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HomeMy WebLinkAboutAttch 2e Dublin Partners in EducationI! ITY OF UBLIN COMMUNITY GROUP/ORGANIZATIONAL FUNDING REQUEST APPLICATION PACKET Fiscal Year 2010-2011 Section Z o Application for Cornmunity Group/Organizational Funding SECTION 2 Page 1 of 22 /~Tl ~-~i~y1e`7 T a~ ~c~ CITY OF DUBLIN Fiscal Year ZO10-2011 COMMUNITY GROUP/ORGANIZATION APPLICATION FOR FUNDS COVER PAGE AGENCY NAME: DUBLIN PARTNERS IN EDUCATION PROPOSED PROJECT/PROGRAM NAME: OPERATIONAL EXPENSES FOR VOCATIONAL MENTORING, PROMOTION OF THE ARTS PROGRAM, AND CAREER DAYS FUNDING AMOUNT REQUESTED: $15,000.00 SECTION 2 Page 2 of 22 CITY OF I)UBLIN Fiscal Year 2010-2011 APPLICATION FOR FUNDS i. Please select one expense category: ^ Capital X Operating 2. Applicant Information: Organization/Agency Name _Dublin Partners in Education Mailing Address_ P O Box2307 Street Address 6800 Penn Drive City Dublin Zip_94568 _Janet Lockhart. State Ca LockhartJanet(~a,dublin.k 12.ca.us Executive Director/Chairperson Work Phone 925 828-2551x5431 Board President (if applicable) Work Phone Email Please list the Primary Project Contact Person who would be able to answer questions about this application and project/program during the funding period. Janet Lockhart Executive Director Email SECTION 2 Page 3 of 22 Contact Person for Project/Program Job Title 925 828-2551x5431 Work Phone Email Fax Federal Tax Identification No. (required) _94- 3207780 City of Dublin Business License No. (required) _10048 SECTION 2 Page 4 of 22 City of Dublin Fiscal Year 2010-2011 Applicatio~a for Fund~ 3. Proposed Project/Program Information (Do not describe organization.) Amount of Funds Requested $ ~15,000.00 (Maximum $25,000 per project.) Proposed Project/Program Name: _Operational Expenses for Vocational Mentoring, Promotions of the Arts program, and Career Days Proposed Project/Program Date(s): Start _7_ /_1_ / 10_ and End _6/30_ / 11_ mo. day yr. - mo. day yr. Please note: City Council Grant Funds are distributed on a reimbursement basis. If your Agency needs a 100% disbursement at the beginning of the Fiscal Year, please indicate this below and provide justification for this need. XX^ Agency is requesting 100% disbursement at the beginning of the Fiscal Year. If selecting this option, please provide justification in the blank space below. ^ Agency is not requesting 100% disbursement at the beginning of the Fiscal Year. Please provide the frequency that reimbursements will be submitted to the City in the blank space below; e.g., monthly, quarterly, at project completion, etc. XX : DPIE sets a budget annually applicable July 1 through June 30. A 100% disbursement allows us to create a work plan for the entire school year. Receiving funds at the beginning of the fiscal year allows us to ensure that our programs can continue while we work to write grants, plan fundraising events, and collaborate with our business partners to bring much needed funding to our schools. SECTION 2 Page 5 of 22 SECTION 2 Page 6 of 22 City of Dublin Fiscal Year 2010-2011 Application for Funds a. How would the requested funds be used? b. ^ Describe, in detail, the PROPOSED PROJECT/PROGRAM (not the Agency). ^ Bulleted text is acceptable. ^ Identify if the proposed project/program is a new service, or extension of an existing one. ^ An additional page may be added, if needed. ** Career Days: Local business and community volunteers spend a full day with students, sharing valuable career information and personal professional experiences with Fallon and Wells 8~' graders; helping them see all the future possibilities that education can create for them. Mentors experience the enthusiasm of our young people who are anxious to hear what the future might bring. **Mentor Program: Dublin and Ualley High School students attend a series of presentations given by local business and community volunteers who share their career knowledge and professional experiences, offering a window into the world of work. Mentors share their own career paths, the wisdom they ~ave gleaned from their experiences and some of the values that have helped them become successful at what they do. This program includes approximately 1,600 students. Not only does it support our students as they prepare for vocational school, the military, or higher