Campus Food Pantry Grant

Manual Opportunity for Funding Tennessee Department of Environment & Conservation | Grant Manual | November 2020

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Campus Food Pantry Grant Fiscal Year 2020-2021

Application Manual

Prepared by:

Office of Policy and Sustainable Practices Higher Education Sustainability Initiative William R. Snodgrass Tennessee Tower

312 Rosa L. Parks Ave, 2nd Floor Nashville, TN 37243

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Overview

The Tennessee Department of Environment and Conservation (TDEC) strives to reduce the amount of solid waste disposed of at landfills. At an estimated 30% of the waste stream, organic material (which includes food waste) is the largest percentage of the municipal solid waste stream.1 Food waste constitutes one of the most pervasive social and environmental challenges of the 21st Century. Annually, 40% of all food produced in the United States goes uneaten, yet an estimated 42 million Americans are food insecure.2

Significant opportunities exist to recover unconsumed food, which is often wholesome, for higher and better purposes. Environmental strategies for combating food waste prioritize actions on their social and environmental benefits; diverting food to feed people is one of the highest and best uses for food that would otherwise go to waste.

Improving and expanding food donation storage and handling capacity is one of the top strategies for increasing food recovery.3 Expanding Tennessee’s capacity to divert unconsumed food for feeding hungry people is a highly beneficial, environmental, and social strategy for countering food insecurity, food waste and food loss.

College students often experience higher levels of food insecurity than national or regional averages.4 Yet, due to a variety of factors, college campuses do not regularly provide students access to food donation services.5 According to a recent study that surveyed 30,000 two- and four- year college students, approximately half were determined to be food insecure and “at least 20% of 2-year college students have very low levels of food security”.6 Other studies have found similarly high levels of food insecurity amongst college students; a study by the University of California Nutrition Policy Institute found 42% of surveyed students to be food insecure.7 Another survey of students at colleges and

1 “The Estimated Amount, Value, and Calories of Postharvest Food Losses at the Retail and Consumer Levels in the United States”, EIB-121 Economic Research Service/USDA 2 Dana Gunders. (2017). “Wasted: How America is Losing up to 40 Percent of its Food from Farm to Fork to Landfill”. R: 17-05-A. Natural Resource Defense Council. Retrieved from https://www.nrdc.org/issues/food-waste. Alisha Coleman- Jensen,Matthew P. Rabbitt, Christian A. Gregory, and Anita Singh. (2017). “Household Food Security in the United States in 2016”. ERR-237, U.S. Department of Agriculture, Economic Research Service. Retrieved fromhttps://www.ers.usda.gov/webdocs/publications/84973/err-237.pdf?v=42979.3 Retrieved from www.refed.com. 4 Katharine Broton and Sara Goldrick-Rab. (2017). “Going Without: An Exploration of Food and Housing Insecurity Among Undergraduates”. Educational Researcher r, Vol. 47 No. 2, pp. 121–133. 5 Based on available information, less than 10% of Tennessee college and university campuses have an on-campus food pantry. 6 Katharine Broton and Sara Goldrick-Rab. (2017). “Going Without: An Exploration of Food and Housing Insecurity Among Undergraduates”. Educational Researcher r, Vol. 47 No. 2, pp. 121–133. 7 Suzanna Martinez, Katie Maynard, and Lorenne Ritchie. (2016). “Student food access and security study.” University of California Global Food Initiative. Retrieved from http://www.ucop.edu/global-food-initiative/bestpractices/food- access-security/student-food- access-and-security-study.pdf

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universities in New York found that “30 percent of community college students and 22 percent of four-year college students are food insecure”.8 Various factors contribute to college student food insecurity, including; the high costs of college education9, decreased per student allocation of financial aid resources10, and limited access to government safety net programs like food stamps

11

, among others. Food insecurity not only impacts the health of students, but it has also been linked to lower graduation rates.12

The intent of this grant is to offer support to Tennessee Higher Education Institutions (TN HEIs) with high levels of student food insecurity and/or a school located in a food desert by assisting them with the establishment of on-campus food pantries. A food desert is defined as an area set out in the US Department of Agriculture's Food Access Research Atlas (https://www.ers.usda.gov/data-products/food-access-research-atlas/go-to-the-atlas/) as located within a low-income census tract where a significant number or share of residents is more than 1 mile (urban) or 10 miles (rural) from the nearest supermarket for 2015. To be eligible to receive this grant, a project must maintain documentation showing the amount of food that the food pantry receives from rescued sources (those sources of food that would have otherwise gone to waste) to demonstrate that the food pantry is diverting food from the waste stream.

