zilongwang/ReadingBank huggingface dataset:
Introduction The Continuum of Care (CoC) Program (24 CFR part 578) is designed to promote a community-wide commitment to the goal of ending homelessness; to provide funding for efforts by nonprofit providers, States, and local governments to quickly re-house homeless individuals, families, persons fleeing domestic violence, and youth while minimizing the trauma and dislocation caused by homelessness; to promote access to and effective utilization of mainstream programs by homeless persons; and to optimize self-sufficiency among those experiencing homelessness. The CoC Program is authorized by subtitle C of title IV of the McKinney-Vento Homeless Assistance Act, (42 U.S.C. 11381–11389) (the Act), and the CoC Program regulations are found in 24 CFR part 578 (the CoC Program interim rule). The FY 2018 funds for the CoC Program were authorized by the Consolidated Appropriations Act, 2018 (Public Law 115-141, approved March 23, 2018) (the “FY 2018 HUD Appropriations Act”). The TX-601 Ft Worth/Arlington/Tarrant County CoC has chosen the Tarrant County Homeless Coalition (TCHC) to serve as its Collaborative Applicant for FY2018. The contents of this RFP are subject to change pending any updates from the FY18 HUD NOFA. How to Apply Before continuing with this RFP, review the in its entirety. Complete all required components as listed on the proposal checklist. Email all completed elements to no later than 5:00 p.m., Wednesday, August 8, 2018. Ensure that all projects applications are submitted in eSNAPS no later than 5:00 p.m., Wednesday, August 8, 2018. Please export and include a PDF version or screenshot of your eSNAPS submission confirmation page with your RFP submission. ( ) Proposal Checklist Applicant Check Application Contents TCHC Review Application Coversheet (RFP Page 4; PDF) Complete CoC Proposal Narrative (RFP Pages 7-13; PDF) Housing First Assessment (RFP Page 14; PDF) Agency policies and procedures, termination policy, and other relevant documents demonstrating compliance with Housing First or low-barrier to entry (RFP Page 9; Q4b) Agency Threshold Requirements (RFP Page 15; PDF)
Optional Fields in black FTE The FTE should be split if reporting employee in multiple buildings for same position Required Fields in RED: Sort type Position Code Fed Tax ID Contractor Name Contract Amount For First Collection, the salary reported should be what the pay amount is at the time of reporting. For Final Collection, the salary reported should be what the pay amount was at the end of the school year (as of June 30). The contract amount should be split if reporting employee in multiple buildings for same position Contract Start/Stop dates Hours Per Week Normal hours in a day excluding unpaid lunch If unpaid lunch is included, use EMIS optional field to report hours minus lunch Report to the nearest quarter hour Not reported for temporary or supplemental position types For Example: Employee is scheduled to work 7 hours which includes ½ hour paid lunch – report EMIS hours per day = 7 x number of days per week Employee is scheduled to work 7 hours which includes ½ hour unpaid lunch – report EMIS hours per day = 6.5 x number of days per week Position Fund Source . The additional information for Contractors is found under the Employment Tab at the top. Click on this and you will have other tabs to enter data.
This element is only reported during the Final Collection Update the “Grade Level Assigned” element for new employees in the following positions: Paraprofessionals hired under DPIA funding Principals Assistant Principals Supplemental Service Teachers (position code = 212) Position Status should reflect the status of the individual in a particular position during the school year. Status of ‘U’ is only used in specific circumstances during the first collection and would also be reported again in the final collection for the reporting year. Update the “Position Separation Date” and “Position Separation Reason” for individuals who are in the position during the current school year, but left that position during the school year. Update “Position FTE” for individuals if there have been changes. Date: _______9. Generate all EMIS reports to verify your data is correct and error free. Remember these reports may be generated anytime and as often as you choose during the school year. DATA SUBMISSION FOR ODE Date: _______10. Run EMIS Data Export to create the submission file(s) once the data has been reviewed. Run this program if you have CC (Contract Only) and CJ (Contractor Staff) records to report. If you are not sure it doesn’t hurt anything to run with this criteria. Date: _______11. Notify your EMIS Coordinator that you have created this file to be uploaded to the Data Collector or if you have uploaded to the Data Collector they just have to select the file when submitting Staff Data to ODE. IMPORTANT PLEASE NOTE: We can’t stress enough how communication will be the key between the departments.
