H
arris County Department of Education 2020-2021 CASE for Kids City Connections Page | 1
The Center for Afterschool, Summer and Enrichment for Kids, or CASE for Kids, is a division
of Harris County Department of Education (HCDE) that was formed in 1999. The vision of CASE for Kids is to
ensure that every child in Harris County will have access to high-quality, expanded learning opportunities. CASE
for Kids believes a quality out-of-school time program provides avenues for opportunities for youth to excel,
explore and expand their horizons before school, after school, on weekends and during the summer. A quality
program provides a safe and inclusive environment, diverse learning opportunities, effective administrative
strategies, collaborative relationships, and intentional program promotion.
CASE for Kids City Connections, funded directly by the City of Houston, supports organizations that
address the need for youth services outside the school day. Projects funded by the CASE for Kids City
Connections program are hosted from a variety of locations including schools, community centers, apartment
complexes, churches, and virtual programs. Grants are designed to meet individual Houston city council district
needs and provide prevention-based programming that addresses gaps in services to youth.
CASE for Kids recognizes the impact of the coronavirus (COVID-19) pandemic to the after-school
community. Due to COVID-19 and in efforts to support programs, under CDC guidelines, for the fiscal year 2021
grant cycle (October 26, 2020 through April 30, 2021), organizations offering direct service, virtual programs
and/or hybrid programs will be considered. Due to potential changes based on COVID-19 conditions, before
award announcements modifications will be collected for assessment via the Project Site Information Form.
GRANT TERM AND DEADLINES
City Connections Project Grant Term
Application Deadline
Wednesday, September 2, 2020 by 5p.m.
Project Grant Term Period
Monday, October 26, 2020 to
Friday, April 30, 2021
Award Announcement
Wednesday, October 7, 2020
via www.afterschoolzone.org
2020-2021 City Connections
Request for Proposals (RFP)
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 2
City Connections RFP Workshops
Interested organizations may attend any RFP workshop listed below.
Workshop Date
Workshop Time
Workshop via ZOOM
Wednesday, August 12, 2020
10:00a.m. – 11:30a.m.
Register HERE
Monday, August 17, 2020
10:00a.m. – 11:30a.m.
Register HERE
Friday, August 21, 2020
1:00p.m. – 2:30p.m.
Register HERE
FUNDING PARAMETERS
Applicants must adhere to the funding parameters listed below:
Applicants are not allowed to submit more than two (2) applications for the City Connections project per
grant term.
Applicants may submit no more than one (1) application, per city council district, per grant term.
A minimum of $5,000 and a maximum of $10,000 amounts, may be requested per organization, per grant
application.
Applicants may propose activities at a maximum of four (4) project sites within each city council district,
per grant application.
APPLICANT ELEGIBILITY
Each applicant must submit sufficient evidence that it is an established charter school, faith-based
organization or civic group that:
Holds a valid IRS-designated 501(c)3 status for at least one (1) calendar year prior to the application
deadline;
Is formally registered with the Texas Secretary of State as a not-for-profit entity and has held such
registration for at least one calendar year prior to the application deadline.
*Applicant organization must not be debarred from conducting business with the City of Houston, HCDE or the
federal government.
PROGRAM REQUIREMENTS
Applicant must adhere to the program requirements listed below.
Proposed projects must:
Serve children within the range of kindergarten through 12
th
grade.
Serve youth before school, after school, holidays, or weekend hours.
Identify the city council district and its constituents within the district where the project will occur.
Meet needs in city council districts, as determined by City Council Members.
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 3
PROGRAM REQUIREMENTS (cont.)
COVID-19 CONSIDERATION: Due to the recent COVID-19 Pandemic, CASE for Kids will accept applications
for direct service, virtual, or hybrid programs.
Direct Service programs are defined as programming that takes place in-person with appointed
staff at the designated location as listed on your application. City Connections grantee will agree
to manage student registration and host site is responsible for following CDC guidelines for in
person programming, such as screening staff and students and cleaning and space usage. If the
City Connections grantee is providing direct service for the host site, grantee staff must also
follow CDC guidelines and assist host site with ensuring compliance of safety protocols.
