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Home My WebLink AboutCOM 0522.000 2000-2002 ~eytr os h4 Harry Kim c,®.•`~~-~. • William Takaba Mayor I!I Director 1• " <; • ~ . Nancy E. Crawford f:.~ "~P`' Deputy Director rR cF"~ere? County of Hawaii Finance Departanent 25 Aupuni Street, Room 118 • Hilo, Hawaii 96720 (808) 961-8234 • Fax (808) 961-8248 c : i _ r'. February 12, 2002 ` - ~ r~>:;' Honorable James Arakaki, Chairperson and - Members of the County Council Hawaii County Council - 25 Aupuni Street Kilo, Hawaii 96720 RE: NONPROFIT ORGANIZATIONS In compliance with Chapter 2, Article 25 of the Hawaii County Code, I am submitting the qualifying applications from nonprofit organizations for your review and appropriation of funds for FY2002-03. Also enclosed is a list of the organizations with the name of their program and the amount they are requesting from the County. Should you have any questions, please feel free to call. G~ William Tak ba ®irector of Finance Fnc. Applications for Nonprofit Grant Funds List of Nonprofit Grant Applicants (P~ote: The Grant Applications are on file in the County Clerk's Office) ~m>~. bite f, fig: fit. ~ : , IV®RiPR®~iT GIANT ~,PIaLICAIVTS i~0~ ~Y2OO2-43 ORGANIZATION NAME PROGRAM NAME RIEQIfESTED American Red Cross Community Safety Education $ 6,765.00 The Arc of Hilo Residential & Support Services - 31,000.00 Ka Home Pulama Domiciliary Home Bay Clinic, Inc. Violence Intervention Project 26,000.00 Big Island AIDS Project Multi-disciplinary Team Case Management 10,000.00 Big Island Substance Abuse Council East Hawaii Substance Abuse Treatment Program 40,000.00 Big Island Substance Abuse Council West Hawaii Substance Abuse Treatment Program 40,000.00 Boys & Girls Club of Hawaii Hilo Clubhouse 60,000.00 Brantley Center, Inc. Transportation Program 25,000.00 Bridge House, Inc. Outreach/Education Program 18,000.00 Center for Independent Living -East & West Hawaii Independent Living Services 20,000.00 Child and Family Service Domestic Violence Continuum of Care Programs 7,000.00 Diabetes Network of Hawaii County Diabetes Education and Counseling Center 12,000.00 East Hawaii Coalition for the Homeless Kihei Pua Emergency Shelter Program 40,000.00 East Hawaii Coalition for the Homeless Transitional Shelter Program 2,500.00 Family Support Services of West Hawaii Family Centers at Ka'u and Kohala 50,000.00 Special Needs, Enhancement, Center Support, Friends of the Children's Justice Center of East Hawaii Training, Education and Prevention Programs 15,000.00 Friends of the Children's Justice Center of West Hawaii Friends of the Children's Justice Center of West Hawaii 15,000.00 Goodwill Industries of Hawaii, Inc. Work Experience for Persons with Disabilities 10,000.00 Hamakua Health Center Hamakua Health Center Van 25,000.00 Hawaii County Economic Opportunity Council Transportation 150,000.00 Hawaii Island Adult Care, Inc. Hilo Adult Day Center 25,000.00 Hilo Community Players Theater Season Support, 2002/2003 4,000.00 Hilo Community Players 25th Annual Shakespeare in the Park 2,500.00 Hilo Community Players Youth Theater 2,500.00 Hospice of Hilo Young People's Grief Support Camp 7,365.00 The Island of Hawaii YMCA Ku'ikahi Mediation Center 10,000.00 The Island of Hawaii YMCA YMCA Youth-At-Risk Services 55,000.00 Ka Hale O Na Keiki, inc. Families-At-Risk Project 7,500.00 Kapiolani Child Protection Center -West Hawaii Kapiolani Medical Center for Women & Children Title IV-B-West Hawaii Counseling & Supportive Living Project 20,000.00 Kona Adult Day Center, Inc. Adult Day Care 20,000.00 Kona ARC/Kona Krafts Captain Cook Domiciliary Home 24,449.00 Kona Literacy Council Kona Literacy Council 3,000.00 Mental Health Kokua Residential Rehabilitation Services 20,000.00 Office for Social Ministry Care-A-Van 35,000.00 Office for Social Ministry Hawaii Island Food Bank 35,000.00 Office for Social Ministry Mobile Care Health Project 30,000.00 Salvation Army Family Intervention Services Youth Service Center -Kona 35,000.00 Salvation Army Family Intervention Services Youth Service Center -Puna 40,000.00 Special Olympics Hawaii -East Hawaii Special Olympics Hawaii -East Hawaii 10,000.00 Special Olympics Hawaii -West Hawaii Special Olympics Hawaii -West Hawaii General Funding 8,000.00 Turning Point for Families, Inc. Alternatives to Violence, East & West Hawaii 10,000.00 Turning Point for Families, Inc. West Hawaii Domestie Abuse Shelter 22,000.00 Case Management and Transmission Prevention for West Hawaii AIDS Foundation HIV+ Women in West Hawaii County 15,000.00 West Hawaii Mediation Center Mediation Services 20,000.00 YWCA of Hawaii Island Ekahi Program 6,000.00 YWCA of Hawaii Island Sexual Assault Victim Empowerment 52,000.00 TOTAL $ :1,122,579.00 Arr~orican ~~d Cross Cornrn~lnity ~afoty education Agency Direct®r: Roger Dickson, CEO IUBaiiiing Address: 4155 Diamond Head Road, Honolulu, HI 96816 FacilitylSite Address: 55 Ululani Street, Hilo, F°II 96720 Ph®ne iWurtn~er: 808-935-8305 Fax Number: 808-969-3673 ~rnail Asidress: ykalima@hawaii.rr.com Arn®unt ®f Request f®r C®unty funds: $6, 765 F'ri®r Year Funding: 9900 00-01 01-02 $ 6685 $ 6700 $ 5000 Agency ~llissi®n Statement: The mission of the American Red Cross is as follows: °°The American Red Cross, a humanitarian organization led by volunteers and guided by its Congressional Charter and the Fundamental Principles of the International Red Cross IVlovement, will provide relief to victims of disasters and help people prevent, prepare for, and respond to emergencies." IPr®gram Descripti®n: (Please briefly describe the program for which you are seeking funding) The community safety education program strives to strengthen and empower families and individuals to prevent, prepare for and cope with personal and community emergencies. The program does this through disaster preparedness education, frs# aid/CPR courses, HIV education, and aquatics training. The American Red Cross fast Hawaii Branch respectfully requests the amount of $6,741 in county support to purchase equipment and materials to improve the ability of Aquatic volunteers to educate the community in lifesaving water skills. To ensure immediate lifesaving techniques at ocean fronts and recreational pools, the Wafter Safety Program at various levels teaches people how to develop confidence and competency in springboard diving skills along with different swimming strokes such as breast stroke, back stroke, butterFly and free o~rn~rican Fled Cr®ss ~~rr~~a~ity Saf~$y ~duc~ti®n style swimming. Tong with CP'R training, students will learn preventing disease transmission, oxygen administration and A~~ (automated external defibrillation) enabling the community to respond in emergencies using the proper tools. T'ota! budget and position Count T'otai i~ro ram dud et $ 146898 'Tote! pro ram position C®unt 5 fiotai ~ enc laud et $ 248432 ~otai ~ enc Position Count 5 Program ®b)ectives: (Tasks or pr®jects t® be acc®rrapllshed in specific, well-defined, and measurable terrras and that are achievable within a specitAC time frame. Alease number and leave all objectives begin with a verb.) Following emergencies, the residents of fast Hawaii will be more abBe to continue; or return more quickly to normal work, family and community activities. Residents wilt also be more able to rely on themselves and members of their own neighborhoods and communities when water emergencies occur. Trained Lifeguards and !ll/ater safety Instructors equipped with proper equipment can acccsmplish the following: 1) `train 100 individuals ages 15 and above Lifeguarding skills. This will increase the number of fast Hawaii residents qualified and able to assist in an emergency at recreational water sites. These skills can also enable individuals to gain employment with the county or in the private sector. Complete by June 2003. 2) Provide fast Hawaii county pool sites proper training equipment that will be utilized to train communities in various swimming and emergency water rescue skills. Complete by June 2003. 3) C~ecrease the number, severity and duration of long term and short term health problems and decrease the possibility of death and injury following an aquatic emergency.l'he ,American Red Cross will train 40 Water safety Instructors by June 2003. 4) Partner with 2 other community groups to provide basic water safety skills to children in age groups from kindergarten to grade 8. firain 500 children by June 2003. 5) Target grades 9 to 12 and implement the Guardstart program. firain 50 youth by June 2003. ~rr~ericar~ fed ~r®ss ~~r~rrl~r~ity S~f~ty d~Cati®r~ I~r®grana F°lighlights: (Accomplishments from the previous frscal year. Please number and begin all highlights with a verb.) 1) I~articipated in 12 community fairs and first aid stations providing 800 blood pressure screenings. 2) Conducted 24 disaster preparedness presentations at East 1~av~aii schools and to numerous community groups. Approximately 350 individuals attended. 3) firained 9 water safety instructors to support partnership v~ith D®~I and AGE to develop a pilot program to teach third grade students at ®eSilva Elementary to swim. As a result Kau Elementary, Keonopoko Elementary, and Keaau Elementary ~+viil participate in program in I'Y2002. 4) °I°rained tvio individuals to become Water Safety Bnstructor trainers. These individuals are no~no able to train other Water Safety Instructors. IPerf®rrr~ance Measures ((~uantifable indicators of public and consumer benetlts from your program's actions, and/or the number of goods or services your pr®gram produces.) EY 2000~fl1 ~Y 2001=02 ~Y 2(~02~03 ActuaE dud et Estt€~ate Life uard Trainin 87 75 100 Guard Start ro ram 0 10 50 Learn to Svvim: Level I, Water Ex loration 141 300 400 Level II, ~'rima Skills 369 400 500 Level Ill, Stroke Readiness 264 300 400 Level IV, Stroke ~evelo ment 116 150 150 Level V, ~#roke t~efinement 43 75 75 Level VI, Ski{l I~ro~cienc 0 5 10 Level Vli, Advanced Skills 11 5 10 Water Safet Instructor 21 40 40 CPI~/Eir~t Aid/AED 2509 2750 3000 Arr~oricar~ fed Cross Cornrnunity safety education ~r®gra ~xg~erodiitures l~Y 2000-01 ~Y 2001-02 ~Y 2002®03 Actual ~ud~at ~stamate Salaries and Wages 36492 72831 74287 Fir®fessional 1=ees 15717 15371 15867 Operati®ns 37394 45227 52275 ~quipr~nent 5850 4577 4869 Other* T®ta6 95453 13800E 146898 "Please explain in detail on separate sheet Pr®grar~ Fundiisag s®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) ~ev~nue S®urce l~Y 2000=01 I°l( 2001 Q02 ~Y 2002-03 Actual budget lmstl~aate Hawaii County 6125 5000 6741 Hawaii Island United Way 11500 11500 11500 Prograrro fees 88922 90890 114400 ~r®grar~i material sales 3241 4798 5000 ®tal 109788 112188 137641 _ ~rnerican fed dross Cor~rn~l~ity Safety education Sudget Request For County Grant Fast Hawaii Sranch The following is a list of items that are needed to conduct a successful Water Safety Program for the Fast Hawaii community: Q'T1F: ITEI~II: PRICE E'ER: C®ST: 2 Spine Soard 169.00 338.00 2 Spider Straps for spine board 90.00 180.00 2 02 Kit 230.00 460.00 2 Child w/pop-off, manometer & PEEP 40.00 80.00 2 Infant w/pop-off, manometer & PEEP 65.00 130.00 2 rescue Tubes 50.00 100.00 2 Junior Rescue Tubes 50.00 100.00 2 Lifesaver Kit: Airways 30.00 60.00 2 Perfit Extrication Collar-6 different sizes 6.00 36.00 2 Collar Case 40.00 80.00 2 bleed Immobilization System 110.00 220.00 40 Pocket NBasks 14.00 560.00 2 LGT Videos 180.00 360.00 2 LGT' Video Oxy-POE-AE[~ Essentials 75.00 150.00 2 Longfellow Whale Tales Videos 43.00 86.00 50 Guardstart Participant Kits 7.50 375.00 5 Guardstart Leader Kit 22.00 110.00 6 Stethoscopes 35.00 210.00 6 Slood Pressure Cuffs 35.00 210.00 1 Responding to Emerg. Instructor Kit 410.00 410.00 1 Responding to Emerg. Slide 180.00 180.00 4 Junior l~llanikins 495.00 1980.00 Freight (estimate) 350.00 350.00 TOTAL: $6,765.00 ~lr~~ricar~ ~~d ~r®s~ ~Orrl~~~ity S~f~ty ducati®n I (we) have read and understood all of the eligibility requirerroents; grant conditions; award procedures; and records, reporting and fiscal accountability requirerr$ents as mandated in Article 25, Sections 2-135 ~ 2-162.2, Hawaii County Code, relating to Appropriation of funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including all supporting docunnents is correct and that I (we) have the authority and ability to fully adrrainister the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 92F, Hawaii Revised Statutes. 1=a a urr n ~r~% ®I t~°Y Signature of Board resid nt/Chair ®ate Ro er Cick on .l ~ 3 ~ ® ~ Signature of Chief ~~ecutive Of6'acer ®ate l3NSIG~I~~ ~RO~OSA~S ~TI~L,. NOS ~1CC~PT~~1 TIC ~ ~I~C OI" H I LO R~si~~ntial ~ Support Setvic~s ~ Ida Horr~~ Ptalama ~~~'':oili~ry ~lorno Agency t3irect®r: Michael Gleason l~aili~g Address: 1099 Waianuenue Avenue, Hilo, Hawaii 96720 Fac°slityl~ite Address: 139 Amau Road, Hilo, Hawaii 96720 Ph®rae ~urvaber: 935-853 Fax Nurv~ber: 961x0148 ~rnaii Address: mgleason@hiloarc.org Arn®ur~t of t~e~uest for Ces€~rzty funds: $31,000 Prior Year F'ursding: 99-00 O0Q01 01 x02 $27,695 X28,000 $29,000 Agency lissi®r~ Statoment: To improve the quayity of Fife for people with developmental and other disabilities who reside in fast Hawaii. Program Cescrip#ios~: (Please briefly describe fibs program for which you are seeking funding) Provide around the clock housing in a group home licensed by the ®epartm~;nt of Heaith, Developmental Disabilities ®ivision for five individuals with mental retardation and/or developmental disabilities who are medicalBy fragile and have challengFng behaviors. The home provides a natural, community-based home for our clients who have very little or no family support and prevents them from being institutionalized. T®tal €3u€~get and P®siti®n Court Iota! Fro ram t3ud et 131,621 °fota! Pro ram Positoro Count 3 T'®tal erac ~u~ ~:t 2,809,500 ~"otail A erc Position Ccaurst 66 _ _ ~ ABC O~ H I ~O '~osi~ential & Suppol°fi Servicos ~ Ka 6~ome Pularr~a I~ol~iciliary ~orr~o Prograr€~ ®bJectives: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) 1) Provide natural, community-based home for five developmentally disabled tenant/clients. Increase tenant/clients' skills in mobility, independent living, self-care, communication and social interactions. 3) Assist and teach tenant/clients to make choices for daily living. 4) Provide positive behavioral support training to tenant/clients with challenging behaviors. 5) Coordinate tenant/clients' special needs e.g., medical appointments, diets, etc. 6) Maintain optimum health for each tenant/client. 7) Provide community access opportunities for tenant/clients. grogram Fiighli<ghts: (Accomplishments from the previous fiscal year. Please number and begin al! highlights with a verb.) 1) Transitioned one tenant/client into an independent living arrangement. 2) Admitted one tenant/client into the group home. 3) Increased staff's knowledge and performance in special diet preparations. 4) Increased staff's knowledge and performance in administration of medications. 5) Provided daily community access for tenant/clients. 6) Reduced tenant/client behavioral instances by 50%. 7) Painted home and replaced inadequate appliances. ~'erl:orr~ance pleasures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) FY 20fl0-fl1 ~Y 2001-02 ~Y 2002-®3 Victual dud et sti€ate Provide r~aturai om sett€r~c~ 5 Increase rode- endent livin skills 5 5 5 Coordinates ecial needs 5 5 5 Provide communit access 5 5 5 SRC OF HI~.O Residential ~ Support Sorvicos ~a i~orriio ~~lal~na ~os~iciliary Dome Program ~xper~ciitaares FY 200tH-01 FY 2001-02 FY 2002-03 Victual Luc! et stlmate Salaries and Wa es 97,717 75,120 77,163 Professional l=ees 6,717 2,667 2,743 O erations 50,070 48,941 49,274 ~ ~i ment 698 360 360 Other* 1,838 2,081 2,081 T'®tal! 157,040 129,169 131,621 *Please explain in detail on separate sheet Pro~rar Furedirz~ S~a~rces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) ~even~e Source FY 2000-01 FY 200102 FY 2002x03 ,~ctua! ~u~ et ~tlate Co~r~~ I~:~hd3~'8,~30~ ` 29(30Q ° 2,~u0 j Federal Funds 86,595 95,448 95,448 Private- donations 300 0 0 Interest lncorne 903 900 900 Internal enc Sources 2,951 2,884 2,880 ~`®ta! 118,749 128,232 131,228 . _ THE O~.RC Q~ HIl~O residential ~ Sup-port Services ®Ka dome ~ulama Domiciliary Home Pr®grar~ ~xpe~a~Eita~res ~ ®ther expense ~etaiE other ~xpe~dit~are ~Y 200001 E"Y 200'i-02 ERY 200203 Psctt~a! ~a~s! , et stiate ~an~c Char es 30 12~ 12th ~un~4rai~in ex uses 146 0 0 Client Activities 0 161 161 VehscBe ~x erase 1,662 1,800 1,800 T®ta4 1,838 2,081 2,081 T~~ P~RC O~ HIl.~O Residential 8~ St~ppOrt services ~ Ka ~lom~ ~ulama ~Omiciliary ~®me I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 - 2-142.2, Hawaii County Code, relating to Appropriation of Punds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 921, Hawaii Revised Statutes. Si r:r of Board Preside Chair Date O~ ignature of executive Director D UNSiGN~D PRC~l~OS~LS 91191~>>R.. ~®T ACC~!'T~®! day clinic, Inc. Vi®l~nc~ Intcrv~nti®n ~r®ject Agency direct®r: Stephanie Launiu Niaiiing address: 311 Kalanianaole, Hilo, Hawaii, 96720 PacilitylSite Address: Pahoa and Kau family Health Centers Ph®ne Number: (808) 934-3206 fax Number (1308) 9f1~4795 ~rnail Address: thebayclinic@HI-~IIN.com Ann®unt ®f bequest for C®unty funds: $26000.00 I~ri®r Year funding: 9Ja00 OOQ01 01$02 $17190.00 $18,000 X19,000 Agency I~lissi®n Statement: ,Say Clinic, Inc. is community-directed and committed to improving the health and well-being of all people. Pr®gram f~escripti®n: (Please briefly describe the program for which you are seeking funding) The Violence Intervention Project of Say Clinic, Inc. provides direct services (psycho-educational groups) to men who batter in Puna and Kau. VIP tracks compliance and provides collateral support to the Judiciary, Adult Probation and CPS. ViP is active in communicty awareness, education and coordinating victim advocacy services in rare! Puna and Kau. °r®tai budget and Positi®n C®unt T®taE ~rsagra~m budget 35,700 T®tal I~'r®gram ~ositi®~ Count 3 °~®tai Agency Sudget 4786213.00 T'®taE Agency P®siiti®n C®unt 67 day Clinic, Inc. Vi®lenc~ Interv~nti®n Pr®j~ct Pr®grarn ~bJectiv~s: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) 1) Make domestic Violence services available in rural Puna and Kau districts by offering psycho-educational groups to men who batter. 2) Increase community safety by tracking compliance and providing collateral support to the Judiciary, Adult Probation, and CPS. 3) Provide referral services to support services for victims and families. 4) Increase community safety by training Puna and Kau community members in the development and implementation of rural domestic violence services. 5) Increase Intermediate and High School students' ability to identify signs of abuse through understanding and awareness by presenting °°®angerous Relations" presentations by a Vista volunteer in schools. 6) Improve the ways Puna and Kau families and communities address and resolve family abuse concerns by being active participants in the ®omestic Violence Interagency Team and the 0-Eealthy Intentions Project. Deduce isolation from services and increase accessibility by offering direct services in the community. 8) Provide continuity of services by coordination needed services and programs. ~'r®grar~ ~'igllligtlts: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Provided 48 groups for men who batter in Kau 2) Provided ~8 groups for men who batter in Puna 3) Attend court to offer ad)udicated men information and options. Tracked data and maintained records for collateral agencies agencies. 5) Presented "dangerous Relations" (education on safe dating) to Intermediate and High School students. 6) Participated in the presentation of "What's Love Got to ~o With It", a teen play on domestic/dating violence performed in18 classes in Puna and Hilo Schools 7) Participated in the "Healthy Intentions Project" in Puna to coordinate a community response to domestic Violence. 8) Participated in the statewide Dural Community Response Program under the Hawaii State Coalition against ®omestic Violence flagging high-risk cases to be team managed by all involved agencies. gay Clinic, Inc. Violence Intervention I~'roject Perf®r~ar~c~ ~S~asures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) FY 200001 FY 2001ID0~ elf 200~Q03c Aotual ~ucl~et sti<aate Kau Weekl Men's rou ~8 48 ~8 F'ahoa Weekl lv~en's roue ~-8 48 48 Men Cos~~pletn Pro ra:~, F'ahoa 10 10 10 Men Cornple$ing Pro rain, iCau 10 10 10 Intakes I'~au 15 2~ ~0 Intakes Pahoa 21 2~ Court earances 10 35 ~0 Perforrr~ances Tien Pia In Schools 0 18 18 E~eaEth Intentions Pro-0e~t Meetin s 4 8 10 day Clinic, Inc. Violence Intervention I~roject IPr®grarn ~xp~raditures FY 2000-01 FY 2001-02 FY 2002m03 ~ctua{ budget s#i~at~ Salaries and Wages F~rofessional Fees 15288 16140 28800 Operations 2712.00 2860 3000 ~quip~ent ®ther* IV{iieage 3390 3744 3900 T®ta{ 21390 22744 35700 *Please explain in detail on separate sheet ~'r®gra~ Parading S®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the prograan only) {revenue S®urce FY 2000-01 Flf 2001-02 2002-03 A~tua{ budget ~~ti~aate Hav~raii County 17190.00 19000.00 26,000 Fees 2905 3750.00 x900.00. In Kind 1200 T®tal 21295 22750 29900 ~~y Ciinic, i~,c. Vi®I~r~~~ int~rventi~r~ ~r®j~ct I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 ~ 2-142,2, t~awai`i County Code, relating to Appropriation of Funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fulBy administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 92F, Flawai`i Revised Statutes. Signet re of Soard ~resident/Chair Date Signa ure of Executive Director D to llNSI(~ND ~R®t~OSALS 19VILt. IV®7° ~Im ACC~PT~®~ dig Island AIDS I~roj~ct Multi-disciplinary ~eai~ Caso Managor~nent Agency ®irect®r: Anita Templer 1~laiiing Address: PO Sox 6129, I°°lilo, HI 96720 ~'aciiity~Site Address: 2043 Kinoole Street, Hilo, HI 96720 P'h®ne Number: 981-2428 i°ax Number: 981-2429 ~rriail Address: info@biaphilo.org Arn®unt ®f F#e~uest f®r C®ur~ty funds: $10,000.00 for Multi-disciplinary Team Case Management salaries. Pr6®r Year Funding: 99-00 00=01 01=02 $7,640.00 $9,500.00 $10,000.00 Agency issi®n Statement: VVe believe that everyone should be empowered with the knowledge that can help them live safe, healthy lives and that people infected with or affected by STD/ITIIV/AIDS have the right to have their basic human needs met regardless of their ability to pay. Pr®gram Descripti®n: (Please briefly describe fhe program for which you are seeking funding) Established in 1986, fihe Sig Island AIDS Project (SIAP) is the only non- profit organization in fast Hawaii providing free, comprehensive, community based services relating to STD (Sexually Transmitted Diseases), HIV (Human Immune deficiency Virus) and AIDS (Acquired Immune Deficiency Syndrome). I ISI~~d AIDS Pr®j~Ct ~ M~Itimdls~I~~ir~~I~e ~~a~ Cass Man~~l~~~t SIAP services include outreach, prevention education, intensive multi-disciplinary team case management, client/family advocacy, treatment advocacy, food .pantry and de@iveries, transportation, housing, and client financial assistance, which are provided- to consumers and their family members. Sig Island AIDS Project follows the "multi-disciplinary team model" of case management where services and treatment are speciticaliy designed for each individual consumer. Medical, mental health and other social service providers participate in the design of care and service plans to maximize each consumer's needs. Hawaii has seen an increase of HIV/~?IDS infections' occurring in new populations including women, Native I~awarian and Filipino. As of December of 2001 our overall caseload consisted of 73 consumers. Population includes: 23 women, children and families; 8 Native Hawaiian; 18 multi-diagnosed; 6 chronically homeless/hard tc house; ~1 diagnosed mentally iIB (including major depression) 32 chronically dysfunctional; and 22 active drug/alcoho0 misusers (32 clients fall into multiple categories). ®ur client population has diversified ethnically to include; 3African-Americans; 3 l~ispanics; 6 Native I-Bawaiians; 16 Asian Pacific Islanders; 1 Native American; and Caucasians. This past year we have-seen a significant increase in the infilux of multi-diagnosed, high-needs individuals living with t'll9//Al®S, (1F new consumers to intake in nine months) for whom tune intensive case management, medical care and treatment advocacy are required. Sig Island AIDS Project works collaboratively with treating physicians, CHHS, CH~V0/, DASH, SISAC, Office of Social Ministry, Say Clinic, l-iBilo Medical Center, fast Hawaii Coalition for the Homeless, Hilo Counseling Center, Nursing Home V1/ithout V19alls, Alu Like, Hui Malama ®la Na®iwi, t~LCC, and Hospice as well as other health care providers. Sig Island AIDS Project's plan for documenting outcomes from the investment of resources in fast F-lawaii County is through the measurement of dig Island ,~I®S I~r®j~ct 3 Multi-disciplinaryTeam Cass Managerr~ant either increase or decrease in morbidity and mortality (i.e., hospitalization and quality of life) within the service population in l=ast Hawaii. In addition to the above, SIAP staff are fully trained individuals with extensive background and education in the area of HIV/AIDS. The I"xecutive Director, Case Managers, Client Service Coordinator, and Prevention Coordinators are all volunteer members on county, state, or national planning groups and coalitions, which address prevention, harm reduction, advocacy and treatment adherence issues. T®tal a~dget and l~®siti®n C®unt fi®tal Programs gadget $292,371.00 `~®tal Pr®grarn P®siti®a~ C~~nt 6 T®tal Agency ~3eadg~t $549,364.00 Total Agency Positi®n C®unt 9 Programs ®bjectives: (Tasks ®r projects to be accomplished in specific, wedl-defined, and measurable terms and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) 1) Assist at 4east 90% of qualified clients in need of emergency financial assistance to cover medical insurance premiums so that they can maintain access to high quality medical care within 25 days of their notification of need. This financial assistance is supported by dig Island AIDS Project case managers' participation in inter-disciplinary meetings with medical doctors and mental health providers in order to develop specialized service plans for those clients who are mentally ill. 2) Assess and assist at least 90% of clients requesting or needing substance abuse counselingltreatment, mental health counseling, emergency dental treatment, essential medications, food or transportation, by referring to appropriate social service providers within 25 days of notification of need. 3) Prevent homelessness for 90% of clients in need of rent or housing relocation assistance by providing emergency short-term financial support within 25 days of notification of need. 4) Provide I~iIV ~RASI~~~ testing and appropriate harm reduction education to at least 65% of our clients and family members during the fiscal year ending June 30, 2003. i I~II~d ~I~~ I~r®j~ct ~ 1111t,~Itl-~isci~lll~~ry earn nll~n~ger~n~r°~t i~rogra~ ~iihli!ghts: (Accorrdplishments fr®rn the prevPous fiscal year. Please number and begin a10 highlights with a verb.) 1) Reduced the numbes ofi homelesslhard-to-house consumers in our prograrry irorr9 5 to 0. 2) Increase€i access to primary outpatient ambulatory medica4 care to 73 consumers in our program. 3) Conducted 221 hose/feld/hospital visits to high acquity c®nsumers. Provided harm redaction education and/or ~!I!/ ®RASURE testing to 32 consun7ers and family members. ~®rr~orrria~c® sums (Quantifiable indicators of public and consumer benefits from your program's actions, anchor the number of g®ods or services your program produces.) ~Y ~®®®-®1 ~Y 2®8°i~2 ~Y ~0~2~~ ~c~~~! ~~dg~t ~ifa Nursing intervention and Patient 31 52 60 Teachi~t Lon -terse F2ental e4ssistas~ce 12 1 ~ 17 ®ental Care ,assistance 58 51 60 Emer es~~ tltili Assistance 87 55 91 l=oad Ceicates 295 192 305 E~aergent ~hor~ Term 4~ousing 2 5 5 1-5 da s Risk behavior Passessnnent 6 8 4~ Counselir€ (Education dig Island ,+~I®~ ~r®j~ct 5 Multi disciplinary Team rasa Manag~rrj~nt P'r®gra~ ~x~ndiitures ~Y 2000x01 FY 2001 x02 ~Y 2002503 Actual budget ~stt~ate Salaries and Wages 167,092.00 164,863.00 184,863.00 Professional I"ees 2,140.00 2,000.00 2,500.OQ Operations 105,434.00 120,889.00 125,008.00 Equipment 0 0 0 Other* 0 0 0 `r®tai': 274,666.00 287,752.00 292,371.00 *Please explain in detail on separate sheet iPr®e~ra ~undiing S®urce~ (List all sources of funding, including specitrc grants, fundraising events, etc. relating to the program only) ~eve~e~e S®urce ~Y 2000x01 iFlf 2001 ~02 EY 200203 Actual ~ud~et Imst~~ate County of Hawaii 9,500.00 10,000.00 10,000.00 State of Hawaii 188,261.00 192,808.00 192,808.00 Federal funds 59,105.00 66,444.00 67,63.00 Private foundations 5,000.00 6,000.00 8,000.00 Hawaii Island United NVay 4,00.00 4,500.00 4, 500.00 donations 2,500.00 3,000.00 4,000.00 Fundraising 3,300.00 5,000.00 5,500.00 Congressional flack Caucus 2,500.00 0 0 T®ta! 274,666.00 287,752.00 292,371.00 ~I I~I~I~d ~I~S I~r®jeCt 6 Il~~Ite@ISCs~~ln~ry °Tearr~ Cass n9lanagerrr~~l~t (we) have read and understood a!I of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirerrnts as mandated in ,article 25, Sections 2-135 ®2-142.2, l~av~ai`i County Code, relating to a4ppropriation of funds to Nonprofit Organizations. (on?e) hereby certify that information supplied herein including all supporting docurrsertts is correct and that I (vie) have the authority and ability to fuliy administer the program(s) pursuant to lave. e understand that information supplied herein shall be made public according to Chapter 921T, Havvai'i Devised Statutes. Signature of Board F'resident/Ghair Date Signature of executive Director Date l1t~S6f~NI~D ~`FiOIS~~S Wll~l~ N®T' ~ ~~GI~fi;D! dig Island ~ubstanca ,abuse C®uncil East I-tawaii Substance Abuse Treatment Program Agency director: Gloria J. Egle-Oaks Mailing Address: 1420 Kilauea Avenue Hilo, Hawaii 96720 i'acility/Site a4ddress: 1420 Kilauea Avenue Hilo, Hawaii 96720 Rhone ~lurnber: 935-4927 fax Rlurv~ber: 969-7570 Errtaii Address: ceo@bisac.com At~ourtt of Request f®r County funds: $40,000.00 Prior Year Funding: 99-00 00-01 01 s02 $23,875 $24,750 $27,000 Agency Mission Staten3ent: The Sig Island Substance Abuse Council strives to enhance the quality of care and innovative services in the areas of Substance Abuse Education, Intervention and `Traatment. We are dedicated to the healing of mind, body and spirits of individuals, families and others who suffer as a result of alcohol and other substance use, abuse and addiction. Program description: (Please. briefiy describe the program for which you are seeking funding) SISAL East Hawaii substance abuse treatment program serves adults and adolescents (giving special emphasis to pregnant women, HIV users and adolescents) with chemical dependency issues. SISAL also serves individuals whom have concurrent disorders: the dually diagnosed. 'Total budget and Position Count '1"otal Program budget 1,647,627 'Total Program position Count 44 ~'otal Agency ~udg~t 2,487,460 dotal Agency Posi#ion Count 89 ~i~ Island Substance Abuse C®uncil East Hawaii Substance Abuse Treatment Program i~'r®gram Objectives: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Tease number and have all objectives begin with a verb.) 1) Achieve full understanding of disease concept of addiction as demonstrated by ability to verbalize personal symptoms within the first 30- days of treatment. 2) Identify potential for continued drug/alcohol use and relapse risk with development of specific coping skills to reduce that risk within the first 30- days of treatment. 3) ~3emonstrate the severity of personal substance abuse issues through the completion of a wrifiten autobiography within the first 30-days of treatment. 4) Identify need for clean and sober social support network and has begun developing support system as demonstrated by participation in a minimum of 3 12-step meetings per week within the first 60-days of treatment. 5) Identify need for family support and family involvement in recovery process by engaging in a minimum of three (3) family therapy sessions within the first 60-days of treatment. 6) Complete majority of previously identified treatment goals and has developed a transition plan to prepare for discharge within the first 90- days of treatment. 7) Achieve all identified interventions and goals identified during initial treatment planning and treatment planning updates at the time of discharge. Pr®gra~ 4~i~hlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) alas able to admit 626 Adults and Adolescents into all levels of Outpatient treatment. 2) Achieved 51 % of completed treatment program objectives. 3) Reduced criminal behavior by 85% as evidenced by no new arrests at 6- months post discharge from treatment. Achieved 62°f° of long-term abstinence from all drugs and/or alcohol, as evidenced by no drug and/or alcohol use at 6-months post discharge from treatment. 5) Maintained 85% of clean and sober living environment at discharge and kept housing at 6-months post discharge from treatment. 6) Piave 71 % of clients employed, enrolled in school/vocational training or volunteering at the time of discharge and at 6-months post discharge:. E3ig Island Substancc Abuse C®uncil East t-€awaii Substance Abuse Treatment Program 7) Deduced the clients use of medical services by 9®% as demonstrated by no emergency room visits or hospital admissions during the first 6-months post discharge. P'erf~rrraano~ l~leasure~ (G?uantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) ~Y 200001 FY 2001 m02 l~ 2002-0~ ~ctuaii ~tadget s~i~a~~e Substance Abuse treatment days 826 682 1011 dig Island ~ubstanc~ Abuse council East Hawaii Substance Abuse Treatment Program Pr®gram ~xpendiitures FY 2000=01 FY 2001-02 FY 200203 actual ~ud~et ~~tlate Salaries and Wages 1,001,403 1,094,483 1,094,483 professional Fees 31,289 26,598 26,598 Operations 500,056 484,546 484,546 Equiprr~ent 13,360 Other* Vans 24,600 42,000 42,000 T®tal 1,570,708 1,647,627 1,647,627 *I'lease explain in detail on separate sheet F'r®~ram Finding S®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) revenue S®urce FY 2000=01 Fl( 2001 afl2 FY 20fl2-03 Actual budget ~stiate State of Hawaii - A®AU 590,810 518,800 518,800 State of Hawaii ~ ®OL 69,990 117,500 117,50Q State of l°lawaii ~ UPS 207,082 248,000 248,000 State of Hawaii - C~HS 190,461 221,000 221,OQi State of t-lawaii ®MC~BS 142,355 159,500 159,500 State of Hawaii g CMH~ 47,970 12,150 12,150 Insurance 184,984 219,480 219,40 HIUW 30,000 20,000 20,000 Family Court 11,400 12,000 12,000 Client Fees 48,534 50,000 50,000 County 24,750 27,000 27,000 Hina Mauka 13,186 24,000 24,00 Fundraising 3,819 5,000 5,000 Uonati®ns 15,000 15,000 ~®tal 1,565,341 1,649,430 1,649,430 ~i~ ISl~nd ~ubS#~~Ce ~bus~ Council East Hawaii Substance Abuse 'Treatment Program I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and ~sca! accountability requirements as mandated in Article 25, Sections ~-135 ~ ~-142.2, I~awai`i County-Code, relating to Appropriation of Funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to #ully administer the program(s) pursuant to law. (we) understand that information supplied herein shall be made public according to Chapter 92F, 0°lawai`i Revised Statutes. / adz, Signature of Soar O~resident/Chair ®ate Signature of Exe a C' ctor ®ate lJ9VSlGNE~ ~ROi~oS,ALS ~VIL.L~ NoT ~ ACCE~'TE~! ~ic~ Isl~i~d ~ubstancc abuse C®uncil West T~iawaii Substance .~btase fireatment Program Agency ®irect®r: Gloria J. Egle-®aks I'~laiiing Address: 1420 Kilauea Avenue Milo, Hawaii 96720 l=aciiity/Site Address: 1420 Kilauea Avenue Hilo, Hawaii 96720 ph®ne utnlaer: 935-4927 fax Nunnber: 969-7570 ~rnail Address: ceo@bisac.com ,Arn®unt ®f Request #®r C®ur~ty funds: $ $40,000.00 pri®r Year funding: 99x00 OOs01 01-02 $23,875 $24,750 $27,000 Agency l~issi®n Statement: The Big Island Substance Abuse Council strives to enhance the quality of care and innovative services in the areas of Substance Abuse education, intervention and Treatment. ill/e are dedicated to the healing of mind, body and spirits of individuals, families and others who suffer as a result of alcohol and other substance use, abuse and addiction. program ~escripti®n: (Please briefly describe the program for which you are seeking funding) BISAC ldl~est Hawaii substance abuse treatment program senoes adults and adolescents (giving special emphasis to pregnant women, HIV users and adolescents) with chemical dependency issues. BISAC also serves individuals whom have concurrent disorders: the dually diagnosed. fi®tal l3a~dget and p®siti®n C®unt `fi®tal pro rani dud et 838,030 ~`®tal pr® ram p®siti®n C®unt 25 T`®tal A enc. ~~d et 2,487,460 T®tal enc p~siti®n c®unt 69 13i Island St~~stanc~ abuse Council West f-Iawaii Substance Abuse Treatment Program Pr®grarn Objectives: (7`asks or,or®jects to be accomplished in specific, well-defined, and rraeasurabde ferns and fhaf are achievable wifhin a speci/!c Elms frame. Please nurr?ber and have a!1 objectives begin wifh a verb.) 1) Achieve full understanding of disease concept of addiction as demonstrated by ability to verbalize personal symptoms within frst 30- days of treatment. 2) Identify potential for continued drug/alcohol use and relapse risk with development of specifc coping skills to reduce that risk within the first 30- days of treatment. 3) demonstrate the severity of personal substance abuse issues through the completion of a written autobiography within the first 30-days of treatment. 4) Identify need for clean and sober social support network and has begun developing support system as demonstrated by participation in a minimum of 3 12-step meetings per week within the frst 60-days of treatment. 5) Identify need for family support and family involvement in recovery process by engaging in a minimum esf three (3) family therapy sessions within the first 60-days of treatment. 6) Complete majority of previously identified treatment goals and has developed a transition plan to prepare for discharge within the first g0- days of treatment. 7) Achieve all identified interventions and goals identifed during initial treatment planning and treatment planning updates at the time of discharge. Pr®gram 9iighiights: (Accornplishrnenfs fr®a~r fhe previous frscal year. Please nu~rber and begnr? all highlights wifh a verb.) 1) Vi/as able to admit 244 Adults and Adolescents into all levels of Outpatient treatment. 2) Achieved 51 of completed treatment program objectives. 3) Reduced criminal behavior by 85°/® as evidenced by no new arrests at 6- months post discharge from treatment. 4) Achieved 62°/® of long-tern abstinence from all drugs and/or alcohol, as evidenced by no drug and/or alcohol use at 6-months post discharge from treatment. 5) Maintained 85% of clean and sober living environment at discharge and kept housing at 6-months post discharge from treatment. 6) I-lave 71 °I® of clients employed, enrolled in school/vocational training or volunteering at the time of discharge and at 6-months post discharge. dig Island ~ubstanc~ P~buse C®uncil West Hawaii Substance Abuse Treatment Program 7) deduced the clients use of medics! services by 90°/® as demonstrated by no emergency room visits or hospita4 admissions during the f rst 6~months post discharge. Perk®r~ance Measures (Quantifiable indecators of pub9ic and consumer benefits from your program's actions, and/or tlae number of goods or services your program produces.) i~ 2000=01 iaY 2001 a02 ~Y .2002-03 ~~tu~~ ~asd et ~sttate Substance ~bdse troat€~ont ~a s ~ 46~ ~1 ~ dig I~lar~d Substan~~ Ab~S~ ~®~r~cll West I-tawaii Substance Abuse Treatment Program Pr®gram ~x~endit~res ~Y 2000-01 inY 2001 ~02 ~Y 2002x03 Actua! dud et s#it~ Salaries and V1/a es 364,859 559,822 559,82 Professi®na! fees 12,435 23,862 23,862 Q erations 175,826 202,446 202,44 ~ ai went 2,415 15,900 15,900 ®ther~ `fans 21,100 36,000 36,000 ~®tai 576,635 838,030 838,034 *I'lease explain in detail on separate sheet Pr®grac~ ~~sndir~g S®urce~ (List all sources of funding, including specifac grants, fundraising events, etc. relating to the program only) everaue S~~rce ~Y 200001 ~Y 2001 s02 FY 2002m03 ~ct~ai dud et s~i~a~e State of Hawari ~ A~AC 218,200 524,387 X24,387 State of Hawaii lV9CHS 142,355 125,2®9 125,209 State of Hawaii _ C~IBi-d~ 29,406 25,614 25,614 lns~rance _ 105,738 128,220 128,220. C1ie~t fees 9,324 7,60Q 7,600 ~ C®unt 24,750 27,00® 27,000: Hine lVla€~ka 10,696 ®®nations 15,000 T®ta! 555,469 838,030 838,030. ~3i ISIa11d Substance o4bl~S~ C®un~il West Havyaii Sazbstance abuse Treatment Program I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 2-142.2, Hawaii County Code, relating to Appropriation of funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that 1 (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 92~, Hawai'i Revised Statutes. agnature of E3o rd President/Chair Date ignature of Imxe Dir -tor Date UIVSIGIV~C1 ~Ifi®~®SA.LS WILL NQT ~CC~~~~D¢ iris Tab ~9~waii ~il® Clubh~us~ Agency direct®r: ®avid Nakada ia9laiiing Address: 1523 Kalakaua Ave. #203, Honolulu, I°-ll. 96825 Facility~Site Address: 100 Kamakahonu Street, Hilo, HI. 96720 PFa®ne i~lua~nber: 949-4203 Fax RlurYai~er: 955-4496 I~rnail Address: david@bech.com s4m®unt ®f bequest f®r C®unty funds: $60,000.00 Prig Year Parading: 99a00 OOn01 01 ~2 $ ~ X30,000 Agency ~8iissi®n Statement: T'o help youth of a!I backgrounds develop the qualities and values needed to become responsible citizens and leaders by offering programs and services through a safe and caring environment. Pr®grarn ~escripti®n: (Please- briefly describe the program for which you are seeking funding) `The ~.eaders In Training (L.I.~.) program is a been program that identifies the needs of this specific age group. ~'eens belonging to this program bring their input on what types of activities, both academic and social, are to be conducted during the year. Part of the L.I.T. program is to give fieenagers a sense of ownership and pride in their Club. We will utilize the existing building by designating a specific area that will be known as the `"Teen Center". To start, we will open from 6:00 p.m.