Max Section SECTION (3): PROPOSED PROGRAM POPULATIONS Points: 40 Infants Single women Chronically homeless Persons with mental Children Single men health Persons with substance Adolescents Couples w/out children abuse GLBTQ Youth Persons with Single-parent families HIV/AIDS Domestic violence Other: (Please list) Two-parent families survivors Unaccompanied Youth Veterans Total Chronic Served (please highlight one) 100% Chronic Served 100% Chronic- (10) Renewal Projects Planning to YES NO Points Serve: 50-99% Chronic Served 50%-99%-(5) Points Is this % different than what the project typically serves? 10 Points 100% Households with 5 Points Family (prioritized by YES NO Is this % different than need) what the project typically 50%-99%- If the project applicant to serves? serve one of the (4) HUD priority 10 Points populations, the project must 100% Unaccompanied 5 Points YES NO receive 100% of its referrals from Youth Is this % different than 50%-99% a local Coordinated Entry Process what the project typically or from a Community managed serves? by-name list. 10 Points 100 % Veteran (all 5 Points YES NO types of discharges) Is this % different than 50%-100% what the project typically serves? Max Section SECTION (4): PROPOSED PRIOR LIVING SITUATIONS Points: 5 Homeless Participants Projected Percentages (%) Priority I: On the Street, Safe Havens or Emergency Shelters
SECTION (3): PROPOSED PROGRAM POPULATIONS Max Section Points: 40 Single women Chronically homeless Infants Single men Persons with mental health Children Couples w/out children Persons with substance abuse Adolescents Single-parent families Persons with HIV/AIDS GLBTQ Youth Two-parent families Domestic violence survivors Other: (Please list) Unaccompanied Youth Veterans Renewal Projects Planning to Serve: 100% Chronic- (10) Points 50%-99%-(5) Points Total Chronic Served (please highlight one) 100% Chronic Served 50-99% Chronic Served YES NO Is this % different than what the project typically serves? If the project applicant to serve one of the (4) HUD priority populations, the project must receive 100% of its referrals from a local Coordinated Entry Process or from a Community managed by-name list. 100% Households with Family (prioritized by need) 50%-99%- 10 Points 5 Points YES NO Is this % different than what the project typically serves? 100% Unaccompanied Youth 50%-99% 10 Points 5 Points YES NO Is this % different than what the project typically serves? 100 % Veteran (all types of discharges) 50%-100% 10 Points 5 Points YES NO Is this % different than what the project typically serves? SECTION (4): PROPOSED PRIOR LIVING SITUATIONS Max Section Points: 5 Homeless Participants Projected Percentages (%) Priority I: On the Street, Safe Havens or Emergency Shelters
UPDATED-APP-FY2016-CoC-Competition_Renewal-Project-Applications_Due-08.05.2016.docx