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Agency Name <br />Community Services Block Grant Program <br />Fiscal Year 2012 -13 Application for Funding <br />One -Year Work Program <br />Form 212 <br />Section I: Project Identification <br />1. Project Name: <br />Self- Sufficiency Program <br />2. Poverty Cause Name: <br />Identifying factors that contribute to low- income families. <br />3. Long -Range Goal: <br />To provide support and comprehensive services for two hundred and eighty (280) <br />individuals and families to develop skills and increase income so that thirty six (36) may <br />rise above the poverty level by 0613012013. <br />4. Selected Strategy: <br />To provide supportive services for one - hundred and fifteen (115) families or individuals <br />to develop skills and income so they may rise above the income poverty level. <br />5. Project Period: <br />July 1, 2012 <br />1 To <br />June 30, 2013 <br />Plan Year <br />3 <br />of <br />3 <br />6. CSBG Funds Requested for this Project: <br />$383,809 <br />7. Total Number Expected to Be Served: <br />110 <br />a. Expected Number of New Clients <br />60 <br />b. Expected Number of Carryover Clients <br />i 50 <br />8. Number expected to be moved above Federal Poverty Guidelines this year (Self - Sufficiency <br />Projects): <br />15 <br />9. Percent of Long -Range Goal Expected to be Met this Year (For projects other than Self - <br />Sufficienc : <br />Section : One -Year CSBG Program Objective and Activities <br />Activities <br />Position Title(s) <br />Implementation Schedule <br />First <br />Second <br />Third <br />Fourth <br />Quarter <br />Quarter <br />Quarter <br />Quarter <br />Objective: To provide support and comprehensive <br />Assistant CSBG Director <br />50 <br />70 <br />90 <br />110 <br />services to assist sixty (60) new individuals and fifty (50) <br />Case Managers <br />(20) <br />(20) <br />(20) <br />carryover families so that their income may rise above <br />p overty level. <br />Implementation of the CSBG Program <br />Assistant CSBG Director <br />X <br />X <br />X <br />X <br />Recruit and notify Rowan and Cabarrus County <br />Assistant Director <br />X <br />X <br />X <br />X <br />residents about our services. <br />Case Managers <br />Intake SpecJCase Manager <br />Develop an adequate record system to ensure <br />Assistant CSBG Director <br />X <br />X <br />X <br />X <br />accurate accountability of the project activities. <br />Monitor AR4CA to ensure that data to support program <br />Assistant CSBG Director <br />X <br />X <br />X <br />X <br />activities are entered into the date base. <br />Fiscal Year 2012 -13 Community Services Block Grant Application <br />Page 14 of 24 Attachment number 1 <br />F -7 Page 192 <br />