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T <br /> ORGANIZATION : Homeless Assistance Center, Inc . <br /> PROGRAM : "Assets Build Futures" <br /> FUNDER: Children ' s Services Grant <br /> TABLE OF CONTENTS <br /> Please "X" the parts of the grant application to indicate they are included. Also, please put the page number where the <br /> information can be located. <br /> X Section of the Proposal Pa e # <br /> X TABLE OF CONTENTS (Check list) 1 & 2 <br /> X COVER PAGE (with signatures) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . 3 <br /> A. ORGANIZATION CAPABILITY (one page maximum) <br /> X 1 . Mission and Vision of organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . 4 <br /> X 2 . Summary of expertise, accomplishments, and population served . . . . . . . . . . . . . . . . 4 <br /> B. PROGRAM NEED STATEMENT (one page maximum) <br /> X 1 . Program Need Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 <br /> X 2 . Programs that address need and gaps in service . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . 5 <br /> C. PROGRAM DESCRIPTION (two pages maximum) <br /> X1 . Funding priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . 6 <br /> X 2 . Description of program activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . 0 . . . . . . . . . 6 <br /> X 3 . Evidence that program strategy will work . . . . . . . . . . . . 0 . 0 . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . 6 <br /> X4 . Staffing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 <br /> X 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . 0 . . . . 0 . . . . . . . . 7 <br /> X 6 . Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . 7 <br /> X D. MEASURABLE OUTCOMES (two pages maximum) . . . . . 4 . . . . . . . . . . . . . . . . . . . 8 <br /> X E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . 9 <br /> F. PROGRAM EVALUATION (two pages maximum) <br /> X1 . Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . 10 <br /> X2 . Measures . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . M <br /> . . 0 . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 <br /> X3 . Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I I . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 <br /> X G. TIMETABLE (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . 12 <br /> H. UNDUPLICATED CLIENT COUNT <br /> X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . I . . . . . . . . . . . . . . . . I . . . 13 <br /> X 2 . Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . 13 <br /> 1 <br />