Organization/Project NameBudget

Activities One-year request

1. Leasing

2. Rental Assistance

3. Supportive Services

4. Operations

5. Administration

Total Request

Proposed # of households to serve (last year)Actual # of households served (per last submitted APR)

Comprehensiveness and Coordination (10 points)

• Describe how the project has demonstrated how it is related to other activities/strategies in the community and how it will continue to work in coordination with other providers and programs.

Need/extent of the Problem Addressed(10 points)

• Describe how this project addresses a critical need area of the Continuum of Care.

Impact on Ending Homelessness(10 points)

• Describe how the project has had an impact on reducing homelessness.

Cost Effectiveness(10 points)

• Describe how the project is a cost effective use of the funds available.

Organizational Capacity(10 points)

• Describe how the organization demonstrated that it has the staffing and administrative resources necessary to manage the grant properly.