HomeMy WebLinkAbout20090045.tiffRESOLUTION
RE: APPROVE 2009-2010 COMMUNITY SERVICES BLOCK GRANT (CSBG) APPLICATION
AND PLAN AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with the 2009-2010 Community Services Block
Grant (CSBG) Application and Plan from the County of Weld, State of Colorado, by and through
the Board of County Commissioners of Weld County, on behalf of the Department of Human
Services, to the Colorado Department of Local Affairs, commencing March 1, 2009, and ending
February 28, 2010, with further terms and conditions being as stated in said application and plan,
and
WHEREAS, after review, the Board deems it advisable to approve said application and plan,
a copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the 2009-2010 Community Services Block Grant (CSBG) Application and
Plan from the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Human Services, to the Colorado
Department of Local Affairs be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said application.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 7th day of January, A.D., 2009.
ATTEST: ged,
Weld County Clerk to the
9 '-?
BY: ce,- O- -
Deputy Clerk to the Boar
APPROVt'A
Date of signature' `(j1/°y
County rney
BOARD OF COUNTY COMMISSIONERS
W7D>�OLORADO
Iliam F. Garcia, Chair
acher, Pro-Tem
Sear P. Conway
arbara Kirkmeyer
David E. Long
2009-0045
HR0080
Ci - /S -O7
MEMORANDUM
At tl
DATE: January 6, 2009
WILD' TO: William F. Garcia, Chair, Board of County Commissioners
lle.,_ 4'�,,� C(
FROM: Judy A. Griego, Director, Human Services �iealttrtehi
COLORADO RE: Community Services Block Grant for PY 2009-2010 between
the Weld County Department of Human Services and the
Colorado Department of Local Affairs
Enclosed for Board approval is the Community Services Block Grant for Program Year 2009-
2010 between the Weld County Department of Human Services and the Colorado Department of
Local Affairs. This Grant was presented at the Board's December 29, 2008, Work Session.
The total of the request is for $279,267.00.
The focus of the Grant is linkages of services and providing general assistance and transportation
for the low-income citizens of Weld County.
The Tripartite Board Minutes will be sent to the Board on January 7, 2009, for the Board
meeting, under separate cover.
The term of this request will be March 1, 2009 through February 28, 2010.
If you have any questions, give me a call at extension 6510.
2009-0045
SUBGRANTEE NAME
2008-09 Community Services Block Grant (CSBG) Application and Plan
DUE - JANUARY 7, 2009
PROGRAM PERIOD: March 1, 2009 To February 28, 2010
GRANTEE: Weld County Department of Human Services
TOTAL CSBG ALLOCATION REQUESTED $ 279,267.00
LIST OF SUBGRANTEES AND AMOUNT AWARDED:
Use additional sheets if necessary.
WELDCO $4,500.00
AMOUNT AWARDED
SUBGRANTEE NAME
Department of Human Services (Formerly Social Services) $135,500.00
AMOUNT AWARDED
SUBGRANTEE NAME
AMOUNT AWARDED
SUBGRANTEE NAME AMOUNT AWARDED
SUBGRANTEE NAME AMOUNT AWARDED
Page 3of61
CSBG Grant Year 2009-10
2008-09 Community Services Block Grant (CSBG) Application and Plan
DUE - JANUARY 7, 2009
NAME OF ELIGIBLE ENTITY: Weld County Department of Human Services
ADDRESS OF ELIGIBLE ENTITY: 315 North 11th Ave., P.O. Box A
Street address and mailing address if different from street address
Greeley
CityfTown
Colorado 80632
State Zip Code
CONTACT PERSONS INFORMATION:
PRIMARY Contact Person for Eligible Entity: Judy A. Griego
Phone Number for Primary Contact Person: (970) 352-1551 ext. 6510
Use direct line number and/or extension
Fax Number for Primary Contact Person: (970) 353-5215
Email Address for Primary Contact Person: griegoja(p�co.weid.co.us
PROGRAM Contact Person: Judy A. Griego
Phone Number for Program Contract Person: (970) 352-1551 ext. 6510
Use direct line
Fax Number for Program Contact Person: (970) 353-5215number and/or extension
Email Address for Program Contact Person: griegoia(&co.weld.co.us
FINANCIAL Contact Person: Katherine J. Hall
Phone Number for Financial Contract Person: (970) 352-1551 ext. 6662
Use direct line
Fax Number for Financial Contact Person: (970) 304-6485 number and/or extension
Email Address for Financial Contact Person: khall(Wco.weld.Co.us
Page 4of61
CSBG Grant Year 2009-10
Names, Phone Numbers, and Emails of County Commissioners for Eligible Entity:
If a multi county entity list the names and phone numbers of all county commissioners in each of the
counties for the multi county area. Use additional sheet if necessary
William F. Garcia
Commissioner Name
Barbara Kirkmeyer
Commissioner Name
Douglas Rademacher
Commissioner Name
David E. Long
Commissioner Name
(970) 336-7204 ext. 4200
Phone Number
(970) 336-7204 ext. 4200
Phone Number
(970) 336-7204 ext. 4200
Phone Number
(970) 336-7204 ext. 4200
wgarcia@co.weld.co.us
Email
bkirkmeyer@co.weld.co.us
Email
drademacher@co.weld.co.us
Email
dlong@co.weld.co.us
Email
Sean Conway
Commissioner Name
Phone Number
(970) 336-7204 ext. 4200
Phone Number
sconway@co.weld.co.us
Email
Commissioner Name
Phone Number
Email
Commissioner Name
Phone Number
Email
Commissioner Name
Phone Number
Email
Page 5 of 59
CSBG Grant Year 2009-10
CERTIFICATIONS:
The grantee assures that activities implemented with CSBG funds will be:
o used to accomplish the State CSBG Goal and Objective stated in the State Plan; and
o within the requirements set forth in the Community Services Block Grant Act, Title IV of the Civil
Rights Act, the Age Discrimination Act of 1975, the Rehabilitation Act of 1973, Public Law 103-
227, Part C, Environmental Tobacco Smoke, also known as the Pro -Children Act of 1994 (Act),
Certification Regarding Drug -Free Workplace Requirements, Certification Regarding Lobbying,
Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary
Covered Transactions, Office of Management and Budget (OMB Circular A110 and A122), and
the current State of Colorado CSBG Plan.