Fiscal Year 2017-2018 (FY18) Fund Code (FC) 244 Addendum A - Maximum Funding Amounts and Eligible Sites Eligible Grantees (and Sites) Listed Alphabetically FY16 FC 245-B Sites: (FY18 FC 244 Amt. = 75% FY16 amt.) FY17 FC 245-B Sites: (FY18 FC 244 Amt. = 85% FY17 amt.) Max FY18 FC 244 Total Berkshire Hills Regional School District Muddy Brook Elem. Monument Valley MS $15,000 $15,000 Boston Public Schools Gardner Pilot Academy $7,500 $7,500 Brockton Public Schools Arnone & George Elem. Schools $15,000 $15,000 Collaborative for Educational Services, Northampton Converse MS. Palmer $7,500 Coburn Elem. W. Springfield $8,500 $16,000 Community Day Lawrence Wetherbee, Arlington, Bruce Elem. Schools $21,314 Tarbox Elem. $8,500 $29,814 Everett Public Schools Lafayette, English, Whittier Elem. Schools $22,500 Parlin & Keverian Elem School $17,000 $39,500 Fall River Public Schools Greene Elem School $7,500 Doran & Fonseca Elem. $17,000 $24,500 Fitchburg Public Schools Crocker Elem. School $7,500 South Street Elem. $8,500 $16,000 Haverhill Public Schools Whittier, Golden Hill & Tilton K-4 Consentino 5-8 32,640 $32,640 Holyoke Public Schools Donahue, Morgan Schools $15,000 $15,000 Lowell Public Schools Greenhalge, Morey and Shaughnessy Elem. Schools, Stoklosa & Robinson MS $37,500 Lincoln Elem. $8,500 $46,000 New Bedford Public Schools Gomes Elementary $7,500 $7,500 Pittsfield Public Schools Herberg and Reid MS $15,000 $15,000 Salem Public Schools Bates Elem. School, Bowditch MS $15,000 $15,000 South Shore STARS Chapman MS Weymouth $8,500 $8,500 Wareham Public Schools Minot Elementary $7,500 Decas Elem. & MS $17,000 $25,500
Uniform Application for State Grant Assistance Agency Completed Section Type of Submission Pre-application x Application Changed / Corrected Application Type of Application x New Continuation (i.e. multiple year grant) Revision (modification to initial application) Date / Time Received by State Completed by State Agency upon Receipt of Application Name of the Awarding State Agency Illinois Department of Transportation Catalog of State Financial Assistance (CSFA) Number 494-00-1000 CSFA Title Illinois Transportation Enhancement Program Catalog of Federal Domestic Assistance (CFDA) Not applicable (No federal funding) CFDA Number 20.205 CFDA Title CFDA Number CFDA Title Funding Opportunity Information Funding Opportunity Number 2018 Cycle 13 Funding Opportunity Title Illinois Transportation Enhancement Program Competition Identification Not Applicable Competition Identification Number Competition Identification Title Applicant Completed Section Applicant Information
Grant Number ______________ [Crime Commission Use Only] NEBRASKA CRIME COMMISSION FY 2018 STATE JUVENILE SERVICES APPLICATION SECTION I: APPLICANT INFORMATION 1. Applicant Name: [Agency/Organization] The applicant must be the agency that will receive and disburse the grant funds. Name: Telephone: [ ] Fax: [ ] 2. Applicant Federal Employer ID #: [Must be 9 digits] 3. Address: [Include zip code + 4 digits] 4. Project Title: 5. Project Director: [Receives all grant correspondence] Name: Title: Telephone: [ ] Fax: [ ] Email: Address: [Include zip code + 4 digits] 6. Project Coordinator: [Cannot be the Project Director] Name: Title: Telephone: [ ] Fax: [ ] Email: Address: [Include zip code + 4 digits] 7. Fiscal Officer: [Cannot be the Project Director] Name: Title: Telephone: [ ] Fax: [ ] Email: Address: [Include zip code + 4 digits] 8. Authorized Official: [NOTE: The authorized official includes county board chair, mayor, city administrator, state agency director, chair or vice-chair of non-profit agency.] Name: Title: Telephone: [ ] Fax: [ ] Email: Address: [Include zip code + 4 digits]
CATEGORY C - TRAVEL EXPENSES NARRATIVE *All sources of match must be identified. CATEGORY D – SUPPLIES AND OPERATING EXPENSES WORKSHEET 1. SUPPLIES: Item Quantity Unit Price Amount Requested Applicant’s Match Total Cost $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ SUPPLIES SUBTOTAL $ $ $ 2. OPERATING EXPENSES – [Note Special Instructions]: Rate[per month] Amount Requested Applicant’s Match Total Cost Rent – Equipment $ $ $ Rent – Facilities $ $ $ Telephone $ $ $ Utilities $ $ $ Auto Lease $ $ $ Photo Copying $ $ $ Printing $ $ $ Non-consultant Contract Help Bookkeeping/Audit $ $ $ Other: $ $ $ $ $ $ OPERATING EXPENSES SUBTOTAL $ $ $ SUPPLIES/OPERATING TOTAL $ $ $
CATEGORY E – EQUIPMENT NARRATIVE *All sources of match must be identified. CATEGORY F – OTHER COSTS WORKSHEET Description Item Amount Requested Applicant’s Match Total Cost $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
To which activity did your group or organization apply your funding? Check all that apply Boys Girls Boys Girls Baseball Character Building Basketball Dance Tennis Entrepreneurship Football Financial Literacy Golf Violence Prevention Swimming Volleyball Soccer Physical Fitness AODA Activities Other (describe) Youth served by this grant came from the following ZIP Codes. Check all that apply. 53110 53129 53130 53132 53154 53172 53202 53203 53204 53205 53206 53207 53208 53209 53210 53211 53212 53213 53214 53215 53216 53217 53218 53219 53220 53221 53222 53223 53224 53225 53226 53227 53228 53233 53235 Enter the number of youth served in the appropriate boxes. Age 6 and under 7 to 8 9 to 10 11 to 12 13 to 14 15 to 16 17 to 18 Totals Male Female Totals African American Hispanic Southeast Asian Native American Caucasian Other Unknown Totals Male Female Totals APPENDIX A
