HomeMy WebLinkAboutAgenda_SPCS_03.21.2019Notice of Meeting for the
Strategic P artnerships for Community Serv ices Adv isory Board
of the City of Georgetown
March 21, 2019 at 5:15 P M
at City Hall Community Room, 808 Martin L uther K ing, Jr. St.
T he C ity of G eorgetown is committed to compliance with the Americans with Disabilities Act (ADA). If you
require as s is tance in partic ipating at a public meeting due to a disability, as defined under the ADA, reas onable
as s is tance, adaptations , or ac commodations will be provided upon request. P leas e c ontact the C ity S ec retary's
O ffic e, at leas t three (3) days prior to the sc heduled meeting date, at (512) 930-3652 or C ity Hall at 808 Martin
Luther King Jr. S treet, G eorgetown, T X 78626 for additional information; T T Y users route through 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 onvene an Exec utive S es s ion for any purpose
authorized by the O pen Meetings Act, Texas G overnment C ode 551.)
A R oll C all --Jaquita Wils on, S P C S Advis ory Board C hair
B C all to O rder--Jaquita Wils on, S P C S Advis ory Board C hair
C Nominations and elec tion of Vic e-C hair and S ecretary of the S P C S Advisory Board. – Jaquita Wils on,
S P C S Advis ory Board C hair
D R eview and dis cus s ion regarding the By-Laws for the S trategic P artners hips for C ommunity S ervic es and
the C ity C ounc il Attendance P olicy for Board Members--Jaquita Wils on, S P C S Advis ory Board C hair
and S hirley R inn, Board Liais on
E C ons ideration and possible action to approve the Minutes from the July 24, 2019, 2018 S P C S Advisory
Board Meeting—Jaquita Wilson, Advis ory Board C hair
F O verview and and pos s ible ac tion regarding the review of the grant c yc le timeline, the P olicy, G uidelines ,
Applic ation, and Evaluation and R ec ommendation P rocess for the F Y 2019-20 S trategic P artners hips for
C ommunity S ervic es G rant C ycle--Jaquita Wils on, S P C S Board C hair and S hirley J. R inn, Board
Liaison
G C ons ideration and possible action to s et dates and times for F Y 2019-20 P artners hips for C ommunity
S ervices Advis ory Board Meetings --Jaquita Wilson Board C hair
Adjournment
Adjourn
C E RT IF IC AT E O F P O S T IN G
I, R obyn Densmore, C ity S ecretary for the C ity of G eorgetown, Texas, do hereby c ertify that this Notic e of
Meeting was pos ted at C ity Hall, 808 Martin Luther King Jr. S treet, G eorgetown, T X 78626, a place readily
ac cessible to the general public at all times, on the ______ day of __________________, 2019, at
__________, and remained so pos ted for at least 72 continuous hours preceding the sc heduled time of s aid
meeting.
____________________________________
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R obyn Densmore, C ity S ecretary
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City of Georgetown, Texas
Strategic Partnerships for Community Services
March 21, 2019
S UB J E C T:
Nominations and election of Vice-C hair and S ec retary of the S P C S Advis ory Board. – Jaquita Wilson,
S P C S Advisory Board C hair
IT E M S UMMARY:
P er the Bylaws of the S trategic P artnerships for C ommunity S ervices Advis ory Board (S P C S ):
“S ec tion 3.1 – O ffic ers . T he Board O fficers are C hairman, Vice-C hairman and S ecretary. T he C hairman
is appointed by the C ity C ouncil during the annual appointment process. T he other Board O fficers are
elected by a majority vote of the Members at the first meeting after the annual appointment proc es s .”
T he C hair of the Board, Jaquita Wilson, will take the nominations from the floor, for position of Vice-
C hair and S ecretary.
F IN AN C IAL IMPAC T:
N/A
S UB MIT T E D B Y:
S hirley R inn for Jaquita Wils on, Board C hair
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City of Georgetown, Texas
Strategic Partnerships for Community Services
March 21, 2019
S UB J E C T:
R eview and disc ussion regarding the By-Laws for the S trategic P artnerships for C ommunity S ervices and
the C ity C ouncil Attendanc e P olic y for Board Members --Jaquita Wilson, S P C S Advisory Board C hair
and S hirley R inn, Board Liaison
IT E M S UMMARY:
T he Board Bylaws and C ity C ouncil Attendanc e P olic y for Board Members is reviewed annually.
T he most rec ent set of Bylaws for the S trategic P artnerships for C ommunity S ervices Advis ory Board
was approved by the C ity C ouncil on O c tober 11, 2016. T hose By-Laws are attac hed for reference.
S ection 4.9 Attendance of the Bylaws of the S trategic P artnerships for C ommunity S ervices Advis ory
Board s tates :
"S ec tion 4.9. Attendanc e. Members are required to attend Board meetings prepared to
disc uss the issues on the agenda. A Member s hall notify the C hairman and the S taff Liaison
if the Member is unable to attend a meeting. Excessive absenteeism will be subject to ac tion
under C ouncil policy and may result in the Member being replaced on the Board. S ee
O rdinance S ection 2.36.010D. Exc es s ive abs enteeis m means failure to attend at least 75%
of regularly s cheduled meetings, including Board meetings and S ubcommittee meetings. If a
Member is removed from the Board that pos ition shall be cons idered vacant and a new
Member shall be appointed to the Board in acc ordanc e with S ec tion 2.5 above."
C hapter 2.36 C I T Y C O MMI S S I O NS , C O MMI T T EES , AND BO AR DS , S ection 2.36.010(D) –
Duties of Members of the C ity of G eorgetown C ode of O rdinanc es , als o addresses the C ity C ouncil’s
policy on attendanc e for Board Members:
S E C 2.36.010 D UT IE S OF C OMMIS S ION, C OMMIT T E E & B OAR D ME MB E R S
“D. Attendanc e by Members is integral to s uc cess of the commission, committee or
board. It is C ouncil policy to require a minimum of 75 perc ent attendanc e of each Member
at each regularly sc heduled meeting including subcommittee meetings. A Member shall be
allowed two excus ed absences for the Member's pers onal medical care, required medic al
care of a Member's immediate family member (as defined by C ity O rdinance), or
Member's military S ervice that s hall not c ount agains t the 75 percent attendance
requirement. Written notic e shall be s ent to a Member and the Member's C ity C ouncil
repres entative when it appears the Member may violate the attendanc e polic y by being
abs ent from more than 25 percent of regularly sc heduled meetings , inc luding s ubc ommittee
meetings. Excessive absenteeism may res ult in the Member being replac ed by the C ouncil.
If a Member is removed from a committee, c ommis s ion or board, that position s hall be
cons idered vacant and a new Member s hall be appointed to the Board in ac cordance with
S ection 2.36.040”
T he C ity S ecretary and the Mayor review attendanc e and determine if warning or removal letters need to be
s ent to a Member that is in danger of or has violated the 75% Council mandated attendance policy.
Abs enc es are exc used for medic al reasons or military reasons . C ity C ounc il and S taff Liaisons are notified
if any letters are s ent to a Member.
Abs enc es for any S pec ial Meetings that are sc heduled do not c ount toward the 75% Attendance P olicy.
T he C ity of G eorgetown values the vo lunteers that serve o n its C o mmis s io ns, C o mmittees or Boards
and is fortunate to have a multitud e o f citizens who apply to be a part o f the pub lic proc es s by serving on
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t h e m. Ac cordingly, it is very imp o rtant that the memb ers who are ap p o inted to b e on a C ity of
G eorgetown C ommission, C ommittee o r Board unders tand the imp o rtance of their attendance and their
partic ipation at the regularly s cheduled meetings of these C ommis s ion, C ommittee or Board meetings .
