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HomeMy WebLinkAboutCOM 0126.000 2002-2004Harry Kim Ala) or February 6, 2003 County of Hawaii Finance Department 25 Aupuni Street, Room I18 • Hilo, Hawaii 96720 (808)961-8234 • Fax (808)961-8248 Honorable James Arakaki, Chairperson and Members of the County Council Hawai'i County Council 25 Aupuni Street Hilo, Hawai'i 96720 RE: NONPROFIT ORGANIZATIONS William Takaba Do-eamr Nancy E. Crawford Deputy Director In compliance with Chapter 2, Article 25 of the Hawai'i County Code, I am submitting the qualifying applications from nonprofit organizations for your review and appropriation of funds for FY2003-04. 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. vzz&--'-- _ , William Tak ba Director of Finance Enc. Applications for Nonprofit Grant Funds List of Nonprofit Grant Applicants (NOTL: Applications are on file in the Office of the County Clerk) Comm. No. , File No. Ref. To: Rd. > a FFB 0 6 2003 NONPROFIT GRANT APPLICANTS FOR FY2003-04 ORGANIZATION NAME PROGRAM NAME REQUESTED American Red Cross Community Safety Education $ 6,765.00 The Arc of Hilo Person Centered Adult Supports 30,000.00 Bay Clinic, Inc. Violence Intervention Project 26,000.00 Big Island AIDS Project Multi -Disciplinary HIV Case Management Program 10,000.00 Big Island Substance Abuse Council BISAC East Hawaii Substance Abuse Council 35,000.00 Big Island Substance Abuse Council BISAC West Hawaii Substance Abuse Program 75,000.00 Boys & Girls Club of the Big Island Teen Program 50,000.00 Brantley Center, Inc. Transportation Program 25,000.00 Bridge House, Inc. Outreach/Education Program 19,000.00 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 Hawai'i County Developing A Healthier Lifestyle 10,000.00 East Hawai Coalition for the Homeless Kihei Pua Emergency Shelter 42,500.00 East Hawai Coalition for the Homeless Kihei Pua Transitional Shelter 2,500.00 Family Support Services of West Hawaii Family Centers 55,000.00 Friends of the Children's Justice Center of East Hawaii Special Needs, Enhancement, Center Support, Prevention/Education and Training Programs 15,000.00 Friends of the Children's Justice Center of West Hawai'i Enhancement Program 15,000.00 Goodwill Industries of Hawaii, Inc. Work Experience Program 29,500.00 Hamakua Health Center Transportation 10,000.00 Hawai'i County Economic Opportunity Council Transportation 145,000.00 Hawai'i Island Adult Care, Inc. Hilo Adult Day Center 25,000.00 Hawaii Library Foundation Computer -Assisted Learning Center (CALC/Hilo Public Library) 64,767.00 The Island of Hawai YMCA Ku'ikahi Mediation Center 10,000.00 The Island of Hawaii YMCA YMCA Youth -At -Risk Services 60,000.00 Ka Hale O Na Keiki, Inc. Families -At -Risk Project 8,500.00 Kapiolani Medical Center for Women & Children Kapiolani Child Protection Center- West Hawaii Title IV -B -West Hawai'i Counseling & Supportive Living Project 20,000.00 Kona Adult Day Center, Inc. Adult Care 15,000.00 Kona ARC/Kona Krafts Captain Cook Domiciliary Home 19,100.00 Kona Literacy Council Kona Literacy Council 3,000.00 Mental Health Kokua Residential Rehabilitation Services 20,000.00 North Kohala Community Resource Center Kohala Community Athletic Association 27,800.00 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 The Salvation Army Family Intervention Services Youth Service Center - Kealakehe 35,000.00 The Salvation Army Family Intervention Services Youth Service Center - Puna 40,000.00 Special Olympics Hawaii - East Hawai'i Special Olympics Hawai'i - East Hawaii 12,000.00 Special Olympics Hawaii - West Hawaii Special Olympics Hawaii - West Hawai'i General Funding 10,000.00 Turning Point for Families, Inc. Alternatives to Violence - North Hawaii Waimea Groups 10,000.00 Turning Point for Families, Inc. West Hawai Domestic Abuse Shelter 22,000.00 West Hawai i AIDS Foundation Transmission Prevention for HIV+ Women in West Hawaii County 15,000.00 West Hawai Mediation Center Mediation Services 10,000.00 YWCA of Hawaii Island Ekahi Program 6,000.00 YWCA of Hawaii Island Sexual Assault Victim Empowerment 50,000.00' TOTAL $ 1,211,432.00 County of Hawaii Nonprofit Organizations Grant Applications for Fiscal Year 2003-04 February, 2003 American Red Cross Community Safety Education Agency Director: Contact Person Mailing Address Facility/Site Address: Phone Number: Email Address Cassandra Ely, Interim CEO Youline Kalima, County Executive Director 4155 Diamond Head Road, Honolulu, HI 96816 55 Ululani Street, Hilo, HI 96720 74-5615 Luhia Street, Kailua-Kona, HI 808-935-8305 Fax Number: 808969-3673 ykalima@hawaii.rr.com Amount of Request for County funds: $6765 Prior Year Funding: 00-01 01-02 02-03 $6700 $ 5000 $5000 Agency Mission 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 Movement, will provide relief to victims of disasters and help people prevent, prepare for and respond to emergencies." Program Description: 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, First aid and CPR courses, HIV education, and aquatics training. The American Red Cross Hawaii County respectfully requests $6,765 in county support to purchase equipment and materials to improve the Aquatic and First Aid/CPR components of this program. This amount was requested last year for East Hawaii only. The equipment included in this year's request will be used by both East and West Hawaii to increase courses throughout the Big Island. American Red Cross Community Safety Education To ensure immediate lifesaving techniques at ocean fronts and recreational pools, the aquatics courses at various levels teach 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 style swimming. Along with CPR training, students in the aquatics courses will learn preventing disease transmission, oxygen administration, and AED (automated external defibrillation) enabling the community to respond to emergencies using the proper tools. The First Aid and CPR courses in the Community Safety Education Program also enable individuals to alleviate suffering, eliminate intentional injuries and/or death, reduce property damage, and decrease the financial burden placed on the community. Total Budget and Position Count Total Program Budget $194,946 Total Program Position Count 4 Total Agency Budget $381,264 Total Agency Position Count 9 Program Objectives: Following emergencies, the residents of Hawaii County will be more able to continue, or return more quickly to normal work, family and community activities. Residents will also be more able to rely on themselves and members of their own neighborhoods and communities when water emergencies occur. Trained Lifeguards and Water Safety Instructors equipped with proper equipment can accomplish the following: 1) 2) 3) 5) Train 100 individuals ages 15 and above Lifeguarding skills. This will increase the number of Hawaii County 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 2004. Provide 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 2004. Decrease 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. The American Red Cross will train 40 Water Safety Instructors by June 2004. Partner with 2 other community groups to provide basic water safety skills to children in age groups from kindergarten to grade 8. Train 500 children by June 2004. Target grades 9 to 12 youth by June 2004. and implement the Guardstart program. Train 50 American Red Cross Community Safety Education First Aid and CPR training is included as part of the aquatics courses and as stand alone courses. The equipment included in this request would be used for both programs and shared between branch offices on East and West Hawaii. Program Highlights: From July 1, 2001 through June 30, 2002 the American Red Cross achieved the following. All these courses use common equipment similar to what is being requested through this grant. • 482 courses in First Aid, Automated External Defribrillation (AED), Preventing Disease Transmission and CPR for a total of 3718 persons receiving training • 165 courses in learn -to -swim, lifeguard training, and water safety for a total of 1280 persons trained • 29 persons completed nurse aide training • Over 290 persons were registered and trained as health and safety instructors Immediate Outcomes: • 2087 persons (noted above) who completed Red Cross training know how to respond to an accident or sudden illness in a manner that meets the needs of the victim and does not place the rescuer in danger of injury • There is a sense of immediate satisfaction and a rise in personal self esteem • Certification is given immediately after course completion • People attending community/area events are safe after experiencing injuries or sudden illness • Children know how to swim and behave safely in an aquatic environment Longer Term Outcomes: • Businesses meet OSHA regulations and individuals gain satisfaction knowing how to provide emergency care should and emergency occur • Involved individuals help their community • Employment opportunities for people • The Big Island can be a safer place to live • A healthier community American Red Cross Community Safety Education Performance Measures Program Expenditures Actimate FY 20W40 FY 2002-03 Budget 2003-04 Lifeguard Trainin 1150 69409 72879 Guard Start pro ram 1691 1000 50 Learn to Swim: 39843 119465 119465 Level I, Water Ex loration 1400 5072 5072 Level II, Prima Skills 2500 Level III, Stroke Readiness 19 194946 400 Level IV, Stroke Development 178 150 150 Level V, Stroke Refinement 68 75 75 Level VI, Skill Proficiency 7 10 10 Level VII, Advanced Skills 0 10 10 Water Safety Instructor 14 40 40 CPR/First Aid/AED and other safety courses 2195 3000 3000 Program Expenditures Program Funding Sources Revenue Source FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate Salaries and Wages 67592 69409 72879 Professional Fees 1691 1000 1000 Operations 39843 119465 119465 Equipment 6726 5072 5072 Other* 0 Total 115862 194946 198416 Program Funding Sources Revenue Source FY 2001-02 Actual I FY 2002-03 Budget FY 2003-04 Estimate Hawaii County 5000 5000 5000 Hawaii Island United Way 11500 11500 11500 Pro ram fees 83080 143785 145000 Pro ram material sales 13648 6632 7000 Total 113228 166917 168500 *FY03 and FY04 include East and West Hawaii; FY02 was West Hawaii only American Red Cross Community Safety Education Budget Request For County Grant Hawaii County The following is a list of items that are needed to conduct a successful Water Safety Program for Hawaii County: QTY: ITEM: PRICE PER: COST: 2 Spine Board 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 Head Immobilization System 110.00 220.00 40 Pocket Masks 14.00 560.00 2 LGT Videos 180.00 360.00 2 LGT Video Oxy-PDE-AED 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 Blood 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 Manikins 495.00 1980.00 Freight (estimate) 350.00 350.00 TOTAL: $6,765.00 American Red Cross Hawaii State Chapter - Agency Name Community Safety Education - Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. Signature dVBoard President/Chair Faye W. Kurreenn Signa�cutivcE e Director Cassandra Ely 1/29/03 Date 1/29/03 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! The Arc of Hilo - Agency Name Person Centered Adult Supports - Program Name Agency Director: Mike Gleason Phone No.: 935-8535 ext. 11 Contact Person: Evelyn Lee Phone No.: 935-8535 ext 23 Mailing Address: 1099 Waianuenue Ave. Hilo Hawaii 96720 Facility/Site Address: Same Fax No.: 961-0148 Email Address: mgleason@hiloarc.org Amount of Request for County funds: $30000.00 Prior Year Funding: 00-01 01-02 02-03 $28000.00 $29000 $29000 Agency Mission Statement: To improve the quality of life for people with developmental disabilities who reside on Hawaii through Education, Vocational Rehabilitation, Job Training, Job Placement, Life Skills Training and Recreational Programs. Program Description: The Person Centered Adult Supports Program is designed to assist adults with developmental disabilities/mental retardation to trasition from person -centered facility -based supports to person -centered community-based supports and to provide these community-based supports based on individual choice. Some of these supports are; Relationship building, Circle building, Learning to be a consumer, Personal supports and needs, Getting around, Communicating and expressing self, Job Support/coaching, Voliunteer opportunity support, and Community activities. Total Budget and Position Count Total Program Budget 200898.00 Total Pro ram Position Count 3 Total Agency Budget 2609842.00 Total Agency Position Count 60 The Arc of Hilo - Agency Name Person Centered Adult Supports - Program Name Program Objectives: 1) Transition 17 clients from facility -based supports to community-based supports through relationship building, circle building, teaching consumer skills, providing personal supports to meet individual needs, teaching communication skills, and providing job coaching/support. 2) Assist clients to obtain independent living situations in the community if they desire. 3) Assist clients who are eligible for Medicaid Waiver services to transition to those programs. Program Highlights: 1) The program has assisted 4 clients to develop small businesses of their own. 2) The program has assisted a client with Cerebral Palsey obtain mortorized wheelchair and trained him in its use. 3) The program provided job coaching to 13 clients employed in the community. Performance Measures *If applicable FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate Job Coaching 13 13 15 Circle Building 2 2 14 Relationship Buildin 7 7 14 Communication Skills 3 3 14 Community Activities 2 2 14 Around 8 8 1 15 -Getting -Learning to be a Consumer 2 2 14 Volunteer Opportunities Support 1 1 2 Personal Supports and Needs 5 5 14 *If applicable The Arc of Hilo - Agency Name Person Centered Adult Supports - Program Name Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Bud et * FY 2002-03 Bud et * County of Hawaii Funds FY 2003-04 Estimate 0.00 Salaries and Wages 98026.00 169895.00 83576.00 169460.00 91653.00 20.00 Professional Fees 5703.00 -Agency Training Programs 4276.00 3600.00 1512.00 Other lnternalA enc Funds Operations 101416.00 1439.00 94334.00 106461.00 Equipment 460.00 0.00 0.00 Other* 362.00 0.00 1273.00 Total 205967.00 182186.00 200899.00 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Bud et * FY 2003-04 Estimate County of Hawaii Funds 0.00 0.00 30000.00 State of Hawaii Funds 169895.00 169260.00 169460.00 Private Donations 20.00 0.00 0.00 -Agency Training Programs 3014.00 3600.00 0.00 Other lnternalA enc Funds 33038.00 9326.00 1439.00 Total 205967.001 182186.00 200899.00 *If applicable THE ARC OF HILO Person Centered Adult Supports Program Expenditures - Other Expense Detail FY 2001-2 FY 2002-3 Actual Budget FY 2003-4 Estimate Staff Training 362.00 1,273.00 Total 1 362.00 1 1 1,273.00 The Arc of Hilo- Agency Name Person Centered Adult Supports -Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and < listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete and accurate Year-end report may impact the evaluation of your program's or agency's future funding requests Signature of Board Pr en t/ air ig�e of Executive Director V,l 9/0 3 Date i1�-o_7 Date' UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! Bay clinic, Inc. - A ency Name Violence Intervention Project - Program Name Agency Director: Stephanie Launiu Phone No.: 934-3206 Contact Person: Mary Furlong Phone No.: 966-9216 Mailing Address: PO Box 1141 Kurtistown, HI, 96760 Facility/Site Address: 311 Kalanianaole, Hilo, HI 96720 Fax No.: 961-4795 Email Address: thebayclinic@HHIN.com Amount of Request for County funds: $26000.00 Prior Year Funding: 00-01 01-02 02-03 $18000.00 $19000.00 $20,000 Agency Mission Statement: Bay Clinic, Inc. is community -directed and committed to improving the health and well-being of all people. Program Description: The Violence Intervention Project of Bay Clinic, Inc. provides direct Domestic Violence services in the form of 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 rural Puna and Kau. Total Budget and Position Count Total Program Budget 35700.00 Total Program Position Count_ 3 Total Agency Binet 4832786 Total AA ency Position Count T_ 78 Bay Clinic, Inc. - Agency Name Violence Intervention Project - Program Name Program Objectives: 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) Collaborate with Pahoa Neighborhood Place to increase Domestic Vlolence services and awareness. 6) Improve the ways Puna and Kau families and communities address and resolve family abuse concerns by being active participants in the Domestic Violence Interagency Team. 7) Reduce isolation from services and increase accessibility by offering direct services in the community. 8) Provide continuity of services by coordination of needed services and programs. Program Highlights: 1) Provided 48 groups for men who batter in Kau 2) Provided 48 groups for men who batter in Puna 3) Attended court to offer adjudicated men information and options. 4) Tracked data and maintained records for collateral agencies 5) Participated in the "Healthy Intentions Project" in Puna to coordinate a community response to Domestic Violence. 6) Participated in the statewide Rural Community Response Program under the Hawaii State Coalition against Domestic Violence flagging high-risk cases to be team managed by all involved agencies. Performance Measures FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Pahoa week) men's group 48 48 48 Kau week) men's group 48 48 48 Men completing program: Pahoa 10 10 10 Men completing program: Kau 10 10 10 Intakes Pahoa 22 22 22 Intakes Kau 24 24 24 Court Appearances 35 35 35 DVIAT meetings It applicable Bay Clinic, Inc. - Agency Name Violence Intervention Project - Program Name Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Bud et * FY 2002-03 Budget * Hawaii County FY 2003-04 Estimate Salaries and Wages 0.00 Fees 0.00 3900.00 0.00 Professional Fees 16140.00 3500.00 17040.00 28000.00 Operations 2860.00 2960.00 3000.00 Equipment 0.00 0.00 0.00 Other* 3744.00 3900.00 3900.00 Total 22744.00 23900 35700.00 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Bud et * FY 2003-04 Estimate Hawaii County 19000.00 20000.00 26000.00 Fees 3750.00 3900.00 4000.00 In Kind 2400.00 3500.00 3500.00 Total 25150.00 27400.00 33500 *If applicable Bay Clinic, Inc. - Agency Name Violence Intervention Project - Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. Signature of Board PresidenVChair Signat re of Executive Director Di/;�i o3 Date o Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! Big Island AIDS Project - Agency Name Multi -Disciplinary HIV Case Management Program - Program Name Agency Director: 2428 Contact Person: Mailing Address: Facility/Site Address Fax No.: Email Address Georgie Kennedy, Interim Georgie Kennedy Phone No.: 981- Phone No.: 981-2428 Post Office Box 6129, Hilo, Hawaii 96720 2043 Kino'ole Street, Hilo, Hawaii 96720 981-2429 georgie@biaphilo.org or georgie@whaf.org Amount of Request for County funds: $$10,000.00 Prior Year Funding: 00-01 01-02 02-03 $9500.00 $10,000 $10,000 Agency Mission Statement: The mission of the Big Island AIDS Project is: To prevent the spread of HIV infection and AIDS. To maximize the quality of life for those affected by HIV/AIDS. To raise public awareness and understanding of HIV and AIDS related issues. To advocate for progressive policies and effective services related to HIV/AIDS. Big Island AIDS Project (BIAP), is an IRS -designated 501(c)(3) tax exempt non- profit organization formally established to provide care services for People Living With HIV/AIDS, and HIV prevention and education for the residents of Hawaii County, in 1987 At that time, Hawaii County had the highest proportion of AIDS cases among the State of Hawaii's tour island counties. Today, Hawaii County has the second highest proportion of AIDS cases by county (62.5 per 100.00), or fourteen percent (14%) of all AIDS cases statewide. These figures represent three hundred sixty-seven (367) lives. [AIDS Surveillance Quarterly Report, September 30, 2002] Presently, Big Island AIDS Project provides multi -disciplinary team HIV case management, advocacy, information and referral, food pantry, client financial assistance and other support services for over two hundred and forty (240) PLW H and affected persons. A comprehensive assessment of needs is conducted for each client, leading to the development and implementation of a written service plan tailored to address the particular service needs and acuity level of each individual. Working in partnership with clients, case managers support client indepen-dence and self-determination by providing a range of supportive services, knowledge and assistance in accessing a variety of public and private benefit programs, medical and nursing services, housing; food, emergency financial assistance, transportation, employment counseling, and other forms of assistance as appropriate to assist and suppport a client's retention and active participation in primary medical care The services received by each client are monitored regularly to determine the effectiveness of the service plan, identify emergent needs, and measure the outcome(s) of service delivery Big island AIDS Project proposes to continue its provision of high quality multi- disciplinary team HIV case management and primary prevention services, including anonymous HIV-antibody counseling and testing services, for one hundred (100) Persons Living With HIV/AIDS during FY2003-2004. Program Description Service Delivery A multi -disciplinary team composed of three full-time (3.0 FTE) case managers and one part-time ( 5 FTE) client services facilitator provide the direct care services for People Living With HIV/AIDS residing in East Hawaii. The average active caseload is eighty-eight (88) clients. Forty percent (40%) of BIAP's clients are homeless, multiply diagnosed, drug misusers and/or mentally ill. Eighty-four percent (84%) fall into two or more special population categories as defined by the federal Ryan White CARE Act Title ll. Case management schedules are flexible to ensure service availability during the agency s regular days and hours of operation, 8:15 a.m. — 4:30 p.m, Monday through Friday. The Client Service Facilitator is responsible only for the delivery of support services including buddies, food bank, food deliveries, transportation volunteers and clerical services. The Executive Director provides administrative oversight and supervision for care staff, quarterly reports, job counseling, staff training and crisis intervention. Volunteers assist clients with computer searches ordering and distributing food, gas and taxi coupons, care clerical assistance, helping clients shop at the food pantry. Case managers and clients develop a written service plan. The service plan identifies client needs; defines specific goals and objectives that address identified needs, and lists the action steps required to accomplish the client's stated goals and objectives. The service plan is developed and implemented within two weeks following the intake of a new client and then updated quarterly until the client is discharged. Between service plan updates, clients are contacted at least once -per -month to monitor their health status and identify new emerent needs. Clients in need of more frequent contact receive telephone calls office or home visits three -to -four times per week. One hundred (100) service plans will be developed or revised during the FY2003-2004 grant period. Primary HIV prevention is based upon a low -threshold, culturally -appropriate harm reduction methodology. Case managers either provide such interventions themselves or make referrals to BIAP's prevention department. Case managers also offer anonymous HIV-antibody counseling and testing for family members and significant others. Evaluation: Quantitative evaluation measures for multi -disciplinary team case management services include the collection, tabulation and entry of service data into a computer tracking system (COMPIS -CD4 On-line Management and Patient Information System). Data routinely tracked include: number of clients, types of service provided; and the number of services provided by service category. Planning estimations for service delivery during FY2003-2004 currently project that one thousand two hundred and fourteen (1,876) units of case management service - including intake, assessment, benefits counseling, volunteer referrals, hospital and home visits, medical liaison, crisis intervention, emergency financial assistance, housing assistance, home care and transportation - will be provided during FY2003-2004, Quantitative Analysis: Data collection consists of counting the number of written service plans that are developed or revised each quarter. Computer reports indicating the number and kinds of services delivered by each case manager are generated on a monthly basis. If unit -of -service projections are met or exceeded for any particular service, the service delivery for that component is considered successful. The service component is also considered successful if ninety (90) percent of clients have a medical care provider and adhere to their treatment routine Qualitative Analysis: An client satisfaction survey is mailed to all clients annually. Completed surveys are returned anonymously and tallied survey results are distributed to the BIAP Board of Directors, staff, clients and state granting organizations. Total Budget and Position Count ,S Total Program Budget 240859.00 I Total Program Position Count 3 . Total Agency Budget 540582.00 I Total Agency Position Count 9 Big Island AIDS Project - Agency Name Multi -Disciplinary HIV Case Management Program - Program Name Program Objectives: 1) Objective One: By June 30, 2004 and within twenty-five (25) days following a determination of need, identify and secure appropriate financial resources to pay health insurance premiums for no less than ninety percent (90%) of all eligible PLWH whose access to high quality primary care, ancillary health care and specialty medical care would otherwise be in jeopardy. 2) Objective Two: By June 30, 2004 and within twenty-five (25) days following a determination of need, assist no less than ninety percent (90%) of all eligible PLWH who request or demonstrate a need for substance misuse treatment, mental health counseling, oral health care, HIV-related medication, food and/or transportation assistance to obtain such goods and services through appropriate referrals and practical support. 3) Objective Three: By June 30, 2004 and within twenty-five (25) days following a determination of need, forestall homelessness by providing financial support and/or housing relocation assistance for no less than ninety percent (90%) of all eligible PLWH requesting or demonstrating need for emergency shelter, or either short-term or long-term shelter or housing assistance. 4) Objective Four: By June 30, 2004, offer HIV preventive education and/or anonymous HIV-antibody counseling and testing services to sixty-five (65) of all eligible PLWH and.or their respective family members, partners and/or other affected persons. In addition, Big Island AIDS Project shall provide the following types and levels of case management and related supportive services for its consumers. BIAP proposes to provide the following social service units to clients during each contract year. Benefits assessment /counseling. 300 units Client family counseling: 150 units Progressive case notes: 75 units Crisis intervention: 50 units Field/office visits: 20 units Health care assessment/counseling: 250 units Home visits: 40 units Hospital visits: 20 units Housing assessment: 120 units Intake/assessment: 15 units Legal document assistance: 20 units Financial benefits: 15 units Funeral/estate coordination: 6 units Generic assistance: 80 units Housing assistance: 48 units Health care benefits: 75 units Health care treatments: 160 units Legal advocacy assist: 40 units Mental health assessment/couns. 100 units Nutritional assessment/coun. 80 units Client monitoring/assessment: 350 units Risk assessment/counseling: 12 units Service coordination: 400 units Transport activities: 35 units Substance abuse assessment: 10 units Total service units: 1,876 units Timeline: Service plans are developed within two weeks of the initial intake ses- sion and reviewed quarterly. Service delivery will be on-going during FY2003- 2004. The units listed above represent baseline service level projections. Client -centered Outcome(s): Eighty (80) clients and their families will access critical services including medical, financial, social, care givers, legal, nutritional, etc. through BIAP's case management and volunteer team. Ninety-five percent (95%) of clients will have a written service plan within two weeks of the initial intake session. Ninety percent (90%) of clients seek a primary care physician and remain in treatment. Program Highlights: 1) Highlights of service accomplishments during FY 2002-2003 include: During FY2003-2004, medical case management services included nine - hundred and fifty-three (953) service units of medical assessment, patient education, treatment advice, nutrition, medical liaison, dental liaison. One hundred and thirty-six (136) home and hospital visits were made. In addi- tion, clients received $17,155 in financial assistance for medical and dental services through the Ryan White Care Act funds among others. 2. Over the past seven years, five (5) HIV positive women have birthed six children. All but our newest baby (3 months old) is over the age of two and not one is HIV positive. BIAP is extremely proud of this fact and immensely happy for the parents. 3. As of December 2002, all clients are receiving primary medical care. Performance Measures `If applicable FY 2001-02 FY 2002-03 FY 2003-04 Actual ` Budget " Estimate Nursing Intervention/Patient 52 60 70 Education y Long -Term Rental Assistance 14 17 20 Dental Care Assistance 51 60 65 Emergency Utility Assisance 55 91 110 Food Certificates 192 305 Emergency Short -Term Housing„ 5 5 5 Risk Behavios Assessment, Coun- 8 47 60 seting and Education '1-5days `If applicable Big Island AIDS Project - Agency Name Multi -Disciplinary HIV Case Management Program - Program Name Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Kevenue JOUrce FY 2001-02 Actual * r T LUUL-U3 Budget * FY 2002-03 Budget * C uoC nt of Hawaii FY 2003-04 Estimate 10000.00 Salaries and Wages Professional Fees 164863.00 2000.00 192808.00 189823.00 2500.00 192808.00 190000.00 2500.00 74635.00 -Operations _ 128089.00 Medicaid Waiver 125008.00 4500.00 125000 0.00 0.00 0.00 8000.00 -Equipment Other* 0.00 3000.00 5000.00 0.00 4500.00 5500 25000_00 0.00 Total _ 294952.00 317331.00 317500.00 *Please explain in detail on separate sheet Program Funding Sources Kevenue JOUrce r T LUU'I -UL Actual * r T LUUL-U3 Budget * r T LUU.7-U4 Estimate C uoC nt of Hawaii 10000.00 10000.00 10000.00 Department of Health, Title II 192808.00 192808.00 192808.00 AIDS Community Care Team 74635.00 74635.00 74635.00 Medicaid Waiver 4500.00 4500.00 4500 00 United Way 6000.00 ! 8000.00 8000.00 Private Foundations Donations Fundraising 3000.00 5000.00 4000.00 5500.00 25000.00 4500.00 5500 25000_00 a Total i 295943.00 I 317443.00 317443.00 If applicable Big Island AIDS Project - Agency Name Multi -Disciplinary HIV Case Management Program - Program 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 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. If awarded a grant from the County of Hawaii, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawaii grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete and accurate year-end report may impact the evaluation of vour oroaram's or aaencv's future fundinq requests. Sigr\ajude of Signature^� utive Di ector I� Date I z (D3 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! Big Island Substance Abuse Council BISAC East Hawaii Substance Abuse Council Agency Director: Gloria J. Egle Phone No.: 969-9994 Contact Person: Wes Margheim Phone No.: 935-4927 Mailing Address: 234 Waianuenue Avenue Hilo, HI 96720 Facility/Site Address: 297 Waianuenue Avenue Hilo, HI 96720 Fax No.: .969-7570 Email Address: ceo@bisac.com Amount of Request for County funds: $35,000 Prior Year Funding: 00-01 01-02 02-03 $24,750 $27,000 $27,000 Agency Mission 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. 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: BISAC East Hawaii Substance Abuse Council Treatment Programs provides substance abuse treatment services to adults and Adolescents. In addition BISAC provides therapeutic Living treatment for Moms' and Babies' and Father and Sons', living together as a family unit while obtaining substance abuse treatment and obtaining self reliance and sufficiency. The organization gives special emphasis to pregnant women, HIV users and adolescents. Total Budget and Position Count Total Program Budget 1,979,294 Total Program Position Count_ 55 1 Total Agency Budget 3,005,534 Total Agency Position Count 74 Big Island Substance Abuse Council BISAC East Hawaii Substance Abuse Treatment Program Program Objectives: 1) Provide immediate access to assessment and treatment services to individuals who have identified themselves as Crystal -Methamphetamine abusers or dependent. 2) Increase access to a wider variety of substance abuse treatment services that provide a priority to individuals reporting Crystal -Methamphetamine addiction. 3) Provide additional treatment opportunities to youth who are abusing methamphetamine 'Ice" and require longer-term outpatient treatment services. 4) Achieve full understanding of disease concept of addiction as demonstrated by ability to verbalize personal symptoms within the first 30 days of treatment. 5) Identify potential for continued drug/alcohol use and relapse risk with development of specific coping skills to reduce risk within the first 30 days of treatment 6) Demonstrate the severity of personal substance abuse issues through the completion of a written autobiography with the first 30 days of treatment. 7) Identify need for clean and sober social support network and begin developing support system as demonstrated by participation in a minimum of three 12 step meetings per w3ek within the first 60 days of treatment. 8) Complete majority of previously identified treatment goals and develop a transition plan to prepare for discharge within the first 90 days of treatment. 9) Achieve all identified interventions and goals identified during initial treatment planning and treatment planning updates at the time of discharge 10) Attain self reliance and economic stability at the time of discharge through the participation and completion of employment core services program. Big Island Substance Abuse Council BISAC East Hawaii Substance Abuse Council Program Highlights: 1) Was able to admit 938 adults and 170 adolescents into all levels of outpatient treatment. 2) Achieved 54% of completed treatment program objectives 3) Reduced criminal behavior by 80% as evidenced by no new arrests at six (6) month post discharge from treatment. 4) Achieved 65% of long-term abstinence from all drugs and/or alcohol, as evidenced by no drug and/or alcohol use at six (6) month post discharge from treatment. 5) Maintained a safe and clean sober living environment by 79% at six (6) months post discharge. 6) Have 72% of clients employed, enrolled in school/vocational training or volunteering at the time of discharge and at six (6) month post discharge. 7) Reduced the clients use of medical services by 95% as demonstrated by no emergency room visits or hospital admissions during the first six (6) months post discharge Performance Measures *If applicable FY 2001-02 FY 2002-03 Actual * Budget * FY 2003-04 Estimate Substance Abuse Treatment days 21,514 22,366 22,399 *If applicable Big Island Substance Abuse Council BISAC East Hawaii Substance Abuse Council Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate Salaries and Wages 1,057,377 1,349,333 1,349,333 Professional Fees 37,516 25,745 25,745 Operations 473,665 573,512 576,512 Equipment 22,564 7,854 7,854 Other* 85171 22,850 22,850 Total 1 11676,293 1,979,294 1,982,294 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate State of Hawaii - ADAD 767,604 812,875 812,875 State of Hawaii - DOL 115,291 117,500 117,500 State of Hawaii - DHS 205,246 221,000 221,000 State of Hawaii - MCHB 139,747 142,069 142,069 State of Hawaii - DPS 238,445 276,350 276,350 State of Hawaii - DOE 2,582 0 0 27,000 27,000 30,000 -County HIUW 20,000 11,500 11,500 Hina Mauka 31,296 35,000 35,000 Client Fees 61,836 62,500 62,500 Court 9,600 0 0 -Farnily Private Insurance 260,947 268,000 268,000 -Fundraising/Donations 12,480 5,500 5,500 Lanakila Learning Center 9,000 0 0 Total 1,901,074 1,979,294 1,982,294 *If applicable Big Island Substance Abuse Council BISAC East Hawaii Substance Abuse Council 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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. OU -4 N Signature of Board resident/Chair Patri is Engelhard Signature of ecut Director Gloria J. Egle-Garbutt 12/18/02 Date 12/18/02 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! The Big Island Substance Abuse Council BISAC West Hawaii Substance Abuse Program Agency Director: Gloria J. Egle Phone No.: 969-9994 Contact Person: Mailing Address Facility/Site Address: Fax No.: Email Address: Wes Margheim Phone No.: 935-4927 234 Waianuenue Ave Hilo, HI 96720 81-947 Halekii Street Keakakekua, HI 96750 322-3001 fiscal@bisac.com Amount of Request for County funds: $75,000 Prior Year Funding: 00-01 01-02 02-03 $24,750 $27,000 $27,000 Agency Mission 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; 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: BISAC West Hawaii substance abuse treatment program provides substance abuse treatment and Therapeutic Living services to adults. WH also provides outpatient treatment to adolescents (in both outpatient setting and in eight (8) school based programs island wide), giving special emphasis to pregnant women, HIV users and adolescents with substance abuse and/or concurrent disorders. With the ice epidemic in West Hawaii, BISAC is requesting funds to subsidize a Therapeutic Living Program in West Hawaii. Without funding this program has a strong possibility of closing and eliminating substance abuse Therapeutic Living Program from West Hawaii. Total Budget and Position Count Total Program Budget 928,741 Total Program Position Count 21 Notal Agency Budget 3,005,534 1 Total Agency Position Count 74 Big Island Substance Abuse Council BISAC West Hawaii Substance Abuse Council Program Objectives: 1) Provide immediate access to assessment and treatment services to individuals who have identified themselves as Crystal Methamphetamine abusers or dependent 2) Improve treatment standards to include best practices for the rehabilitation of individuals diagnosed as methamphetamine dependent 3) Increase access to a wider variety of substance abuse treatment services that provide a priority to individuals reporting Crystal -Methamphetamine addiction. 4) Provide additional treatment opportunities to youth who are abusing methamphetamine 'Ice" and require longer-term outpatient services. 5) Achieve full understanding of disease concept of addiction as demonstrated by ability to verbalize personal symptoms within the first 30 days of treatment. 