<p> 2017 ECHO Independent Review Team (IRT) Community Member Application APPLICATION DEADINE: Friday, May 12, 2017</p><p>Thank you for your interest in participating in the Austin/Travis County Independent Review Team! Please complete the following form and return to Niki Paul, Director of Operations at [email protected] by Friday, May 12th, 2017. </p><p>Purpose of the Independent Review Committee (IRT): a. To review and rank the applications for the HUD Continuum of Care application b. To review and rank the application for the HUD Youth Homeless Demonstration Program c. To provide preliminary recommendation to the ECHO Membership Council d. There are 2 tiers of responsibility for the IRT (outlined below). Type of Review Estimated Time Commitment Key Tasks 2017 HUD CoC Applications Approx 22 Hours: Review and rank applications June 6th-1 hr orientation and provide funding June 13th-8 hour project recommendations to the review ECHO Membership Council June 20-7 hrs agency presentations June 27-4 Hrs Final Recommendations Approx 2 additional home hours 2017-2019 HUD YHDP Approximately 10 hours of Review and rank applications Applications (Rolling Process) project application reviews and provide funding during open YHDP recommendations to the competition. This process will ECHO Membership Council be rolling until the total funding has been allocated.</p><p>Your Contact Information Name: Job Title: Employer/School: Preferred Mailing Address: Preferred Phone Number: Preferred Email Address: </p><p>1 Please state why you are interested in serving on the IRT (100 words or less) ______</p><p>Please outline your personal and professional experience with the homeless community and homeless services providers ______Do you possess the following skills (please circle your response) Y N Do you currently work for, receive compensation from, or serve on the Board of an organization that receives and/or is applying for HUD CoC or YHDP funding in Austin/Travis County? (If yes, you are not eligible to serve) Y N A commitment to objectively review and rank local HUD CoC and YHDP funding applications Y N Demonstrated leadership, consensus- building and problem- solving skills Y N Knowledge of Central Texas human services and broad human services issues Y N Experience in grant application review Y N Experience with contract evaluation Y N Ability to use an online system (we will be using an online system for the grant review process in 2017)</p><p>Do you represent any of the following stakeholder types? If so, please circle o Funder o Criminal Justice o Faith Community o Veterans o Healthcare o Victims of Domestic Violence o Business Community o Housing Developers o Youth and Young Adult o LGBTQ Community Member</p><p>______Signature ______Date</p><p>Thank you for your interest! We will be in contact with you shortly. Please return to Niki Paul at [email protected]</p><p>2</p>