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HomeMy WebLinkAboutCatholic Community Services Katherine House • Human Services AdvisoryCommittee, Rating Tool, 2009/2010 Funding Applications eir1aL � Agency name 1��\N.0\��. bh��� v Se�u �C,es ��� Program name 6 .-1/4 Question: B:O:r:.gariizational::Experience A. Experie5ce 1. The organizational background describes relevant past and current accomplishments: Yes 1 Point LJNo 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. DYes 1 Point 2No 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 nNo 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 F]No 0 Points [i Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ❑Yes 1 Point JNo 0 Points Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography L Yes 1 Point I ®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 I Don't know/Not addressed: 0 points Subtotal this page :13 /7 1 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc ...mow: •:.-v ....;<. r... -,'-rrs %..-e-sv, Y Question .9 aNee 1°For tithe°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 P Don't know/Not addressed: 0 points Qifes#ioYi 1 O Piroposed PcoaramlService 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 VI 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 g 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: (7J6 p. 2 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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 111 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 El 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 MDon'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 ur] Don't know/Not addressed: 0 points (i) 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: /6 P. 3 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point MNo 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 n 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/ of 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 ue5ti0/1. 'Q Yw��1.Lonp/�an'ge Plan 1. Does the plan list realistic multiple funding sources for future funding? 6Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ki Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page:3 /6 p4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: Agency Name: \(\___Q.N l-v us Program Name: c �- S II Page 1 : 3 /7 Page 2: 2 /6 Page 3: 0 /6 Page 4: 3 /6 TOTAL /25 p. 5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 6 Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name C.— PA-h0 l e� Co m�,v u�� Se.,*t,V i e e_s Program name u w eQr ��.or�. SV� S :Question 8°Organi at onal'_Exp erience � ''� 2'�,� . Experience 1111- 1. The organizational background describes relevant past and current accomplishments: FrYes 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 jgjes 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 jYes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated Yes 1 Point Io 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography 1Yes 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. F4Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 7/7 P. 1 H \HS 08\09-10 Funding cycle\Ratingtool HSAC.doc ..Ques�ion::9-:Need:foie-the,Progr��n 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 UYes 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 L Don't know/Not addressed: 0 points QuestiQ.h-'IOwP'roposedpPiroq'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? ❑ Yes 1 Point • No 0 Points • Don't know/Not addressed: 0 points Sites: \ Sc \\ D3''=`Q�Ve \'Vbr•\ ti�a��� 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 'f IDon't know/Not addressed: 0 points Subtotal this page: /6 p. 2 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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 gNo 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 gl.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? [I Yes 1 Point [l No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 0 /6 p'3 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point S1 No 0 Points ❑ Don't know/Not addressed: 0 points 17. 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. EYes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points i. 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 Ofiestio%; l:Long Range P%n 1. Does the plan list realistic multiple funding sources for future funding? ❑ Yes 1 Point ❑ No 0 Points 151(Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ❑ Yes 1 Point CNo 0 Points Don't know/Not addressed: 0 points Subtotal this page:2 /6 pj4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc f SCORES Your name: �-- Agency Name: Program Name: v-0 1 u C -Cf` v-e—. S� v ,r� Page 1 : 7 /7 Page 2: .5 /6 Page 3: 0 /6 Page 4: .2 /6 TOTAL 1a/25 P. 5 Hr\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 0 Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications fkgency name 0—At\ 4e-t•1 Sow (ask LIN/0"jtAi Program name Si �--e v� -�4�'e W rt-NL 1 Zs 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. AYes 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 MYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points :. Operational Structure 4. The operational structure of the agency is clearly defined Al_Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ❑Yes 1 Point [a 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 I 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 JJ Don't know/Not addressed: 0 points Subtotal this page :1+ /7 p. 1 H \HS 08\09-10 Funding cycle\Ratingtool HSAC.doc uestiain`9 Need.fbr 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 MYes 1 Point No 0 Point ❑ Don't know/Not addressed: 0 points Question 1O::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? 