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EMERGENCY SHELTER GRANTS PROGRAM <br /> 060 OPERATIONS/SERVICES ACTIVITJES FORM <br /> A separate form should be filled out for each subrecipient. See pages 1 to 3 of <br /> the Application Guidelines for discussion of eligible activities, ineligible <br /> activities and federal restrictions. Directions for filling out this form are <br /> found on pages 8 and 9 of the guidelines. <br /> A. Name of Applicant: County of Orange (Local Government) <br /> B. Name of Shelter: Interfaith Community Shelter <br /> C. Name of Organization: Interfaith Council, Incorporated <br /> 1. What is the overnight lodging capacity of your shelter now? 24 Persons <br /> 2. Amount Requested for Operations $ 11,000 <br /> 3. For what kind of operating costs are ESGP funds to be used? <br /> Rent? Utilities? <br /> Maintenance? X Furnishings? <br /> Blankets/Cots? Maintenance Supplies? <br /> Insurance? Telephone? _x__ <br /> Appliances? X Other? (Specify) <br /> 4. Amount Requested for Services $ 2,000 <br /> 5. What kind of essential services are to be performed with ESGP funds? <br /> Purchase of Food? X Life Skills Training? <br /> Housing Referrals? Employment Counseling? <br /> Job Training? �w Mental Health Services? <br /> Substance Abuse? Health Services? <br /> Day Care? Other? Clothing i (Specify) <br /> Transportation <br /> 6. How long has your organization been providing assistance to the homeless? <br /> 10 Years 6 Months <br /> 7. Are you currently occupying the shelter to be assisted with ESOP funds? <br /> Yes X No <br /> ESGP #112-1 (10/87) <br />