HomeMy WebLinkAboutExhibit2Technical Project Number: F rLl 4B700O32
Submission Project Identifier:
Exhibit 1: Project Summary
ATTACHMENT A-2
Please indicate below the number of persons you have committed to serve as indicated in your application or
as modified by your Field Office (Le., change due to funds being reduced).
D. Number of Beds, Participants, and Supportive Services (Does not apply to HMIS
projects)
Chart 1: Housing Type
(Check all that apply)
la LJ Multi -family
l Single-family
n Congregate Facility
lb. ❑ Scattered Site
❑ Project Based
** Supportive Services Only
Complete Chart 2 and Chart 3 based on the following instructions.
Chart 2: Units, Bedrooms, Beds * ,
a Current
Level
(Point -in -Time)
b. New Effort or Chang
in Effort
(lf Applicable)
c. Projected
Level
(cot a + col. b)
Number of Units
N/A
N/A
Number of Bedrooms
N/A
N/A
Number of Beds
N/A
_
N/A
*Do not complete information on the number of units, bedrooms and beds for Supportive Services Only
(SSO) projects. In those instances, enter "N/A" in the appropriate cells.
Chart 3: Participants
a Current
Level
(Point -in -Time)
b. New Effort or Chang
in Effort
(If Applicable)
c. Projected'
Level
(coL a + coL b)
a. Number of Families with
Children (Family Households)
210
210
i. Number of adults in families
210
210
ii. Number of children in families
420
420
iii. Number of disabled in families
b. Number of Single Individuals and
Other Households w/o Children
2,370
2,370
i. Number of disabled individuals
ii. Number of chronically homeless
_
IUD-40090-3a
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