2010 Renewal Project CoC Local Application by ajizai

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									        Homeless Alliance of Western New York
        2010 Local HUD Continuum of Care Competition
        Renewal Project Application

                                              Project Information
Project Name:

Amount of Funding Request: $
(Projects CANNOT renew for more money than awarded in the original grant)
Fund Distribution:
Housing:                                  Services:                            Admin:

Length of Funding Request:                  One Year  Two Years  Three Years

Grant Type:                                 SHP            S+C             Section 8 SRO


                                  Sponsoring Organization(s) Information
Organization Name:

Director:

Address:

City:                                          Zip Code:

Telephone:                                     Fax Number:

Website:


                                  Application Contact Person Information
Name:

Address:

City:                                          Zip Code:

Telephone:                                     Fax Number:

E-Mail:

          Please complete application fully! Applications not fully complete will not be considered.


                                                           1
                                            Project Description

                          Complete each of the charts and answer all questions
                                in the Project Narrative section below.

Beds                                                                                        Current Level
 Number of Units
 Number of Beds
 How many people do you plan to serve in one year?
 What is the average length of stay?
 What is a resident’s maximum possible length of stay in the program?


Participants                                                                            Current          Projected
                                                                                         Level           Level for
                                                                                                         Renewal
Number of Families With Children
  a. Number of Disabled Persons
  b. Number of Other Adults
  c. Number of Children
Number of Unaccompanied Individuals
  a. Number of Disabled Individuals
  b. Number of Disabled Individuals who are Chronically
     Homeless
  c. Number of Other Individuals
                                                                            Total


What percentages of clients fall into the subpopulations below?                               Percentage Served
Chronically Homeless1
Severely Mentally Ill
Chronic Substance Abuse
Veterans
Persons with HIV/AIDS
Victims of Domestic Violence
Women with Children
Youth (Under 18 years of age)2



    1
      A "chronically homeless" person is defined as by HUD as "an unaccompanied homeless individual with a disabling
    condition who has either been continuously homeless for a year or more, or has had at least four episodes of
    homelessness in the past three years.
    2
      HUD defines youth as under 18 years of age.


                                                            2
                                   PROJECT NARRATIVE


1. Describe the target population(s) and those served. Why do they need the proposed
   assistance?

2. Where does the population come from? Indicate the percentage from: Department of Social
   Services referrals, the streets, emergency shelters, transitional housing, prison or other
   institutions, treatment centers, evictions from housing, living in hotels or motels, or doubled
   up with family or friends.

3. How did you determine the number of people you plan to serve in one year?

4. Describe any current or future outreach conducted to bring participants into the project.

5. Describe partner organizations that work with your organization and the services that each
   one provides. Describe the roles of collaborative partners.

6. What supportive services are provided and what transportation is available to participants to
   access those services?

7. What programs or referrals have been most useful to the success of your program?

8. What situations lead to exit from the program?

9. What makes your program unique?




                                                  3
                                          Project Budget

                    Please select the appropriate budget and complete.

Supportive Housing Program (SHP) Projects

Grant Term (1, 2, or 3 years):

2010 SHP Project Budget (please complete the budget form and attach to this application).
The budget form can be found at www.wnyhomeless.org.

(If you have a figure listed in “Other” column, please explain all items/services that will be paid for
with this line item in the space provided.)

Shelter Plus Care (S+C) Projects

S+C Type (circle one): TRA               SRA              PRA           SRO
Grant Term(1, 2, or 3 years):

                                                                                   Renewal Budget
 Total Rehabilitation Costs
 Acquisition
 Other Costs
                                                                        Total $

     Dwelling Units              Number of       Fair Market         Number of         Total Amount
                                   Units             Rent             Months            Requested
                                                                                         Renewal
 Zero Bedrooms

 One Bedrooms

 Two Bedrooms

 Four Bedrooms

 Other: (Specify)


        Total Assistance




                                                      4
                                        Measurement

Please indicate how your program will help HUD advance its goals by answering the
following questions.

If you are citing that you will make referrals for specific services, please list the agencies, the
nature of your relationship with these agencies and if you have a formal agreement with
these agencies such as a Memorandum of Understanding (MOU).

