HomeMy WebLinkAboutAgenda_SPCS_10.28.2019Notice of Meeting for the
Strategic P artnerships for Community Serv ices Adv isory Board
of the City of Georgetown
October 28, 2019 at 9:00 AM
at City Hall, Community Room, 808 Martin L uther K ing Jr. St., Georgetown, Texas
78626
T he C ity o f G eorgetown is c o mmitted to c ompliance with the Americans with Dis ab ilities Ac t (ADA). If yo u
req uire as s is tanc e in participating at a p ublic meeting d ue to a disability, as d efined und er the ADA, reasonable
as s is tance, ad ap tatio ns , or acc o mmo d ations will b e provid ed up o n req uest. P leas e contac t the C ity S ecretary's
O ffic e, at leas t three (3) d ays p rio r to the s cheduled meeting date, at (512) 930-3652 or C ity Hall at 808 Martin
Luther King Jr. S treet, G eo rgeto wn, T X 78626 for ad d itional info rmation; T T Y us ers route thro ugh R elay
Texas at 711.
Regular Session
(T his R egular S es s ion may, at any time, be rec es s ed to c o nvene an Exec utive S es s ion for any purp o s e
authorized b y the O pen Meetings Ac t, Texas G o vernment C ode 551.)
A R oll C all --Jaq uita Wilson, S P C S Ad vis o ry Board C hair
B C all to O rd er--Jaq uita Wilson, S P C S Advis o ry Board C hair
C C ons id eratio n and p o s s ib le ac tion to app ro ve the Minutes fro m the O c to b er 10, 2019 S P C S Ad visory
Bo ard Meeting—Jaquita Wils o n, Ad viso ry Board C hair
D Disc ussio n and p o s s ib le ac tion to review and modify the G rant Applic atio n fo r the F Y 2020-21 S trategic
P artnerships fo r C ommunity S ervic es G rant C yc le--Jaq uita Wilson, S P C S Board C hair and S hirley J.
R inn, Board Liais o n
Adjournment
Adjourn
Ce rtificate of Posting
I, R obyn Dens mo re, C ity S ec retary for the C ity of G eorgetown, Texas, do hereb y certify that this Notice of
Meeting was p o s ted at C ity Hall, 808 Martin Luther King Jr. S treet, G eorgeto wn, T X 78626, a p lace readily
acc es s ib le to the general p ublic as req uired by law, on the _____ day of _________________, 2019, at
__________, and remained so p o s ted fo r at leas t 72 c o ntinuo us hours prec eding the sc heduled time of s aid
meeting.
__________________________________
R o b yn Dens more, C ity S ecretary
Page 1 of 22
City of Georgetown, Texas
Strategic Partnerships for Community Services
October 28, 2019
S UB J E C T:
C o nsideration and pos s ible actio n to ap p rove the Minutes from the O cto ber 10, 2019 S P C S Advis o ry
Board Meeting—Jaq uita Wilson, Advis o ry Bo ard C hair
IT E M S UMMARY:
AT TAC HME N T S :
1. Draft Minutes for the O cto b er 10, 2019 S P C S Advis o ry Board Meeting.
F IN AN C IAL IMPAC T:
No ne
S UB MIT T E D B Y:
S hirley J. R inn for Jaq uita Wilson, S P C S Advis o ry Board C hair
AT TAC H ME N T S:
D escription Type
DRAFT Minutes Backup Material
Page 2 of 22
SPCS Advisory Board Minutes
October 10, 2019
Page 1 of 2
Minutes of the Meeting of the
Strategic Partnerships for Community Services Advisory Boa rd
City of Georgetown, Texas
October 10, 2019
The Strategic Partnerships for Community Services Advisory Board of the City of Georgetown, Texas,
met on Thursday, October 10, 2019 at 9:15 a.m.
Members Present:, Alexia Griffin, Michael Douglas, Natalia Ornelas, Jaquita Wilson, Jerry Haecker
Members Absent:
Staff Present: Shirley J. Rinn, Executive Assistant to the City Manager
MINUTES
A. Call to Order--Jaquita Wilson, SPCS Advisory Board Chair
The meeting was called to order by President, Jaquita Wilson, at 9:15 a.m.
