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ࡱ>  #XbjbjVV b<<O%' $P)Xm$L%"GG]@4tlllllll|orl @@ lG]m""" dlG]l" l""cT,7j]ڱYQ !pf:l(m0XmUfr|!rt7j7jrKj\"lNZll "Xm r : Legal Foundation of Washington Annual Grant Criteria The Legal Foundation of Washington was created at the direction of the Supreme Court in 1984 to receive the interest on lawyers and limited practice officers trust accounts. These pooled trust accounts hold client funds that are so small in amount or held for such a brief period that it is not possible for the funds to benefit individual clients. These funds, along with monies raised through the Campaign for Equal Justice and other fundraising efforts, are disbursed according to grant criteria developed by the nine-member Board of Trustees pursuant to the Washington Supreme Courts opinion and rule. Eligible Program Areas The Foundation funds programs that provide civil legal aid to low-income people in Washington State. The Foundation gives priority to programs and services that aid vulnerable individuals, families and groups who experience multiple barriers to accessing the justice system and who require specialized focus in areas where other legal aid providers are unable to meet the existing need. Applicant Responsibilities Grant applicants must: Demonstrate fiscal responsibility and integrity Agree to sign and follow Foundation grant assurances Open their financial records to review, upon request of the Foundation, during the application process and thereafter if a grant is awarded Agree that their applications become the property of the Foundation and that the Foundation reserves the right to use any or all ideas presented whether or not an application is accepted for funding. Guidelines Trustees will use the following guidelines, with exception if necessary, to assist in the grants decision making process. The Foundation grants funds in a manner consistent with the funding priorities identified in the 2006 Plan for the Delivery of Civil Legal Aid to Low Income People in Washington State. The Plan can be found at:  HYPERLINK "http://www.wsba.org/Legal-Community/Committees-Boards-and-Other-Groups/Access-to-Justice-Board/Access-to-Justice-Board-Key-Documents" http://www.wsba.org/Legal-Community/Committees-Boards-and-Other-Groups/Access-to-Justice-Board/Access-to-Justice-Board-Key-Documents. The Foundation favors leveraging the use of funds by using volunteers and by seeking diverse funding sources (such as attorney fees, city and county funding and other grants) to the extent those efforts do not conflict with participation in the unified state fundraising Campaign for Equal Justice. The Foundation gives greater weight to applicants with a prior history of high quality service delivery. The Foundation gives greater weight to applicants who work to develop cooperative efforts between Foundation grantees within a service area. The Foundation prefers to fund applicants who can demonstrate community support for their projects. The Foundation funds programs that practice and reflect inclusion, diversity and multicultural competence. The Foundation funds applicants to achieve broad geographic and demographic distribution of funds throughout the state. In reviewing grants for renewal, the Foundation gives greater weight to previous Foundation recipients who have successfully used grant funds. The Foundation encourages the development of new and innovative programs that are consistent with the 2006 State Plan for the Delivery of Civil Legal Aid (see guideline #1) and will have a broad impact on the legal problems of low-income people. Restrictions The Foundation will not fund individuals, political campaigns, religious organizations for the purpose of furthering their religion, or constitutionally mandated legal services. Client Eligibility Clients must be low-income in order to receive services funded by the Foundation. Low-income is defined to be at or below 200% of the federal poverty guidelines. Exceptions must be authorized by the Foundation. Grant Decisions The Board of Trustees is responsible for making final grant decisions. Funding determinations will be based primarily on a written application. The trustees may, at their discretion, request supplements to the application and make site visits. The trustees may request applications from potential providers in priority funding areas where no grant application has been received. Grants are made pursuant to a written contract between the recipient and the Foundation. Trustees require all recipients to submit periodic reports regarding the use of grant funds. Legal Foundation of Washington application for continued funding in 2012 cover sheet and checklist Applications Must be Submitted by August 31, 2011 program name: program director/coordinator: address: telephone: email: fax: geographic service area: total grant request: In order for your grant application to be complete, please include the following: Signed