FY2019 IL 501 CoC NOFA Preapplication
Please complete one survey for each project application you plan to submit.
1.
First Name
2.
Last name
3.
Title
4.
Organization
5.
Street Address
6.
City
7.
Zip
8.
Counties served
Boone County
DeKalb County
Winnebago County
Multiple counties
9.
Email address
10.
Phone Number
11.
What is the name of your project?
12.
Please provide an overview of your project
13.
What is the program model for this project?
Permanent Supportive Housing
Rapid Rehousing
Transitional Housing for youth
Other (please specify)
14.
Please identify the populations to be served through this project.
Families
Single individuals
Youth
15.
Please indicate the number of units you anticipate funding through this project
1-5
6-10
11-15
16+
16.
How does your organization address the safety needs of domestic violence, dating violence, sexual assault and stalking survivors? How do you maximize their safety and confidentiality?
17.
How do you coordinate with public housing authorities?
18.
If you are a permanent housing project, how do you assess whether participants are ready to transition to affordable housing without the supports provided in PSH?
19.
How does your your organization address the needs of lesbian, gay, bisexual, transgender (LGBT) participants?
20.
Does your organization house families as an intact unit or separate them by age/gender or other policies?
We keep families intact
We have an internal policy that may result in family members being separated.
21.
Do you partner with early childhood providers? Do you have any formal agreements?
Partnership
Formal Agreement
Not applicable
Head Start
-- Select an option --
yes
no
-- Select an option --
Yes
No
-- Select an option --
Yes
No
Private Day Care Providers
-- Select an option --
yes
no
-- Select an option --
Yes
No
-- Select an option --
Yes
No
School District Preschool
-- Select an option --
yes
no
-- Select an option --
Yes
No
-- Select an option --
Yes
No
Other (please specify)
22.
Does your organization use a housing first philosophy?
Yes
No
23.
Explain how your organization affirms fair housing and ensures that discrimination does not occur in your service provision.