TDEC has authority to offer this grant as a mechanism to promote material processing and end use, organics diversion, and education and outreach in alignment with objectives 3, 4, and 6 of the 2015-2025 Solid Waste Management Plan, which is the program of comprehensive goals developed under T.C.A. § 68-211-821(c).

8 Sara Goldrick-Rab. (2018). “It’s Hard to Study if You’re Hungry”. New York Times. Retrieved from https://www.nytimes.com/2018/01/14/opinion/hunger-college-food-insecurity.htm. 9 Kim Clark. (2016). “College Prices Hit New Record Highs in 2016”. Money. Retrieved from http://time.com/money/4543839/college-costs-record-2016/. 10 Michael Mitchell, Michael Leachman and Kathleen Masterson. (2017). “A Lost Decade in Higher Education Funding State Cuts Have Driven Up Tuition and Reduced Quality”. Center on Budget and Policy Priorities. Retrieved from https://www.cbpp.org/research/state-budget-and-tax/a-lost-decade-in-higher-education-funding. 11 U.S. Department of Agriculture. “Supplemental Nutrition Assistance Program (SNAP) – Facts About SNAP”. Retrieved from https://www.fns.usda.gov/snap/facts-about-snap. 12 Katherine Broton and Sara Goldrick-Rab. (2016). “The Dark Side of College (Un)Affordability: Food and Housing Insecurity in Higher Education”. Change: The Magazine of Higher Learning. Volume 48, Issue 1.

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Purpose of the Grant

The Campus Food Pantry Grant supports the implementation of the 2015-2025 Solid Waste Management Plan objectives.13 With this grant, it is TDEC’s intent to support efforts towards achieving waste reduction goals for the state. Specifically, successful applications will demonstrate how the proposed project will:

□ Promote organics material processing and end use in Tennessee (Objective 3);□ Increase diversion of organics (Objective 4); and□ Improve organics education and outreach (Objective 6).

Deadline to Submit A complete application must be submitted to and received by TDEC's Grant Management System (GMS) on or before 4:30 p.m. CDT on March 1, 2021 to be considered. Applications received after 4:30 p.m. CDT on March 1, 2021 will be returned to the applicant without review. A complete application consists of a completed GMS Application with a digital or original signature, a completed Campus Food Pantry Budget Worksheet (Attachment 1 to this manual) identifying project needs, prepared responses to the Technical Narrative Questions (Attachment 2 to this manual) with all necessary supporting documents (including but not limited to food assessment survey results14, the percentage of food at the food pantry that will be recovered food, letters of support from partner organizations critical to the long- term function of the food pantry), and school administration officials must provide a letter of commitment outlining how the food pantry will be funded, staffed, supplied, and how food will be secured for a period of no less than two years. All required items are further explained in the GMS application.

13 More information on the 2015-2025 Solid Waste Management Plan can be found at https://www.tn.gov/environment/program-areas/solid-waste/2015-2025-solid-waste-management-plan.html 14 A sample food needs assessment survey is included in this manual as Attachment 4.

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GRANT TIMELINE

The anticipated timeline for this grant offering is as follows:

November 1, 2020: Announce solicitation for the Campus Food Pantry Grant March 1, 2021: Deadline to submit application; begin review and processing of

applications March 15, 2021: Initiation of the grant scoring process, recommendation of grant

recipients, and determination of scopes of services for grant awards April 28, 2021: Prepare grant offer to successful applicants June 15, 2021: Deadline to receive signed grant contracts for processing July 1, 2021: Target execution date for grants

Eligibility

Institutions of higher education, both public and private, with a physical location operating in Tennessee (TN HEIs) requesting funds to purchase necessary equipment for the establishment and/or operation by the higher education institution of a food pantry that timely submit a complete application according to the Deadline to Submit section of this manual, above, are eligible grantees. Eligible grantees will be scored according to the selection criteria, below, as set out in the Scoring Rubric found in Attachment 3.