Virtual programs are defined as programming that takes place via an online platform such as
Google Classroom, ZOOM, Schoology, Instructure, etc. Activities offered in virtual programs may
be pre-recorded or synchronous learning. City Connections grantee will be responsible for
collaborating with host site for recruitment and dissemination of information but will be
ultimately responsible for ensuring programming. Additionally, virtual programming will adhere
to proper internet communication and safety.
Hybrid programs are defined as programming that offer both in-person activities as well as
intentional virtual activities.
CASE for Kids recommends that the following websites should be continually reviewed to remain current
on guidelines and recommendations: Texas Department of State Health Services,
Texas Health & Human
Services, Texas Education Agency and the Centers for Disease Control and Prevention. Licensed programs
must follow child care protocols from Texas Health and Human Services; other programs will want to
consult this resource as well as a means to limit exposure. Resources to mitigate the spread of COVID-
19, include
CDC handwashing guides, face covering information, physical distancing guidance.
Gain permission to provide youth services for the indicated host site(s) and have a signed “Collaboration
Letter” submitted with the application. Additionally, the nonprofit organization should follow procedures
required by the host site, if any, to serve youth.
Nonprofit applicants who wish to host a City Connections project at a Houston Parks and Recreation
Department (HPARD) facility are REQUIRED to contact HPARD staff to present potential plans prior to
submitting this application. In addition, CASE for Kids will require documentation from HPARD that
indicates HPARD’s approval for the applicant organization to host a City Connections project at the
identified HPARD facility.
Agree to obtain and assess criminal history record information for each employee, contractor or
volunteer used in the delivery of projects funded by the program grant funds and to use only those
persons fit to work with students.
Agree to deliver services funded by the program within the following timeframe:
City Connections Project Grant Term: October 26, 2020 to April 30, 2021
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 4
PROGRAM REQUIREMENTS (cont.)
Submit a single application for projects that are proposed by more than one applicant for a collaborative
project. If more than one application is received for a collaborative project, both applications will be
disqualified.
Submit a complete application with all required supporting documents.
May not use funding to provide individual awards (i.e. scholarships) nor to have structural enhancements
at a facility.
BUDGET REQUIREMENTS
Grant recipients must adhere to the following requirements:
Must match the total awarded amount of program grant funding, with evidence, on a dollar-for-dollar
basis. The match may be cash or in-kind resources from the organization or other entities.
Expend program grant funding to reflect services provided in the outlined grant proposal.
May spend no more than ten percent (10%) of Program Grant Funds for Administrative Costs.
May spend no more than twenty percent (20%) of Program Grant Funds to support Program Quality
Improvements.
GRANT RECIPIENT REQUIREMENTS
Grant recipients must meet the following requirements, according to the schedule and deadlines set by HCDE:
Maintain all records and accounts in a manner that shall require full accounting of all expenditures paid
for with both funds received from HCDE and site matching funds relating to the signed Notice of Grant
Award (NOGA). Grantee records and accounts shall be retained by the grantee and made available for
audit by HCDE, City of Houston or their respective representatives for a period not less than three (3)
years after the expiration or termination of the NOGA. If an audit is announced, the grantee must retain
its records and accounts until such audit has been completed.
Complete a final report at the end of the program period, including but not limited to attendance forms
and a project summary form, provided by CASE for Kids, detailing project accomplishments and
challenges, photo documentation of the project and promotional materials.
Submit attendance and demographics for youth served with program grant funding in the manner
required by HCDE approved system.
Comply with evaluations required by HCDE, which may include site visits, focus groups, and surveys.
Agree to obtain and assess criminal history record information for each employee, contractor, or
volunteer used in the delivery of projects funded by program grant funds and to use only those persons
fit to work with students.
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 5
GRANT RECIPIENT REQUIREMENTS (cont.)
Submit an HCDE vendor packet to include, at a minimum, the following: W-9 Form, Conflict of Interest
Form, Felony Conviction Affidavit Form, and Covered Employee Affidavit Form.
