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
TIPS:
Answers are saved automatically when you leave each field.
Turn SPELL-CHECKING on. Your browser probably has it, might as well use it.
Copying/pasting data works best when you are pasting UNFORMATTED text. (Bullets and other special characters do not transfer and are usually replaced with question marks.)
When you paste data into a field, the character count will be inaccurate until you add/delete at least one character.
Log out and come back at any time to continue your work, but be sure to finish and submit before the deadline.
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™.
Some fields are still empty...
You
must first create a new account or
login to an existing account to save
changes.
The City of Fort Collins has received CDBG-CV funding through the CARES Act from the U.S. Dept. of Housing and Urban Development (HUD) to support critical community services and emergency response during the COVID-19 pandemic. The City will award a portion of these funds to eligible, nonprofit 501(c)3 organizations that provide critical Public Service activities (24 CFR 570.201) which meet HUD National Objectives for community development needs to support Low-to-Moderate Income (LMI) persons/families residing in the Fort Collins entitlement area.
Any funding awarded must be used to meet eligible COVID-19 response and service costs incurred from March 13, 2020 through September 30, 2020.
Overview:
Only projects that meet HUD's criteria for CDBG funding and meet the Public Service priorities outlined below will be awarded funds through this application process.
Public Services (24 CFR 570.201(e)): Provision of Services of new or quantifiably increased public services due to COVID-19 pandemic.
Benefiting low- and moderate-income persons
Meeting other community development needs having a particular urgency because existing conditions pose a serious and immediate threat to the health and welfare of the community and other financial resources are not available to meet such needs
While the City recognizes that many non-profit partners have been negatively impacted by the COVID-19 pandemic, CDBG-CV funding is targeted specifically for public service activities that serve as a direct response to mitigate the impacts of the crisis to low-income and at-risk persons. At this time, the City will only review applications for the following:
New or expanded services in direct response to COVID-19 that are available to all Low-to Moderate-Income (LMI) residents
Services that support at home sheltering for at-risk persons and vulnerable populations
Emergency shelter and supports for persons experiencing homelessness and victims of domestic violence
In the event there are more requests than available funds, priority will be given to applications as follows:
– New or expanded services or programs in direct response to COVID-19
– Increased costs of existing services in order to protect at-risk populations and prevent the spread of the virus
Application Timeline:All applications are due by midnight, Monday, May 11, 2020.
Final Funding Decision:Funding recommendation published and available for public review on the Social Sustainability webpage by May 25, 2020.
The Fort Collins City Council will hold a public hearing to make final funding recommendations on June 2, 2020.
Following approval of funding, staff will work with the applicants to execute contracts as quickly as possible.
For questions regarding project eligibility, contact Beth Rosen, brosen@fcgov.comBEFORE submitting an application.
Application Title/Project Name
Amount Requested
Applicant Information
First Name
Last Name
Telephone
Email
Address 1
Address 2
City
State/Province
ZIP+4/Postal Code
Country
Organization Information
(changes to this data will be reflected on all other applications for this organization)
Organization Legal Name/Entity Name
Address 1
Address 2
City
State/Province
ZIP+4/Postal Code
Country
Telephone
Fax(optional)
Website(optional)
Federal Tax ID (EIN) (XX-XXXXXXX)
UEI Number
(N)CAGE Code
IRS Verification
No current exempt IRS record was found for IDN . (Due to the IRS data sharing policy, ZoomGrants is unable to verify your IRS information. This does not mean the information is invalid. You can continue to submit your application as the system will repeatedly verify your information).
You might try searching the list of organizations whose federal tax exemption was automatically
revoked located at the IRS Select Check Site
CEO/Executive Director
First Name
Last Name
Title
Email
Pre-Application
(answers are saved automatically when you move to another field)
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. Select which apply to your program
2. If your organization exclusively serves a special population that may qualify as a 'Presumed
Benefit' group, please select from the list below: Skip this question if you answered your program is a public service that collects income and demographic information on households served.
3. Select which of the following apply to your program.
4. Describe why this funding is critical to meeting the needs that have emerged as a result of COVID-19.
5. Explain how this program, or level of service, is different from the services provided prior to COVID-19.
6. Please indicate the number of unduplicated Fort Collins residents you anticipate will benefit from this request, according to the following AMI income categories. If project is a PRESUMED BENEFIT, disregard percentage categories and enter the total # of beneficiaries only. If unsure, please contact city staff, don't guess.
7. Does this request duplicate services by another entity in our community? If yes, describe how this duplication benefits our community and is needed. If no, please enter N/A.
8. What is the total annual budget for this specific program through September 30, 2020?
9. What specifically are you requesting funding for: salaries, direct client assistance, materials, etc.?
10. Briefly summarize the expense to be paid with the requested funds. If you are listing more than one item, please prioritize them. Example: #1 case-manager - 50% of salaries and benefits totaling $xxx; #2 Direct Assistance - totaling $xxx ; #3 Labor costs - $xxx; #4 Material costs - $xxx
11. How did you determine the requested amount?
12. Is there any additional information about the proposed program or which you are requesting funds that you deem helpful for us to know? Please explain.
