HomeMy WebLinkAboutItem 3 - Review of DRAFT GIA Application 2017-2018
City of San Luis Obispo
Human Relations Commission
2017-2018 Grants-in-Aid Program
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 2016-17 funding cycle must have complied with all reporting
requirements to be considered for the 2017-18 grants.
Grants are primarily made to organizations based in the City of San Luis Obispo. Agencies based in neighboring
communities that serve a significant number of City residents also are encouraged to apply.
Grants are made only to non-profit organizations.
Organizations must comply with the HRC 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. HRC Bylaws can be found on the City’s website here:
http://www.slocity.org/home/showdocument?id=5276h
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 into a contract with the City of San Luis Obispo prior to receipt of GIA funds. A sample can be found on the website
at http://www.slocity.org/home/showdocument?id=5268
PRIORITY FUNDING AREAS
The following priority funding areas are not listed in order of importance:
Homeless prevention including affordable and alternative housing, supportive services and transitional housing,
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.
SPECIAL CONSIDERATIONS
Special consideration given to programs that:
Have matching grants secured,
Will be used to initiate a new, ongoing service,
Train or support service providers in order to expand their scope of services a nd/or increase the numbers of
residents served,
Initiates a new, ongoing funding source for the organization,
Directs services efficiently to needy residents with low overhead and administrative costs.
The HRC is also looking for organizations taking new, creative approaches to solving the largest health and human service
needs in our community.
City of San Luis Obispo Grants in Aid 2017-18
2017-18 Grants-In-Aid (GIA) Timeline
September 2016
September 7th – HRC conducted a Community Needs Workshop in Council
Chambers. Agency representatives provided input on funding priorities
October 2016
October 18th – City Council approved priorities based on HRC recommendation
from the 2016 Community Needs Workshop
November 2016
November 14th – GIA applications available online
January 2017
January 18th – GIA applications due by 5:00pm
February 2017
February 1st – HRC assigns subcommittee to review GIA applications
March 2017
GIA Subcommittee meets to review applications and develop preliminary
recommendations
April 2017
April 5th - HRC reviews GIA Subcommittee recommendations and adopts
preliminary GIA recommendations
May 2017
May 3rd – HRC public hearing. HRC adopts final GIA recommendations
July 2017
July 18th – City Council adopts final GIA recommendations
August 2017
GIA contracts emailed to grant recipients
Funds released to grant recipients once all contracts received
Questions? Contact Jenny Wiseman: (805) 781-7010 / jwiseman@slocity.org
City of San Luis Obispo Grants in Aid 2017-18
2017-18 Grants-in-Aid
Application Checklist
Use this checklist as a tool to ensure all required components are submitted with your final application.
Please attach it as the first page of your application.
Applications must satisfy all of the eligibility criteria in order 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 included the following documents, both in hard copy and in a complete, signed scanned and
emailed packet in .pdf format:
Grant Application
List of Organization’s Board Members
Organizational Chart
Copy of Document Certifying Federal Tax-Exempt Status
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 pm on January
18, 2017, including:
One (1) single-sided hard copy submitted to Community Development
Department, 919 Palm St. San Luis Obispo, CA 93401, Attn: Jenny
Wiseman; either in-person or by mail. Postmarks will not be accepted.
One (1) signed application, including all attachments as a complete
package, in PDF format, submitted via email to jwiseman@slocity.org.
City of San Luis Obispo Grants in Aid 2017-18
HUMAN RELATIONS COMMISSION
2017-2018 GRANTS-IN-AID APPLICATION
AGENCY:
PROJECT/PROGRAM NAME:
ADDRESS:
CONTACT: PHONE:
E-MAIL ADDRESS: WEBSITE:
(This person will receive notifications regarding grant decisions 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 (50 words or less)
labeled Attachment 1.
2. Please answer the following questions on one attached page labeled Attachment 2:
a. Briefly describe the program, project or other reason you are requesting funds (100 – 150
words or less).
b. Please describe your grant request in detail (no more than one page).
c. Itemize how your agency would use the GIA award.
3. Please answer the following questions on one attached page labeled Attachment 3:
a. Please describe any 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.
City of San Luis Obispo Grants in Aid 2017-18
c. How will your program and the citizens of San Luis Obispo benefit as a result of this
grant?
4. Which priority of the non-ranked HRC funding priorities does your request support? Please
check the appropriate boxes and explain.
Homeless prevention including affordable and alternative housing, supportive
services and transitional housing;
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.
5. What is the project’s total budget?
6. What is your agency’s entire total annual budget?
(for the local chapter if a widespread organization)
7. What percentage of your agency’s entire total annual budget comes from private (non -
governmental) donations?
a. What are those private funding sources?
_
8. What percentage of your agency’s entire total annual budget comes from public
(governmental) donations?
a. What are those public funding sources?
_
9. Have you seen growth in your funding sources over the past year?
a. If so, how much? From what type of sources?
10. Will this grant satisfy a match grant requirement, or leverage funding from another grantor?
a. If so, how much? From what funding sources?
11. Is this grant request for a new program, or continuation of an existing program?
City of San Luis Obispo Grants in Aid 2017-18
12. 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)
13. 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)
14. What is the total number of residents served by your agency and program?
# of residents served
by your program
July 2014-
June 2015
# of residents served
by your agency
July 2014-
June 2015
Projected # of residents
your program will serve
July 2015-
June 2016
Projected # of
residents your agency
will serve July 2015-
June 2016
City of San Luis Obispo
Outside City limits
Total Served
15. 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. ___________________
16. 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)
City of San Luis Obispo Grants in Aid 2017-18
Signatures:
I certify that the information contained in this application is, to the best of my know ledge, 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, religi on, sex, national origin, sexual
orientation, age, physical, mental or economic status; and that this application is submitted with the Board of Director’s f ull
knowledge and endorsement.
Print Name Title (Board President or Designee)
Signature Date
__________________________________
Print Name Title (Executive Director/CEO or Designee)
__________________________________
Signature Date