F IN AN C IAL IMPAC T:
N/A
S UB MIT T E D B Y:
S hirley R inn for Jaquita Wils on, Board C hair
AT TAC H ME N T S:
Description Type
By-Laws Backup Material
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City of Georgetown, Texas
Strategic Partnerships for Community Services
March 21, 2019
S UB J E C T:
C onsideration and pos s ible ac tion to approve the Minutes from the July 24, 2019, 2018 S P C S Advis ory
Board Meeting—Jaquita Wils on, Advisory Board C hair
IT E M S UMMARY:
AT TAC HME N T S :
1. Draft Minutes for the January 17, 2018 S P C S Advis ory Board Meeting.
F IN AN C IAL IMPAC T:
None
S UB MIT T E D B Y:
S hirley J. R inn for Jaquita Wils on, S P C S Advis ory Board C hair
AT TAC H ME N T S:
Description Type
DRAFT Minutes Backup Material
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SPCS Advisory Board Minutes
July 24, 2018
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Minutes of the Meeting of the
Strategic Partnerships for Community Services Advisory Boa rd
City of Georgetown, Texas
July 24, 2018
The Strategic Partnerships for Community Services Advisory Board of the City of Georgetown, Texas, met
on Tuesday, July 24, 2017 at 9:00 a.m.
Members Present: Jaquita Wilson, Alexia Griffin, Michael Douglas, Jerry Haecker, and Natalia Ornelas
Members Absent: None
Staff Present: Shirley J. Rinn, Executive Assistant to the City Manager
MINUTES
Legislative Regular Agenda
A. Call to Order--Jaquita Wilson, SPCS Advisory Board Chair
The Meeting was called to Order at 9:15 a.m.
B. Roll Call --Jaquita Wilson, SPCS Advisory Board Chair
All Members were present.
C. Consideration and possible action to approve the Minutes from the June 18, 2018 SPCS Advisory Board
Meeting—Alexia Griffin, Secretary
Motion by Douglas, second by Wilson to approve the Minutes from the June 18, 2018 SPCS Advisory
Board Meeting. (Approved 5-0)
D. Discussion and possible action regarding the allocation recommendations to be made to the City Council
for funding of the Strategic Partnerships for Community Services (SPCS) Grants—Jaquita Wilson, Board
Chair
Wilson provided an introduction to the process for going through each of the applications. The
Board Members also disclosed any potential conflicts of interest they may have with any of the
agencies that applied for funding. Shirley Rinn provided an overview of the evaluation tool and
the process for determining the allocation recommendations for the City Council.
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SPCS Advisory Board Minutes
July 24, 2018
Page 2 of 3
The Board vetted Applications, including the following agencies and made the following
recommendations:
• Backpack Buddies
$15,000 • Helping Hands
of Georgetown,
Inc.
10,000
• Brookwood in
Georgetown (BIG)
$28,249 • Williamson
County Crisis
Center dba
Hope Alliance
$38,000
• Boys and Girls Club
of Georgetown
$25,000 • Literacy Council
of Williamson
County
$17,800
• Boys Scouts of
America, Capital
Area Council, San
Gabriel District,
Pack 2935
$12,000 • Lone Star Circle
of Care***
$30,000
• CASA of Williamson
County, Texas
$18,200 • Opportunities
for Williamson
& Burnet
Counties, Inc.
(OWBC)
$10,000
• Faith in Action
Caregivers
$36,600 • Ride on Center
for Kids
(R.O.C.K)
$30,000
• Girls Empowerment
Network
$10,000 • Sacred Heart
Community
Clinic
$20,000
• Georgetown
Community Service
Center - The Caring
Place
$36,400 • Samaritan
Center for
Counseling
$18,800
• Georgetown Project $32,000 • Senior Center
at Stonehaven
$12,000
• Goodwill Industries
of Williamson
County
$0 • The Locker $0
• Habitat for
Humanity of
Williamson
County**
$0
$213,449 $186,600 $400,049
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SPCS Advisory Board Minutes
July 24, 2018
Page 3 of 3
The Board also discussed the following related to four (4) of the agencies:
• Goodwill is not recommended to receive funding because the size of the grant requested
would not make a substantial difference in local impact given the size of its national funding.
• Habitat for Humanity was not recommended to receive grant funding since it partners with
the City to administer the City’s Home Repair Program.
• Helping Hand of Georgetown, Inc.’s recommended grant award is to be restricted to it Brown
Bag Program.
• The Locker was not recommended for funding because of concerns for duplicative services and
administrative overhead for the organization.
Motion by Griffin, second by Douglas to approve the recommended grant allocations for City Council
consideration as discussed. (Approved 5-0)
The Board recommendations will go to the City Council August 14, 2018.
E. Discussion, review, and possible action regarding of the Williamson County Funders Common Grant
Application and Program Budget and the City of Georgetown’s Program Addendum and Evaluation Tool —
Jaquita Wilson, SPCS Advisory Board Chair
Wilson gave a quick recap of a meeting she had with the Williamson County Funders Group (Seeds of
Strength, United Way, St. Davids, City of Georgetown, and Georgetown Health Foundation). She told the
board that she as well as the group had concerns about how the grant applicants are responding to the
questions in the Common Grant Application and whether or not the Funders are really getting the
information they need in order to vet the applications. There was also some discussion regarding the
possible use of a Letter of Intent as well as the Grant Application and Program Addendum and reviewing
the current application materials to see if there is any way to streamline the grant application process.
F. Consideration and possible action to set dates and time for the next Strategic Partnerships for Community
Services Advisory Board Meetings--Jaquita Wilson Board Chair
Meeting dates will be set in the future for the next Strategic Partnerships for Community Services Advisory
Board Meeting to discuss the annual reports and the review of the Application Materials.
G. Adjourn
Motion by Griffin, Second by Haecker, was adjourned at 1:55 p.m.
Attest:
Alexia Griffin, Board Secretary Jaquita Wilson, Board Chair
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City of Georgetown, Texas
Strategic Partnerships for Community Services
March 21, 2019
S UB J E C T:
O verview and and possible action regarding the review of the grant cycle timeline, the P olic y, G uidelines,
Application, and Evaluation and R ecommendation P roc es s for the F Y 2019-20 S trategic P artnerships for
C ommunity S ervices G rant C yc le--Jaquita Wilson, S P C S Board C hair and S hirley J. R inn, Board Liais on
IT E M S UMMARY:
An overview of the S trategic P artnerships for C ommunity S ervices G rant P rocess will be provided and the
Advisory Board will review the timeline and all related materials related to the grant application process.
At July 24, 2018 S trategic P artnerships for C ommunity S ervices Advis ory Board Meeting, the c hair,
Jaquita Wilson, gave a quick recap of a meeting she attended with the Williamson C ounty Funders G roup
(Seeds of Strength, United Way, S t. Davids, City of G eorgetown, and G eorgetown H ealth F oundation).
Wilson told the board that she as well as other members of the group had concerns about how the grant
applicants are responding to the questions in the C ommon G rant Application and whether or not the Funders
are really getting the information they need in order to vet the applications appropriately. During that meeting
there was also some discussion regarding the possible use of a L etter of I ntent in the future in addition to the
G rant Application and P rogram Addendum and need to review the current application materials to see if there
is any way to streamline the grant application process. T here are also a couple of agencies who are no longer
going to use the Common Grant Application.
T his item will provide the Board the opportunity to discuss these issues and review all of the current
application materials. Also, G eorgetown H ealth F oundation recently updated their Letter of Intent and
Application and a copy of the changes they implemented will be provided to the Advisory B oard for their
review.
In addition to the C ity of G eorgetown's Application Materials , als o attac hed to this c oversheet are
G eorgetown Health F oundation's 2019 G rant Application as well as a c opy of the propos ed c hanges they
utilized during their dis cus s ions that s hows what was c hanged as c ompared to the previous grant
application they utilized. We can utilize thes e materials as a starting point to disc uss whether or not the
Advisory Board would like to make changes to the current applic ation materials .