6) Identify potential for continued drug/alcohol and relapse risk with development of specific coping skills to reduce that risk within the first 30 days of treatment. 7) Demonstrate the severity of personal substance abuse issues through the completion of a written autobiography within the first 30 days of treatment. 8) Identify need for clean and sober social support network and begin developing support system as demonstrated by participation in a minimum of three 12 step meetings per week within the first 60 days of treatment. 9) 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 sixty (60) days of treatment. 10) Complete majority of previously identified treatment goals and has developed a transition plan to prepare for discharge within the first 90 days of treatment. 11) Achieve all identified interventions and goals identified during initial treatment planning and treatment planning updates at the time of discharge. Program Highlights: 1) Was able to admit 364 adults and adolescents into all levels of outpatient substance abuse treatment and Therapeutic Living services. 2) Achieved 54% of completed treatment program objectives. 3) Reduced Criminal behavior by 80% as evidenced by no new arrests at 6 (6) months post treatment. 4) Achieved 65% of long-term abstinence from all drugs and/or alcohol use at six (6) months post discharge from treatment 5) Maintained 79% of Therapeutic Living environment at discharge which had clean and sober housing at six (6) months post discharge from treatment. 6) Have 72% of clients employed, enrolled in school/vocational training or volunteering at the time of discharge and at six (6) months post discharge. 7) Reduced the client's use of medical services by 95% as demonstrated by no emergency room visits or hospital admissions during the first six (6) months post discharge. Performance Measures FY 2001-02 FY 2002-03 FY 2003-04 Actual* Budget * Estimate Substance Abuse Treatment Das 8,487 9,194 8,297 *If annlicable Big Island Substance Abuse Council BISAC West Hawaii Substance Abuse Treatment Program Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Salaries and Wages 463,484 582,030 582,030 Professional Fees 22,694 19,244 19,244 Operations 268,926 279,097 232,318 Equipment 16,744 4,520 4,520 Other* Vans 27,532 43,850 75,000 Total 799,380 928,741 838,112 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate State of Hawaii - ADAD 240,950 318,251 437,717 State of Hawaii - Grant in Aid 273,990 300,000 0 State of Hawaii - MCHB 139,747 142,640 142,640 State of Hawaii - DPS 0 28,350 28,350 County 27,000 27,000 75,000 HIUW 0 8,500 8,500 Hina Mauka 21,464 18,000 22,000 Client Fees 31,789 20,500 40,000 Private Insurance 115,895 64,500 82,905 Fund raising/Do nations 320 1,000 1,000 Total 851,155 928,741 838,112 If applicable Big Island Substance Abuse Council BISAC West Hawaii Substance Abuse Council 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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawaii, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. 4" zao gnature of Board P esident/Chair Patricia Engelhard Si ature of cutiid Director Gloria J. Egle-Garbutt 12/18/02 Date 12/18/02 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! Boys and Girls Club of the Big Island - Agency Name Teen Program - Program Name Agency Director: Steven Pavao Phone No.: 961-5536 Contact Person: Steven Pavao Phone No.: 961-5536 Mailing Address: 100 Kamakahonu St. Hilo, HI 96720 Facility/Site Address: 100 Kamakahonu St. Hilo, HI 96720 Fax No.: 961-5189 Email Address: steven@becbi.com Amount of Request for County funds: $50000.00 Prior Year Funding: 00-01 01-02 02-03 $25,000.00 $30,000.00 $36,000.00 Agency Mission Statement: To enable and empower all Big Island Youth, especially those from disadvantaged situations, in becoming healthy, caring and nurturing individuals Program Description: The Boys and Girls Club Teen Program utilizes several facits of Boys and Girls Clubs of America's scientifically proven curriculum in youth development. All programming is designed to afford youth the opportunity to have a sense of belonging, a sense of usefulness, a sense of power or influence and a sense of competence. Our Teen program incorporates our SMART Moves (Skills Mastery and Resistance Training), Boys and Girls Clubs' award winning and scientifically proven drug, alcohol and tobacco prevention program. In a recent report the State of Hawaii's Department of Health, Drug Alcohol Addiction Division (ADAD) cited eight "best practices" that the department would select for funding in future request for proposals. These "best practices" included two Boys and Girls Clubs programs, SMART Moves and SMART leaders. In a recent report of an independent study conducted by Columbia University (2001) over fifty percent (50%) or the majority of the Boys and Girls Clubs of America's alumni who participated in the survey indicated that participation in the Boys and Girls Club's programs had "saved their lives". This same study also measured the impact on neighborhoods. The study measured juvenille delinquency in housing projects with a Boys and Girls Club and in housing projects without a Boys and Girls Club. The study found an eighteen percent (18%) difference in juvenille crime between these neighborhoods. The study also found the neighborhood with the Boys and Girls Club had twenty two (22%) fewer teen drug related arrests. The youth participating in the Boys and Girls Club also had significantly higher GPAs in school and a marked improvement in school attendance. The Boys and Girls Club Teen Program in Hilo today serves over two hundred teens on a regular basis. It also holds monthly SMART Moves Teen Dances that in 2002 were attended by over 2,000 youth. The Teen Program also includes the athletic components of RBI Baseball (Reviving Baseball in Inner Cities) a partnership with Boys and Girls Clubs of America and Major League Baseball and the Jr NBA and the Jr WNBA a partnership with the NBA and the WNBA. These programs are designed to build character while keeping teens off of drugs, alcohol and tobacco. The Teen program also includes the Leaders In Training (LIT) program. Here all youth, especially the most challenged are encouraged to develop their leadership skills. These youth plan programs such as the teen dances. They market the program, recruit new members and assist in actually running the programs. Several of the teen leaders are trained to become SMART Moves peer facilitators. The impact of these teens facilitating group discussions on the pitfalls of drug, alcohol and tobacco use is extremely powerful. Another key component of the Teen Program is our Keystone Club. The club is a community service club for the teens. The teens elect officers and plan and implement community service projects both at the club and in the community. The club builds self -esteems while also instilling a sense of ownership of bothe the club as well as the Big Island community. Recently members of the Keystone Club and the LIT program volunteered as coaches and assistant coaches for our Jr NBA basketball program for 5-6yr. olds. Still other members of the Keystone Club volunteered as game officials, scorekeepers and statisicians. Total Budget and Position Count Total Program Budget 60000.00 Total Program Position Count 1 Total Agency Budget 575000.00 1 Total Agency Position Count 10 Boys and Girls Club of the Big Island - Agency Name Teen Program - Program Name Program Objectives: 1) To see a minimum of 67% change in behavior and attitude in drug, alcohol and tobacco related issues. 2) To see a minimum of 67% change in behavior and attitude in juvenille delinqunet behaviors. 3) To see an increase in community pride and involvement by 85% of the youth. Program Highlights: 1) The program today offers its services to teens in the Hilo area only. The increase in funds will allow the Boys and Girls Club to leverage funds from the State of Hawaii's Office of Youth Services, federal funds from the Bureau of Justice Administration and funds raised by the local board to expand services to the Keaau, Pahoa and Kealkehe area in Kona. The new sites will be in partnership with the Salvation Army's Family Intervention Services who already have existing services at these sites. All of the new sites utilize school facilities, as such keeping the facility cost to a minimum. The increase in funds will allow the Boys and Girls Club of the Big Island to impact as much as 600 teens islandwide. The teen program will also carry its anti-drug, alcohol and tobacco message to as many as 6,000 youth islandwide through school presentations, community fairs and SMART Moves Teen Dances. Performance Measures *If applicable FY 2001-02 FY 2002-03 Actual * Budget* FY 2003-04 Estimate Program Salaries 24,000 42460 Payroll taxes/fringe benefits 4,800 8492 General Liability Insurance 1,800 1000 Insurance -fire 450 750 Prof. fees -accounting 1,080 1165 Prof. fees -audit 560 1250 Repairs and Maintenance 1,500 1190 Program equipment & supplies 1,000 2616 Office supplies 250 515 Telephone/travel arifare 560 560 TOTAL 36,000 60,000. *If applicable Boys and Girls Club of the Big Island - Agency Name Teen Program - Program Name Program Expenditures FY 2001-02 Actual * FY 2002-03 FY 2003-04 Budget* Estimate Salaries and Wages 50952.00 Professional Fees 2415.00 Operations 2715.00 Equipment 800.00 Other* 1368.00 Total 60000.00 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 FY 2002-03 FY 2003-04 Actual * Budget * Estimate Contributions 50000.00 -fundraising 40000.00 Pro ram Fees 30000.00 concession income 25000.00 State of Hawaii OYS 250000.00 Hawaii Island United Way 20000.00 HUD 25000.00 Membership 10000.00 Rental Income 50000.00 BGCA-BJA 75000.00 Total 575000.00 *If applicable Boys and Girls Club of the Big Island- Agency Name Teen Program -Program 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 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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawaii grant funds, and a listing of other funding sources and amounts obtained during the award period. irc— 'Ll . Si n ture of Board President/Chair Signature Txecutive Director -- �/- e -A Date / �/_US Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! Brantley Center, Inc. - Agency Name Transportation Program - Program Name Agency Director: Cami Post Phone No.: 775-7245 Contact Person: Cami Post Phone No.: 775-7245 Mailing Address: P.O. Box 1407, Honokaa, Hawaii 96727 Facility/Site Address: 45-366 Ohelo Street, Honokaa, Hawaii 96727 Fax No.: 775-0211 Email Address: bcenter2@gte.net Amount of Request for County funds: $25,000 Prior Year Funding: 00-01 01-02 02-03 $20,000 $21,000 $21,000 Agency Mission Statement: To provide quality services in addressing community needs for vocational and independent living skills training programs for adults with mental, emotional, and/or physical disabilities. Program Description: Brantley Center, Inc. provides transportation services to people with disabilities who reside in the districts of Hamakua and North and South Kohala. Transportation services include: transporting to and from Brantley Center, transportation to several work sites in the districts we serve, transportation within the community to provide training in accessing community resources, and transportation to medical and dental appointments. Brantley Center, Inc. - Agency Name Transportation Program- Program Name Total Budget and Position Count Total Program Budget 60,000 Total Program Position Count 5 Total Agency Budget 355,485 1 Total Agency Position Count 8 Program Objectives: 1) Transport up to 25 consumers to and from Brantley Center, Inc. as needed. 2) Transport 24 consumers each day to various work sites within the districts of Hamakua and North and South Kohala. 3) Transport 40 consumers to Hilo and Kona for monthly excursions to provide training in community awareness and encourage participation in community activities/events. 4) Transport 24 consumers to various agencies in the community to provide training in accessing community resources. 5) Transport 15 consumers to medical and/or dental appointments. 6) Provide ground maintenance services to 25 private homes and business. 7) Provide ground maintenance services to 45 Hawaii County reservoir sites, pump station sites, and cemeteries. Program Highlights: 1) Transported 24 consumers to and from Brantley Center as needed. 2) Transported 23 consumers to various work sites daily. 3) Transported 38 consumers to Hilo and Kona for monthly excursions. 4) Transported 20 consumers to community agencies/businesses for training in accessing community resources. 5) Transported 10 consumers to medical and dental appointments. 6) Provided ground maintenance services to 21 private homes and businesses. 7) Provided ground maintenance services to 36 Hawaii County reservoir sites, pump station sites, and cemeteries. Brantley Center, Inc. - Agency Name Transportation Program - Program Name Performance Measures *If applicable FY 2001-02 FY 2002-03 FY 2003-04 Actual * Budget* Estimate Number of unduplicated consumers 39 45 45 served Number of consumers who 18 20 20 increased scores on the Vocational Evaluation Report Number of consumers successfully 5 4 5 laced in competitive employment Number of consumers who 17 20 20 increased their levels of functioning in independent living skills. Number of consumers who 35 40 40 participated in community activities/events. Number of consumers who maintained their independent living 11 14 15 within the community. -arrangements Ground maintenance services 21 22 25 provided to private homes and businesses. Ground maintenance services 36 44 45 provided to the County of Hawaii's reservoir sites, pump station sites, and cemeteries located in the Hamakua, Laupahoehoe and South Kohala Districts. *If applicable Brantley Center, Inc. - Agency Name Transportation Program - Program Name Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate Salaries and Wages 7,000 7,000 9,500 Professional Fees 1,000 1,000 1,000 -Operations 13,000 13,000 14,500 -Fundraising -Equipment Other* Total 21,000 21,000 25,000 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate of Hawaii 21,000 21,000 25,000 -County Federal — DOT 38,526 38,400 28,000 9,632 9,600 7,000 -Fundraising Total 69,158 1 69,000 60,000 If applicable Brantley Center, Inc. - Agency Name Transportation Program -Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. ignature f Board President/Chair a4�, A,�� Sig"nature of Executive Director Date Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI Bridge House, Inc. Outreach/Education Program Agency Director: Cheryl Taupu Mailing Address: P.O. Box 2489, Kailua-Kona, HI 96745 Facility/Site Address: 78-6687 A Mamalahoa, Hwy., Holualoa, HI 96725 Phone Number: 322-3305 Fax Number: 322-0809 Email Address: bridgeh@gte.net Amount of Request for County funds: $19,000 Prior Year Funding: 00-01 01-02 02-03 $15,000 $16,000 $17,000 Agency Mission Statement: The mission of Bridge House is to provide a broad range of substance abuse services to meet the changing needs of West Hawaii. Program Description: (Please briefly describe the program for which you are seeking funding) Bridge House, Inc. is once again requesting funds for the Outreach/Education Program which was started in September 1998 and targets disfranchised individuals, primarily homeless addicts and alcoholics wishing to start a new life free of addictions. Using a "street based" model and working closely with service providers in the community, the program has been contacting the target population and provides information and referral services to lessen the incidences of substance abuse and the accompanying detrimental effects on individual community members and the community as a whole. The goals of the program are: 1. Provide early intervention and education to chronic substance abusers on the detrimental effect of addiction. 2. Provide educationfinformation to indigent individuals to help improve their health. 3. Help access available services including substance abuse treatment programs, 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. Bridge House, Inc. Outreach/Education Program 5. Provide follow-up services to monitor and aid graduates as needed to prevent relapse and collect data on the efficacy of the program. Total Budget and Position Count Total Program Bud et $47,500.00 Total Program Position Count 6 Total Agency Budget $339,981.00 Total Agency Position Count 6 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.) Although it was a challenge for Bridge House to attain the objectives stated in the application for fiscal year 2002/03, Bridge House proposes to retain the same program objectives as in fiscal year 2003/004, except for Item 4. Previously Item 4 Stated that "fifty percent (50%) of those contacted will successfully complete all the requirements of the Bridge House Programs). The word contacted has been changed to admitted in this application. Bridge House has found that although over 100 individuals were contacted through the OR/Ed. program, 50% of that number successfully completing Bridge House was unreasonable given that only 65% were expected to enter Bridge House. Generally only 30% of all residents entering Bridge House will successfully complete the program. The following are the proposed Program Objectives for this application: 1) Contact will be made with a minimum of 100 disfranchised substance abusers by the Outreach/Education (OR/Ed.) Program during fiscal year 2003/04. 2) Seventy percent (70%) of those contacted will access substance abuse treatment and/or 12 Step recovery programs. 3) Sixty—five percent (65%) of those contacted will be admitted into the Bridge House Therapeutic Living and Vocational Skills Building Program. 4) Fifty percent (50%) of those admitted will successfully complete all the requirements of the Bridge House Programs. Successful completion of Bridge House Programs include: Bridge House, Inc. Outreach/Education Program a) Working part-time by the end of second month of residency and full-time employment by 120 days of residency, if applicable, or b) Attending school or vocational training in preparation for full-time employment, if applicable c) Meet and/or complete all court/judicial requirements prior to discharge, if applicable d) Successful completion of substance abuse treatment, and e) Obtain clean and sober housing prior to discharge from Bridge House. Program Highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) 112 unduplicated individuals received services. 2) 67 were unsheltered chronic substance abusing homeless individuals. 3) 43 were living temporarily with family or friends and were at risk of loosing their housing because of chronic substance abuse. 4) 34 were referrals from Kona Community Hospital. Of this number 26 were diagnosed with mental illness and substance abuse problems. 5) 48 participants entered Bridge House Therapeutic Living Program. 6) 26 received a clinical discharge from Bridge House. 7) 26 obtained appropriate housing prior to discharge. 8) 15 were employed full-time prior to discharge. 9) 3 were employed part-time prior to discharge. 10) 8 were receiving permanent disability and ineligible for employment. 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.) Please note that the estimated Performance Measures for FY 2002-03 have been adjusted to more accurately reflect the numbers of individual participants in the program. The actual number may increase at the end of the fiscal year and will be reflected in the Bridge House year-end report to the County. FY 2001-02 FY 2002-03 FY 2003-04 Actual 45 Budget 48 Estimate 50 Participants accessing substance abuse treatment Participants entering BH will 22 26 30 successfully complete the program Participants will complete substance 22 26 30 abuse treatment Participants will remain abstinent @ 6 15 16 20 months post discharge Bridge House, Inc. Outreach/Education Program Participants graduating from BH will be 22 26 30 in appropriate housing upon discharge from BH Participants will be employed upon 17 18 20 discharge from BH Participants will remain in appropriate 15 18 20 housing 6 months post discharge Participants will be employed, in school 15 18 20 or job training @ 6 months post discharge Participants will demonstrate improved 15 18 20 independent living skills Participants will have no new arrests 6 15 20 30 months post discharge Participants will be involved in self-help 15 16 20 or community groups @ 6 months post discharge Bridge House, Inc. Outreach/Education Program Program Expenditures '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 Source FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate Salaries and Wages $12,262 $12,279 $25,750 Professional Fees 8,851 5,913 321 Operations 25,982 29,079 21,429 Equipment 0 0 0 Other' 0 0 0 Total $47,095 $47,271 $47,500 '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 Source FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate State of Hawaii $11,157 $13,911 $28,500 Hawaii Island United Way 173 0 0 Dept. Of Housing & Urban Develop. 11,391 6,918 0 County of Hawaii 16,000 17,000 19,000 Program Fees 8,374 9,442 0 Total $47,095 $47,271 $47,500 Bridge House, Inc. - Agency Name Outreach/Education - Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. /&IIne Date �03 D to UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI Center for Independent Living - East & West Hawaii - Agency Name Independent Living Services - Program Name Agency Director: Patricia Lockwood Phone No. Contact Person: Laura Tobosa Phone No. Mailing Address: 400 Hualani Street, Suite 16D Facility/Site Address: Same As Above Fax No.: 961-6737 Email Address: cileh@interpac.net Amount of Request for County funds: $20,000.00 Prior Year Funding: 00-01 01-02 02-03 $11500.00 $15,000 $15,000 W*214iriie] 935-3777 Agency Mission Statement: We believe in ensuring the rights of people with disabilities to live independently and fully integrated in the community, outside of institutional care setting. Program Description: The concept behind independent living is the empowerment of persons with disaibilities to make choices in their lives that will enhance their dignity and self- respect, and provide full integration into the community as equal citizens with all the privileges and responsibilities available to others. Ignorance and discriminatory practices in society continues to cause a combination of low education, low vocation, low income, and low social opportunity outcomes. People with disabilities have to overcome their own limitations and inhibitions, as well as compete in a society that for decades has relegated them to second-class citizenship. Since CIL-EH and CIL-WH believes that those who best know the needs of people with disabilities and how to meet those needs are people with disabilities themselves. The practice of "Consumer -Control' forms the foundation for staff resources and service delivery. Staff helps consumers with disabilities to address independent living goals. Total Budget and Position Count Total Program Budget363440.00 Total Program Position Count 9 Total Agency Budget 2275795.00 1 Total Agency Position Count 42 Center for Independent Living - East & West Hawaii - Agency Name Independent Living Services - Program Name Program Objectives: 1) Provide landlord/tenant rights training, how to complete a housing application, how to locate housing and how to maintain their housing situation. This will reduce the risk of being homeless and dependent on others. Timeline: 7/1/03 - 6/30/04 2) Provide consumers with personal care attendant referrals whom we have screened and interviewed to assist them with their personal care, chores, etc. Provide consumer training in how to interview, hire and fire an attendant. This prevents institutionalization and dependence on family, friedns and neighbors. Timeline: 7/1/03 - 6/30/04 3) Provide one-on-one independent living skills to carry out their every day living activities such as housekkeeping, shopping, laundry, cooking, etc. This will reduce dependence on others. Timeline: 7/1/03 - 6/30/04 4) Provide consumer with mobility training in conjunction with Ho'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: 7/1/03 - 6/30/04 5) Provide consumer with information on their legal rights, how to access information, who to contact, etc. so they are able to share this knowledge with other consumers. This will empower consumers to self -advocate for their rights. Timeline: 7/1/03 - 6/03/04 6) Provide consumers with assistive devices and training on the use of the devices to assist them with their daily living activities. This will reduce dependence on others for their daily living needs. Timeline: 7/1/03 - 6/30/04 7) Provide one-on-one training with consumer to acquire problem -solving and decision-making skills. This will empower them in making the right choices. Timeline: 7/1/03 - 6/30/04 8) Provide consumer with housing referrals to acquire a place to live. This increase their independence and decrease dependency on family and/or friends. Timeline: 7/1/03 - 6/30/04 9) Provide consumers with attendant referrals to acquire personal assistance services. This will allow them to remain at home versus institutionalization. Timeline: 7/1/03 - 6/30/04 10) Provide consumer with information on their entitlements and guidelines to apply for these benefits. This will increase self-worth and self-sufficiency in their daily living. Timeline: 7/1/03 - 6/30/04 Program Highlights: 1) Provided support and assistance to the 55+ elderly blind support group (Otta Sights Club) that meets on a monthly basis. 2) Participated in the development of the State Transportation Plan. 3) Collaborated with other agencies to improve transportation in Hawaii County by working with Mass Transit. 4) Provided disability awareness and public education to the following: a) Keaau High School students with disaiblities and their families; b) Clark Realty's staff, c) Hawaii Retired Teacher's Association - Big Island Chapter; d) Urawa Junior College students from Japan. 5) Provided disability awareness on White Cane Day (10/15/01). 6) Collaborated with Disability Rights Hawaii to improve accessibility in Hawaii County. 7) Collaborated with Home Safety Mentoring Program to assist the frail and elderly in maintaining their independence and safety in their home. 8) CIL-WH provides a Wellness Class once a week to approximatley 30 consumers who participate in low impact exercises for people with disabilities and nutrition information. 9) CIL-WH received grants from Dept. of Health, Kaiser Foundation and Aloha Care to provide a "Living Well with Disabetes" educational program to approximately 30 participants to learn about exercise, diet, nutrition and personal medical management. 10) CIL-EH has been successful in providing Medicaid Transportation services and generating additional revenues to supplement our budget. 11) Performance Measures FY 2001-02 FY 2002-03 FY 2003-04 Actual * Budget * Estimate Training in landlord/tenant rights, 40 50 75 how to complete a housing application, how to locate housing and how to maintain their housing situation. Training on interviewing, hiring, 35 50 70 maintaining and firing of personal care attendants. Training on independent living 30 40 50 skills. Mobility training in conjunction with 10 15 20 Ho'o ono. Training in legal rights and self- 10 _ 15 20 advocacy. Training in problem -solving and 15 20 25 decision-making skills. Provided assistive devices and/or 50 60 65 services. Provided housing referrals to 60 55 65 acquire a place to live. If aoolicable Hawaii Centers for Independent Living - Agency Name Independent Living Services - Program Name Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * BudgetEstimate FY 2002-03 Budget * Count of Hawaii FY 2003-04 Estimate Salaries and Wages 219665.00 152070.00156901.00 254358.00 259445.00 126246.00146273.00 Professional Fees 6779.00 Private Foundations 4400.00 6300.00 Big Island Uniteq_Way Operations 67164.00 20000.00 75976.00 3973.00 77495.00 4046.00 E ui ment_ _ 1956.00 10266.00 0.00 0.00 Other* _ 48830.00 28706.00 29280.00 Total 344394.00 363440.00 372520.00 *Please explain in detail on separate sheet Program Funding Sources Revenue Source Actual * FY 2001-02W15000.00 BudgetEstimate Y 2003-04 Count of Hawaii 15000.0020000.00 State of Hawaii 152070.00156901.00 Federal Funds 126246.00146273.00 Private Foundations 15000.0015000.00 Big Island Uniteq_Way 15000.00 15000.00 20000.00 Donations 3973.00 5000.00 4046.00 Service/Program -Fees 9586.00 10266.00 10300.00 Total 336875.00 363440.00 372520.00 *If applicable Center for Independent Living - East & West Hawaii- Agency Nclme Independent Living Services -Program 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, Hawai'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 full/ administer the program(s) pursuant to law. I (we) understand that information supplied herein shall be made public according to Chapter 9217, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a Complete: accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Signature of Board Pre idenUChair Signature of Exe ive Director I-_30- o�J Date Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! Child and Family Service Domestic Violence Continuum of Care Programs Agency Director: Geri Marullo, President and CEO Phone No. Contact Person: Linda Price, West Hawaii Phone No. Jan Taylor, East Hawaii Mailing Address: Child and Family Service 91-1841 Fort Weaver Road Ewa Beach, Hawaii 96706 681-3500 323-2664 935-2188 Facility/Site Address: East Hawaii: 460 Kilauea Ave., Hilo, HI 96720 West Hawaii: Pualani Terrace, Building C. Kealakekua, HI 96750 Fax No.: 808 935-2188 East Hawaii 808 323-2999 West Hawaii Email Address: gmarullo(a)cfs-hawaii.org Amount of Request for County funds: $7,000 Prior Year Funding: 0 02 02-03 $200200 0.00 1$5,000.00 $5,,000.00 $5 000.00 Agency Mission Statement: Child and Family Service is a private non-profit organization that has been serving Hawaii's families continuously since 1899 — more than a century of caring. We maintain a comprehensive integrated delivery system that encompasses a wide array of services provided to populations ranging from infancy to gerontology. Child and Family service is Hawaii's leader in non-government social and human service and advocacy for children and families in need, with the primary purpose of strengthening families and fostering the healthy development of children. Program Description: Funds are requested to support the two programs of Child and Family Service that address the domestic violence continuum of care. These two programs are Intra -familial Sexual Abuse Treatment Services (SATS) and Domestic Abuse Shelter (DAS) in Hilo. These programs serve individuals in the communities of East and West Hawaii who have been either victims of sexual abuse or domestic violence. Child and Family Service Domestic Violence Continuum of Care Programs 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. Intra -familial Sex Abuse Treatment Services (SATS) provides treatment and counseling for the following groups; victims of sexual abuse, non -offending parents, siblings in the family where sexual abuse has occurred and offenders who are working with probation officers. The Domestic Abuse Shelter is open to victims of domestic violence and their children on a 24-hour basis. Shelter and supportive services are provided to the residents of the shelter to help them break the cycle of violence and to make positive changes in their lives through education, counseling and support. Total Budget and Position Count Total Program 522,470 Total Program Position 10 Budget Count Total Agency 1,209,322 Total Agency Position 30 Budget Count Child and Family Service Domestic Violence Continuum of Care Programs Program Objectives: Objectives for the Sex Abuse Treatment Services specifies that: 1) 95% of children enrolled in the program will not be sexually abused or re - abused during the family's participation in the program. 2) 90% of non -offending spouses acknowledge that their child has been sexually abused. 3) 80% of offenders will admit responsibility for their child's sexual abuse. 4) 95% of children are not sexually abused or re -abused during family's participation in program. 5) 90% of child victims will have an increased perception of safety or empowerment and will demonstrate an ability to protect and provide a safe home. 6) 50% of adult offenders will complete an apology to the victim. 7) 90% of non -offending spouses will have the ability to protect and provide a safe home. 8) 90% of adult offenders understand their sexual deviance, learn how to intervene, control and manage deviant sexual behavior and foster a more appropriate lifestyle. Objectives for the Domestic Abuse Shelter specifies that: 9) 90% of adult participants will have learned how to be safer in their particular situation. 10) 90% of all the days a participant is in the shelter will be incident free. 11) 75% of the participants will have an increased knowledge of community resources. 12) 75% of participants will have obtained increased knowledge and understanding of domestic violence and its effect on themselves and their children. 13) 90% of adult participants will have completed a personalized safety plan. 14) 60% of single adults and families will move from the shelter to a non - abusive home environment. 15) 80% of returned client satisfaction surveys will show service to be satisfactory. Child and Family Service Domestic Violence Continuum of Care Programs Program Highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) Sex Abuse Treatment Services- Hilo and Kona (FY 2001-2002) 1. Served: • 56 children who were referred to the program • 12 adult offenders who were referred to the program • 41 non -offending caretakers who were referred to the program 2. Achieved 100% of the following goals: • No Recurrence of sexual abuse during participation in program • Children who are safely maintained in home of non -offending parent or significant other • Juvenile offenders who accept responsibility for their abuse • Juvenile offenders who demonstrate understanding of their behavior and learn to manage sexual behavior Domestic Abuse Shelter - Hilo (FY 2001-2002) 1. Served: • 85 adults and 81 children were provided shelter • 85 adults and 81 children were provided individual, group, conjoint and/or family therapy • 436 individuals accessing the crisis hotline for crisis intervention • 615 individuals accessing the crisis hotline for information and referral 2. Achieved 100% of the following goals: • Days a participant will be in the shelter that are incident -free • Adult participants who complete a personalized safety plan • Participants who have increased knowledge and understanding of domestic violence and its effect on themselves and their children • Participants who have an increased knowledge of community resources • Single adults and families who will move from the shelter to a non - abusive home environment • Returned client satisfaction surveys that will show service to be satisfactory Child and Family Service Domestic Violence Continuum of Care Programs Performance Measures These numbers represent the funded units under the DHS contract. Child and Family Service consistently provides more units of therapy to East and West Hawaii. Program Expenditures FY 2001- FY 2002- FY 2003-04 Salaries and Wage 02 Actual 03 Budget Estimate Sex Abuse Treatment Service 33,635.45 22,500.00 25,000 # of individual, family and conjoint 1234 1197* 1197* therapy sessions provided to victims 8,931.27 7,500 and the non -offending parents. # of therapy sessions provided to the 460 98* 98* offending parent or adult. # of psycho -educational groups 201 98* 98* provided to families. Domestic Abuse Shelters # of hours crisis hotline available to 8760 8760 8760 public # of persons who were provided 166 250 250 emergency shelter. # of persons provided individual, group, 143 170 170 conjoint or family counseling. # of psycho -education sessions 212.5 hrs 200 hrs 200 hrs regarding domestic violence provided to families. These numbers represent the funded units under the DHS contract. Child and Family Service consistently provides more units of therapy to East and West Hawaii. Program Expenditures * Please explain in detail on separate sheet FY 2001- 02 Actual FY 2002- 03 Budget FY 2003-04 Estimate Salaries and Wage 427,942.92 332,482.57 360,000 Professional Fees 33,635.45 22,500.00 25,000 Operations 201,044.87 167,787.43 185,000 Equipment 8,931.27 7,500 Other* Total 671,554.51 522,470.00 577,500 * Please explain in detail on separate sheet Child and Family Service Domestic Violence Continuum of Care Programs Program Funding Sources FY 2001- 02 Actual FY 2002- 03 Bud et FY 2003-04 Estimate State of Hawaii 618,242.46 476,270 528,800 Fees 281.95 1,200 1,200 Fundraising 2,979.03 2,000 2,500 Hawaii Island United Way 38,000.00 38,000 38,000 -County of Hawaii 5,000.00 5,000 7,000 Total 664,503.44 522,470 577,500 Child and Family 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. '19,q 103 Si4naturje of Board President/Chair Date I la4 103 . of Executive Director Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI Diabetes Network of Hawaii County dba Diabetes Education and Counseling Center - Agency Name Developing A Healthier Lifestyle - Program Name Agency Director: Martha L. Ah Yee Phone No.: 933-9718 Contact Person: Martha L. Ah Yee Phone No.: 933-9718 Mailing Address: 1221 East Kilauea Ave. Ste. 120 Hilo, HI 96720 Facility/Site Address: 1221 East Kilauea Ave. Ste. 120 Hilo, HI 96720 Fax No.: 935-7725 Email Address: decchawaii@juno.com Amount of Request for County funds: $10000.00 Prior Year Funding: 00-01 01-02 02-03 $ $7000 $8000 Agency Mission Statement: The Corporation is organized for charitable and educational purposes to promote wellness among individuals with diabetes, their families and the community in general. Program Description: Developing a Healthier Lifestyle is a program that is designed to help people with diabetes. Utilizing the Diabetes Education and Counseling Center's (DECC's) Curriculum (supported in part by County grant funding) on Health Education, Nutrition and Exercise as foundational blocks, each participant will have a hand in developing their own healthier lifestyles. Similar in concept to the Self-help building projects, this program affords the tools (classes), building materials (printed resources) and instructional mentors. The labor, however, is provided by the owners (participants). Developing a Healthier Lifestyle is offering two (2) six-week programs for two (2) hours each week in the Puna and Keaukaha districts. Class size will be limited to fifteen (15) participants at each site to facilitate a comfortable atmosphere in which immediate relationships may develop and accomplish class objectives within the specified time frame. There will be an assessed fee of $25.00 to symbolize the value of the program and a commitment on the part of the participants. At the completion of the program, a total of 30 participants will have learned self-management skills and be challenged to make lifestyle changes that will effectively manage and avoid or delay the complications associated with diabetes. Total Budget and Position Count Total Program Budge— 12550.00 Total Program Position Count 5 Total Agency Budget 77388.00 Total Agency Position Count 2 Diabetes Network of Hawaii County dba Diabetes Education and Counseling Center - Agency Name Developing a Healthier Lifestyle -Program Name Program Objectives: I After the completion of Session I: "Let's Begin", the participant will be able to: 1). State what is diabetes 2). Define hemoglobin A1c and the target goal 3). Define microalbumin and the target goal 4). Define the difference between LDL and HDL cholesterol and their target goals 5) Define blood pressure and the target goal II. After the completion of Session it: "Getting Down to the Basics", the participant will be able to: 1). State the importance of exercise for a person with diabetes. 