4 Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Sites:0 U\DU\`k CR D\ ----;\ re e v,i Rtu9v 6,6,<b, � C° 1L-k-o 2. Will intakes/assessments be done in Renton? ❑ Yes 1 Point Mi No • 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ,? ❑ Yes 1 Point Ai No 0 Points Don't know/Not addressed: 0 points Subtotal this page: //6 p2 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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 n.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? 0 Yes 1 Point ig 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? MYes 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 0 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) ill 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? 0 Yes 1 Point ❑'No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: LI /6 p. 3 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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? EYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Qwestioriw 1tLonp'Range Plai 1. Does the plan list realistic multiple funding sources for future funding? ❑ Yes 1 Point ❑ No 0 Points [I Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. WI Yes 1 Point al No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page:Li /6 pj4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: h A Agency Name: I \k k v-" Nn.e_, � ,�'�� kJ. c s S,f Program Name: � .` C hw\vl �s Page 1 : /7 Page 2: L /6 Page 3: L /6 Page 4: (i /6 TOTAL 1 (0 /25 p.5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name , C brr\ v it t-e- s 1-v4 SLkoo(s (Dc�ev -' Program na 4Li At. ‘ so v4 r---,--, ,,Irti Question:;_$`thiiani atidnal ii i i'ence A. Experience 1. The organizational background describes relevant past and current accomplishments: [lYes 1 Point No 0 Points ❑ Don't know/Not addressed:. 0 points 2. The successes are in Renton and/or South King County. IYes 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 1C 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 JYes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated AlYes 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 needsJn South King County. 51Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 7 /7 pl l :\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 1 ;�2.uest�on�:9�N`eed=Fcirathe�Prrogram: 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 RYes 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 A] No 0 Point ❑ Don't know/Not addressed: 0 points �Proposed Progiram�Serv�.cea 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? LYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? Yes 1 Point al No 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? [1 Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page:(o /6 pl 2 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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? (1Yes 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? DI Yes 1 Point [i 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? MI Yes 1 Point ri 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:p /6 p. 3 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are sp cific 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 Q 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. MYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? MYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points =Questions 1= 61 RantrePan 1. Does the plan list realistic multiple funding sources for future funding? WI Yes 1 Point In No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. 0 Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page:6/6 p• 4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: rvvczoc-- fr Agency Name: 5: S 0 Program Name: ,?`c`,Nt )4 1. - ,..t So1.c n�rfl Page 1 : 7 /7 Page 2: /6 Page 3: /6 Page 4: 5 /6 TOTAL 2y /25 p. 5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name ��`hu� fries w �Ck1Lo6IS Program name c`t A tv" -- q � oinal�,Ex�erience 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. 31. 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 NYes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated MYes 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 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 f) /7 P. 1 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc i.w.m„...._ .-._..-. a....„-_,.."__...,,m..v... .`.e... ..;..r..:.....:........::.t_•:....e,ref...... auestiion9-Need For the,Procliratr 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. 0 Yes 1 Point [� No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined gYes 1 Point No 0 Point ❑ Don't know/Not addressed: 0 points Ciuestiod11 Proposed°wPragraiiilSeivice 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? MYes 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? MYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: La/6 p. 2 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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? LW 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) es 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? EYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page:ti /6 p: 3 I-:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are specific agencies/programs in Renton mentioned? MYes 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. RYes 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? MYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points �?uestion���1�LongRange Klan 1. Does the plan list realistic multiple funding sources for future funding? WI Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. al Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: (p /6 p 4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: Agency Name: Program Name: )`1\-e,,N A-o\( TfWl Page 1 : 7 /7 Page 2: e /6 Page 3: w /6 Page 4: (v /6 TOTAL 'c/25 P. 5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name _okv ..uw, ly P>;lAL Cr...AP rs. 0, k.