Bi-County EFSP Application

All applications and budgets are due by April 12, 2024.

DUNS numbers are now obsolete. You MUST have a Unique Entity Identifier (UEI) number. If your agency had a DUNS number, a UEI was assigned to your organization and you may be able to access it by visiting the System for Award Management or the Federal Service Desk. For more information, visit either site. If an agency does not have a UEI, it can be requested in, and assigned by, the System for Award Management. Without a UEI, applicant agencies cannot receive EFSP funding.  Please note that the EFSP National Board did not assign UEIs to replace DUNS.

Programs must be established. These funds cannot be used as seed money or for start-up costs.

If you have questions, please contact Kelly Christianson at kchristianson@uwgcv.org or 715-834-5043.

 

Application

*All required fields must be completed.

Is the Agency a non-profit or unit of government?
Upload requirements
If no, you are NOT eligible to apply for EFSP funds.
Is your agency debarred or suspended from receiving funds or doing business with the federal government?
If yes, you are NOT eligible to apply for EFSP funds.
sam.gov
Agency Executive Director/CEO (or equivalent)
Is the EFSP Contact Name the same as the Agency Executive Director/CEO name?
EFSP Contact
Physical Address
Is your Mailing Address the same as your Physical Address?
Mailing Address
If no, please provide your Mailing Address
Agency Revenue

Enter LRO BUDGET information in the fields below.

$
$
$
$
$
00.00
Are you applying for Food funds?
Is your Agency Address for where EFSP funded services are provided the same as your Physical Address and/or Mailing Address?
If yes, for which address are they the same?
Agency Address
If no, please provide your Agency Address for where EFSP funded services are provided.
Include the total estimated number served by your entire program annually and not just the number that will be served using EFSP funds.
$
$
Expenditure of requested funds

Please list how you plan to spend the requested funds. An answer is required for each category so if you do not plan to spend any funds in a category, please enter "0" for that category.

Board approved per diem of $3.00 per meal.
$
Food vouchers, food purchased for food shelves, "grocery bags"
$
All equipment or supplies to be purchased or leased for a food program. Examples: plastic forks, paper plates, dish soap, mops.
$
The purchase of diapers is eligible when used for direct distribution to individuals, for residents of mass shelters, vouchers to grocery stores may include diapers.
$
The purchase of limited, basic feminine hygience items by all service providers are now an eligible use for EFSP funds.
a. For direct distribution to individuals
b. For residents of mass shelters
c. For vouchers to grocery stores

Prior Lead Board approval is required before these expenditures are made. Local boards must use discretion in selecting LROs to provide this service, taking into consideration the cost effectiveness of bulk purchasing.
$
No more than 2% of award for administration.
$
0
Are you applying for Rent/Mortgage funds?
Is your Agency Address for where EFSP funded services are provided the same as your Physical Address and/or Mailing Address?
If yes, for which address are they the same?
Agency Address
If no, please provide your Agency Address for where EFSP funded services are provided.
Include the total estimated number served by your entire program annually and not just the number that will be served using EFSP funds.
$
$
Expenditure of requested funds

Please list how you plan to spend the requested funds. An answer is required for each category so if you do not plan to spend any funds in a category, please enter "0" for that category.

$
$
The purchase of diapers is eligible when used for direct distribution to individuals, for residents of mass shelters, vouchers to grocery stores may include diapers.
$
The purchase of limited, basic feminine hygience items by all service providers are now an eligible use for EFSP funds.
a. For direct distribution to individuals
b. For residents of mass shelters
c. For vouchers to grocery stores

Prior Lead Board approval is required before these expenditures are made. Local boards must use discretion in selecting LROs to provide this service, taking into consideration the cost effectiveness of bulk purchasing.
$
No more than 2% of award for administration.
$
0
Are you applying for Shelter funds?
Is your Agency Address for where EFSP funded services are provided the same as your Physical Address and/or Mailing Address?
If yes, for which address are they the same?
Agency Address
If no, please provide your Agency Address for where EFSP funded services are provided.
Include the total estimated number served by your entire program annually and not just the number that will be served using EFSP funds.
$
$
Expenditure of requested funds

Please list how you plan to spend the requested funds. An answer is required for each category so if you do not plan to spend any funds in a category, please enter "0" for that category.

5 or more beds in one location. Board approved per diem is $12.50 per person.
$
Hotel/motel vouchers, shelters with less than 5 beds
$
All equipment or supplies to be purchased or leased for shelter program. Examples: cots, mattresses, blankets, mops, etc.
$
The purchase of diapers is eligible when used for direct distribution to individuals, for residents of mass shelters, vouchers to grocery stores may include diapers.
$
The purchase of limited, basic feminine hygience items by all service providers are now an eligible use for EFSP funds.
a. For direct distribution to individuals
b. For residents of mass shelters
c. For vouchers to grocery stores

Prior Lead Board approval is required before these expenditures are made. Local boards must use discretion in selecting LROs to provide this service, taking into consideration the cost effectiveness of bulk purchasing.
$
No more than 2% of award for administration.
$
0
Are you applying for Admin funds? (Select "no" unless you are UWGCV).
Is your Agency Address for where EFSP funded services are provided the same as your Physical Address and/or Mailing Address?
If yes, for which address are they the same?
Agency Address
If no, please provide your Agency Address for where EFSP funded services are provided.
Include the total estimated number served by your entire program annually and not just the number that will be served using EFSP funds.
$
$
Expenditure of requested funds

Please list how you plan to spend the requested funds. An answer is required for each category so if you do not plan to spend any funds in a category, please enter "0" for that category.

Board approved per diem of $3.00 per meal.
$
Food vouchers, food purchased for food shelves, "grocery bags"
$
The purchase of diapers is eligible when used for direct distribution to individuals, for residents of mass shelters, vouchers to grocery stores may include diapers.
$
All equipment or supplies to be purchased or leased for a food program. Examples: plastic forks, paper plates, dish soap, mops.
$
The purchase of limited, basic feminine hygience items by all service providers are now an eligible use for EFSP funds.
a. For direct distribution to individuals
b. For residents of mass shelters
c. For vouchers to grocery stores

Prior Lead Board approval is required before these expenditures are made. Local boards must use discretion in selecting LROs to provide this service, taking into consideration the cost effectiveness of bulk purchasing.
$
No more than 2% of award for administration.
$
This calculated "Total Expenditure of Requested Funds" should equal the dollar amount listed above in "Amount Requested". If they do not match, go back and edit the necessary information.
0