Attend three (3) mandatory meetings presented by CASE for Kids staff during the grant term on topics
related to grant compliance, funding and resources on program implementation. The mandatory
workshop schedule and details will be emailed to grantees.
Provide a safe and inclusive environment for youth. (See details on www.afterschoolzone.org
)
GRANT PAYMENTS
CASE for Kids will complete a NOGA with all selected grant recipients to ensure compliance. The first grant
payment, for 80 percent of the total grant award is made after the contract is authorized by HCDE. An invoice
from the grant awardee is required to process payment. An invoice will not be processed until a completed HCDE
vendor packet is received and processed. Grant recipients should expect payment from HCDE approximately six to
eight weeks, after the submission of invoice. The final 20 percent of the grant award will be paid upon receipt
and approval of an invoice and a final report.
If services are not delivered as detailed in the contract, if the final report is not submitted, or if final evaluation
by CASE for Kids results in concern over implementation of the project, the final 20 percent of the award will not
be allocated and the grant awardee may be required to return part or all of the previously allocated grant
funding.
STEPS TO SUBMIT A COMPLETE APPLICATION
Step 1: Download and complete the online CASE for Kids City Connections Application.
Note: Applications that are incomplete or improperly prepared will not be considered.
City Connections Application- Includes one (1) of each of the following documents:
Application Cover Sheet - Detailing applicant organization information, proposed sites and
certification statement. Executive director of applicant organization must sign the certification
statement.
Project Site Information - List the name and address of each project site, activity description and
schedule.
Collaborations Letter - An authorized representative from each proposed project site must sign
the certification statement. Each proposed site must have a collaboration letter.
If required, per Program Requirements on page 2, HPARD documentation. Contact HPARD at 832-
395-7270 or Twonda Thompson via email at
Twonda.Thompson@houstontx.gov or at 832-395-
7000.
Project Description - Includes project needs and strategies to provide safe/inclusive environment.
Budget and Match Funding - Match funding must be listed and verified.
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 6
STEPS TO SUBMIT A COMPLETE APPLICATION (cont.)
Step 2: Prepare and submit Support Documents with your application.
Support Documents - Include one of each the following:
Nonprofit letter of determination from the IRS
Most recent annual financial report that includes all expenditures and income such as a financial
statement compiled by a CPA, or last year’s 990-form.
A letter of support from project stakeholder such as a principal, board member, parent or civic
leader. (Optional)
EVALUATION CRITERIA
Each complete and eligible application is reviewed by CASE for Kids. Proposed projects are recommended
to the City of Houston based on community need, project description, budget, match funding, and
proposed site information.
Evaluation Factors:
Applicant Overview- 15 points
Reputation of Vendor and of Vendor’s goods and/or services (5 points)
Extend to which the goods meet HCDE needs, including community need (5 points)
Vendor’s past relationship with HCDE (5 points)
Project Narrative (Project description, Proposed Site Information)- 30 points
Program Budget, Partners and Match Funding- 25 points
City Council Recommendation- 30 points
Total Points- 100 points
Final decisions on grant awards are at the discretion of the individual City Council Member, as he/she
sees fit, based on community and constituent needs.
DEADLINE FOR SUBMISSION
City Connections Application and Support Documents must be submitted via email, ONLY, to
caseconnections@hcde-texas.org
, before or on Wednesday, September 2, 2020 by 5:00 p.m.
All questions regarding this RFP must be submitted in writing to caseconnections@hcde-texas.org
. Responses
will be posted on www.afterschoolzone.org in order to ensure equity of information for all potential
applicants.
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 7
2020-2021 CITY CONNECTIONS- PROPOSAL COVER SHEET
Address:
City:
State:
Zip Code:
Executive Director:
E-Mail:
Contact Name:
E-Mail
Phone:
Proposed project will take place in City Council District:
Proposed project will take place in Harris County Commissioner Precinct:
Is the applicant organization, returning from 2019-2020? :
Proposed Project Site(s) Information
Applicants may propose one site or multiple sites. All project sites must be located in the same city council district. Using the
table blow, enter the name of the organization or center that will host the proposed program. Provide the information in the
columns as follows: A.) Proposed number of youth served at the site, B.) Age of youth served at the site, C.) Grade level of youth
served at the site and D.) Amount requested for the site.