education, but mentors experience the satisfaction of sharing their own lives with students and often come away from the experience refreshed and more enthusiastic about what they do. This prograrn is a wonderful example of collaboration and community spirit; joining business and education in a way that supports both. ** Promotion of the Arts: One cannot fully appreciate the value and scope of this program without attending the annual Art Judging and the Art Awards Night. This program links volunteer guest artists in our communiTy with classrooms; engaging the spirit of each artist and creating enthusiasm for art in education. Our young artists in the schools are encouraged to explore their own creativity by teaming with these wonderful volunteers for whom art is a passion and in some cases a profession. Student art is submitted for the annual art juding. SECTION 2 Page 7 of 22 These .students are then celebrated at the Art Awards Night where they receive recognition and encouragement for self expression. Not only are the students benefiting from this program, but the volunteers who work with the students, the judges that participate in the program, and the business community and residents who purchase the art all become a successful and integral part of the program. This year's Art in the Schools program will grow with the addition of a Photography category for grades 1-12 and a videography category for grades 9-12. Each of these categories will ask the question," What do you like about Dublin"? Students will be encouraged to submit a photograph expressing their opinion or a 30 second video inarketing their "likes." This Art in the Schools program will serve more than 5,600 young people in our community. **Dictionary Give-Away: For the second year DPIE will partner with the Dublin Rotary Club to fund the purchase and distribution of brand new dictionaries to every third grade student in the Dublin School District. This has proven to be a great partnership and invaluable opportunity not only for third grade students but their families as well. Many students have reported that this is the first dictionary in their home. c. How would the PROPOSED PROJECT/PROGRAM address an unmet community need and improve the quality of life for Dublin residents. Why is this project/program needed? (Additional page may be added, if needed): Now, more than ever, the quality of education desired by residents of Dublin far exceeds the very basic education funded by the State. DPIE seeks to help the Dublin Unified School District bridge the gap between what the State provides in terms of funding and what is needed to fund the type and quality of programs offered to our students. SECTION 2 Page 8 of 22 d. What documentation/data/records support the need for this PROPOSED PROJECT/PROGRAM? Please identify your data sources. (Additional page may be added, if needed.) With the grant funding we have requested, DPIE's programs will provide enriched learning opportunities, and clearly ones that will not be funded any other way. Our Partnership activities are like other educational foundation in surrounding areas and nationally. It has been demonstrated that Partnership programs positively impact students and schools in these areas: Academic achievements, Schooi attendance, Career planning, Student enrichment, Self-image, and School Pride. (source: www.partnerstoledo.or~partnership.html) SECTION 2 Page 9 of 22 City of Dublin Fiscal Year 2010-2011 Application foY Funds d. Specify the PROPOSED PROJECT/PROGRAM population to be served. Dublin students in the Dublin Unified School District, K-12, and Adult Education will be the primary beneficiaries of the programs we are requesting funding for. However, we also strongly believe that Community volunteers and Business professionals who seek to contribute to the Dublin community through tlie spirit of DPIE partnerships and collaborations will also strongly benefit f~m these programs. e. Projects/prograins must be evaluated to determine if they are being carried out efficiently and if project/program goals are_being met. Please describe how you plan to monitor your project/program's success and impact. ^ An additional page may be added, if needed: The monitoring of programs is an ongoing process for DPIE. Our Board of Directors, represented by sub-committees, work on each program along with staff. Each program is thoroughly reviewed by staff and board at the planning stages as well as at the completion of the program. f. Specify numbers of clients served by agency, then by PROPOSED • PROJECT/PROGRAM: The number of students served varies depending on the program. Our overall programming is designed to provide something for every student in the district. Many parents and members of our business communitv are also included. ..; .. ~ A eric~ ~,Partici ant' Information ;; 4, z`` ;. o~ ~~ _ . _ ~ _. . _ .,~ . . :_ ~ .a P ~~ ~~. ~ ~~ .: .