Pierce County
Questionnaire
OUTREACH – Homeless Services
26-001-Homeless-Outreach
Project Questions
Administrative Questions
Type: sectionHeader
Proposer Confirmation
Type: confirmation
Ownership and Copyright of Submitted Materials
Type: confirmation
Supplemental Attachment Confirmation
Type: confirmation
Insurance Requirements
Type: confirmation
Debarment Certification
Type: confirmation
Pre-Award Risk Assessment Submission Confirmation
Type: confirmation
Proof of Completed Pre-Award Risk Assessment (Upload)
Type: fileUpload
Organization Information
Type: sectionHeader
Authorized Individual
Type: shortAnswer
Organization Information
Type: longAnswer
Organization Contacts
Type: longAnswer
Proposed Project Name
Type: shortAnswer
Existing Project
Type: yesNo
Project HMIS Name
Type: shortAnswer
Brief Project Description
Type: longAnswer
Threshold Review Questions
Type: sectionHeader
Ownership Type
Type: multipleChoice
UBI Number
Type: shortAnswer
Organization Tax ID Number
Type: shortAnswer
UEI Number
Type: shortAnswer
Applicant Capacity & Experience (30 points)
Type: sectionHeader
Outreach Experience
Type: longAnswer
Experience Expending Grant Funds
Type: longAnswer
Experience with Geographic Information Systems
Type: longAnswer
Experience with Coordinated Entry
Type: longAnswer
Accessibility & Responsiveness (15 points)
Type: sectionHeader
Accessibility to Services
Type: longAnswer
Responsiveness
Type: longAnswer
Data (20 points)
Type: sectionHeader
Data in HMIS
Type: yesNo
Coordinated Entry Connection Performance Measure - Goal 60%
Type: longAnswer
Exits to Permanent Housing Performance Measure - Goal 10%
Type: longAnswer
HMIS Data Quality Performance Measure - Goal 95%
Type: longAnswer
HMIS Timeliness Performance Measure - Goal 95%
Type: longAnswer
Grant Spending Timeliness Performance Measure - Goal 100%
Type: longAnswer
Data NOT in HMIS
Type: yesNo
Data NOT in HMIS Upload (if applicable)
Type: fileUpload
No Project Data
Type: longAnswer
Overall Budget Reasonableness
Type: longAnswer
Regional Questions (30 points per region)
Type: sectionHeader
Region 1 (Gig Harbor, Key Peninsula, and surrounding unincorporated areas)
Type: yesNo
Project Overview – Detailed Operational & Service Delivery Plan
Type: longAnswer
Project Overview – Partnerships or Collaborations
Type: longAnswer
Project Overview – Challenges
Type: longAnswer
Staffing – Staff Positions
Type: longAnswer
Staffing – Staff Skills and Ongoing Learning
Type: longAnswer
Budget & Budget Narrative – Budget Worksheet
Type: fileUpload
Budget & Budget Narrative – Budget Context
Type: longAnswer
Region 2 (North Tacoma, University Place, and surrounding unincorporated areas)
Type: yesNo
Project Overview – Detailed Operational & Service Delivery Plan
Type: longAnswer
Project Overview – Partnerships or Collaborations
Type: longAnswer
Project Overview – Challenges
Type: longAnswer
Staffing – Staff Positions
Type: longAnswer
Staffing – Staff Skills and Ongoing Learning
Type: longAnswer
Budget & Budget Narrative – Budget Worksheet
Type: fileUpload
Budget & Budget Narrative – Budget Context
Type: longAnswer
Region 3 (Lakewood, Steilacoom, South Tacoma, and surrounding unincorporated areas)
Type: yesNo
Project Overview – Detailed Operational & Service Delivery Plan
Type: longAnswer
Project Overview – Challenges
Type: longAnswer
Project Overview – Partnerships or Collaborations
Type: longAnswer
Staffing – Staff Positions
Type: longAnswer
Staffing – Staff Skills and Ongoing Learning
Type: longAnswer
Budget & Budget Narrative – Budget Worksheet
Type: fileUpload
Budget & Budget Narrative – Budget Context
Type: longAnswer
Region 4 (Orting, Spanaway, Parkland, Dupont, Frederickson, and surrounding unincorporated areas)
Type: yesNo
Project Overview – Detailed Operational & Service Delivery Plan
Type: longAnswer
Project Overview – Partnerships or Collaborations
Type: longAnswer
Project Overview – Challenges
Type: longAnswer
Staffing – Staff Positions
Type: longAnswer
Staffing – Staff Skills and Ongoing Learning
Type: longAnswer
Budget & Budget Narrative – Budget Worksheet
Type: fileUpload
Budget & Budget Narrative – Budget Context
Type: longAnswer
Region 5 (Fife, Auburn, Sumner, Bonney Lake, South Hill, Puyallup, Edgewood, Milton, Prairie Ridge, and surrounding unincorporated areas)
Type: yesNo
Project Overview – Detailed Operational & Service Delivery Plan
Type: longAnswer
Project Overview – Partnerships or Collaborations
Type: longAnswer
Project Overview – Challenges
Type: longAnswer
Staffing – Staff Positions
Type: longAnswer
Staffing – Staff Skills and Ongoing Learning
Type: longAnswer
Budget & Budget Narrative – Budget Worksheet
Type: fileUpload
Budget & Budget Narrative – Budget Context
Type: longAnswer
Multiple Applications
Type: sectionHeader
Additional Applications
Type: yesNo
Upload Additional Applications
Type: download