B. Roll Call --Jaquita Wilson, SPCS Advisory Board Chair
Alexia Griffin, Michael Douglas, Jaquita Wilson, Jerry Haecker, and staff liaison, Shirley Rinn were
present.
Natalia Ornelas was absent.
C. Consideration and possible action to approve the Minutes from the June 10, 2019 SPCS Advisory
Board Meeting—Alexia Griffin, Secretary
Motion by Haecker, second by Douglas to approve the Minutes from the August 6, 2019 SPCS Advisory
Board Meeting, as amended; (Approved 4-0, Ornelas Absent)
D. Overview and possible action regarding the review of the grant cycle timeline, the Policy, Guidelines,
Application, and Evaluation and Recommendation Process for the FY 2020-21 Strategic Partnerships
for Community Services Grant Cycle—Jaquita Wilson, SPCS Board Chair and Shirley J. Rinn, Board
Liaison.
The Advisory Board discussed and reviewed the current process and made suggested revisions to
the Grant Application. The Advisory Board reviewed and discussed the grant applications utilized by
Georgetown Health Foundation and Seeds of Strength to determine whether or not their grant
applications contained or included information and questions that would enhance the City’s grant
application in order to receive improved responses from the grant applicants.
Ornelas arrived at 10:00 a.m.
Page 3 of 22
SPCS Advisory Board Minutes
October 10, 2019
Page 2 of 2
Rinn told the Board that she would contact Suzy Pukys to see if she would be willing to attend one of
our future meetings to discuss Georgetown Health Foundation’s grant application and to further
discuss Section 7 of its grant application related to Georgetown Community Responsiveness and how
GHF utilizes the data gained from the responses from the grant applicants.
Rinn told the Board that she would make the revisions that the Board discussed and bring back a
new draft at the next meeting for further review.
The next meeting will be on October 28, 2019 at 9:00 a.m. at City Hall.
E. Adjourn
Adjournment
Motion by Wilson, second by Griffin to adjourn. Meeting was adjourned at 10:50 a.m.
Attest:
Alexia Griffin, Board Secretary Jaquita Wilson, Board Chair
Page 4 of 22
City of Georgetown, Texas
Strategic Partnerships for Community Services
October 28, 2019
S UB J E C T:
Dis cus s io n and pos s ible actio n to review and mo d ify the G rant Ap p lication for the F Y 2020-21 S trategic
P artners hips for C o mmunity S ervices G rant C yc le--Jaquita Wils o n, S P C S Bo ard C hair and S hirley J.
R inn, Board Liais on
IT E M S UMMARY:
During review o f the grant cycle, timeline, the P olic y, G uid elines, Ap p lication, and Evaluation and
R ecommendatio n P ro cess fo r the F Y 2020-21 S trategic P artnership s for C ommunity S ervic es G rant
C yc le at the Augus t 10, 2019 S trategic P artners hips fo r C ommunity S ervic es Advis o ry Board meeting, the
Ad visory Board d etermined that revis io ns need ed to be mad e to the G rant Ap p licatio n to ensure that the
q uestio ns and reques ts fo r info rmation are more c learly defined in the ap plic ation materials to ens ure that
the Ad visory Board is rec eiving the info rmatio n it needs fro m eac h agency to tho ro ughly evaluate the grant
ap p licatio ns for fund ing rec o mmendatio ns to the C ity C ounc il.
T his item will p ro vide the Ad visory Bo ard the opportunity to c o ntinue its review and disc ussion of
revisions to b e made to the G rant Ap p lication for the F Y 2020-21 S trategic P artners hips fo r C ommunity
S ervic es G rant C yc le.
