GA-507 FY2025 CoC Competition Application (Renewal Application)
1. Applicant Organization Name
2. Subrecipient or Sponsor Organization, if applicable (Leave blank if not applicable)
Applicant Contact Information
3. Primary Applicant Contact Name
4. Primary Applicant Contact Phone Number
5. Primary Applicant Contact Email Address
6. Secondary Applicant Contact Name (optional)
7. Secondary Applicant Contact Phone Number (optional)
8. Secondary Applicant Contact Email Address (optional)
9. HUD Project Name (Please make sure this matches the GIW.)
10. HUD Grant Award Number (Please make sure this matches the GIW.)
11. HUD Project Type
Please Select
HMIS
SSO-Coordinated Entry (SSO-CE)
Transitional Housing (TH)
Transitional Housing and Rapid Rehousing Joint Component Project (Joint TH/RRH)
Supportive Services Only (SSO)
Supportive Services Outreach (SSO-Outreach)
Permanent Housing - Rapid Rehousing (RRH)
Permanent Housing - Permanent Supportive Housing (PSH)
CoC Planning (Collaborative Applicant Only)
12. Current HUD Award Amount (Please make sure this matches the 2025 GIW)
13. Organization SAM Registration Expiration Date
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Month
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Day
Year
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Renewal Project Program Description
14. Provide a detailed description of the scope of the project including the target population(s) to be served, project plan for addressing the identified housing and supportive service needs, anticipated project outcome(s), coordination with other organizations (e.g., federal, state, nonprofit), and how the CoC Program funding will be used. Please describe how your project aligns with at least one of HUD priorities. HUD Priorities are Ending the Crisis of Homelessness on Our Streets, Prioritizing Treatment and Recovery, Advancing Public Safety, Promoting Self Sufficiency, Improving Outcomes, and Minimizing Trauma. (5000 characters max)
0/5000
15. Describe the supportive service program designed that will be offered to program participants, including services provided directly by your staff, through MOUs or contracted providers, or by referral. (1500 characters maximum)
0/1500
16. Will your project require program participant to take part in supportive services (e.g. case management, employment training, substance use treatment, etc.) in line with 24 CFR 578.75(h)?
Yes
No
If yes to question above, please upload supportive service agreement (contract, occupancy agreement, lease, or equivalent)
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Please name this document: HUDProjectName_SupportiveServiceAgreement
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17. Are substance use treatment services available on-site to all program participants? On-site is defined as services provided in the participant’s housing unit, at the housing project location, or at the applicant’s office with transportation provided to and from the service location.
Yes
No
If yes to question above, upload agreement or letters of commitment that demonstrate that substance use treatment services are available on-site.
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Please name this document: HUD Project Name_On-site Substance Use Services. Upload this document in PDF format.
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18. Does the project have a written formal partnership with a Community Service Board (CSB) or similar facility?
Yes
No
If yes to question above, upload documentation of the written formal partnership (contract, Memorandum of Understanding or Agreement).
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Please name this document: HUD Project Name_Behavioral or Mental Health Partnership. Upload this document in PDF format.
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19. Move on strategy. Describe how the project identifies and engages participants who no longer require intensive services and are able and willing to move out of the PSH program with a rental subsidy–to other housing assistance programs (including, but not limited to, Housing Choice Vouchers and Public Housing). (1500 characters max)
0/1500
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Renewal Project Performance
The following questions relate to the APR data from your project's most recent grant period. Please refer to your most recent data report in SAGE to answer the following questions.