Tables
(answers are saved automatically when you move to another field)
Report ONLY the following: - Fort Collins residents - Unduplicated since 3/13/20 (not already counted in a prior period during the FY19 grant year) - Individuals served during this reporting period - Individuals served by these grant funds (this may or may not be the total served by your organization) **Please check your math and make your numbers match.** - Response you enter in question #4 needs to match the total for question #5 (for this period). - Response you enter in question #4 needs to match the total for question #6 (for this period).
This report is OVERDUE.Submit Beneficiary Report 1
1. Please select the time period which you are reporting on:
2. Name of Person Preparing this Form
3. Title/Staff Position
4. Email and Phone for Person Preparing this Form
Individuals Served
For monthly and to-date totals, refer to the Beneficiary Report Totals tab.
5. Total Number of Persons Served Unduplicated, Fort Collins Residents, Served by These Grant Funds.
Check that your math matches the race/ethnicity and income level questions below
Individuals Served - Race / Ethnicity
6. Unduplicated Individuals Served By Race / Ethnicity Race = Those who are White, Black, Asian, Pacific Islander, American Indian, or multi-racial may also self-identify as being of Hispanic origin by using the '& Hispanic' cells. Only report individuals served THIS PERIOD.
Individuals Served - Income Level
7. Unduplicated Individuals Served By Income Level Choose only one per client served.
Individuals Served - Female Headed Household
8. Female Headed Household Female headed household does NOT include household in which adult male lives with adult female.
Individuals Served - Single Male Headed Household
9. Single Male Headed Household with Children Male Headed Household does NOT include household in which an adult female lives with adult male.
Individuals Served - Disability
10. Number Served with a Disability Provide the total number served by this grant each quarter with a disability (self-declared or visual assessment). New reported clients only.
Outcomes & Narrative Responses
11. Measurable Outcomes: Please share the progress or the status of the 1-3 measured programmatic outcome targets related to this grant-funded program. Include the mechanism used to assess and measure these outcomes (ex: post-survey, exit interview). Refer to Article I - Section 1 - Item B in your funding agreement for the measurable outcomes. If measurement occurs during a different time period or sequence, please provide the most current information that has been collected.
12. Are you on-track with the year-to-date grant goals for unduplicated clients served, as identified in your contract agreement? If not, please explain.
13. Are there any updates to your agency? (Staff changes, board turnover, other funding cuts, etc.) If so, please explain.
14. Are there any updates to your grant-funded program? (Please include any achievements or obstacles you'd like us to be aware of). If so, please explain.
15. Please share a client story! We love to hear of any success stories or alternatively, any problems encountered by the people you serve.
16. Please confirm that you have submitted an invoice for this period. Invoices can be submitted by clicking into the Invoices tab, above, then clicking the 'Add A New Invoice' button to create a new Invoice or clicking on the orange title of an existing Invoice to edit one that you have already started.
* ZoomGrants™ is not responsible for the content of uploaded documents.
Beneficiary Report 2: 10/15/2020
This report is OVERDUE.Submit Beneficiary Report 2
1. Please select the time period which you are reporting on:
2. Name of Person Preparing this Form
3. Title/Staff Position
4. Email and Phone for Person Preparing this Form
Individuals Served
For monthly and to-date totals, refer to the Beneficiary Report Totals tab.
5. Total Number of Persons Served Unduplicated, Fort Collins Residents, Served by These Grant Funds.
Check that your math matches the race/ethnicity and income level questions below
Individuals Served - Race / Ethnicity
6. Unduplicated Individuals Served By Race / Ethnicity Race = Those who are White, Black, Asian, Pacific Islander, American Indian, or multi-racial may also self-identify as being of Hispanic origin by using the '& Hispanic' cells. Only report individuals served THIS PERIOD.
Individuals Served - Income Level
7. Unduplicated Individuals Served By Income Level Choose only one per client served.
Individuals Served - Female Headed Household
8. Female Headed Household Female headed household does NOT include household in which adult male lives with adult female.
Individuals Served - Single Male Headed Household
9. Single Male Headed Household with Children Male Headed Household does NOT include household in which an adult female lives with adult male.
Individuals Served - Disability
10. Number Served with a Disability Provide the total number served by this grant each quarter with a disability (self-declared or visual assessment). New reported clients only.
Outcomes & Narrative Responses
11. Measurable Outcomes: Please share the progress or the status of the 1-3 measured programmatic outcome targets related to this grant-funded program. Include the mechanism used to assess and measure these outcomes (ex: post-survey, exit interview). Refer to Article I - Section 1 - Item B in your funding agreement for the measurable outcomes. If measurement occurs during a different time period or sequence, please provide the most current information that has been collected.
12. Are you on-track with the year-to-date grant goals for unduplicated clients served, as identified in your contract agreement? If not, please explain.
13. Are there any updates to your agency? (Staff changes, board turnover, other funding cuts, etc.) If so, please explain.
14. Are there any updates to your grant-funded program? (Please include any achievements or obstacles you'd like us to be aware of). If so, please explain.
