Please submit application to mailto:snap@ihfa.org no later than 5:00 p.m. MT,Friday, June 28, 2019.

2019 ESG Project Application

Instructions:

This is an application for a new project under 2019 Emergency Solutions Grants (ESG) funding. The ESG program is designed to promote communitywide commitment to the goal of ending homelessness by providing for a crisis response system. Currently there are three types of projects under the ESG umbrella: emergency shelter (ES), homelessness prevention (HP), and rapid re-housing (RRH). ES funds are intended to fund operations of emergency shelter structures, as well as supportive services for participants residing in those shelter structures. RRH funds emphasize housing search, relocation services, and short- and medium-term rental assistance to move homeless persons and families (with or without a disability) as rapidly as possible into permanent housing. According to these guidelines, please select your project’s focus by checking the appropriate box on page 4. The application will be reviewed and scored by independent parties. The more specific, descriptive, and straightforward your answers are, the more accurately your project will be reviewed and scored.

Please do not score for your agency. The scoring will create a method of prioritizing your project’s potential for funding.

Part 1, Section 1 consists of general information questions. Please answer each question regarding your proposed project. This section will not be scored; however, responses to each question are required in order to be considered for funding.

Part 1, Section 2 contains threshold information questions. Please answer each question regarding your proposed project. Projects that do not meet threshold criteria will not be considered for submission in the Idaho Balance of State ESG Application.

Threshold Questions Answer each question regarding your proposed project. Attach letters of commitment for match for your project to your application submission. Refer to www.HUDExchange.info for further information on the homeless definition, Permanent

Supportive Housing, and Rapid Re-housing Projects.

Part 1, Section 3 identifies necessary registrations and required status. Please ensure your agency is registered and in compliance with both entities. Please attach proof of registration and current compliance status (this can be accomplished using a screenshot). Projects not in compliance with this criteria will not be considered for submission in the Idaho Balance of State ESG Application.

This section also requires proof of federal accountability and documentation. Please submit an IRS determination letter or a screenshot of your agency’s eligibility using this search tool (https://apps.irs.gov/app/eos/) to verify 501(c)(3) status. Please also ensure your agency’s registrations with the Idaho Secretary of State (SOS) and the Federal System for Award Management (SAM) are up to date. The purpose of the registrations is to ensure your agency has no outstanding debts and is in good standing with all Federal awards. If you have questions on your registrations, please reach out to the help desk at the respective agencies, as IHFA does not have administration rights in these systems.

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2019 ESG Project Application

Part 2, Section 1 describes the populations your project will serve. Please complete according to the instructions provided for each question.

Part 2, Section 2 consists of questions regarding Housing First. Please complete any tables associated with questions in the project response column. Please do not fill out the gray scoring criteria column.

Answer each question regarding your proposed project Refer to the Housing First Checklist from USICH for more information and references

(https://www.usich.gov/resources/uploads/asset_library/Housing_First_Checklist_FINAL.pdf )

Part 3 consists of budget request and match information. There is a page for Homelessness Prevention & Rapid Rehousing, and a separate page for Shelter. Complete as needed based on component types requested. Fill out Section 1 with your funding request for the 2019 grant.

Part 4 consists of project evaluation questions. Section 1: Narrative Questions

o Scored via the qualitative responses your agency provides as well as qualifying factors in the check box questions

o This section allows agencies to further describe their projects and their goals in obtaining ESG funds

o Directions: Answer each question regarding your proposed project. The word limit for each

subpart (A.a, A.b, etc.) is 250 words. If the question does not have subparts, the word limit is 250 words.

Word limits will be verified. Please be specific, utilize key words, and provide detailed descriptions.

Section 2: Mainstream Resources QuestionsCheck all that apply.

Section 3: Project Operations QuestionsCheck all that apply.

Section 4: Bonus Questionso Answer each question regarding your project. Please do not fill out the gray scoring criteria

column.o Submit letters of commitment to demonstrate the type and amount of leverage being

committed. IHFA will calculate the percentage of leverage based on the letters of commitment

Part 5 consists of the Permanent Housing Performance Measures. Please fill out according to the instructions on the page. The purpose of this section is to ensure that IHFA and HUD understand what your project hopes to accomplish and how many people it intends to serve during the grant year.

