Application:
Possible
Points
City Staff
Score
HRC Subcommittee
Score
Total
Score
2 1 Program Name N/A N/A N/A N/A
2 Program Address N/A N/A N/A N/A
3 Program Description - Please provide a brief narrative of the proposed program.
2 N/A
4 Funding Source: CDBG or General Fund N/A N/A N/A N/A
5 Who are the primary clientele for the program? N/A N/A N/A N/A 6 Is your organization able to provide oral and written translation services to clients? N/A N/A N/A N/A
7 If Yes to question 6, please list all languages N/A N/A N/A N/A 8 How will services be provided? N/A N/A N/A N/A
9-10 Estimate how many persons the program will serve in fiscal years 25- 26 and 26-27 N/A N/A N/A N/A
24 11
What specific services or activities will the project provide? Define and describe the services that will be provided (i.e. how they will be provided, who will provide them, frequency and duration of services) 4 N/A
12 What are the primary goals of the program? 4 N/A
13 What Community Need does the program address?
1 point per community need that is addressed with a maximum possible score of 4 points
4 N/A
14 Please describe how the program will address the community need identified in the question 13. 4 N/A
15 Describe what is unique about this program or project Explain how your program does not duplicate services currently provided by other providers OR if other providers do provide similar service(s), explain how you coordinate with those providers to avoid duplication and improve effectiveness
4 N/A
16 Please describe how you ensure that clientele are eligible for the program, and how you will handle persons who are not eligible for services.
4 N/A
2 17 Local Preference : Does the program operate out of a fixed location in Union City? (2 points for yes) 2 N/A
18 Is this program a regional program?
If yes, please list the geographical area this program serves.
If no, please answer this question as not applicable
N/A N/A N/A N/A
City of Union City
Public Service Grants | FY (Year) & FY (Year)
Application Scoring Criteria
General Information
Application Questions
Program Description
Program Location
Application:
Possible
Points
City Staff
Score
HRC Subcommittee
Score
Total
Score
City of Union City
Public Service Grants | FY (Year) & FY (Year)
Application Scoring Criteria
Application Questions
6 19
Is this a new or existing program?
Existing Program - 4 points
New Program but applicant currently or has in the past operated a similar program - 1 point
New program and applicant has never operated a similar program - 0 points
4 N/A
20 New Programs Only: Briefly describe the similar program your organization has operated.
1 point if existing program is similar to the proposed program 1 N/A
21 New Programs Only: Describe the location(s) where your organization has operated a similar program
1 points if located in Union City
1 N/A
22 How long have you operated this program?
2 Points – more than 5 years
1 Point - 2 to 5 year
0 Points - less than 2 years
2 N/A
6 23 Describe your outreach/marketing efforts for this program 3 N/A 24 How will outreach include equal opportunity marketing to all race and ethnic groups in Union City? 3 N/A
17 25
Demographic Metrics: Please check each of the metrics below that you are able to collect and report out on for this program: Race/Ethnicity, Household Size, Female Head of Household, Homelessness Status, Household Income, Age of Head of Household, Disabled Head of Household, Number of Children under 18 in Household.
(2 points if provider can collect/report on all metrics) 2 N/A
26 Please explain why any of the above metrics will not be collected.
Indicate N/A if all metrics are checked N/A N/A N/A N/A 27 BONUS Metrics: Translation Services - (4 Points for yes) Metrics are not required, but will reflect favorably on grant applications. 4 N/A 28 BONUS Metrics: Equal Opportunity Marketing Actions - (7 Points for yes) Metrics are not required, but will reflect favorably on grant applications.
7 N/A
29 How will you monitor and evaluate your progress towards meeting the goals of your program? Describe how progress towards goals will be monitored and how program statistics will be compiled? Describe the data collection tools that will be used. Indicate who will be responsible for monitoring progress and tracking and compiling information required for reporting.
4 N/A
4 30 Is the program being provided by the applicant? N/A N/A N/A N/A 31 If No to question 30, who will be responsible for managing Union City grant funds? If Yes to question 30, please answer this question as not applicable.
N/A N/A N/A N/A
32 If your program is awarded less than the requested funding, would you still be able to provide (potentially reduced) services? N/A N/A N/A 33 How would your program compensate for a reduced grant award? Provide a narrative of the budgeting process for your organization and how budget amendments/adjustments are typically processed. Identify where you would consider cutting costs, if necessary, leveraging partnerships, recruiting volunteers, etc.
4 N/A
Financial Capacity
Measuring Success
Organizational Capacity
Existing Programs - up to 6 points | New programs - up to 5 points Outreach
Application:
Possible
Points
City Staff
Score
HRC Subcommittee
Score
Total
Score
City of Union City
Public Service Grants | FY (Year) & FY (Year)
Application Scoring Criteria
Application Questions
2 34
BONUS Program Description Metric: Describe if your program specifically prioritizes services to homeless populations, senior poulations, youth populations, special needs populations, displaced residents in high cost and gentrifying areas, and residents experiencing fair housing issues. What services are specifically provided targeting these populations? How have your services impacted these populations within the community? Providing metrics will reflect favorably on grant applications.
N/A
N/A Yes/No N/A N/A
12 4
2 N/A
1 N/A
1 N/A
4 2 N/A
1 N/A
1 N/A
4 2 N/A
1 N/A
1 N/A
9 3 N/A
3 N/A
3 N/A
6 3 N/A
3 N/A
4 4 N/A
6 2 N/A
2 N/A
2 N/A
100 0 0
Metric 1 – Clear and measurable (up to 3 points)
Shared Services (up to 2 Points)
Formal Partnership (1 point if yes)
Partnership #3
Table 2: Metrics
Union City Budget
Did the applicant complete the Union City Budget Tab?
TOTAL POINTS
Metric 2 – Clear and measurable (up to 3 points)
Metric 3 – Clear and measurable (up to 3 points)
Table 3: Program-Level Budget
Does the program have at least three distinct funding sources (3 points if yes)
Does CDBG funding (from all jurisdictions) makes up less than 50% of total program revenues?
(3 points if yes)
Bonus Documents
Cost Allocation Plan
Strategic Plan
Equal Opportunity Marketing Plan
Clarity and Completeness
Up to 4 points will be award to applicants that followed the directions and the application was clear, complete, and concise.
Bonus Program Description Metric
Shared Services (up to 2 Points)
Reciprocal Referral Services (1 point if yes)
Please identify up to three (3) measurable program metrics that can be used to indicate the success of your program beyond the number of people served. Please make these metrics are as specific as possible. If you are unable to track and report on additional metrics, please mark this table as not applicable.
(Up to 9 points possible, 3 points per metric)
Table 1: Partnerships
Partnership #1
Partnership #2
Shared Services (up to 2 Points)
Reciprocal Referral Services (1 point if yes)
Formal Partnership (1 point if yes)
Please list up to 3 partners your program will be directly and actively working with to assist clients. If you do not have any partners, please mark each cell in the table as not applicable. Please indicate in the table below whether these partnerships will include:
1) Shared Services (e.g. sharing an office space, staff person, consultant services, etc.); 2) Reciprocal Referral Services (i.e. your program refers/shares clients with your partner and they in turn refer/share clients with your program);
3) Formal Partnership (i.e. Formal = MOU or other agreement) Reciprocal Referral Services (1 point if yes)
Formal Partnership (1 point if yes)