-11:00 p.m., Fridays and Saturdays. Activities include dances, dart tournaments, ~y~ a~~ girls Glta~ ~a~raii ~ii~ Clu~h~us~ electronic games (computer and Playstation), Internet Access (age restricted, for research, creative development i.e. web pages, career research, continuing education research, etc.), basketball tournaments and socializing. The goal of the L.I.T. program is to provide a safe positive place for teens of the community to own, organize and develop. The Leaders In Training program will develop youth into leaders by involving them in getting the center up and running, developing programs, creating a positive marketing plan, recruiting new members, developing a sustaining funding source to include grant writing. Another goal of this program is to educate on the issues of substance abuse and by so doing reduce the incidence of drug, alcohol and tobacco use in its members. T®tal ~~~get an~i ~®sition C®unt T®ta! lPrs~gram ~utiget 374567.00 T®tai ~r®grann IP®siti®n ~®t~nt 16 T®taE Agency u~get 3,573,785.00 T®tal Agency P®siti®n Ca~r~t 37 ~y~ ~I~~ C~ir9s ~itab ~aenraii ~4iia Cl~lbh®us~ iPr®~ram objectives: (7`asks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Please number and have al! objectives begin with a verb.) 1) provide a minimum of 100 teens to participate in the been/L.I.°~. grogram and 95% of the youth will develop skills to set and attain goals to achieve career and college life plans and will maintain this positive success for an additional quarter. From this group, 2% will enroll in a higher education institution and/or successfully gain employment. 2) provide 30 tuns to participate in the SM~4FZT Moves prevention program with 75% of the participants will demonstrate increased knowledge of risky delinquent behaviors by scoring 95% on the SMAR1` Moves post test and after one additional quarter, 50% of the youth will practice fihese resistance skips and will maintain this behavior for an additional quarter. 3) provide 20 teens to participate in community and Clubhouse services and 90% of the youth will indicate a sense pf personal fulfillment in contributing to the community and will maintain this positive attitude for an additional quarter. IPr®~ram 8~°ll~hli~hts: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) As of last year membership increased from zero on February 1, 2001, (date Soys and Cir1s Club of Hawaii began operations in Hilo) to 1091 as of December 27, 2001. 2) Increased daily attendance from an average of ten youth per day in February 1, 2001 to an avargae of 73 youth in Cecember 2001, with a daily attendance high of 145 as of ®ecember 12, 2001. serf®raaac~ measures (C~uantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) Flt' ZOOOe01 FY 2001 s02 FY 200203 Actual I~ud~e4 ~st~~a~e SMAR1° Moves 30 leadership firaining 100 Community Service 20 gyp a~t~ C~iiria Ciu~ Hawaii ~iiio Cl~bh®us~ ~r®~rarn ~xpend~tures fY 2000x01 ~Y 2001-02 II~Y 200203 Actuai t3udget ~sti~at~ Salaries and Wages 205,037.00 180,347.00 professional fees 12,850.00 13,750.00 Operations 156,680.00 157,334.00 equipment Other* ®ta! 374,567.00 351,431.00 *Please explain in detail on separate sheet Pr®gra€~ ~u~diing S®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) revenue Source FY 2000=01 FY 200102 ~Y 2002m03 ActuaiE budget ~s~imate Sot's and Giris Club of o4merica 66,000.00 25,000.00 Office of Youth Service 25,000.00 25,000.00 ~lawai`i United Way 15,000.00 15,000.00 fundraiser 52,000.00 50,000.00 Special fees 10,000.00 12,000.00 Contribution 45,000.00 45,000.00 0~ilo County 30,000.00 50,000.00 T`®ta! 243,000.00 232,000.00 Boys and Girls Club of Hawaii Hilo Clubhouse TEEN P1zOGRAM (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 ®2-142.2, Hawaii County Code, relating to Appropriation of Funds to Nonprofit Organizations. (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursoant to law. (we) understand that information supplied herein shall be made public according to Chapter 92F, Hawaii F2evised Statutes. Signat~ of Soard (~resident/Chair pate Signature of executive Director pate 1,91VSIGN~D I~R®Is'OSALS ~9lIIw,L N®fi Flo ~eCG~~fi~D~ rntl~ Center, Inc. firr~~,~Ort~tl~n I~rOr~r~ Ag~nc~ Dtr~ct®c: carr~i post ~~tireg ~ddr Sra~atiey center, lnc., p.0. 6ox 1407, ~onokaa, Haii 96727 pa~il#~e ~dci ®h~i® Stmt, Ftor~oka~, i'lawaii 96727 phoe` ~m~er: 776x7246 Fix ~umi~r: 776m0211 ~~tt +d~l~ss: 6cer~te~gte.net ~~~u~t ~ t for c®u f~~ds: X25,000 ~~®r ~~r~dir~g: 99a ~ 4 19,100 ~21,~00 ~ge~c~ t®~ St~t~ fio provide ~gitt~ ser~ic~s in addressing co~arnunity nEeds for ~?ocationai end independent iiv~~g skip training programs for adults ~irith mental, err~°aotionai, ancf /or phyt disaaiiities. pr®g Oes~ription: (Please rae~o t~escr~ba fhe ~res~~m for wh~h y®ae ~r~ seeking furrt~ir~g) ~rant~~ center, inc. pro~is~es transportati®s~ ser~ie~s to people ~sith disabilities o resi~€~ in the districts of ~lmaks~a end ortl~ and S®utl~ ~Coha(a. 1'ransportion services include: transporting to and from Srantleg~ center, traa~sportation to vado~s work sites in tl~e districts servos, transportation within tF~e cornora~anity #o peo~ide training in accessing cornrv'unity resources and cornmur~i~ a~oarenass training, and transpotion to n*aedical appointra~nts. r~tl ~e~t~r, ~ n~. T~~~sc~r~i~s~ r~r~~ ~~~~t ~~t~~~ ~~~,nt ~°~t ~g~ ~t 73,00® fi®t~~ ~ m ®e~~t 7'~t~~ ~ t 3~3,d6~ Inc P~~~~ ~ (7`as pr~,;f~ f~ a~C~8T1~B~rS/7~'d Bn S~~l~BCf ~~9!-~~~ea~cf, and ra~~as~~l~ fates and fhaf ~ a~I~aa~abla ~n a s~s~i~~c fieraa ft~arr~a. P9aa~a nun°t~ and fta~a aff ~~a~ffr~~s ~fn a am~,r~. j 1) `~rans~rt u~ tt~ 25 ~ns~arr~rr~ t~ and fi~®rr~ ~rar~t~y ~~nt~r r~ 2) ~~~s~srt 23 ~n~~~ ~~ch day t® various ~tar~ ~it~~ ~it~ir~ t~ d~~~t~ ~~~ua ~ ~rt~ arad ~a~th ~c~~ata. 3) rt ~~u t® E!® and Cana ~~r nth~y ~xcu~~ns t~ ~r~vid~ t€n~n ~n c€~ma€sn~ty ar~n~s end gnc®urage pariti~n in mc~n~ty ~t~~~~~ts. 4) Tns tc~ vadc~us a~naes in tn~ carnrnunity t~ pt~vid~ t~n~n~ asi~ c~n°au~~ty r~ss~€src~s. a) ~n 1 csu~~ t~ c~icaUd~ntal~psycMiatr~c aPR~an ed. ~~g ~lt~; ~~~c~sn~f~n'sanfs Vin? f~aa ~~~~us ~i~cal Saar: F~i~aa~a nasmbar' and ba~fn aBf hhli~i~f~ ~af~a a 1) "iR~ansp~rt~d ~2 c~rtsu~ t~ and ~r® ~ras~~~y ntar r~ d. 3j ~°ns~t~d ~ ~~su t~ ~i~~ aid ~r ~®nt~1y exct~rs~~s. ~~ansr~ t~ c~~n ~g~ncsesdbusir~~s ~r ~nen acc~ ~~nZ~nity r~sc~urc~s, 5> ~n~~~d ~ 1 c~n~~r~ t~ ~c~r, ~~nta~, ~~ae~r psychaatr~c a~o~~,~~t~. r~l~y ~~~#~r, Inc. ~r~~~~rtaflc~ I~r~r~m Peen (~uantab6~ ~rad~ators pub9~ and consumer benefits ~rorn your pro~rarn's actions, and~or tt~ number of foods or services your progranf produces.} F~ 2001 elf 200~~2 ~ 2002~f sewed ~~~r c~~su~ mho 1~ '~6 ~1 ~~c~ased sires ot~ ~ Vol®na~ ~ca~abe~ of st.ss~~6y ~ ~ ~ 6a~d ~ co ~~~~e ~ ~o o€ suers ~ 1 ~ 14 2F~ i~tc~as~d their revs f~a~ctaosairag in ~der$f kids. ~ub~r ~s# ~~~ars a 34 ~0 pacip~~ed ~~r~i ac~~riste~e~ts. pe~di 200Qs41 i~1P 2001-02 2002a03 ~~~~~t Salaries and iP?Aa 10,10 1Q,010 12,1?Q ~`ro€essna~ 1,i;3QQ 1,050 1,25€ ~ ~taos 0,190 40 'I 1,~i3 ~i ~0,15~3 40,Q0~? 20,000 ~9,15~ 7'3,OOQ *Piease exp/a~ ~ d~taii on separate sheet . _ _ r~~tl~y Cer~t~r, Bn~. ~rl~~p~rt~ti®r~ ~r r~rrl i~r~gra iF~~ding ~urces (List alb sc~rc~es ®f ~u~~i~gs including spec gets, fr~nc/reising events, etc. relating tc the p~m ®nl~e) Davenue ®~rcc~ FY X400-0~ F~ 2 °6-02 F~ 0~-g~ Fu~t~~€sl~t g,t332 g',0 20,OOD X9,1 73,Ot have read a€~d u~aderst~d all ®f the eligibil°o~y re~uirernen~s; grate c®~diti~~s; acrd procedures; aid rec®rds, rip®rti~tg ar~d fiscal acccaur~#ability requiree~a~s as ~a,~da~ec# irs ,o~r6icle 2~, Sections 2-135 _ ~-142,x, ~laai`i County ~od~, relatiiag to propriafion of Funds to nonprofit ®rgani~ations. I (sae) hereby certifiy that inf~ra~ation supplied herein including all suppor~r~g dacunSersts is correct ar~d that I have the auth®rity and ability fully administer the pr®gg~) p~rs~~nt la~o. I understand that: information supplied herein shall be made public according Chapter 321", I~aai`i Devised Statutes. ~ D Signature ~f ~®ard l~residentfChair ®ate ~f~s,~.c l ,Z 3 0 2 Segnature of cecufi~ve i~rec#®r ~a~ l~6~6~~ DDS ~Y6~~ T` ~CC~P~D~ rig N~use, Ir~C, ~a~tr~~chf~du~~ti~n I~r®gr~rr~ Agency direct®r: Cheryl `faupu Mailing Address: 1~.0. Box 2489, Kailua-Kona, HI 96745 facility/Site Address: 78-6687 A IVlamalahoa, Hwy., Holualoa, 4-1196725 Ph®ne purer: 322-3305 fax Number: 322-0809 ~maiil Address: bridgeh~gte.net Arra®unt ®f bequest far Jaunty funds: $18,000 Prior Year ~undir~g: ~9-00 00-01 01-02 13,30 ~1 x,000 $1&,000 Agency Mts~ian Staterne~at: The mission of Bridge douse is to provide a broad range of substance abuse services to meet the changing needs of ~llest Hawaii. Pr®gra ~escrepti®e~: (Please briery describe the pr®grarn f®r ~hi'ch y®u are seeping funding) The ®utreachl~,ducation Program was started in September 1998 and targets disfranchised primarily homeless addicts and alcoholics wishing to start a new fife free of addictions.. Using. a "street based' model and working closely with service providers in the community, the progra~s makes contact with the target population and provides information and referral services to lessen the incidences of substance abuse and the accompanying detrimenta4 effects on individual community members and the community as a whole. The program has- five (5~ primary goals. These are: 1. €'rovide early intervention and education to chronic substance abusers on the detrimental effect of addiction. 2, provide educationlinformation to indigent individuals to help improve their health. 3. 'Help access available services including 12 Step recovery programs and residency in bridge House. 4. Identify vocational, educational, financial needs of participants of the program who enter bridge House, prior to discharge from Bridge House. _ ri ~ ~®us~, Inc. ~~Itr~~ch/~c~ticn ~r®grarr~ 5. Provide follow-up services to monitor and aid graduates as needed to prevent relapse and collect data on the efficacy of the program. 'r®tat ~u~g~t and P®sittor~ ~®unt ~`®tat ~r® ~~n7 aid et ~~0,®g0.®® 1`®ta~ ~r® ram ~®sitt®r~ Count S '~®tal ~gen~y u~c~et ~294,~84~.a0 1"®t~t ~geracy t~®s~t~®~a Co~snt I~ ~r®grarn ~,~ectivea: (Tasks or prm~ects to be accomplished in specific, well-defrned, and measurable terms and that are achievable wi$hin a specihc time frame. Tease number and have all objectives begin with a verb.) 1) Contact will be made with a minimum of 10® disfranchised substance abusers by the C)utreach/~ducation (QI~/Ed.) Program during fiscal year 2~0?_f0~. 2) Seventy percent (70°~) of those contacted will access substance abuse treatrr~ent andlor 1 ~ Step recovery programs. 3) Sixty #ive percent (65%) of those contacted will be admitted into the Sridge douse fi herapeutic Living and Vocational Skills Building Program. Fifty percent (5®°/®) of those contacted will successfully complete all the requirements of the Bridge House Programs. Successful completion of Bridge House Programs include: a) 1lVorking part-time by the end of second month of residency and full-time employment by 12® days of residency, if appf cable. b) ~+ttendir~g school or vocational training in preparation f®r full-time employment, if applicable. c) ~1eet andlor complete all court/judicia! requirements prior to discharge, if applicable. d) Successful completion of substance abuse treatment. e) ®btain clean and sober housing prior to discharge from Bridge House. Pr®gra~ ~ighla~hts: (Accomplisfirreents from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Sixty-nine unduplicated individuals received services. 2) Forty-three were unsheltered chronic substance abusing homeless individuals. ~r~~ I~®us~, Inc. ~a~r~~cM~d~c~~i®n ~r®grarn 3) Twenty-six were living temiporarily with family or friends and were at risk of loosing their housing because of chronic substance abuse. Twenty-three were referrals from Kona Community blospital. ®f this number 20 were diagnosed with mental iciness and substance abuse problems. 5) Thirtyafour participants entered fridge blouse Therapeutic Living Program. 6) Fifteen participants received a clinical discharge from i3ridge blouse. 7) Thirteen participants obtained appropriate housing and employment prior to discharge and 11 were still employed and able to maintain permanent housing at six months post-discharge. serf®~r~ance Measures (Quanti~abBe indicators of pub6ic and consumer bene~rts from your program's actions, and/or tB~e number of goods or services your program produces-) Flf ~®®0~1 ~ 2®0°l-0~ ~1f Z®0~~3 ~ctuat dud ei` ~~€~iie paarticipahts assin suta5t~nc~ 3l~ 45 abuse treatrraent i~articipants entering ~H will 15 22 50 successfaali com late the ro ram Participants era's€l c®raiplete substance 15 2~ 50 -abuse treatment Participants e3viii remain abstinent 5 10 15 30 months st dischar Participants graduating fr®rr~ ~k# will be 15 22 30 in appropriate housing upon discharge fn3m t~~ Participants ~i#€ be employed upon 10 17 30 dischar a from ~H Participants viii remain in appropriate 10 15 20 tacusin a months ost dischar e Participants vwill be employed, in school 10 15 20 or job training; ~ 6 months post dischar e Participants will demonstrate improeeed 11 15 50 rode endent iivin skies Participants viii have n® nee arrests 6 12 15 30 rn®n~s ®st dischar e Participants e~ill be involved in self-help 11 15 30 or community groups 5 months post dischar e ridge I~®us~, Ir~c. ~rea~lll~u~~ti~~ I~r®grarr~ ;Pr®~ram ~~c~eredit~ras elf 2000x01 20'8 s02 20023 ~~tuai! dud et ~st~ata Salaries and V1la es 517,834 518,363 520,200 Pro#essional fees 500 510 7 00 stations 1 E,194 1 S, 389 19,1 ~JO ~ ui runt 0 0 0 ®thet~ 0 0 0 ~'®~a~ X36, 528 $37, 76~ 0, 000 ~~le~Se eXple~ln fn C~etafl ®n Separate Sleet ~r®~rar~ F~~~ie~~ ~®~rc (List all s®urcas of ~CararBirag, inclucfinQ specific grants, fUn~PraisinQ events, etc. relating ~o tB~e prc~grarr? only) Ft~ve~ase ~®urc~ elf 2000-03 200'i-02 ~ 20023 ~c~a~a~ dud e~ ati~a~~ State ofi Hawaii 51,083 51,859 52,097 Hawaii ~slans~ United 1P1/a 15,000 15,000 15000 Ue t. ~ 8~o~sin ~ Urban Uevego 2 ~0 4,903 4,3 fount of Hawaii 15,000 16,000 13,000 fi®ta~ $36, 528 537, 762 X40, 00® r~dg~ H~us~, IinC. ~utr~a~h/duc~ti~n ~r®gram I (eve) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirer~sents as mandated in Article 25, Sections ~-135 ~ ~-12.2, I-lavvai`i County Code, relating to Appropriation of Funds to IVonprofat ®rganizations. (vve) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and abifty to fully administer the program(s) pursuant to lam. (voe) understand that information supplied herein shall be made public according to Chapter 32F, ~iawai`i devised Statutes. ~f ~ Signature of hoard I~resider~tfChair ®ate ~ Signatur f ecuti irector C to ~~Sm~i~~~ ~~~~~S~~S vvl~~ Iv~°r A~~~I~`TI ~~~t~rd~~~~~~t Livid ~ fast vest ~~~faii ~r~d~~d~r~t L~v~r~ envies agency ~irectar: liAark Obatake ~ executive ®irector C®ntact hers®n: Laura fiobosa ~ Branch Coordinator (CIL-~H) wiling address: X400 Hualani Street, Suite 16®, Hilo, Hl 96720 ~acilityfsite Address: X00 Hualani Stmt, Suite 16 Hilo, HI 96720 Ph®ne Number: 935-3777 fax Number: 961-6737 ~rrv~ail Address: cileh~interpac.net Amount ~e~uest for C®unty funds: X20,000.00 I~ri®r Year funding: 9 Oa 1 01 a02 $10, 505 X11, 500 ~ 15,000 agency tiission Stat~rnent: ~o ensure the rights of people with disabilities to live independently and fully integrated in the community, outside of institutional care setting. ~r®gra ~escri~ti®n: (Pf®ase bfl~ des~f~e the pro~~rn for whfcft you ae~ seekpng furoding) ~'he concept behind independent living is the ea~npowerrnent of persons with disabilities to make cho'sces in their lives that will enhance their dignity and s respect, and provide full intration into the cos~rnunity as equal citizens with all the privileges and responsibilities available to others. Ignorance and dBSCrinlinat®ry practices in society con$inlles t® Ca;uS~ a Combinatl®n ®f l®w educe#ion; low vocation, low-income and lows- social opportunity outcomes. I~eople with- disabilities have to overcome their own lirraitations and inhibitions, as well, as compete in a society that #or decades has relegated there to second¢ class citizenship. Ci~g -and Cf~mi~~ believes that those who best know the needs of people with disabilities and how to nr~eet those needs are people v~oith Center ~®r Ind~~cnd~nt Living ~ Est ~ West I~avoeaii Independent Living Services disabilities themselves. The practice of "Consumer Control" forms fibs foundation for staff resources and service delivery. Staff with disabilities helps consumers with disabilities to address independent living goals. Cl~-~~°1 and CBS-VB96~' has two broad goals. ~'he first is to address the rights and responsibilities of people with disabilities by providing various education, training, and technical assistance services to the system-at-large. We strive to heighten awareness, understanding and compliance so that people with disabilities can have equal access and opportunities. The second goal is to facilitate the accomplishment of individualized goals that consumers establish. Whether the issue is related to housing, benefits, personal care, accessibility, assistive technol®gy, healthcare, transportation, or any other topics of independent living, we want consumers to achieve their goals. given more than this, we want consumers to learn the process and develop skills for life-long independent living. Total budget ancll I~'osition Count Total Programs utlget 328,678 fiotal ~rograrn position Count 9 Total Agency ~usiget 2,285,710 'Total: Agency position Count 38 Intel- fir i~~~nent Living ~ Est V1l~~t ~a~nrai indeelzent diving ervi~e~ pr®ga~a ~b~ectives. (Tasks e~r,oro~ects to be acc®rr~~6isheaP in specific, we!!-defined, and rneasurab9e tevrns and that are aehieavab9e within a specific time frame. Tease number and' have af! ob~ectiaves begin with a verb.) 1) provide the consumer training in landlord9tenant rights, how to complete a housing application, hove to locate housing and how to maintain their housing situation. This will reduce the risk of being homeless and dependent on others. Timeline: 7/1102 6930103 2) provide the consumer with personal care attendant referrals whom we have screened and interviewed to assist them with their persona! care, chores, etc. provide the consumer training in how to interview, hire and fre an attendant. This prevents institutionali~tion and dependence on fa~aily, friends and neighbors. Timeline: 711102 ~ 6/30/03 3} provide the consumer with one-onRone independent living skills to ca~v~y oc€t their every day living activities (household and shopping chores, etc.). This will reduce the dependence on others. Timeline: 7/1902 ~ 6/30903 4) provide consurraer with mobility training in conjunction with 9~o'opono in their own environment so they are able to travel safely and independently in -new locations and familiar places in the community. This will reduce injury to self and others and increase their independence. Timeline: 711 f02 6930903 5} provide consumer with information on their legs! rights, how to access information, who to contact, etc. so they may able to share this knowledge with other consumers. This will empower consumers to self-advocate for their rights. Timeline; 591902 ~ 6930/03 6) Provide consurr+ers with assistive devices and training on the use of the devices to assist them with their daily living activities. This will reduce dependence ova others in their daily living activities. Timeline: 791/02 -•s 5930/03 7) provide oneson-one training with consumer to acquire problem-solving and decision-making skills, This will empower them to making the rights choices. Timeline: 791 BOZ ~ 6930/03 8) provide consumer with housing referrals to acquire a place to live. This v~ill incase their independence and decrease dependency on family and/or friends. Timeline: 791902 ~ 5/30803 J) p~°ovide consumer with attendant referrals to acquire personal care assistance services. This will increase their independence to remain at ho~rae versus i~astitutionali~ation. Timeline: 791/02 g 6930903 10) provide consumer with inforrrsation on their entitlements and guldelirtes t0 apply for ~thesc: bea~efits. This will increase self worth and self suffsciency in their daily living. Timeline: 791902 5/30903 ~11t~r f~~ Il~~~~r~t Livid ~ ~aSt ~ VV~St I~I~vv~ii I~p~l°~c~~11# Livia ~rroic~S Pp®gra Hightigh: (Accovnplishvrtents from the previous fiscal year. Please number and begrin a/! highlights with a verb.) 1) I~rovided assistance to the 55+ elderly blind support group (®tta Sights Club) that meets on a monthly basis. 2) t~rgani~ed along with Flawaii Community College Support Services Coordinator a Student with Disabilities Support group. 3) Provided technical assistance and training to the following agencies: • O~awaii County bass Transit Agency • IUlental Health Counseling Center 9~ale (31uea (IV3ental I~ealth Day Activity Program} liaola, Bnc. 4) Provided public awareness on disability to the following: • Iivaiakea ~8igh School (Teachers' Institute Day) • Sig island Physics! Therapy • 9~ilo Medical Center (Social Services Department) • Keaau High School Transition Coordinator • 9~awaii County Nutrition I~rogram Staff • Teachers' Retired Association (Sig Island Chapter} • Japanese social/welfare students from llrawa Junior College 5} Collaborated with the following organisations: • Disability Fights hlawaii (®~H) to improve accessibility for people with disabilities in the community. • l~awaii County ~fce of Aging to facilitate independence for the elderly population. • Case ~Ilanagernent Coordination Project to facilitate services for the frail and elderly to maacimize existing resources and to prevent premature ar~dlor inappropriate institutionalization. • dome Safety A~entoring Program to assist the frail and elderly in maintaining their independence and safety in their home. • Kona Salvation Army for food, clothing, furniture and partial payments for err~ergency rent situations. • Kona Solid Dock fJlinistries to provide emergency financial need for rent, utility bills, etc. • I,ehab of Kona to provide therapy sessions for consumers with spinal cord injuries. • Kona Adult ®ay Care Center to provide partial payment towards assistive devices such as walkers, canes, wheelchairs, scooters, etc. _ enter f®r Ind~p~nd~nt Living ~ Est & West Havoraii Independent Living Services • Division of Vocational rehabilitation (Kona) to assist in the purchase of hearing aids for consumers who could not perform their employment duties without this device. • CEI._-West Hawaii continues to collaborate with department of Health Diabefic Control Program, Qepartment of Health West Hawaii office, West Hawaii Home Hela$h, U of H at Manoa and U.S. CDept. of Agriculture. IPerlf®rmance !Measures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) ~Y 2000-01 ~Y 2001=02 PY 200203 Actua! budget ~stln'aate Training in landlord/tenant rights, 50 ~0 55 how to complete a housing application, how to locate housing and how to maintain their housing situation. Training on interviewing, hiring, ~5 35 50 maintaining and firing of personal care attendants. Training on independent living 35 30 40 skills. Mobility training in conjunction with 12 10 15 Ho'opono. Training in legal rights and self- 10 10 15 advocacy. Training. in problem-solving and 15 12 20 decision-making skills. Provided assistive devices and 60 50 60 training on the use of the devices. 'Provided housing referrals to 65 50 60 acquire a place to live. Provided attendant referrals to 45 ~0 50 acquire personal assistance Services, Provided information to consumers 15 10 15 on their entitlements. Center f®r Independent Living fast ~ West I~awaii Independent Living Services Pr®gra~ ~xpenditaares ~i( 200001 2001 Q02 iFY 2002a03 Actua! ~udgset ~stic~a~e Salaries and Wages 157,722 222,136 226,578 Professional Fees 5,718 13,300 12,000 Operations 95,499 56,750 57,200 equipment 12822 7,700 7,900 Other*Ciient Assistance 53,909 25,000 25,000 1`®ta! 1,815,676 2,219,137 2,285,710 *Please explain in detail on separate sheet Pr®gra~ Pundiing s®aarces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) ~eve~ue ~®urce ~Y 2000=01 ~Y 2001 Q02 FY 200243 Actua! i~udget ~stia~~ County of Hawaii 11-,500 15,000 15,000 State of Hawaii 152,149 152,070 152,070 Federai C-rants 127,016 127,016 129,000 Private Foundations 5,000 5,000 5,000 Hawaii 4sland lJnited Way 14,750 15,000 15,000 ®onations 11,627 7,000 8,408: Fundraising 1,028 1,200 1,400 ServiceslProgram Fee 2,600 2,600 2,800 ~®tal 325,670 324,886 328,678 enter f®r l~d~p~nd~nt Livin~~sst ~ 191/~st ~°law~ii Indepel~del~t Lining erriiCes I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 ~ 2-142.2, I-lawai`i County Code, relating to ~eppropriation of funds to Nonprofit ®rgani~ations. (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. (we} understand that information supplied herein shall be made public according to Chapter 921", ~lawai`i Revised Statutes. - Signature of Soard ~i~~~~ai~ ®ate c s icy resident o ~-a9-off Signature of executive ®irector ®ate l1NSIGN~~ F'R~P~SA:LS d11611..l- NC)T A?CC~I~~~~I Child and ~al~nily ~alvic~ Domestic Violence Continuum of Care Programs Agency i~irector: Geri Marullo, President and CEO 19Aailing Address: Child and Family Service 91-1841 fort Weaver F2oad Ewa Beach, Hawaii 96706 Facility/Site Address: East Hawaii 460 Kilauea Avenue, Hilo, HI 96720 and West Hawaii - Pualani terrace, Building C Kealakekua, HI 96750 Phone Number: (808)935-2188 -Hilo office Fax Number: (808) 961-2073 Email Address: GMAI~ULLO@cfs-hawaii.org Amount of bequest for County funds: $7,000.00 Prior Year Funding: 99=00 00-01 01 a02 $6,685.00 $2,000.00 $5,000.00 Agency iVlission Statement: Child and Family Service is Hawaii's leader in non-governmental social and human services and advocacy for children and families in need, with the primary purpose of strengthening families and fostering the healthy development of children. Program ®escription: (Please briefly describe the program for which you are seeking funding) Funds are requested to support the programs of Child and Family Service that make up the domestic violence continuum of care. Child and Family Service on child and ~arr~ily ~ervic~ Domestic Violence Continuum of Care Programs the Sig Island has three programs that make up the domestic violence continuum of care. Sexual Abuse Treatment Services (BATS); Intensive In-Home Services (IIHS); and the domestic Abuse Shelter (DAB) in Hilo. These programs serve individuals in the community who have been either victims of sexual abuse or domestic violence (BATS, and ®AS,) or who are at high risk for domestic violence or sexual abuse (IIH). The requested County of Hawaii funds will be used to partially support the therapist and case manager positions in the domestic violence programs. These personnel have the primary responsibility for providing direct services to the people served by these programs. Total budget and Position Count 'total Program budget $815,888.00 Tota! Program Position Count 13 Total Agency budget $2637246.00 fiota! Agency Position Count 38 child and Family Servicsr Domestic Violence Continuum of Care Programs Pr®gram ~lbjectives: (asks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) 1) Sexual Abuse Treatment Services: a. 95% of children enrolled in the program will not be sexually abused or re-abused during the family's participation in program. b. 90% of non-offending spouses acknowledge that their child has been sexually abused. c. 80%-90% of offenders will admit responsibility for their child's sexual abuse. d. 95% of children are not sexually abused or re-abused during family's participation in program.. e. 90% of child victims will have increased perception of safety or empowerment and demonstrate an ability to protect and provide a safe home. f. 50% of adult offenders will complete an apology to the victim. g. 90% of non-offending spouses will have the ability to protect and provide a safe home. h. 90% of adult offenders understand their sexual deviance, learn how to intervene, control and manage deviant sexual behavior and foster a more appropriate non- lifestyle. 2) Intensive In-Home Services: a. 75°/® of families will report reduction in incidents of crisis. b. 75% of clients will have shown improved school performance. c. 90% of clients will no longer exhibit acute high-risk behaviors by discharge. d. 90°/® of families completing treatment will be satisfied with service delivery. e. 90% of families completing services will be satisfied with impact of service at 6-month follow-up. f. 85% of clients will remain in home 6 months after termination of service date. 3) ®omestic Abuse Shelter: a. 90% of adult participants will have learned how to be safer in their particular situation. b. 90% of all the days a participant is in the shelter will be incident free. c. 75% of participants will have an increased knowledge of community resources. d. 75% of participants will have obtained increased knowledge and understanding of domestic violence and its effect on themselves and their children. e. 90% of adult participants will have completed a personalized safety Child and Family Selvicc Domestic Violence Continuum of Care Programs plan. f. 60% of single adults and families will move from the shelter to anon- abusive home environment. g. 80% of returned client satisfaction surveys will show services to be satisfactory. program Highlights: (Accomplishments from the previous fiscal year. Alease number and begin al! highlights with a verb.) 1) Sexual Abuse Treatment Services -Hilo and Kona (FY 2001 - 2002) a. Served: 73 children who had been sexually abused by a family member or who are at risk of sexual abuse; 23 offenders who sexually abused; 68 non-offending spouses. b. 100% of the children were not sexually abused during participation; 80% of the victims met their treatment goals; 91 % of non-offending spouses met treatment goals; 87.5% of adult offenders met treatment goals; and 100% of juvenile offenders met treatment goals. 2) Intensive In-Home Services -Hilo and Kona (FY 2001-2002) a. Served 12 families b. 90% of families remained together at the end of treatment 3) domestic Abuse Shelter - Hillo (FY 2001-2002) a. Served 97 adults; 120 children who came in with their mothers b. 80% of single adults moved to anon-abusive situation; 76% of family units moved to anon-abusive situation; and 95% of individuals demonstrated ability to develop a safety plan. ~ert'orr~ance IOAeasures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) ~Y 2000- FY 2001-02 ~Y 2002-03 01 Actual Budget estimate Intensive In-Home Services ~ of Individual, conjoint and family therapy 1430 1430 1430 sessions provided to assist families through crisis and into stabilization of family situation. of case management activities provided 1311 1311 1311 for families such as working with collateral contacts, participating in IEP, Mental Health Treatment Plans, facilitating getting children to appointments, etc. Sexual Abuse Treatment Services f# of Individual, I°amily and conjoint 1066 1066 1066 child and Family Service Domestic Violence Continuum of Care Programs therapy sessions provided t victims and the non-offending parents. ~ of therapy sessions provided to the 149 150 150 offending parent or adult. ~ of psycho-educational groups 151 150 150 provided to families. ®®rnestic abuse ~heflters of hours crisis hotline available to 8,760 9,000 9,200 public. # of persons who were provided 218 230 280 emergency shelter # of persons provided individual, 218 230 280 group, conjoint or family counseling. # of psycho-educational sessions 278 285 310 regarding domestic violence provided to families Child end Family Service Domestic Violence Continuum of Care Programs Program Expenditures FY 2000-01 FY 2001-02 FY 2002-03 Actual budget Estimate Salaries and Wages $450216.00 $479,802.00 $488,888.00 Professional Fees $20,002.00 $20,536.00 $21,000.00 Operations $289,629.00 $300,342.00 $306,000.00 Equipment 0.00 0.00 0.00 Other* 0.00 0.00 0.00 dotal $759,847.00 $800,680.00 $815,888.00 *Please explain in detail on separate sheet Program l=anding Sources (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) IFtevenue Source ~Y 2000-01 FY 2001-02 IFY 2002-03 Actual budget Estimate State of Hawaii $657,558 $763,480.00 $778,688.00 Fundraising $1,510 $1,600 $1,600 Fees $550 $600 $600 Hawaii Island United Way $35,000 $35,000 $35,000 1°otal $694,618 $800,680 $815,888 child and Farr~ilY Service Domestic Violence Continuum of Care Programs I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 ~ 2-142.2, Hawaii County Code, relating to Appropriation of Funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 92F, Hawaii Revised Statutes. I - 22- o~- Signatur of oard President/Chair Date Signs of li=xecutive Director ate l1NSIGN~D PI~O~OSALS WI~~ N®7` ACC~I~~~®d ~iabetos Notwork of Hawaii County ~iabetos education and Counseling Centor Agency ®irector: Annaneia Poder, RN, MA IVlailing Address: 1221 Kilauea Ave., #120, Hilo, HI 96720 f=acility/Site Address: 1221 Kilauea Ave., #120, Hilo, HI 96720 Phone Number: (808) 933-9718 Fax Number: (808) 935-7725 Finail Address: ansvvercall@juno.com Amount of Request for County funds: $12,000 Prior Year Funding: 9900 0001 01-02 $0 $0 $12,000 Agency IlAission Statement: To reduce mortality and morbidity and improve the general health of those persons diagnosed with diabetes in Hawaii County. Program ®escription: (Please briefly describe the program for which you are seeking funding) In August 1998 a coalition of community members and local health professionals met to address the shockingly high incidence of complications and mortality among diabetics in East Hawaii, and the lack of diabetes information, resources and education available in our communities. Their efforts resulted in the formation of the non-profit Diabetes Network of Hawaii County. Initial ponsorship by Ke Anuenue Area Health Education Center, Inc. helped the Network to begin its first outreach project: the Diabetes Education and Counseling Center (DECC). The DECC opened August 31, 1999 in the Hilo Shopping Center and received its non-profit status as of September 15, 2000. Designed as acommunity-based, culturally sensitive education and counseling effort, the DECC uses amulti-disciplinary approach and actively promotes cooperation and coalition-building activities with all segments of the community. DECC has served over 3600 attendees since October 1, 1999-September 30, 2001.We were the first diabetes ~iabetos Notwork of Hawaii County Ciabotes education and Counseling Center education center in the state of Hawaii and remain a freestanding operation providing no- fee services. Our board is comprised of health professionals, and concerned community members, including some who have diabetes or have a child or other family member who is diabetic. Our volunteer instructors include registered nurses, certified diabetes educators, registered dieticians, registered pharmacist, dentist, dental hygienist, and doctors. dotal budget and Position Count ~`otal Program budget $49,520 fiotal Program Position Count 1 dotal Agency budget $49,520 dotal Agency Position Count 1 ~iabet~s Netw®rk ®f Hawaii C®unty ~iab~tas ducati®n and ~®un~elin~ tenter Pr®grarrn ®bjectives: (T"asks or protects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Alease number and have all ab~ectives begin with a verb.) 1. Increase number of monthly new students 15% by June 30, 2003. 2. Increase avvareness/knowledge of Hemoglobin e41 C levels in Hawaii County as evidenced by survey of CECC students and helathfair/outreach participants. 3. Expand healthy cooking classes to Saturdays 2 times per month. 4. Expand PowerPoint education modules to all CECC offerings by September 30 2002. 5. ®isseminate PowerPoint presentation CCs to Kau and 3 other allied agencies by June 1, 2002. 6. Conduct at least 2 island-wide meetings to network with all agencies and providers of diabetes education to better coordinate service to diabetics by June 30, 2003. 7. Initiate Type diabetes outreach, and support group leader identified by May, 2002. 8. Produce Channel 52 30 minute weekly show on diabetes education and 1 outreach video by September 30, 2002. IPr®grar~t Highlights: (Accomplishments from the previous fiscal year. Alease number and begin all highlights with a verb.) 1. Held "Healthy Eating ~air"~a collaborative effort with Senior UHH nursing students, local restaurants and grocery stores and ®ECC that attracted 300 participants. 2. Developed 6 PowerPoint presentations of CECC education modules that have been put on CCs for use for outreach and distribution to other agencies. 3. Increased outreach efforts through larger number of class offerings. 4. Increased special counseling services to clients. 5. Increased collaboration with area agencies such as Sig Island Consortium, Hilo Consortium, Malama ®la Pili Pono. 5. Spoke to a wider range of audiences about diabetes management and care. Performance Measures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program praduces.) Diabetes Idetw®rk ®f Hawaii C®unty Diabetes ducati®n and ~®unselin tenter ~Y 2000-01 FY 2001-02 iF~Y 2002-03 Actual dud et Estimate Number of attends at classes 2,230 2,500 2,750 Number of new students 434 500 550 Number of classes 551 600 625 Number of volunteer hours 556 700 750 Re nests fors akers 20 24 36 Monthl flood lucose screenin s 10 11 12 ~iabotes Notwork of Hawaii County diabetes education and Counseling Contor Prograrrn Expenditures FY 2000-01 FY 2001-02 FY 2002®03 Actual budget Estimate Salaries and Wages $24,907.15 $29,640.00 $29,640.00 Professional Fees 150.00 150.00 500.00 Operations 28,001.49 18,380.00 18,380.00 Equipment 0 1000.00 1000.00 Other* Total $53,058.64 $49,170.00 $49,520.00 '`lease explain in detail on separate sheet iPrograr~n Funding Sources (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) Revenue Source FY 2000-01 FY 2001-02 FY 2002-03 Actual budget Estimate American Healthways $2,590.00 0 0 ®onations $2,856.76 $4,000.00 $5,000.00 East Hawaii IPA $500.00 $500.00 $1,000.00 IPA $500.00 $500.00 $500.00 Joslin Center $3,175.00 0 0 Kaiser Permanents $1,000.00 $1,000.00 $500.00 Ke Anuenue $21,771.47 0 0 Novo Nordisk 500.00 5,000.00 4,000.00 Pfizer $1,000.00 $2,200.00 1,500.00 Rotary Club, South Hilo $1,500.00 $1,500.00 $500.00 Calabash ®onations $1,203.27 $1,500.00 $1,500.00 Fundraiser $3,825.00 $10,000.00 $15,000.00 Atherton Grant 2,000.00 $16,400.00 $12,000.00 County of Hawaii 0 $7,000.00 $12,000.00 Total $42,421.50 $49,600.00 $53,500.00 ~iabete~ Network ®f Nawaii ~®unty diabetes ducati®n and C®unseling Center I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in s~rticle 25, Sections 2-135 - 2-142.2, ~lawai`i County Code, relating to ~4ppropriation of funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. 1 (we) understand that information supplied herein shall be made public according to C apt Hawaii F2evised Statutes. c ~-~C ~ ~~r~~ Signet re of hoard resident/Chair ®ate Signature of executive ®irector ®ate IJNSICaN~~ p'R®P®S14L~ WILL N®1` ACCEPTS®I Est Hawaii C®aliti®n fc~r the ~®rrt~les~ Kih~i'Pua ~m~rgen~y Sheit~r Pr®grarn Agency direct®r: Steven Seder wiling Address: 115 Kapiolani Street, Hilo, Hawaii 96720 FacilitylSite Address: 115 Kapiolani Street, Hilo, Hawaii 96720 ~h®ne ~Pmber: 969-4848 Fax Ntarnber: 982-4850 ~maiB Address: ehch@interpac.net A~va®unt ~f request f®r C®ui~ty fP~nds: 40,000.00 l~ri®r Year Funding: 990 OOa01 0102 $33,425.00 X34,000.00 X34,000.00 Agency issi®~ Statement: "Create opportunities that enhance the quality of life for the homeless families and individuals". The East Hawaii Coalition for the Homeless is committed to reducing homelessness in the community by providing a continuum of care, which integrates housing and supportive services, so participants can become self sufficient Pr®grarri ~escripti®n: (Please br~effy c0escvibe fhe progravn for which you .are seeking fundeng) The Fast Hawaii Coalition for the Home{ess is a 2~ hour emergecy shelter serving the homeless in the County of Hawaii. T'he emergency shelter program provides case management, life skills classes, parenting classes, 24 hour emergency food pantry, and 24 month transitional housing opportunities for both famPlPes -and individuals. . ~~st F~a~vaii ~~aliti®n ~®r the '~®rtn~less I~ihei'Pua ~rnergency Shelter Program `r®tal ~aad~~t ~n~ P~iti®a~ C®unt 1`®ta! P~® ~~sn dud ~t ~424,~42.00 °f®t~t ~r® rae~r P~siti®n C®u~st 12.E ~®t~~ ~ ~~c u~ et $571,66.00 Tai A ens Psi#ar~ ~~unt 14 fast Hawaii C®aliti®n f®r the H®rn~less Kihei'Pua Pmergency Shelter Program Pr®granl ®bjectives: (7°asks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) 1) Stabilize clients in crisis 2) Address immediate needs (i.e food, clothing, personal hygeine etc.) 3) Identify underlying cause of homelessness ®evelop individualized service plans 5) Make appropriate referrals to address underlying cause of homelessness 6) provide advocacy and support while confronting issues 7) develop self-sufficiency necessary to secure permanent housing 8) provide necessary tools to maintain permanent housing 9) provide outreach services to Pahoa and lower Puna (i.e. food, clothes, mail, self sufficiency classes, and referrals) Pr®gram Highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Secured a 20-year renewal of our emergency shelter lease with the county. 2) Deceived an $80,000.00 grant to provide rent and utility assistance to those who have suffered a loss in wages or employment due to the economic fall out of September 11. 3) Worked with Kaiser Permanents Community Partnership program to receive food, clothes, and a new chest Freezer and VCR for the shelter. PerF®rrnance Measures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) FY 2000-01 FY 2001-02 Fl( 2002-03 Actual budget Estimate Provided Emergency Shelter 555 625 650 t# entering into permanent housing 333 325 350 ~ entering into transitional programs 71 48 65 ~ enrolled in training program 25 46 48 ~ obtained employment 56 35 40 # entered into sub.abuse treatment 54 165 170 linked with mental health services 117 135 140 Mail Service 324 500 550 Laundry Service 102 300 310 fast Hawaii Coalition for the Hornaless Kihei'Pua ~Emcrgency Shelter Program Storage 131 200 225 Ernerg~ncy supplies 663 1200 1300 Life skills classes 48 48 72 Parenting classes 48 48 48 Meals served 9876 7500 10,500 fast Hawaii Coalition for tha i°iorneless Kihei'Pua Emergency Shelter Program Pr®grarr~ Expenditures FY 2000-01 FY 2001-02 FY 2002-03 Actual +~udget Estimate Salaries and Wages 266,583.19 306,571.00 297,400.00 Professional fees 9,533.50 13,860.00 13,860.00 Operations 2,377.78 1,100.00 1,298.00 Equipment 2,604.90 7238.00 7,000.00 Other* 103,903.02 91,423.50 105,184.00 T®tal 385,002.39 420,192.50 424,742.00 *Please explain in detail on separate sheet Pr®gram Funding S®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) revenue S®urce FY 2000-01 FY 2001-02 FY 2002-03 Actual budget Estimate State Funding (HCDCH) 186,713.00 240,000.00 240,000.00 County Of Hawaii 34,000.00 34,000.00 40,000.00 Hawaii Island United Way 28,541.68 15,000.00 15,000.00 Donations 25,571.66 62,304.00 62,656.20 Fundraising 1,500.97 8,000.00 9,000.00 Program Fees 8,957.66 10,000.00 10,000.00 Interest Income 92.57 0 0 Third Party Reimbursements 650.00 0 FEMA 5,000.00 7,000.00 7,000.00 ESGP 27,000.00 27,000.00 Total 291,027.54 403,304.00 410,656.20 C)tber***For Year 2001-2002 Fxpensc Transitional Eurergemcy ProBrain Pro~ra~ t~ir Fare 180.00 420.00 Insurance 6,600.00 15,400.00 Lease Rental Space 51,089.00 11,510.00 Postage Shippin8 360.00 840.00 Supplies 1,087.50 2,537.50 Telecoffi~unications 2,100.00 4,900.00 Utilities 12,150.00 28,350.00 Tag, Red., Licenses 120.00 280.00 Direct Services 2,000.00 15,500.00 Miscellaneous 1,686.00 Publication Printin8 1,000.00 Repairs Maim. 9,000.00 75,686.50 91,423.50 ~ther***For Year 2002-2003 expense firansitional emergency Program Program Air rare 2`T0.00 530.00 Insurance x,200.00 16,800.00 lease Rental Space 50,989.00 11,510.00 Postage shipping 360.00 840.00 Supplies 1,500.00 3,500.00 1`elecommunications 3,000.00 'T,000.00 lJtilities 13,410.00 31,290.00 °fax, Reg, licenses 120.00 280.00 direct services 3,000.00 19,000.00 l6Pliscellaneous 2,334.00 Publication Printing 1,000.00 Repairs ~dlaint 11,000.00 T9,849.00 105,184.00 fast Hawaii Coalition for the Ho!