~. ., _~,. Total Number of Partici ants Served by Agency (if a licable) 5,967 students.. SECTION 2 Page 10 of 22 Total Number of Dublin Residents Served by Agency (if applicable) 5, 967 students plus parents, volunteers and Partners (est. additiona1200 residents and business artners. °Pro ect/Pro ram Partici ant °Informationx ~ ~ Total Pro osed Partici ants Served by this Project/Program 6,167 articipants Total Number of Dublin Residents Served by this Project 6, 267 Dublin residents SECTION 2 Page 11 of 22 City of Dublin Fiscal Year 2010-2011 Application f'or Funds 5. Financial Information - Operating Budget. a. Expense Budget . ` FY 201,0 2011 ~ 'Txls. PRO~cT/ . ~ . - .. ,~. . _ ~ a~ N ~,~ , o ~. ~ ..-:~ ~ ~ " - - ~ - ~ . ; < , : . ~ ° EXPENSE BUDGET - ~ - ' ORGANTZATION ' ° PROGRAM ~ GRANT REQUEST' . ~ ~ ~~ ~ ~~::- : ~~ ~ ~ - ~ _ . , . .. Personnel Costs ` ~- ° d ~ ~ ~ d ~ ~' ° ~~~v. .~..~,},~, . K„ ... ,.. „ -: Employee Salaries & Benefits $0,600 Non Personnel Co"sts ` y ~ Taxes and Fees 500 Capital Costs - Other Marketing/program info 5,500 Other Professional Develop. 1,000 TOTAL 86,600 Further Comments/Explanations (if necessary): SECTION 2 Page 12 of 22 City of Dublin Fiscal Year 2010-2011 ~4pplication for Funds b. Revenue Budget FY' 2010 201;1 ~ ~ ~ . ~ . ~ s~ _ ,~ ,. ;; - ,. ~ . _ ~x , ., .. . , -... .. , ,REVENUE_:•BiTDGET -_ ORGANIZATION _ PROJECT/PROGRAM Comriiitted/R'estricted~Funds ~ , ' ~ ? (speci 'source) ~' - ~ ~ ~~`~ `~ Misc. Grants 15,000 Citv of Dublin 15,000 .. _ ~ , ° ,; ~ _ . ~~~ ~ ?_ ~..._ ,~ , .:.,< ..,~, .. . , ~ ~.,. _z ~ . , .. . _ . Noa Cammitted/Restric`ted °FundsG ~ ~ ~ ~ r . ~ < ..,r.y .N~] '~'<' (specify source) ~ ° ~ xA > , . ... .. F ~ w ~ , , .~~~ - ,~ ~, t _a ~s ~ ~ ~~ ~ ~ . ~ ~ , _ ~;: , Student Art Auction 34,000 Fireworks Sales 12,000 Dinner Partners in Education 45,000 Membershi 20,000 BowI-A-Rama 5,000 Summer Bowling Program 300 TOTAL 146,300 Further CommentslExplanations (if necessary): SECTION 2 Page 13 of 22 City of Dublin Fiscal Year 2010-2011 Appdicatio~ for Funds 6. General Agency Information XX^ Past grant applicants may check this box in lieu of completing item 6(a-d) if the program/organizational description on file with the City is correct and current. a. List all years that Organization has previously received City of Dublin funding (not Community Development Block Grant - CDBG). b. Describe the population(s) served by the Organization. c. Describe all the services the Organization currently provides to Dublin residents. ^ An additional page may be added, if needed. d. Has your agency ever previously received funds from the City of Dublin? If yes, please specify in what Fiscal Years and the amount received each year. SECTION 2 Page 14 of 22 City of Dublin Fiscal Year 2010-2011 Application for ~'unds 7. Required Attachments: o Onlv one (1) copv aer AEencv of each of the following is required, even with multiple projects/programs submitted. o Applications without the foliowing documents will not be reviewed for funding. o Please label attachments: A, B, C, etc. X A. , Names of Governing Board; identify current Board officers. X B. Current total Organization o~erating budget, including revenue. ^ Clearly label/identify the program that includes the pROPOSED PROJECT/PROGRAM. X C. Most recent audit report or tax return (if applicable). X D. Resolution, letter or other document providing evidence of X E. Board/Organization approval of application, and date approval was granted. Board/Organization approval may be pending. X E. Organization's certificate of insurance showing coverage for liability and workers' compensation. X F. Application Verification Declaration Signature Page. X G. Signed affidavit form from each collaborating agency named in proposed