Process for developing/revising service plan Describe how services are coordinated Describe level of CoC and homeless planning attendance and participation of both applicant agency as well as partner agencies Explain the process the agency follows when a person is referred that is ineligible for the program Please describe project admission and termination criteria. Specifically address how the items listed below will impact admission and termination within the project as applicable. Admission Criteria: Having too little or no income Active or history of substance Having a criminal record with exception for state-mandated restrictions History of domestic violence Termination Criteria: Failure to make progress on a service plan Loss of income or failure to improve income a victim of domestic violence Any activity not covered in a standard lease agreement C. Staff Training and Continuing Education Please provide a narrative of no more than 1 paragraph describing staff capacity and ability to provide the services for the project. Narratives should include: Level of staffing performing program activities and structure of staff financial oversight of funds Level of staff training attendance at Site Administrators and other HMIS trainings Information on the continuing education requirements and/or training of the staff to ensure ability to adequately serve clients D. Project Leveraging Please provide a list of anticipated funding and services you will be able to leverage for this project (leveraging includes internal agency services/programs as well as services from community agencies both cash and in-kind) (See 24 CFR 578.73 for more information.) a. Type of Contribution (Match or Leverage) b. Source of Contribution c. Identify Source as: d. Date of Written Commitment e. Value of Written Commitment (I) In-kind or (C) Cash Example: Match CDBG C 5/10/17 $10,000
Costs (Up to 7% of line 9) Budget lines 9 + 10) $ $ $ $ Housing Assistance Budget (Leasing and Rental Assistance Programs) (If your project does not request HUD funds for this line item, leave this section blank) Component Types (Check only one box) – see definitions in Appendix A TRA SRA PRA Leasing Short-term Rental Assistance (1-3 months) Medium-term Rental Assistance (4 – 24 months) Size of Units Number of Units Monthly Rent Number of Months Total SRO x $ x 12= $ 0 Bedroom x $ x 12= $ 1 Bedroom x $ x 12= $ 2 Bedrooms x $ x 12= $ 3 Bedrooms x $ x 12= $ 4 Bedrooms x $ x 12= $ 5 Bedrooms x $ x 12= $ 6 Bedrooms x $ x 12= $ Other: _____ x $ x 12= $ Totals: $ Camden County Final FY 2016 FMRs By Unit Bedrooms SRO Efficiency One-Bedroom Two-Bedroom Three-Bedroom Four-Bedroom $623 $930 $1,003 $1,210 $1,502 $1,659 Cape May County Final FY 2016 FMRs By Unit Bedrooms SRO Efficiency One-Bedroom Two-Bedroom Three-Bedroom Four-Bedroom $486 $648 $854 $1,051 $1,464 $1,673 Cumberland County FY 2016 FMRs By Unit Bedrooms SRO Efficiency One-Bedroom Two-Bedroom Three-Bedroom Four-Bedroom $534 $712 $896 $1,129 $1,442 $1,659 Gloucester County Final FY 2016 FMRs By Unit Bedrooms SRO Efficiency One-Bedroom Two-Bedroom Three-Bedroom Four-Bedroom $623 $930 $1,003 $1,210 $1,502 $1,659 Supportive Services Budget (If your project does not request HUD funds for this line item, leave this section blank) Eligible Costs Quantity & Description Annual HUD Assistance Requested Assessment of Service Needs Assistance with Moving Costs Case Management Child Care Education Services Employment Assistance
Is there a lower level of rental/leasing assistance amount per unit per month (an amount of rental assistance less than FMR or current request) that your project could request while still maintaining all participants stable in housing in the coming operating year? Please provide 1 copy of the following fiscal documents with application submission: Printout or screen shot of all voucher payment requests for current operating year from eLOCCS. If operating year expired earlier in 2017, and the FY 2016 has not yet been drawn down from, provide printout of voucher payments from most recently completed operating year. Printout or screen shot from your eLOCCS line of credit system showing amount of funds disbursed and amount of funds remaining for current operating year. If operating year expired earlier in 2017, and the FY 2016 has not yet been drawn down from, provide printout of voucher payments from most recently completed operating year. Most recent close-out certification from HUD (if applicable) Most recently submitted HUD APR If this project was part of a consolidation since the FY 2016 award, please include the above documentation for all relevant grants that were part of the consolidation. H. Required Documentation & Reports Please attach proof of up – to – date SAM registration (sam.gov) Please attach copies of agreements or letters certifying indicated in Section D Appendix A: TRA – Tenant Rental Assistance – lease is in tenant’s name SRA – Sponsor Based Rental Assistance – lease is in agency’s name or in tenant’s name if used in property owned by the sponsor agency PRA – Project Based Rental Assistance – voucher tied to specific unit and lease is in tenant’s name Short-Term Rental Assistance – For Rapid Re-Housing Project only - rental assistance provided to participants for up to 3 months Medium-Term Rental Assistance – For Rapid Re-Housing Projects only – rental assistance provided to participants for 4 – 24 months