FY 2022 Reception and Placement - Sample Abstract.docx

FY 2022 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)

SATELLITE OFFICE (If applicable)

Location

Distance from affiliate

R&P PROGRAM AFFILATE STAFFING

(not including volunteers) Total Client/FTE Ratio

FY 2021

FY 2022

R&P VOLUNTEERS AND CO-SPONSORS

# of R&P volunteer hours (including individual volunteers as well as members of sponsorship groups) # of R&P community sponsors (not including co-sponsors)

# of R&P co-sponsors

FY 2020 Actual

FY 2021 Estimated

FY 2022 Projected

R&P CASELOAD STATISTICS

(number of individuals)

FY 2020 Actual Arrivals

FY 2021 Acknowledged Capacity

FY 2021 Anticipated Arrivals

FY 2022 Proposed Capacity

FY 2022 Proposed Capacity, Detailed

U.S. Tie

No U.S. Tie

FY 2022 Proposed Nationalities (one per line, insert more lines as necessary) Served in

FY 2020

Served in

FY 2021

Relevant language capacity available on staff Relevant language capacity available from within community

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:

CONSULTATIONS

FY 2022 Proposed Caseload

State Refugee Coordinator

State Refugee Health Coordinator

Local Governance

Local/County Public Health

Public Assistance/Social Services

Public Safety

Public Education

In the box below, briefly describe any significant concerns raised by any of the above representatives regarding the ability of the community to successfully receive the proposed FY 2022 caseload for this affiliate, as well as any concerns regarding the total caseload as proposed by all resettlement agencies for this geographic location. Note any plans to address those concerns, and whether proposed numbers align with the input from the representatives. If proposed numbers differ, provide the rationale for the difference. (Bulleted points are strongly encouraged)

Financial Resources: In the table below, enumerate the financial contributions from all sources developed by the affiliate in FY 2020 and FY 2021 and proposed for FY 2022 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. For each year, note how much of the total was or is projected to be used for R&P direct assistance (i.e., cash or in-kind to be given directly to clients) and how much was or is projected to be used by the affiliate to support R&P program management. Note: other public funding (federal or state) may not supplant or comingle with R&P funds.

PROJECTED CONTRIBUTIONS TO THE R&P PROGRAM

Foundations/ Corporations

Faith-based/ Community-based Organizations

Fees for Service

Individuals

Volunteer Hours/Miles

State/County/Local Government: [SOURCE]

Headquarters

Affiliate/Sub-office

Other:

TOTAL

Of which, total allocated/projected for R&P direct assistance

Of which, total allocated/projected to support affiliate R&P program management

FY 2022 Reception and Placement Program Proposal