Please note: Agencies are encouraged to have an MOU with agencies they are referring to and
getting referrals from.

               PLEASE USE THE MOST RECENT APR FIGURES TO COMPLETE
                         THE CHART AND QUESTIONS BELOW.

For Transitional Housing Projects:
                                                                                           Answer
 What is the total number of participants who exited your transitional housing
 program during the operating year?


 What is the percentage of participants who stayed in your program for at least
 6 months?

 What is the percentage of participants who left and moved to permanent
 housing?

 What is the percentage of participants who were employed upon exiting your
 program?


  1. HUD has stated a preference for persons in Transitional Housing maintaining their
     Transitional Housing status for at least 6 months. If the majority of your participants
     do not stay in your program for at least 6 months, please explain why. How will your
     program achieve this goal in the future?

  2. If you are not meeting the HUD standard of 63.5% of homeless persons moving from
     Transitional Housing to Permanent Housing, please explain why not and what
     measures are in place to increase this percentage.




                                                5
For Permanent Supportive Housing Projects:
                                                                                   Answer
What is the total number of participants who exited your permanent
supportive housing program during the operating year?


What is the percentage of participants who stayed in permanent supportive
housing over 6 months?

What is the percentage of participants who were employed upon exiting your
program?

What is the average length of stay for your program?


   1. If you are not meeting the HUD standard of 71.5% of homeless persons staying in
      Permanent Housing over 6 months, explain what measures are in place to work
      toward meeting the HUD standard.

   2. If unable to meet this goal, what are the challenges to meeting this goal?

For all Projects including supportive services only projects:
   1. How has your project ensured that program participants have access to mainstream
       benefits and/or employment income at time of discharge? Can you improve
       participant access? How?

   2. How long after a client leaves your program do you provide follow up? What does the
      follow up entail? If you do not provide follow up, please explain.

   3. How does your program assist homeless clients to attain permanent housing?

   4. Does your project meet any best practice models as outlined by the Homeless Alliance
      of Western New York?

   5. Does your project specifically serve chronically homeless individuals (as defined by
      HUD)?




                                              6
            BAS-Net Data Quality and Participation Measurement

New to the 2010 competition, 50% of a project’s overall score will be based on BAS-Net
                              participation and data quality.
Applicants will be scored on several components, please see the chart below and answer the
                                    following questions.

The HMIS Coordinator will run a REPORT to identify percentages of null or missing data, as
well as compare bed lists to HMIS entries.

   1) How many HMIS licenses/trained staff members do you have?
   2) Are you currently using BAS-Net for Annual Progress Reports?
   3) Please list all Homeless Alliance sponsored HMIS events or meetings your program
      has participated in. (ex: HMIS Information Day, Quarterly User Group Meetings)
   4) Please attach a copy of your Bed List for week of April 5th – 9th


                       SCORED FACTOR                                MAXIMUM POINTS
                                                                     TO BE AWARDED
   1. 5% or less missing or null data of Universal Data Elements   30 points

   2. Participation at HMIS Conferences or Education days          10 points

   3. Participation in user group meetings                         10 points

   4. HMIS Client Records are a true representation of clients 25 points
      currently being served by the agency




                                             7
                           Addressing Community Needs


The HUD Continuum of Care models stresses that homelessness cannot be addressed by a
single entity but rather must be part of a system of supports from prevention, outreach, and
intervention through emergency shelter, transitional, and permanent housing. As a result,
our community works together to develop strategies for addressing homelessness.

Please answer the following questions regarding your organization’s participation in these
efforts over the past year.

All projects please answer the questions below:
    1) Community Involvement
          a) Describe your organization’s involvement with the Homeless Alliance of WNY.
          b) Describe your organization’s involvement with other homeless-related efforts.
          c) Should you receive funding, what will you do to ensure that your program staff
              is involved in community efforts to address homelessness?

Projects serving families with children:
   1) Education Support to Students in Temporary Housing
          a) Describe how your project will work with school districts and other local
             education agencies to serve students in temporary housing?




                                             8
                                         Project Leveraging

Leveraging includes all funds, resources, and/or services that the applicant can secure on
behalf of the client being served by the proposed project. While leveraging includes all cash
matching funds, it is broader in scope, including any other services, supplies, equipment, and
space that are provided by sources other than HUD. Please be sure to identify the sources of
funding.