2). State the effects of activity/exercise on blood glucose levels. 3). Identify one action that will be taken during the week to modify the amount or type of food eaten. 4). Identify why being overweight makes a person at risk for diabetes. 5) List 3 suggestions that a person with diabetes could use to lose weight. III. After the completion of Session III: "I'm Fine", the participant will be able to: 1). Identify a behavioral trait or emotion that is considered negative and that is difficult to change for someone with diabetes. 2) List 3 things to reduce the levels of stress 3). List 2 symptoms of depression. 4). Identify a source of emotional support or state one way to increase support. 5) Identify 5 coping mechanisms that counteracts feelings of anger, guilt and depression. IV. After the completion of Session IV: "Tools of the Trade", the participant will be able to: 1). State the importance of daily glucose monitoring. 2). Define hypoglycemia and hyperglycemia and list two causes of each. 3). Identify his/her medications, dose, the times to be taken and the purpose of the medications. 4). List 3 reasons why taking diabetes medications regularly is very important in controlling diabetes. 5). List the resources available for those with diabetes. V. After the completion of Session V: "Hey, Who Dimmed the Lights?", the participant will be able to: 1). State that blood glucose control reduces the risk for complications. 2). List consequences and symptoms of diabetic neuropathy. 3). State the importance of eye, foot and dental care. 4). Describe two major consequences of small blood vessel disease. 5). List the risk factors and the ways to decrease the risk for developing arteriosclerosis. VI. After the completion of Session VI: "Where participant will be able to: 1). State confidently to ask his/her healthcare support and encouragement. 2). Identify 3 things that he/she will be able to his/her life. Do We Go From Here", the provider, family, friends for help, use to make positive changes to 3). State why controlling blood glucose levels is IMPORTANT. 4). State to a member in the class, the plans to increase in exercise. 5). Share with another member in class, 2 things throughout the six sessions that were encouraging on a personal level. Time Frame: July 1 - August 31, 2003, the Developing a Healthier Lifestyle (DHL) team will review and or add to the Session objectives and performance measures. Request from pharmaceutical companies for items as giveaways for the program and participants will begin. Location sites, meeting with community members, recruitment for participants will also take place during this period. September 1, 2003 - Printing and collecting resource materials into participant and instructor binders will be completed during this month. DHL team will review in preparation for the upcoming Sessions. October - November 2003 - Group I Sessions begin December 2003 - Follow-up phone calls to Group I participants January - February 2004 - Group II Sessions begin Follow-up screenings for Group I March 2004 - Follow-up phone calls to Group II participants April 2004 -Follow-up screenings for Group II May - June 2004 - Prepare program evaluation for County Annual Report by DHL tea m Program Highlights: 1) Blood Glucose screenings within the community continued on a monthly basis 2) A total of 2,154 people attended classes at DECC of which 397 of these individuals were new to the classes. Compared to the previous year's class totals from January to August of 2001, the attendance documented 1,754 with 230 of these individuals being first timers to the class. 3) Taste of Health , Advanced Nutrition (one-on-one), monthly Support Groups were added. Representation at 4 health fairs continued for FY 01- 02. Performance Measures f Session I objectives FY 2001-02 FY 2002-03 FY 2003-04 Actual * Bud et * Estimate Session II objectives Session III objectives * — Session IV objectivest Session Session VI objectives L *See attachment for details `It applicable Session I: "Let's Begin" Objectives Number of participants will: Performance Measures Attachment FY 2003-04 F,ctimutP State what is diabetes 30 Define hemoglobin Ale & target 30 Define microalbumin & target 30 Differentiate between LDUHDL & target 30 Define blood pressure & target 30 Session H: "Getting Down to the Basics" Objectives Number of participants will: Estimate State the importance of exercise 30 State the effects of exercise and glucose 30 Identify one action taken to modify food eaten 30 Identify overweight with at risk for diabetes 30 List 3 suggestions to lose weight 30 Session HI: "I'm Fine" Objectives Number of participants will: Estimate Identify a behavioral traittemotion difficult to chane 30 List 3 things to reduce levels of stress 30 List 2 symptoms of depression 30 Identify a source of emotional support 30 Identify 5 coping mechanisms that counteract feelings of anger, guilt 30 Session IV: "Tools of the Trade" Objectives Number of participants will: Estimate State importance of daily blood glucose monitoring 30 Define hypo and hypeKglycemia listing two causes for each 30 Identify medications, dosage, regularity and purpose 30 List 3 reasons why important to take diabetes medications 30 List resources available for diabetics 28 Performance Measures Attachment Page 2 Session V: "Hey, who dimmed the lights?" Obiectives Number of participants will: Estimate State blood glucose control reduces risk for com lications 30 List consequences/symptoms of diabetic neuropathy 28 State importance of a e, foot and dental care 30 Describe 2 major consequences of small blood vessel disease 28 List risk factors and ways to decrease developing arteriosclerosis 28 Session VI: "Where do we go from here" Obiectives Number of participants will: Estimate State confidently asking healthcare provider, family, friends for help 30 Identify 3 things that help make positive changes 30 State why controlling blood glucose is important _ 30 State to a member of the class plans to increase exercise 30 Share with a member 2 things that were encouraging 30 Diabetes Network of Hawaii County dba Diabetes Education and Counseling Center - Agency Name Developing a Healthier Llfestyle -Program Name Program Expenditures riease explain in oetau on separate sheet Program Funding Sources Revenue Source 2001-02 FY 2002-03 FY 2003-04 _ Budget * EstimateSalaries and Wa es Estimate 750.00 *0.00 Professional Fees EActual* 300.00 Oerations 376500E uiment ther*—--- --—O 7560,00 Total -- - -12550.00 riease explain in oetau on separate sheet Program Funding Sources Revenue Source FY 2001-02 FY 2002-03 FY 2003-04 Session Fees $25.00 x W Actual * Budget * Estimate 750.00 UHM Cooperative Extension— --- _Diabetes Proje�— 1800.001 —� Total --2550.00 If applicable Program Expenditures Attachment Salaries and Wages: The Diabetes Education and Counseling Center staff are current employees of the University of Hawaii at Manua Cooperative Extension Diabetes Project. At this time no salaries and wages are being paid by the Diabetes Education and Counseling Center. The Developing a Healthier Lifestyle Program has budgeted under line item, "Other", a Program Coordinator for this specific project along with 4 other instructors, who are also contracted for this specific project. Program Funding Sources: The University of Hawaii at Manua Cooperative Extension Diabetes Project will furnish the manpower and the screening equipment and supplies at no cost to the Developing a Healthier Lifestyle Program. As part of the UHM-CE Diabetes Project, it's goal has been to provide free screenings and education on diabetes throughout the Big Island. The initial and follow-up screenings which includes: Hemoglobin Ale, Microalbumin, LDL cholesterol and Blood Pressure checks are approximately $30.00 per person per screening. Diabetes Network of Hawaii County dba Diabetes Education and Counseling Center - Agency Name Developing a Healthier Lifestyle - Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete and accurate year-end report may impact the evaluation of your program's or agency's future funding requests 44 L�� I Signature of Board President/Chair 211ac a_4� "�& Signature of Executive Director Date i -3C.) -a3 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI East Hawaii Coalition for the Homeless - Agency Name Kihei Pua Emergency Shelter - Program Name Agency Director: Contact Person Mailing Address Facility/Site Address: Fax No.: Email Address Steven Bader Steven Bader Phone No. Phone No. 138 Kinoole Street Hilo, Hawaii 96720 115 Kapiolani Street Hilo, Hawaii ehch@interpac.net Amount of Request for County funds: $42,500.00 Prior Year Funding: 00-01 01-02 02-03 $34,000.00 $34,000.00 $37,500.00 Agency Mission Statement: "Create opportunities that enhance the quality of life for homeless families and individuals". Program Description: Kihei Pua is a 24-hour emergency shelter for families and singles with priority given to families. The program helps participants become self-sufficient and obtain permanent housing. An extention of this program is located in Pahoa. Total Budget and Position Count Total Program Budget 570,353.00 Total Program Position Count12 Total Agency Budget 727,840.00 Total Agency Position Count 17 East Hawaii Coalition for the Homeless - Agency Name Kihei Pua Emergency Shelter -Program Name Program Objectives: 1) Provide 24 hour intake and assessment to all seeking service. 2) Develop individual service plans for all clients within 3 days of entrance. 3) Ensure 75% of those served meet 75% of their goals within 6 Weeks. 4) Provide access to food, clothing and advocacy to Puna residents M -F. Program Highlights: 1) Housed over 200 children through the shelter program. 2) Provided food, clothing and personal hygiene itmes to 1,200 walk-ins. 3) Received health supplies, holiday gifts for children and a new chest freezer through Kaiser Permanente partnership. 4) Helped ccordinate successful Homeless Awareness Week in November. 5) Provided over 40,000 services contacts to clients through Pahoa office. Performance Measures *If applicable FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate # Unduplicated Homeless (Hilo) # Unduplicated Homeless Puna 459 980 600 1,600 600 2,000 # Counseling Contacts 1,252 1,400 1,400 # Referrals 1,299 1,000 1,000 # Meals Served 33,971 45,000 50,000 # Provided Non-food 750 1,200 1,200 # Entering permanent housing 108 200 250 # Entering transitional housing 14 44 60 # Enrolled in training 19 25 40 # Obtained employment 21 25 30 # Enrolled in mental health treat. 19 25 30 # Enteringsubstance abuse treat. 41 70 90 *If applicable East Hawaii Coalition for the Homeless - Agency Name Kihei Pua Emergency Shelter - Program Name Program Expenditures crease explain in aetan on separate sneer Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate Salaries and Wages 302,870.41 310,900.00 384,451.00 Professional Fees 10,000.00 13,800.00 11,600.00 Operations 3,000.00 3,955.00 3,435.00 E ui ment 3,000.00 6,000.00 6,000.00 Other* 127,465.86 110,737.00 1 164,867.00 Total 1 446,336.27445,392.00 110,092.00 570,353.00 crease explain in aetan on separate sneer Program Funding Sources Revenue Source FY 2001-02 Actual* FY 2002-03 FY 2003-04 Estimate State Homelss tipend) __..Budget* 248,000.00 232,000.00 277,099.00 State Homeless Outreach) 38,740.00 County 34,000.00 37,500.00 42,500.00 HIUW 15,000.00 15,000.00 20,000.00 FEES 8,398.00 12,000.00 12,000.00 Other/Donations 52,021.00 110,092.00 85,914.00 ESG Emergency 20,109.00 27,000.00 36,500.00 ESG Pahoa 11,800.00 13,600.00 SHEG (State Emergency Grants) 44,000.00 Total 377,528.00 445,392.00 570,353.00 *If applicable East Hawaii Coalition for the Homeless Kihei Pua Emergency Shelter Other***Expenses Year 01-02 Year 02-03 Year 03-04 Air Fare 1,632.50 600.00 700.00 Insurance 17, 000.00 17, 000.00 17, 000.00 Lease/Rental Space 18,601.00 21,601.00 21,610.00 Postage/Freight 900.00 900.00 900.00 Publication/Printing 502.38 500.00 600.00 Repair/Maintenance 2,000.00 6,600.00 6,600.00 Supplies 4,000.00 3,000.00 3,500.00 Telecommunication 8,809.26 8,000.00 9,000.00 Utilities 31,770.64 31,700.00 31,444.00 M iscel I/Tax/Dues 26, 383.70 1,586.00 10, 929.00 Direct Services 15,866.38 19,250.00 62,584.00 Total Other 127, 465.86 110, 737.00 164, 867.00 East Hawaii Coalition for the Homeless - Agency Name Kihei Pua Emergency Shelter - Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timelV, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. ignature of Board Presid nt/Chair / - >-r -03 Date 1-21-1-03 Signature of Executive Director Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! East Hawaii Coalition for the Homeless - Agency Name Kihei Pua Transitional Shelter - Program Name Agency Director: Contact Person Mailing Address: Facility/Site Address Fax No.: Email Address Steven Bader Steven Bader Phone No. Phone No. 138 Kinoole Street Hilo, Hawaii 96720 Scattered sites located through out Hilo ehch@interpac.net Amount of Request for County funds: $2,500.00 Prior Year Funding: 00-01 01-02 02-03 $2,500.00 $2,500.00 $2,500.00 Agency Mission Statement: Create opportunities that enhance the gaulity of life for homeless families and individuals. Program Description: The Transtional program provides scattered site housing opportunities for families and single men and women. Paticipants can stay for up to two years receiving support services with an emphasis on obtaining permanent housing. Total Budget and Position Count Total Program Budget 157,487.00 1 To Program Position Count 2 Total Agency Budget 727 840.00 Total Agency Position Count 17 East Hawaii Coalition for the Homeless - Agency Name Kihei Pua Transitional shelter - Program Name Program Objectives: 1) Provide 32 verified homeless individuals, and 8 families with transitional housing and support services during the year. 2) Ensure 75% of our clients meet 75% of the goals in their service plans. 3) Provide educational programming to 100% of our clients so they learn how to obtain and maintain employment. 4) Ensure 100% of our clients have the skills necessary to secure and maintain permanent housing when exiting the program. Program Highlights: 1) Expanded family transitional housing program from 6 to 8 units. 2) Participated in Community Neighborhood Watch Program. 3) Provided Parenting Classes through the Institute for Family Enrichment. 4) Offered 24-hour crisis management for clients. Performance Measures Wit applicable FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate # of new clients served 47 48 52 # of service plans developed 47 48 52 # counseling contacts 478 450 460 # referrals 280 80 100 # meals provided 113 200 300 # enrolled in training/education 5 30 35 # secured employment 8 12 15 # completed substance abuse treat. 3 10 12 # Transitioned off of welfare 0 5 12 # Transitioned to perm. housing 6 20 25 # retaining permanent housing 22 35 35 Wit applicable East Hawaii Coalition for the Homeless - Agency Name Kihei Pua Transitional Shelter - Program Name Program Expenditures Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual . FY 2002-03 Budget* FY 2003-04 Estimate Salaries and Wages 57,000.00 59,000.00 61,167.00 Professional Fees 2,282.00 3,000.00 2,800.00 Operations 884.71 925.00 830.00 Equipment 2,680.29 4,000.00 4,000.00 Other" 104,592.65 76,899.00 88,690.00 Total 167,439.65 143,824.00 157,487.00 Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual' FY 2002-03 Budget* FY 2003-04 Estimate State 62,000.00 58,000.00 67,901.00 County 2,500.00 2,500.00 2,500.00 HIUW 51000-00 5,000.00 5,000.00 Fees 43,723.00 61,500.00 52,200.00 Other/Donations 25,000.00 16,824.00 29,886.00 Total 138,223.00 143,824.00 157487.00 *If applicable East Hawaii Coalition for the Homeless Kihei Pua Transitional Shelter Other'"'Expenses Year 01-02 Year 02-03 Year 03-04 Air Fare 600.00 300.00 200.00 Insurance 7,151.79 7,000.00 7,000.00 Lease/Rental Space 63,569.00 42,899.00 47,890.00 Postage/Freight 363.78 300.00 300.00 Publication/Printing 500.00 500.00 400.00 Repair/Maintenance 3,088.60 4,400.00 4,500.00 Supplies 2,126.16 2,000.00 1,500.00 Telecommunication 2,000.00 2,000.00 1,100.00 Utilities 13, 000.00 13, 000.00 13, 000.00 Miscell/Tax/Dues 8,193.32 500.00 7,800.00 Direct Services 4,000.00 4,000.00 5,000.00 Total Other 104,592.65 76,899.00 88,690.00 East Hawaii Coalition for the Homeless - Agency Name Kihei Pua Transitional Shelter - Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact M `�.ltio tCti /— 2-q-03 Signature of Executive Director Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! FAMILY SUPPORT SERVICES OF WEST HAWAII FAMILY CENTERS Agency Director: Don Bebee Phone No.: 334-4116 Contact Person: Joseph Fichter Phone No.: 334-4129 Mailing Address: 75-127 Lunapule Road, Suite 11, Kailua-Kona, 96740 Facility/Site Address: Same Fax No.: 326-4063 Email Address: kids@fsswh.org Amount of Request for County funds: $55,000.00 Prior Year Funding: 00-01 01-02 02-03 $46,000.00 $50,000.00 $48,000.00 Agency Mission Statement: To Support Families and Communities in Providing Love and Care for Our Children Program Description: Family Support Services of West Hawaii (FSSWH) is seeking funds for the continuation of the Ka'u and North Kohala Family Centers. These centers provide access to a wide range of family support services and other community resources in remote, rural areas of the Big Island. We work with the family as a whole, guiding people through the process of finding solutions to multiple problems addressed, if at all, by a maze of different agencies. Our purpose is to help families prevent crises, define problems, identify strengths, and be responsible for determining their own solutions. These 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. Total Budget and Position Count Total Program Budget 1 $96,494.00 Total Program Position Count 1.64 Total Agency Budget 1 $4,000,000.00 Total Agency Position Count c. 80 FAMILY SUPPORT SERVICES OF WEST HAWAII FAMILY CENTERS Program Objectives: 1) Strengthen the capacity of existing resources 2) Attract needed and additional resources 3) Increase individual's ability to access resources 4) Increase parenting skills. 5) Decrease isolation in rural communities. Program Highlights: 1) Provided facilities to other service providers, for 569 service hours per year for their activities and services. 2) Provided information and referral to 487 people to meet their needs at our centers. 3) Provided office and technological support to 155 people in our communities. 4) Sponsored two community -wide events for family strengthening, one at each site. 5) Community youth used the Ka'u Family Center as their site to research, write, edit and produce the newsletter, Rising Tides. The newsletter received an award from the Associated Press and was awarded a REAL grant to finance an expansion of the newsletter distribution and content. Performance Measures *If applicable FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Education 3 5 5 Employment 1 10 10 Financial 20 20 20 Food 122 122 122 Health 4 10 10 Parenting information 4 12 12 Office/equipment use 155 155 155 Childcare 3 6 6 Substance abuse support 8 17 17 *If applicable FAMILY SUPPORT SERVICES OF WEST HAWAII FAMILY CENTERS Program Expenditures riease expiatn to oetan on separate sheet (Stt A I I ACHED) Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Salaries and Wages $40,010.00 $49,794.00 $52,994.00 Professional Fees _ 818.00 1,200.00 1,400.00 Operations 357.00 468.00 968.00 Equipment 2,805.00 3,286.00 3,500.00 Other* 30,433.00 30,459.00 37,632.00 Total $74,423.00 1 $85,207.00 $96,494.00 riease expiatn to oetan on separate sheet (Stt A I I ACHED) Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate County of Hawaii $50,000.00 $48,000.00 $55,000.00 Donations 24,423.00 37,207.00 41,494.00 Total $74,423.00 $85,207.00 $96,494.00 it appiicabie FAMILY SUPPORT SERVICES OF WEST HAWAII FAMILY CENTERS Program Expenditures- Detail of Other Expenditures FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate -Employee Benefits $2,580.00 $5,982.00 $6,350.00 -Payroll Taxes _ 3,935.00 5,190.00 5,658.00 Supplies _ 10,129.00 4,421.00 4,671.00 -Occupancy 12,692.00 12,931.00 18,638.00 Insurance 966.00 1,652.00 1,832.00 Travel 131.00 283.00 483.00 Total Other $30,433.00 $30,459.00 $37,632.00 FAMILY SUPPORT SERVICES OF WEST HAWAII FAMILY CENTERS 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete and accurate year-end report may impact the evaluation of your program's or agency's future funding requests m. Signa re of Board esident/Chair Signature of E�c tive Director I'a7-v-3 Date //a Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI Friends of the Children's Justice Center of East Hawaii - Agency Name Special Needs and Enhancement, Center Support, Prevention/Education and Training Programs - Program Name Agency Director: Contact Person: Mailing Address Facility/Site Address: Fax No.: Email Address: Alberta Dobbe Josie Acob 1290 Kinoole Street Hilo, HI 96720 933-0968 fcjceh@fcjc.com Phone No.: 935-8755 Phone No.: 935-8755 Amount of Request for County funds: $15000.00 Prior Year Funding: 00-01 01-02 02-03 $10000.00 $13,000 $13,000 Agency Mission Statement: To provide assistance to sexually, physcially, psychologically abused or neglected children, from infancy to age 18 residing in East Hawaii of Hawaii County; to increase public awareness of issues regarding child abuse. Program Description: The Friends of the Children's Justice Center of East Hawaii was incorporated in 1990 as a 501 c3 nonprofit organization. Originally the Friends were formed to support their private -public partner, the Children's Justice Center of East Hawaii. They continue to do so but have expanded their purpose after discovering there were gaps in services to abused/neglected children. Their partnership with the Children's Justice Center, a program of the State Judiciary Branch continues to succeed with the provision of services to child victims and their families not available through any other private or public source. The Friends facilitate services to abused/neglected children by accepting referrals from state and private agencies working with child abuse victims such as Child Welfare Services, Child and Family Services, Hawaii Behavioral Health, Catholic Charities, Parents, Inc, Victim Assistance, Sexual Assault Victim Empowerment, etc. The Friends' message is one of encouragement and they offer opportunities for abused/neglected children to lead healthy and productive lives. The organization is currently governed by a Board of Directors and staffed by a Program/Volunteer Coordinator and five volunteers. The Special Needs and Enhnacement Program is designed to help child victims re-establish self-esteem and develop positive self-worth. This is accomplished by providing for needs that would otherwise go unmet including basic essentials (i.e. clothing, diapers, toiletries), special needs (i.e. air/ground transportation, school supplies, correspondence course) and enhancement support (sports, music lessons, tutoring). Gifts are also given to abused/neglected children at special occassions such as Christmas. With the help of Senator Daniel Inouye's Ready to Learn Program, we distribute school supply kits to abused/neglected children at the beginning of each academic year. The Center Support Program helps to reduce trauma and ensure the safety and comfort of the children that come to the Center for interviews. The Friends maintain this inviting atmosphere by furnishing the Center with donated toys and games and by repairing and refurbishing the Center as needed. The Prevention/Education Program coordinates, implements and sometimes financially supports activities in schools and in the community to promote public awareness on issues regarding child abuse. The Training Program helps to sponsor the attendance of various professionals including social workers and police interviewers who work with victims and their families at seminars and conferences in order to enhance the quality of services child victims receive. This prevents victims from being retraumatized by the system's response to the reports of abuse. Total Budget and Position Count Total Program Budget 15000.00 Total Program Position Count 1 Total Agency Budget 127050.00 Total Agency Position Count 1 Friends of the Children's Justice Center of East Hawaii - A ency Name Special Needs and Enhancement, Prevention/Education, Center Support and Training Programs - Program Name Program Objectives: 1) Provide funds for clothing, toiletries, bed/folding mattresses for children in emergency or relative foster placement. 2) Cover the costs of tutoring services, correspondence courses, summer school tuition to allow a child to graduate or progress on to the next grade level. 3) Pay for fees, equipment and supplies needed for the extracuricular activity (sports, music lessons, art, etc.) that a child is involved in. 4) Provide gifts for a special occasion such as Christmas when a child would not receive a gift elsewhere. 5) Provide gas coupons to families on a limited budget so children may be able to attend treatment programs. 6) Pay for school fees, e.g. seniors cannot graduate without prepayment of fees at start of school year. 7) Cover costs, short-term, when gaps in funding for treatment occurs, for a child who needs ongoing therapy. 8) Provide clothes, formula and supplies for infants removed at birth from drug addicted mothers. 9) Give children a chance to participate in school functions by paying for excursion fees, prom dresses, senior pictures, etc. 10) Assist police and social workers in keeping abreast of the latest investigative techniques, sensitivity training, forensics and knowledge of resources by helping to sponsor their attendance at trainings and seminars. 11) Coordinate the distribution of school supply kits obtained from Senator Daniel Inouye's Ready to Learn Program. 12) Provide privacy, comfort and safety for clients who come to the Center by maintaining its warm and low-key environment. 13) Collaborate with community organizations to formulate and implement innovative prevention programs targeting schools. 14) Coordinate prevention/education activities within the community to spread awareness on issues about child abuse to the general public. Program Highlights: 1) Developed a streamlined process for handling requests for accurate accounting of funds. 2) Increased awareness of the general public by carrying out prevention/education programs. 3) Had proclaimed April as Child Abuse Prevention month by Mayor Harry Kim. 4) Distributed 200 blue ribbons signifying awareness of child abuse during Child Abuse Prevention month. 5) Brigthened the holidays of 153 children by giving Christmas presents to each child. 6) Filled 615 special needs and enhancement requests to abused/neglected children to provide for needs that would otherwise have gone unmet. 7) Helped sponosor 3 professionals to attend trainings on the mainland. 8) Helped fund a one -day training here in Hilo attended by 52 professionals working with child sexual abuse. Performance Measures -it applicable FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Special Needs and Enhancement Requests 615 630 645 Winne_ is (:amn a a Read To Learn Pro ect 215 243 280 Christmas Gift Pro ect 153 190 200 Prevention/Education activities 6 12 16 Training 3 10 15 -it applicable Friends of the Children's Justice Center of East Hawaii - Agency Name Special Needs and Enhancement, Center Support, Prevention/Education and Training Programs - Program Name Program Expenditures Please explain in detan on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Salaries and Wages_ 11696.00 21000.00 23100.00 Professional Fees Donations 1875.00 7000.00 10000.00 Operations 73413.00 87300.00 100450.00 Equipment 3250.00 3500.00 Other* _ Total 85109.00 111550.00 127050.00 Please explain in detan on separate sheet Program Funding Sources Revenue Source FY 2001-02 FY 2002-03 Actual * Budget * FY 2003-04 Estimate County of Hawaii 13000.00 13000.00 15000.00 Private Foundations 69713.00 80800.00 89000.00 Donations 1875.00 7000.00 10000.00 Fundraising 10538.00 10000.00 12500.00 Interest Income 333.00 750.00 550.00 Total 95459.00 111550.00 127050.00 If applicable Friends of the Children's Justice Center of East Hawaii - Agency Name Special Needs and Enhancement, Center Support, Prevention/Education, Training Programs - Program 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, Hawai'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, Hawaii Revised Statutes. If awarded a grant from the Countv of Hawai'i, I (we) understand and will comDly with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and e listing of other funding sources and amounts obtained during the award period. Failure to submit a timely complete and accurate year-end report may impact the evaluation of your program's or agency's future funding requests 1/30/03 Signature of Boar esident/Chair Date _tea Signature of Executive Director Date **The Friends of the Children's Justice Center of East Hawaii does not have UAIMWWff6P&6AeL WILVA6W99 ACCEPTED! FRIENDS of the Children's Justice Center of West Hawaii - Agency Name Enhancement Program - PrOgram Name Agency Director: Alice Daniel Phone No.: 331-2425 Contact Person: Alice Daniel Phone No.: 331-2425 Mailing Address: 77-6403 Nalani Street, Kailua-Kona, HI 96740 Facility/Site Address: 77-6403 Nalani Street, Kailua-Kona, HI 96740 Fax No.: 331-2425 Email Address: fcjcofwh@lava.net Amount of Request for County funds: $15000.00 Prior Year Funding: 00-01 01-02 02-03 $10000.00 $13000.00 $13000.00 Agency Mission Statement: To provide assistance to abused and neglected children, to promote prevention of child abuse and neglect, and to support the Children's Justice Center Program Description: The FRIENDS of the Children's Justice Center of West Hawaii was formed in 1989 as the Friends of the Children's Advocacy Center of West Hawaii to provide support to child victims of abuse, neglect and sexual assault. The FRIENDS also provide information to the public regarding abuse and neglect and participate in community efforts toward the prevention of abuse and neglect. In the broad sense of the term "program", the FRIENDS provide a wide range of support to the Children's Justice Center -WH and the multiple tasks of the Center which include the following: 1. Investigative Team Training (Professionals) 2. Investigataive Interviewer Training (Professionals) 3.Courtroom Psychology Training (Professionals) 4. Sexual Assault Nurse Training (Professionals) 5. Center Support Inter -agency Meetings (Professionals) These activities are funded through various grants and fundraising activities. This application to the County of Hawaii, however, is only for the County of Hawaii "Enhancement" program of the FRIENDS of the Children's Justice Center of West Hawaii. The FRIENDS' enhancement program provides basic support for children of West Hawaii who have documented cases involving sexual abuse, serious physical abuse, or neglect or who are witnesses to violent crime. Our goal is to "help a victim become a child again." We are able to help with basic needs and provide emergency assistance in situations where no other governmental or private agency can meet the need. The largest portion of the program goes to provide enhancements such as athlectic, music, dance, sewing lessons, tutoring or a wide variety of extra- curricular activities. The enhancement program also provides support to the Children's Justice Center by creating a warm, child -friendly atmosphere for the children who are brought to the Center for their forensic interviews and by providing a small gift to each child as they leave. The program is coordinated by a half-time staff person, a 12 -member board of directors and, at present, 15 community volunteers who help with special projects. Total Budget and Position Count Total Program Budget 15000.00 Total Program Position Count 1 Total Agency Budget 95000.00 1 Total Agency Position Count 1 1 FRIENDS of the Children's Justice Center of West Hawaii - Agency Name Enhancement Program - Program Name Program Objectives: 1) Assist six or more children to attend Winners' Camp by the end of June 2004 2) Give holiday or other special occasion gift certificates to 100 children by the end of June 2004 3) Provide emergency assistance with such items as clothing, rent, transportation or utility payments as needed 4) Fund 90 requests, by the June 2004, for life -enhancement activities, such as athletic, music or dance lessons, tuition or tutoring, school supplies, fees for class trips, school photos, graduation supplies or other activities not funded through public funding sources Program Highlights: 1) Assisted 7 children to attend Winners' Camp. 2) Provided funds to assist 5 high school seniors with their graduation expenses. 3) Purchased an ukelele for a child learning to play the instrument. 4) Gave 8 children gift certificates for special occasions. 5) Assisted 74 students with enhancement requests such as athlectic lessons, therapy, tuition, summer camp, clothing, travel with foster families. 6) Assisted the children of 9 families with dealing with emergency situations with itmes such as clothing, transportation, bus tickets, car repairs, utility payments. Performance Measures FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate Children coming to the Center; Center Support 225 258 260 Enhancement requests 74 550 90 Special Occasion Gift Certificates 376 95 100 Winners' Cam _ 7 10 10 FRIENDS of the Children's Justice Center of West Hawaii - Agency Name Enhancement Program - Program Name Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2001-02 Actual * FY 2002-03KFY--2--003-04 Budget*te County of Hawaii 13000.00 Salaries and Wa es 0.00 0.00.00 Professional Fees 0.00 0.00.00 O erations 0.00 0.00.00 E ui ment 0.00 0.00.00 Other* 12645.52 13000.000.00 Total 12645.52 13000.000.00 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate County of Hawaii 13000.00 13000.00 15000.00 Total 13000.00 13000.00 15000.00 *If applicable Friends of the Children's Justice Center of West Hawaii Program Expenditures * Other ITEM FY2001-02 FY2002-03 FY2003-04 Actual Budget Budget Athletic Lessons/Supplies 878.88 1,000 1,000 Center Support 200. Clothing 650.00 600 600 Education 544.00 1,000 600 Emergency 1476.32 1,200 2,000 Medical 820.01 500 500 Music/Arts Lessons 590.12 200 500 Miscellaneous 634.04 500 School Supplies/Yearbook 837.45 500 500 Summer Camp & Summer Fun 1820.00 1,000 2,300 Therapy 655.00 500 Winner's Camp 1162.00 4,900 2,500 Travel/Transportation 2252.70 1,100 2,300 Gift Certificates 325.00 1,000 1,000 TOTAL $12,645.52* $13,000 $15,000 *The balance has been carried over and dedicated to the same purposes FRIENDS of the Children's Justice Center - Agency Name Enhancement Program - Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. XQ"- igrfature of goard President/Chair Signature of Executive Director ! z 6 ..3' D e ate UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! Goodwill Industries of Hawaii, Inc. Work Experience Program Agency Director: Laura Robertson Phone No.: 836-0313 ext 244 Contact Person: Robin Lee Phone No.: 961-0307 ext 102 Mailing Address: 500 Kalanianaole Ave, Hilo, HI 96720 Facility/Site Address: 500 Kalanianaole Ave, Hilo, HI 96720 Fax No.: 969-3861 Email Address: RLee@higoodwill.org Amount of Request for County funds: $29,500 Prior Year Funding: 00-01 01-02 02-03 $5,000 $10,000 $10,000 Agency Mission Statement: Our mission statement is: 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 development. Goodwill Industries of Hawaii (GIH) has been in business in the State of Hawaii since 1959 providing vocational training and employment services to persons with barriers to employment, including: ■ Individuals with disabilities; • Youth who have disabilities or are economically disadvantaged; • Disabled veterans; • Asian and Pacific Islander immigrants; • Older individuals and dislocated workers; and • Adults who are economically disadvantaged, including Welfare -To -Work TANF/TAONF and Food Stamp recipients. With 43 years of experience operating vocational training programs as well as teaching life skills, Goodwill has developed an expertise in bringing about 1/30/2003 1/8 Goodwill Industries of Hawaii, Inc. Work Experience Program success to the people we serve. Goodwill Industries of Hawaii in Hilo has been serving our community since 1998. We envision a world where all individuals with disabilities and other barriers will have the opportunity to participate in a full range of life's experiences, including employment. We provide services to empower individuals to be productive and independent, based on their abilities and interests. In 2002, GIH successfully provided services to over 4,450 people statewide, and placed more than 1,200 people into gainful employment. The East Hawaii branch of Goodwill Industries provided services to 286 individuals in 2002, resulting in a 136% increase over the previous year. Over the past five years, Goodwill has successfully provided training and employment services to more than 11,700 people with barriers to employment, and placed more than 3,100 people into employment. These numbers reflect that Goodwill has the necessary skills and experience to perform the proposed services. Last year Pacific Business News ranked GIH as the #1 Permanent Placement Firm in the State, for the third consecutive year. It is our belief that work is a basic right that will assist people to attain other life goals. Moreover, we believe in each individual's right to self-determination, to make their own decisions regarding life choices as a means of promoting independence and self- sufficiency. In previous years, GIH has provided a menu of services to train, place and support individuals with barriers into gainful employment and assisting them to overcome their barriers to both employment and job retention. Additionally, Goodwill is committed to providing services to help individuals after they have obtained employment to acquire skills and resources to advance, and improve their economic self-sufficiency through training in basic literacy, computer literacy, GED, ESL, and Earned Income Tax Credit filing. Participants also receive follow-up supports and transitional services once they are employed. GIH will coordinate these services with the appropriate agencies and identified networks of support, to better serve the participant on a long-term basis. Examples of agencies and partners with whom we coordinate services include the Department of Health, Division of Vocational Rehabilitation, Child Care Connection of Hawaii, Hawaii Literacy, Department of Education, Legal Aid Society, Chamber of Commerce, Goodwill Industries International, employers in identified industries with job opportunities corresponding to participants' career goals, and other designees. Natural supports will be developed to enhance the individual experience in the workplace. Collaboration between employer, family, friends, and the program staff will be emphasized to increase the probability of success. 