Form HUD-40048 MV-TA Applicant Experience FINA

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Overview

Instructions
Applicant Experience

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Sheet 1: Instructions

Instructions for McKinney-Vento TA (MV-TA) Applicant Experience Form

Indicate experience of the applicant, co-applicant(s) for joint applications, and subcontractors within 18 months of the publication date of the TA NOFA for the technical assistance activities listed in the chart. Applicants should briefly describe their top three (3) engagements or experiences in the appropriate column for each activity where the applicant, co-applicant(s) and/or subcontractors have experience. Applicants should list measureable outcome(s) for each engagement/experience listed, except where the "Outcome" column is grayed out.

For each engagement listed, the applicant should indicate the number and type of personnel (applicant, co-applicant, subcontractor) involved in each engagement, relevant outputs and the period of performance (timeframe over which the TA engagment took place) in the brief description column.

Public reporting burden for this collection of information is estimated to average 2.5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number.

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Sheet 2: Applicant Experience

EXPERIENCE TYPE		BRIEFLY DESCRIBE UP TO THREE (3) TA ENGAGEMENTS/ACTIVITIES FOR EACH APPLICABLE EXPERIENCE TYPE	IDENTIFY QUANTIFIABLE OUTCOMES FOR ENGAGEMENT
NEEDS ASSESSMENT ESG Recipient OR Subrecipient	1
	2
	3
NEEDS ASSESSMENT HPRP Recipient OR Subrecipient	1
	2
	3
NEEDS ASSESSMENT SHP/S+C/SRO Recipient OR Subrecipient	1
	2
	3
NEEDS ASSESSMENT Community Homeless System/ Continuum of Care	1
	2
	3
NEEDS ASSESSMENT HMIS Implementation/ Operation	1
	2
	3
DIRECT TA Grantee Intensive Onsite (121+ hours prep & onsite)	1
	2
	3
DIRECT TA CoC Intensive Onsite (121+ hours prep & onsite)	1
	2
	3
DIRECT TA HMIS Intensive Onsite (121+ hours prep & onsite)	1
	2
	3
DIRECT TA Grantee Intensive Remote (25+ hours prep & delivery)	1
	2
	3
DIRECT TA CoC Intensive Remote (25+ hours prep & delivery)	1
	2
	3
DIRECT TA HMIS Intensive Remote (25+ hours prep & delivery)	1
	2
	3
DIRECT TA Strategic Planning / Facilitation (Primary purpose of the direct TA)	1
	2
	3
TOOLS/PRODUCTS Needs Assessment Tools	1
	2
	3
TOOLS/PRODUCTS Online Training Module(s)	1
	2
	3
TOOLS/PRODUCTS Desk Guide	1
	2
	3
TOOLS/PRODUCTS Toolkit	1
	2
	3
TOOLS/PRODUCTS Certification Course	1
	2
	3
TOOLS/PRODUCTS National research/ reports	1
	2
	3
TOOLS/PRODUCTS Knowledge Management: website, listserv, etc.	1
	2
	3
TOOLS/PRODUCTS Consumer Involvement	1
	2
	3
GROUP LEARNING Webinar	1
	2
	3
GROUP LEARNING Interactive Training/ Workshops	1
	2
	3
GROUP LEARNING Briefing Session	1
	2
	3