Revise the environment Replace the behavior This goes in this box. This is a plan written for a student with ADHD who had non-compliant behavior. This was a young child who was sent out of the room when she wasn’t compliant and gained attention from para who went with her and escape from work. This student would blatantly tell the teacher she was not going to do the work. Every time this happened, the teacher sent her out of the room with a paraprofessional to a cool down spot (Thus giving attention and escape). Trigger Target impacT Seatwork Non-compliance with task Could be attention or escape or both (as both are fed) Revise the Environment Replace the Behavior Reframe the Response Children with ADHD need to move Seated on wiggle seat (air-filled disk, or cushion) Given movement tasks (like take note to office) Allowed to stand if needed Provided appropriate fidget tools (one handed, quiet tools that stay with child and help them pay attention- bathtub applique Behavior will never change if replacement behavior is not specifically taught Instead of sending her to the “chill out” room, teach her how to Use video modeling or social stories to teach her how to do the following: Use her fidget tool Use her wiggle seat Go get a Kleenex if she Pair behavior with a student teacher rating sheet. I like to use a sheet where the adult grades the behavior and the student grades their own behavior. They match up to each other and if they match the student earns a certain number of points. If they don’t match, there are no points earned but a discussion about why the points weren’t earned is given. (copy attached to email) handed
What set the behavior in motion? Could be a direct antecedent (something that happened right before) or could be a setting event (something that happened in the near distant past) What is the behavior you would like to target for change? What is the student gaining or escaping by engaging in this behavior? Revise the Environment Replacement Behavior Response Feedback What can you do to set this student up for success? What cues can you set up in the environment to help the student remember the necessary behavior changes? What replacement behaviors have you taught the student? This can be done through: Modeling Peer mentoring Video modeling Social Stories Video Counseling How can you change your own reaction so you feed the replacement behavior with the desired impacT and extinguish the Target behavior by withholding the desired impacT? Environmental Change: Replacement Behavior: Response Feedback: Learning Disabilities
Subcontract No. 2018- FY18 Program Abstract FISCAL MANAGEMENT CONTACT: This contact is the primary person responsible for the overall financial management of the Subcontract, including compliance with the Ounce Subcontract administrative requirements and the internal allocation, oversight, and tracking of Subcontract expenditures. Name/Title: Street: City: Zip: Phone: Fax: E-mail: FISCAL REPORT CONTACT: This contact is responsible for the actual preparation, submission, and correction of Quarterly Cost Reports, forecasts, and Amendments. The IBTI Fiscal Advisor works directly with this contact to provide technical assistance and training, if necessary, to ensure submission of accurate financial reports that meet Ounce requirements. Name/Title: Street: City: Zip: Phone: Fax: E-mail: OUNCENET/MIS CONTACT: This contact is the primary liaison with the OunceNet team or other Ounce contacts regarding data reporting issues, initial orientation of new site staff, providing written notification to OunceNet team regarding new user or follow-up training, and distribution of OunceNet or MIS-related correspondence to OunceNet users in the Ounce funded program. Name/Title: Street: City: Zip: Phone: Fax: E-mail:
Using your knowledge and expertise of the Juneau, Alaska area, please describe the type of information that you would provide to the visitor or public regarding the recreational opportunities in and around Juneau. Describe how you would answer questions that require facts, events, and circumstances of the natural or cultural characteristics of Juneau, Alaska? I certify I have read the announcement and have attached all supporting documents as required. (Choose 1 Option). YES NO I certify, to the best of my knowledge and belief, all the information submitted by me with my application for employment is true, complete, and made in good faith, and that I have truthfully and accurately represented my work experience, knowledge, skills, abilities and education (degrees, accomplishments, etc.). I understand that the information provided may be investigated. I understand that misrepresenting my experience or education, or providing false or fraudulent information in or with my application may be grounds for not hiring me or for terminating me after I begin work. I also understand that false or fraudulent statements may be punishable by fine or imprisonment (18 U.S.C. 1001). (Choose 1 Option). YES NO
Agency Name: Annual Recertification County Region: MCH Nurse Consultant: Visit Date: APORS Clinical Review Tool – Data Summary FY18 # Active Charts Randomly Selected for review: Infant: Child: Total = APOR-HRIF Outcome Indicator # Records Reviewed # Expected # Completed % in Compliance IDHS Report Period Data from IDHS Reports Performance Standard or State Average Assessments: (700, 701, 706, Nutrition, 708A-R) AS01 AS01 AS01 90% Record Record Record Individual Care Plan 90% EI Referral # Indicated: # Made: 100% Initial Face-to-Face With Infant within14 days of IDPH referral) APORS 0-12 mos 80% APORS 13-24 mos Prenatal Depression Screening As Appropriate APORS 0-12 mos 95% HRIF 0-12 mos Postpartum Depression Screening (Guardian SV01-825) APORS 0-12 mos 95% HRIF 0-12 mos Primary Care Provider APORS 0-12 mos 95% APORS 13-24 mos HRIF 0-12 mos HRIF 13-24 mos
EVALUATION ITEM Code part 630/Contract/ C-Stone Quarterly Reports EVALUATION MECHANISM MET NOT MET N/A CO: Commendation COMMENT KEY: R: Recommendation RQ: Required (typed bold) APORS High Risk Case Management: Includes all service components of case management, emphasizing compliance with the recommendations regarding the high-risk conditions(s), and MUST be performed by the RN case manager. 630.20E monitoring. At least annually, appropriate professional health personnel of the Division and its consultants shall review each project for appropriateness of services and quality of care furnished to recipients in accordance with the project plan Eligibility High Risk Case Management eligibility is determined by: when identified through the Adverse Pregnancy Outcome Reporting System or by agency defined conditions Meets medical criteria without infant discharge referral/record (HRIF) IDPH Electronic referral system consistently monitored appropriately. Code: 630.220e7 Contract Policy & Procedures Cornerstone Observation Interview with assigned CM HRIF Manual PA15 Screens Direct service staff for the APORS Program must be a Registered Nurse; proof of current license
