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HomeMy WebLinkAboutYMCA Result 4, Tab 26 Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name YWCA . Program name DV Services Question 8 Organizational Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points • ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ❑Yes 1 Point //No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography AYes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ❑Yes 1 Point ®No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 5 /7 p. 1 ii:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\YWCA DV.doc Question-9 Need-For the'Progran A. Problem Statement 1. The proposal gives a clear accurate profile that identifies the problem and substantiates need in Renton and/or South King County ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. Proposal gives relevant statistics (Renton and/or South King County), comparisions, research and/or experiences. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined ® Yes 1 Point ❑ No O Point ❑ Don't know/Not addressed: 0 points Question 10 Proposed Program/Service A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s) where services will be delivered clearly stated? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 5 /6 2 :\HS 08\09-10 Funding cycle\DU ratings\APP Rating\YWCA DV.doc Note: If 2. and 3. (above) are marked "yes", then mark yes in 4 and 5. 4. If answer is no to either#2 or#3, does the application address the location and its accessibility to Renton residents? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points 5. If the agency's office is not in Renton and they plan to provide services in Renton, have they identified a specific location within the Renton community where services will be provided? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (4) How the program addresses the problem statement 6. Does the proposed program explain how it will address the problem described in question 9? Z Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (5) How the program addresses the language and/or cultural needs of the clients 7. Were the language and/or cultural needs of the clients addressed? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 8. Are the services delivered in languages appropriate to the residents of the City of Renton? Top seven languages spoken in RSD ESL are: Spanish (1728), Vietnamese (662), Chinese-Cantonese (256), Somali (205), Russian (161), Tagalog (174), Ukrainian (144) ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 4 /6 LAH3 S 08\09-10 Funding cycle\DU ratings\APP Rating\YWCA DV.doc 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points B. Performance Measures and Outcomes 11. The service delivery plan describes the performance measures and outcomes in measurable terms, one for each problem or need to be addressed, and how the target population will benefit. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Ci. Staffing Plan 8. Program Staff has applicable/related experience in working with proposed program. In Q8 operational experience, also asks to describe roles, responsibilities and expertise of management and staff. May need to go to both sections to get answers. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? ❑ Yes 1 Point /1 No 0 Points ❑ Don't know/Not addressed: 0 points ',Question .11 Long°Range '!a i 1. Does the plan list realistic multiple funding sources for future funding? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page: 2 /6 p. 4 1i1:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\YWCA DV.doc SCORES Your name: Du Agency Name:YWCA Program Name:DV Page 1 : 5 /7 Page 2: 5 /6 Page 3: 4 /6 Page 4: 2 /6 TOTAL 16 /25 p. 5 pc 08\09-10 Funding cycle\DU ratings\APP Rating\YWCA DV.doc ex.„4-tA 4. . Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications agency name Conseio Program name SKC Latina Adv. Question 8.Organizational Experience A..Experience 1. The organizational background describes relevant past and current accomplishments: Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ['Yes 1 Point • ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 6 /7 p. 1 Ht\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Consejo.doc Question 9'Need for the Program A. Problem Statement 1. The proposal gives a clear accurate profile that identifies the problem and substantiates need in Renton and/or South King County ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points 2. Proposal gives relevant statistics (Renton and/or South King County), comparisions, research and/or experiences. ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined ® Yes 1 Point ❑ No 0 Point ❑ Don't know/Not addressed: 0 points Question '1 OProposed Program/Service. A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s) where services will be delivered clearly stated? ❑ Yes 1 Point • No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page: 1 /6 .. 2 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Consejo.doc Note: If 2. and 3. (above) are marked "yes", then mark yes in 4 and 5. 4. If answer is no to either#2 or#3, does the application address the location and its accessibility to Renton residents? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points 5. If the agency's office is not in Renton and they plan to provide services in Renton, have they identified a specific location within the Renton community where services will be provided? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points (4) How the program addresses the problem statement 6. Does the proposed program explain how it will address the problem described in question 9? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (5) How the program addresses the language and/or cultural needs of the clients 7. Were the language and/or cultural needs of the clients addressed? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 8. Are the services delivered in languages appropriate to the residents of the City of Renton? Top seven languages spoken in RSD ESL are: Spanish (1728), Vietnamese (662), Chinese-Cantonese (256), Somali (205), Russian (161), Tagalog (174), Ukrainian (144) ® Yes 1 Point - El No 0 Points • ❑ Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page: 3 /6 . 3 :\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Consejo.doc - si 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points . Performance Measures and Outcomes 11. The service delivery plan describes the performance measures and outcomes in measurable terms, one for each problem or need to be addressed, and how the target population will benefit. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Ci. Staffing Plan 8. Program Staff has applicable/related experience in working with proposed program. In Q8 operational experience, also asks to describe roles, responsibilities and expertise of management and staff. May need to go to both sections to get answers. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points A uestion 11 JLon• Ran•e Plan 1. Does the plan list realistic multiple funding sources for future funding? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 4 /6 4 :\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Consejo.doc SCORES Your name: du Agency Name:Consejo Program Name:SKC Latina DV Advocacy Page 1 : 6 /7 Page 2: 1 /6 Page 3: 3 /6 Page 4: 4 /6 TOTAL 14 /25 p. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Consejo.doc b Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name DAWN Program name 24 Hour Crisis Line Question 8 Organizational:Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points . ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ❑Yes 1 Point ❑No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page : 6 /7 p. 1 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN 24 Hr Crisis Line.doc Question 9 Need.For the Program` A. Problem Statement 1. The proposal gives a clear accurate profile that identifies the problem and substantiates need in Renton and/or South King County ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. Proposal gives relevant statistics (Renton and/or South King County), comparisions, research and/or experiences. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined ® Yes 1 Point ❑ No 0 Point ❑ Don't know/Not addressed: 0 points 0 uestion 10 Pro•osed Pro ram/Service A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s) where services will be delivered clearly stated? /1 Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 6 /6 p. 2 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN 24 Hr Crisis Line.doc Note: If 2. and 3. (above) are marked "yes", then mark yes in 4 and 5. 4. If answer is no to either#2 or#3, does the application address the location and its accessibility to Renton residents? • Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 5. If the agency's office is not in Renton and they plan to provide services in Renton, have they identified a specific location within the Renton community where services will be provided? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points ( ) How the program addresses the problem statement 6. Does the proposed program explain how it will address the problem described in question 9? ® Yes 1 Point ❑ No 0 Points [' Don't know/Not addressed: 0 points (5) How the program addresses the language and/or cultural needs of the clients 7. Were the language and/or cultural needs of the clients addressed? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 8. Are the services delivered in languages appropriate to the residents of the City of Renton? Top seven languages spoken in RSD ESL are: Spanish (1728), Vietnamese (662), Chinese-Cantonese (256), Somali (205), Russian (161), Tagalog (174), Ukrainian (144) ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ❑ Yes 1 Point ❑ No O Points ® Don't know/Not addressed: 0 points Subtotal this page: 4 /6 . 3 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN 24 Hr Crisis Line.doc 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points B. Performance Measures and Outcomes 11. The service delivery plan describes the performance measures and outcomes in measurable terms, one for each problem or need to be addressed, and how the target population will benefit. ® Yes 1 Point ❑ No 0 Points El Don't know/Not addressed: 0 points Ci. Staffing Plan 8. Program Staff has applicable/related experience in working with proposed program. In Q8 operational experience, also asks to describe roles, responsibilities and expertise of management and staff. May need to go to both sections to get answers. ® Yes 1 Point ❑ No 0 Points El Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? ® Yes 1 Point ❑ No 0 Points El Don't know/Not addressed: 0 points Question 11 Lona Range Plan 1. Does the plan list realistic multiple funding sources for future funding? // Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 5 /6 p . 4 :\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN 24 Hr Crisis Line.doc SCORES Your name: Du Agency Name:Crisis Clinic Program Name:24 Hour Crisis Line Page 1 : 6 /7 Page 2: 6 /6 Page 3: 4 /6 Page 4: 5 /6 TOTAL 21 /25 P. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN 24 Hr Crisis Line.doc Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name DAWN Program name Community Advocacy Question,8 Organizational-Experience Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ®Yes 1 Point • ❑No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ❑Yes 1 Point ❑No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page : 6 /7 1� 1 1:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN Comm Advocacy.doc Question 9 Need For the;Program A. Problem Statement 1. The proposal gives a clear accurate profile that identifies the problem and substantiates need in Renton and/or South King County ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. Proposal gives relevant statistics (Renton and/or South King County), comparisions, research and/or experiences. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined ® Yes 1 Point ❑ No 0 Point ❑ Don't know/Not addressed: 0 points Question ;10Proposed Program/Service A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s) where services will be delivered clearly stated? Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 6 /6 p. 2 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN Comm Advocacy.doc Note: If 2. and 3. (above) are marked "yes", then mark yes in 4 and 5. 4. If answer is no to either#2 or#3, does the application address the location and its accessibility to Renton residents? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 5. If the agency's office is not in Renton and they plan to provide services in Renton, have they identified a specific location within the Renton community where services will be provided? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (4) How the program addresses the problem statement 6. Does the proposed program explain how it will address the problem described in question 9? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (5) How the program addresses the language and/or cultural needs of the clients 7. Were the language and/or cultural needs of the clients addressed? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 8. Are the services delivered in languages appropriate to the residents of the City of Renton? Top seven languages spoken in RSD ESL are: Spanish (1728), Vietnamese (662), Chinese-Cantonese (256), Somali (205), Russian (161), Tagalog (174), Ukrainian (144) ❑ Yes 1 Point C. No 0 Points ❑ Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page: 4 /6 P. 3 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN Comm Advocacy.doc + 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points B. Performance Measures and Outcomes 11. The service delivery plan describes the performance measures and outcomes in measurable terms, one for each problem or need to be addressed, and how the target population will benefit. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Ci. Staffing Plan 8. Program Staff has applicable/related experience in working with proposed program. In Q8 operational experience, also asks to describe roles, responsibilities and expertise of management and staff. May need to go to both sections to get answers. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? ® Yes 1 Point ❑ No O Points ❑ Don't know/Not addressed: 0 points Question 11 Long Range Plan 1. Does the plan list realistic multiple funding sources for future funding? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 5 /6 p. 4 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN Comm Advocacy.doc SCORES Your name: du Agency Name:DAWN rogram Name:Community Advocacy Page 1 : 6 /7 Page 2: 6 /6 Page 3: 4 /6 Page 4: 5 /6 TOTAL 21 /25 P. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN Comm Advocacy.doc H man Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name DAWN P'ogram name Housing duestion 8 Organizational'Experience AL Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ®Yes 1 Point ❑No ' 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ❑Yes 1 Point ❑No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page : 6 /7 1 :\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN Hsg.doc Question 9 Need For the Program A. Problem Statement 1. The proposal gives a clear accurate profile that identifies the problem and substantiates need in Renton and/or South King County r Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. Proposal gives relevant statistics (Renton and/or South King County), comparisions, research and/or experiences. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined ® Yes 1 Point ❑ No 0 Point ❑ Don't know/Not addressed: 0 points Question 10 Proposed Program/Service A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s) where services will be delivered clearly stated? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 4 /6 p. 2 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN Hsg.doc Note: If 2. and 3. (above) are marked "yes", then mark yes in 4 and 5. 4. If answer is no to either#2 or#3, does the application address the location and its accessibility to Renton residents? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 5. If the agency's office is not in Renton and they plan to provide services in Renton, have they identified a specific location within the Renton community where services will be provided? ® Yes 1 Point ❑ No 0 Points [' Don't know/Not addressed: 0 points (4) How the program addresses the problem statement 6. Does the proposed program explain how it will address the problem described in question 9? