1.  1. Goals and Objectives  2. Appropriateness of Project Design  3. Coordination with Related Efforts  4. Consumer Involvement  5. Methodology 1

2. Mission/Purpose  Is the funder’s mission or purpose aligned with your tribal mission statement? 2

3.  broad, general statements  derived from the needs assessment  long-range benefits that you hope to attain 3

4.  Provide VR services to American Indians with disabilities who reside on the reservation or within a 20 mile radius of the reservation. Related to the purpose of the RSA funder:  …to prepare tribal consumers for gainful employment consistent with their strengths, resources, priorities, concerns, abilities, capabilities and inform choice. 4

5.  Measurable, time-oriented actions taken to accomplish the goal(s) (limit 3-6).  Action oriented. You are doing something to/with a population: increase, decrease, reduce, or expand.  Realistic and capable of being accomplished within the time frame indicated.  Stated in quantifiable terms and clearly identify the target population being served. 5

6.  Specific  Measurable  Attainable  Realistic  Time Oriented 6

7.  Is project design directed towards preparing tribal consumers for gainful employment?  What are the key components of your project design?  How does each component address the needs and fill the gaps and weaknesses?  How will these components lead to attainment of goal(s)? 7

8.  Project design is derived from knowledge, experience, and input:  Accepted rehabilitation standards and practices  Focus Groups  Consumer Surveys  Input from stakeholders  Program evaluations  Tribal leaders and program administrators 8

9.  How will the tribe/project ensure the use of qualified providers 34 CFR 371.21(j)  How will project make use of public, vocational/technical training facilities or community resources 34 CFR 371.21(k)  Include in appendices  Letters of Commitment and Support  Memorandums of Understanding 9

10.  State VR (required)  Establishing/established cooperative working agreement 34 CFR 371.21(g)  Related services  Indian Health Services  Bureau of Indian Affairs  Education institutions  Mental Health  Employers  Other 10

11.  Working towards a common goal  Synergy  Essential to success  Allow and utilize diversity  Share both responsibility and success 11

12.  Consumer = American Indians with disabilities  Opportunities to participate in the development and implementation of general program policies 34 CFR 371.21(f)  Advisory Committee 34 CFR 369.45  Focus Group Participants  Consumer Satisfaction Surveys 12

13.  Develop Individualized Plan for Employment (IPE) jointly with consumers Sec. 102(b)(c) and 34 CFR 371.21(e)  Provide opportunity for consumer to exercise informed choice  Employment  VR services to be provided  Who will provide services 13

14.  The who, how, and what of the project design  Describe the methods to accomplish the goals and objectives  Provide rationale for methods chosen  Show operational sequence 14

15.  Describe how the methods or activities will contribute to consumer employment outcomes  Highlight activities that reflect “cultural appropriateness”  Describe use of acceptable rehabilitation standards and practices 15

16.  Explain how your project design is compatible with the assurance statements made in response to the special application requirements at 34 CFR 371.21 (a)-(k) 16