F IN AN C IAL IMPAC T:
N/A
S UB MIT T E D B Y:
S hirley R inn for Jaq uita Wilson, Board C hair
AT TAC H ME N T S:
D escription Type
Draft Grant Application Backup Material
Page 5 of 22
FY2020-21 CITY OF GEORGETOWN STRATEGIC PARTNERSHIPS
FOR COMMUNITY SERVICES GRANT APPLICATION
Instructions: Complete City of Georgetown’s Strategic Partnerships for Community Services Grant Application Word
template. Email the completed Application with required attachments to shirley.rinn@georgetown.org , mail to City of
Georgetown, Attn: Strategic Partnerships for Community Services, P.O. Box 409, Georgetown, Texas 78627, or hand
deliver to City Hall, 808 Martin Luther King, Jr. St., Georgetown, Texas 78626. The deadline to submit the completed
Application is NO LATER THAN __________ MAY ____, 2020 by 5:00 PM. Late submissions will be declined without
consideration.
PART I. COVER PAGE
Organization Name
Date IRS Approved
501(c)(3) Status
mm/dd/yyyy
Organization’s legal
name: (as shown on
501(c)(3) IRS Letter)
Federal Tax ID #
Mailing Address
City and zip code
Phone Number
Website Address
Program/Project
Name
Amount
Requested
Executive Director:
(or top executive)
(Please include prefix and
title)
Phone #
Email Address:
Main contact(s) for
this proposal:
(Please include prefix and
title)
Phone #
Email Address:
Board President:
Phone #
Email Address:
Program or Project Information
Program/Project
Name
Amount
Requested
Type of Request:
Program or Project Support (check one)
Program or Project Aligns with City’s Key Priority Area
(check one or more)
[ ] New program or project
[ ] Existing program or project
[ ] Expansion of an existing program or project
[ ] New Collaboration
[ ] Public Safety
[ ] Transportation
[ ] Housing
[ ] Parks & Recreation
[ ] Veteran Services
[ ] Safety Net
Program/Project Summary: 100 words or less summarize main objectives and anticipated results (one paragraph)
# Current population
served by organization
(unduplicated individuals and
geographic area(s) – cities,
counties, etc.) (Unduplicated
individuals and geographic
areas(s) –cities, counties,
etc.)
# Target population
served through this
proposed program
request (unduplicated
individuals and geographic
area(s) – cities, counties, etc.)
Page 6 of 22
PROGRAM/PROJECT STAFFING: Enter the total number of proposed staff to accomplish the program/project activities.
# Full-time staff:
# Part-time staff:
# Volunteers:
Organization’s fiscal year end
date:
mm/dd/yyyy through mm/dd/yyyy (i.e. 07/01/2020 through
06/30/2021)
Organization’s annual
budget:
$
Total program/project
budget:
$
Type of Funding Request: (check all that apply)
[ ] General Operating Support
[ ] Other (explain)
How did your organization
hear about the City of
Georgetown’s Strategic
Partnerships for
Community Services Grant
Program?
Page 7 of 22
City of Georgetown Checklist of Attachments and Signature Page
Email the completed Application with required attachments to shirley.rinn@georgetown.org , mail to City of Georgetown, Attn:
Strategic Partnerships for Community Services, P.O. Box 409, Georgetown, Texas 78627, or hand deliver to City Hall, 808 Martin
Luther King, Jr. St., Georgetown, Texas 78626. The deadline to submit the completed Application is NO LATER THAN __________
MAY ____, 2020 by 5:00 PM. Late submissions will be declined without consideration.
Signature Authorization and Certification of Information
I certify, to the best of my knowledge, that all information included in this proposal is correct. The tax exempt status of this
organization is still in effect. If a grant is awarded to this organization, then the proceeds of that grant will not be distributed or used
to benefit any organization or individual supporting or engaged in unlawful activities. In compliance with the USA Patriot Act and other
counterterrorism laws, I certify that all funds received from City of Georgetown will be used in compliance with all applicable anti-
terrorist financing and asset control laws, statutes, and executive orders.
