VHDA Financial Education and Counseling Grant

Application: August 2013

Agency Information:

Organization Name
Tax ID#:
Physical Address:
Mailing address:
Phone #:
Website:
Executive Director:
Phone for ED:
Email for ED:
Program Point of Contact:
Phone for (POC):
Email for (POC):

Eligibility:

Yes / No / Additional Information
Is your organization a 501 (c) 3 or local government agency with offices in Virginia?
Has your organization provided financial education and counseling services for the past two years?
Does your organization serve primarily a rural area of the state as defined in the funding announcement
Does your organization have documented outcomes for financial education and counseling services for at minimum 300 clients per year?
Minimum 100 clients per year if serving rural areas as defined in the funding announcement?
Does your organization have an annual program budget of at least $100,000.00?
Does your agency have matching funds of at least $50,000.00 excluding federal and VHDA sources?

Priorities:

Yes / No / Additional Information
Is your organization a licensed credit counseling agency with offices in Virginia? / .
Is your organization a HUD Housing Counseling Program Intermediary with branches in Virginia? / # of VA Branches:
Is your organization a HUD Approved Local Housing Counseling Agency (LHCA)? / Date Approved:
Is your agency a sub-grantee of a HUD Intermediary? / Intermediary:
Does your organization have partnerships and/or collaboratives with local service providers / Factor 3 will provide an opportunity for organizations to outline partnerships / collaboratives

Rating Factor 1: Organizational Capacity 30 points

Response to this Rating Factor will be used to evaluate the readiness and ability of an applicant to successfully implement financial education and counseling services.

  1. Agency Description. Provide a brief agency description that includes organizational history, purpose and mission, services provided, years of service, and agency licensure or accreditation.

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  1. Attach copies of agency’s license or accreditation. Evidence of licensure and/or accreditation should be attached in a PDF format and identified: Agencyname_FEC_Agency_Certification
  1. Comprehensive Services. Use the table below to quantify the households served for the past two years.

Group Education / Total Households FY12
7/1/11-6/30/12 / Total Households FY13
7/1/12-6/30/13
Pre-purchase / Home buying
Mortgage Delinquency
Rental
Financial Management / Budget
Credit
Other:
Other:
Other:
Total Education
Individual Counseling / Total Households FY12
7/1/11-6/30/12 / Total Households FY13
7/1/12-6/30/13
Pre-purchase / Home buying
Mortgage Delinquency
Rental
Financial Management / Budget
Credit
Debt Management
Other:
Other:
Other:
Total Counseling
  1. Grant Administration. Discuss the extent to which the Applicant has been successful in administering grants and/ or federal funding to provide financial education and counseling. If findings of programmatic noncompliance have been noted, please describe the issue and the resolution.

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  1. Staff Experience and Certification. Complete the chart for each staff person involved with the delivery of financial education and counseling services for your organization. Only include paid full-time or part-time staff. Do not include administrative staff.
  2. Attach copies of each counselor’s current certifications. Certifications are courses that result in successful completion of a course and exam. Do not include copies of trainings, agendas, or registration. Certifications may include credit counseling, financial education, housing counseling. The certifications should be attached in a PDF format and identified: Agencyname_FEC_CounselorName_Certification.

First name
Last name / Job Title / Individual holds a current certification / license / Number of years providing financial education or counseling / Number of years providing management / oversight to a financial education or counseling program
years / years
years / years
years / years
years / years
years / years
years / years
years / years
years / years
years / years
years / years
years / years
years / years
years / years
years / years
years / years
years / years
years / years
years / years
years / years
years / years
  1. Continuity of Service. Explain strategies to ensure efficient program service delivery such as staff cross training, contingency plans, volunteer staff programs, and/or community partnerships.

Enter Text Here (5,000 characters)

Rating Factor 2: Proposed Use and Service Delivery 20 Points

Response to this Rating Factor will be used to evaluate the impact and effective use of programmatic funding.

  1. Funding Request. Requests should be no less than $25,000.00. $
  1. Service Provision. Describe the proposed Financial Education and Counseling services your agency will provide with the grant funds. The description should include what the service entails, the delivery method, and fees. Include any innovative and creative activities your organization provides that support the proposed services.

Enter Text Here (5,000 characters)

  1. Service Delivery /Goals. Grant funds may be used for a two year period or less: 7/1/2013 – 6/30/2015. Usethe chart below to quantify the households that your organization proposes to serve; per service type,and per grant year.

