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HomeMy WebLinkAboutCommunity Drug Task Force Application for Federal AssistanceAPPLICATION FOR FEDERAL ASSISTANCE 1. TYPE OF SUBMISSION: Cortson tructlon Non -Construction 2. DATE SUBMITTED 3 -31 -oz ) / OMB Kpproval No. 03484 5. APPUCANT INFORMATION Legal Name: Preapplication 0 Construction • Q Non -Construction 3. DATE RECEIVED BY STATE Applicant Identifier l'[9 9-1N -Fjt -013 4-(�-Bj State Application Identifier 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier CITY OF ITHACA Organizational Unit: COMMUNITY DRUG TASK FORCE Address (give d y, county, State, and zip node): 108 EAST GREEN STREET ITHAcA. TOMPKNS COUNTY, NY 14850 Name and telephone number of person to be contacted on matters Invoh this application (give area code) Technical: 607.274.8501 Budgetary 607, 274-501 Contractual: 607•, 274.8501 0. EMPLOYER IDENTIFICATION NUMBER (EIN): t a_ (e 0 Co I A1.5 aa3 I � Q i J0. TYPE OF APPUCATION: 1 allow ® Continuation 0 Revision tl Revision, enter appropriate letter(s) to boxes) ❑ ❑ A. Increase Award B. Decrease Award C. Increase Duration D. Decrease Duration Other(spedly): 7. TYPE OF APPLICANT: (enter appropriate letter In box) A. State H. Independent School Dist. B. County I. State Controlled Institution of Higher teaming C. Municipal . J. Private University D. Township K. Indian Tribe E. Interstate L Individual F. Intermunicipal M. Profit Organization G. Special District N. Other (Specify) 9. NAME OF FEDERAL AGENCY: OFFICE OF JUVENILE JUSTICE AND DEUOUENCY PREVENTION 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER. TITLE: 161 —17 I Z FY 2000.DRUO FREE COMMUNITIES SUPPORT PROGRAM 12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, eta): 11. DESCRIPTIVE TITLE OF APPUCANT'S PROJECT: The Community Drug Task Force of Ithaca New York will continue the following initiatives:1) Public Awareness & Education Campaii 2) Prevention and Intervention 3) Partnership with Ithaca City School District 13. PROPOSED PROJECT Start Date 'Ending Date 9-1 =02- 8-.3k-03 14. CONGRESSIONAL DISTRICTS OF: 2 643 a. Applicant b. Project 2c 111. ESTIMATED FUNDING: Federal Applicant c. State Si 000 V (L1 bon 1 . 000 d. Local s.Other L Program Income 9. TOTAL. 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. YES. THIS PREAPPUCATIOWAPPUCATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON: DATE 3-31 -oz. b. No. 0 PROGRAM IS NOT COVERED BY E. 0.12372 0 OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW 00 O • 17. IS THE APPUCANT DELINQUENT ON ANY FEDERAL DEBT? ® Yes If 'Yes,' attach an explanation. 0 No TO THE BEST OF MY KNOWLEDGE ANDELIEF, ALL DATA IN THIS APPLICATION/PREAPPUCATION ARE TRUE AND CORRECT, THE UMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPUCANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. Type Name of Authorized Representative b. Title c. Telephone Number ALAN J. COHEN . MAYOR 607-274.6501. Signature of Authorized Representative e. Date Signed 3-31-oZ Previous Edition Usable c.—.•••ao r--- .... ,r._.. - • Project Abstract The Community Drug Task Force of Ithaca, New York intends to utilize the Drug -Free Communities Support Grant to: 1) Reduce substance abuse among youth, and over time adults in Ithaca and the surrounding municipalities. 2) To strengthen the Community Drug Task Force partnerships with Ithaca City School District, City of Ithaca, surrounding municipalities, local universities and colleges, existing community private not-for-proft organizations and local and state government. The specific programs being developed and implemented to realize these goals: 1) Public Awareness campaign at Ithaca High School that revolves around a ground- breaking Social Norms Marketing Campaign . 2) A community basedPublic Awareness and Education Campaign targeting parents, caregivers, guardians and adults working with youth. It will involve print, radio and television and various community private not-for-profit organizations, and local and state governments. 3) Transportation - Youth Bus Passes - on public transit to allow youth to participate in healthy, positive after school activities. 4) A+ Tutoring Program targeted for African American youth in Ithaca High School. 5) Scholarships for High Risk Students that enable them to participate in enrichment activities after school such as arts, music and dance classes. 6) Prevention, Intervention and Education - The Community Drug Task Force through its partnership with the Mental Health Association will provide programs for the prevention, education and intervention of parents, youth and community organizations. 1 • • • Program Narrative I. Goals and Objectives The Community Drug Task Force has worked to bring a diverse community together to tip the scales and measureably improve the welfare of children and the entire community by reducing the incidence of substance abuse. We have made significant progress in this four year initiative towards accomplishing our goals: A. Goals Goal I: Reduce substance abuse among youth, and over time adults, by addressing the factors in a community that serve to increase the risk of substance abuse and factors that serve to minimize the risk of substance abuse. Goal II: Establish and strengthen collaboration among communities; Federal, State, Local governments; and private nonprofit agencies and to support community coalition efforts to prevent and reduce substance abuse among youth. B. Objectives Objectives - Goal I: a) Increase the age onset of substance abuse by 8 months b) Reduce frequency of use of alcohol, tobacco and other drugs in the past 30 days. c) Increase perception of risk of harm of alcohol, tobacco and other drugs d) Increase perception of disapproval of use of alcohol, tobacco and other drugs by peers and adults. Objectives - Goal II: a) Improvement in the level of collaboration among communities and Federal, State, Local and Tribal governments (e.g., increased number of interagency agreements. b) Enhancement of intergovernmental cooperation and coordination of youth substance abuse issues (e.g. adoption and use of an integrated management information system to share data on youth substance abuse. c) Increase citizen participation in substance abuse prevention efforts d) Enhancement of prevention planning and prevention efforts (e.g. data -driven needs assessment and comprehensive, research -based strategies. This four year initiative will accomplish goals by focusing funding efforts in three main objectives: 1) creating a progressive, district wide and county wide Public Awareness 2 • • and Education Campaign targeted towards parents, caregivers, guardians and adults working with youth; along with a special emphasis on a Social Norms Marketing Campaign targeted towards youth. 