ESG FY2026 RFA Form

ESG FY2026 Application

Organizational Information
Legal Name of Organization
Organization's UEI (Unique Entity Identifier from Sam.gov)
Organization's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name of CEO or Executive Director

First NameLast Name
CEO or Executive Director's Email
example@example.com
CEO or Executive Director's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Will the CEO or Executive Director specified above also be the individual that signs your contract?
Name of your organization's signatory

First NameLast Name
Email Address of your organization's signatory
example@example.com
Phone Number of your organization's signatory
Please enter a valid phone number.Format: (000) 000-0000.
In addition to the organization's CEO/Executive Director and contract signatory, is there an ESG Program Contact you would like us to use for your award?
Please provide the first and last name of one main ESG Program Contact at your organization:

First NameLast Name
Title/Role of Contact
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you have another ESG Program Contact to add?
Name of ESG Contact #2

First NameLast Name
Title/Role of Contact
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you have another ESG Program Contact to add?
Name of ESG Contact #3

First NameLast Name
Title/Role of Contact
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please provide a brief description of your organization's mission and services.

ESG FY2026 Application

Threshold Requirement Questions
If your organization a private, non-profit 501(c)(3) organization?
Please attach IRS documentation verifying your organization's 501(c)(3) status.

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Does your organization have an active UEI Number from sam.gov?
Please attach your Sam.gov Entity Information Report to demonstrate that the organization has an active UEI.

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Is your organization registered with the Indiana Secretary of State?
Please provide documentation showing that your agency is registered through the Indiana Secretary of State.

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Please elaborate on how your organization coordinates with your Regional Planning Council. Per the RFA narrative, please explain whether your organization attends monthly meetings and case conferencing sessions and provides or accepts referrals for assisting clients. Please explain the extent to which this coordination occurs.
Do 100% of your Emergency Solutions Grant program clients meet HUD's definition of homelessness?
Hover over this question for a complete definition. HUD's Homeless Definition is also outlined on page 4 of our RFA.
Does your organization have any unresolved findings from IHCDA or HUD, or any state or federal recaptured funds in the past 3 years due to non-compliance?
Please explain your finding/non-compliance situation.
Please attach your Match Commitment Letter, which describes how you will meet the required 100% Match for ESG funding.

The letter should cover the total amount requested for ESG across all program types.
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General Liability Insurance Documentation to Evidence Policy

Summary page showing coverage is all that is needed.
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Fidelity Bond Insurance documentation to evidence policy or bond

Amount should be equal to ½ of the total annual funding provided by the state and should cover all employees/board members handling funds
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Proof of Worker's Compensation Coverage

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Proof of Auto Insurance (only required if using ESG funds for transportation in a vehicle belonging to the organization)

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ESG FY2026 Application

Financial Management Information
How many years of experience does your organization have in managing federal grants?
In the past 5 years, has your organization received and administered federal funding other than the ESG grant?
Please list each federal grant your organization has received and administered in the past 5 years. Please also list the name of the funder or source each grant came from.
Please attach your most recent 990 here.

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Please attach your 2025 year-to-date Balance Sheet, Income Statements and Cash Flow statements. Please provide your most recent (2024 or 2025) Financial Statement.

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ESG FY2026 Application

Staff and Board of Directors
Please attach a list of your organization’s current Board of Directors, including names, affiliating organization(s), email addresses, and phone numbers.

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Please attach the Bylaws that govern your Board of Directors.

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Please attach your organization’s staffing/organization chart of ESG staff, including FTE employees.

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ESG FY2026 Application

Emergency Shelter
Are you applying for Emergency Shelter Funding?
Please list your total Emergency Shelter funding request.
No dollar signs or commas (Ex: 25000)
Please list the Indiana counties served by your Emergency Shelter program.
Have you been awarded ESG (or ESG-CV) funds in 2023, 2024 or 2025?
Please select all applicable options.
Did you have any disallowed costs (over $5,000) on any prior (2023, 2024 or 2025) awards?
Please describe which costs were disallowed, which award(s) it applied to, and how your organization addressed this matter.
Do you receive ESG Emergency Shelter funding from an Entitlement City?
Please describe how you identify clients for your Emergency Shelter program. Include a summary of the client intake and enrollment process.
Please describe how your Emergency Shelter Program partners with and connects clients to other resources in the community.
Please describe your Emergency Shelter’s plan for improvement and client feedback. Include details on steps previously taken to improve the program and incorporate client feedback into program administration.
How does the project enhance efforts of the CoC to address homelessness?
Please review your Emergency Shelter CAPER for 5/1/2025-4/30/2026. Results from Q06e and Q23c CAPER questions will be used in scoring your funding request. Use the space below to provide any explanation/context for your results. If you did not operate this project type last year, enter N/A.
Please upload your Fire Inspection Report dated within the last 6 months.

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If your shelter serves food, please upload your Health Department Inspection Report dated within the last 6 months.

