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Rent, Mortgage & Utility Assistance
ARPA
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WillCountyComeback-ARPA-01

APPLICATION

Economic Development Grant Program

Support for Impacted Households

Will County is committed to supporting the community’s response and recovery to COVID-19. The County, using the allocation of over $134 million from the Coronavirus State and Local Fiscal Recovery Funds (SLFRF), a part of the American Rescue Plan, has dedicated $10 million to community groups, childcare agencies, small businesses, and non-profit organizations to support a strong, resilient, and equitable recovery. The following application is open to entities supporting efforts to address affordable housing, financial services, education, and childcare.

BEFORE YOU START!

Download and fill out the Excel funding disclosure form. All applicants are required to fill out a Duplication of Benefits form. Upload your completed disclosure with your application.

Click to download

Step 1 of 10

10%

Grant Pursuit

Please select one of the following that best describes the overall request.

Support to Household: Financial Services - Unbanked/Underbanked

Support to Household: Affordable Housing

Healthy Children: Aid to High-Poverty Districts

Healthy Children: Child Care & Early Learning

Benefit/Impact:

Please provide a brief description outlining the request and how it aligns with the selection criteria above:

Organization Information

Legal Name of Organization

Doing Business As (DBA)

Federal Tax ID Number

SAM.gov ID

Organization Physical Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is the organizations mailing address the same as their physical address?

yes

no

Organization Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

CEO/Executive Director's Name:

Organization Phone Number

Organization Email

Organization Website

Date Founded

MM slash DD slash YYYY

Tax Exemption Status

Geographic Areas Served

Contact Person Name

Contact Person Title

Contact Person Phone Number

Contact Person Email

Organization Information

1. Organization Mission or Vision Statement - Primary Purpose:

2. Is this organization currently in good standing with the State of Illinois and current on local taxes and utility bills?

Yes

No

3. Is this organization currently in good standing and in compliance with all applicable Federal, State and Local Laws?

Yes

No

4. If no to either #2 or #3, please provide information about status and standing:

5. Are any of the organization’s staff or Board Members immediate family members of County Staff or an Elected Official?

Yes

No

6. If you answered “yes”, please list out family members and their relation:

7. In the space below, please provide the number of full-time equivalents, part-time employees, or volunteers:

8. Describe the services the organization provides to Will County residents. If the organization is not located in Will County, specifically indicate the total number or percentage of individuals served residing in Will County.

9. Describe the organization’s target population served. (Mark all that apply)

Youth (up to 17 years of age)

Adolescents (18 to 24 years of age)

Adult (25 to 62 years of age)

Seniors (over 62 years of age)

Disproportionately Impacted (see Resource Library – Definition)

LGBTQ+ Community

Veterans

Persons with Disabilities

Other

If other, please specify:

10. Does the organization count persons served, or households served?

Persons/Individuals

Households

11. How many persons/households did the organization serve in the most recent complete fiscal year?

Organization's Fiscal Year Total Households Total Residents

Grant Request Information

12.Amount of Award Request:

Note: Will County reserves the right to award less funds than requested. Applicants should be prepared to discusswhat a reduction would look like for the project.

13. Subrecipient Grant Award budget request

(populate only those that apply) Blank line items are for applicants to include expenditures related to the project not otherwise identified. You mayalso choose to upload a separate budget attachment with narrative to support the project request.

13.1: Personnel (Salary and Wages)

OMB Uniform Guidance Federal Awards Reference 2 CFR 200

200.430

13.2: Fringe Benefits

OMB Uniform Guidance Federal Awards Reference 2 CFR 200

200.431

13.3: Travel

OMB Uniform Guidance Federal Awards Reference 2 CFR 200

200.475

13.4: Equipment

OMB Uniform Guidance Federal Awards Reference 2 CFR 200

200.439

13.5: Supplies

OMB Uniform Guidance Federal Awards Reference 2 CFR 200

200.313

13.6: Contractual Services and Subawards

OMB Uniform Guidance Federal Awards Reference 2 CFR 200

200.201

13.7: Consultant (Professional Service)

