Rubric - Tiers 2-4 Intermediary Agency
| Tiers 2-4 Intermediary Agency Rubric | Score | ||||
| Section | Question | Not Meeting Expectations | Approaching Expectations | Meeting Expectations | Exceeding Expectations |
| Primary Outcome and Program Dosage | Explain your selection for your Primary Outcome for this program (preventing child abuse & neglect, youth crime & violence, marijuana and ATOD, or school dropout). Be sure to address how this is included in your mission, vision, and/or values. | 1 | 3 | 4 | 5 |
| Describe the identified population and your agency’s success with this population. | 1 | 3 | 4 | 5 | |
| Using state/community level data, identify the need for preventing child abuse & neglect, youth crime & violence, marijuana and ATOD, or school dropout (whichever you selected as your Primary Outcome) in your community. Data older than 2010 will not be considered. | 1 | 3 | 4 | 5 | |
| Explain why the frequency, length, and duration for your program was chosen. | 1 | 3 | 4 | 5 | |
| Explain how your strategy addresses each of the risk and protective factors you have selected and leads to your Primary Outcome for your program. | 5 | 10 | 13 | 15 | |
| Program Planning | Give specific examples of successful recruitment strategies you are currently using or that you plan to use to recruit the intended population. How did you determine these strategies? | 1 | 3 | 4 | 5 |
| Explain the retention strategies specific to your identified population. How did you determine these strategies? Include your current and/or previous participant retention rates if available. | 1 | 3 | 4 | 5 | |
| Describe community as well as family and/or youth involvement in the project’s planning and implementation. | 1 | 3 | 4 | 5 | |
| How do you prepare participants for success upon the completion of your program? | 1 | 3 | 4 | 5 | |
| Describe your training plan for staff and how you ensure staff implement the program to fidelity. | 1 | 3 | 4 | 5 | |
| Strengthening Families | For programs serving children ages 0 to 8 and their families describe how the proposed program will incorporate a Strengthening Families approach. Be specific in addressing each of the five protective factors. | 3 | 6 | 9 | 10 |
| PYD | For programs serving youth ages 9 to 24 describe how your program uses a PYD approach in developing authentic relationships, enhancing informal skill building, and providing opportunities for practice of those skills. Be specific in addressing the five principles. | 3 | 6 | 9 | 10 |
| Statement of Work | The SOW must: Reflect the SFY21 funding period, July 1, 2020- June 30, 2021. The SOW should: Include objectives directly related to the accomplishment of the listed goal. Not include objectives such as turning in TGYS reports or hiring new staff. Reflect State Fiscal Year Quarters Q1: July 1 through September 30 Q2: October 1 through December 31 Q3: January 1 through March 31 Q4: April 1 through June 30 Whenever possible, include both outputs and outcomes. Use SMART (Specific, Measurable, Achievable, Realistic, Timely) objectives. Include all measurement methods (agency or school records, pre/post tests, surveys, etc.) the agency will use to determine if the outputs/outcomes are met. | 5 | 10 | 13 | 15 |
| Evaluation | For existing programs: • Describe the evaluation procedure or methods currently used for collecting output data (numbers of classes held, number of youth served, etc.) and outcome data (increased self-efficacy or resilience, decreased drop-out rate, etc.). For new programs: • Describe your planned evaluation procedure for collecting output and outcome data. | 3 | 6 | 9 | 10 |
| Describe your staff capacity to implement the TGYS evaluation with program participants. Be sure to identify who on your staff will be implementing the evaluation. | 1 | 3 | 4 | 5 | |
| Cultural Competence | Define how your agency strives for inclusivity both in programming and with staff, board, and volunteers. | 3 | 6 | 9 | 10 |
| How is your program culturally relevant to the population you are serving? | 3 | 6 | 9 | 10 | |
| Equity | How do your staff and volunteers (include percentage) reflect the children, youth, and families you serve? | 1 | 3 | 4 | 5 |
| Intermediary Agency Supplemental Questions | |||||
| Intermediary Services | Describe a typical partner agency’s prior history of delivering related services and experience providing services for the identified population. | 1 | 3 | 4 | 5 |
| Describe the benefits and successes of your role as the intermediary partner. | 1 | 3 | 4 | 5 | |
| Explain barriers or challenges your agency has experienced/anticipates experiencing by providing intermediary services. | 1 | 3 | 4 | 5 | |
| Describe your agency’s capacity to provide the following services to your partner agencies: Community planning and implementation Staff training on the program/strategy Technical assistance Liaison to program developer/national office Evaluation coordination Financial administration | 3 | 6 | 9 | 10 | |
| Explain your agency’s program monitoring processes of partner agencies and how will they be coordinated with TGYS reporting requirements. | 1 | 3 | 4 | 5 | |
| Explain your agency’s processes for distributing funds to partner agencies. | 1 | 3 | 4 | 5 | |
| Points Possible: 160* or 170* | |||||
| Points Need for Qualifying Score of 75% for Tier 2: 120 or 128 | |||||
| Points Need for Qualifying Score of 80% for Tier 3: 128 or 136 | |||||
| Points Need for Qualifying Score of 85% for Tier 4: 136 or 145 | |||||
| *NOTE: Applicants who receive a score for PYD or Strengthening Families (each worth 10 points) will be out of 160. Applicants who select both age ranges and answer both the PYD & Strengthening Families questions, will be out of 170. | |||||