OCFS-4639. Domestic Violence New Application

Form OCFS-4639 is a Domestic Violence New Application form used by the New York State Office of Children and Family Services. The purpose of this form is to allow service providers to apply for funding to support domestic violence prevention and intervention programs.

The form consists of sections where the applicant organization provides information about their program or services, the target population, the geographical area to be served, and the expected outcomes. The form may also inquire about the organization's capacity to deliver the proposed services effectively.

Important fields in this form include accurate and comprehensive information about the domestic violence program, its objectives, and the expected impact on the community. This form serves as a critical tool for the Office to assess the suitability of the program for funding and its alignment with the Office's priorities and goals.

Application Example: A non-profit organization specializing in domestic violence prevention and support services needs to complete this form to apply for funding from the Office. The organization will provide details about their program, including the types of services offered, the target population (e.g., survivors of domestic violence, children exposed to violence), and the geographic area they intend to serve.

No additional documents are mentioned in the form, but the organization may need to submit supporting documents, such as program budgets, needs assessments, and letters of support from community partners.

Related Form: OCFS-4640. This form might be used for reporting on the outcomes and performance of the funded domestic violence program, providing data and evidence of the program's impact on the target population.