F IN AN C IAL IMPAC T:
N/A
S UB MIT T E D B Y:
S hirley R inn for Jaquita Wils on, Board C hair
AT TAC H ME N T S:
Description Type
Current Policy and Guidelines Backup Material
Current Grant Application Backup Material
Current Program Addendum Backup Material
Current Program Budget Template Backup Material
Proposed Timeline Backup Material
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Sample Evaluation Tool Backup Material
GHF 2019 Grant Application Backup Material
GHF Comparis on of Changes on Grant Application and LOI Backup Material
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FY 2019-2020 Strategic Partnerships for Community Services Grant Funding Policies and Guidelines
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STRATEGIC PARTNERSHIPS FOR
COMMUNITY SERVICES GRANT FUNDING
POLICIES AND GUIDELINES
FY 2019-2020
I. CRITERIA FOR SUPPORT – CURRENT STANDARDS:
A. Purpose Statement for City of Georgetown funding to the nonprofit sector
The City of Georgetown values partnerships with organizations that are committed to addressing
our community’s greatest public challenges.
The purpose of City funding to the nonprofit sector is to cultivate and sustain partnerships with
501(c)3 organizations that strengthen the City’s key priorities in the following areas:
• Public Safety;
• Transportation;
• Housing;
• Parks & Recreation;
• Veteran Services; and,
• Safety Net.
B. Key Priority Areas Defined
Public Safety.
• While the City is Georgetown’s Public Safety leader (Fire & Police), public safety also
encompasses a broad scope of work that makes this community safe for all.
Eligible organizations and programs may include those that contribute to safe
neighborhoods such out of school time, youth empowerment, and neighborhood
community centers.
Transportation.
• Eligible organizations include those that assist in meeting the transportation needs of
Georgetown residents unable to access private transportation such as homebound seniors
and youth under the age of 16 years.
Housing.
• Eligible organizations include those that offer emergency shelter, transitional or temporary
housing, and affordable housing.
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FY 2019-2020 Strategic Partnerships for Community Services Grant Funding Policies and Guidelines
Page 2 of 2
Parks & Recreation.
• Eligible organizations include those that provide affordable, accessible activities that
enhance Georgetown residents’ health and well-being, including sports, fitness, and other
recreational programs.
Veteran’s Services
• Support veteran programs and services within the community.
Safety Net.
• The City recognizes its responsibility to support efforts to address this community’s most
pressing basic needs. Examples of basic needs include food insecurity, emergency financial
assistance, mental/behavioral health care, substance abuse, domestic/family violence, and
health care, including, but not limited to, dental and vision. Safety Net priorities will be
based on ongoing analysis of unmet existing needs and emerging needs in this community,
and may change over time.
II. IMPLEMENTATION POLICIES:
A. Appropriation of funds for Strategic Partnerships for Community Services does not
encumber subsequent councils to continue appropriations for such funding, and does not
imply that subsequent councils may provide such funding. Organizations receiving Strategic
Partnerships for Community Services grants from the city are encouraged to identify
additional and alternative sources of funding.
B. When evaluating applications for Strategic Partnerships for Community Services grant
funding, the Council shall consider the portion of funding each organization receives from
the City, with the objective of encouraging reliance on funding sources other than the City.
III. POLICY FOR ESTABLISHING FUNDING AMOUNTS
A. Expenditure targets per the City of Georgetown’s Fiscal and Budgetary Policy approved by
the City Council on December 13, 2016:
The City has targeted funding for these programs to be $5.00 per capita, which may be adjusted
to offset the effects of general inflation based upon CPI. If previous funding levels are higher than
the targeted amount, and to avoid significant reductions in levels of funding, the City Council shall
seek to attain this target chiefly through population growth. These funds will be allocated and
paid according to the City Council’s grant funding policies and guidelines for Strategic Partnerships
for Community Services that were approved by the City Council on April 14, 2015.
The proposed funding level for 2018/19 is $400,049, which is the same as in the previous
year.
B. The Minimum Grant that may be applied for is $10,000.
C. The Maximum Grant that may be applied for is $50,000.
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2019-20 COMMON PROGRAM GRANT APPLICATION
Williamson County Funders
Instructions: Complete and submit this application along with attachments listed below. PLEASE SUBMIT THIS
COVERSHEET WITH YOUR APPLICATION AND INSERT A COVERSHEET BETWEEN EACH SECTION OF SUMBITTED
DOCUMENTATION. Refer to individual funder’s grants processes to determine the deadline to submit this
complete application, and to determine whether certain financial documents are required. INCOMPLETE
APPLICATIONS WILL NOT BE CONSIDERED.
CHECKLIST OF ATTACHMENTS
(PLEASE SUBMIT WITH APPLICATION)
Addendum (specific to Funder). Funder Name: City of Georgetown
Budget Information. Include:
Program/Project Budget (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.
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.
Board list. Specify the percentage of Board members that make a financial contribution to your
organization. Under each individual Board member’s name, include:
o place of business;
o home address;
o years with the organization.
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 this proposal will fund collaborative work with Georgetown Independent School District
staff and/or students, attach the District’s Letter of Approval of the PIE Partnership Proposal.
501(c)(3) IRS determination letter.
Previous fiscal year financials in PDF format. Include:
balance sheet;
income statement;
year-to-date financials (balance sheet and income statement).
Audited financials and Form 990 (both documents should reflect the same fiscal year). Refer to
specific funder’s requirements.
audited financials;
Form 990;
N/A.
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Williamson County Funders
2019-20 Common Program Grant Application
Page 2 of 10
Key Terms Defined
Please refer to these terms as you respond to requests for information in the Organization Information,
Organization Background, Program Request Information, and Evaluation sections of this application.
MISSION A statement of the overall purpose of an organization – what you
will do every day to make your vision a reality
VISION A picture of the “preferred future;” a statement that describes how
the community’s future will look if the organization achieves its
ultimate aims.
VALUES or GUIDING PRINCIPLES General guidelines which set the foundation for how an organization
will operate and run mission-related activities.
GOALS Broad, long-term aims that define accomplishment of the mission (in
a particular work area).
STRATEGIC DIRECTION The main themes/focuses/areas that will lead the organization
toward accomplishing its MISSION.
STRATEGY A plan/activity required to achieve and OUTCOME.
ACTION STEPS Specific steps to be taken to implement a strategy: who is involved,
what is needed, when this will happen
OUTCOME Specific, attainable, realistic result that shows the accomplishment of
a strategy.
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Williamson County Funders
2019-20 Common Program Grant Application
Page 3 of 10
Organization Information
Organization Name
Legal Name (if different)
Year Founded
Mailing Address
Phone
Website
Federal Tax ID #
CEO or Executive Director (include title
if other than “CEO” or “ED”)
Phone Number & Email Address
Organization Mission
Organization Vision
Total Request Amount
# of Current Population Served by
Organization (unduplicated individuals and
geographic area(s) – cities, counties, etc.)
# of Target Population Served
through this Program Request
(unduplicated individuals and geographic
area(s) – cities, counties, etc.)
Program Name
Description of the Request (1000
character max. Include main objectives,
rationale, methods to accomplish your
objectives, and anticipated results.)
Contact Information
Name, Title
Email, Phone
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Williamson County Funders
2019-20 Common Program Grant Application
Page 4 of 10
Organization Background
The first five questions in this section 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 all questions in this section at the organization level, NOT the program level. Be sure to
cite all statistics and research in a separate attachment.
Note: Character maximums include spaces. 2,000 characters with spaces is approximately equivalent to 325 words.
1. 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 timeframe 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?" (2,000 character max.)
2. What are your strategies for making this happen?
Describe your organization's strategies for accomplishing the long-term goals you cited in your previous answer. 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. (2,000 character max.)
3. What are your organization's capabilities for doing this?
Detail the resources, capacities, and connections that support your progress toward long-term goals. 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. (2,000 character max.)
4. How will your organization know if you are making progress?
Explain how your organization assesses progress toward your intended impact. 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. (2,000 character max.)