2) Prevention, Intervention and Education initiatives through the collaboration of the Community Drug Task Force and its partnership with the Mental Health Association. 3) Increasing the Partnership with Ithaca City School District , promoting collaborative initiatives and partnerships with the Ithaca City School District, Community Drug Task Force, existing community youth programs, local government, and law enforcement. The programs we have designed are inter -related, forming a comprehensive stratgey designed to meet our goals and objectives and foster successful community partnerships and collaborations. II. Project Design and Accomplishments A. Public Awareness campaign at Ithaca High School that revolves around a ground- breaking Social Norms Marketing Campaign . Traditionally most prevention efforts have focused on reducing the negative behaviors. Research now shows that it is more effective to strengthen and increase `protective' behaviors (i.e. healthy behaviors.) We can increase the protective behaviors by documenting the true norm. Among young people there is a perception that there is much more negative behavior than is really the case. In most cases, their peers' behavior is more moderate and more responsible than they thought. The research shows that this incorrect perception of the norm tends to increase the negative behavior. The concept of a Social Norms Marketing Campaign is to give students the correct information about the true norm through a media campaign. This has been done very successfully on college campuses. This initiative includes print and electronic media that have been specifically designed to reduce misperceptions of student norms and thereby reduce levels of alcohol and other drug use and the resulting consequences. The media must have the following elements; 1) a positive message 2) it must be inclusive 3) it must be 3 • • empowering. In order for this message to work it must be based on good data and the media must be considered `cool' by the target population of students. We are working with Alan Berkowitz, a consultant who helps colleges, universities, and communities develop innovative programs in the drug prevention, sexual assault prevention, and diversity fields. He is nationally known for his approach of the social norm theory and is a local resident committed to working with the Community Drug Task Force. His approach is an empirically driven strategy, which is based on the research finding that students tend to over-estimate considerably the amount of alcohol and drug use of their peers, while parents tend to under -estimate the norm and become carriers of the misperceptions. The first key step was begun in December 1999, was to develop a social norms survey instrument. Berkowitz worked with a Cornell University professor and two graduate students to develop this survey. It was ready to be administered in March 2000, and the data collected was used to develop the core positive norm statements. The survey measured self- reported behavior and perception of use. It was administered to 270 IHS students in grades 9-12. The data was then analyzed and Berkowitz then developed the multiple positive norm statements about alcohol and other drugs. The following statements were selected to be used in posters and table tents: 1) What did you do last weekend? In a typical week, 92% of IHS students didn't drink. 2) 78% of IHS students had their best times with friends without drinking. 3) 67% of IHS students usually drink soda, juice or water at a party. 4) In the last 30 days, IHS students had fun with friends without using alcohol and other drugs doing the following things: 51% doing a hobby 67% playing sports 62% going out to eat 71% going to the movies 60% going to the mall or shopping 85% hanging out at someone's hosue 53% computer or video game activities 5) 73% of IHS students have never smoked pot. 4 • • The posters and table tents were designed by an award-winning local advertising firm, Garrity Communications, Garrity Communications is very familiar with the social norms approach - they designed Cornell University's Social Norms Marketing campaign. We worked closely with IHS student focus groups to refine the designs until they passed the `cool' test (i.e. the students had a strong, very favorable response.) The campaign was launched in May 2000. In addition, our multiple positive norm statements about alcohol and other drugs were woven into interesting tidbits of information called `Campus Factoids.' Campus Factoids is a desktop screensaver program now installed on all the computers at the high school. There are approximately 200 Campus Factoids that were collected by team of IHS students. These `Factoids' randomly appear on the computer screen. Every fifth statement is a positive norm statement -- a combination of alcohol and drug education and `Jeopardy.' The `Campus Factoids' deal with characteristics of the student body such as political opinions, hours spent studying, current events, pop culture and many other topic areas. The topics are drawn from a broad spectrum of sources to keep up student interest and to reflect the academic and social values of the community. Some `Factoids' are amusing, some are surprising, and some are disturbing. They are accompanied by the same colorful, eye- catching graphics used on the posters and table tents. This highly successful online, electronic program model has been used with great success at Hobart and William Smith Colleges in Geneva, New York and has been adopted by other universities including Cornell University. Implementation of the `Campus Factoids' program was made possible by Dr. David Craig of Hobart and William Smith Colleges who trained Ithaca City School District employees. We are extremely encouraged by the positive response to the Social Norms Marketing Campaign. Research indicates that the long term effectiveness of this method is dependent on the `dosage' - students will need repeated exposures to these images (i.e. images need to be seen a minimum of 10 times before an individual internalizes it.) We continued to modify and improve these images and `Campus Factoids' throughout the 2001-2002 school year. We are greatly encouraged by the success of this campaign and in the 2002-2003 school year, in collaboration with the Ithaca City School District, we will begin the final phase: to broaden this campaign to include the middle schools, DeWitt Middle School, Boynton Middle School and the Alternatives Middle School and High School. This will complete the 5 • • • goal of the campaign: to reach every student, 6th grade through 12th grade in the Ithaca City School District. A random selection of students will be given a survey admininstered by the Community Drug Task Force and the Ithaca City School District to evaluate the effectiveness of the Social Norms Marketing Campaign. In addition, we have continued to compare these results with Rocky Mountain Data Survey that the Ithaca City School District has committed to administering yearly. B. Public Awareness and Education Campaign The community based Public Awareness and Education Campaign is focused on the target audience of parents, caregivers, guardians and adults who work with youth. It is absolutely essential that the messages and strategies that are developed complement the ground- breaking Social Norms Campaign at Ithaca High School. This is one of the first high schools in the country to implement this model, which has been extremely successful on college campuses. It was essential to wait until the Social Norms Campaign was successfully launched and integrated at the high school before this piece could be completely developed and implemented. Our targeted messages will complement the national anti-drug campaign's core messages of "Truth," "Love," "Communication," "Trust," and"Honesty." We are tapping into local parents and teens to tell their stories. These were developed into print ads, radio ads, TV ads, posters, as well as printed materials, i.e. the `Parent Kit,' a series of mailings that was launched Fall, 2001 to all parents, caregivers and guardians of Ithaca City School District students, grades 6-12. These colorful mailings have done the following: 1) send a strong and effective message to our target population correcting the norm regarding the perception of alcohol and other drug use among youth and parents. 2) Direct them to the Community Drug Task Force website (which was launched in Fall 2000) for more information. This website, www.ithacaparents.org, was designed by the Media Outreach Team (a subcommittee of the Community Drug Task Force) which includes Ithaca College Communications faculty and students, graphics and marketing professionals, parents, and human service providers. It has been extremely effective and ties together the entire public awareness campaign. In addition to featuring all the core 6 • • messages, the website includes links to both national and local contacts that will connect parents with the resources, information and help that they need. 3) Invited them to a series of trainings scheduled for Fall 2001 in this approach so that they can have a more effective and more meaningful dialogue with their children on the perceptions of alcohol and drug use. In this way, the social norms message can be reinforced in multiple places and can really make a difference. Communities often use the media as a vehicle to bring about changes in community practices, programs and norms. Various forms of media attention can also be very helpful in strengthening and augmenting effective strategies. We do not intend to use the media necessarily as an effective strategy on its own but rather as a tool that can be used to promote and support effective strategies. A very positive benefit of our public awareness campaign, is that its success has attracted the participation of other local organizations involved in these issues. We have formed new partnerships and collaborations that have greatly strengthened the campaign. One example of this, is that we been heavily promoting The Community Crisisline,which is our local 24 hour hotline, on all of our mailings and websites. We have greatly increased the awareness of this crucial phone number for all members in the community and increased the number of parents calling in to get help for dealing with their teens with alcohol and other drugs as well as other parenting issues. We have also been able to work together to incorporate other organizations' special events into our public awareness campaign. The evaluation of the media campaign will be administered by a telephone survey to 500 residents in the area of the Ithaca City School District. C. Transportation - Youth Bus Passes Research has shown that afterschool hours are the time when our children are most at risk. In increasing numbers, parents from all walks of life believe that encouraging their children to participate in healthy activities during after school hours can keep them safe, improve their academic performance and social development. The single largest obstacle for our local youth to participate in after school programs or local youth programs is the lack of transportation. 7 • • These youth bus passes will allow transportation throughout the county on the TCAT bus system. This will give students access to transportation that is flexible and fits his or her personal schedule. Our goal is to increase the number of youth participating not only in the many school sponsored programs like sports, drama, clubs, tutoring programs, but also in many other activities that students engage in after school hours such as jobs, music lessons, and community service. The response from parents/caregivers and guardians to the letter was immediate and favorable. We now have 500 school and middle school students now participating in the program. Many parents wrote notes of gratitude to us on their application (i.e. "Thank you for this opportunity!" "This is a great need. Thank you so much.") It reinforced our data that transportation was indeed a major obstacle for many working families. The majority of the participating youth are using public transportation for the first time. The cost of a 10 month student bus pass is normally $200, which is cost -prohibitive for many families. The immediate evaluation of the program will be found in the number of students using the TCAT bus passes. A survey administered by the Community Drug Task Force to parents of students issued passes, evaluating frequency of use and location of destinations also gave us results that showed that students gained the following positive assets: increased independence; increased self esteem: higher grades; higher frequency of library use, etc. resulted in The more profound result from creating this transportation solution is that we will foster the growth of increasing numbers of afterschool programs and resources that support youth during out-of-school time. D. A+ Tutoring Program targeted for African American youth in Ithaca High School, formerly known as theSteppin' Up Tutoring Program . This tutoring program is a partnership effort with a local community center called the Greater Ithaca Activities Center and the Ithaca City School District. By offering this satellite program at the high school campus they are able to reach more of the African American students they are targeting. 