~neless Kihei'Pua Emergency Shelter Program I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 2-142.2, Flawai'i County Code, relating to Appropriation of Funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including ail supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public accor ' g to Chapter 92F, Mawai`i Revised Statutes. 1-~~-0~ ignatur of oard I'resident/Cha' Date Signature of Executive Director Date 1J0e1SICN~® PR®P®Ss4LS dldllLL N®1` ~4CC~PT'~®! ~~st !-~lav~aii coalition for ~h~ ~lorneless ~ran~iti~na! ~h~~t~r r®gr~rl~ , Agency ®irect®r: Steven Sader ailiic~g ,Address: 115 Kapiolani Street ,Hilo, Hawaii 96720 ~aciilifiy/Site address: 115 ~Capiolani Street, O~iilo, I~awaii 96720 Ph®ne l~ur~ber: 969-~84~ fax Nunnber: 932-450 ~maiil Address: ehch@interpac.net Amount ®f ~es~uest f®r ~®ur~t~o fterasls: $ 2,500.00 l~rl®r Year ~undiing: 9900 OOO~i 01Q2 $2,383.00 X2,500.00 $2,500.00 Agency liissi®r~ Statement: Create opportunities that enhance the quality of life for homeless families and individuals". The fast Hawaii Coalition for the Homeless is committed to reducing homelessness in the community by providing a continuum of care, which intergrates housing and supportive seneices, so that participants can become self-sufficient and improve their quality of life. ~r®grarr~ ~escrlp#a®n: (Please briefly describe the prog~rarn for which y®ea are seeking funding) The transitional housing program is designed to provide housing opportunities to families with children, and single males and females who are on their way to self- sufficiency. 9~arkicipants continue to receive case management and classes, with an emphasis on transitioning off of public seals#ance, and obtaining and maintaining permanen# housing and employment. participants may stay in the program-for a maximum of 2 years. Six families units are available in various ~ l fast ~l~waii ~®aGti®n ~®r the ~®mel~ss ~ransit~~r>i heiter ~rarrn locations around 4°lilo, and an ~-unit apartrvaent building for singles is located adjacent to the emergency shelter program. ~0-1C0~ is still in the process of expanding the transitional housing program and expects to have the ne~no units available uvithin the next f-months. Total ~~~get and i~ositi®n Count 'Total fro rare dud ~t 14,123.00 'T®ta! ~r® rare l~®siti®n ~~unt 1.~~ T®'ta# ~ enc ~~r~ et b71,1306.00 ~Tot~i ~ eno Po~ation C®~rnt 14 fast l~a~lelaii Coalition for the l°iomel~ss firansitiona! Shelter grogram Pr®gram ~bJectives: (Tasks or projects to be accomplished in specific, Vvell-defined, and measurable terms and that are achievable within a specific time frame. i°/ease number and have all objectives begin with a verb.) 1) Provide 24-month housing opportunities for those with the goal of self- sufficiency 2} Educate clients on resources and opportunities in their community 3) Provide guidance and advocacy for education and employment opportunites 4) Provide advanced level life skills to assist them in maintaining permanent housing and employment 5) Enhance problem solving skills to improve community interaction 6) Reintegrate clients into the community as productive community members and leaders Pr®gram Highlights: (Accomplishments from the previous fiscal year. please number and begin all highlights with a verb.) 1) Secured X560,000.00 grant for the purchase of the old Milo Hotel. 2) Anthony Dobbins sent 60 of his Life t~Aastery workshop participants to help clean up and paint one of the commercial buildings. the group also made a monetary donation of X1,650.00 to the project. 3) Expansion of transitional housing program units. 4) dedication of the Hilo Hotel Project. 5) EHCH also finali2ed an agreement with Hilo Habitat for Humanity, which exchanged office space for their help in repairing the roof of the main hotel building. Perf®rmance 131leasurea (Quantifiable indicators of public and consumer benefits from your program's actions, andlor the number of goods or services your program produces.) FY 2000-01 EY 2001-02 EY Z®®2~0~ Actual dud et Estimate ~ Provided transitior~~l l3dusin 7~ 75 75 Exited into ermanent housin 12 30 36 ~ Completed educational pro ram 18 30 36 ~ IVlaln$ainin @m to ment 12 24 24 # Partici atin in communi activi 32 60 60 ~ ~ransitioned off welfare 0 10 10 . ~~t H~vaeaii ~®~liti®r~ fir the ~®rn~less l~r~nsiti®~a! Shelter ~'r® tarn f!llaintainin ermanent housin 12 30 36 ~ Com letirl sub abuse treatmer}t 11 20 20 Meals served 524 200 200 ~ Life skit9s classes 77 56 56 Parentin classes 52 43 43 ~ ~u ort rou s $8 43 43 ~duc~tional olasses 35 25 25 fast ~iawaii coalition for tho ~ornetess firansitional Sh~ltor ~rograrn l~'r®gram i~xpenditures FY 2000-01 FY 2001-02 FY 2002-03 Actual budget estimate Salaries and Wages 34,837.11 54,000.00 58,000.00 Professional Fees 0.00 5,940.00 5,940.00 Operations 0.00 708.00 834.00 equipment 900.17 3,102.00 3,500.00 Other* 77,871.28 75,686.50 78,849.00 fi®tal 113,608.56 139,436.50 147,123.00 '`P'lease explain in detail on separate sheet Pr®gram Funding S®urces (List a!I sources of funding, including specific grants, fundraising events, etc. relating to the program only) revenue s®urce FY 2000-01 FY 2001-02 FY 2002-03 Actual budget estimate State Of Hawaii (HCDCH) 77,412.00 60,000.00 60,000.00 County of Hawaii 2,500.00 2,500.00 2,500.00 Hawaii Island United Way 6,458.36 5,000.00 5,000.00 Donations 10,105.00 17,326.00 23,709.80 Fundraising 1,797.58 2,000.00 10,000.00 Program Fees 36,746.95 69,500.00 60,000.00 Interest 1,320.40 0 0 ,AHP Grant (Hilo Hotel) 560,000.00 0 0 ~`®tal 696,340.29 156,326.00 161,209.80 ®ther***For Year 2001-2002 Expense Transitional Effiergency Prograffi Program ~,ir Fare 180.00 420.00 Insurance 6,600.00 15,400.00 Lease Rental Space 51,089.00 11,510.00 Postage Shipping 360.00 840.00 Supplies 1,087.50 2,537.50 Telecognffiunications 2,100.00 4,400.00 Utilities 12,150.00 28,350.00 Tai, Reg., Licenses 120.00 280A0 Direct Services 2,000.00 15,500.00 Miscellaneous 1,686.00 Publication Printing 1,000.00 Repairs Maim. 9,000.00 75,686.50 91,423.50 ®ther*~*1=or Year 2002-2003 expense firansiti®nal emergency Program Program Air rare 270.00 630.00 Insurance 7,200.00 16,800.00 lease dental Space 50,989.00 11,510.00 Postage Shipping 360.00 840.00 Supplies 1,500.00 3,500.00 telecommunications 3,000.00 7,000.00 Utilities 13,410.00 31,290.00 flax, F~eg, Licenses 120.00 280.00 Direct Services 3,000.00 19,000.00 Ik9liscellaneous 2,334.00 Pu19IICation Printing 1,000.00 Repairs IOdlaint 11,000.00 79,849.00 105,184.00 i ~~st Hawaii Coalitiol~ for the Horn~l~ss Kih~i'~taa transitional shelter ~rograrn I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 - 2-142.2, Hawaii County Code, relating to Appropriation of funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to taw. I (we) understand that information supplied herein shall be made public accordi to Chapter 921F, Hawaii Revised Statutes. ~ `mod ` y ~ Signature of Board F'resident/Chair ®ate Signature of executive ®irector Date IINSIGN~D ~'R®POSm4LS 10lIILL~ N®`T 13~ ACC~PT~D! Im~MILY SIJ~P®R~ ~~I~VI~E~ WSl° I~AW~II ~~eMILY ~Nfi Afi 'lJ ANA K®0~1,~ Agency Director: Don Sebee llllailing Address: 75-127 Lunapule lid., Suite 11, Kailua-Kona 96740 Facility/Site Address: Kohala Family Center: I.O. Sox 359, Hawi 96719 Ka'u Family Center: 95-5649 S Mamalahoa Hwy., Na'alehu 96772 Phone Number: 326-7778 Fax Number: 326-4063 email Address: dbebee~fsswh.org Annount of Request for County funds: $50,000.00 Prior Year i=unding: 99,.,00 OOd} 1 0102 $44,885.00 $46,000.00 $50,000.00 Agency IlAission Statement: fi o Support families and Communities in Providing Love and Care for Our Children . Program Description: (Please briefly describe the program for which you are seeking funding} Family Support Services of West Hawaii (FSSWH} is seeking funds for the continuation of the Ka'u and North Kohala Family Centers. fihese centers provide access to a wide range of family support services and other community resources in remote, rural areas of the Sig Island. Soth Family Centers act as a "clearinghouse" for people in need and provide information and referral services. Special efforts are underway due to the September 11 tragedy to connect persons in need with basic resources and services. Our purpose is to help families prevent crises, define problems, identify strengths, and be responsible for determining their own solutions. ~'hese Family Centers are the only places in their Districts that all residents can go to get the help and support they need in a familiar setting. fihey also act as the service hub for its area and provide space for a variety of meetings, groups and direct services to area residents. FAMILY SIJPP®R~ S~RVIC~~ W~~~ HAWAII FAMILY C~N~RS Al- KA'U ANA K®HALA Total budget and Position Count Total Program budget $61,050.00 Total Program Position Count 2x0.5 Total Agency budget $2,978,000.00 Total Agency Position Count 70 Program ®iajectives: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) 1) Increase its availability and accessibility of area resources. 2) Provide a forum for identifying and obtaining additional resources for its area. 3) Increase individual's ability to access resources via computer lab, information /referral and clearinghouse functions. Program Highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Initiated S.H.A. R.E. Kohala food bank. 2) Provided facilities to other service providers, for 755 service hours per year for their activities and services. 3) Provided information and referral to 358 people to meet their needs at our centers. 4) Provided office and technological support to 112 people in our communities. Collaborated with 4H in Ka'u on electronic connectivity to serve 143 adults and 131 youth. 5) Sponsored two community-wide events for family strengthening, one at each site. Performance Measures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) FY 2000-01 FY 2001-02 FY 2002-03 Actual budget estimate Education 5 5 5 Employment 10 10 10 Financial 9 9 9 Food 22 50 50 Health 8 10 10 Parenting information 9 12 12 Office/equipment use 112 118 118 Childcare 5 6 6 Substance Abuse Support 15 17 17 FAMILY ~IJ~P~R~° SRVIC~S ®F WET HAWAII FAMILY ~~N1°R~ A1~ I~A'lJ ANA K®O~ALA Program expenditures I~ Y 2000-01 FY 2001-02 FY 2002m03 Actual dud et estimate Salaries and Wa es 24,195.00 29, 700.00 31, 000.00 ern 1o ee Benefits 2, 330.00 3, 085.00 3, 750.00 ~Y. I'a roll fiaxes 2,751.00 3,323.00 3,900.00 Professional fees 300.00 350.00 400.00 O erations 255.00 255.00 300.00 ~ ui went 1, 800.00 1, 024.00 1200.00 Su lies 4,096.00 1,800.00 2000.00 OCCU anc 9,023.00 9,863.00 10000.00 Insurance 750.00 500.00 750.00 Travel 500.00 100.00 200.00 In-Kind ®istribution 7,713.00 7,000.00 7,550.00 Total 53, 713.00 57, 000.00 61, 050.00 *Please explain in detail on separate sheet Program Funding Sources (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) revenue S®urce FY 2000-01 FY 2001-02 PY 2002-03 Actual dud et ~stir~nate Count of Hawaii $46,000.00 $50,000.00 $53,500.00 donated Goods 3,645.00 3,000.00 3,275.00 Volunteer Hours 4,068.00 4,000.00 4,275.00 'fiotal $53,713.00 $57,000.00 $61,050.00 FAMILY ~11~P~~T` S~I~VIC~~ W~~ I~~W~.I! ~A~MILY CN~R~ AT` ~tAe'l1 ANA K®1~9AL,.A I (we) have read and understood all of the eligibility, requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 ~ 2-142.2, f~awai'i County Code, relating to Appropriation of I°unds to Nonprofit ®rganizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 92P, Hawaii Revised Statutes. Signatur of hoard Pre 'dent/Chair ®ate _ 3 O ~ Signa ure of ~ ecutive ®irector ate IJNSIGNE~ PR®P®SALS WILL N®~ ~ ACC~P~~®! friends of the Children's Justice Coster of ~~st Hawaii Special Needs, ~~hancen~ent, Center Support, ~fraining, education end Prevention Programs Agency Direct®r: Marianne ®kamura (Hawaii County Program Director for the Children's Justice Center) IVBailing Address: 1290 Kinoole Street, Hilo, HI 96720 ~acilitydsite Address: 1290 Kinoole Street, Hilo, HI 96720 Ph®ne Number: 935-8755 Fax Number: 933-0968 email Address: fcjceh@fcjc.com Am®unt ~f bequest f®r C®unty funds: $15,000 Pri®r Year ending: 99-00 00=01 01-02 X8,000 X10,000 X13,000 Agency IsJlisSi®n Statement: The primary mission of the Friends is to assist children ranging in ages from infancy until 18 who are victims of sexual and physical abuse and neglect in Fast Hawaii. we are committed to helping victims become children again by providing help to rebuild their lives as well as develop self-reliance and self esteem resulting in a positive self-image and confdence toward a more positive future. Pr®gram Descrirati®n: (Please briefly describe the program for which you are seeking funding) The Friends partner with the Children's Justice Center of fast Hawaii, (a program of the State Judiciary), to provide support, emergency, and inkind assistance to sexually/physically abused and neglected children from ages 0-18. The Friends III in the gaps in services to abused/neglected children of fast Hawaii whose special needs would not have been met through any other means. Fri~llds ®f the Ghiidr~n's Justi~~ Center ®f East ~avvaii Spe~ia4 heeds, ~~aar~~el~nent, Gel~ter Support, ~Trail-~i1~g, ~du~at~~r~ ~I~d prevention Pr®gr~ms The FCJC-EH Emergency Special needs Fund provides basic needs, i.e., clothing, toiletries, bedding, school supplies in an emergency or in an expeditious manner to these children. The FCC-EIS Child Enhancement Program assists children and their families beyond the emergency stage with services for children not covered by other resources. These children woold otherwise "fall through the cracks" and not have the- opportunity to normalize their lives. The program provides funds for children to participate in academ'sc, occupational, athletic and/or extracurricular activities. The Emergency Special l+deeds Fund and the Child Enhancement Program are operated by three volunteers and a Programf'Volunteer Coordinator who receive, review, and process the requests for assistance. Through the Center Support Program, the Friends maintain the Center's safe, child-friendly environment by covering the costs of necessary repairs and enhancements. It is the Friends goal to preserve a welcoming and friendly environment to reduce the trauma of the abused/neglected children that come to the center. Through the Training Program, the Friends help sponsor the participation of the various professionals, in training, who are charged with the interview, investigation and follow up care of sexually/physically abused or neglected children. The Education/Prevention Program promotes public awareness and education regarding sexual/physical abuse and neglect issues. The Friends meet with the commu€~ity as well as public and private agencies to formulate and implement innovative ideas and programs to further prevention through education in the community and the schools. fi®tal ~~dgetti a~€t Posiifl~r~ C®unt °r®S.al Pro ram 13~d ~t 137,5b0 ~`®tal Pr® rare P®si#1~n Coa~r~t T®l ~ erac ~~d et 137,bb0 ~°€a#a1 ~ enc 1~®si#iar~ C~ra~rEt ~ _ _ _ ~rie~ds of the Children's Justiee Center of hest ~iav~/eii Speoial ~Jeeds, ~nha€~oement, Center Support, T~reining, ~ducatic~n end l~revel~tion Pr®grams Pr®gram objectives: (Tasks or protects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specitoc time frame. Please number and have all objectives begin with a verb.) 1) Facilitating emergency placement of children who have disclosed abuse by providing overnight/school change of clothing (including underwear) and toiletries; 2) Providing meals for children who spend all day in protective custody during an investigation and are awaiting foster care placement; 3) Providing bedsdfoldng mattresses for children in emergency or relative foster placements; 4) Providing clothes, formula and supplies for infants removed at birth from drug addicted mothers; 5) Covering costs, short-term, when gaps in funding for treatment occurs, for a -child who need ongoing therapy. 6) Assisting a family on an extremely limited budget by meeting transportation expenses of getting to Hilo from outlying areas so children can participate in treatment programs; 7) Purchasing school supplies, clothing and shoes for many abused children; 8) O#~taining tutoring or paying for correspondence courses not covered by existing, conventional funding sources. 9) Paying for children's sports fees so they could participate with their peers, e.g. can participate in positive, healthy activities; 10) Paying school fees e.g. seniors cannot graduate without prepayment of fees at start of school year; 11) Providing gifts for a special occasion such as Christmas when the child would not receive a gift elsewhere. 12) To assist police and social workers in keeping abreast of the latest investigative techniques, sensitivity training, forensics and knowledge of resources, the 1=r+ends provides funds for additional training. Local professionals are occasionally sent off island to receive this training. 13) Maintain the Cesater's child-friendly atmosphere. Program highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Provided Christmas presents to 263 children. 2) Paid for two children's airline and registration fees to attend "Winner's Camp" in Oahu to help fihem build self-confidence. ~rio~ds of the Chiidrer~'s Jt~stico ~ont~r of fast ~9a~/aii ~p~Cial ~o~ds, r~~a~oe~~r~t, Ge~tor Support, Trai~is~g, duoat~~~ ar~d ~rever~tio~i Programs 3) Gave school supplies to 215 children through the "Ready to Learn" P=ogram. 4) Obtained a specie! grant to pay for dental implants for a female teen whose self--image was severely impacted by a genetic lack of any perma€~ent Meth. 5) Covered the cost of orthodontic corrections of another female teen. 6) Sponsored the uNo fore Secrets" play to promote awareness and education about child abuse to 11 East Hawaii elementary schools, 770 students. 7) 0°i!(ed 632 Special deeds Request. 8) Obtained donations of materials and labor to refurbish the Center's fleoring and carpeting damaged by the flood in November 2000. Rerfoa~r~anc~ eas~res (Quanfif%~ble indicators of public and consurraer benefits from your program's actions, and/ar the number of goads or servicos your program produces.) FY 2040-01 EY 200'i s02 ~Y 2002-03 Act~at ~u~ et ~#t:ate S cial feeds ~c€g~est 6~2 ~5~ 67 1116inner's Cam 2 ~ 6 Read Tea Learn Pro'ect 85 215 254 Christmas Gift Pro'ect 350 263 250 "No PJiore Secrets" (play performed 770 (3-year to public and private school cycle ending students. done on a 3- ear c c!e 2003 F~riorads of tho Chi~dr~n's Justico Curator of fast 4--~awa~i ~pocia! ~l~ods, ~~~aaraoor~raent, Cerator support, l~rairaira~, ~d~catiora grad ~rov~ratiora ~'rograrYas Pros~ra~ ~xpenst~ture~ ~Y 20Eis0a01 FY 200'i ~02 FY 200203 a~Ctt~at ut9 e~ I~s~ate Salaries and Wa es 0.00 18000.00 23,500 Pro#essior~al Fees 0.00 0.00 0.00 O erations 73,145 90,550 114,050 ~ ui went 0.00 0.00 0.06 Other* 0.00 0.00 0.00 T®ta! 73,145 108,550 137,550 *Please explain in detail on separate sheet Pr®~raa~ ~~rs~i;n~ S®~€rces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) I~eve~ue S®a~rce PY 20Q0~01 ~Y 2001602 PY 200203 ~cta~a~ ~~d et :ate you o~ av~a~ '(~,00~ , ~ 3,t30~ '~!5,f3€3~ State of i~awaii 600 0.00 0.00 Private Foundations 56,500 73,800 97,800 ®onations 4,177 6,250 6,250 Fundraisan 4,840 15,000 `a 8,000 Interest Ira-come 537 500 500 ~`®gal 76,654 108,550 137,550 . Friends of the Children's Justine Center of fast ~la~vaii I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in 6~rt':cle 25, Sections 2-135 ~ 2-142.2, Hawaii County Code, relating to Appropriation of funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including al! supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. (we) understand that information supplied herein shall be made public according to Chapter 921=, Hawaii F2evised Statutes. Si Hato a of Soard• ~resident/Chair to ~ar ~-o~er~beS~~ ,~~p~S . Not applicable 1/30/02 Signature of executive ®irector ®ate I.~NSlCN~C Pf~oP®SALS II<la. lV®~` ~CC~IP~~®I ~re~rad~ at the Chilt~~°~s1'~ Justit:~ C~l°>rt~r tat OIl/e~t 9~av~ai6 agency Directs: Lynda L. Lopez , executive director wiling cldress: ~77-403 Nalani Street, Kailua-Kona, l°tl 96740 FaciiityJ~i ~1d~rs: Sarne Ph®ne unrhes: 331-242 ~a~ Number: 331-242 ~rrtaii ~d~ress: fcjco~vh~iava.net ~~®unt of ~e~ueet ~ ~®unty funds: ~1 ~,0®4 Sri®r Year Funding: 99 Q4'i Q7 ~AZ $3,000 X10,000 31 000 ~ger~cy issi®n ~tat~ent: fio "heap a victim tiecon~e a child again". Pr®r~ sc~~tion: Provide basic life needs, es~ergency assistance and enhancements, i.e. athletic or music lessons, tutoring, school- activities, etc. tb child victirras of physics! abuse sexual abuse andJor neglect in Vest ~lavwaii, and to provide information to the con,rnunity on mays to prevent abuse. iota! ~ud~et and P~siti®n C®e~nt T`®tal ~sc~gra~ l3a~d~et X15,000.00 'r®t~i Ps~~ratn P'~sition Dounl~ 1 stafF 11 volunteers T`®tai A ency hurt e~ $123,300.00 ~~tai Agency F"osifiora C®unt sari _ ~`f~il~d~ the Ghildr~l~'~ J~sti~~ ~~f~tel" 10V~st ~a~ii P'rogra ~~~ectives: (T~sks rsr pe~~cts to be accoarrplished in s~ecifec, ~oelHde#ined, and measurable terms and that are achievable within a s~ece~ic tune frame. f~tease number and have alt`>®bjectives begin with a verb.) 1) Send eight or more children to 1tllinners Camp by the end of 2002. 2) ~€ovide assistance to 2~ or more professionals to attend training by the end of 2~€D2. 3) dive Christmas gift certificates. 4) ~tovide funds #or abused children who have erraergency needs such as, clothing, rend, or ~ttllity payrnts. ~negoing 5) provide funds f®r abased and neglected children to have lid enhancements such as; athletic, music or dance lessons. Tuitaon or tutoring, school supplies, #~s #~r class trips, school photos, graduation supplies etc. Ern Doing. f~ro~ra ~ltghicgh~s: (,4cco~a~lish?raents fpm the pr-®vi®us Mescal year. d~lease number and begin aU highlights ~srith a verb.) 1) Sent six Children to V1/inner's Camp on Oahu. ®ne child did so well ghat he was asked to return as a junior staff member. 2) UVorked In con;unctior8 with ~°he friends of flee CSC, fast f~awaii, and Bona Association for the ~erforaning Arts to produce the l~fay =°lVo {Vlore Secrets°'. 1-his is a play that deals with the secret of sexual abuse. This play was presented in over 35 schools across f~lawaii {eland and seen by more than ~,OQO students. 3) Provided funds for a client (foster child) to attend a swimming competition ire Sweden. ~4) Assisted over 450 children with emergency funds #or basic life needs and es~hance~aents. 5) Assisted a client with transportation, schools fees etc. to travel to play in basketball cornpetition~. phis young n'~an will graduate high school fihis year and possibly win an athletic scholarship to college. ~ri~nds of tho ~hildr~n's Justice ~ontor of Wost 4~aWaii ~eriF®rrrganc~ ~9i~asur~s (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) ~Y 2000-01 ~Y 2001 n02 iFlf 200203 ~4c~t~a! ~u~lget stiate General ®ynamics of Child /!buss 65 68 ~0 Training (Professionals Investigative beam Training 38 38 40 (Professionals) Investigative Interviewer gaining 36 38 42 (Professionals) Courtroom Psychology Training 3 3 5 (Professionals) Sexual Assault Nurse Training 2 2 3 Interviews of Children at the 225 240 258 Children°s Justice Center Center Support Inter-agency 144 144 144 Meetings (Professionals) Winners: Camp (Clients) 6 8 10 enhancements (Clients) 453 500 550 Christmas Gift Certifcates, Stocking 85 90 95 Staffers (Clients) emergency Assistance (Clients) 3 3 4 Braces 2 0 0 . Friends of the Children's Justice tenter of West 9~avvaii I~r®grarn expenditures ~Y 2000-01 Ii=Y 2001=02 ~Y 2002-03 Actual i~udget ~Stin7~te Salaries and Wages 0 0 0 Professional l=ees 0 0 0 Operations 0 0 0 equipment 0 0 0 Other* 10,000 13,000 15,000 T'®ta4 0 0 0 *Please explain in detail on separate sheet Pr®grar~ Funding s®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) Revenue s®urce ~Y 2000-01 ~Y 2001-02 IFY 2002-03 s4ctuai budget ~sti~aate County of f-~a~eaii 10, 000 13, 000 15, 000 Private Foundations 73,706 64,500 65,000 United Way 258 0 0 ®onations 7,907 7,500 8,000 f=und-raisers 26,412 25,000 27,000 Interest Income 2,159 2,300 2,300 FairWind Golf Tournament 4,239 0 0 Charity Walk 5,000 6,000 6,000 Massage Week 2,500 0 0 Total 132,181 118,300 123,300 ends of ~ Cild~~r~'s Just~~e Center of V~T~s~ ~-I~~~ii ~r~gra~ ~~ditures ~ ~e~ TI'1r1Vi ~°5~2000-01 1~'Y2001-02 FY2002-03 Athletic /Sullies 700 1,000 1,(p C~~tl~~ 600 f p0 6 ~dtBCati~~e 660 1,000 1,OQ0 Ex~ae~~cy 1,000 1,200 1,500 Medical 300 500 500 Il4usic Less® 200 200 200 Schsa~l Supplies/Yeaak -400 500 ~0€? Suet Camp ~ S ~ 1,000 1,000 1,5~ '~i~er's p 2,940 4,900 5,0 3'a~vel/`~ rtati 1,200 1,100 1,320 Clts C$lll C tes 1,000 1,000 1,080 'TOTAL ~ 10,000 S 13,000 ~ 15,0€ _ ~rier~dS 0~ tie Children'S JuSti~e Cuter ~t best E~a~ii I have read and underst®®d all ®f the eligibility requirements; grant c®nditions; sward procedures; and re~rds, reporting end fiscal acctauntability requireme~tts ss msrsdated ire ~rficle 25, Secti®ns 2-135 2-12.2, I~swai'i Cct~nty 0®de, relating to ~ppra~priati~sn ®f l~urads t® N®npr® Orgar~i~ati®ns. (we) hereby certify that ir~i'rrr~ati®~ supplied herein including all suppe~ting d®cun~~ts is c®rrect and that I ewe) have the authority and ability t® fuily sdn1inist~r the pr~grar~(s) pursuant t~ law. I (vine) understsr~d that infstisar~ supplied herein shall be rraade public acc~rdir~g t~ Ohapter 921=, I~awsi`i Devised Statutes. igna re €~~ard Pr identB~.hair ®ate ~ ~~1~ Sig tore oaf ~xec~sti~ ect®r date I~NSIGN~:~ DAP®S~,~S VVIL~ ~ ~CC~ ~®edwill Industries ®f Hawaii, I~~. V10®rk experience fir I~ers®ns with ~i~abilities Agency ®irect®r: Laura Robertson, President/CEO; Robin Lee, Hilo branch Director iVlailing Address: 500 Kalanianaole Avenue, Hilo, HI 96720 Facility~Site Address: 500 Kalanianaole Avenue, Hilo, HI 96720 Ph®ne Number: 961-0307 fax Number: 969-3361 email /lddress: RLee a~higoodwill.org Am®unt ®f Request f®r G®unty funds: $10,000 i°ri®r Year funding: 99-00 OOa01 01 ~4)2 $0.00 X5,000 $10,000 N®te: QO-01 am®ur~t ®f $5,000 vas refunded the County ~f Ha~naaii, as the agency was unable to find part"scipants able pr®vide their ~vvn matching funds. 'the program was revised in 01-02 t® acc®mm®date this issue. Agency t~issi®n statement: Goodwill Industries of Hawaii, Inc. is a leader in partnering with people with disabilities and other employment barriers, providing them the opportunity to achieve their full potential through skills preparation and career deve9opment. ~o®dWill Industries ®f I'-lawaii, Inc. W®rk experience f®r Pers®ns with disabilities Program ®escripti®n: (Please briefly describe the program for which you are seeking funding) I°unding is requested for a work experience program to provide wage subsidy for participants with disabilities who are enrolled in a Goodwill Industries training program. The program format will allow work training opportunities for individuals who choose to participate in the Janitorial and/or Textile/V4lares processing positions. `The work experience program will follow guidelines as set forth lay the ®epartment of Labor. Goodwill Industries has a subminimum wage certificate that requires the following: a standard be set for each work station, community wage survey be conducted annually, that each participant's productivity is measured every six months. each participant will become familiar with and have a chance to choose from the various work opportunities within Goodwill Industries. When the work area has been choosers, the participant will be trained on the various requirements and skills needed for the particular position(s). Program participants will know what it is like to earn a paycheck, while being provided valuable work experience and enhancing skills in a real work setting. We recognize the intrinsic value of work and understand the profound integrity that meaningful, tangible employment brings to our trainee's lives. IVlore than bringing financial self-sufficiency, work taps the spirit of the individual, provides equal opportunity, and demands commitment and dedication -values that provide the foundation for community. T'®tal €~dget and ~®siti®n c®unt T®tal ~r~a ram dud et 10,000 ~`®tal Pr® ram P®siti®r~ c®unt ~ 1°®tal A enc dud et 866,008 "fotal ~ enc P®si$i®n c®unt 39 * T®tali agency budget den®tes Biii® branch ®niy P'r®gram ®bjectives: (asks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) 1) Instruct proper work techniques for each workstation to be assigned, by review of the workstation development form during the first week of training. 2) develop motivational skills and attitudes for success, self-confidence and problem solving skills. This will be on going throughout the 3-month training period. goodwill Indtastries of I~awaii, Inc. VlOork experience for Persons with ®isabilities 3) Conduct time measurement study for participant during the first ~ weeks of entry into program. 4) Review outcome v~rith participant upon completion of time study. 5) Continue to instruct and reinforce correct work procedures 6) °~rack work hours, daily or as scheduled to work. 7) Pay each participant bi-monthly, according to hours worked. 8) Conduct time study for each participant every six months. 9) Update wages according to productivity level. IPr®gra~ ~ighiights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Develop brochure and presentation packet for families and Special education °~eachers. 2) Present program to D®~ Special education department heads. 3) Present transition planning to families and potential participants. Conduct assessment and goal planning of each participant. 5) enroll participant in AD9°1 ®ay program. 6) Graduate participant from program. IN®te: Fir®grarn ~iighlights are for the current fiscal year. ~®r ~Y 02®0~, anoe are requesting funding f®r a ~®rk-based pr®gram, rather than an adult day heaith pr®grar~. Perf®r~ance ~9leasures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) i~Y 2000-01 ~Y 2001®02 ~Y 2002x03 Actual dud et ~stirnat€~ Pa~icipant's ~~arolle~ ~ a'ilVork Nl~ i`11A ~g experience pro ram Number of participants to receive N/A N/A 10 a check Number of participants to N/A N/A 6 increase work productivity by 20% Number of participants to be N/A N/A 2 referred. to a job placement ro ram goodwill Industries of Hawaii, Inc. V10ork ~xporionco for Parsons with ®isabilitios Pr®gra~ expenditures ~Y 2000-01 ~Y 2001-02 ~Y .2002-03 Actuai dud et ~stirr~ate Salaries and wa es 0.00 7,500 8,000 (profess®nal fees 0.00 0 0 O erations 0.00 2,500 1,500 ~ ui rroent 0.00 0 500 Other* 0.00 0 0 T®tal 0.00 10,000 10,000 *Please explain in detai0 on separate sheet I~r®grar~ funding S®urces (List all sources of funding, including specific grants, fundraising evenfs, etc. relating to the program only) revenue S®urce ~Y 2000-01 ~Y 2001-OZ ICY 2002-03 ~,~tuai dud et ~stiate Co~snt o~'~la~rva~€ iolc~ ~rc~fii~ Orac~~ 0 °~Q€~~Q ~ 0,0~3~ Goodvviil #ndustries of I~iavvaii, Inc. 0 0 5,300_ State of ~lawaii 0 363,523 300,246 'f®tal 373,523 315,546 _ _ Good~evill Ind~lstrios of ~laenraii, Inc. Work ~xporicncc for I°'orsons With ~isabilitios I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirerents as mandated in Article 25, Sections 2-135 2-142.2, Hawaii County Code, relating to Appropriation of Punds to Nonprofit ®rganizations. (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. (we) understand that information supplied herein shall be made public ccording to Chapter 92F, Hawaii Devised Statutes. 1 l~~la sign ure of Board Preside tlChair Date ~~,~Gu~c. ~Q - f~~ r ~a 2-- signature of executive Director Date UNSIC~I~D P~to~oSA,LS Wt~.l.. N®1` ,ACC~PTI~~! H~NIAKUA ~~~L~H CNT'~R, INC. T`h~ Hamakua ~~aith C~nt~r Van ~r®grarn ~sen~y direct®r: Patrick Linton, Board of ®irectors President 1Vlailing ~Rddress: 45-549 Plumeria St., Honokaa, HI 96727 i~acility~Site Address: Same as above Ph®ne ~ta~mber: 775-7204 Pax Nurrober: 775-9404 Email Address: cmidallia@hamakua-health.org Arn®unt of Request f®r C®unty $~ands: $25000.00 Pri®r Year ~tanclin~: 9Ja00 OOg01 01 s02 $0.00 X0.00 $8,000 Agency 4~iissi®rr Statement: Hamakua Health Center exists as a community owned and governed health center in order to contribute to the wellbeing of the Hamakua community by providing accessible, quality health care and educaitonal services which emphasise individual and community wellness regardless of an individual's ability to pay. Program ®escription: The Hamakua Health Center Van program provides transportation for individuals to medical services. All persons re eligible for service for any medical need. The van currently provides transportation for persons in the area bounded by Papaaloa, Kukuihaele, ~Naikoloa and Kapaau to services in Waimea, Honokaa, and Hilo. Preference is given to those without other means of travel especially those with mobility limited by any physical ailment, however any person may receive srvices. Typical recipients of service are those who need transporation to the Flealth Center for primary care visits, to the hospital for tests or specialty care, or to I-lealth Promotion events or activites. ~6A11l1~4KlJ~ ~~4L~~B ~~N~T~, INC. the ~9al~akua ~~alth Center Van ~r®grarn Travel can be to any provider of care and may also, depending on availability and timing, include pharmacy or even grocery pick up along the way. It is the intent that the van be used actively. It is staffed regularly by a full time hleaith Center employee. That employee has latitutude to meet early morning or late evening needs as they arise. Rny request for van service is considered for feasibility and contribution to the agency's overall mission statement. it is kept in top running condition with regular maintenance and it is fully insured. ~®ta! ~~d~et and ~®slti®n C®aant 1`®tali Pr~grarn budget 34657.00 'fi®tal ~r®grarr~ P®sit~®n C®asnt 1 T®tal' Agency budget 1760848.00 ~®tall agency ~®siition Cunt ~4 N~MAKU~ ~B~~LI°H C~NT~F~, INC. T`ha Harr~akua health Center Van P'r®grar~ Per®gram 4b~ectives: (asks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) 1) Provide transportation to 100 individuals per month from home to service and return. 2) ~xoand scheduled trips to specific locations to include Camps and isolated areas. 3) Ptan for program expansion and vehicle replacement. Pr®gram ~ighiig~ts: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) provided transportation to approximately 90-100 individuals each month. 2) began scheduled services to Waimea and Paauilo areas. 3) began service to Waikoloa, Kawaihae, and Kapaau. Received County grant support to ensure continuing access for those is need. PerF®rmarece Measures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or seneices your program produces.) i°Y ~000~01 iFlf X001 ~0~ ~l( 200-03 s4ctuai budget stiate Provide ~'ransportation to Approx. 850 1,075 1,50 individuals . 1~,~4Il~~KUa4 I"-I~~LTH C~NT~R, INC. ~h~ I~arnakua I~I~altll Celltar Var1 Pr~grarn ~r®grarr~ expenditures fl( 2000Q01 FY 2001602 FY .2002x03 Actual budget ~stirr~ate Salaries and Wages 28357.00 28924.00 29358.00 ProfessionaE fees 0.00 0.00 0.00: Operations 48.99.00 5145.00 5299.00 ~quiprrsent 0.00 0.00 0.00: Other* 0.00 0.00 0.00. '~®tal 33256.00 34069.00 34657.00 *Please explain in detail on separate sheet ~r®grar~ funding S®urces (List all sources of funding, including specific granfs, fundraising events, etc. relating to the prograon only) ~ewertue S®urce FY 200001 elf 2001902 ~Y 200203 Actual budget stiaate County of Hawaii 8000.00 25000.00 25000.00 Agency (Hamakua Health Ctr) 25256.00 9069.00 9657.00 °i=®tal 33256.00 34069.00 34657.00 (Click here and enter agency Name) (Click here and enter l~r®gram Name) I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records; reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 - 2-142.2, Hawaii County-Code, relating to Appropriation of 1=unds to Nonprofit Organizations. (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied hereon shall be made public according to Chapter 921°, Hawaii devised Statutes. Signature of Soar resident/Chair Date Signature of 'executive Director Date ~NS1GD P~®~'C3S,s4LS ~/ll~t.. NAT ACCEIP'~~®! 8-~aon/aii County ~canor~ic ~pportunit~r Council T'r~nspo~~tion Agency ~ire~tor: GEORGE YOKOYAMA lUlaiiing Address: 47 RAINBOW ®RIVE FacilitylSite Address: 47 RAINBOW ®RIVE l~h®ne Number: (808) 961-2681 l=ax Number: {808) 935-5213 Emaii Address: gy@interpac.net Am®unt ®f bequest f®r c®unty funds: $150,000 prior Year ~uroding: 99-00 00-01 01-02 ~157,~87 X150,000 $150,000 Agency lissi®r~ Statement: The mission of the Ha~oaii County Economic Opportunity Council is the alleviation, elimination, and prevention of poverty in the County of F-lavoeaii. We plan to accomplish this mission by: Mobilizing and channeling private and .public resources into anti-poverty action; Increasing the capabilities and opportunities for the poor to participate in the planning, implementation and evaluation of programs affecting their gives; Stimulating nev? and effective approaches to the alleviation of poverty; Strengthening communication, mutual understanding, planning, the coordination and implementation of anti-poverty programs in the community; Educating children and youth to become responsible contributing adults in society; Assisting the poor to attain economic self-sufficiency. Pr®gram ~escripti®r~: (Please briefly describe fhe program for which you are seeking funding) Hawaii County ~conornic Oporfiunity Council ~°ransportation The funding request is to continue to provide transportation for targeted groups of low-income, elderly, disabled and- pre-schoo! children. The range of services include the identification of people with special needs and the implementation of point-to-point specialized transportation services, which run routes off the main highway into rura9 area communities, low-income housing and pocket communities. Services are to and from the client's home, Monday through Friday, except holidays. Drop~off points are specific service agencies and resource centers, which address immediate needs of the passengers. T®tal ~~adget and P®siti®n C®unt °r®tat l~ro raan and et 956,171 ~`®ta! Pr® rarn P~siiti®n Court 36 T®tai ~ enc dud et 8,070,92 ~otai ~ enc Position Co~ar~t 277 Pr®gram objectives: (T'asks or projects to be accomplished in specific, well-defined, and measurab9e terms and that are achievable within a specific time frame. A/ease number and have all objectives begin with a verb.) 1) Provide 700 elderly with specialized transportation from home to resource facilities, to give them access to nutritional meals, medical treatment, shopping, government services, social recreational activities and other services to sustain them in independent living (by the end of the program year). 2) Provide 250 disabled persons with specialized transportation from home to resource facilities, to give them access to rehab services, employment and training opportunities, medical treatment and shopping to sustain them in independent living, by the end of the program year. 3) Provide 200 disadvantaged pre-school children with transportation from home to I-6ead Start Centers, to give them access to education activities, by the end of the program year. Maintain fleet of clean operable vehicles to ensure regular, dependable transportation for the targeted clients. l~aelo/aii County economic opportunity Council ~ranspor~ation P'r®ggram !°9ighli~h#s: (Accomplishments from the previous fiscal year. Please number and begin all highlights verith a verb.) 1) Provided 883 disadvantaged elderly a total of 83,748 passenger trips in RY 2000-2001, from home to resource centers to give access to nutritional meals, medical treatment, shopping, government services, social/recreational activities and other services to address their immediate needs and sustain them in independent living. 2) Provided 280 disabled persons a total of 37,741 passenger trips in aTY 2000-2001, from home to resource facilities to give access to rehabilitation services, employment and training opportunities, medical services and shopping to sustain them in independent living. 3) Provided 308 disadvantaged pre-schoo! children a total of 38,087 passenger trips in FY 2000-2001 from home and Dead Start Centers, to give access to education activities. 