APPLICATION FORM – TDHCA – (YOUTH HOMELESS HOUSING AND SERVICES PROGRM)

Contents

This form is intended for Proposers who are applying to serve as subrecipients for the Youth Homeless Housing Services Program for eligible residents of Dallas. Proposers should review the NOFA to understand the required scope and services sought and for information on all required documents and submission. There are no minimum or maximum numbers of characters for any of the questions included in this form.

Organization Information Organization Name

Application Contact

Secondary Contact

Click or tap here to enter text.

Section 1 – Application Attachments Required Documents -

Suspension/Debarment Certification Form (Attachment R-required upon award)

Section 2 – Organizational Capacity Evaluation Attach an agency-level organizational chart for your entire agency (if large or administering in multiple sites and locations) and a more detailed chart for program-level administration. For some agencies, a single chart may be sufficient. The organizational chart(s) document(s) should only list titles/functions and need not include individual staff names.

Provide the following information:

· Staff that are responsible for administering program and their qualifications (Required for consideration)

· How the organization or staff is uniquely qualified to provide the services

· Plan to fill any positions that need to be filled in order to administer programming

· Whether there are any state and/or local licenses required for the agency and/or staff to operate

· What training is required of and/or offered to the staff members providing services?

· How does the staff and leadership of the organization reflect the population being served?

Click or tap here to enter text.

Application Evaluation Considerations for this Section:

· Does the organization demonstrate a track record sufficient to undertake the program?

· Does the organization have experience operating programming similar to that for which they are seeking funds?

· Does the organization have experience working with the population they intend to serve?

· Does the organization demonstrate that its staff and leadership reflect the population they intend to serve?

· Does the organization have the professional staff capacity to undertake and support the program services outlined in the application?

Section 3 – Historic Narrative Provide the following information:

· History and purpose of organization, including number of years in service

· Does the organization have at least 12 months experience of providing services similar to those sought in the solicitation?

· Past participation with the City on past or present City contracts

· List of past 5 years-worth of contracts with the City

· Demographic information on past and current client population

· Experience working with the population to be served

· What is the organization’s history of working in the target community (City of Dallas) specific for this application?

Click or tap here to enter text.

Application Evaluation Considerations for this Section:

· Does the organization demonstrate a track record sufficient to undertake the program?

· Does the organization have experience operating a grants administration program or grantmaking?

· Does the organization have experience working with the population they intend to serve?

· Does the organization have experience delivering the proposed programming?

· Does the proposal demonstrate that an investment in the organization will support leveraging of funds as outlined in the solicitation?

· Does the organization articulate the necessary collaborations and partners necessary for successful program implementation?

· Does the organization have a history of working in the target community (City of Dallas) specific for this application Section 4 – Program Work Plan and Activities Provide the following information:

· Provide a narrative of the proposed Work Plan

· What are the program activities?

· What services will be delivered, and how do they align with the services sought in the NOFA?

· How will the service delivery prioritize required target populations?

· What is the best practice service delivery model or research-basis for the selected program design and how does the selected model best meet the needs of the target population?

· Is any part of the program considered evidence-based? Will any funds be used to support evidence-based programming?

· What is the timeline for service delivery?

· How will the organization layer or leverage funding received through this Proposal?

· Marketing and/or outreach plan to ensure client awareness of available programming

· Targeted populations, including service delivery location(s), including whether the organization is serving communities of concentrated poverty

· Please clearly articulate you plans to deliver services in the specific community/district selected Click or tap here to enter text.

Application Evaluation Considerations for this Section:

· Do the program activities and work plan demonstrate a plan that is reasonable and appropriate to deliver the proposed program services?

· Is it clear that the programming will deliver the desired scope of services and reach the desired target population(s)?

· Does the Organization articulate a plan for outreach to potentially eligible clients with an emphasis on identified target populations?

· Does the Organization articulate a strategy that enables greatest access to assistance among its targeted population and strives to support the City’s goals of equitable disbursement of funding and resources?

· Did the organization articulate how the program targets the target populations identified in the solicitation?

· Does the proposal demonstrate that an investment in the organization will support leveraging of funds – does the program layer with and leverage existing resources?

· Will the proposed program deliver services in community of concentrated poverty or high evictions risks/rates and/or in a way that is accessible to such communities?

· Did the organization articulate how the program prioritized individuals outlined as target population?

· Does the organization articulate how the program will minimize barriers to accessing assistance?

· Does the organizations articulate how it will apply data to drive outreach and service delivery?

· Does the organization articulate the necessary collaborations and partners necessary for successful program implementation?

· Does the organization outline clear eligibility criteria aligned with RFP requirements and the process to determine client and/or site eligibility?

Section 5 – Program Evaluation Organization may choose to attach evaluation tools, intake forms and other documents in support of this section, including intake or client eligibility form. Additionally, the City will provide subrecipients with monthly reporting forms.

Provide the following information:

· What are the organization’s target metrics for the proposed programs/services?

· Do the proposed target metrics (target outputs and target outcomes) align with the programming and demonstrate the impact of programming?

· What is the organization’s plan/process to document client eligibility / ensure programming is reaching eligible or targeted client populations?

· What is the organization’s plan to evaluate the effectiveness and impact of the program?

Click or tap here to enter text.

Application Evaluation Considerations for this Section:

· Did the organization establish a set of output and outcome metrics and targets that are measurable, reasonable, and demonstrate the impact of the proposed programming?

· Did the organization submit an Evaluation Plan?

· Is it clear that the organization has the appropriate processes in place to document and verify client eligibility in alignment with the stated requirements?

Section 6 – Budget and Budget Narrative Please provide the following information:

· Attach program budget (Attachment 2)

· Include a written budget narrative that explains or justify by line item or cost category

· Include justifications for all staff fully or partially included within the budget

· Document budget alignment with outlined eligible expenses and applicable caps

· Will any funds be used to support evidence-based programming? If so, how much?

Click or tap here to enter text.

Application Evaluation Considerations for this Section:

· Based on the Organization’s Program Budget, is the budget reasonable and appropriate to undertake and support the program services outlined in the Application?

· Are outlined expenditures eligible per the program budget (Attachment 2)

· Did the organization agree to report in accordance with City requirements for this NOFA? See below Required Acknowledgements.

· Will supporting the program contribute to the City’s collective goal of equitable service delivery?

Section 7 – Additional Acknowledgements In order to enable the aggregation of data across all partners and programs and to meet all applicable Treasury reporting requirements, all Providers are required to report in multiple formats with varying frequencies. Similarly, the City is seeking to simplify outreach and application processes by utilizing a shared intake and application platform. The City will work with each Provider on the following items. Please check each to affirm:

Required Acknowledgements