Pre-Application for GA Rehoused 3rd Funding Cycle

State Housing Trust Fund for the Homeless Commission Pre-Application for Georgia Rehoused

Funding Cycle Three
Thank you for your interest in the State Housing Trust Fund for the Homeless Commission Pre-Application for Georgia Rehoused. Please be advised that if the pre-application is recommended for funding in the third round of Georgia Rehoused, and at the time of submission to the Competitive application, the application lacks a local government co-applicant, a documented partnership, or HMIS engagement, it will be deemed ineligible for submission and will not be scored.
SECTION 1: APPLICANT INFORMATION
Primary Applicant (Legal Name)
Have you applied for GA Rehoused in the past?
Physical Address:
City, State, Zip:
Primary Contact Person:
Title:
Phone Number:
Email:
Organizational Type:
EIN
UEI
Authorized Official Name (This should match the signature at the bottom of this application):
Please upload your organization's IRS Determination Letter below:

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Please upload your organization's Secretary of State Registration below. The information in this document should match the information in the IRS Determination Letter uploaded above.

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Co-Applicant/ Partner Organization:
Physical Address:
City, State, Zip:
Primary Contact Person:
Title:
Phone Number:
Email:
Organizational Type:
EIN
UEI
Please upload your organization's IRS Determination Letter below:

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Please upload your organization's Secretary of State Registration below. The information in this document should match the information in the IRS Determination Letter uploaded above.

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Section 2: Proposed Project Information
Proposed Project Name
Counties to be served:
Proposed site location, including accessibility to transit and other amenities nearby for capital projects:
If there are barriers to transportation from the proposed site location, please provide an explanation of an Alternative Transportation Plan in the space below, as applicable:
Please upload a map of the proposed project location that includes a legend depicting above described accessibility to transit and other amenities nearby, as applicable:

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Please upload Walk Scores for the proposed capital funding project below. Walk scores can be found at https://www.epa.gov/smartgrowth/smart-location-mapping#walkability.

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Where persons of lived experience incorporated into the plan design of the proposed project?
All proposed projects must adhere to Fair Housing regulations and the seven protected classes. Please describe below how this has been considered in the proposed project concept:
SECTION 3: NUMBER OF PERSONS ASSISTED
What data has been used to inform the need for the proposed project?
What information has been gathered to inform the lack of projects available to serve the local unsheltered population?
Please select the target population that will be served through the proposed project:
Are there local economic issues (e.g., major employers or industrial growth) where a lack of housing and services prevents vulnerable workers from maintaining or securing employment?
How many individuals are proposed to be sheltered or transitioned through the project?
Please explain how the number of the individuals served was calculated below:
Please use the space provided to demonstrate the ratio of requested funding to the total number of bed/units delivered for capital projects, and ratio of requested funding to the total amount of individuals served for supportive services funding requests.
SECTION 4: COLLABORATIVE PARTNERSHIP INFORMATION
Partner Name:
Partner Role:
Committed Partner Resource:
Term of Partnership:
Please upload documentation of Partnership below:

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A formal Memorandum of Agreement (MOA) between the applicant and co-applicant must be uploaded. If the partnerships are not yet finalized, an advisory committee composed of representatives from the primary and co-applicant must be actively working toward an MOA. Please upload documentation of when the advisory board was formed, the date and time of the last meeting, and a timeline for completion of the MOA.
Please upload MOA below:

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Please upload documentation of advisory board below:

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Has your organization identified a developer for this project? If Yes, please provide developer name and provide documentation below.
Developer Name:
Please upload documentation of financial participation or developer funding. Documentation can be either a formalized MOA with developer or letter of intent from developer.

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SECTION 5: UNSHELTERED HOMELESS IMPACT
Did your organization participate in the most recent Point in Time Count?
Applicants should include the most recent unsheltered homeless numbers from the Point in Time count data, which can be found here. For applicants who believe that most recent available Point in Time count data is not reflective of unsheltered homelessness in their community, applicants are encouraged to submit a narrative explanation with other data sources outlining their community’s experience of unsheltered homelessness.
Most Recent Point in Time Count Data:

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Narrative Explanation

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SECTION 6: FUNDING REQUEST

Applicants must agree to accept the following based on funding source. Please select which funding source(s) your organization would be willing to accept.
Funding Source
Please enter the total anticipated amount for this project:
Please enter the anticipated total amount that would be requested from SHTF:
Please enter the total anticipated amount of match funding that your organization will be able to provide for this project:

Please complete the table below:

Rows	Match
Source
Amount
Status (committed, pending, proposed)

Match Supporting Documentation-A 100% match is a requirement and in-kind match is capped at 50%. Please note that undocumented match does not count.

