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Sheet 1: Instructions
State of Indiana DMHA RFF 22-009 | ||||||||
Low-Barrier Shelter Grant Program | ||||||||
Attachment A - Grant Budget Proposal | ||||||||
Instructions | ||||||||
INSTRUCTIONS | ||||||||
All applicants must submit a completed Attachment A - Grant Budget Proposal. Please provide your Grant Budget Proposal by populating the "Budget Template" tab and "Grant Match" tab to demonstrate your budget for your proposed services and how your grant funding would be used. The costs you provide on the "Budget Template" tab must represent your RFF grant budget and be inclusive of funding requested through this grant. You shall provide your costs for the 30-month grant period only, which is expected to begin on July 1, 2022 and end on December 31, 2024. All budget items must directly relate to the RFF Objectives of increasing quality, integration, and access to shelter services that provide mental health and substance use disorder treatment and recovery programs for unhoused Hoosiers. You may submit supplemental documentation to support your requested grant amount. Fill in only the cells shaded in yellow. All other cells are locked. Blue cells will populate automatically. Please do not attempt to unlock or manipulate the template. Complete every table for which you have associated costs. If there is a particular table that does not apply to your budget, you may leave it blank. The State will not consider any costs that are not included in your budget. The Total Grant Amount Requested from State listed in the "Budget Summary" tab will be the amount of grant funding you are requesting from the State. Note that the State reserves the right to determine the amount of grant funding awarded to the applicant. The State may reject grant funding entirely or issue a partial award. The State reserves the right to disqualify and not score incomplete proposals that do not provide all required application components or include ineligible funding items as detailed in this RFF. |
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ELIGIBLE AND INELIGIBLE ITEMS Items included in the Grant Budget Proposal may only be for activities that directly support the accomplishment of the RFF Objectives and meet at least one of the six (6) service areas listed in Section II.A.1. Grant funds may be used for all costs associated with the proposed programming. |
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GRANT BUDGET NARRATIVE You must also complete a separate Grant Budget Narrative according to the instructions in Section III.B.2 of the RFF. Do not provide the narrative within this file. |
State of Indiana DMHA RFF 22-009 | Applicant Name: | Enter Applicant Name | ||||
Low-Barrier Shelter Grant Program | Please Complete Yellow Shaded Regions | |||||
Attachment A - Grant Budget Proposal | ||||||
Budget Template | ||||||
Instructions: Please fill in the cells shaded yellow to demonstrate the total budget for the project you are proposing in response to this RFF. The blue cells will populate automatically. If there is a particular table that does not apply to your budget, you may leave it blank. In accordance with the RFF Objectives, please address how funding will be utilized in the development or support of at least one of the following six (6) areas. | ||||||
IMPORTANT NOTE ON BUDGET ITEMS: All requested budget items, including ongoing costs such as staffing personnel, should be sustainable following the end of the grant period. Demonstrating sustainability of all ongoing costs will be a key factor in whether a budget request is awarded. | ||||||
Application Totals: | ||||||
Total Grant Budget: | $- | |||||
A. Single Site Construction (Please see the IMPORTANT NOTE ON BUDGET ITEMS above) | ||||||
Item/Position/Etc. | Brief Description | Estimated Total Grant Budget for Single Site Construction in SFY23 (12 Months) | Estimated Total Grant Budget for Single Site Construction in SFY24 (12 Months) | Estimated Total Grant Budget for Single Site Construction in SFY25 (12 Months) | Total Grant Budget for Single Site Construction | |
ex: Architect Fees | Fee associated with the contracting and designing of new or expanded construction. | $100,000.00 | $50,000.00 | $10,000.00 | $160,000.00 | |
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Total: | $- | |||||
B. Residential Services | ||||||
Item/Position/Etc. | Brief Description | Estimated Total Grant Budget for Residential Services in SFY23 (12 Months) | Estimated Total Grant Budget for Residential Services in SFY24 (12 Months) | Estimated Total Grant Budget for Residential Services in SFY25 (12 Months) | Total Grant Budget for Residential Services | |
ex: Linen and Clothing Services | Cost associated with providing clothing and linen for new residents as well as weekly cleaning services. | $10,000.00 | $10,000.00 | $10,000.00 | $30,000.00 | |
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Total: | $- | |||||
C. Case Management | ||||||
Item/Position/Etc. | Brief Description | Estimated Total Grant Budget for Case Management in SFY23 (12 Months) | Estimated Total Grant Budget for Case Management in SFY24 (12 Months) | Estimated Total Grant Budget for Case Management in SFY25 (12 Months) | Total Grant Budget for Case Management | |
ex: Case Manager | Salary of new case manager focused on supporting residents in the individual's living and housing goals. | $100,000.00 | $100,000.00 | $100,000.00 | $300,000.00 | |
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Total: | $- | |||||
D. Onsite Therapeutic and Rehabilitative Services | ||||||
Item/Position/Etc. | Brief Description | Estimated Total Grant Budget for Onsite Therapeutic and Rehabilitative Services in SFY23 (12 Months) | Estimated Total Grant Budget for Onsite Therapeutic and Rehabilitative Services in SFY24 (12 Months) | Estimated Total Grant Budget for Onsite Therapeutic and Rehabilitative Services in SFY25 (12 Months) | Total Grant Budget for Onsite Therapeutic and Rehabilitative Services | |
ex: GED Program | Cost involved in providing educational opportunities for residents to receive their GED certification. | $5,000.00 | $5,000.00 | $5,000.00 | $15,000.00 | |
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Total: | $- | |||||
E. Staffing Personnel | ||||||
Item/Position/Etc. | Brief Description | Estimated Total Grant Budget for Staffing Personnel in SFY23 (12 Months) | Estimated Total Grant Budget for Staffing Personnel in SFY24 (12 Months) | Estimated Total Grant Budget for Staffing Personnel in SFY25 (12 Months) | Total Grant Budget for Case Management | |
ex: Security | Salary of new security officer focused on assisting with resident intake and safety. | $20.00 | 100 | 150 | 150 | |
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Total: | $- | |||||
F. Staff Development | ||||||
Item/Position/Etc. | Brief Description | Estimated Total Grant Budget for Staff Development in SFY23 (12 Months) | Estimated Total Grant Budget for Staff Development in SFY24 (12 Months) | Estimated Total Grant Budget for Staff Development in SFY25 (12 Months) | Total Grant Budget for Staff Development | |
ex: Safety Training | Training provided to all current and new staff members in safety procedures. | $2,000.00 | $2,000.00 | $2,000.00 | $6,000.00 | |
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Total: | $- | |||||
E. Other Costs (Applicants are STRONGLY encouraged to review eligible and ineligible budget items prior to completing this section) | ||||||
Item/Position/Etc. | Brief Description | Estimated Total Grant Budget for Other Costs in SFY23 (12 Months) | Estimated Total Grant Budget for Other Costs in SFY24 (12 Months) | Estimated Total Grant Budget for Other Costs in SFY25 (12 Months) | Total Grant Budget for Other Costs | |
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Total: | $- | |||||
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