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'.e 5c • , Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name CCS Program name ARISE Question 8 Organizational Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not,addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 7.. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 7 /7 pl 1 H:\HS 08\09-10 Funding cycle\DU ratings\CCS ARISE.doc Question 9 Need For the Program A. Problem Statement 1. The proposal gives a clear accurate profile that identifies the problem and substantiates need in Renton and/or South King County ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. Proposal gives relevant statistics (Renton and/or South King County), comparisions, research and/or experiences. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined ® Yes 1 Point ❑ No 0 Point ❑ Don't know/Not addressed: 0 points Question. 10 Proposed Program/Service A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s) where services will be delivered clearly stated? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 5 /6 p. 2 ]I:\HS 08\09-10 Funding cycle\DU ratings\CCS ARISE.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 OPoints ❑ Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ❑ Yes 1 Point ❑ No 0 Points • Don't know/Not addressed: 0 points Subtotal this page: 5 /6 P. 3 H:\HS 08\09-10 Funding cycle\DU ratings\CCS ARISE.doc 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point • No 0 Points ® Don't know/Not addressed: 0 points B. Performance Measures and Outcomes 11. The service delivery plan describes the performance measures and outcomes in measurable terms, one for each problem or need to be addressed, and how the target population will benefit. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Ci. Staffing Plan 8. Program Staff has applicable/related experience in working with proposed program. In Q8 operational experience, also asks to describe roles, responsibilities and expertise of management and staff. May need to go to both sections to get answers. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Question 11 Long Ramie Plan 1. Does the plan list realistic multiple funding sources for future funding? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page: 3 /6 i.. 4 :\HS 08\09-10 Funding cycle\DU ratings\CCS ARISE.doc SCORES Your name: Du Agency Name:CCS Program Name:ARISE Page 1 : 7 /7 Page 2: 5 /6 Page 3: 5 /6 Page 4: 3 /6 TOTAL 20 /25 P. 5 H:\HS 08\09-10 Funding cycle\DU ratings\CCS ARISE.doc lets & -I b Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name CCS Program name Emergency Assistance Question 8 Organizational_Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 7 /7 • p• 1 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\CCS EA.doc • Question 9 Need For the Program A. Problem Statement 1. The proposal gives a clear accurate profile that identifies the problem and substantiates need in Renton and/or South King County ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. Proposal gives relevant statistics (Renton and/or South King County), comparisions, research and/or experiences. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined ® Yes 1 Point ❑ No 0 Point ❑ Don't know/Not addressed: 0 points Question V1 O Proposed•PrograamService A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s) where services will be delivered clearly stated? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 4 /6 p. 2 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\CCS EA.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: 3 /6 p. 3 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\CCS EA.doc 10. Are specific agencies/programs in Renton mentioned? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Performance Measures and Outcomes 11. The service delivery plan describes the performance measures and outcomes in measurable terms, one for each problem or need to be addressed, and how the target population will benefit. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Ci. Staffing Plan 8. Program Staff has applicable/related experience in working with proposed program. In Q8 operational experience, also asks to describe roles, responsibilities and expertise of management and staff. May need to go to both sections to get answers. // Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Question 1'i LonaRange Plan 1. Does the plan list realistic multiple funding sources for future funding? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 6 /6 • e. 4 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\CCS EA.doc SCORES Your name: Agency Name: Program Name: Page 1 : 7 /7 Page 2: 4 /6 Page 3: 3 /6 Page 4: 6 /6 TOTAL 20 /25 p. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\CCS EA.doc eza.i..,a2,,t-cd)97,,k, "SD Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name CHCKC Program name HealthCare for the Homeless Question 8 Orgahizat onal.Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ❑Yes 1 Point ®No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ❑Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 5 /7 p. 1 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\CHCKC HH.doc Question 9 Need. For the Program A. Problem Statement 1. The proposal gives a clear accurate profile that identifies the problem and substantiates need in Renton and/or South King County ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. Proposal gives relevant statistics (Renton and/or South King County), comparisions, research and/or experiences. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined ® Yes 1 Point ❑ No 0 Point ❑ Don't know/Not addressed: 0 points Question 10 Proposed Program/Service A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s) where services will be delivered clearly stated? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 5 /6 p. 2 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\CHCKC HH.doc Note: If 2. and 3. (above) are marked "yes", then mark yes in 4 and 5. 