The grantee also assures that it will:
o specifically consider, in a public meeting the designation of any local public or private entity to
carry out the county community service activities under contract with the county, any local
community action agency (CAA) which received federal fiscal 1981-82 funding;
o consider, on the same basis as other non -governmental organizations, religious organizations to
provide the CSBG services, so long as the program is implemented in a manner consistent with
the Establishment Clause of the first amendment to the Constitution. Grantees shall not
discriminate against an organization that provides assistance under, or applies to provide
assistance, on the basis that the organization has a religious character. (Please review Sec.679
Operational Rule in the CSBG Act);
o provide for coordination between community anti -poverty programs and ensure, where
appropriate, that emergency energy crisis intervention programs under Title XXVI (relating to low-
income home energy assistance) are conducted in such community;
o provide, on an emergency basis, for the provision of such supplies and services, nutritious foods,
and related services, as may be necessary to counteract conditions of starvation and malnutrition
among low-income individuals;
o coordinate, to the extent possible, programs with and form partnerships with other organizations
serving low-income residents of the commuhity and members of groups served, including
religious organizations, charitable groups, and community organizations;
o establish procedures under which a low-income individual, community organization, or religious
organization, or representative of low-income individuals that considers its organization, or low-
income individuals, to be inadequately represented on the CSBG board (or other mechanism) to
petition for adequate representation;
o in the case of public organizations, have a tripartite advisory board which shall have members
selected by the organization and shall be composed so as to assure that not fewer than 1/3 of the
members are persons chosen in accordance with democratic selection procedures adequate to
assure that these members (a) are representative of low-income individuals and families in the
neighborhood served, (b) reside in the neighborhood, and (c) are able to participate actively in
the development, planning, implementation, and evaluation of program funded.
o in the case of private non-profit entities, have a tripartite board that participates in the
development, planning, implementation, and evaluation of the program to serve low-income
communities. The board shall be composed so as to assure that (a) 1/3 of the members are
Page 6 of 59
CSBG Grant Year 2009-10
elected officials, holding office on the date of selection, or their representatives, except that if the
number of such elected officials reasonably available and willing to serve on the board is less
than 1/3 of the membership of the board, membership on the board of appointive public officials
or their representatives may be counted in meeting such 1/3 requirement; (b) not fewer than 1/3
of the members are person chosen in accordance with democratic selection procedures adequate
to assure that these members are representative of low-income individuals and families in the
neighborhood served, and each representative of low-income individuals and families selected to
represent a specific neighborhood within a community resides in the neighborhood represented;
and (c) the remainder of the members are officials or members of business, industry, labor,
religious, law enforcement, education, or other major groups and interest in the community
served;
o prohibit the purchase or improvement of land, or the purchase, construction, or permanent
improvement (other than low-cost residential weatherization or other energy -related home
repairs) of any building or facility with CSBG funds;
o prohibit, including subcontractors, (a) any partisan or nonpartisan political activity or any political
activity associated with a candidate, or contending faction or group, in an election for public or
party office, (b) any activity to provide voters or prospective voters with transportation to the polls
or similar assistance in connection with any such election, or (c) any voter registration activity.
o prohibit that persons shall, on the basis of race, color, national origin or sex, be excluded from
participation in, be denied the benefits of, or be subjected to discrimination under, any program or
activity funded in whole or in part with CSBG. Any prohibition against discrimination on the basis
of age under the Age Discrimination Act or 1975 (42 U.S.C 6101 et seq.) or with respect to an
otherwise qualified individual with a disability as provided in Section 504 of the Rehabilitation Act
of 1973 (29 U.S.C. 12131 et seq.) shall also apply to any such program or activity.
o participate in the Results -Oriented Management and Accountability (ROMA) System, and
describe outcome measure to be used to measure performance in promoting self-sufficiency,
family stability, and/or community revitalization;
o make available for public inspection each plan prepared as part of the program planning process.
The grantee may, at its initiative, revise any plan prepared for CSBG funding and shall furnish the
revised plan to the Director of the Community Services Block Grant under the Department of
Local Affairs. Each plan prepared for submission shall be made available for public inspection
within the county and/or service area in such a manner as will facilitate review of, and comments
on, the plan;
o cooperate with the State, to determine whether grantee performance goals, administrative
standards, financial management requirements, and other requirements of the State, in
conducting monitoring reviews including (1) a full on -site review for each grantee at least once
during each 3 -year period, (2) on -site review for each newly designated grantee immediately after
the completion of the first year in which funds were received, (3) follow-up reviews with grantees
that fail to meet the goals, standards, and requirement established by the State, and (4) other
reviews as appropriate, including reviews of grantees with other programs that have had other
federal, State, or local grants terminated for cause.
o make available appropriate books, documents, papers, and records for inspection, examination,
copying, or mechanical reproduction on or off the premises upon reasonable request by the U.S.
Controller General, the State, or their authorized representatives should an investigation of the
uses of CSBG funds be undertaken;
Page 7 of 59
CSBG Grant Year 2009-10
o in the case of county governments or subgrantees which receive a CSBG award in excess of
$100,000, comply with the following three certifications related to the "Limitation on use of
appropriated funds to influence certain Federal Contracting and financial transactions (P.L. 101-
121, Section 319 and USC Title 31 Section 1352)":
1. No Federal appropriated funds have been paid or will be paid by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with the awarding of any Federal
contract, continuation, renewal, amendment, or modification of any Federal contract,
grant, loan, or cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or will be paid to any
person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or any employee of a Member
of Congress in connection with this Federal contract, grant, loan, or cooperative
agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure
Form to Report Lobbying," in accordance with its instruction.
3. The undersigned shall require that the language of this certification be included in the
award document for subawards at all tiers (including subcontracts, subgrants, and
contracts under grants, loans, and cooperative agreements) and that all subrecipients
shall certify and disclose accordingly.