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (5) How the program addresses the language and/or cultural needs of the clients 7. Were the language and/or cultural needs of the clients addressed? ® Yes 1 Point ❑ No 0 Points [' Don't know/Not addressed: 0 points 8. Are the services delivered in languages appropriate to the residents of the City of Renton? Top seven languages spoken in RSD ESL are: Spanish (1728), Vietnamese (662), Chinese-Cantonese (256), Somali (205), Russian (161), Tagalog (174), Ukrainian (144) ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ❑ Yes 1 Point ❑ No 0 Points • Don't know/Not addressed: 0 points Subtotal this page: 5 /6 3 :\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN Hsg.doc 10. Are specific agencies/programs in Renton mentioned? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Performance Measures and Outcomes 11. The service delivery plan describes the performance measures and outcomes in measurable terms, one for each problem or need to be addressed, and how the target population will benefit. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Ci. Staffing Plan 8. Program Staff has applicable/related experience in working with proposed program. In Q8 operational experience, also asks to describe roles, responsibilities and expertise of management and staff. May need to go to both sections to get answers. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points `A uestion91Lon+ Ran'a Plan 1. Does the plan list realistic multiple funding sources for future funding? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points ubtotal this page: 5 /6 p. 4 i1:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN Hsg.doc SCORES Your name: du Agency Name:Crisis Clinic Program Name:Housing Page 1 : 6 /7 Page 2: 4 /6 Page 3: 5 /6 Page 4: 5 /6 TOTAL 20 /25 p. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\DAWN Hsg.doc b ca5 Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name Valley Cities Counseling Program name Healthy Families /DV Question 8 Organizatio:nalExperience . Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area.for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ❑Yes 1 Point ®No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ❑Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 5 /7 . 1 1�1:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Valley Cities DV.doc • question 9. Need For the Program A. Problem Statement 1. The proposal gives a clear accurate profile that identifies the problem and substantiates need in Renton and/or South King County ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. Proposal gives relevant statistics (Renton and/or South King County), comparisions, research and/or experiences. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined ® Yes 1 Point ❑ No 0 Point ❑ Don't know/Not addressed: 0 points cuestion 1.O Proposed Program/Service A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s) where services will be delivered clearly stated? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 5 /6 p. 2 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Valley Cities DV.doc Note: If 2. and 3. (above) are marked "yes", then mark yes in 4 and 5. 4. If answer is no to either#2 or#3, does the application address the location and its accessibility to Renton residents? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points 5. If the agency's office is not in Renton and they plan to provide services in Renton, have they identified a specific location within the Renton community where services will be provided? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (4) How the program addresses the problem statement 6. Does the proposed program explain how it will address the problem described in question 9? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (5) How the program addresses the language and/or cultural needs of the clients 7. Were the language and/or cultural needs of the clients addressed? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 8. Are the services delivered in languages appropriate to the residents of the City of Renton? Top seven languages spoken in RSD ESL are: Spanish (1728), Vietnamese (662), Chinese-Cantonese (256), Somali (205), Russian (161), Tagalog (174), Ukrainian (144) ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 4 /6 p. 3 HMS 08\09-10 Funding cycle\DU ratings\APP Rating\Valley Cities DV.doc 10. Are specific agencies/programs in Renton mentioned? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Performance Measures and Outcomes 11. The service delivery plan describes the performance measures and outcomes in measurable terms, one for each problem or need to be addressed, and how the target population will benefit. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Ci. Staffing Plan 8. Program Staff has applicable/related experience in working with proposed program. In Q8 operational experience, also asks to describe roles, responsibilities and expertise of management and staff. May need to go to both sections to get answers. ® Yes 1 Point ❑ No O Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Question 11 Lona.Range Plan 1. Does the plan list realistic multiple funding sources for future funding? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page: 4 /6 p. 4 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Valley Cities DV.doc SCORES Your name: du Agency Name:Valley Cities Program Name:DV Page 1 : 5 /7 Page 2: 5 /6 Page 3: 4 /6 Page 4: 4 /6 TOTAL 18 /25 p. 5 Ei:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Valley Cities DV.doc