►ws C.o vK t`\, rogram name 7?,-'�v N1 k M[e-a i C., i ''J Questiow8`Orgafii ati+nal Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: aYes 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 WI Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points r. Operational Structure 4. The operational structure of the agency is clearly defined NYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated Yes 1 Point pi 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 anYes 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 :7 /7 p. 1 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc • • Questi n 9:`Near 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 LYes 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. ILYes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined Ses 1 Point o 0 Point ❑ Don't know/Not addressed: 0 points Question10.Proposed3P-rogram/Sehrice 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? FrYes1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Sites: _ \''- Q\+'.e_ cre �, \ 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? MYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page:1v l6 p. 2 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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? ji Yes 1 Point No 0 Points ❑ Don't know/Not addressed: O 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? VI 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 rj 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? M.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) EYes 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? J1 Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 6 /6 P. 3 H\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are specific agencies/programs in Renton mentioned? PU 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? M Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Qaest o%:: 1Long Range l°iain 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 Corn.It e_ 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 p 9 a e: /6 p: 4 \HS 08\09-10 Funding cycle\Ratingtool HSAC.doc i SCORES Your name: Agency Name: ' Q. U s- Program Name: Psu-\Ir ` 11/\‘-k c.t Page 1 : 7 /7 Page 2: C /6 Page 3: 4 /6 Page 4: 6/6 TOTAL G)-9 /25 p. 5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name 0-0‘C`L,kz•v*:%. k,,,1/4&.s touwll Program name (7 '`<\ (‘1, Q a 1 Questiion 8:C}'�rgan'rzat oral Experji ce A. Experience 1. The organizational background describes relevant past and current accomplishments: E1,Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. 'The successes are in Renton and/or South King County. MYes 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 DYes 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 NYes 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 M,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. NYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 7/7 p. 1 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc Question:9:`Neeci„For the:�P.roc�ram 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 1. 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. gYes 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 dileS:06 : ©'Pioposed Piroq:rami!Ssr ice 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? o] Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 14 e ia1-1 kc. —� 2. Will intakes/assessments be done in Renton? VI Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? Yes 1 Point All No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: (P /6 p. 2 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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? EYes 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? MYes 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? F 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? LYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this pager /6 p. 3 :\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are specific agencies/programs in Renton mentioned? All Yes 1 Point [I 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 question_-�t 1:�vngR�aripecPlan, 1. Does the plan list realistic multiple funding sources for future funding? Yes 1 Point ri No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. El Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 10 /6 pi 4 I :\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc q SCORES Your name: Agency Name: C )4 0 r Program Name: (h {2" k Page 1 : /7 Page 2: /6 Page 3: /6 Page 4: /6 TOTAL /25 P. 5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc r r 4f Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name Q `cr\i v+\ IA e�tHk Q.e % l • t wsC Oott,4A Program name `r r x r^po.- \ 'De wA- NA. As 1`�- 7 diiefkii 8 tfrgani at of ahExper en'a 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. jYes 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 � �IYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points IE . Operational Structure 4. The operational structure of the agency is clearly defined f1Yes 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 o 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. Eyes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 7/7 p. 1 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc .. N L ,......« —:'jS i�^^✓:'a-^.M..aT'b'ra';'";a%.YY"'a`y i. ..a Questiion.9:Need,For:the:P:rogiram AI . 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. NI Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined ' f '] Yes 1 Point ❑ No 0 Point ❑ Don't know/Not addressed: 0 points Question;-lO�Proposed Program/Seir� �e 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? uYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Sites: e. 2. Will intakes/assessments be done in Renton? ❑ Yes 1 Point IA No 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ❑ Yes 1 Point 11,No 0 Points Don't know/Not addressed: 0 points ' Subtotal this pager/6 pi 1ii:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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? 