1 Create a ZoomGrants™ account (below) or log in to your existing account (above) 2 Select a Program to apply for, then click the Apply button to get started 3 Answer the questions and/or fill in the fields in each tab 4 If necessary, upload any requested documents 5 Submit your application and wait for a decision 6 If you are selected to receive funding, you might be required to submit invoices or reports through your application
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The City of Tempe is seeking non-profit partners to provide necessary human services in Tempe. Go to Tempe Community Council's website for more information: https://www.tempecommunitycouncil.org/agency-review/
By entering your initials here you certify this submission truthfully and accurately represents your application and is hereby submitted for review. Submission of this application does not, in any way, guarantee that your application will yield a favorable result.
Submission of this application also
indicates your agreement to the
terms
of using ZoomGrants™.
Materials submitted in response to this competitive process shall become the property of the City of Tempe.All received proposals shall remain confidential until the award of contract recommendation has been filed with the Tempe City Clerk for Tempe City Council action. Thereafter, the proposals shall be deemed public records.
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This Pre-Application section must be submitted and Approved by the Administrator (not ZoomGrants) before you can fill out the rest of the application. Click the Submit Pre-Application button at the top or bottom of this tab to submit this section to be reviewed.
Application Questions
(answers are saved automatically when you move to another field)
1. Provide the mission and/or vision statement for your organization.
2. Describe the specific challenge or need the program will address and explain how the community will benefit. Include any research, local statistics, or other evidence demonstrating that this service is needed. Refer to the Community Needs Assessment.
3. Describe the specific program the agency is requesting funds to support. Clearly describe the program design/or service(s) to be supported by this funding source. Walk through what a program participant will experience and what will change for them as a result of the program.
4. Describe the best practices or proven approaches your program will use to meet this need.
5. Which type of grant are you applying for? Single means one agency and one program.
Collaborative means two or more agencies/organizations working on one program together.
Social Determinants of Health BRANCHING QUESTION Based on your answer to this question, other questions which do not apply will be removed. Disregard number sequencing.
6. Select the PRIMARY social determinant of health your programs seeks to address. You must select only one. Refer to the RFP and Training Manual for definitions of each social determinant.
7. Affordable Quality Housing - Select a subtopic social determinant of health the program seeks to address.
You must select only one.
8. Economic Opportunity -Select a subtopic social determinant of health the program seeks to address.
You must select only one.
9. Access to Care - Select a subtopic social determinant of health the program seeks to address. You must select only one.
10. Social Justice - Select a subtopic social determinant of health the program seeks to address. You must select only one. Collaborative programs of any kind (any subtopic - not just Social Justice) should apply under Social Justice.
11. Quality Affordable Food - Select a subtopic social determinant of health the program seeks to address. You must select only one.
12. Social Cohesion- Select a subtopic social determinant of health the program seeks to address. You must select only one.
13. Educational Opportunity - Select a subtopic social determinant of health the program seeks to address You must select only one.
14. Community Safety - Select a subtopic social determinant of health the program seeks to address You must select only one.
15. How many unduplicated people from Tempe will be served through this program? Tempe clients only. Provide a number only, no commas.
16. How will you use these funds? Be specific. If this grant will cover only part of the program’s total cost, explain what portion it covers and how the remaining costs are funded or will be funded. For example, are you leveraging other resources, partnerships, or collaborations?
17. How does your agency intentionally incorporate equity into the development, implementation, and evaluation of your program? Describe strategies, policies, or practices you use to ensure services are accessible and fair for all community members. (Here, equity lens is defined as a process for analyzing or diagnosing the impact of the design and implementation of policies on under-served and marginalized individuals and groups, and to identify and potentially eliminate barriers.)
18. How do Tempe residents learn about your services? Additionally, how do they access your program? Describe factors such as your physical location, proximity to public transit options, virtual access, days/times the program is available, or other elements that support community members in reaching or using your services. Include how referrals happen, if you have outreach services, marketing efforts, etc.
19. What is the goal of this program? Answer using a clear, concise goal statement. An aspirational “big picture” statement about what you hope to achieve with this program.
20. As related to your goal, provide Measurable Outcome Statement #1:
Follow this template: ___ (%) of ___ (Participant type: families, youth) will ___(Direction of change: increase, improve, modify) their ___ (Type of change: knowledge, attitude, condition) of/towards ___ (Area of change: employment, food security).
See Agency Review Application Information: Policies & Procedures and Request For Proposal document for more guidance in the Libraries Tab and TCC Website. Include narrative.
