U - CSH



Information for the NOFA New Project Applicants2013 CT BOS Continuum of Care Application: Please submit this document no later than 7/9/13ONLY SUBMIT IF YOU HAVE NOT SUBMITTED THIS AS PART OF THE 2013 RENEWAL EVALUATION PROCESSE-mail: ctbos@Regular Mail or Fax:Myles WensekCUCS Training and Consulting Services(TCS)198 East 121st Street, 6th FloorNew York, NY 10035Fax: 212-801-3360Please complete the entire form and complete only one per agency. Please send documents electronically when possible. When not possible, use the address/fax # listed above. Contact Liz Isaacs at episaf@ with any questions. Section 1. Agency and Grant InformationAgency Name: FORMTEXT ?????Contact Person: FORMTEXT ?????Contact Phone: FORMTEXT ?????Contact Email: FORMTEXT ?????List all HUD CoC funded projects your agency has that have not yet been renewed thru the HUD NOFA process. Add additional charts for projects as needed. Please make sure you consult with your accounting/development departments to ensure that any first time renewals and any grants funded in 2007 and not yet renewed are included here. Name of project: FORMTEXT ?????Grant #:Renewing this year? yes FORMCHECKBOX no FORMCHECKBOX 1st time renewal? yes FORMCHECKBOX no FORMCHECKBOX Current Grant Start date: End Date: Total amount of grant:Amount drawn-down to date for this operating year: Date of last funding drawdown: If last drawdown was more than 90 days ago, please explain why: Total amount drawn-down for last completed operating year:Name of project: FORMTEXT ?????Grant #:Renewing this year? yes FORMCHECKBOX no FORMCHECKBOX 1st time renewal? yes FORMCHECKBOX no FORMCHECKBOX Current Grant Start date: End Date: Total amount of grant:Amount drawn-down to date for this operating year: Date of last funding drawdown: If last drawdown was more than 90 days ago, please explain why: Total amount drawn-down for last completed operating year:Name of project: FORMTEXT ?????Grant #:Renewing this year? yes FORMCHECKBOX no FORMCHECKBOX 1st time renewal? yes FORMCHECKBOX no FORMCHECKBOX Current Grant Start date: End Date: Total amount of grant:Amount drawn-down to date for this operating year: Date of last funding drawdown: If last drawdown was more than 90 days ago, please explain why: Total amount drawn-down for last completed operating year:Section 2: HUD Monitoring FindingsHave any of your agency’s HUD funded programs received a HUD audit in the last 12 months? yes FORMCHECKBOX no FORMCHECKBOX If yes, please answer question #2Were there any findings from the audit? yes FORMCHECKBOX no FORMCHECKBOX If yes, please answer question #3Please describe the findings and your agency’s corrective actions to satisfy the findings and attach a copy of the corrective action plan that you submitted to HUD.Section 3: HMIS For each of the following standards, please check “Yes” or “No” for your agency:HMIS Privacy:YesNoSecure location for equipment FORMCHECKBOX FORMCHECKBOX Locking screen savers FORMCHECKBOX FORMCHECKBOX Virus protection with auto updates FORMCHECKBOX FORMCHECKBOX In compliance with HMIS P&P Manual FORMCHECKBOX FORMCHECKBOX Individual or network fire walls for computer security FORMCHECKBOX FORMCHECKBOX Section 4: Marketing Housing and ServicesDescribe the procedures used by your agency to market housing and supportive services to eligible persons regardless of race, color, national origin, religion, sex, age, familial status, or disability who are least likely to request housing or services in the absence of special outreach FORMTEXT ?????Section 5: Agencies Serving Families Only – Educational Services Describe how your agency collaborates with local education agencies to assist in the identification of homeless families and inform them of their eligibility for McKinney Vento education services. FORMTEXT ?????Describe how your agency ensures that children are rapidly enrolled in school upon admission to your program and connected to appropriate services. FORMTEXT ?????Identify which staff position serves as an educational liaison. Please provide e-mail and phone number for this staff person.Name: FORMTEXT ?????Phone: FORMTEXT ?????E-mail: FORMTEXT ?????Section 6: Enrollment and participation in Mainstream Programs1. Do the case managers in your agency systematically assist clients in completing applications for mainstream benefits? FORMTEXT ????? Yes or FORMTEXT ????? No 1a. Describe how the service is generally provided: FORMTEXT ????? 2. Does your staff supply transportation assistance to clients to attend mainstream benefit appointments, employment training, or jobs? FORMTEXT ????? Yes or FORMTEXT ????? No3. Does your agency’s staff systemically follow-up to ensure mainstream benefits are received. FORMTEXT ????? Yes or FORMTEXT ????? No3a. Describe the follow-up process: FORMTEXT ????? Thank you! ................
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