Attachment A Free Communities (DFC) Support Program Non-Competing Continuation.docx

Attachment A: Drug Free Communities (DFC) Support Program Non-Competing Continuation Application Eligibility Certification Checklist

The Authorized Representative for the coalition must initial next to each numbered item below and check whether or not the coalition is still in compliance with each eligibility requirement.

Initials Yes No

_______ ____ ____ 1. The coalition has one or more representatives of the 12 required sectors of a community as outlined in the DFC Act.

_______ ____ ____ 2. The coalition has been in existence for at least six months, with substantial involvement from volunteer leaders or members.

_______ ____ ____ 3. The coalition has as its principle mission the reduction of substance abuse in a comprehensive and long-term manner, with a primary focus on youth in the community and strategies to achieve the mission.

_______ ____ ____ 4. The coalition can be sustained as an ongoing concern with non-federal financial support.

_______ ____ ____ 5. The coalition has established a system to collect and report the DFC Program’s required measures: (1) substance use in the past 30 days; (2) perception of risk; (3) Perception of peer substance use; and (4) perception of disapproval of use by Parents. These measures are collected in three grades at the middle school and high school levels (i.e., grades 6-12) on four substances: alcohol, tobacco, marijuana and prescription drugs.

In keeping with the Notice of Award Terms and Conditions and future reporting projections, recipients who can comply with the new measures should provide those measures in their DFC Me data entry. It is expected that all recipients will be in full compliance with the August 2020 DFC Me data entry. Should you require assistance, you may seek help from the DFC Evaluation Team at dfc_evaluators@icfi.com.

If an item above is checked “NO,” an explanation must be provided in the space below to document what the reason is that the coalition does not currently meet this requirement and what corrective action the coalition will undertake to become fully compliant within the next 90 days.

Grant Program Key Staff and their level of effort should be listed below:

Program/Project Director

Principal Investigator

Program/Project Coordinator

I hereby acknowledge that the above statements are true and can be verified with supporting documentation upon request.

Grant SP # ______________