21. Identify one or more measurable indicators for Outcome Statement 1. Indicators must be specific and quantifiable and are typically expressed as a number/or percentage of clients showing progress towards the stated outcome. Include how they will be measured (“as measured by…”) Please include all of the following components: % of Tempe participants, Type of participants, Direction of change, Definition of success, Data Collection method, Time-bound.
22. As related to your goal, provide Measurable Outcome Statement 2.
Follow this template: (%) of ___ (Participant type: families, youth) will __ (Direction of change: increase, improve, modify) their ___ (Type of change: knowledge, attitude, condition) of/towards ___ (Area of change: employment, food security).
See Policies & Procedures and Request For Proposal in the Libraries Tab or TCC Website. Include narrative.
23. Identify one or more measurable indicators for Outcome Statement 2. Indicators must be specific and quantifiable and are typically expressed as a number/or percentage of clients showing progress towards the stated outcome. Include how they will be measured (“as measured by…”) See Policies & Procedures and Request For Proposal in the Libraries Tab.
24. As related to your goal, provide Measurable Outcome Statement 3. Mental Health and wellness outcome only.
Follow this template: ___ (%) of ___ (Participant type: families, youth) will ___ (Direction of change: increase, improve, modify) their ___ (Type of change: knowledge, attitude, condition) of/towards ___ (Area of change must be related to a mental health or wellness outcome.).
25. Identify one or more measurable indicators for Outcome Statement 3 MENTAL HEALTH . Indicators must be specific and quantifiable and are typically expressed as a number/or percentage of clients showing progress towards the stated outcome. Include how they will be measured (“as measured by…”)
26. What are the qualifications of the staff who support the program? Include relevant personal or professional experience, training, certifications, or education.
27. Describe any additional evaluation methods your agency will use to measure progress toward your outcomes (e.g., pre/post-tests, surveys, focus groups). Explain how you will measure each outcome and indicator.
28. Is this program conducted in collaboration with other organizations, such as non-profits, businesses, government agencies, schools, or service groups? List the key collaborators and, for each, provide an example of how you work together strategically to advance a shared goal. If this is a collaborative application, see APPENDIX B in the Process and Procedure & RFP Manual for more information about how to answer this question. Collaborative applicants will use a greater word count.
29. If you receive only partial funding, how would you apply it to this program? Are some components more essential than others? If so, please list each component along with its associated cost.
30. Primary Program Population to be Served. How many unduplicated people do you expect to serve who are from Tempe? Count homeless persons as being from Tempe if they report Tempe was their last permanent address or where they slept last night.
31. Primary Program Population Served. Of those, you expect to serve from Tempe, how many are veterans? TEMPE ONLY
32. Primary Program Population Served. Of those, you expect to serve from Tempe, how many are disabled? TEMPE ONLY
33. Primary Program Population Served. What is the gender breakdown of the unduplicated people from Tempe you expect to serve? TEMPE ONLY
34. Primary Program Population Served. What is the ethnic background of the unduplicated people from Tempe you expect to serve?
35. Primary Program Population Served. What is the family income of the unduplicated people from Tempe you expect to serve? TEMPE ONLY
36. How many unduplicated people NOT FROM TEMPE do you expect to serve?
37. Use this narrative to clarify any data about the populations you serve.
38. Which of these three categories of service does this program primarily address? Choose only ONE
39. If your program primarily serves families and individuals experiencing homelessness, refer to Appendix A of the Agency Review funding Application manual, and check the following boxes that apply to your program.
40. Provide any additional information not captured already that supports your application. This area may be used for additional information about collaborative grants, that may need a larger word count.
Budget
(answers are saved automatically when you move to another field)
Program Budget Revenue
Item Description
Program Budget 25/26
Program 26/27
Total $ 0.00
Total $ 0.00
Expense
Item Description
Current Program Budget 25/2624
Proposed Program 26/27
Total $ 0.00
Total $ 0.00
Budget Narrative (Discuss the items and amounts you entered above.)
Tables
(answers are saved automatically when you move to another field)
Photo of Services - a photo that represents your agency, serving their primary population or service that can be used for marketing purposes. Single photos – not in a collage format. Multiple separate photos are welcome.
Agency Review Pre-Application Training Manual (You are required to read this document and to acknowledge that you have received it by checking the box in the List of assurances (TCC policies and Procedures) document, found in this documents tab)
Download template: Pre-Application Training Manual
-none-
Agency Budget (for those requesting more than $10,000) This is in addition to the Program Budget.
Download template: Agency Budget