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
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Please complete all questions. Refer to the Tempe Community Council/City of Tempe Humans Services Funding Grant Application - Agency Review Application Information (Policies & Procedures and Request for Proposal) document for more detailed information and guidance. It can be found on the Tempe Community Council website:https://www.tempecommunitycouncil.org/agency-review/
1. Please provide your mission and vision statement.
2. Please describe your program. 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.
3. For which type of grant are you applying? Renewal/Multiyear option is for agencies and programs that meet all criteria for this option and have been notified by TCC that they may apply under this option.
All other applicants should apply under the Yearly option.
4. State the continuous quality improvement and outcome progress made with the past year’s support. Include your performance outcome statements (all three) in this section using the template form you have been reporting with: ___ (#) and ___ (%) 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) as measured by ___________ (tools, surveys, best practices). If you are proposing any changes in the outcome direction/s, thoroughly explain those changes in the narrative. See Agency Review Application Information Policies & Procedures and Request for Proposal document for more information about the decision criteria for renewal.
5. Provide a compelling case for why the program should continue, how the program activities will lead to the desired change, and why your agency is prepared to carry out the program. Consider expansive impact stories. Paint a picture of all the non-profit does and show where this support fits in.
6. Provide in detail the challenge or need that will be addressed through your proposed program and how the community will benefit. What research, local statistics, or evidence/data shows that this is a service(s) needed in the community, and which best practices are you following to address the need?
7. How many Tempe residents will be served through this program? Tempe clients only. Provide a number only.
8. What will these funding dollars be used for? Be specific. If the funds will provide a portion of the total program cost, explain this, and how the other portion is/will be funded. For example, are you leveraging other resources, partnerships, or collaborations?
9. What does your agency do to develop and implement programs using an equity lens? (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.)
10. . How do prospective clients learn about your service(s)? How accessible is the program to Tempe residents? Include how referrals happen, if you have outreach services, marketing efforts, etc.
11. What is the goal of this program? Please answer in the form of a statement. An aspirational “big picture” statement about what you hope to achieve with this program.
12. Please provide your first measurable outcome statement (of three outcome statements required). See the sample template provided below. Follow this template: ___ (#) and ___ (%) 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. Include narrative.
13. List your indicator(s) for the outcome statement above (first outcome statement). Identify one or more measurable indicators for the outcome stated above. Indicators should be specific and quantifiable. Indicators are usually expressed as the number and percentage of clients who show progress toward the outcome. Include how you measure outcomes (as measured by _____). Please include all of the following components: % of Tempe participants, # of Tempe participants, Type of participants, Direction of change, Definition of success, Data Collection method, Time-bound.
14. Please provide your second measurable outcome statement (three outcome statements required overall). Follow this template: ___ (#) and ___ (%) 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 Appendix B of the Agency Review Application Information: Policies & Procedures and Request For Proposal in the Libraries Tab. Include narrative.
15. List your indicator(s) for the outcome statement above (second outcome statement). Identify one or more measurable indicators for the outcome stated above. Indicators should be specific and quantifiable. Indicators are usually expressed as a number and percentage of clients who show progress towards the outcome. Include how you measure outcomes (as measured by _____). See Appendix B of the Agency Review Application Information: Policies & Procedures and Request For Proposal in the Libraries Tab.
16. Please provide your third measurable outcome statement (note: must describe how the proposed program directly or indirectly promotes healthy mental health or behavioral health outcomes for the participant/s). Follow this template: ___ (#) and ___ (%) 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 Appendix B of the manual: Describe the service provided, Cite best practices, Assessment, Credentials of staff, Change to be measured, and Staff support. Include narrative.
17. List your indicator(s) for the outcome statement above (third outcome statement). Identify one or more measurable indicators for the outcome stated above. Indicators should be specific and quantifiable. Indicators are usually expressed as a number and percentage of clients who show progress towards the outcome. See Appendix B of the Agency Review Application Information: Policies & Procedures and Request For Proposal in the Libraries Tab
18. What are the qualifications of the staff providing service for the proposed program?
19. Use this area to describe any additional evaluation process(es) or methods you will use in order to determine the degree to which you will meet the intended outcome (e.g., pre and post-tests, annual polling, focus groups, etc.). Clearly state how you are measuring the outcomes and indicators.