8 • • The program operates Monday - Thursday, 2:45 - 5:00 p.m. at Ithaca High School. Students study independently in small groups with tutors. There are eight tutors working with students on a regular basis. Approximately 35-40 students participate weekly. The students are expected to sign in when they arrive and begin their homework or other educational activity. The program provides notebook paper, folders, index cards, graph paper, pens, pencils, calculators and any other school supplies needed to help students complete assignments. Textbooks for specific classes are readily available. Snacks are also provided. The tutors come from several areas of the community including: 1) Cornell University Work study program; 2) retired teachers and professors from the Durfee Tutoring Program at First Presbyterian Church; 3) IHS teachers and IHS Honor Society students. The program has been well received by the high school, which had no tutoring program on site before this. The coordinator of the tutoring program met personally with all faculty members as well as all athletic team coaches, guidance counselors and social workers. In addition to referrals to the tutoring program by these key partners, niany referrals have also come from the parents. It is still of concern that the school has no additional support mechanisms outside of the classroom to prepare students for the new NYS regents requirements. It is our hope that this program will assist students in preparing for these new demanding standards. The A+ Tutoring program will be evaluated through the numbers of students participating in the program and over time academic achievement and daily school attendance of those involved will be measured. E. Scholarships for High Risk Students that enable them to participate in enrichment activities after school such as arts, music and dance classes. High school students who take music lessons and join theater groups do better in math, reading, history, geography and citizenship, according to a study of Education Department data. The study, which tracked more than 25,000 students for more than 10 years, found that students who reported consistently high levels of involvement with instrumental music scored significantly higher on math tests by the 12th grade. 9 • • • This observation held true for students regardless of their parents' income, occupations and levels of education, said James S. Catterall, the lead author and an education professor at the University of California, Los Angeles. Research shows that harnessing energies and channeling the creativity of at risk youth is necessary for success in behavior modification and treatment. The main obstacle is the lack of direction and focus that many of these students have. Even when it was a class that the individual had expressed strong interest in, it proved to be difficult for them to attend regularly. The students with whom we had the greatest success had established a rapport, a mentor relationship with the teacher of the class. They needed to feel that personal connection to the adult to consistently attend. To address this issue, in the Fall 2000, we initially intended to work closely with the Teen Center to offer arts enrichment activities and classes at this location. This is a relatively new center located in downtown Ithaca. However, it became clear that the Community School of Music and Arts, which is also downtown, would be a better match. They had already established a relationship with the Teen Center, and had developed some satellite arts, music and dance classes for them. The Community School of Music and Arts has over 70 faculty members teaching a full range of individual and group classes in visual arts, music, dance, and yoga. We were able to negotiate a reduced scholarship fee for at -risk, low income youth who would not normally be able to participate in these classes. The Scholarship Program made over 35 successful matches for youth in the 2000-2001 school year. During the Fall 2001-2002 year we laid the groundwork for our long term effort to focus on after-school programming for high risk teens, which is lacking in our area. Virtually every local human service agency serving youth has resources that could be better utilized through' enhanced collaboration and partnerships. The Community Drug Task Force will serve as a catalyst in our community to focus attention on this very important issue by creating new community partnerships and continuing to research other funding resources and and support for such programming. With the increase of gang violence and drug and alcohol activity among high risk youth in Ithaca and Tompkins County, there was an effort to create a program that would be more effective to curb these behaviors. 10 • • • In Spring of 2002, we collaborated with the Community School of Music and Arts, the Ithaca Housing Authority, the Southside Community Center and other youth service providers to launch a new program, the Touchtones Steel Band Project. Steel drum bands have proved to be a successful strategy to engage high-risk youth across the country. This music program promotes team building, cooperation, personal development, anger management and academic success. It can reduce drug and alcohol activity, violent crime and school dropout rates. The youth targeted are ages 12-18 in the Ithaca City School District, most of whom are high-risk and are receiving services from the following agencies: Community Drug Task Force, Ithaca Drug Treatment Court, Ithaca Youth Bureau, Big Brothers/Big Sisters program, Ithaca City School District, Ithaca Police Department, Community Dispute Resolution Center, and the Ithaca Housing Authority. Case management activities at these agencies will ensure that participating students will continue to receive their established services and maintain a commitment to academic achievement. F. Prevention, Intervention and Education - The Community Drug Task Force through its partnership with the Mental Health Association will provide programs for the prevention, education and intervention of parents, youth and community organizations. The Mental Health Association is a not-for-profit agency that has been serving Tompkins County for over 45 years. They have formed an exciting new collaborative effort, working with the highly regarded Paul Scheurs Program at the Ithaca City Youth Bureau. This is a mentoring program designed to work one to one with extremely high