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HomeMy WebLinkAboutChild Care Resources Result 9, Tab 38 Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name Child Care Resources Program name Child Care Resource & Referral 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 : 5 /7 p. 1 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\CCR.doc Question 9 Need.Foe 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 OPoints ® 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: Phone/internet 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? Et Yes 1 Point ❑ No 0 Points Don't know/Not addressed: 0 points Subtotal this page: /6 p. 2 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\CCR.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? J Yes 1 Point ❑ No 0 Points NK 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\DU ratings\APP Rating\CCR.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 if 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\CCR.doc SCORES Your name: du Agency Name:CCR Program Name:Resource & Referral Page 1 : 5 /7 Page 2: 3 /6 Page 3: 4 /6 Page 4: 4 /6 TOTAL 1g/25 p. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\CCR.doc M � Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name Chinese Information & Service Ctr Program name Cultural Navigation Program 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\Chineseinfo.doc Question 9 Need For th"e.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 ProposedProgram/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\Chineseinfo.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\Chineseinfo.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 v 12. Is the evaluation reasonable and adequate? f ® Yes 1 Point 0 No 0 Points Don't know/Not addressed: 0 points Question 11 Longr 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 ubtotal this a e\ /6 page: ,.. 4 I :\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Chineseinfo.doc SCORES Your name: du Agency Name:Chinese Info & Service Ctr Program Name:Cultural Navigator Program Page 1 : 6 /7 Page 2: 4 /6 Page 3: 4 /6 Page 4: /6 • TOTAL 1-8 /25 P. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Chineseinfo.doc Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name Crisis clinic Program name 2-1-1 CIL duestion 8 Organizatiionai"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\2-1-1 CIL.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. /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 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 -1X4No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: \/6 p. 2 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\2-1-1 CIL.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? /1 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 3 Subtotal this page:'/6 P. 3 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\2-1-1 CIL.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 if 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: 3 /6 p. 4 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\2-1-1 CIL.doc SCORES , ' Your name: du Agency Name:Crisis Clinic Program Name:2-1-1 CIL Page 1 : 5 /7 Page 2: /6 Page 3A/6 Page 4: 3 /6 TOTAL /25 ) 7 P. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\2-1-1 CIL.doc Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name Crisis Clinic Program name 24 Hour Crisis Line Question 8 Organizational°Experience A. Experience 1. The organizational background describes relevant past and current accomplishments: ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 2. The successes are in Renton and/or South King County. ❑Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 3. The agency has demonstrated successes in the area for which funds are sought ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points B. Operational Structure 4. The operational structure of the agency is clearly defined ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 5. Role of Board is clearly stated ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 6. Board is diverse. Diversity can include age, service, consumers, disability, gender, race/ethnicity, geography ®Yes 1 Point ❑No 0 Points ❑ Don't know/Not addressed: 0 points 7. There is a clear explanation as to how the Board stays informed and connected about needs in South King County. ❑Yes 1 Point ❑No 0 Points • Don't know/Not addressed: 0 points Subtotal this page : 5 /7 p. 1 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\24Hrcrisisline.doc Question 9-Need Formthe 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 ttuestian 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\24Hrcrisisline.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? /1 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) S',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\DU ratings\APP Rating\24Hrcrisisline.doc J 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 i 12. Is the evaluation reasonable and adequate? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Question 11 Lonq Range Plan 1. Does the plan list realistic multiple funding sources for future funding? a Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. -131 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\DU ratings\APP Rating\24Hrcrisisline.doc SCORES Your name: du Agency Name:Crisis Clinic Program Name:24 Hour Crisis Line Page 1 : 5 /7 Page 2: 6 /6 Page 3: 5 /6 Page 4: 5 /6 TOTAL ` , /25 P. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\24Hrcrisisline.doc Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name Crisis Clinic Program name TEEN Link 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 : 5 /7 p. 1 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\TEENLINK.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\TEENLINK.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? r 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\TEENLINK.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 P? Lonq Range Plan 1. Does the plan list realistic multiple funding sources for future funding? ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points 2. The plan demonstrates the agency plans for long-term sustainability. ® Yes 1 Point ❑ No 0 Points ❑ Don't know/Not addressed: 0 points Subtotal this page: 5 /6 p. 4 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\TEENLINK.doc . SCORES Your name: du A gency Name:Crisis Clinic Program Name:TEEN Link Page 1 : 5 /7 Page 2: 5 /6 Page 3: 5 /6 Page 4: 5 /6 TOTAL 20 /25 Ie. 5 I :\HS 08\09-10 Funding cycle\DU ratings\APP Rating\TEENLINK.doc 1 _7 . ct r , Human Services Advisory Committee, Rating Tool, 2009/2010 Funding Applications Agency name Senior Services Program name Vol Trans 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\Vo1 Trans.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 14. Pronosed'Piopram/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\Vo1 Trans.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\Vo1 Trans.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 Lon_q.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 p. 4 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Vol Trans.doc r SCORES Your name: du Agency Name:Senior Services Program Name:Vol. Transp. Page 1 : 6 /7 Page 2: 5 /6 Page 3: 5 /6 Page 4: 6 /6 TOTAL 20 /25 P. 5 H:\HS 08\09-10 Funding cycle\DU ratings\APP Rating\Vo1 Trans.doc