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									Pennsylvania IOLTA Fund 2008-2009 Grant Application Package

Spreadsheets Part II - Grant Proposal
Organization Name: Project Name: Amount Requested: Contact Person: Phone: Fax: E-Mail:

Sections Within this Proposal
Tab A. B. C. D. E. Important Notes!
1. General operating funds requests: Organizations that are not funded in the Pennsylvania Legal Aid Network (PLAN) can apply for IOLTA general support grants. However, the IOLTA funding must be directed to fund specific general legal services and/or activities in support of legal services; they may not be used to provide or support non-legal services such as mental health counseling or food services. 2. Special-purpose project: If the proposed grant is for support of a single "project" (for example, a domestic violence project or for an innovative approach), then your Grant Proposal should cover that project only. Include both IOLTAfunded and non-IOLTA-funded staffing, funding and other relevant information. There is space on the Cover Sheet above to specify the name of the project covered by the proposal. 3. Note that a separate Proposal is required for each requested grant. If you are applying for more than one IOLTA grant, please submit a completed copy of this Excel workbook for each Proposal you are submitting.

Section Proposed Budget Anticipated Funding Volunteer & In-Kind Proposed Staffing Outcomes and People to Benefit

A. Proposed Budget
Summarize the total budget for carrying out the strategies described in your Proposal Narrative. Examples of "Non-IOLTA Expenditures" include amounts covered by other grants, bar association funds, etc. a. Anticipated IOLTA Expenditures b. Anticipated Non-IOLTA Expenditures c. Total Expenditures

Cost Category
A. Personnel Costs:
1. 2. 3. 4. 5. 6. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Lawyers Paralegals Others Salary Subtotal Employee Benefits Total Personnel Costs Space Equipment Rental Office Supplies/Expenses Telephone Travel Training Library Insurance Dues and Fees Audit Litigation Property Acquisition Purchase Payments Contract Services to Clients Contract Services to Program Other -- Provide breakdown below* Total Non-Personnel Costs

$0 $0

$0 $0

$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

B. Non Personnel Costs:

C. Total Budget

$0 $0 $0

$0 $0 $0

Financial - Statistical Part II: Proposal for Funding, page 1

B. Anticipated Sources of Funding
Please provide a breakdown, by funding sources, of the total proposed budget. Note: These figures should cover the grant year for which IOLTA funds are requested. o If your organization's fiscal year is different, please pro-rate figures to cover the grant year indicated in the instructions for this application. Estimate if necessary. o In items 1 and 2, include cash receipts only; do not include in-kind or donated services. o Item 4: If In-Kind resources are applicable to your proposal, please complete the "Volunteer & In-Kind" worksheet (next tab). The total will be transferred automatically to this form. Source 1. 2. (a) (b) (c) (d) (e) Sum of miscellaneous sources less than 20% of line "3" 3. 4. 5. Total Funding Sources In-Kind Resources (from Tab C, "Volunteer & In-Kind worksheet"): Total Cash and In-Kind Resources: $0 $0 $0 IOLTA Grants Other -- Please list individually below by name and amount any sources 20 percent or more of the subtotal in line "3." Amount

B. Anticipated Funding

C. Volunteer and In-Kind Worksheet
Please complete this section only if you anticipate that in-kind resources will provide a significant amount of support for the activities described in this proposal. If not applicable, simply leave this section blank.

1. Value of Volunteer Services
o Please provide the breakdowns below for the grant year covered by this application. o For estimating amounts, apply past experience and your best professional judgement. Attorneys Hours of Service Donated: Dollar Value per Hour*: Value of Volunteer Services: Others Total $0 $0 $0

* Describe briefly below the basis of your estimated value per hour:

2. Value of Other In-Kind
o Please provide the breakdowns below for the grant year covered by this application. o For estimating amounts, apply past experience and your best professional judgement. Type of In-Kind Anticipated (1) (2) (3) (4) (5) Total -- Other In-Kind ** Describe briefly below the basis of your estimated amounts: $0 Source Amount**

3. Total Value of In-Kind (sum of "1" and "2"):

$0

D. Proposed Staffing
Using the form below, please indicate the total number of Full-Time Equivalent (FTE) paid staff persons who will be directly involved in the proposed program or project covered by the proposed budget. o Include both IOLTA and non-IOLTA funded staff persons. o Include only staff providing, or directly supporting the provision of, legal services. Do not include others—for example, medical counselors. o A Full-Time Equivalent (FTE) is one person working full-time. For example, two persons, each working half-time, amount to 1.0 FTE. Express FTE in decimals—for example, 1.5 lawyers. o If some staff divide time among two or more functions, estimate FTE allocations. For example: managing attorney spends half time (0.5 FTE) representing her own clients ("Legal Case Work") and other half (0.5 FTE) supervising other advocates ("Supervision of Legal Case Work"). Paid Staff - Full-Time Equivalents See Instructions Lawyers Legal Work Other Work -- for example, administration & management Total Staffing (Filled Positions) Number Of the Above Supported by IOLTA Funds Paralegals Others Total Paid Staff -

Type of Work Performed

D. Proposed Staffing

E. Outcomes and Estimated Numbers of People to Benefit From Project
Approximately how many persons do you estimate will directly benefit from the outcomes of the project, assuming the total proposed budget you describe in the financial portion of this Proposal is available? In estimating, apply your experience and best professional judgment. Examples of the kinds of outcomes that might be described in this section: o Families obtained protection from domestic violence o Immigrants learned about the impacts of new INS procedures o Affordable housing preserved or expanded for low income families in the community o Elderly people learned how to avoid unnecessary consumer problems Anticipated Direct Outcomes of This Project
Summarize below, referring to your narrative proposal for this project. Attach additional sheets if necessary.

Estimated Number of Persons to Directly Benefit

A. B. C. D. E.

Total Number of Persons to Benefit (sum of A thru E):

-

Financial - Statistical Part I: Program Overview, page 8


								
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