Applicants awarded grants from TDEC in the last two years that are under contract with open balances or who have failed to meet the obligations of those contracts are ineligible to be awarded a Campus Food Pantry Grant. In addition, projects that require food pantry space will need to demonstrate that the necessary space is secured for the project prior to final execution of the grant contract. Any potential grantee that has not secured necessary space for the project on or before the target execution date for the grant contract may be deemed ineligible.

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Eligible Project Purchases

The grant must be used to purchase necessary equipment for establishment and/or operation of a food pantry by a TN HEI, including but not limited to:

• Heavy duty shelving;

• Shelf lining;

• Refrigerator;

• Freezer;

• Stainless worktable(s);

• Collection drums;

• Utility shopping cart(s);

• Dolly;

• Fire extinguisher; and

• Trash receptacle.

Funding

TDEC has budgeted $30,000 total for Campus Food Pantry Grants. No individual grant may exceed $7,000. Grant awards will be made based on the estimates included in the grant application and will not be increased. It is important that applicants research the equipment they are seeking to purchase and obtain accurate price information prior to submitting their application. Only equipment identified in the application may be funded, so proper planning and research should be done by the applicant before submitting an application. The State reserves the right to partially fund projects based on the application pool to attain the objectives of this grant. If specific equipment is fundamental to the project, this should be clearly indicated by the applicant in the application. Each grantee is also required, during the term of the grant contract, to provide an in- kind and/or cash match, including but not limited contributions related to facilities, equipment, or services, related to the food pantry that is the subject of the grant equal to a minimum of 25% of the total project cost.

TDEC recognizes that TN HEIs will be designating space for a food pantry and making any necessary modifications to that space to accommodate as a food pantry, staffing the food pantry, and securing letters of commitment from partners to support the food pantry for one year.

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Format and Checklist FORMS AND ATTACHMENTS

Complete the Grant Application i nt h e G r a n t s M a n a g e m e n t System and have it signed and certified by a legally authorized representative for the applicant.

Complete the Campus Food Pantry Budget Worksheet, found in Attachment 1. Be sure to acquire accurate price quotes for all requested items.

Complete the Technical Narrative Questions, found in Attachment 2. Use the Scoring Rubric in Attachment 3 as a guide for responding to receive the highest rating possible and ensure that all supporting documents are included.

Distribute pre-needs assessment survey to all students at the HEI where the food pantry is to be located containing the questions found in Attachment 4 and provide summarization of responses. Attach any additional information or technical documents to augment the applicant’s Technical Narrative responses.

Complete the Title VI Pre-Audit Survey CN-1448 and Title VI Training Certification CN-1515, found in Attachments 5 and 6.

Forms and attachments relative to this grant offering may be found at the end of this manual.

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Selection Criteria Applications will first be reviewed for completeness. Upon receipt of a complete

application, the Technical Narrative Questions will be evaluated and scored by a team of two or more raters including OPSP staff and at least one outside division rater. Each rater will use the Scoring Rubric provided in Attachment 3 to assign scores in each rated category. The minimum aggregate score to receive funding is 60 points but receiving this minimum score does not guarantee funding. Applicants receiving the highest average score will be recommended for funding to the extent that funding is available.

All applications will be scored based on the following criteria and weightings:

CRITERIA AND WEIGHTINGS Food Needs Assessment 30 points Impact 30 points Sustainability and Funding 30 points Establishment of Priority 10 points

Total 100 points

Funding Conditions

All grants will be awarded through the use of a grant contract, which will include terms and conditions other than those found in this manual. Full execution and acceptance of a complete, valid grant contract is necessary for the award of any grant.

Awardees must report metrics to OPSP for a period of two years. At the end of each semester, a grant awardee must provide at a minimum the following metrics, and any additional information reasonably requested by OPSP:

(i) Total number of students and persons served by the food pantrythroughout a semester;

(ii) Through periodic surveys of food pantry patrons, frequency of consistentvisitation of the food pantry by individuals;

(iii) Weight of food accepted by the food pantry from each donor;

(iv) Weight of food accepted by the food pantry that was diverted from thewaste stream and how the food meets the definition of being diverted(e.g., gleaned food from regional food bank, leftovers or donations fromcommunity-supported agriculture, high schools, and restaurants, etc.);

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(v) Weight of any food that was accepted by the food pantry and is notprovided to students, and the manner of disposition (for instance, ifit was composted, discarded, or disposed of in another manner); and

(vi) The complete results of pre-needs assessment survey that studentscomplete regarding the food pantry. A sample pre-needsassessment containing the required questions is found in found inAttachment 4.

