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Pay for Success Technical Assistance Competition

This application is for Technical Assistance to help jurisdictions move from interest in Pay for Success to implementation. Three to four jurisdictions will be selected to receive technical assistance over 9-12 months from the Institute for Child Success. This technical assistance is made possible through grants from the Social Innovation Fund, a program of the Corporation for National and Community Service, and through matching grants from the United Way of Greenville County and other ICS supporters.

For more information on the competition, please review the Request for Applications, available here. If you have any questions or experience technical difficulties with this form, please email pfs@instituteforchildsuccess.org

Important: There is no “Save and Continue” feature on this application. We recommend you begin filling out the form only when you have enough time to complete it. If you would like to download a copy of the form to prepare, please click here.

Pay for Success Technical Assistance Application

  • Primary Team Contact

  • Programmatic Questions

  • PLEASE ANSWER THE FOLLOWING PROGRAMMATIC QUESTIONS BRIEFLY, IN APPROXIMATELY 300 WORDS.

    Be sure to address all areas of interest listed in the “Selection Criteria for Technical Assistance” section of the RFA.
  • Staffing and Match

  • Please identify any individuals from each category who will be supporting the project (name, title, agency, and funding source that pays for their time). If you have not identified the individual, please describe your plan for identifying the individual and funding their time.

    All positions must be addressed for coaching applicants. Consulting applicants must only include a project champion; budget official; and attorney.

    Be sure to address the qualifications required in Question 5 of the Selection Criteria in the full RFA.
  • Required Match

  • This guidance refers to the question below:
    All applicants must meet a required non-federally funded match.

    For coaching applicants, you must commit at least $50,000 in non-federally funded staff time to the PFS effort, subject to ICS monitoring. See the full RFA for specifics on the in-kind match required. If the coaching model is your preference, please estimate the dollar value of the time of the staff listed above. In determining the value, you should consider salary, benefits, and the amount of time each person is expected to spend on the project and report it below.

    For consulting applicants, there is no required staff time commitment, but the applicant must commit at least $50,000 in non-federal cash match. See the full RFA for details on the in-kind match amount. If applying for the consulting model of TA, please list the dollar value and source of the non-federal cash match that you will provide below. If you have not identified the source of your cash match, what is your plan to secure the match? List at least two possible match funding sources.
  • Drop files here or
    Letters of Support - Required: Jurisdictions must submit a letter of support from a senior government official (e.g. Governor, Cabinet Secretary, Mayor, or Department Head). Letters must be in PDF format.

    Additional Letters of Support: Additional Letters of support from legislative leaders are desirable but not necessary.
  • PLEASE ENSURE THAT THE APPLICATION IS COMPLETE BEFORE CLICKING SUBMIT, BELOW.
    POST-SUBMISSION EDITS MAY NOT BE CONSIDERED.

    TO BE GUARANTTEED FULL CONSIDERATION, APPLICATIONS MUST BE SUBMITTED BY 8PM ET ON MARCH 16TH, 2017.