EFSP is a restricted federal grant and funds are made available through the U.S. Department of Homeland Security’s Federal Emergency Management Agency (FEMA). While Philadelphia City/County EFSP activities are administrated by the Office of Homeless Services, EFSP is not a program of the Office of Homeless Services.

Please answer the following questions in the space provided. Please be concise. All questions must be answered for applications to be considered. Additional pages and attachments other than those requested will not be reviewed.
Section 1: Organizational Information

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* 1. Name of Organization:

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* 2. Federal Employer ID #:

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* 3. Agency's UEI Number (combination of letters and numbers):

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* 4. Mailing Address:

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* 5. Executive Director:

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* 6. Main EFSP Contact Name:

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* 7. Main EFSP Contact Title:

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* 8. Phone Number:

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* 9. Fax Number

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* 10. Email Address:

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* 11. Website Address:

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* 12. Congressional District where agency's EFSP funded services are provided:

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* 13. Congressional district where agency is physically located:

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* 14. Number of Previous EFSP Awards:

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* 15. Year of Last EFSP Award:

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* 16. As far as you know, is your organization in compliance with all previous phases with the EFSP National Board?

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* 17. Total Amount of EFSP Funds Requested:

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* 18. Total Budget for the Program(s) for which EFSP Funds are requested:

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* 19. Total Budget for organization's current fiscal year:

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* 20. Number of paid staff in your organization:

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* 21. To the best of my knowledge, the information in this application is true and correct:

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