Report the impact of the food pantry to OPSP according to the funding conditions established above. These reports are due within thirty (30) days of the conclusion of each fall, spring, and summer semester, and should provide all information collected during the preceding semester.

Prior to any funds being released, a grant project management conference must be conducted with OPSP staff and the grantee to review the terms and conditions of the grant contract including bid process and reimbursement. Additionally, should the anticipated date of establishment or magnitude of utilization of the food pantry change from what is proposed in the application due to any factors, including but not limited to modifications in educational and/or social service offerings to students resulting from the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the applicant must communicate these changes in circumstances to OPSP and receive approval prior to incurring any additional expenses under the grant contract.

Should local funding be used to cover project-related costs in excess of the grant award, such funding shall be approved and available prior to execution of the grant to avoid unnecessary delay of project implementation.

It is important that applicants research the equipment needed to submit accurate price quotes with their application. In addition, efforts must be made to purchase Energy Star appliances, if applicable. Grant awards will be made based on the estimates included in the grant application, not to exceed $7,000, although a lesser amount may be approved.

TDEC Sustainability Statement

TDEC acknowledges that the products and services we procure have fundamental human health, environmental, and economic impacts, and that purchasing decisions should exemplify our commitment to sustainability and to protecting the environment and the quality of life of Tennesseans. TDEC endeavors to reduce the environmental impacts of its operations and to promote fiscal responsibility and community and environmental stewardship by integrating sustainability considerations in sourcing processes while continuing to observe general state purchasing laws and procurement policies.

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TDEC Title VI Statement

The Grantee hereby agrees, warrants, and assures that no person shall be excluded from participation in, be denied benefits of, or be otherwise subjected to discrimination in the performance of this Grant Contract or in the employment practices of the Grantee on the grounds of handicap or disability, age, race, color, religion, sex, national origin, or any other classification protected by Federal, Tennessee State constitutional, or statutory law. The Grantee shall, upon request, show proof of such nondiscrimination and shall post in conspicuous places, available to all employees and applicants, notices of nondiscrimination.

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Contact The persons named below shall be the sole points of contact throughout the application and award process. All communications concerning this application and award process can be completed through the Grants Management System. This can be accessed at:

https://tdec.smartsimple.com/s_Login.jsp

Applicants will need to Register first. Any questions prior to applying can be directed to:

Grant Program Manager: Administrative Contact: Brook Powell Heather Weldon Higher Education Sustainability Initiative 615-741-8822615-770-1736 Heather.Weldon@tn.govBrook.Powell@tn.gov

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Frequently Asked Questions

1. When can the grant project begin?Vendors’ bids for equipment purchases must be submitted and approved by theState prior to receiving equipment. Any equipment received or purchased prior tothe begin date of the executed contract will not be reimbursed. Failure to submitbids for approval prior to committing funds may result in denial of costs.

2. How are grant offers distributed?Payments will be made electronically through the Automated Clearing House (ACH).Grantees will be required to provide banking account information in order toreceive grant reimbursements. The ACH form will be included in all grant offers.

3. How long will I have to complete the grant project?All grants are issued with a maximum contract term of two (2) years. The grantcontract Scope of Services will contain specific milestones that must be met, includingcompletion dates for purchases and work activities. Grantees must be precise inthe timelines submitted in the application to assure that sufficient time is allowedfor purchases and work activities.

4. What are the grantee’s responsibilities for the project after the grant is paid in full?Grantees must maintain financial documents for audit purposes for three (3) yearsafter the grant is paid in full. Equipment purchased must be properly maintainedand operated for a term of five (5) years after grant award or the Grantee mustrepay a prorated amount to the State. The Campus Food Pantry Assistance ProgramManager can provide more specific details on any other responsibilities required. Byaccepting the grant contract, the grantee is agreeing to provide access to datarelative to the number of food insecure individuals reached and waste reductionmetrics while in operation and to all terms contained in the grant contract.