11Yes 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 LI 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, /6 p13 \HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are specific agencies/programs in Renton mentioned? Yes 1 Point No 0 Points 5r\,06 ❑ 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. MYes 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 ri No 0 Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? LYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Questio% tohit Ranee Plan 1. Does the plan list realistic multiple funding sources for future funding? ❑ Yes 1 Point ❑ No 0 Points F1 Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. VI Yes 1 Point I No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page:7 /6 p 4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES our name: n' P c"- c A gency Name: C° R t e_ program Name: Page 1 : 7 /7 Page2: 3 /6 Page 3: 3 /6 Page 4: L /6 TOTAL (7 /25 p. 5 H,\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc fjg V Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications L Agency name h( `t`c\ S ,‘&V s Program name Vi\., .%-\\N- SNK dLeitat N e.e. Queston�y8:Organ�[ atiioiial�Exp�erien�e A. Experience 1. The organizational background describes relevant past and current accomplishments: Yes 1 Point No 0 Points j ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. 1Yes 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 LYes 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 MYes 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 MYes 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. WYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : /7 p. 1 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc dues# on Taee r6 Athe P iit4ttt 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 [I 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. 1,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 Qiiesti on 10:'Piroposed:Program/Se,.�rrce 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 I I No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ❑ Yes 1 Point MNo 0 Points Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ❑ Yes 1 Point T. No 0 Points Don't know/Not addressed: 0 points Subtotal this page: /6 p. 2 H: 1S 08\09-10 Funding cycle\Ratingtool HSAC.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 0 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 Rtirg)o 0 Points on'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 12j 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: ( /6 p. 3 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point -0 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. JYes 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. iqi Yes 1 Point ri No '0 Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? FI Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Qthatioifii Lome l ari re Plan 1. Does the plan list realistic multiple funding sources for future funding? 19 Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. gal es 1 Point ❑ 0 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page:</6 p. 4 :\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: J `71/" P Agency Name: `� �v1 N, AM\A Program Name: C(. ��� 5 �� U ak 5kr;►sa l Page 1 : 7 /7 Page 2: /6 Page 3: I /6 Page 4: n6 TOTAL 17 /25 P. 5 H \HS 08\09-10 Funding cycle\Ratingtool HSAC.doc feir601V,, Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name k`�e.X cle.w� cuS. awl P‘tuci S cNkt Q Program name 4_6' V oS S-It a_ ::�2uestion;B�Organ'rzational-Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: NYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. K]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 Ul-No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined 1JYes 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 W]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 i South King County. kYes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 7 /7 p: 1 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc Questi6n==9 Needf For the'Pioiiiarrt 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 -1] Yes 1 Point [Li No 0 Points r ❑ 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 i . Target Population 3. The target population is clearly defined 1Yes 1 Point ❑ No 0 Point ❑ Don't know/Not addressed: 0 points uesti©6710.*imposed Pragrairliti Ci 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: Se�V 1e2_ s — Ck��Q_� - �A-c, 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? MYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page:10 /6 p. 2 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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? Ni 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 Fl 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 is 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 9- 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? MYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: y/6 P. 3 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 1 10. Are sp cific 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 L 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. MYes 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 Question<:11 Lonp Rancie:Plan 1. Does the plan list realistic multiple funding sources for future funding? 'KYes 1 Point LNo 0 Points 0 `N Q, ) iP-1 ❑ Don't know/Not addressed: 0 points f P 2. The plan demonstrates the agency plans for long-term sustainability. RI Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: /6 p. 4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: ( �. Agency Name: o Program Name: Q vv c �b `sz.NAAAjRA,4.r ` wA,--, Page 1 : 7 /7 Page 2: /6 Page 3: V /6 Page 4: ta /6 TOTAL /25 p. 5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name s rchs\e, cO< &V'v‘‘ e✓V e.` rV.