2022 CoC Pre-Application and Threshold Assessment

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* 1. Agency Name

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* 2. Primary Contact First and Last Name

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* 3. Primary contact email

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* 4. Primary contact phone

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* 5. Are you requesting funds for a new or renewal project?

RENEWAL: CoC Competition

TRANSITION: CoC Competition

NEW EXPANSION: CoC Competition

NEW: DV Bonus under CoC Competition

NEW: New CoC Bonus

NEW: SPECIAL Competition - Unsheltered

NEW: Special Competition - Rural

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* 6. Amount of Funding Requested? If this is a renewal project and you are not applying for the entire amount on the 2022 GIW please describe why you are requesting a reduced amount in comments at the end of this form. If this is a new project, estimate how much you would like to apply for. You do not need to apply for this exact amount.

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* 7. 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

Support Services Only: Other (Rural Competition only)

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

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* 8. Project Name (if new project and not named enter TBD)

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* 9. Homeless populations 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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* 10. What counties in the CoC region will the project serve? 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. What is your proposed subpopulation?

Chronic Homeless

DedicatedPlus

Victims of Domestic Violence or Human Trafficking

Youth

N/A

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

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* 12. If a SSO or housing project, please list the proposed number of persons you will serve:

Singles: #Beds/Units or persons if SSO

Families: # of Beds/Units or persons if SSO

Youth ONLY: # of Beds/Units or persons if SSO

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* 13. 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 UEI Registration.

Project agrees to make quarterly draw downs in eLOCCS.

Project has a signed CoC Membership Agreement.

Project agrees to participate and follow the CARES prioritization process, tools, and policies.

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

Project agrees to maintain data quality standards for completeness, timeliness, and accuracy.

Project agrees to incorporate Housing First principles, including low barrier access, into agency policies and practices.

Project agrees to participate in all CoC required trainings. 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 regional homeless planning including attending quarterly CoC meetings and local 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 agrees to follow CoC policies and utilize CoC forms.

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

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

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* 16. Please enter the date of your last project/agency audit and email the audit to h2hcoordinator@gmail.com. Renewal projects who have already completed this step do not need to resend the audit.

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* 17. 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.

2022 CoC Pre-Application and Threshold Assessment

Question Title

* 1. Agency Name

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* 2. Primary Contact First and Last Name

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* 3. Primary contact email

Question Title

* 4. Primary contact phone

Question Title

* 5. Are you requesting funds for a new or renewal project?

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

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* 8. Project Name (if new project and not named enter TBD)

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* 9. Homeless populations will you serve with this funding:

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* 10. What counties in the CoC region will the project serve? Check all that apply. If site based include exact address.

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* 11. What is your proposed subpopulation?

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* 12. If a SSO or housing project, please list the proposed number of persons you will serve:

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

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

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

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* 16. Please enter the date of your last project/agency audit and email the audit to h2hcoordinator@gmail.com. Renewal projects who have already completed this step do not need to resend the audit.

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* 17. 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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* 18. NEW PROJECTS ONLY: Please briefly describe your project.