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Attachment A

The outline below is provided to guide the development of the State application for FY 2000 CFCIP funds.

Section 477(b)(2) Section 477(b)(2)(F)	1. State Agency or agencies that will administer, supervise or oversee the programs carried out under the plan: ________________________________________________ _________________________________________________ and; indicate that the State Agency will cooperate in national evaluations of the effects of the programs implemented to achieve its purposes.
Section 477 (b)(2)(A) Section 477 (a)(1-5)	2. Briefly describe how the State intends to design and deliver programs to achieve the purposes of: Helping youth make the transition to self-sufficiency; Helping youth receive the education, training and services necessary to obtain employment; Helping youth prepare for and enter postsecondary training and education institutions; Providing personal and emotional support to youth through mentors and the promotion of interactions with dedicated adults; Providing financial, housing, counseling, employment, education and other appropriate support and services to former foster care recipients between 18 and 21 years of age.
Section 477 (b)(2)(B)	3. Briefly describe how all political subdivisions in the State are served by the program (if not in a uniform manner, please explain):
Section 477 (b)(2)(C)	4. Briefly describe how youth of various ages and at various stages of achieving independence will be served:
Section 477(b)(2)(D)	5.Describe how the State plans to involve the public and private sectors in helping adolescents in foster care achieve independence.
Section 477 (b)(2)(E)	6. Describe how the State will use objective criteria for determining eligibility for benefits and services under the programs:
Section 477 (b)(2)(E)	7. Describe how the State will ensure fair and equitable treatment of benefit recipients:
Section 477 (b)(3)(D)	8. Briefly describe the CFCIP-specific training offered and/or planned in accordance with this Section. The State's Title IV-B Training Plan should be amended to incorporate this information.

CFCIP Funds Requested

Federal Funds Requested $ ____________________________________________________

State Match Amount $ ____________________
Sources __________________________
_________________________________
_________________________________

Amount of Federal Funds to be Used for Room and Board $ _________________________________

I certify that I am authorized to submit for the State of _________________________, the FY 2000 application for CFCIP funds.

Application submitted by:

______________________________________________
Name

______________________________________________
Title

______________________________________________
Signature

______________________________________________
Date

Approval Date: ___________________________________

______________________________________________
Signature ACF Regional Administrator or Hub Director

Attachments:

Attachment B-    CFCIP Program Certifications
Attachment C-   FY 2000 CFCIP State Allotments
Attachment D-   Transitional Living Programs for Homeless Youth Grantees - FY 2000