1/30/2003 2/8 Goodwill Industries of Hawaii, Inc. Work Experience Program Program Description: Funding is requested for a work experience program to provide wage subsidy for individuals with disabilities and other barriers to employment . The program format will allow work training opportunities for individuals that do not have work experience or who need additional supports or training to succeed in their employment goals. The training programs available are Janitorial and/or Textile/Wares processing positions. The Work Experience program will follow guidelines as set forth by the Department 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, and each paticipant's productivity is measured every six months. Each participant will become familiar with and choose the program that is right for them. When the work area has been chosen, the participant will be trained on how to perform the essential job functions needed for the position(s). The benefits of developing these work skills extend beyond the work environment. 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 effects that meaningful, tangible employment brings to our trainee's lives. More 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 the community. In 2002-2003, the Work Experience Program served 10 participants that were enrolled in a Goodwill training program. The format allowed work -training opportunities for individuals to choose a position in our Janitorial program or Textile/Wares Processing program. The Work Experience Program followed guidelines as set forth by the Department of Labor. A standard was set for each workstation, a community wage survey was conducted, and each participant's productivity was measured every six months. Participants needed more time than the proposed three-month training period to develop problem solving skills, motivational skills, an attitude for success, and increase their self-confidence in the workplace. In addition to the population served in the past year, Goodwill Industries of Hawaii proposes to begin serving high school special education students who will be transitioning out of school within the next 2 years. Work is a logical next step for high school graduates that are not continuing their education. Practical work experience provided by Goodwill Industries of Hawaii will assist these students in transitioning from high school into the workforce. 1/30/2003 3/8 Goodwill Industries of Hawaii, Inc. Work Experience Program This year Goodwill Industries of Hawaii is requesting an increase in funding to enable expanded services to high school students and other persons with employment barriers. The funding will also permit purchase of assistive devices for persons with disabilities in the program. Proposed equipment purchases include: tables with height adjustment to be used for people in wheelchairs, aprons with pockets to carry tools easily, back supports to assist when lifting, bins with springboard bottoms to raise product toward the person loading or unloading, rubber mats to ease leg fatigue when standing, adaptive chairs and low clothing racks that can be reached easily from a wheelchair. These devices will strengthen the program and increase the comfort, productivity, and success of participants. The training period for each participant will be increased to 5 hours per week for a minimum of 3 months and maximum of 12 months. Additional time will allow participants to strengthen their work abilities and gain the necessary self-confidence to allow them to succeed in the work environment. The increase in the proposed funding will allow us to serve participants that have transportation barriers. East Hawaii communities have challenging transportation needs due to the limited number of transportation resources in the Hilo area. People living in less populous areas, outside of Hilo, have difficulty finding reliable, affordable transportation. Goodwill Industries of Hawaii proposes to assist participants in meeting their transportation needs through existing transportation resources, such as the Mass Transit Shared Ride Program and using the Goodwill van to transport participants to and from the program when necessary. Total Budget and Position Count Total Program Budget $29,500 Total Program Position Count 2 Total Agency Budget $1,358,500 Total Agency Position Count 44 * Total Agency Budget denotes Hilo Branch only Program Objectives: 1) Enroll 15 participants in the Work Experience Program. 2) Instruct proper work techniques for each workstation to be assigned, by review of the workstation development form during the first week of training. 3) Develop motivational skills and attitudes for success, self-confidence and problem solving skills throughout the training period. 4) Conduct time measurement study for participant during the first 2 weeks of entry into the program. 5) Review outcomes with the participant upon completion of the time study. 6) Continue to instruct and reinforce correct work procedures. 7) Track work hours, daily or as scheduled to work. 8) Pay each participant bi-monthly, according to hours worked. 1/30/2003 4/8 Goodwill Industries of Hawaii, Inc. Work Experience Program 9) Conduct time study for each participant every six months. 10) Update wages according to productivity level. The emphasis of this program is giving the participants the confidence and tools to maximize their abilities. Our philosophy is to provide an environment for people to believe they can succeed, achieve goals, develop skills and change the barriers they face every day. At Goodwill we believe in the power of work. We create hope, jobs and futures. Through our program, clients learn specific vocational skills and work environment behaviors. Individuals choose the work that matches their abilities and interests and earn wages based on productivity. Clients in the custodial services program perform a variety of cleaning duties in restrooms and offices. Clients in the retail program sort, inspect, hang, and price merchandise. Goodwill supervisors provide appropriate guidance during training that emphasizes safety, quality control, production, and attendance. Program Highlights: 1) Enrolled 10 participants in the Work Experience Program as of January, 2003. 2) Instructed participants in proper work techniques for each workstation. 3) Developed motivational skills and attitudes for success, self-confidence and problem solving skills for each participant. 4) Conducted time measurement study for each participant within 2 weeks from date of entry into program. 5) Reviewed outcome of time study with each participant upon completion of study. 6) Instructed and reinforced correct work procedures with each participant. 7) Tracked work hours, daily or as scheduled to work. 8) Paid participants on a bi-monthly basis, according to hours worked. 9) Conducted time study of each participant every six months. 10) Updated wages according to productivity level. 11) Developed workstation for textile processing to accommodate each participant. 12) Placed one individual in long-term employment with Goodwill Industries of Hawaii. One participant in the Work Experience Program was hired as a permanent employee of Goodwill Industries of Hawaii. This participant worked part-time as a coupon sorter on the mainland from 1996-1999. She was unable to find long- term employment after moving to Hawaii. A custom-made workstation has been established to accommodate her disability and allow her to perform work that 1/30/2003 5/8 Goodwill Industries of Hawaii, Inc. Work Experience Program was once too difficult for her. She has a strong work ethic takes great pride in her employment with Goodwill. All of the participants in the Work Experience Program look forward to receiving a paycheck. Earning a paycheck provides them with opportunities to budget, save and make decisions on where and how to spend their money. The power of work allows participants to gain self-esteem and develop the following qualities that are important for job retention: • Confidence • Initiative • Willingness to learn • Desire to work • Cooperation • Attendance • Communication skills • Team player • Flexibility • Honesty • Respect for coworkers, workplace, and equipment Performance Measures *If applicable Goodwill's Outcome Management System evaluates program services by asking persons served, employers and referring agencies to complete a follow-up survey used to evaluate the satisfaction and effectiveness of services. Upon program exit, each participant, employer and referring counselor will be asked to complete a satisfaction survey. Parties are asked to respond to questions in several areas including the quality of services received, the service outcomes, level of satisfaction regarding the program, and suggestions for changes. Satisfaction surveys are compiled and analyzed on an annual basis. The results are shared with funding sources and Goodwill's Board of Directors. Recommendations for needed changes are analyzed. Plans for improvements are then developed and implemented as a result of this feedback. For the most recent year 2002, the Work Experience Program participants that 1/30/2003 6/8 FY 2001-02 FY 2002-03 FY 2003-04 Actual * Budget * Estimate Transition Program — Adult Day $10,000 -- - Health Work Experience Program - $10,000 $29,500 *If applicable Goodwill's Outcome Management System evaluates program services by asking persons served, employers and referring agencies to complete a follow-up survey used to evaluate the satisfaction and effectiveness of services. Upon program exit, each participant, employer and referring counselor will be asked to complete a satisfaction survey. Parties are asked to respond to questions in several areas including the quality of services received, the service outcomes, level of satisfaction regarding the program, and suggestions for changes. Satisfaction surveys are compiled and analyzed on an annual basis. The results are shared with funding sources and Goodwill's Board of Directors. Recommendations for needed changes are analyzed. Plans for improvements are then developed and implemented as a result of this feedback. For the most recent year 2002, the Work Experience Program participants that 1/30/2003 6/8 Goodwill Industries of Hawaii, Inc. Work Experience Program were also enrolled in the Home & Community Based Services Program indicated a satisfaction rate of 100% in the categories of "Very Good" to "Excellent". Participant's comments included: • I've been provided a job and a means to make extra money. Friendly people and earning a paycheck. • 1 like my job and the opportunity to earn money. Program Expenditures urease exptatn to aetau on separate sneet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Salaries and Wages 8,832 8,000 25,500 Professional Fees 0 5,300 0 Operations 1,168 1,500 0 Equipment 500 3,000 Other* (Transportation) 1,000 Total 10,000 10,000 29,500 urease exptatn to aetau on separate sneet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate County of Hawaii Non Profit Grant 10,000 10,000 29,500 Goodwill Industries of Hawaii 0 5,300 5,000 State of Hawaii 320,783 300,246 340,000 Total 330,783 315,546 374,500 'It applicable 1/30/2003 7/8 Goodwill Industries of Hawaii, Inc. Work Experience 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawaii, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. C: January 30,2003 JarWs Wayman, Chairman of the Board Date QgQ� January 30, 2003 Laura D. Robertson, President/CEO Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! 1/27/2003 8/8 Hamakua Health Center - Agency Name Transportation - Program Name Agency Director: Susan B. Hunt Phone No.: 775-7204 Contact Person: Susan B. Hunt Phone No.: 775-7204 Mailing Address: 45-549 Plumeria Street, Honoka'a, HI 96727 Facility/Site Address: Same Fax No.: 775-9404 Email Address: shunt@hamakua-health.org Amount of Request for County funds: $10000.00 Prior Year Funding: 00-01 01-02 02-03 $0.00 $8,000 $8,000 Agency Mission Statement: Hamakua Health Center (HHC) is a non-profit 501 (c)(3) community health center whose mission is to provide accessible, quality health care and educational services which emphasize individual and community wellness regardless of an individual's ability to pay. The health center was established in 1993 and serves the residents of Hamakua and North Hilo as well as disadvantaged individuals from North Hawaii. Program Description: Hamakua Health Center provides transportation for its patients who are unable to drive or do not have a reliable vehicle. The van transports patients to the health center for appointments as well as specialty care, tests, pharmacy, and other appointments in Hilo, Waimea, and Kona. A schedule outlines areas the van will be servicing during the week and patients are asked to make their appointments accordingly (see attached). The transportation service is free of charge. The van operates Monday through Friday from 8 a.m. to 5 p.m. Most of the people who use the van are elderly, people without cars, mentally and physically challenged, low-income, and the chronically ill. To access the service, the patient can call the health center or inform the front office staff when they schedule their next appointment. This is a door to door service that provides flexibility and meets multiple needs. Hawaii County Economic Opportunity Council (HCEOC) and Hele-On also provide transportation throughout the region. HCEOC provides transportation to low-income seniors and physically challenged individuals. People who need transportation to a medical appointment must fill out a registration form and call in advance to see if they can be accommodated. Hele-On is the public bus system that travels the main highway. People must pay for the service and be at specific designated stops. Many people live far from the main highway and would have a difficult time walking from the highway down the steep hill to the health center. Providing transportation that is free, flexible, and available to all enables our patients to keep their appointments and take advantage of specialty care they need to manage their disease or condition. The passengers who utilize the Van Program receive health care services that they would not otherwise be able to access. The Van ensures that services are obtained when needed, preventing more costly trips to the emergency room via ambulance after problems have advanced to the acute stage because access was a barrier to routine, preventive care. Total Budget and Position Count Total Program Budget 35615.00 Total Program Position Count 1 Total Agency Budget 1800000.00 Total Agency Position Count 21 Hamakua Health Center - Agency Name Transportation - Program Name Program Objectives: 1) Provide transportation to 100 individuals per month from home to service and return. 2) Provide service for North Hawaii clients from Waikoloa to Kapa'au and Kawaihae to Laupahoehoe. 3) Conduct patient satisfaction survey to improve service delivery. 4) Develop and implement advertising plan to increase the number of people served. Program Highlights: 1) During FY 2001-02 the budgeted number of individuals to be served was 1,075. We did not meet our target due to the resignation of our van driver in May 2002. HHC had no services for the month of June 2002 while we searched for a replacement. 2) Half way through FY 2002-03 we have served 500 individuals. Our target is 1,250 which means we must increase the number of clients served on e monthly basis to 125 in order to meet the target. 3) On average we serve eighty-five clients per month. 4) Sixty percent of our clients are elderly over the age of 65. 5) Over 1,400 trips made during calendar year 2002 and 30,736 miles were logged. 6) Communities served include Waimea, Waikoloa, Kawaihae, Kukuihaele, Kapulena, Haina, Paauhau, Honokaa, Ahualoa, Laupahoehoe, Paauilo, and Kalopa. 7) Patients are transported to either Hilo or Kona for for such things as eye care including glasses and contact lens fittings, diabetes education, hearing aid fittings, physical therapy, psychiatric treatment, dermatology, cardiology and podiatry. The van is also used for medication pick up and delivery for those patients who are homebound. Performance Measures FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Individuals Served 963 1250 1200 Hamakua Health Center - Agency Name Transportation - Program Name Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Salaries and Wages 29628.00 29385.00 29700.00 Professional Fees 0.00 0.00 0.00 5550.00 5299.00 5600.00 -Operations -Equipment Other* Total 35178.00 34657.00 35300.00 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual* FY 2002-03 Budget* FY 2003-04 Estimate of Hawaii 8000.00 25000.00 10000.00 -County Hamakua Health Center 27178.00 9657.00 25300.00 Total 35178.00 34657.00 35300.00 *If applicable Hamakua Health Center - Agency Name Transportation - Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. P Signature oyBoard f SignattdgW of /13U/03 Date 1 2103 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! HAWAII COUNTY ECONOMIC OPPORTUNITY COUNCH. TRANSPORTATION Agency Director: GEORGE YOKOYAMA Phone No.: (808) 961-2681 Contact Person: LARRY MANLIGUIS Phone No.: (808) 961-2681 Mailing Address: 47 RAINBOW DRIVE Facility/Site Address: 47 RAINBOW DRIVE Fax No.: Email Address: (808) 935-5213 uAinterpac.net Amount of Request for County funds: $ 145,000 Prior Year Funding: 00=01 0101=02 02_03 $ 150,000 $ 150,000 $ 145,000 Agency Mission Statement: The mission of the Hawaii County Economic Opportunity Council is the alleviation, elimination and prevention of poverty in the County of Hawaii. 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 lives; Stimulating new and effective approaches to the alleviation of poverty; Strengthening communication, mutual understanding and 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. IIAWAR COUNTY ECONOMIC OPPORTUNITY COUNCII TRANSPORTATION Program Description: The funding request is to continue to provide transportation for targeted groups of low- income elderly, disabled and pre-school 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 rural 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. HCEOC is the only agency in the County who provides transportation services specifically targeting low-income persons. Total Budget and Position Count: Total Program Budget�1,055,469 Total Program Position Count 3 Total Agency Budget x_6,445,780 Total Agency Position Count 192 IIS Program Objectives: 1) Provide 800 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 300 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 Head Start Centers, to give them access to education activities, by the end of the program year. 4) Maintain fleet of clean operable vehicles to ensure regular, dependable transportation for the targeted clients. HAWAII COUNTY ECONOMIC OPPORTUNITY COUNCH, TRANSPORTATION Program Highlights: I) Provided 941 disadvantaged elderly a total of 89,202 passenger trips in FY 2001-2002, 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 292 disabled persons a total of34,804 passenger trips in FY 2001-2002, 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 317 disadvantaged pre-school children a total of 41,169 passenger trips in FY 2001-2002, from home to Head Start Centers, to give access to education activities. 4) Provided safe, injury free transportation services for the 1550 disadvantaged elderly, disabled and pre-school persons transported to and from home and resource centers in the fiscal year July 2001 to June 2002. Performance Measures: j FY 2001-02 FY 2002-03 FY 2003-0441 Actual Actual Estimate Transport Elderly to Resource Centers 941 700 800 Elderly Passenger Tris _ 89,202 90,000 100,000 Transport Disabled to Resources 292 _50 300 Disabled Passenger Trips � - 34,804— 3 0,000 35,000 Transport Pre-school Children to Centers 317 200 200 CPre-school Children Passen erTris 41,169 20,000 30,000 �MamtainFiectofBuses Cemfic,d 32 32 32 To Transport Passengers HAWAII COUNTY ECONOMIC OPPORTUNITY COUNCIL TRANSPORTATION Program Expenditures: FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate Salaries and Wages 618,328 700,590 782,938 Professional Fees 12,567 14,900 16,257 Operations 276,516 Equipment 244,979 960,469 256,274 -- - 1,055,469 Other* Total 907,411 Program Funding Sources: Revenue Source FY 2001-02 FY 2002-03 FY 2003-04 Actual* Budget* Estimate County of Hawaii _Regular 150,000 145,000 145,000 County of Hawaii - Disabled 153,000 153,000 i 153,000 County of Hawaii --Nutrition 176,171 112,000 176,171 121,298 176,171 121,298 Federal - DHHS 115,000 State of Hawaii - OCS 115,000 115,000 State of Hawaii - Grant in Aid 30,000 0 0 State of Hawaii - Medicaid 171,240 250,000 225,000 ------ State of Hawaii -Adult Mental Health ._ 120,000 -_ Tnfol nn^r n i � Hawaii County Economic Opportunity Council Transportation 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'I, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'I grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests Signature of Board Presi nt/Chair Signatur of E ecu ive Director z > a3 Date 14A ,3 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI Hawaii Island Adult Care, Inc. Hilo Adult Day Center Agency Director: Carolyn Cabreira Mailing Address: 34 Rainbow Drive, Hilo, HI 96720 Facility/Site Address: same as above Phone Number: 961-3747 Fax Number: Email Address: adltcare@gte.net Amount of Request for County funds: $25,000.00 Prior Year Funding: 00-01 01-02 02-03 $14,500.00 $15,500.00 $15,500.00 961-3740 Agency Mission Statement: To 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. Program Description: (Please briefly describe the program for which you are seeking funding) Hilo Adult Day 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 Position Count Total Program Budget 668,000 Total Program Position Count 27 Total Agency Budget 728,000 Total Agency Position Count 32 Hawaii Island Adult Care, Inc. Hilo Adult Day Center 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.) 1) Provide safe, caring day time evironment for frail elders, and mentally/physically challenged adults who can no longer fully take care of themselves and need some type of supervised care. 2) Provide socialization, daytime activities, excursions for these individuals who are generally inactive and have old age depression. 3) Allow these elders and handicapped to be able to live in their own homes as long as is possible. 4) Deter premature institutionalization of elders into long term care facilities. 5) Provide respite for caregivers and deter "caregiver burnout". 6) Allow working families caring for their elders to continue employment. 7) Provide day care services to economic groups regardless of ability to pay, utilizing federal, state, county and private foundation scholarship funds to assist these individuals with the monthly day care tuition and fees. Program Highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Provided day care services to 147 individuals having varied physical and/or mental limitations, throughout the year. Ended the fiscal year with 89 participants enrolled in June. 2) Enrolled new participants: 57; discharged: 47; attending the full year: 54. 3) Maintained professional level of service with State of Hawaii, Department of Human Services, re -licensing approval in 25`" year of day care service. 4) Enhanced program for Alzheimer's wing; participant level rose to 34. 5) Received an Atherton Family grant to replace three aging computers. 6) Received approval from the USDA through the Hawaii State Department of Education to continue providing daily lunches for participants. 7) Maintained scholarship tuition assistance grants level so as no participant was turned away or cut back on hours due to lack of funds. With protective care in an enjoyable environment, participants remain healthier and happier with less likeliness of illness and hospitalization. Hawaii Island Adult Care, Inc. Hilo Adult Day Center 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 2001-02 FY 2002-03 FY 2003-04 Actual Budget Estimate Average monthly attendance 89 89 91 All figures are totals for the year: Participant enjoyment of life during 123 123 127 final years; maintain or improve personal hygiene/self-care; continue to attend after 6 months Participants continuing to live in 140 140 142 own homes Families/caregivers able to continue 109 109 109 employment Families /caregivers receiving 128 128 130 respite Participants continuing to attend 85 85 86 after one year Participants continuing to attend 55 55 56 after 2 years Participants continuing to attend 19 19 19 after 5 years Medicaid tax monies saved on $1,071,480 $1,068,480 $1,068,480 participants attending day care (15 persons: (14 persons: (14 persons: versus living in a long term care 14 placed in into long into long facility or care home (based on long term term care) term care) individuals discharged from the day care, center into long term care/private 1 to care care homes during the year) – low home) income economic status. Economic conditions of participants served.- erved:Poverty Povertylevel participants – DHS, 55 55 56 Nursing Home without Walls, RACCP and other funding—some are able to pay cost -share. Low income – partial scholarship 45 45 46 assistance Full pay needing no scholarship 47 47 47 Ph sicaUmentallimitations: Frail elders 50 50 50 handicapped 27 27 27 -Physically Stroke debilitated 35 35 36 Alzheimer's disease/dementia 35 35 36 -diagnosed individuals Hawaii Island Adult Care, Inc. Hilo Adult Day Center Age of participants served: Over 80 years 69 69 69 60 to 80 years 57 57 59 Young adults under 60 y.2ars 21 21 21 Program Expenditures 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 Source FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate Salaries and Wages 493,643 520,755 530,000 Professional Fees 8,365 8,400 13,000 Operations 138,894 144,093 145,000 Equipment 1,488 2,500 35,000 Other* 21,732 20,000 20,000 Total 1 642,390 1 675,748 688,000 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 Source FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate Tuition/fees 219,880 235,800 248,452 -State-Dept. of Human Service 117,802 120,148 120,148 -Federal-Nursing Home w/o Walls 30,323 33,500 35,000 State -Nursing Home w/o Walls 30,323 33,500 35,000 State/Federal-Of6ceofAging 21,732 20,000 20,000 County of Hawaii 15,500 15,500 25,000 Hawaii Island United Way 17,450 16,500 16,500 -May Templeton Hopper Foundation 81,583 65,000 46,600 Mcinerny/Chatlos/Charity Walk/Other grants 44,876 65,000 70,500 -Membership Drive Scholarships 1,932 4,000 4,500 USDA lunch prog. reimbursement 36,166 40,000 40,000 PIN grants management fee 7,400 7,000 6,000 Donations 7,981 6,800 6,800 Fundraising/Interest/Misc. sales 14,701 13,000 13,500 Total 647,649 675,748 688,000 Hawaii Island Adult Care, Inc. - Agency Name Hilo Adult Day Center - Program 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 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. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawaii grant funds, and a listing of other funding sources and amounts obtained during the award period. / Ile Si nat of Board PresidenttChair Signature of cecutive Director Date Sa.... 3% I aop3 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI Hawaii Library Foundation — Agency Name Computer -Assisted Learning Center (CALC/Hilo Public Library) — Program Name Agency Director: Holly Richards Contact Person: Holly Richards Phone No.: 808-837-8069 Phone No.: 808-837-8069 Mailing Address: POBox 29668 Honolulu, HI 96820 Facility/Site Address: Hilo Public Library 300 Waianuenue Avenue Hilo, HI Fax No.: 808-831-7899 Email Address: hlfound@lib. state. hi. us Amount of Request for County Funds: $ 64,767 PRIOR YEAR FUNDING 00-01 01-02 02-03 $0 County $0 County $0 County $37,588 Other $79,596 Other $66,715 Other AGENCY MISSION STATEMENT The mission of the Hawaii Library Foundation (HLF), a 501(c)(3) non-profit tax-exempt organization, is the support and promotion of the Hawaii State Public Library System by raising and distributing funds to encourage reading, literacy, and life-long learning for all people of Hawaii. (HLF was incorporated in 1993.) HLF is the fiscal sponsor for the Hilo Public Library's literacy project at the Computer -Assisted Learning Center (CALC/Hilo Public Library). PROGRAM DESCRIPTION CALC was started in 1991 as the state's first library -based, computer-assisted adult literacy resource site. To date, through paid and volunteer staff efforts, CALC has helped more than 600 community members toward their individual educational and employment goals. CALC's mission is to provide access to learning resources and tutoring services to help adults acquire and/or improve their basic skills in reading, writing, math, English as a foreign language, and beginning computer. CALC assists adults from Hamakua to Puna, a geographical area of almost 1800 square miles with approximately 67% (80,693) of the Big Island's total population. More than 40,000 of these residents are adults. According to "Bridges to Literacy", Hawaii's foremost adult literacy assessment report, 51 % of East Hawaii's adult population is functionally illiterate (defined as "adults who function with difficulty".) Using these figures, it is projected that more than 20,000 of East Hawaii's adults do not have sufficient basic skills with which to read a newspaper, instructions on a bottle of medicine, a sales receipt to ensure they County of Hawaii 03-04 1 Hawaii Library Foundation — Agency Name Computer -Assisted Learning Center (CALC/Hilo Public Library) — Program Name did not get overcharged, or a job application. This high rate of illiteracy and the increased need for computer skills in the workplace contribute significantly to Hawaii County's high rates of unemployment ( 3.2% in S. Hilo to 15.7% in Puna.) CALC's target population includes adults age 18 and over, with varied ethnic backgrounds (recently 39% Caucasian / Black / Hispanic, 31% Asian, 30% Hawaiian/Polynesians.) Most of these learners, male and female, are referred from various human services agencies — especially the Food Stamp and Employment Training office, vocational rehabilitation counselors, the Big Island Substance Abuse Council, and other educational programs unable to serve low -literate clients, or clients with special learning needs. The majority of CALC's beginning readers, and many of the math students have exhibited symptoms indicative of a learning disability generally referred to as dyslexia, which severely inhibits their ability to learn in a typical learning environment (e.g. a classroom setting.) In addition to needing remedial work in reading, writing, math, and English as a foreign language, most of CALC's participants have little or no employment skills, or need assistance in the process of retraining as a part of their vocational rehabilitation plans. TOTAL BUDGET AND POSITION COUNT Total Pro ram Budget $93,066 Total Program Position Count 3 Total Agency Budget 152,170 Total Agency Position CountL 3 PROGRAM OBJECTIVES LJ VOLUNTEERS July 2003 — June 2004 OBJECTIVE 1 — Recruit 25 new volunteers OBJECTIVE 2 — Provide 2 new tutor trainings One in the Fall '03 Second in the Spring '04 OBJECTIVE 3 — Match a minimum of 10 new tutors with adult learners OBJECTIVE 4 — Provide Suoport Services for 30 volunteers Provide special topic tutor training in the Fall '03 (Equipped For The Future Standards); Provide special topic tutor training in the Spring '04 (Learning Disabilities); Rematch tutors with learners as necessary; Assist with learning materials, session documentation, learner progress evaluation; Provide formal and informal recognition of volunteer services; Provide opportunities for recognition and building community with get-togethers: Annual Po'okela Awards Annual Summer Picnic Annual Holiday Get -Together Periodic Volunteer Get-Togethers Volunteer Thank You Luncheon. County of Hawaii 03-04 2 Hawaii Library Foundation — Agency Name Computer -Assisted Learning Center (CALC/Hilo Public Library) — Program Name Ll LEARNERS July 2003 — June 2004 OBJECTIVE 1 — Recruit 50 new adult learners OBJECTIVE 2 — Increase basic reading, writing. math, English as a foreign language and emolovment skills for 65 adult learners A minimum of 50 students will advance from one level to the next in a specific set of reading materials, or in recognition / understanding of at least 3 reading concepts previously unknown, such as letter / sound relationships, word families, main ideas, supporting details, etc. A minimum of 30 students will advance from one level to the next in a specific set of writing materials, or in recognition / understanding of at least 3 writing concepts previously unknown, such as how to hold a pencil, print the alphabet, write name and address, write sentences, maintain a journal, write a personal letter, recognize / understand parts of speech, write an essay, understand styles of writing, etc. A minimum of 25 students will advance from one level to the next in a specific set of math materials, or in recognition / understanding of a least 3 math concepts previously unknown, such as counting, adding, and subtracting for beginners; multiplying, dividing, and beginning fractions for intermediate; and fractions, decimals, and pre -algebra for advanced. A minimum of 15 English as a foreign language students will increase in verbal capacity by 20% especially in critical areas such as name, address, emergency and directional words. A minimum of 50 students will increase in employability by increasing basic computer skills such as understanding of basic computer concepts; familiarity with using keyboard and mouse, accessing, navigating, exiting programs; creating, saving and printing basic documents; accessing, navigating, exiting the Internet; creating and using an email account. OBJECTIVE 3 — Provide Support Services for 100 learners Provide skills assessment for new learners and reassessment for currently active learners; Develop individualized learning plans for new learners / modify plans for others as needed; Match learners with tutors / materials; rematch as necessary; Assist with learning materials, session documentation, learner progress evaluation; Provide special student outings and opportunities to build community with get-togethers: Annual Po'okela Awards Annual Summer Picnic Annual Holiday Get -Together Two student outings — Borders and Lyman House Museum. County of Hawaii 03-04 3 Computer -Assisted Learning Center (CALC/Hilo Public Library) — Program PROGRAM HIGHLIGHTS TOTAL FY '01 %o of'01 hours FY `02 % of `02 hours % increase from '01 to '02 Learners served 100--- 99 --- -1% Instructional sessions Instructional hours 2186 4088.5 - _ 2354 4588.75 --- _ --- 7% 11% One-to-one hours 1980.25 48% 2386.0 52% 17% Independent hours 2106.75 52% 2201.75 48% 4% Computer hours 1570 38% 1859.75 41 % 16% Assessment hours 340.5 8% 388 8% _ 12% Overall, we increased our one-to-one time with the students, both numerically and the percentage of total hours. This is a major accomplishment, as one-to-one time results in faster progress for the students. The following anecdotes show the personal impact of the statistics: ii NR had never known any success in a school setting. Her fear was palpable during the first three or four sessions she had with CALC staff. During those first sessions, she was hardly able to express herself for fear of looking stupid. Shortly after, she was matched with a new tutor. The two of them worked together, building each others' confidence. Consequently, even when NR obtained a job, she continued to meet with her tutor on a weekly basis. She has now become a confident, outspoken participant with clearly defined, self -set goals. Lt Originally from Taiwan, BF worked with a tutor for almost four and a half years in an effort to improve her English skills. Her main goal was to obtain a good job so that she did not have to worry so much about how she would pay her monthly bills. After many years of working two, even three, minimal -pay jobs in an effort to support herself, BF obtained a Federal job at the information desk at the airport in Honolulu. W Three adult basic education (ABE) students (two level 3 and one level 2) became tutors. They worked with other students at lower levels, primarily in math. They said they wanted to "give back" for what they have received at CALC. PERFORMANCE MEASURES CALC's services increase program participants' basic skills and self-sufficiency as evidenced by the fact that at least 40% of our students have: ✓ continued their education at a higher level institution, obtained a GED or high school diploma, and / or certificates or degrees from Hawaii Community College; ✓ obtained further job training / job certification, obtained employment (some for the first time), or retained their jobs as a direct result of their work at CALC; or started their own businesses; ✓ obtained citizenship, became active volunteers in the community, became CALC tutors, and / or became active CALC advisors and community spokespersons. CALC's services also facilitate positive social change, as evidenced when, with staff assistance, two dozen learners and volunteers (and some spouses) registered and voted in the last presidential primary and general elections. Ninety percent (90%) of these adults had never voted before. County of Hawaii 03-04 4 Hawaii Library Foundation - Agency Name Computer -Assisted Learning Center (CALC/Hilo Public Library) - Program Name PERFORMANCE MEASURES 'If applicable PROGRAM EXPENDITURES FY 2001-02 Actual* FY 2002-03 Budget* FY 2003-04 Estimate New learners recruited 65 72 70 __ _ New learners active _ _ Total learners supported _ _ 57 100 49 99_ _ _ 45 100 Total hours of instruction 4088.5 4589 5,945 Learners increase basic and employment skills 67 63 _4250 65 Other* 11,509 1,850 12,335 New volunteers recruited _ New volunteers trained _ 25 19 35 30 25 20 _ New volunteers matched_w/student / task 20 _ 14 10 Previous volunteers provided w/ additional training 5 11 _ 10 Total volunteers supported _ 39 _ 51 _ 40 'If applicable PROGRAM EXPENDITURES *Please explain in detail on separate sheet PROGRAM FUNDING SOURCES Revenue Source -T 2001-02 FY 2001-02 Actual* FY 2002-03 _Budget* _ FY 2003-04 Estimate Salaries and Wa es 63,127 60,390 73,036 Professional Fees__ 0 _ 0 0 O erations 3,614 3,600 5,945 Equipment 1,346 875 1,750 Other* 11,509 1,850 12,335 Total 79,596 _ 66,715 93,066 *Please explain in detail on separate sheet PROGRAM FUNDING SOURCES Revenue Source -T 2001-02 FY 2002-03 FY 2003-04 Actual* Budget* Estimate _ Balance forwarded 20,085 8,136 3,722 County of Hawaii 0 _ 0 64,767 Endowment fund 0 16,000 6,250 Verizon Foundation _ 15,000 10,000 _ 10,000 Hawaii Pizza Hut Literacy Fund 45,000 15,000 15,000 Fundraisers 792 2,195 _ 2,000 Individual contributions 5,411 6,600 3,000 Community charities 601 _ 561 _ 500 Miscellaneous 844 54 0 Total ---� _ 87,773 58,546 - 105,239 *If applicable County of Hawaii 03-04 5 Computer -Assisted Learning Center (CALC/Hilo Public Library) — PrO9ra111 PROGRAM EXPENDITURES — details for Other* *OTHER Fiscal a ent fees _ FY 2001 02 Actual* 3,125 FY 2002-03 FY 2003-04 Budget* _ Estimate 1,250 4,335 Professional training 8,484 600 8,000 TOTAL OTHER 11,509 _ 1,850 12,335 County of Hawaii 0304 6 Hawaii Library Foundation - Agency Name Computer -Assisted Learning Center (CALC-Hilo Public Library) - Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. '(� /�) �A4J Sign ture of Board President/Chair 4 6 fi e.c h\C d.o Signage of Executive Director /A -7 0 D to I • 2-+• 63 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI The Island of Hawaii YMCA - Agency Name Ku'ikahi Mediation Center - Program Name Agency Director: Contact Person Mailing Address: Facility/Site Address: Fax No.: Email Address Robert K. Masuda Dorothee Auldridge Phone No.: 885-7420 Phone No.: 885-5388 P.O. Box 7067 Kamuela, Hawaii 96743 300 W. Lanikaula Street Hilo, Hawaii 96720 ::Zla�.'1c�Al ymca-hi@aloha.net Amount of Request for County funds: $10000.00 Prior Year Funding: 00-01 01-02 02-03 $0.00 $ 0 $ 5,000 Agency Mission 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. Program Description: The Ku'ikahi Mediation Center provides quality mediation services to individuals and organizations in the East Hawaii community. The Center utilizes professionally trained community volunteers and handles cases such as neighbor /neighbor, family (including intergenerational and divorce issues), work place, community and Special Education and civil rights disputes. Included in these cases are referrals from the Office of the Prosecuting Attorney, and the County Police Department to mediate cases involving criminal issues. The program has seen increased cases involving neighborhood disputes with restraining orders or criminal charges in the past program year. The Center has also seen an increase in cases involving juveniles (and their parents) with restraining orders caused by conflicts in schools and neighborhoods. Total Budget and Position Count Total Program Budget 85000.00 Total Program Position Count 3 rTotal Agency Budget I2547797.00 Total Agency Position Count 280 The Island of Hawaii YMCA - Agency Name Ku'ikahi Mediation Center - Program Name Program Objectives: 1) Provide quality mediation services to 1,300 individuals in Program Year 2003-04 (an increase of 14%). 