ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAG
1
 COMMITEE MEMBER NAME
2025 Individual Recommendation Worksheet
Jack Hopkins Social Services Grant Program
 NOTE: MAKE A COPY OF THIS DOCUMENT UNDER THE "FILE" TAB IN THE NAVIGATION BAR BEFORE YOU BEGIN YOUR ASSESSMENT SCORED BOXES WILL CHANGE COLOR BASED ON DESIGNATED SCORE
RUBRIC: green = +1 yellow = + 0.5 red = 0
2
 PARAMETERS DEFINED (reference Program Eligibility Criteria)
City Residency - Programs that primarily serve City residents are given a high priority.
Low Income - Programs primarily serving low-income populations are given a high priority.
Emergency Services – Programs primarily providing emergency services (e.g. food, housing, and mental and physical medical services) are given a high priority.
Marginalized Groups – Programs providing services to historically marginalized populations or groups are given a high priority.
Lasting contribution - (such as reduced susceptibility to…diseases, decreased absences from school, reducing lost time from work, [alleviating the effects of poverty]…etc.)
3
 Minimum Grant Requirements: Not Scored Criteria for Applicant Evaluation: Scored
4
Organization Amount Requested Project Description CategoryPriority PopulationGrant Type Partial Funding
(how partial funding will impact scope of work)

• Reduced Service
• Incomplete Physical Improvement
- not scored - 		Project Location

Monroe County, B'ton
Monroe County, Other
Other		Emergency Services?

Yes
No		Residents Served (considered in conjunction with funding request)

Below 20
20 to 50
50 to 150
150-500
500+		Lasting Contribution

YES, DIRECTLY
YES, INDIRECTLY
MINIMAL
NONE		# of FT Staff
(as indicator or org fundraising capacity)

0
1-10
10-25
25+		 Community Partnerships?
i.e. meets req. of Heading Home plan

Yes
No
Unknown 		BONUS +.5 or +1:
awarded by indiv. committee members for innovation, level of impact, etc. (view in conjuction with comment section)		Score
(manually add using rubric color scoring system)
green = +1
yellow = + 0.5
red = 0		 Recommendation

Very High - 5 or more
High - 4, 4,5
Medium 3, 3.5
Medium Low 2, 2.5
Low 0-1 		Amount Recommended Comments (to be referenced in conjunction with rubric score)
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
Total Requested $ - Total Recommended $ -
43
Total Funding Available 2025Total # grantees:
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100