FY 2019 Reception and Placement - Sample Abstract.docx
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- Opportunity number
- SFOP0004188
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Department of State
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FY 2019 NOFO - Sample Abstract
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FY 2019 Affiliate/Sub-office Abstract ***Each Abstract must be limited to 3 pages***
National Agency
Affiliate Code
Office State
Office City
Office Name
Office Address
SUB-OFFICE
Name of Sub-office (if applicable)
Name of Administering affiliate (if applicable)
R&P PROGRAM AFFILATE STAFFING
| R&P FTE paid by R&P |
| R&P FTE paid by Other (not including volunteers) |
| Total Client/FTE Ratio |
FY 2018
FY 2019
CASELOAD STATISTICS
(number of individuals) FY 2017 Actual Arrivals
FY 2018 Acknowledged Capacity
FY 2018 Anticipated Arrivals
| PROPOSED FY 2019 |
| Total |
a. U.S. Tie Capacity
b. No U.S. Tie Capacity c.(a+b) Total Refugee Capacity
d. SIV Capacity (if proposing SIVs, must serve a minimum of 10 SIVs) c+d Total Capacity (Note a minimum of 100 refugees and SIVs total required per affiliate)
RECENT AND PROPOSED CASELOAD
Nationalities served FY 2017–FY 2018
Proposed nationalities FY 2019
| Languages available on staff to support the proposed caseload |
| Only include languages spoken by the proposed caseload. |
| Languages available from within the community of resettlement to support the proposed caseload |
| Only include languages spoken by the proposed caseload. |
| Other language resources used |
| Note whether these resources are telephonic or in-person, and include the frequency and general circumstances of use. |
FY 2017 R&P PERIOD REPORT OUTCOMES
| Total R&P Period Reports Submitted for FY 2017 |
| (number of cases/number of individuals) |
| R&P Period Employment |
| % and fraction |
| R&P Period Out-Migration |
| % and fraction |
| R&P Period Household Income Exceeds Expenses |
| % and fraction |
RECENT R&P MONITORING OUTCOMES
Date of most recent PRM monitoring visit:
Compliance Rating
Date of most recent Resettlement Agency headquarters monitoring visit (R&P):
Compliance Rating
SITE RATIONALE
Number of other affiliates present in placement radius
Local overall unemployment rate
| Available jobs for refugees |
| List types of jobs/fields where refugees most commonly found employment in FY 2017 and FY 2018. |
| Average starting wage for refugees |
| Note the average starting wage or range refugees earned in FY 2017 and FY 2018. Note whether jobs were full-time or part-time, and whether they offered benefits. |
| Average monthly rent and availability (Note whether Always, Frequently, Sometimes, or Never Available) | ||
| 1-Bedroom: $_________ | Available: ____________ | |
| 2-Bedroom: $_________ | Available: ____________ | |
| 3-Bedroom: $_________ | Available: ____________ |
GRIEVANCE AND PROTECTION FROM SEXUAL EXPLOITATION AND ABUSE (PSEA) POLICY
| Indicate whether you have a grievance policy. |
| ___ Yes ___No |
| Indicate whether you have incorporated the IASC’s six core principles for PSEA in your organization’s code of conduct for all staff and volunteers. |
| ___ Yes ___No |
**Instructions: Please number each response and include the topic in bold. The instructions below should not be repeated in your response.
1. Satellite Offices: If proposing to utilize a satellite location for service delivery, describe the location, the distance from the office proposed in this abstract, and estimated operating hours.
2. Community Engagement: Give two examples of results achieved through implementation of your FY 2018 strategies to engage the community and integrate refugees. Describe your FY 2019 strategies and the results you expect to achieve. Describe how you will assess the results to determine the success of your strategies.
3. Financial Resources: Enumerate in the chart below the financial contributions from all sources developed by the affiliate in FY 2017 and FY 2018, and proposed for FY 2019 to support the R&P Program. Include only those resources to be used for R&P activities. Name sources of funding from state, county, or local government. To calculate the per capita total, use actual arrivals for FY 2017, acknowledged capacity for FY 2018, and proposed capacity for FY 2019. Note: other public funding (federal or state) may not supplant or comingle with R&P funds.
Projected Contributions to the R&P Program
| Type of Donor |
| FY 2017 Actual Cash |
| FY 2017 Actual In-kind Value |
| FY 2018 Estimated Cash |
| FY 2018 Estimated |
In-kind Value
| FY 2019 Projected Cash |
| FY 2019 Projected In-kind Value |
Foundations/ Corporations
Faith-based/ Community-based Organizations
Fees for Service
Individuals
Volunteer Hours/Miles
State/County/Local Government: [SOURCE]
Headquarters
Affiliate/Sub-office
Other:
TOTALS
TOTALS PER CAPITA
FY 2019 Reception and Placement Program Proposal
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