2) Increase mediator pool by 20% in PY 2003-04 3) Increase number of cases opened to 300 in PY2003-04. 4) Increase number of prosecutor referred cases to 75 in PY 2003-04 5) Collaborate with the County Prosecutors Office to develop/increase caseload areas that will reduce the use of county resources. 6) Ensure that 80% of clients served in PY2003-04 are satisfied with the mediation services received. Program Highlights: 1) Provided services in 279 cases. This was a slight decrease from the previous year- attributed to the shortage of attorneys in the Prosecuting Attorney's Office, significantly reducing the number of referrals. This current year has seen the referrals begin to increase to expected levels- of the 21 cases referred in the first quarter of the current year- the Center was able to assist the parties in reaching agreements in 92% of cases. 2) Assisted parties in reaching agreements in 81% of cases involving restraining orders among neighbors. Community cases involving restraining orders among against neighbors are increasing. In this current program year, the Center has opened 25 cases (in six months). These cases involve many individuals- the 25 cases involved 114 individuals. These types of cases, if not resolved, put an unnecessary drain on our limited police and Prosecutor resources. 3) Increased active advanced/family mediator pool by 14 volunteer mediators to increase capacity to handle this growing caseload area. 4) Continued collaboration with the County Prosecutor's Office to mediate misdemeanor criminal cases. 5) Revised and improved training materials to increase mediator competency for Prosecutor referred cases. 6) Participated in Prosecutor led Juvenile Justice Strategic planning process in preparation for developing juvenile mediation program. 7) Achieved client satisfaction goal for PY2001-02, 82% of clients were satisfied with services received from the Center. Performance Measures *If applicable FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Number of cases opened 279 290 300 Number of mediators 51 61 75 Number of individuals served 1132 1250 1350 Number of cases received from the Prosecuting Attorneys Office 45 60 75 Number of cases received from the Police Department 5 8 12 Percentage of satisfied clients 82% 85% 85% *If applicable The Island of Hawaii YMCA - Agency Name Ku'ikahi Mediation Center - Program Name Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate Salaries and Wages 5506500.00 63000.00 65500.00 Professional Fees 49001.00 49001.00 55000.00 Operations 14400.00 16500.00 18500.00 Equipment 1188.00 5000.00 7500 Other* 12591.00 14470.00 Total 69465.00 79500.00 84000.00 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate County of Hawaii 0.00 5000.00 10000.00 Judiciary, State of Hawaii 49001.00 49001.00 55000.00 Program Service Fees 2685.00 3529.00 4000.00 Hawaii Justice Foundation 1188.00 5000.00 7500 Hawaii Community Foundation 12591.00 14470.00 Office of Youth Services 0.00 0.00 5000.00 Donations 4000.00 2500.00 2500.00 Total 69465.00 79500.00 1 84000.00 *If applicable The Island of Hawaii YMCA - Agency Name Ku'ikahi Mediation Center - Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. Signature of Board President/Chair Signature of Executive Director 1 -LL-^ Date 1 -LL _�a Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! The Island of Hawaii YMCA - Agency Name YMCA Youth At Risk Services - Program Name Agency Director: Contact Person Mailing Address: Facility/Site Address: Robert K. Masuda Dorothee Auldridge Phone No.: 885-7420 Phone No.: 885-5388 P.O. Box 4545 Hilo, HI 96721 Waiakea Settlement YMCA, 300 W. Lanikaula, Hilo Kona Family YMCA, 74-5606 Pawai Place, Kaillua-Kona Waimea Family YMCA, 65-1206 Mamalohoa Hwy, Kamuela Fax No.: Email Address: 885-5370 <ymca-fo@aloha.net> Amount of Request for County funds: $60000.00 Prior Year Funding: 00-01 01-02 02-03 $55000.00 $50,000 $50,000 Agency Mission 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. Program Description: YMCA Youth -At -Risk Services provides an array of safe, developmentally appropriate activities that are based on the research of asset building (increasing protective factors such as connections to caring adults and community, developing skills to resist negative peer pressure, increasing self-esteem) and delinquency prevention (decreasing opportunitites for anti -social behavior) for youth ages 5-18 (Please see Appendix A). This program provides youth with activities that stimulate healthy development. The program provides at -risk youth with structured learning opportunities with caring adults where they can achieve personal goals, learn to work productively with others, and develop healthy interpersonal skills. 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 vans increase program quality by providing transport- ation services island -wide. YMCA Youth -At -Risk Services provides over 3,500 children annually with a diverse programming mix. The Island of Hawaii YMCA is an islandwide association comprised of four operating units: Waiakea Settlement YMCA, Kona Family YMCA, Waimea Family YMCA and YMCA Mediation and Family Life Development programs. Youth -At - Risk Services are offered at each YMCA branch, with coordination and collaboration between programs to support youth in different communities participating together. The YMCA Youth -At -Risk provides direct positive impact to the youth and families of Hawaii County by providing accessible, affordable (in addition to keeping program fees low, many youth are subsidized or receive program scholarships). As the evidence of how substance abuse and other factors contributing to family conflicts increase, it it more critical than ever to have safe, positive opportunities for our County's youth to engage in nurturing, empowering activities that create a foundation for lifelong healthy choices. Total Budget and Position Count Total Program Budget 545500.00 Total Program Position Count 115 Total Agency Budget 2547797.00 Total Agency Position Count 280 The Island of Hawaii YMCA - Agency Name YMCA Youth -At -Risk Services - Program Name Program Objectives: 1) Identify and achieve personal goals 2) Learn new skills inherent to the activity 3) Learn how to cooperate with others 4) Demonstrate the responsibilities of leadership 5) Develop personal skills, talents, and abilities 6) Appreciate sportsmanship and fair play 7) Learn to make better decisions 8) Make new friends, increase understanding of different cultures 9) Have fun Program Highlights: 1) Established a new program at the Kona Family YMCA, Ambassadors of the Environment, in partnership with Ocean Futures Society. Located on the Ke'ei coastline, this aquatic -based environmental camping program is a living laboratory for youth to discover how they can live respsonsibly in their environment. Over 40 youth attended this first season of this new exciting program. 2) Launched a youth sailing program at the Waiakea Settlement Branch, utilizing trained adult volunteer instructors. Over 50 youth were enrolled in the program, which culminated its first year's activities by sailing in the YMCA Uncle Pete's Regatta in June 2002. 3) Strengthened the partnership with Hawaii Arts and Sciences Academy, with students refurbishing donated sailing crafts for the youth sailing program as part of a youth service leadership project. 4) Waiakea Settlement YMCA Youth Sports program has teams in wrestling and girls volleyball. Both teams demonstrated the YMCA values of good sportsmanship, respect and responsibility to achieve success in Hawaii and mainland tournaments. 5) Enriched the Elementary Health and Fitness program at Waimea Ele- mentary School with activities designed to strengthen academic achieve- ment through increased physical health. 6) Sent a delegation of 13 youth to the State Youth Legislative Session. This year's participation was significant because our delegation had island -wide representation. 7) Enriched the Kona Family YMCA vacation recreation program for older youth (9-13) with enhanced water safety and life saving skills in preparation for YMCA Jr. Lifeguard courses. 8) Enhanced the Waimea Family YMCA vacation recreation programs with increased excursions to support science curriculum themes. 9) Provided Health and Fitness programs and activities to over 500 Waimea and Waikoloa Elementary School participants. 10) Educated over 200 in Camp Aloha, an environmental camp based on the culture and traditions of our island. The youth participants in this year's program were Hawaii County youth and youth from Japan. Performance Measures If applicable FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate Total Participants: YMCA Youth -At- Risk Services 3672 3750 4000 Pro ram Participants will: and achieve personal goals 82% 85% 85% -Identify Learn how to cooperate with others 80% 85% 85% Assume and understand the of leadership 80% 85% 85% -responsibilities Develop an improved understanding of personal skills, talents and abilities 80% 85% 85% Appreciate sportsmanship and the of fair pla 80% 85% 85% -concept Learn to make better decisions 80% 85% 85% Make new friends 85% 90% 90% Have fun 90% 90% 90% If applicable The Island of HawaiiYMCA - Agency Name Youth -At -Risk Services - Program Name Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget* FY 2002-03 Budget * FY 2003-04 Estimate 50000.00 Salaries and Wages 340168.00 60000.00 377000.00 400000.00 Professional Fees 5570.00 Hawaii Island United Way 6000.00 7000.00 66000.00 70000.00 96310.00 42500.00 106500.00 132000.00 45000.00 -Operations 7452.00 6000.00 6500.00 -Fundraising -Service/Program Fees -Equipment Other* 0.00 294500.00 0.00 0.00 325.00 Total 449500.00 0.00 495500.00 545500.00 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate of Hawaii 50000.00 50000.00 60000.00 -County Private Foundations 27000.00 32000.00 45000.00 Hawaii Island United Way 68000.00 66000.00 70000.00 Donations 42500.00 47000.00 45000.00 5500.00 6000.00 5000.00 -Fundraising -Service/Program Fees 256175.00 294500.00 320500.00 Interest Income 325.00 0.00 0.00 Total 449500.00 495500.00 545500.00 *If applicable Appendix A YMCA Youth -At -Risk Services County of Hawaii Nonprofit Grant, FY2003-04 YMCA Youth -At -Risk Services provides an array of developmentally appropriate and challenge -based activities for at -risk youths, ages 5-18. Speck programs and activities in YMCA Youth -At -Risk Services include: Recreational Day Camps - Summer Fun: Fun House (grades K - 3) Kids' Express (grades 4 - 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) - Preschool Swim - Swim Team (12+) - Springboard Diving (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/SCUBA Camp (12+) - Ambassadors of the Environment(12+) - Volcano Camp (grades K - 8) - Camp Waipi'o (12+) Youth Sports/Fitness 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+) 1 Appendix A YMCA Youth -At -Risk Services County of Hawaii Nonprofit Grant, FY2003-04 - Martial Arts (ages 7+) - Goju Karate - Tai Kwon Do - Aikido - Jr. Tennis (12+) - Gymnastics (grade 3 — 12) - Wrestling (grade — 12) Teen Programs: (grades 8 - 12) - Tutoring Program - Youth -in -Government - YouthMapping - Youth Mentoring - Jr. Leaders - Late-Nite Basketball - Skatepark 2 Appendix B YMCA Youth -At -Risk Services County of Hawai'i Nonprofit Grant, FY 2003-04 The Island of Hawai'i YMCA collaborates with many community organizations to support YMCA Youth -At -Risk Services for children and families. The YMCA collaborates regularly with the following organizations: • County of Hawai'i Corporation Counsel's Office, Family Support Division • County of Hawai'i Prosecutor's Office • County of Hawai'i Department of Parks and Recreation • County of Hawai'i Office of the Prosecuting Attorney • State Department of Education (Keonepoko, Chiefess Kapi'olani, Keaukaha, Kahakai, Kealakehe, Honaunau, Ho'okena, Waimea, and Waikoloa Elementary Schools) • State Department of Human Services • State Office of the Attorney General • The Family Court of the Third Circuit • The Children's Advocacy Center • Domestic Violence Interagency Team • Family Crisis Shelter, Inc. • West Hawai'i Bar Association • Legal Aid Society of Hawai'i • Hawai'i Centers for Independent Living • Queen Lili'uokalani Children's Center • North Hawai'i Community Children's Council • Kanu o ka 'Aina New Century Public Charter School • Punana Leo o Hawaii (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 Beach Hotel • Pono Holo Ranch • Kehena Ranch • Kahui Ranch • Parker Ranch • Waikoloa Bay Club • Imiola Congregational Church Community partnerships that support the YMCA Aquatics Program include: • Kawaihae Boating Association • Kawaihae Canoe Club • Kawaihae Commercial Fishing • Kawaihae Sailing Association 1 Appendix B YMCA Youth -At -Risk Services County of Hawai'i Nonprofit Grant, FY 2003-04 • Kawaihae Shopping Center • Makali'i Na Kalaiwa'a • Mo`ikeha Hawaiian Sailing Canoes • Na Aikane o Pu`ukohola • Pro Divers Hawai'i • Pua Ka `Ilima o Kawaihae In addition, the YMCA collaborates and/or receives assistance from: • Hawai'i Island United Way • Jaycees of Hawai'i • Hilo Y's Men's Club • North Hawai'i Rotary Club • Lion's Club International • Army Reserve Civil Engineer Corps • Hawai'i Rodeo Cowboy's Association • Ironman Triathlon • McDonald's of Hawai'i • 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 Hawai'i 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 D. and Walter F. Frear Eleemosynary Trust • Lawrence Newbold Brown Memorial Foundation • Rev. Takie Okumura Family Fund • Barbara 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 • Hawai'i Electric Light Company, Inc. E Appendix B YMCA Youth -At -Risk Services County of Hawai'i Nonprofit Grant, FY 2003-04 • Victoria Ward, Limited • C. Brewer and Company, Limited • J. Watumull Fund • Foodland Community Fund • Visitor Industry Charity Walk • Hawai'i Women's Legal Foundation • West Hawai'i Fund • Hawai'i Community Foundation • U. S. Windsurfing Association • Parker School Trust 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 Hawai'i YMCA County of Hawaii Nonprofit Grant, FY2003-04 Waiakea Settlement YMCA Waiakea Uka, Waiakea, Kea'au, Pana'ewa, Keaukaha, Kaumana, Pi'honua, Downtown Hilo, Upper/Lower Puna, Kurtistown, Hawaiian Paradise Park, Ainaloa, Nanawale, Kapoho, Hawaiian Beaches, Kalapana, North Hilo Kona Family YMCA North/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), Ku'ikahi Mediation Center - mediation and conflict resolution services in East Hawai'i Neighborhood Place of Puna- family support services for families at risk for child abuse and neglect The Island of Hawaii YMCA - Agency Name YMCA Youth -At -Risk Services - Program 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, Hawai'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 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 92F, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. L� L 16Lr�o_� Signature President/Chair Date Signature of Executive Director Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! Ka Hale 0 Na Keiki, Inc. - Agency Name Families -At -Risk Project -Program Name Agency Director: Kathleen Oshiro Phone No.: 775-9870 Contact Person: same Phone No.: same Mailing Address: 46-3615 Kahana Drive, Honokaa, HI 96727 Facility/Site Address: 45-5016 Plumeria St, Honokaa, Hi Fax No.: 775-9870 Email Address: gso@kona.net Amount of Request for County funds: $8500.00 Prior Year Funding: 00-01 01-02 02-03 $0.00 $ 0.00 $ 2000.00 Agency Mission Statement: At Ka Hale 0 Na Keiki it is our mission to help children develop a lifelong love of learning through a program that encourages freedom, individualism, and creativity. Our carefully prepared environment provides children with an opportunity to explore their surroundings, challenge their thoughts, and enjoy and love the people and world around them. Through a positive interaction among the children's developmental characteristics, their school, practices, family, and community, children will be ready to have successful learning experiences that will last throughout their lifeftime. Above all, our children come first. Program Description: The Families -At -Risk Project serves to support children and families of the Hamakua coast in non -educational endeavors, which are as important as the scholastic education of the child. Its central feature is continuing to provide a safe, stimulating, and caring environment for children, ages 24 months to 6 years, daily, throughout the year, between the hours of 2:30 pm and 5:30 pm. Scholarship/tuition assistance is provided, and may include tuition fee reduction, an extended grace period in which to pay fees, or both, allowing families stress - free assurance that their employment can continue while their children have quality care and education. This frees young parents to work at their jobs, allows the unemployed to seek work, and pursue training and educational opportunities, particularly working parents transitioning from welfare assistance. It also unburdens siblings, older relatives, and others untrained in early childhood education of the responsibility of providing care to young children. The Hamakua Coast is a greatly under -served area of our County. The closest HeadStart program is over 45 miles away, as is the closest State Financial Assistance office for family childcare supplements. The goals of our Families -At - Risk Project are to provide low-income children with quality care that improves their health, safety, learning, development, and family stability; and to provide low-income parents with quality child care to allow them to work full-time towards economic self-sufficiency and to better support & assist their children's education. Ka Hale O Na Keiki, Inc. is a grassroots, community-based, non-profit organization that, unlike other preschools, remains open after 2:30 pm daily, as well as being open year-round, for many of our families are at -risk. These families are likely to be cut off from the mainstream community because of poverty, racism, unemployment, and/or the inability to timely access community and human services. They are therefore at risk of being unable to take care of their basic needs and those of their nuclear family. Support of our Families -At - Risk Project is crucial for the survival of our school, as well as the survival of the families that need and use our services. It is imperative that we remain open at least 10 hours per day, and operate year round, otherwise working parents would have no where to send their young children for a quality education and care while gone from the home. Most preschools are not open more than eight hours per day because a second qualified staff is required; and such a service is just not economically feasible. However, with literally no other full-time preschool available in our isolated area, parents would have no where to place their child, except perhaps in front of a neighbor's TV set, if Ka Hale O Na Keiki's Families - At -Risk Project was not available. Drug abuse is our worst nightmare here on the Hamakua Coast. "Study after study has shown the benefits of a quality preschool experience. Children who attend preschool enter kindergarten ready to learn. They later have better test scores in reading and math. And, they are less likely to be involved in crime as adults and less likely to become pregnant as teenagers." (Honolulu Advertiser, 12/19/01). Additionally, numerous drug -abuse studies have shown that an early childhood education can actually prevent illegal drug usage in the future. Therefore, if we are to break the cycle of drug abuse in our community, we must begin taking preventitive action now, and intervene at the preschool -age level, rather than simply spend money and time on rehabilitation later on. Yet, of the nearly 6000 children between the ages of 2 and 4 in our County, only 30% are attending some type of early childhood program. Our community, previously a sugar plantation town, has always treasured education. For most of us, an education represented the way to a better life than our hardworking parents experienced. Our understanding of what constitutes a "good education", however, has evolved over the years, since we were in school, to include the major importance of a developmentally appropriate, quality education for our children ages 2-5. Today we know that these formative years are critically important to a child's social adjustment and long-term educational success. If our community is going to survive the closing of an agriculturally - based economy we must provide all our families with an affordable, quality preschool program. The Hamakua Coast is a very special and unique area, with wonderful qualities, yet dramatic problems. Ka Hale O Na Keiki is not "just another preschool", but a community organization that serves and meets multiple needs for the people of the entire area. Our community has been incredibly supportive of Ka Hale O Na Keiki. Additionally, Oahu -based Atherton Foundation, Castle Foundation, Weinberg Foundation, and Hawaii Community Foundation have all generously donated to our organization, recognizing the unique services we offer, and our dedicated efforts to insure the quality development of all our young children of our under -serviced community. However, the Hawaii County support of our Families -At -Risk Project is critical to this program's survival, to enable these services to continue to meet the needs of our community. Our past budgets have taken funds away from our Day Program in order to help support the critical Families -At -Risk afternoon program, putting our entire operation at risk. Everyone, it seems, recognizes the dire need for quality early childhood education for all of Hawaii's children, and they know the astounding, positive effects a quality early childhood education has on the overall development of young children. However, such recognition is a waste if everyone is not willing to do their part to insure that early childhood educational centers are made available to all. The County's support of the Families -At -Risk Project will not only ensure the Families -At -Risk Project's survival, but also the survival of our entire program. We understand and acknowledge the scarcity of County funds, and sympathize with the Council's difficult budget task, but we truly believe that the County's continuing investment now in the Families -At -Risk Project will save the County ten -fold in future rehabilitation costs. Total Budget and Position Count Total Program Budget 19805.00 Total Program Position Count 3 Total Agency Budget 100000.00 Total Agency Position Count 7 Ka Hale 0 Na Keiki, Inc. - Agency Name Families -At -Risk Project - Program Name Program Objectives: 1) Provide high quality care and educational services to children of at -risk families of the under -serviced Hamakua Coast. 2) Make care and educational services available into the late afternoon to accommodate at -risk families. 3) Assist employed and job -seeking parents. 4) Provide emergency scholarship/tuition assistance to at -risk families. 5) Provide monthly scholarship/tuition assistance to at -risk families. 6) Provide mentoring and informational/referral services to at -risk families. 7) Maintain a developmentally appropriate learning environment among all students, ensuring progress in social, emotional, cognitive, language, and physical development. 8) Recognize the need for and provide referral services for children of at -risk families who may need treatment for known or suspected health, psychological or development problems. 9) Increase the parenting skills,and understanding of the educational and developmental needs of children of the at -risk parents we serve. Program Highlights: 1) Provided a developmentally appropriate, high-quality childcare and educational facility to the working poor of the Hamakua Coast. 2) Remained open for the working familes, including during holiday breaks and summer. 3) Provided two jobs in our local community, in order to operate the Families - At -Risk Project. 4) Obtained new, temporary facility when previous facility's lease expired, including meeting all County and State regulations affecting licensing and permits, all within a timeframe that allowed us to not have to be closed due to a change in facility. 5) Provided lab -school facility to two college students so they could complete their student teaching as early childhood education students in their home town. 6) Secured a permanent facility for Ka Hale 0 Na Keiki, plus the funding to complete the major renovations required to bring the permanent facility up to State licensing & ADA requirements. 7) Offered scholarship/tuition assistance to eight families using the Families - At -Risk Project. Performance Measures *If applicable FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Total Enrollment 28 24 28 Students Enrolled 2:30pm-5:30pm, Families -At -Risk Project 10 15 17 Families receiving financial assistance from Ka Hale O Na Keiki for the 2:30-5:30, Families -At -Risk Project _ 8 14 16 *If applicable Ka Hale O Na Keiki, Inc. - Agency Name Families -At -Risk Project - Program Name Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Salaries and Wages 13480.00 14400.00 16725.00 Professional Fees _ 724.00 1000.00 1500.00 Operations 600.00 1466.00 900.00 410.00 600.00 680.00 -Equipment Other* _ _ Total 15214.00 17466.00 19805.00 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 FY 2002-03 Actual * Budget * FY 2003-04 Estimate from Families 5940.00 8900.00 9684.00 -Payment Donations/fundraisers 500.00 500.00 500.00 Grant 0.00 2000.00 8500.00 -County _ Program paymeMfrorn families 8774.00 6066.00 1121.00 -Day Total 15214.00 17466.00 19805.00 If applicable Ka Hale O Na Keiki,inc. - Agency Name Families -At -Risk Project - Program 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 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 puolic according to Chapter 92F, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand arid will cornpl./ with the requirement to submit a year-end report to the Legislative auditor withui 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a coirplete accounting of all expenditures supported by County of Hawaii grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report Ir g impact the evaluation of your program's or agency's future funding requests Sig—na u � of Board sident/Chair Signature of Executive Director Date 0tDa UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! Kapi'olani Medical Center For Women & Children Kapi'olani Child Protection Center -West Hawaii Title IV -S -West HI Counseling & Supportive Living Project Agency Director: Mary Jo Westmoreland (KCPC HI Branch Administrator) Willow Morton (VP, Hospital Operations) Mailing Address: Hawaii Pacific Health Research Institute 55 Merchant Street - 27'0 Floor Honolulu, HI 96813 Facility/Site Address Phone Number: Email Address 74-5599 Luhia Street - #E-7 Kailua-Kona, HI 96740 329-4020 Fax Number: kapiolaniOO1@hawaii.rr.com 329-8628 Amount of Request for County funds: $20,000 Prior Year Funding: 00-01 01-02 02-03 $10,500 $16,000 $16,000 Agency Mission Statement: The Mission Of The Kapi'olani Child Protection Center Is To Protect Children And Strengthen Families Program Description: (Please briefly describe the program for which you are seeking funding) The Title IV -B Counseling and Supportive Living Project provides counseling, service linkage, educational and supportive services to assist West Hawaii families at risk of child abuse and neglect. Priority for services is given to families at risk due to substance abuse (80% of referrals). The program is primarily funded through a Federal Grant and requires matching funds from the State and from the provider. Total Budget and Position Count Total Program Budget $411,500 Tota! Pro ram Position Count 9 - — - Total Agency Budget $552,875 Total Agency__Position Count 9 11 Kapi'olani Medical Center For Women & Children Kapi'olani Child Protection Center -West Hawaii Title IV -B -West HI Counseling & Supportive Living Project 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.) 1) Improve child safety by reducing abuse/neglect risk factors 2) Improve child safety by increasing child protective factors Program Highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Provided services to 204 families - 376 adults and 477 children. 2) Achieved - 79% of families served completed all services. 3) Achieved - 80.2% of families who completed services developed a practical child safety plan 4) Achieved - 84.9% of families who completed services improved child safety by either increasing protective factors, or reducing CAN risk factors. 5) Achieved - 91.0% of families who completed services had no new CPS report during services. 6) Achieved - 98.1 % of families who completed services had no new CPS report within 6 months after case closure. 7) Achieved - 95.9% of families who completed services had no new CPS report within 1 year after case closure. 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 2001-02 FY 2002-03 FY 2003-04 Actual Budget Estimate _Individuals Receiving Assessments 385 375 375 Families Receivin Service Coord_ 203_ 175 _ 175 Individuals Receiving CounselinMc 200 lndividuals Rec'ving Education Svcs 33 ividuals —Re c'vng Sup'rtve Liv—in 2 m w/no new CPS Rpt During Svc 91.0% kFarnw/no new CPS -6 mo FU� 98.1% m w/no new CPS Rpt 1Yr FU_ 95.9% Fa /m rw educed risks to child 68.6% - - -- — -- — Fam w/increased protection of child 79.1% Fam w/Child Safety Plan A closure 80.2%—T _ 150 _ _150 _ _ 50 gp 2 2� 85% 85% 85%85% _ 85% —% 75% 75% 75% 7501 -- -- - 80% 80% Perm Fam_w/out Icment disru tion —--_1? _ Above required bar State Contract_ N/A _.— 80% —1 80 80/0 — -- Kapi'olani Medical Center For Women & Children Kapi'olani Child Protection Center -West Hawaii Title IV -B -West HI Counseling & Supportive Living Project Program Expenditures FY 2001-02 FY 2002-03 FY 3003-04 _ Actual Bud et �-- -- —_T_—. __ 9 Estimate Salaries and Wages_ $250,747 $241,841 $315,820 Professional Fees" $30 153 —_ $36,672 $37,154 _O�erations _ — $40,936 -- $45,357 $44,526 Equipment —--- -- -- Other' -- — $13,949 --$82,130 ! $14,000 Total L $335,785 $406,000�� $411,500 `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 Source Title IV -B Grant _ FY 2001-02 FY 2002-03 Actual Budget $312,020 $380,000 FY 2003-04 Estimate $380,000 HIUW -- Charity Walk $7,765 --$3,000 $7,000 $8,500 $3,000 AHI Count'ra Gnt — —_ _ - $16,OOo $16,000 $20,000 Total $335,785 $406 0 00 $411 500 Kapi'olani Medical Center For Women & Children Kapi'olani Child Protection Center -West Hawaii Title IV -B -West HI Counseling & Supportive Living Project *Other Expenditures *Please explain in detail on separate sheet Contracted Client Services includes fees paid to contracted professionals and other agencies for direct client services such as counseling, supportive living, parenting education, etc. Fiscal year 02-03, several staff members resigned and will not be replaced, as staff currently in Diversion program will shift FTE in July when Diversion ends. Counseling services that would have been provided by these staff members will be obtained from subcontracted community providers. Computer Services includes payments to contracted providers for maintenance of computer network and maintenance of program database. ** Professional fees include 10% indirect cost charged to State Title IVB contract and 15% indirect cost charged to County grant. This covers insurance, audit, accounting, legal and other administrative costs. FY 2001-2002 FY 2002-2003 FY 2003-2004 _ Contr'cYd Client Svcs Computer Services - Actual $13 840 $109 Budget $81,130 Estimate_ $13,000 $12000 Total —_ _ $13, 949 $82,130 $14.000 *Please explain in detail on separate sheet Contracted Client Services includes fees paid to contracted professionals and other agencies for direct client services such as counseling, supportive living, parenting education, etc. Fiscal year 02-03, several staff members resigned and will not be replaced, as staff currently in Diversion program will shift FTE in July when Diversion ends. Counseling services that would have been provided by these staff members will be obtained from subcontracted community providers. Computer Services includes payments to contracted providers for maintenance of computer network and maintenance of program database. ** Professional fees include 10% indirect cost charged to State Title IVB contract and 15% indirect cost charged to County grant. This covers insurance, audit, accounting, legal and other administrative costs. KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN Kapi'olani Child Protection Center -West Hawaii Title IVB West Hawaii Counseling and Supportive Living Project 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete and accurate year-end report may impact the evaluation of Your program's or agency's future funding requests l �l r t 2 Lc7v aAl1c3 Signature of Board President/Chair Date (Vice President, Hospital Operations, KMCWC) 44"� `"nl AL3 D%Q ign re of Executive Director Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! KONA ADULT DAY CENTER, INC. Agency Name ADULT CARE Program Name Agency Director: Rowena L. Tiqui Phone No.: 322-7977 Contact Person: Rowena L. Tiqui Phone No.: 322-7977 Mailing Address: P O Box 1360 Kealakekua HI 96750 Facility/Site Address: 81- Halekii St. Kealakekua HI 96750 Fax No.: 322-0614 Email Address: kadcrowena@hawaii.rr.com Amount of Request for County funds: $15000.00 Prior Year Funding: 00-01 01-02 02-03 $15000.00 $15,000.00 $15,000.00 Agency Mission Statement: "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 social environment. Program Description: Adult day care is viewed as a promising long-term care option because it provides regular and reliabale respite to informal caregivers, while it fosters their continued participation in the workforce. Persons 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, requring supportive care. These are persons with Alzheimer's disease, dementia or other related memory disorder, those with physical disabilities, such as stroke, Parkinson's disease, multiple sclerosisand 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. KONA ADULT DAY CENTER, INC. Agency Name ADULT CARE Program Name Total Budget and Position Count KONA ADULT DAY CENTER, INC. Agency Name ADULT DAY CARE Program Name Program Objectives: 1) Program Goals for Individuals a. The 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 level 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. f. Premature or inappropriate institutionalization in a nursing home or hospital will be prevented. g. , Socializing, peer interaction and continued relationship with the community will be ensured. h. Isolation and prejudice often associated with frail and disabled adults will be reduced. 2) Program Goals fro 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 spouse, parent or other family member. C. Families and other caregivers will be assured that elders dependent upon them are being cared for appropriately during the day. 3) Program Goals for the Community a. An integral component of the community service network and of the long-term care continuum will be made available to the West Hawaii community. b. The medical community and other resources statewide will be provided a liaison in the geriatrics, especially Alzheimer's disease and other related disorders. Program Highlights: 1) Maintain 90% of participants at home for a minimum of 6 months with adult care services. 2) Maintained or improved socializatonslnfraction skills of participants by 90%. 3) Maintained or improved hygiene/self-care of participants by 90%. 4) Surveyed caregivers. 95% of caregivers who responded, expressed satisfaction with Kona Adult Day Center. 90% of caregivers responded. 5) Had intergenerational interaction activities. Performance Measures FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate New Clients Served 24 25 27 If applicable KONA ADULT DAY CENTER, INC. Agency Name ADULT DAY CARE Program Name Program Expenditures 'Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual' FY 2002-03 Budget * FY 2003-04 Estimate Salaries and Wages 142542.00 165699.00 170670.00 Professional Fees 47806.00 49368.00 50850.00 Operations 145741.00 139986.00 144185.00 Equipment 19462.00 24000.00 25000.00 Other' 24443.00 0.00 0.00 Total 336089.00 355053.00 365705.00 'Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual' FY 2002-03 Budget * FY 2003-04 Estimate DHS -POS 24018.00 27960.00 27960.00 DHS-NHWW 63894.00 61200.00 6300.00 Terese Hughes Grant 3553.00 3720.00 4000.00 Mae Templeton Hooper 19462.00 24000.00 25000.00 West Hawaii Council Grant 24443.00 0.00 0.00 Gwenfread Allen Grant 2000.00 0.00 0.00 Theodor Vierra Grant 6480.00 3000.00 Hawaii Island United Way Grant 15000.00 15000.00 15000.00 of Hawaii Grant 15000.00 15000.00 15000.00 -County 25273.00 21800.00 22450.00 -Fundraising Tuition 135884.00 144000.00 148300.00 -intake/Baths/Feeding/Trans/Food 23175.00 22050.00 22711.00 Food Program 15409.00 15000.00 15000.00 Interest Income 1,013.00 840.00 1,050.00 Other Grants 22981.00 3000.00 3000.00 Inkind Meals 18492.00 -0- -0- Inkind Volunteer 6300.00 12600.00 12600.00 Total 415898.00 372650.00 378071.00 "If applicable KONA ADULT DAY CENTER, INC. - Agency Name ADULT DAY CARE - Program 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 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. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Signature of Board President/Chair ESTELA HALVE ON i nature of xe u v irector ROWENA TIQII � u3 Da I � L23 D to UNSIGNED PROPOSALS WILL NOT BE ACC PTEDI KONA ARC/KONA KRAFTS (CAPTAIN COOK DOMICILLIARY HOME) Agency Director: Gretchen Lawson Mailing Address: PO Box 127 Kealakekua, HI 96750 Facility/Site Address: 81-1065 Konawaena School Road Phone Number: 323-2626 Fax Number: 323-9444 Email Address: gretchen@konakrafts.org Amount of Request for County funds: $19,100.00 Prior Year Funding: 00-01 01-02 02-03 $17,000.00 $17,000.00 $19,100.00 Agency Mission Statement: Kona Krafts is a private non-profit organization for persons with disabilities, their advocates and families. We believe that people with disabilities are as individual in their needs, abilities and gifts as any other cross section of society. Program Description: (Please briefly describe the program for which you are seeking funding) Kona ARC/Kona Krafts operates a 'Domicilliary Home' licensed for 5 residents identified as DD/MR by the State of Hawaii and considered low-income by HUD. The residents have cognitive limitations that prevent them from living truly independently. They do not make good judgments and therefore need supports to insure their safety and help with activities of daily living. The residents also have skills that can be accessed to benefit the community when provided with assisted living. Also, their family members are then freed from such total responsibilty so that the family members can actively contribute to the community. The residents each pay rent and also program fees that cover a portion of their living expenses. However, the amount of money received by Kona Krafts to pay for the mortgage on the house and provide for the housing, food, transportation and other maintenance costs for the vehicle and building plus the staff salaries for supervison for 18 hours a day Monday through Friday and 24 hours a day Saturday and Sunday cover only 46% of the actual expense. Money received via the County of Hawaii's Non -Profit Grant program helps make up some of that deficit. Specifically, the $19,100.00 request would be spent to enhance service delivery by paying costs associated with half-time staff person (40 hours a week) and the payroll taxes attached to the salary, 40% of the total food budget for the home and 25% of the transportation (fuel) costs for the van. Total Budget and Position Count Total Program Bud et 135,000.00 Total Program Position Count 3 Total Agency 1udget 1,276,277.00 Total Agency Position Count 75 KONA ARC/KONA KRAFTS (CAPTAIN COOK DOMICILLIARY HOME) 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.) 1) Provide a safe, healthy and supportive environment for living 24 hours per day, 365 days a year from July 1, 2003 to June 30, 2004. 2) Provide healthy nutritious meals 7 days a week throughout the program year. 3) Insure access to community events and resources a minimum of twice a week throughout the program year (7/03-6/04). 4) Schedule medical appointments for each resident and transport them for those appointments on a quarterly basis or more often if needed. 5) Record all medical appointments, prescribed medicine and keep a log of medicine taken throughout the program year. 6) Assist each resident to complete their home activities and community plans ongoing throughout the program year. 7) Provide needed supports for interacting with each other and the public appropiately within the home and in the community; daily throughout the program year. Program Highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Cooked and consumed two meals per day during each week and three a day on the weekends during 2002-03. 2) Participated 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. 3) Keeping all medical appointments made on their behalf by Group Home supervisors. 4) Maintained their home by completing chores assigned to them for the general maintenance and cleanliness of the facility. 5) Assisted with cooking the meals according to their individual level of skill and cooperative behaviors. 6) Responded to interventions when behaviors warranted such treatment and supports. 7) Worked to insure their programs were coordinated between the Day Program and the living environment so the outcomes are more lasting. KONA ARC/KONA KRAFTS (CAPTAIN COOK DOMICILLIARY HOME) 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 2001-02 FY 2002-03 FY 2003-04 Actual Budget Estimate Provide a safe, secure and healthy 5 X365 days 1,825 days 1,825 days home for five DD/MR residents 365 1,825 days da s a year Provided nutritious meals each day 4,160 meals 4,160 meals 4,160meals Burin 2001-02. Transport 5 residents to Special Zea X47 94 transports 94 Olympics activities twice per week. weeks =94 times Insure transport for medical 5 residents X 23 27 appointments each quarter I per quarter + as needed = 27 Transport residents to 42 weeks 47 weeks 47 weeks social/recreational activities once per week Assist 5 residents with home chores 5 resident X 2 480` 520 a. Complete personal clothes washing jobs per week 1 time per week peer person X 52 weeks = 'due to b. Complete personal room cleaning 520 jobs nature of once per week per person disability c. Rotating to a different resident each there are week: times when 1) dishes after dinner residents 2) cleaning bathrooms refuse, or 3) cleaning common areas have too 4) assist with meal preparation many 5) sweeping kitchen distractions to 6) cleaning garage area work at home Assist each resident to progress in their 60; 3 goals 60 60 individual plans times 5 resident times 4 uarters Provide needed behavioral supports as As needed 52 times 52 needed from mild 25 times; (based on intervention/correction to referral to once per behavioral specialists week Record all medications taken on a daily 5 residents X 1,825 days of 1,825 days of basis 365 days recording recording KONA ARC/KONA KRAFTS (CAPTAIN COOK DOMICILLIARY HOME) Program Expenditures *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 Source FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate Salaries and Wages $74,811.00 70,682.00 75,000.00 Professional Fees Operations 58,527.00 58,944.00 60,000.00 Equipment Other* 14,018.00 19,752.00 20,000.00 Total 133,338.00 129,626.00 135,000.00 *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 Source FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate County of Hawaii 17,000.00 17,000.00 19,100.00 Resident Fees -(SSI pass throw h 41,894.00 43,895.00 45,000.00 Tenant Rent -(30% client share for Section 8 HUD 14,018.00 19,752.00 20,000.00 Federal Funds (70% Section 8 share of rent) 29,392.00 29,910.00 30,410.00 Fundraising/Donations 29,034.00 19,069.00 20,490.00 Total 133,338.00 129,626.00 135,000.00 KONA ARC/KONA KRAFTS (CAPTAIN COOK DOMICILLIARY HOME) 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Signature of Board President/Chair' C>� 6 nature of Executive Director Date /Zz 1, Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! Kona Literacy Council - Agency Name Kailua Learning Center -Program Name Agency Director: Joan Budnick Phone No.: 329-1180 Contact Person: Brenda Natina Phone No.: 329-1180 Mailing Address: 75-5766 Kuakini Hwy. #703 Facility/Site Address: 75-5766 Kuakini Hwy. #106A Fax No.: Same Email Address: konalit@msn.com Amount of Request for County funds: $3000.00 Prior Year Funding: 00-01 01-02 02-03 $2500 00 $2500 $ 1,500 Agency Mission Statement: The Kona Literacy Council's volunteer 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: The 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. preparation for passing the GED or Competency Based High School Diploma, Citizenship preparation, keyboarding and computer literacy. All tutoring is at no cost to the student. All of the 510 students, who have had lessons at the Kailua Learning Center since it opened in September 1992, have made remarkable progress in their basic skills; some have gained their High School Equivalency Diploma, passed the Citizenship exam, and have gotten better jobs. Reading improves the adults' self-esteem, thereby improving their lives and becoming better family members, workers and community members. Total Budget and Position Count Total Program Budget 6600.00 Total Program Position Count 11 Total Agency Budget 0.00 Total Agency Position Count same Kona Literacy Council - Agency Name Kailua Learning Center - Program Name Program Objectives: 1) Continue to 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 and computer literacy skills. 2) Register, schedual, match learner with tutor, and prepare programs for 25 new students for the year. 3) Continue recruiting and training new tutors. 4) Continue networking with community agencies to provide free literacy assistance to their clients, i.e. Department of Human Services, Department of Labor & Industrial Relations, Kona Community School for Adults, various Vocational Rehabilitation Programs, Bridgehouse, Alternatiaves to Violence, court ordered participants, Family Support Services of West Hawaii, Head Start, Hawaii Community College and the public libraries. 5) Offer pre-employment skills, help in filling out application forms, resume writing and interview skills to enable our learners to get and hold jobs. 6) Improve family literacy services. 7) Help foreign 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 and becomes lifelong learners. 9) Publish a quarterly newsletter. 10) Hold general membership and public meetings quarterly. 11) Continue writing grants, pursuing fund raising functions, and seeking donations to keep open the doors of the Kailua Learning Center. Program Highlights: 1) All statistics are form the Annual Council Report, June1, 2001 - May 31, 2002 prepared for Laubach Literacy Action. 2) Tutored 21 basic literacy students. 3) Registered 11 of the above as new students. 4) Tutored 14 in reading and writing, 3 math, 2 GED, 4 computer literacy. 5) Tutored 15 English as a Second Language students. 6) Registered 12 of the above as new students. 7) Left the program and attained employment: 3 students. 8) Passed the citizenship test: 1 Student. 9) Entered other educational programs: 1 student. 10) Met goals: 8 students. 11) Utilized 18 volunteer tutors. 12) Tutored 161 hours of basic literacy. 13) Tutored 46 hours ESL. 14) Tutored 18 hours Math. 15) Contributed 873 hours by volunteers in other areas. 16) Trained 2 new tutors. Performance Measures It applicable FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate Register new basic literacy students 11 25 15 Register new ESL students 12 _10-10 Train new tutors --2 8 5 Publish newsletter 3 3 3 Total students tutored 36 60 50 _Total tutoring hours 225 700 400 Total non -tutoring hours 873 800 800 It applicable Kona Literacy Council - Agency Name Kailua Learning Center - Program Name Program Expenditures FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Salaries and Wa es 0.00 0.00 0.00 Professional Fees 0.00 500.00 500.00 Operations 6364.00 6080.00 5680.00 Equipment 0.00 3500.00 0.00 Other* 400.00 400.00 400.00 Total 6764.00 10480.00 6600.00 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 FY 2002-03 Actual * Budget * FY 2003-04 Estimate Grant 4Hotel 2500.00 3000.00 3000.00 arity Walk 1500.00 1500.00 1000.00 Interest 26.00 50.00 25.00 Membership Dues 30.00 100.00 50.00 Wal-Mart 1100.00 200.00 200.00 Donations 3013.00 5000.00 4000.00 Fundraising 0.00 500.00 500.00 Total 8169.00 10350.00 8775.00 If applicable KONA LITERACY COUNCIL (Click here and enter Agency Name) (Click here and enter Program Name) KONA LITERACY COUNCIL 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, Hawai'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, Hawai'i Revised Statutes. Si ature of Board PresidentJChair 4Z t-lrl l J , ,Signature of Secfetary / - oc Z- G' -S Date 1-,21 -03 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! Kona Literacy Council - Agency Name Kona Literacy Council - Program 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, Hawai'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 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 92F, Hawai'i Revised Statutes. If awarded a grant from the County of Hawaii, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. ignature of Board President/Chair Date Signature of Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI Mental Health Kokua Residential Rehabilitation Services Agency Director: Joanne Lundstrom Phone No.: 737-2523 Contact Person: Gary Michell Phone No.: 331-1468 Mailing Address: 1600 Kapiolani Blvd., Ste 700, Honolulu, HI 96814 Facility/Site Address: 75-5752 Alanoe Pl., Kailua-Kona, HI 96740 140 Wainaku Avenue, Hilo, HI 96720 i7 � C> RCic�i Qi C i:I:3 Email Address: konamhk@mentalhealthkokua.org Amount of Request for County funds: $20,000 Prior Year Funding: 00-01 01-02 02-03 $14,000 $15,000 $15,000 Agency Mission Statement: We believe that all citizens should have an opportunity to live and participate in and contribute to their communities. Through specially designed services, Mental Health Kokua helps those in Hawaii who are in mental distress, emotional crisis or recovering from serious mental illness achieve their optimum level of recovery and ability to function in the community. Program Description: (Please briefly describe the program for which you are seeking funding) Funding is requested for our transitional residential services. Our transitional rehabilitation facility in Hilo is PATCH (Psychosocial and Transitional Community Housing), and in Kona, Hale Alanoe. Both were opened to fill critical gaps in Hawaii County mental health services, providing residential care and Mental Health Kokua Residential Rehabilitation Services rehabilitation services for adults in Hawaii who are recovering from serious mental illnesses. Mental Health Kokua staff provide 24-hour supervision and rehabilitation services with the goal to enable clients to move on to more independent housing. While 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 the community. Clients 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 community placement. These projects provide cost effective, humane, community based alternatives to institutional care and/or homelessness. Transitional bed day costs for FY 2002 are estimated at $77. Comparative bed day costs in a psychiatric hospital are estimated at $600 to $800 a day. Total Budget and Position Count Total Pro ram Bud et 551,000 Total Program Position Count 14 Total Agency Budget 8,344,400 Total Agency Position Count 195 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.) 1) Provide residential and social rehabilitation services to 90 unduplicated persons with serious mental illness. 2) Completion of identified treatment plan goals upon discharge by at least 80% of clients served. 3) Reduce consumer psychiatric hospitalization by at least 90% 4) Ensure 100% compliance of Commission on Accreditation of Rehabilitation Facilities (CARF) 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. Mental Health Kokua Residential Rehabilitation Services Program Highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Provided transitional rehabilitation residential services in FY 2002 to thirty- four (34) unduplicated clients at PATCH Place and thirty-eight (38) unduplicated clients at Hale Alanoe. 2) Of the fifty-one (51) persons discharged in FY 2002, 92% had sustained community living, and only four (4) required hospitalization. All clients showed improvement in daily living skills. 3) Provided a total of 9,405 bed days and 15,369 meals in FY 2002 4) Expanded the number of beds available from eight to twelve at PATCH in Hilo. 5) Awarded new contracts by the Adult Mental Health Division, allowing for major expansion in agency programs and services on the Big Island. New services include Interim Housing, Crisis Residential in East Hawaii, Crisis Mobile Outreach, and Psycho -social Rehabilitation services. 6) Purchased a van to help meet the transportation needs of our Kona clients. 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.) *If applicable FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate Number of unduplicated consumers served 72 80 90 Percentage of consumers served who were discharged to more independent living settings 65% 75% 90% Number of consumers served requiring hospitalization 4 3 1 Percentage of consumer satisfied with services 95% 95% 100% *If applicable Mental Health Kokua Residential Rehabilitation Services Program Expenditures 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 Source FY 2001-02 Actual FY 2002-03 Bud et FY 2003-04 Estimate Salaries and Wa es 355,476 361,000 378,700 Professional Fees 10,342 10,300 12,600 0 erations 125,422 132,000 159,700 E ui ment 5,310 72,100 74,000 Other* Total 496,550 503,300 551,000 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 Source FY 2001-02 Actual* FY 2002-03 Budget* FY 2003-04 Estimate County of Hawaii 1 15,000 15,000 20,000 Fees & Grants from Gov't Agencies 365,232 393,100 432,000 United Way 28,400 23,100 25,000 Program Service Fee 95,818 72,100 74,000 Trust & Foundation Donation 700 Interestlother 75 Total 505,225 503,300 551,000 it applicable Mental Health Kokua Residential Rehabilitation Services (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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. Signature & Board President/Chair nature of Executive Director � 028 Q3 Dat L,,-9093 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! North Kohala Community Resource Center Kohala Community Athletic Association Agency Director: Contact Person: Mailing Address: Facility/Site Address: Fax No.: Email Address: Bob Martin Phone No.: 889-5025 Desiree Yamamoto Phone No.: 889-1299 P. O. Box 2 Hawi, HI 96719 55-514 Hawi Road, Hawi, HI 96719 889-5065 rbmartin@ilhawaii.net Amount of Request for County funds: $27,800 Prior Year Funding: 00-01 01-02 02-03 $0 $0 $0 Agency Mission Statement: We support and sponsor community service projects in North Kohala by providing education in project planning, researching funding, and proposal writing, and fiscal sponsorship for projects that qualify. We charge a professional fee for these services upon the funding of grant proposals. The Kohala Community Athletic Association is one of our sponsored projects. Program Description: The Kohala Community Athletic Association, an all -volunteer organization of over 100 parents and residents formed in 1975, provides an athletic curriculum in connection with the Hawaii County Parks and Recreation Division for over 450 children in North Kohala from August through April each year. We sponsor basketball, track, volleyball, T -ball, and pitch ball for boys and girls aged 5 through 14. Our efforts include providing uniforms, equipment, coaches, an annual schedule, tournament events, and raising funds through our concession stand. For a small, rural community like ours, without amusements, bowling alleys, skating or roller-blading rinks, theaters, or other entertainment activities, our program, which teaches the true meaning of sportsmanship, builds self-esteem, and imparts a sense of accomplishment, is a critical community service. Since our inception 27 years ago, we have not been able to upgrade or replace our equipment since all of our limited funding goes to covering maintenance and other expenses. This application is to allow us to purchase new equipment for our program at a cost of $24,200, and to cover the fee for our fiscal sponsorship with our sponsor, the North Kohala Community Resource Center. We have carefully researched these purchases to obtain "best buys" from on -island vendors. Total Budget and Position Count Total Program Budget 1 $38,828 1 Total Program Position Count 0 Total Agency Budget 1 $85,200 1 Total Agency Position Count 1 North Kohala Community Resource Center Kohala Community Athletic Association Program Objectives: 1) Purchase $24,200 of athletic equipment for our program, including scoreboards, first aid kits, tee ball and pitch ball items, basketballs and nets, volleyballs and nets, cooking utensils and equipment for our concession booth, and a storage shed, by August 2003. Program Highlights: 1) The success of our program depends on the number of participants we attract to our various activities during the year, and by how many adults volunteer to assist us in a variety of jobs from coaching to cooking in our concession stand. As the chart below shows, the number of participants in our program is growing, and this year (2002-2003) we are currently projecting a total of 461 participants, an all- time high, and 188 adult volunteers. Our program involves participation from 157 of our approximately 1751 households, and will grow next year to over 500 children, 192 adult volunteers, representing 176 households. These data suggest that we are truly meeting a need in our community. Performance Measures Participants by Activity FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Biddy Basketball Ages 5-6 33 40 52 Biddy Basketball Ages 7-8 35 42 57 Elementary Volleyball Ages 9-11 27 64 69 Intermediate Volleyball Ages 12-14 39 48 57 Bos Basketball Ages 11-14 75 65 55 T -Ball Ages 5-6 55 59 75 Pitch Ball Ages 7-8 45 50 62 Track Ages 9-14 30 35 38 Girls Basketball Ages 11-14 56 58 60 Total Participants 395 461 525 Total Adult Volunteers 176 188 192 If applicable North Kohala Community Resource Center Kohala Community Athletic Association Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual* FY 2002-03 Budget * FY 2003-04 Estimate Salaries and Wages $0 $0 $0 Professional Fees $0 $0 $3,600 Operations $7,998 $9,578 $11,028 Equipment $0 $0 $24,200 Other* $0 $0 $0 Total $7,9981 $9,5781 $38,828 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Participant Re istration $1,064 $3,139 $3,695 Community Contributions $1,342 $2,950 $3,625 Concession Sales $6,591 $7,250 $7,500 Grants $0 $0 $27,800 Total $8,997 $13,339 $42,620 If applicable North Kohala Community Resource Center Kohala Community Athletic Association 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, aoencv's future funding requests. Signature of Board President/Chair Signature of-ExeAtWve Director Piro-W- 1-2-9-0 ik W- /-2-9-0 Date /-29-0,3 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI Office for Social Ministry Care -A -Van Agency Director: Carol R. Ignacio Phone: 935-3050 ext 105 Contact Person: Brandee Cachola Phone: 935-3050 ext 113 Mailing Address: 140-B Holomua St., Hilo, HI 96720 Facility/Site Address: 140-B Holomua St., Hilo, HI 96720 and 75-5769 Ali'i Drive, Kailua-Kona, HI 96740 Fax Number: 935-3794 Email Address: cignacio(a_rcchawaii.org for Carol Ignacio, and bcachola()rcchawaii.org for Brandee Cachola Amount of Request for County funds: $35,000.00 Prior Year Funding: 00-01 01-02 02-03 $34,000.00 $29,000.00 $29,000.00 Agency Mission 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. Program Description: CAV began providing homeless outreach services on the Big Island in March of 1991. During the past 13 years, CAV has served over 10,000 homeless clients. CAV is the only outreach program on this island that specifically targets the unsheltered homeless population. Office for Social Minist Care -A -Van Staff members travel to where the homeless congregate, whether they are on remote beaches, parks, the woods, lava fields, shelters or in town 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 the unsheltered individuals seeking medical care, substance abuse or mental health treatment, court hearings, employment and housing searches. CAV owns and operates five, four-wheel drive vehicles that are used to provide outreach services, even in the most remote parts of the island. The CAV Outreach staff is comprised of a multi -disciplinary team of Mental Health and Substance Abuse Professionals as well as community oriented and knowledgeable personnel. These Outreach/ Case Managers have established their reputation in the community to work with the most difficult target population -- low-income, severely mentally -ill (SMI), chronic substance users, persons who have burnt their bridges with other community providers and organizations and recently discharged inmates transitioning back into the community. Working with this population to achieve these results is a multi -step process that takes time and requires a series of steps and interactions. There are a number of basic needs that can be met to enable the homeless person to look beyond immediate survival obstacles ---the need for food, clothing and immediate relief from crises ---so they are able to move beyond "survival mode" and begin the move towards self-sufficiency. Through a flexible service delivery system, tailored to each person, CAV begins with an intake process and assesses their homeless situation. CAV staff often assists people with obtaining their birth certificates so that they can receive a picture ID. With an ID they can receive social security entitlements, welfare and food stamp assistance, pick up mail, look for employment, and cash their checks; all part of moving towards self-sufficiency. Most importantly, CAV advocates for clients who may not be getting the services they need and they do not know how to advocate for themselves. CAV seeks to impart hope to each person and helps with the process of setting goals, no matter how small or large, that will help a client start down the path towards self- sufficiency. CAV gives priority to the following eligible homeless families and persons who are: 1. Unsheltered: Including those staying at emergency shelters; 2. Sheltered homeless: Including those living in transitional shelters, and those participating in residential substance abuse treatment programs; Office for Social Minist Care -A -Van 3. At -risk homeless: Those with 45 -day eviction notices from private dwelling units or is being discharged within 45 days from institutions in which they have been residents for more than 30 consecutive days; and no subsequent residences have been identified, and they lack the resources and support networks to obtain access to housing. When servicing those who are at -risk of becoming homeless, CAV staff completes a "Certification of Homelessness" form to verify and ensure that such persons are at -risk. A client who is at -risk of homelessness must be an individual or family that is being evicted within 45 days from a private dwelling or being discharged within 45 days from institutions in which they have been residents for more than 30 consecutive days; and (1) no subsequent residences have been identified; and (2) they lack the resources and support network needed to obtain access to housing. CAV also requests a copy of their 45 -day eviction notice to ensure the status of their at -risk homeless situation. Total Budget and Position Count Total Program Budget 655,000.00 Total Program Position Count 12 Total Agency Budget 2,597,437.00 Total Agency Position Count 38 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.) 1) Place 100 unsheltered participants in emergency or transitional housing. 2) Place 100 unsheltered participants in permanent housing. 3) Place 50 unsheltered participants in drug and/or alcohol treatment. 4) Assist 800 unsheltered participants with accessing medical or dental care. 5) Assist 200 unsheltered participants with accessing mental health treatment. 6) Provide case management services to 300 participants. Office for Social Ministry Care -A -Van Program Highlights: Performance Measures OUTREACH SERVICES FY2001-02 Actual 1. Number of new participant intake/assessments 377 2. Number of participants provided case management (unduplicated) 248 3. Number of referrals and follow-up non-medical 1,959 4. Number of participants provided medical care or referred 1,232 5. Number of participants provided food supplies 2,218 6. Number of participants provided supplies (clothing/blankets 1,537 7. Number of family counseling encounters 250 8. Number of lifestyle counseling encounters 2,549 Performance Measures FY 2001-02 FY 2002-03 FY 2003-04 Actual Budget Estimate Clients who will be placed in 72 100 100 or transitional housing. -emergency Clients placed into permanent 72 100 100 -housing/retained housing. Clients placed in drug/alcohol 66 50 50 treatment as a direct result of Care - A -Van intervention. Clients who will successfully access 1,067 800 800 specific medical/dental care from the appropriate source. Clients who will successfully access 248 200 200 mental health treatment/counseling Clients who will participate in long- 403 300 300 term case management and life - skills case management through the CAV program (includes budget management/skills, housing retention counseling). Office for Social Ministry Care -A -Van Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual* FY 2002-03 Budget* FY 2003-04 Estimate Salaries and Wages 228,516.22 422,971.00 489,196.00 Professional Fees 64,027.68 160,027.00 244,000.00 -Operations 138,474.64 130,763.54 160,804.00 -Equipment 2,607.13 3,000.00 3,000.00 Other* 11,324.62 5,000.00 5,000.00 Total 1 380,922.61 1 558,734.54 655,000.00 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual* FY 2002-03 Budget* FY 2003-04 Estimate HCDCH 252,600.00 355,000.00 368,000.00 Adult Mental Health 64,027.68 160,027.00 244,000.00 County of Hawaii 29,000.00 29,000.00 35,000.00 HIUW 3,000.00 3,000.00 3,000.00 First Presbyterian Church 5,000.00 5,000.00 5,000.00 Hawaii Community Foundation: Kukio Fund 7,000.00 0.00 0.00 H & R Carter 2,500.00 0.00 0.00 Various donations 3,823.50 0.00 0.00 TOTAL 366,951.18 1 552,027.00 1 655,000.00 *If applicable Office for Social Ministry Care-A-Van The other costs in the Program Expenditures comprise a special fund called Homeward Bound. These costs are matched with the donations and grants for this specific fund. All income for the Homeward Bound fund is restricted to cover these costs. Office for Social Ministry Care -A -Van 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. S� Si�e of T3oard President/Chair Signature of Executive Dir 11:14e/03 Date Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! Office for Social Ministry Hawaii Island Food Bank Agency Director: Carol R. Ignacio Phone No.: (808)935-3050, x105 Contact Person: Heather Brien Phone No.: (808)935-3050, x112 Mailing Address: 140-B Holomua Street, Hilo, HI 96720 Facility/Site Address: 140-B Holomua Street, Hilo, HI 96720 and 79-1016 E. Honalo Road, Kealakekua, HI 96750 (not a mailing address) Fax No.: (808)935-3794 Email Address: hbrien(cilrcchawaii.org for Heather Brien Carolrign(a_aol.com for Carol Ignacio nlee(a_)rcchawaii.org for Nancy Lee Amount of Request for County funds: $35,000 Prior Year Funding: 00-01 01-02 02-03 $29,000 $29,000 $32,500 Agency Mission 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. Program Description: The Hawaii Island Food Bank (HIFB) is a clearinghouse for edible foods and non- food items retailers and farmers would normally toss out and for foods generously donated by the community. Each year, the HIFB distributes over one million pounds of food throughout Hawaii County. This past year, over 1.4 million pounds were distributed to approximately 10% of the island's population. The HIFB serves the entire County of Hawaii through a three -fold mission to: 1) prevent the waste of all edible food in Hawaii County; 2) feed the hungry with this food; and 3) educate the community about hunger and what can be done to fight this problem. Office for Social Ministry Hawaii Island Food Bank The first and second parts of the mission are accomplished through two warehouses, one in East Hawaii and one in West Hawaii. On a daily basis, HIFB staff members drive to donor sites (wholesalers, retailers, and farmers) to pick up items that the donor can no longer sell and to businesses that have held food drives within their organizations. All goods are then taken back to the warehouses where HIFB staff and volunteers weigh the incoming poundage and then salvage them. Once items are salvaged, they are stocked on the warehouse shelves for distribution to nonprofit member agencies that include hot meal programs, after school programs, food pantries, child and adult day programs, programs that serve the chronically ill, and homeless and abuse shelters as well as the HIFB's own Senior Brown Bag Program. Total Budget and Position Count Total Program Budget 562,988.00 Total Program Position Count 7 Total Agency Budget 2,597,437.00 Total Agency Position Count 38 Program Objectives: 1) To rescue and sort over 1,000,000 pounds of food and nonfood items annually. 2) To distribute over 1,000,000 pounds of food and nonfood items to our network of approved, nonprofit member agencies that distribute food boxes, meals or snacks to children, the ill and the needy as well as through our own Senior Brown Bag Program that serves low-income seniors at nine sites around the island. 3) To provide educational presentations to schools, businesses, civic groups and clubs, and to participate in community fairs or forums where informational booths will be set up for the public. At least one presentation or community booth per month will take place. Program Highlights: 1) Received and salvaged over 1.73 million pounds of goods from Big Island donor companies and the Hawaii Foodbank as well as businesses and organizations that held food drives. Office for Social Ministry Hawaii Island Food Bank 2) Distributed over 1.4 million pounds of goods throughout Hawaii County via our islandwide network of nonprofit member agencies and via the food bank's own Senior Brown Bag Program. This food served 114,962 individual requests for food (duplicated count) through our food pantries. This is an increase of 14,355 requests over the previous fiscal year. Our member agency meal programs served meals and snacks to 70,419 individuals (589,866 meals/snacks) which represents an increase of 13,934 individuals over the previous fiscal year, part of which we attribute to an increase in sites that are serving children participating in after school programs. Anecdotal evidence from agencies in West Hawaii confirms there are more new faces each week accessing their meal programs. 3) Presentations, warehouse tours, and forums were presented throughout the year in 15 cases. Information about the HIFB and how it works was presented to interested groups and the public at community forums. Performance Measures *If applicable Program Expenditures FY 2001-02 FY 2002-03 FY 2003-04 230,352.05 262,491.00 Actual * Budget * Estimate 1. Pounds of grocery items rescued, 1,721,000 1,000,000 1,000,000 salvaged, and stocked, islandwide pounds pounds pounds (incoming poundage). 562,988.00 2. Pounds of grocery items 1,402,000 1,000,000 1,000,000 distributed throughout Hawaii pounds pounds pounds County. 3. Number of presentations to be 15 12 12 given to public regarding ways to help fight hunger. *If applicable Program Expenditures *Please explain in detail on separate sheet FY 2001-02 FY 2002-03 Actual * Budget * FY 2003-04 Estimate Salaries and Wages 230,352.05 262,491.00 291,538.00 Operations 421,920.98 247,950.00 225,050.00 Equipment Other* 69,152.88 46,400.00 46,400.00 Total 721,425.91 1 556,841.00 562,988.00 *Please explain in detail on separate sheet Office for Social Ministry Hawaii Island Food Bank Program Expenditures Other Expenditures FY 2001-02 Actual Fundraising Costs 61,939.30 Bank Charges 1,263.55 Excise Tax 2,344.77 Advertising/Promotion 3,219.31 Miscellaneous 385.95 Total 69,152.88 Office for Social Ministry Hawaii Island Food Bank Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 FY 2003-04 Budget * Estimate County of Hawaii 29000.00 32500.00 35000.00 State of Hawaii via Hawaii Foodbank 186250.00 26250.00 26250.00 EFSP(FEMA) 14250.00 9000.00 7000.00 H I U W 10996.00 11000.00 11000.00 Henry Weinberg Foundation 100000.00 60000.00 100000.00 Hawaii Community Foundation 17500.00 46245.00 24685.00 Kukio Community Fund 5000.00 Combined Federal Campaign 14803.82 12000.00 12000.00 various small trusts 1000.00 Hawaii Hotel Industry Assoc 3000.00 Program Service Fee 111117.81 120100.00 120100.00 Fundraising Events 242556.78 197565.00 178800.00 Donations 49723.22 28981.00 37553.00 Interest & other revenue 14271.77 13200.00 10600.00 Total 799469.40 556841.00 562988.00 *If applicable Office for Social Ministry Hawaii Island Food Bank 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete and accurate year-end report may impact the evaluation of your program's or agency's future funding requests 6�e U3 Dat �f03 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI Signture of Bo rd President/Chair Signature of Exec irector V 6�e U3 Dat �f03 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI Office for Social Ministry Mobile Care Health Project Agency Director: Carol R. Ignacio Phone No.: 935-3050 Contact Person: Kaye Lundburg Phone No.: 935-3050 Mailing Address: 140 B Holomua St., Hilo, HI 96720 Facility/Site Address: 140 B Holomua St. Hllo, HI 96720 75-5769 Alii Drive, Kailua-Kona, HI 96740 Fax No.: 935-3794 Email Address: cignacio(a)rcchawaii.org for Carol Ignacio, and mikela(cDaloha.net for Kaye Lundburg Amount of Request for County funds: $30,000.00 Prior Year Funding: 00-01 01-02 02-03 $29,000.00 $20,000.00 $20,000.00 Agency Mission Statement: To meet the challenges of ever-changing commuity needs by utilizing spiritual, human and material resources to empower those in need to live with dignity and respect. Program Description: Funds are being requested for continuing support of the MobileTCare Health Project (hereinafter MCHP). The MCHP is a joint partnership between the Office for Social Ministry (hereinafter OSM), St. Francis Healthcare System and the community of the Big Island. The project provides medical assessments and referrals and dental services in the rural areas of Hawaii Island and in the town centers of Hilo and Kona. Services are delivered to the low-income uninsured and underinsured people around the island through two (2) Winnebago vans that contain dental operatories and medical offices. Office for Social Ministry Mobile Care Health Project Currently, the MCHP has established outreach sites at the following ten (10) locations: ➢ West Hawaii: OceanView, Honaunau, Kailua-Kona, Kapaau, Kawaihae and Waimea ➢ East Hawaii: Hilo, Pahoa, Papaaloa and Pahala Total Budget and Position Count Total Program Budget 581 175.00 Total Program Position Count 9 Total Agency Budget 1 2,597 437 00 LLotal Agency Position Cnnnt 38 Program Objectives: Goal: to provide direct dental and medical care and health education to 3,500 people unable to access care due to financial hardship, geographic or transportation barriers. This will be accomplished by providing an average of 30 clinic days per month in 10 locations on the island of Hawaii utilizing the services of volunteer and employed staff. Goal: to collaborate with the Community Health Centers (hereinafter CHC) and Hawaii Island Dental Society directly and through the Hawaii Island Oral Health Task Force to establish stationary dental services within the CHC clinics. This will be accomplished through active participation and representation in meetings that are held monthly to address County Oral Health needs through planning and implementation of collaborative solutions. Program Highlights: 1. Provided direct dental care to 1,149 new patients and 1,274 return patients — an increase of 29% from the previous fiscal year. 2. Averaged 29 clinic days per month. 3. Provided a total of 5,624 units of care including extractions, restorations. 