630.220c1 Case Management Process Assessment of needed health and social services assessment(s) to determine need for health, mental health, educational, vocational, substance abuse treatment, childcare, transportation, oral health, prenatal and postpartum depression screening, and family planning status & other services. Code: 630.220ela & 630.220e13 Performance Standard 90% Contract Case Notes Review P&P & Screens Assessments- AS01: 700, 708Q27-52 & 81;82-90 as appropriate Service Barrier AS01 Anticipatory Guidance 708 A-R Perinatal Depression SV01-825 Development of an Individual Care Plan List of all service providers involved List of agencies to which participant referred Problem list and plans for resolution Evidence of updates and follow-up activity. Code: 630.220elb & 630.220e2 Performance Standard 90% Contract Policy & Procedures Chart review Cornerstone Screens: Care Plan Goals-CM02 Planned Services-CM03 Case Notes – CM04, RF01, RF03 Other
Cropping Management Inventory Worksheet (Please Complete One Form Per Cropping System) Producer: Tract No. Primary Farming Direction Planner: Field No./s Field No./s (N-S) Crop Rot: (E-W) Location: Field No./s Terraced (Contour) Field No./s w/Buffers or Filters Field No./s Irrigated Crop and Operation Management Records/Residue Calculations Oper. # Date Crop (List typical field operations from harvest to planting for each crop in the rotation) Operation Irr. Applied Crop Yield Comments (1,2,3) (date) (name) (in/ac.) (units/ac) - - Start Rotation - - 1 2 3 4 5 6 7 8 9 10 11 12 13 14
(Please Complete One Form Per Cropping System) Producer: Tract No. 1 035 Primary Farming Direction Planner: Field No./s 2, 4 & 7 Field No./s (N-S) Crop Rot: (E-W) Location: Field No./s Terraced 2 (Contour) Field No./s w/Buffers or Filters 7 Field No./s Irrigated Crop and Operation Management Records/Residue Calculations Oper. # Operation Date Crop (List typical field operations from harvest to planting for each crop in the rotation) Operation Irr. Applied Crop Yield Comments (1,2,3) (date) (name) (name) (in/ac.) (units/ac) - - Start Rotation - - 1 0/1 5/02 Corn Harvest 75bu 1 11 /1 5/02 Chisel Straight Point 2 3/1 /03 Disk Tandem Secondary 3 4/1 5/03 Fert. Applic anhyd knife 30in 1 00lbs Anhy 4 5/1 /03 Culivator, field sweeps 5 5/1 5/03 Soybeans Planter double disk opener 6 6/1 5/03 Sprayer post emerge Touchdown 1 lb/ac 7 1 0/1 5/03 Soybeans Harvest 35bu 8 4/1 /04 Fert. Applic surface broadcast 1 50lbs Urea, 90lbs 1 8- 46- 0 9 4/1 0/04 Sprayer post emerge Atrazine 1 . 2lb and Roundup 1 pt 10 4/1 5/04 Corn Planter double disk opener 11 12 13 14 15
ANNEX A – CONTRACT SUMMARY SHEET Provider Agency Contract# Mailing Address Federal IIIDID # Telephone Number Provider Agency Fiscal Year End County Contract Effective Date to Contract Ceiling $ Organization Type County Board of Social Services Non-Profit Program Administration Details: Chief Executive Title Mailing Address Telephone Number Fax Number E-Mail Address All routine notices relevant to the administration of the program should be sent to: Name & Title Mailing Address Telephone Number Fax Number E-Mail Address Do you certify that all information is read, understood and correct? Agency Authorized Signature: ___________________________________ Date: __________ Division of Family Development Annex A -Service Delivery Information
Current Language: State current language in most recently approved CNA and section number that it can be found. Amended Language: Write amended language to reflect changes. ** Root Cause Analysis – Overarching Needs Current Language: State current language in most recently approved CNA and section number that it can be found. Amended Language: Write amended language to reflect changes. **
2.2 Overarching Need #1 Professional Capacity GOAL Develop a district-wide literacy plan to increase the percentage of students scoring Level III & IV on the ELA GMAS by 3% by reducing the percentage of students scoring Level I and Level II. Structure(s) PC-2, PC-4 Evidence-based Action Steps: Describe the evidence-based action steps to be taken to achieve the goal. Action Steps Possible Funding Sources(s) a. Timeline for Implementation Position/Role Responsible b. Method for Monitoring 1. Work with school level administration to create a Professional Development Plan for each school Local, State, Title I a. Complete by October 2018 District & school level admin b. Scheduled workshops & Trainings 2. Conduct follow-up observations for workshops/trainings implementation including dissemination to other staff Local, State, Title II, Title V Determined by the FY19 Professional Development calendar District & school level admin b. Observations and walk-throughs 3. a. b. 4. a. b. 5. a. b. 6. a. b. Supplemental Supports: What supplemental action steps will be implemented for these subgroups? Economically Disadvantaged Foster and Homeless Include research-based, professional development in effective instructional practices that target strategies and interventions for subgroup populations. Include research-based, professional development in effective instructional practices that target strategies and interventions for subgroup populations. English Learners Migrant Include research-based, professional development in effective instructional practices that target strategies and interventions for subgroup populations. Include research-based, professional development in effective instructional practices that target strategies and interventions for subgroup populations. Race/Ethnicity/Minority Students with Disabilities Include research-based, professional development in effective instructional practices that target strategies and interventions for subgroup populations. Include research-based, professional development in effective instructional practices that target strategies and interventions for subgroup populations.