risk youth on the edge. They are identified in middle school, and they work with the students through high school. They have an excellent record of keeping the students on a positive track through graduation. The Mental Health Association has identified a particular model of resiliency theory developed by Horacio Sanchez, of Resiliency, Inc. Sanchez has been running a very successful program for high risk youth in North Carolina for 15 years. The Mental Health Association has worked very closely with Sanchez to develop a curriculum training program, that they have named the Success Program for mentors. This Success Program will greatly enhance the services that the Paul Scheurs Program provides to youth and 11 1 • families. The curriculum will broaden their ability to understand in a holistic sense the problems that youth and families struggle with. They have trained nine new mentors in this curriculum - a total of 21 hours of training. The mentors are working with middle school aged city and rural youth, primarily 6th -8th graders. They have linked the mentors with 10 - 15 youth. Phase II, which started in Fall 2000, included actual assessment of youth and identifying their control group. An evaluation of the Success Program's neighborhood leader's project has been researched and written, with guidance from both Cornell University's research and design department of the School of Ecology/Family Life Development Studies and Ithaca College Health Studies Department.. Other mentoring programs sponsored by the Ithaca City Youth Bureau have approached the Mental Health Association for training in these risk and resiliency methods. The intent is to enhance and complement the ongoing efforts of mentoring programs that are now occurring. in Tompkins County, with the Paul Scheurs Program being the primary control group. III. Management and Evaluation A. Who will lead? Alan Cohen, Mayor, City of Ithaca, Debi Albanese, Assistant Superintendent, Ithaca City School District, Beth Jenkins, Director, Tompkins County Mental Health Association, Laurel Guy, Coordinator, Community Drug Task Force. Project Management doing Task Force work will be reported to Alan Cohen, Mayor, City of Ithaca. B. Evaluation In addition to the methods for local evaluation described above, all of the programs will be evaluated for level of effectiveness by the following methods: The Rocky Mountain Survey will be administered to youth in the Ithaca City School District and high school levels every year (targeted at 6th, 8th, 10th and 12th graders.) Every two years, this survey willl hit the same set of youth as they advance in grade. The survey enables the evaluation of the immediate reduction of substance abuse. In 2002, the survey will hit the youth from the baseline data administered in 2000. 12 • • Data from Student Assistance Program (SAP) Counselor Currently the Student Assistance Program Counselor keeps data for numbers of students served, the demographics of students, and the total number of teachers and students. The counselor will provide documentation to illustrate the nature and numbers she has served. Strengthening Collaboration Anecdotal and statistical information will be shared by the Community Drug Task Force members. National Evaluation The Community Drug Task Force will fully participate in a National Evaluation, in order to illustrate the effectiveness of these ongoing and developing projects. C. Sustainability of Funding A high priority is now being given to researching and identifying additional funding sources at the local, state, and national levels, including foundation support. We will be working closely with other local community organizations including the Alcoholism Council of Tompkins County and the Tompkins County Tobacco Coalition to collaborate on grant proposals that will continue to build on our efforts to put in place successful, comprehensive strategies to reduce the incidence of substance abuse and to increase the protective behaviors by changing the perception of the community norm. These programs will reduce the harm of the risk factors, enhance existing partnerships, and become a gateway for future programs and community collaborations. The programs also address the current service gaps as well as the perceived service gaps within the Ithaca community.Together we will continue building a safer and healthier community in which to live and work. In four years time the City of Ithaca will be able to absorb the cost of a full-time paid Coordinator of the Community Drug Task Force. The Mental Health Association will have the communities positioned to train within their own neighborhoods, however they will sustain the overall administration and oversee the neighborhood programs. The Board of Education will absorb the cost of the discounted youth bus passes offered through Tompkins Consolidated Area Transit (TCAT). Discussions with TCAT remain positive about the continued discounted passes in future years. We are in the process of lobbying them to add additional buses for the afterschool hours between 3:00 p.m. and 5:00 p.m. so that students have less waiting time. TCAT wants to train the riders of the future and increase overall numbers of public transit riders. We are optimistic that we will be able to convince them to offer the discounted youth passes to the public to encourage this new population and to fill their empty seats. The Public Awareness Campaigns will be continued 13 • with the increased town/gown collaboration with Cornell University and Ithaca College. Both institutions boast sophisticated media facilities and have a commitment to utilizing the talents of the students to benefit community organizations through student internships and community service projects. The Community School of Music and Arts, which is emerging as the lead agency for working with high risk students in the arts will develop other sources of funding of the scholarships the Touchtones Steel Drum Project. 