5. Can an applicant submit supplemental documents?Yes, supplemental documents may be submitted, but only to the extent that thesedocuments support the narrative information provided and are submitted at thetime of application. Excess documentation can be cumbersome to evaluate and maydetract from the reviewer’s ability to make good decisions concerning projects. Onlynecessary supplemental documents should be included.

6. Where can an applicant find the grant documents?The grant manual, application, and associated forms, and FrequentlyAsked Questions are posted at the Department’s website and in the GrantManagement System.

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7. What accountability requirements are there for grant recipients?The grant recipient will be responsible for the following:

a) Accounting System - Each recipient is responsible for maintaining anaccounting system which meets generally accepted accounting principles andfor maintaining financial records to properly account for the expenditure of allgrant funds.

b) Grant and Contract Accountability Policy - The local applicant will fulfill theconditions of the written contract.

c) Contracts - Grantees who do not have a written local procurement proceduremust follow State of Tennessee procurement policies,https://www.tn.gov/generalservices/section/central-procurement-office. If theirproject is selected for funding, grantees will be required to provide a copy oftheir local procurement procedures once a fully executed grant contract isreceived.

8. When a grant is awarded, what are my Title VI responsibilities?Title VI of the Civil Rights Act of 1964 prohibits discrimination based on race, color, ornational origin in programs or activities receiving federal financial assistance. As arecipient of funds from TDEC, who is a recipient of federal funding, recipients of fundsthat pass through TDEC in the form of grants are required to comply with the rules, lawsand regulations of Title VI.

When applying for this grant, the applicant must complete a Title VI Pre-Audit SurveyCN-1448, which identifies the presence or absence of an applicant’s current Title VIprogram. A copy of that form is located in Attachment 5. You may also read more aboutthe Department’s Title VI information at this web link:https://www.tn.gov/environment/program-areas/opsp-policy-and-sustainable-practices/opsp-title-vi-and-environmental-justice.html .

When applying for the grant, the applicant must complete a Title VI Training CertificationCN-1515. A copy of that form is located in Attachment 6. If your organization does nothave a Title VI program, the Department has various resources that may assist you in theadministration of and compliance with this grant.

9. If I have a question, who do I contact during the solicitation phase?There are only two contacts (a technical contact and an administrative contact) thatcan provide official information relative to this grant proposal solicitation. Theircontact information may be found in the Contact section of this grant manual. Thetechnical contact can assist with questions relating to establishment of an on-campus food pantry or technical requirements associated with the grantapplication. The administrative contact can assist with general and administrativeactivities relating to grant application. Any other Department contacts are notauthorized to answer on behalf of this program.

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Attachment 1 Campus Food Pantry Budget Worksheet

School

Identify all items and/or equipment requested to be purchased with funds under the Campus Food Pantry Grant. Number each requested item in priority order, as all requested equipment may not be funded based on funds available. Identify the quantity, estimated unit cost, and calculate total costs for each item and/or equipment type that is directly tied to quotes received from potential vendors or purchasing sources. Indicate the location where the equipment will be utilized. Complete the budget calculation as described below and attach quotes received.

Eligible Equipment Item Priority Order

Quantity Estimated Unit Cost

Total Cost

Total Estimated Project Cost (Sum of Total Cost Column) $ Maximum Grant Award (not to exceed $7,000) $

Additional Local Share (if project costs exceed maximum grant award) $

Attachment 2 Technical Narrative Questions

Note: Information provided in this Technical Narrative may be incorporated into successfully funded projects through the grant contract by reference. Technical Narrative responses must not exceed 10 pages and no more than five attachments.

I. Food Needs Assessment – 30 points

1. Describe the proposed program or project; provide details and attachments as necessary. In thedescription, be sure to define the addressed need for the program or project, including a pre-needsassessment survey of students at the HEI where the food pantry is to be located (see Attachment 4)performed to learn more about food insecurity and the need for a campus food pantry. If obtainable,provide data from the K-12 schools where children attended before entering the higher educationinstitution, to include the numbers of students that received free or reduced lunches in grade school. If theschool is located in a food desert, provide documentation of such location. This data can be used to identifystudents at high risk of food insecurity and/or to illustrate the demographic and economic circumstances ofthe county. Is the applying school located in a distressed or at-risk county for Fiscal Year 2020 as shown bythe Transparent Tennessee Distressed County map found at https://www.tn.gov/transparenttn/open- ecd/openecd/tnecd-performance-metrics/openecd-long-term-objectives-quick-stats/distressed- counties.html (“distressed or at-risk county")?