The grantee certifies to the best of its knowledge and belief, that it and its principals:
a) are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any Federal department or agency;
b) have not within a three-year period preceding this proposal been convicted or had a civil
judgment rendered against them for commission of fraud or a criminal offense in connection
with obtaining, attempting to obtain, or performing a public transaction; violation of Federal or
State antitrust statues or commission of embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, or receiving stolen property;
c) are not presently indicted for otherwise criminally or civilly charged by a governmental entity
(Federal, State or local) with commission of any of the offenses enumerated in paragraph (b)
of this certification; and
d) have not within a three-year period preceding this application had one or more public
transactions (Federal, State or local) terminated for cause or default.
(If you are unable to certify to any of the statements in this certification, please attach an
explanation to this plicPtioft.)
CONTRACTOR-
If County Grantee: Chairman of the Board of County Commissioners must sign
If Multi -County Service Agency: Chairman of the Board of Directors with delegated contracting
authority must sign.
JAN 0 ; 2009
POSITION TITLE: Chair, Board of Weld County Commissioners DATE:
Page 8 of 59
CSBG Grant Year 2009-10
TRIPARTITE BOARD
For each eligible entity that receives Community Services Block Grant dollars there must be a tripartite
board in place. The responsibilities of the tripartite board are very clear in the CSBG Act of 1998,
Section 676B: "The eligible entity shall administer the community services block grant program through a
tripartite board that fully participates in the development, planning, implementation, and evaluation of the
program to serve low-income communities."
The CSBG Act includes the Composition of the board which is to be determined using a democratic
process:
1/3 elected public officials or their representatives
1/3 low-income individuals or their representative
1/3 members business, industry, labor, religious, law enforcement, education or other major
group of interest in the community served.
The following page(s) must be filled out completely and returned with the application and plan.
Include the date of most current by-laws: July 1994
TRIPARTITE BOARD MINUTES:
Attach a copy of the CSBG Tripartite Board minutes of the meeting when the CSBG application
was reviewed and approved by your CSBG Tripartite board.
These minutes are not the minutes from the Board of County Commissioners.
A QUORUM MUST BE PRESENT FOR THE APPROVAL OF THE APPLICATION AND PLAN BY THE TRIPARTITE
BOARD.
PROOF OF PUBLIC HEARING:
Attach a copy of the public notice, including the listing in the local newspaper for each county
served, calling for public review and comment on your CSBG Application and Plan.
MINUTES OF PUBLIC HEARING:
Attach a copy of the minutes of the Public Meeting when the CSBG Application was reviewed and
approved by the Board of County Commissioners or Agency Executive Board.
Page 9 of 59
CSBG Grant Year 2009-10
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Tom Denning
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Milliken, CO 80543
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Brad Patterson
1200 A Street
Greeley, CO 80634
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Kevin Thompson
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This page intentionally left blank.
Page 12 of 59
CSBG Grant Year 2009-10
PUBLIC NOTICE
The Weld County Department of Human Services plans to submit a Community Services
Block Grant (CSBG) application to the State of Colorado, Department of Local Affairs.
CSBG funds are intended to fill gaps in services that impact the low-income population
of Weld County. The application being considered focuses on providing general
assistance and transportation for the low-income citizens of Weld County. A public
hearing will be held at 9:00 a.m. on Wednesday January 7, 2009 at Weld County
Commissioners Hearing Room at 915 10`h Street, Greeley, Colorado, to obtain citizen
input and questions.
COMMUNITY ACTION PLAN:
As required in the reauthorized CSBG Act, please answer all 5 questions using additional
sheets as needed. SUBCONTRACTORS are NOT required to submit an Action Plan.
1. COMMUNITY NEEDS ASSESSMENT:
Our State office must secure from each CSBG eligible entity, as a condition to receipt of
funding, a community action plan that includes a community -needs assessment for the
community served. This community -needs assessment may be coordinated with community -
needs assessments conducted for other programs. The Community Needs Assessment must
address the needs of those in the community who are at or below 125% of poverty. A first step
for a Community Action Plan is a survey of clients served to determine where the gaps may be
in assisting individuals to become self-sufficient and to move out of poverty.
The Community Action Plan includes the results of the community needs assessment,
the service delivery system, how coordination occurs with other public and private
resources, and information on the innovative community and neighborhood -based initiatives.
2. SERVICE DELIVERY SYSTEM:
Describe the service delivery system for services provided or coordinated with CSBG
funds that target low-income individuals and families within your service area.
3. LINKAGES:
A. Describe how linkages will be developed to fill identified gaps in services, through
the provision of information, referrals, case management, and follow up
consultations.
B. Describe how linkages will be established between government and other social
service programs to assure effective delivery of service to low-income individuals
and to avoid duplication of such services
4. COORDINATION WITH OTHER PUBLIC AND PRIVATE RESOURCES:
Describe how CSBG funds will be coordinated with other public and private resources,
which would include any resources beyond financial.
5. INNOVATIVE COMMUNITY AND NEIGHBORHOOD -BASED INITIATIVES:
Describe how CSBG funds will be used to support innovative community and
neighborhood -based initiatives related to the purposes of CSBG, which may include fatherhood
initiatives and other initiatives with the goal of strengthening families and encouraging effective
parenting.
