Philadelphia Continuum of Care Program
2018 Renewal Project Application component 1
APPLICATION ID: Click here to enter text.
Project type: Click here to enter text.
Application Summary
Application ID: / Click here to enter text. /Agency Name: / Click here to enter text. /
Agency Address: / Click here to enter text. /
City: / Click here to enter text. / State: / PA / Zip Code: / Click here to enter text. /
Project Name: / Click here to enter text. /
Contact Person: / Click here to enter text. /
Title: / Click here to enter text. /
Email Address: / Click here to enter text. /
Phone Number: / Click here to enter text. / Fax Number: / Click here to enter text. /
Project Address: / Click here to enter text. /
Project Component / TH / Safe Haven / Renewing for 1st Time? / Yes / No
PH - PSH / PH - RRH
HUD Applicant and Compliance Questions
Note: For the 2018local renewal competition, your responses to the following questions will not impact the score of your application. These questions may be scored in the FY 2019 local renewal competition.
- Is the Applicant delinquent on any Federal debt?
Yes
No
If "YES," provide an explanation.
Click here to enter text. /- APR Submission: Has the Applicant successfully submitted the APR on time for the most recently expired grant term related to this renewal project request?
Yes
No
Not Applicable – This renewal project has yet to complete its first operating year
- HUD Monitoring Findings: Does the Applicant have any unresolved HUD Monitoring concerning any previous grant term related to this renewal project request?
Yes
No
Not Applicable – Applicant has not been monitored by HUD
- Office of the Inspector General (OIG) Audit Findings: Does the Applicant have any unresolved OIG Audit findings concerning any previous grant term related to this renewal project request?
Yes
No
Not Applicable – Applicant has not been audited by OIG
2018 CoC Program Funding Request for this Project:The funding request must be equal to or less than the project’s FY2017 HUD CoC award.
Eligible Costs / Total Assistance Requested (1-year Grant Term)Leased Units / Click here to enter text. /
Leased Structures / Click here to enter text. /
Rental Assistance / Click here to enter text. /
Supportive Services / Click here to enter text. /
Operating / Click here to enter text. /
HMIS / Click here to enter text. /
Sub-total Costs Requested / Click here to enter text. /
Admin / Click here to enter text. /
Total Assistance + Admin / Click here to enter text. /
Cash match / Click here to enter text. /
In-kind Match / Click here to enter text. /
Total Match / Click here to enter text. /
Leveraging / Click here to enter text. /
Total Budget (Total Assistance + Admin + Total Match + Leveraging) / Click here to enter text. /
Project Expenditure Information
Competition Year / Operating Period / Total Grant Awarded / Remaining funds (balance) reported in APR submitted for Grant Operating PeriodFY 2015 / 2016-2017 / Click here to enter text. / Click here to enter text. /
Chronic Bed Dedication (PSH Projects ONLY)
Proposed for FY 2017 and 2018 Grant Periods
Type of Bed / Projected in 2017Renewal Project Application submitted in e-snaps (Operating Year 2018-2019) / Proposed for FY 2018(Operating Year 2019-2020)# of Beds Dedicated to Chronically Homeless Individuals/ Families / Click here to enter text. / Click here to enter text. /
# of Beds designated Dedicated PLUS for Chronically Homeless Individuals/Families / Click here to enter text. / Click here to enter text. /
# of Beds NOT Dedicated or DedicatedPLUS for Chronically Homeless Individuals/ Families / Click here to enter text. / Click here to enter text. /
2018 Unsheltered Point in Time Count
(Note: You will lose 1 point if at least 2 staff members from your organization did not volunteer to support the 2018 Unsheltered (Street) and/or Youth Point in Time Count.)
Please list the names of the staff members who volunteered to support the 2018 Unsheltered (Street) or Youth Point in Time Count, and include either their designated zone/neighborhood ORteam leader’s name:
Click here to enter text. /Click here to enter text. /
Adopting a “Housing First” approach (PSH, TH, and RRH projects ONLY)
Alignment with the Housing First approach is still and will continue to be a priority for the Philadelphia CoC. While we develop a more robust and accurate evaluations of provider’salignment with this approach,no points will be awarded to this section in the 2018 local renewal application.
Required attachments to your local renewal application (1 copy per application):
- Project participant intake policy/procedures
- Project participant termination policy/procedures
- Project participant discharge/exit procedures
- Blank project participants’ lease and addendums
“Housing First” Approach: an approach to quickly and successfully connect individuals and families experiencing homelessness to permanent housing without preconditions and barriers to entry, such as sobriety, treatment, or service participation requirements. Supportive services are offered to maximize housing stability and prevent returns to homelessness as opposed to addressing predetermined treatment goals prior to permanent housing entry.
Instructions:Please respond to the following threequestions based on your project’s current participant application and screening processes and participation requirements to determine if the project follows a “Housing First” Approach, AND include the attachments listed below along with your application.
- Does the project quickly move participants into permanent housing without intermediary steps or a period of qualification before permanent housing?
PSH and RRH: This question applies to entrance into your permanent housing project.
TH: This question applies to exiting participants into permanent housing.
YesNo
If you checked “No”, describe the steps the project is taking to reduce the length of time it takes to move participants into permanent housing, remove intermediary steps, or remove periods of qualification. Describe any obstacles to taking these steps. (Max 200 words)
Click here to enter text. /- Does the project ensure that participants are NOT screened out from entry into the project based on the following items? Check ALL that apply.
Having too little or no income
Active or history of substance abuse
Having a criminal record with exceptions for state-mandated restrictions
History of domestic violence (e.g., lack of a protective order, period of separation from abuser, or law enforcement involvement)
None of the above (Checking this box indicates that your project screens out participants for ALL of the reasons listed above.)
If participants are screened out from entry into the project for ANY of the above reasons, describe the steps the project is taking to remove these barriers to entry. Describe any obstacles to taking these steps. (Max 200 words)
Click here to enter text. /- Does the project ensure that participants are NOT terminated from the project for the following reasons? Check ALL that apply.
Failure to participate in supportive services
Failure to make progress on a service plan
Loss of income or failure to improve income
Being a victim of domestic violence
Any other activity not covered in a lease agreement typically found in the project’s geographic area
None of the above (Checking this box indicates that your project terminates participants for ALL of the above reasons.)
If the project terminates participants for ANY of the above reasons, please describe the steps the project is taking to STOP terminating participants for those reason(s). Describe any obstacles to taking these steps. (Max 200 words)
Click here to enter text. /Your project follows “Housing First” Approach if ALL of the following statements are true.
- You responded “Yes” to Question 1; AND
- You checked ALL FIRST FOUR boxes in Question 2; AND
- You checked ALL FIRST FIVE boxes in Question 3.
- If the project follows “Housing First” approach, please describe the practices used by the project that demonstrate the use of “Housing First” approach. (Max 200 words)
Click here to enter text. /
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