14 • • OMB Approval No. 1121-0188 Budget Detail Worksheet Purpose: The Budget Detail Worksheet may be used as a guide to assist you in the preparation of the budget and budget narrative. You may submit the budget and budget narrative using this form or in the form of your choice (plain sheets, your own form, or a variation of this form.) However, all required information (including the budget narrative) must be provided. Any category of expense not applicable to your budget may be deleted. A. Personnel - List each position by title and name of employee if available. Show the annual salary rate and the percentage of time to be devoted to the project. Compensation paid for employees engaged in grant activities must be consistent with that paid for similar work within the applicant organization. Name/Position Computation *Laurel Guy/Paid Coordinator 3/4 time one year Community Drug Task Force Cost In -Kind $17,160 **Youth Development Program Leader Paul Scheurs Program 32 weeks@17 hrs/wk@$9.38/hr $5,102 8 weeks @ 35 hrs/wk@$9.38/hr $2,626.40 ***Greater Ithaca Activities Center (GIAC) • Tutoring Coordinator 33 weeks@20 hrs/wk@$7.50/hr $4950 • Work Study Students: 27 weeks@ 3 students@25% of $6.50/ $1579 3hrs/day /4 times/wk Total Cost $31,417.40 Total In Kind $0.00 * The Coordinator of the Community Drug Task Force will plan thepublic awareness and education campaign, oversee the development and implementation of the Social Norms Marketing Campaign, monitor all grant programs, research new grant opportunities, coordinate volunteers of the Community Drug Task Force, implement the programs that foster the relationship between the Ithaca City School District and the community, and increase new community collaborations and partnerships. ** Youth Development Program Leader will assist with the after school program and the summer program and play an active role in developing and implementing the Success Program collaboration between the Mental Health Association and the Paul Scheurs Program of the Ithaca City Youth Bureau. This will include recruiting, training and supervising volunteer mentors, conducting home visits with family and youth, and providing ongoing advocacy and support to youth and families. Our intent was that the Youth 1 • Development Program Leader would work 17 hours per week during the school year and 35 hours per week during the summer. We decided to offer a full day program during July and August in order to keep the participants fully engaged in enrichment activities during school vacation, which is why there is a separate category (i.e. 8 weeks x 35 hours/wk @$9.38/hr.) This amount, $2,626.40, is to be charged to the "personnel" category. *** The GIAC Tutoring Coordinator will supervise the tutoring program at the high school, track student participation and meet with teachers, guidance counselors, social workers, coaches and parents.. B. Fringe Benefits - Fringe benefits should be based on actual known costs or an established formula. Fringe benefits are for the personnel listed in budget category (A) and only for the percentage of time devoted to the project. Fringe benefits on overtime hours are limited to FICA, Workman's Compensation, and Unemployment Compensation. Name/Position *Laurel Guy Coordinator, Community Drug Task Force **Youth Development Program Leader Paul Scheurs Program Computation $17,160. x 28.5% $7728 X 28.5% Fringe covers: FICA, Health, Retirement, Workers Comp, Unemployment, Disability Cost In -Kind $4,890.60 $2202.00 TOTAL Cost: $7092.60 Total In Kind: $0.00 Total Personnel & Fringe Benefits: $38,510.00 • • • C. Travel - Itemize travel expenses of project personnel by purpose (e.g. staff to training, field interviews, advisory group meeting, etc.) Show the basis of computation (e.g., six people to a 3 day training at $X airfare, $X lodging, $X subsistence.) In training projects, travel and meals for trainees should be listed separately. Show the number of trainees and unit costs involved. Identify the lcoation of travel, if known. Indicate source of Travel Policies applied, Applicant or Federal Travel Regulations. Purpose of Travel Location Item Computation Cost In Kind Washington D.C. Training Travel Expenses (Mandated) airfare (600.00) hotel (300.00) meals (100.00) for two staff for 2 days Technology Training in Region airfare ($350.00) , hotel ($100.00) and meals ($50.00) for one staff for 1 day (Mandated travel to outlying areas for Prevention series) $1000.00 $500.00 200 miles @.30 $60.00 TOTAL $1,560.00 Total In Kind $0.00 D. Equipment - List non -expendable items that are to be purchased. Non - expendable equipment is tangible property having auseful life of more than two years and acquisition cost of $5000 or more per unit. (Note: Organization's own capitalization policy may be used for items costing less than $5,000.) Expendable items should be included either in the "Supplies" category or in the "Other" category. Applicants should analyze the cost benefits of purhasing versus leasing equipment, especially high cost items and those subject to rapid technical advances. Rented or leased equipment costs should be listed in the "Contractual" category. Explain how the equipment is necessary for the success of the project. Attach a narrative describing the procurement method to be used. Item Computation Cost In Kind NA • E. Supplies - List items by type (office supplies, postage, training materials, copying paper, and expendable items costing less than $5,000, such as books, hand held tape recorders and show the basis for computation. (Note: Organization's own capitalization policy may be used for items costing less than $5,000.) Generally, supplies include any materials that are expendable or consumed during the course of the project. Supply Items Computation Cost In Kind GIAC Tutoring Program Books (textbooks, resource books, dictionaries) 280.00 $930.00 Paper.(notebook paper, graph paper) 50.00 Pens, pencils 20.00 Scientific and graphing calculators (two) 200.00 Regular calculators 50.00 Rulers, notebooks, index cards 80.00 Folders 50.00 Book cart (for textbooks and supplies) 200.00 Community Drug Task Force Postage for Community Drug Task Force materials six mailings to parents @ $600.00 each ICSD* *Ithaca City School District TOTAL Total In Kind 930.00 3,600.00 $3,600.00 F. Construction - As a rule, construction costs are not allowable. In some cases, monor repairs or renovations may be allowable. Check with the program office before budgeting funds in this category. Purpose Description of Work Cost NA G. Consultants/Contracts - Indicate whether applicant's formal, written Procurement Policy or the Federal Acquisition Regulations are followed. Consultant Fees: For each consultant enter the name, if known, service to be provided, hourly or daily fee (8 hour day), and estimated time on the project. Consultant fees in excess of $450 per day require additional justification and prior approval from OJP. Name of Consultant Service Provided Computation Cost Alan Berkowitz Developing core messages for Public Awareness & Education Campaign • • Working with Parent Focus Groups Analyzing data and developing messages 10 hours@$100/hr $1,000 5 hours@$100/hr $500 Total Cost Total In Kind Consultant Expenses: List all expenses to be paid from the grant to individual consultants in addition to