4) Provided safe, injury free transportation services for the 1,471 disadvantaged elderly, disabled and pre-school persons transported to and from home and resource centers in the fiscal year July 2000 to June 2001. Perf®rmance Measures (Quantifiable indicators of public and consumer benet<ts from your program's actions, and/or the number of goods or services your program produces.) ~Y 200081 PY 2001 ~dH2 ( 2002m03 ~,ctuai budget I~sti~a~e Transport elderly to resource centers 883 700 700 ~Iderly passenger trips 83,748 100,000 100,000 Transport disabled to resources 280 250 250 Disabled passenger trips 37,741 30,000 30,000 Transport pre-school children to centers 308 200 200 Pre-school children passenger trips 38,087 20,000 20,000 Maintain Beet of buses certified 32 31 31 To transport passengers ~aWaii County economic ~ppo~tunity Council transportation Pr®gras~ expenditures ~Y 2000-01 ~Y 2001-02 1°Y 2002-03 Actua! budget ~stia~ate Salaries- and Wages 558,060 665,302 709,923 F'rofessiona! fees 12,716 13,310 14,716 Operations 273,958 266,559 231,532 equipment Other* ~®tal 844,734 945,171 956,171 *Please explain in detail on separate sheet P'r®graa~ i"ur~ding S®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) ~eventae S®urce i=Y 2000-01 FY 2001-02 iFl( 2002-03 Actua! budget stiate State of Hawaii - OCS 115,000 115,000 115,000 State of Hawaii -Medicaid 148,900 209,000 250,000 federal - C9°°iHS 107,788 112,000 112,000 State of l-9awaii ~ Grant In did 0 30,000 0 County ~f Hawaii ~ Nutrition 170,046 176,171 176,171 County of Hawaii - C~isab6ed 153,000 153,000 153,000 County of Hawaii ~ regular 150,000 150,000 150,000 fi®tal 844,734 945,171 956,171 4~aenoaii cOUnty ~c®nomic ®pp®rtunit~ ~OUncil ~rr~nsp®r~ation I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 - 2-142.2, tiawai`i County Code, relafing to Appropriation of Funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter g2F, Nawai`i Devised Statutes. Signature of Board I'residentiChair ®ate I Signatur of ecuti ~ Director to ulVS9GRID ~~OP®SALS !lVIL!- N®~' ~E ACCE~fi~®! I"-lawaii Island Adult ~ar~, Inc. I~'il® Adult day Center Agency Direct®r: Carolyn Cabreira lUlaiiing Address: 34 rainbow ®rive, Hilo, HI 96720 ~acil'otyiSite Address: same as above Ph®ne number: 961-3747 lax IVurnber: 961-3740 ~rnail Address: adltcare@gte.net Atn®unt ®f request f®r C®unty funds: $25,000.00 '~ri®r Year funding: 9J=00 OOm01 01 ~02 $14,325.00 $14,500.00 $15,500.00 Agency ~6lissi®n ~tatemer~4: ~o advocate for the rights of frail elderly and disabled adults, and to assist them and caregivers in maintaining their independence and dignity as active members in the life of the community. ~r®gram ~escripti®n: (Please .briefly describe the program for which you are seeking funding) Milo ,4dtalt ®ay Center provides quality, safe adult day care services to frail elders and mentally/physically challenged individuals needing some supervised care, in order for these individuals to be able to continue living in their own homes to the end of their days if possible. Total budget and i~®siti®n C®unt ~®ta9 Fr®gram budget 615,000 T®tal Pr®gram P®siti®n C®unt 26 T®tal Agency budget 647,074 fi®tal Agency i~®siti®n cunt 30 I~I~~v~ll Island ~It ~ar°~, Inc. I~il~ ~Dlt ~y ~~nt~r l~a~ga~am ~b~ectivea: (7`asks cr~ro}ecfs f® ~e aoo®rn~lisla~ fn s~e~~c, ~rel9-d~~n~, ~nai ~aeasc~a~b~~ ferns and fhaf are achievat~le within a specific firm frarrae. Please ncrrnber and have all asfajecfives begin a~~h a verb.} 1) Pr®vide sa#e, gyring day tirrae evir®nrnent #®r #rail elders, and r~aentallyfphy~ically challenged adults who can no longer #u6Dy take care of fihemselves and naed sor~te type supervised care. 2) Der®vide sociaDition, day~irne activits~s, excursions #or these individuals who are generally inactive and have old age depression. 3) allow these elders and handicapped to be abbe to live in their oven h®a~es as l®ng as is possit~le. 4) Deter premature institutionalization of elders into long term care #aacilities. 5) provide respite #~ar regivers-and deter "caregiver burn®a.rt". S) allow working #ar~iiies caring #or their elders t® continue eraaployment. 7) provide day Dare services to econ®rnic gr®ups regardless mobility to pay, utilizing t~deral, state, ccsunty anct private #oundati®n sctaolarship #ur~ds to assist these individuals with the monthly day care tuiti®n grad #ees. l~a~o~araa Hi~htights: {Acctan?plishrnents fr®rn fhe previ®us fiscal dear: Please nurrrber and begin all highlights with a verb.) 1) l~:®vided day ire services t®137 individuals having varied physicaD and/or mental lia~aitations, through®ut the year. Ended the fiscal yeac with a-high g3 participants mar®iled in .laane. 2) Enr®16ed new para~pants; 59; discharged: X65; attending the loll year: 5~. 3) Maintained processional level service with State of Hawaii, ~epartrrt c~# Hura~an Services, re`-licensing approval in 24~~ year of day care service. 4) Enhanced prograrra #or ~l~heimer's vying; participant level r®se to 33. 5) S4eceived new !chair li#t van, ~0~1 Ford clubwag®n Ea35®, through a #ederal l~eparta~aaent ofi ~'ranspoa~ation grant and-with additional #unds #rom the nay ~'era~pleton Hopp~;r ~~and; actual cost ~43,10~; 3 passenger, 2 wheelchair riders. D~®cost to the day center program. 6) Deceived approval I"rorr~ the US~,~ through the Hawaii Sate t~epartr~aent of Education to provide daily lunches #or participants. an program in hDovember; prier lunches provided thr®ugh the fJ#lice ofAging. 7) llJlaintained sch®larship tuition assistance grants level s® as no par~cipant was turned away ~sr cut -back on hours -due to lack #unds. '~ilith pr®tective care in an enjoyable environrr~nt, participants remain healthier grad happier with less likelis~ss of illness and h®spitalization. I~~Wall Isl~n~ ~~~It ~ar~, Inc. I~#il~ ~,~It day tenter 1~~~®ra~c~ ~ (C~uantiabda ie~sts~at®r~ ®f ~aubii~ and consunaar ba~efits fr®m your pro~~r~?'s actions,. anchor tl~ nurntaer of ~®ods or ser~ioes y®ur pr®grarn produces.) ~Y ®00-®°~ ~Y 2~0'~ ~Z 2302-~~ ~~tuai dud et #~at~ Avers a rnonthl attendance 83 86 8g fit fr are t~tat~ for ter: P~articip~nt en~e~yralt of l dicing 123 125 127 final years; rrtaintain ear irpr®v~ perseanal hygi~~/s~~ carp; ceantinue tea a~end a~ ~ rnontl~s Partie~p~nts continuing tea live in 123 125 127 own hods Far~ili/~aragivers atal~ to tira~ 78 78 78 e 1® rent Families /caregivers receiving 80 81 res its ~artieapants continuing to attend 89 g1 g3 after ® ear F'acticipants c®ntinuirag to attenei 89 70 71 after 2 ars Particip~ats c®ntinuing to attend 17 17 17 after 5 rs l6~edic~i teat rrstan$es aav can 5570,960 X1,068,480 ~1,Ofrl~,~80 partie:ipants attending day sere (1O persons: (14 persons: (14 persons: versus living ire a leang terms care 5 placed in into l®ng into-.long facility ~ care hearne (teased ®n long terrrs terra care) terra Beare} individuals discharged from the day care, center into Fong terra earelprivate 5 to care care hoes during the year} ~ logs hor~ne) incearne econo~sc stags. ~conocrric conditiesns of participants sued, Peavesty bevel participants ~ ~l~lS, 55 57 58 lolursing l"learne ~itheaut Walls, ~ACCI~ :seed Bather nding~sorne are able>to pa s:ost-share. L~~ incea ~ partial se~healarship 48 49 51 assistance Full- a needin sch®larshi 34 34 ~h sicai~rrtai ii~?itations: Frail elders 40 41 42 ~h sical~ bandits ed 29 2g 30 Stroke debilitated 35 36 36 Al~heirr's dis~;~se/der~ntia 33 34~ 35 diagn®sed iradividraals Hawaii Island Adult dare, Inc. Hil® Adult L~ag~ Center Age of participants served: Over 80 years 67 68 69 60 to 80 years 55 57 59 Young adults under 60 years 15 15 15 Pr®gram Expenditures FY 2000-01 FY 2001-02 Flt' 2002-03 Actual! budget Estimate Salaries and Wages 394,599 455,627 468,000 Professional Fees 7,887 10,300 11,000 Operations 87,319 133,947 136,000 Equipment 8,620 3,000 Other* ~®tal 498,425 602,874 615,000 *j°lease explain in detail on separate sheet I~r®gra Funding S®urces (List al! sources of funding, including specific grants, fundraising events, etc. relating to the program only) Revenue s®urce FY 2000-01 FY 2001x02 i°lr 2002-03 Actual 18udget Estimate Tuition/fees 253,040 264,020 267,146 State-U~pt. of Human Service 94,222 120,148 120,148: federal-Nursing Home veo/o Walls 15,074 18,000 18,000. State-Nursing Home w/o Walls 15,074 18,000 18,000 StatelF~deral-Office of aging 21,585 24,000 24,000 County of Hawaii 14,500 15,500 16,000 Hawaii Island United Way 20,706 16,500 16,500 May Templeton Hopper foundation 45,389 46,656 56,656 Mclnerny/Chatlos/Charity 9,772 25,500 22,000 Walk/Other scholarship grants Membership l7rive Scholarships 2,730 4,500 4,500 US®A Inch prog. reimbursement 12,915 18,000 18,000. Combined federal Campaign don. 3,413 3,000 3,500 PIN grants management fee 3,275 3,000 3,000 ®onations 11,749 14,000 14,000 fundraising 5,492 8,500 8,500 Interest 4,315 2,300 1,800 Misc. sales/reimbursements 1,972 1,250 1,250 ~'®tai 535,223 602,874 615,000 I~I~~ii Isl~r~d ~dt~lt Cary, 111c. I°~lil~ adult day C~~t~:° I (we) have read seed understood all of the eligibility requirerr~nts; grant conditions; award procedures; and records, reporting and fiscal accaountabslity requirernts as mandated in Ar~cle 25, Sections 2-135 2-142.2, I-lawai`i C®~rnty Code, relating to 6~ppropriati®n of ~a~nds to Nonprofit ®rgani~ations. (we) hereby ~rtiiy that inf®rrs~ati®n supplied herein including all supporting docu?~aents is correct and-that 1(we} have the auth®rity and ability t®fully adrninist~r the program(s) pursuant t® law. understand that information supplied herein shall be made public accsordi~g ~ Chapter l~awai`i Devised Statutes. _ ~o Si a e of l~eaard I~residentiChair Date Signature of utive Direct®r Date tJSt~I~D ~~3SAt.S I~.~ ~ ACC °iD! ~I~ ~~t~~l~~t ~lay~r~ fihe~t~r pup, 2Q~212~03 Agency.®irector: Leis Moore, President lylaafing address: P. fox X46 ~4ilo, Hawaii 96721 FacalitylSi~e Address: 1~l1 l(ala~aua hiiio, Hawai 96720 Ph® uenl~ar: 935-9155 fax Number: 935-7536 ~rnail Address: players~aloha.net Arn®ur~t ®f l~e~ t fir ~®unty funds: $4000.00 Pri®r Year ~undirag: 990 00=01 01 m02 ~0 0 $0 Agency issi®n ~taten~: The i°iiio ~orns~u~ity Players have existed since 1936 to provide quality Community Theater experiences to tt~e people of l"lito, Eaet Hawaii arsd all of the !eland of ~lawai€. lr9corporated in 1977 as a non profit organisation, the Hilo Cornoaunty Players here developed several continuing programs to zrteet ®ur stated goals, incEuding Shakespeare in the Park, Chiidren's/Teen theater pr®grams annually ar$d a toursng production airr~d at Students Island amide. ®ver the years, the !silo Co~€~unity Players have involved hundreds of island residents as volunteer actors, technicians, costurvters and other production personnel and pefiforrt~ed for thousands of residents and visitors. i~r®~ra ~escrfP~i®n: (PBease ~fiy descrrae tho Program for which you are seeking funding) The goal of the l°lilo Cornrr~~a~asty Players has always been to provide quality amateur con>muoity theater to the people of the Sig !eland. And we have done that, for the last 54 years. but in the wildly jumping econonnies of the last few ~Oilo ~onlrrlul~ity Players Theater Season Support, 2002/2003 years, it has been a difficult task. We have seen our State funding dwindle in the last few years, due to the slowdown of the states economy. We have seen fewer volunteers, as actors and technicians, due to every increasing economic and social pressures on the core of our volunteer cadre. Like many other arts organizations, we were faced with options that could mean a different existence for us, even no existence. f=ortunately, for the Community Players, a group of new and old time Players members showed up to help out and this new energy has re-invigorated organization. We have planned an exciting and energetic 2002/03 season, Including our 25t°~ Annual Shakespeare play, a youth theater component with three productions, finoo musicals, eons-act festival and two other productions.( a October IVlysterylThriller and awinter/Christmas show.) As an organization, we realize that with the ever changing times of today, we will not be able to continue to rely on the big government monetary support thaw we received in the 90's to continue to carry us along. We need to go back to the principles that we were founded on, namely community theater. We have undertaken a project to increase our membership and patron list, build audience attendance and to greatly increase our volunteer rolls. To do this, we realize that in addition to our normal means of reaching our audiences, we need to reach out even further to attract new people. We plan more advertising, outreach and we want to tour several of our plays around the Island to gain more exposure. The funds we are requesting from the county this year will be used to cover the added expenses of touring and advertising to build a larger member base and audience. ~®tal budget and P®siti®n C®unt fi®tal Pf~grarv~ budget 39000 ~`®tal Pr®gram IP®siiti®n C®unt 120- 150 ~'®taf Agency ~a~dget 39000 °~®tal Agency f~®siti®n C®unt 120- 150 * Participants are mostly volunteers. The Hilo Community Players operates with a board of directors which oversees the goals and objectives of the organization and an executive board, which oversees the day to day functions of the organization. Certain ®irectors and Technical people are paid stipends for work performed. 6~i1® C®mmunity Players Theater Seasesl Cupp®rt, 2002/2003 Pr®gram ®bjec#ives: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) 1) Provide theater performance and production opportunities in the rehearsal and performances of plays for adults and youth during the 2002/2003 theater season. 2) Provide an opportunity for fihousands of residents and visitor's and youth to view family orientated plays, culturally significant theater performances and socially enriching programs. 3) Provide an opportunity for our island residents to learn the social and cultural tools that are associated with play production and performance. Pr®gram ~Bighlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Produced a season of plays (7) seen by over 7000 big island residents. 2) Produced a touring theater for performances in the island schools. 3) 'Produced a Children's Theater workshop and teen theater 4) Produced 24~~' Annual Shakespeare in the Park Perf®r~ano~ ~i~asures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) ~Y 2000Q01 ~Y 2001902 IFY 2002-03 Actual ~udge4 ~stiate Public performances in Milo-season 3000 3600 6500 School performances-touring 3000 1800 3000 Touring .performances 3000 _ _ . ~il® C®mmunity Players ~f heater Seasen Cupp®rt, 2002/2003 Fir®gra ~xpendiitures FY 2000-01 ~Y 2001=02 FY 2002-03 Actua! budget ~s#ir~ate Salaries and Wages 6000 0 0 i'rofessional fees 9000 10600 10500 Operatians 19350 17442 19750 equipment 2000 3500 2000 Other* 2750 `f®ta! 36350 31542 39000 *Please explain in detail on separate sheet Pr®gra ~undirag s®urce~ (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) F~evenue s®urce ~Y 2000- ~'Y 2001-02 ~Y 2002-03 01 e4ctua! budget ~stiaate S FCA 16800 8542 9000 Admissions 10200 14000 16000 memberships 2750 1500 2500 fundrasing 2550 2000 1500 Other r€;venue (rentals, ad sales 2775 2500 3500 Refreshments) donations 1275 2250 1750 Workshop fees 1000 750 County Orant 4000 ~®tal 36350 31792 39000. . ~~rnrr~u~~ty Rl~y~rs Attachrr~errt 1 ~r~+gra Fxpec~ditures; ®ther Craft Fair expenses $2000.00 Set tip, A~dvert~s~ng, clean-gyp ~dev Rrcducti®n exper?ses ~ 750.00 ~°®tal $2750.00 S~il® ~~mrr~ul~~ty ~r~ ~h~at~r~ ~a~~~ ~aprt, ~OQ2/~ 3 I (v+re) have read and understood all of the eligibility requirements; grant conditiorss; a~€ard procedures; and records, reporting and fiscal accountability requirements as mandated- in ~rtic9e 25, Sections 2-135 ~ 2-142.2, ffavvai`i County Code, relating to ?¢~lppropriation of ends to N®npr®fit ®rgani~a#iot~s. (we) hereby certify that infon~ation supplied herein including all supportir documents is correct and .that I have the autfiority and ability to fully administer the progra~a(s) pursuant to lavv. I (rive) understand that information supplied herein shall be made public according to Chapter 92~, Hawai`i devised Statutes. ~ , Si rratur~ of hoard Rresid~n~Chair ®at . Signature of Soard "fr asurer [3ate ti3SIGt~~ ~R~~~~~ 9f~lt-L. ~l~l` ~CC~~`T®! ~°°iil~ ~~rnrr~~Br~ii~/ ~rS 25 th hakespear~ il°~ the ~~l-k agency ~}irect®r: Lewis BVI®®re, B~resident ilirs~ Address: ~®x 46 H1®, Hawaii 96721 Faciiit,?ite Add 1~1 lCalakaua Bii!®, Flawai 96720 Bah®ne t~eamber: 935-9155 Fax lVa~mber: 935m7536 ~rnail Address: players~aBoha.net A~®unt ®f ~e~c~est ter ~®unty #~¢ids: $2500.00 pri®r Year l°~ndin~: 99-OQ 4Q°I 0°l ~Q2 $0 ~0 agency issl®~ ~tate~€ent: The ~Bilc ~®~rtrry~snity Players have existed since 1938 to pr®vide quality C®rr~ra7a~r~ity Theater experiences to the pe®pBe ®t Hil®, East Hawaii and aB! ~s€ the Bslas~d Hawaii. Inccrpcrated ire 1977 as a ncn prcr~t ®rgani~ati®n, the I°til® C®~na~~r~ity Players have deveBs~ped several c®ntin~irtg pr®grarns t® meet car stated gels, incB€ading Shakespeare in the Burk, ~hildren'slTeen theater pre~grara~s ann~aiBy and a tcc~~r~g prcdcacti®n aimed at Students Bsiand wide. ®ver the years, the l°lilc ~cmrna~nity Players have inv®Bved hundreds ®t isBand residents as vcl~nteer actors, technicians, costumers and ®ther prcda~cti®n personnel seed pertormed #or thousands of residents and visitors. Pr®gra ~esc~pti®~: (Please briefly c~sc~ebe the prvgr'a~t f®r vvhicl~ y®u aa~e seelrangr ftene~in9) Shakespeare ire the Park bean in 1977, with the prodtaction "B~iids~rr~rnes iVig-ht's ~rearn", directed by 3ackie Johnson, a recently returned gig Island resident with a brand new c~Blege degree. In 202, we wi91 present oar 25~ Annua! Shakespeare production, "~r~e L9ddah AAid°surv9mah A kcal-style version ~il~ ~r~u~ity ~layel°s th ~~u~i h~kespe~l°e ie~ the Perk of ~ 11Aidsuaranner blight's- ®reaa~a°, and again directed by ANs. Johnson, pow professor of ~rarna at lll~~l. Auditions wilt be in lay of 2002 and the performances are scheduled for July 11,12,13,16,19,20,25,26 and 27. In addition to the play, we will be hosting a ®rte-day crafts fair in the lCalakaua park area, using local crafts pars®ns and artists, food vend®rs and other non- profit gro-ups. VR~e will ea~courage local service groups, like I~C~®~, rainbow ConrBectioa~a, Red Goss and others to set-up booths and distrib~tt~ inf®rmation. The fair will go on all day arad culminate with the final showing of the Shakespeare play. An®ther aspect planned f®r this year's pr®ducti®n is to videota~ the sh®w, edit the footage and br®adcast the producti®n via public access °I'i/ through®ut the State. ~®#,al budget and ~®eiti~n C®ua~t T®tal Pro rain t 7500 fi®fiat l~rr®g~a*rt Posit®tt Gouat ~Q~O# 1`® ency €~det 35000 °f®tal ~Qgenoy l~lti~t~ +~~ur~t 1 0- 150 * Participants are mostly v®la~nteers, °fhe Ffil® Corr~rr~unity Players ®perates wig a- board of dirers which oversees the goals-grad objectives of the organi~aation arad an executive board, which oversees the day today functions ®f the organition. Certain directors grad ~'echnical pe®ple are paid stipends f®r ~ascrk performed. S~il® ~~rr~rnun~~y ~I~yerS 2~ th Al~~~~~ h~k~spear~ ~n the Perk Pro~ra~ objectives: (7'as/ss or projects to be accomplished in specifoc, well-defrned, and rneasurabBe terar's ar~d that are achievable within ~ specific time frame. Tease number and have all objectives begin with a verb.) 1) Provide theater perforrv~ance and production opportunities for several dozen residents in the rehearsal and performances of Shakespeare's play. 2) ~r®vide an opportunity for hundreds of residents and visitor's to vi~~ a Shakespeare play. 3) Provide an opportunity for artists, crab persons and service agency's to have access to hundreds of residents and visitors. Provide an opportunity for viewers throughout the state to see a Milo ~on~rv~unity Players production, via video on public access T'i/. l~r®~ Highlights: (Acco~plishrnents frown the pr®?vious fiscal ,year f~lease nurrrber and begin all highlights with a verb.) 1) Produced "King Lead' as 24~` annual Shakespeare show, seen by over X50 people during performances ira ~iiio. 2) Produced a video that was shown several times on Public Access "l`~6, estimated audience 3500 people. i~e~®rrance as~€~ (Quantifiable indicators of public and consuerser benefits from your program's actions, andlor the number of goods or se~ices your progrtm produces.) ~Y 200-~4N ~1P 20Q~~~ ' ~O~~Ef~ ~ct~ai dud et sttat~ Auden i~ Pam ~ ~ ~ ~ Audien..lVa Leo ~/id~® 0 2500 5000 Crafts a~~ 0 0 200 ~il® ~c~mnnunity Pia~O~rs 2~ t~ ~~~u~~ ~h~k~s~~r~ ire the ~~rk ~r®r~: xp~nd~~~~ elf 2000-01 elf 2001 n02 ~l( 20Q~-03 ~c#ua! udge~ ~~~fi~ Sa~arie~-seed b~l9a es Pr~fes~~®r~a@ Fees 2000 2000 3000 Op~r~~ns 2000 1500 100 E ~i errant 750 750 250 ~tf~e~'~ 2750 T'®~ 4750 4250 7500 *Please explain in detail on separate sheet _ ~r~~rat~ F~nd~ng S®terce~ (List all sources ®f funding, including specific grants, fundraising events, etc. relating t® tlae programs only) ~eve~ue ®~rce ~Y 2000-01 ~Y 200102 2002x03 ~~a~ dud ~F~~ 2500. ~ 75Q ` 1750- ~®natitse~~ 500 900 1250 Ad Sa#e~ 250 900 1 Crab 0 0 1000 C®aaea ~rae~t 2500 °~®I 3350 3550 7500 il~ C~rnrn~~~t~e ~layer~ ~5 th ~u~~ h~k~se~r~ i~ the ~~rk Atte~hr~e~t 1 Pr®gre~ expenditures; ether Crab ~~ir expenses X2000.00 Set yap, advertising, c@eans~ap Vide® Fir®ducti~n expenses ~ 750.00 ~®tal $2750.00 ~I® ~rln~ll~ity F'9ay~rS th ~r~~~~l Shakes r~ X11 the ~~rk I (ire) have read and understood all of the eligibility requirements; grant conditions; ward procedures; and records, reporting and tiscal accountability requirements as undated ire article 25, Sections 2-135 2-12.2, lia~ai`i County Code, relating to Appropriatioa~ of ends to Nonprofit ®rganizatior~s. I (vie) hereby certify that information supplied herein including all supporfing docurnts is correct and that I (we) have the authority arod ability ~ fully administer the program(s) pursuant to lavv. 1(v~e) ~rsderstarad that information supplied herein shall be made public according to Chapter 32~, ~lav~rai`i Revised Statutes. ~ ~ ignature of Soard p'residen~Chair ®ate Signature of hoard ~r asurer Cate t3N~I~N~~ ~~t~t~~SAIeS lA41~l~ NAT ~lC~~I~T'~~I ~~i~ ~~rnm~r~ity ~lay~rs Y~€atl~ ~`h~at~r ~~~ncy direct®r: Levis Moore, president ding ~~dr fox 46 Hilo, Hawaii 96721 Faciliity~Site Address: 1~1 Kalakaua Hilo, Hawai 96720 ~~®ne ~r: 935-9155 ~ l~ut~ber: 935-7536 ~i~ Address: players~aloha.net Art®urtt ®f f®r +~®a~nty finds: $2500.00 Pri®r lF'r ~~ndtr: 9900 00901 01 a®Z 0 ~0 0 Agency issi®~ ~#~t~r~erat: 1°he Hilo Cotrns~nity players have existed sine 1939 to provide quality Corr~rnunity Theater experiences to the people of Hilo, fast Hawaii and ait of the !eland o~ Hawaii. Incorporated in 1977 as a non profit organisation, the Hike Corn unity Mayers have developed sever~t continuing programs to met our stated Vials, in€~uding Shakespeare in the park, Children'sfr~n theater programs annually and a touring production aimed at Students Isaar~d wide;. ®ver the years, a Hilo ~ornmunity Players have involved hundreds of island residence as volunteer actors, technicians, c®sturra~rs and other production personnel and purl' d for thousands of residents and visitors. i~r®gra cription: (Please;hree~i~O ~escrihe the prca~rar~ f®r ~rhoeh ,y®cr era seek6r~g funcimn9') The yoh theater component o~ the Milo Community Players season has grown over the years to become one of tt~ rrfost looked for productions v,~ produce. The Teen theater has drawn 15 to 20 teen actors and technicians year after year _ . Hilo Community ~IayarrS Youth ~fheater to put together a production that is viewed by several other teens at performances in Hilo. Last year, the classic "Little Women" was performed. Auditions will be held in August, with performances in Sept. of 2002 We get our cast and crew members from the area jr. and senior high schools, Milo, Waiakea, Keaau and along the Hamakua Coast. Our touring theater program, in its seventh year, presents programs in the schools of the Island, mostly the elementary grades, and is usually acted and crewed by High School and College students. Last years production of "1000 Cranes" is typical of the thought provoking programs picked by the Players Board and directors for this program. Teacher material and workshops compliment the performances, making the touring theater production a complete learning experience. The Hilo Community Players Children's Theater has a long track record of workshops and performances. At one time, we toured the Summer l"un sites with programs. It has developed over the years into a performance based workshop for 15 to 25 youth, over a 2 month period in IVlay and June of each year, the workshops culminate in a public performance series. The addition of the county grant would enable for us to once again take the touring theater and childrens theater on the road and enable us to reach hundreds more youth and residents with our performances. T'®taE budget and P®siti®n C®unt ~®tal Program budget 11000 ~®tal IPr®grarri P®siti®n C®ta€~t 30-60* ~'®tal Agency ~~adget 35000 ~`®taE Agency P®siti®n C®unt 1.20- 150 * Participants are mostly volunteers. The Kilo Community Players operates with a board of directors which oversees the goals and objectives of the organization and an executive board, which oversees the day to day functions of the organization. Certain directors and Technical people are paid stipends for work performed. i~ilo ~orr~munity Players Youth T"hoater Pr®grarr~ objectives: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) 1) provide theater performance and production opportunities for several dozen youth in the rehearsal and performances of plays. 2) provide an opportunity for hundreds of residents and visitor's and youth to view a family orientated play. 3) provide an opportunity for our youth to learn the social and cultural tools that are associated with play production and performance. l~'r®~rar~ Hiighllights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) produced a Teen Theater production to play in Hilo, Kona, Waimea and Kau. 2) I~roduce a touring theater for performances in the island schools. 3) produce a Children's Theater workshop IPerf®rrt~ance ~leasurea (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) l~l( 200001 i~ 2001=02 ~Y 2002@03 Actual: budget stirnate School performances 3000 1300 3®00 Public Performances 750 900 1000 Island tour performances 0 0 1400 Hilo community Players Youth Theater Pr®gra~ ~xpendittares FY 2000-01 ~Y .2001-02 ~Y 2002-03 Actual budget Estiirn~te Salaries and Wages Professional Fees 4000 4000 3000 Operations 3500 4000 7000 Egtaipment 750 550 1000 ®ther* ~°®taE 8250 8550 11000 *Please explain in detail on separate sheet Pr®gram ending S®earces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) ~tevenue S®urc~ FY 2000- ~Y 2001Q02 Fl( 2002-03 01 Actual budget st~mat~ SFCA 6500 4500 4500 Admissions 2000 3600 4000 County Crant 2500 ~®tal 8500 8100 11000 ~~l,l~h ~~at~l" I have read and underst®®d all ®f the eligibility requirements; grant c®nditi~ns; award prt~~edures; and re~rds, rep®rting and fiscal a~~untability requirements as naaredated in l~ticle ~5, Se~ti®ns ~-13 a ~-142s~, I~ai`i C®unty C®de, relating t~ ,,~ppr®pristi®n ends t® fV~rrpr®fit ~rga~i~ti~r~s, I hereby certify that inf®rrrreti®a~ supplied herein incl~+ding ail s~pp~r~ng d®cunrats is c®rre~t and that I have the auth®rity and ability t~ fully administer the pr®g~m(s) pursuant to laas~. i understand that inf®rn~ati~n supplied herein shall be made public acc®rding t® Chapter g~~, I~av~ai`i Devised Statut®s. C ~ " ~a ure ~f bard ~residentBChair t7ate i I~~. Signa re ®f ~~ard ~r saarer hate ~ ~®spic~ ~f F~il® Y~~I~~ ~e~pl~'s ~ri~f ~upp~rt ~~rnp d~gency direct®r: 6renda Ho, RN, MS lVlaiiia~~ Address: 1011 Waianuenue Avenue, Hilo, HI 96720 ~acilitylSite Address: 1011 Waianuenue Avenue, Hilo, HI 96720 ~h®ne lVurnber: 969-1733 fax IVurnber: 969-4363 ~~ail Address: hospice@hospiceofhilo.org Aga®~a~t ®f bequest f'or C®unty func9s: ~7,3ea5 Sri®r Year funding: 99-~~ ~0-01 ®1-®~ e0.ger~cy I~iissi®rt Staterr'ent: It is the mission of Hospice of Hilo to provide support, comfort and interdisciplinary care to the terminally ill and their loved ones, and to provide education and grief counseling to the community at large. Pr®grar~a Descripti®n: (Please briefly describe the prograrrr for ueihich y®u are seeking funding) Y®un~ fie®p/e's Grief Stepp®r~ Carrr~. Tie Pr~b9er~. Grief comes to each of us at one time or another. like adults, children also grieve the loss of loved ones. Unlike adults, children may be less resilient and less emotionally equipped to deal with such losses. Children typically experience feelings of sorrow, loneliness, anger and depression at the loss of a parent, sibling; grandparent or friend. parents or guardians may not be equipped or otherwise able to provide the necessary support, guidance and comfort needed due to their own grief. Children often become the forgotten grievers in society. Improperly addressed grief may result in self-destructive andlor anti-social behavior. 1 ~®s iC~ of f~ilo Yo~~~ ~eopl~'s ~ri~f Stapp®rt ~~rnp The weed: Young people, especially, need skilled support and comfort during these times when their world is turned upside down. Competent guidance is essential to ensure the long-term mental and emotional health of these young people. ~ Prop®s~ t?es~®rase. Hospice of ~-lilo, in line with its mission of providing education, counseling and support to the bereaved, is proposing to develop a Young People's Grief Support Camp for children 5 through 13 years of age. 1010e envision the camp being held on an annual basis. If funding can be secured, the initial camp will be a two-day event held on January 11-12, 2®®3 at a Hawaii Island-location to be determined. The campers will be housed in age-appropriate and gender-appropriate settings. A minimum of 25 young people will participate. This will include children from hospice families as well as children referred from the Department of ~duca#ion, Y~lICA, YV1lCA, Turning Point for Families, C~ueen Liliuokalani Children's Center, Soys and Girls Club, the Casey Family Program and other human service organisations serving youth. The curriculum of the Young People's Grief Support Camp will be secular and therapeutic in format and will include age-appropriate art therapy, music therapy, group process and other supportive activities that address the bereavement needs:of the participants and that encourage the productive expression and processing of their grief. The Camp participants will be divided into four age cohorts: 5 through 3 through 10; 11 through 13, and 14 through 13. Among other objectives, the Camp curriculum will help participants to express their amotions, to understand that their emotions are normal rather than aberrant, to antic'spate that such emotions may be triggered by various events, and to design and practice positive responses to help the child productively cope with those emotions. The activities of the Camp will also encourage participants to bond with one another and with their mentors so that long-term supportive networks can be developed, The faculty of the Grief Support Camp will include the Hospice of Hilo ®irector of Bereavement Services, Aaron Yamasaki, and certified art and music therapists. In addition, volunteer mentors will be provided by the University of Hawaii at Hilo (UHI-Ij Health Careers opportunity Program, under the direction of Gail IlAakuakane-Lundin, and by the Milo Chapter of the American Association of Retired People (AARP) under the direction of Team Leader Denny Auspen. These volunteers will be trained by the Hospice of Hilo Director of Serea~,°ement Services, and will be under his direct supervision. 2 ~®SpiC~ ®f Hilo Y®~~g P~OpI~'S Cri~f Cupp®r~ Camp Throughout the Camp the participants will be provided an opportunity to meet in an accepting and safe environment, and to share with their peers and mentors their experience of the death of a loved one. The participants will also learn about the grieving process in order to better understand and express their own feelings. On the final day of the Camp, parents and guardians will be included in order to enhance their communication with the children and to develop long-term supporting practices and activities that can be continued at home after the conclusion of the Camp. The finale of the Camp will be a memorial service honoring the deceased persons whose loss the participants are grieving. ®us ~xpe~ise ~n Oh®Idre?a's ~~ief SuA~®~. Hospice of Milo has a strong track record in the area of children's grief support. Our program is under the direction of Aaron Yamasaki, ®irector of Bereavement Services. Illlr. Yamasaki holds undergraduate degrees in sociology and business administration and has completed postgraduate work in Clinical Pastoral Education with an emphasis on grief, death and dying at Merman-IVlemorial Healthcare System in Houston Texas, Since joining the hospice staff in 199 he has been responsible for the development and oversight of the agency's- bereavement programs and for providing supportive psychosociat, bereavement support senoices for both hospice famines and for the community-at-large. lie is recognized throughout the state of Hawaii as a speaker and trainer in the area of grief, dying and death. Hospice of Milo has provided grief support services and education specifically targeted to children for over three and a half years. In 199 we began offering five-week grief support groups for children ages 5 through 12. These gr®ups meet once a week to address the bereavement needs of the participants in a therapeutic and age--appropriate format. lTeferrals come from the DOE system, charter schools and numerous other non-profit organizations. We plan to continue offering this program. In addition to therapeutic support groups for children, Hospice of Milo also offers individual one-on-one bereavement counseling for children as needed, as well as family grief counseling. Hospice of Milo also provides training and consultation to DOE counselors on both the East and West sides of Hawaii Island. Specifically, we have guided and supported DOE counselors in the development and implementation of a program of teen grief support groups at various schools. We will continue to provide consultation to these DOE personnel. Hospice of a°lilo charges no fees for any of these grief support services, nor does any insurance provider re':mburse us. Part of our mission is "...to provide education and grief counseling to the community at large." We see grief support for young people, as well as for adults, as an essential component in the overall mental health, safety and productivity of our communities. 3 ~~spiC~ ~f ~Bil® Y~~n ~~~i~'s ~~i~f ~tapp~rt ~annp T`®ta! ~uclget and I~osition C®a~nt T®ta~ ter®gra~s u~at: $7,355 T®ta! Pr®~rarn ~®aiti®n 1 full tiro staff: Yung people's t3rief C®unt (f~irector of ~up}~rt Camp bereavement services ~'®ta! ~~ea~~y ~a~de~ X1,895,400 'T®ta! agency P®sition 1~ fuil ti€~e staff, C®unt 2 part t€me staff, ~ 4 on-ca€l nurses I~r®~~ ~~jactives: (7`asks or projects to be accomplished in specific, well-defined, and measurab0o terms;and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) 1) provide a minimum of 25 children, ages 5 through 15, with atwo-day grief support camp experience on January 11-12, 2003. 2) Recruit and train a minimum of 20 mentors to serve as facilitators for the Camp and as on-going support resources for the Camp participants for §he ensuing year. 3) ®esign/develop a therapeutic curriculum for the Camp. ~r®gram Higl~ligl~ts: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) Inasmuch as the proposed Young I~eople's Grief Support Camp has not yet been actualized, there are no accomplishments from the previous fiscal year to report, ®ur previous County of Hawaii grant covered medical outlier costs. Accomplishments regarding this program wiBl be included in our yearaend report. I~erf®ranoe Measures (C~uantifrable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) 1. I~rovide a two-day curriculum that will result in 90% of Camp participants being able to verbalize and otherwise express their grief-related emotions as measured by a pre- and post-test. 4 HospiC~ of Milo Young ~~opi~'~ ~ri~f support damp Provide a curriculum that will result in 90% of Camp participants being able- to identify 2-3 possible grief triggers and ~-3 constructive responses. 3. I~rovide a curriculum that will result in 90°/® of Camp participants being able to articulate ~-3 ways they can communicate what support they need from parents or guardians. Conduct asix-month follow up telephone survey of Camp participants and their parentslguardians to assess their progress in dealing with the identifed grief issues with ~0°/® reporting "good'° to "excellent" results based on a fives p®int scale. ~Y 20®0-01 IFY 20®1 ~2 IFY ~00~3 ~ct~at ~~d et ~iiat 1lou€~ Leo le ~~~tici ~nt~ ~ ~ Parent~C~uardian ~'~rtici ants 0 0 ~0-50 Trained Grief Su ort i6olunteers 0 0 20 5 H~~pic~ of ~iil® Y®~~~ ~~®pi~'s ~ri~f ~upp~r~ Camp grogram Eac~end~tures 2000-01 ~Y 2001-02 2fl02~3 a~ctua! budget Ilast~iata Salaries and VVa es 0 0 0 I~rofessional fees 0 0 0 Operations 0 0 2,090 F®od: $1,090 Transport: 400 facilities: 600 ~ ui ~ent/Su lies 0 0 2,75 Other# 0 0 2, X00 art °Therapist $500 music Therapist 500 O~,dvertising 1,000 evaluation 500 ~9lisc. Costs 300 °T®tat 0 0 $7, 365 `Please explain in detail on separate sheet ~r®gr~ i~un~ia~9 Sources (list all sources of #unding, including specilrc grants, fundraising events, etc. relating to tie program only) ~~venue Source 2000-01 ~Y 2001-02 ~Y 2002-~3 ~ct~at u~ et ~ttma T®ta~ 0 0 $7, 365 6 ~®spic~ ®f ~il® if®ung ~~®p!~'s brief ~~pp®rt Camp (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections ~-135 - 2-142..2, ~-lawai`i County Code, relating to Appropriation of Funds to Nonproft ®rganizations. (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. (we) understand that information supplied herein shall be made public according to Chapter 92~, l~awai`i Devised Statutes. Signature of ~ and Dresident/Chair date /-~~-c7~ Signature of executive ®irector Date UNSI~N~ I~D~P~SA~S Its!- N®T ~~C~~T~~! 7 (Thy ISI~~d ®f Hawaii YNIC~) (Ku'ikahi I~ilediafi~n C~r~~~r) Agency 1~irect®r: Robert K. Masuda, p'resident/C~O wiling Address: 300 W. Lanikaula St. Milo, F~II 96720 ~acilityfSite e4ddress: 300 W. Lanikaula St. Hilo, HI 96720 ~~®ne I~asmber: 961-0699 I°ax Ntatnber: 961-0878 (mail ACi?dP~ss: ymca-fo a~aloha.net C®ntact pars®n: ®orothee Auldridge 8855388 Arn®unt of Request f®r C®untg~ f'uncls: X10,000 Pri®r Year ~~cnding: 99-00 00-01 01-02 $9,550 ~0 ~0 Agency lissi®n Statement: Aloha Ke Akua- God is Love. The mission of The Island of Hawaii YMCA is to share God's Love with children, adults, and families of all races and faiths by putting Christian principles into practice through programs that build healthy spirit, mind, and body for all. Pr®grarn Descripti®n: (l~6ease briefiy describe the program for which you are seeking funding) The Ku'ikahi Mediation Center provides quality mediation services to individuals and organizations in the fast Hawaii community. Mediation is an impartial, confidential problem-solving process in which the mediator assists parties etvith communication and negotiation. TI~e Center uses professionally trained community volunteers and handles cases such as neighbor/neighbor, family (including intergenerafional and divorce issues), work place, community, civil rights, and special education disputes. Included in these cases are referrals _ _ . (The Island ®f ~la~evaii YMCA) (K~'ikehi 1l/lediati®n Center) received from county departments such as Police and Prosecuting Attorney's Office to mediate cases involving criminal issues. The Center is staffed with three paid part-time positions, Case Manager, Program Manager and Director. The responsibilities for each position follow: Case Manager- intake, case record-keeping, statistical reports. Program Manager- case scheduling, mediator support, training support Director- administrative reporting, fundraising, training. All positions liaison with referral agenc6es as the case proceeds through the mediation process. The Center has a pool of 50 mediators. T®tal ~~dget and I~osiiti®n C®unt (PY2002-03) T®ta! Pr®gram a~dget $79,500 T®tal Pr®grarn d~®s6tii®rti C®unt 3 pos. 2.33 ATP toted T®tal Agency budget $2,958,802 1°®ta! Agency P®sitii®n C®ur$t 271 Pr®gra~ Objectives: (Tasks or projects to be accomplished in specifrc, well-defined, and rraeasurable terms and that are achievable within a specific tune frame. Please number and have all°objectives begin with a verb.) 1) Provide quality mediation services to 1,140 individuals in PY 2002-03 (an increase of 20% from PY2001-02) 2) Increase number of cases opened to 360 (an increase of 20% #rom PY2001-02) 3) Increase number of prosecutor referred cases to 114 (an increase of 20% from F'Y2001-02) 4) Codiaborate with the County Prosecutors office to develop new caseload areas that will reduce the use of county resources. 5) Develop a formal referral procedure with County Police Department 6) insure that 80% of clients are satisfied with the mediation services received. Pr®gra~ High9iights: (Accomplishments fr®rn the previous fiscal year. Please number and begin all highlights with a verb.) 1) Opened 288 cases (an increase of 18% from previous program year) brought 203 cases to mediation (70%). This is the one of highest referral to mediation rates within the community mediation centers in the state. (T`h~ Island ®f t~atnraii YMCA) (~u'ikahi M~diati®!~ Centel-) 2) Developed and implemented new case intake, management and reporting procedures. 3) Implemented a mediator evaluation and refresher program to increase fibs skills in the mediator pool and to revive inactive mediators. 4) Increased the pool of mediators by 25%, by recruiting and providing training for 15 community volunteers in generic and advanced mediation issues. 5) Deceived 87 case referrals from the Prosecuting Attorney's Office, successfully mediating 70% of the cases received. forty-seven of these cases were referred from the screening process, prior to the assigr~n7ent to ®eputy Prosecutor. Deferrals at this point allow the Prosecuting Attorney's Office to allocate limited attorney resources to more appropriate cases. 6) Developed and implemented a pilot project with the Prosecuting Attorney's Office, ®istrict Court and the Public ®efender's Office to mediate misdemeanor criminal cases. 7) Collaborated with the County Prosecutor's Office with aVictim- Offender mediation training. 8) Increased fees to the public to reduce subsidy needs (the Center fees range from $30m50 per party per session). `fhe Center does not assess an administrative fee for those individuals with a financial hardship. l~e~orma~ce leaaure~ (Quantifiable indicators of public and consumer benefits from your prograrr?'s actions, and/or the number of goods or services your program produces.) l*Y 2000-01 l"Y 2001-02 ~Y 20€112-03 Actual ~ud~et lm~tlate Number of cases opened- 288 300 350 Number of mediators 37 51 ~3 Numbec taf individuals served 896 950 1,120 Number of cases received from the 87 95 114 Prosecuting Attorney's Office !Number of cases received from the 1 8 24 Police Department (°I"h~ ISl~r~cl ~f I~~waii YMCA) (Ku'ikahi Media#i®~ Cen#~r) I~'rogra Exper~diturea FY 2000-01 FY 2001-02 FY .2002-03 Actual uclget ~stlr~~te Salaries-and Wages 48,954 55,065 63,000 €~r®fessional Fe@s 0 0 0 Operations 14,312 14,400 16,500 Equipment 0 0 0 nth@r* 0 0 0 fi®! 