Identify sources of leverage for the proposed project in the table below. It is
recommended that the amount leveraged by your project combined with your cash
match funds should equal at least 2.5 times the amount of your grant request to HUD.

                                                                  Funding          One             Life of
                                                                   Source          Year            Grant
Administrative Oversight (e.g., accounting, CEO, etc):

Dental Services:

Medical Services:

Donations (e.g., clothing, furniture, food,
equipment):
Office Equipment (e.g., computers, cell phones):

Property:

Rent/Utilities:

Value of Services Provided by Referral Agencies (e.g.,
case management, treatment):
Volunteer Hours ($10 per hour):

Other:

Other:

Other:

Note: When submitting your federal application, you will be required to have a written commitment in hand for
any leveraged items including signed letters, memoranda of agreement, and other documented evidence of
commitment. Leveraging items may include any written commitment that will be used towards your cash match
requirements in the project, as well as any written commitments for buildings, equipment, materials, services,
and volunteer time. These written commitments must be documented on letterhead stationary, signed and
dated by an authorized representative, and must, at a minimum, contain the following elements: 1.) name of the
organization providing the contribution; 2.) value of the contribution; 3.) name of the project and sponsoring
organization to which the contribution will be given; and 4.) date the contribution will be available.


                                                      9
                                        CASH MATCH

Cash Match is money contributed by the grantee toward the cost of the project. This can
come from other grant funding, unrestricted general funds, funding raising, private donors,
etc.

Indicate the Source of your cash match and when you expect the funds to be available.

Source                             Amount                           Date of Availability




                                             10
                          CONSUMER SATISFACTION SURVEY


Points will be awarded to programs that achieve a 20% or higher response rate on Consumer
             Satisfaction Surveys. Surveys are attached to the renewal application
 Completed surveys are to be turned into the Homeless Alliance with your completed
                                Renewal Project Application.

Please complete the chart below.

What is the total number of participants in the program at the time the survey was given?
How many consumers completed the Satisfaction Survey?
Please calculate the percentage of clients who completed the survey.




                                             11
                 Continuum of Care Participation in Energy Star

Continuums of Care that have applicants applying for new construction or rehabilitation
funding or who maintain housing or community facilities or provide services in those
facilities are also encouraged by HUD to promote energy efficiency, and are specifically
encouraged to purchase and use Energy Star labeled products. Continuums are required to
notify members of this initiative (see presentation on www.wnyhomeless.org) and to include
information on the number of projects planning to use Energy Star products.

Please indicate if you plan to use Energy Star Appliances for your proposed project
 Yes, we plan to use Energy Star Appliances for the proposed project.
 No, we do not plan to use Energy Star Appliances for the proposed project.




                                             12
                          Notice of Continuum of Care Successful Application Fee

Please Read and Sign.

The Board of Directors of the Homeless Alliance has established the following policies in regard
to the payment of fees related to successful HUD Continuum of Care applications.

    1. A fee, to be known hereafter as the “Continuum of Care Successful Application Fee” is to
       be paid by successful applicants for HUD Continuum of Care funding, as described below,
       in order to reimburse the Homeless Alliance for the cost of work done to prepare,
       coordinate and complete the Continuum of Care application process.

    2. Fee Calculation: this fee owed shall be equal to 0.5% (zero point five percent) of the total
       award granted by HUD to the grantee. Where a multi-year award is granted, the fee will
       be calculated and due on the total award. (award X .005 = fee)

    3. Payment Method: fees are to be paid by check or money order, and are to be made
       payable to “Homeless Alliance of WNY, Inc.”.

    4. Payment Schedule: fees will be due and payable according to the following schedule:

              a. No later than 90 days from the date that HUD officially announces Continuum of
                 Care awards, the Homeless Alliance will calculate and send an invoice to each
                 grantee which details the amount of the fee owed and date due.

              b. Payment of this fee shall be due no later than 30 days after the execution of a
                 contract with HUD for the award subject to the fee, or no later than 30 days after
                 receipt of an invoice from the Homeless Alliance, whichever comes later.

              c. For multi-year awards, the full fee will be invoiced, but the option of paying on an
                 annual basis over the life of the award is available to the grantee upon request.