their fees (i.e. travel, meals, lodging, etc.) Item Location NA $1,500 $0.00 Computation Cost Contracts: Provide a description of the product or service to be procured by contract and an estimate of the cost. Applicants are encouraged to promote free and open competition in awarding contracts. A separate justification must be provided for sole source contracts in excess of $100,000. • Item Cost NA H. Other Costs - List items (e.g. rent, reproduction, telephone, janitorial or security services, and investigative or confidential funds) by major type and the basis of computation. For example provide the square footage and the cost per square foot or rent, and provide a monthly rental cost and many months to rent. Description Cost In Kind Transportation 500 Youth Bus Passes @ $55 ea. $27,500 $85,000 TCAT* The actual cost of these yearly bus passes is $220 each. TCAT is charging us $55 for each pass, and is subsizing the rest of the cost. Scholarships Program $3000 We are working with The Community School of Music and Art (CSMA), which is launching a new program, Touchtones, a steel band for at risk teens Social Norms Marketing Campaign Printing of 800 Posters and 400 Table Tents $2,000 for display at high school and middle schools at $1.65 each. • • Cost of Website HostingLease $3,480 ClarityConnect** Television Ads: 30 spots a week @ $16 each @ 24 weeks Radio Ads: 6 spots a week @$30 each @ 12 weeks $5,760 TimeWarner Cable*** $2,160 Eagle Broadcasting**** Total Cost $32,500 Total In Kind Cost $96,400 *TCAT is Tompkins County Area Transportation, our local transit authority. **ClarityConnect is a local internet webhosting provider ***TimeWarner Cable is our local cable access provider ****Eagle Broadcasting owns the 4 major local radio stations. I. Indirect Costs - Indirect costs are allowable only if the applicant has a Federally approved indirect cost rate. A copy of the rate approval, (a fully executed, negotiated agreement), must be attached. If the applicant does not have an approved rate, one can be requested by contacting the applicant's cognizant Federal agency, which will review all documentation and approve a rate for the applicant organization, or if the applicant's accounting system permits, costs may be allocated in the direct costs categories. Description Computation CoFt NA Budget Summary - When you have completed the budget worksheet, transfer the totals for each category to the spaces below. Compute the total direct costs and the total project costs. Indicate the amount of Federal requested and the amount of non -Federal funds that will support the project. BUDGET CATEGORY AMOUNT *MATCHING FUNDS Required A. Personnel $31,417.40 B. Fringe Benefits $7,092.60 C. Travel $ 1,560.00 D. Equipment NA E. Supplies $930.00 F. Construction NA G. Consultants/Contracts $1,500.00 H. Other Costs $32,500.00 Total Direct Costs I. Indirect Costs NA TOTAL PROJECT COSTS Federal Request $75,000.00 Matching Funds $100,000.00 $3,600.00 $96,400.00 • • OMB Approval No. 1121-0188 Budget Detail Worksheet Purpose: The Budget Detail Worksheet may be used as a guide to assist you in the preparation of the budget and budget narrative. You may submit the budget and budget narrative using this form or in the form of your choice (plain sheets, your own form, or a variation of this form.) However, all required information (including the budget narrative) must be provided. Any category of expense not applicable to your budget may be deleted. A. Personnel - List each position by title and name of employee if available. Show the annual salary rate and the percentage of time to be devoted to the project. Compensation paid for employees engaged in grant activities must be consistent with that paid for similar work within the applicant organization. Name/Position *Laurel Guy/Paid Coordinator Community Drug Task Force Computation 3/4 time one year Cost In -Kind $17,160 **Youth Development Program Leader Paul Scheurs Program 32 weeks@17 hrs/wk@$9.38/hr 8 weeks @ 35 hrs/wk@$9.38/hr $5,102 $2,626.40 ***Greater Ithaca Activities Center (GIAC) • Tutoring Coordinator • Work Study Students: 33 weeks@20 hrs/wk@$7.50/hr 27 weeks@ 3 students@25% of $6.50/ 3hrs/day /4 times/wk $4950 $1579 Total Cost Total In Kind $31,417.40 $0.00 * The Coordinator of the Community Drug Task Force will plan the public awareness and education campaign, oversee the development and implementation of the Social Norms Marketing Campaign, monitor all grant programs, research new grant opportunities, coordinate volunteers of the Community Drug Task Force, implement the programs that foster the relationship between the Ithaca City School District and the community, and increase new community collaborations and partnerships. ** Youth Development Program Leader will assist with the after school program and the summer program and play an active role in developing and implementing the Success Program collaboration between the Mental Health Association and the Paul Scheurs Program of the Ithaca City Youth Bureau. This will include recruiting, training and supervising volunteer mentors, conducting home visits with family and youth, and providing ongoing advocacy and support to youth and families. Our intent was that the Youth Development Program Leader would work 17 hours per week during the school year and 35 hours per week during the summer. We decided to offer a full day program during July and August in order to keep the participants fully engaged in enrichment activities during school vacation, which is why there is a separate category (i.e. 8 weeks x 35 hours/wk @$9.38/hr.) This amount, $2,626.40, is to be charged to the "personnel" category. *** The GIAC Tutoring Coordinator will supervise the tutoring program at the high school, track student participation and meet with teachers, guidance counselors, social workers, coaches and parents. B. Fringe Benefits - Fringe benefits should be based on actual known costs or an established formula. Fringe benefits are for the personnel listed in budget category (A) and only for the percentage of time devoted to the project. Fringe benefits on overtime hours are limited to FICA, Workman's Compensation, and Unemployment Compensation. Name/Position *Laurel Guy Coordinator, Community Drug Task Force **Youth Development Program Leader Paul Scheurs Program Computation $17,160. x 28.5% $7728 X 28.5% Fringe covers: FICA, Health, Retirement, Workers Comp, Unemployment, Disability Cost In -Kind $4,890.60 $2202.00 TOTAL Cost: $7092.60 Total In Kind: $0.00 Total Personnel & Fringe Benefits: $38,510.00 C. Travel - Itemize travel expenses of project personnel by purpose (e.g. staff to training, field