OMB Uniform Guidance Federal Awards Reference 2 CFR 200

200.201

13.8: Construction

OMB Uniform Guidance Federal Awards Reference 2 CFR 200

200.201

13.9: Occupancy (Rent and Utilities)

OMB Uniform Guidance Federal Awards Reference 2 CFR 200

200.311

13.10: Research and Development (R&D)

OMB Uniform Guidance Federal Awards Reference 2 CFR 200

200.445

13.11: Telecommunications

OMB Uniform Guidance Federal Awards Reference 2 CFR 200

200.445

13.12: Training and Education

OMB Uniform Guidance Federal Awards Reference 2 CFR 200

200.445

13.13: Direct Administrative Costs

OMB Uniform Guidance Federal Awards Reference 2 CFR 200

200.445

13.14 Other

Budget Cost Category Total Expenditure

13.15 Other

Budget Cost Category Total Expenditure

13.16 Other

Budget Cost Category Total Expenditure

13.17 Other

Budget Cost Category Total Expenditure

13.18 Other

Budget Cost Category Total Expenditure

13.19 Other

Budget Cost Category Total Expenditure

13.20 Other

Budget Cost Category Total Expenditure

13/21: Miscellaneous Costs

A) Advertising and public relations

B) Materials and supplies costs, including costs of computing devices

OMB Uniform Guidance Federal Awards Reference 2 CFR 200: 200.445

13/22: Total Direct Costs

Add lines 13/1 - 13/20

13.23 Total Indirect Costs

Rate % Base*: Total Expenditure

*The Base is modified direct total costs (MTDC) of the subaward project. Pursuant to 2 CFR 200.68, MTDC means all direct salariesand wages, applicable fringe benefits, materials and supplies, services, travel, and up to the first $25,000 of eachsubaward (regardless of the period of performance of the subawards under the award). MTDC excludes equipment, capitalexpenditures, charges for patient care, rental costs, tuition remission, scholarships and fellowships, participant support costs and theportion of each subaward in excess of $25,000. Other items may only be excluded when necessary to avoid a serious inequity in thedistribution of indirect costs, and with the approval of the cognizant agency for indirect costs.

13/24: Total Costs Federal Grant Funds (Lines 13/22 & 13/23)

Must Equal Revenue Totals Above

14. Type of Grant Requested

Programs or Services to Support Long-Term Housing Security

Development of affordable housing

Permanent supportive housing

Investments in neighborhoods to promote improved health outcomes

Improvements to vacant and abandoned properties, including rehabilitation or maintenance,renovation, removal and remediation of environmental contaminants, demolition or deconstruction,greening/vacant lot cleanup & conversion to affordable housing

Assistance to Address the Impact of Learning Loss for K-12 Students in High-Poverty School Districts

Schools and other educational equipment & facilities

Services to address educational disparities & educational and evidence-based services to addressstudent academic, social, emotional, and mental health needs

Childcare and Early Learning Services

Home visiting programs

Services for child welfare involved families and foster youth

Childcare facilities

Other

Grant Useage

15. Describe in detail what the grant funds will be used for according to the boxes checked in the question above:

16. Has the organization previously managed or utilized federal grants or support in the past 3 years?

Yes

No

If yes, please describe processes or efforts that are currently in place to effectively manage federalgrant funds.

17. Applicant agrees to expend all funds requested by December 31, 2026.(Required)

I agree

Project/Program Details

18. Describe how the planned project/program responds to needs created or intensified by the COVID-19 public health emergency?

19. Identify and describe existing needs in the community that the project/program will address.

20. Describe the goals and objectives of the project/program. Provide performance metrics and explain how each will be measured.

21. Describe how the project/program will remain viable beyond fully expending ARPA. Include details about existing pursuits, plans to fundraise, or adjust budget to accommodate the project/program.

22. Describe how participants and/or residents will become aware of the project/program – outline how the organization identifies patients/participants, distributes marketing material, and ongoing communication efforts.

23. How many new or additional people/households will the program be able to serve if awarded funding? Please also identify if any of these persons/households identify as under-served groups within the community. Mark all that apply.

