HomeMy WebLinkAbout11/03/2021 Item 2, Rosten
Delgado, Adriana
From:Emily Rosten <emilyrosten@icloud.com>
Sent:Tuesday, November
To:Advisory Bodies
Subject:Grants in Aid Application Template.
Attachments:CBO-PHG Request for Application 1-24-2020.doc
This message is from an External Source. Use caution when deciding to open attachments, click links, or respond.
On Wednesday the HRC is discussing the Grants in Aid Application Template.
Please see the attached application that is used by the county for the Tobacco Settlement Grant Funds. I served on the
grant application review committee for that program last year. I was surprised to see, though those grants tend to be
much much larger, their applications are more streamlined. Furthermore, most of the applicants for the Grants in Aid
also apply for these other funds. I am hoping we could take a look at it when reviewing our Grants in Aid Application.
Using this format- which gives us much of the same information as we have collected in the past, would simplify things
for our applicants, whose time is better spent providing services than completing grant applications.
Please feel free to let me know if you have questions.
Thanks!
Best,
Emily
1
Emily
2
Community Based Organization/
Preventative Health Grant Program
Request for Application – FY 2020-21
Luis Obispo
Page 1 of 14
I. INTRODUCTION
Purpose: The Community Based Organization/Preventive Health Grant (CBO/PHG)
programs provide funding for local programs/projects that support and complement (not
duplicate) the efforts of the County's health and human services departments in
promoting the health and well-being of the community, encouraging behaviors and
activities that focus on enabling County residents to reach and maintain optimal health,
stability, and independence.
Source and Amount of Funding: In fiscal year (FY) 2019-20, a total of $2.0 million in
grant requests were received.
The Community Based Organization Grant program receives its funding from the
County General Fund. A total of $1,118,500 was distributed to community based non-
profit organizations in FY 2019-20.
The Preventive Health Grant program receives its funding from a lawsuit settled by the
tobacco industry in 1998. In FY 2019-20, $348,000 was awarded for preventive health
grants.
The total amount of funds available for the FY 2020-21 CBO/PHG Grant Program has
not been determined as of the release date of the Request for Application (RFA).
Timeline and Process: The RFA is being released on March 2, 2020. Completed
applications (including the correct number of copies and electronic filings) will be
accepted until April 10, 2020 at 5:00 p.m. (no postmarks accepted). NOTE:
Incomplete or late applications and/or electronic submittals will not be accepted.
The CBO/PHG Grant Committee will evaluate the applications and their subsequent
recommendations will be considered by the Board of Supervisors during the County
annual budget hearings in June 2020. Once the Board has approved funding, programs
will be expected to begin on July 1, 2020.
Community Based Organization/
Preventative Health Grant Program
Request for Application – FY 2020-21
Luis Obispo
Page 2 of 14
II. ELIGIBILITY
Both public and private nonprofit organizations are eligible to apply. Organizations must
either have a non-profit designation at the time of grant application submission or be a
public agency such as a school district, County agency or department.
Programs/projects must be carried out in San Luis Obispo County and serve only San
Luis Obispo County residents.
Applicants must offer their services to all residents of San Luis Obispo County,
regardless of political or religious opinions or affiliations, age, sex, race, color, national
origin, marital status, disability, sexual orientation.
III. REVIEW AND SELECTION CRITERIA
Local programs/projects must support and complement (not duplicate) the efforts of the
County's health and human services departments in promoting the health and well-
being of the community, encouraging behaviors and activities that focus on enabling
County residents to reach and maintain optimal health stability and independence.
Programs/Projects will be reviewed and prioritized, among other things, on:
1. Local need;
2. Identified funding sources showing the ability to leverage the other funds;
3. Program/project goals, results, outputs/outcomes; if applicable, projected
results from prior year;
5. Program cost compared with number of people served;
6. Geographic distribution of services;
7. Percentage of requested funding being used for direct services;
8. Program/project sustainability with funds granted;
9. Collaboration with other community-based agencies and County
departments;
10. Organizational cultural competency.
Program/project funding shall not be used to supplant other revenue sources.
Please Note: sober living and recovery homes are not eligible to receive funding via this
grant program. Funds for these types of programs are available through the Drug and
Alcohol division of County Behavioral Health.
Community Based Organization/
Preventative Health Grant Program
Request for Application – FY 2020-21
Luis Obispo
Page 3 of 14
IV. REQUEST FOR APPLICATION REQUIRED COMPONENTS
Organizations that normally submit separate applications for various projects/programs
carried out by their organization are encouraged to submit one application. The
maximum number of pages for the grant proposal is FIVE double sided pages
including the cover sheet, scope of work or work plan, budget, and budget narrative.