II. Program Benefits – 30 Points

2. What is the goal or expected outcome of this project? How many students do you anticipate serving?What percentage of total food received for the food pantry be recaptured or recovered food? Whatweight do you anticipate that percentage to be? Justify your calculations.

3. Prepare a narrative that aligns these benefits with the following 2025 Plan Objectives:

• Increased diversion of organics (Objective 4); and• Improved education and outreach (Objective 6).

III. Sustainability and Funding – 30 Points

4. Describe how the project will ensure efficient and effective use of funds provided through this grant.

5. Demonstrate that necessary space for the food pantry is secured. This can be a narrative description of thespace and its location along with a hand-sketched layout of the space to include the pantry measurementsand where requested equipment will be located along with their dimensions to ensure adequate space isavailable. Also explain where the nearest handwashing station is anticipated to be located.

6. How will the applicant sustain the project once this funding is expended? Provide letters of commitment(LOC) from partners as mentioned below in Section IV, stating what their commitment will be as well as aLOC from the school detailing their efforts to keep the project going for a period no less than two years fromthe date the food pantry opens for service. How will the applicant meet the 25% in-kind and/or cashcontribution matching requirement?

7. Who will be responsible for getting the campus food pantry services information out to the students andwhat method(s) will be used?

IV. Establishment of Priority – 10 points8. Identify any partners and their role in the proposed project. Provide accompanying agreements

and LOCs describing the details of the partnership and specific roles of each participating localgovernment and business.

Partner Organization Name Role and/or Contribution Public Sector/Local Government Private Sector Nonprofit Other

9. Does the applicant already address food waste through education, feeding people, feeding animals,industrial uses, anaerobic digestion, composting, or other strategies? How does the applicantaccomplish this?

Narrative Prepared by: _

Name of Preparer’s Organization: _

Telephone: _

E-mail address:

Attachment 3 Scoring Rubric

Food Needs Assessment – 30 Points Maximum

20-30 Points 10-19 Points 0-9 Points Score

• Clearly describes project.• Pre-needs assessment

survey results thorough;the need is relevant

• School is in a food desert,located in a distressed orat-risk county, and either aTCAT or Community College

• Vaguely defines project.• Pre-needs assessment survey

results somewhat thorough;the need is relevant

• School is either in a fooddesert OR located in adistressed county OR is a TCATor Community College OR islocated in an at-risk county

• Project definition and need arepoor, missing, or irrelevant.Pre-needs assessment surveyresults not thorough orconducted; need is notrelevant

• School is not in a food desertAND is not located in adistressed county AND is not aTCAT or Community CollegeAND is not located in an at-riskcounty

Program Benefits – 30 Points Maximum

20-30 Points 10-19 Points 0-9 Points Score

• Project goals are clearlystated and measurable.

• Project clearly supports the2025 Plan Objectives.

• Benefits are clearly definedand calculated.

• Pantry will source foodfrom over 30% recoveredsources

• Project goals are vaguely statedand/or immeasurable.

• Project supports the 2025 PlanObjectives to some limiteddegree.

• Benefits are slightly defined andcalculated.

• Pantry will source food from upto 29% recovered sources

• Project goals are poorly definedand/or immeasurable.

• Project does not support the 2025Plan Objectives.

• Benefits are vaguely defined,missing or not calculated.

• Pantry will not source foodfrom any recovered sources

Sustainability and Funding – 30 Points Maximum

20-30 Points 10-19 Points 0-9 Points Score

• Project is clearly an efficientuse of funds and resources.

• Organization has a clear planlikely to sustain the projectbeyond completion; allletters of commitmentreceived.

• Funding request appearsreasonable to meet projectobjectives.

• Application makes clear thestrategy to notify studentsof the campus food pantry.

• Demonstrated necessaryspace for pantry secured.

• Substantial demonstrationof how matchingrequirements will be met.

• Project is an efficient use offunds and resources to somedegree.

• Organization has a plan that maysustain the project beyondcompletion; some letters ofcommitment received.

