Survey & Form Center

Please note there is no log-in required to submit this or any other form in the Form Center.
Please make sure to save progress if you are not finished with the form and are exiting the page.
By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

2021 Violence Prevention Funding


  1. 1. Requirements
  2. 2. Key Facts
  3. 3. Area(s) Of Focus
  4. 4. Contact Information
  5. 5. Program Location(s)
  6. 6. Program Summary
  7. 7. Logic Model
  8. 8. Outcome Measurements
  9. 9. Program Budget
  10. 10. Attachments
  11. 11. Submission
  • Requirements

    1. Jackson County COMBAT
    2. Important
      To submit this form you do not have to sign in or create a Form Center account above. However, you will have to complete the form in its entirety without the option to save your progress unless you do create an account.
    3. Name of program for which you are applying for funding.
    4. 2021 Violence Prevention Application
      Violence is preventable, not inevitable. To prevent violence you must change the underlying conditions that contribute to violence in homes, schools and neighborhoods ( In an attempt to change the underlying conditions contributing to violence and drug abuse one must address trauma as it relates to public health.

      Being a victim of violence and violent behaviors can be a precursor to addiction because of the way traumatic events affect the brain. Trauma makes the mind work in overdrive, causing near-constant fear, anxiety and stress. A person who survives a traumatic experience may constantly function in a fight-or-flight survival mode. The brain may even continuously replay the memory of the traumatic experience, forcing the person to involuntarily relive the event. (

      Experiencing these feelings all the time can be overwhelming and incredibly distressing for someone trying to recover from a violent crime or abusive relationship. Many survivors of trauma turn to drugs or alcohol to find relief. (

      In an effort to prevent violence and substance abuse, Jackson County COMBAT, is looking to fund Violence Prevention programs that deliver Trauma-Informed and/or Trauma-Sensitive services to Jackson County residents.

      Programs must be evidence-based or research-based, and targeted populations must be clearly described and justified as appropriate for this funding application. Partnerships are encouraged that take advantage of existing resources, expertise and experience in working with the targeted population. COMBAT will be allocating resources for programs in “hot spots” that have been identified through inputting crime report data to generate Areas of Interest (AOI) smart maps outlining those neighborhoods where anti-violence services are most needed.

      1) Applicants are encouraged to work with others in cooperative projects that make use of existing resources and expertise.

      2) COMBAT requires submited proposals to be evidence-based or research-based—that is, replicating or based on approaches that have been evaluated to be effective.  Applicants must provide thorough evidence that their proposed strategies are based on evaluated approaches, with citations showing effectiveness.

      3) COMBAT funding is allocated annually. There is no guarantee that your agency will be funded for next year’s funding cycle.
    5. Requirements
    6. ALL Requirements Must Be Met At Time Of Applying
      IMPORTANT: The online application program will not permit you to continue to the next section of the website until you complete the section on which you are working.
    7. Jackson County Requirments
      A) Tax Clearance Required: Chapter 10, 1003 of the Jackson County Codes states “No person, firm or corporation, residing in Jackson County, or otherwise legally within the taxing jurisdiction of the County, shall be eligible to provide any goods, contractual services or anything covered by this chapter, unless that person, form or corporation is duly listed and assessed on the County tax rolls and is in no way delinquent on any taxes payable to the County” (Ord. 3839, Eff. 11/28/06). If you need to register as a Business with Jackson County, please call (816) 881-3530 or (816) 881-4541. Exception: Governmental Jurisdictions in Jackson County.

      B) Goal for Minority Hiring and Employment: Chapter 93, Section 9304 of the Jackson County Code regarding COMBAT states “Any proceeds from the Anti-Drug Sales Tax creating jobs and employment shall have a twenty percent goal for minority hiring and employment” (Ord. 1795, Sec. 4; Ord. 1941 Effective April 24, 1991). Since this is a specific requirement for COMBAT, it is required during the application period and will be monitored.

      Each funded organization must provide evidence of liability insurance coverage during the time of award of funding from Jackson County.

      Applicant organizations must have on file a Compliance Certificate from Jackson County before any funding may be awarded.
    8. COMBAT Requirements
      A) Any organization requesting COMBAT funding must have an office in Jackson County and provide services to Jackson County residents in Jackson County.

      B) Applicant organizations must provide a copy of a letter from the Internal Revenue Service indicating current 501(c)(3) tax-exempt status.

      C) An applying agency must be in existence for more than two years. 4. Applicant organizations must provide proof of current Good Standing with the Missouri Secretary of State.

      D) Applicant organizations must provide a copy of a certified final audit (within the past two fiscal years).

      E) Applicant organizations must provide a copy of a current IRS form 990 (within past two years) or extension letter.

      F) COMBAT funding is provided on a reimbursement basis, available upon submission of receipts and proof of payment at the end of each month.

      G) COMBAT funds cannot be used for capital purchases.

      H) All persons implementing COMBAT funded programming must have training in Trauma-Informed Care.

      I) With very few exceptions that must be justified by clear evidence of large scale impact and effectiveness in preventing or reducing substance abuse or violence, programs that have been funded by COMBAT for more than five (5) years will not be funded without inclusion of new/updated/enhanced strategies that reflect the most current best practices. Long standing programs must justify continued use of strategies that have been used for many years, and prove that the contribution of these programs to reducing societal substance abuse and violence is actually worth their continuation.
    9. Staff Requirements
      Staff assigned to COMBAT funded programs must have received Trauma Informed Care training. If a staff person has not received this training, the agency must show that this person has received that training within three (3) months of the beginning of the program, or that person’s salary will no longer be funded.
    10. Use of "Hot Spot" Violent Crime Mapping
      We are able to identify Hotspots of Violent Crime that are relevant for different cities in the county. By targeting areas that have shown high levels of violent crime, intervention efforts can be planned and their effectiveness evaluated. The information on areas which have lower crime but are near Hotspots can also be used to determine potential differences that are responsible for the reduced levels.
    11. Acknowledgement*
      I have read all requirements for 2021 COMBAT Substance Abuse Prevention funding.