CITY OF EL PASO
Dept. of Community and Human Development
FY 2019-2020 EMERGENCY SOLUTIONS GRANT
Project Name: Contact Person:
Project Address: Phone No:
E-Mail Address: Fax Number:
Center Capacity: Center Days/Hrs. of Operation:
to be Served:
Project (“New” = not currently in
has funded by ESG
No. of years Project has been funded by
CHECK (X) COMPONENT AMOUNT
1. Street Outreach
2. Emergency Shelter
3. Homelessness Prevention
4. Rapid Re-Housing
5. Homeless Management Information System (HMIS)
TOTAL ESG FUNDS REQUESTED:
Describe the proposed project. Please note that this summary will be used to describe your project in official City documents.
Describe the budget for the project and show how the budget relates to the requested funding.
I certify that I am authorized to sign legal documents on behalf of this
organization. I certify that the information contained in this funding
application is true and correct.
Signature and Printed Name