__________________________________________________________
__________________________
Signature & Title of Authorized Representative (e.g. Executive Director) Date
__________________________________________________________
Printed Name and Title
REQUIRED ATTACHMENT CHECKLIST
Budget Information. Include:
Program/Project Budget, including all funding sources and expenditures (Excel template provided);
Actual Program/Project Budget for prior fiscal year (if applicable);
Proposed Organizational Budget for current fiscal year;
Organization budget for prior fiscal year.
Previous fiscal year financials in PDF format (if e-mailed). Include:
balance sheet;
income statement;
year-to-date financials (balance sheet and income statement).
Key Staff list. Include titles, short bio, and length of time employed. Please speak specifically to the staff
member(s) who will be directing the program and explain why her/his oversight positions the program for success.
Copy of the organization’s current 501(c) (3) IRS Letter of Determination indicating tax-exempt status. (If
applicable a copy of your fiscal sponsor’s IRS Letter of Determination).
Current Board member list. Specify the percentage of the Board members who make a financial contribution to
your organization. Include the following information for each board member:
• Position and number of years served
• Professional affiliations (name of organization of employment and title)
• City and zip code of residence
Citations and additional information (if applicable). This attachment may be used to cite any statistics/research,
to define key terms and/or acronyms, and may include critical detail about your organization or program(s) not
already in the grant (no marketing material, please).
If applicable: Collaborative work with Georgetown Independent School District staff and/or students. (Attach
District’s Letter of Approval of the PIE Partnership Proposal).
Most recent IRS Form 990
Most recent independent financial audit including Auditors notes and Management Letter. (Both the 990 and
audit documents should be the same fiscal year). If no audit is available, please attach a document that explains
why.
*Do not include additional attachments other than the documents requested above.
Please read the following statement and check the box certifying that this application is complete according to The City
of Georgetown’s requirements.
I have reviewed the City of Georgetown’s Strategic Partnerships for Community Services Grant Funding Policies and
Guidelines to determine if this grant request meets their criteria for funding.
Page 8 of 22
PART II. NARRATIVE
1111.... AAAABOUT BOUT BOUT BOUT YYYYOUR OUR OUR OUR OOOORGANIZATIONRGANIZATIONRGANIZATIONRGANIZATION
1a. Organization Mission
Character Limit: 500
1b. Organization Vision
Character Limit: 1000
1c. Date of Incorporation
Character Limit: 10
1d. Describe your organization's scope of work
Character Limit: 2500
1e. Describe your organization's target population
Character Limit: 1000
1f. How many unique individuals did your organization serve during the prior fiscal year?
Character Limit: 100
1g. What geographic area does your organization serve?
Character Limit: 500
1. PROVIDE A BRIEF DESCRIPTION OF YOUR ORGANIZATION.
Briefly summarize the primary programs or projects in support of the organization’s mission and how they impact the
community. (Limit to two paragraphs)
2. WHAT IS THE PURPOSE OF THIS FUNDING REQUEST?
Provide enough detail about the program or project so that someone who is not familiar with it can understand what
you hope to do, why it is needed and how it will impact your targeted population. Does the program or project address
an emerging need or a critical community issue? If so, describe the need and explain how the program or project seeks
to address the need. Describe the location of services, and length of services. (Limit to four paragraphs; bullet points
are encouraged)
3. WHO WILL YOUR PROGRAM OR PROJECT SERVE?
Please describe the program or project’s target population, including age, gender, and socioeconomic group it intends
to impact. What geographic area will be served? How many Georgetown individuals will be served by the
program/project?
(Limit to one paragraph; bullet points are encouraged)
Page 9 of 22
4. WHAT DOES YOUR PROGRAM OR PROJECT HOPE TO ACCOMPLISH? (Outputs and/or
Outcomes)
Describe your program or project’s overall goals and objectives. Where will the activities take place? How will this
program or project transform your organization and how will it transform the lives of the target population? (Limit to
three paragraphs)
5. HOW DOES YOUR PROGRAM OR PROJECT INTEND TO ACHIEVE THE ABOVE?
How will you know if you are successful? Specifically what and or who will you measure or assess to achieve your
program goals and objectives? (Limit to two paragraphs)
6. WHAT ORGANIZATIONS WILL COLLABORATE WITH YOU ON THE PROGRAM OR PROJECT?
Please list any partners or collaborators and describe the specific role of each. (i.e., agencies, businesses, schools,
government entities and others). How does working with these partners/collaborators affect the success of this
project/program?
