Division of housing and community development a c wharton, jr. Mayor, city of memphis

COMMUNITY SERVICE GRANT

BUDGET- B JUSTIFICATION

Instructions for completing Budget Justification

The budget justification is a narrative explanation of the CSG (CDBG) funding requested on your project budget on page 17. Itemize costs for each line item indicated on the budget as per the following guidelines: The following information is to serve as a sample guide for the completion of your agency's budget justification. You MUST justify all costs indicated on the program budget on the previous page.

“YOUR APPLICATION WILL BE REJECTED IF YOU DO NOT SUBMIT PROJECT BUDGET – B JUSTIFICATION.”
“Partially completed budgets will be penalized.”
Salaries & Employees Taxes & Benefits:

Position Title	No. of Positions	Hourly Wage	No. of hours per pay period	Total Cost	% charged to CDBG	Total CDBG
Social Sec. Medicare Health Ins. Pension	Rate	Salary	Total Cost	% charged to CDBG	Total CDBG

Occupancy / Rent

Address

Monthly rate per Square Ft.

# of Square Feet

# of Months

Total Cost

% charged to CDBG

Total CDBG

FY2014-2015 City of Memphis

Strategic Community Investment Fund (SCIF)

Performance Measurement System Applicant Form
Community Service Grant Program

Organization Name:
Program Name:
Project Description:

Total number to be Served:

Persons

and / or

Households

Percentages of Population(s) to be Served:

Income Level:			Homeless:			Non-Homeless Special Needs:
<30% MFI		%	Homeless		%	Elderly		%
31-50% MFI		%	Chronic Homeless		%	Frail Elderly		%
51-80% MFI		%	Severe Mental Illness		%	Severe Mental Illness		%
			Chronic Sub. Abuse		%	Dual Diagnosis		%
			Dual Diagnosis		%	Dev. Disability		%
			Veterans		%	Physical Disability		%
			Domestic Violence		%	Drug Addiction		%
			Youth		%	HIV/AIDS		%
			Other: ___________		%	Domestic Violence		%
						Other: ___________		%

Objective Category: (select one)		Outcome Category: (select one)
	Suitable Living Environment		Availability/Accessibility
	Crating Economic Opportunities		Sustainability

Specific Objective: (select all that apply)
	Employment Services (e.g., job training)
	Crime Prevention/Public Safety
	Child Care
	Health Services
	Drug Abuse Services
	Supportive Services to Homeless
	Recreation Programs
	Education Programs
	Senior Services
	Supportive Services for persons with special needs
	Supportive Services for persons living with HIV/AIDS
	Public Facility Improvement
	Other:______________

Performance Indicator (estimate goals for all appropriate indicators as well as any additional indicators)	Unit Type*	Expected Number Served
		Yr1	Yr2
1. Number assisted with new access to service	Person
2. Number assisted with improved access to services	Person
3. Number that no longer only have access to a substandard service	Person
4. Number of beds created in overnight shelter or other emergency housing	Other: beds
5.
6.
7.
* Unit Type: Person, Family, Household, Housing Unit, Building, Unit of Service, Job, Business, Other (explain)

Note: Successful applicants will need to track and report performance towards achieving the goal(s) for performance indicators. In addition, successful applicants will need to track any additional activity specific performance data necessary to report to HUD.