The following language is a quote from the CSBG Act to fulfill the requirements of the above
listed information:
(3) information provided by eligible entities in the
State, containing--
" (A) a description of the service delivery system,
for services provided or coordinated with funds made
available through grants made under section 675C(a) (Grants to
Eligible Entities and Other Organizations.),
targeted to low-income individuals and families in
communities within the State;
"(B) a description of how linkages will be
developed to fill identified gaps in the services,
through the provision of information, referrals, case
management, and followup consultations;
Page 13 of 59
CSBG Grant Year 2009-10
"(C) a description of how funds made available
through grants made under section 675C(a) will be
coordinated with other public and private resources; and
"(D) a descriptionof how the local entity will use
the funds to support innovative community and
neighborhood -based initiatives related to the purposes
of this subtitle, which may include fatherhood
initiatives and other initiatives with the goal of
strengthening families and encouraging effective
parenting;
"(4) an assurance that eligible entities in the State will
provide, on an emergency basis, for the provision of such
supplies and services, nutritious foods, and related services,
as may be necessary to counteract conditions of starvation and
malnutrition among low-income individuals;
"(5) an assurance that the State and the eligible entities
in the State will coordinate, and establish linkages between,
governmental and other social services programs to assure the
effective delivery of such services to low-income individuals
and to avoid duplication of such services, and a description of
how the State and the eligible entities will coordinate the
provision of employment and training activities, as defined in
section 101 of such Act, in the State and in communities with
entities providing activities through statewide and local
workforce investment systems under the Workforce Investment Act
of 1998;
"(6) an assurance that the State will ensure coordination
between antipoverty programs in each community in the State, and
ensure, where appropriate, that emergency energy crisis
intervention programs under title XXVI (relating to low-income
home energy assistance) are conducted in such community;
"(7) an assurance that the State will permit and cooperate
with Federal investigations undertaken in accordance with
section 678D;
(8) an assurance that any eligible entity in the State
that received funding in the previous fiscal year through a
community services block grant made under this subtitle will not
have its funding terminated under this subtitle, or reduced
below the proportional share of funding the entity received in
the previous fiscal year unless, after providing notice and an
opportunity for a hearing on the record, the State determines
that cause exists for such termination or such reduction,
subject to review by the Secretary as provided in section
678C(b);
(9) an assurance that the State and eligible entities in
the State will, to the maximum extent possible, coordinate
programs with and form partnerships with other organizations
serving low-income residents of the communities and members of
the groups served by the State, including religious
organizations, charitable groups, and community organizations;
"(10) an assurance that the State will require each
eligible entity in the State to establish procedures under which
a low-income individual, community organization, or religious
organization, or representative of low-income individuals that
considers its organization, or low-income individuals, to be
inadequately represented on the board (or other mechanism) of
the eligible entity to petition for adequate representation;
(11) an assurance that the State will secure from each
eligible entity in the State, as a condition to receipt of
funding by the entity through a community services block grant
Page 14 of 59
CSBG Grant Year 2009-10
made under this subtitle for a program, a community action plan
(which shall be submitted to the Secretary, at the request of
the Secretary, with the State plan) that includes a community -
needs assessment for the community served, which may be
coordinated with community -needs assessments conducted for other
programs;
(12) an assurance that the State and all eligible entities
in the State will, not later than fiscal year 2001, participate
in the Results Oriented Management and Accountability System,
another performance measure system for which the Secretary
facilitated development pursuant to section 678E(b), or an
alternative system for measuring performance and results that
meets the requirements of that section, and a description of
outcome measures to be used to measure eligible entity
performance in promoting self-sufficiency, family stability, and
community revitalization; and
(13) information describing how the State will carry out
the assurances described in this subsection.
Page 15 of 59
CSBG Grant Year 2009-10
BUDGET - Use only the attached forms.
Complete your budget in as much detail as possible utilizing the provided format. This
information will be used for monitoring and performance evaluation. It is critical
to include any and all costs that will be associated with the CSBG Program.
PERSONNEL COSTS
Indicate the CSBG dollar amount allocated to each position(s) funded including fringe benefits.
Indicate the percentage (%) of the person's time paid with CSBG funds on timesheets, unless
actual timekeeping is tracked. Each employee paid with CSBG must have a signed timesheet
indicating the time spent on CSBG activities.
DIRECT OPERATING COSTS
Direct program costs can be identified with delivery of a particular project, service, or activity
undertaken to achieve an objective of the grant program. For CSBG, these purposes and
eligible activities are specified in the reauthorizing statute and reflected in the national ROMA
performance measures. Direct program costs are incurred for the service delivery and
management components within a particular program or project. Therefore, direct costs include
expenditures on some activities with administrative qualities, equipment, training, conferences,
travel, and contracts, as long as those expenses relate specifically to a particular program or
activity, not to the general administration of the organization.
ADMINISTRATIVE COSTS also referred to as INDIRECT/OVERHEAD
Administrative costs are equivalent to typical indirect costs or overhead. As distinguished from
administration or management expenditures that qualify as direct costs, administrative costs
refer to central executive functions that do not directly support a specific project or service.
Incurred for common objectives that benefit multiple programs administered by the grantee
organization, or the organization as a whole, administrative costs are not readily assignable to a
particular program funding stream. Rather, administrative costs relate to the general
management of the grantee organization, such as strategic direction, board development,
executive director functions, accounting, budgeting, personnel, and procurement. If your
indirect costs are based on a percentage that figure must be consistent throughout the grant
year.
SUBCONTRACT COSTS
Those dollars allocated out to subcontractors to provide CSBG related services. This
information needs to be as detailed as the information provided by the eligible grantee in order
for the grantee to monitor the subcontractor for compliance in both program and financial
operations in accordance with all applicable laws for CSBG. This would include the application
and plan, CSBG Act, and OMB circulars.
Page 16 of 59
CSBG Grant Year 2009-10
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Page 17 of 59
CSBG Grant Year 2009-10
BUDGET NARRATIVE FORM
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Explain each CSBG cost as related to the proposed CSBG plan.
Add additional sheets if necessary.
LINKAGES: $53,370
Volunteer Support: $53,370
Community Services Director at .50FTE, $30,220 Volunteer Support
Community Services Technician at .30FTE, $15,680 Volunteer Support
Community Services Technician at .20FTE, $7,470 Volunteer Support
These CSBG funds will pay for the Community Services Director and Community Services
Technicians' time for the training of volunteers at all senior sites. This helps volunteers and
coordinators provide access to services and programs for low-income seniors. These funds will
also pay for the Community Services Director and Community Services Technicians' time spent
monitoring CSBG eligible seniors and all applicable data for CSBG reporting purposes.
EMPLOYMENT: $24,000
Supportive Services: $24,000
Employment First, Food Stamp and Job Search Programs — Pays for client supplies and services
not allowed by the Employment First grant, i.e. eyeglasses or repairs, physicals, uniform or special
clothing to start a job, immunizations needed for a job, driver's license or state ID, background
checks, transportation vouchers, hygiene kits, ESL/GED books, education, training and job search
supplies to get and maintain employment.
LINKAGES: $21,897
Transportation: $19,397
Pays for general operating costs of providing minibus services. This program increases the ability
of transportation to our low-income community members for essential services that would
otherwise be missed due to not having transportation. This in turn improves the living conditions
of the low-income population.