(Limit to three paragraphs; bullet points are encouraged)
7. HOW DOES THE PROGRAM OR PROJECT INTEND TO EXPEND THE GRANT?
How will The City of Georgetown’s money be spent (description of amounts, e.g. Salary & Benefits $15,000)? Provide a
brief list of major budget items. Briefly, why do you propose these particular expenditures? (Limit to 2 paragraph; bullet
points are encouraged)
OUT OF THESE OPTIONS WHICH DOES THE BOARD PREFER?
Page 10 of 22
2.2.2.2. CCCCOMMITMENT TO OMMITMENT TO OMMITMENT TO OMMITMENT TO GGGGEORGETOWNEORGETOWNEORGETOWNEORGETOWN
2a. Is your organization's main office located in Georgetown?
Choices
☐ Yes
☐ No
If no,
where is your organization's main office located? Do you maintain a satellite office in
Georgetown? What is the address of the Georgetown-based satellite office?
Character Limit: 1000
2b. What year did your organization start serving Georgetown?
Character Limit: 10
2c. Describe your organization's work in Georgetown
Character Limit: 1500
2d. How many unique Georgetown residents did your organization serve during the
prior fiscal year?
Out of the total number of unique individuals your organization served during the prior fiscal year
(see Q1f), how many Georgetown citizens did your organization serve?
Character Limit: 10
2e. Please select the Georgetown zip codes your organization serves
Choices
☐ 78626
☐ 78628
☐ 78633
☐ 78673
☐ 78674
☐ 78634
Page 11 of 22
3.3.3.3. FFFFUNDING UNDING UNDING UNDING RRRREQUESTEQUESTEQUESTEQUEST
3a. Please describe how SPCS grant funds will be used, if awarded.
Character Limit: 1000
3b. Alignment with City of Georgetown’s Strategic Partnerships for Community Services Grant
Funding Policies and Guidelines, and Target Population
Describe how your organization and this funding request aligns with the City of Georgetown’s
Strategic Partnerships for Community Services Grant Funding Policies and Guidelines, and your
organization’s Target Population. Specifically identify the target population with which you will
be working.
Character Limit: 3000
4.4.4.4. PPPPRIOR RIOR RIOR RIOR RRRRELATIONSHIP WITH ELATIONSHIP WITH ELATIONSHIP WITH ELATIONSHIP WITH CCCCITY OF ITY OF ITY OF ITY OF GGGGEORGETOWNEORGETOWNEORGETOWNEORGETOWN
4a. Has your organization ever received a City of Georgetown grant, sponsorship, or
other financial or in-kind support?
Choices
☐ Yes
☐ No
If yes, please list years, amounts, and type of funding (grant, sponsorship, other financial
support) your organization has received from City of Georgetown.
Character Limit: 1000
4b. Do you currently receive a rent or other in-kind subsidy from the City of Georgetown?
Choices
☐ Yes
☐ No
If yes, include the location/address of the property and the current monthly rent per your lease
agreement and/or the total and type of in-kind support received from the City of Georgetown.
Character Limit: 250
Page 12 of 22
5. FINANCIAL OVERVIEW
5a. Most Recent Audit.
☐If your organization is applying for more than $25,000, include all formal communication
received from the audit firm in relation to the audited financial statement.
☐If your organization is applying for less than $25,000 and if your organization has not
commissioned a financial audit, the city will accept a CPA prepared financial statement
review.
☐If you are applying for less than $15,000 and if your organization has not commissioned a
financial audit or does not have a CPA prepared financial statement review, the City will
accept a compilation of the organization’s financials, which is when a CPA takes financial
data provided by your organization and puts them in a financial statement format that
complies with generally accepted accounting principles, with no further review.