Site Names
A
Youth
B
Age
C
Grade(s)
D
Request Amount
Example: Johnson Community Center
25 youth
8-12 yrs.
2
nd
-5
th
$2,500
1.
youth
2.
youth
3.
youth
4.
youth
Total:
youth
$
Certification Statement
I certify that I completed and submitted the CASE for Kids City Connections Application as described on the CASE for
Kids City Connections Request for Proposal. The application includes the applicant overview, program need, program
narrative, budget, match funding list, and proposed site information.
I certify that this application was developed in accordance with all program requirements and that all information is
true and correct. I certify that, if funded, the program will be carried out in accordance with the program plan
described in this application, and that all proposed program changes will be brought to the attention of the Harris
County Department of Education’s CASE for Kids City Connections Program Coordinator prior to implementation.
Signature Date
Organization Executive Director (signature required)
click to sign
signature
click to edit
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 8
Project Site Information
Complete project site information for each proposed site entered on the Proposal Cover Sheet. Enter
the project schedule for each proposed site.
*Each site must have a completed Collaboration Letter
Site 1
Site 1
Site Name:
Neighborhood:
Site Address:
Zip Code:
Site Contact:
Email:
Phone:
Program Type: Direct Service Virtual Hybrid
Project Start Date:
Project End Date:
Description of activities at Site (25 words or less):
Site 1 Proposed Schedule
Day
Start Time
End Time
Monday
a.m. p.m.
a.m. p.m.
Tuesday
a.m. p.m.
a.m. p.m.
Wednesday
a.m. p.m.
a.m. p.m.
Thursday
a.m. p.m.
a.m. p.m.
Friday
a.m. p.m.
a.m. p.m.
Saturday
a.m. p.m.
a.m. p.m.
Sunday
a.m. p.m.
a.m. p.m.
*Note: Any changes in site and/or site schedule, for either grant term, must be submitted in writing
and approved to CASE for Kids, prior to implementation.
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 9
Project Site Information
Complete project site information for each proposed site entered on the Proposal Cover Sheet. Enter
the project schedule for each proposed site.
*Each site must have a completed Collaboration Letter
Site 2
Site 2
Site Name:
Neighborhood:
Site Address:
Zip Code:
Site Contact:
Email:
Phone:
Program Type: Direct Service Virtual Hybrid
Project Start Date:
Project End Date:
Description of activities at Site (25 words or less):
Site 2 Proposed Schedule
Day
Start Time
End Time
Monday
a.m. p.m.
a.m. p.m.
Tuesday
a.m. p.m.
a.m. p.m.
Wednesday
a.m. p.m.
a.m. p.m.
Thursday
a.m. p.m.
a.m. p.m.
Friday
a.m. p.m.
a.m. p.m.
Saturday
a.m. p.m.
a.m. p.m.
Sunday
a.m. p.m.
a.m. p.m.
*Note: Any changes in site and/or site schedule, for either grant term, must be submitted in writing
and approved to CASE for Kids, prior to implementation.
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 10
Project Site Information
Complete project site information for each proposed site entered on the Proposal Cover Sheet. Enter
the project schedule for each proposed site.
*Each site must have a completed Collaboration Letter
Site 3
Site 3
Site Name:
Neighborhood:
Site Address:
Zip Code:
Site Contact:
Email:
Phone:
Program Type: Direct Service Virtual Hybrid
Project Start Date:
Project End Date:
Description of activities at Site (25 words or less):
Site 3 Proposed Schedule
Day
Start Time
End Time
Monday
a.m. p.m.
a.m. p.m.
Tuesday
a.m. p.m.
a.m. p.m.
Wednesday
a.m. p.m.
a.m. p.m.
Thursday
a.m. p.m.
a.m. p.m.
Friday
a.m. p.m.
a.m. p.m.
Saturday
a.m. p.m.
a.m. p.m.
