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2025 - Recovery Voucher Grant
Application Scorecard
Applicant:Applicant's Name
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Reviewer:
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Topics & Questions
Maximum Potential
Points
ScoreRationale & Notes
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Applicant Eligibility
Eligible#N/APotential PointsAwarded Points
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1Is applicant willing to fulfill the RV grant administrator role?
Yes = Eligible; No = Ineligible, stop reviewing.
Eligible/ IneligibleCategories#% TotalReceivedLost
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Applicant Eligibility00%00
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Project Needs Statement2040%020
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2Is applicant a member of their HUD-recognized Continuum of Care (CoC)/local coalition (LC)?
Yes = Eligible; No = Ineligible, stop reviewing.
Eligible/ Ineligible2023 RV Admin Bonus2.55%N/A
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Client Eligibility510%5
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Budget & Estimated Clients1020%010
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Contractual Responsibility00%00
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3Does the applicant have current direct experience delivering services to people experiencing homelessness?
Yes = Eligible; No = Ineligible, stop reviewing
Eligible/ IneligibleFinancial Mgt & Accountability510%5
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PPP&D510%5
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Racial Equity2.55%02.5
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Total (minus bonus)50100%047.5
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4Does applicant have an active HMIS subscription?
Yes = Eligible; No = Ineligible, stop reviewing
Eligible/ Ineligible
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General Application
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Eligibility Status#N/A
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5Did the applicant attach proof from SAM.gov that they are not in a period of debarment, suspension or in ineligibility status?
Yes = Eligible; No = Ineligible, stop reviewing
Eligible/ IneligibleFollow Up Needed (not incl. eligibility)?#N/A
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Exception Request Form & Letter of Support Scorecard
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Exception Approved?#N/A
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6Is there a DHS recognized recovery residence within the agency’s service region?
Yes = Eligible; No = Ineligible, stop reviewing
Eligible/ IneligibleLetter of Support
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1. Did the letter of support state the applicant is a member in good standing of their CoC/LC and meets/will meet by 10/27/23 the 6 eligibility requirements and is the letter signed by the LC/CoC lead agency director?
Yes = Eligible; No = Ineligible, stop reviewing
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6aNumber of recovery residences (RR) provided?
Yes and 1+ RR or exception? = No Follow Up Required (NFUR);
No = Follow Up Required (FUR)
NFUR/FUR
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7Is the applicant in good standing with DEHCR?
Yes = Eligible; No = Ineligible, stop reviewing
Eligible/ Ineligible
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Yes = Eligible; No = Ineligible, stop reviewing
Exception Request Form Questions
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1-4.) Did applicant say "yes" to all questions?
Yes = Eligible; No = Ineligible, stop reviewing.
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8Is the applicant a recovery residence or have a recovery residence within its organization?
No = Eligible; Yes = Go to next question
Eligible/ Ineligible/
FUR
5.) Did applicant provide strong rationale for why their organization should be given an exception?
Yes = Eligible; No = FUR (decision to be taken after review of all applications)
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8a Did the applicant submit an Exception Request Form and letter of support with their application?
No = Ineligible, stop reviewing
Yes = Review exception materials to determine final eligibility (use side scorecard)
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6.) Did the applicant provide a reasonable explanation of how they will avoid preferential treatment towards their owned/affiliated recovery residences and will partner with other recovery residences in their service area (if applicable)?
Yes = Eligible; No = Applicant is ineligible, stop reviewing
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Project Needs Statement
200
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9Assess the applicant's process for identifying potential clients (individuals and families) and leveraging referral sources.
Applicant has: Specific plans = 3; General plans = 2; Minimal plans = 1; No plans = 0
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7.) Did the applicant attach a copy form/s they will use to document HUD category 1, 2, 3, and 4 homelessness if awarded? Yes = Eligible; No = Ineligible
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10The applicant's RV client prioritization plan is:
Specific or applicant states a plan is not required with strong rationale = 1;
General = 0; No plan described = (-1)
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11What is the applicant's experience conducting inspections?
Strong = 2; Moderate = 1; Minimal = 0
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12Is the applicant able to travel to conduct regular inspections?
Yes = 3; No = 0
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13Assess the applicant's proposed process for placing clients in recovery residences, including how spots/available beds will be identified and what type of communication will be had with recovery residences after the client is placed.
Applicant's proposed plan is: Specific = 4; General = 3; Minimal = 1
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14What is the applicant's experience administering RV and/ or rental assistance programs?
Strong = 2; Moderate = 1; Minimal = 0
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15Does the applicant have a plan for what type of case management support they will provide to clients throughout the client's time in the program?
Yes, specific plans = 2; General plans = 1; Minimal or no plans = 0
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162024 RV Admin Bonus2.5
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Was the applicant an RV grantee during 2024, and did they serve 3 or more clients in the RV program as of September 1, 2024? Clients can be currently enrolled or exited.
Yes = 2.5; No = 0
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17What type of capacity for the RV administrator role (including serving clients referred by other organizations, and increasing overall awareness of the RV program) did the applicant describe?
Strong = 3; Moderate = 2; Minimal =1
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Client Eligibility
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18Assess the applicant's process for assessing and documenting client eligibility (OUD and Homelessness).
Applicant has: Specific plans = 5; General plans = 3; Minimal plans = 1;
No plans = (-1)
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Budget & Estimated Clients Served
100
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19Applicant provided an estimated number of clients that could be served;
Yes (provided numbers for both individuals and families) = 2; Yes (provided number for only 1 type client) = 1; No = (-1)
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20Budget request chart is filled out:
Yes = 2; Partially = 1; No = (-1)
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21The applicant provided rationale for the amount requested in grant funds that was:4
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Specific = 4; General = 3; Minimal = 2
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22Is the applicant's policy not longer than 2-years or December 31, 2025 whichever comes first?
Yes = 2; No = 0
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