�tirt' Program name ?Ave•*s 4- ��� �� �T� e t 4`etr �Queston_8 O.rganTiational=Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: IYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. VYes 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 NYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated MYes 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 EYes 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. 16Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page :7 /7 p! 1 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc Qiies� on=9`N'eed-TFor t#�e,P.rogram� 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 Fa 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. `rYLYes 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 0 No 0 Point ❑ Don't know/Not addressed: 0 points Ques#ion'1.0:Pr..oposed'Prograiii/S n ice 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: cs1,0\w__ 2. Will intakes/assessments be done in Renton? ❑ Yes 1 Point No 0 Points TT Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ❑ Yes 1 Point ❑ No 0 Points VI Don't know/Not addressed: 0 points Subtotal this pager /6 p2 I :\HS 08\09-10 Funding cycle\Ratingtool HSAC.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? LKYes 1 Point I 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 IE 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 14 Don't know/Not addressed: 0 points (T) 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:1 /6 p! 3 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point El 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. NYes 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 Evaluation 12. Is the evaluation reasonable and adequate? Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points ?uestoii r Coi►i"g;Ranc4e Pitt 1. Does the plan list realistic multiple funding sources for future funding? 1;0 Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. Et Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: /6 pJ 4 \HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: I V l (As"\t l 2 l Agency Name: - � ve �kf `\.ePe,\, ,w,,_,(� Program Name: Page 1 : 7 /7 Page 2:-2 /6 Page 3: 1 /6 Page 4: 5 /6 TOTAL CC /25 P, 5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc . 7714/43, Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name kC bo R c ,a / A:cS Nut+ R_Sduv� -Q 1, e Program name �� w -r�, I I d�-c i`�s i 0 H- S e « Cl< 0_5 A Questiionr: Otiia ii a thin 1 EXperieha A. Experience 1. The organizational background describes relevant past and current accomplishments: jYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. 11Yes 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 ja Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points . Operational Structure 4. The operational structure of the agency is clearly defined IYes 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 [X]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 :LI /7 p. 11 I H:1HS 08\09-10 Funding cycle\Ratingtool HSAC.doc ! uestiio'n�99-Nee�:F.v�the�Psroq�ram 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 Ur 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 -N Yes 1 Point No 0 Point ❑ Don't know/Not addressed: 0 points Ques"#aont�lO:Pro°p"osed iPragramlSerri:�e 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? M Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: SS w - k� 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: y /6 p. 2 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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 ; I 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 nNo 1 Point 0 Points R-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 n No 0 Points IDon'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) IYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points (T) 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: 2/6 p: 3 I :\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point a 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 gt 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 Qtion'1 9 t;or�grRanpe PP!a 1. Does the plan list realistic multiple funding sources for future funding? N'Yes 1 Point No 0 Points `l Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. Yes 1 Point I1 No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page. I /6 p. 4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: \\A Agency Name: Program Name: f I Page 1 : . 1 /7 Page 2: 1-1 /6 Page 3: 2 /6 Page 4: 0/6 TOTAL 6125 5 P•i 5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 0 Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications 4gency name c�\�`� (0icy ��w rogram name e.ht e.F�ra\ L t -4z..r A t. v� Q est 661`t?rga zational:E iiiii ince A. Experience 1. The organizational background describes relevant past and current accomplishments: 1[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 es 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 aNles 1 Point o 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 : f/7 p. 1 H.\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc ,+CC�uestic>in:9-Neer <Fvr;=thes,P �►qam 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 EYes 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. 4 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 311 No 0 Point ❑ Don't know/Not addressed: 0 points Ques#iota 10 Proposed Program%Se % c 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 I— 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 ❑Y-Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? L ❑ Yes 1 Point ❑ No 0 Points Don't know/Not addressed: 0 points Subtotal this page:,3/6 p. 2 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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 r 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) , 0 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? Ryes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page:5 /6 p. 3 H.\HS 08\09-10 Funding cycle\Ratingtool HSAC.