6. ORGANIZATIONAL STRATEGY & CAPACITY
The following questions (6a-6e) were adopted from Charting Impact, developed by the Better
Business Bureau Wise Giving Alliance, GuideStar USA, and Independent Sector. We chose to use
these five questions because they have been thoroughly tested and encourage strategic
thinking.
Remember to answer Questions 6a-6e at the organizational level, not the program level. Be
sure to cite all statistics and research in a separate document.
6a. What is your organization striving to accomplish?
Clearly and concisely state your organization's ultimate goal for intended impact. Identify the
groups or communities you aim to assist, the needs your work is addressing, and your expected
outcomes. Examine how your goals for the next three to five years (or an alternate time frame
specified in your answer) fit within your overall plan to contribute to lasting, meaningful
change. When finished ask yourself, "If someone unfamiliar with our work were to read this,
would they have a clear definition of what long-term success means for my organization?"
Character Limit: 2000
6b. What are strategies for making this happen?
Describe your organization's strategies for accomplishing the long-term goals you cited in 6a.
Specify the broad approaches you employ and why your organization believes these methods
will benefit your target population or advance your issue. State near-term activities that serve
as important building blocks for future success, explaining how these elements strengthen your
organization's strategic approach.
Character Limit: 2000
Page 13 of 22
6c. What are your organization's capabilities for doing this?
Detail the resources, capacities, and connections that support your progress toward long-term
goals cited in 6a. While describing your organization's core assets, identify both internal
resources (including, but not limited to, staff, budget, and expertise) and external strengths
(including partnerships, collaborations, networks, and influence) that have contributed to, or
will contribute in the future to, the accomplishment of these goals.
Character Limit: 2000
6d. How will your organization know if you are making progress?
Explain how your organization assesses progress toward your intended impact cited in 6a.
Identify milestones that signal progress and success. Describe your assessment and
improvement process: the methods you use as you monitor key indicators and how your
organization uses that information to refine your efforts.
Character Limit: 2000
6e. What have and haven't you accomplished so far?
Demonstrate recent progress toward your long-term goals cited in 6a. by describing how your
near-term objectives are propelling your organization toward your ultimate intended impact.
Go beyond the outputs of your work to make clear how these outcomes are contributing to
fulfilling long-term goals. In describing both outcomes achieved and those not yet realized,
include what your organization has learned about what does and doesn't work, what risks and
obstacles exist, and what adjustments to goals, strategies, or objectives have been made along
the way.
Character Limit: 2000
6f. Organization Staff
How many staff does your organization have? What is the percentage of staff turnover during
the last 12 months? What are the primary contributors to staff turnover?**This is not in City
of Georgetown’s current application -IS IT SOMETHING THE ADVISORY BOARD FEELS IS
NECESSARY?
Character Limit: 1000
6g. Key Staff List
Include titles, short bio, and length of time employed. Please speak specifically to the staff
member(s) who will be directing the proposed work and explain why her/his oversight positions
the work or success.
6h. Organization Board of Directors
How many Board of Directors does your organization have? What is the percentage of board
turnover during the last 12 months? What are the primary responsibilities of your Board of
Directors?
Character Limit: 2000
Page 14 of 22
6i. Board List
List individual board member’s name, place of business, home address, and years with the
organization. Specify the percentage of board members that make a financial contribution to
your organization.
6i. 501(C)3 IRS Determination Letter
Page 15 of 22
7. PROPOSED PROGRAM DETAILS
7a. Description of Proposed Program
Describe the program for which you are requesting funding and the issue it seeks to address.
Detail the strategies, resources, capacities, and connections that support your progress toward
the program's identified goals. Provide evidence to support the strategies you employ within
the program that reinforce your organization's long-term goals, and whether such strategies
have been proven effective by research.
Character Limit: 2000
7b. How does this program or project contribute to your organization’s overall mission? What
is the specific unmet need(s) you are seeking to address? What activities will your program
implement to address this need? Is this a new, or an expansion of an ongoing program? If this is
an existing program, provide service statistics and how it was previously funded. Describe your
target population and how many individuals will be impacted during the grant period. What
percentage of individuals served will be Georgetown residents?