Finally, complete and return the HMIS/CMIS Compliance Form and the Homeless Connect Compliance Form.

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2019 ESG Project Application

To submit, please send the application and all required attachments identified in this packet to snap@ihfa.org. The application is due on Friday, June 28, 2019, no later than 5:00 pm MT.

Please contact IHFA’s SNAP Team at snap@ihfa.org with any questions or concerns regarding this application. Please contact IHFA’s HMIS/CMIS Team at hmis@ihfa.org or cmis@ihfa.org for data or ServicePoint report questions. Please contact IHFA’s Homeless Connect Team at homelessprograms@ihfa.org.

Thank you - we look forward to your submission!

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2019 ESG Project Application

Part 1: General and Threshold Information

Section 1: General Information

Agency Name: ____________________________________________________________________________

Project Name: ____________________________________________________________________________

Project Address: ___________________________________________________________________________

Business Address (if different): _______________________________________________________________

City: __________________________________________ Zip Code: _________________________________

DUNS #: _______________________________________ Tax ID #: __________________________________

Website: ______________________________________________________________________

Contact Person for this Application: __________________________________________________________

Phone Number: ______________________________ Email: ______________________________________

Agency Status: Unit of Local Government 501(c)(3) Nonprofit Agency

Please select from the following those categories for which you wish to apply:

Shelter Operations and Services Rapid Re-Housing Homelessness Prevention HMIS/Comparable Database Administrative Costs

________________________________________ ___________________________________Signature of Authorized Official Date

________________________________________ ___________________________________Name (Typed or printed) Title (Typed or printed)

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2019 ESG Project Application

Section 2: Threshold Questions

Your proposed project must meet all of the following in order to be considered for funding in the 2019 ESG cycle.

Threshold Questions Scoring Criteria

A. Please declare your total match commitment:

In-kind: $_______________________ Cash: $_______________________

Is match being used for eligible activities? (Please see Tables in Part 3: Budget for eligible activities costs)

Yes

No

Match must equal 100% of the total grant request including admin costs. All match for ESG grants may be in-kind in nature. Supporting documentation of match commitments must be attached.

Met or Unmet

B. This program is (select all that apply):

Rapid Re-Housing

Homelessness Prevention

Shelter Operations and Services

Met or Unmet

C. This project agrees to participate in the Homeless Connect system.

Yes

No

Met or Unmet

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2019 ESG Project Application

D. This project agrees to participate in HMIS or CMIS, if prohibited from participating in HMIS. The standards for a comparable database are set forth in 24 CFR 580.25.

Yes

No

Met or Unmet

Federal Education Requirements – Required for homeless individuals and families per (42 USC 11431 et seq).

E. Are the proposed project policies and practices consistent with the laws related to providing education services to homeless individuals and families?

Yes

No

Please attach a copy of relevant policies and practices for this project, with relevant sections highlighted.

Met or Unmet

F. Does the project have a designated staff person to ensure that homeless children are enrolled in school and receive educational services as appropriate?

Yes

No

Please attach a copy of relevant policies and practices for this project, with relevant sections highlighted.

Met or Unmet

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2019 ESG Project Application

Section 3: Required Registrations

SOS and SAM Registration

Registrations with the Secretary of State (SOS) and System Award Management (SAM) must be up to date. The links to the sites are listed below. Please attach verification that these are up to date. Screenshots are acceptable documentation. Please use the following links to access SOS and SAM:

Is the agency registration current in SAM? Yes No

SAM: https://www.sam.gov/portal/SAM/##11

Is the agency registration current with Idaho’s Secretary of State? Yes No

SOS: http://www.sos.idaho.gov/corp/index.html

Does the agency have outstanding federal delinquent debt? Yes No

Is the agency a federally debarred contractor? Yes No

Please attach your agency’s 501(c)(3) determination letter from the IRS.

Please attach your federally-approved cost allocation plan and indirect cost rate, if applicable.