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 1-1 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 Qwestion *11 Long:Rah4e'Rah 1. Does the plan list realistic multiple funding sources for future funding? El-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 /6 p. 4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc r ' SCORES Your name: 0/1 1s- ‘ e . Agency Name: rIA ' e. : Program Name: ,e,‘N,et,), L i 1-- :A,Q- Page 1 : it /7 Page 2: 3 /6 Page 3: -3 /6 Page 4: 3 /6 TOTAL/3 /25 ix 5 :\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc i Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name (--" r_S5- v C �. w l7'MeAS 9 R N`NC 'e' Program name � \ Sv IR 0�k- \�V u t p Questio.n.8Organizational-.Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: 16I,Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. lYes 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 NYes 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 NNo 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 154 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 : Lt/7 p. 1 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc Questiion19-Heed=For the,Prograrrr 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 IKE 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 U 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 1tProposed`°Program/Seirvice 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 p. 2 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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? EUS 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 l y ove_ S b No 0 Points Don't know/Not addressed: 0 points Subtotal this page: 1),/6 P. 3 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc t 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point [2(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? M,Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points teit do rl i Loiiq 4E414e Plan 1. Does the plan list realistic multiple funding sources for future funding? ❑ Yes 1 Point 1v 1l v 7 ‘'CAA:Z3,-- ❑ No 0 Points EXI Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. 7M.Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page; /6 p.I4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: 11/k Agency Name: l�- Program Name: ( ©^m1 SCN��`) a — C5( 1 Page 1 : if /7 Page 2: 246 Page 3: /6 Page 4:21 /6 TOTAL f ( /25 P. '5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc C) Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications gency name.% O'J 'Nc.e4 .x100/\,\.-st 8P1kkkl S'eeuie..S Program'name u-'C L• e.v e_l b w\e Qt.-4 fr eV d est efi al rgai tt of al Exilet enee A. Experience 1. The organizational background describes relevant past and current accomplishments: 01Yes 1 Point 0 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. 1\i/tA/'(-C { Yes 1 Point ( ly\ VS ❑No 0 Points .� ❑ Don't know/Not addressed: 0 points 3. The agency has.demonstrated successes in the area for which funds are sough es 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 DI 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 !iYes 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. MYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page :1 /7 p. 1 H \HS 08\09-10 Funding cycle\Ratingtool HSAC.doc Questoh-9�Need�Far�the�P'ro_ rain 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 U:Proposed Program�IServrce 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 El 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 p. 2 I]:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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: /6 P. 3 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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 El No 0 Points ❑ Don't know/Not addressed: 0 points 'Question:°�`1<'Lonr.::RanpePPlaii 1. Does the plan list realistic multiple funding sources for future funding? El 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: /6 p. 4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: Agency Name: Program Name:. Page 1 : /7 Page 2: /6 Page 3: /6 Page 4: /6 TOTAL /25 p. 5 HL.\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name Program name v1/4.5 \-‹ QuestionF8`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. OYes 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 VI 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 :if/7 p! 1 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc uestion 9'-Nee F r the P gram 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 E iJ No 0 Points El Don't know/Not addressed: 0 points 2. Proposal gives relevant statistics (Renton and/or South King County), comparisions, research and/or experiences. U.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 Quiestiori�"I0:ProposedProgram/Serrtce 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? aYes 1 Point No 0 Points El Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? `>C'Yes 1 Point ❑ No 0 Points ❑;Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? 5 Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: (p/6 p. 2 H.\HS 08\09-10 Funding cycle\Ratingtool HSAC.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? 50 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 I 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 nDon'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 ❑X 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? 31 Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: /6 p. 3 H: HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are specific agencies/programs in Renton mentioned? [1 Yes 1 Point [i No 0 Points ❑ Don't know/Not addressed: 0 points ;3. 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. Ri_Yes 1 Point 1110 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 �G?uestivn It:Lanni 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 PE No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page:/6 p. 4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: bgency Name: , ew -\s) vk\NeS ( `‹. Program Name: C am-%mow C6jo\kDs (A7- W v \,'L Page 1 : 41 /7 Page 2: o /6 Page 3: /6 Page 4: 4 /6 TOTALS /25 p: 5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc . 0 Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications I � Agency name 1.. .v4-o`ki (-c.�c-\'N �z C _.c fie S 42- Program name V€v.% SA A�r� Question,8 O:rganiational 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. ,JYes 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 EYes 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 EYes 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 NYes 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. TYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page 3 /7 pi 1 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc Question:'9�I�eed;�For:ythe-Progirami. 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 'I 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 g Yes 1 Point No 0 Point ❑ Don't know/Not addressed: 0 points Question:.:10WPrrsposed�Airogcam/Sevice, 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? M Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: j c t (C-s� ��-r' �q 2. Will intakes/assessments be done in Renton? tu 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 pager /6 p 2 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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 TT 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? 'Ryes 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? MYes 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 n 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? Oi Yes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page /6 p!3 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are specific agencies/programs in Renton mentioned? Yes 1 Point TT No 0 Points ❑ Don't know/Not addressed: 0 points 13. 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. MYes 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? 1 Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points nest or%':�°1 Linia:Rarige P%a 1. Does the plan list realistic multiple funding sources for future funding? V1 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: /6 p!4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 4 i SCORES Your name: Agency Name: Program Name: Page1 : 1 /7 Page 2: /6 Page 39,:3 /6 Page 4: 1 /6 TOTAL V4, /25 111 5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc C Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name S'-e-tv,; 6xr ;cgs C__ _cz Nevrv-k- P'lek t- Program name Q..-C\ N‘m.v�A--c\ CNVI,r.\ Question 8 tkanlzational.<Experieti IA Experience 1. The organizational background describes relevant past and current accomplishments: E.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 MYes 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 iYes 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 fYes 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 :1 /7 p1 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc ditetfibiltithi6trrotikeAxkitatli 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 RfYes 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. ENLYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined I.Yes 1 Point ❑ No 0 Point ❑ Don't know/Not addressed: 0 points Quesficin'-'1O�Ptoposed ,Pr�igraim/Seilvice 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? al Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: S (i;,r s vA.,2 1�k , c�- 2. Will intakes/assessments be done in Renton? 1'Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? laTes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: Co /6 p. 2 HAFTS 08\09-10 Funding cycle\Ratingtool HSAC.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? Fr-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? a-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? fYes 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? ai 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) • es 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? 'ff1,1+ Yes 1 Point • No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page51, ' /6 p. 3 I-:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are spec)fic agencies/programs in Renton mentioned? [ Yes 1 Point �t 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. 0,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. ❑'fi Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? 1I Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points eit estkiii tan iRat ge Plan 1. Does the plan list realistic multiple funding sources for future funding? IA 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: ( /6 p 4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: k o� A � � �gency Name: � S`e `& V I f �• f�l-u)-I s� fFrogram Name: i vti l �� Page 1 : '1 /7 Page 2: 6/6 Page 3: 15 /6 Page 4: & /6 TOTAL 1-C /25 p. 5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc F ' J Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name � S J -eS Program name N\2u-1 s o N ;2uestion atsigariizational'Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: Yes 1 Point ENo 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. JYes 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 FYes 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 tNo 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 ❑ o 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. E(Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page :) /7 p. 1 H \HS 08\09-10 Funding cycle\Ratingtool HSAC.doc QUestiiin:9-,Need<;For the ,P:EOgram: 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 EYes 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 r4 es 1 Point ■ No 0 Point ❑ Don't know/Not addressed: 0 points Questionllitl Proposed'ProciramiSer}vice 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? IYes 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\Ratingtool HSAC.