4. If answer is no to either#2 or#3, does the application address the location and its accessibility to Renton residents? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 5. If the agency's office is not in Renton and they plan to provide services in Renton, have they identified a specific location within the Renton community where services will be provided? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (4) How the program addresses the problem statement 6. Does the proposed program explain how it will address the problem described in question 9? // Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (5) How the program addresses the language and/or cultural needs of the clients 7. Were the language and/or cultural needs of the clients addressed? ❑ Yes 1 Point ❑ No 0 Points • Don't know/Not addressed: 0 points 8. Are the services delivered in languages appropriate to the residents of the City of Renton? Top seven languages spoken in RSD ESL are: Spanish (1728), Vietnamese (662), Chinese-Cantonese (256), Somali (205), Russian (161), Tagalog (174), Ukrainian (144) ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 4 /6 P. 3 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\CHCKC HH.doc 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points B. Performance Measures and Outcomes 11. The service delivery plan describes the performance measures and outcomes in measurable terms, one for each problem or need to be addressed, and how the target population will benefit. • Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Ci. Staffing Plan 8. Program Staff has applicable/related experience in working with proposed program. In Q8 operational experience, also asks to describe roles, responsibilities and expertise of management and staff. May need to go to both sections to get answers. ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 'Question 1!1' Lon-4 Range Plan 1. Does the plan list realistic multiple funding sources for future funding? ® Yes 1 Point O No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 4 /6 p. 4 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\CHCKC HH.doc SCORES Your name: du Agency Name:CHCKC Program Name:Healthcare for the Homeless Page 1 : 5 /7 Page 2: 5 /6 Page 3: 4 /6 Page 4: 4 /6 TOTAL 18 /25 P. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\CHCKC HH.doc 12-0-4 - Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name Multi-Service Center Program name Emergency/Transitional Housing Question'8 Organizational Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points j ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ❑Yes 1 Point ❑No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page : 6 /7 p. 1 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Hsg.doc • Question:Need For the Program A. Problem Statement 1. The proposal gives a clear accurate profile that identifies the problem and substantiates need in Renton and/or South King County ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. Proposal gives relevant statistics (Renton and/or South King County), comparisions, research and/or experiences. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined ® Yes 1 Point ❑ No O Point ❑ Don't know/Not addressed: 0 points Question 14Proposed Program/Service A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s)where services will be delivered clearly stated? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 4 /6 p. 2 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Hsg.doc • Note: If 2. and 3. (above) are marked "yes", then mark yes in 4 and 5. 4. If answer is no to either#2 or#3, does the application address the location and its accessibility to Renton residents? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points 5. If the agency's office is not in Renton and they plan to provide services in Renton, have they identified a specific location within the Renton community where services will be provided? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points (4) How the program addresses the problem statement 6. Does the proposed program explain how it will address the problem described in question 9? Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (5) How the program addresses the language and/or cultural needs of the clients 7. Were the language and/or cultural needs of the clients addressed? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 8. Are the services delivered in languages appropriate to the residents of the City of Renton? Top seven languages spoken in RSD ESL are: Spanish (1728), Vietnamese (662), Chinese-Cantonese (256), Somali (205), Russian (161), Tagalog (174), Ukrainian (144) ❑ Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page: 2 /6 p. 3 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Hsg.doc 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point • No 0 Points ❑ Don't know/Not addressed: 0 points B. Performance Measures and Outcomes 11. The service delivery plan describes the performance measures and outcomes in measurable terms, one for each problem or need to be addressed, and how the target population will benefit. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Ci. Staffing Plan 8. Program Staff has applicable/related experience in working with proposed program. In Q8 operational experience, also asks to describe roles, responsibilities and expertise of management and staff. May need to go to both sections to get answers. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Question 11 Lone Range Plan 1. Does the plan list realistic multiple funding sources for future funding? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. • Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 6 /6 I.. 4 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Hsg.doc SCORES Your name: du Agency Name:MSC Program Name:Emergency & Transitional Hsg Page 1 : 6 /7 Page 2: 4 /6 Page 3: 2 /6 Page 4: 6 /6 TOTAL 18 /25 5 :\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Hsg.doc T f . J Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name MSC Program name Emergency Assistance Question 8 Organizational Experience: A. Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ❑Yes 1 Point ❑No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page : 6 /7 p. 1 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Emergency Assistance.doc Question 9 Need For the Prograni 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 10 Proposed Program/Service A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s) where services will be delivered clearly stated? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 5 /6 p. 2 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Emergency Assistance.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 OPoints ❑ Don't know/Not addressed: 0 points (4) How the program addresses the problem statement 6. Does the proposed program explain how it will address the problem described in question 9? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (5) How the program addresses the language and/or cultural needs of the clients 7. Were the language and/or cultural needs of the clients addressed? • Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 8. Are the services delivered in languages appropriate to the residents of the City of Renton? Top seven languages spoken in RSD ESL are: Spanish (1728), Vietnamese (662), Chinese-Cantonese (256), Somali (205), Russian (161), Tagalog (174), Ukrainian (144) ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 4 /6 I.. 3 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Emergency Assistance.doc " r 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. I 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 9 a Long Range Plan 1. Does the plan list realistic multiple funding sources for future funding? ❑ Yes 1 Point • No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 5 /6 . 4 :\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Emergency Assistance.doc SCORES Your name: du Agency Name:MSc Program Name:Emergency Asst Page 1 : 6 /7 Page 2: 5 /6 Page 3: 4 /6 Page 4: 5 /6 TOTAL 20 /25 P. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Emergency Assistance.doc Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name MSC Program name Homelessness Prevention Question 8 Organizational Experience A. Experience 1. The organizational background describes relevant past and current accomplishments:. //Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ❑Yes 1 Point ❑No 0 Points ® Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined LIYes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ❑Yes 1 Point /1 No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 5 /7 p. 1 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Homlessness Prevention.doc Question 0 Need For`the Pr©grari 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 10 Proposed Program%Service A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s) where services will be delivered clearly stated? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? • Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 6 /6 p. 2 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Homlessness Prevention.doc Note: If 2. and 3. (above) are marked "yes", then mark yes in 4 and 5. 4. If answer is no to either#2 or#3, does the application address the location and its accessibility to Renton residents? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 5. If the agency's office is not in Renton and they plan to provide services in Renton, have they identified a specific location within the Renton community where services will be provided? ® Yes 1 Point ❑ No 0 Points [' Don't know/Not addressed: 0 points (4) How the program addresses the problem statement 6. Does the proposed program explain how it will address the problem described in question 9? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (5) How the program addresses the language and/or cultural needs of the clients 7. Were the language and/or cultural needs of the clients addressed? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 8. Are the services delivered in languages appropriate to the residents of the City of Renton? Top seven languages spoken in RSD ESL are: Spanish (1728), Vietnamese (662), Chinese-Cantonese (256), Somali (205), Russian (161), Tagalog (174), Ukrainian (144) [' Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page: 4 /6 •. 3 :\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Homlessness Prevention.doc 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points B. Performance Measures and Outcomes 11. The service delivery plan describes the performance measures and outcomes in measurable terms, one for each problem or need to be addressed, and how the target population will benefit. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Ci. Staffing Plan 8. Program Staff has applicable/related experience in working with proposed program. In Q8 operational experience, also asks to describe roles, responsibilities and expertise of management and staff.,May need to go to both sections to get answers. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Question 11 Lonp°Rance Plan 1. Does the plan list realistic multiple funding sources for future funding? ❑ Yes 1 Point • No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. Yes 1 Point No 0 Points Don't know/Not addressed: 0 points Subtotal this page: V6 ie. 4 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Homlessness Prevention.doc SCORES Your name: du Agency Name:MSC Program Name:Homelessness Prevention Page 1 : 5 /7 Page 2: 6 /6 Page 3: 4 /6 Page 4: 3 /6 TOTAL 1 /25 , . 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\MSC Homlessness Prevention.doc P--e4-4.4.. 4---t' Tc,I, St/ Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name St Vincent dePaul Program name Emergency Assistance Question 8 Qrganizational'Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 7 /7 . 