Detailed Template for the Homeless Needs Assessment This is an option for the LEA to use to complete the table on page 4, which will be collected for iGrants FP 201. This is suggested, but not required. FUNDING SOURCES AND AMOUNTS State & Federal Community Amount from Title I Need Total Cost Homeless LEA General Fund Resources Set-Aside Education Grants Example: Liaison Salary (1. FTE) $70,000 $0 $15,000 $0 $55,000 1.A. LIAISON SALARY 1.B. PROFESSIONAL DEVELOPMENT 2. SCHOOL TRANSPORTATION FOR HOMELESS STUDENTS 3. STUDENT EDUCATIONAL NEEDS (SUBTOTAL) Clothing PE Uniforms School Uniforms School Supplies (For use in school) School and Study Support Supplies (For use off-site at Shelters, hotel, home, etc.) Food (to meet need during instructional time or activities) 4. ENROLLMENT/TRANSFER SERVICES (SUBTOTAL) Records Transfer (postage, etc.) Certificates Immunizations Other 5. MEDICAL/MENTAL HEALTH/SHELTER SUPPORT (SUBTOTAL) Medical Referrals/Services Dental Referrals/Services Mental Health/Counseling Referrals/Services Substance Abuse Referrals/Services Housing Referrals/Services Domestic Violence Referrals/Services & Federal Community Amount from Title I Need Total Cost Homeless LEA General Fund Resources Set-Aside Education Grants
Detailed Template for the Homeless Needs Assessment This is an option for the LEA to use to complete the table on page 4, which will be collected for iGrants FP 201. This is suggested, but not required. FUNDING SOURCES AND AMOUNTS Need Total Cost Community Resources State & Federal Homeless Education Grants LEA General Fund Amount from Title I Set-Aside Example: Liaison Salary (1. FTE) $70,000 $0 $15,000 $0 $55,000 1.A. LIAISON SALARY 1.B. PROFESSIONAL DEVELOPMENT 2. SCHOOL TRANSPORTATION FOR HOMELESS STUDENTS 3. STUDENT EDUCATIONAL NEEDS (SUBTOTAL) Clothing PE Uniforms School Uniforms School Supplies (For use in school) School and Study Support Supplies (For use off-site at Shelters, hotel, home, etc.) Food (to meet need during instructional time or activities) 4. ENROLLMENT/TRANSFER SERVICES (SUBTOTAL) Records Transfer (postage, etc.) Certificates Immunizations Other 5. MEDICAL/MENTAL HEALTH/SHELTER SUPPORT (SUBTOTAL) Medical Referrals/Services Dental Referrals/Services Mental Health/Counseling Referrals/Services Substance Abuse Referrals/Services Housing Referrals/Services Domestic Violence Referrals/Services Need Total Cost Community Resources & Federal Homeless Education Grants LEA General Fund Amount from Title I Set-Aside