5. What have and haven't you accomplished so far?
Demonstrate recent progress toward your long-term goals 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. (2,000 character max.)
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Williamson County Funders
2019-20 Common Program Grant Application
Page 5 of 10
Program Request Information
Note: If you have already provided appropriate responses to any of the questions below in the
previous Organization Background section, simply type, “Answered in #___ of the Organization
Background section.”
This section focuses on the program(s) for which you are requesting funding. Be sure to include the most
recent data you have available to support your request.
1. Describe the program for which you are requesting funding, and the cause/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. (2,000 character max.)
2. Present data that substantiates the need for the services you wish to provide. Describe the need for services
and the tools you use to identify need. If you have wait lists for your services, describe the reasons or conditions that
necessitate the wait lists, and how you prioritize them. (2,000 character max.)
3. Provide program service costs (direct and indirect) in the table below and describe how you arrived at
your service cost.
Program Service Costs (Note: Table below will expand should you need to include additional comments/clarifications.)
Unduplicated Individuals Served Total Program Costs Cost Per Unduplicated Individual
4. How will you make the program visible to those who would benefit from it? Specify whether the program
is new or existing. If the program is new, how do you plan to promote it? If the program already exists, how
are you currently promoting it? (1,000 character max.)
5. How do you coordinate, cooperate, or collaborate with other agencies to achieve your program goals?
Specifically highlight those organizations with which you have formalized agreements, such as Letters of
Commitment or Memoranda of Understanding. (2,000 character max.)
Coordination. Harmonious functioning of parts for effective results. Helping each other but not changing the basic way of doing
business.
Cooperation. Common effort and association for the purpose of common benefit. Helping each other in specific ways.
Collaboration. To work jointly with others on a common goal that is beyond what any one group can accomplish alone. (adapted
from: Forest, C. Empowerment skills for family workers: A worker handbook. Cornell University, 2003.)
6. Briefly describe what sets you apart from other nonprofits in the area and why your organization is best
situated to provide this service. (2,000 character max.)
Page 24 of 56
Williamson County Funders
2019-20 Common Program Grant Application
Page 6 of 10
Evaluation
Define the primary goal or goals (up to 3) you hope to achieve through this funding for your program. The goal
identified below should be attainable within a 12-month period, and must relate to goals/outcomes articulated
in the Program Request section of this proposal. In this section, state your goal and provide your rationale for
why it is ambitious both externally and internally. To demonstrate that the goal is attainable, outline the inputs,
activities, outputs, outcomes, and performance measures. Definitions of each are listed below.
GOAL: What will this funding help you accomplish?
Example: Provide dental services to 34 unduplicated Granger residents who are living in poverty and who have
not received dental care in the past 12 months.
Ambitious-External: Why did you select this number/percentage as your goal? Please provide current,
comparative data that demonstrates that your goal is ambitious in light of the situation in your area. Credible
data sources include www.healthywilliamsoncounty.org, Georgetown Health Foundation’s 2015 Southeast
Georgetown Needs Assessment, US Census, American Community Survey, Data USA, etc.
Example: According to DATA USA, which pulls data from the 2015 American Community Survey, there are 1,583
residents in Granger and 21.7% or 344 residents are living in poverty. Our goal to provide dental services to 34
unique Granger residents who are living in poverty and who have not received dental care in the past 12 months
or more is ambitious externally because it will provide services to 10% of Granger’s residents living in poverty.
Further, the Centers for Disease Control show that only 58% of all Texas adults have visited a dentist in the past
year, which is lower than the national average of 62%. (Note: Because of Granger’s size and location, this is the
best data we are able to compile.) Our goal to provide services to Granger residents will increase the percentage
of adults receiving dental care in Texas, which is lower than the national average.
Ambitious-Internal: Why did you select this number/percentage as your goal? Please explain why this goal is
ambitious in light of your organization’s capacity.
Example: Our goal of serving Granger residents is ambitious internally because it will be our first attempt at
serving a rural community outside of our usual Round Rock/Taylor service area.
Inputs: Resources – human, financial, organizational, community – that a program or organization commits to
an effort.
Example: If funded, this grant will allow us to hire an additional part-time Health Navigator from the Granger
community. The Health Navigator will have access to all organizational and community resources including
professional development opportunities, office equipment, administrative support, materials (see Budget for
more detail).
Activities: What activities will support or accomplish your goals?
Example: The additional part-time Health Navigator will conduct outreach presentations at the three Granger
churches, at family activities at the Granger School and at community events at Granger Lake. The Health
Navigator will also provide case management to the 34 Granger residents served through this grant.
Page 25 of 56
Williamson County Funders
2019-20 Common Program Grant Application
Page 7 of 10
Outputs: What do you expect these activities to produce? Outputs are often quantitative measures such as # of
participants, # of sessions held, # of encounters, so be sure to include anticipated benchmarks that will gauge
your progress.
Example: 34 unique Granger residents who are living in poverty and who have not received dental care in the
past 12 months or more will receive dental care during this grant period.
Outcomes: Specific, attainable, realistic result that shows the accomplishment of the strategy. What benefits,
impact, or changes in behavior, knowledge, skills, and/or attitudes for participants do you anticipate will result
from completion of the activities?
Example: The percentage of Granger residents who are living in poverty and who receive dental care during the
12 months of this grant period will increase by 10%.
Performance Measures: How will you know when you have accomplished your goal? How will you measure
and quantify results?
Example: Number of unique Granger residents who receive dental care through our organization’s services
during this grant period.
GOAL:
Ambitious - External
Ambitious - Internal
Inputs
Activities
Outputs (include
quantitative projections,
such as anticipated numbers
served)
Outcomes
Performance Measures
GOAL:
Ambitious - External
Ambitious - Internal
Inputs
Activities
Outputs (include
quantitative projections,
such as anticipated numbers
served)
Outcomes
Performance Measures
Page 26 of 56
Williamson County Funders
2019-20 Common Program Grant Application
Page 8 of 10
GOAL:
Ambitious - External
Ambitious - Internal
Inputs
Activities
Outputs (include
quantitative projections,
such as anticipated numbers
served)
Outcomes
Performance Measures
Page 27 of 56
Williamson County Funders
2019-20 Common Program Grant Application
Page 9 of 10
Organizational Support
SOURCES OF ORGANIZATIONAL SUPPORT (Prior Fiscal Year)
The purpose of this section is to provide a top line overview of your funding.
Sources Name(s) of Funder(s) Amount
Foundation Grants
Individual
Contributions
N/A – no need to disclose the names of individual
donors.
Corporate
Foundation
Support/Grants
Government Grants
Fundraising Efforts
Program Service
Revenue
Investment Income
Membership Income
Other (specify)
TOTAL REVENUE
CURRENT FISCAL YEAR DATES:
In your current fiscal year, what are your top 5 external sources of organizational support? Please list specific
funding entities and award amounts, indicating whether the funds are pending or in-hand. If a top source is
an individual donor, state “individual donor” with award amount.
1.
2.
3.
4.
5.
Page 28 of 56
Williamson County Funders
2019-20 Common Program Grant Application
Page 10 of 10
What are your cash reserves? How many months could you operate at your continued budget level?
What are your plans to ensure that the work described in this proposal is continued and supported beyond
this grant cycle? (1,000 character max.)
Page 29 of 56
City of Georgetown
STRATEGIC PARTNERSHIPS FOR COMMUNITY SERVICES
FY 2019-2020 Program Addendum
Responses to the prompts below will be reviewed to make an initial determination regarding an
organization’s eligibility for City of Georgetown funding.
Name of Organization:
Amount Requested ($10,000-$50,000):
Program Addendum
1. Describe how the proposed program aligns with one or more of the City’s priority areas
(Public Safety, Transportation, Housing, Veteran’s Services, Parks & Recreation, Safety Net).
500 character max.
2. To what extent do you educate and empower your target population toward self-sufficiency? If this
question does not apply to your request, insert “N/A”. 500 character max.