Budget Summary Requested Funds Cash Match (total match and percentage of total funds) In-Kind TOTAL FUNDS A. Board Support $ % B. Base Program Title: $ % C. Base Program Title: $ % D. Base Program Title: $ % Base Subtotal $ % A. Board Support (not to exceed 10% of total competitive request) $ % B. Competitive Program Title: $ % C. Competitive Program Title: $ % Competitive Subtotal $ % Total Base + Competitive $ % *Add lines as needed Check all that apply: Disconnected Youth Requesting Funding for a Program/Strategy Requesting Funding for Additional Planning Parental Incarceration Requesting Funding for a Program/Strategy Requesting Funding for Additional Planning
DRAFT / External Distro / As of 6 Nov 2017 / POC: L. Patton x8907 FY 2018 DRAFT APCSS WORKSHOP PROGRAM DATE LOCATION THEME/EVENT # Attendees 26-27 Oct ‘17 DKI APCSS Honolulu Partnership with another Lead Agency ASEAN @ 50, Southeast Asia @ Risk: What’s To Be Done? A Prescriptive Workshop 25 30 Oct -3 Nov’17 DKI APCSS Honolulu Partnership with another Lead Agency U.S. Pacific Command’s Capability Defense Working Group (CDWG) 350 13-15 Dec ‘17 Hanoi Vietnam Partnership with another Lead Agency Gulf of Thailand Maritime Law Enforcement Initiative 5th Commander’s Forum 30-40 31 Jan– 2 Feb ‘18 DKI APCSS Honolulu Partnership with another Lead Agency ASEAN Defense Ministers’ Meeting (ADMM)- Plus Experts’ Working Group (EWG) on Humanitarian Assistance & Disaster Response (HADR) 60-80 13-16 Mar ‘18 Manila Philippines Countering Violent Extremism in Southeast Asia II: Recent Lessons Learned & Urgent Priorities 40-50 20-22 Mar ‘18 Delhi India Deepening Strategic Convergences – India Act East and U.S. Engagement 40-50 Spring ‘18 DKI APCSS (Tentative) U.S. Strategy in the Indo Asia-Pacific 30-40 14-17 May ’18 (T) DKI APCSS Maritime Shared Awareness (MSA) in Southeast Asia IV 50-70 Summer ‘18 Location TBC (Tentative ) Enhancing Information Sharing for More Effective Counterterrorism (CT) Collaboration 20-25 Summer ‘18 (T) Vietnam U.S.-Japan Defense Capacity Building (DCB) 30-40
Care Plan: CM02-03 CM02: Goals CM03: Planned Services Referrals and Follow-up: RF01-03 814: EI if indicated by dev screen or other health provider (PA15, F2 to) 819: WIC if appropriate 822: Specialist if indicated 906: DCFS Nurse if medically complex 907: APORS or HRIF if eligible DSCC Referral if medically complex 804: Family Planning Other Referrals: List Verify with SCG receiving services Medical Needs Identified HWLA IMCM records on file Comp Health Profile 5.1 or CHE form (CFS 653) Health Summary (CFS 497IIID) Past medical records or attempts IA Summary sent to PCP SCG contacted SV01: 806 or 802 - EPSDT age appropriate or prenatal visits SV01:827 Dental 2y & prophylaxis q. 6 mo SV01:828 Vision 3, 4 & 5 y SV01:829 Hearing 4 & 5y Health Summary Form for ACR or Transfer PA19: ACR Cycle (list months) SV02: Health Summary sent to Caseworker a month prior to ACR every 6 months SV02: Transfers: Sent to new MCMA and /or HWLA and Caseworker if transferred Case Closure (if YES, complete) SV02: Health Summary Transfer Form sent to Caseworker and HWLA at age 6 (Cook Co: sent to HWLA) PA15: Reason for Closure Sources for continued services Report of Prenatal Care Services & Pregnancy Outcomes sent to HWLA – [Cook Co only]
*EPSDT well child visits for 9, 12, and 24 months include required hearing and vision screening as part of the physical exam of ears and eyes and developmental assessment. Comments Case Number Reviewer Comments FY18 HWIL Chart Review: 0-5 Years & Pregnant Youth in Care 5-23-2017
Section III: Project Effectiveness Possible Points: 25 Section Score: 6. Does the project commit to taking all referrals through the Local Planning Body’s Coordinated Entry process? (Pass/Fail) 5/0 7. What would be the prioritization process for households referred to this project? How will it be determined who is most vulnerable and the best fit for any referrals to this project? Provide detail from policy established by the Local Planning Body. Score according to how well the applicant can demonstrate understanding of prioritization and pairing households based on project eligibility. 5 8. Will all participating households served in this project be recorded in HMIS or an equivalent database for Domestic Violence, in accordance with the Balance of State CoC’s Data Quality Standards? (Pass/Fail) 5/0 9. Description of a plan for rapid implementation of the project, documenting how the project will be ready to begin housing the first participant. Provide a detailed schedule of proposed activities for 60 days, 120 days and 180 days after grant award. 10 Section IV: Organizational Capacity Possible Points: 20 Section Score: 10. Describe agency key staff positions and qualifications of individuals who will carry out the project 10 11. Describe the agency’s financial management system, including financial reporting, record keeping, accounting systems, payment procedures, procurement processes, and audit requirements. 10 Section V: Financial Information Possible Points: 40 Section Score: 12. Do project costs appear reasonable when compared to project costs of similar project types? 5 13. Audit a. Most recent audit found no exceptions to standard practices 3 b. Most recent audit identified agency as “low risk” 3 c. Most recent audit indicates no findings 4 14. Documented match amount (Pass/Fail) 5/0 15. Budgeted costs are reasonable, allocable, and allowable 20 Completion of Application Possible Points: 0 Deductions: -10 Section Score: Are all required attachments provided? Yes 0 No -5 Is the application complete and accurate? Yes 0 No -5
