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					                                     Pierce County

                  Transitional Housing Operating and Rent
                                  (THOR)

                                Funding Application




                           State Fiscal Years: 09 and 10

                       July 1, 2009 through June 30, 2010




Applications are due no later than 4:00 p.m., May 1, 2009 and will not be accepted if late.
Please hand deliver application to Pierce County Department of Community Services,
Housing Programs, 3602 Pacific Avenue, Tacoma, WA. to ensure it is received on time.
                                        Pierce County

                                          2009-2010

                     Transitional Housing Operating and Rent (THOR)

                                     Funding Application

This application contains the information and forms needed to prepare an application for funding
for the Transitional Housing, Operating, and Rent (THOR) Program. Pierce County Department
of Community Services administers this program on behalf of the State of Washington
Department of Community, Trade, and Economic Development.

This is a competitive application process to award $631,118 to be used to serve homeless
households who reside in Pierce County. Applicants will be rated based upon need, readiness,
capacity, leverage, and ability to work collaboratively to reduce homelessness in Pierce County
consistent with the 10 Year Plan to End Homelessness. Funding will be provided to eligible
agencies who submit a complete application that is awarded funding. Pierce County reserves the
right to negotiate contract terms and reduce award amounts based upon activities proposed. The
contract award period is July 1, 2009 through June 30, 2010. Preparation of an application does
not guarantee that applicants will receive funds. Applicants are encouraged to read and
understand the attached THOR Program Guidelines for both eligible activities, Operating
Subsidies and Rental Assistance.

There will be an application workshop Wednesday April 22, 2009 starting at 10:00 a.m in
Conference Room A. All applicants are encouraged to attend the workshop to be held at Pierce
County Department of Community Services, 3602 Pacific Avenue in Tacoma.

Applications are due no later than 4:00 p.m. May 1, 2009 and should be delivered to Pierce
County Department of Community Services, 3602 Pacific Avenue, Suite 200, Tacoma.
Applications should be hand delivered to ensure they are received on time. Any application not
received by the deadline will not be considered for funding.

There will be an outcome measurement tool (Logic Model) that will be required to be submitted
that will be made available at the Application Workshop.

If you need further information please contact Jeff Rodgers, Community Services Planner II, by
email at jrodger@co.pierce.wa.us or by phone at (253) 798-6908.
                               Packaging Your THOR Application

                       Submit 1 original and 5 copies of each complete application

1. Application Cover Page

2. Application

3. Community Support Letters

4. Additional Attachments
                            ADDITIONAL INSTRUCTIONS
                     FOR THE PIERCE COUNTY THOR APPLICATION

      Submit your Application (final submission) in both hard copy and on disk. Your disk copy must
be in Word format. We have provided you with a disk, which includes the formatted application in Word.

       Do not use graphics or formatting embellishments beyond those within the grant document. Many
grant applications include graphics and other embellishments to enhance the look of the proposal. In the case
of a consolidated application it is important NOT to include those embellishments within the disk copy
of your application.

       Be sure to read the instructions outlined in the NOFA and the THOR Rent Assistance
Guidelines and THOR Operating Subsidy Guidelines for the program. Although most of the
instructions were copied to this application, all were not.

      Under each section answer each question and sub-question individually.

       Leave in the question and directions. This way we will be sure of the question you are answering,
and it will also facilitate easy review for the prioritization committee.

      Use 1-inch margins throughout the entire application except as formatted otherwise within the disks
provided.

      Use 12 point Times New Roman font.

      Know the program rules and definitions

      Know the CoC identified gaps and relate them to what you are doing. If you don’t have a clear
idea how you are filling a COC identified gap, the prioritization committee won’t either.

        Make sure you talk about results in terms of ultimate outcomes for the client rather than the
activities they will engage in.
                                      Pierce County
                     Transitional Housing Operating and Rent (THOR)

                                         Project Application




Type of Project:           □ New                 □ Renewal




Agency Name:__________________________________________




Project Name:___________________________________________




Point of Contact:_________________________________________




Contact Phone:___________________________________________
FORM D
Subgrantee Summary Information (submit a separate form for each subgrantee)

Organization/Agency Name:                                                Tax Identification Number (TIN):

Mailing Address:                                                         City:             State:           Zip:

Telephone:                                                               Website:

Type of Agency
Check one agency type. Nonprofit community or neighborhood-based organizations and regional or statewide nonprofit
housing assistance organizations must submit a copy of the Secretary of State registration with the application.
      Local government
      Housing authority
      Regional Support Network established under chapter 71.24 RCW
      Nonprofit community or neighborhood-based organization
      Federally recognized Indian tribe in the state of Washington
     Regional or statewide nonprofit housing assistance organization