63,266 69,465 79,500 *Please explain in detail on separate sheet I~r®gra Fundlr~g S®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the pr®grarn only) F~2001-2002 refiects a one time additional amount of $4,000 each Center r@ceived in the sta#e. The irnpact of Septembes 11, 2001 reduced the funds available from this foundation- this same reduction (percentage) was rec@ived by all other applicants of the foundation. HIUW- for I~Y2001-2003- HIUW has chosen to fund the Character ®eveloprnent program specifically. Re~erdue ~®urce Fl( 2000-01 FY 2001-02 FY X002-43 Actual budget ~stlate State Judiciary Contract 45,001 49,001* 45,000 County of Hawaii 0 0 10,000 Hawaii ,~€~stice Foundation 6,000 900*~ 3,000. Geist Foundation 0 5,000 °10,000. Pr®gram Servic@ Fees 5,670 7,064 8,500 Sustaining Membership Campaign 595 2,500 3,000. HIUW 6,000 0*~~ 0~`~~ Hawaii Community Foundation 0 5,000 0 ~®#a! 63,266 69,465 79,500 (~h~ Island ®f I~awaii YMC~4) (Ku'Ikahl M~di~tl~an Center) I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 ®2-142.2, I-tawai'i County Code, relating to Appropriation of funds to Nonprofit Organisations. (woe) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administ~;r the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 921, h0awai`i Revised Statutes. ~ 1 ~ Signatu f Board PresidentlChair Date Signature of executive Director Date lJ9VSIGI~E® PR®~®S~L.S wI~L N®T ~ ACCEPTED! ~Th~ Islam of I°la~nlai`i YMCA YM~~ Youth-~~-Disk ~ervic~s Agency direct®r: Robert K. Masuda President & Chief Executive Officer i9Aail6ng Address: The Island of Hawaii YMCA Finance/Accounting Ofi=oce P.O. Box 4545 Hilo, Hawaii 96720 Facility~Site Address: Waiakea Settlement YMCA Kona Family YMCA 300 W. Lanikaula Street 74-5606 Pawai Place Hilo, Hawaii 96720 Kailua-Kona, Hawaii 96740 Waimea Family YMCA YMCA Punawaena ®utreach 65-1206 Mamalahoa Hwy. Pahoa Village Centre, Sldg. Kamuela, Hawaii 98743 Pahoa, Hawaii 96778 Ph®ne ~urnber: 961-0699 I~ax iVumber: 961-0878 Ernaii Address: ymca-fo a~aloha.net Arn®unt ®f Request f®r County funds: X55,000 Pri®r Year Funding: 99-00 00-01 01-02 X54,435 X55,000 X50,000 Agency 9issi®n Staterraent: Aloha Ke Akua ~ God is Love. The mission of The Island of Hawaii YMCA is to share God's Love with children, adults, and families of all races and faiths by putting Christian principles into practice through programs that build healthy spirit, mind, and body for all. 1~h~ Island ®f I-~awai`i YMCA YMCA Y®~th-At-risk S~IVic~s Program description: YMCA Youth-At-Risk Services provides an array of safe, developmentally appropriate, and challenge-based activities for at-risk youths, ages 5-18. (Please see Appendix A). This long-running program successfully addresses the symptoms of family dysfunction by providing children and families with activities that stimulate healthy development. The program is designed to provide at-risk youths with structured learning opportunities with caring adults where they can achieve personal goals, learn to work productively with others, and develop healthy interpersonal skills. To leverage resources, the YMCA partners with numerous County departments and community organizations (please see Appendix and works with hundreds of dedicated volunteers islandwide. The Island of l°lawai`i YMCA is an islandwide association comprised of four operating units: V19aiakea Settlement YMCA, Kona f=amily YMCA, V10aimea I°amily YMCA, and YMCA Mediation and 1=amity Life Services (please see Appendix C). Youth-At-Risk Services are offered at each YMCA branch, and social development is enriched through frequent shared activities with children from other communities islandwide. Program activities are offered throughout the year, including intercessions and vacation periods when latch-key children are especially vulnerable to at-risk behaviors. The YMCA's van fleet augments overall program quality by providing transportation services islandwide. every year, YMCA Youth-At-Risk Services attracts over x,000 at-risk children with a diverse programming mix. As our population grows, YMCA Youth-At-Risk Services continues to provide direct, positive impact to the families of Hawaii County by offering at-risk youth challenging opportunities for healthy growth. Total budget and Position Count 'Tote! Program budget $495,500 Toil Program Position Count `t03 Total Agency budget $2,958,802 Total ,agency IPosition Count 271 the Island of Havvai`i YMCA YMCA Youth-At-Disk S~rvic~s Pr®grarn ®bjectives: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specihc time frame. Please number and have all objectives begin with a verb.) As appropriate to each activity, participants in YMCA Youth-At-Risk Services will: 1) Identify and achieve personal goals 2) Learn new skills inherent to the activity 3) Learn how to cooperate with others 4) Assume and understand the responsibilities of leadership 5) Develop an improved understanding of personal skills, talents, and abilities 6) Appreciate sportsmanship and the concept of fair play 7) Learn to make better decisions 8) Make new friends 9) Dave fun Pr®gram Highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Launched new program with Pahoa High ~ Intermediate Schools and with Hawaii Academy of Arts and Sciences to provide programs and transportation for 100 children. 2) exceeded expectations in aquatics enrollment (filled to capacity) at the Kona Community Aquatic Center; 30% increase in youth enrollment in a variety of YMCA aquatics education and safety classes. 3) Strengthened existing partnership between YMCA Jr. Leaders Program and Alu Like Summer Work Program; provided at-risk youths with training in risk management, CPR. 4) expanded YMCA Youth & Government Program to local high schools, including Waiakea, Konawaena, Kealakehe, Wallace Academy, and Parker School; program participants draft bills and go to Honolulu each Spring to participate in the YMCA Youth Legislature. 5) Provided cultural enrichment opportunities for YMCA Summer Fun participants with international campers in YMCA Camp Aloha; shared meals, skits, and homestays were highlights. 6) Maintained skatepark membership where enthusiastic core group of young people continue to assume leadership in designing, building, and maintaining the park. 7) Offered popular new day camps at DOS school sites in South Kona (Miloli`i and Ho`okena) that have changed to the modified calendar. The Is-land ®f I~ave/ai`i YMCA YMCA Y®~th-eat-disk services 8) Taught 600- students at Waimea and Waikoloa Schools skills in cooperative behavior and healthy communication to build morale and self esteem; part of the YMCA Health & I"itness Program. 9) educated over 250 youth in YMCA Camp Aloha, directed by the Waimea Family YMCA; areas of instruction included stewardship of our island's natural resources and Hawaiian cultural history. Peak®rr~ance measures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) Performance I101easures are linked to Program Objectives. ~Y 2000-01 ~Y 2001-02 I°Y 2002-03 Actual budget ~stirnate Total Participants: 3,394 3,500 3,750 YIOACA Youth-At-Risk Services Program participants wiBl: Identify and achieve pars®nal goals n/a* 80% 80% Learn how to cooperate with others n/a* 80% 80% Assurr~e and understand the nOa'' 80°/® 80% responsibilities of leadership Develop an improved n/a* 80% 80% understanding of personal skills, talents and abilities Appreciate sportsmanship and the n/a* 80% 80% concept of fair play Learn to make better decisions n/a* 80% 80% -Make new friends n/a* 80% 80% Have fun n/a* 80% 80% * Assessment protocols and tools were developed in I"Y2000-01. We have begun implementation this current year (FY2001-02). T"he Island ®f Hawaii YMCA YMCA Youth-At-Risk Service Pr®gram Eaependitures FY 2000-01 ~Y 2001-02 I~Y 2002-03 Actual i~udget Estimate Salaries and Wages 281,893 311,932 341,895 Professional Fees 0 0 0 ®perations 105,140 115,293 128,830 Equipment*~ 19,180 22,275 24,775 Other 0 0 0 T®~l 406,213 449,500 495,500 *Pdease explain in detail on separate sheet Equipment ~ Vehicle (van) maintenance, fuel, repair. Pr®gram Funding S®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) Revenue S®urce FY 2000-01 FY 2001-02 ~Y 2(f02-03 ,A,ctual budget Estsate County of Hawaii 55,000 50,000 55,000 Private Foundations* 28,000 26,000 30,000 Harn~ai`i island L9nited Way 60,000 60,000- 05,000 ®onatio~as 7,300 8,000 8,000 Fundraising 0 5,000 7,000 ServicelProgram Fees 255,913 300,500 330,500: T®tal 406,213 449,500 495,500 *Private Foundation support for YMCA Youth-At-Disk Services: North Hawaii Rotary Club $ 500 Anthony foundation 5,000 Visitor Industry Charity Walk 12,000 CAN Wilcox Trust 5,000 Frear Eleemosynary Trust 5,000 Lawrence L3rown Foundation 500 Appendix A 1 YMCA Youth-At-Risk Services County of Hawaii Nonprofit Grant, FY2002-03 YMCA Youth-At-Risk Services provides an array of developmentally appropriate and challenge-based activities for at-risk youths, ages 5-18. Specific programs and activities in YMCA Youth-At-Risk Services include: Recreational Day Camps - Summer Fun: Fun House (grades K - 3) Kids' Express (grades ~ - 8) Summer Y-Tots Preschool (age 5) - Holiday Fun: Winter Fun/Express (grades K - 8) Spring Fun/Express (grades K - 8) - School Release Days Aquatics Program - Swimming Lessons (Youth to Adult) - Preschool Swim - Swim Team (12+) - Springboard ®iving (12+) - Synchronized Swim (12+) - Jr. Lifeguard (12+) - Windsurfing (12+) - Sailing (12+) - Surfing (12+) - SCUBA (12+) Camping Program - Sailing Camp (12+) - Surf Camp (ages 12+) - Aquatic/SCUSA Camp (12+) - Cora! Reef Eco-Systems Education Camp (12+) - Volcano Camp (grades K - 8) - Camp Waipi`o (12+) Youth SportsiFitness Program: - School Health and Fitness (grades 5 - 7) - Ponekos basketball (grade 3 - 12) - Na `Opio volleyball (grade 3 - 12) - Jalapenos Basketball (grade 3 - 12) - Youth Soccer (grade K - 12) - Sailing Team (12+) - Yoga (7+) - Tai Chi (7+) Appendix A 2 YMCA Youth-At-Risk Services County of Hawaii Nonprofit Grant, FY2002-03 - Martial Arts (ages 7+) - Goju Karate - Tai Kwon ®o - Aikido - Jr. Tennis (12-x) - Gymnastics (grade 3 12) - Wrestling (grade 12) Teen Programs: (grades 8 - 12) - Tutoring Program - Youth-in-Government - YouthMapping - Youth Mentoring - Jr. Leaders - Late-Nita 13aske$ball - ~katepark Appendix B 1 YMCA Youth-At-Risk Services County oft-Iawai`i Nonprofit Grant, FY 2002-03 The Island of Hawaii YMCA collaborates with many community organizations to support YMCA Youth-At-Disk Services for children and families. The YMCA collaborates regularly with the following organizations: • County of Hawaii Corporation Counsel's Ofhce, Family Support Civision • County of Hawaii P'rosecutor's Office • County of Hawaii Cepartment of Parks and Recreation • County of Hawaii Office of the Prosecuting Attorney • State Cepartment of education (Keonepoko, Chiefess Kapi`olani, KeaulCaha, Kahakai, Kealakehe, H®naunau, Ho`okena, Waimea, and Waikoloa elementary Schools) • State Cepartment of Human Services • State Office of the Attorney General • The P=amity Court of the Third Circuit • The Children's Advocacy Center • Comestic Violence Interagency Team • Family Crisis Shelter, Inc. • West Hawaii Sar Association • Legal Aid Society of Hawaii • Hawaii Centers for Independent Living • Queen Lili`uokalani Children's Center • North Hawaii Community Children's Council • Kano o ka `ulna New Century Public Charter School • Punana ,Leo o I-lavvai`i (Hawaiian Language Immersion School) • Kula Kai o Puni (Hawaiian Language Immersion School) • The Kamehameha Schools • St Joseph's Academy • Parker School • King Kamehameha's Kona Seach Hotel • P'ono Holo Ranch • Kehena Ranch • Kahua Ranch • Parker Ranch • Waikoloa Say Club • Imiola Congregational Church Community partnerships that support the YMCA Aquatics Program include: • Kawaihae Soating Association • Kawaihae Canoe Club • Kawaihae Commercial Fishing • Kawaihae Sailing Association Appendix B 2 YMCA Youth-At-Risk Services County of Hawaii Nonprofit Grant, FY 2002-03 • Kawaihae Shopping Center • Makali`i Na K~laiwa'a • Mo`ilteha Hawaiian Sailing Canoes • Na Aikane o Pu`ukohola • Pro Divers Hawaii • Pua Ka `Iliena o Kawaihae In addition, the YMCA collaborates and/or receives assistance from: • Hawaii Island United Way • Jaycees of Hawaii • Hilo Y's Men's Club • North Hawaii Rotary Club • Lion's Club International • Army Reserve Civil Engineer Corps • Hawaii Rodeo Cowboy's Association • Ironman Triathlon • McDonald's of Hawaii • Pepsi-Cola Company • J. C. Penney Company, Inc. • Combat Services Support Group #3, Kaneohe Marine Corps Air Station • Numerous private businesses islandwide. The Island of Hawaii YMCA also partners with charitable organizations, foundations, and corporations to present quality programs for children and families. Sponsoring organizations include: • Harold K. L. Castle Foundation • Mclnerny Foundation • Atherton Family Foundation • Cooke Foundation • S. N. and Mary Castle Foundation • G. N. Wilcox Trust • Mary and Walter F. Frear Eleemosynary Trust • Lawrence Newbold Srown Memorial Foundation • Rev. Takie Okumura Family Fund • Sarbara Cox Anthony Foundation • Ronald McDonald House Charities (Hawai`i & National) • The Seto Foundation • The State Foundation on Culture and the Arts • Hawaiian Electric Industries Charitable Foundation • Hawaii Electric Light Company, lnc. Appendix S 3 YMCA Youth-At-Risk Services County of Hawaii Nonprofit Grant, FY 2002-03 • Victoria Ward, Limited • C. Sre~aer and Company, Limited • J. Watumull Fund • Foodland Community Fund • Visitor Industry Charity Walk • ~-lawai'i Women's Legal Foundation • West Hawaii Fund • Hawaii Community Foundation • lJ. S. Windsurfing Association • Parker School gust Not listed above are numerous private individuals, including attorneys, clinical psychologists, and physicians with whom the YMCA actively collaborates. these collaborative relationships are important for delivery of needed services, particularly in the areas of financial assistance and the use of facilities. Appendix C Operating Units, The Island of Hawaii YMCA County of Hawaii Nonprofit Grant, FY2002-03 Waiakea Settlement YMCA Waiakea lJka, Waiakea, Kea`au, Pana'ewa, Keaukaha, Kaumana, Pi`honua, ®owntown Hilo, Upper/Lower Puna, Kurtistown, Hawaiian Paradise Park, Ainaloa, Nanawale, Kapoho, Hawaiian Seaches, KaBapana, North Hilo Kona Family YMCA Forth/South Kona, Kailua, Kalaoa, Kealakehe, Honaunau, Captain Cook, Kealakekua, Keauhou, Kainaliu, Holualoa Waimea family YMCA North/South Kohala, Hawi, Waimea, Waikoloa, Hamakua YMCA Mediation and Family Life Services Family Visitation Centers (Kailua and Hilo), mediation and conflict res®lU$ion services In fast Hawal`I. T'he Island ®f I~lavvai`i YMCA YMCA YO~th-At-Risk Services I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 - 2-142.2, Hawaii County Code, relating to Appropriation of Funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 92F, Hawaii Revised Statutes. ~ Signatur of Soard F~resident/Chair ®ate Signature of executive ®irector ®ate l1NSIGN~ PR®POSA,L.S i01PB~1! N®fi ACC~PI'~O1 Agency ~fict®r: lC~thiri ~shiro ~d~r 4~6~3615 l~ahan~ [)rive, Honokaa, !~I 96727 ~iti~ty~~ite Addre: ~5-5016 F~l~r~~rie ~ t, lior~okae, ~i 96727 ~M~ne umlr: 7759670 F~tc i1Vt~mr: ~~~it Add e ko~e.rtet A~tant e~~t ~~urtty X7500.00 ~r~~r Year i~°~nd~ng: 0 ~0.®0 ~fl.~ ~~.00 Ag~rt~y ~#®r~ ~t~t~m~r~t: At ~ l~eiki it i~ ®~r at~is~ion to help chiidrer~ develop ~ !if®lor~~ lt~~s~ o~ le~r~tir~g thro~sgh ~ progr~ that enure o~, iradividu~li~~, read creativity. fur cer~~ully pa~epered ~~virc~~rr~er~t pr®vid~~ childr with opportunity to explore their ~~arrou~di~, ~hellenge thei~° ths~ught~, end e~,~y ~rBd ls~ve the people end worid ~rot~~d them. 7hr®ta~h ~ po~it~~oe i~t~c#ion o the childr~~'~ d~~eel~apr~t~! charts#i, th~r ~chooi, pc~ti ily, ~r~d co~r~u~ity, childr~~ Novi!! b~ reedy to hev~ su~essl le~r~t.ir~g ~xrie~~s that will list throughout thei~° ii#etir. Above ail, oar children comae f rst. 1~ X11 ~ IVY I~~iki, 11~~. ~r~tili~-t~l~i~k I~r~j~ct Pr~gm l3a~crly~ti~n: !~lal~ ~ 14eiki, I®catad in 4~on~kaa, ®p~ned in Qct®b~r 2000, ~ft~r the tuna ad clcsin~ €~f the part~tirr~e l~lcanckaa ~E~ad S#~~ ~rcgrarn. Initial plans had called f®r ~ praschl cp~nin~ in fail, 2001. 4~~nramar, th€~ crgani~ars '~!t that ~ mss ®f prasch~l ct~ntinuity t® I®~ov income children would ba ~ wag®r b! tc ~ ec~mmunity already riling fpm the bankruptcy cif 9~arnakua sugar C®t°npany. The organ~ers felt that ~ they cooaldn't respond t® an emergency like: this one, they and the community auld n®t be ready for the challenges of sustaining a lifelong l~arni€ progrann fret children, parents, t~ach~rs and other stakeholders. ,after ~ months of intansi~ee m®lunteaa° irk, dale ~ l~~iki cpen®d'~etober 2, 2000, as a ~u!!y licens®d prescho®I. T'he ll~~ranted 50'1~~3 stags f0llod shortly thereafter. ~ppraaaching rna~irnum capacity, the preschool pregrani currently has tv~ntyd eight students ages 245. "rha dig !eland has cane of that st nus~n of children att~'sding early childh~d progtarns in tt'ta state. The lack of participation in early childh~d rams ors our island is largely dui to o~sr r3omy and lack ®f af~rdable, full~t~rr early ch~ldh ¢cl1~ls ~n tore! areas. era open fros~v 7:30 ana to 5:30 Pm daily, yaar~round, and of~r a ntes~ri-based curriculum. fur tuition rates a~ some of the lost in the stag, as are h~s'~ to rnt the weds of the children and families of our co~rtmurtiit'r, our friends, relatim and n~ighbt~. ~ a grassrt~ots, cm~nity-sad nc~nRp~olit pr , opened on a lir~itad bs~dt su ad by parsOna! keens and donatitans csf time, cash and ~upment. Flamer, ®ur praschl cannot su d corer tires v~ithout the tsida n~n~ial s~appart ®f marie~tas a~~ns and f®undations. Unlike many Is, rein open after 2:30 pry daily, u many ®f our families -are at -risk. The~!s families era likely t® be cut off frorr~ the mainstrearrn nirnur~ity use of p®merty, ra~isns, un~r~tplcyrnant, andl~ the inabifity`to tlrnaly s s~mn`tunity and hurr~an rooices. They are- tharef~c°e at risk of being unable tt~ eke 'e ~ their basic and the ®f $h®'sr nu > r fan~Uy. The laamilie~atal~isk ~'ro~ect sagas t® support children and parents in nor~~ ed~scational en mots, which era as important as the scholastic educatis of the child, Its central feature- is continuing tca promide a safe, stirrtulating, argd caring enmironment -for children n 2:30 and 5:30 pia., use the normal ~vorkir~g person s past 2:30 pm. olarshipftuition assistance is promided, and may include tuitior£ reduction, an extended grace period in which to pay fees, ®r both, allo~nring faaxailies stress-free assuraa'ace that their ea~apk~yrnent can continue while their children hams quatity ca~a and education. 1`his yc~unc~ par~rtts to ~c3s~k at -their alls~~rs the unemployed to seek v~rk, and pursue ~C ~#I ~ ICI ~Cil~is Int. r°~ili~ ~t-Ii~~ r~~~t training. and edtaoationar opporternities. rt unburdens sibrings, order reratives, and others a.antrained ire carry ohldhood education of the responsibirity ofi pr®~idir~g o~s~ to young oh'sBdr~~. ~`he rc~ rare ~ Na ~Leirci stafif does iraforrnation and refierral in era~proya~aent, flood grad sh~iter ser°a~ioes, darning diffitourties and disabirities, grad contBiot ~ituatro~~. `r°his is done ore an infior°a~aar, one on one basis; in a rra®ratorargg, order' sister caria~ag atanty fiashion; as werr as rraore fio~nal refierrars. C3fiten, you parents don't rearize that it is a sooiar service they era aoteaarry re~sei~ing firoa~ our staff. ~ra°ae~enoy sohorarshiplt~sition assistarac lops ohirdren ire ~hoor a the extender day progr~ where parents can~aot a#Ford to pay rraonthry ~hoor firms due to loss 4ayo the deoi~ion to aotti~rate assistance is ba on discussion witty parents) Arad student~s~ grad made, with no decays, by teacher ire consurtatiora with the tching staff. prior to Septera~t 11, ~~eera pe~erat-ofi our fia~iries affected by terraporar~r fob toss and rayon. since th~~a, that numb~sr has to n~a~ry thirty percent. 4iawaii ~ouraty ss~pport ofi this profit wirr enabre these ser~oices to ce~ntint~e to ~aeet then s ofi the c~o~~aesr~ity. rra addition, bounty wirr arrow rya ~ar~ ~ a rC~iki to apt sta$dents up to ou~° rit~ns oapaaty ofi thirty-two (32) sttaderats grad increase Derr sfi~ng by two. t r~dget aa~~ ~o~ ' Coernf fiot ~~o ra a~ 16?'S0.®~3 ~a°o rrt ~os~ ~ou~ ~ t ~ ~Q.O~ 'dot B~~sio~ ~~~r ~ ~roga 4 tv: (T'a~lcs ot° ~ f® be eles~ec! in af!-fie , ar>~ s~~le tar~t~ and ~hafi a h~vable w!tl~i~ a ~peca ~~e fra~se. ilea nu~~ and haa~ a!! objec!laoa~s ~eg~ ~~h ~ ark.) 1) assist toyed and job king parents. 2) provide Haigh #utionar services to ctairdren ofi at-risk fiaa~iries. 3) a~n4ain a rearrairag environrraent arraocas~ err students. 4) make ed~oatioraai services a~airabr~ into the rate a~ernnoon. 5) rr~~reas~ orr~trairaed stafifi to rrtieat the needs ofi increased enrorr~aent, as rer~uir by raw. p'ro~vide enaeency ~r'E~r~r shiplt~,riti®ri ~i~t~n t0 ~t-r[Sk fi~rYBiri~~. T) F~rovid~a rraeratorirag, and infiorrraationlrerrar services. ~C~ ~l ~ !V ~~iki, 1 ~c. ~l~i~-~~~~~k ~~j t pr~grar~ 8~ih~igf~~s: (Acs:o~a~SBeshr~erats f~rrt the p~~ari®ces ~~o~~ year ~leas~ ?~urrtb~r ~raa~ b~gEri ~l~ ~fgh0~gl~ts ~vath a ~e~.} 1) ~uif 11 ~ou~ty and state regulati®ns affting prh®ol lising ar~d operations, and operged pr~sch®ol in t~vo ~r~ths, in a ~t~munity ~rhere most t`arrrclies arcs at risk. 2) ~mplated ot~ry°ioula~~ and physical layout and ~~rip~nt a~quisiticsns prior t® apening. 3) C~pe~d presch~l ire r 2000 with initial enrol#ment o~ sight. ~emaine ®pen ~~-ring holidays to rr~~et the nerds those ~e serge, 5) ~btaid i~~ 5€~1~0)(3) no~a•pre~fi~t statue, 6) l~rsaroided sever€ r~, $~ail ter pad-time 6ooal jabs. 7) S~°laltl t graduation ceremony of ten studar~ts, Jane 2001 8) an first summer sa~siort i~ dune 2001. 9) ~ondud ~t ~ trip to Papa® ~o®, an intergeraee'ati®nal e~ent~ 10) initiated thr ~urtdrais to supplement tcaitic3n payments in orde~° to of~r scholarsh~ps~uitior~ assistance. 11) (~r~d schc~larsl~ip~ttaiti~a assistance to t #arnilies. 12) carted ser~eices to ~arniiias at l~isl~ beginning ptecmber 11, 2001. ~Y 2~1 2~-fl2 ~Y 223 ~~#~aai ~t~ ~a Total ~nr®limt 18 28 2 Students e~troll~d 2:30=5:30 8 11 15 t~lrop out decreased attean~ 1 8 0 hogs d~ #o 'o loss ~an'tiiies on s~l'to~rshi Pt~sition asst. 2 8 12 pr+~gra ~xpend~ ~4aU~0~ 2Qti~~?2 2E3023 ~~tt~ai laud stt~ salaries-.and ~Va s 7722.00 12000.00 18000.3 l~r~~~ssnal o.®~ o. o0 0. ~ i aa~erat 282.00450.00 750.E ~tl~r~ `fatal 7884.00 1250.00 18750.Oi~ ~r~i~ ~~i~~ r~j~~t ~r~g~ ~ur~di~a~ ~~rc~~ (L~s~ ~1~ ~®ue~~~ ~f ~uradirt~, ~rr~9trdin~ sif~ ~~nt~, fu~adi,~n~ ~v~r~~s, ~t~'~ilei~ ~®ttr~~ ~ ~ °t~0~ ~00~ ~ 1`uifS~#1 69.00 1150.00 X250.00 ~~~~I~~a~dr~rs~r~ 1000.00 1000.00 '000.0 C~~ 0.00 ®.00 7500.00 fic~~ 79.00 12A~50.00 197 aO.Ofl I~ I~~~ ~ Iwo ~GIi, I n~. (w~} hive r~~d mad ~rad~r~tc~d Ott the ~ligibitity rt~q~air~nt~, g~~# cca~diti~~~; ~~rd der; ~~d rrd~, r~p~rting end fist ~tsrst~bitity ra,~ir~rnt~ ~ m€~t ire ~z`t+~l~ 25, S~ti~~ ~-135 ~-142,2, I~~i`i ~~~~ty Cead~, r~t~#i~g ~ppr~pri~ti~ F~ t~ [V~prt~fit t3rg~~i#i~. I h~r~by r$ifjr #I# ir~f®rr~ati~~t ~o~ppti~d h~r~i~ including ~!t ~~pp~rti~g d~usa°a~r~t~ i~ err end #hh~t t (vim} h~v~ #h~ Guth®rity end ~bitity t® futiy ~dr~ini~t~r the prc~gr~rng~) pc~r~u~nt try taw. I und~r~t~nd that in#ts supplied hen ~h~tl b~ rn public ~rdir~g t® ~h~pt~' 92~, ~l~~i`i ®~i~d ~t~ta~t~~. ~ a~ ~ C~~. ~ign~ ~ Ord ~ ~tt9~hair tt~ , _ I ~ ~gnatu ~ ~ti~~ ~irt~r ~~t Kapi'olani 9~edic~l enter For Wol°nen & Children Kapi'olani Chid protection Center-West FlaWaii fiitle li/--West l~ll Co~~selin ~ Supportive Living l~ro~eot Agency ®irector: Mary Jo Westmoreland (KCPC HI branch Administrator) Willow Morton (VP, Hospital Operations) ~llaiiing ,Address: Kapi'olani Health Research Institute (ATTN: uric Poff) 55 Merchant Street - 27~' Floor Honolulu, HI 96813 FacilityfSite Address: `74-5599 Luhia Street - #F-7 Kailua-Kona, HI 96740 Phone Number: 329-4020 1=ax Number: 329-8628 ~rnail Address: cptwh@pixi.com Arr~®unt I€~equest f®r C®uret~ funds: $20,000 Prior Year Funding: 99m00 OQ~1 01=02 . $8,595 $10,500 $16,000 Agency IVlission Statement: The Mission ®f The Kapi'olani Child Protection Center Is To Protect Children And Strengthen Families Pr®grarn ~escripti®n: (Please. briefly describe fhe prog+rarn for ~rhich you are seeking funa'ing) The Title IV-~ Counseling and Supportive Living Project provides counseling, service linkage, educational and supportive services to assist West Hawai€ families at risk of child abuse and neglect. ~'riority fog services is given to families at risk due to substance abuse (80®f® of referrals). The,program is primarily funded through a I°ederal Crant and requires matching funds from the State and from the provider. T®tal Budget and ~®siti®n Count °rotal fro ram dud et $343,000 T®tal Pro rare Position Count 10 T®tai ~ enc dud et $724,954 ~'®tal A enc Position Court 13 ~api'®lar~i 1101~di~al C~r~t~r F®r W®mer~ ~ Childr~~ ~C~i'~lai Child ~r®t~ctic~ll C~nt~r-101/est ~lawaii ~itl~ IV-®W~st ICI C~ns~lin 8~ ~upp~rtive Livir~~ ~r®j~~t l~r®gram objectives: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) 1) Improve child safety by reducing abuse/neglect risk factors 2) Improve child safety by increasing child protective factors ~r~grarn ~lighlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) i~rovided services to 162 families - 306 adults and 426 children. 2) Achieved - 79°/® of families senoed completed all services. 3) Achieved - 80°/® of families mho completed services reduced their GA/N risks. 4) Achieved - 82.6% of families served had no ne~v CI'S report during services. 5) Achieved - 94.9°B® of families vrho completed services had no nevi Gl'S report ~rithin 6 months after case closure. 6) Achieved - 73.9°/® of clients with substance abuse problems got involved and remained active in a substance abuse recovery program. PerF®rma~ce Measures (Quanti~ab/e indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) FY 2000-01 FY 2001-02 FY 200203 ~ct~al dud et sf€ate Families eci~€ ~se~s~ent~ X05 ~I6~ _ ~ `5 Far~iiies I~eceivin Service ~oord X62 160 1~5 Families €~eceivin Counselin 97 125 138 Families ~teceivin l~ducation Svcs 30 70 ~7 Individuals Rec°vn Sts `rive Livin 2 4 4 Individuals ~eceivin l~ilentorin NIA 10 10 Fam voo/r~~ r~evt CPS l? t burin Svc 82,6%® 85% 85% Fam yr/r~~s new ~I~S ~ t-6 mo ~U 94.9% 85% 85% Fam w/ro neon€ CIS l~ ta1Yr FU N/A 85% 85°/® Fern w/reduced risks to child 80% 85% 85°/® Fern v~r/increased rotection of child N/A 85% 85% Fam vwi~hild Safe Plan closure 65.3°/® 85°/® 85% Ab®ve are ®utc~s~e measures re uire~d b State ~ont~ct Kapi'®I~ni Medical Center ~®r W®rria?n ~ Childr~~ ~api'Olei Child ~r®tectiOn Center-West I~aWaii ~°itle IV--1Nest 0~1 CO~nselin ~ Supportive Living I~r®~ect Pr®gra~ ~xpenditt~res ~Y 2000-01 i~r 2001 ~02 ~Y 2002-03 Actua! dud e~ ~sti~a~~ Salaries and Wa es $172,712 $249,420 $56,101 Professi€~na! i'ees#~ $22,848 $29,451 $30,382 O erati~ns $35,245 $34,597 $34,897 ~ ui -runt $23,882 $3,250 $3,250 Other* $30,233 $16,912 $17,87 fi®tat $284,920 $333,630 $43,000 *PBease explain in detail on separate sheet ~r~grarn ~undi~~ s®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) ~even~e s®urce iFY 2000-01 ~Y 2001 m02 ~Y 2002-03 A~#~e~i dud et ~~~ate ~"iti~ ~v- Or~~ $~~4,862 ~301,~3€30 ~ ~,0€~~ i-isuW $5,0®® $7,0®0 $7,000 s°iiuW Oar ®ver $3,315 $1,765 HIt~W s. ecia@ Grant $15,825 Chari laiiC $5,000 $5,000 iii C®un Grant $10,500 $16,000 X20,000 ®orgati~ns $3,668 ~®natiorts Carried Over $3,250 Reserve $4,615 1`®tal $288,170 $333,630 $343,000 Kepi'oleni Nledicel ~eHter imor Women ~ children l~api'oial~i child l~~°otection ~eHter-Weet l~~vvai~ 1°itle i~-~Weet l°°lB ~o~l~~elin ~ Supportive Luring l~roje~t *®ther ~acperaditures ~Y 2000m01 ~Y 2001®02 ~Y 2002=03 Ac#uaE dud et Eestir~ate Renovations $12,282 Contr°ct=d Client Svcs $17,303 $14,912 $16,670 Com afar Services $648 $2,000 $1,200 fi®taE $30,323 $16,912 $17,870 *Please exp/aln in detail on separate sheet Renovations related to moving to a new office -included purchase and installation of carpet and tile, electrical work, construction and installation of countertops, and other miscellaneous moving eacpenses. Contracted Client Services includes fees paid to contracted professionals and other agencies €or direct client services such as counseling, supportive living, parenting education, etc. Computer Services includes payments to contracted providers for maintenance of computer network and maintenance of program database. In OOb01 networking costs are included in equipment as new computers were purchased and new network- set up. All insurance costs are included in professional fees rather than operations as they are included in the administrative fee charged by Kapi'olani NBedical Center. I~~pi'ol~ni I~/I~dical Center for Womor~ ~ Childr~r~ I~api'oleni Child protection Center~West Hav~~ii title IV~~WeSt I'°°II Co~r~seli~g ~ supportive Diving ~ro~ect (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fscal accountability requirements as mandated in article 25, Sections 2-135 ~ 2-142.2, Hawaii County Code, relating to Appropria#ion of Funds to Nonprofit ®rgani~ations. (we) hereby certify that information supplied herein including a!! supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to lavm. (we) understand that information supplied herein shall be made public according to Chapter 921=, Hawaii devised Statutes. ~~~~~0~ Signature of Soard PresidentBChair ®ate (Vice I~resident, Hospital Operations) /~~/d.~- Sig a re of xecutive [director Date (IE Hawaii Sranch Administrator) ~NSi(~N~ ~'~o~oSAl-S WIf~L lV®?` ~ ACC~I~T~~4 K®N~ ~~~JL,T ®AY C~N~~I~, INC. ADULT DAY CARE Agency ®irect®r: Rowena L. Tiqui IVlailing ,oAd~lress: ~ O Sox 1360 Kealakekua f~l 96750 1=aciBityiSite Address: 81-989 Halekii Street Kealakekua h61 96750 ~h®ne dumber: 322-7977 fax Rlumber: 322-0614 email Address: NIA .Am®unt ®f Rega~est f®r C®unty faands: $20,000 Pri®r Year ~uncling: 99-00 OOm01 01=02 ~1~4,325 $15,000 $15,000 Agency l~issi®n S$atervaent: "Our mission is to provide health, social and recreational programs and activities that enable impaired adults to experience feelings of belonging, friendship, acceptance, accomplishment and independence in a caring and secure environment". I~r®gram ~3escripti®n: (P{ease briefly describe the program for which you are seeking funding) Adult day care is viewed as a promising long-term care option because it provides regular and reliable respite to informal caregivers, while it fosters their continued participation in the workforce. t'ersons eligible for Kona Adult Day Center services are those adults 18 years and above, but particularly those 60 years and older, having either a physical or a cognitive disability, requiring supportive care. These are persons with Alzheimer's diseases, dementia or other related memory disorder, those with physical disabilities, such as stroke, 1 KC~N,~ A~l1LT~ ~~4Y C~N~~I~, INC. ADULT DAY CARE Parkinson's disease, multiple sclerosis those who are socially isolated. Day care provides a less restrictive setting and a more cost-effective program than other types of care, such as home nursing or institutionalization. T®tai budget and P®siti®n C®sunt T®ta! Program ~sudget 31 ~,~47 °~®tall Pr®gram P®siti®sn C®ur$t 8 Total agency ~aadget 360,839 T®ta6 Agency P®sitioar~ Count 8 Program Objectives: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable tNithin a specific time frame. please number and have all objectives begin smith a verb.) 1) ~?rogram Goals fior the Individual a. T'he client will be able to associate with a place and a group corresponding to his or her own sense of identity. b. The client's maximum level of independence will be assessed and maintained through the individual program planning. c. Mentally and physically impaired adults will be maintained at their highest lave! of functioning, thus preventing or delaying further deterioration. d. Health monitoring as well as protective and supportive care for the frail and disabled adults will be included in care planning and SerVICeS. e. The participant's knowledge of and access to elderly services available in the community will facilitate. f. Premature or inappropriate institutionalization in a nursing home or hospital will be prevented. g. Socializing, peer interaction and continued relationship with the community wil! be ensured. h. Isolation and prejudice often associated with frail and disabled adults will be reduced. 2) Program Goals for Families and Other Caregivers a. Families that desire to keep elderly members in the home will be given relief from full-time care of an impaired adult. b. family members will be enabled to continue productive careers instead of being homebound with an elderly, disabled souse, parent or other family member. 2 AI~~JI.T DAY Ct c. families and other carsgiv®rs will be assured that eiders dependant upon them are being cared for appropriately during the day. 3) l~roaram Coals for ~'ar~ila'~ and ®thsr Care lusts a. ~n integral component of the community service nstverork and of the longmterrn care eontinuum will be made available to the Ul9est Na~ooasi cornrnunity. b. The medical community and other resources state~nrids ~i## be provided a liaison in the geriatrics, especially Al~heirner's disease and other related disorders. ®uring the initial assessment of each participant, an individual plan of cars is developed. fihis plan of cars, approved by the client's personal physician is shared t~+ith -the participant's family and is updated on a six-month basis. The individual plan of cars clearly dunes the goals planned for the participant. ~ individual plan of cars mill s how the objectiv®s are to be carried out, uvili ov each objective and will record the results of each step. ~i'imelins a. Int ke and Assessment: The executive director and nursing coordinator receive referrals from various sources (hospital discharge planner, physicians, home health agencies, l~lursing I~lome ~9ithout ~Ualis, Public Health NursingBCase ~Blanagernent Coordination pro~sct, families, ®epartment of Duman Resources case v~orker, Coordinated Services for the elderly and others). Ths intake assessment processed include ascertaining pertinent information for social and medical assessments, baseline survey for caregiver burden, physician history and physical, determination of appropriateness fear dad cars services, and home, hospital, or office visit avith the client and family. o Assessment Heads result yvith the formulation of a plan of cars before enrollment. The cars plan e~tilB include the Head to coordinate other agsncylcommunity services to mast the identified nerds of the client. o Nursing coordinator must receive T~ clearance, history and physics! report from the cGsnt's physician before client enrollment. 3 c o After completion on intake paperwork by client, family, physician and appropriate resources, client is admitted to I b. lies itell/acatio A client's position may remain open during a period not #o exceed ten (10} consecutive days for vacation or if tl~e caregiver in need of respite should arrange care for the client at another location. c. Dischare-. , Discharge is based on the broad goals of the client, family or refers! source and in most Cases, will b included in the individual's care plan. VVhen discharge is anticipated or err~inent, the nursing Coordinator and Case manager will implement the discharge plan. Discharges are frequently infiuenCed ley a Change in the status the Client, in the. s®ciaUt~Ome supp®rt system ®r in the prit~ary Caregiver's ability to Continue to provide- for the needs of the client. Discharge procedures include, at a minimum; a discharge summary including reCOmmendations for Continued cares referrals to Community service agencies, Care homes, institutions and the like; ans~ a follow-up or letter by the lCA®C ~tcecutive Director on the Client's status one month or sooner after discharge. l~~®gra Htg#~ltgt~ts: (Accca~,olishr»srtfs ~r®rrt fhe previ®ces f~s~l year: Please nurnbe~ and begirt aAl high/ighfs o~oiAh a sae~b.) 1) Maintained 9®°~6 of participants at home for a minimum of ~ months with adult Care services. 2) Maintained or improved soCialization/infraction skills of participants by °eb. 3} Maintained or improved hygiene/self Care of participants by 90°~. 4) ~uraeeyed Caregivers. g5% of caregivers who responded, expressed satisfaction with Kona Adult Day Center. 90% of caregivers responded. 5) glad intergenerationaB interaction activities. K®N~, ~~IJLfi SAY C~NT`~R, INC. ADULT DAY CARE ~er~®rrr'anc~ ~eas~res (C~uantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) ~Y 2000-01 FY 2001 ~02 ~Y 2002Q03 eActaaa! budget sti€ttate New clients served 30 35 40 ~r®graa~ expenditures ii~r 2000=01 ~Y 2001=02 ~Y 2002-03 actual budget estimate Salaries and Wages 119,183 134,743 138,75 Professional i*ees 37,912 45,818 45,818 Operations 164,734 128,975 132,844 i=quipment Other* ~®tal 321,829 309,536 317,447 *Pdease explain in detail on separate sheet 5 K®N~ e~®UL~T UAY C~N1°~I~, INC. ADULT DAY CARE Pr®gram Parading S®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) l2evenu~ ~®urce FY 2000~D1 FY 200182 FY .2002x03 Actua! ~utige4 ~stirraa#~ DHS Pos 26,542 27,941 27,941 DHS RlHWW 32,565 37,488 38,000 Teresa Hughes Grant 3,750 3,692 5,000 Mae Templeton Hopper 15,552 15552 15552 Gwenfiread Allen Trust 3,000 3,000 West Hawaii Council (Tat) 34,980 23,948 30,000 Fundraisers 37,251 18,587 17,375 Tuition 123,552 126,880 127,000 Intake/Traps/'~athsll=eeding 18,560 24,466 25,000 Theodore A Vierra Fund 5,000 Interest Income 3,117 406 600 Hawaii Island United Way 17,000 15,000 15,000 County Gt Hawaii 15,000 15,000 15,OOfl Inkind NlealsTTransport. 24,792 24,803 25,000 Food Program 8,178 15,493 16,00 T®tal 360,839 352,256 365,548 6 ~c ~~v~~, inc. ~D#JI.,T DAY CAt~ I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as rr~aradated in article 25, Sections 2-135 ~-142.2, ~lawai`i County-Code, relating to appropriation of funds to Nonprofit ®rgani~ations. (we) hereby certify that infornna#ion supplied herein including all supporting documents is correct and that I (eve) have the authority and ability to fully administer the program(s) pursuant to law. (we) understand that information supplied herein shall be made public according to Chapter g2', I~awai`i F2evised Statutes. Signature of hoard l~residen Chair ®a#e I Signata~r of acs~ca a Cir r ®at 7 I~~N~ SRC/K®NA K1~~40aTS (C~F~°fi~IN C~~~ ~~IViICILLIAI~Y ~®I~l~) Agency ®irector: Gretchen Lawson ~8laiiing Address: PO Sox 127 Kealakekuea, MI 96750 FaciiitylSite Address: 81-1092 Konawaena School FZd. iPh®ne ~4urnber: 323-2626 Fax Nurvoi~er: 323-9444 ~maii Address: gretchen@konakrafts.org Am®unt of Request #®r County funds: $24,449.00 PrB®r Year Funding: 9900 00-01 01-02 $11,460.00 $15, 000.00 $17,000.00 Agency I~issi®n Statement: Kona Krafts is a private non-profit organization for persons with disabilities, their advocates and fiamilies. V1/e believe that people with disabilities are as individual in their ?seeds, abilities and gifts as any other cross section of society. Prograrn ~escripti®n: (Please briefly describe the program for which you are seeking funding) Kona ARC/Kong Krafits operates a 'Domicilliary Mome' licensed for 5 residents identified as C®/fVIIR by the State of Hawaii and considered low-income by Mousing and Urban development. the residents each pay rent and also program flees that cover a portion of their living expenses. These fees equal the total received by the individual from Social Security plus Supplemental Sate Insurance ($1,033/month) However, the amount of money received by Kona Krafts to provide the housing, food, transportation and other maintenance costs for the vehicle and building plus the staff salaries for supervisor for 18 hours a day Monday through Friday and 24 hours a day Saturday and Sunday cover only 52 % of-the actual cost. Money received via the County of Mawii's Non-Profit Grant program helps make up some of that deficit. Specifcally, the $24,449.00 request-would be spent to enhance service delivery by paying costs associated with transportation and 40% of the personnel costs for one staff person needed for full time supervisor. ~®tall budget arc! P®siti®n C®unt °fotal{ Pr®grarn budget $125,000 T'®ta3 IProgram P®sition Count 3 ~®tall Agency budget $1,119,859.00 ~otai Agency IP®siti®n Count 42 ~c~sv~ ~~cel~®l~l~ ~cl~~Ts (C~PT~I ~~~K ~~~!!~~lLLlAl~Y B~~l~~) Program ®bj~ctives: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specifec time frame. Please number and have al! objectives begin with a verb.) 1) Provide a safe, healthy and supportive environment for living 2~ hours per day, 365 days a year from ,1~aly 1, 2002 to ,dune 30, 2003 2) Insure adeguate tr-ansportatiors that ailows access to community events and resources a minimum of twice weekly throughout the program year (7102-103) 3) Insure transporation and supervision that guarantees each resident will keep medical appointments on an as-needed or quarterBy basis. Assist each resident to complete their home activities and community plans ongoing Throughout the program year. 5) Provide needed supports for interacting with each other appropiately within the home and in the community; daily throughout the program year. Pr®grarr~ hiiigh~iigh#s: (Accomplishments from the previous fiscal year: Please number and begin all highlights with a verb.) 1) Utilized Kona Krafts transportation and supports so that they could participate in community activities by: 1) Attending one practice session and all tournament events with Special Olympics and 2) going to the theater or other social event oncE: per weekend. 2) Utilized- Kona Itrafts transportation and supervision that allows each resident to Keep all medical appointments made on their behalf by Group Home supervisors. 3) IVlaintained their home by completing chores assigned to them for the general maintenance and cleanliness of the facility. Five residents had opportunity to assist with cooking the meals according to their individ~aa! level of skill and cooperative behaviors. Cooperated with ail interventions designed to reduce negative behaviors. 