No cost allocation plan shall be approved by the Department unless such a plan: Relates to allowable costs as defined in Laws and policies of the federal, State and City governments; Relates to costs necessary for Contractor’s performance pursuant to this Agreement; Fairly and accurately reflects the actual allocable share of such cost with respect to this Agreement; Is developed in accordance with generally accepted accounting principles; and Is accompanied by such supporting documentation as the Department deems necessary to evaluate the plan. D. A cost allocation plan approved by the Department may be modified with the written approval of the Department. E. Notwithstanding any provision in this Section 3.04 to the contrary, the Department further reserves the right to withhold payments to Contractor for allocated costs in accordance with the Fiscal Manual or if the Department determines that such allocated costs have been incorrectly determined, are not allowable, or are not properly allocable pursuant to this Agreement and/or approved cost allocation plan. Section 3.05 Cost of living increases. Where Contractor’s industry has experienced an increase in costs (e.g., salary, wage or fringe benefit cost of living increases, a change in the prevailing or living wage, a renegotiated collective bargaining agreement, an industry-wide increase in the Producer Price Index (“PPI”) for fuel or energy) that exceeds the Budget, and the Office of Management and Budget (“OMB”) or another independent agency has determined in writing that additional funds will be made available to a City agency for the class of contracts pursuant to which Contractor provides the same or substantially similar services, then the Department shall reimburse Contractor for such increases in costs to the extent that such increases have been authorized by the City for contracts within such class of contracts and to the extent that funds are appropriated for such purposes. Any cost of living increase will not be effective unless and until an amendment to the Agreement is registered pursuant to Charter § 328. ARTICLE IV — FISCAL PROCEDURES Section 4.01 Cooperation and compliance. Contractor hereby agrees to fully cooperate and comply with the Fiscal Manual on all fiscal matters related to this Agreement. Section 4.02 Accounts. A. Contractor shall establish and maintain one (1) or more separate accounts for the funds obtained from or through the City of New York related to this and all other agreements with the City, and shall maintain records for such account to track and clearly identify the funds obligated through this Agreement.
Name/Position Last Date of Employment Terminations Position Person who last held position Date position became vacant Ongoing Vacancies Name/Position Date leave began Anticipated end date Type of leave* Leaves *P-paid out of contract funds, I-paid by disability or other non-contract funds, U-unpaid Subcontract No. 2018- FY18 Program Narrative Quarterly Report Program Contact Updates: Please use the tables below to update any contact information for your program, including changes to the contacts listed in your Program Abstract. No changes SERVICE AGENCY Agency Name: Street: City: Zip: Phone: Fax: E-mail: PRIMARY SERVICE SITE Program Name: Street: City: Zip: Phone: Fax: E-mail: Executive Contact Name/Title:
Section III: Completion of Application Possible Points: 0 Deductions: -10 Minimum: -5 Section Score: 21. Is the application complete and accurate? Yes 0 No -5 22. Are all required attachments provided? Yes 0 No -5
trace the data back to source documents. SWOP will provide the required standardized forms for Organizations to use. Community Organizations will also be required to distribute, collect, and submit to SWOP evaluation surveys at the beginning and end of every year. The following data will be collected: Number of participating schools, parent mentors, teachers, and students Attendance and total service hours provided by parent mentors Number of additional school parents (“parent volunteers”) engaged through the PMP Social and economic demographic data for parent mentors School and community activity engagement levels for parent mentors Parent pre- and post- surveys tracking growth in their school engagement over the year, based on the three phases of the “ecology of parent engagement”: induction, integration, and investment Teacher pre- and post-surveys assessing parent mentor impact Principal survey Community Organization survey School test scores measuring student growth in targeted grades (potentially) Parent placement success/challenges Parent training topics and attendance Evaluation tools for trainings/meetings In addition to monthly reporting, the Parent Engagement Institute will regularly train, mentor, and support the work of Parent Mentors and Community Organizations. This and other relevant data will be collected in template reporting documents. Sub-grantees must submit reports electronically through the standardized process of reporting. Participation in Statewide Parent Mentor Initiative Network In addition to the activities enumerated above, all Community Organizations are expected, at a minimum, to do the following: Attend all Parent Mentor Partner Monthly Meetings; Attend all Parent Mentor outreach and training sessions; Participate in the planning of Statewide Parent Mentor Initiative events and activities, such as the annual convention and graduation; Report numbers on a monthly basis (see next section); Financial Reports Requests for reimbursement will be submitted on a monthly basis through the form provided by SWOP. Appropriate supporting documentation, which may include (but is not limited to): employee timesheets, payroll records, receipts, utility/telephone bills, and staff travel documentation must be available for SWOP review. Claims will be made in accordance with contractual line-item budgets. Claims must be submitted to SWOP within 10 days after the end of each month for services provided during that month. Grantees will be reimbursed quarterly,