    5. Sub-Grantees: in the event that an agency applies for and receives an award on behalf of one
       or more sub-grantees, that agency (the “grantee”) is responsible for the fee covering the total
       amount awarded, and it is the grantee’s responsibility to collect from the sub-grantees, if they
       so choose.

    6. Failure to Pay: the failure of a grantee to pay a Continuum of Care Successful Application
       Fee will be ranked as a significant factor in the evaluation of any future Continuum of Care
       applications the grantee submits to the Homeless Alliance.

I am aware of the above policy regarding a development fee due to the Alliance should my organization be
awarded funds in the 2010 Continuum of Care competition.

__________________________________________________________                __________________________
Name/ Title                                                                  Date


                                                             13
Homeless Alliance of Western New York
2010 Local HUD Continuum of Care Competition
Consumer Satisfaction Survey
  Your answers are anonymous and you individual responses will not be shared with the provider.
   There is a comments section at the end. Please feel free to comment on any of the questions.

  1.   How long have you been in the program? (check one)

          Less than 1 month                  1 to 6 months                 7 to12 months
          13 months to 1 ½ years             more than 1 ½ years

  2.   These are the services I receive (you may check more than one):


           Employment                      Substance Abuse           Medical                 Mental Health Services
           Case Management Services                  HIV Prevention Education                Legal
           Other____________________________________________________

           a.   Are your service needs being met in this program? (check one)
                Always           Most of the Time         Some of the Time                   Never

           b.   These are services I need but don’t receive:
                Employment                  Substance Abuse               Medical     Mental Health Services
                Case Management Services                       HIV Prevention Education       Legal
                Other____________________________________________________

           c.   How is this program meeting or not meeting your needs?
                __________________________________________________________________________________________________________________
                __________________________________________________________________________________________________________________

  3.   If you have requested a referral to other programs/services, did you receive the referral requested?
            Yes                  No               N/A

           a.   If you answered NO, please explain why:
                __________________________________________________________________________________________________________________
                __________________________________________________________________________________________________________________

  4.   Are you treated with dignity and respect by the staff at this program?
       Always          Most of the Time          Some of the Time           Never

  5.   Do you feel that you can make decisions about what happens to you in this program?
       Always            Most of the Time        Some of the Time       Never

  6.   Do you feel that you can give input into how the program is run (for example: consumer advisory board or
       tenant’s council, grievance procedure, suggestion boxes, consumer involvement in agency/board
       membership)?
       Always            Most of the Time         Some of the Time         Never



                                                             14
   7.   Do you feel safe in the program/facility?
        Always            Most of the Time        Some of the Time                   Never


   8.   Is the program’s facility clean and well maintained?
        Always           Most of the Time          Some of the Time                  Never

   9.   When you have a problem or complaint, is a staff person available to help you?
        Always         Most of the Time         Some of the Time            Never

   10. Has the quality of your life improved since you entered this facility or program?
       Greatly          Somewhat                  Stayed the same             Gotten worse

        Please explain:
        ____________________________________________________________________________________________________________________________
        ____________________________________________________________________________________________________________________________

   11. Do you feel that your personal information is kept private by program staff?
               Yes                       No               N/A

   12. Do staff in the program speak your language or has the program provided interpreters who speak your
       language?
                Yes                     No               N/A

   13. Is there sensitivity to your cultural needs (for example: accommodating food habits, dress, other beliefs and
       practices)?
                Yes                        No

   14. This is what I like about the program/facility…
       ____________________________________________________________________________________________________________________________
       ____________________________________________________________________________________________________________________________

   15. This is what I wish were different about the program/facility…
       ____________________________________________________________________________________________________________________________
       ____________________________________________________________________________________________________________________________



Any other comments?

        ____________________________________________________________________________________________________________________________
        ____________________________________________________________________________________________________________________________
        ____________________________________________________________________________________________________________________________
        ____________________________________________________________________________________________________________________________
        ____________________________________________________________________________________________________________________________
        ____________________________________________________________________________________________________________________________




                   Thank you for participating in this survey! Your opinion matters.