3. Does your organization currently receive any other monetary or in-kind assistance from the
City of Georgetown, including, but not limited to, subsidies for utilities, rent, or other
services. 500 character max.
4. Does this program provide opportunities for matching or incentive funds within your organization or
from other grantees? 500 character max.
5. Provide the total numbers served and the total number of Georgetown citizens served. 500 character
max.
Page 30 of 56
Program Budget City of Georgetown Grant Application for 2019-2020
This format is required. Please enter your information into the shaded cells for rows applicable to the program for which you
are requesting funding. Use the column titled "Detail for this Grant Request" to show specifically how our grant will be used
in your Program Budget. If needed, there is space at the bottom to include narrative explaining your numbers & assumptions.
Name of Organization:
Budget Period From: To:
Total Program or Detail for this
Revenue/Support for this Program or Project Project Budget Grant Request
Individual contributions -$ -$
Fundraisers & Special Events -$ -$
Program/Service Revenues -$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
Total Revenue/Support (calculated for you or enter your own total)-$ -$
Expenses for this Program or Project Total Amount Grant Request
Salaries, benefits and related taxes -$ -$
Consultants and professional fees -$ -$
Professional development including travel, lodging -$ -$
Equipment -$ -$
Supplies and supporting materials -$ -$
Printing, copying, phone, internet, fax, postage -$ -$
Mortgage or Rent, and Utilities -$ -$
Fundraising Expenses -$ -$
Other (list below and describe in narrative/notes if more space is needed)
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
Total Expense (calculated for you or enter your own total)-$ -$
Difference (Revenue/Support less Expense)-$ -$
Narrative/Notes: Please use as many lines as needed for further explanation of budget items above.
1
2
3
4
Government, Foundation, Corporate Grants or Other (list below; describe in
narrative/notes if more space is needed)
Page 1 of 2
Page 31 of 56
Program Budget City of Georgetown Grant Application for 2019-2020
This format is required. Please enter your information into the shaded cells for rows applicable to your program/project.
Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget.
Show specifically how our grant is used. Include narrative at the bottom to explain your numbers & assumptions, as needed.
Name of Organization:
Budget Period From:10/1/2019 To:9/30/2020
Total Program or Detail for this
Revenue/Support for this Program or Project Project Budget Grant Request
Individual contributions -$ -$
Fundraisers & Special Events 1,000.00$ -$
Program/Service Revenues 10,000.00$ -$
Foundation Grants 25,000.00$ 15,000.00$
City of Anytown 5,000.00$ -$
XYZ Corporation 8,000.00$ -$
Member Dues 1,000.00$ -$
-$ -$
-$ -$
-$ -$
Total Revenue/Support (calculated for you or enter your own total)50,000.00$ 15,000.00$
Expenses for this Program or Project Total Amount Grant Request
Salaries, benefits and related taxes 19,000.00$ 5,000.00$
Consultants and professional fees -$ -$
Professional development including travel, lodging 500.00$ -$
Equipment -$ -$
Supplies and supporting materials 200.00$ -$
Printing, copying, phone, internet, fax, postage 200.00$ -$
Mortgage or Rent, and Utilities -$ -$
Fundraising Expenses -$ -$
Other (list below and describe in narrative/notes if more space is needed)
General Liability Insurance 100.00$ -$
Scholarships 30,000.00$ 10,000.00$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
-$ -$
Total Expense (calculated for you or enter your own total)50,000.00$ 15,000.00$
Difference (Revenue/Support less Expense)-$ -$
Narrative/Notes: Please use as many lines as needed for further explanation of budget items above.
1 Applied for $10,000 grant from the X Foundation. Response due May 1.
2 Salaries for: Part-time coordinator $9,000; Part-time instructor $10,000
3
4
ABC Organization
Government, Foundation, Corporate Grants or Other (list below; describe in
narrative/notes if more space is needed)
Page 2 of 2
Page 32 of 56
STRATEGIC PARTNERSHIPS FOR
COMMUNITY SERVICES FUNDING
PROPOSED TIMELINE FY 2019-2020
Dates Task
February 26, 2019 Board Appointments
March 21, 2019 First Meeting for the Board to elect officers, set
meeting schedule, review bylaws, policy and
guidelines, grant cycle timeline, application and
scoring materials for Grant process.
March 25, 2019 to April 26, 2019 SPCS Advisory Board Meeting(s) to discuss and
review application process. (If review is completed
early, Grant Applications can be made available
prior to April 29,2019); Also to review Annual
Reports for FY 2018-19.
April 29, 2019 Grant Applications mailed to current recipients and
others who have requested information during
course of the year.
April 29, 2019 Grant Application Materials placed on the City of
Georgetown Website
June 3, 2019 Deadline for Return of Applications
June 3-7, 2019 Schedule SPCS Board Meeting to review
applications for completeness and assign primary
reviewer for applications.
June 14, 2019
Completed Applications and Evaluation Rubric to
Boardmembers.
July 15-August 2, 2019
Schedule SPCS Advisory Board Meeting(s) as
necessary in order for the Board to review and
discuss grant applications, and make grant
allocation recommendations to be presented to the
City Council.
August 13, 2019 or August 27, 2019 Recommendations from the SPCS Advisory Board
to be presented to the City Council for approval.
September 26, 2019
Approval of Funding Agreements by the City
Council (After 2nd Reading of Budget Ordinance)
October 1, 2019
New Budget Year
November-December 2019 or January 2020 SPCS Advisor y Board Meeting to review Annual
Reports
Page 33 of 56
Page 34 of 56
Score (1 - 5) Weight
Weighted
Score
1. Duplicate Effort?0.03 0
2. Other Funding Sources (total $)0.02 0
3. Does this proposal meet a critical need in the City of
Georgetown (i.e. do other resources exist that already meet
this need?) Is there a critical mass of community members
needing these services to justify the funding?0.2 0
4. Rate the impact of the funding. Are the goals reasonable
and can they be measured reasonably? See Evaluation
Section of Application.0.15 0
CITY OF GEORGETOWN
STRATEGIC PARTNERSHIPS FOR COMMUNITY SERVICES
FY 2019-20 GRANT APPLICATION EVALUATION
Input values in yellow cells only. Use blue cells to manipulate data.
Applicant Name Final Score 0Applicant Name
Summary Request
Summary of Grant Request
Notes
Notes
Page 35 of 56
5. Rate the organization’s capacity to evaluate itself.
Consider how the organization monitors progress in
meeting its goals/objectives and accomplishing its mission.
See Evaluation Section and #4 in Organization
Background Section.0.1 0
6. Rate the financial health of the organization, including
the diversification of funding streams, cash reserves,
budget(s), financials, and review of audit/990.0.1 0
7. Rate the proposal’s alignment to the City of Georgetown
Policy and Guidelines. Does it meet one or more of our
strategic priorities (Public Safety, Transportation, Housing,
Parks & Recreation, Veteran Services, and Safety Net)?0.15 0
8. Rate the stability of the organization. For example,
consider its lifecycle stage and ability to adapt to a changing
environment. Is it a learning organization? Does it
demonstrate an understanding of external forces that
impact its work?0.1 0
Score (1 - 10)
9. Rate how strongly you view this organization and
proposal overall. Clarify whether to fund, and to what
extent. 0.15 0
1
TOTAL WEIGHTED SCORE 0
Page 36 of 56
Application Georgetown Health Foundation
Printed On: 24 October 2018 2019 GHF Annual Grant Application 1
2019 GHF Annual Grant Application
Georgetown Health Foundation
General Instructions
Congratulations on your advancement to the full application stage!
Please complete Sections 6-12 of this application and submit by the deadline. Sections 1-5,
which you submitted in the LOI, are included for reference and are "read only."
Program Name
Program Name*
Character Limit: 100
LOI - 1. About Your Organization
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
Page 37 of 56
Application Georgetown Health Foundation
Printed On: 24 October 2018 2019 GHF Annual Grant Application 2
LOI - 2. Commitment to Georgetown
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. Number of unique Georgetown Residents Served 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 were Georgetown residents?