Estimated to be between 1 - 100

Estimated to be between 100 - 500

Estimated to be over 500+

Youth (up to 18 years of age)

Seniors (over 55 years of age)

LGBTQ+ Community

Veterans

Persons with disabilities

Other under-served group

If other, please specify:

24. Please indicate the readiness to fund/implement by checking all that apply below:

The agency has conducted internal evaluations or outcome assessments for programs

The agency will formally collect and document qualitative and/or quantitative feedback to assess the progress.

If the agency plans to formally collect and document feedback, please briefly explain the data collection and evaluation process in the space below:

25. Please indicate the readiness to fund/implement by indicating what stage the project/program is in:

Operating Scale: Team has evidence its strategy achieves impact and is delivering the solution at scale (Provide documentation as an attachment supporting selection)

Scaling: Team has evidence of impact and is expanding/adapting the strategy to a greater number of target beneficiaries, potentially in new geographies, but has yet to achieve large-scale implementation. (Provide documentation as an attachment supporting selection)

Proof of Concept: Team has been implementing the strategy for a small number of target beneficiaries with plans to scale (Provide documentation as an attachment supporting selection)

Local, State, National Initiative: Team has been required or requested to comply with implementing a mandate or strategy to address beneficiaries access or ability to receive services (Provide documentation as an attachment supporting selection)

Briefly identify the reason or justification for selection above including description of attachment:

COVID-19 Impact

26. Describe the impact the COVID-19 public health emergency has had on the organization’s programs/activities (e.g., increased/decrease in demand for services, program modification due to social distancing, new programming to serve those impacted, limited operations, etc.).

27. Describe the impact the COVID-19 public health emergency has had on the organization’s finances (e.g., increased, or new expenses, reduced/canceled fundraising, loss of earnings, decline in revenue, etc.).

28. Describe the impact the COVID-19 public health emergency has had on the organization (e.g., staffing changes, volunteers’ impact, periods of closure, mitigation efforts to contain the spread of COVID, etc.).

29. What steps has the organization taken to address the financial impacts of COVID-19 to date?

30. If the organization receives the funds requested, what is the anticipated future social and/or economic impact to the community and persons/households/business served? What opportunities do you anticipate it will create?

Alternate Funding

31. Has the organization received other COVID-19 funding assistance such as, but not limited to, Federal CARES Act funding; Paycheck Protection Program (PPP) Loans; Economic Injury Disaster Loans (EIDL); or Community Development Block Grant Coronavirus (CDBG-CV) funds?

Yes

No

32. If you answered “Yes” to the question above, describe amount(s), funding agency(s), date funds received, and use(s). Please include proof of funding and documentation of use.

33. Are there other grants the organization has currently applied for or intends to apply for?

Yes

No

34. If you answered yes to the question above, please list each application filed or intent to file below

35. If you answered yes to question #33, please confirm this applicant agrees to advise when they get a final response from each of those applications listed above(Required)

I agree

36. Does the organization currently employ, or have access to, a grant writer?

Yes

No

Financial/Insurance Information

37. Revenue for the past fiscal year

38. Projected revenue for the current fiscal year

39. Projected expenditures for the current fiscal year

40. Dates covered by organization fiscal year:

41. Describe how the organization typically raises funds, pre-COVID-19?

What types of insurance does the organization carry and not the maximum amount per occurrence.

General Liability

Automobile Liability

Workers Compensation

Max General Liability Amount

Max Automobile Liability Amount

Max Workers Compensation Amount

Budget Exhibits Form Upload

Max. file size: 800 MB.

Signature

I hereby certify that the statements and documents submitted herein are true and the funds requested adhere to the Will County American Rescue Plan Comeback Program guidelines.

Grant Preparer Name

Grant Preparer Title

Grant Preparer Signature

Date

MM slash DD slash YYYY

Organization CEO, Executive Director, or Authorized Representative Name

Organization CEO, Executive Director, or Authorized Representative Title

Organization CEO, Executive Director, or Authorized Representative Signature

Date

MM slash DD slash YYYY

Δ

Will County Home
Rent, Mortgage & Utility Assistance
ARPA
Access

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