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Housing Stability
20. PSH - % of stayers who remained in PSH or leavers who exited to other PH (Data Document)
21. PSH- % of adults who return to homelessness within 6 months of exiting to PH destination (Data Document
Length of Time from Project Start Date to Housing Move-In Date
22. PSH - Average number of days from project start date to move-in date? (Data Document)
Participants with Any Income
23. PSH - % of adults with l+ source of any income at exit or annual assessment (for leavers and stayers) (Data Document)
Employment Income
24.PSH - % of adults who increased income (from Earned Income) measured from entry to exit or annual assessment (for leavers and stayers) (Data Document)
All Income Sources
25. PSH -% of adults who increased income (from any source) measured from entry to exit or annual assessment (for leavers and stayers) (Data Document)
Participants Connected to Mainstream Benefits
26. PSH -% of adults with l+ source of non-cash benefits (from any source) measured from entry to exit or annual assessment (for leavers and stayers) (Data Document)
Participants Connected to Health Insurance
27. PSH -% of adults with l+ source of health insurance measured from entry to exit or annual assessment (for leavers and stayers) (Data Document)
28. If you have any comments on your responses for the "Project Performance" section, you may provide an explanation below for consideration. (1500 characters max)
0/1500
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Severity of Need and HUD Priorities
The following questions relate to the APR data from your project's most recent grant period. Please refer to your most recent data report in SAGE to answer the following questions.
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Severity of Need - Age (youth 12-24 or adults 55+)
29. Severity of Need - Age (youth 12-24 or adults 55+) % of participants who are unaccompanied or parenting youth 12-24years of age or 55+ years of age atentry (Data Document)
Severity of Need - Lack of Income
30. % of adults with zero income at entry (Data Document)
31. Lived Experience Involvement
Upload documentation to demonstrate that the agency meets HUD's requirement to provide for the participation of not less than one homeless individual or formerly homeless individual on the board of directors or other equivalent policy making entity (ICH) to the extent that such entity considers and makes policies and decisions regarding any project, supportive services, or assistance provided in the CoC project. Documentation may be a list of board members or other policy making entity with a notation regarding which member(s) meet this requirement.
Upload this document in PDF format. Maximum file size is 16MB. Please name this document: HUD Project Name_PWLE_Board
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32. Persons with Lived Experience: Describe how your agency, with at least two concrete and recent examples, provides for meaningful involvement of people who are homeless or formerly homeless in agency or project policy making. (2000 character max)
0/2000
33. If you have any comments on your responses for the "HUD Priorities" section, you may provide an explanation below for consideration. (1500 characters max)
0/1500
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HUD Policy Initiative Preference
34. If the applicant of the project is a non-profit charitable organization, will the project voluntarily, thoroughly, and demonstrably facilitate immigration status verification before distribution of benefits to any program applicants using SAVE directly or in coordination with a government entity. Go to https://www.uscis.gov/save to learn more.
Yes
No
Not applicable, recipient is a government entity
If yes to question 34, upload a letter certifying that the recipient will facilitate immigration status verification before distribution of benefits to any program applicants. The letter must be signed by an Authorized Representative of the organization.
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Upload this document in PDF format. Maximum file size is 16MB. Please name this document: HUD Project Name_Immigration StatusVerification.
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Data Quality
The following questions relate to DQ data from the period of 10/01/2024 through 09/30/2025. Please refer to the Data Document that was provided specifically for each project.
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35. Error Rate
% of Issue Rate for Personally Identifiable Information (PII), Universal Data Elements (UDE), and Income and Housing Data Quality
36. Data Timelines
% of entry records entered within 3 days (Data Document)
% of exit records entered within 3 days (Data Document)
37. If you have any comments on your responses for the "Data Quality" section, you may provide an explanation below for consideration. (1500 characters max)
0/1500
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ICH/CoC Participation
The following questions relate to participation in the ICH/CoC for the 2025 funding cycle, many of these will be bonus points.
38. ICH/CoC General Membership Meeting Attendance: Did anyone from your organization participate in ICH/CoC General Membership Meetings from August 2024 to September 2025?
Yes
No
39. ICH/CoC Committee and/or Workgroup Participation: Please select all ICH/CoC Workgroups in which at least one member of your organization currently participates.
Service Delivery
Local Collaboration and Capacity Building
Resource Development and Public Education
We don't currently participate in workgroups
40. ICH/CoC Point In Time Count Participation: Did anyone from your organization participate in the 2025 Point In Time Count?
Yes
No
41. Attendance in ICH/CoC Trainings: Did anyone from your organization participate in ICH/CoC trainings from August 2024 - September 2025?