project/program plan (if applicable). X H. Copy of IRS Letter of Determination indicating tax exempt status. SECTION 2 Page 15 of 22 City of Dublin Fiscal Year 2010-2011 Application for Funds APPLICATION VERIFICATION I attest that the information contained in this FY 2010-2011 grant application is accurate and that the funds requested will not supplant any other monies secured by the organization. Attached is a resolution, letter, or other document providing evidence that the Board of Directors approved the application as submitted. Successful applicants are required to submit a summary report as soon as possible after submitting the reimbursement request, but not later than August 31, 2011. Failure to submit a report will result in ineligibility far future funding. /a-~~'09 Date ~a-l P~ Date SECTION 2 Page 16 of 22 City of Dublin Fiscal_Year2010 201.1 Application for Funds COLLABORATION AGENCY AFFIDAVIT FORM o This form is to be completed by each collaboratang organization as named by the applicant agency in the proposed project/program. o Completed forms must be submitted at time of application. Collaborating Agency Name: _ Dublin Rotary Agency Division/Department: N/A Project/Program Title: _Third Grade Dictionary Give-Away Project/Program Role Description (i.e., facility spaee, staff support, etc.): DPIE and Dublin Rotary pay for and distribute dictionaries to every third grade student in Dublin Unified School District Agency Project/Program Contact Person Don Biddle Title Board Member Dublin Rotary Phone 925 828-2827 Email _dondonnab 1 @aol.com - I attest that the applicant agency and our organization agree to work collaboratively to implement the proposed project/program as identified in the FY 2010-2011 funding application. Executive Director Date SECTION 2 Page 17 of 22 . ~ ~ _ ~ ~al~-~~ ~ Project/Program Contact erson Date SECTION 2 Page 18 of 22 CIT~ OF DUBLIN Fiscal. Year 2010-2011 COMMUNITY GROUP/ORGANIZATIONAL FUNDING PROGRAM SUMMARY REPORT (Summary Report must be completed and submitted prior to August 31, 2011.) AGENCY NAME MAILING ADDRESS: TELEPHONE: PROJECT/PROGRAM NAME: TOTAL FUNDING AMOUNT AWARDED $ . TOTAL REIMBURSEMENT RECEIVED $ 1.) How has tlie PROJECT/PROGRAM addressed an unmet community need and improved the quality of life for Dublin residents. (Additional page may be added, if needed): 2.) Please evaluate the success of your project/program. Were the goals outlined in the application met? Was the project/program carried out efficiently? Please use the objectives identified in your application to discuss your program/project's success and impact. Include any documentation/datalrecords you have that support your conclusions. SECTION 2 Page 20 of 22 AGREEMENT BETWEEN CITY OF DUBLIN AND (insert or~anization name~ THIS AGREEMENT, dated for identification this _ day of 2010, is entered into between the City of Dublin ("City") and Dublin Partners in Education. RECITALS A. Dublin Partners in Education has asked City to contribute $ 15,000.00 LFifteen thousand Dollars) for use by DPIE to cover _Operating costs in order to provide the services as described in E~chibit A. The services rendered pursuant to this agreement will be for the period July 1, 2010 through June 30, 2011. B. City has determined that it is in the interest of the residents of the City of Dublin to make a donation of $ ( Dollars) for such purpose, provided certain conditions are met to ensure that the services will benefit the residents of City. AGREEMENT City and Dublin Partners in Education agree as follows: l. Recitals The foregoing recitals are true and correct and are part of this agreement. 2. City Donation City shall donate $ ( Dollars) to be used by DPIE to be used for operational support for Programs as described in Exhibit A to this Agreement. The donation shall be paid upon invoice to the City. 3. Records Dublin Partners in Education shall maintain records for project/program review, evaluation, audit and/or other purposes and make them available to City upon request. 4. Periodic Reports Upon request by City, DPIE shall provide reports describing the progress made by DPIE accomplishing the goals and objectives outlined in the work plan. CITY OF DUBLIN Dated: Dated: %2 ° ~y- ~ ~ By: J ni L. Pattillo, City Manager By: Title • ~,~ ~e . ~! R~C~6 (~ SECTION 2 Page 22 of 22