Volunteer Support: $2,500
General operating for volunteer support training.
COST CATEGORY
PERSONNEL COSTS
Indicate the CSBG dollar amount allocated to
each position(s) funded including fringe
benefits. Indicate the percentage (%) of the
person's time paid with CSBG funds on
timesheets, unless actual timekeeping is
tracked. Each employee paid with CSBG must
have a signed timesheet indicating the time
spent on CSBG activities.
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COMMUNITY ACTION PLAN:
1. Community Needs Assessment (including food needs):
For the program year (March 1, 2009 through February 28, 2010), Weld County is using
the Weld County Area Agency on Aging Strengths and Needs Assessment of Weld
County, 2004. In addition, we have evaluated historical population trends for the County's
seniors, using 2006 Colorado State demographer's census estimates. Together these
sources have shown a continuing need for transportation services, especially for rural
seniors and low-income individuals.
The current needs assessment for the employment segment of the CSBG grant request was
derived from the 2007 - 2008 reporting period for Weld County's local Workforce Center
applicant demographics. The data revealed these statistics:
79% of Registrants
46% of Registrants
48% of Registrants
Were unemployed at time of registration
Lacked a high school diploma or G.E.D.
Considered one of a minority ethnic group
Staff of the Weld County segment of the Employment First Food Stamp Job Search
Program worked with over 2,000 mandatory cases during the period 3/1/2007 - 2/29/08.
Although obtaining employment for these Food Stamp recipients was the overall goal,
there was a lack of supportive services available to help transition individuals to
employment. During the next year, Weld County expects that the economic slowdown and
increase of unemployment will directly impact this population. Currently, the local
workforce center and programs such as Employment First are seeing inordinate increases
in enrollments.
Ultimately we foresee the possibility of placing low income individuals with limited
financial
resources into the labor force without pre or post employment support services that can
help improve their self sufficiency status.
2. & 4. Service Delivery System and Coordination with other Public and Private Resources:
Weld County Division of Human Services is a one -stop service center for various Federal
and State programs; all targeted to low-income, at -risk individuals. This includes
Supplemental Foods, the children's program area and Family Educational Network of
Weld County (FENWC), which oversees Head Start, Migrant Head Start and Preschool.
The Area Agency on Aging umbrellas several senior programs including Older American
Act Programs and Options for Long -Term Care and the Single Entry Point program for
Weld County. The Employment Service area has WIA Adult and Youth programs,
Dislocated Workers, Employment First, TANF, Wagner Peyser, Americorp and an
Educational Computer Lab. All programs are targeted to low-income, at -risk individuals.
CSBG funding fills the gaps in integrated services we currently provide.
3. Linkages:
Since we are a Human Services agency serving a low-income, in -need population in
various ways, we have developed many partnerships with other county agencies that are
pursuing the same goals. With these linkages, our case managers can refer qualifying
clients to our programs as well as refer them to other agencies. In addition, other agencies
can refer their clients to Human Services. With this partnership, clients will not have gaps
in-between services. Our case managers conduct follow-up consultations with our clients.
Programs currently work with Social Services, primary and secondary educational
systems, as well as a host of non -profits in Weld County, aimed at self-sufficiency for the
citizens of our area. Since we track all of our clients, we are able to avoid any duplication
of services.
5. Innovative Community and Neighborhood -based Initiatives:
Since Weld County Division of Human Services is a one -stop service center for various
Federal and State programs, this provides initiatives for community members to address all
needs. With CSBG funding, this program's goal of strengthening families with
employment and educational opportunities can be achieved, which will help participants
become self-sufficient.
COLORADO CSBG ROMA SUMMARY SHEET
CONTRACTOR/SUBCONTRACTOR
County/Multi County: Weld County
Implementing Agency Weld County Department of Human Services
(Each agency/subcontractor receiving CSBG dollars must complete this form)
Implementing Agency Contact Person: Judy A. Griego
Complete Mailing Address, including zip:
P.O. Box A, Greeley, CO 80632
Phone Number (970) 352-1551 ext. 6510 Fax: (970) 353-5215
Email Address: griedoialaco.weld.co.us
Program Period: March 1, 2009 to February 28, 2010
Select ONE National Indicator 6.1a
(see CSBG National Indicators sheet)
(i.e. 1.2, 2.1,6.2, etc.)
SELECT ONE FEDERAL OBJECTIVE
O Employment
❑ Income Management
❑ Emergency Services
❑ Nutrition
❑ Self -Sufficiency
❑ Education
SELECT ONE NATIONAL GOAL/OUTCOME:
El Linkages with Other Programs
❑ Housing
❑ Health
The National Goal and National Indicator should match. (i.e. National Indicator 1.2, National Goal 1)
❑ Goal 1 Low-income people become more self-sufficient. (Family)
❑ Goal 2 The conditions in which low-income people live are improved. (Community)
❑ Goal 3 Low-income people own a stake in their community. (Community)
❑ Goal 4 Partnerships among supporters and providers of services to low-income people are
achieved. (Agency)
❑ Goal 5 Agencies increase their capacity to achieve results. (Agency)
El Goal 6 Low-income people, especially vulnerable populations, achieve their potential by
strengthening family and other supportive systems. (Family)
Low INCOME TARGET POPULATION:
ONLY CHECK IF YOUR PROGRAM THAT IS FUNDED WITH CSBG DOLLARS SERVES ONLY SENIORS OR YOUTH.
X SENIORS YOUTH
Program Director Signature: Date:
Name and Title: Judy A. Griego, Director — Weld County Department of Human Services
Page Two Instruction Form
Program Description:
Provide a description of the program in two sentences or less.
CSBG Program Mission Statement:
Give the mission statement of the program that the CSBG funds are being used in; not the
Agency mission statement.
MISSION STATEMENT SHOULD ADDRESS THE FOLLOWING:
• Uses language that identifies the population being served.
• Describes the type of services/intervention.
• Explains the results/outcomes or impact that the organization/program is trying to achieve.
• Includes language identifies the area to be served (city, region, area).
• Clear and concise.
(EXAMPLE - Create a practical and useful reporting ROMA system for Colorado CSBG fund recipients and
implement training to achieve an improved quality of standard reporting.)