• Funding request appearssomewhat reasonable to meetproject objectives.

• Application somewhat describesthe strategy to notify studentsof the campus food pantry.

• Slightly demonstratednecessary space for pantrysecured.

• Minimal demonstration of howmatching requirements will bemet.

• Project is not an efficient use offunds and resources.

• Organization does not have a planto sustain the project beyondcompletion; no letters ofcommitment received

• Funding request appearsunreasonable for meeting projectobjectives.

• Application poorly describes thestrategy to notify students of thecampus food pantry.

• Necessary space for pantry notsecured.

• No demonstration of howmatching requirements will bemet.

Establishment of Priority – 10 Points Maximum

8-10 Points 4-7 Points 0-4 Points Score

• Project has severalpublic/private partnershipsand the contributions ofeach partner are clearlyestablished.

• Project has one public/privatepartnership and thecontributions of each partnerare clearly established.

• No public/privatepartnerships.

This Section Leave Blank – State Use Only

[ ] Fully Funded at $

[ ] Partially Funded at $

[ ] Proposal Not Funded Total Score:

Rater Explanation/Comments:

Grant Rater: 1 2 3 4 5 Date: Reviewed By:

Food Pantry Survey

Attachment 4 Sample Needs Assessment Survey

Please circle the most appropriate response to each question. 1. While a student, has there ever been a time when you did not have enough food for yourself or your

household? YES NO

2. How often has your food supply been inadequate?Zero times per semester 3-4 times per semester

1-2 times per semester 5 or more times per semester

3. While a student, has there ever been a time when you were aware of another student (not yourself)who did not have enough food for themselves or their household? YES NO

4. How often would you estimate that the food supply for other students (not yourself) has beeninadequate?

Zero times per semester 3-4 times per semester1-2 times per semester 5 or more times per semester

5. Do you believe that a student food pantry is needed on the Cumberland campus?Strongly Agree Agree Neither agree nor disagree

Disagree Strongly disagree

6. Counting yourself, dependent children, and spouse or significant other, how many people arecurrently in your household?

1 2 3 4 5

7. What questions, comments, concerns or suggestions do you have about establishing a studentfood pantry?

8. For a food pantry to operate efficiently it would need a group of committed volunteers. Would yoube willing to volunteer on occasion in the pantry?

Yes No Maybe If you are willing to volunteer, please include the following:

Name Phone Email

Attachments 5 & 6 Title VI Pre-Audit Survey

Title VI Training Certification

DEPARTMENT OF ENVIRONMENT AND CONSERVATION OFFICE OF POLICY AND SUSTAINABLE PRACTICES

William R. Snodgrass TN Tower 312 Rosa L. Parks Avenue, 2nd Floor

Nashville, TN 37243

TITLE VI PRE-AUDIT SURVEY

Name of entity: Phone number:

Type of entity. (choose one): Government/Municipality Private Business Non-Profit

Address:

City: State: Zip Code: County:

The Tennessee Department of Environment and Conservation (TDEC) is a recipient of federal financial assistance. Recipients are required to comply with various nondiscrimination laws and regulations, including Title VI of the Civil Rights Act of 1964, which bars discrimination on the basis of race, color, or national origin by any agency receiving Federal funds. The Civil Rights Restoration Act of 1987 clarifies that discrimination is prohibited throughout an entire agency if any part of the agency receives federal financial assistance. As a sub-recipient of TDEC, you are required to comply with Title VI and related nondiscrimination laws and regulations.

The following data is being collected for compliance with Title VI and will be used in accordance with applicable federal law. This form must be completed and returned to the TDEC program that administers your grant or loan so that your compliance efforts can be reviewed.

Complete this survey and return it along with applicable copies with your grant application.

1. What is the racial composition of the population in your geographic service area?

2. What is the racial composition of your advisory or governing board?

3. How does your advisory or governing board ensure that its racial composition reflective of thecommunity's population?

4. Provide a copy of your agency’s written policy of nondiscrimination stating that services or opportunitieswill be provided to all persons without regard to race, color, or national origin.If you do not have one, adopt TDEC's sample policy: https://www.tn.gov/environment/program-areas/opsp-policy-and-sustainable-practices/opsp-title-vi-and-environmental-justice.html, and provide the dateof your adoption:

CN-1448 (Rev. 03-20) Page 1 of 2 RDA SW20

5. Provide a copy of your agency’s Limited English Proficiency (LEP) Plan to communicate with personswho do not speak English as their primary language or have limited ability to read, speak, write, orunderstand English.