4. Provided a value of $239,490. 00 in uncompensated dental services. 5. Participated in 3 community -driven health fairs providing dental assessments, oral health education and flouride treatments for 275 people. 6. Collaborated with members of the Hawaii Rural Health Association, the Hawaii State Primary Care Association and the Department of Health to assemble advocates for change through the State Oral Health Dental Task Force. 7. Has been designated an Eligible Training Provider by the DOL Workforce Development for Dental Assisting. Office for Social Ministry Mobile Care Health Project Performance Measures If applicable Program Expenditures FY 2001-02 Actual * FY 2002-03FY Budget * 2003-04 Estimate # of people Accessing Services * 2,698 3,500 3,000 If applicable Program Expenditures `Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Salaries and Wages 167,815.12 215,277.00 258,299.00 Professional Fees 86,897.69 75,000.00 75,000.00 Operations 175,096.75 165,182.00 228,500.00 Equipment 35,000.00 Other* 7,500.00 94,376.00 94,376.00 Total 342,911.87 474,835.00 581,175.00 `Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate Various donations 39,753.82 40,035.00 44,375.00 Client payments/3ra payments/3rparty reimburse 86,897.69 75,000.00 75,000.00 County of Hawaii 20,000.00 20,000.00 30,000.00 Ma knoll Fathers 35,000.00 Hamakua Health Center 7,500.00 State Grant in Aid 50,000.00 100,000.00 100,000.00 HIUW 10,004.00 10,000.00 10,000.00 HMSA 49,500.00 49,500.00 HDS Corporation 100,000.00 HDS Foundation 17,000.00 17,000.00 17,000.00 Black Foundation 50,000.00 various Grants 5,000 and less 11,290.00 St. Francis Foundation 22,200.00 32,000.00 Deferred revenue/other grants 141,000.00 223,300.00 Total 427,445.51 474,835.00 581,175.00 *If applicable Office for Social Ministry Mobile Care Health Project Program Expenditure Other category is stipend dentists covered under the state grant in aid contract. Office for Social Ministry - Agency Name Mobile Care Health Project - PrOgraM 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. ,"Signature Boafd Signature of Exe utiy irector 03 Date 1 Da e UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! The Salvation Army Family Intervention Services Youth Service Center-Kealakehe Agency Director: Pauline Pavao Phone No.: 935-4411 Contact Person: Raymond Dangaran Phone No.: 959-5855/28 Mailing Address: P.O.Box 5085, Hilo HI 96720 Facility/Site Address: 74-5045 Hua'ala St., Kailua-Kona HI 96740 Fax No.: 933-9810 Email Address: PaulinePavao@usw.salvationarmy.org Amount of Request for County funds: $ 35,000 Prior Year Funding: 00-01 $ 28,000 01-02 $ 30,000 02-03 $ 29,000 Agency Mission Statement: To provide youth with skills for a healthy life, and instill purpose, hope, and vision to youth and their families. The agency's goals are to provide youth with a safe, caring, and nurturing environment; and provide opportunities for youth to challenge their life styles through development of appropriate social skills, academic success, and personal resiliency. Program Description: Prevention program to decrease the use and abuse of drugs and alcohol, involvement in gangs and violence, delinquent behaviors, early sexual behaviors, and to improve academic performance and school attendance. This will be accomplished by implementing elements of S.M.A.R.T. Moves (Skills Mastery And Resistance Training, a prevention program developed by the Boys and Girls Club of America), Leadership Development Training, and Outreach services to "at -risk" youths and families in Kealakehe community. We have recently submitted an application for funding of a Youth Service Center for the Kealakehe Community. In partnership with the Boys and Girls Club of the Big Island, core services of community-based outreach, case management, and positive alternative activities will be provided, similar to our Puna Youth Service Center. The program described in this grant request will be part of the Youth Service Center. Total Budget and Position Count Total Program Budget 1 35,000 11otal Program Position Count 9 Total Agency Budget 1 2,523,247 1 Total Agency Position Count 56 Program Objectives: 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 of the school year, and maintain this gain for an additional semester. 2) Of the 40 youths served through the Youth Service Center, 80% will increase personal and social skills after 6 months, and maintain that skill for an additional six months. 3) Of the 40 youths served through the Youth Service Center, 80% will increase health and physical skills after 6 months, and maintain that skill for an additional six months. Program Highlights: 1) Completed the S.M.A.R.T. Moves program for 35 youths, along with 10 peer mentors that assisted with the facilitation of activities. These youths became a foundation of leaders that became a youth council who organized and facilitated other activities held throughout the year. 2) Conducted a six-week summer program called Le'a Le'a Na Opio Summer program for youths in the Kealakehe community. Activities included arts/crafts projects, cultural experience, recreational, S.M.A.R.T. Moves, community services, and excursions. The program served 74 youths, ages 6-12, along with 12 high school students for the Workforce Investment Act Summer Employment Program that assisted with daily activities. 3) Collaborated with the Kealakehe Neighborhood Watch and other agencies to provide a leadership development conference called the "Youth Quest' Conference held in May. Youth ages 9-18, from East and West Hawaii, participated in skill -building activities such as self-discovery, goal setting, peer pressures, etiquette/mannerism, and drug/alcohol prevention activities. There were over 150 youth and chaperones in attendance. 4) Provided the Kealakehe Community with two "Drugfree" Dances. We collaborated with the Community Policing, Kealakehe Neighborhood Watch, Kealakehe Baptist Church, Kealakehe Elementary School, and other agencies and volunteers. In total, 250 youths and volunteers participated with the dances. 5) Participated in several community activities throughout the year. Youths participated in parades (King Kamehameha Day and July 4th) and also the charity walk for the American Heart Association. 6) Conducted serveral community service projects throughout the year. In October, youths held a Haunted House activity for the La'i Lani Housing Complex. Eighteen youths organized, constructed, and operated the Haunted House. In November, twenty-two youths participated in a project called, "Mahalo Project". Youths collected donations of can goods, supplies, and clothing, then delivered the "mahalo bags" to families in the La'i Lani Housing. Finally, in December, twelve youths participated in "Santa's Workshop". Youths assisted with wrapping gifts, picture taking, and christmas activities. Performance Measures *If applicable FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate Hall/Tutorial 35 40 32 -Study Maintain School Attendance 35 40 32 Attain 2.0 GPA 35 40 32 Participation in Pos. Alternative Act 75 40 40 in Comm.Service Proj. 35 40 32 -Participate CPR/First Aid 25 40 32 -Complete of S.M.A.R.T. Moves 35 40 32 -Completion of Leadership Dev. 28 30 30 -Completion in Project Family 30 40 40 -Participation Outreach/Intervention 35 40 32 -Targeted -Community Collaborations 15 20 20 *If applicable The Salvation Army Family Intervention Services Youth Service Center-Kealakehe Program Expenditures *P/ease explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual* FY 2001-02 Actual * FY 2002-03 Bud et * FY 2003-04 Estimate Salaries and Wa es 19,261 21,456 27,818 Professional Fees 260 270 290 Operations 10,693 7274 6892 Equipment Other* Total 1 30,214 29,000 35 000 *P/ease explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual* FY 2002-03 Budget* FY 2003-04 Estimate County of Hawaii 30,000 29,000 35,000 *Office of Youth Services 175,000 Total 30,000 29,000 210,000 *If applicable *Anticipated funding The Salvation Army -Family Intervention Services -Agency Name Kealakehe Youth Service Center -Program 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, Hawai'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, Hawaii Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. The Salvation An - 17olifornia Signature of Divisional Commander `Pgnature of ExecutiV4 Director 1/3/03 Date Date 1/30/03 UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI The Salvation Army Family Intervention Services Youth Service Center -Puna Agency Director: Pauline Pavao Phone No.: 9354411 Contact Person: Raymond Dangaran Phone No.: 959-5855/28 Mailing Address: P.O. Box 5085 Hilo, HI 96720 Facility/Site Address: 1786 Kinoole St. Hilo, HI 96720 Fax No.: 933-9810 Email Address: PaulinePavao@usw.salvationarmy.org Amount of Request for County funds: $ 40,000 Prior Year Funding: 00-01 01-02 02-03 $33,000 $35,000 $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. The agency's goals are to provide youth with a safe, caring and nurturing environment; and provide opportunities for youth to challenge their life styles through development of appropriate social skills, academic success, and personal resiliency. Program Description: Prevention program to decrease the use and abuse of drugs and alcohol, involvement in gangs and violence, delinquent behaviors, early sexual behaviors, and to improve academic performance and school attendance. This will be accomplished by implementing elements of S.M.A.R.T. Moves (Skills Mastery And Resistance Training, a prevention program developed by the Boys and Girls Club of America), Leadership Development Training, and Outreach Services to at -risk youths and families in the Puna communities. We will provide services in several sub -communities of the upper and lower Puna communities. In the lower Puna area, we will provide activities at Nanwale Community Center, Hawaiian Beaches, and from our trailer located on the campus of Pahoa High & Intermediate schools. In the upper Puna area, services will be provided to Keaau Elementary, Middle, and High Schools, and at Mountain View Elementary. These programs will be part of a Youth Service Center funded by the Office of Youth Services. Total Budget and Position Count Total Program Budget 1 40,000 Total Program Position Count 10 Total Agency Budget 1 2,523,247 Total Agency Position Count 56 Program Objectives: 1) Of the 200 youths served through the Youth Service Center, 60% will attain a GPA of 2.0 and meet school attendance requirement at the end of the school year, and maintain this gain for an additional semester. 2) Of the 200 youths served through the Youth Service Center, 60% will increase personal and social skills after 6 months, and maintain that skill for an additional six months. 3) of the 200 youths served through the Youth Service Center, 60% will incrase health and physical skills after 6 months, and maintain that skill for an additional six months. Program Highlights: 1) During the past fiscal year, one of our major accomplishments in our Youth Service Center is the amount of youths completing the S.M.A.R.T. Moves program. The S.M.A.R.T. Moves curriculum provides youth with skill -building training in anger management, self-esteem, self-confidence, teamwork, decision making, interpersonal skills, and drug awareness. There were 222 youths from Keaau Elementary, Middle, and High, and Pahoa High and Intermediate Schools that participated in the S. M.A. R.T. Moves Program. 2) In May, we collaborated with the Kealakehe Neighborhood Watch and other community agencies to provide a Leadership Development Conference called the Youth Quest Conference. This conference was a result of our participation in the Attorney General's Community Action Seminar program. There were over 150 youths and chaperones in attendance. 3) In collaboration with the Hawaii County Community Policing Officers, Juvenile Division, Honolulu Police officers from the G.R.E.A.T. detail program, Pahoa Intermediate & High schools, and the Boys and Girls Club of the Big Island, we held "Drugfree" dances throughout the year. The dances were an opportunity to promote our Youth Service Center services, recruit and identify "at -risk" youths, communicate with school staff and community members, and to send out our "Drug/alcohol" free messages to the community. 4) We conducted several community service projects that proved to be effective and meaningful. During the Holidays, youths participated with the Salvation Army to ring bells for donations for those in need. Also, during Easter, youths participated in a food and supply drive for the Salvation Army and Food Bank. Youths gained responsibility and a sense of appreciation and love for those in need for food and supplies. Performance Measures If applicable Program Expenditures FY 2001-02 Actual " FY 2002-03 Budget " FY 2003-04 Estimate Study Hall/tutorial 131 180 120 Maintain School Attendance 170 180 120 Attain 2.0 G.P.A. 170 180 120 Com letion of S.M.A.R.T. Moves 222 180 120 of Leadership Develop. 65 75 60 -Completion Participation in Community Service 135 80 80 CPR/First Aid Training 52 60 60 in Project Family 72 60 60 -Participation Outreach Services 170 180 120 Community Collaborations 39 40 40 Participates in Pos.Alternative Act. 187 180 120 If applicable Program Expenditures "Please explain in detail on separate sheet FY 2001-02 Actual " FY 2002-03 Budget* FY 2003-04 Estimate Salaries and Wages 26,389 26,708 29,777 Professional Fees 260 290 290 Operations 13,022 8,002 9,933 Equipment Other` Total 39,671 35,000 40,000 "Please explain in detail on separate sheet The Salvation Army Family Intervention Services Youth Service Center -Puna Program Funding Sources Revenue Source FY 2001-02 FY 2002-03 Actual " Budget * FY 2003-04 Estimate Hawaii County Grant 35,000 35,000 40,000 Bos and Girls Club of Hawaii OYS 127,500 160,000 Bos and Girls Club ofHawaii DOH 38,000 40,000 40,000 `Office of Youth Services 175,000 Total 200,500 235,000 255 000 If applicable The Salvation Army -Family Intervention Services - Agency Name Puna Youth Service Center - PrOgram 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. The Salvation Army, o California Corporation Signature of Divisional Commander Signature of Executive girector 1/3/03 Date Date 1/30/03 UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI Special Olympics Hawaii - AgenCy Name Special Olympics Hawaii -East Hawaii - Program Name Agency Director: Nancy Bottelo Phone No.: 943-8808 ex 22 Contact Person: Carey Uchida Phone No.: 966-9939 Mailing Address: 138 Kaikuono PI. Hilo, HI 96720 Facility/Site Address: same Fax No.: 966-9609 Email Address: careyuchida@hotmail.com Amount of Request for County funds: $12000.00 Prior Year Funding: 00-01 01-02 02-03 $4,800 $6,000 $5,000 Agency Mission Statement: The mission of Special Olympics is to provide year-round sports training and athletic competition in a variety of Olympic -type sports for 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 the sharing of gifts, skills and friendship with their families, other Special Olympics athletes and the community. Program Description: People who are isolated from life experience by a disability have little chance for the developmental growth and acquisition of important skills that they will need to gain employment, maintain relationships and function independently as adults. Special Olympics helps to give individuals with mental retardation or closely related developmental disabilities the necessary skills to achieve that independence. All people regardless of their disability deserve to lead full, active lives, enriched with the social and recreational opportunities that most of us take for granted. Unfortunately, appropriate physical education programs in the public schools and social service programs that realistically address the special needs of this population are virtually non-existent. Special Olympics fulfills that need and provides the necessary skills for people to continue good health throughout their lives. Special Olympics East Hawaii provides Bowling as part of our Unified Sports Program. Unified Sports is a program that combines equal numbers of athletes with mental retardation and special partners without mental retardation. All participants are of similar age and athletic ability. This program dramatically increases inclusion of our athletes into the community by helping break down barriers that have historically kept people with and without mental retardation apart. On East Hawaii, this is a wonderful way to promote interaction of special needs individuals and the community. We are just beginning to promote this fantastic program. The benefits that all the athletes receive from their participation in Special Olympics include: improved physical fitness and motor skills, greater self- confidence, a more positive self-image, friendships, and increased family support. Special Olympics athletes carry these benefits with them into their daily lives at home, in the classroom, on the job, and in the community. Families who participate become stronger as they learn a greater appreciation for their child's talents. Community volunteers find out what good friends the athletes can be. Everyone learns more about the capabilities of people with mental retardation. The need for the Special Olympics East Hawaii program to continue here on this island is extremely high. Special training is needed to provide the athletic services and leadership skills that we provide for our coaches and to our athletes. These services are not available anywhere else but with our program We not only touch the lives of our Special Olympics athletes, but also their families. This may be the first time that a parent of one of our athletes has ever become involved in their lives. Many of our coaches are parents of our Special Olympics athletes. We provide that unique opportunity for family members to share very special moments with their handicapped child. Our program is free of cost to all of our athletes, special partners, and coaches. Our founder, Eunice Kennedy Shriver, believes sports training and competition opportunities should be available for all who qualify rather than all who could afford to participate. We receive no money from the Kennedy Foundation or the Federal Government. All of the money raised for the East Hawaii program stays here to support our program. Due to this aspect of our program, a volunteer committee must raise all the funds needed for this unique program. Those funds will pay for all aspects of the Special Olympics program, which includes, equipment, uniforms, transportation costs, training of the coaching staff, family activities and trainings, and our newest project ALPS. Our Athlete Leadership Programs were developed to provide opportunities other than athletics for our Special Olympics athletes. Our athletes are trained to become coaches, public speakers, members of the Board of Directors, officials, and technology experts using PowerPoint. In our Area Athlete Input Council meetings, athletes are taught how to think through issues and find ways to help resolve them. Athlete representatives are selected and travel to Oahu where they serve on the Athlete Congress. The Athlete Congress is a voting body that votes on issues that are affecting their program. These representatives bring their Area issues to this body and determine what all the athletes from the state want to do. When decisions are made, those athletes will present their finding to the appropriate people, this could include the Executive Director of Special Olympics all the way to the Board of Directors. Special Olympics East Hawaii wishes to provide this fantastic opportunity to as many people that wish to be a part of it. In order to do this, we will need funds to Outreach to athletes and volunteers, provide equipment for each sport for new athletes as well as the ones already in our program, pay for bowling fees, provide uniforms to those athletes, and transportation for them to get to practices and competitions. We will focus on developing our Unified Bowling Program and Athlete Leadership Programs as well as continuing to reach out to new athletes and coaches in the 2002-2003 year. Special Olympics Hawaii -East Hawaii Area is asking for $12,000.00 from the County of Hawaii to help fund our Special Olympics East Hawaii program activities. Total Budget and Position Count Special Olympics Hawaii - Agency Name Special Olympics Hawaii -East Hawaii - Program Name Program Objectives: 1) Provide quality bowling training and competition for 40 athletes within our bowling program by December 2003. 2) Provide quality uniforms for our 24 Unified bowlers in our Unified Bowling program that will be started in the year 2003 at a cost of $20.00 per uniform by December 2003. 3) Increase the total number of athletes being provided services by Special Olympics East Hawaii by an overall 10% by June 2004. 4) Develop 2 family activities for 75 family members that will be conducted by our family committee by June 2004. 5) Provide transportation to 164 athletes, coaches, special partners 3 times per year so they may travel to state competitions to compete with their peers to be completed by June 2004. Program Highlights: 1) Increased our number of Basketball teams from 2 teams to 3, thereby helping to improve several more athletes health through better cardiovascular activities. 2) Developed a family committee that will begin to provide services to the families of our Special Olympics athletes. 3) Developed 2 very strong Games Management Teams that organize and run our Bowling Tournament and our Basketball Tournament. 4) Continue to do community activities such as the Highway Cleanup Project and the Clean It Up program through Walmart. 5) Conducted a very successful training program for over 125 Special Olympics athletes. 6) Conducted 3 major athletic competitions for our athletes, coaches, family members and volunteers. 7) Provide additional training for our experienced coaches with a Principles of Coaching program offered by Special Olympics Hawaii. 8) Developed a 3 year Program Development program highlighting goals anc objectives for Special Olympics East Hawaii. Performance Measures FY 2001-02 FY 2002-03 FY 2003-04 Actual ` Budget ` Estimate Athlete numbers 138 152 Unified partner numbers 8 12 special Olympics Hawaii - Agency Name Special Olympics Hawaii -East Hawaii - Program Name Program Expenditures "Please explain in detail on separate sneet Program Funding Sources Revenue Source FY 2001-02 Actual " FY 2002-03 Budget* FY 2003-04 Estimate Salaries and Wages 0.00 0.00 0.00 Professional Fees 1434.00 778.00 250.00 Operations 23179.00 28018.00 36430.00 Equipment 682.00 975.00 5680.00 Other' 1909.00 1429.00 1600.00 Total 1 25295.001 29771,00 42360.00 "Please explain in detail on separate sneet Program Funding Sources Revenue Source FY 2001-02 Actual ` FY 2002-03 Budget * FY 200344 1, Estimate County of Hawaii Grant 5400.00 5500.00 12000.00 Charity Walk Grant 2000.00 0.00 1000.00 Corporation Contributions 3200.00 3450.00 4250.00 Chili Fundraiser 3060.00 3500.00 8000.00 Car Washes/Bake Sales 1909.00 1429.00 1600.00 P & G Shelf Talker Campaign 4120.00 612.00 2000.00 Friends and Family Campaign 0.00 0.00 2500.00 Special Olympics Hawaii Rebate 6520.00 7100.00 7840.00 Department of Education Grant 3500.00 3500.00 3500.00 Total 29709.00 25091.00 42690.00 If applicable Special Olympics Hawaii - Agency Name Special Olympics Hawaii -East Hawaii - Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely complete and accurate Year-end report maY impact the evaluation of your program's or agency's future funding requests. l -- ';w-05 Date Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI Special Olympics Hawaii—West Hawaii Special Olympics Hawaii—West Hawaii General Funding Agency Director: Sheryl Livingston Phone No.: 322-0603 Contact Person: Sheryl Livingston Phone No.: 322-0603 Mailing Address: P.O. Box 2105, Kealakekua, HI 96750 Facility/Site Address: 78-6580 Mamalahoa Hwy, Holualoa, HI 96725 Fax No.: 322-4357 Email Address: specolywesthi@hotmail.com Amount of Request for County funds: $10,000 Prior Year Funding: 00-01 01-02 02-03 $0.00 $4,000.00 $5,000.00 Agency Mission Statement: The mission 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 families, other Special Olympics athletes and the community. Program Description: Special Olympics Hawaii West Hawaii is continuing an extensive Outreach program in the coming 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 slightly and realize there are many more to reach. Our goal for the next year is to focus the outreach program to one geographic locale, most likely the Kohala region. We feel limiting our geographic area will allow us to build a stable and quality program without stretching resources too far. This goal includes 3 new schools in the Kohala region. Our program provides necessary physical activity that special needs children and adults are rarely provided. In addition to the physical benefits these new athletes will receive, they will be given a chance to socialize and make new friendships. Special Olympics Hawaii—West Hawaii Special Olympics Hawaii—West Hawaii General Funding Special Olympics West Hawaii provides this opportunity in many different ways. We conduct our own local competitions and training, have Holiday parties, hold local dances and picnics, travel 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 new athletes in the Kohala region, we will be reaching out to the families, teachers, care givers, and communities in that area. We are hoping that by localizing our outreach to this one region, we are better able to recruit volunteers, coaches and other potential members including Special Partners for unified sports. 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 5 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. There are also minimal yet mandatory training requirements for coaches and volunteers to attend in order to receive certification to work with Special Olympics athletes. 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. Total Budget and Position Count Total Program Budget 43,565.08 Total Program Position Count 2 Total Agency Budget 1,262,323.00 Total Agency Position Count 16 Special Olympics Hawaii—West Hawaii Special Olympics Hawaii—West Hawaii General Funding Program Objectives: 1) Increase school participation in Kohala District by 3 schools. 2) Increase athlete count by 20 in this district. 3) Initiate Unified Sports programs to involve more family members and general public. 4) Establish stable and functioning Kohala delegation to maintain newly recruited athletes. 5) Train new delegation on ways to maintain current and recruit new athletes, coaches, and volunteers. 6) Provide financial support for new delegation. 7) Provide activities for families and siblings in new delegation. Program Highlights: 1) Increased number of certified coaches in our program by 5. 2) Increased number of families involved in our program. 3) Increased slightly our athlete count. 4) Had family specific events and booths at competitions. 5) Started new delegation within a school (Kealakehe High School). 6) Outreached to teachers at Teacher Institute Day. 7) Distributed outreach packets to 3 elementary schools in West Hawaii. 8) Maintained and expanded relations with local adult center (Kona Krafts). 9) Provided community service projects including recycling campaign and aid stations at local races. 10) Extended the knowledge of what Special Olympics is all about through numerous press releases and other public education information. Performance Measures *If applicable FY 2001-02 Actual* FY 2002-03 Budget* FY 2003-04 Estimate Community Service projects—Aid Stations/Recycling 5 7 7 State Competitions on Oahu 3 3 3 Area/Regional Competitions 5 7 8 Delegations within School 1 4 5 Number of athletes within program 36 76 58 Number of Special Partners 4 20 20 Number of families actively involved 6 15 25 Number of family events 1 3 6 *If applicable Special Olympics Hawaii -West Hawaii Area Special Olympics Hawaii -West Hawaii General Funding Program Expenditures *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget* FY 2003-04 Estimate Salaries and Wages 0.00 940.00 940.00 Professional Fees 0.00 0.00 0.00 Operations 18688.77 23045.00 29705.00 Equipment 524.45 4300.00 1000.00 Other* 5651.35 8890.00 12860.00 Total 1 24864.571 37175.001 43565.00 *Please explain in detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual * FY 2002-03 Budget * FY 2003-04 Estimate State of Hawaii DOE 2100.00 3000.00 3000.00 County of Hawaii Non -Profit Grant 4000.00 8000.00 8000.00 Crane Foundation 2500.00 2500.00 2500.00 Shipman Foundation 0.00 2000.00 0.00 Ironman Foundation 1600.00 3500.00 6000.00 Make A Difference Day Grant 500.00 1000.00 0.00 Private Donations 750.00 1000.00 2000.00 Merchandise Sales 250.00 650.00 1150.00 Car Washes 4 per ear 6000.00 6900.00 2400.00 Bench Press Contest 1000.00 1000.00 1200.00 Consolidated Theaters Drive x 2 500.00 1500.00 0.00 Starbucks Massage & Coffee 650.00 2500.00 0.00 Fire Truck Pull 0.00 2000.00 7000.00 Silent Auction 0.00 0.00 2500.00 Corporate Contributions 2300.00 1000.00 4500.00 Service Clubs 2000.00 2500.00 2500.00 SOHI Co -Op Money 2500.00 2500.00 2500.00 Interest Income 50.00 50.00 1 50.00 Total 26700.001 41600.001 45300.00 If applicable Special Olympics Hawaii—West Hawaii Area Special Olympics Hawaii—West Hawaii General Funding Program Expenditures: Other Total Training costs --includes: facility rental, sports specific $ 5800.00 equipment and ground transportation. Total Conference costs—includes 1 to attend NW/SW conference $ 4700.00 (Colorado), and 2 athletes & 1 mentor, and 1 management team member to attend Athlete Leadership Council (Oahu), as well as 8 coaching certification classes throughout the year. Total cost for flyers/printing and merchandise for fundraising $ 2360.00 activities. Total of other expenditures: $12860.00 Special Olympics Hawaii—West Hawaii Area Special Olympics Hawaii—West Hawaii General Funding 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, 1 (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. / •2i -off Date / C? c) n]�) Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI Turning Point for Families, Inc. Alternatives to Violence — North Hawaii Waimea Groups Agency Director: Lee Lord Phone No.: 935-8229 ext. 241 Contact Person: Sulma Gandhi Phone No.: 935-8229 ext. 248 Mailing Address: P.O. Box 612, Hilo, HI 96721 Facility/Site Address: (Hilo) 1266 Kamehameha Ave. #A-5, Hilo, HI 96720 (Kona) 77-6425 Kuakini Hwy., Suite B-201, Kailua-Kona, HI 96745 Fax Number: 808-934-7600 Email Address: admin2@ilhawaii.net Amount of Request for County funds: $10,000 Prior Year Funding: 00-01 01-02 02-03 $8,800 $9,000 $9,000 Agency Mission Statement: Turning Point for Families, Inc. is a domestic violence agency that provides Shelter, Counseling, Education and Advocacy to promote a violence -free community. Program Description: (Please briefly describe the program for which you are seeking funding) Turning Point for Families, Inc. (TPFFI) is dedicated to a mission of raising the consciousness of our society by promoting a violence free lifestyle. Furthermore, we are committed to providing safety and advocacy to battered women and their children, education to victims, adolescents, and adult perpetrators, and to raising public awareness towards ending the cycle of domestic violence. TPFFI has served the County of Hawaii for over 24 years. The organization has eight main programs: (1) The West Hawaii Domestic Abuse Shelter, (2) Alternatives to Violence (ATV) programs in East, West and North Hawaii, (3) Youth Services programs in East and West Hawaii, (4) Children's programs in East and West Hawaii (5) Parenting programs in East and West Hawaii, (6) Rural Outreach Program in East, North and South Hawaii, (7) Coordinated Rural Community Response Project, and (8) the federally funded Ke ala Lokahi Hawaiian Demonstration Research Project. 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 Waimea (North Hawaii). The Program teaches batterers to examine their abusive behaviors and to take responsibility for their choices. Batterers also learn positive behavior skills to replace their abuse. These skills include walking away from an argument, taking a cool down so they can discuss their problem and using positive messages. 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 Turning Point for Families, Inc. Alternatives to Violence — North Hawaii Waimea Groups 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 Report, 1996). For arrests under HRS 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 the Calendar year, 2001, 1,190 cases of Domestic Violence were reported in Hawaii County. From January to September of 2002, the Hawaii County Police Department had already received over 800 domestic violence reports including two domestic violence related deaths of women (final quarter September to December 2002 are being compiled). This program is designed to help batterers change their behavior by taking responsibility for their abusive actions and learn to use positive behaviors instead. The benefits of this are: safety for the family members, an end to the generational cycle of abuse, an opportunity to become a positive role model, a reduction in the need or societal interventions, and a reduction in the cost to businesses, the county, and the state that abuse causes. 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 the St. James Episcopal Church in Waimea on Monday evening for 2 hours from 5:30pm-7:30pm. 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 a pre/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 and alter it. This is a justifiable expenditure of public funds because if this abuse continues, our children, families and neighbors are at risk for injury and the cost to the county for police and court intervention is extremely high. Businesses also share a brunt of the burden in that there is a cost and work loss when perpetrators and victims miss work for jail, court appearances, physical recovery etc. Total Budget and Position Count Total Program Budget $899,327.00 Total Program Position Count 42 Total Agency Budget $1,878,332.00 Total Agency Position Count 75 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.) Turning Point for Families, Inc. Alternatives to Violence — North Hawaii Waimea Groups Our Goal is for participants to: 1. reduce or stop the use of physical violence towards their spouse and/or intimate partner; 2. provide information about domestic violence and alternatives for participants to use. AN Program Outcome Measures AN Perpetrator's Program: 1. Eighty percent (80%) of all clients completing batterer intervention services have remained violence free for no less then twenty (2) consecutive weeks prior to discharge. Method of Measurement: Measured by client self -and victim report, police reports, confirmation with probation officer, etc. 2. Eighty percent (80%) of all clients completing batterer intervention services have taken responsibility for their violent behavior; ceased to blame the victim for the violence; and recognized the adverse effects of their violent acts. Method of Measurement: Measured by client self -and Case Manager's written evaluation. Verified by file records. 3. One hundred percent (100%) of all clients completing batterer intervention services will complete a written individualized, practical plan to maintain non-violent behavior and will present that plan to the group for feedback. Methods of Measurements: Verified by copy of plan in client file and Case Managers written evaluation of the practicability of plan. 4. Seventy-five percent (75%) of all clients completing batterer intervention services will improve their understanding of the nature and effects of domestic violence by fifty percent (50%) Method of Measurements: Measure by the pre -post test and Case Manager's evaluation. Verified by test copies in client file and file records of Case Manager's evaluation. 5. Sixty percent (60%) of all clients completing batter intervention services will demonstrate the knowledge, skills and attitudes necessary for the maintenance of non -abusive behavior which includes learning non-violent conflict resolution and non-aggressive communication. Concepts that may be sued for measurement are: non -threatening behavior; respect; trust and support; honesty and accountability; shared responsibility; economic partnership; negotiation and fairness. Method of Measurement: Measured by client self-report and Case Manager's written evaluation at program completion. Verified by curriculum and dates of session(s) presentation in group notes, file records. 6. One hundred percent (100%) of all clients completing batterer intervention services will significantly increase their knowledge of the effects of domestic violence on children. Method of Measurement: Measured by pre -post test and client self-report and Case Manager's evaluation. Verified by curriculum and dates of session(s) presentation of group notes, copy of pre -post test in client file, and copy of client self -and Case Manager's written evaluation in file. 7. Eighty percent (80%) of all clients completing batterer intervention services will demonstrate an increase in their development of empathy for others affected by their violent behavior. Methods of Measurement: Measured by self -and Case Manager's evaluation. Verified by case notes and client self -and Case Manager's written evaluation in client file. Turning Point for Families, Inc. Alternatives to Violence — North Hawaii Waimea Groups 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 are relatively safe as physically violent behaviors will be monitored in the group. We also monitor program participation and objectives by: 1. Client Questionnaire. 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 to 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. Bi -Monthly Meetings 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 Board of Director's Programs Committee). 3. Weekly and Monthly Reports. The 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 Executive Director provides a comprehensive report to the Board 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. Regular Evaluation of Program. 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 Board 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 surveying 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 Judiciary monitors the program on a yearly basis. Quarterly fiscal and program reports are sent to Family Court, Third Circuit for their review. Turning Point for Families. Inc. Alternatives to Violence - North Hawaii Waimea Groups Program Highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Exceeded contract expectations with Family Court by providing services to approximately 900% more individuals than our contract requests (200 vs. 1,888). 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 in both East Hawaii and West Hawaii. 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 Disease Control funded TPFFI program which has created a culturally appropriate domestic violence research project for men and women. 