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2019 ESG Project Application

Part 2: Project Information

Section 1: Population(s) Served

A. Please identify any specific population focus. Select all that apply.

Chronic Homeless

Mental Illness

Substance Abuse

Chronic Health Conditions

Developmental Disabilities

Physical Disabilities

Domestic Violence

Veterans

Unaccompanied Transition Aged Youth (TAY) (ages 18-24)

Families

HIV/AIDS

Other _____________________________________

B. Enter the percentage of homeless persons who will be served by the proposed project for each of the following locations. No other homeless circumstance can be considered; however, if a person recently spent 90 consecutive days or less in a jail, hospital, or other publicly funded institution, they still qualify as coming from one of the following locations if they were living on the streets or in shelters prior to institutional entry. Please note that not all locations listed below are appropriate for all component types. It is important that you email snap@ihfa.org if you have any questions.

Directly from the street or other locations not meant for human habitation

%

Persons at risk of homelessness (prevention only) %

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2019 ESG Project Application

Persons fleeing DV (use only if project serves 100% DV victims) %

C. Indicate the maximum number of units and beds available for project participants for the requested housing project.

a. Units: __________b. Beds: __________

D. Indicate the number of households or persons served at maximum project capacity:

Households/Characteristics Households with at Least One

Adult and One Child

Adult Households

without Children

Households with Only Children

Total

Total # of HouseholdsAdults over Age 24Adults Ages 18-24Accompanied Children under Age 18Unaccompanied Children under Age 18Total Persons

Section 2: Housing First Questions

Agencies must employ a housing first approach for their projects, in accordance with the Written Standards. Please answer each of the below, and attach policies which demonstrate your response.

Housing First Questions Scoring Criteria

A. Will the project have policies that expedite the intake and screening process to quickly move participants into permanent housing?

Yes

No

Yes = 5 points

No = 0 points

B. Will the project ensure that participants are not screened out based on the following items? Select all that apply. If the

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2019 ESG Project Application

first five boxes are checked, this project will be considered low barrier.

Having too little income

Active or history of substance use

Having a criminal record with exceptions for state-mandated restrictions (Idaho Code § 9-335)

History of domestic violence (e.g., lack of a protective order, period of separation from abuser, or law enforcement involvement)

Poor credit, financial or rental history, or other behaviors that indicate a lack of “housing readiness.”

Yes to all = 5 points

Yes to any = 1 point each

None = 0 points

C. Does the project ensure that participants are not terminated from the program for the following reasons? Select all that apply. Each of the first five boxes must be checked to receive full points.

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 covered in a lease agreement typically found in the project's geographic area.

Yes to all = 5 points

Yes to any = 1 point each

None = 0 points

D. Does this project abide by the following key elements of Housing First principles (Check all that apply):

Few to no barriers to housing entry.

Agreements do not have any provisions that discriminate against protected classes.

Participation in services is voluntary and tenants cannot be evicted for rejecting services.

>5 factors = 10 points

3-5 factors = 5 points

0-2 factors = 0 points

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2019 ESG Project Application

House rules, if any, are similar to those found in housing for people who do not have disabilities and do not restrict or interfere with a life in the community.

Participants have choices in the supportive services that they receive beyond those required by federal regulation. They are asked about their choices and can choose from a range of services, and different participants receive different types of services based on their needs and preferences.

As needs change over time, participants can receive more intensive or less intensive support services without losing their housing.

E. Select all harder-to-serve homeless or at-risk-of- homelessness populations intended to be served:

Mental Illness Alcohol Abuse Drug Abuse Chronic Health Conditions HIV Developmental Disabilities Physical Disabilities Domestic Violence Unaccompanied Youth (under age 18) Unaccompanied TAY (ages 18-24)

>5 factors = 10 points

3-5 factors = 5 points

0-2 factors = 0 points

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2019 ESG Project Application

Part 3: Budget

Section 1: Project Budget(s) & Match

Directions: Please complete the appropriate budget or budgets in this section. If your program is administering Rapid Rehousing (RRH) and or Homeless Prevention (HP), complete the RRH and or HP portion. If your program is administering shelter, complete the shelter budget.