Sunday
a.m. p.m.
a.m. p.m.
*Note: Any changes in site and/or site schedule, for either grant term, must be submitted in writing
and approved to CASE for Kids, prior to implementation.
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arris County Department of Education 2020-2021 CASE for Kids City Connections Page | 11
Project Site Information
Complete project site information for each proposed site entered on the Proposal Cover Sheet. Enter
the project schedule for each proposed site.
*Each site must have a completed Collaboration Letter
Site 4
Site 4
Site Name:
Neighborhood:
Site Address:
Zip Code:
Site Contact:
Email:
Phone:
Program Type: Direct Service Virtual Hybrid
Project Start Date:
Project End Date:
Description of activities at Site (25 words or less):
Site 4
Proposed Schedule
Day
Start Time
End Time
Monday
a.m. p.m.
a.m. p.m.
Tuesday
a.m. p.m.
a.m. p.m.
Wednesday
a.m. p.m.
a.m. p.m.
Thursday
a.m. p.m.
a.m. p.m.
Friday
a.m. p.m.
a.m. p.m.
Saturday
a.m. p.m.
a.m. p.m.
Sunday
a.m. p.m.
a.m. p.m.
*Note: Any changes in site and/or site schedule, for either grant term, must be submitted in writing
and approved to CASE for Kids, prior to implementation.
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 12
2020-2021 City Connections- Proposed Project Site Collaboration Letter (Site 1)
Organization Name:
Project Site:
I certify that I agree to host the CASE for Kids City Connections afterschool project at my site as described above on
the CASE for Kids City Connections proposed project form. This collaboration letter is entered into between the above
listed ORGANIZATION and PROJECT SITE at the PROJECT SITE ADDRESS.
The above listed ORGANIZATION and PROJECT SITE further agrees that they will comply with all terms and conditions
of the City Connections grant awarded to HCDE. Those regulations include the 2020-2021 City Connections Request for
Proposal (RFP). If a proposed project takes place at a Houston Parks and Recreation Department (HPARD) facility, you
must adhere to guidelines as detailed on Program Requirements (page 2). PROJECT SITE is responsible for following
CDC guidelines for in person programming, such as screening staff and students and cleaning and space usage. If the
City Connections grantee is providing direct service for the host site, grantee staff must also follow CDC guidelines
and assist host site with ensuring compliance of safety protocols. ORGANIZATION will be responsible for collaborating
with host site for recruitment and dissemination of information but will be ultimately responsible for ensuring
programming.
In consideration of the mutual covenants and conditions contained in this Collaboration Letter and other good and
valuable consideration, the receipt and sufficiency of which are hereby acknowledged, ORGANIZATION and PROJECT
SITE, intending to be legally, agree as follows:
Type of Service Provided: Direct Service Virtual Hybrid
Project Description
Project Site shall provide the following:
Organization agrees to provide the following:
By signing below, each party represents that s/he is authorized to execute this collaboration and is bound to all terms
of the Collaboration Letter, and to bind all related or affiliated institutions, individuals, employees or contractors who
may have access to data received pursuant to this Collaboration Letter or who may own, lease, or control equipment
or facilities of any kind where the data is stored, maintained or used in any way.
Signature Date
Project Site Authorized Representative (signature required)
Printed Name Title
Signature Date
Applicant Organization Authorized Representative (signature required)
Printed Name Title
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 13
2020-2021 City Connections- Proposed Project Site Collaboration Letter (Site 2)
Organization Name:
Project Site:
I certify that I agree to host the CASE for Kids City Connections afterschool project at my site as described above on
the CASE for Kids City Connections proposed project form. This collaboration letter is entered into between the above
listed ORGANIZATION and PROJECT SITE at the PROJECT SITE ADDRESS.
The purpose of this letter is to document the terms under which ORGANIZATION and PROJECT SITE will deliver
services and the responsibilities of both parties.