Problem, Need or Situation:
State the identified problems in your community determined by the needs assessment related to
this application. This is directly related to your mission statement.
Service, Activity or Intervention:
State the specific service, activity or intervention provided to address the problem, need or
situation. Include the estimated total number of people (target population) who receive the
services provided. Target population: household, family, partnerships, etc.
Helpful Hint: Your agency will have to identify when a client becomes a client —is it at the time of
the initial phone call, or is at'another time?
Outcome:
Your Outcome is the Ultimate Goa/ of why your program exists; it is the impact your service,
activity or intervention has on your family, agency or community. You may have more than one
outcome per program. You may elect to outline short term, intermediate and long term outcomes.
Helpful Hint: An outcome does NOT indicate number of clients receiving services.
Indicator:
Using the data from past years identify the number of clients that are proposed to be served,
identifying the percentage of those clients who will complete the program identified to use CSBG
funds.
Helpful Hint: This information is from a historical viewpoint. For an emergency shelter that does not turn
anyone away the formula would be 250 or 100% of homeless individuals are provided shelter.
THE FOLLOWING INFORMATION IS LOCATED IN THE FAR RIGHT COLUMN.
Measurement Tool:
Tools used to track your outcomes: surveys, attendance log, case record and pre- and post-test,
in -take forms, etc.
Data Source and Collection Procedures:
Describe how data as related to your outcome is collected. Describe where information is located
and be specific.
Helpful Hint: Central Database, individual case records, another agency, etc.
Frequency of Data Collection and Reporting:
State how often data is required by the agency to be collected and reported, e.g., daily, weekly,
monthly, yearly, etc.
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COLORADO CSBG ROMA SUMMARY SHEET
CONTRACTOR/SUBCONTRACTOR
County/Multi County: Weld County
Implementing Agency Weld County Department of Human Services
(Each agency/subcontractor receiving CSBG dollars must complete this form)
Implementing Agency Contact Person: Judy A. Grieqo
Complete Mailing Address, including zip:
P.O. Box A, Greeley, CO 80632
Phone Number (970) 352-1551 ext. 6510
Email Address: griegola(o co.weld.co.us
Fax: (970) 353-5215
Program Period: March 1, 2009 to February 28, 2010
Select ONE National Indicator: 1.1a
(see CSBG National Indicators sheet)
(i.e. 1.2, 2.1,6.2, etc.)
SELECT ONE FEDERAL OBJECTIVE
IZEmployment
O Income Management
O Emergency Services
O Nutrition
O Self -Sufficiency
O Education
SELECT ONE NATIONAL GOAL/OUTCOME:
❑ Linkages with Other Programs
O Housing
O Health
The National Goal and National Indicator should match. (i.e. National Indicator 1.2, National Goal 1)
El Goal 1 Low-income people become more self-sufficient. (Family)
O Goal 2 The conditions in which low-income people live are improved. (Community)
O Goal 3 Low-income people own a stake in their community. (Community)
O Goal 4 Partnerships among supporters and providers of services to low-income people are
achieved. (Agency)
O Goal 5 Agencies increase their capacity to achieve results. (Agency)
O Goal 6 Low-income people, especially vulnerable populations, achieve their potential by
strengthening family and other supportive systems. (Family)
LOW INCOME TARGET POPULATION:
ONLY CHECK IF YOUR PROGRAM THAT IS FUNDED WITH CSBG DOLLARS SERVES ONLY SENIORS OR YOUTH.
SENIORS YOUTH
Program Director Signature: Date:
Name and Title: Judy A. Griego, Director— Weld County Department of Human Services
Pape Two Instruction Form
Program Description:
Provide a description of the program in two sentences or less.
CSBG Program Mission Statement:
Give the mission statement of the program that the CSBG funds are being used in; not the
Agency mission statement.
MISSION STATEMENT SHOULD ADDRESS THE FOLLOWING:
• Uses language that identifies the population being served.
• Describes the type of services/intervention.
• Explains the results/outcomes or impact that the organization/program is trying to achieve.
• Includes language identifies the area to be served (city, region, area).
• Clear and concise.
(EXAMPLE - Create a practical and useful reporting ROMA system for Colorado CSBG fund recipients and
implement training to achieve an improved quality of standard reporting.)
Problem, Need or Situation:
State the identified problems in your community determined by the needs assessment related to
this application. This is directly related to your mission statement.
Service, Activity or Intervention:
State the specific service, activity or intervention provided to address the problem, need or
situation. Include the estimated total number of people (target population) who receive the
services provided. Target population: household, family, partnerships, etc.
Helpful Hint: Your agency will have to identify when a client becomes a client —is it at the time of
the initial phone call, or is at another time?
Outcome:
Your Outcome is the Ultimate Goal of why your program exists; it is the impact your service,
activity or intervention has on your family, agency or community. You may have more than one
outcome per program. You may elect to outline short term, intermediate and long term outcomes.
Helpful Hint An outcome does NOT indicate number of clients receiving services.
Indicator:
Using the data from past years identify the number of clients that are proposed to be served,
identifying the percentage of those clients who will complete the program identified to use CSBG
funds.
Helpful Hint: This information is from a historical viewpoint. For an emergency shelter that does not turn
anyone away the formula would be 250 or 100% of homeless individuals are provided shelter.
THE FOLLOWING INFORMATION IS LOCATED IN THE FAR RIGHT COLUMN.
Measurement Tool:
Tools used to track your outcomes: surveys, -attendance -log, case record -and pre- and post-test,
in -take forms, etc.
Data Source and Collection Procedures:
Describe how data as related to your outcome is collected. Describe where information is located
and be specific.
Helpful Hint: Central Database, individual case records, another agency, etc.
Frequency of Data Collection and Reporting:
State how often data is required by the agency to be collected and reported, e.g., daily, weekly,
monthly, yearly, etc.