Grant Assurances Form (form is attached to application) Proposed 2012 Financial Budget (form is attached to application) A copy of your programs mission statement Client financial eligibility guidelines A list of board members with occupations/affiliations and addresses A copy of your programs client grievance procedure A copy of your programs case priorities For Volunteer Lawyer Programs: a Resolution of Bar Support signed by the current president of your local bar, and a copy of the agreement or contract (if any) that is used by your program to define the relationship with volunteer attorneys, with clients, and between the volunteer attorneys and clients referred by your program Please email a signed copy of the application to Andrea Axel ( HYPERLINK "mailto:andrea@legalfoundation.org" andrea@legalfoundation.org) and Patrcia Cormier ( HYPERLINK "mailto:pgcormier@legalfoundation.org" pgcormier@legalfoundation.org). It is fine to send the competed application in more than one attachment. Use as much space as you need to answer each question with the exception of #I. Legal Foundation of Washington Application for Continued Funding in 2012 Program Name: Name of Person(s) Completing Application: Amount of Funding Requested: Abstract of Grant Application In the space provided, please summarize your grant application. Tell us about the legal needs in your community and how you will use grant funds to address these needs.  Program Services Please describe any significant organizational or administrative changes since the previous grant request. Has your program implemented any new projects or revised the way your program provides services to clients? Quality Control and Accountability Please describe any changes in the way your program ensures high quality of services to clients, including oversight of staff and volunteers, procedures to solicit feedback and client grievance procedures. Indicate steps taken to ensure the fiscal integrity of your program. Include information about your audit or financial review schedule, the role of your board--including its review of internal financial statements, and other fiscal control mechanisms. Board and Volunteer Information Describe any changes to your programs board of directors, including changes in the structure and operation of the board. If you are not an independent organization, please describe any changes to both your advisory board and the governing body of the agency that serves as your fiscal sponsor. Please attach the rosters of your governing board (and advisory board if applicable). Do you anticipate the level of volunteer attorney participation to increase, decrease or stay the same in 2012? Why? Client Information Describe any changes to your case acceptance/priority setting process. On what date did your program last re-evaluate case priorities? Attach a copy of your current case priorities. What unmet client needs has your program identified in your service area, including needs of clients facing barriers such as those for whom English is not their primary language and people with disabilities? How will your program use this grant to address those unmet needs? Do you anticipate your level of client services to increase, decrease or stay the same in 2012? Why? Collaboration with Other Community Groups and Service Providers. Briefly describe any significant changes in the ways in which your program works with other organizations, including the organized bar, judiciary, other legal aid providers, client groups, and other community based organizations. If your program is located outside of King County, describe any changes to your programs use of CLEAR for intake. If your program is located within King County, describe any changes to your programs client screening and intake mechanisms, including use of the 211 system for case referrals. Program Staff Information Please indicate any changes in staff employed by your program, including changes in the number of hours they work and changes in the percentage of time allocated to LFW funding. Please describe any changes to your programs staff evaluation process. When were staff evaluations last completed? Program Resources List the funding sources for the amounts listed in Column B of your proposed Financial Budget for 2012. Indicate the amount expected, whether funding decisions are pending or final, and whether there is a change in the level of support your program received last year. Describe any steps that your program will take in 2012 to diversify and expand its base of financial support. Planning in Anticipation for Reduced Funding In light of the continuation of significantly reduced IOLTA revenue, what steps have your board and staff taken to plan for the likelihood of reduced funding from the Legal Foundation in 2012? Additional Information- Please provide us with any comments or information that will assist us in the evaluation of your application. Legal Foundation of Washington