20. Is this program being done in collaboration with other non-profits, businesses, governments, schools, service organizations, etc.? Please list the major collaboration(s) that the agency works with regarding the proposed service(s). For each collaboration listed, give an example of the strategic work that furthers a common vision. Referrals are not collaborations. You can explain the referral process in Question 7
21. How will you proceed with this program if you only receive partial funding? Are there components that are more critical than others? If so, please itemize the components and corresponding costs.
22. 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.
23. Primary Program Population Served. Of those, you expect to serve from Tempe, how many are veterans? TEMPE ONLY
24. Primary Program Population Served. Of those, you expect to serve from Tempe, how many are disabled? TEMPE ONLY
25. Primary Program Population Served. What is the gender breakdown of the unduplicated people from Tempe you expect to serve? TEMPE ONLY
26. Primary Program Population Served. What is the ethnic background of the unduplicated people from Tempe you expect to serve?
27. Primary Program Population Served. What is the family income of the unduplicated people from Tempe you expect to serve? TEMPE ONLY
28. How many unduplicated people NOT FROM TEMPE do you expect to serve? OTHER/NOT FROM TEMPE
29. Use this narrative to clarify any data about the population you serve.
30. Which of these six priority populations does this program primarily serve? We are aware that some programs may operate on the full continuum, but ONLY one category must be selected.
31. Which of these three categories of service does this program primarily address? Choose only ONE
32. 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.
33. Provide any additional information not captured already, that supports your application.
Budget
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All applicants will fill out a program budget (below). If you are requesting more than $10,000, you will also fill out a full agency budget. The template for this agency budget document can be found in the documents tab (above). Please download it, fill it out, and upload it.
Program Budget Revenue
Item Description
Program Budget 23/24
Proposed Program 24/25
Total $ 0.00
Total $ 0.00
Expense
Item Description
Current Program Budget 23/24
Proposed Program Budget 24/25
Salaries
Employee Benefits and Taxes
Employee Education and Training
Professional Fees and Contracts
Specific Assistance for Individuals
Communications (phone, fax, modem, postage)
Supplies/Equipment Rental and Maintenance
Occupancy (rent, utilities, building and grounds)
Advertising/Printing and Publications
Travel/Meetings/Conferences
Membership Dues/Support to Affiliate Organization
Evaluation
Non-Payroll Insurance
In-Kind Expense
Other Expenses
Total $ 0.00
Total $ 0.00
Budget Narrative (Discuss the items and amounts you entered above.)
Provide a narrative explanation of your budget, particularly focusing on any surplus or deficit from a prior year as well as any significant year-to-year variance in a line item. Provide an itemized project budget and narrative that reflects the full costs of carrying out the program (as opposed to just the amount requested from the city). The budget should also list other pending and/or confirmed income to support the project, as well as any in-kind contributions.
Tables
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Eligible human service organizations must have 501(c)(3) status and deliver human services (TCC defines "human services" as programs/services for clients who are economically disadvantaged or become economically challenged through unexpected life circumstances) to clients and residents in Tempe. In addition to completing this application, all Applicants must provide the following documents:
501(C)3 Letter or Letter of Exempt Status (upload)
Most Current Board of Directors Information
Management Letter/Auditor Recommendations (upload most recent)
IRS Form 990 (upload most recent)
Photo of Services - a photo that represents your agency serving their primary population or service (please upload)
List of Assurances (see template)
Certification Form (see template)
Agency Budget - for those requesting more than $10,000 (see template)
Agency Review Application Manual
Balance Sheet
Please read and follow the Human Services "Agency Review" Policy and Procedures Document. (see in document file) You will download these templates, complete them (as instructed), and upload them in the documents tab.
Agency Review Application 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: Agency Review Application Manual