Character Limit: 2000
7c. Proposed Impact
How does this program prevent/eliminate/reduce the issue OR educate/rehabilitate/maintain a
person affected by the issue?
Character Limit: 2000
7d. Provide current data that supports your proposal with existing research or agency
experience. Include statistics about the local area if possible. Describe to what extent to which
your program/organization is based on evidence-based, best, or best practice. Is the program
based on another program/project that has been shown to be effective in other settings? (Limit
to two paragraphs; bullet points are encouraged).
7e. Provide program service costs in the table below and describe how you arrived at your
service cost. (Enter the mathematical calculations in the table below that resulted in the
individual/unit service cost).
Program Service Costs (Note: Table below will expand should you need to include additional
comments/clarifications.)
Proposed Total Number of
Unduplicated Individuals
Served
Total Program Costs
Cost Per Unduplicated
Individual
Page 16 of 22
7f. Complete a Program/Project Management Plan. The management plan tells the grant
reviewer who’s accountable to whom. It shows the funder who is in charge when questions
arise. Complete the table below by including the position name, full-time or part-time devoted
to the program, line of accountability (who reports to whom), and how the position will be
funded (grant request, cash-other funds, or in-kind contribution). Please list the program
personnel in order of ranking, beginning with the highest administrative position and ending
with volunteers, if any. In your plan, the number of parentheses behind each position title
indicates the number of individuals hired for each title position.
Name of your Program or Project: Management Plan
Position (# of
personnel)
Time allotted to
program
Reports to Funded by
Funded by: Cash match- other funds, In-kind contribution- donated volunteer service hours, and
Grant request. DOES THE BOARD FEEL LIKE WE NEED SOMETHING LIKE THIS IN THE
APPLICATION?
7g. Does this program provide opportunities for matching or incentive funds within your
organization or from other grantees?
Character Limit: 500
7h. What staff, board, or volunteer training and professional development needs are required
to implement this program or project, if any? Please be specific. If not, how does the
organization provide the initial, annual and on-going training to your Board members,
program staff and volunteers? (e.g., trainings on cultural competency, effective use of social
media, or fundraising techniques). (Limit two paragraphs; bullet points are encouraged).
7i. Identify collaborating partners for the program or project and describe their role and
expertise. Due to space limitations, describe the interactions that are most important to the
program in terms of helping it achieve its goals. (Limited to bullet points).
7j. What is the timeline for implementing this grant? Please include the program or project’s
major events, activities and where and when they will take place. (Limit to bullet points and
chronological order).
Page 17 of 22
7k. If your proposed program or project is ongoing, please explain how you will continue to
deliver benefits to the target population after the grant period has ended. What is your
Board’s role in ensuring the continuation of the program? If the project is not ongoing, please
explain how you will responsibly bring the project to an end. (Limit two paragraphs; bullet points
are encouraged).
7l. How do you determine the Georgetown community's need for this program?
Character Limit: 2000
7m. Provide Budget for Proposed Program
Provide the budget for your proposed program using the Excel template provided.
7n. Provide Actual Program Budget for Prior Fiscal Year
7o. Does this program provide opportunities for matching or incentive funds within your
organization or from other grantees?
Character Limit: 500
Page 18 of 22
8. GOALS
Grant Period: The grant period for all City of Georgetown’s Annual Grants is October 1, 2020 –
September 30, 2021.
8a. Number of Georgetown Residents to be Served by this Grant.
Character Limit: 6
8b. GOALS & LOGIC MODEL
Define the primary goal you hope to achieve through this funding for your program. The goal should be
attainable within a 12-month period, and must relate to goals/outcomes articulated in the Program
request section of this proposal. To complete the table below you must first complete the required Seeds
of Strength’s Program/Project Logic Model Template (Please see seedsofstrength.org “Apply for a Grant”
page, Grant Guidelines to review additional information on the Program Logic Model, and Glossary in
preparation for how to complete the Logic Model Attachment. Enter the information from your
completed Program Logic Model into the Target Population, Outcomes and Performance Measures table
below.
