Pre-Application and Threshold Assessment 2021

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* 1. Project Name

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* 2. Agency Name

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* 3. Primary Contact

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* 4. Primary contact email

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* 5. Primary contact phone

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* 6. DUNS #

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* 7. Amount of Funding Requested:

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* 8. Are you requesting funds for a new or renewal projects?

Renewal

Transition Project

DV Bonus – new

New: CoC Bonus/reallocation

Expansion

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* 9. What type of project are your requesting funds for?

Joint Transitional Housing-PH-Rapid Rehousing

PH-Rapid-Rehousing

PH-Permanent Supportive Housing

Support Services Only: Coordinated Entry

HMIS - ICA is the only eligible applicant for this project type

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* 10. Location of your project? Check all that apply. If site based include exact address.

Entire CoC region

Becker

Clay

Douglas

Grant

Otter Tail

Pope

Stevens

Traverse

Wadena

Wilken

Site-based Address:

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* 11. Homeless population will you serve with this funding:

Category 1: Literally Homeless

Category 2: Imminent Risk of Homeless

Category 3: Homeless Under other Federal Statues

Category 4: Fleeing/Attempting to Flee

N/A: CES or HMIS Project

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* 12. What is your proposed subpopulation?

Chronic Homeless

DedicatedPlus

Victims of Domestic Violence or Human Trafficking

Youth

N/A: CES, RRH, HMIS, or Joint TH-RRH Project

# of beds and units dedicated to CH or Dedicated Plus if checked:

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* 13. Please list your target population to be served. If CES, HMIS, or you are not serving one of the populations listed, please enter 0.

# Single Beds

# Single Units

# Family Beds

# Family Units

# of Youth ONLY Beds

# of Youth ONLY Units

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* 14. Applicant Assurances: Please check all that apply to your agency/project.

Project agrees to utilize HMIS (or CoC approved equivalent if a VSP) and follow related HMIS policies.

Project has an active SAM Registration.

Project agrees to make quarterly draw downs in eLOCCS. Attach PDF eloccs report to verify.

Project has a signed CoC Membership Agreement.

Project agrees to fill all beds using CARES prioritization process, tools, and policies (PH or Joint projects ONLY).

Project agrees to utilize CARES Receipts and checklist to assure mainstream linkage.

Project agrees to follow CoC Policies (CARES, VAWA, School Engagement, Family Separation, Evaluation & Ranking, Reallocation, Non-discrimination) and Written Standards.

Project agrees to verify recipient eligibility and maintain documentation of eligibility.

Project agrees to participate in HMIS QDQ, responding to any data quality issues in a timely manner.

Project agrees to incorporate Housing First principles, including low barrier access, into agency policies and practices. A Housing First assessment must be submitted with Application Packet.

Project agrees to participate in all CoC required trainings in Digital Chalk and at annual conference. Trainings include, but may not be limited to: Housing First, Client Centered Care, Low Barrier Access, Harm Reduction, Motivational Interviewing, Trauma Informed, Creative Engagement, CARES (overview and role specific), VAWA series, Fair Housing & Discrimination, Equal Access, Stop Evictions, and Homelessness 101 (CoC Overview, Homeless Definitions, Self-Care, Core Principles of Ending Homelessness, Intro To Homelessness).

Applicant agrees to participate in local and regional homeless planning including attending Homeless Committee/Coalition meetings.

Applicant agrees to participate in an annual performance evaluation and follow-up with any technical assistance requirements if your project has been identified as under-performing.

Applicant agrees to be compliant with Fair Housing, Equal Opportunity, and Equal Access including assuring adaptations to marketing, access, interpretation, and reasonable accommodations.

Project will incorporate CoC Housing stability best practices (tools and training provided by the CoC) to assist households in achieving & maintaining independent living, adapted to their individual needs and goals (e.g., provides the participant with transportation assistance, case management, safety planning, and other services appropriate to support stability in the household).

Applicant is a nonprofit organization, State or local government, instrument of a State or local government, Public housing agency, Indian Tribe, or Tribally Designated Housing Entity (TDHE). New applicants email proof of non-profit status to h2hcoordinator@gmail.com.

Project does NOT have any outstanding or delinquent federal debt, debarments, suspensions, or mandatory disclosure requirements.

Applicant agrees to invite program participants (persons with lived experience) to participate in your Regional Consumer Advisory Boards, the annual CoC consumer satisfaction survey, and any other opportunity for lived experience to provide input on CoC or project improvement.

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* 15. Will this project funding request replace another existing funding source for the activity being proposed? If yes, please explain.

Yes

N/A - Renewal Project

Please explain:

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* 16. Does your project have any outstanding findings with HUD?

Yes, please email findings on a HUD letterhead to h2hcoordinator@gmail.com.

N/A - New Project

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* 17. Please enter the date of your last project/agency audit and email the audit to h2hcoordinator@gmail.com

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* 18. NEW AGENCIES ONLY: Please describe your experience administering federal, state, or local grants. Include any programs specifically targeted for persons who are homeless or at risk of homelessness.

Pre-Application and Threshold Assessment 2021

Question Title

* 1. Project Name

Question Title

* 2. Agency Name

Question Title

* 3. Primary Contact

Question Title

* 4. Primary contact email

Question Title

* 5. Primary contact phone

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* 6. DUNS #

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* 7. Amount of Funding Requested:

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* 8. Are you requesting funds for a new or renewal projects?

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* 9. What type of project are your requesting funds for?

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* 10. Location of your project? Check all that apply. If site based include exact address.

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* 11. Homeless population will you serve with this funding:

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* 12. What is your proposed subpopulation?

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* 13. Please list your target population to be served. If CES, HMIS, or you are not serving one of the populations listed, please enter 0.

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* 14. Applicant Assurances: Please check all that apply to your agency/project.

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* 15. Will this project funding request replace another existing funding source for the activity being proposed? If yes, please explain.

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* 16. Does your project have any outstanding findings with HUD?

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* 17. Please enter the date of your last project/agency audit and email the audit to h2hcoordinator@gmail.com

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* 18. NEW AGENCIES ONLY: Please describe your experience administering federal, state, or local grants. Include any programs specifically targeted for persons who are homeless or at risk of homelessness.

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* 19. NEW PROJECTS ONLY: Please briefly describe your project.