan (Not to exceed 2 pages) <br />(pages i/-I-Z) <br />V Form 4 Personnel and Organization (Not to exceed 2 pages) <br />(pages I~'l) <br />V Form 5 Outcomes and Evaluation Plans (Not to exceed 2 page) <br />(pages L2~1fø) <br />-LForm 6 Budget (Not to exceed 3 pages) <br />(pages/}-lQ) <br />V Form 7 Continuation ofFl.1nding (Not to exceed 1 page) <br />(page~ 0 ) <br /> <br />ATIACBMENTS: <br />(Check that each document is attached and that all pages have been numbered) <br />V Continuation of Funding Letter <br />(page ltl-) <br />LMinimum of Three (3) Letters of Support <br />(pag~~ }ij . <br />L Organizational Chart for the Proposed Project <br />(page It- 3 ) <br />V Duty Statements, Curricula Vitae, Current Licenses and Credentials <br />(pagefJtlI-3) <br />Grant! Award list <br />(page Æ/r ) <br /> <br />I certify that I have reviewed the proposal and all required documents are attached~ all pages are <br />numbered, and are true, complete and accurate. <br /> <br />Signature of Project Director: ~~/ ~ ,(2:; ~ <br /> <br />Date: ~ <br />