Character Limit: 10
2e. Please select the zip codes your organization serves
Choices
78626
78628
78633
78673
78674
78634
LOI - 3. Funding Request
3a. Amount requested
Character Limit: 20
3b. Please describe how GHF grant funds will be used, if awarded.
Character Limit: 1000
Page 38 of 56
Application Georgetown Health Foundation
Printed On: 24 October 2018 2019 GHF Annual Grant Application 3
3c. Alignment with GHF's Mission, Vision, Strategic Priorities, and Target
Population
Describe how your organization and this funding request aligns with GHF's Mission,
Vision/Vision Philosophy, Strategic Priorities, and Target Population. Specifically identify the
target population with which you will be working.
Character Limit: 3000
3d. Alignment with GHF's Strategic Priorities
Check all the strategic priorities below that will be addressed through this proposal, if funded.
Choices
Transportation
Affordability and availability of quality housing
Access to college readiness programs and post-secondary education
Accessibility of daycare, afterschool programs, and play for children
Equitable access to healthy foods and nutrition education
Greater economic security
Access to affordable dental care
Availability and accessibility of quality mental health services
LOI - 4. Prior Relationship with GHF
4a. Have you ever received a GHF grant, sponsorship, or other financial support?
Choices
Yes
No
If yes,
please list years, amounts, and type of funding (grant, sponsorship, other financial support)
your organization has received from GHF.
Character Limit: 1000
4b. Do you receive a rent subsidy from GHF?
Choices
Yes
No
If yes,
include the location/address of the property and the current monthly rent per your lease
agreement.
Character Limit: 250
4c. Does your organization reserve the GHF Community Rooms?
Choices
Page 39 of 56
Application Georgetown Health Foundation
Printed On: 24 October 2018 2019 GHF Annual Grant Application 4
Yes
No
If yes,
please describe your need for using the rooms and how often you have used them over the last
12 months.
Character Limit: 500
LOI - 5. Financial Overview
5a. UPLOAD: Most Recent Audit.
Include all formal communication received from the audit firm in relation to the financial
statement audit. If you are applying for less than $25,000 and if your organization has not
commissioned an audit, GHF will accept a CPA prepared financial statement review. As with the
audit, upload all formal communication received from the firm in relation to the review.
NOTE: All documents must be uploaded as one PDF.
File Size Limit: 10 MB
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 then upload the document into
Question 12a.
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?"
Page 40 of 56
Application Georgetown Health Foundation
Printed On: 24 October 2018 2019 GHF Annual Grant Application 5
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
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?
Character Limit: 1000
Page 41 of 56
Application Georgetown Health Foundation
Printed On: 24 October 2018 2019 GHF Annual Grant Application 6
6g. UPLOAD: 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.
File Size Limit: 2 MB
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
6i. UPLOAD: 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.
File Size Limit: 2 MB
7. Georgetown Community Responsiveness
7a. How is your organization responding to the changing environment?*
Describe how your organization is responding to the changing Georgetown community needs,
changing client needs, and changes in the professional field. Provide a recent example.
Character Limit: 2000
7b. What makes your Georgetown efforts unique to the community?*
Briefly describe what sets your work apart from other nonprofits in the area and why your
organization is best situated to provide this service.
Character Limit: 1000
7c. Publicizing and Recruiting*
If funded, how, when, and where will you publicize/recruit to ensure maximum participation by
Georgetown residents?
Character Limit: 2000
7d. Considering the program locale, how are transportation and accessibility
addressed?*
Character Limit: 2000
The 2015 GHF Needs Assessment revealed participants' experience with unequal treatment due
to race, citizenship, education, and socioeconomic status. They also expressed a desire to have
Page 42 of 56
Application Georgetown Health Foundation
Printed On: 24 October 2018 2019 GHF Annual Grant Application 7
more voice in decisions that impact them. Questions 7e-7g are designed to help GHF
understand your organization's cultural competencies. A culturally competent organization is
one that seeks to understand and accommodate diverse groups of people and applies that
knowledge to its standards, policies, and practice.
7e. How do you ensure that your staff and board represent the population you
serve in Georgetown?*
Character Limit: 2000
7f. Please describe your organization's cultural competencies. Examples of
indicators include:*
Understands how our cultural backgrounds (including ability, age, gender, educational
attainment, race, religion, sexual orientation, socioeconomic status, etc.) affect our
responses to others
Does not assume that all members of certain groups share the same characteristics,
beliefs, or practices
Acknowledges how past experiences affect present interactions
Actively eliminates prejudice in policies and practices
Allocates resources for cultural awareness, sensitivity, and understanding
Mitigates cultural differences to ensure services are visible to all who need them, and
that all are welcome
Character Limit: 2000
7g. Client Feedback Loop(s)*
Have you established communication protocols that allow clients to give feedback about their
experiences with your organization and programs? If so, how is this feedback collected and
used to improve your service delivery? If not, do you have future plans to do so?
Character Limit: 2000
7h. Contributions to the community of Georgetown (optional)
How does your organization contribute to Georgetown's perception of itself as a:
Community of volunteers;
Community of excellence;
Community of intergenerational opportunities;
Community of compassion?
Character Limit: 2000
Page 43 of 56
Application Georgetown Health Foundation
Printed On: 24 October 2018 2019 GHF Annual Grant Application 8
8. Proposed Program Details
8a. 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
8b. Proposed Impact*
How does this program prevent/eliminate/reduce the issue OR educate/rehabilitate/maintain a
person affected by the issue?
Character Limit: 2000
8c. How do you determine the Georgetown community's need for this
program?*
Character Limit: 2000
8d. UPLOAD: Budget for Proposed Program*
Upload the budget for your proposed program using the template provided here.
File Size Limit: 2 MB
8e. UPLOAD: Actual Program Budget for Prior Fiscal Year*
File Size Limit: 2 MB
9. Evaluation
Grant Period: New for 2019, the grant period for all GHF Annual Grants is July 1, 2019 - June
30, 2020.
9a. Number of Georgetown Residents to be Served by this Grant.*
Character Limit: 6
State the primary goal(s) (up to 3) you hope to achieve through this funding. The goal(s) should
be attainable within a 12-month period, and must relate to the goals/strategy you articulated
in Section 6 of this proposal. Additionally, state your rationale for why your goal(s) is ambitious.
To demonstrate that the goal is attainable, outline the inputs, activities, outputs, outcomes,
and performance measures. Details and examples are included below.
GOAL: What end result would this grant support?
Example: Provide dental services to 34 unique Granger residents who are living in poverty.
Page 44 of 56
Application Georgetown Health Foundation
Printed On: 24 October 2018 2019 GHF Annual Grant Application 9
Ambitiousness: Why did you select this goal?
Provide current, comparative data that demonstrates ambitiousness in light of the situation in
your area. Credible data sources include www.healthywilliamsoncounty.org, Georgetown
Health Foundation’s 2015 Southeast Georgetown Needs Assessment, US Census, American
Community Survey, etc.
Example: According to the 2015 American Community Survey, there are 1,583 Granger residents
and 21.7% or 344 residents are living in poverty. Further, the Centers for Disease Control (2017)
show that only 58% of all Texas adults have visited a dentist in the past year, which is lower
than the national average of 62%. Our goal is ambitious because it will provide services to 10%
of Granger’s residents living in poverty and will increase the overall percentage of adults
receiving dental care in Texas.
Inputs: What resources (human, financial, organizational, community, etc.) will be committed
to this goal?
Example: If funded, this grant will allow us to fund an additional part-time Health Navigator
from the Granger community. The Health Navigator will have access to all organizational and
community resources including professional development opportunities, office equipment,
administrative support, materials (see Budget for more detail).
Activities: What activities will support or accomplish your goals?