If you do not have one, adopt TDEC’s sample plan (hyperlink provided above) and provide the dateof your adoption:

6. How does your agency provide and ensure Title VI training of its staff?

7. Provide a copy of your Title VI training program.

If your agency does not currently have a Title VI training program, use TDEC’s online training module,and retain the Certificates of Completion for each staff member: https://tdec.tn.gov/title6/index.html.

8. How do you advertise your projects and programs to the public?

No

9. Provide a copy of your agency’s procedures on reviewing Title VI complaints.

If you do not have one, use TDEC’s sample procedures (hyperlink provided above in number 4) andprovide the date of your adoption:

10. Has a federal or state agency found you in noncompliance with civil rights requirements? YesIf yes, please attach a copy of the complaint and findings.

11. Has a civil rights compliance review been conducted onsite by a federal or state agency within thepast two years? Yes No

Attach your Title VI policy and procedure, LEP policy and procedure, and Title VI training program.

Declaration of Respondent: I declare that I have completed the data in this survey and to the best of my knowledge and belief; it is true, correct and complete.

Compliance Officer: Printed Name and Title:

Signature: Date:

Declaration of Chief Administrator or Supervising Authority: I certify under penalty of law that this document and all attachments were prepared by me, or under my direction or supervision. The submitted information is to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment. As specified in Tennessee Code Sec. 39-16-702(a)(4), this declaration is made under penalty of perjury.

Chief Administrator or Supervising Authority: Printed Name and Title:

Signature: Date:

CN-1448 (Rev. 03-20) Page 2 of 2 RDA SW20

DEPARTMENT OF ENVIRONMENT AND CONSERVATION OFFICE OF POLICY AND SUSTAINABLE PRACTICES

William R. Snodgrass TN Tower 312 Rosa L. Parks Avenue, 2nd Floor

Nashville, TN 37243 TITLE VI TRAINING CERTIFICATION

Name of entity: Phone number:

Type of entity. (choose one): Government/Municipality Private Business Non-Profit

Address:

City: State: Zip Code: County:

The Tennessee Department of Environment and Conservation (TDEC) is a recipient of federal financial assistance. Recipients are required to comply with various nondiscrimination laws and regulations, including Title VI of the Civil Rights Act of 1964, which bars discrimination on the basis of race, color, or national origin. The Civil Rights Restoration Act of 1987 clarifies that discrimination is prohibited throughout an entire agency if any part of the agency receives federal financial assistance. As a sub-recipient of TDEC’s federal funds, you are required to comply with Title VI and related nondiscrimination laws and regulations.

Title VI regulations require sub-recipients to complete Title VI training; your entity must preserve class rosters or comparable evidence of periodic Title VI training for audit purposes.

Below, the sub-recipient program supervisor and its Title VI Coordinator (if a different person) must certify the date (within the last six months) of their completion of Title VI training, attach a copy of the class roster or certificate of completion from their training, and certify that Title VI training is provided for staff, including new hires.1

As one acceptable means of completing Title VI training, your entity may use TDEC’s online Title VI training module: https://tdec.tn.gov/title6/index.html and retain Certificates of Completion for staff.

Declaration of Sub-Recipient Title VI Coordinator: I completed Title VI training on (date), my entity provides Title VI training for staff, including new hires, and to the best of my knowledge and belief the class roster and/or certificates of completion for Title VI training attached are true, correct, and complete.

Printed Name and Title:

Signature: Date:

Declaration of Sub-Recipient Supervising Authority: I completed Title VI training on (date), my entity provides Title VI training for staff, including new hires, and that the class roster and/or certificates of completion for Title VI training attached are to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment. As specified in Tennessee Code Sec. 39-16-702(a)(4), this declaration is made under penalty of perjury.

Printed Name and Title:

Signature: Date:

1 If the sub-recipient program supervisor or its Title VI Coordinator is replaced during the contract term, the replacement must take Title VI training and provide evidence of completion to the TDEC grant or loan administering program.

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