Homeless Prevention, Rapid RehousingCost Category Line Item Percentage Dollar AmountRapid Re-housing(up to 60% if also receiving HP)

Housing Relocation and Stabilization Services: Financial Assistance

% $

Housing Relocation and Stabilization Services: Services

% $

Short- and Medium-Term Tenant Based Rental Assistance

% $

Homelessness Prevention(up to 40% if also receiving RRH)

Housing Relocation and Stabilization Services: Financial Assistance

% $

Housing Relocation and Stabilization Services: Services

% $

Short and Medium Term Tenant Based Rental Assistance

% $

HMIS/CMIS (5% recommended)

Cost of using HMIS or CMIS % $

Administration Up to 4% of the total operations, services, and HMIS/CMIS

% $

Total % $

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2019 ESG Project Application

Shelter

Cost Category Line Item Percentage Dollar AmountShelter Operations Maintenance % $

Rent % $Security % $Fuel % $Equipment % $Insurance % $Utilities % $Food % $Furnishings % $Supplies % $Hotel/Motel Vouchers (when other shelter unavailable)

% $

Shelter Services (limited to 30% of budget before Administration)

Case Management % $Childcare % $Education Services % $Employment Assistance/Job Training

% $

Outpatient Health Services % $Life Skills Training % $Mental Health Services % $Substance Use Treatment Services

% $

Transportation Services % $HMIS/CMIS (5% recommended)

Cost of using HMIS or CMIS % $

Administration Up to 4% of the total Operations, Services, and HMIS/CMIS

% $

Total request (cannot exceed 100%) % $

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2019 ESG Project Application

Match

Directions: Complete match charts for cash and in-kind match for all projects included in this application. List the project type in column 1. Ensure the subtotal is completed for both cash and in-kind, as applicable, which are located in the last row of each chart. In addition, the total match commitment in the last row of the in-kind table should be completed.

Match Requirements and InformationThis ESG program requires each subrecipient to match the funding provided by HUD dollar-for-dollar with other sources. These sources may not come from another Federal award unless that award is designated by Federal statute as one that may be used for matching (2 CFR 200.306). Match funds must be used during the grant period. Funds used to match a previous ESG grant may not be used to match a subsequent award. The subrecipient may comply with the match requirement through:

Supplemental funds Documented time and services of volunteers (24 CFR 576.51(b)) Donated materials received and valued at the fair market price Value of lease on shelter facility not paid with ESG funds Any non-ESG salary including administrative salaries paid to carry out the

project

Cash Match

Project Type (Shelter or

HPRR)

Cash Match Funding Sources

(Specify by name, i.e. CDBG, CSBG,

FEMA,ESAP, private

foundations, etc.)

ExpectedDate of Contribution

(Month and Year Preferred)

Percentage of Contribution Dollar Amount

% $% $% $% $% $% $% $% $% $% $

Subtotal Cash Match % $

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Cash Match

2019 ESG Project Application

In-Kind Match

Project Type (Shelter or HPRR)

In-Kind Donations(Give details such

as buildings, equipment,

furnishings, staff salaries, volunteer

hours, etc. to describe

donations)

ExpectedDate of

ContributionPercentage of In-

Kind Donation Dollar Amount% $% $% $% $% $% $% $% $% $% $

Subtotal Cash Match % $Total Cash and In-Kind Match (Subtotal for Part I and Part II) % $

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2019 ESG Project Application

Part 4: EvaluationSection 1: Narrative QuestionsDirections: All narrative questions should be answered for each component type (Shelter, Homelessness Prevention, and/or Rapid Rehousing) for which your agency is applying. If your agency wishes to apply for multiple component types, you may include multiple responses for any of the questions below, as necessary, to explain each component of your project.The word limit for each subpart (A.a, A.b, etc.) is 250 words. Word limits will be verified.

Please do not score for your agency.

Experience. 25 possible points.

A. Provide the relevant experience of you and your partners in working with homeless persons.

B. Describe the project’s target population, why you chose it, and your experience serving this population.

C. What is your relevant previous experience with providing housing of a similar nature?

D. What is your relevant previous experience of providing supportive services of a similar nature?

E. Describe your experience effectively utilizing federal funds, given funding and time limitations.

Project Information. 10 possible points.

F. Provide a description that addresses the entire scope of the proposed project’s activities.

G. Describe the basic organization and management structure of your organization. Include evidence of internal and external coordination and an adequate financial accounting system.

Project Description/Access. 25 possible points.