Pages should be numbered consecutively.
The application should be submitted in the following order:
Cover Sheet:
A. Application must have a COVER SHEET which clearly identifies:
1. Project Title
2. Organization/Agency Name
3. Executive Director and/or Program Contact Person
4. Address
5. Phone number
6. E-mail address
7. Amount of funds being requested
8. If applicable, funds received in the prior year (or most recent fiscal
year when funds were received)
9. A brief (50 words or less) description of proposed project
Program/Project Information:
The application must contain the following information:
1. Briefly describe your organization and its mission.
2. Summarize your program/project by providing a brief description.
3. How is the program or service beneficial to County residents?
A. How does it complement and collaborate with existing efforts?
B. Describe how the proposed program or service is different than
health and human services programs provided by the County or
other community-based organizations?
Community Based Organization/
Preventative Health Grant Program
Request for Application – FY 2020-21
Luis Obispo
Page 4 of 14
C. How was the local need for this program/project determined?
D. Is there a fee associated with service?
4. Describe your organizational capacity to successfully carry out the
proposed activities (i.e. past performance and history of the organization
will be considered to assess the agency's prospects for achieving its goals
and objectives).
5. If the program is not fully funded, will the program still continue?
Scope of Work or Work Plan:
The following information should be provided in the format as shown below.
1. FY 2020-21 Scope of Work or Work Plan:
Your scope of work or work plan should answer these questions:
A. What are the program/project goals?
B. How will those goals be achieved including time frame?
C. What is your evaluation methodology for measuring results?
2. FY 2019-20 Program Results:
All requests from agencies that received Preventive Health or Community
Based Organization grant funds in FY 2019-20 must specify actual
program results attained to date as well as projected results for the
balance of the fiscal year. Results must be described in meaningful,
measurable terms.
Community Based Organization/
Preventative Health Grant Program
Request for Application – FY 2020-21
Luis Obispo
Page 5 of 14
EXHIBIT A
SCOPE OF WORK/WORK PLAN FORMAT
Requested Grant Funds in Fiscal Year 2020-21
Program/Project Summary: _______________________________________________
Goal/Objective
(refer to 1.A above)
Major Tasks
(in order to achieve
goal)
(refer to 1.B above)
Timeline Evaluation
methodology
(refer to 1.C above)
Program/Project OUTPUTS
Program/Project OUTCOMES
Grant Funds Received in Fiscal Year 2019-20 (if applicable)
Program/Project Summary: _______________________________________________
Goal/Objective
(refer to 1.A above)
Major Tasks
(in order to achieve
goal)
(refer to 1.B above)
Timeline Evaluation
Mythology
(refer to 1.C above)
Program/Project OUTPUTS
Program/Project OUTCOMES
Community Based Organization/
Preventative Health Grant Program
Request for Application – FY 2020-21
Luis Obispo
Page 6 of 14
SCOPE OF WORK/WORK PLAN
Results:
A meaningful, measurable result will demonstrate the difference the proposed project
makes, or is intended to make, in the lives of the people receiving the service.
OUTPUT results show the amount of work performed or services received - e.g. number
of patients treated, number of meals served, number of childcare slots created, etc.
Output Measures: 500 people will participate in health screening clinics and receive
referrals for follow-up when indicated.
75 people will be enrolled in Healthy Families MediCal program to
improve utilization of health services.
XX number of meals will be served to seniors during the year.
OUTCOMES show the quality of performance and answer the question: who is better
off by doing this project? Here are some examples:
Outcome Measures: At least XX% of smokers who participate in services will
successfully quit using tobacco.
XX% of clients that receive substance abuse treatment
services and are drug and alcohol free one year later.
XX% of program participants in the prevention program will
demonstrate their commitment to an alcohol and drug-free
lifestyle.
Community Based Organization/
Preventative Health Grant Program
Request for Application – FY 2020-21
Luis Obispo
Page 7 of 14
Program/Project Budget:
7. PROGRAM/PROJECT BUDGET:
The following information should be provided in the format as shown
below.
A. A one (1) page budget narrative is required that:
1. Describes each line item;
2. Explains changes in funding requests;
3. If these funds will be used for a community match required by
other funding sources, please list the other funding source,
and the amount of the match required;
B. Provide a budget that includes the following information:
1. A description of all sources of funding for the proposed
program/project, including funding received from County
sources or those not secured;
2. Identifies the part of the proposed program/project the
requested funds will be used for.
