Attachment_3_Applicant_Cover_Page.pdf
PDF 107 KB Posted
- Solicitation number
- 2136085
- Issued by
- New York
About this file
This is an Applicant Cover Page attachment for a Request for Applications (RFA #20770) issued by the New York State Department of Health, Office of Health Equity and Human Rights. The RFA seeks qualified and experienced service providers to deliver health and human services to Migrant and Seasonal Workers (MSW) and their families across New York State. The program comprises two components: Component 1 addresses services to MSW and their families in designated economic development regions, while Component 2 focuses on services for children of MSW. The contract period spans four years with an annual allocation of $351,431, totaling $1,405,724 over the full term. The Department intends to maintain existing service capacity while improving health outcomes through culturally and linguistically appropriate, high-quality services aligned with the state's health equity framework.
Eligible applicants are limited to public and not-for-profit, community-based health and/or human service organizations with demonstrated ties to the MSW population in New York State. The funding derives from both New York State and federal sources. The RFA emphasizes the importance of health equity, defined as ensuring all individuals have fair and just opportunities to achieve optimal health regardless of demographic characteristics or geographic location. Organizations responding to this RFA must demonstrate their capacity to serve this specialized population and their understanding of the unique health and social support needs of migrant and seasonal workers and their families in New York.
View the file
Other files
Show all 14
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment 3
Application Cover Page Migrant and Seasonal Workers Program
RFA # 20770
Attachment 3: #20770
Applicant Organization Name:
Provider Type: Federal ID #: Unique Entity Identifier (UEI):
Applicant Organization Address:
Contact Person Name:
Contact Person Title:
Contact Person Email: Contact Person Telephone #: Contact Person Fax #:
Total Requested Amount of Funding (Assuming a 5-year contract period): $
Which component is this application for? Please note: Applicants may submit only one application per component. Applicants applying for both component one and component two must complete both applications separately. Please indicate which component this application response is applying for below by placing an “X” or check mark next to the component:
___ Component 1: Migrant and Seasonal Workers and/or their Families
If applying for Component 1, what is the total estimated number of Migrant and Seasonal Workers and/or their families to be served annually?
____ Component 2: Children of Migrant and Seasonal Workers
If applying for Component 2, what is the total estimated number of Children of Migrant and Seasonal Workers to be served annually?
(For Component 1 Only): Which region(s) does the Applying Organization Serve? Please note: Applicants may submit one application naming each of the regions they are applying for in their cover letter. Each regional contract will be awarded to the highest scoring applicant for that region, no preference will be given to applicants applying for multiple regions. Anticipated award amounts for each component and region can be found in Attachment 2.. Please indicate which regions the Applicant is applying for by placing an “X” or check mark next to the region(s) below:
____ Mohawk Valley: Fulton, Herkimer, Montgomery, Oneida, Otsego, Schoharie
____North Country: Clinton, Essex, Franklin, Hamilton, Jefferson, Lewis, St. Lawrence
____Capital Region: Albany, Columbia, Greene, Saratoga, Schenectady, Rensselaer, Warren, Washington
Attestation of Minimum Requirements Signature from Applicant Organizations Signatory below indicates: (1) I certify the information provided on this cover page is accurate to my knowledge. (2) By submission of this application, I verify that my organization/entity meets all minimum requirements outlined in section II of this Request for Applications. (3) I attest that my organization/entity will serve the minimum number of Migrant and Seasonal
Workers and/or their family members outlined in Attachment 2 to be eligible for an award.
Signature: Printed Name: Date:
File details come from the government source that posted it. Updated .