This is only required for shelters that serve food.
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ESG FY2026 Application

Street Outreach
Are you applying for Street Outreach Funding?
Please list your total Street Outreach Request.
No dollar signs of commas (Ex: 25000)
Please list the Indiana counties served by your Street Outreach program.
Have you been awarded ESG (or ESG-CV) funds in 2023, 2024, or 2025?
Please select all applicable options.
Did you have any disallowed costs (over $5,000) on any prior awards (2023, 2024, or 2025)?
Please describe which costs were disallowed, which award(s) it applied to, and how your organization addressed this matter.
Do you receive ESG Street Outreach funding from an Entitlement City?
Please describe how you identify clients for your Street Outreach program. Include a summary of the client intake and enrollment process.
Please describe how your Street Outreach Program plan. Include information on staffing, targeted areas and how the program partners with and connects clients to other resources in the community.
Please describe how your Street Outreach program connects clients to shelter or permanent housing resources.
How does the project enhance efforts of the CoC to address homelessness?
Please review your Street Outreach CAPER for 5/1/2025-4/30/2026. Results from Q06e and Q23c CAPER questions will be used in scoring your funding request. Use the space below to provide any explanation/context for your results. If you did not operate this project type last year, enter N/A.

ESG FY2026 Application

Rapid Rehousing
Are you applying for Rapid-Rehousing Funding?
Please list your total Rapid Rehousing funding request.
No dollar signs or commas (ex: 25000)
Please list the Indiana counties served by your Rapid Re-Housing program.
Have you been awarded ESG (or ESG-CV) funds in 2023, 2024 or 2025?
Please select all applicable options.
Did you have any disallowed costs (over $5,000) on any prior (2023, 2024 or 2025) awards?
Please describe which costs were disallowed, which award(s) it applied to, and how your organization addressed this matter.
Do you receive ESG Rapid Rehousing funding from an Entitlement City?
Please describe how you identify clients for your Rapid Rehousing program. Include asummary of the client intake and enrollment process.
What is the number of households in need in your service area per Coordinated Entry data?
What is the length of time from project entry to Housing Move-in?
Please clarify the unit of time in your response.
Please describe the plan to obtain housing quickly and how you will work with the client to maintain housing after program exit.
Please describe your Rapid Rehousing program’s strategy for engaging program partners, including how you will identify, engage, and maintain relationships with community partners to provide additional tenant support.
Please describe your pipeline for identifying and recruiting landlords. Include a summary of the overall strategy and steps that will be taken to recruit, engage, and retain landlords.
Please describe your Rapid Rehousing program’s plan for improvement and client feedback. Include details on steps previously taken to improve the program and incorporate client feedback into program administration.
How does the project enhance efforts of the CoC to address homelessness?
Please review your Rapid Rehousing CAPER for 5/1/2025-4/30/2026. Results from Q06e and Q23c CAPER questions will be used in scoring your funding request. Use the space below to provide any explanation/context for your results. If you did not operate this project type last year, enter N/A.

ESG FY2026 Application

Homeless Prevention
Are you applying for Homeless Prevention Funding?
Please list your total Homeless Prevention funding request.
No dollar signs or commas (ex: 25000)
Please list the Indiana counties served by your Homeless Prevention program.
Have you been awarded ESG (or ESG-CV) funds in 2023, 2024 or 2025?
Please select all applicable options.
Did you have any disallowed costs (over $5,000) on any prior (2023, 2024 or 2025) awards?
Please describe which costs were disallowed, which award(s) it applied to, and how your organization addressed this matter.
Do you receive any ESG Homeless Prevention funding from an Entitlement City?
Please describe how you identify clients for your Homeless Prevention program. Include a summary of the client intake and enrollment process.
Please attach your Participant Prioritization Plan/Policy.

Unlike the previous question about how the organization will identify clients to be served through this program, this attachment should show how the organization determines when each identified client household is served.
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Please describe your Homeless Prevention program’s strategy for engaging program partners, including how you will identify, engage, and maintain relationships with community partners to provide additional tenant support.
Please describe your pipeline for identifying and recruiting landlords. Include a summary of the overall strategy and steps that will be taken to recruit, engage, and retain landlords.
Please describe how you will work with clients to maintain housing after program exit.
Please describe your Homeless Prevention program’s plan for improvement and client feedback. Include details on steps previously taken to improve the program and incorporate client feedback into program administration.
How does the project enhance efforts of the CoC to address homelessness?
Please review your Homeless Prevention CAPER for 5/1/2025-4/30/2026. Results from Q06e and Q23c CAPER questions will be used in scoring your funding request. Use the space below to provide any explanation/context for your results. If you did not operate this project type last year, enter N/A.

ESG FY2026 Application

Form Submission
I hereby certify that all information in the program proposal forms are true, correct, and accurately reflect the organization's ability to run the ESG program. I have read the request for application materials and understand the intent, limitations, and requirements of services purchased through this application and the contractual requirements of IHCDA.

By signing this application, I also certify the following:

1.      My organization implements standards of financial accountability that conform to 2 CFR 200.302, ‘Financial Management’ and 2 CFR 200.303, ‘Internal Controls’, which includes systems and software that allow for effective control over, and accountability for, all funds, property, and other assets.

2.      My organization that does not have any unresolved findings from IHCDA or HUD that are not disclosed in this application.

3.      I understand and will comply with the programmatic contractual requirements placed upon this organization if we are awarded funding.
Signature

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Name

First NameLast Name
Title
Organization Legal Name
Date

MonthDayYear
Date
Preparer Information: Please complete this section for contact purposes in the event there are questions regarding your organization's response to this RFA.
Should be Empty:

ESG FY2026 Application

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ESG FY2026 Application