1 :\HS 08\09-10 Funding cycle\DU ratings\APP Rating\StVincent.doc Question 9 Need.For the Program' A. Problem Statement 1. The proposal gives a clear accurate profile that identifies the problem and substantiates need in Renton and/or South King County • Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. Proposal gives relevant statistics (Renton and/or South King County), comparisions, research and/or experiences. r Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined a Yes 1 Point ❑ No 0 Point ❑ Don't know/Not addressed: 0 points Question 10 Proposed Program/Service A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s) where services will be delivered clearly stated? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ® Yes 1 'Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 6 /6 p. 2 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\StVincent.doc . Note: If 2. and 3. (above) are marked "yes", then mark yes in 4 and 5. 4. If answer is no to either#2 or#3, does the application address the location and its accessibility to Renton residents? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 5. If the agency's office is not in Renton and they plan to provide services in Renton, have they identified a specific location within the Renton community where services will be provided? Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (4) How the program addresses the problem statement 6. Does the proposed program explain how it will address the problem described in question 9? Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (5) How the program addresses the language and/or cultural needs of the clients 7. Were the language and/or cultural needs of the clients addressed? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 8. Are the services delivered in languages appropriate to the residents of the City of Renton? Top seven languages spoken in RSD ESL are: Spanish (1728), Vietnamese (662), Chinese-Cantonese (256), Somali (205), Russian (161), Tagalog (174), Ukrainian (144) ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page: 5 /6 • p. 3 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\StVincent.doc 10. Are specific agencies/programs in Renton mentioned? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points E. 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 91 Lone Range Plan 1. Does the plan list realistic multiple funding sources for future funding? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 4 /6 p. 4 1-1:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\StVincent.doc SCORES Your name: du Agency Name:St Vincent dePaul Program Name:EAP Page 1 : 7 /7 Page 2: 6 /6 Page 3: 5 /6 Page 4: 4 /6 TOTAL 2* /25 P. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\StVincent.doc q7c • ,.b , Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name Valley Cities Counseling & Consultation Program name Homeless Family Services Question 8 Organizational Experience . Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ❑Yes 1 Point ®No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ❑Yes 1 Point ®No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 5 /7 p. 1 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Valley Cities.doc Question 9 Need For the Program A. Problem Statement 1. The proposal gives a clear accurate profile that identifies the problem and substantiates need in Renton and/or South King County ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. Proposal gives relevant statistics (Renton and/or South King County), comparisions, research and/or experiences. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined ® Yes 1 Point ❑ No 0 Point ❑ Don't know/Not addressed: 0 points Question 10 Proposed Program/Service A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s) where services will be delivered clearly stated? • Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? • Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ❑ Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 6 /6 p. 2 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Valley Cities.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 O Points ❑ Don't know/Not addressed: 0 points (5) How the program addresses the language and/or cultural needs of the clients 7. Were the language and/or cultural needs of the clients addressed? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points 8. Are the services delivered in languages appropriate to the residents of the City of Renton? Top seven languages spoken in RSD ESL are: Spanish (1728), Vietnamese (662), Chinese-Cantonese (256), Somali (205), Russian (161), Tagalog (174), Ukrainian (144) ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 4 /6 p. 3 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Valley Cities.doc 10. Are specific agencies/programs in Renton mentioned? • Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points B. Performance Measures and Outcomes 11. The service delivery plan describes the performance measures and outcomes in measurable terms, one for each problem or need to be addressed, and how the target population will benefit. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Ci. Staffing Plan 8. Program Staff has applicable/related experience in working with proposed program. In Q8 operational experience, also asks to describe roles, responsibilities and expertise of management and staff. May need to go to both sections to get answers. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points Question 9 Long Range Plan 1. Does the plan list realistic multiple funding sources for future funding? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 4 /6 p. 4 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Valley Cities.doc SCORES Your name: Du Agency Name:Valley Cities Program Name:Homeless Family Svcs Page 1 : 5 /7 Page 2: 6 /6 Page 3: 4 /6 Page 4: 4 /6 TOTAL 19 /25 P. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Valley Cities.doc 'J Gn. J2 1. • 0,- Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name Wav Back Inn Program name Trans. Hsu Question 8 Organizational Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ❑Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ®Yes 1 Point ON 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 7 /7 p. 1 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\WBI.doc Question 9 Need For tiie Program' A. Problem Statement 1. The proposal gives a clear accurate profile that identifies the problem and substantiates need in Renton and/or South King County ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. Proposal gives relevant statistics (Renton and/or South King County), comparisions, research and/or experiences. ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points B. Target Population 3. The target population is clearly defined • Yes 1 Point ❑ No 0 Point ❑ Don't know/Not addressed: 0 points Question 10.Proposed`Program/Service A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s)where services will be delivered clearly stated? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 4 /6 I.. 2 I :\HS 08\09-10 Funding cycle\DU ratings\APP Rating\WBI.doc Note: If 2. and 3. (above) are marked "yes", then mark yes in 4 and 5. 4. If answer is no to either#2 or#3, does the application address the location and its accessibility to Renton residents? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 5. If the agency's office is not in Renton and they plan to provide services in Renton, have they identified a specific location within the Renton community where services will be provided? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (4) How the program addresses the problem statement. 6. Does the proposed program explain how it will address the problem described in question 9? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (5) How the program addresses the language and/or cultural needs of the clients 7. Were the language and/or cultural needs of the clients addressed? ® Yes 1 Point' ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 8. Are the services delivered in languages appropriate to the residents of the City of Renton? Top seven languages spoken in RSD ESL are: Spanish (1728), Vietnamese (662), Chinese-Cantonese (256), Somali (205), Russian (161), Tagalog (174), Ukrainian (144) ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page: 5 /6 P. 3 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\WBI.doc r "s • 10. Are specific agencies/programs in Renton mentioned? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points B. Performance Measures and Outcomes 11. The service delivery plan describes the performance measures and outcomes in measurable terms, one for each problem or need to be addressed, and how the target population will benefit. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Ci. Staffing Plan 8. Program Staff has applicable/related experience in working with proposed program. In Q8 operational experience, also asks to describe roles, responsibilities and expertise of management and staff. May need to go to both sections to get answers. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Cii Evaluation 12. Is the evaluation reasonable and adequate? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Question 11 Lona-Range`Plar 1. Does the plan list realistic multiple funding sources for future funding? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ❑ Yes 1 Point ❑ No 0 Points ® Don't know/Not addressed: 0 points Subtotal this page: 4 /6 p. 4 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\WBI.doc SCORES Your name: DU Agency Name:WBI Program Name:Transitional Hsg Page 1 : 7 /7 Page 2: 4 /6 Page 3: 5 /6 Page 4: 4 /6 TOTAL 20 /25 P. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\WBI.doc tab.d— ` „a.... Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name YWCA Program name Emergency Hsg Question 8 Organizational Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ['No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page : 7 /7 P. 1 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\YWCA Hsg. doc.doc :'Question 9=.Need For theProgram 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 110 Proposed Program/Service A. Program Description (2) Methods (including locations) you will use to serve the target population 1. Is the site(s)where services will be delivered clearly stated? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Sites: 2. Will intakes/assessments be done in Renton? ® Yes 1 Point . ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 3. Will services be physically provided in Renton? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 6 /6 2 :\HS 08\09-10 Funding cycle\DU ratings\APP Rating\YWCA Hsg. doc.doc e- r 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 O 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 Z Don't know/Not addressed: 0 points (7) Detail how this program will work with other programs and/or agencies 9. Does the program collaborate with Renton serving organizations? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 5 /6 P. 3 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\YWCA Hsg. doc.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 Evaluation 12. Is the evaluation reasonable and adequate? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Question"if Lana Range Plan 1. Does the plan list realistic multiple funding sources for future funding? ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ❑ Yes 1 Point ® No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 4 /6 p. 4 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\YWCA Hsg. doc.doc SCORES Your name: du Agency Name:YWCA Program Name:Trans Hsg Page 1 : 7 /7 Page 2: 6 /6 Page 3: 5 /6 Page 4: 4 /6 TOTAL 22 /25 p. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\YWCA Hsg. doc.doc