Audit Information
Date of last audit:                                               Type of audit:
Name of company performing the audit:
Audit findings or management letter:  No                     Yes, please detail:

License(s)
If required by local government, do you have the necessary license to operate this proposed housing
program?
    Yes       N/A        No, please explain:

Contacts
                             Executive Director   Program Contact            Client Data            Finance Contact
                                                                              Contact
Name:
Title:
Address:
(if different from mailing
address)
Phone:
Fax:
E-Mail:
FORM D continued
Subgrantee Summary Information (submit a separate form for each subgrantee)
Indicate the direct services you will provide by checking the appropriate box(es) below. Complete property name/address
and unit information only for properties receiving operating subsidies (add rows as necessary). For each property identified
below, a Pro Forma will need to be completed in Excel, see Form G.

   Rental Assistance             Case Management               Operating Subsidy

Property Name/Address                                                                 # of THOR Units       Total # of Units




I attest that all information, including program responsibilities and associated budget, described herein for our agency as a
subgrantee for the THOR program has been reviewed, and is true and accurate.

Submitted by Executive Director or other Authorizing Official (for the subgrantee)

 Name (typed or printed)                                      Title



 Authorized Signature                                         Date
FORM E
Subgrantee Application Narrative (submit a separate form for each subgrantee)
Program Design
Complete the following (A through F as applicable) for each subgrantee providing services.

A. Briefly describe who you intend to serve including any preferences/priorities and the program design including case
management model, staffing level (case manager to client household), and collaboration and partnership efforts, etc.

B. Describe the rental assistance/housing experience, staff credentials, etc. that uniquely qualifies the grantee/subgrantee to
offer THOR services to the population(s) specified in your performance measures (Excel, Form F).


If you intend to serve individuals or families with an adult member who has a mental health or chemical dependency
disorder, or who was previously incarcerated, respond to the following:
C. Agency Coordination
Explain how you will coordinate with the following, as applicable: DOC and local law enforcement, RSN, DASA and/or
other agencies (please specify).

D. Unit Safety
Describe your plan to address safety within the housing unit(s) in the event of a significant problem (e.g. a program
participant becomes aggressive or violates terms of their supervision).

E. Location
Explain how your project will avoid overconcentration of harder-to-serve populations in any one neighborhood, housing
project or building.

F. Community/Neighborhood Concerns
Do you anticipate community opposition to the project?
    No       Yes. If yes, describe how you will coordinate with community/neighborhood organizations to address any
concerns (safety, etc.) in providing housing and services to program participants.
The following listed Forms must be completed and submitted. These Forms are accessible
through the Software Program.

FORM F          Performance Measures

FORM G          Operating Pro Forma

FORM H          Proposed Budget



FORM I. Households and Beds (Please complete for both Operating and Rental Assistance
  Projects)

         Households              Projected Level    Projected Level             Total
                                     Year 1             Year 2           Number Projected
                                   07/01/09 –         07/01/10 –            To be Served
                                    06/30/10           06/30/11          07/01/09 – 06/30/11
  Families with children
  Individual and/or families
  without children
  Families with children who
  are receiving services under
  RCW Chapter 13.34
  Individuals or families with
  an adult member who has a
  mental health or chemical
  dependency disorder
  Individuals or families with
  an adult member who is an
  offender released from
  confinement within the past
  eighteen months



                       Project Level        Projected Level             Total
        Beds               Year 1                Year 2          Number Projected
                     07/01/09 - 06/30/10   07/01/10 – 06/30/11      To be Served
                                                                 07/01/09 – 06/30/11
    Number of
    Housing
    Units
    Number of
    Bedrooms
    Number of
    Beds
FORM J. Need Statement and Project Description

Need Statement: (Limit response to one page)

Describe the need or problem to be addressed by the proposed project in terms of your project’s
ability to continue and/or expand to provide services/housing to homeless households. (It is
unnecessary to describe the extent and nature of homelessness as the Continuum of Care has a
plan in place outlining those issues.)



Project Description: (Please limit your response to two (2) pages)
   .
1. Describe the proposed project including its purpose, methods utilized to effectively move
   families toward permanent/stable housing, expected results, average length of assistance to
   each family.

2. Describe how project design relates to Continuum of Care goals.

3. Renewal Projects must also give the number of clients served to date, and discuss client
   successes in terms of maintaining permanent housing and progress towards self-sufficiency.

				
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