CalFresh Employment & Training Interest Assessment

CalFresh Employment & Training Provider Interest Assessment
Background and Purpose
The Food and Nutrition Service (FNS) is the federal agency responsible for administering and funding the Supplemental Nutrition Assistance Program (SNAP). SNAP is called CalFresh in California. SNAP has an Employment and Training (E&T) program to help recipients gain skills and experience with employment. In California, this program is referred to as CalFresh E&T or CFET. The San Diego Workforce Partnership (SDWP) is one of several agencies eligible to provide the CalFresh Employment and Training (CFET) program in the County of San Diego.

SDWP is looking for agencies throughout San Diego County that either currently provide the right services with positive outcomes or who need funds in order to develop a program that will fit into the CFET model. SDWP wants to add quality service providers to its CFET network. By growing its CFET network, SDWP can help maximize the impact and delivery of CFET services to CalFresh recipients. These services will ultimately help recipients to gain skills, training, or work experience to increase their ability to obtain regular employment that leads to economic self-sufficiency.
Details
The information you provide in this submission will allow us to complete an assessment of how your organization aligns with, and is able to meet the requirements of, the CFET program.

Organizations that are determined to be a good fit as a potential CFET provider will be invited to share more details about their program and considered for a partnership with SDWP, contingent on approval from the County of San Diego Health and Human Services Agency and execution of a service agreement with SDWP.

SCHEDULE	DATES
Issue Date	xxxx, 2023
Deadline for Submissions	xxxx, 2023
Submissions Review Period	xxxx, 2023 - xxxx, 2023
Information Gathering with Potential CFET Partners	xxxx, 2023 - xxxx, 2023
Decision Period	xxxx, 2023 - xxxx, 2023

First, let's make sure your program qualifies.

Please answer the following questions to get started.

Does the program you currently operate or intend to build have non-federal funding streams?*

YesNo
Does the program you currently operate or intend to build serve a high % of low income or CalFresh recipients?*

YesNo
Does the program you currently operate or intend to build have greater than $25K in monthly expenses?*

YesNo
Does the program you currently operate or intend to build provide E&T services that fit a CFET component?*

YesNo

Good News!

Your program meets minimum qualifications
and we would like to learn more about it.

Please click NEXT to continue on.

Terms and Conditions. I have reviewed the CFET program materials and am ready to start my submission.*

Agree

CFET SERVICE PROVIDER

Organization Information
Name of Organization*

Legal NameDoing Business As
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Website URL
Fax Number
Please enter a valid phone number.
Organization Type*

Non-Profit or Non-Governmental OrganizationFor-Profit OrganizationGovernment AgencyTribal GovernmentOther
Contact Information
Primary Contact*

First NameLast Name
Primary Contact Title*
E.g., CEO, Director, Program Manager
Primary Contact Phone Number*
Please enter a valid phone number.
Primary Contact Email Address*
example@example.com
Other Contact

First NameLast Name
Other Contact Title
E.g., CEO, Director, Program Manager
Other Contact Phone Number
Please enter a valid phone number.
Other Contact Email Address
example@example.com

	% of Total Funding
Grants from Foundations
State Grants
Local Grants
Organization's general funds from non-federal sources
Social Enterprise funds
Community Development Block Grant (CDBG)
Federal funds
Other

Estimated CFET Budget
Please provide an estimate of your current/proposed CFET eligible monthly's expenses using the table below. Instructions are included.

Expense Items

List monthly expenses for each expense category listed in the first column. Enter 0 if you do not have the expense.

Description

Provide a description of the expenses included and how the cost was calculated.

Monthy Cost

Provide a numeric estimated cost for each expense item.

TOTAL

In the “Total Monthly Costs” row, enter enter the sum of all monthly costs by adding all monthly cost categories together.

Projected Budget Summary
Please provide an estimate of annual CFET program expenses by filling in the table below.

Use the total estimated monthly costs of anticipated expenses from the table above to project expenses for each quarter of the calendar year and the full calendar year for each category. In the “Total Fiscal Years Costs” row, enter enter the sum of each expense category's yearly costs together.

Administrative Capacity of your Organization
How long has your organization been in business?*

0/200
How many total employees do you have?*
Please select the business processes below for which your organization has written policies and procedures in place.*

AccountingPurchasingPayrollOther
Are there any current or pending lawsuits against your organization?*

YesNo
If yes, please describe:*
Staffing

	Number
Administrative Staff
Direct Service Staff

INTEREST ASSESSMENT COMPLETE. ARE YOU READY TO SUBMIT THIS FORM?

Review and agree to the statement below and then click Submit.
By signing this submission, I certify to the best of my knowledge and belief that the information is true, complete, and accurate. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may disqualify me and this organization from any partnership with San Diego Workforce Partnership as a CFET provider.*

Agree
Print First Name*
Print Last Name*
Signature*

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Signature Date*

MonthDayYear
Date
Should be Empty:

Program Materials	Information on Hand
Have you reviewed the CFET program materials?	You'll need to have primary contact information, details on your E&T program, and basic budget and funding information

	Currently Offer	Planning to Offer
Education
Job Search Training
Job Retention
Self-employment Training
Supervised Job Search
Work Experience
Workfare

	Description	Monthly Costs
Program Personnel Expenses (e.g., staff & client subsidized wages)
Program Expenses (e.g., building/space rent, utilities, phone, materials)
Supportive Services Expenses (e.g., participant bus pass, gas card, childcare)
Miscellaneous Expenses (e.g., indirect costs, mileage)
TOTAL MONTHLY COSTS

	Q1	Q2	Q3	Q4	Total Fiscal Year Costs
Program Personnel Expenses
Program Expenses
Supportive Services Expenses
Miscellaneous Expenses
TOTAL FISCAL YEAR COSTS

CalFresh Employment & Training Provider Interest Assessment

Background and Purpose

Details

CFET SERVICE PROVIDER

Contact Information

Organization Mission and Location

Services and Training

Clients Served

Non-Federal Funding

Tracking and Allocating Costs

Tracking Data and Outcomes

Estimated CFET Budget

TOTAL MONTHLY COSTS

Projected Budget Summary

TOTAL FISCAL YEAR COSTS

Administrative Capacity of your Organization

Staffing

INTEREST ASSESSMENT COMPLETE. ARE YOU READY TO SUBMIT THIS FORM?