Complete the table below for the proposed activity(s) included in this Application. This information should match the budget information in the Excel workbook Indirect Costs (Limited to 10% of HMIS Grant Total Total (Limited to Administration Application Project Name(s) and Application 10% of (Max amount- Activity Amount or Address Amount Total $200 -Local a higher Requested Application percentage amount) Only) with letter from federal agency House Mary’s Emergency Harbor Day Center Example $125,000 Shelter 123 Main St Any town, CA XXXXX Emergency Shelter Street Outreach (Stand Alone Activity) Rapid Assistance HMIS Homelessness Prevention (limited to 10% of total application amount) Street Outreach “add-on” (limited to 10% of total application amount)
Complete the table below for the proposed activity(s) included in this Application. This information should match the budget information in the Excel workbook Activity Project Name(s) and Address Total Application Amount Requested HMIS (Limited to 10% of Total Application amount) Grant Administration (Max amount- $200 -Local Indirect Costs (Limited to 10% of Total Application Amount or a higher percentage with letter from federal agency Example Emergency Shelter Mary’s House Harbor Day Center 123 Main St Any town, CA XXXXX $125,000 Emergency Shelter Street Outreach (Stand Alone Activity) Rapid Assistance HMIS Homelessness Prevention (limited to 10% of total application amount) Street Outreach “add-on” (limited to 10% of total application amount) Only)
esg-2016-application.docx