fy2016 r&p nofo sample abstract.doc

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FY2016 Notice of Funding Opportunity for Reception and Placement Program
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PRM-PRMUSRAP-16-001
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FY2016 R&P NOFO Sample Abstract

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FY2016 Affiliate/Sub-office Abstract

***Each Abstract must be limited to 3 pages***

National Agency

Affiliate Code

Office State

Office City

Office Name

Office Address

JOINT SITE
SUB-OFFICE

If joint site, with which agency or agencies?

Sub-office

Administering affiliate

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

FY2015

FY2016

CASELOAD STATISTICS

(number of individuals) FY2014 Actual Arrivals

FY2015 Acknowledged Capacity

FY2015 Anticipated Arrivals

PROPOSED FY2016
AF
EA
ECA
LAC
NE/SA
Total

U.S. Tie Capacity

No U.S. Tie Capacity

Total Capacity

FY2014 R&P PERIOD REPORT OUTCOMES

R&P Period Employment % (individuals):

R&P Period Out-Migration % (individuals):

Total R&P Period Reports Submitted for FY2014 (number of cases/number of individuals):

Number of reports showing social security card application as late or incomplete
(cases)
Number of reports showing enrollment in cash assistance as late or incomplete
(cases)
Number of reports showing enrollment in medical assistance as late or incomplete
(cases)
Number of reports showing enrollment in SNAP (food stamps) as late or incomplete
(cases)
Number of reports showing enrollment in ESL as late or incomplete
(cases)
Number of reports showing enrollment in employment services as late or incomplete
(cases)
Number of reports showing school enrollment of minor child as late or incomplete
(cases)
Number of reports showing health screening as late or incomplete
(cases)
Number of reports showing enrollment in other services as appropriate as late or incomplete
(cases)
Number of reports showing household income not exceeding expenses
(cases)
Number of reports showing that refugee is unable to identify source(s) of household income and expenses after R&P assistance ends
(cases)

RECENT/PROPOSED CASELOAD

Nationalities served FY2014–FY2015

Proposed nationalities FY2016

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.

SITE RATIONALE

Number of other affiliates present

Local overall unemployment rate

Available jobs
List types of jobs/fields where refugees most commonly found employment in FY2014 and FY2015.
Average starting wage
Note the average starting wage or range refugees earned in FY2014 and FY2015. 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: ____________

Average wait time for newly arrived refugees to receive a health screening
__________ days

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. Health Care Access and Refugees with Special Needs: Within the caseload you propose to resettle in FY2016, list any conditions that, generally speaking, you are unable to accommodate (i.e., medical conditions, case composition or size, special need, etc). For each type of condition you list, briefly explain this location’s service limitations.

2. Public Outreach: Describe your FY2015 outreach activities and concrete results from these activities. Describe your outreach strategy for FY2016 and how it will result in positive outcomes for refugees.

3. Financial Resources: Enumerate in the chart below the financial contributions from all sources developed by the affiliate in FY2014 and FY2015, and proposed for FY2016 to support the R&P Program. Information on Abstracts for jointly-operated affiliates must reflect only the applicant agency’s activities; it should not represent a combination of partner agencies’ information. 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 FY2014, acknowledged capacity for FY2015, and proposed capacity for FY2016. 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
FY2014 Actual Cash
FY2014 Actual In-kind Value
FY2015 Estimated Cash
FY2015 Estimated

In-kind Value

FY2016 Projected Cash
FY2016 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

PAGE

FY2016 Reception and Placement Program Proposal

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