ASSURANCES GIVEN BY APPLICANT AS CONDITION FOR RECEIPT OF A GRANT Name of Applicant Program: Applicant assures that: It will restrict the use of grant funds to lawrelated activities or purposes that are charitable or educational within the meaning of Section 501(c) (3) of the Internal Revenue Code of 1954, and in light of the proposed use described in the grant application. It will not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, or national origin against (1) any person applying for employment or employed by the applicant with respect to any personnel action proposed or taken concerning the applicant or employee; or (2) any person seeking participation in, or the benefits or proceeds of, the program or projects supported in whole or part by this grant. It will, upon request, cooperate with all data collection and evaluation activities undertaken by the Legal Foundation of Washington and give any authorized representative of the Foundation access to any copies of all financial records, books, papers, or documents, provided that the Foundation shall not have access to any reports, records, or information subject to the attorneyclient privilege. It will provide a copy of a financial audit including any audit and management letter prepared within the previous two years if available, or in the alternative, a financial accounting conforming to the previous year's agreement with the Foundation with respect to financial records. It understands and agrees that the Foundation may, in its sole discretion, grant funds in greater or lesser amounts and/or for greater or lesser periods of time than requested in this application. It understands that the Foundation may, in its sole discretion, modify or terminate the distribution of granted funds due to modifications in the amount of funds available to the Foundation. It understands and agrees that the application, once received by the Foundation, becomes the property of the Foundation, and any or all ideas contained therein may be used by the Foundation. It will provide, upon request, periodic written reports detailing the use of grant funds in light of the proposed use described in the grant application. It agrees to promote and use grant funds consistent with the 2006 Plan for the Delivery of Civil Legal Aid to Low-Income People in Washington State. (The Plan can be found at:  HYPERLINK "http://www.wsba.org/Legal-Community/Committees-Boards-and-Other-Groups/Access-to-Justice-Board/Access-to-Justice-Board-Key-Documents" http://www.wsba.org/Legal-Community/Committees-Boards-and-Other-Groups/Access-to-Justice-Board/Access-to-Justice-Board-Key-Documents) It agrees to operate its program in a manner that is responsive to the Access to Justice Boards 2009 Program Performance Standards. (The Standards can be found at the same link provided directly above.) I have read these assurances and understand that if this application is approved for funding, the grant will be subject to these assurances. I certify that the applicant will comply with these assurances if the application is approved. Program Director Name ___________________________________ Signature_________________________________________________ Date______________________________________________________ Board Chair Name _________________________________________ Signature _________________________________________________ Date_______________________________________________________ Legal Foundation of Washington Proposed 2012 Budget Organization Name: Fiscal Year (m/d/y m/d/y): Name of Person Completing Proposed Budget: PRIVATE ABCD EXPENSESLFW Funds RequestedFunds Requested from Other SourcesValue of In-kind or Non-cash Support***Total Budget (A+B+C=D)Salaries: List each category of staff funded by this grant (e.g.: Attorney, Administrative Assistant etc.). Attach extra sheet as needed.1.     2.     3.     4.     SALARY SUBTOTAL    Employee Benefits   TOTAL PERSONNEL COSTSOffice SpaceEquipment RentalOffice Supplies/ExpensesCommunicationsTravelTrainingTranslation/InterpretationLibraryLobbying: Direct Grassroots OtherInsuranceDues & FeesAuditLitigationCapital expendituresContract ServicesOtherTOTAL NON-PERSONNEL COSTSTOTAL If your program is a component of a larger organization, what percentage does your budget comprise of the total organization budget? ***Please do not include the value of volunteer services in this column. Legal Foundation of Washington Budget Form Instructions and Definitions COLUMN A (Total Grant Funds Requested): This column reflects all of the funds requested from the Foundation to cover the program or project to be accomplished with the Foundation grant funds. COLUMN B (Total Funds Requested from Other Sources): This column reflects all of the funds requested or expected from other sources including other grants and donations. COLUMN C (Total Value of In-Kind/Non-cash Support): In-kind support is non-dollar contributions such as space, supervision and office equipment. Please