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COLORADO CSBG ROMA SUMMARY SHEET
CONTRACTOR/SUBCONTRACTOR
County/Multi County: Weld County
Implementing Agency Weld County Department of Human Services
(Each agency/subcontractor receiving CSBG dollars must complete this form)
Implementing Agency Contact Person: Judy A. Griego
Complete Mailing Address, including zip:
P.O. Box A, Greeley, CO 80632
Phone Number (970) 352-1551 ext. 6510 Fax: (970) 353-5215
Email Address: qriecioiae,co.weld.co.us
co.weld.co.us
Program Period: March 1, 2009 to February 28, 2010
Select ONE National Indicator: 6.1
(see CSBG National Indicators sheet)
(i.e. 1.2, 2.1,6.2, etc.)
SELECT ONE FEDERAL OBJECTIVE
❑Employment
O Income Management
O Emergency Services
O Nutrition
O Self -Sufficiency
O Education
SELECT ONE NATIONAL GOAL/OUTCOME:
QLinkages with Other Programs
O Housing
O Health
The National Goal and National Indicator should match. (i.e. National Indicator 1.2, National Goal 1)
O Goal 1 Low-income people become more self-sufficient. (Family)
O Goal 2 The conditions in which low-income people live are improved. (Community)
O Goal 3 Low-income people own a stake in their community. (Community)
O Goal 4 Partnerships among supporters and providers of services to low-income people are
achieved. (Agency)
O Goal 5 Agencies increase their capacity to achieve results. (Agency)
RI Goal 6 Low-income people, especially vulnerable populations, achieve their potential by
strengthening family and other supportive systems. (Family)
LOW INCOME TARGET POPULATION:
ONLY CHECK IF YOUR PROGRAM THAT IS FUNDED WITH CSBG DOLLARS SERVES ONLY SENIORS OR YOUTH.
SENIORS YOUTH
Program Director Signature: Date:
Name and Title: Judy A. Griego, Director — Weld County Department of Human Services
Pape Two Instruction Form
Program Description:
Provide a description of the program in two sentences or less.
CSBG Program Mission Statement:
Give the mission statement of the program that the CSBG funds are being used in; not the
Agency mission statement.
MISSION STATEMENT SHOULD ADDRESS THE FOLLOWING:
• Uses language that identifies the population being served.
• Describes the type of services/intervention.
• Explains the results/outcomes or impact that the organization/program is trying to achieve.
• Includes language identifies the area to be served (city, region, area).
• Clear and concise.
(EXAMPLE - Create a practical and useful reporting ROMA system for Colorado CSBG fund recipients and
implement training to achieve an improved quality of standard reporting.)
Problem, Need or Situation:
State the identified problems in your community determined by the needs assessment related to
this application. This is directly related to your mission statement.
Service, Activity or Intervention:
State the specific service, activity or intervention provided to address the problem, need or
situation. Include the estimated total number of people (target population) who receive the
services provided. Target population: household, family, partnerships, etc.
Helpful Hint: Your agency will have to identify when a client becomes a client —is it at the time of
the initial phone call, or is at another time?
Outcome:
Your Outcome is the Ultimate Goal of why your program exists; it is the impact your service,
activity or intervention has on your family, agency or community. You may have more than one
outcome per program. You may elect to outline short term, intermediate and long term outcomes.
Helpful Hint: An outcome does NOT indicate number of clients receiving services.
Indicator:
Using the data from past years identify the number of clients that are proposed to be served,
identifying the percentage of those clients who will complete the program identified to use CSBG
funds.
Helpful Hint: This information is from a historical viewpoint. For an emergency shelter that does not turn
anyone away the formula would be 250 or 100% of homeless individuals are provided shelter.
THE FOLLOWING INFORMATION IS LOCATED IN THE FAR RIGHT COLUMN.
Measurement Tool:
Tools used to track your outcomes: surveys, attendance log, case record and pre- and post-test,
in -take forms, etc.
Data Source and Collection Procedures:
Describe how data as related to your outcome is collected. Describe where information is located
and be specific. •
Helpful Hint: Central Database, individual case records, another agency, etc.
Frequency of Data Collection and Reporting:
State how often data is required by the agency to be collected and reported, e.g., daily, weekly,
monthly, yearly, etc.
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COLORADO CSBG ROMA SUMMARY SHEET
CONTRACTOR/SUBCONTRACTOR
County/Multi County: Weld County
Implementing Agency Weld County Department of Human Services
(Each agency/subcontractor receiving CSBG dollars must complete this form)
Implementing Agency Contact Person: Judy A. Griego
Complete Mailing Address, including zip:
P.O. Box A, Greeley, CO 80632
Phone Number (970) 352-1551 ext. 6510 Fax: (970) 353-5215
Email Address: orieqoja(a,co.weld.co.us
Program Period: March 1, 2009 to February 28, 2010
Select ONE National Indicator: 6.1a
(see CSBG National Indicators sheet)
(i.e. 1.2, 2.1,6.2, etc.)
SELECT ONE FEDERAL OBJECTIVE
❑Employment
O Income Management
O Emergency Services
❑ Nutrition
O Self -Sufficiency
O Education
SELECT ONE NATIONAL GOAL/OUTCOME:
ElLinkages with Other Programs
O Housing
O Health
The National Goal and National Indicator should match. (i.e. National Indicator 1.2, National Goal 1)
O Goal 1 Low-income people become more self-sufficient. (Family)
O Goal 2 The conditions in which low-income people live are improved. (Community)
O Goal 3 Low-income people own a stake in their community. (Community)
O Goal 4 Partnerships among supporters and providers of services to low-income people are
achieved. (Agency)
O Goal 5Agencies increase their capacity to achieve results. (Agency)
El Goal 6 Low-income people, especially vulnerable populations, achieve their potential by
strengthening family and other supportive systems. (Family)
Low INCOME TARGET POPULATION:
ONLY CHECK IF YOUR PROGRAM THAT IS FUNDED WITH CSBG DOLLARS SERVES ONLY SENIORS OR YOUTH.
X SENIORS
YOUTH
Program Director Signature: Date:
Name and Title: Judy A. Griego, Director — Weld County Department of Human Services
Page Two Instruction Form
Program Description:
Provide a description of the program in two sentences or less.
CSBG Program Mission Statement:
Give the mission statement of the program that the CSBG funds are being used in; not the
Agency mission statement.
MISSION STATEMENT SHOULD ADDRESS THE FOLLOWING:
• Uses language that identifies the population being served.