Domestic violence (requiring survivor to take specific actions or demonstrate distance from assailant) 5. Housing First In addition to the answers above, a project must also answer affirmatively to the following questions to qualify as Housing First. Does the project work to ensure that participants are NOT terminated from the program due to the following: Failure to participate in supportive services Failure to make progress on a service plan Loss of income or failure to improve income Being a victim of domestic violence Any other activity not typically covered in a lease agreement but found in the project’s geographic area. Does the project quickly move participants into permanent housing? 6. All recipients of HUD CoC Program funding are required to participate in Coordinated Entry. Did the project take 100% of all referrals from Coordinated Entry in the past grant year or will it once the grant year begins? 7. What is the prioritization process for households referred to this project? How is it determined who is most vulnerable and the best fit for any referrals to this project? Provide detail from policy established by the Local Planning Body. (500 word limit) Efficient Use of Funding (If the renewing project has not yet started, share information from the last completed year of another HUD funded project or similarly designed project through this agency) 8. What was the project’s utilization rate? (Average of Quarterly Point- in-Time Counts in APR 9 divided by total contracted units.) 9. Expenditure of Funds: Use last completed HUD FY year. a. Total amount authorized within eLOCCS b. Remaining balance in eLOCCS c. Percentage recaptured Divide answer b. by answer a. and multiply by 100 10. Were drawdowns made to eLOCCS at least quarterly? (Demonstrated in eLOCCS attachment)
Reserve Fund Application A. Project Narrative Explanation/Description of the Overall Proposed Project (What do you want to do? What programs are involved? What are the proposed activities? What is the current enrollment and capacity in these programs? What is the expected enrollment/capacity?) Expected Measurable Outcomes/Project Deliverables (Compare retention numbers of grant year with data from two years ago, business engagement activities, etc.) Project Sustainability (How will the project be supported financially and programmatically after grant funding ends?) Partnerships and Collaboration (Describe the role of partnerships with business and/or industry in your proposal as well as any collaboration and partnership with colleges or universities.) B. Funding Requested Utilizing the Reserve Fund Budget sheet, provide a line item budget for anticipated project expenditures and a budget narrative explaining how costs were determined. Final Expenditure Report forms will be available on the KBOR website. C. Budget Narrative (Explanation of the specific activities that will occur, target start and completion dates, person responsible for the activity, the anticipated goal and how will it be evaluated/measured, and the estimated amount of funding requested for the activity. D. Contractual Provisions Attachment and Local Assurances/Contractual Agreements Submit signed, completed copies of these documents.
(Medicaid Managed Care) and OOD Note: EDD and OOD do not have Payer Type as a field entry but the Payer Source Code List is a data source to determine Payer Type for those file types. Payer Source Code ‘310’ will be assigned a default Payer Type Code entry of ‘7’ for EDD and OOD only Medicaid Claim Certificated (MassHealth ID) Population allowed (NOTE type error returned, when not MassHealth ID) Population is allowed in Medicaid Claim Certificate with 12 numeric character MassHealth ID (NOTE type error if invalid) - Expected to be prohibited in FY19 Prohibited “H” (Health Safety Net”) Health Plan Member ID Population was required for Health Plan Member ID only. Dec. ’17 - Added to the exclusion list for Health Plan Member ID, with NOTE type error. Population is allowed for Health Plan Member ID, with NOTE type error, if populated. Should be in Medicaid Claim Certificate – Expected to be prohibited in FY19 Prohibited Medicaid Claim Certificated (MassHealth ID) As of Dec. ’17, allowed in Medicaid Claim Certificate. Population is allowed in Medicaid Claim Certificate (NOTE type error if missing or invalid) – Expected to be required in FY19. Required
FY2018 319 (To guide Agency Review Panel discussion) Project Name: Project Sponsor: Reviewed By: General Application Considerations Score* (0, 1, 2 or 3) Weight Points Awarded** A Agency Review Panel A1 The project addresses significant source(s) of nonpoint source pollution within a watershed. 4 A2 The project will promote self-maintaining, natural, ecological, and social processes that will protect water quality. 4 A3 Pre-project planning has been initiated and the project has clearly identified tasks that include adequate information to describe work to be accomplished. 4 A4 Project costs are reasonable as compared to anticipated results. 4 A5 Nonpoint source goals for the project are clearly defined, measurable, and attainable. 3 A6 The project involves appropriate partners and has significant stakeholder support. 2 A7 Outreach and education component(s) of the project targets the most appropriate audience(s) with an appropriate delivery method. 1 A8 The project location provides direct public recreational or aesthetic benefit. 2 A9 The project provides additional benefit to natural resources. (Improvements directly address recovery of an aquatic species of concern, natural water storage is addressed, direct benefit to native fisheries, wetland enhancement and protection, etc.) 1 B Montana DEQ (This section will be completed by DEQ staff prior to the Agency Review.) B1 The project is an appropriate next step for making progress towards the removal of a pollutant/waterbody combination from Montana’s 2016 Impaired Waters list. 5 B2 Sufficient technical and managerial resources are available to facilitate completion of the project, including consideration of past performance. 4 B3 Extent to which the project reduces pollutant loading above a permitted point source in a manner that could contribute to future economic benefit for a downstream Montana community. 3 B4 Project involves appropriate measures of project effectiveness. 2 *1, 2 and 3 correspond to Low, Medium and High, respectively (i.e. 3 = High). 0 indicates the application does not address the question. **To calculate Points Awards, multiply the Score by the Weight Factor (i.e. 3 x 2= 6 Points Awarded) Agency Review Panel Score Montana DEQ Score Total Score Funding Recommendation FF = Fully Fund, PF+ = Partial Fund (>50%), PF– = Partial fund (<50%), NF = Not Fund Reviewer comments and justification for funding recommendation.