Example: The additional part-time Health Navigator will conduct monthly outreach
presentations at the three Granger churches, at family activities at the Granger School and at
community events at Granger Lake. The Health Navigator will also provide case management to
the 34 Granger residents served through this grant.
Outputs: What are the quantitative measures (# of participants, # of sessions held, # of
encounters, etc.) that will result from the activities described above?
Example: 34 unique Granger residents who are living in poverty will receive dental care during
this grant period.
Outcomes: What is the specific result that shows the accomplishment of the strategy? What
benefits, impact, or changes in behavior, knowledge, skills, and/or attitudes for participants do
you anticipate will result from completion of the activities?
Example: The percentage of Granger residents who receive dental care during the 12 months of
this grant period will increase by 10%.
Tracking: What systems do you use to track progress toward the goal?
Example: Progress will be tracked by reviewing dental records using DentalTracking.com
GOAL 1*
Character Limit: 500
Page 45 of 56
Application Georgetown Health Foundation
Printed On: 24 October 2018 2019 GHF Annual Grant Application 10
Goal 1- Ambitiousness*
Character Limit: 2000
Goal 1- Inputs*
Character Limit: 2000
Goal 1- Activities*
Character Limit: 2000
Goal 1- Outputs*
Character Limit: 2000
Goal 1- Outcomes*
Character Limit: 2000
Goal 1- Tracking*
Character Limit: 2000
GOAL 2 (optional)
Character Limit: 500
Goal 2- Ambitiousness
Character Limit: 2000
Goal 2- Inputs
Character Limit: 2000
Goal 2- Activities
Character Limit: 2000
Goal 2- Outputs
Character Limit: 2000
Goal 2- Outcomes
Character Limit: 2000
Goal 2- Tracking
Character Limit: 2000
GOAL 3 (optional)
Character Limit: 500
Goal 3- Ambitiousness
Character Limit: 2000
Page 46 of 56
Application Georgetown Health Foundation
Printed On: 24 October 2018 2019 GHF Annual Grant Application 11
Goal 3- Inputs
Character Limit: 2000
Goal 3- Activities
Character Limit: 2000
Goal 3- Outputs
Character Limit: 2000
Goal 3- Outcomes
Character Limit: 2000
Goal 3- Tracking
Character Limit: 2000
10. Organizational Financials
10a. Fiscal Year Start Date*
Please enter the start date of your current fiscal year
Character Limit: 10
Fiscal Year End Date*
Please enter the end date of your current fiscal year.
Character Limit: 10
10b. What are your organization's cash reserves?*
Character Limit: 20
10c. How many months could the organization operate at your continued
budget level?*
Character Limit: 10
10d. UPLOAD: Balance Sheet for Prior Fiscal Year*
(PDF format)
File Size Limit: 3 MB
10e. UPLOAD: Income Statement for Prior Fiscal Year*
(PDF format)
File Size Limit: 2 MB
10f. UPLOAD: Actual vs. Budget Income Statement for the Prior Fiscal Year*
(PDF format)
File Size Limit: 2 MB
Page 47 of 56
Application Georgetown Health Foundation
Printed On: 24 October 2018 2019 GHF Annual Grant Application 12
10g. UPLOAD: Current Year-to-Date Financials to include Balance Sheet and
Income Statement.*
(PDF format)
File Size Limit: 3 MB
10h. UPLOAD: Year-to-Date Cash Flow Statement*
(PDF format)
File Size Limit: 3 MB
10i. UPLOAD: Organization Budget for Proposed Fiscal Year, Related to the
Grant Period*
(PDF format)
File Size Limit: 2 MB
11. Revenue & Revenue Sources for Prior Fiscal Year
The purpose of this section is to provide a top line overview of your funding. For categories that
do not apply to your organization, insert "0" (zero) and "N/A" as appropriate.
11a. TOTAL Organization Revenue during the Prior Fiscal Year*
Character Limit: 20
11b. Total Revenue from Individual Contributions*
Character Limit: 20
11bi. Number of Individual Donors*
Please do not disclose donor names.
Character Limit: 10
11c. Total Revenue from Foundation Grants*
Character Limit: 20
11ci. Names of Foundations & Grant Amounts*
Character Limit: 250
11d. Total Revenue from Corporate Foundation Support/Grants*
Character Limit: 20
11di. Names of Corporations & Support/Grant Amounts*
Character Limit: 250
Page 48 of 56
Application Georgetown Health Foundation
Printed On: 24 October 2018 2019 GHF Annual Grant Application 13
11e. Total Revenue from Government Grants*
Character Limit: 20
11ei. Names of Government Agencies & Grant Amounts*
Character Limit: 250
7f. Total Revenue from Fundraising Efforts*
Character Limit: 20
11fi. Names of Fundraising Efforts & Revenue Amount for each*
Character Limit: 200
11g. Total Revenue from Programs and Services*
Character Limit: 20
11gi. Names of Programs and Services & Revenue Amount for each.*
Character Limit: 200
11h. Total Revenue from Investment Income*
Character Limit: 20
11hi. Names of Investments & Revenue Amount for each*
Character Limit: 250
11i. Total Revenue from Membership Fees/Dues*
Character Limit: 20
11ii. Number of Members*
Character Limit: 10
11j. Other Revenue*
Character Limit: 20
11ji. Sources of "Other Revenue" & Amounts for each*
Character Limit: 250
12. Citations, Acknowledgement & Assurance
12a. 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).
Page 49 of 56
Application Georgetown Health Foundation
Printed On: 24 October 2018 2019 GHF Annual Grant Application 14
File Size Limit: 2 MB
12b. Acknowledging GHF*
Type your name and date in the space below to assure that if funded, the organization will
acknowledge GHF on all related marketing materials, your website, social media, and in any
other communications in which this program is promoted.
Character Limit: 50
12c. 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
Page 50 of 56
GHF Annual Grant Application
Questions & Review Process Reimagined
Inspired by your feedback, this document outlines a reimagination of the GHF Annual Grant
Application questions and review process.
Reimagined application questions are listed in the subsequent pages of this document. Questions
have been grouped more tightly. A majority of the previous LOI and Full Application questions have
been retained, 11 questions have been deleted, and 13 have been added for consideration. Question
origins are indicated by color, color‐coding is explained in the footer of each page, and deleted
questions are listed on the last page.
Also on the last page is a reimagination of the Review Process for consideration.
Points to consider as you review this document
Application Questions
‐ Are the number and content of questions appropriate to make an informed funding decision?
‐ Are the number and content of questions appropriate given the amount of funding awarded ($10k‐$50k)?
‐ Are the question groupings appropriate?
‐ Are there additional questions that can be eliminated?
‐ Are there deleted questions that should be re‐added?
Review Process
‐ Does the proposed Review Process accommodate the varying availability of Grants Committee members
while ensuring Board expertise and oversight are an integral part of the grant approval process?
‐ Can the proposed process be improved?
Page 51 of 56
Blue = Current LOI Qs; Purple = Current Application Qs; Green = New Qs to Consider Adding
LOI Questions
1. ABOUT YOUR ORGANIZATION
a. Organization Mission
b. Organization Vision
c. Date of incorporation
d. Describe your organization’s scope of work
e. Describe your target population
f. How many unique individuals did your organization serve during the prior fiscal year?
g. What geographic area does your organization serve?
2. COMMITMENT TO GEORGETOWN
a. Is your organization’s main office located in Georgetown?
i. If not, where is it located? Do you maintain a satellite office in Georgetown? Address?
b. What year did your organization start serving Georgetown?
c. Describe your organization’s work in Georgetown
d. Out of the total number of unique individuals your organization served during the prior fiscal year
(See question 1f), how many were Georgetown residents?
e. Please indicate the Georgetown zip codes your organization serves (Choices: 78626, 78628, 78633,
78673, 78674)
3. FUNDING REQUEST
a. Program Name
b. Amount Requested
c. Please describe how GHF funds will be used
d. Alignment with GHF’s Mission, Vision, Strategic Priorities, and Target Population
e. Alignment with GHF’s Identified Strategic Priorities (10 Needs)
4. ORGANIZATION FINANCIALS
a. Please upload your most recent audit, including Management Letter
5. PRIOR RELATIONSHIP WITH GHF
a. Have you ever received a GHF grant, sponsorship, or other financial support?
i. If yes, please list years and amounts.
b. Do you receive a rent subsidy from GHF?
i. If yes, list address and monthly rent
c. Does your organization reserve the GHF Community Rooms?
i. If yes, please describe your need for using the rooms and how often you have used them
over the last 12 months.