                                                               15
Homeless Alliance of Western New York
2010 Local HUD Continuum of Care Competition
Consumer Satisfaction Survey
Sus repuestas son anónimas y no serán compartidas con el proveedor de servicios. La sección final de esta
   encuesta esta reservada para sus comentarios. Invitamos sus comentarios sobre cualquiera de estas
                                              preguntas.

   1. ¿Cuanto tiempo ha estado en el programa? (Marque Uno)
         Menos de un mes            1 a 6 meses         7 a 12 meses
        13 meses a uno año y medio, 1 ½           Mas de uno año y medio, 1 ½

   2. Estos son los servicios que yo recibo:
        Empleo         Abuso de Sustancias         Salud Medica
        Servicios de Salud Mental            Educacional          Servicios de Trabajador Social
        Educación para Prevención de VIH/SIDA             Servicios Legales
        Otros ___________________

           a. ¿Alcanzan sus necesidades los servicios proveídos en este programa? (Marque Uno)
                     Siempre        La mayoría de Tiempo                   Algunas veces
                     Nunca

           b. Estos son los servicios que necesito, pero no recibo:
          Empleo         Abuso de Sustancias             Salud Medica
          Servicios de Salud Mental                Educacional          Servicios de Trabajador Social
          Educación para Prevención de VIH/SIDA                 Servicios Legales
          Otros ___________________________________

           c. ¿Como esta este programa alcanzando o no alcanzando sus metas?
              ________________________________________________________________________________________________________
              ________________________________________________________________________________________________________


   3. ¿Si usted ha solicitado una referencia a otros programas o servicios, recibió la referencia que
      solicito?
              Siempre         La mayoría de Tiempo           Algunas veces                   Nunca

           a. ¿Si no recibió una referencia, porque no?
              Siempre         La mayoría de Tiempo                  Algunas veces                     Nunca

   4. ¿Es usted tratado con dignidad y respeto por los empleados de este programa?
              Siempre        La mayoría de Tiempo           Algunas veces                             Nunca

   5. ¿Siente usted que puede hacer decisiones sobre lo que le pasa a usted en este programa?
              Siempre       La mayoría de Tiempo            Algunas veces                 Nunca



                                                        16
    6. ¿Cree usted que se la oportunidad de plantear ideas sobre la operación de este programa (por
       ejemplo: Junta Consejera de Consumidores o Cónsul de Inquilinos, proceso de quejas, caja de
       sugerencias, participación de consumidores con la agencia/miembro de la directiva)?
              Siempre         La mayoría de Tiempo           Algunas veces                 Nunca

    7. ¿Se siente seguro en este programa/facilidad?
               Siempre        La mayoría de Tiempo                     Algunas veces                     Nunca

    8. ¿Esta la facilidad de el programa limpio y bien mantenido?
               Siempre          La mayoría de Tiempo          Algunas veces                              Nunca

    9. ¿Cuando usted tiene un problema o una queja, encuentra a un empleado disponible para
       ayudarle?
              Siempre        La mayoría de Tiempo          Algunas veces                Nunca

    10. ¿Ha mejorado su calidad de vida desde que entro a esta facilidad o programa?
              Mucho           Algo           Se Mantiene Igual               Esta Peor

             a. Por favor explique:
                ________________________________________________________________________________________________________
                ________________________________________________________________________________________________________

    11. ¿Cree usted que se mantiene privada su información personal?
               Si      No     Yo no se

    12. ¿Los empleados del programa hablan su idioma o el programa provee interpretes que hablen su
        idioma?
               Si    No       N/A

    13. ¿Los empleados demuestran sensibilidad a sus necesidades culturales (por ejemplo: complacer su
        hábito de comida, vestuario, otras creencias o prácticas)?

    14. Esto es lo que me gusta del programa o facilidad…
        _________________________________________________________________________________________________________________
        _________________________________________________________________________________________________________________

    15. Esto es lo que yo desearía que fuera diferente de el programa / facilidad …
        _________________________________________________________________________________________________________________
        ________________________________________________________________________________________________________________

¿Cualquier otro Comentario?
       _________________________________________________________________________________________________________________
       _________________________________________________________________________________________________________________
       _________________________________________________________________________________________________________________


                       Gracias por participar en esta encuesta, su opinión importa.



                                                          17

								
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