State of NJ- Department of the Treasury - Governor's Council on Alcoholism and Drug Abuse

Forms for Participating Municipal Alliances
To Prevent Alcoholism and Drug Abuse

The forms below are available as Microsoft Word documents (DOC) and Adobe Acrobat (PDF)

The PDF forms can be viewed and printed using Adobe Acrobat. PDF formatted documents contain the same text as the original printed documents. To view them you must have a PDF viewer which is available free from Adobe. Click here to learn more about Adobe Acrobat or to download the latest version of the Adobe Acrobat viewer from the Adobe Web site

The following forms have been created specifically for use with recognized Municipal Alliances. A recognized Municipal Alliance is one that works with a County Alliance Coordinator in the creation of the Annual County Alliance Plan.

The Municipal Alliance Request for Application (RFA) is available for use only by alliances that are actively working as part of the county effort. Only municipalities who have completed the Alliance Needs Assessment and have created priorities through their Municipal Alliance Committees should submit an RFA.

MAC Guidelines	(Word Document 156 kb)
RFA Update Instructions	(Word Document 44 kb)
Bookletcover	(Word Document 20 kb)
Abstract	(Word Document 33 kb)
Form 1 - Application for Funding Municipal Alliance	(Word Document 52 kb)
Form 2 - Municipal Alliance Committee Membership List	(Word Document 86 kb)
Form 3 - Municipal Alliance Priorities: Risk & Protective Factors	(Word Document 64 kb)
Form 4A - Goals & Objectives - Outcome Evaluation	(Word Document 40 kb)
Form 4A Outcome Evaluation Sample	(Word Document 41 kb)
Form 4B Outcome Evaluation Report	(Word Document 52 kb)
Form 4B Outcome Evaluation Report Sample	(Word Document 43 kb)
Form 5 - Alliance Activity Plan	(Word Document 50 kb)
Form 6 - Municipal Alliance Budget Summary	(Word Document 104 kb)	(Excel Spreadsheet 33kb)
Form 7a - Alliance Program Line Item Detail (DEDR)	(Word Document 59 kb)
Form 7b - Alliance Program Line Item Detail (Case Match)	(Word Document 63 kb)
Form 8 - Summary of Consultant Services Form	(Word Document 52 kb)
Form 9 - Alliance Personnel Costs	(Word Document 74 kb)
Form 10 - Grant Fund Match Summary Plan	(Word Document 47 kb)
Form 11 - Statement of Assurances	(Word Document 48 kb)
Form 12 - Fiscal Requirements	(Word Document 48 kb)
Sample Resolution	(Word Document 30 kb)	(Adobe PDF 61 kb)
Request for Application (RFA) Appendices	(Word Document 42 kb)	(Adobe PDF 31 kb)
GCADA Logo	(Encapsulated PostScript 122 kb)	(Adobe PDF 59 kb)

Forms for Participating Municipal Alliances To Prevent Alcoholism and Drug Abuse

Forms for Participating Municipal Alliances
To Prevent Alcoholism and Drug Abuse