Page Section Description I. Program Information 3 A. 3 B. 4 C. II. Instructions 5 A. 6 B. 6 C. 6-7 D. 7-8 E. 8-9 F. 8 G. 9-10 H. 10 I. 10 J. 11 : Eligibility Requirements for SSH/State & HA/SSBG 12 : Eligibility Requirements for SSH/TANF 13 : SSH/TANF Income Eligibility Requirements 14 : HUD Fair Market Rent Maximums by County 15 : HMIS Instructions for Social Security Report Preparation FY-2018 SSH/HA Contract Package
DIP Goal 2: EL, Program Strength and Challenge- CNA 3.2.7 Registration, Travel, and Subs for Teachers and Leaders to Attend Off-site Training #7, #10, #13, #15 Promising Sign-in sheets, agendas, minutes, handouts Building Admin, Instr Coaches, PL & Curriculum Directors Aug-May DIP Goal 2: PC, Program 3.2.7 Compensation for Mentor Teachers’ Additional Duties #2 Strong Mentoring checklists, logs, observation records, surveys Building Admin, PL Director Aug-May Program 3.2.7 Registration and Travel to Attend Recruiting Fairs #2, #3 Promising Number of resumes collected, number of teachers/leaders hired Building Admin, PL Director Oct-May Program 3.2.7 Stipends for Teachers who Assume Additional Leadership Responsibilities #2 Moderate Sign-in sheets, anecdotal notes Building Admin, PL Director Aug-June (Required by ESSA, Title II, Part A, Sec. 2001, 2102(b)(2)(D); Sec. 2104(a)(1); Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards OMB 2 CFR Part §200.301)
III. SAVE THE BUDZERO Once the BUDZERO is completed, please save the file. IV. prepare division budget summary (when all budmemos are complete) Please see the instructions on how to run a Division Budget Summary, which will summarize the amounts entered for each BUDZERO, . IV. Budget Staff AND DEPARTMENT ASSIGNMENTS During this annual process, the Budget Office is available to answer questions or provide informal training to new employees. If you have any questions, below is the contact information for the Budget Office: CONTACT DEPARTMENTS Rita Kovach, Director Email: Phone: x6300 Non-academic President’s Office (includes General Counsel and Office of Compliance, Alumni Relations, University Relations, and Public Affairs) Finance (includes HR, Technology Services, and Facilities) Institutional Advancement Student Life (includes Athletics) Enrollment Management (includes Auxiliary Services) Tom Peters Assistant Director, Financial Planning Email: Phone: x6108 Performance-based budgeting Zero-based budgeting Income Cost Model Provost and Academic Departments (includes Columbus School of Law) Paula Blackwell, Enterprise Budget Systems Email: Phone: x6283 Non-academic President’s Office (includes General Counsel and Office of Compliance, Alumni Relations, University Relations, and Public Affairs) Finance (includes HR, Technology Services, and Facilities) Institutional Advancement Student Life (includes Athletics) Enrollment Management Jonathan Aaron Budget Analyst Email: Phone: x6356 Provost and Academic Departments (includes Columbus School of Law)
EVENT DESCRIPTION AND PLANNED RESULTS Trainer Name(s): Kimberlee Bryant Event Purpose: Provide the opportunity for local program staff to learn about Georgia’s approved assessment policies and procedures and about individual assessments. Planned learning and/or performance outcomes for participants: Participants should have an understanding of assessment policies and procedures. Description of event evaluation and participant learning assessment: OAE-Provided Evaluation EVENT EXPENSES Rental = 0 Trainer Fee = 0 Materials = 0 Lodging = 0 Registration Fee = 0 Total Expenses = 0 Cost per Participant = 0 Other = 0 PACKET CHECKLIST Check items included in this packet. Items marked with (*) are required for federal compliance. Attendee Sign-In Sheet* A completed participant worksheet is proof of attendance. Submit a list of all completers as the sign-in-sheet. Maintain worksheets at the local level. Event Agenda* Submit the OAE-provided agenda. Event Evaluation Forms* Submit copies or a summary of the OAE-provided evaluation form. Presenter Handouts Training materials are found at: File original packet with local program’s records. Scan packet and email file to or mail a copy of the packet to: Kynshasa McDaniel – Federal and State PD Records, Office of Adult Education, Technical College System of Georgia, 1800 Century Place NE, Suite 300, Atlanta, GA 30345. Call (404) 679-1654 if you have questions. Packet Prepared By Name and Title Phone and Email Address Signature
WorkFirst Handbook Policy and Fiscal requirements. corrective action requirements. Written procedures will be maintained on file and available to Commerce upon request 2. Documentation of monitoring to ensure compliance with the Scope of Work and WorkFirst Policy within the WorkFirst Handbook. Monitoring required once every two years Monitoring required once every two years Written monitoring results of files and content reviewed along with monitoring results or findings. Written follow up correction action plans and results of corrective measures. 3. Documentation of monitoring to ensure compliance with the fiscal conditions of the contract including written procedures relating to support services, participant payroll, and pay points. Written procedures in place prior to entering into a subcontract. Monthly monitoring of billing to ensure accuracy and fiscal compliance. Monthly Accurate billings 4. Verification that all contract insurance and indemnification obligations are met. Prior to entering into a subcontract Annually or as needed to ensure continued coverage. Written documentation of insurance coverage and indemnification obligations are maintained on file and available to Commerce upon request. 5. Written procedures associated with communication distribution, technical assistance and training of subcontractors Written procedures in place prior to entering into a subcontract. Written procedures in place prior to entering into a subcontract. Written procedures maintained on file and available to Commerce upon request. 6. Verification of staff attendance at required trainings As needed When training is provided Document w/ list of attendees, date, and training maintained