indicate the value of any volunteer time in a separate footnote if you wish to report it. COLUMN D (Total Budget A+B+C=D): This column reflects the total sum necessary to implement the program or project for which you are requesting grant funds. STAFF POSITIONS: Provide salaries and wages of all employees supported by LFW funds whether part-time, full-time, or temporary. List each job category on a separate line. See example below. If there is more than one person with that position, list the number in parentheses and provide the total funds requested for all employees within that category. EXAMPLE: EXPENSESLFW Funds RequestedFunds Requested from Other SourcesValue of In-kind /Non-cash SupportTotal Budget (A+B+C=D)Salaries: List each staff position funded by this grant.1. Staff attorney (2)  $40,000 $40,000 $80,0002. Administrative Assistant 0$22,000 $22,000 Attach a separate sheet of paper if necessary EMPLOYEE BENEFITS: Include commonly accepted fringe benefits paid on behalf of employees, such as FICA, health and life insurance, retirement, worker's compensation, unemployment insurance, and other payroll-related costs approved by the program's board of directors. OFFICE SPACE: Include estimated rent, mortgage payments, utility payments, and maintenance or janitorial expenses. EQUIPMENT RENTAL: Include lease or rental expenses for furniture, fixtures, and equipment (except telephone). It also includes an estimate of maintenance costs for equipment whether pursuant to a service contract or an estimate of individual repair bills. OFFICE SUPPLIES AND EXPENSES: Include all basic office accessories and supplies, including copier materials, printing and postage, and equipment purchases under $1,000. COMMUNICATIONS: Include estimates for long distance charges and e-mail/Internet account fees, website maintenance, etc. Similar and related expenses for other telecommunications should be included as well. TRAVEL: Program travel expenses directly related to specific client matters, administration of the program, etc. TRAINING: Include all non-personnel costs associated with the training or continuing education of staff or board members. Examples would be: travel to/from training events, conference registration fees or tuition, purchase of training materials, rent for facilities used in a training event, etc. Materials or equipment purchased for training with a value in excess of $1,000 should be reported under "Capital Expenditures." TRANSLATION/INTERPRETATION: Include any expenses that will be allocated to the translation of materials into a language other than English, and any funds that will be used to pay for interpreter services on behalf of clients. LIBRARY: Include expenses for the maintenance and normal expansion of office libraries, including subscriptions to periodicals, books, reference materials, and multiple volume sets of law books. LOBBYING: Direct lobbying expenses are those that relate to any direct communication with a legislator or government employee (local, state, federal) with regard to any specific or proposed legislation, that reflects a view on that legislation. This figure should include a reasonable estimate of the share of general overhead attributable to these activities. Grassroots lobbying expenses are those that relate to communication with the general public with regard to any specific or proposed legislation, encouraging the recipient to take action with respect to that legislation. This figure should include a reasonable estimate of the share of general overhead attributable to these activities. Other lobbying expenses are those that relate to communication concerning legislation or proposed legislation that is not covered under direct or grassroots lobbying expenses above. This figure should include a reasonable estimate of the share of general overhead attributable to these activities. INSURANCE: Include professional liability insurance, bonding, property insurance (fire and theft), and liability insurance for property and automobiles. AUDIT: Include expenses for auditors or other annual financial reporting costs. LITIGATION: Include court costs, witness fees, expert witness expenses, sheriff fees, courthouse copying fees, and other expenses incurred, but not recovered in litigation, on behalf of eligible clients. CAPITAL EXPENDITURES: Include equipment and library purchases over $1,000 per item and other major expenses which occur infrequently (e.g., major renovation). CONTRACT SERVICES: This category includes services to the program, such as legal counsel for program operations, consultant fees exclusive of those paid for training, bookkeeping or other accounting services, etc. Please itemize those individual costs in excess of $500 in a footnote to this budget. OTHER: Include all program expenses not included above. Please itemize any expense of more than $500 in a footnote to this budget.     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