• Describes the type of services/intervention.
• Explains the results/outcomes or impact that the organization/program is trying to achieve.
• Includes language identifies the area to be served (city, region, area).
• Clear and concise.
(EXAMPLE — Create a practical and useful reporting ROMA system for Colorado CSBG fund recipients and
implement training to achieve an improved quality of standard reporting.)
Problem, Need or Situation:
State the identified problems in your community determined by the needs assessment related to
this application. This is directly related to your mission statement.
Service, Activity or Intervention:
State the specific service, activity or intervention provided to address the problem, need or
situation. Include the estimated total number of people (target population) who receive the
services provided. Target population: household, family, partnerships, etc.
Helpful Hint: Your agency will have to identify when a client becomes a clients it at the time of
the initial phone call, or is at another time?
Outcome:
Your Outcome is the Ultimate Goal of why your program exists; it is the impact your service,
activity or intervention has on your family, agency or community. You may have more than one
outcome per program. You may elect to outline short term, intermediate and long term outcomes.
Helpful Hint: An outcome does NOT indicate number of clients receiving services.
Indicator:
Using the data from past years identify the number of clients that are proposed to be served,
identifying the percentage of those clients who will complete the program identified to use CSBG
funds.
Helpful Hint: This information is from a historical viewpoint. For an emergency shelter that does not turn
anyone away the formula would be 250 or 100% of homeless individuals are provided shelter.
THE FOLLOWING INFORMATION IS LOCATED IN THE FAR RIGHT COLUMN.
Measurement Tool:
Tools used to track your outcomes: surveys, attendance log, case record and pre- and post-test,
in -take forms, etc.
Data Source and Collection Procedures:
Describe how data as related to your outcome is collected. Describe where information is located
and be specific.
Helpful Hint: Central Database, individual case records, another agency, etc.
Frequency of Data Collection and Reporting:
State how often data is required by the agency to be collected and reported, e.g., daily, weekly,
monthly, yearly, etc.
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COLORADO CSBG ROMA SUMMARY SHEET
CONTRACTOR/SUBCONTRACTOR
County/Multi County: Weld County
Implementing Agency Weld County Department of Human Services
(Each agency/subcontractor receiving CSBG dollars must complete this form)
Implementing Agency Contact Person: Judy A. Griego
Complete Mailing Address, including zip:
P.O. Box A, Greeley, CO 80632
Phone Number (970) 352-1551 ext. 6510 Fax: (970) 353-5215
Email Address: grieqojaco.weld.co.us
Program Period: March 1, 2009 to February 28, 2010
Select ONE National Indicator: 6.2
(see CSBG National Indicators sheet)
(i.e. 1.2, 2.1,6.2, etc.)
SELECT ONE FEDERAL OBJECTIVE
❑Employment
O Income Management
❑ Emergency Services
❑ Nutrition
I] Self -Sufficiency
O Education
SELECT ONE NATIONAL GOAL/OUTCOME:
ElLinkages with Other Programs
❑ Housing
❑ Health
The National Goal and National Indicator should match. (i.e. National Indicator 1.2, National Goal 1)
❑ Goal 1 Low-income people become more self-sufficient. (Family)
❑ Goal 2 The conditions in which low-income people live are improved. (Community)
❑ Goal 3 Low-income people own a stake in their community. (Community)
❑ Goal 4 Partnerships among supporters and providers of services to low-income people are
achieved. (Agency)
❑ Goal 5 Agencies increase their capacity to achieve results. (Agency)
H Goal 6 Low-income people, especially vulnerable populations, achieve their potential by
strengthening family and other supportive systems. (Family)
Low INCOME TARGET POPULATION:
ONLY CHECK IF YOUR PROGRAM THAT IS FUNDED WITH CSBG DOLLARS SERVES ONLY SENIORS OR YOUTH.
SENIORS YOUTH
Program Director Signature: Date:
Name and Title: Judy A. Griego Director — Weld County Department of Human Services
Page Two Instruction Form
Program Description:
Provide a description of the program in two sentences or less.
CSBG Program Mission Statement:
Give the mission statement of the program that the CSBG funds are being used in; not the
Agency mission statement.
MISSION STATEMENT SHOULD ADDRESS THE FOLLOWING:
• Uses language that identifies the population being served.
• Describes the type of services/intervention.
• Explains the results/outcomes or impact that the organization/program is trying to achieve.
• Includes language identifies the area to be served (city, region, area).
• Clear and concise.
(EXAMPLE — Create a practical and useful reporting ROMA system for Colorado CSBG fund recipients and
implement training to achieve an improved quality of standard reporting.)
Problem, Need or Situation:
State the identified problems in your community determined by the needs assessment related to
this application. This is directly related to your mission statement.
Service, Activity or Intervention:
State the specific service, activity or intervention provided to address the problem, need or
situation. Include the estimated total number of people (target population) who receive the
services provided. Target population: household, family, partnerships, etc.
Helpful Hint: Your agency will have to identify when a client becomes a client —is it at the time of
the initial phone call, or is at another time?
Outcome:
Your Outcome is the Ultimate Goal of why your program exists; it is the impact your service,
activity or intervention has on your family, agency or community. You may have more than one
outcome per program. You may elect to outline short term, intermediate and long term outcomes.
Helpful Hint: An outcome does NOT indicate number of clients receiving services.
Indicator:
Using the data from past years identify the number of clients that are proposed to be served,
identifying the percentage of those clients who will complete the program identified to use CSBG
funds.
Helpful Hint: This information is from a historical viewpoint. For an emergency shelter that does not turn
anyone away the formula would be 250 or 100% of homeless individuals are provided shelter.
THE FOLLOWING INFORMATION IS LOCATED IN THE FAR RIGHT COLUMN.
Measurement Tool:
Tools used to track your outcomes: surveys, attendance log, case record and pre- and post-test,
in -take forms, etc.
Data Source and Collection Procedures:
Describe how data as related to your outcome is collected. Describe where information is located
and be specific.
Helpful Hint: Central Database, individual case records, another agency, etc.
Frequency of Data Collection and Reporting:
State how often data is required by the agency to be collected and reported, e.g., daily, weekly,
monthly, yearly, etc.
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