C. If your organization is submitting one application for multi-
programs/projects, please submit a separate budget for each
program/project request.
D. A current year organizational budget. If the applicant is a County
department, please submit your current fiscal year line item actuals.
Community Based Organization/
Preventative Health Grant Program
Request for Application – FY 2020-21
Luis Obispo
Page 8 of 14
Request for Application - FY 2020-21
PROGRAM BUDGET REQUEST FORM
Project
Expense
Grant
Budget
Requested
Other Funding
Available*
Amount &
source
I. PERSONNEL EXPENSES
(associated with the proposed project)
Subtotal – Personnel Expenses
II. OPERATING EXPENSES
(associated with the proposed project)
Subtotal – Operating Expenses
III. INDIRECT @_______ OF PERSONNEL
Total Grant Project Expenses
*List in this column all agency funds available to support the project. Indicate with a “@”
next to the amount that are in-kind and a “NS” for those not yet secured.
Community Based Organization/
Preventative Health Grant Program
Request for Application – FY 2020-21
Luis Obispo
Page 9 of 14
General Application Information
1. All applications should be clear, concise and complete. No additional information
will be accepted past the April 10, 2020 deadline unless specifically requested
by the County.
2. Application must be submitted
o Stapled on 8.5 x 11 plain white paper.
o Your grant application should be no more than five (5) doubled sided
pages (e.g. ten pages = 5 double sided pages). All pages in the
application should be numbered consecutively.
An original plus eight (8), for a total of nine (9) copies, stapled doubled
sided copies of the grant application should be submitted by 5:00 p.m. on
April 10, 2020. POSTMARKS WILL NOT BE ACCEPTED.
3. Each copy of the application should also include the following (stapled to the
application and double sided) :
a. Organizational operating budget
b. Key program personnel (include a short description of their background)
c. Board of Directors of your organization and relevant advisory boards
(please include member affiliations.)
d. Adopted organization policy or statement on inclusion, diversity, or
affirmative action.
e. Tax-exempt status documentation, e.g. IRS determination letter.
f. A copy (each) of the current status of non-profit organization from
Secretary of State and Attorney General Office. These documents can be
accessed at the specific agency’s web site (Secretary of State:
https://businesssearch.sos.ca.gov/and Attorney General’s Office:
http://rct.doj.ca.gov/Verification/Web/Search.aspx?facility=Y)
See Attachment 1 for examples of these status reports. Please do not
send your organization’s Statement of Information.
Grant applications from organizations that do not include this
documentation or whose non-profit status is “inactive“ or “delinquent” will
not be accepted. This requirement does not apply to grant applications
Community Based Organization/
Preventative Health Grant Program
Request for Application – FY 2020-21
Luis Obispo
Page 10 of 14
from public agency such as a school district, County agency or
department.
4. In addition to the nine (9) required “paper” copies, the complete grant application
(the cover sheet, scope of work or work plan, budget, budget narrative, and the
requested information in #3 above), should be submitted in electronic (WORD
format) to cpene@co.slo.ca.us by 5:00 p.m. on April 10 2020.
5. Proposals should be stapled only without binding, binders or folders.
6. Please DO NOT include letters of references, brochures or flyers. If necessary,
this information will be requested at a later date.
7. All costs associated with the preparation and submission of this application will
be borne by the applicant.
8. All applications become the property of the County of San Luis Obispo and will
become public information after the submission deadline.
9. Applications should be submitted to the address delineated below. At the time
the application is received by the County, it will be date and time stamped and
recorded.
County Administrative Office
ATTN: Courtney Pene
Room D430, County Government Center
1055 Monterey Street
San Luis Obispo, CA 93408
Any questions regarding the RFA or process should be directed to
Courtney Pene of the County Administrative Office at 805/788-2642.
Community Based Organization/
Preventative Health Grant Program
Request for Application – FY 2020-21
Luis Obispo
Page 11 of 14
ATTACHMENT #1
Secretary of State example:
Search Screen:
Provide a copy of either page:
or
Community Based Organization/
Preventative Health Grant Program
Request for Application – FY 2020-21
Luis Obispo
Page 12 of 14
Community Based Organization/
Preventative Health Grant Program
Request for Application – FY 2020-21
Luis Obispo
Page 13 of 14
Department of Justice/Office of Attorney General example:
Search Screen:
Community Based Organization/
Preventative Health Grant Program
Request for Application – FY 2020-21
Luis Obispo
Page 14 of 14
Provide a copy of either page:
or