The above listed ORGANIZATION and PROJECT SITE further agrees that they will comply with all terms and conditions
of the City Connections grant awarded to HCDE. Those regulations include the 2020-2021 City Connections Request for
Proposal (RFP). If a proposed project takes place at a Houston Parks and Recreation Department (HPARD) facility, you
must adhere to guidelines as detailed on Program Requirements (page 2). PROJECT SITE is responsible for following
CDC guidelines for in person programming, such as screening staff and students and cleaning and space usage. If the
City Connections grantee is providing direct service for the host site, grantee staff must also follow CDC guidelines
and assist host site with ensuring compliance of safety protocols. ORGANIZATION will be responsible for collaborating
with host site for recruitment and dissemination of information but will be ultimately responsible for ensuring
programming.
In consideration of the mutual covenants and conditions contained in this Collaboration Letter and other good and
valuable consideration, the receipt and sufficiency of which are hereby acknowledged, ORGANIZATION and PROJECT
SITE, intending to be legally, agree as follows:
Type of Service Provided: Direct Service Virtual Hybrid
Project Description
Project Site shall provide the following:
Organization agrees to provide the following:
By signing below, each party represents that s/he is authorized to execute this collaboration and is bound to all terms
of the Collaboration Letter, and to bind all related or affiliated institutions, individuals, employees or contractors who
may have access to data received pursuant to this Collaboration Letter or who may own, lease, or control equipment
or facilities of any kind where the data is stored, maintained or used in any way.
Signature Date
Project Site Authorized Representative (signature required)
Printed Name Title
Signature Date
Applicant Organization Authorized Representative (signature required)
Printed Name Title
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 14
2020-2021 City Connections- Proposed Project Site Collaboration Letter (Site 3)
Organization Name:
Project Site:
I certify that I agree to host the CASE for Kids City Connections afterschool project at my site as described above on
the CASE for Kids City Connections proposed project form. This collaboration letter is entered into between the above
listed ORGANIZATION and PROJECT SITE at the PROJECT SITE ADDRESS.
The purpose of this letter is to document the terms under which ORGANIZATION and PROJECT SITE will deliver
services and the responsibilities of both parties.
The above listed ORGANIZATION and PROJECT SITE further agrees that they will comply with all terms and conditions
of the City Connections grant awarded to HCDE. Those regulations include the 2020-2021 City Connections Request for
Proposal (RFP). If a proposed project takes place at a Houston Parks and Recreation Department (HPARD) facility, you
must adhere to guidelines as detailed on Program Requirements (page 2). PROJECT SITE is responsible for following
CDC guidelines for in person programming, such as screening staff and students and cleaning and space usage. If the
City Connections grantee is providing direct service for the host site, grantee staff must also follow CDC guidelines
and assist host site with ensuring compliance of safety protocols. ORGANIZATION will be responsible for collaborating
with host site for recruitment and dissemination of information but will be ultimately responsible for ensuring
programming.
In consideration of the mutual covenants and conditions contained in this Collaboration Letter and other good and
valuable consideration, the receipt and sufficiency of which are hereby acknowledged, ORGANIZATION and PROJECT
SITE, intending to be legally, agree as follows:
Type of Service Provided: Direct Service Virtual Hybrid
Project Description
Project Site shall provide the following:
Organization agrees to provide the following:
By signing below, each party represents that s/he is authorized to execute this collaboration and is bound to all terms
of the Collaboration Letter, and to bind all related or affiliated institutions, individuals, employees or contractors who
may have access to data received pursuant to this Collaboration Letter or who may own, lease, or control equipment
or facilities of any kind where the data is stored, maintained or used in any way.
Signature Date
Project Site Authorized Representative (signature required)
Printed Name Title
Signature Date
Applicant Organization Authorized Representative (signature required)
Printed Name Title
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 15
2020-2021 City Connections- Proposed Project Site Collaboration Letter (Site 4)
Organization Name:
Project Site:
I certify that I agree to host the CASE for Kids City Connections afterschool project at my site as described above on
the CASE for Kids City Connections proposed project form. This collaboration letter is entered into between the above
listed ORGANIZATION and PROJECT SITE at the PROJECT SITE ADDRESS.
