HomeMy WebLinkAboutItem 3 - GIA Application Template 2022-23Human Relations Commission Grants-in-Aid Program
2022-23 FUNDING YEAR
PURPOSE
The City of San Luis Obispo Human Relations Commission (HRC) Grants-in-Aid Program provides financial support
to non-profit organizations that promote the economic and social well-being of its citizens.
REQUIREMENTS
•Organizations that received Grants-in-Aid during the 2021 -22 funding cycle who have not complied with all
reporting requirements will not be considered for the 2022-23 grants.
•Grants are primarily made to organizations serving residents in the City of San Luis Obispo. Agencies serving
residents in neighboring communities, also serving a significant number of City residents will be considered.
•Grants are made only to non-profit organizations.
•Organizations must comply with the HRC Bylaws which are to create an environment within the City in which
all persons can enjoy equal rights and opportunities regardless of race, religion, sex, national origin, sexual
orientation, age, physical, mental, or economic status. HRC Bylaws can be found on the City’s website HERE.
•Applications for a specific program, project, equipment need, or general operational support will be
considered if the organization’s mission falls under one or more of the HRC priority funding areas listed below.
•Enter a contract with the City prior to receipt of GIA funds.
•Applicants must submit a complete application package. Incomplete applications will not be considered.
PRIORITY FUNDING AREAS
The main funding priority for the 2022-23 Grants in Aid program is: Homeless prevention including affordable
and alternative housing, supportive services and transitional housing.
The following additional priority funding areas are not listed in order of importance:
•Hunger and malnutrition prevention
•Supportive physical and mental health services for those in need
•Services for seniors, veterans and/or people with disabilities in need
•Supportive, developmental, and care services for children and youth in need
•Services encouraging diversity, equity, and inclusivity in marginalized communities, including access to
language services
SPECIAL CONSIDERATIONS
Special consideration given to programs that:
•Have matching grants secured
•Ongoing fundraising and services were severely impacted by COVID-19 and not recouped by other means
•Train or support service providers to expand scope of services and/or increase the numbers of clients
•Initiates a new, ongoing funding source for the organization
•Directs services efficiently to needy residents with low overhead and administrative costs
FUNDING DECISIONS
The HRC will review all received applications and develop funding recommendations based on the answers
provided in each corresponding application. Please be as specific as possible! Grants are awarded by available
funding for current grant cycle. Previous receipt of an award does not guarantee continued funding. Please note
that the HRC may exercise discretion on how GIA monies are proposed to be used (i.e. if monies are proposed for
tangible goods, services, operating costs, etc.) when developing funding recommendations for this grant cycle.
Item 3
Packet Page 71
City of San Luis Obispo HRC Grants-in-Aid 2022-23
The HRC is always looking for organizations taking new, creative approaches to solving the most prevalent
health & human service needs in our community!
2022-23 Grants-In-Aid (GIA) Timeline
October 6, 2021
▪ October 6th - HRC conducted a Community Needs Workshop in Council
Chambers. Agency representatives provided input on funding priorities
November 16, 2021
▪ November 16th - City Council approved priorities based on HRC recommendation
from the 2021 Community Needs Workshop
December 1, 2021
▪ December 1st - GIA applications available online
January 29, 2022
▪ January 29th - GIA applications due by 5:00pm
February 2, 2022
▪ February 2nd - HRC assigns subcommittee to review GIA applications
March 2022
▪ GIA Subcommittee meets to review applications and develop preliminary
recommendations
April 6, 2022
▪ April 6th - HRC reviews GIA Subcommittee recommendations and adopts
preliminary GIA recommendations
May 4, 2022
▪ May 4th - HRC public hearing. HRC adopts final GIA recommendations
July 2022
▪ City Council adopts final GIA recommendations
August 2022
▪ GIA contracts emailed to grant recipients
▪ Funds released to grant recipients once all contracts received
Questions? Contact the Human Relations Commission Liaison, Owen Goode, at (805) 781-7576 or
ogoode@slocity.org
Item 3
Packet Page 72
City of San Luis Obispo HRC Grants-in-Aid 2022-23
2022-23 Grants-in-Aid
Application Checklist
Use this checklist as a tool to ensure all required components are submitted with your final application.
Applications must satisfy all the eligibility criteria to be considered. Please verify by checking boxes
below that this application satisfies each eligibility criteria:
❑ I have used a standard typeface of 11 points or larger in every document submitted.
❑ I did not attach materials other than those requested.
❑ I did not use staples, binders, or covers (Paperclips or binder clips suggested).
❑ I have answered all questions and provided all required attachments.
I have included all the following documents, both in hard copy and in a complete, signed scanned and
emailed packet in .pdf format:
❑ Completed Grant Application
❑ List of Organization’s Board Members
❑ Organizational Chart
❑ Copy of Document Certifying Federal Tax-Exempt Status
❑ Estimated Itemized Project Budget
❑ Copy of Organization’s most recent complete fiscal year financial statement (for the
previous year because it is the middle of the current fiscal year) including a statement of
financial position/balance sheet, statement of revenue & expenses/income statement,
profit & loss.