Financial Education / VHDA FECC Grant
Total Households
FY14
7/1/2013 – 6/30/2014 / VHDA FECC Grant Total Households
FY15
7/1/2014 – 6/30/2015
Pre-purchase / Home buying
Mortgage Delinquency
Rental
Financial Management / Budget
Credit
Other:
Other:
Other:
Total
Individual Counseling / VHDA FECC Grant
Total Households
FY14
7/1/2013 – 6/30/2014 / VHDA FECC Grant Total Households
FY15
7/1/2014 – 6/30/2015
Pre-purchase / Home buying
Mortgage Delinquency
Rental
Financial Management / Budget
Credit
Debt Management
Other:
Other:
Other:
Total
  1. Grant Expenditures. Use the chart below to outline how grant funds will be expended each year.

Expenses / FY14 / FY15
Staff Salaries / $ / $
Equipment / $ / $
Supplies / $ / $
Marketing / $ / $
Travel / $ / $
Training / $ / $
Telecommunications / $ / $
Printing / Copying / $ / $
Membership Dues / $ / $
Postage / $ / $
Computer/technology / $ / $
Support Services to include: rent, phone, utilities, internet / $ / $
Credit Reports / $ / $
Insurance / $ / $
Other: / $ / $
Other: / $ / $
Other: / $ / $
Other: / $ / $
Other: / $ / $
Other: / $ / $
Other: / $ / $
Other: / $ / $
Other: / $ / $
TOTAL / $ / $

Rating Factor 3: Need25Points.

Response to this Rating Factor will be used to evaluate the demonstrated need for funding and services.

  1. Location. Identify the geographic area to be served.

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  1. Community Need. Describe the community need and target population. Support need statement with indicators of demand such as market studies, jurisdictional plans or reports, and/or the number of application and inquiries received per month.

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  1. Funding Need. Describe your agency’s funding need and how grant funds will support financial education and counseling activities.

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  1. Marketing and Outreach. Explain how your organization markets its programs and services and provides outreach to the community.

Enter Text Here (5,000 characters)

  1. Effective Partnerships. Describe partnerships and collaboratives with other housing counseling, social service, lending, an/or community organizations. Provide detail to explain how these partnerships support programs and services for the community.

Enter Text Here (5,000 characters)

Rating Factor 4: Evaluation and Measurement 25 Points

Response to this Rating Factor will be used to evaluate the outcome management, program evaluation, and oversight systems.

  1. ProjectedOutcomes. Briefly describe and quantify the expected outcomes of your financial education and counseling program.

Enter Text Here (5,000 characters)

  1. Impact and Performance Measures. Briefly describe the procedures and systems in place used to track program impact and performance measures.

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  1. Evaluation. Briefly describe your evaluation plan and timeline to ensure program performance and client satisfaction.

Enter Text Here (5,000 characters)

  1. Adjustment Plan. Briefly describe the steps in place to adjust if goals are not met within established timeframes or the needs of the client/community changes.

Enter Text Here (5,000 characters)

  1. Compliance. Briefly describe how your organization will ensure that files, programs, and reporting standards, as outlined in the Financial Education and Counseling Grant Program Funding Announcement, will be met. Provide your organization’s internal review process to include oversight and delivery of service.

Enter Text Here (5,000 characters)

Rating Factor 5: Projected Budget(Required Charts)

Response to this Rating Factor will be used to evaluate the resources available to support the total financial education and counseling program.

  1. Sources and Uses. Use the table below to provide a projected budget representing the total financial education and counseling program for the timeframe 7/1/2013 – 6/30/2015. The budget provided must include all programmatic Sources and Uses, received and anticipated, including this funding request.

Sources: list each funding source / Check if Federal / $ Amount
FY14 / $ Amount
FY15
List Funding Source / $
List Funding Source / $
List Funding Source / $
List Funding Source / $
List Funding Source / $
List Funding Source / $
List Funding Source / $
List Funding Source / $
List Funding Source / $
List Funding Source / $
List Funding Source / $
List Funding Source / $
List Funding Source / $
List Funding Source / $
List Funding Source / $
List Funding Source / $
TOTAL / $ / $
Uses: list expenditures / Amount
FY14 / Amount
FY15
Staff Salaries / $ / $
Equipment / $ / $
Supplies / $ / $
Marketing / $ / $
Travel / $ / $
Training / $ / $
Telecommunications / $ / $
Printing/Copying / $ / $
Membership Dues / $ / $
Postage / $ / $
Computer/technology / $ / $
Support Services to include: rent, phone, utilities, internet / $ / $
Credit Reports / $ / $
Insurance / $ / $
Other: / $ / $
Other: / $ / $
Other: / $ / $
Other: / $ / $
Other: / $ / $
Other: / $ / $
Other: / $ / $
Other: / $ / $
TOTAL / $ / $
  1. Matching Funds. Provide a list of funds available for match in an amount not less than $50,000 from any source excluding federal and VHDA.

Matching Funds / $ Amount
$
$
$
$
$
$
$
$
$
TOTAL / $

Funding Application:

VHDA Financial Education and Counseling Grant Program – FY2014

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