Score Sheet.xls

	B	C	H	I	J	K	L	M
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2	BRAIN INJURY SERVICES
3	RFGA #BIF2024
4	RFGA EVALUATION SCORESHEET
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6	Applicant:
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8	Evaluator:			Date:
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10	Score will be assigned as follows:
11	0 = The proposal fails to address the requirements or criteria described in the RFP or cannot be assessed due to missing information.
12	1 = Poor, the proposal inadequately addresses the requirements or criteria described in the RFP or cannot be assessed due to incomplete information.
13	2 = Unsatisfactory, the proposal addresses the requirements or criteria in the RFP in an unsatisfactory manner.
14	3 = Satisfactory, the proposal addresses all of the requirements or criteria described in the RFP in a minimum satisfactory manner.
15	4 = Good, the proposal addresses all requirements or criteria described in the RFP and, in some respects, exceeds them.
16	5 = Excellent, the proposal addresses and exceeds all of the requirements or criteria described in the RFP.
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18	Scoreable Technical Criteria		Evaluator Score (0-5)	Criteria Weight	% of Tech Criteria	Points Possible	Points Earned	Minimum Required
19	1	Experience providing similar services.		2	3.0%	10.0	0.0
20	2	Ability to reach all areas in the state, including rural areas.		10	15.2%	50.0	0.0
21	3	Description of recruitment and screening process for participants.		5	7.6%	25.0	0.0
22	4	Identification of the number of anticipated BI participants to be served.		5	7.6%	25.0	0.0
23	5	Identification of brain injury trainings anticipated to conduct and area in which they will be conducted.		5	7.6%	25.0	0.0
24	6	Description of locations anticipating to serve participants.		10	15.2%	50.0	0.0
25	7	Description of staffing plan to serve the anticipated participants and a list of the resource facilitators that are currently certified in BI Fundamentals or CBIS certified or a plan to have resource facilitators certified.		5	7.6%	25.0	0.0
26	8	Provide a plan as to how resource facilitators will maintain 10 hours of continuing education in brain injury.		2	3.0%	10.0	0.0
27	9	Ability to use electronic systems to track and monitor individuals for required reporting to identify their progress.		5	7.6%	25.0	0.0
28	10	Brief description of record keeping.		2	3.0%	10.0	0.0
29	11	Description of how individual progress will be tracked and evaluated using approved assessment.		5	7.6%	25.0	0.0
30	12	Description of how overall success for this project will be measured using an approved assessment.		5	7.6%	25.0	0.0
31	13	Efficient and effective use of funds in proposed budget.		5	7.6%	25.0	0.0
32	Totals:				100.0%	330.0	0.0	0.0
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