TFPH: Proposal Evaluation - Nevada Governor's Council on ...



2020 NOFA

NEVADA GOVERNORS COUNCIL ON DEVELOPMENTAL DISABILITIES

Application Proposal Scoring Form

Applicant: ___________________________________________________________

Project Title: _________________________________________________________

Amount of Funding Requested: ________________________________

Goal/Objective(s) addressed in application: ____________________________________________

City/County/Region of the state grant will address: _______________________________________

If applicant has been awarded NGCDD grant funds in the past, did they show adequate compliance and completion toward Council goals, objectives and expected outcomes?

YES / NO

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please score the following questions based on the total points available for that question

1. Project is focused PRIMARILY on person’s w/IDD.

|Points |Clarification/Questions |Point Score |

| | | |

|10 | | |

| | | |

2. Application referenced specific strategies from the NOFA to be utilized in the project.

|Points |Clarification/Questions |Point Score |

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|10 | | |

| | | |

| | | |

3. Application identifies and address strategies to include targeted disparity- un/underserved populations.

|Points |Clarification/Questions |Point Score |

| | | |

|10 | | |

| | | |

| | | |

4. Application shows how the project will result in replicable, sustainable systems change and

a) demonstrate effective approaches to a particular need of the target population; b) effect long term changes in policies and practices; and/or c) build capacity and/or expand the scope of effective programs.

|Points |Clarification/Questions |Point Score |

| | | |

|10 | | |

| | | |

| | | |

5. Application adequately describes how the strategy or strategies identified will be used to accomplish the objective(s) AND expected outcome(s) of the grant listed on the NOFA.

|Points |Clarification/Questions |Point Score |

| | | |

|10 | | |

| | | |

| | | |

6. Applicant understands the background, need for, and scope of project.

|Points |Clarification/Questions |Point Score |

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|10 | | |

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7. Proposed timeline of activities is reasonable to ensure adequate monitoring and completion.

|Points |Clarification/Questions |Point Score |

| | | |

|10 | | |

| | | |

| | | |

8. Budget shows reasonability of cost.

|Points |Clarification/Questions |Point Score |

| | | |

|10 | | |

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9. Adequacy of proposed plan to measure and evaluate impact and effectiveness of project.

|Points |Clarification/Questions |Point Score |

| | | |

|10 | | |

| | | |

| | | |

10. Shows qualifications and experience with similar work

|Points |Clarification/Questions |Point Score |

| | | |

|10 | | |

| | | |

| | | |

Total score ___________

Please list proposed project/application strengths and weaknesses.

|STRENGTHS |WEAKNESS |

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Funding Recommendation: ( Fund in Total ( Partially Fund ( Do Not Fund

Evaluator’s Initials: ______

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