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.) Program Expenditures FY 2001-02 Actual FY 2002-03 Projected FY 2003-04 Estimate # of men served 899 944 991 # of Psycho -Educational Groups for Men Who Batter 884 928 974 # of women served 989 1,038 1,090 # of Psycho -Educational Groups for Women Who Batter 156 164 172 # of Support Groups provided for Women 104 109 114 # of Pattern Changing Groups provided for Women 364 382 401 # of childcare hours provided so mothers may attend group 728 764 802 # of therapy hours provided for children 208 218 229 # of men and women's groups provided total 1,508 1,583 1,662 # of unduplicated men and women served 1,888 1,982 2,081 # of hours of direct services in case management for men and women 16,264 17,077 17,931 # of hours devoted to intakes with program participants 2,862 3,005 3,155 # of hours providing groups 3,016 3,167 3,325 `Decrease in total number due to start up of Ke Ala Lokahi Program in East Hawaii. Program Expenditures 'Please explain in detail on separate sheet FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate Salaries and Wa es 620,500 711,307 716,812 Professional Fees 7,300 5,625 4,500 Operations 144,479 170,190 171,315 Equipment 21,511 7,400 6,700 Other' -0.00- -0.00- -0.00- Total $793,790.00 $894,522 $899,327 'Please explain in detail on separate sheet Turning Point for Families, Inc. Alternatives to Violence — North Hawaii Waimea Groups Program Funding Sources (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) Revenue Source FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate County of Hawaii 9,000.00 9,000.00 10,000.00 State of Hawaii 643,051 704,541 704,541 Federal - - - Private Foundations 55,000 62,415 62,786 Donations 829 3,500 3,500 Service/Program Fee 83,210 106,566 110,000 Fundraising 500 6,000 6,000 Interest Income 2,200 2,500 2,500 Total $793,790 $894,522 $899,327 Turning Point for Families, Inc. - Agency Name L Alternatives to Violence - Waimea Groups - Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. Signature of Board President/Chair Signature of Executive D ector /a5 03 Date i ar Ca Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI Turning Point for Families, Inc. West Hawaii Domestic Abuse Shelter Agency Director: Lee Lord Phone No.: 935-8229 ext. 241 Contact Person: Sulma Gandhi Phone No.: 935-8229 ext. 248 Mailing Address: P.O. Box 612, Hilo, HI 96721 Facility/Site Address: West Hawaii Domestic Abuse Shelter (Safe House Confidential Address) Fax Number: 808-934-7600 Email Address: admin2@ilhawaii.net Amount of Request for County funds: $22,000 Prior Year Funding: 00-01 01-02 02-03 $20,000 $21,000 $21,000 Agency Mission Statement: Turning Point for Families, Inc. is a domestic violence agency that provides Shelter, Counseling, Education, and Advocacy to promote a violence -free community. Program Description: Turning Point for Families, Inc. (TPFFI) is dedicated to a mission of raising the consciousness of our society by promoting a violence free lifestyle. Furthermore, we are committed to providing safety and advocacy to battered women and their children, education to victims, adolescents, and adult perpetrators, and to raising public awareness towards ending the cycle of domestic violence. TPFFI has served the County of Hawaii for over 24 years. The organization has eight main programs: (1) The West Hawaii Domestic Abuse Shelter, (2) Alternatives to Violence (ATV) programs in East, West and North Hawaii, (3) Youth Services programs in East and West Hawaii, (4) Children's programs in East and West Hawaii (5) Parenting programs in East and West Hawaii, (6) Rural Outreach Program in East, North and South Hawaii, (7) Coordinated Rural Community Response Project, and (8) the federally funded Ke ala Lokahi Hawaiian Demonstration Research Project. TPFFI 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 Ka'u, 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. Turning Point for Families, Inc. West Hawaii Domestic Abuse Shelter 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 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. While 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 (TRO). 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 about current domestic violence, health, and social service resource information. Moreover, 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 that 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 Turning Point for Families, Inc. West Hawaii Domestic Abuse Shelter and Justice in Hawaii: 1996 Hawai'i Household Survey Report, 1996). For arrests under HRS 709-906, Hawai'i County showed an increase of 4% during that period. In the Calendar year, 2001, 1,190 cases of Domestic Violence were reported. From January to September of 2002, the Hawaii County Police Department had already received over 800 domestic violence reports including two domestic violence related deaths of women (final quarter September to December 2002 are being compiled). The Kawaihae Homeless Shelter reports that 85% of its 500 annual residents are suffering from domestic violence, 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 creates 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, their lives: 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 their 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 feed, house and otherwise support themselves and their children... all within a few short months. It is an unfortunate reality of domestic violence that victims are often unable to successfully meet these challenges. Left with no viable alternatives, many return to their abusers. Tragically, many will be abused, again, and their children will continue to suffer. The Shelter program has provided services to victims of domestic violence and their children, in West Hawaii serving the districts of Ka'u, Captain Cook, Kealakekua, Kailua-Kona, Waikoloa, Kohala, and Waimea since 1988. Total Budget and Position Count Total Program Budget $442,238 1 Total Program Position Count 20 Total Agency Budget $1,878,332 Total Agency Position Count 75 Turning Point for Families, Inc. West Hawaii Domestic Abuse Shelter Program Objectives: • The major goals of the Shelter is to 1) provide a 24-hour safe emergency refuge for battered adults and their children; 2) provide battered clients and their children support services such as case management, individual and group counseling to work towards self-sufficiency and transition into a violence -free lifestyle; 3) 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 from domestic violence who do not have another safe and confidential place to receive specialized support services and have become homeless. During the FY 2001-2002, the Shelter supplied 4199 bed days. For this FY 2002- 2003, we anticipate providing 4124 bed days. Outcome Indicator Longer -Term Outcomes: 1. Transition into a violence free and • Percentage of clients who report healthy lifestyle for battered women. violence -free transition. Intermediate Outcomes: 2. Progress toward meeting their treatment • Documentation found in client files. Ian goals battered women. Initial Outcomes 3. Provide 24-hour emergency access to • Number of battered women that were the Shelter and crisis counseling for provided intake services and battered women. assessment. Tasks and Activities 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. During 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 have greater stress. Thus, all Shelter Advocates are trained to intervene between victim residents and their children as needed. As mandated by law, all program staff are required to report cases of suspected child abuse to Child Welfare Services (CWS). In cases where residents are known to have an active case with CWS, the Children's Coordinator collaborates with CWS Social Workers to Turninq Point for Families, Inc. West Hawaii Domestic Abuse Shelter 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 experienced. Group activities facilitated by the Children's Coordinator assist in helping the children feel comfortable at 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, and assisting them to understand that it is not their fault. Other topics discussed in group sessions include: Trust Building, Acknowledging Violence and Validating Fears; Communication; New Ways of Coping with Violence, Anger Management, and Conflict Resolution. Measured by documentation in quarterly reports and client files. 2. Transportation 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 emergency transportation needs of families escaping domestic violence. Measured and documented in daily log and travel log for van. 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. Measured by documentation in daily log and client files. 4. Outreach/Follow-up Services After a resident exits the shelter to independent living, they become a non-resident status client. 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 Mentoring Program after they leave the program and move to independent living. The Peer Mentoring Program extends the Turning Point for Families, Inc. West Hawaii Domestic Abuse Shelter supportive services of the West Hawaii Domestic 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 Mentoring Program meets two times a month or as needed with the goal to promote the strength and community of victims. Measured and documented in client files and quarterly report. 5. Discharge Participants can stay at the Shelter for up to ninety -days (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 on goals and objectives in the services plan are accessed, updated, and documented in 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. During 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. Measured and documented in client files and quarterly reports. Program Highlights: 1) Successfully provided shelter to 92 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 new Program Supervisor as former Program Supervisor resigned to re -locate 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. 5) Plans to Ugrade: During the last year, we have formed a volunteer shelter renovation committee. Habitat for Humanity Kona is collaborating with Turning Point for Families, Inc. to renovate the West Hawaii Domestic Abuse Shelter. Habitat for Humanity is a nonprofit, ecumenical Christian housing ministry working in partnership with people in the community to build and renovate decent affordable housing. This volunteer lead shelter renovation committee is meeting once a month to implement the plan to acquire monetary funding, in- kind services and material, and volunteers to facilitate the renovation and remodeling plans. Committee members include Habitat for Humanity Kona President, Four Seasons hotel staff, the owner of Mailboxes the Business Center, Employment Counselor from Workforce Development, and the Koehnen's Interiors Business Owner. Renovation plans during the next year include repairing the roof, windows and electrical system, increasing the number of bathrooms and improving the interior design. Turning Point for Families, Inc. West Hawaii Domestic Abuse Shelter 6) Hired a Director of Development and Public Relations to develop and maintain the ongoing support of the community in order to raise funds to support Turning Point for Families, Inc.'s long-term and short-term goals through fund development and in-kind donations. Performance Measures Services: FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate 1. # of bed days 4199 4,124 4,124 2. # of group service session hours 218.29 200 200 3. # of group service recipients 77 200 200 4. # of individual session hours 1789.75 1,500 1,500 5. # of adults who received individual services -# 92 96 96 6. of children who received individual sessions 103 130 130 7. # of outreach hours 69.25 234 234 8. # of follow up hours 26.05 234 234 9. # of hotline crisis calls 136 210 210 10. # of referrals by calls 480 465 465 11. # of van trips by staff for clients 150 260 260 Program Expenditures Please explain In detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate Salaries and Wages 273,670 291,279 307,076 Professional Fees 4,800 4,200 2,700 Operations 99,119 116,136 128,458 Equipment 4,812 2,700 4,004 Other* 2,822 22,222 10,000 Total 382,401 414,315 442,238 Please explain In detail on separate sheet Program Funding Sources Revenue Source FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate County of Hawaii 21,000.00 21,000.00 22,000.00 State of Hawaii 160,247 164,424 219,040 Federal 137,750 101,909 122,909 Private Foundations 25,775 69,960 38,289 Donations 2,822 22,222 10,000 Service/Program Fee 7,257 7,000 8,000 Vending -----300 300 Fundraising 2,000 8,000 6,000 Interest Income 18,131 19,500 16,000 Total 375,300 414,315 442,238 Turning Point for Families, Inc. - Agency Name West Hawaii Domestic Abuse Shelter - Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete and accurate year-end report may impact the evaluation of your program's or agency's future funding requests Signature of Executive Director 5 03 Date l 03 Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI WEST HAWAII AIDS FOUNDATION TRANSMISSION PREVENTION FOR HIV+ WOMEN IN WEST HAWAII COUNTY Page 1 Agency Director: Georgie Kennedy Mailing Address: 75-240 Nani-Kailua Drive, Suite 5 Facility/Site Address: Kailua-Kona, HI 96740 Phone Number: 331-8177 Fax Number: 331-0762 Email Address: georgie@whaf.org Amount of Request for County funds: $15000.00 Prior Year Funding: 00-01 01-02 02-03 $9,000 $15,000 $15,000 Agency Mission Statement: WHAF is a non-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 affected by this disease. Program Description: (Please briefly describe the program for which you are seeking funding) Program continuation from prior cycle for transmission prevention programs for all HIV+ women in West Hawaii County, including individual and group protocols and counseling and testing of at risk women. This program is designed to STOP HIV at the source, that is with individuals who can transmit the disease to others. It is a successful program and is reflected in decreasing new cases in Hawaii County. WEST HAWAII AIDS FOUNDATION TRANSMISSION PREVENTION FOR HIV+ WOMEN IN WEST HAWAII COUNTY Page 2 Total Budget and Position Count Total Pro ram Budget 37,192* 1 Total Program Position Count 1 2.5 Total Agency Budget 544,818 Total Agency Position Count 7 *This figure is prevention for women only, HCF $1,000, DOH $15,192, County $15,000 and fundraising $6,000. 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.) 1) Review each woman's transmission prevention service plan in first month of program, and/or initiate new transmission prevention plan for newly infected. (min 12 women, 1-2 hours per client) 2) Referral to appropriate providers if needed, i.e. mental health providers, substance abuse providers, etc. within the first month. These providers can deal with some of the behaviors which place these women at risk of transmitting this disease. These professional counseling sessions are paid for from other funding. 3) Initiate transmission prevention protocol (min 12 clients - 1 hour each) in first session, then quarterly, and as needed as problems arise. 4) Document progress and adherence to transmission prevention procotol with input from client each quarter (12 minimum) 5) Monthly support group for HIV+ women dealing with self-esteem, negotiation, sexual issues, transmission prevention. 6) Referral by participants to other women who may be at risk of contracting or transmitting HIV to others. Referral to result in HIV counseling and testing by prevention outreach staff. Program Highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Achieved a review of care prevention service plans for 15 women (exceeding goal) during first month. 2) Referred 6 women to specialized care for health and/or prevention issues during first month 3) Reviewed and updated health plans for all 15 participants quarterly. 4) Initiated in depth transmission protocols with all 15 participants, and met with each participant on a one-to-one basis quarterly. WEST HAWAII AIDS FOUNDATION TRANSMISSION PREVENTION FOR HIV+ WOMEN IN WEST HAWAII COUNTY Page 3 5) Seventy Five (75%) percent of participants were able to maintain 100% compliance with prevention protocols by second session (i.e., use of condoms or other protection during all sexual encounters.) 6) Twenty Five (25%) percent of participants we able to maintain compliance 90% of the time by the third quarter with the goal of 100% compliance by the end of the year 7) 98% of participants were documented to have benefit from the program by maintenance of good health, increased self esteem, and ability to interact with sexual partners in a safe manner thereby decreasing the probability of HIV transmission. 8) All participants completed at least 6 monthly group meetings facilitated by a prevention specialist. 8) As of month seven (January 2003) zero transmission of HIV by any participants in the program. No hospitalizations, stable health and return to work for 2 participants. 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.) In addition to the numbers listed below, the savings to the community of eliminating just one new case of HIV is approximately $25,000 per year. This is the cost of medical care, support, housing, and disability benefits for a single individual who is affected by this disease. Additionally, the only people who can transmit this disease are those who are infected with it. By working at the source we can STOP this disease and do it in a humane and loving manner which benefits the individual and the community. FY 2001-02 FY 2002-03 FY 2003-04 Actual Bud et* Estimate** Individual transmission prevention N/a 105 200 session assessment session Health/prevention plan review N/a 315 420 quarterly Quarterly individual transmission N/a 315 450 prevention sessions 1 hr each Monthly support group with N/a 105 420 professional facilitator 3 hrs each Review and documentation of N/a 105 200 program quarterly WEST HAWAII AIDS FOUNDATION TRANSMISSION PREVENTION FOR HIV+ WOMEN IN WEST HAWAII COUNTY Ll FY 02-03 figures represent 15 individuals for 7 months, July -January ** FY 03-04 figures represent a min of 12 with an anticipated 15 individuals for an entire year WEST HAWAII AIDS FOUNDATION TRANSMISSION PREVENTION FOR HIV+ WOMEN IN WEST HAWAII COUNTY Page 5 Program Expenditures Other: urogram expenses include costs for HIV testing kits, literature, condoms, incentives, and other miscellaneous items specific to prevention programs. Program Funding Sources (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) Revenue Source State of Hawaii Prevention 33% Women only FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate Salaries and Wages 18,600. 20,000 20,000 Professional Fees 0 0 0 Operations 11.592 15,192 14,192 Equipment 0 0 0 Other* Pro ram Exp. 5,000 3,000 3,000 Total 35,192 1 38,192 37,192 Other: urogram expenses include costs for HIV testing kits, literature, condoms, incentives, and other miscellaneous items specific to prevention programs. Program Funding Sources (List all sources of funding, including specific grants, fundraising events, etc. relating to the program only) Revenue Source State of Hawaii Prevention 33% Women only FY 2001-02FY Actual 2002-03 Bud et FY 2003-04 Estimate 15,192 15,192 15,192 Hawaii Community Foundation 0 3,000 1,000 Fundraising 5,000 5,000 6,000 County of Hawaii 15,000 15,000 15,000 Total 35,192 38,192 37,192 WEST HAWAII AIDS FOUNDTION - Agency Name TRANSMISSION PREVENTION FOR HIV+ WOMEN IN WEST HAWAII COUNTY -Program 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, Hawai'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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete and accurate year-end report may impact the evaluation of your program's or agency's future funding requests 110� �A %460�� ) (1 03 of Board Presi a Chair Date )Z 0� o Executiv Director Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! West Hawaii Mediation Center Agency Director: Mailing Address: Facility/Site Address Phone Number: Email Address Mediation Services Franco Acquaro PO Box 7020, Kamuela, HI 96743 65-1279 Kawaihae Road #217, Kamuela, HI 96743 (808) 885-5525 Fax Number: (808) 887-0525 whmc@bigisland.net Amount of Request for County funds: $10,000 Prior Year Funding: 1999-2000 2000-2001 2001-2002 $0 $9,500 $10,000 Agency Mission Statement: 2002-2003 $5,000 West Hawaii Mediation Center exists to improve the way people deal with conflict by providing mediation, facilitation, conflict resolution education and training services. Program Description: The funds are requested to support West Hawaii Mediation Center (WHMC) which serves the districts of Hamakua, North & South Kohala, North & South Kona, and Ka'u. WHMC provides community-based mediation services for both self-referred and court/legal system referred clients. These services are provided in an accessible and affordable manner to ensure any and all disputes in West Hawaii can be resolved in a safe, fair and appropriate way without the expense (time and money) of litigation. WHMC utilizes trained community volunteers to deliver this vital service to their fellow community members. Total Budget and Position Count Total Program Bud et $85,014 Total Program Position Count 1.50 Total A enc Bud et $110,000 Total A enc Position Count 2.75 West Hawaii Mediation Center Mediation Services Program Objectives: 1) Provide information and referral services to individuals who need services instead of, or in addition to, the mediation services offered at WHMC. 2) Recruit, train and retain high-quality volunteer community mediators. 3) Provide mediation services in an affordable and accessible manner for disputes arising both in and out of the court/legal system. 4) Offer mediation services for a wide array of dispute issues including neighbor -neighbor, divorce (property division, finances, parenting plans), landlord -tenant, consumer -merchant, real estate, small claims, condominium, civil rights, special education, victim -offender, and community issues. 5) Provide adequate case management services to adequately serve all referred cases. 6) Provide community outreach and education around constructive conflict resolution practices. Program Highlights: 1) Provided information and referral services to 152 individuals. 2) Delivered 1,665 hours of case intake services. 3) Served 195 cases (52% court/legal system referred; 48% self-referred) with 366 clients served. 4) Utilized 30 volunteer mediators in 133 mediation sessions for a total of 281 hours of mediation. 5) Reached full agreement in 55% of cases mediated. 6) Achieved a 91% service satisfaction rating by respondents (post - mediation satisfaction survey). 7) Achieved a 96% rating by respondents indicating that they would recommend mediation to others in the future. 8) Provided 31 % of total services to low income clients (annual income under $20,625). Performance Measures FY 2001-02 Actual FY 2002-03 Budget FY 2003:64— Estimate Case Management Services hours 1665 1665 1665 Information and Referral individuals 152 170 200 Mediation Cases Served 195 180 200 Mediation Sessions Conducted 133 150 150 Agreements Reached in Mediation % 55% 65% 65% Client Satisfaction With Service % 91% 91% 91% Client Willingness to Recommend Service To Others 96% 96% _ 960/6 West Hawaii Mediation Center Mediation Services Skill Enhancement Training For 5 7 8 Volunteer Mediators (total trainings) 55,405 57,027 60,791 Affordable Services To Low Income 31% 31% 33% % of clients low income 20,673 17,853 22,723 Community Awareness and 2 8 12 Education Sessions 0 0 0 Program Expenditures Program Funding Sources Revenue Source FY 2001-02 Actual FY 2002-03 Budget FY 2003-04 Estimate Salaries and Wages 55,405 57,027 60,791 Professional Fees 1,500 3,020 1,500 Operations 20,673 17,853 22,723 _ Equipment 1,500 3,850 0 Other* 0 0 0 Total 87,180 81,750 85,014 Program Funding Sources Revenue Source FY 2001-02 FY 2002-03 Actual Budget FY 2003-04 Estimate County of Hawaii 10,000 5,000 10,000 State of Hawaii 49,001 49,001 49,001 Federal Funds 0 0 0 Private Foundations 6585 4850 300 Donations 9205 9500 9,500 Fundraising 2930 8069 9,870 Service/Program Fees 5390 1650 2,663 Client Private Fees 3590 3600 3,600 Interest Income 77 80 80 Insurance Rebate 285 0 0 IRS Refund 117 0 0 Total 87,180 81,750 85,014 - Agency Name Program 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, Hawai'i Count] 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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 da,fs after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure: to submit a timely, complete, and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. 2-7/03 Date Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTEDI YWCA of Hawaii Island Ekahi Program Agency Director: Nancy Moser Vw Mailing Address: 145 Ululani St., Hilo, HI 96720 Facility/Site Address: P.O. Box 777, Honokaa, HI 96727 Phone Number: 775-0976 Fax Number: same Email Address: hite@ilhawaii.net (Program Director) Amount of Request for County funds: $6,000 Prior Year Funding: 00-01 $5,000 01-02 $5,500 Agency Mission Statement: 02-03 $5,500 The Young Women's Christian Association of the United States of America is a women's membership movement, nourished by its roots in the Christian faith and sustained by the richness of many beliefs and values. Strengthened by diversity, the Association draws together members who strive to create opportunities for growth, leadership and power in order to attain a common vision: Peace, justice, freedom and dignity for all people. Program Description: (Please briefly describe the program for which you are seeking funding) YWCA Hamakua Youth Center, a community based facility in Honokaa, provides after- school computer access, crafts, pool table, photography to 30 to 35 teens each weekday It is an office base to offer a drug prevention curriculum to 100 youth annually in Honokaa and Paauilo, with related programs for their families. Total Budget and Position Count Total Program Budget 90,770 Total Program Position Count 3 Total Agency Budget 4,006,927 Total Agency Position Count 121 V%V^ YWCA of Hawaii Island Ekahi Program Program Objectives: (Tasks or projects to be accomplished in specific, well-defined, and measurable terms and that are achievable within it specific timeframe. Please number and have all objectives begin with a verb.) 1) Provide free computer access and drop-in activities, both structured and unstructured, to 30 to 35 teens per day after school, mostly those from low- income Hamakua families. 2) Provide a drug prevention curriculum to approximately 85 students annually. 3) Continue drug prevention education to 15 to 30 parents on-site annually. 4) Enrich the public school arts curriculum by providing free darkroom and digital photography instruction to approximately 30 teens annually. Program Highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) 1) Provided a safe, wholesome place for a statistical average of 30 youth daily after school, exclusive of special events. 2) Presented a Hawaiian -values drag prevention education curriculum to 100 fourth and seventh graders during fall 2002. 3) Conducted three family drug -prevention education evenings during fall 2002 attended by 20 to 40 family members at each, with guest speakers. 4) Conducted a daily, health -oriented educational program for 17 students throughout July 2002, with excursions, in cooperation with Hamakua Health Center. 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.) *The prevention curriculum we plan to deliver in 2003-04, Project Alert, is designed for seventh graders only. FY 2001-02 FY 2002-03 FY 2003-04 Actual Budget Estimate Teens drop in daily for computer 30 35 35 access, pool, chess, etc. Parents and community adults attend 40 36 to date *25 drug prevention evening on site Students enrolled in 12 -session 113 100 to date *85 prevention curriculum Teens learn darkroom or digital 30 19 to date 30 photography in structured classes *The prevention curriculum we plan to deliver in 2003-04, Project Alert, is designed for seventh graders only. YWCA of Hawaii Island Ekahi Program Program Expenditures Please explain in detail on separate sheet. Program Funding Sources (List all sources offunding, including specific grants, fundraising events, etc. relating to the program only) Revenue Source FY 2001-02 Actual FY 2002-03 FY 2003-04 Bud et Estimate Salaries and Wages 57198 58975 60932 Professional Fees 5448 2230 2830 O erations 28581 21823 20738 E uipment _ 2984 3242 2470 Other* 4550 4500 500 Total 98761 1 90770 87370 Please explain in detail on separate sheet. Program Funding Sources (List all sources offunding, including specific grants, fundraising events, etc. relating to the program only) Revenue Source FY 2001-02 Actual FY 2002-03 Budget FY -2003-0,4- 003-04Actual Estimate State of Hawaii (DOH) 75000 75000 *75000 State of Hawaii (DOH windfall award) 5000 County of Hawaii 5500 5500 5500 Queen Liliuokalani Children's Center 2000 2000 John M. Ross Foundation 6000 6000 Hawaii Human Development 203 Atherton Foundation (recover floor) 3000 Contributions 2000 2300 1000 Grant to be sought for photography 6000 Total 98703 90800 87500 *YWCA Ekahi has received $75,000 annually from DOH for over 10 years. For 2003-04 this grant looks uncertain because DOH has allotted other funds to the Hamakua district. Therefore, the YWCA has also applied to the State Office of Youth Services for approximately $140,000 for Hamakua Youth Center as a youth services center to include existing services with added case management and funds for the Hilo -based program supervisor. The result of these applications will be known in March or April 2003. Ekahi would like to continue its valuable relationship with the County. Please note that Comity funds have been the key support for the youth center. DOH ADAD desires to support a prevention curriculum and not a center. Ekahi has never before applied to OYS and our chances there are unknown. YWCA of Hawaii Island Ekahi Program Detail of "Other" Expenditures In the past Ekahi's prevention curriculum instructor has been configured as a subcontract and listed under the County's line item "Other." However, for 2003-04, the YWCA Executive Director has configured this instructor as an employee. The "other" expense of $500 we foresee for 2003-04 is payment for an independent evaluator for the prevention curriculum delivery and associated "family" nights. This would be a subcontract. In addition under "Other Expenses" for 2001-02, $800.00 was awarded as stipends for peer tutors. 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, Hawai'i County Code, relating to Appropriate 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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawai'i, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely complete and accurate year-end report may impact the evaluation of your program's or agency's future funding requests. Signature o xecutive Director / -2 Date Date / -0-3 UNSIGNED PROPOSALS WILL NOT BE ACCEPTED! YWCA of Hawaii Island Sexual Assault Victim Empowerment Agency Director: Nancy Moser Phone: 935-7141 Fax: 935-5150 Mailing Address: 145 Ululani St., Hilo, HI 96720 Facility/Site Address: 197 Kinoole Street Hilo, HI 96720 75-5759 Kuakini Highway Kailua-Kona HI 96745 Phone Number: 935-3215 Fax Number: 935-3196 For service sites 331-8843 331-8724 Email Address: ywcaexec@bigisland.net Amount of Request for County funds: $50,000 Prior Year Funding: 00-01 01-02 02-03 $52,000 $52,000 $50,000 granted to KWCMC granted to KWCMC, granted to YWCA of for these sex assault and a portion Hawaii Island services subcontracted to YWCA of Hawaii Island from 10/01/02 Agency Mission Statement: The YWCA of Hawaii Island"... strengthened by diversity and sustained by the richness of many beliefs and values... draws together members who 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 themes include the economic empowerment of women and girls and the elimination of racism. Program Description: (Please briefly describe the program for which you are seeking funding) The program's mission is to work to reduce the incidence of sexual assault on the Big Island and to reduce disability to those who have been victimized. The YWCA of Hawaii Island Sexual Assault Victim Empowerment YWCA Sexual Assault Victim Empowerment program (SAVE) operates the rape crisis center for the island of Hawaii. Skilled and supportive Crisis Workers provide phone support to callers on the Sexual Assault Crisis Line or face to face help 24 hours a day island wide to sex assault victims who report the crime to police. Crisis Workers function as team members with police investigators and sex assault nurse examiners in the Hawaii County Protocol for forensic examination of sex assault victims. A full time masters -prepared Therapist/Educator is employed at each SAVE Center (Hilo and Kailua) to provide psychotherapy, case management and legal system advocacy by appointment or walk in. Community professionals, the public and school aged groups are helped to become aware of sex assault survivor needs, available services and prevention strategies through SAVE's community education program. The YWCA is now in our third decade of helping sex assault survivors, who are women and men, girls and boys. Total Budget and Position Count Total Program Budget 260,739 Total Program Position Count 8.9 FF' Total Agency Budget 4,006,927 Total Agency Position Count 121 positio I — — — --- -- - ns YWCA of Hawaii Island Sexual Assault Victim Empowerment 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.) 1) Provide a SAVE Crisis Worker to support each sex assault victim undergoing medical -legal examination in the period July 1, 2003 through June 30, 2004 2) Deliver professional counseling and/or case management services to 100 sex assault survivors 3) Attend and participate in monthly case tracking and interagency team coordination meetings of the East and West Hawai Children's Justice Centers throughout the fiscal year. 4) Provide sexaul assault awareness and prevention education to 1000 school aged students 5) Provide education to 100 professionals about the needs of adult/child survivors of sexual assault and methods to detect and report sexual child abuse or abuse of dependent adults. Program Highlights: (Accomplishments from the previous fiscal year. Please number and begin all highlights with a verb.) IN 2001-02: 1) Re-established a West Hawaii office for full sexual assault victim services (offices of the previous provider had been closed for some time). 2) Maintained continuity (or better) of all existing crisis, counseling and community education services island wide during the transition from the previous provider, who chose to subcontract services to the YWCA (in October, 2001) 3) Attended monthly case tracking and interagency team coordination meetings of the East and West Hawaii Children's Justice Centers (since the program's initiation on October 1, 2001) IN 2002-03 1) Added clerical/office help positions in the Hilo and Kona SAVE Counseling Centers to free up Therapists to do more counseling. YWCA of Hawaii Island Sexual Assault Victim Empowerment 2) Promoted Pat Sands and Roxie Tubbs to managers of their respective West and East Hawaii SAVE Centers, in order to delegate some managerial decisions from the top YWCA management to the level closer to where client contact occurs (consistent with YWCA Management Philosophy) 3) Obtained funds from the federal Violence Against Women Act (VAWA) and the Victims of Crime Act (VOCA) to allow #1 and 2 above to happen. All the above have promoted the stability of these services, which just 2 years ago had been much more unstable. The YWCA of Hawaii Island was asked to apply, and was able to obtain other funds to continue another sexual assault related service that was in jeopardy — the coordinator of forensic nursing services, previously employed by the police. The coordinator works directly with police, prosecutors and SAVE. This coordinator recruits and trains nurse examiners and promotes quality nursing forensic services which are part of police investigations of sex assault. The YWCA Forensic Nursing Project is not a part of SAVE. However, it was because of the YWCA's expertise in SAVE services that funds were granted to place this project inside the YWCA. This prevented the coordination services from being lost to the community, as the police grant for the positions had run out.Therefore it is a positive outcome (or highlight) related to SAVE this year. 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 2001-02 FY 2002-03 FY 2003-04 Actual Budget Estimate Fully trained personnel are 24 hours a 24 hours a 24 hours a available to assess and respond to day, from day, 365 day, 365 callers on the Sexual Assault Crisis 10/1-6/30 days a year days a year phone line (estimate 154 callers 200 callers 250 callers) Crisis counseling, legal systems 122 service 164 service 175 service advocacy, information and referral contacts contacts contacts are provided to each sex assault victim undergoing medical -legal examination in East Hawaii and West Hawaii YWCA of Hawaii Island Sexual Assault Victim Empowerment FY 2001-02 FY 2002-03 FY 2003-04 Actual Budget Estimate Survivors of sexual assault receive 79 survivors 100 100 psychotherapy services and survivors survivors intensive clinical case management from SAVE masters level practitioners in East Hawaii or West Hawaii School aged students receive 893 1000 1000 sexual assault prevention and students students awareness training_ Professionals receive training in 18 100 100 awareness of the needs of adult professional professional professional and child sexual assault survivors, how to detect and report child sexual abuse or sexual abuse of dependent adults YWCA of Hawaii Island Sexual Assault Victim Empowerment Program Expenditures '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 Source FY 2001-02 FY 2002-03 Actual Budget (9 month period only 10/1/01- 6/30/02 FY 2003-04 Estimate Salaries and Wages 106,610 179,594 188,574 Professional Fees 2,000 0 0 Operations 44,823 79,645 80,441 7,078 1,500 20,340 -Equipment Other' Federal VOCA funds Total 160,511 260,739 269,015 '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 Source FY 2001-02 FY 20024-3 Actual Budget 9 month period only 10/1/01- 6/30/02 Y 2003-04 Estimate State of Hawaii (DOH) via KWCMC master contract 110,982 188,399 166,955 of Hawaii 39,0001 50,000 1 50,000 -County Federal VAWA funds 20,340 25,353 Federal VOCA funds 1,000 11,000 Private funds – Hotel Charity Walk 1,000 2,000 Total 149,982 260,739 255,308 YWCA of Hawaii Island 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, Hawai'i County Code, relating to Appropriate of Funds to Nonprofit Organizations. 1 (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, Hawai'i Revised Statutes. If awarded a grant from the County of Hawaii, I (we) understand and will comply with the requirement to submit a year-end report to the Legislative auditor within 60 days after June 30 of the fiscal year. The report shall include an explanation of the public benefits derived from the awarding of the grant, a complete accounting of all expenditures supported by County of Hawai'i grant funds, and a listing of other funding sources and amounts obtained during the award period. Failure to submit a timely, complete and accurate year-end report may impact the evaluation of your program's or agency's future funding requests._ _ nature of Board President/Chair / s C2 Date Lr.J���,�ti Signature o xecutive Director Date UNSIGNED PROPOSALS WILL NOT BE ACCEPTED!