H. How will participants be assisted to obtain and remain in permanent housing?

I. What is your strategy to increase the rate at which participants exit into permanent housing?

J. How do you identify common factors of individuals who return to homelessness? What is your strategy to reduce the rate of returns to homelessness?

K. How will participants be assisted to increase their employment and/or income and to maximize their ability to live independently?

L. How accessible is your location to basic community amenities (bus lines, grocery stores, etc.)? How will you ensure access to basic community amenities?

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2019 ESG Project Application

Needs/Outcomes. 25 possible points.

M. What are the housing and supportive service needs of participants? How often will supportive services be provided?

N. Describe your partnerships or any coordination with other agencies to enhance services.

O. What is the impact of funding on your agency’s services in your community?

P. What are the unmet needs in your agency’s region (include and cite verifiable data sources)?

Q. Describe the project outcomes expected.

Service Area/Outreach. 10 possible points.

R. What is your proposed service area (city, county)?

S. What is your agency’s outreach plan for the project? How you will conduct outreach in rural areas within your region?

Staffing/Project Implementation 20 possible points.

T. How will your agency staff this project (please include staff-participant ratios)?

U. How will your agency reach the performance measures identified?

V. How will your agency will train staff for this project?

W. Provide your implementation timeline.

Services Information. 20 possible points.

X. Provide the criteria you use to assess and target services.

Y. What is your process for referring participants to mainstream resources?

Z. What are your methods for data collection and retention?

AA.How is participant progress monitored, including services provided?

A.

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2019 ESG Project Application

Section 2: Mainstream ResourcesA. Please identify whether the project will include the following activities: (4 possible points)

a. Transportation assistance to clients to attend mainstream benefit appointments, employment training, or jobs?

YES NO

b. Use of a single application form for four or more mainstream programs?

YES NO

c. Regular follow-ups with participants to ensure mainstream benefits are received and renewed?

YES NO

d. Will project participants have access to SSI/SSDI technical assistance provided by the applicant, a subrecipient, or partner agency?

YES NO

Indicate the last SOAR (SSI/SSDI Outreach, Access, and Recovery) training date for the staff person providing the technical assistance. _____________

B. Please answer the following question regarding potential participants’ access to services.

a. Has your agency received ESG funding in the past? Yes No

b. If yes, what was the term of the most recent award? _________________ to ___________________

c. Was your agency awarded ESG funding in 2018? Yes No

d. If yes, what was the 2018 awarded amount for your agency? $

e. If yes, how much of the 2018 award was expended? $

C. Please attach the project’s Affirmative Fair Housing Marketing Form.

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2019 ESG Project Application

Mainstream Resource Questions Scoring Criteria

What partnerships or coordination with other agencies will your project use to enhance services?

Medicaid/Medicare

CHIP Insurance

T.A.N.F.

Food Stamps

Indigent Services

Vocational Rehab

Mental Health

Substance Abuse

District Health Dept.

Veteran’s Services

Social Security

Dept. of Labor

Housing Authority/Section 8 Voucher Provider

Each checked box is worth 1 point (maximum of 5 points)

Please attach all relevant MOA, MOU, letter of intent, or letter of support from agencies identified in question 1.

Each attached document clearly detailing support is worth 1 point

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2019 ESG Project Application

Section 3: Project Operations Questions

Please answer each of following regarding potential daily operations of your project.

Project CostsScoring Criteria

Describe the percentage of housing costs (rental assistance, operations), the percentage of services, the percentage of HMIS/CMIS costs, and the percentage of administrative costs in your budget request from Part 3. Please include percentages below:

Housing Costs _________%

Supportive Services _________%

HMIS/CMIS _________%

Administrative _________%

housing > 85% = 10 points

housing between 70-84% = 5 points

housing below 70% = 0 points

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2019 ESG Project Application

Section 4: Bonus Questions

If applicable, please answer the following to be considered for extra points on the application.

Bonus Questions Scoring Criteria

A. Leveraging is funding above and beyond the match required amount. What is the commitment of leverage for this project?

_________________________________________________

Please attach written leveraging documentation from partner agencies to receive points.