Page 52 of 56
Blue = Current LOI Qs; Purple = Current Application Qs; Green = New Qs to Consider Adding
Full Application: Organizational Questions
6. ORGANIZATIONAL CAPACITY
a. Organization Staff and Board of Directors (# and turnover rationale)
b. Key Staff List (Upload)
c. Board List (Upload)
d. What is the governance role of the Board of Directors?
e. What is your organization striving to accomplish?
f. What are strategies for making this happen?
g. What are your organization’s capabilities for doing this?
h. How will your organization know if you are making progress?
i. What have and haven’t you accomplished so far?
7. GEORGETOWN COMMUNITY RESPONSIVENESS
a. How do you ensure that your staff and board represent the population you serve in Georgetown?
b. How is your organization responding to the changing Georgetown community needs, client needs,
and advances in the field? Please provide a recent example.
c. Please describe your organization’s cultural competencies.
d. Please describe your client feedback loop
e. Optional: Contributions to the community of Georgetown (volunteers, excellence, compassion)
8. FISCAL INFORMATION & HEALTH
a. Current Fiscal Year Start Date & End Date
b. What are your cash reserves?
c. How many months could you operate at your continued budget level?
d. Balance Sheet (Upload)
e. Income Statement (Upload)
f. Actual organization budget for prior fiscal year (Upload)
g. Organizational budget for proposed fiscal year (Upload)
9. PRIOR FISCAL YEAR’S REVENUE & SOURCES
a. Total Organization Revenue
b. Total Revenue from Individual Contributions
i. Number of Individual Donors
c. Total Revenue from Foundation Grants
i. Name of foundations & grant amounts
d. Total Revenue from Corporate Foundation Support/Grants
i. Names of Corporations & grant amounts
e. Total Revenue from Government Grants
i. Name of Agencies & grant amounts
f. Total Revenue from Fundraising Efforts
g. Total Revenue from Services
i. Name of Service and Revenue Amount
h. Total Revenue from Investment Income
i. Investment Income Amount
i. Membership Income
i. Membership Income Amount
j. Other (specify)
i. Name of Funders & Amount
10. CITATIONS AND ADDITIONAL INFORMATION (Upload)
Page 53 of 56
Blue = Current LOI Qs; Purple = Current Application Qs; Green = New Qs to Consider Adding
Full Application: Program Support Questions
11. PROGRAM DETAILS
a. Describe the program for which you are requesting funding and the issue it seeks to address
b. How does this program prevent, eliminate, or reduce the issue? OR How does this program
educate, rehabilitate, or maintain a person affected by the issue?
c. How do you determine the Georgetown community’s need for this program?
d. What makes your program unique?
12. PROGRAM COST
a. Program Budget for proposed fiscal year
i. Total Program Cost
ii. Total Program Cost in Georgetown
iii. Unduplicated Georgetown individuals to be served
iv. Cost per unduplicated Georgetown Individual
b. Actual program budget for prior fiscal year
13. PROGRAM ACCESSIBILITY
a. How will you make the program visible to Georgetown residents who would benefit from it?
b. Considering the locale of the program, how are transportation and/or accessibility addressed?
14. PROGRAM EVALUATION
a. Goal 1
i. Performance Measures
ii. Ambitiousness
iii. Inputs
iv. Activities
v. Outputs
vi. Outcomes
b. Optional: Goals 2 & 3 (including subparts)
Note on General Operating grant applications
‐ Only organizations that are eligible for General Operating funding will be invited to apply
‐ General Operating applicants will complete Questions 1‐10 only.
Page 54 of 56
Blue = Current LOI Qs; Purple = Current Application Qs; Green = New Qs to Consider Adding
Deleted Questions (and reason for deletion)
‐ Type of Grant Requesting: Program Support or General Operating (G.O. option will be invite only)
‐ Proposed Additional Number of Georgetown Residents Served through this request (Relic of Common App)
‐ Estimated cost of serving Georgetown residents through organization or program (Relic of Common App)
‐ Five Largest Sources of Organizational Revenue from Prior Fiscal Year ‐ Source & Source Amount x5
(Answers not meaningful)
‐ Grant Period (Start/End dates will be the same for all and will begin July 1 and end June 30)
‐ Current Total Population Served by Organization (Replaced with Q 1e and Q 1f)
‐ Description of the Request (Similar to Q 3c)
‐ Is your nonprofit a learning organization? (Replaced by Q 7b)
‐ Present data that substantiates the need for the services you wish to provide (Replaced by Q 11c)
‐ Partnership with GISD letter (Not a reliable GISD process)
‐ How do you coordinate, cooperate, or collaborate with other agencies to achieve your mission? (Answers
not meaningful)
The Review Process Reimagined
LOI Stage
Full Application Stage
* A subgroup is a self‐selected group of ~2‐3 Grants Committee members. All parts of the LOI and
Application will be visible to all Committee members regardless of Subgroup involvement.
** Fast Trackers are organizations that have a strong history of funding with GHF and are determined to
require less vetting. The Full Application review process is less rigorous and conducted by GHF Staff.
LOIs (Qs 1‐5) are
screened for
completeness &
eligibility by:
GHF Staff
LOIs are discussed,
recommendations for
advancement and identification
of Fast Trackers** made by:
Full Grants Committee
LOIs are reviewed by:
Full Grants
Committee
OR Subgroup(s)*
General Operating
Applications:
Organizational Questions
(Qs 6‐10) for are
reviewed/scored by:
Subgroup(s)
All parts of all applications are
discussed (eg. total scores,
strengths, weaknesses, fit with
GHF priorities, funding levels,
funding landscape, etc.) and
funding recommendations
made by:
Full Grants Committee
Fast Tracker Applications:
All Questions (Qs 6‐10 for
General Operating, Qs 6‐14
for Program Support) are
reviewed for red flags by:
GHF Staff
Program Support
Applications:
Organizational Questions
(Qs 6‐10) are
reviewed/scored to
determine the health of the
organization by:
Subgroup(s)
Program Support Questions
(Qs 11‐14) are
reviewed/scored to
determine the strength of
the program by:
Subgroup(s)
Page 55 of 56
City of Georgetown, Texas
Strategic Partnerships for Community Services
March 21, 2019
S UB J E C T:
C onsideration and pos s ible ac tion to set dates and times for F Y 2019-20 P artnerships for C ommunity
S ervic es Advisory Board Meetings--Jaquita Wils on Board C hair
IT E M S UMMARY:
P er the Bylaws of the S trategic P artnerships for C ommunity S ervices Advis ory Board (S P C S ):
"S ection 4.1. Time and Date of R egular Meeting. T he Board shall sc hedule all regular
meetings in acc ordanc e with the requirements of the Board's res ponsibilities ."
T he S P C S Advis ory Board will meet at leas t onc e per year and whenever necessary to c arry out its
res ponsibilities and purpos e. T he date, time and place of the Board meetings will be dec ided by the
Members at the first meeting of the Board after the annual appointment proc es s .
After reviewing the grant cycle timeline the S P C S Advisory Board will determine the necessary meetings to
complete the F Y 2018-19 G rant C ycle recommendations to the C ity C ounc il.
F IN AN C IAL IMPAC T:
N/A
S UB MIT T E D B Y:
S hirley R inn for Jaquita Wils on, Board C hair
Page 56 of 56