5) Worked hard to accomplish the goals listed in their individualized plans. ~I~C~I~®I~~ (C~~'T~~B~ C~~I~ ~~MICILLI~RY 1~~1~9~) leas~~~s (Quantifeable indicators of public and consumer benefits from your program's actions, ~r~d/or tl~e numlaer of goods or services your program produces.) PY 200001 PY 2001 w02 ~Y 200203 AcfuaE dud et E~fimate Provide a safe, secure and healthy 5X365 days 1,825 days 1,825 days home for Elva ~3C/Br~R residents 365 1,825 days da s a ear Transport and provide supports to 5 tea X47 94 94 residents to enable them to attend weeks ~ 94 transports Special Olympics activities twice times er week. !Haute transport and supervision for 5 residents 23 27 medical app®'':ntments each quarter X I per quarter as needed - 27 Transport and supervise residents ~42 days ~7 days ~7 days so that they are able to enjoy socislfreoreational activities once er week Assist 5 residents with home chores 5 resident X ~80* 520 a. Complete personal clothes 2 jobs per wash€r~g 1 time per week peer week X 52 *due to person weeks = 520 nature of b. Complete personal room jobs desability clew€ng once per week per there are person times when c. Rotating to a different resident residents each-week: refuse, or 1) dishes after dinner have too 2) cleaning bathrooms many 3) cleaning common areas distractions 4) assist with meal preparation to work at 5) sweeping kitchen home 6 cleanin ara a area Assist each resident to progress in 60; 3 goals 60 60 their individual plans times 5 resident times 4 uarters Provide behaviors! supports as As needed 52 times 52 treaded. 25 times; (based on 1 /week ~~~l~ ~~C/KC~N~ KRAUTS (CA~l~~il~ CC~£~K ~3~M~~~~LIARY ~C~M~) Pr®c~ra~ I~xpenditt~res I°lf 2000-01 F'Y 2001 ~02 ;FY 200233 ~,c#~al dud e# s#ia#~ Salaries and Wa es 58,907 77,865 80,000 Professio€~al 1=ees O ra#+or~s 42,429 41,315 45,000 E ui rraer~t C~fiher* T'ota~ 101, 336 119,190 125, 000, *P/ease explain in detail on separate sheet Pros~cam Ina~nd3ra~ Sources (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) seven So~rcc FY 2000n01 F'Y 2001 ~02 ~Y 2002P03 ,Act€€a! dud e# ~s#i!a#o Court cif Navvai~ 15,000 17,000 24,449 Cliea~ l=ees 38,970 46,902 48,0£30 Tera~af ~er# 21,392 13,860 15,00 Federal Funds 24,100 27,729 31,334 T'®#a~ 99,462 105,491 118,783* * X6,217:00 cleiflci# ~~C/K®#~~ Kf~AFTS (C~P~A,# ~~#~ILL#~RY H~#~) (we) have read and understood all of the eligibility requirements; grant conditions; award proved-ores; and records, reporting and fiscal accountability requirements as mandated ire }article 25, Sections 2-135 ~ 2-142.2; I--lawai`i County Code, relating to appropriation of Funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. ' I (we) understand that information supplied herein shall be made public according to Chapter 92F, Flawai`i devised Statutes. Signature of Soard ~'resider}t/Chair Date Si store of ~xecutiv irector Date l#~St~I~D ~R®Ik~OS~~S SILL N®1' e~CC~1PT~®! KON/~ LIT~I~l~CY COUNCIL (Click here and enter agency Name) (Click horn and enter program Name) I~ONA LITERACY COUNCIL Agency ®irector: Ruth Lair Mailing Address: 75-5766 Kuakini Hwy. #706 Facility/Site Address: 75-5766 Kuakini Hwy. #106 Phone Number: 808 329-1180 Fax Number: same Email Address: konalit@msn.com Amount of bequest for County funds: $3,000 Prior Year Funding: 99-00 00-01 01=02 $1,910 $2,500 $2,500 Agency Mission Statement: The Kona Literacy Council's voluntary tutors help any adult increase their basic reading, writing and communication skills to enable the learners to become better family members, workers, community members and lifelong learners. Program Description: (Please briefly describe the program for which you are seeking funding) `fhe Kona Literacy Council's trained volunteer tutors provide free, one-to-one, small group, and computer-assisted literacy services at the Kailua Learning Center to any adult who wants to improve their basic reading, writing, computation skills and computer literacy. Special programs designed to meet the specific needs of the learners are offered, such as: English as a Second Language, preparaton for passing the GED or Competency Based High School I~QN~ LI~'ICY ~®~NCI~ (Click hers end ~r~t~r oq~l~cy ~~rln~) (Click h~r~ end ~nt~r l~rogra~ IVarr~~) ®iplort~ta, citizenship preparation, assistance in passing the driver°s license test, keyboarding and corr;paate~ literacy, and family literacy projects. AIB tutoring is at no cost: to the student. All of the 492 students, vvho have had !assorts at the ICailua Learning Center since it opened in September 1992, have rrtade rerrtarkable progress in their basic skills; sorrte have gained their High School equivalency ~iplorrta, and others have g®tten better jobs. heading improves the adults' self esteerra thereby irt~provirtg their lives and they becorrte better farrtily rvtennbers, workers and corrtmunity merrtbers. ~iT°~f~AC1f C~l~NCi~ fi®ta! ~tiget anti Posits®n C®unt T`®tal Prog~rrt budget X6,300 7°®tai Pr®g~m P®si#i®e~ C®~nt 18 voltante ers T®ta! agency t~dget Same ~®tai Agency P®siti®n Cote sar~ne _ _ K®~~ ~I~T~Y ~®l1N~IL (lick h~r~ and ~~ter ~~r~Cy Name (~Gck h~r~ aid ~I1~er ~ragrann Narrd~) program ®bjectives: (asks or' projects to be accomplished in specific, weld-defined, and meascrrable terms and that are achievable within a specific tinge frame. Please number and have all objectives begin with a verb.) 1) Continue to provide free one-to-one, small group and computer-assisted' literacy services at the I~ailua Learning Center to any adult who wants to improaoe their basic reading, writing, computation and computer literacy skills. 2) register, schedual, match learner with tutor, and prepare programs for 25 new students for the year. 3) Con#inue recruiting and training new tutors at the twelve hour tutor training ~v®rkshop. 4) Continue networking with community agenc'ses to provide free literacy assistance to their clients, i.e. i~epartment of Human Services, Ceparfiment of Labor ~ industrial relations, tCona Community School for Adults, Vocational rehabilitation, Sridgehouse, Alternatives to Violence, court ordered participants, Family Support Services of Vl/est Hawau, Hawaii Community College and the public libraries. 5) Gffer pre-employment skills, heap in filling out application forms, resume writing and interviea~s skills t®enable our learners to ge# and hold jobs. 6) Improve family literacy services. 7) Delp f®reign born learners with their communication skills and assist them in passing their citizenship-test. 8) Empower adults to become contributing members of our community by ensuring that everyone increases their literacy skills ahd becomes lifelong learners. 9) publish a quarterly newsletter. 10) Hold general membership and public meetings quarterly. 11) Continue ~nrriting gran#s, pursuing fund raising functions, and seeking donations to keep open the doors of the Kaiiua Learning Center. I~r+~gram Fddgt~dig#~ts: (Accomplishrreents from the previous fiscal year. Please number and begin all highlights with a verb.) Adl statistics are from the Annual Council report, June1, 2000 ~ iVlay 31, 2000 prepared for Laubach Literacy Action. 1. fiutored 39 basic literacy students. 2. registered 2g of the above as new students. 3. fiutored 16 in reading and writing, 0 math, 2 GE®, 12 computer-based instruction. ~4. fiutored 16 ~ngiish as a Second Language students. K®l~~ I~I~ICY C®UNCIL (Click h~ra and enter ~ncy IVarne) (Click here and enter f~rral~ IVarrte) 5. Registered 12 of a above as nevv students. 6. Le#t the program and attained employment: ~ students. 7. gassed the citizenship test: 3 students. 8. entered other educational programs: 2 Students. 9. i*et goals: 7 students. 10. l~tili~ed 23 volunteer tutors 11. Tutored 650 how's of basic literacy. 12. Tutored 108 hours of ~ngfsh as a Second Language. 13. Tutored 33 hours of tvaath. 14. Contributed 851 hours by volunteers in other areas. 15. Trained 10 nest volunteer tutors at one Laubach Tutor Training ~forkshop. 16. l~aAoved l<ailua Learning Center to a less expensive location. 17. Meld o t~neice-v~eekly ~ngiish as a Second Language classes that v~ere part of the !Cone Community School for Adults until dve moved to a smaller location. ~e~f®rm~nc~ ~aaure~ (C~uantible indicators of public and consumer benefits >frorr~ your prograrrr's actions, and6or t9~e number of goods or services your program produces.) ~ 200®-01 ~Y 2®01 s02 ~Y 2002-g3 A~ual et ttmate ~ `inter hem ~tu~e~ 2 10 ~ 0 Tram n~ tast~srs 10 8 `8 I~ubfash t~ervsletter 3 3 3 `Total students tutored 68 60 5~ Total tu~ori~ hours 758 700 700 Total ncan-tutorlra h®urs 851 800 600 K®NA LIfiI~~CY C®UNCIL (Click hers and ~nt~r Agency Name) (Click here and enter ~r®grar~ Narne) ~®N~ ~i~~CY COURICi~ ~r®~ram expenditures i~Y 2001 m01 fY 2001 a02 FY 2002Q03 ~ctuaa budget ~stia~~te Salaries and Wages 0 0 0 professional fees 0 355 500 Operations 14,205 17,293 5,000 moved to a less expensive facility ~quiprnent 0 375 400 ®ther*Insurance 400 400 400 T®tal 14,605 18,423 6,300 *P/ease explain in detail on separate sheet ~r®grarn standing S®urces (List al! s®urces of funding, including specific grants, fundraising events, etc. relating to the program only) ~eventae S®urce ~Y 2001 m01 lFY 2001 g02 IFY 2002-03 ~,cta~a! budget ~stiate County of }iavvaf'i 1,875 x;300 3,i3€~0 Savings Account Transfer 2,468 0 0 Wal-Marfi 1,200 100 200 Motel Charity Walk 1,500 2,500 1,500 Interest 60 100 50 Merribership Dues 65 100 100 Sook Sales 176 0 0 ®onations 5,610 7,000 4,000 Fundraising 0 1,000 500 T®tal 12,954 18,100 9,350 K~~ ~I~CY G~~JNGIL~ (Glick h~r~ ~n~ ~nt~r ~~l~cy N~m~~ 0 (Glick ~~r~ n~ ~nt~r ~rrarr~ iVarn~) ~~N~ c~ c~~NC~~ (vve) have read and understood all of the eligibility requirements; grant conditions; ward procedures; and records, reporting and fiscal accountability requirements as mandated in ~Orticle 25, Sections 2-135 - 2-1422, 6~avvai`i County Code, relating to appropriation of Funds to Nonprofit t~rganizations. {we) hereby certify that infor~vaation supplied herein including all supporting documents is correct and that I (ease) have the authority and ability to fully administer the program(s) pursuant to lair. (ewes) understand that information supplied herein shall be made public according to Chapter 92F, I"la~vai`i Revised Statutes. Signature of hoard p`residentlChair ?ate ~ n~ Signature of i°acecutive 13irector Cate tJNSIt~N ~l~~P~SALS VVIE,.tQ N~~ ~ ACC~P'tr:~! ~ea~~ Kc~kua Agency ®irect®r: Joanne Lundstrom ~lailir~g ~dstress: 1122 11m Avenue, Honolulu, HI 96816 Fae>liityi~tte A~la~ress: 75-5752 Alanoe Pl., Kailua-Kona, HI 96740 75-187 Alakai St., Kailua-Kona, HI 96740 140 ~Vainaku Avenue, Hilo, HI 96720 Ph®ne L'~urraber: 331-1468 Pax Ntarn~r: 331-1378 ~rr~ail A,~clress: konamhk@mentalhealthkokua.org Arnoa~rst Re~~sest fcr C®asnty f~.s~ds: $20,000 Prior Year Pundirag: 99~Q QtB~Q`9 0'i ~2 $13,370 X14,000 $15:,000 Agency Mission State~e~t: We believe that aH cstizens should have an opportunity to live and participate in and contri-bate to their communities. Through specially designed services, Mental Health Kokua helps those in Hav~raii vvho are in manta! distress, emotional crisis or recovering from serious mental illness achieve their optimum IeveB of recovergr and ability to function in the comma-pity. Pr®gram ~escripti®a~: (Please briefly describe the program for which you are seeking funding) Funding is requested for our crisis and transitional residential services. Our Kona crisis facility, the StabRlizing Urgent Residential Facility (SURF), offers community solutions for persons in crisis who need immediate clinical intervention and crisis stab°slization. Our transitional rehabilitation facility in Hilo is PATCH Place {formerly bale Lehua), and in bona, Hale Alanoe. Poth were opened to critical gaps in Hawaii County mental health services, providing ~~ait ~~kua esi~`~i~ :e~a~i~it~~i~s~ Sel~i~~s residential care and rehabilitation services for adu-its in Hawaii who are recovering from serious €~ental €llnesses. Mental t-iealth Kokua staff provide 24- hoursupervision and rehabilitation services with the goal to enable clients to move on to more independent housing. Clients are involved in developing their own residential service plan and goals. V1lhile in placement, clients are assisted in acquiring personal and social survival skills necessary for sustained community living. Staff provide training and support in daily living skills and medication management while facilitating social, educational and recreational activities in thy: community. CI'sents are also assisted in making connections to community resources including mental health centers, vocational training programs, and community housing agencies, as well as assistance with long- term cor~amunity placement. ' As community resources, these projects provide cost effective, humane alternatives- to institutional care and/or homelessness. Transitional bed day costs for FY 2002 are estimated at X72. Comparatively, a bed day in Milo I--lospital or Kona ~!®spital psychiatric unit costs in excess of X600. T®tal ~u€~get and ~®sati~an C®u~tt T®t~l t~r~ ram Luc! et 708,100 ~®tal Pr® rain IP®siti®rt Court 18 T®tal A Inc ~utf et 4,747,900 `fotat A enc ~®sits~n Cunt 107 Programs ~bgectives: (Tasks or pr®jects fo be accomplished in specific, ~rvell-defined, and measurable terms and lhaf are achievable within a specific time frame. Please number and have all ®bjectives begin Frith a verb.) 1) Provide residential and social rehabilitation services to 70 unduplicated persons with serious mental illness. 2) Completion of identified treatment plan goals upon discharge by at Beast 80% of clients served. 3) Reduce consumer psychiatric hospitalization by at least 90% 4) Ensure 100% compliance of Commission on Accreditation of Rehabilitation Eacglities ~CAR~) and other monitoring recommendations. 5) Show evidence of satisfaction with services received at 95% of consumers served 6) Improvement in daily living skill scores upon discharge in at least 90% of consumers served. 7) Place at least 90% of consumers served to more independent living settings following planned discharge. IPr®gram I°~'sghtights: (Accomplishments from the previous frscal year. Please number and begin all highlights avifh a verb.) 1) Provided transitional rehabilitation residential services in PY 2001 to twenty-two (22) unduplicated clients at PA~"CH Place and eighteen (1 S) unduplicated clients at I-iale Aianoe. 2) Provided a tote! of 7,505 bed days and 12,621 meals in FY 2001 ' 3) Purchased propert~;s and new furnishings for our Hilo transitional services, allowing-for expansion of the number of beds available fron~ eight to twelve. 4) Rented afour-bedroom duplex in Kona next to our HUD supported living residence, allowing for expansion of the number of beds available for transitional services in West I°iawaii from three to six. . l~er€®rmat~ce l'easa~res (Quantitoable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) Fl( 2000-01 ~Y 2001-OZ ~Y 20€~2e03 Victual ~e~d ~t ~~~i:ate Number o~ ~odo{~~ica~ co~~urne~s 4~ 60 7l served Percentage of consumers served 43% 75% 90°/® who were discharged to more inde endent livin settin s Number of consumers served 4 3 1 re uirin hos italization Percentage of consumer satisfied 95% 95% 100% with sear-ices ~~kua €~ros~ra ~x~er~t~~~c~res FY 2000x01 F`Y 2001 Q02 ~Y 2002.®03 ~ct~~i' dud ei` ~st~a~e Salaries :and 1lVa es 471,836 494,900 51.2,300 Professio~a# Fees 30,708 12,800 X9,300 O eraf:oos 154,300 179,200 166,500 F ui n~en~ 3,537 Oti~er* fi®ta! 660,381 686,900 708,100 *Please explain in detail on separate sheet iPro~ra~ ~t~ra~ir~~ ~o~rces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) irZeven~se Soasrce FY 2000-01 FY 2001-02 I ~Y 20:02-03 ~~t~a~ dud ~ J ~#i~~~ Co~€~~ ° o~ aa~i 14,000 ` 15;0€0 ~ X0,000 Fees ~ grants rrom Gov't A er~cies 50,318 570,700 50,3043 United Wa 41,000 30,000 30,000 Pro rarn Service Fee 47,041 71,200 77,800 Tryst & Fo€~ndation 25,183 Donation 37 fi®ta~ 627,579 686,900 708,100 ~~~i ~e~i#~ ~~ku~ ~~i~t~~ ~~~~~Ii#~~~~ ~ervic~s I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; sad records, reporting and fiscal accountability requsren~aents as mandated i€~ Article 25, Sections 2-135 _ 2-142.2, Hawaii County Code, relating to Appropriation of Funds to Rlonprofit Organizations. I (we) hereby certify that information supplied here'sn including all supporting documes~#s is correct and- that I (we) have the authority and ability to fully adm€niste€~ the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 92F, Hawaii Revised Statutes. % t ~ ~ ~ ~ Signature of a President/Chair Date i store of Executive Dhector Date U~9S~C~l'~ED ~ROROSA~S ~9/~LL.1~0~ ACC~~TE®! _ . ~ftic~ fir S®~ial N9ir~istry C~I-~-A-~/an Agency ®irect®r: Carol R. Ignacio, executive Director Mailing Address: 140-5 Holomua St., Kilo, I-ll 96720 ~acality/Site Address: 140-5 Holomua St., Flilo, I°°II 96720 and 75-5769 Alii Drive, Kailua-Kona, I°il 96740 Ph®ne dumber: 935-3050 i~ax !Number: 935-3794 ~rnai! Address: Cignacio@rcchawaii.org Arn®unt Request f®r C®unty funds: X35,000.00 Sri®r Year iaunding: 99Q00 00-01 01 a02 $33,425.00 $34,000.00 X29,000.00 Agency Miissi®n Statea~er~t: ~To meet fihe challenges of ever-changing community needs by utilizing spiritual, human and material resources to empower those in need to live with dignity and respect. ~r®gram Descripti®n: (Please briefly describe the program for which you are seeking funding) Care-A-Van is the only outreach program providing island-wide social and health services to unsheltered homeless individuals and families. Outreach workers travel to areas where homeless people reside (i.e. beaches, parks, and struts) and assist them with emergency needs such as food, clothing, blankets, towels, hygiene products, first aid and other essentials. Care-A-Van provides transportation for unsheltered individuals seeking medical care, substance abuse or mental health treatment, court hearings, employment and housing searches. ~f~i:?e f~l- ~®cial Ministry Car~_q-Van Care-A-Van receives weekly referrals from Adult Mental Health, Hilo Medical Center, local churches, crisis line, other community agencies and self referrals. The ultimate goal of Care-A-Van is to eliminate homelessness for these individuals and families by assisting them into stable housing situations. This goal is accomplished through passionate rapport building, provision of basic needs, intensive case management and follow-up services. T®tal budget and l~ositi®n C®eant `T®tal Program ~aadget 378,500.00 T®tai Program ~®siti®n Count 7 Total Agency ~dget 2,067,712.00 Total Agency Positi€sn Csar`ant 29 Program ®bje~ctiives: (Tasks or projects to be accomplished in specific, well-defrned, and measurable terms and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) 1) Place 100 unsheltered participants in emergency or transitional housing. 2) Place 125 unsheltered participants in permanent housing. 3) Place 30 unsheltered participants in drug and/or alcohol treatment. 4) Assist 800 unsheltered participants with accessing medical or dente! care. 5) Assist 80 unsheltered participants with accessing mental health treatment. 6) Provide case management services to 175 participants. Program l~iighlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Assisted 593 NEW homeless persons island-wide. 2) Helped 1,507 unduplicated homeless persons. 3) Helped 157 clients into emergency or transitional housing. Helped 180 clients into permanent housing. 5) Provided food supplies or referrals to 1,245 clients. 6) Provided supplies (i.e. clothing, blanket, shampoo, soap, toothbrush, toothpaste, deodorant, towel, school supplies) to 974 clients. 7) Assisted 35 clients access drug and alcoho! treatment. 8) Assisted 149 clients access mental health treatment. 9) Assisted 14 homeless mentally ill consumers with representative payee services. 10) Helped 1,118 homeless clients' access medical or dental services. Offi~e ~®r S®cial Ministry Care-~-Van 11) Coordinated Homelessness ,Awareness activities, including the Big Island Strategic Plan on Homelessness. Pe~f®r~ance Measures (Quantifaab/e indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) FY 2000m01 PY 2001=02 i~Y 2602-03 Actua! Budget st~~aa#e Clients who will be placed in 157 100 100 emergency or transitions! housing. Clients places! into permanent 180 125 125 housingfretained housing. Clients ~iaced in drug/alcohol 35 30 30 treafiment as a direct result of Care- ~-Van intervention. Clients v~ho will successfully access 1118 800 80 specific n•oedicalOdental care from the appropriate source. Clients who wiil success#ully access 149 80 80 mental health treatment/counseiing Clients vvho will participate in I®nga 257 175 175 term case management and life- skills case management through the CAV program (includes budget managenaent/skills, housing retention counseling). ~ffic~ for Social Ministry CaramA-Van Pr®gra~ expenditures FY 2000-01 FY 2001-02 FY 200203 Aotua! budget ~stirnate Salaries and Wages 290,399.61 246,785.00 249,909.00 Professional Fees 66,874.75 55,890.00 44,325.00 Operations 73,563.32 58,825.00 79,266.00 equipment 7,463.34 Other* 18,293.12 5,000.00 5,000.00 ~®tal 456,594.14 366,500.00 378,500.00 *Please explain in detail on separate sheet Pr®gram Funding s®urces (List al! sources of funding, including specific grants, fundraising events, etc. relating to the prograpn only) revenue S®uroe 2000x01 FY 2001 ~02 FY 200203 Actual budget ~sti~ate HC®CH 197,500.00 255,500.00 255,500.00 Waikiki Health Center 87,559.89 Adult Nlenta! Health 89,490.35 74,000.00 80,000.00 County of Hawaii 34,000.00 29,000.00 35,000.00 H I lJ W 1, 500.00 3, 000.00 3, 000.00 Presbyterian Church 5,000.00 5,000.00 5,000.00 HIUW (Homeward Sound Fund) 5,000.00 ®onation (Homeward Sound Fund) 4,848.00 CC~~C~ (Vehicles purchase fund) 50,000.00 ~`®~'AL 474,898.24 366,500.00 376,fi00.00 ®ffic~ for Social Il~inistry Caro®~-lOan fibs other costs in the Program expenditures comprise a special fund called Homeward found. These costs are matched with the donations and grants for this specific fund. All income for the Homeward found fund is restricted to cover these costs. 1-28-02; 10: 38AM , OFFICE FOR SOC. MIN. # 3 dare-~-Van ~~icc ~®cial I1~inistly I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fecal accountabiiity requirements as mandated in Article 25, Sections 2-135 ~ 2-142.2, Hawaii County Code, relating to Appropriation of Funds to Nonprofit ®rganizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 92F, Hawaii Devised Statutes. ~ Signature of Board President/Chair ate > > ~ Signature of 1=xecutive Dir c r Date UNSIGN~l3 ~RQP®SALS Vi~It.L. N®T° ACCE~7°~®! I I~avvaii Island food dank ~ffl'i~~ for social Ministry .Agency Direct®r: Carol R. Ignacio, Executive Director IVlailing ,Address: 140-5 H®lomua Street, Hilo, HI 96720 Facility/Site Address: Same as above l~h®ne I'~urrrber: (808) 935-3050 Fax Number: (808) 935-3794 Email Address: hbrien(c~rcchawaii.org, cignaciona,rcchawaii.org, nlee(a~rcchawaii.or~ Am®unt ®f request f®r D®unty funds: X35,000 Pri®r Year funding: '99-00 00-01 01-02 $28,650 $29,000 $29,000 o4gency ~Plissi®n Statement: To meet the challenges of ever-changing community needs by utilizing spiritual, human and material resources to empower those in need to live with dignity and respect. der®grarn Descripti®n: (Please briefBy describe fhe program for which you are seeking funding) The Hawaii Island Food Sank (HIES) serves the entire County of Hawaii through a three-fold mission through which we work to: 1) Prevent the waste of all edible food in Hawaii County; 2) Feed the hungry and food-insecure with this food; and 3) Educate the community about hunger and food insecurity and what we can do together to help respond to them. The a-IIFS is a resource for other approved, member, nonprofit organizations that have feeding programs that serve children, the ill, and the needy. The HIES rescues, sorts, and distributes goods through two warehouses on the island; over 1,000,000 pounds of food every year. ~av~/aii Island food Sank c~~fiica for Social IViinistry Total Budget and Posi#iort Count Total Program £~udget 523,761.00 Iota! Program Position-Count 6 Total ~t~~ncy Budget 2,067,712.00 Iota! agency Position Cocerat 29 Program ®bJectives: (Tasks or pr®%acts t® be acc®mplished in specific, well-defrned, and measurable terms and that are achievable within a specific time frame. Please number and have all ob%ectives begin with a verb.) 1) To rescue and sort over one million pounds of food and nonfood items. 2) To distribute over one million pounds of food and nonfood items to our approved, nonprofit member agencies that give out food boxes, meals, or snacks, to children, the ill, and the needy, as well as through our own Senior Srown Sag Program. 3) To provide educational presentations to schools, businesses, civic groups and clubs, at least one per month. Presentations will focus on why the food bank is needed and how it works in the County. Program 1-~ighlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Received and salvaged 1.77 millions pounds of goods from donors (Sig Island donors and the Hawaii Foodbank). 2) Distributed 1.~ million pounds of goods throughout Hawaii County via our island-wide network of nonprofit member agencies and the food bank's own Senior Brown Sag program. 111/oth this food, member agencies distribu#ed food boxes to 100,337 individuals (duplicated count); and served meals and snacks to over 56,000 individuals (duplicated count). 3) Educational presentations were made to over 20 groups ranging from schools, to civic groups, to fenders, to businesses and other nonproftt organizations, all of which were interested in the way the food bank-works and how they (the assorted organizations) could help. I~~vvaia Island I°®®d dank ~i~~ #Or ~®~Bal 1101inistry Perf®rrraance Measures (Quan$i~ab/e indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) ~Y 2000-01 ~Y 2001 g02 FY 2002m03 Actual budget st~~tate 1. Pounds of grocery items rescued, 1,770,000 1,000,000 1,~Qa,000 received, and sorted in Hawaii pounds pounds pounds County incoming poundage). 2. Pounds of grocery items 1,400,000 1,000,000 1,000,000 distributed throughout Hawaii pounds pounds pounds County. 3. Rlumber of seniors helped 200 200 225 through Senior Srown Sag seniors seniors seniors program. 4. iVa~mkser of presentations to be 16 12 12 given to .groups regarding ways to presentations presentations presentations help fight hunger. ~r®grar ~xg~enditures ~Y 2000x01 ~Y 2001 Q02 FY 2002x03 Actual 'Sus9get stl~tate Salaries. and Wages 218,430.83 208,418.00 229,61.00 Professional Fees 45,201.60 54,980.00 58,200.00 Operations 186,350.29 164,700.00 189,700.00_ Equipment Other* 61,017.96 45,900.00 46,400.00: ~`®tal 511,000.68 473,998.00 523,761.00 *Please explain in detail on separate- sheet Hav~/aii Island I°ood dank ~ff~o for ~oeial Ministry Igr®grar~ Funding S®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) I~ever~ue ~®urc~ FY 200001 PY 2001 ~02 FY 200203 Actual budget ~st~ate County of Hawaii 29,000.00 29,000.00 35,000.00 Sate o$ Hawaii (via t-lawaia Fo®dbank) 26,040.00 26,250.00 26,250.00 Grants Pius 2,600.00 EFSi~ (FPMA) 5,000.00 5,000.00- 7,000.00 HI UOIV 16,000.02 11,000.00 11,000.00 Havuaii Hotel Industry Association- 4,000.00 3,000.00 3,000.00 IVlazon 8,000.®0 10,000.00 10,300.00 Ronald tic®onald 7,500.00 10,000.00 Hawaii Community Foundation 46,245.00 46,245.00 Various smaii gusts 2,500.00 14,000.00 ®onations 35,150.33 46,838,00 43,401.00 Combined Federal Campaign 11,765.09 12,000.00 12,000.00 Program servico Pees 106,595.06 100,100.OQ 120,100.00 Fundraising Pvents 183,721.97 172,565.00 172,565.00 Interest 3,593.65 4,000.00 3,120.00 Patriots ®inner (Hawaii Foodbank) 5,000.00 5,000.00 7,500.00 Other 2,567.75 3,000.00 2,700.00 T®ta! 449,033.87 473,998.00 523,761.00 I~avvaii Island Food Sank ~ffiea fog Social IVlinistry The other costs in the Program hxpenditures category comprise our fundraising costs, advertising and bank fees. The fundraising events throughout the year are the folloen~ing: ? Check Out Runger ? Spring food ®rive ? Carmen Miranda Readdress Ball ? fall I"ood ®rive ? direct Mail ? Various Community Bvents The bank fees are those fens incurred when a donor charges his or her donation on a credit card. The miscellaneous advertising costs that are not assigned to a particular fundraising event are in this category. i-28-02;10:38AM OFFICE FOR SOC. MIN.;# 2 I~avvaii Island 13ood dank ~~fic~ ~o~ ~oCial 11~inistry I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Artfcfo 25, Sections 2-135 _ 2-142.2, ~awai'i County Code, relating to Appropriation of Funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully adnninister the program(s) pursuant to law. ! (we) understand that information supplied herein shall be made public according to Chapter 92F, f~lawai'i Devised Statutes. ~ ~ ` ~9 ~ Signature of Soard President/Chair Da e Signature of 1=xecutive D ctor Date lJ9mlSlf~N~D I~~OP®SAILS P9Nll`I! N®T ACC~I~T~~! C~ffic~ for social IViinistry BViobil~ Cary ~~altb project Agency direct®r: Carol R. Ignacio Mailing Address: 140 S Holomua St. Hilo, HI 96720 facility:lSite Address: 140 ~3 Holomua St. Hilo, HI 96720 Ph®ne Dumber: 935-3050 flax IVurreber: 935-3794 email Address: Cignacio@rcchawaii.org Am®unt ®f Request 4`®r C®unty funds: $30,000.00 Pri®r Year launding: 99m00 001 01 s02 $19,100.00 $29,000.00 $20,000.00 Agency i~l'assi®n Statement: To meet the challenges of ever-changing community needs by utilizing spiritual, human and material resources to empower those in need to live with dignity and respect. Pr®gram i3escripti®n: (Please briefly describe the program for which you are seeking funding) funds are being requested for continuing support of the Mobile~Care Health Project (hereinafter MCHP). The MCHP is a joint partnership between the Office for Social Ministry (hereinafter OSM), St. 1=rancis Healthcare System and the community of the Pig Island. The project provides primary medical and dental care in the rural areas of Hawaia Island and in the town centers of Halo and -Kona. Services are delivered to the low-inc®me uninsured and underinsured people around the island through two (2) Vl/innebago vans that contain dental operatories and medical offices. C,~ffice for Social Ministry 11~obile Care ~lealth project Currently, the MCHP has established outreach sites at the following ten (10) locations: ¦ West Hawaii: Ocean View, Honaunau, Kailua-Kona, Kapaau, Kawaihae and Waimea ¦ East Hawaii: Hilo, Pahoa, Papaaloa and Pahala ~®tal ~tsdget and P®siti®n C®unt 1°®ta! P~ograr~ ~a~dget 448,474.00 ~®tal Pr®grarn P®siti®n C®ur~t 7 ®tal ~ e~cy budget 2,067,712.00 -Total agency P®sition Oount 29 Pr®grarn Objectives: (asks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable wifhin a specific time frame. Please number and have alb objectives begin wifh a verb.) 1) Os~al: to provide direct dental and medical care and health education to 3500 people unable to access care due to financial hardship, geographic or transportation barriers. ~cti®r~: to schedule an average of 30 clinic days/month in 10 locations on the island of Hawaii utilizing the services of volunteer and employed staff. 2) Goal: to collaborate with the Community Health Centers (hereinafter CHC) and Hawaii Island ®ental Society directly and through the Hawaii Island Oral Health Task I;orce to establish stationary dental services within the CHC clinics. ~cti®ri: to meet at least quarterly with CHC program staff, to provide MCHP data and program experience to support in the development of services and strengthen the continuum of care. lPr®grar~ I.9ighlights: (Accomplishments from the previous fiscal year. Please number and begin al! highlights with a verb.) 1) Increase of 50% in dentist's participation in the MCHP, this year the project approaches full service and has moved forward significantly in improving access to care. ~ffiCe for Soria! Ministry Mobile Caro Health P'rojeot 2) Served the 907 new patients and 833 return patients, 93% requesting dental services. 3) Provided a total of 1811 units of care including extractions, restorations. 4) Provided a value of $137,829 in uncompensated dental services. 5) Collaborated with members of the Hawaii Rural 0-lealth Association, the Hawaii, State ;Primary Care Association and the Department of 0-lealth to assemble advocates for change through the State Oral Health Dental Task force. 6) Partnered with Say Clinic, under the Dental Health Professional Shortage Area Designation (hereinafter HPSA) in obtaining the assignment of a Dental Commissioned C3~ffccer for a minimum of 3 years to develop and provide services in a stationary clinic targeted for Kea'au. Until that clinic is open, services are being provided at MCHP clinic sites in East Hawaii. 7) Implemented and Electronic Patient Record (EMR) secured web-based system to enable access of patient records and digital images for staff and providers. 8) Partnered with Alu Like to provide Dental Assistant Training for candidates screened and selected by Alu Like. The MC4~iP provides eighty hours of text-based and clinical training in a mentor-ship designed curriculum. Two students have completed this training. ~erformar~ce Measures (Quantifiable indicators of public and consumer benefits from your program's acfions, and/or the number of goods or services your program produces.) I~°Y 2000-01 FY 2001-02 ~Y 2002-03 ~octasal ~tadget st6mate # of people Accessing Services * 9740 3000 3b00 * Services Include: Primary Medical Care, Health Assessments, Dental Examinations, Dental Rad'sographs, Restorations, Limited Periodontics, Limited Endodontics, Extractions, and Heaith Education. ~fi'ico for Social Ministry Mobilo ~ar~ F~eaBth ~rojoct Pr®gra~ expenditures ~Y 2000-01 ~Y 2001 m02 i°l( 2002803 ~ct€~ai budget Estirr~ate Salaries and Wages 100,434.17 155,300.00 191,886.00: f~rofessional fees 16,701.60 12,540.00 56,052.00. Operati€~ns 108,089.45 58,460.00 106,380.00 Equipment Other* (®entist) 94,376.00 94,376.00 ®tai 225,225.22 320,676.00 448,474.00 *P/ease explain in detail on separate sheet Pr®grarn ~untiing S®urces (List al! sources of funding, including specific grants, fundraising events, etc. relating to the program only) revenue S®urce ~l( 2000-01 iaY 2001-02 ~Y 2002-03 ~ctuai budget Estimate c®untgp ~f Hawaii 29,000.00 20,000.00 30,000.00. i~arykn~it ~at~ers 35,000.00 35,000.00 Han~a~t~a i°#ealt~ center 17,000.00 17,000.00 Sate grant iin did 100,000.00 100,000.00: HI~W 11,000.00 10,000.00 10,000.00. Weir~be~g C;rarat 10,000.00 HSA 49,500.00 49,500.OQ. cath®li!~ W®~e~'s L~uil~ 5,000.00 3,000.00 3,000.00 i'lawaii ate! i~d~stry 5,000.00 5,000.00 5,000.00. i"rear ~~eemc~gnar~ 'rust 5,000.00 Vari®~~ ~m~il Trusts 3,000.00 500.00 H[~S ~~u~d~t~~n 17,000.00. HAS c~®ra#i®n 100,000.00 St. ~ran~is ~oa~~dati®n 22,200.®® ~rattts Vitus 7;8®0.00 t3onati~t~s 32,819.29 20,676.00 38,974.00 ~iient ~®nati~ns 8,076.51 15,000.00 15,000.00 3~ party ~eirnia~rs~ent~ 33,349.97 45,000.00 50,000.00 ,Alu dice, 1n~e 1,500.00 T®tai 195,745.77 320,676.00 448,474.00 office for Socia! !1/linistry I~lobile dare Health ~'roject the costs in fihe other category in the Program Expenditures are for the dentists that are paid for by the state grant in aid. _ _ 1-28-02 i0=38AM OFFICE FOR SOC. MIN_;# 4 Mobile~Gare Health Project Office fol^ Social I~iinistry I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and faecal accountability requirerraents as mandated in Article 25, Sections 2-135 ~ 2-142.2, Hawaii County Code, relating to Appropriation of Funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 921°, I°Lawai'i Revised Statutes. Signature of Doard President/Chair Date ` Signature of executive i actor Date t31VSIGTJ~L~ ~R®~®SALS VViLL iV®T ~I~ ACC~~T~D! The Salvation o~rmy i°ar~ily Intervention Service Yo€~th Service Center-Kona - Agency Director: !'saline Pavao 8tailing Address: P.O. Sox 5085 Hilo, HI 96720 I`aci11ty1Site Address: 21 W. Ohea St. Hilo, NI 96720 Ph®ne N~rmber: 935-4411 ti ax ~lurnber: 933-9810 Email Address: PaulinePavao @usw.salvationarmy.org Arn®e~nt of Rega~est fos County f~rnds: $ 35,000 Pri®r Year Fur~diirtg: 99-OQ Qfl-Q1 01-02 ~ 27,695 ~ 28,000 ~ 30,000 Agency ~iiss60tl Statement: To provide youth with skills for a healthly life, and instill purpose, hope, and vision to youth and their families. Pr®grarn Descripti®n: (Please briefly describe the prograrrr for which you are seeking funding) Prevention program to decrease the use and abuse of drags and alcohol, involvement in gangs and violence, delinquent behaviors, early sexual behaviors, and to improve academic performance and school attendance. This wild be accomplished by implementing elements of S.Nl.A.R.T. fVloves (Skills Mastery And Resistance Training), Leadership Development Training, and Outreach services to at-risk youths and families in the l4ealakehe community. In addition to providing prevention services, our efforts will focus on sapport services in two areas as it impacts on youths and families served through our program. They include any problems experienced by youths or their families from the September 11, 20#32 disaster in New York and recent termination of welfare benefits for Hawaii County families. According to the Department of Human Services, 349 Hawaii County families lost welfare benefits in November and December 2001, and an additional 239 families will lose welfare benefits from January $o April 2002. Problems from these two situations could lead to increased family conflicts including domestic and child abuse and other social or emotional difficulties. We will assist in providing support to affected youth and families, and assist to link them to appropriate services in the community. The Salvation army Family Intervention Services Youth Service Center-Kona Total ~~dget and Position Count T®tal Pro raa~ ~~d et 35,000 Iota! Pro rarra IPosition Cos~r~t 10 Total A etc dud et 2,533,078 Tota9 A enc Position Cotant 60 iProgra~ ®bjectives: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms arzd that are achievable withiai a specific time frame. Please number and have all objectives begin with a verb.) 1) Of the 40 youths served through the Youth Service Center, 80% will attain a GPA of 2.0 and meet school attendance requirements at the end o¢ the school year, and maintain this gain for an additional semester. 2) (3f the ~0 youths served through the Youth Service Center, 80% will increase personal and social skiiis after 6 months, and maintain that skill for an additional six months. 3) Cf the 40 youths served through the Youth Service Center, 80% will increase health and physical skiiis after 6 months, and maintain that skill for an additional six months. Program highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Provided a summer program, Le'a Le'a Na Qpio, in 2000-2001 for youths ages 6-12. Approximately, 133 youths participated in the summer program. Five teen mentors in 2000 and seven in 2001 were trained .and utilized to assist with the program. In addition, 12 students through the Co~snty Workforce investment Act summer employment programs assisted with the program. 2) Conducted community service and learning projects throughout the fscal year. ®ver 35 youths participated in community service projects, serv'sng a minimum of 120 hours, which included service learning activities. 3) Collaborated with the Kona Soil 8~ Water district, resource Conservation District, and Kealakehe Ahuapua'a, a community-based program, to sponsor 7 youths to participate in a National Association Conservation conference held in Forth Worth, Texas. 4) Participated in the Kamehameha parade; earning a first place trophy for their cardboard horse an kahili entry. the Salvation d~rmy I*arnily Intervention Services Youth Service Center-Kona P~r~or~~~~~ ~as~r~s (Quantitlable indicators of public and consumer benefits from your program's actions, aad/or the number of Dods or services our ro ram roduces.) ~Y 20430-01 t Y 20431 ~d32 PY 2002-03 Act~ta! dud et ~~t4€:ate St~td~ l~alE~r T4or€a! Sessat~r~'s 35 32 40 ll~alntaln Schoo! Attendance 35 32 40 Attain 2.0 OPA 35 32 40 Partici ~tion in Pos. Alternative Act. 75 32 40 Co~m~ri' Service Pr®ects 35 32 40 CPfd/Plrt Aid CSasses 25 32 40 Cora letfon of S:[~.A.R.T. moves 35 32 40 Cora leti~on of Leadershi I~ev. 28 20 30 Partaci ation of £~ro'ect Parnil 30 40 40 Tar etec~ Oratreact~/lr~terventon 35 40 40 Comrr~olt Collaborations 15 20 20 Pr®~ra~ ~xperadlt~sres PY 2000-01 PY 2001 n02 PY 2002603 Ac~€~a! ~~d et ~st~~a#e Salaries :and Wa es 20,825 23,027 25,57 Professit~na! Pees 1222 700 925 O erations 7596 6273 8508 ~ ul rrtent Other* T®#al 29,643 30,000 35,000 *Please explain in detail on separate sheet Y~~ ~i~~ c~r~~ ~r®~~ (f aft t~~ ~tc~g, €~~l~t~~ag spa~~~ grams, ~csndraes~ag ave~~s, atc. reJa#~tag ~ Arta ~BY1 28,E 3~,f?~0 35,( 1~ ~~l~~~~ ~ ~ ~~t~iB ~II~~T~/~tl~~t3t1 ~r~~~~ {tea rid ~~d ~r~d~r~~rs~d ~_!I #t~ ~tigtbiti~ r~q~uira~~~; gr~r$~ ~rsdi~ra~; Ord prra~r; ~d r~~rds, r~pc~g end ~s~t a~~s~~~~bi1i~ r~q~fr~r~ ~r&d~~ i 25, ~i~ ~ 2-12,2, ~#i`i ~~d~, r~t~~ir~g €~r~RB1~ti~a ~f t~us~d~ ~ I'~~~pr®fit ®rg~~iz~~sa~~. h~r~by r~i~'j/ ir~~~~€€a~ ~t~p~li~d h~r~i~ ir~ctt~dir~g ~tl ~upp~r~i~g dt~~ is ~~r~~ ~~d i ~h~ ~~t~~ ~t1d ~bitity ~ Its' ~ds~~isl`~r ~h~ prr~r~(~~ pa~r~s~~~t I~ee~, t t~~d~rst~~d ~ i~~r~tic~r~ ~~sppti~d t~reir~ ~h~lt b~ made p~btic rdir€g ~~~~t~r g21w, ~ ~`i ~~ised S'~r~~. /-~`-D~ ~igs~~~~t~ ~i~i~i~f ~a~~ s~~ gy ~ ~ ~ ~ig~~~~r~ ~~~~~~v~ t~i~#®r t7~t~ . ~h~ Salvati®r~ ,~erl~y Family lr~terventi®n Services Y®~Ith Service Ge~ters~una ,agency Director: Pauline Pavao l~9ai-ling Ad~9ress: P.O. Sox 5085 Hilo, HI 96720 I`aciiityiSito Address: 21 W. rhea St. Hilo, HI 96720 Phone 4V~s~ber: 935-4411 lax IV~ambor: 933-9810 email Address: Pauline)'avao@usw.salvationarmy.org Amount Dequest for county funds:$ 40,000 Prior Year Funding: 99-00 QO-01 01-02 ~ 32,470 ~ 33,000 $ 35,000 Agency mission Statement: To provide youth with skills for a healthy life, and instill purpose, hope, and vision to youth and their families. Program Description: (Please briefly describe the program for which you are seeking funding) Prevention program to decrease the use and abuse of drugs and alcohol, involvement in gangs and violence, delinquent behaviors, early sexua# behaviors, and to improve academic performance and school attendance. This will be accomplished ~y implementing elements of S.M.A.R.T. Moves (Skills Mastery And Desistance `Training), Leadership Development Training, and ®utreach services to at-risk youths and families in the Puna communities. In addition to providing prevention services, our efforts will focus on support services in two areas as it impacts on youths and families served through our program. They include any problems experienced by youths or their families from the :September 11, 2002 disaster in -New York and the recent termination of welfare benefits for Hawaii county families. According to the Department of Human Services, 349 Hawai County families lost welfare benefits in November and December 2001, and an additional 239 families will lose welfare benefits from January to April 2002. Problems from these two situations could lead to increased family conflicts including domestic and child abuse and other social or emotional difficulties. We will assist in providing support to affected youth and families, and assist to link them to appropriate services in the community. ~Tho Salvation ,~rrny Family lntorvontion Servicos Youth Sorvice Gonter~Puna Total ~uatget anti position Coun# `Total Pro: ram et 200,000 °rotal Pro raa~ position Coa~nt 10 `Total ~ enc. ~~ad ~t 2,533,078 Tssta! ~ enc Position Co€~nt 66 Prograrva ®bjectives: (Tasks or projects to be accomplished in specific, well defined, and measurable terms and that are achievable within a specl~c time frame. Please number and have all objectives begin with a verb.) 1) Of the 200 youths served through the Youth Service Center, 60% will attain a OPA of 2.0 and meet school attendance requirement at the end of the school year, and maintain Phis gain for an additional semester. 