City of Visalia Non-Profit Proposal Rating Sheet
Applicant: New or Existing
Grantee:
Section Criteria Points
possible
Points
awarded Comments
Cover page,
Q 1-2
Responses are provided for all fields, certification is signed by individual authorized by the resolution, and questions 1 and 2 provide the requested information.
10 Q 3 Response provides a brief description of the specific intended use of the Visalia Non-Profit grant, including age and number of Visalia youth to be served.
10 Q 4 At least 1 outcome with planned activities and measurements of success. The outcome supports the grant’s goal: improve quality of life of youth living in or attending school within Visalia. 25 Q 5 Response provides the requested information. 5
Q 6 Response states the applicant’s mission or purpose. Their mission is aligned with the goal of this grant. 5
Q 7 Applicant has experience and success in providing youth services. 5 Q 8 Applicant states the specific population they intend to serve. 5 The general population of Visalia youth is acceptable.
Q 9 Applicant requests seed funding to start a new program or new activity. 10
Q 10 Applicant has had no financial/budgetary problems/debt in last 5 years that could jeopardize grant completion. 5
Program
Budget
Income & Expense tables are complete. Total request is between $1,000 - $6,500. Costs appear to be adequate for proposed activities. 10 All required
Attachments
are
provided:
1. For non-profits: 501(c)(3)
2. Board of Directors (names, titles, addresses, phone nos.)
3. Agency’s most recent year-end financial statement/audit
4. Resolution completed
10 Previous
Recipient?
Were the required reports received? Was the full allocation accounted for? If funds were not fully expended, did the agency communicate plans for spending out the funds?
up to
-20
Deduct points for previous applicants
that did not submit reports or did not
contact Ruth if they needed more time.
Total points 100