Yes
No
42. If you have any comments on your responses for the "ICH/CoC Participation" section, you may provide an explanation below for consideration. (1500 characters max)
0/1500
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Utilization, Draws, Spend Down, and APR Submission
The following questions refer to the mostrecently expired grant year as well as the current grant year
43. Utilization Rate: Average utilization rate for the most recently due APR (Data Document)
44. Were draws from eLOCCs made at least quarterly for the most recently completed grant? (eLOCCS from most recently completed grant)
Yes
No
45. Grant Spend Down: Amount of grant left unspent at the end of the most recently completed grant (eLOCCS from most recently completed grant)
Upload a summary page from ELOCCS showing the dates and amounts of the drawdowns for the last fully completed grant year for this project. (Directions for creating a summary page are below.
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Please name this document: HUD Project Name_CompletedGranteL0CCS. Upload this document in PDF format. Maximum file size is 16MB. Instructions for creating an eL0CCS drawdown summary page for the project: 1. Log into eL0CCS. 2. Select Line of Credit Control System (eL0CCS) under Systems. 3. Select SNAP under Program Area. 4. The first section in the Main menu is Queries - under this section, click on Project Portfolio (SNAP) which will bring up a list of your agency's grants. 5. Click on the project's grant number. 6. Click on the vouchers tab (the third tab over) 7. Right click your mouse and select "Print" to print the summary page. 8. Scan and save the summary page or print to pdf.
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46. Do you anticipate you will have unspent funds at the expiration date of this current grant contract?
Yes
No
47. If yes, how much do you anticipate to have unspent and why?
48. APR Submission: Was the APR for last completed grant submitted to SAGE within 90 days of grant ending? (SAGE)
Yes
No
49. If you have any comments on your responses for the "Utilization, Draws, Spend Down, and APR Submission" section, you may provide an explanation below for consideration. (1500 characters max)
0/1500
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Sustainability and Monitoring
50. In the likely event this project is not renewed, or only partially renewed, please explain how the agency would either financially sustain funding for the plan or, if needed, the agency would look to work with the CoC to transition clients from the project into another that meets the clients needs. (1500 characters max)
0/1500
HUD Monitoring
51. Has this project been monitored by HUD since October 2024?
Yes
No
52. Were there any findings or concerns?
Yes
No
53. Were the findings or concerns addressed/resolved?
Yes
No
54. If this project was monitored by HUD since October 2024, please attach correspondence to verify that there were either no findings/concerns or that they were, or are, being addressed.
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55. If you have any comments on your responses for the "Monitoring and Sustainability" section, you may provide an explanation below for consideration. (1500 characters max)
0/1500
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Applicant Certifications
Please review and certify thatyour organization meets the following criteria. You must check either Yes or No for each question.
56. The project applicant will not engage in racial preferences or other forms of illegal discrimination.
Yes
No
57. The project applicant will not operate drug injection sites or “safe consumption sites,” knowingly distribute drug paraphernalia on or off of property under their control, permit the use or distribution of illicit drugs on property under their control, or conduct any of these activities under the pretext of “harm reduction.”
Yes
No
58. Applicant has active SAM registration with current information.
Yes
No
59. Applicant has valid UEI number in application.
Yes
No
60. Applicant has no Outstanding Delinquent Federal Debts- It is HUD policy, consistent with the purposes and intent of 31 U.S.C. 3720B and 28 U.S.C. 3201(e), that applicants with outstanding delinquent federal debt will not be eligible to receive an award of funds, unless: (a) A negotiated repayment schedule is established and the repayment schedule is not delinquent, or (b) Other arrangements satisfactory to HUD are made before the award of funds by HUD.
Yes
No
61. Applicant has no Debarments and/or Suspensions - In accordance with 2 CFR 2424, no award of federal funds may be made to debarred or suspended applicants, or those proposed to be debarred or suspended from doing business with the Federal Government.
Yes
No
62. Applicant has disclosed any violations of Federal criminal law - Applicants must disclose in a timely manner, in writing to HUD, all violations of Federal criminal law involving fraud, bribery, or gratuity violations potentially affecting the Federal award. Failure to make required disclosures can result in any of the remedies described in 2 CFR §200.338, Remedies for noncompliance, including suspension or debarment. This mandatory disclosure requirement also applies to subrecipients of HUD funds who must disclose to the pass-through entity from which it receives HUD funds.
