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) (Word Document 29 kb) (Adobe PDF 18 kb) 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.

2009-2011 MAC Guidelines	(Word Document 152 kb)
2010 RFA Update Instructions	(Word Document 42 kb)
Bookletcover	(Word Document 31 kb)
Municipal Alliance Cover Page	(Word Document 45 kb)
Abstract	(Word Document 31 kb)
Form 1 - Application for Funding Municipal Alliance	(Word Document 53 kb)
Form 2 - Municipal Alliance Committee Membership List	(Word Document 101 kb)
Form 3 - Municipal Alliance Priorities: Risk & Protective Factors	(Word Document 61 kb)
Form 4 - Goals & Objectives - Outcome Evaluation	(Word Document 54 kb)
Form 5 - Alliance Activity Plan	(Word Document 57 kb)
Form 6 - Municipal Alliance Budget Summary	(Word Document 104 kb)
Form 7a - Alliance Program Line Item Detail (DEDR)	(Word Document 63 kb)
Form 7b - Alliance Program Line Item Detail (Case Match)	(Word Document 63 kb)
Form 8 - Summary of Consultant Services Form	(Word Document 56 kb)
Form 9 - Alliance Personnel Costs	(Word Document 80 kb)
Form 10 - Grant Fund Match Summary Plan	(Word Document 47 kb)
Form 11 - Statement of Assurances	(Word Document 52 kb)
Form 12 - Fiscal Requirements	(Word Document 50 kb)
Sample Resolution	(Word Document 30 kb)	(Adobe PDF 61 kb)
Request for Application (RFA) Appendices	(Word Document 42 kb)	(Adobe PDF 31 kb)
Logic Model Sample		(Adobe PDF 1.2 mb)
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