Appendix H.docx

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Attached to
Program Evaluator Services
Solicitation number
RFSQ-BHS-FY24-0084
Issued by
California

About this file

This is an Offeror Specialties Form for a Request for Statements of Qualifications (RFSQ) issued by the County of Santa Clara Behavioral Health Services Department for Program Evaluator Services (RFSQ-BHS-FY24-0084). The form requires qualified firms to demonstrate their experience and capacity across multiple evaluation service dimensions to support various behavioral health programs operated by the County Health System.

Offerors must indicate their experience with specific target populations including children and youth (ages 0-15), transitional age youth (ages 16-25), adults (ages 26-59), and older adults (age 60+), with years of relevant program evaluation experience required for each selected population. Additionally, firms must identify their service delivery capacity across Santa Clara County's geographic regions (North, South, Central, and East County), specify their availability for in-person, remote, or hybrid service delivery with corresponding day availability, and provide information on lead staff qualifications including highest educational degree attained (Bachelor's, Master's, or Doctoral) and years of professional experience (categorized as less than 5 years, 5-8 years, 8-10 years, or more than 10 years).

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Attachment H.pdf PDF
Appendix B rev 07142025.docx DOCX document
Attachment B.pdf PDF
Appendix A.docx DOCX document
Appendix D.docx DOCX document
Attachment A rev 07142025.pdf PDF
Solicitation_Document.pdf PDF
Attachment F.pdf PDF
Addendum 3.pdf PDF
Addendum 5.pdf PDF
Appendix G.docx DOCX document
Attachment G.pdf PDF
RFSQ-BHS-FY24-0084 rev 07142025.pdf PDF
Appendix E rev 07142025.docx DOCX document
Addendum 2.pdf PDF
Appendix F.docx DOCX document
Attachment D.pdf PDF
Appendix I.docx DOCX document
Solicitation_Document_1.pdf PDF
Attachment C.pdf PDF
Addendum 4.pdf PDF
Appendix C.docx DOCX document
Attachment E.pdf PDF
Addendum 6.pdf PDF
Addendum 1.pdf PDF
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Text version

Santa Clara County –Behavioral Health Services Department RFP-BHS-FYXX-XXXX: RFP Title

APPENDIX H

County of Santa Clara RFSQ-BHS-FY24-0084: Program Evaluator Services

OFFEROR SPECIALTIES FORM

Indicate specialty experience and provide notes to expand on selected specialties.

SPECIALTY
NOTES

Target Population Program Experience ☐ Children and Youth (ages 0-15) ☐ Transitional Age Youth (ages 16-25) ☐ Adult (ages 26-59) ☐ Older Adult (age 60+) [List years of experience evaluating programs with selected target population (Ex: 5 years of experience evaluating youth targeted programs)]

Evaluation Service Capacity ☐ North County ☐ South County ☐ Central County ☐ East County [If applicable: ability to provide evaluation services or attend meetings at designated locations]

Evaluation Service Delivery ☐ In-Person ☐ Remote ☐ Hybrid [List how many days Offeror is available to provide in-person/hybrid services]

Lead Staff Educational Experience (Select highest degree) ☐ Bachelor’s Degree ☐ Master’s Degree ☐ Doctoral Degree

Lead Staff Years of Experience ☐ Less than 5 ☐ 5 to 8 ☐ 8 to 10 ☐ More than 10

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