The purpose of this letter is to document the terms under which ORGANIZATION and PROJECT SITE will deliver
services and the responsibilities of both parties.
The above listed ORGANIZATION and PROJECT SITE further agrees that they will comply with all terms and conditions
of the City Connections grant awarded to HCDE. Those regulations include the 2020-2021 City Connections Request for
Proposal (RFP). If a proposed project takes place at a Houston Parks and Recreation Department (HPARD) facility, you
must adhere to guidelines as detailed on Program Requirements (page 2). PROJECT SITE is responsible for following
CDC guidelines for in person programming, such as screening staff and students and cleaning and space usage. If the
City Connections grantee is providing direct service for the host site, grantee staff must also follow CDC guidelines
and assist host site with ensuring compliance of safety protocols. ORGANIZATION will be responsible for collaborating
with host site for recruitment and dissemination of information but will be ultimately responsible for ensuring
programming.
In consideration of the mutual covenants and conditions contained in this Collaboration Letter and other good and
valuable consideration, the receipt and sufficiency of which are hereby acknowledged, ORGANIZATION and PROJECT
SITE, intending to be legally, agree as follows:
Type of Service Provided: Direct Service Virtual Hybrid
Project Description
Project Site shall provide the following:
Organization agrees to provide the following:
By signing below, each party represents that s/he is authorized to execute this collaboration and is bound to all terms
of the Collaboration Letter, and to bind all related or affiliated institutions, individuals, employees or contractors who
may have access to data received pursuant to this Collaboration Letter or who may own, lease, or control equipment
or facilities of any kind where the data is stored, maintained or used in any way.
Signature Date
Project Site Authorized Representative (signature required)
Printed Name Title
Signature Date
Applicant Organization Authorized Representative (signature required)
Printed Name Title
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 16
2020-2021 City Connections- Application Form
Applicant must provide a response to each question below:
1) What is your organization’s mission statement? Provide a brief overview of the services offered. (75
words max.)
2) Describe your proposed project through City Connections. What types of activities/events will take
place throughout your project term? Please (100 words max.)
3) Please describe how your proposed project would take place, in accordance with local, state and
federal policies in regards to COVID-19. (100 words max)
Direct Service Virtual Hybrid
Harris County Department of Education 2020-2021 CASE for Kids City Connections Page | 17
4) Give a brief description of your program staff experience and qualifications. (75 words max.)
5) What policies & procedures will you utilize to provide a safe environment for youth? (100 words max.)
6) How will you recruit students for your proposed project through City Connections? (75 words max.)
7) Describe how your proposed project will meet the need for the identified City Council District.
(50 words max.)
H
arris County Department of Education 2020-2021 CASE for Kids City Connections Page | 18
2020-2021 City Connections- Budget
Provide a projected cost of your proposed project. Use the provided table below to categorize description of
expenditures.
The total requested project amount must have a dollar-for-dollar match in cash and/or in-kind contributions.
To see an example of a completed budget, go to www.afterschoolzone.org.
Category Description
Description of Expenditures for CASE City
Connections Funding
Requested Amount
Project
Administration
OPTIONAL- No more than 10 percent of the
requested amount may be used for administrative
costs. (ex. Executive Director salary, accountant,
etc.)
$
Program Quality
Improvement
OPTIONAL- No more than 20 percent of the
requested amount may be used for program quality
improvement.
$
Payroll & Staff
(ex. Organization staff)
$
Professional Services
(ex. Independent
Contractors)
$
Supplies and
Materials
$
Events
$
Transportation/Travel
$
Miscellaneous
$
TOTAL PROJECT REQUEST AMOUNT
$
click to sign
signature
click to edit
click to sign
signature
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H
arris County Department of Education 2020-2021 CASE for Kids City Connections Page | 19
2020-2021 City Connections- Match Funding
All sources of match funding for this project must be listed in the chart below.
NOTE: The total match funding must equal or be greater than the requested amount of funding on budget
page.
Source of Match Funding
Cash or In-Kind
Value/ Dollar Amount
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL MATCH FUNDING CONTRIBUTIONS (CASH & IN-KIND)
$
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