HomeMy WebLinkAboutBack-Up DocumentsCity of Miami
Anti -Poverty Initiative Program
Funding Request Form
CONTACT INFORMATION:
Contact Person: Joseph King
Title: Vice President of Operations
Phone number: 305.446.1543
Email Address: jking@tghimiami.org
Name of Person completing this form: Joseph King
Legal Name of Organization: Thelma Gibson Health Initiative, Inc.
Address (Street, City, State, Zip Code): 3646 Grand Avenue
Miami, FL 33133
Executive Director of Organization: Merline J. Barton
Executive Director email: mbarton@tghimiami.org
Executive Director Contact Phone Number: 305.446.1543
The organization is a registered and active State of Florida Corporation (select one):
EI
z
EI
EI
EI
EI
For -profit organization
Not -for profit organization {501(3)(c)}
Local governmental unit
State governmental unit
Educational and academic institution
City of Miami department, office of elected official, agency or board
Page 1 of 5
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
ORGANIZATION AND PROGRAM/PROJECT INFORMATION
Organization History and Background Information:
Since 2000, fCHI as been fighting the effects of poverty by addivssing drug dependency, HIV, delinquency
fin pregnanry, gang
time end hoprlcssnem with programs to help families with education, teen violence, and social and life skills.
We have been wanking in this impoverished & underserved areas ofMami helping low-income res
rvhi soluti., sire gthe f dies complete job training&find employment and Musing.
Our program isdesigncd for our client to reduce stressimprovc health, mental health and enhance foundational skills and tools necessary to resolve crises and avoid future hardships through impmvcd family thnetioning, improved employability and Musing.
By taking a community approach to change, we offer an array of services to complement our community, providing comprehensive resources for our clients... Changing Behaviors and Changing Lives .
Is your program/project providing direct services to residents of the City of Miami? Yes❑No❑
Number of residents your entity will serve:
Frequency of Service:
Age Group Served:
72
Bi-Weekly, 4 - 12 Sessions
18+, Adults, Parents and Seniors
Is your program/project impacting one of Miami's disadvantaged communities? Yes ❑✓ No n
Geographic Area Served (specific to this project/program)
District Served (1, 2, 3, 4, 5, Citywide) District 2
Neighborhood/Community being served: West Coconut Grove
Program/Project Priority area (Select one):
El
Educational Programs for children, youth and adults
Crime Prevention
Elderly meals, transportation, recreational and health/wellness related activities
At -risk youth or youth summer job programs
Transportation services and programs
Job development, retention and training programs
Homeless Services
Food Distribution
Essential supplies, during a State of Emergency, natural disaster, or economic crisis
rage 2 of 5
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
Program/Project Title: TGHI COMMUNITY "PASSPORT" TO HEALTH AND HOUSING
TGHI will utilizes aspects of our "Passport Program"; a roadmap of tasks/workshops designed to develop organized & proactive behaviors, specific
Project/Program Description:
to this funding application, for housing support. Our Passport Model helps to maximize participants' quality of life, promote healthy living, self-sufficiency &needed fiscal literacy and housing support to ensure long term
success, well as to ensure financial stability and living solutions. We develop an individualized plan incorporating on -site & home related services & activities: Prioritization of Need; Targeted Care Coordination Services; Individual/Group Sessions;
Advocacy/Empowerment; Classes; Courses & Cam Coordination support is added to ensure success. Education on Topics Related to Housing, Financial Literacy, Parenting, Safety and Skillbuilding. We will target
72 adults, parents, seniors to provide these services for and promote family stabilization and lasting change, with an expected 50 qualifying and completing
these services.
Program Start Date: September 1, 2022 Program End Date: August 31, 2023
Please describe how this program/project and funding will alleviate poverty within the City of
Miami?
We help break the cycle of poverty, giving participants the tools to be effective residents of City of Miami. More residents are in need of the deep end `Passport Model' services who otherwise
become displaced due to many circumstances. TGHIs West Coconut Grove residents are finding fewer affordable housing options as land values rise. More affordable housing is
needed in good condition, near jobs & transportation. We seek to work with 72 residents to facilitate emergency & upcoming housing application processes. By facilitating application screening,
support & assistance for upcoming Platform 3750, 80 (eighty) unit lottery for housing, we can ensure our residents age in place & maintain
affordable residence in Coconut Grove. 72 Targeted; 50 completing process & entering lottery/housing qualifier.
IMPACT AND PERFORMANCE:
Describe overall expected outcomes and performance measures for this project/program:
Our goal(s) are:
50 of 72 District 2 applicants (70%) who are identified through TGHI assessment/prioritization, w/ severe housing & affordability issues, complete TGHI service area(s) &
submit housing application for Platform 3750 80 unit lottery, or other housing acceptable alternate route. 72 of 72 (100%) of participants complete 1 session, 50 of 72 (70%) complete
all required application sessions and submit a final application. 20 of 50 (40%) are accepetd into housing in District 2 through TGHI.
A report summarizing the expected outcomes will be submitted as supporting documentation to the Close Out Report
Please attach additional pages to the back of this packet, if the space above is not sufficient.
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
FUNDING REQUEST INFORMATION:
Amount Requested: $180,000
Explain how the City of Miami Anti -Poverty funding will be utilized:
from essssment, to prioritization ofneeds, to working on the applicatioin and fiscal literary, credit repair, water/miliry loins to credit.
SIAl IIND IOR W
RKINO WI ID L(CAL PAR INLRS. LANDO, NLRS AND DLVLLOPLRS IUR HOUSING STOCK AND COMMUNI IN IN ILRLSIS,('D)PROGRAM (OSIS IUR CLILN Y SLRVICLS AND. LNSURING AI, IC. ()N PRO(LSS UO QUALIFY_
These amounts include program costs, partnership funds, supplies, professional services, participant & Passport Service Program costs.
Itemize API funding related to expenditures below:
Personnel Salaries & Wages: $124,600
Personnel Benefits $12,460
Space Rental: $2,000
Utilities (Electricity, Phone, Internet): $0
Supplies: $3,750
Marketing: $310
Transportation (Participants): $0
Meals (Participants): $2,880
CPA/AUDIT/INSURANCE ($1,500 EACH) = $4,500
Professional Services (List each):
Other (please describe): ADMIN./INDIRECT (5%) $9,000
Other (please describe): Passport Program and Client Service & Materials $20,000
Other (please describe): Consulting Fees/Housing Compliance/Service Partner Fee $500
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
To be completed by the Entity/Recipient
By signing below you agree to the guidelines and stipulate that the information provided on this form is
accurate and complete.
Completed by (Print & Sign): Joseph King
Date: 07/08/22
Additional Comments:
See Additional Pages for Further Information
To be completed by District Commissioner/Mayor's Office
Recommended for funding: Yes[l No❑
Funding Recommendation:
Commission Meeting Date:
Additional Comments:
Completed by (Print & Sign); Anthony Balzebre,
Date: 7/13/2022
To be completed by the Department
Received by (Print & Sign):
Date: 7/13/22
Additional Comments:
This request has been reviewed and is approved to move forward to Commission approval.
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)