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? FA Yes 1 Point 0 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? IYes 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? g(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) lYes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points () Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? i; Yes 1 Point ■ o 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page:6 /6 P. 3 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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 b�C_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 di st/oh 11^Lon 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. IQ Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this pager /6 p. 4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: o EZ v te_5=1, Agency Name: Ke_ ` 0 Lo Program Name: Page 1 : 7 ,/7 Page 2: 5/6 Page 3: k /6 Page 4: 3 /6 TOTAL1 /25 P. 5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name V K\r- \ 1\ ` IN t 3 �O���r��� \ C• 0 wN Program name N.) A U rfv•J ee Ass,cw Ques`tib.ri-8r t)rgan atio.nai ME werience A. Experience 1. The organizational background describes relevant past and current accomplishments: IIYes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. DYes 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 NYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of,Board is clearly stated ]Yes 1 Point No 0P Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography Ncr \a❑Yes 1 PointA��-�`;1"s p+ e►�C �`A MNo 0 Points W�ti ch c Don't know/Not addressed: 0 points �c,�L 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 : /7 p. 1 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc uestionF9 Nee. :F. ir-the:Paru'gram. 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 XI 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 WNo 0 Point Don't know/Not addressed: 0 points Question 1ORPropo ed.Pcograrrlerce 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? inYes 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 N.Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ❑ Yes 1 Point n No 0 Points • [ [,Don't know/Not addressed: 0 points Subtotal this page: 9- /6 p. 2 14:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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? In Yes 1 Point 0 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 M 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 g] 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 ) Detail how this program will work with other programs and/or agencies I 9. Does the program collaborate with Renton serving organizations? ❑ Yes 1 Point ❑ No 0 Points E-Don't know/Not addressed: 0 points Subtotal this page:) rl6 p3 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are specific agencies/programs in Renton mentioned? Yes 1 Point No 0 Points • ❑ Don't know/Not addressed: 0 points 43. 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 pDon'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. 1-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 EI No 0 Points ❑ Don't know/Not addressed: 0 points +Quest on1r°1 LorrgyRange plan 1. Does the plan list realistic multiple funding sources for future funding? PYes 1 Point IN() O Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. gYes 1 Point No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 11 /6 p 4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: (\A &0\ Agency Name: U Ni lA ki Program Name: (\--* w Page 1 : S /7 Page 2: 1 , /6 J��`'`\> Page 3: I /6 Page 4: /6 TOTAL [(e9 /25 P; 5 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 7160A,A.Z,' Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name VA)A L& 5 D b,c h1 /c '� C�c 1\ e_A �� I(A Program name cF Q�iestion r0 qa�"r t arial::Ex-pr� _�� r ‘r►��`" �v IIo s h' a i erience e S� A. Experience 1. The or anizational background describes relevant past and current accomplishments: ( es 1 Point -,0 0 Points Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ( Yes 1 Point ^n. 0 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 ENo 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 0 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ❑Yes 1 iSisto 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 KDon'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 :2 /7 p. 1 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc uesti�on:'9.Need,:For theryPropram 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 e-4-r^;^'-'-.r..- ii .. ,v. ,. 'nT'e-'."�-..ew-,.e.,_..,.,a.,r.•>m.•,kT"."';,ww..q"«....pw.Y � Question IO Pi:oposed-Program/Sei<vi.oe, 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? 2J`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 1No 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 pi 2 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.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 ELNo 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 [MNo 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? MYes 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? es 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 pageg /6 p. 3 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc 10. Are specific agencies/programs in Renton mentioned? Ul 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. v Yes 1 Point ❑ o 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. INYes 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 +G?�e'stia W i inq Ranpe Plan 1. Does the plan list realistic multiple funding sources for future funding? 51I-Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. es 1 Point Li No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page:/6 p4 H:\HS 08\09-10 Funding cycle\Ratingtool HSAC.doc SCORES Your name: M 1P01,1 Agency Name: Program Name: Page 1 :-./7 Page 2% /6 Page 3: /6 Page 4: 5 /6 TOTAL 1 /25 p. 5 HAFTS 08\09-10 Funding cycle\Ratingtool HSAC.doc