200%+ = 10 points

100%+ = 5 points

B. Will a majority of your units be dedicated to the following population (s) (Dedicated means that the bed will only be used to house persons in the specified population unless there are no persons within the geographic area that meet that criteria, in which case the project must adhere to population prioritization order established by the CoC system):

Veterans Chronically Homeless Families or Youth

Veterans = 5 points

CH = 3 Points

Families/Youth = 2 points

C. Will or do the employees of this project:

Attend Regional Coalitions? Yes No

Participate in Committee meetings? Yes No

Participate in IHCC meetings/trainings when available?

Yes No

Attend all 3 = 10 points

Attend 2 of 3 = 5 points

Attend 1 of 3 = 3 points

D. Will the project be the only CoC, ESG, or McKinney-Vento funded project in the county/region? (Please verify with your local Regional Coalition.)

Yes No

Yes = 5 points

No = 0 points

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2019 ESG Project Application

Part 5: Performance Measures

Directions: For each of the performance measures provide the total number of participants you anticipate serving and the number of applicable participants who are expected to achieve the measure within the grant term.

Performance Measures: Shelter, Rapid Re-housing (RRH), or Homeless Prevention (HP)

Project Total Projected Number of Participants to Be Served

Total Number of Participants Expected to Achieve Measure

A. How many participants in this project will maintain or increase employment and other income?

Shelter

RRH

C. How many participants in this project will exit to permanent housing destinations within 60 days?

Shelter

RRH

C. How many participants will exit the program receiving at least one mainstream resource in addition to obtaining or retaining housing?

Shelter

RRH

E. How many clients receiving homelessness prevention will not enter a HUD-funded shelter or rapid re-housing program within twelve (12) months of receiving assistance?

HP

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2019 ESG Project Application

HMIS or CMIS Compliance Form

The ESG program requires all ESG subrecipients to use HMIS, or CMIS if the subrecipient is an organization whose primary mission is to serve victims/survivors of domestic violence.

A. Are you an organization whose primary mission is to serve victims/survivors of domestic violence, and are prohibited from using HMIS as per the Violence against Women Act (VAWA) of 2005?

YES NO

If yes, does your agency participate in CMIS, operated by IHFA?

YES NO

B. Does your organization have the staffing capacity to have at least one staff member perform data entry?

YES NO

C. Does your organization agree to have the staff member(s) trained in HMIS or CMIS within 30 days of the grant start date?

YES NO

D. Does your organization have other projects that serve persons experiencing homelessness which are not funded by HUD?

YES NO

If yes, please list:

E. Are these projects recorded in HMIS/CMIS?

YES NO NOT APPLICABLE

If yes, please list those recorded in HMIS/CMIS:

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2019 ESG Project Application

Homeless Connect Compliance Form

The ESG program requires all ESG subrecipients to participate in Homeless Connect, its coordinated entry system.

A. Does your agency participate in Homeless Connect, operated by IHFA?

YES NO

B. Does your organization have the staffing capacity to ensure compliance with the requirements of Homeless Connect as mandated by the provisions in the Continuum of Care (CoC) Program Interim Rule at 24 CFR 578.7(a)(8)?

YES NO

C. Does your organization comply with the policies and procedures set forth in the Idaho Balance of State CoC Homeless Connect Operating Procedures?

YES NO

D. Does your organization agree to have staff member(s) trained to ensure all vacancies are filled through the Homeless Connect System?

YES NO

E. Does your organization have other projects that serve persons experiencing homelessness which are not funded by HUD? If yes, please list.

YES NO

F. Are these projects collaborating with Homeless Connect? If yes, please list.

YES NO NOT APPLICABLE

G. Has your project received referrals from Homeless Connect in the last grant year?

YES NO NOT APPLICABLE

If yes, how many? ______ Of these, how many were admitted into your program? _______

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2019 ESG Project Application

Attachments List

Supporting Documentation for Match Commitments

Project Policies and Procedures (Highlighted as Instructed)

Screenshot or Other Proof of SOS Registration

Screenshot or Other Proof of SAM Registration

IRS 501(c)(3) Determination Letter

Federally Approved Cost Allocation Plan and Indirect Cost Rate, if Applicable

MOA(s), MOU(s), or Letters of Support from Partner Agencies

Affirmative Fair Housing Marketing Plan Form

Documentation of Leveraging Commitments, if Applicable

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