❑ My Final Application includes all documents listed above, submitted by 5:00 pm on
January 29, 2022, including:
❑ One (1) single-sided hard copy submitted by mail to:
Community Development Department
919 Palm St.
San Luis Obispo, CA 93401
Attn: Owen Goode
Postmarks will not be accepted.
Item 3
Packet Page 73
City of San Luis Obispo HRC Grants-in-Aid 2022-23
❑ One (1) signed application, including all attachments as a complete
package, in PDF format, submitted via email to ogoode@slocity.org.
HUMAN RELATIONS COMMISSION
2022-23 GRANTS-IN-AID APPLICATION
AGENCY:
PROJECT/PROGRAM NAME:
ADDRESS:
CONTACT: PHONE:
E-MAIL ADDRESS: WEBSITE:
(This person will receive notifications regarding grant decisions, contract execution, and reporting requirements)
WHO PREPARED THIS APPLICATION: PHONE:
FEDERAL TAX ID NUMBER: DATE AGENCY ESTABLISHED:
AMOUNT OF GRANT REQUEST:
1. Please provide your agency’s core mission statement on one attached page (maximum 50 words)
labeled Attachment 1.
2. Please answer the following questions on one attached page labeled Attachment 2:
a. Briefly describe the program/project or reason you are requesting funds (max 150 words).
b. Please describe your grant request in detail (max 250 words).
c. Itemize how your agency would use the GIA award (refer back to “Funding Decisions”
Section on page 1 on the directions).
3. Please answer the following questions on one attached page labeled Attachment 3:
a. Please describe creative approaches your agency takes to achieve the Agency’s mission.
b. Please describe the interaction or collaboration between your Agency and other local
non-profits who serve similar clientele.
Item 3
Packet Page 74
City of San Luis Obispo HRC Grants-in-Aid 2022-23
c. How will your program and the citizens of San Luis Obispo benefit as a result of this
grant?
4. The HRC has identified their main funding priority as: Homeless prevention including affordable
and alternative housing, supportive services and transitional housing. Does your grant request
meet this funding priority?
Yes
No
5. Which other priority of the non-ranked HRC funding priorities does your request support? Please
check the appropriate boxes:
Hunger and malnutrition prevention
Supportive physical and mental health services for those in need
Services for seniors and/or people with disabilities in need
Supportive and developmental services for children and youth in need
Services encouraging diversity, equity, and inclusivity in marginalized communities
6. What is the project’s total budget?
7. What is your agency’s entire total annual budget?
(for the local chapter if a widespread organization)
8. What percentage of your agency’s entire total annual budget comes from private (non-
governmental) donations?
a. What are those private funding sources?
_
9. What percentage of your agency’s entire total annual budget comes from public
(governmental) donations?
a. What are those public funding sources?
_
10. Have you seen growth or decline in your funding sources over the past year?
a. If so, how much? From what type of sources?
b. Did you receive any funds to mitigate financial impacts associated with COVID-19? If so,
how much? From what type of sources? _______________________________________
11. Will this grant satisfy a match grant requirement, or leverage funding from another grantor?
Item 3
Packet Page 75
City of San Luis Obispo HRC Grants-in-Aid 2022-23
a. If so, how much? From what funding sources?
12. Is this grant request for a new program, or continuation of an existing program?
13. In the table below briefly list 1-3 methods of evaluation and indicators of success.
Methods of Evaluation Indicators of Success
Tracking Attendance (Sample answer) 100 Attendees Per Session (Sample answer)
14. Using the chart below briefly explain if your agency plans to collaborate with other agencies
and partners on this project. Give specific examples and specify other collaborators:
Name of Partner Activity/Service They Provide for This Project
ABC Dance Club (Sample answer) Free Use of Dance Hall (Sample answer)
15. What is the total number of residents served by your agency and program?
# of residents served
by your program
July 2020-
June 2021
# of residents served
by your agency
July 2020-
June 2021
Projected # of residents
your program will serve
July 2021-
June 2022
Projected # of
residents your agency
will serve July 2021-
June 2022
City of San Luis Obispo
Outside City limits
Total Served
16. If your agency is submitting more than one application for a grant, please rank the
applications in the order of priority.
a. ___________________
b. ___________________
c. ___________________
d. ___________________
17. Eligibility Checklist: (Please review the checklist at the beginning of this application and make
sure you have followed all guidelines and included all required documents)
Item 3
Packet Page 76
City of San Luis Obispo HRC Grants-in-Aid 2022-23
Signatures:
I certify that the information contained in this application is, to the best of my knowledge, true and accurate; that our agency
subscribes to the Human Relations Commission’s “Statement of Purpose and Bylaws” which creates an environment within
the City in which all persons can enjoy equal rights and opportunities regardless of race, religion, sex, national origin, sexual
orientation, age, physical, mental or economic status; and that this application is submitted with the Board of Director’s full
knowledge and endorsement.
Print Name Title (Board President or Designee)
Signature Date
__________________________________
Print Name Title (Executive Director/CEO or Designee)
__________________________________
Signature Date
Item 3
Packet Page 77