2) Of fhe 200 youths served through the Youth Service center, 60% will increase personal and social skills after 0 months, and maintain that skill for an additions.! six months. 3) Of -the 200 youths served through the Youth Service Center, 60% will increase health and physical skills after 0 months, and maintain that skill for an additional six months. program htightights: (Accomplishments from the previous fiscal year. Please number and begin all highlights- with a verb.) 1) Completed the S.M.A.R.T. Moves program at the elementary, middle, and high schools. Over 350 youths graduated from the S.M.A.R.T. Moves program during the 20fl0-2001 schoo! year. Approximately 275 students of fie 3`~ and nth grade at Keaau elementary School, 75 7 h graders at the Keaau 6~iiddle school, and 25 9th and 10ti, graders at the Keaau I•-ligh School. 2) Co iaborated with several agencies and community resources to enhance program activities; such as the University of Hawaii at Kilo V.A.L.~.E. (Vulcan Athletes Leading Through I~xample) Program that incorporates Ul-ti 1 athletes in group presentations, tutorial services and sports clinics. 3) Provided monthly family gatherings with cooperative and skill building activities to promote family unity and a family support system. Approximately 25 families participated throughout the past fiscal year. 4) Continuous behavior change in positive attitudes toward self, others and their families; positive develog~men# of interpersonal, leadership and anger management skills, and gradual improvement in developing positive attitudes, self-esteem, and confidence. The Salvati®n ~Ormy Family Int~rv~nti®n Services Yc~~th Service Genter~Puna ~~rf®r~anc~ ~dt~asures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) FY 2000-01 FY 2001-02 FY 2002-03 A~#~a~ budget ~stiate Stu~y ~~iil i'~t~~-iai ~ ~0 1 ~ Maintain- School Attendance 170 180 180 Attain 2.0 GPA 170 180 180 Completion of S.M.A.9~.T`. Moves 377 180 180 Completion of Leadership ~eveiop. 65 75 75 Community Service ~roject~ 69 60 80 Participates in Pros. ~it~;rnative Act. 484 180 180 C~it/~irst Aid Training 32 60 60 ~ro~ect i"amily Gatherings 25 30 60 Targets Outreach/Intervention 170 225 180 Community Collaborations 40 35 40 Pr®~rar~ ~x~enditures ~Y 2000=01 Fl( 2001-02 elf 2002n03 a~ctt~a~ ~udg~t Stii~'i~t~ Salaries and Wages 86894 92496 134943 Professional fees 5138 1230 2355 Operations 68634 48774 62702 equipment ®ther* 1'®tal 160666 142500 200000 *P/ease explain in detail on separate sheaf ~t a~~ s~c~~e~ ~f ~~~c~~ ~pecif~ grants, tunt~ra~s~~g savants, a~~. r~tat~ng tha ~ ~v~~ ~1P 2Qfl4aQ1 ~'if 1~Z 2~~~~ G~a~~ 33,E T~~ 1 a00 142, ,(DO 2,~3~ ~1-0~-n2~1 i :41 ~~CVD h~~~ rid ~~d ~~d~~ stt ~h~ ~tiibiti#~ r~q~ires~r~ts; ~r~~~ ~raditi~r~s; amrd ps'd~€r~~; ~~d c~~ords~ r~p~rti~~ grad fist at~a~t~biti r~q~ir~rr~ts ~ ~~d~ ir$ ~ecti~ras ~-135 ~-'i4~.2, ~€`i ~~I~#i~~ t~ Ppri~~~za ~t~a~pr~fit Qax~~€~i~s~s~s. (m~~ h~r~by r~i#y tit~~# i~# ti~sr~ s~appti~d h~r~i~ ~ract~ading Ott ss~pp~r~ir~g d®~~t~~r€# is ~~d #ht I ~~d~ ~h~ ~~t#h~ri~y grad ability t~ #~tl~ adita~r the prc~~(s~ p~rsa~~rat lavv. at ((spy(~Pj~~gps!~rs~!~~a~d t¢h~~c~,,y;i~#~a~~ig~~pa~ ~~®ppti~d ta~s~gi~a}~®s~shat b~ made p~bli~ gAWV9i"9 FdYE6.6~ VS s'~irt~~$~A s~9'~~, ~GaYfB'~riE6~ ~Y`s~~ ~6ii 65~oT. Sig~~t~g~ ca# [~i~~i~~~# t~at~ ~ tary O ~ig~~t~r~ ~~~tatty~ E~r~~~r [3at~ Special ®lyrr~pics Hawaii fast Hawaii Agency direct®r: Angie Miyashiro Niaiiing s~ddress: 379 A-Lama St. Hilo, Hi 96720 FacillityiSite Address: 379 A-Lama St. Hilo, HI 96720 Ph®ne umber: 808-959-7619 Fax Numiaer: 808-959-7619 ~=mail Address: angie@interpac.net Arra®unt of Request f®r c®unty fends: $10,000.00 Sri®r Year Funding: 99=00 OOa01 01 s02 $x,775 X4,800 $6,000 Agency ~lissi®s~ Statement: The mission of Special Olympics Hawaii-fast Hawaii is to provide year-round sports training and athlete competition with a variety of Olympic type sports for all individuals with mental retardation or developmental disabilities eight years of age and- up. Special Olympics gives them continuing opportunities to develop physical fitness, demonstrate courage, experience joy, and participate in the sharing of gifts, skills, and friendships with their families, other Special Olympic athletes, and the community. l~r®gram ~escripti®n: (P9ease briefly describe the program for which you are seeking funding) Special :Olympics Hawaii-fast Hawaii began in 1970. It now serves over 140 athletes. We offer nine sports throughout the year, including an equestrian program started in the Honokaa area in the spring of 2000. Special Olympics Hawaii-fast Hawaii is a nonprofit organization that is volunteer driven. The chapter office resides in Oahu. The only paid staff is the Area ®irector, Angie Miyashiro, and that is half-time pay. Creativity, diligence, and ingenuity are- what keeps fibs program in operation. The community, as well as the schools are extremely supportive and actively assist us in all of our events. ~ ci~l 09y~iCS H~~aii ~t ~v~~ii The critical nod far this ~pecia! Olympics Hawaii-East l#awaii program is to raise the level ofi health, fitness, and sports corrtpetence for those individuals with manta! retardation ar developrt~anta! tisabilities. !Numerous studies from the Surgeon General's report, American heart Association, American Diabetes Association, and Arrterican Council on Physical Fitness, state theta is a genera! Sack of physics! fitness end health our youth today. Physical inactivity is increasing, which translates to a E~igher risk for asthma, cancer, diabetes, heart disease, and stroke. Individuals develapmer~ta! disabilities era even more susceptible, particularly in l°lawaii. y providing sports training, as wel! as a fitness program to these individuals, we not-only raise their lave! of physics{ fitness, but also bring these future citizens of Hawaii into a community where they are accepted, respected, and given the opportunity to becorrse productive citizens in society. Other research, including studies from Yale, has shown that the length of time athletes have in Special Olympics has been a better predic:ater afi social competence aid int tion than !O tests. !!1i€: need to empower these individuals as they are also an Integra! entity of our fu#ure, Special Olympics Hawaii-fast ii's geographical area encompasses 3, miles. This area includes ~'ahala through ludrth l~ohala. Our population is diverse culturally, economically, as wall as socially. Many ofi our athletes come front disadvantaged homes. Our goal is to continue to actively recruit these individuals, as well as raise the areness of the program. Eor many of these athletes Special Olympics is their lie and gives therm a soda! as wail as physics! outlet. The primary beneficiaries ofi Specia# Olyrr~pics East !-!swell are those persons eight years of age and older who Dave been identified by an agency or professiarta! as having mental retaatian or' cognitive delays as determined by special Measures. It is open and to these individuals. Athletes corr~pete and are grouped according to their . as well as ability level. Evone wins-and reeves an award, tnc$ud#ng a participat€on ribbon. SpeCtal Olympics also: has a program-that ours training to those persons with profound limitations where the program emphasizes individual skids and participation. Currently we have over 1 ~g athletes. Our goal is to increase our number once again by 1®°~, particularly targeting the outlaying areas. vote also want to increase family involvement by 1 g as strengthened families rt~ke for a better carrtmunity. Our request, therefore, is $1®,Q(30 to assist us in the outreach and training of our Spacial Olyrt~pics program. This inudes books, materials, packets, outreach materials, as well as the training athletes, coaches, families, and volunteers. 8ncluded is the transportation of athletes to various sports venues an our island, as we!! as off island trips. ~p~~ial ~lyrnpics Hawaii fast Hawaii ~®tal ~~~~et and ~®siti®r~ C®unt fi®ta! Pre~gram ~ud~~t $3,902.33 T®tal ~r®~rar~ 1 ~®s!t!®n ~®tarBt Y®ta! A~~ncy ~aa~g~t X1,167,997.30 ~®ta! ~g~ncy 10 ~®siti®o~ C®a~rit ~~~~E ~iy~,~o~s grog c~~~~~~es: (Tesdcs o~ fio a~orrplished in spec, ~r~!!-r~ef~n~, ~n~~su~able terms ~ fl~afi are act~ie~+able s~i~hirr a specific tia~ae ~-arrie. use rt~ra~be~- and have eI! t~~~ecf`ives begin ~rif17 a o~er,~.) 1) To create more opporturities fior training end competition, by continuing to r wore students in the education system. 2) `f'o educate teachers, as vvelf as fiaavaifies, for the need fior physics! activity and the opportunities Special ~fyrrtpics provide. 3} PCo increase public-awareness through flyers, the paper, I.S.A. radio ar3d public television -one announcement per month. A~) T'o em r the athletes to be more independent thinfcers grad lifelong learners through our athlete leadership program and cooarraunity service - ~x per year. 5) T'o teach the athletes to honor-and respect our culture, land, and their role as a do '°l9~afce a f~ifiference t3ay" and "adopt-a~lighy program". T`o continue to f~uifd our equestrian program Keith a goat ofi creating a partnership Keith the f~ligh School Rodeo Association. fio provide a ~sorlcshop in golf grad tennis so that eve rraay eventually add to oar sports opportunities. To continue to incsease involvement ~oeith the school clubs sucf a as the Bey ~fub, fnteract Cfub, l.ec ~f~ab, as ~neelf as continued partnership v~ith the civic clubs, l~f~~, and t°ISTA as they assist with sports activities and fiundraisers. 9) T"o instill ethical values, as Jeff as fair play, honor, respect, and teacn~orlc fior other athletes and their coaches each tirrae ere practice or compete. 1~) Give quality training to coaches and volunteers by having at Beast formal training sessions per year. 11) `~o send at least-one coach per sport to Honolulu to be certified. 1 To actively recruit so that int~ease our athletic count by 1 fl°~? (1 ~ ne~+ athletes} 1~) ~To strengthen the health and fitness programs for those athle#es currently in the prograrffa, by having a #itness day, as well as incorporating stretching and conditioning fitness exercises at feast 15 minutes fior each practice. 1 ~"ianeline: ,lanuary: I~ut training information in local nev~spaper, nea~asletters, public radio, and p~sblic television regarding Special Qlyrnpic training opportunities for the year. ~~~ci~l C~lyrl~p ~i~o~l~ ~~~~i~ 15) 1=ebruary: Sat up meeting and training of volunteer coaches and staff. Plan fundraisers. begin spring training for track and field, softbaii, ega.€estrian, swimrr~ing, and power lifting. 16} March: beet with families and coaches to discuss and purchase any needed equipmer~ and/or uniforms. fundraising activities. 17) sprit: fundraising activities. area track and field meet, area swimming competition, and fitness activity with Sophomore class. bower Lifting ,and softball torrtpetitions in IUlaui. 1S) stay: ~fravel to state garr~es in -Oahu. State equestrian games ~lonokaa. 1g) June: families, athletes, and volunteers get-together. Celebrate and evaluate. min summer soccer and bocce ball practice. 20) July: Setup local meeting for new athletes and coaches. Have of1"icial Mining. 21 } august: S and bocce ball tournament in Oahu. 22) Septer€~ber: begin practice for basketball and bowling, recruit and purchase needed equipment. Leadership training for athletes. 2S) October: area co€npetitions in bowling and basketball, crr~unity service projects. 2~) ~lovernber: Coaches first aid and safety training. Certification courses coaches on ®ahu. 2~) f~ecember: State games on Oahu. Community service project at senior center. end of year evaluation. amity Christmas party. proctor and garnbte matching funds fundraising activities. ~~gra hEi (,4~~~alislarrr~rafs frorra fie previ®c~s fis~l mar. Please number arm begin all higl~lic~l~ l~ a orb.) 1). 0041e have continued to increase in number reaching our 1 goal this gives us over 14f~ athletes. 2}. V1le targeted outlying areas and new a#hle#es have dome from the ~aimea~l~onaka'a area, as well as whoa. 3) i144e have res~ained debt free-stayed ~rithin our budget and therefore, are fully accredited through Special Olympics Incorporated. V1le have added new athletes from vocational rehabilitation centers, including the SRC, goodwill, and ~ranttey Center. 5) ®ur equestrian prog~arr~ has strengthened and we are working on a partnership with the high School rodeo association. f~) e0ale increased out softball and basketball teams to three, including a unified soccer' arad softball team from I-8onoka'a. 7) 00041e have had increased support from businesses and the comrrtunity from girt Scout Clubs, to ~tSTA, ~g~~ and Special ~lyrnpics i~awaii fast ~9awaii 8) We have increased our coaching staff with 95% of them certified. Our goal is 100%. 9) Our athletes have continued to learn to be responsible, caring citizens of the community, through such projects as, "Make a difference ®ay" (this money was donated to the New York Special Olympics), "Adapt-a-Highway", making gifts and singing for Male Anuenue and beach clean-ups. 10) We have had a 10% increase of family involvement, which not only spreads the load of responsibility, but also strengthens and brings families together. 11) We have had a strengthened partnership with the high school clubs, such as the I(ey Clubs and Kiwins. the club adopted us for the year, as well as assisted us in competition, fundraising and out fun fitness day. 12) We trained three more athletes by sending then to the leadership conference, so that they can assist in presentations and other leadership activities. 13) We had one of our athletes chosen to go to the International Winter games in Alaska. 14) We were able to assist the Pire C~epartment and Police Cepartment with their "Guns and Hoses Regatta". In turn we received the proceeds. 15) Two new delegations were started. P'erf®rrr~ance pleasures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) I~Y 2000-01 ~Y 2001-OZ ~Y 2002e03 Actual budget lmstlate dully accredited by Special Olympics Incorporated Increased athlete numbers by 135 to over 1~0 athletes Certified 25 out of 28 coaches in their area Certified 10 more coaches in CPR and first aid Sent 3 more athletes to leadership training Sent 1 athlete representative to Olympics Adopt a highway clean up four community service projects ~~i! ~I~rni i'i~vv~ii ~~~ii Ado t ~ hi hv~a cl~~~a aa~ Four coa~r~ura~t r~~c~ t~ ect~ ~o~a# ~s€~~~y ~r oar b~k~ on aka ~if~~r~~c~ ~a~ to 4~~eno York ~ i~! ~i rv~ 'c~ ~3r ~ tv~® more schools and ®ra~ ~c~c~i"s~ ~~rff~~r 9ncr~s co~m~~r~~~y sor$ with ~.l0. ~s ~~i~ as stror~g~ s~~p®rt grad F~r~ a~~~ rsos~~~! ~pe~ial ~lyrnpics Hawaii fast F~awaii ~r®gram ~xpen~iitures FY 2000a01 FY 2001-02 FY 200203 ~cttaa! budget ~sti!rnate Salaries- and Wages 8059.92* 8492.33* 8492.33* Professional Fees 0.00 0.00 0.00 Operations 0.00 0.00 0.00 lsquipment 7500.00 9000.00 10,000.00 Other* 16000.00 20000.00 16,410.00 ~®tal 31,559.92 37492.33 34902.33 *I-lalf time position-Area Director- paid by state office of Special Olympics I"lawoaii Pr®grar~s Funding S®urce~ (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) revenue S®urce FY 2000-01 FY 2001-02 FY 2002-03 Aotua! budget ~stsate 1=oundations* 12,200.00 13,100.00 16,300.00 Corporate 700.00 985.00 1,000.00 Service Club 600.00 600.00 600.00 Special Fvents 10,000.00 10,346.67 10,000.00 h~SO Coop 5,000.00 5,119.60 5,000.00 Interest income 100.00 114.59 200.00 Merchandising 900.00 990.25 1,000.00 Other sales 6,000.00 6,227.30 6,000.00 ~`®tai! 35,500.00 37,483.41 40,100.00 *,Assues $10,000 inn G®a~ntry Grant rn®ney varilB! be gaven, $6,300 tr®an add~tiionae grants _ p~~i~! C~6ympi~s 8~~vvai'i ~t ga'r' i ~°~l~ph~n~/~~x $500.00 Saappli~s X600.00 ~ost~g ~~00.00 Stab ~°~,90Q.00 T~ta~~ ~ 1, 000.00 T~#~~ ~~~fer~a3~ X510.00 ~o~~~ l~~r~~~~ X5,0®0.00 ~®ta~ ~~mp~fi~n ~~~.000.00 Saab t~~ ~3fig3°~e0 ~veraaa~ X40,100.00 fi®tal ~~p~n~~~ -S3S.~1.0.00 S~B~a1 +3,590.00 peci~! ~lyr°~pi~S ~l~~v~ii ~~w~ii I (we} have read end understo®d all ®fi a eligibility requirements; grant condi$isans; ward prace~lures; arrd records, reporting and fiscal acc~uratability requirements as mandated in article Secti®ns ~-1 ~ ~ 2-1 X2.2, I~lawai`i county ~®de, rebating to appropriation of funds t® Nonpr~fiit ®rgani~a#ions. (eye) hereby certi~Fy That infcrrnafion supplied herein including all supporting documersts is correct artd that I (ate} hae~e the authcri$y and ability t® filly adrr~irtister the programs} pursuant to lam. 1(~e} uradarstarad that infor~rtation sugplied herein shah #~e made public according Chapter I~lawai`i Devised Statutes. S' afore S®ard Pre~identBChair Gate. Sign tore of ~ e iv director date ~e~i~l C~i~r~pi~s ~~~ar~ii~d~1l~st ~~uv~ii ~~~Oi~~ ~~~f~ ~~i~-ml~~~ ~uv~ii ~~11~1"~~ 1~~1~~ Agency Ol~ec#~~: Sheryl Livingston l~aili~~c~~e~~: p'.Q. 6ox2t05, Kealakakua, 1°ll 96750 laaciii#yi#~ ~~~~s: 76-65601~arnalahoa l~lv~y. Kailua-Kona, l~l 96740 ~hc~ne l~~~~~ : 322-0603 l~~c ~~b~~: 322-4357 ~mai~ spe~ol~evvesthi~hotmail.com Aunt ~tues# €®r ~~#g/ lc~ta: 58,000.00 ~rl®r Year ~u~ding: $0.00 50.00 54,000.00 Age~c~ €iss~c~~ ~t~~n~e~t: The ia~~t of Special Olympics is to provide year round sports training and athletic competition in a variety of Olympic-type sports for all children and adults with mental retardation or closely related developmental disabilities, giving them continuing opportunities to develop physical fitness, demonstrate courage, experience joy and participate in a sharing of gifts, skills and friendships with their familaes, other Special Olympics athletes and the community. l~r®~~a ~s~~#'s~tr: Special Olympics Hawaii West Hawaii has begun an intense Outreach program in the past year. We have targeted school age individuals primarily and have been making contacts within schools in order to be able to reach out to the disabled community to find and work with individuals with mental retardation. We have increased our previous years numbers by 63%. 1-iowever, this is definitely not enough. Our goal for the next year is to outreach to the minimum of 40 new athletes. This goal includes 3 new schools in the West hiawah Area. Our program provides necessary physical activity that special needs children and adults are rarely provided. ~n addition to the physical benefits these ~0 new athletes will receive, they will be given a chance to socialize and make new friendships. special ®lympics ~awaii~---West Hawaii special ®9ympics Hawaii--West Hawaii general ~urrdi~lg Special Olympics West Hawaii provides this opportunity in many different ways. We conduct our own local competitions and training, have Christmas parties, travels together to neighbor islands for competitions where dances and banquets are held. We have many athletes who have never traveled away from Kona until joining Special Olympics. We can provide these individuals with a much larger view upon the world. In addition to reaching out to those 40 new athletes, we will be reaching out to 40 new families. As you know, the isolation some families feel when they have a special needs child can be a terrible feeling. In the Special Olympics program, the true meaning of Ghana is revealed. Families sharing stories that only other families of disabled children can relate to. We have parents who have never thrown a ball with their child now playing softball with them. Special Olympics continues to strive for family involvement. The coaching staff for Special Olympics Hawaii West Hawaii Area will also be expanding with this Outreach Project. It is expected to reach at least 6 new coaches. This is the wonderful part of Special Olympics that bring the community and our athletes together. In order for Special Olympics Hawaii to provide this much needed service to the families and their special needs children, there are many expensive needs to be covered. As you know, the cost of the equipment for these athletes to train and compete in their given sport can be quite costly. Additional needs include ground transportation to practices and competition, air transportation to State competitions, uniforms, meals and awards. Special Olympics Hawaii West Hawaii has certified Special Olympics coaches for each one of the sports that we offer. Each Head Coach is required to attend a training that is conducted by Special Olympics Hawaii's State office. Each training is in conjunction with a coaching practicum. Special Olympics Hawaii has been an accredited program of Special Olympics Incorporated since 1968. The West Hawaii Area Director, who will make contact through the school systems, newspaper, adult facilities, etc., will coordinate the Outreach Project. 'T®ta! ~u~get entl P®siti®n C®unt T®ta! ~r®grarn ~uclget 39,175.00 fi®ta& Pr®grarn !~®siti®n ~®unt 1 ~"®te! s4gency ~a~dget 1,251,708.00 ~®tal Agency P®siti®n C®unt 15 Special Olympics Hawaii----West Hawaii Special Qlympics Hawaiie~West Hawaii General ~undi~g Pr®gra Objectives: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Please number and have adl objectives begin with a verb.) 1) Increase athlete count by 40 athletes. 2) Outreach to schools to include athletes within the ®ept. of I_ducation. 3) expand Unified Sports program to include the sports of soccer and softball. Increase the number of Special Partners to 20. 5) Increase the number of families actively involved by 50%. 6) Increase the number of activities for families and siblings of athletes to include socialization and informative sessions. 7) Increase number of school-based delegations to 4. 8) expand relations with adult center to include more of their day program members. IPr®gram Higivlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Increased number of athletes involved in program by 63%. 2) Increased number of certified coaches within program. 3) Increased number of families involved in our program. 4) Sagan families committee to reach out to parents and siblings of athletes within our program. 5) Started new delegation within a school (Konawaena High). 6) Outreached to teachers at Teacher Institute Uay. 7) Initiated contact with schools to reach students within the ®O~. 8) IVlaintained and upgraded relations with local adult center (Kona Krafts). 9) F?rovided community service projects including recycling campaign and aid stations at local races. Perf®rnnance Measures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) ~Y 2000-01 FY 2001-02 ~Y 200203 a4ctual budget Asti-mate Community Service projects Aid 2 5 7 stations/recycling State Competitions on Oahu 3 3 3 Area/Regional Competitions 4 5 ~ Special Olympics Hawaii®West Hawaii Special Olympics Hawaii--West Hawaii General ~undi~g ®elegations within school 0 1 ~ Number of athletes within program 23 36 l6 Number:of Special partners 5 4 20 Number of families actively involved 3 6 15 Number of family events 0 1 3 . Special Glyrr~pics Hawaii-~---W~st ~av~eaii Special G9yrripics Hawaii-surest Have/aii General Funding I~r®gra ~xpanditures FY 200001 FY 2001 ~02 FY 200203 actual budget estimate Salaries and Wages 0.00 0.00 940.00 Professional Fees 0.00 0.00 0.00 Operations 14315.00 17125.00 25045.00 equipment 2385.00 3690.00 4300.00 Other* 4700.00 7800.00 8890.00* T®tal 21400.00 28615.00 39175.00 *Please explain in detail on separate sheet I~'r®gram Funding S®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) revenue S®urce FY 2000m01 FY 2001 a02 FY 200203 Actual budget estimate State of t~awaii (®O~) 1500.00 2000.00 3000.00 County of t•lawraii Non-Profit Grant 0.00 4000.00 8000.00 Crane Foundation 2500.00 2500.00 2500.00 Private L7onations 500.00 1000.00 1000.00 Shipman 1=oundation 0.00 0.00 2000.00 Ironman Foundation 2500.00 3500.00 3500.00 Make A ®ifference gay Grant 0.00 500.00 1000.00 Merchandise Sales (t-shirts) 500.00 1700.00 650.00 Car Washes (10 for year) 200.00 5000.00 6900.00 Sench Press Contest 0.00 0.00 1000.00 Consolidated Theatres drive x 2 0.00 1000.00 1500.00 Starbucks Massage ~ Coffee X10 0.00 0.00 2500.00 Fire Truck Pull 0.00 0.00 2000.00 Corporate Contributions 1000.00 1000.00 1000.00 Service -Clubs 2500.00 2500.00 2500.00 S®$~! C~~~ ~®ney 2500.00 2500.00 2500.00 Interest !nc®me 75.00 100.00 50.00 ~'®tal 13775.00 27300.00 41600.00 ~'rogram expenditures: Other Total Training costs--includes: facility rental, sports specific $4000.00 equipment ground transportation) Total Conference costs--includes 3 to attend Torch FZun Conference $4780.00 (Oahu), 1 to attend NW/SW conference (Colorado), and 2 athletes & 1 mentor to attend Athlete Leadership Council (Oahu). Total cost for flyers/printing for fundraising activities: $ 111.00 Total of other expenditures: $8890.00 ~p~ci~! ~lyl~pi~ H~v~aiiVVtl~st ~lav~raii S~~~ia! ~lyrr~i l~a~ii_~~st ~l~~nr~ii ~~I~~I°~I ~uniin I (we) have read and understood all of the eligibility requirements; grant conditions; av~eard procedures; and records, reporting and fiscal accountability requiremaents as rr~andated in article 25, Sectians ~-135 ~ ~-142.2, I°ta~ai`i County Code, relating to appropriation of funds to IVonpro~t Organizations. I (vve) hereby certify that inforrrsation supplied herein including all supporting documents is correct and that I (vie) have the authority and ability to fully administer the program(s) pursuant to lave. I (vve) understand that information supplied herein shall be rvrade public according to Chapter 921°, I°lavaai`i Devised Statutes. r ~3„~do2 e ~ t, ~ i~air ®ate ~ IVa y Cott ,president & CEO 17ate 131V I~~ pF~~31i~.S f~L IwOT ~ aGC~RT~I ~furning ~®int f®r Families, Inc. Alternatives t® Vi®lence, fast 8~ West I~-laoivaii A~sr~cy direct®r: Lee Lord, Executive ®irector i~9laiiin~ ~?ddress: P.O. Sox 612, Milo, I-~I 96721 FaciiitylSite Acl~ress: (Hilo) 1266 Kamehameha Ave. #A-5, Hilo, HI 96720 (Kona) 77-6425 Kuakini Hwy., suite 5-201, Kailua-Kona, I--II 96745. ~h®ne Number: 808-935-8229 Fax Nurmber: 808-934-7600 email Address: admin2@ilhawaii.net Arn®unt ®f bequest f®r C®unty #unds: $10,000 Frier Year Funding: 39-00 00-01 01-02 ~$,:~35 $8,800 $3,000 ,Agency Allissi®n statement: Turning Point for Families, Inc. is a domestic violence agency that provides Shelter, Counseling, 'Education, and Advocacy to promote aviolence-free community. Pr®gram ~escripti®n: (Please briefly describe the program for which you are seeking funding) Turning Point for Families, Inc. (TPFFI) is a domestic violence agency that provides counseling, education and advocacy to faromote a violence-free community. TPFFI has served the County of Hawaii for over 23 years. The organization has five main programs: (1) The West Hawaii ®omestic Abuse Shelter, (2) Alternatives to Violence (ATV) programs in Fast, West and North Hawaii. (3) Youth Services programs in East and West Hawaii, and (4) Children's programs in East and West Hawaii, (5) Ke Ala Lokahi (KAL) Program East Hawaii. In addition, Parenting and Rura! Outreach Programs are provided in East Hawaii. Rural Outreach Program services -are also available in North Hawaii. TPFFI is seeking funds for the Alternatives to Violence (ATV) program to continue to provide psycho- educational groups to adults who have been violent with their spouse or intimate partner, in North Hawaii. The Program teaches batterers to examine fiheir abusive behaviors and to take responsibility for their choices. Satterers also learn positive behavior skills to replace their abuse. These skills include +~aalking away from an argument, taking a cool down so they can discuss their problem and using positive messages. Turning point for families, Inc. Alternatives to !/iolence, fast ~ West Hawaii Turning Point for Families, Inc. (TPFFI) is concerned with the growing problem of domestic violence. For the four-year period 1994-1998 there was an overall increase in the number of police reports from all Counties except Honolulu for violations of HIS 709-906, Abuse of Family and Household Member (®epartment of the Attorney General, Crime and Justice in Hawaii: 1996 Hawaii Household Survey Deport, 1996). For arrests under HIS 709-906, Hawaii County showed an increase of 4% during that period. It is estimated by the FBI 1992 statistics that 1 out of every 2 marriages experience at least one incident of violence sometime in the course of their marriage. The Big Island has 11% of the State of Hawaii's population and 22% of the state's homicides that are due to domestic violence incidents. Children who grow up in abusive homes are also a) being abused physically and/or emotionally and b) learning to deal with their problems in an abusive manner. in Hawaii County there during 2000 there were 1,255 cases of ®omestic Abuse reported and in 2001, 1,190 reported cases. This program is designed to help batterers change their behavior by taking responsibility for their abusive actions and learn to use positive behaviors in its stead. The benefits of this are: safety for the family members, a stop to the generational cycle of abuse, an opportunity to become a positive role model, and a reduction in the need or societal interventions. The target population is domestic violence batterers who live: in North Hawaii County, being referred to Alternatives to Violence, do not have reliable transportation to travel to Kona or Hilo, and cannot afford childcare for the length of time it would take to commute to Kailua-Kona or Hilo for their classes. The North Hawaii area encompasses the Honokaa, Waimea, Kohala and Waikoloa areas. Group is held once a week at Tutu's House in Waimea on Monday evening for 2 hours from 6-8 pm. Psycho-educational groups are used to deliver the information in a classroom style of presentation. Interactive discussion is incorporated into the process with homework due for every class. Individual assessments are completed to test participant's knowledge and understanding of the material two (2) times during the program participation and apre-post test is administered prior to and at completion of the program. Classroom participation is required, throughout the program. Sheltering the victim does not change the behavior of the person who is causing the problems. The Project allows participants, who are the abusers to take responsibility for their abusive behavior. This is a justifiable expenditure of public funds because if this abuse continues, our children, families and neighbors are at risk for injury. °rotal ~ud~et and Position Count Tota! Program I~uc9get $759,257.00 'Total Pro~rarn Position Count 40 TotaE Agency ~a~dget $1,730,338.00 Total Agency Position Count 65 Program objectives: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) Our Goal is for participants to reduce or stop the use of physical violence towards their spouse and/or intimate partner. To provide information about domestic violence and alternatives for participants to use. TPFl=1 ATV has as it's objectives the following measurable goals: 1) 60 % of Participants who complete the 28 week program will reduce the frequency and severity of physical violence while in group, 2) 60 % of Participants who complete the program will have demonstrated an increased knowledge of power and control tactics, . Turning Point for families, Inc. ~Iternatives t® Vi®lence, fast ~ West Haonraii 3) ~5% of Participants who successfully complete group will remain violence free for 1 year after completion of group. 4) 95% of participants in group will be violence free while in the program. Tracking for use of physical violence starts immediately for participants from the first class day. The ~nd objective would be measured two (2) times before the end of the program, and the third objective would be measured 1 year after group has been successfully completed. Participants learn anger management skills that they can use right away to deal with their anger in a non- violent manner. While participants are enrolled in group, their partners will are relatively safe as physically violent behaviors will be monitored in the group. We also monitor program participation and objectives by: 1. Client Qtaesti~nnaire. TPFFI has a measurable instrument designed for clients to evaluate the program that they are exiting. This questionnaire can be given to the clients to fill out and return with their name or be anonymous. Another method offered to clients is having their Case Manager conduct an exit interview do discuss the- effectiveness of the program. Once the questionnaire has been filled out, it is reviewed by the Program Director. All suggestions for improvement, grievance, or complaints are shared with the executive Director for necessary follow up and remedy. 2. ~i-~/t®nthty €V€~etings with Clients. The weekly meetings between clients and Case Manager provide another opportunity for clients to communicate issues with the program. The Case Managers collect the information and present the issues of concern to the Program Director and the Executive Director. If the Case Manager is unable to address the issue, the issue will be referred through the chain of command (Program Director, Executive Director, Board President, and Soard of Director's Programs Committee). 3. ~Veeicly and i~l~nthly Rep®rts. ~`he Case Managers provide weekly and monthly reports to the Program Director that entails clients' activities, progress, and any program issues. The Program Director provides the Executive Director with a monthly program report that gives a summary of program management. Furthermore, the 1=xecutive Director provides a comprehensive report to the Soard of Directors of program development and management, financial reports on each grant funding source with variances, administration activities, and public awareness and relations activities. 4. l~e~ular ~vataaati®n ®f Pr®~rami. TPFFI administration has a system to evaluate the program's progress and compliance (at least on a quarterly basis) with the objectives and requirements set forth in each proposal to funding sources. The Program Director will conduct an in-house program audit that will determine if the program objectives and outcomes for the past quarter have been met in accordance to TPFFI standards and to the requirements of the funding source. Methods will include reviewing the Case Managers' assessment, the development and implementation of an educational plan, monitoring and follow up efforts with clients. The Executive Director will review the quarterly audit and develop a plan, if needed, to maintain compliance and effective program management. The programs are evaluated on an on-going basis. TPFFI Soard of Directors has a Programs Committee that has committed members to evaluate the program through conducting a program audit at least once a year. Methods of this committee's program audit include sunoeying current and past clients (with their permission), reviewing the program objectives and if TPFFI has met the objectives and outcomes, and evaluating TPFFI's efforts in complying with requests from grantors. Other specific evaluation methods include the Senior Case Manager observing the group and providing feedback and training to the facilitators on a weekly basis. Facilitators will also be working together and provide feedback to each other on what techniques worked and what did not. Yearly evaluations will be completed by the Program Director with feedback from the employee and from the Sr. Case Manager. The Jud?~ciary monitors the program on a yearly basis. Quarterly fiscal and program reports are sent to Family Court, Third Circuit for their review. . burning Point for ~arnilies, Inc. ~Iternatives to Violence, hest ~ West Haoeoraii ~rorarn Highligi~ts: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) exceeded contract expectations with I=amity Court by providing services to approximately 900% more individuals-than our contract requests (200 vs. 2,112). 2) Requested- and secured funds from a private foundation to provide low cost $2/week parenting classes open to all participants in ATV that avail themselves to this services. 3) Met or exceeded all program goals in all avenues of ATV program services. [Children, Adolescents, Adults, (men and women) and Parenting Classes] 4) Cooperated and collaborated with the Center for ®isease Control funded TP1=F1 program which is creating a culturally appropriate ®.V. program for men and women. Perf®rman~e €~l~asures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) FY 2000-01 ~Y 2001-02 ~Y 2002-03 s4ctual Pr®Ject~cf ~stirv~ate # of men served 1,136 1,079 '`894 of Psycho-1=ducational Groups for Men Who Batter 936 936 936 # of women served 976 926 817 # of Psycho-educational Groups for Women Who Satter 156 156 156 # of Support Groups provided for Women 208 208 208 ~ of pattern Chan ing Groups provided for Women 104 104 104 ~ of childcare hours provided so mothers may attend group 624 700 700 ~ of therapy hours: provided for children 104 104 110 of men and women's groups provided (total) 1,404 1,404 1,404 of unduplicated men and women served 2,112 2,112 1,711 of hours of direct services in case management for men 12,650 12,000 9,950 and women ~ of hours devoted to intakes with program participants 1,630 1,547 1,282 ~ of hours providing groups 4,160 4,160 4,160 L~Cecrease in total number due to start up of Ke Ala Lokahi Program in East Hawaii. ~furning I°'oint for ~arr~ilies, Inc. Alternatives to Violence, fast ~ West I~awaii pr®~rar~ ~x~ndiitures FY 2000-01 ~Y 2001-02 FY 2002=03 ~ctua6 ~ud~et IEstir~at~ Salaries and Wages 625,527.00 623,798.00 614,181.00 professional l=ees 11,017.00 8,013.00 10,765.00 Qperations 126,759.00 121,649.00 125,879.00 equipment 16,284.00 6,500.00 8,432.00 ~ther* -0.00- -0.00- -0.00- ~®ta9 $779,587.00 $759,960.00 $759,257.00 *please explain in detail on separate sheet p'r®~ram funding s®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) Revene~~ s®urce ~Y 2000m01 ~Y 2001 d02 ~Y 2002-03 Actua! budget l~stir~aat~ County of Hawaii 8,800.00 29,193.00 10,000.00 State of Hawaii 708,029.00 589,619.00 601,341.00 private Foundations 2,500.00 57,248.00 55,000.0 donations 5,870.00 2,551.00 4,500.00 Service/program- Fee 61,191.00 79,185.00 86,100.00 Interest Income -0.00- 2,164.00 2,316.00 T®tae 786,390.00 759,960.00 759,257.00 °fi~lrni~~ ~®int f®r ~~r~r~ilie~, Ir~c. ~It~rn~tiv~S t® ~/i®I~nce, ~St ~ VVeSt I~I~r~oii I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 ~ 2-142.2, Hawaii County Code, relating to Appropriation of Funds to Nonprofit organizations. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fully administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 92F, Naavai'i devised Statutes. / ( Signa ure of Soard president/Chair Cate _ t ll~ a Signature- of executive Director Cate I,INSIGiV~It~ lP~t~P®SALS tPlil~.