(1) Each grant application must include:

(a) project title;

(b) applicant's name, title, address, and phone number;

(c) statement demonstrating compliance with ARM 37.47.1015 eligibility requirements;

(d) amount requested;

(e) amount of match -- cash, in-kind and total;

(f) signature(s) of responsible person(s) ;

(g) statements regarding protection of rights for confidentiality and nondiscrimination; and

(h) budget balance sheet and budget justification.

(2) The application must also include a brief program narrative which shall consist of, but is not limited to, the following specific areas:

(a) a general statement of the scope and purpose of the program, including services to be offered;

(b) documentation of the need for the program including any available needs assessment pertinent to the program;

(c) description of the responsible local body; organization chart or outline showing lines of authority, responsibility and accountability; staff and job descriptions, including volunteers;

(d) clearly stated program objectives relevant to the services to be provided and number of clients served; the objectives should be measurable so the evaluation of a program can be based on actual performance of a program in relation to stated objectives;

(e) community support including documentation of 20% local contribution for operating costs and letters of support;

(f) geographic area to be served including outreach activity and linkages with other agencies and organizations;

(g) if an ongoing program, describe stability and community commitment through a maintenance and expansion of programmatic and fiscal effort, describe other funding sources explored;

(h) evaluation design; and

(i) desired method of payment.