15. Please share a client story! We love to hear of any success stories or alternatively, any problems encountered by the people you serve.
16. Please confirm that you have submitted an invoice for this period. Invoices can be submitted by clicking into the Invoices tab, above, then clicking the 'Add A New Invoice' button to create a new Invoice or clicking on the orange title of an existing Invoice to edit one that you have already started.
* ZoomGrants™ is not responsible for the content of uploaded documents.
Report 3
Report 4
Report 5
Report 6
Report 7
Report 8
Report 9
Report 10
Report 11
Report 12
Report 13
Report 14
Report 15
Report 16
Report 17
Report 18
Report 19
Report 20
Report 21
Report 22
Report 23
Report 24
Beneficiary Report Totals
Answers must be entered on the individual Beneficiary Report tabs.
If you recently edited an answer, then Refresh Page to see updated answers here. 1. Please select the time period which you are reporting on:
Q3 (Apr-June)
Q4 / Final (July-Sept)
2. Name of Person Preparing this Form -Text questions are not calculated-
3. Title/Staff Position -Text questions are not calculated-
4. Email and Phone for Person Preparing this Form -Text questions are not calculated-
Individuals Served For monthly and to-date totals, refer to the Beneficiary Report Totals tab. 5. Total Number of Persons Served Unduplicated, Fort Collins Residents, Served by These Grant Funds.
Check that your math matches the race/ethnicity and income level questions below
Total Unduplicated Individuals Served THIS PERIOD
TOTAL
Individuals Served - Race / Ethnicity 6. Unduplicated Individuals Served By Race / Ethnicity Race = Those who are White, Black, Asian, Pacific Islander, American Indian, or multi-racial may also self-identify as being of Hispanic origin by using the '& Hispanic' cells. Only report individuals served THIS PERIOD.
White (Non-Hispanic)
White & Hispanic
SUBTOTAL
Black / African American (Non-Hispanic)
Black / African American & Hispanic
SUBTOTAL
Black / African American & White (Non-Hispanic)
Black / African American & White & Hispanic
SUBTOTAL
Asian (Non-Hispanic)
Asian & Hispanic
SUBTOTAL
Asian & White (Non-Hispanic)
Asian & White & Hispanic
SUBTOTAL
Am. Indian or Alaskan Native (Non-Hispanic)
Am. Indian or Alaskan Native & Hispanic
SUBTOTAL
Am. Indian / Alaskan & White (Non-Hispanic)
Am. Indian / Alaskan & White & Hispanic
SUBTOTAL
Am. Indian / Alaskan & Black (Non-Hispanic)
Am. Indian / Alaskan & Black & Hispanic
SUBTOTAL
Native Hawaii / Other Pacific Islander (Non-Hispanic)
Native Hawaii / Other Pacific Islander & Hispanic
SUBTOTAL
Balance / Other Multi-Racial (Non-Hispanic)
Balance / Other Multi-Racial & Hispanic
SUBTOTAL
TOTAL
Individuals Served - Income Level 7. Unduplicated Individuals Served By Income Level Choose only one per client served.
0-30% AMI
31-50% AMI
51-80% AMI
Above 80% AMI
Presumed Benefit
TOTAL
Individuals Served - Female Headed Household 8. Female Headed Household Female headed household does NOT include household in which adult male lives with adult female.
Female Headed Household with Children
TOTAL
Individuals Served - Single Male Headed Household 9. Single Male Headed Household with Children Male Headed Household does NOT include household in which an adult female lives with adult male.
Single Male Headed Household with Children
TOTAL
Individuals Served - Disability 10. Number Served with a Disability Provide the total number served by this grant each quarter with a disability (self-declared or visual assessment). New reported clients only.
Number Served with Disability
TOTAL
Outcomes & Narrative Responses 11. Measurable Outcomes: Please share the progress or the status of the 1-3 measured programmatic outcome targets related to this grant-funded program. Include the mechanism used to assess and measure these outcomes (ex: post-survey, exit interview). Refer to Article I - Section 1 - Item B in your funding agreement for the measurable outcomes. If measurement occurs during a different time period or sequence, please provide the most current information that has been collected. -Text questions are not calculated-
12. Are you on-track with the year-to-date grant goals for unduplicated clients served, as identified in your contract agreement? If not, please explain. -Text questions are not calculated-
13. Are there any updates to your agency? (Staff changes, board turnover, other funding cuts, etc.) If so, please explain. -Text questions are not calculated-
14. Are there any updates to your grant-funded program? (Please include any achievements or obstacles you'd like us to be aware of). If so, please explain. -Text questions are not calculated-
15. Please share a client story! We love to hear of any success stories or alternatively, any problems encountered by the people you serve. -Text questions are not calculated-
16. Please confirm that you have submitted an invoice for this period. Invoices can be submitted by clicking into the Invoices tab, above, then clicking the 'Add A New Invoice' button to create a new Invoice or clicking on the orange title of an existing Invoice to edit one that you have already started.
We have submitted an Invoice for this period
N/A - We are not requesting any reimbursement for this period.