~ IV~°r ACC~P~®! fiurning I~®int f®r ~~rnilies, Inc. West Ha~ee/aii ~®r~nestic abuse Shelter ~ger~cy ®irect®r: Lee Lord, Executive Director ~liaiiing A~dtiress: P.O. Sox 612, Hilo, HI 96721 Paoilitydsite A~tlress: West Hawaii ®omestic Abuse Shelter (Safe House Confidential Address) Phone IVurrober: 808-935-8229 fax iVurniser: 808-934-7600 Email Aeldress: admin2@iihawaii.net Arra®unt ®f ~eq~ses# for C®un#y finds: $22,000 Prior Year Funding: 99=00 OOs01 01 X02 $19,100 $20,000 $21, 000 ~g~ncy I~lissior>I Stateir~ent: Turning Point for Families, Inc. is a domestic violence agency that provides Shelter, Counseling, Education, and Advocacy to promote aviolence-free community. Program Descripti®n: (/'/ease brlef/y describe the program for which you are seeking funding) Turning Point for Families, Inc. (fiPFFI) is a domestic violence agency that provides counseling, education and advocacy to promote aviolence-free community. fiPFFI has served the County of Hawaii for over 23 years. `The organization has five main programs: (1) The West Hawaii ®omestic Abuse Shelter, (2) Alternatives to Violence (ATV) programs in East, West and North Hawaii. (3) Youth Services programs in East and West Hawaii, and Children's programs in East and West NawaB's, (5) the Ke Ala Lokahi project funded by the ®epartment of Health and Human Services Center for ®isease Control. fiPFFI is seeking funds for the West Hawaii domestic Abuse Shelter program that has been providing emergency shelter services to victims of domestic violence and their children, in West Hawaii serving the districts of Kau, Captain Cook, Kealakekua, Kailua-Kona, Waikoloa, Kohala, and Waimea since 1988. We are the only battered victims emergency shelter on the West side of the County of Hawaii. Note that battered victims fleeing from the East side of Hawaii are welcome at our Shelter. The main goal of this program is to provide a safe environment 24 hours a day, 365 days a year to battered adults and their children. In addition to emergency shelter, the program provides the following: • Emergency food • Safe Shelter for a maximum of 90 days • 24 hour crisis hotline (information, referral, screening and intake for the shelter) • Peer counseling and support groups fiurning I~c~int f®r ~arriilies, Inc. West Hawaii ~®rnestic ~4buse ~heBter • Advocacy • Case Management • Individualized Safety Planning • Assistance with `Temporary Restraining Orders • Links to other TPFFI programs such as Alternatives to Violence, Youth Services and the Children's Programs • Shelter Transportation • Childcare during shelter group or individual counseling through the Children's Program Safety is the most important outcome for battered adults and their children at the Shelter. Ulohile at the Shelter, residents can expect to be safe from their batterer. If and when residents leave the Shelter, each will have a personalized safety plan to assist them to remain safe. The primary outcomes include the following: • 90% incident free shelter days will be provided. • 90% of adult battered victims leaving the Shelter will have a safety plan for self and children. • 60% of adults returning to the abusive situation would be under the protection of a temporary Restraining Order (TFtO). The Shelter provides a safe, low-stress and comfortable environment for clients to think clearly about their options and goals they want to pursue. Shelter Advocates work closely with the residents to assess their needs, options, and provide guidance on achieving their goals. The staff is knowledgeable with domestic violence information, health, and social service resource information. I\Aoreover, support and follow up is given to the clients and their children after they exit the Shelter. The Shelter program conducts individual and group support counseling about domestic violence to educate them about the dynamics of violence, how safety is the top priority, and to confirm realistic goals. The support groups significantly help the clients to realize that there is no excuse for domestic violence, and to raise their self-esteem. Parenting education and classes are available to clients to teach play therapy for their children who witness and experience domestic violence. The Shelter strives to deliver comprehensive services to battered clients and their children to increase their chances of living violence free on a long-term basis. Positive social change is facilitated when the Shelter Advocate staff teaches residents that they do not deserve the abuse. Once this lesson is learned, the battered adult fosters this to their children or peers. Domestic violence education is an essential tool for prevention in our community. This realization develops into increased self-esteem fihat motivates the client to achieve their health, social needs, financial, and housing goals. Turning Point for Families, Inc. (TPFFI) West Hawaii Domestic Abuse Shelter is concerned with the increase of adult- battered victims and their children who are requesting emergency shelter as a result of domestic violence. For the four-year period 1994-1998 there was an overall increase in the number of police reports from all Counties except Honolulu for violations of HRS 709-906, Abuse of Family and Household Member (Department of the Attorney General, Crime and Justice in Hawaii: 1996 Hawaii Household Survey Deport, 1996). For arrests under HRS 709-906, Hawaii County showed an increase of 4% during that period. In the calendar year, 2000, 1,255 cases of Domestic Violence were reported in Hawaii County. In the Calendar year, 2001, 1,190 cases of Domestic Violence wars reported. The I<awaihas Homeless Shelter reports that 85% of its 500 annual residents are suffering from domestic violence, in which they do not have the expertise to deal with effectively. Sadly, all available evidence points to the fact that domestic violence and the situational homelessness it crates are serious and growing concerns in West Hawaii. TPFFI West Hawaii Domestic Abuse Shelter serves clients who are by far our community's most vulnerable members. Often overlooked is the fact that most of the Shelter's clients are children. The need for providing a secure, accessible, comfortable and stress-free environment, are emphasized by the following facts about those who depend on the Shelter and its resources for their personal safety and, all too often, fiheir lives: Turning P'eint f®r ~`ar~ilies, Inc. West I~~alvaii ~®rnestic Abuse Shelter Children: • Nearly 60% of Shelter clients are children • 95% do not have immediate shelter and their "permanent" housing is threatened by the abuser • Many of these children have witnessed violence and other forms of abuse • These children stand a 70% increase in the risk of being abused themselves • All of the Shelter's children require and undergo trauma counseling with the Children's Coordinator or psychologist • Many of the children will develop Post-Traumatic Stress Disorder (PTSD) Adults: • 85% of adult clients have been beaten or maimed • 30% are fleeing the threat of death • 25% require medical treatment upon arriving at the Shelter • 100% require trauma counseling • 95% are without sufficient resources such as housing, finances and health to support themselves and fiheir children • 80% are without personal transportation • 80% have little or no marketable skills Indeed clients come to the Shelter under some of the most difficult and stressful circumstances imaginable. Upon arriving at the Shelter, adult clients are faced with a truly daunting task. They must overcome their trauma, gain protection from their abusers and put together the resources necessary to fee, house and otherwise support themselves and their children...all tin a few short months. It is an unfortunate reality of domestic violence that victims are often unable to successfully meet these challenges. t;eft with no viable alternatives, return to fiheir abusers. Tragically, many will be abused, again, and their children will continue to suffer. The Shelter program provides services to victims of domestic violence and their children, in West ~lawaii serving the districts of Ka'u, Captain Cook, Kealakekua, Kailua-Kona, Waikoloa, Kohala, and Waimea since 1988. `~®tail budget grad ~'®siti®n C®urat dotal! Prograra~ budget $405,096.00 fi®ta! ~rograr>n P®siti®ra C®urat 1.3 ~°®tai ~geaZ~y a~dget $1,730,333.00 ~`otai agency ~®siti®n ~®unt 65 ~rograraa ~ibJective~: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Tease number and have al! objectives begin with a verb.) The major goal of the Shelter is to provide a 24-hour safe emergency refuge for battered .adults and those with children. A secondary goa! is to provide battered clients and their children support services such as case management, individual and group counseling to work towards self-sufficiency and transition into aviolence-free lifestyle. The third major goal of the Shelter is to provide a 24-hour crisis hotline to assist persons with a domestic violence crisis, with information, crisis counseling, and appropriate referrals. Clients at the Shelter are adults and children fleeing form domestic violence who have not- other safe and confidential place to receive specialized support services and have become homeless. ®uring the FY 2000-2001, the Shelter supplied 3484 bed days. For this FY 2001-2002, we anticipate providing 4124 bed days. ~Ltrning I~®int f®r ~~r~r~ilies, Inc. West I~aWaii ~Orr~~stic ~bus~ ~helt~r C~tstc®rne indicat®r Longer-Term Outcomes: 1. Transition into a violence free and healthy • Percentage of clients who report violence-free lifestyle for battered women. transition. Intermediate Outcomes: 2. Progress toward meeting their treatment plan • Documentation found in client files. goals battered women. Initial Outcomes 3. Provide 2~-hour emergency access to the • Number of battered women that were provided Shelter and crisis counseling for battered intake services and assessment. women. Tasks and ,~,c#ivities The Shelter staff would provide the following services: Crisis counseling, advocacy, support groups, information and referral and case management services. 1. Children's Services The Children's Program provides each child a safe living environment to allow children to experience positive relationships during their stay at the Shelter. The Children's Coordinator meets with each child as soon as possible to develop personalized safety plans. ®uring the intake process, victims with children are informed of the expectations of the Children's Program. For example, these victims are expected to attend scheduled group and individual sessions with the Children's Coordinator. Victims of domestic violence that seek shelter services endure incredible stress, and battered victims at the shelter that have their children with them worsen that stress. Thus, all Shelter Advocates are trained to intervene between victim residents and their children as needed. As mandated by law, all program staff is required to report cases of suspected child abuse to Child Protective Services (CPS). in cases where residents are known to have an active case with CPS, the Children's Coordinator collaborates with CPS Social Workers to insure conditions of the clients' service plan are being met. The Children's Coordinator offers parents referrals to community providers for services depending on individual needs. Studies show that children of domestic violence often learn to minimize the violence, blame themselves or the victim, and deny the abuse and violence they have witnessed or experience. Group activities facilitated by the Children's Coordinator assist in helping the children feel x:~omfortable in the Shelter. Children's support group services focus on empowering the children by informing them of the choices they -have to insure their personal safety, teaching them non-violent behaviors, making them understand that it is not their fault. Other topics discussed in group sessions include: Trust E~uilding, Acknowledging Violence and Validating Fears; Communication; New Ways of Coping with Violence, Anger ivlanagement, and Confiiict resolution. I'I~Beasured [oy d®cuntentati®n in gasarteriy red®rts and client fifes. 2. Transp®rtati®n Services The Shelter has a 7-passenger van that has been designated to carry out shelter services such as transporting residents to and from appointments to various service providers in the community, and any business pertaining to program matters. Policies and procedures for this service have been established and implemented by the staff. Victims are encouraged to request police assistance even if they have the Court's permission to return home to retrieve their belongings. A key ingredient in the success of the Shelter program has been the active support and cooperation of the police and the human service agencies to meet the Turning ~®int f®r ~arr~ilies, Inc. Wept I~aOOVaii ~®mcStic abuse Shelter emergency transportation needs of families escaping domestic violence. I~easa~red grad docurraented in daily !og and travel log 4~®r varw. 3. Socialization activities The Shelter Program provides recreational and social opportunities for victims and their children to have fun, nurture self-esteem and independence, and to improve in areas of decision- making, goal setting, and team building. With recreational activities, victims as well as the children will be able to have fun, relieve some of their stress, and feel safe in a Shelter atmosphere that is fun, safe and supportive. Other socialization activities will include: orientation to community resources, development of social skills, broadening of living experience, personal hygiene and grooming, preparing for job interviews, resume development, and stress reduction. ~Oleasured by docaaa~aentation ~n daily log and client tiles. 4. ®utreachf~ollovv~up Services After a resident leaves the shelter to independent living, they become anon-resident status cl'sent. Outreach services provided include: crisis assistance; individual and group services provided once a week or more frequently depending on individual needs. The departing resident and Shelter staff develop Aftercare Plans. Aftercare Plans are goals set by the client and advocate to reinforce skills learned- at the Shelter. Appropriate referrals to community services are given along with a Relapse Prevention Plan, and Safety Plan to prevent future incidents of violence, and recognize signs and triggers of violent situations or relationships. Participants are encouraged to participate in the Peer Nlentoring Program after they leave the program and move to independent Giving. The Peer Mentoring Program extends the supportive services of the West Flawaii ®omestic Abuse Shelter into the day-to-day lives of victims and their children providing on-going support for violence free options and community re-entry. As victims grow strong in their recovery, they begin to share these newfound strengths and gifts with .other victims and the community. The Peer Ivlentoring Program meets two times a month or as needed with the goal to promote the strength and community of victims. measured grad docuanerited ire client files and quarterly report. 5. ~isctaarge Participants can stay at the Shelter for up to ninety-day (90), extensions are granted on an individual basis. Shelter staff reviews participants case plans daily. Weekly staff team meetings review all current files with the Program Supervisor. Progress ore goals and objectives ire flee services plan are accessed, updated, grad docuavaented ire each participant's file. Participants preparing to leave for independent living regardless of the time they have resided at the shelter will meet with an advocate to complete the Outtake process. ®uring the process, advocates complete Outtake forms, make necessary referrals, recommend options toward living violence-free supported lifestyles, develop Aftercare and follow-up plans. Prior to discharge, victims complete program evaluation forms. Children will meet with the Children's Coordinator to review safety plans and schedule follow-up sessions with parents and children. Participants may be discharged for violating rules on violence/threats of violence, drug or alcohol use/intoxication, breaching confidentiality of another participant or disclosing the location of the shelter, and stealing. ~9leasured grad docuraterated in client tales and quarterly reports. fi~rning I~®int f®r ~arrr~ilies, Inc. West Hava/aii ~®rnestic ~busc Shelter lPro~rarrt ~iigh~lhts: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Successfully provided shelter to 135 women and 104 children who needed a safe place to be because of domestic violence. 2) Provided services contracted during previous year without any incidences of violence at the shelter. 3) Completed smooth transition with the hiring of a rew Program Supervisor as former Program Supervisor resigned to realocate to mainland to be married and live with her new husband. 4) Hired an Operations Coordinator to oversee shelter repairs/maintenance/remodeling, van repairs, donations, etc. IPerf®a~raance Measures (Quantifiable indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) Services; FY 2000-01 lFY 2001=02 l°Y 2002-03 Actual Pr®jected ~~tfrnate 1. # of bed days 3,484 4,124 4,124 2. # of group service session (hours) 252.50 200 200 3. ~ of group service recipients 105 200 200 4. ~ of individual. session hours 1,825.25 1,500 1,500 5. i~ of adults who received individual services 135 96 96 6. ~ of children mho received individual sessions 104 130 130 7. # of outreach-hours 72.5 234 234 8. ~ of follow up-hours 108.75 234 234 9. ~ of hotline crisis calls 167 210 210 10. # of referrals by calls 418 465 465 11. ~ of van trips by staff for clients 115 260 260 fiurning I~®int f®r ~~rnili~s, Inc. West I°~ave/aii ~®rnestic ~bus~ ~helt~r l~r®grarn ~xp~nditures I~1( 2000x01 ~Y 2001 e02 ~l( 2002-03 ~4ctual budget ~stianate Salaries and Wages 220,287.00 292,375.00 295,955.00 professional fees 6,255.00 4,354.00 4,794.00 Operations 123,845.00 91,792.00 101,723.00 lquipmEnt 7,206.00 2,624.00 2,624.00 Otl~er* -0.00- --0.00- -0.00- `~®tal $357,593.00 $391,145.00 $405,096.00 *Please explain in detail on separate sheet I~r®gram fundl~g S®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) Revea~ue s®urce ~`Y 2000-01 ICY 2001 ~02 ~ 2002@03 actual ~u~lget ~stiin°oate County of Hawaii 48,894.00 68,800.00 56,497.00 State of Hawaii 205,815.00 206,310.00 246,310.00 federal 50,000.00 50,000.00 50,000.00 private foundations 27,230.00 40,789.00 25,125.00 IOonations 1,529.00 2,822.00 5,100.00 ServicefF'rogram fee 8,600.00 2,953.00 3,600,00 Vending 68.00 300.00 300.00 fundraising -0.00- 1,040.00 3,000.00 Interest Income 11,351.00 18,131.00 15,164.00 1°®tal $353,487.00 $391,145.00 $405,096.00 ~~urnin~ ~cint ~®r ~~rnili~~, Inc. ~~st I~avv~ii ~or~~Stic ~bluS~ ~h~lt~r I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in ~?rticle 25, Sections 2-135 ~ 2-1 X2.2, ~lawai°i County Code, relating to appropriation of Funds to Nonprofit ®rgani~ations. (we) hereby certify that information supplied herein including all supporting documents is correct end that I (we) have the authority and ability to fully ,administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter ~2F, I~awai'i devised Statutes. . /Lo Sign ure of Soard I~resident/Chair date ~ ~ ~ 6 Signature of executive director ®ate IJIVSIIC~N~ RR~~®S:4LS UVIL~ iV~T' ~acc~~°rc! W~~T ~I~aWAII AI®S FAUN®ATION CASE M~N~C~~MNT ANA TI~ANSMISSI®N I~REV~N~I®N I~~R ~OIV~ W®MN IN WEST I~.AWAII ~®UN~Y Page 1 Agency Direct®r: Georgia Kennedy ~Jlaiiing Address: 75-240 Nani-Kailua Drive, Suite 5 FacilityBSite Address: Kailua-Kona, I°II 96740 Ph®ne Number: 331-8177 Fax Number: 331-0762 ~r~aail Address: georgie@whaf.org Am®unt ®f Request f®r C®unty funds: $15000.00 Sri®r Year Funding: 99x00 OOm01 01602 $7,640 $9,000 $15,000 Agency ~lissi®n Statement: WRAF is anon-profit organization dedicated to ensuring and maintaining the highest quality of life for people living with HIV/AIDS and their families, preventing its spread through education and advocating for all whose lives have been affec#ed by this disease. Fir®grarn Descripti®n: (Please briefiy describe the program for which you are seeking funding) early treatment for newly diagnosed HIVE women, maintenance of stable health and well being for al! HIVE- women in West Hawaii County, long term planning for health maintenance, aggressive transmission prevention interactions. WEST 1~~4WA11 AI®S ~®IJN~ATIC~N C~S~ M~4N~C~EMNT ~N~ TRANSMISSION PR~V~NTIC)N FOR ~91V+ WQM~N IN WEST HAWAII ~®IJNTY Page 2 ~®tal budget ~n~ (~®siti®n Count T®ta! ~rcgram ~usdget 15,000 ~®ta! Pr®graan ~®siti®n C®unt 2 ~®tal ,Agency ~utlget 484375.00 ~®ta! Regency P®siti®n Cc~ant 7 l~r®grarr~ objectives: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within a specific time frame. Please number and have all objectives begin with a verb.) 1) review each woman's care/prevention service plan in first month of program, and/or initiate new care/prevention plan for newly infected. (min 12 women, 1-2 hours per client 2) F2eferral to appropriate providers (medical/dental/social services/mental health) within the first month 3) review l°lealfih plan for all participants (min 12) each quarter 4) Initiate transmission prevention protocol (min 12 clients - 1 hour) in first session, then quarterly, and as needed as problems arise 5) ®ocument maintenace of health by review of care plan and input from client each quarter (12 min) 6) Document progress and adherence to transmission prevention procotol with input from client each quarter (12 minimum) 7) Monthly support group for B°BIV+ women dealing with care, nutrition, self- esteem, negotiation, sexual issues, transmission prevention. ~r®grarr~ Highlights: (Accomplishments from the previous fiscal year. Please number and begin al! highlights with a verb.) 1) ~;ast year's program was for outreach to young women to prevent the contraction of hllV/AI®S/Sl-®'s in an educational setting: 2) 35 young women were contacted and participated in a one on one interview and prevention session lasting 1 hour. 3) 22 of these young women admitted to participating in unsafe sexual practices (some were young mothers in high school). 4) These 22 young women broke into 5 groups and met on a monthly basis (3 hours), to discuss their success and challenges in practicing safe sexual activities. W~~T HAWAII ~I®~ F®UNI~~`TI®N MANe4C~~M~NT~ AN®~I~/~NSMISSI~N ~I~~V~N~I®N I~IV+ W~MN IN W~~T HAWAII C®UN~°Y Page 3 5) 10 of these young women were tested for HIV/AI®S -all were negative. 6) 5 were referred to an STS clinic for testing, most had other sexually transmitted diseases and received treatment. 7) All 22 continued to meet regularly and showed a 75% adherence rate in consistently using condoms or other forms of protection in their sexual encounters and a 50% increase in incorporated knowledge of the issues of HIV/AI®S/S°f®'s. 8) 5 young men (partners of these young women) participated in a 2 hour session with the educator and these young women (10 total) to discuss their role in the area of promoting "safe" sex with their partners. Initially none saw any reason to use condoms and were very opposed to their use on the basis of "lack of satisfaction". At the end of fihe session all 5 were willing to use condoms on a regular basis for their own good health and that of their partner and methods to make condom use more satisfying. 9) `The final report to date indicates that all the participants, both male and female have made a dramatic change in their negotiation skills for the use of condoms to promote their own good health and that of their partners. Pert®r~ance I~I~asures (Quantitaab/e indicators of public and consumer benefits from your program's actions, and/or the number of goods or services your program produces.) ~Y 2000-01 ~Y 2001-02 I~lf 2002-03 Actual budget stl~ate Outreach in high schools 200 0 0 Group meetings High Risk Youth 120 0 0 Community Programs (6 programs) 350 0 0 Outreachlprograrn High school 10 0 Groups high disk Young dlNomen 35 In depth roues (22 individuals) 66 Special :Groups 66 Initial Assessment HIVE women/mo 180 Monthly health meeting (12-15) 180 Monthly prevention counseling 180 Monthly support group meeting 180 Community awareness 350 . WEST O~~W~II AI®S F®lJN®~4T1®N CASE M~NAC~~MNT ANL~ TF~ANSMISSI®N I~R~V~NTI~N FCJI~ I~IV-~ W®MN IN WEST I-~~WAII C®IJNTY Page 4 Pr®gram ~x~enditures iTl( 2000-01 FY 2001-02 ~Y 2002-03 Actual budget estimate Salaries and Wages 4695.00 12,350 12,347 Professional fees 0 0 0 Operations 4305.00 2650. 2653. equipment 0 0 0 Other* 0 0 0 T®tal 9,000 15,000 15,000 *~lease explain in detail on separate sheaf Pr®gra~ i"unding S®urces (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) Revenue S®urce ~Y 2000-01 i°Y 2001=02 ICY 2002-03 e4ctual budget estimate State of Hawaii Case 11llgmt. 20%* 30,000 30,000 30,000 Hawaii Island United Way 0 15,000 9,000 Hawaii Community foundation 0 5,000 5,000 County of Hawaii 0** 0*~ 15,000 i~undraising 5,000 5,000 5,000 T'®tal 35,000 55,000 64,000 ~~Oli funds are use t®r ~ayme~t ®ff Dare expes~~~s such as r~~~i~ine, ~~®c9, etc. ~ri€~arily n®t 'f®r evaluati®n ®r preventi®n. We are expectia~g at least a W~~~ I~~WAII ANUS F®UNU~TI®N CA~~ MAN~C~~M~NT" !~N® fi1~~4NSMISSI~N ~~~V~N~TION I~IIV~- W®MN IN W~~~f I~AWAII C®UN~fY Page 5 10®/® cut in these funds this year Because ®f stag laudget cuts. these figures represent tBae current nu~Baers befi®re the anticipated cuts. Gcun#y funds have previ®usBy never been used f®r the care ®f BiB1/°~'s Bay this B°®undati®n. C~uraty funds in this request c®ver care grad preventicn as ®ppcsed t~ preventi®n ®nBy. W~S~f I~AWAII d~I~S ~®lJN®~~fl®N CASE I~I~NA~IVI~N~f ~N~ TI~64NSI~IISSI~N I~RV~N~I®N F~~ I~IIV°~ W®IVI~N IN W~S~ HAW~411 COIJNT'Y Page 5 I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in Article 25, Sections 2-135 ®2-142.2, hlawai`i County Code, relating to Appropriation of Funds to Nonprofit Organizatsons. I (we) hereby certify that information supplied herein including all supporting documents is correct and that I (we) have the authority and ability to fulBy administer the program(s) pursuant to law. I (we) understand that 'nformation supplied herein shall be made public according to Chapter. 2F, Hawai`i Revised Statutes. ~ 1 /23/02 S' n re of [~o Rres' ent/ air Date i ' ems Si store f ~tecu ive Director Date: 1/23/02 C~ orgie needy lJN IGND ~#Z€3ROS~1_S ~l61L,t~ NOT ACCEPT'~l~l S ~l~st ~aaii ~di~tis~l~ ~e~t~r ~~t~~~ ~~l~i~~~ ~genc~ ~irect~r: Franco ~Ocquaro iaiting ~ddr~ss: ~O Sox 7020, Kamu@la, HI 96743 FacilitylSite address: 65-1279 Kao~vaihaa Road x#217, Kamu~la, ail 96743 ~hs3ne ucn~r: {808) 885-5525 F ~urnr: (808) 887-0525 ~mait ~dttress: whmc~a bigisland.net ~m®unt taf ~tequest t®r C®unty funds: $20,Oi:FO Prior Year Funding. 990 0001 01-02 ® X9,500 $10,t~t?0 ~ncy omission Statement: 1111est Hawaii mediation Center exists to improve the way peop!@ des! with conflict by providing radiation, facilitation, education and training s@rvices. Program ~escri~tion: T'h~: funds ar@ r@qu@st@d to support 1111@st Hawaii ~ll@diation Cent@r (V1il~1VlC) which s@rv@s th@ districts of ~larnakua, ~lorth ~ South Kohala, !North ~ south Kona, and Ka'u, 1i1f~3C provides community-bas@d m@diation s@rvices f®r both s@lf-referred and court~lega! cyst@rn t-ef@rr@d e!i@nts. Th@s@ s@rvic@s are provided in an acc@ssibie and affordable rraanner to ensur@ any and al! disputes in 111lest Hawaii can be r@soly@d in a sad@, fair and approp?~at@ way without th@ @xp@ns@ (time and rraoney) of litigatis~n. ~~lC utilizes trained community volunt@@rs to d@liver this vital service to their fL~llow community memb@rs. T'®! ~e,rdget seed iPosati®rs C®unt `Tote! fro -rasa ~u~! X86,190 `T~tai Pr® ram Poslti<®n C®unt 1. T`otat ~ Inc t X124,690 ~otai enc Position Cuesnt 2.75 11V~~~ ~°l~~~i~ ~l~di~tian C~nt~r i~t'l~n ~~~i~es Presgrae~ objectives: 1) Provide information and referral services to individuals who Head services instead of, or in addition to, the mediation services offered at 1li/Fi~O6l~. 2) Recruit, 4rain and retain high-quality volunteer community mediators. 3) Provide rnediatitsrt services in an affordable and accessible manner for disputes arising bath in and out of the courUlegal system. fifer mediation services for a wide array of dispute issues including neighbor-neighbor, divorce (property division, finances, parenting plans), landlord tenant, consumerRrnerchant, real estate, small claims, cond€~rrainiurn, civil righ$s, special education, victim-offender, and community issues. 5) Provide adequate case management services to adequately serene all referred cases. f) Provide community awareness and education around constructive conflict resolution practices. ~P®~P~BI'3 l'$ig~'I~ig~i~s: 1) Provided information and referral services to 128 individuals. 2) ®~livered 1,891 hours of case intake services. 3) Served 249 cases (69% court6legal system referred; 31 self-refes~red) with 429 clients served. 4) lttili~ed 42 volunteer mediators in 129 mediation sessions for a total of 497 hours of med+ation. 5) O~eached full agreement in fi9% of cases mediated. 6} Achieved a 91 % service satisfaction rating by respondents (post- mediation satisfaction survey). 7) Achieved a 97°fo rating by respondents indicating that they would recommend mediation to others in the future. 8} Pr®vided 40 ~o of t~ata! services to I®w ir~corrse clients (annual income under $20,625). I~ePf®Prnarace easuPes FY 2000-01 ~Y 2001-02 ~Y 20023 Actuai dud et tirn~te c~s€~ ~avss~s~x S~c~esi~~s hours 1891 1900 1900 €~i`®r~ ~atd inciividua6s 128 150 175 ~~tis~n rrr~ 249 250 250 a~~se~ ~s~is~~~ c~t~~~aot~~ 129 130 135 ~ ~n ~t$i~.~€s3s~ % 69°fo 70% 70°~ C~i~~~ ~~~€~f~c~~ ~8's~l~ ~~v's~~ % 919° 90°/® 90°~ clas~rat ~#~r~~~s~zss tss R~~~n~ 97% 95°/® 95% U1~est ~~~~ii ~~i~ti®~ C~nt~~ ~~i~t~~~ S~I~iC~s Sk7@t ~it$~~~C~n'3~t~~ "Pra~r~3a~~ ~~r 3 7 8 vol~s~~~r ~c9a~~~ar~ iotat ~~inir~ s ~$fss~~~~~~ 8~o~oi~~:~ 'T~ Lsa~ ltasa~~ 40% 33°~ 33°~ o€ clit~ lover i~rome C~~ ~6~io~ag€saa ~sa~ ~ 8 1 ~ ~~~~~~aaa~ s~~~a~a~s Pr®~ra~ expenditures ~Y 2 e01 l°Y 2401-02 ~`Y 20023 ~~tuat dud et ~sti~tat~ Salaries and !!1! es 59,114 57,291 60,791 l~r®$essic~n~! Fps 4,386 1,400 3,754 C? rations 14,578 19,453 20,709 ~ ui went 634 1, 910 940 ®ther~ 0 0 0 ~`®i 78,712 80,054 86,190 ~r®~ra ~u~din~ Seaa~rces ~e~eersue S®urce l~Y 2Q80-01 FY 2001Q02 ~l( 20#32~D3 actual dud et satiate State of ~la~waii _45,688 45,001 X5,000 Coup o~ l~av~aii 9, 500 10, 000 20, 000 B~awail .lustice 1`oundatic~n 5,500 6,000 1,800 glVest ~a~aaii 1* and 0 1,185 1, 000 Yours Srrstl~ersl~l l ~`u & Sar e 0 1, 000 1, 000 1Vortl~ l~a~aoi rota Club 0 500 500 private nations 9,663 10,000 10,000 Adrrsnistrative fees 3,592 3,000 3,000 Tralnin inoo~e 1,185 2, 938 3, 000 ~duoaticsn F'r rams 654 250 750 Interest 117 180 140 T`®tal 75,899 80,054 86,190 V1/~st ~a~~ii M~diatio~ Center edi~ti~n Services l (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirements as mandated in ,article 25, Sections 2-135 2-142.2, ~6awai`i County Code, relating to appropriation of Funds to Nonprofit Organizations. I (we) hereby certify that information supplied herein including all supporting docurnents is correct and that 1 (we) have the authority and ability to fully administer the program(s) pursuant to law. f (we} understand that information supplied herein shall be made public according to Chapter 92F, I°lawai'i Fdevised Statutes. Signature of re a hair Date \~2~\b, Signatur ®f executive Dire or Date ~NSIGN~D ~ROPOS~t..S'~9911..L- ~®'f ~ ~CCEPT~®! _ _ _ YVd/~~ ®f I~lav~aii Island kahi I~rograrn Agency ®irect®r: Nancy Moser Failing. Address: 1~5 Ululani St., Milo, HI 96720 ~acilityBSite Address: Sox 777, I~onokaa, l°il 96727 Ph®ne l~unlber: 775-0976 l=ax Nurnber: same email Address: ekahi@ilhavvaii.net Am®unt ®f Request for County funds:56,000 Pri®r Year funding: 5900 00-01 0102 50 $5,000 55,500 Agency issi®n Statement: The YVO/CA of I~a~oaii Island °...strengthened by diversity and sustained by the richness- of many beliefs and values...dravvs together members veaho strive to create opportunities for growth, leadership and power in order to attain a common vision: peace, justice, freedom and dignity for all people." Core thus include the economic empov~oerment of v~omen and girls and the elimination of racism. pr®gram ®escripti®n: (Please briefly describe the ~orograen for ~ohich you are smoking funding) YVI/CA Hamakua Youth Center, acommunity-based facility in 9~onolcaa, provides after-school computer access, crafts, pool table, photography to approximately 25 teens each weekday. It is an office bate to offer a drug prevention curriculum to over 1.00 youth annually, and tobacco prevention sessions for 100 youth. T®tal budget and P®siti®n Count 'f®tal fro ram dud et 8,650 fi®ta! Pr® rarv~ l~®siti®n C®unt 5 T®tal A enc dud et 3,642,923 T'®tal A enc I~®siti®n C®unt 120 1~W~A ~f I~la~aii Island kaki Program Pr®gram ®bjectives: (Tasks or projects to be accomplished in specific, ~rvell-defined, and measurable terms and that are achievable within a speck time frame. Please number and have all objectnoes begin with a verb.) 1) Provide free computer access and drop-in activities, both structured and unstructured, to 25 teens per day after school, including those with families significantly affected by layoffs following September 11, 2001. 2) Continue drug prevention education to 15 to 30 parents on-site annually. 3) Continue to provide a drug prevention curriculum to over 100 students annually. Provide daily, health-oriented activities throughout July 2002 to 15 teens, in collaboration with Hamakua Health Center. Program Highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights Frith a verb-) 1) Provided a safe, wholesome place for a statistical average of 24 youth daily after school, exclusive of special events 2) Conducted three family drug-prevention education evenings during fall 2001 attended by 40 or more family members at each, with guest speakers 3) Presented aHawaiian-values drug prevention education curriculum to 95 enrolled fourth and seventh graders during fall 2001 Conducted a daily multicultural program for 12 students during July 2001. Perf®rPnanca I~easure~ (Quantifiable indicators of public and Consumer benefits from your pr®gram's actions, and/or the number of goods or services your program produces.) PY 20®0-01 l~Y 2001-02 ~Y 200203 ~ac$ual dud et s#ima#a ~'eer~s dtdp in daii~ fir ~rputer 18 24 actual ~5 access, ool, chess, etc. Parent attends drug prevention 26 24 actual 25 class onsite Students enrolled in 12-session 117 108 120 reventic~n curriculum Students receive 1 hour tobacco 79 108 actual 100 revention collaboration) Y16V~~ of I"IaWall Island kahi ~r®gral~ l~r®gra~ ~xpentiitures ~Y 2000-01 1RY 2001-02 FY 2002x03 ~ct~aa! budget ~stirraate Salaries and Wa es 52,861 56,943 55,683 Presfessional 1°ees 9,930 1,150 600 ~ stations 33,172 24,207 2.1,375 ~ ui n~aent 8,168 2,450 2,492 ®ther* 4,200 3,`750 4,500 fi®tai 106,331 88,500 84,650 *Please explain in detail on separate shut Pr®gra~ standing S®arces (List all sources of funding, including specific grants, fundraising events, etc. relating t® the program only) Revenue S®urce ~Y 2000-01 1RY 2001-02 ~Y 2Q®2-03 Acttaa! budget ~sti~ate Stag ~f avra ~ 75,00 75,000 X5,0 Coaan of 1°lav~aii 5,000 5,500 6,000 Queen ~ilita®kalani Childress Center 2,000 2,000 2,000 John fi4l. l'i®ss ~ounda6®n 10,000 F-iawaii l-~uman ®ev. sta5contract 14,501 793 C®ntrib~tions 2,000 1,850 fi®tal 108,501 83,293 84,650 YUVC~a ®f Ha~evaii I~lanci ~kahi i~r®grarro I~r®gram xpenc6itur~s-~?etail A. The program expenditures "other" item is a subcontract with Ekahi's F Ola Pno instructors. This is the Hawaiian values prevention education curriculum that is presented on behalf of the State Department of I-9ealth, Alcohol and Drug Abuse Division. The amount varies for the first and second year of each biennium due to a different number of classes required for each year. B. Please note the following explanation for the "Professional Fees" variation across three years of Program Expenditures: Until the 2001-2003 fiscal year the YWCA of Hawaii Island assessed an indirect fee of 10 percent to the largest (under, DOH ADAD; the fee amounted to $7,500 of the $75,000 annual contract amount. This fee covered the YWCA's role with Ekahi including extensive financial services, personnel aspects handled by the Human resources Department, etc. For the fiscal year 2001-2003 biennium, DOH ceased to permit an indirect fee (the federal government no longer permits on), and so the same amount was distributed to other costs including a portion of finance department salaries, small portion of rent, their supplies, etc. Most grant givers (for example, those associated with Hawaii Community Foundation) permit an indirect fee and 10 percent is in fact considered low. QLCC does not permit such a fee, however. YVV~A ®f 1~0awaii Island ~kahi ~rorarn I (vie) have read and understood alt of the eligibility requirements; grant conditions; avvard pr®cedures; and records, reporting and fiscal accountability requirerents as mandated in Rrticle 25, Sections 2-135 - 2-142.2, HavNai`i County Code, relating to Appropriation of f=unds to Nonprofit Organizations. I (vioe) hereby certify that information supplied herein including all supporting documents is correct and that I (once) have the authority and ability to fully administer the program(s) pursuant to lave. I (vre) understand that informafion supplied herein shall be made public according to Chapter 92~, F~avvai'i Revised Statutes. i i~~ Signature of hoard President/Chair Date ~4 ~ ~ Signature of executive Director Da e tJ~1SIt~N~D RR®P®S~41~S Wlt.~ I!6®T ACC~Ig°r~D! ®f I°~avvaii Island ~~~~al ~ssait ~'I~tit°n rn~~v~rr~~n~ Agency Cirect®r: !Nancy Nloser a~lsng Address: 145 lJlulani St., Milo, l~ll 96720 l=acilitylSite Address: 197 Kinoole Street Milo, l-ll 9Fi720 75-5759 Kuakini Highway Kailua-Kona l~l 9€745 Phone ~luanlber: 935-3215 l=ax Number: 9353190 331-3943 331-3724 email Address: yvvcaexec~bigisland.net Am®unt ®f request #or ~®unty funds: $52,000 Pri®r Year funding: ~fhe 1M6CA pr®gra~n received $52,000 annually for several years Pri®r t® 1999, ~l'en Kapi®lani Medical Center ®k ®n the pr®~ect. Kapi®lani received that same arraount ®f hlawa6i County funds #®r 99-00, 04-fl1 and 01Q02, and then subc®ntr°acted the service t® the ACA an 10A7 001. 9900 OOs01 01-02 ~0- ~0 ~0 Agency fission Statement: ~fhe CEO of Hav~aii lslar~d "...strengthened by diversity and sustained by the richness of rr~any beliefs and values...draws together members vaho strivo to create opportunities for gro~neth, leac~rship and poo~mer in order to attain a cort~mor~ vision: Peas, justice, freedom and dignity for a!! people." Core therms include the eeaonomic empov~erment of ~n?omen and girls and the elimination of racism. ~ ®f ~~s~~a S~x~~l ss~~i~ ~/i~t~r~ p~vv~rrn~n~ Program ~escripti®n: (~iease hrieffy descr~e the program for which you are seeking funding) The program's mission is to work to reduce the incidence of sexual assauit on the gig island and to re€luce disability related to sexual assault victimization. °rhe Y9~CA Sexual Assault ~ictir~a empowerment program (SAOl~) operates the rape crisis center for the island of ~lawai€. Skilled and supportive Crisis 16Vorkers are available to provide phone support to callers on the Sexual Assault Crisis Line or face to face help 24 hours a day island wide to sex assauit victims who report the crime to .police. Crisis ~oricers function as team- members with police investigators and sex assault nurse examiners in the F-lawaii County Protocol for forensic examirBation of sex assault victims. A full time r~aasters-prepared TherapistE~ducator is employed at each SAS Center (Hilo and Kailua) to provide psychotherapy and legal systerva advocacy by appointment or wali~ in. Corrrrnunity professionals,. the public and school aged groups are helped to becort~e aware of sex assauit survivor needs, services and prevention strategies through SA~~°s comrrrunity ede~cafion function. The YVd/CA of Hawaii Island has operatest these services from 198 through 1939 and since Qctober 1, ~0®1 has re-established the services under a subcontract with i~apiolani ~Aedical Center, which received the County funds to conduct the services irs the current fiscal year (2Q31-20®2). for 2®0~-03, the YWCA is applying directly for the County funds. Some state general funds will continue to be used for the project, via Kapi®lani i~iedical Center to the Y~dCA through fhe state's rnastercontracting agreement. In favor of the Y11\/CA's application, l4apiolani declined to apply for the County funds which have for years made up the second largest source of support for the project. T®t~l ~~dget and Position C®unt Total Pry ram dud et X45,737 T'®tai Pr® rarn Position C®t~rtt ~ ~T~ T®fi~l Aea~cy ud~et 3,642,923 `T®t~i Agency Position C~~n# 120 ~~VV~9! ~iSI~Ct~ ~~x~~f ~~~~I~ Vi~~ir l~p~~rerr~n~l~~ Prograrra Qbjectives: (7"asks or pro,~cfs to be accomplished in specific, woell-defined, and measurable terms and that are achievable t~ithin a specific tune frame. Please number and have alb objectives begin r~ith a verb.) 1) Provide a SASE Crisis Vllorker to support each sex assault victim undergoing n~edica!®legal examination in the period July 1, 2002 through June 30, 2003 2) Complete a Personal Happiness Questionnaire to assess progress in treatment with ~0°/® of survivors oovho consent to clinics! counseling services during the fiscal year 3) attend and participate in monthly case tracking and interagency team coordination meetings caf the East and V10est Fiavotai Children's Justice Centers throughout the fiscal year. 4) provide sexuu! assault avrareness and prevention education to 1000 school aged students 5} provide to 100 professi®nals education about the needs of adult/child survivor of sexual assauit and methods to detect and report sexual child abuse or abuse of dependent aduits. d~rogram Highlights: (Accomplishments from the previous tasca! year. Please number and begirt al! highlights v~ith a verb.) 1) ~eaestablished a 101/est Hav~aii oftice for full sexual assault victim services (offices of the previous provider had been closed for song time). 2) l'~laintained continuity (or better) of ail existing crisis, counseling and «xsmmunity education services island uooide during the transition from the previous provider, ~vho chose to subcontract services to the Y999/CA (since October, 2001) 3) e4ttended monthly case tracking and interagency teartn coordination stings of the East arsd ~d4°est Hawaii Children's Justice Centers (since the program's initiation on ®ctober 1, 2001) ~f I~~W~i~_ Isl~rtd ss~~~t ~Jiir~r p®Werrnent ~~rf®r~~c~ ~~sur~s ((~uanti~`~able indicators of public ar~d consumer benefits from your progra~s's actions, :and/or tl~e number of goods or services your program produces-) 2000}1 ~Y 20®°i -0~ !"Y ~02d03 Act~ai dud et ~tlat~ !"ull~r~d orE~ a 2 hours a l~~ur~ avaiiabl~ to a a respond t® day, from day, 365 cabers on the Sexual Assault Crisis 10/1 ~/30 days a year phone liras (estimate (estimate 250 callers) 350 callers) Crisis counseling, legal systems 34 victims ~6 victims advocacy, information and referral are.provided to each sex assault victim a~ndergoing medical-legs! exarraination in fast Hawaii arad V1/est Hawaii Survivors of sexa~al assault receive 50 survivors 100 psychotherapy services and surviv®rs intensive clinical case rnanagera~ent from SAS masters level practitioners in fast Havraii or West Hav~oaii School aged students receive 1000 2000 sexual assault prevention grad students students arn~areness trairain ~rofessidnals receive training in 100 200 awareness of thy; needs of adult professions! professional and child sexua! assaa~lt survivors, how to detect and repot cl}ild sexual abuse or sexual abases of de endent adults ~f @°°~aaii Island S~x~al l~ssa~~ !/i~t~ ~®~n?es~r~~nt ~r®Ora~ ~xp~r~diture~ ~Y 2000-01 FY 2001-02 ~Y 2002-03 ~Acta~ai ~u~iget ~~ti~~t~ ~9 month p~ri®~ {f~ii 12 ~nti~s) ®niy 10/1601- 6/30802 Salaries: and 1~/a es 128,141 170,855 Prs~fess~or~a! fees 18,434 24,579 ® ratites 30,984 45,353 ~ ~i rat 8,801 5,0 ®ther* Totai 184,34® 245,787 *l~lease explain in detail on separate sleet ~r®gram i"undi~~ S~ur~a~ (List all sources of funding, including specific grants, fundraising e~eents, eto. relating to flee prograrr~ onlgo} ~even~~ ~®urc~ ~Y 2000-01 ~Y 2001-02 ~Y 20132-03 ~ct~ai budget ~timat~ (9 month (fe~ii 12 peri®d ®nty 10/1601- ~130102 Stag ~~~vi~ `l45,3~~ _ 1g3,~8~` Coa~~ ~f ~iaaii 39,t~~3fl 52,(30€ fi®t~i 184,340 245,787 ~f ~laaii Island ~ex~a1 ~sa~l~t l~ieti ~p®werlr~e~t I (we) have read and understood all of the eligibility requirements; grant conditions; award procedures; and records, reporting and fiscal accountability requirernts as mandated in article 25, Sections 2-13~ ~ 2-12.2, l~iawai`i County Code, relating to ~pprop~ation of Funds to Nonprofit ®rganizations. (we) hereby certify that inforrnatior~ supplied herein including all supportir:g documents is correct and that I (we) have the authority and ability to fuliy administer the program(s) putsuant to law. (we) u€~derstand that inforrr~ation supplied herein shall be made public according to Chapter 92i°, ~lawai`i Revised Statutes. Signature of Soard ~residen#~Chair ®ate Signature of Executive ®irector Ca l~NSIGi~~ I~R~P~S~~S ~/ll~~ N®~ ACC~I~fi~! _ _ _ _