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Early engagement with potential funders and contractors is encouraged but not required at the pre-application stage. Please check the current status of potential funders and contract engagement:
Please list potential funders with potential amounts and contractors to include what they will be contracted for below:
Please type N/A if there are no potential funder and/or contractors identified

SECTION 7: PROJECT PLAN

6 page limit
Project Proposal and Plan Requirements (no longer than 6 pages total)

For All Proposals:
- Population served: Applicants should also include the minimum number of homeless individuals to be rehoused or sheltered through the project for which funding is requested, and a brief narrative explanation of how the anticipated outcome number was developed.
- Service Delivery and Program Duration: Please provide a detailed description of how services will be provided to the unsheltered population in your community. Please also provide a list of agencies that will refer participants (i.e., Coordinated Entry, etc.) Provide an explanation of how the requested funding will reduce unsheltered homelessness in the community, whether the request is for a new or existing activity, and how frequently the services will be provided. For communities managing multiple funding sources, applicants may ask for reimbursement from state funds to cover encampment removal or shelter operation costs for activities that occurred in 2026 before the application or award. Applicants must demonstrate how reimbursement would enable them to repurpose more restrictive funding sources to make a greater impact in ending unsheltered homelessness.
- Community engagement: brief summary of the community’s involvement in proposal development and/or plans to involve resident stakeholders
- Budget and Financial Documentation: Applicant must submit a complete and comprehensive project budget and internal operations budget that ensures long-term operational viability of the project or demonstrates support until the unsheltered homeless reduction is met. Budgets must be submitted in Excel format. The budget does not count toward the 6 page limit.
- Funding type: Indicate whether the project will request federal, state, or a combination of both. If willing to accept both state and federal funds, applicants must demonstrate the ability to manage both funding streams, including clear cost allocation and compliance with the most restrictive applicable rules
- For Capital Funding Only:
  If requesting capital funding, applicants should also submit a brief project plan (no more than 6 pages) that must address:
  - Project location: Applicants should identify a site and provide initial site assessments (to include plans for acquisition and site development, such as zoning requirements, utility and transportation, environmental considerations, and others) and should anticipate a site visit scheduled within two weeks of pre-application submittal.
  - Development type, including:
    
    Residential
    
    Shelter
    
    Transitional Housing
    
    Manufactured housing may be included in Residential or Transitional Housing
  - Development timeline:
    
    When developing the timeline, consider the following activities from application to in-service
    
    Environmental reviews
    
    Local municipality approval and permits
    
    Site preparation
    
    Site and utility assessments
    
    Bidding and procurement of all contractors and consultants
    
    Geotechnical report (new construction only)
    
    Owner agreements with an architect and general contractor
    
    Schedule of values determination
    
    Accessibility requirements
    
    Construction schedule
    
    Design development and changes
    
    Certification of completion
    
    Final inspection
    
    Furniture, fixtures and equipment
    
    Post-development and preparation for in-service activities
    
    Others not articulated above
- Sustainability: Provide a long-term funding strategy for both development and operations. Applicants should anticipate entering a Land Use Restriction Agreement (LURA) for a minimum of 15 years for the proposed development.
Project Plan

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Comprehensive Budget

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Email
example@example.com

SECTION 8: HMIS REQUIREMENTS
Information on obtaining Homeless Management Information System (HMIS) access for your organization is available here on DCA's website.
Is your organization currently using HMIS? If yes please upload your current view and edit status in the system below.
HMIS View Status

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If not currently using HMIS, please upload documentation for steps your organization has taken to demonstrate engagement with your local Continuum of Care to obtain access to ClientTrack for reporting homeless service projects

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If not currently using HMIS, what data collection tool is your organization using to collect program data?
If not currently using HMIS, does your organization agree to register and use HMIS, if awarded funding?

SECTION 9: SIGNATURES
Authorized Official Name
Title
Email
Signature

I certify by my typed signature above that I am authorized to file this application on behalf of the Local Governments/Pre-applicant and that the information submitted herein has been reviewed and verified by me and the person listed below and is true and correct in all respects. The typed versions of the names are being accepted as the original signatures pursuant to the Georgia Electronic Records and Signature Act (O.C.G.A. Section 10-21-1, et seq.).
Should be Empty:

State Housing Trust Fund for the Homeless Commission Pre-Application for Georgia Rehoused

SECTION 1: APPLICANT INFORMATION

Section 2: Proposed Project Information

SECTION 3: NUMBER OF PERSONS ASSISTED

SECTION 4: COLLABORATIVE PARTNERSHIP INFORMATION

SECTION 5: UNSHELTERED HOMELESS IMPACT

SECTION 6: FUNDING REQUEST

SECTION 7: PROJECT PLAN

SECTION 8: HMIS REQUIREMENTS

SECTION 9: SIGNATURES