Yes
No
63. Applicant has submitted the required certifications as specified in the NOFA.
Yes
No
64. Applicant has demonstrated the population to be served meets program eligibility requirements as described in the Act, and project application clearly establishes eligibility of project applicants. This includes any additional eligibility criteria for certain types of projects contained in the NOFA.
Yes
No
65. Applicant has agreed to Participate in HMIS - Project applicants, except Collaborative Applicants that only receive awards for CoC planning costs and, if applicable, UFA Costs, must agree to participate in a local HMIS system. However, in accordance with Section 407 of the Act, any victim service provider that is a recipient or subrecipient must not disclose, for purposes of HMIS, any personally identifying information about any client. Victim service providers must use a comparable database that complies with the federal HMIS data and technical standards. While not prohibited from using HMIS, legal services providers may use a comparable database that complies with federal HMIS data and technical standards, if deemed necessary to protect attorney client privilege.
Yes
No
66. Applicant has met HUD Expectations - When considering renewal projects for award, HUD will review information in eLOCCS; Annual Performance Reports (APRs); and information provided from the local HUD CPD Field Office, including monitoring reports and A-133 audit reports as applicable, and performance standards on prior grants. HUD will also assess renewal projects using the following performance standards in relation to the project's prior grants: (a) Whether the project applicant's performance met the plans and goals established in the initial application, as amended; (b) Whether the project applicant demonstrated all timeliness standards for grants being renewed, including those standards for the expenditure of grant funds that have been met; (c) The project applicant's performance in assisting program participants to achieve and maintain independent living and records of success, except HMIS-dedicated projects that are not required to meet this standard; and, (d) Whether there is evidence that a project applicant has been unwilling to accept technical assistance, has a history of inadequate financial accounting practices, has indications of project mismanagement, has a drastic reduction in the population served, has made program changes without prior HUD approval, or has lost a project site.
Yes
No
67. Applicant has met HUD financial expectations – If a project applicant has previously received HUD grants, the organization must have demonstrated its ability to meet HUD’s financial expectations. If any of the following have occurred, the project applicant would NOT meet this threshold criteria: (a) Outstanding obligation to HUD that is in arrears or for which a payment schedule has not been agreed upon; (b) Audit finding(s) for which a response is overdue or unsatisfactory;(c) History of inadequate financial management accounting practices;(d) Evidence of untimely expenditures on prior award; (e) History of other major capacity issues that have significantly affected the operation of the project and its performance; (f) History of not reimbursing subrecipients for eligible costs in a timely manner, or at least quarterly; and (g) History of serving ineligible program participants, expending funds on ineligible costs, or failing to expend funds within statutorily established timeframes.
Yes
No
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Required Attachments
Upload most recent audit and management letter (if any) or compiled financial statements
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Please name this document: HUD Project Name_Recent Audit. Upload this document in PDF format. Maximum file size is 16MB
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Please Upload Articles of Incorporation and/or Bylaws
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Please Upload a Demonstration of Your Match Commitment (e.g. letter or other documentation that demonstrates the match meeting 25% of the requested award)
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Please name this Document: HUD ProjectName_Match
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Please upload your Georgia Secretary of State Registration
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Please name this Document: HUD ProjectName_SSR
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Please Upload Your Board of Directors List
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Please name this Document: HUD ProjectName_BOD
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Please Upload Your Organizational Chart
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Please name this Document: HUD ProjectName_OC
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Please Upload Your Conflict of Interest Document
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Please name this Document: HUD ProjectName_COI
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Please Upload Proof of Ownership or Lease (if housing will be provided at site-based location)
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Please name this Document: HUD ProjectName_POL
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Please Upload Your Drug Free Certification
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Please name this Document: HUD ProjectName_DFC
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Please Upload Any Additional Documents or Evidence Depending on Project Scope (i.e. Proof of supportive service requirements through occupancy agreements or leases or Evidence of on-site substance use treatment support (as applicable))
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Please name the Document: HUD ProjectName_SupportingDoc
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Electronic Verification and Submission
Signature
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