DC Department of Corrections

Programs and Case Management Division

NEW PROGRAM/SERVICE PROPOSAL APPLICATION

Thank you for your interest in partnering with the DC Department of Corrections (DC DOC). This application is for service providers who would like to propose a potential institutional program or service at DC DOC. Please complete the application carefully and in its entirety. Incomplete applications will be denied and will not be processed.

GENERAL INFORMATION

2. What DC DOC Facility are you proposing to service?*
4. Name of funding agency for proposed program/service (BJA, CDC):*
Phone
8. Program/Service Facilitation:*

PROPOSED PROGRAM/SERVICE DESCRIPTION AND ABSTRACT

Describe the purpose of your newly proposed program/service. Also, explain how the proposed program/service supports the overall mission of the District of Columbia Department of Corrections.

Identify the needs or problems to be addressed by the program/service. Include the specific target population and any supporting statistical information that you may have.

State the desired goals and objectives to address the needs/problems stated above. Also include what key benefits will DC DOC derive from participation (quantify this if at all possible).

What is the total anticipated budget? Please provide your budget, narrative worksheet and list the personnel below who will be coming into the facility.

Please provide details on how long (best and worst case scenario) it will take to implement the proposed program/service (from start to completion).

Please provide us information regarding the proposed program/service training requirement.*

Does the proposed program/service have a training requirement?

Please name the potential personnel and their position title who will be assigned to the program/service.

EVIDENCE-BASED /BEST AND PROMISING PRACTICES AND PROGRAM AND PERFORMANCE MEASURES

16. Is this program based on either research or review of program or service at other institutions?*
18. Will data be collected, evaluated, reviewed, or submitted to an outside agency or researcher?*
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