GOAL:
(Note: Table below will expand should you need to include additional information)
Target Population
(Describe individuals
who will benefit from
the program and how
many will be served
during the 12 month
grant period)
Number served during the grant period:
Outcomes/Results
(Written as change
statements)
Performance Measures
(What and how will you
measure and quantify
the programs results?)
GOAL:
Target Population
Outcomes
Performance
Measures
Page 19 of 22
GOAL:
Target Population
Outcomes
Performance
Measures
8c. How will the evaluation results be used to inform/strengthen future programming and
organizational operations?
9. ORGANIZATIONAL FINANCIALS
9a. Fiscal Year Start Date
Please enter the start date of your current fiscal year
Character Limit: 10
9b. Fiscal Year End Date
Please enter the end date of your current fiscal year.
Character Limit: 10
9c. What are your organization's cash reserves, i.e., days cash on hand?
Character Limit: 20
9d. How many months could the organization operate at your continued budget
level?
Character Limit: 10
9e. Balance Sheet for Prior Fiscal Year
9f. Income Statement for Prior Fiscal Year
9g. Actual vs. Budget Income Statement for the Prior Fiscal Year
9h. Current Year-to-Date Financials to include Balance Sheet and Income Statement.
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9h. Year-to-Date Cash Flow Statement. What are your cash reserves? How many months could you
operate at your continued budget level?
If your organization generates a Cash Flow statement, please provide, If not, leave blank.
9i. Organization Budget for Proposed Fiscal Year, Related to the Grant Period
9j. Sources of Organizational Support-Previous and Current Fiscal Year
(The purpose of this section is to provide an overview of your organization’s revenue streams for the previous fiscal year end and
current year-to-date).
Instructions: List all funding sources for both years. For the current FY enter the dollar amount of funding to date.
Indicate whether the funds are pending (P), or in-hand (I). Examples: $5,000 (P), $10,000 (I)
Previous Fiscal Year End Dates: _________ to _________ Current Fiscal Year End Dates:________to ___________
External
Sources
Name(s) of Funders(s)
Amount
Previous
Fiscal Year
Name(s) Funder(s)
Amount
Current
Fiscal Year
Foundation
Grants
Individual
Contributions
N/A – no need to disclose the name of
individual donors
N/A- no need to disclose the name of
individual donors
Corporate
Foundations
Government
Grants
Fundraising
Events (net)
Other
Specify
Describe:
Internal
Sources
Program
Service
Revenue
Membership
Income
Investment
Income
Other
Specify
Describe
TOTAL REVENUES
TOTAL REVENUES
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City of Georgetown Strategic Partnerships for Community Services 2020-21 Grant Application
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14. Please list all funding sources receiving this program request. Enter the name of the funder, amount and date the
funds were requested and the current funding status of the request. Funding status examples: Funded, Pending, or
Committed.
Funding Sources Receiving this Program or Project Request
Name of Funder
Amount requested
Date
Requested
Funding
Status
9k. Most Recent Organization Audit
See Q5a for financial reporting parameters.
10. CITATIONS, ACKNOWLEDGEMENT & ASSURANCE
10a. Citations and Additional Information (optional)
This attachment may be used to cite any statistics/research, to define key terms and/or acronyms, and
may include critical details about your organization or program(s) not already included within this
application that will strengthen your case for funding (no marketing material, please).
File Size Limit: 2 MB
10b. Acknowledging the City of Georgetown
Type your name and date in the space below to assure that if funded, the organization will
acknowledge the City of Georgetown on all related marketing materials, your website, social media,
and in any other communications in which this program is promoted.
Character Limit: 50
10c. Assurance
Type your name and date in the space provided to assure that by submitting this application, you 1)
confirm that the information herein is true and correct, 2) confirm that if funded, funds will be spent
according to the budget listed in this application, and 3) confirm that the organization will submit interim
and final reports as required.
Character Limit: 50
THANK YOU for your time and effort in completing these forms!
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