interviews, advisory group meeting, etc.) Show the basis of computation (e.g., six people to a 3 day training at $X airfare, $X lodging, $X subsistence.) In training projects, travel and meals for trainees should be listed separately. Show the number of trainees and unit costs involved. Identify the Icoation of travel, if known. Indicate source of Travel Policies applied, Applicant or Federal Travel Regulations. Purpose of Travel Location Item Computation Cost In Kind Washington D.C. Training Travel Expenses (Mandated) airfare (600.00) hotel (300.00) meals (100.00) for two staff for 2 days Technology Training in Region airfare ($350.00) , hotel ($100.00) and meals ($50.00) for one staff for 1 day (Mandated travel to outlying areas for Prevention series) $1000.00 $500.00 200 miles @.30 $60.00 TOTAL $1,560.00 Total In Kind $0.00 D. Equipment - List non -expendable items that are to be purchased. Non - expendable equipment is tangible property having auseful life of more than two years and acquisition cost of $5000 or more per unit. (Note: Organization's own capitalization policy may be used for items costing less than $5,000.) Expendable items should be included either in the "Supplies" category or in the "Other" category. Applicants should analyze the cost benefits of purhasing versus leasing equipment, especially high cost items and those subject to rapid technical advances. Rented or leased equipment costs should be listed in the "Contractual" category. Explain how the equipment is necessary for the success of the project. Attach a narrative describing the procurement method to be used. Item Computation Cost In Kind NA • • E. Supplies - List items by type (office supplies, postage, training materials, copying paper, and expendable items costing less than $5,000, such as books, hand held tape recorders and show the basis for computation. (Note: Organization's own capitalization policy may be used for items costing less than $5,000.) Generally, supplies include any materials that are expendable or consumed during the course of the project. Supply Items Computation Cost In Kind GIAC Tutoring Program Books (textbooks, resource books, dictionaries) 280.00 $930.00 Paper (notebook paper, graph paper) 50.00 Pens, pencils 20.00 Scientific and graphing calculators (two) 200.00 Regular calculators 50.00 Rulers, notebooks, index cards 80.00 Folders 50.00 Book cart (for textbooks and supplies) 200.00 Community Drug Task Force Postage for Community Drug Task Force materials six mailings to parents @ $600.00 each ICSD* *Ithaca City School District TOTAL Total In Kind 930.00 3,600.00 $3,600.00 F. Construction - As a rule, construction costs are not allowable. In some cases, monor repairs or renovations may be allowable. Check with the program office before budgeting funds in this category. Purpose Description of Work Cost NA G. Consultants/Contracts - Indicate whether applicant's formal, written Procurement Policy or the Federal Acquisition Regulations are followed. Consultant Fees: For each consultant enter the name, if known, service to be provided, hourly or daily fee (8 hour day), and estimated time on the project. Consultant fees in excess of $450 per day require additional justification and prior approval from OJP. Name of Consultant Service Provided Computation Cost Alan Berkowitz Developing core messages for Public Awareness & Education Campaign • • • Working with Parent Focus Groups Analyzing data and developing messages 10 hours@$100/hr $1,000 5 hours@$100/hr $500 Total Cost Total In Kind $1,500 $0.00 Consultant Expenses: List all expenses to be paid from the grant to individual consultants in addition to their fees (i.e. travel, meals, lodging, etc.) Item Location Computation Cost NA Contracts: Provide a description of the product or service to be procured by contract and an estimate of the cost. Applicants are encouraged to promote free and open competition in awarding contracts. A separate justification must be provided for sole source contracts in excess of $100,000. Item NA Cost H. Other Costs - List items (e.g. rent, reproduction, telephone, janitorial or security services, and investigative or confidential funds) by major type and the basis of computation. For example provide the square footage and the cost per square foot or rent, and provide a monthly rental cost and many months to rent. Description - Transportation 500 Youth Bus Passes @ $55 ea. The actual cost of these yearly bus passes is $220 each. TCAT is charging us $55 for each pass, and is subsizing the rest of the cost. Scholarships Program $3000 We are working with The Community School of Music and Art (CSMA), which is launching a new program, Touchtones, a steel band for at risk teens Cost $27,500 In Kind $85,000 TCAT* Social Norms Marketing Campaign Printing of 800 Posters and 400 Table Tents $2,000 for display at high school and middle schools at $1.65 each. • • Cost of Website HostingLease $3,480 ClarityConnect** Television Ads: 30 spots a week @ $16 each $5,760 @ 24 weeks TimeWarner Cable*** Radio Ads: 6 spots a week @$30 each $2,160 @ 12 weeks Eagle Broadcasting**** Total Cost $32,500 Total In Kind Cost $96,400 *TCAT is Tompkins County Area Transportation, our local transit authority. **ClarityConnect is a local internet webhosting provider * * *TimeWarner Cable is our local cable access provider ****Eagle Broadcasting owns the 4 major local radio stations. I. Indirect Costs - Indirect costs are allowable only if the applicant has a Federally approved indirect cost rate. A copy of the rate approval, (a fully executed, negotiated agreement), must be attached. If the applicant does not have an approved rate, one can be requested by contacting the applicant's cognizant Federal agency, which will review all documentation and approve a rate for the applicant organization, or if the applicant's accounting system permits, costs may be allocated in the direct costs categories. Description Computation Cost NA Budget Summary - When you have completed the budget worksheet, transfer the totals for each category to the spaces below. Compute the total direct costs and the total project costs. Indicate the amount of Federal requested and the amount of non -Federal funds that will support the project. BUDGET CATEGORY .AMOUNT *MATCHING FUNDS Required A. Personnel $31,417.40 B. Fringe Benefits $7,092.60 C. Travel $ 1,560.00 D. Equipment NA E. Supplies $930.00 F. Construction NA G. Consultants/Contracts $1,500.00 H. Other Costs $32,500.00 Total Direct Costs I. Indirect Costs NA TOTAL PROJECT COSTS Federal Request $75,000.00 Matching Funds $100,000.00 $3,600.00 $96,400.00 • Community Drug Task Force: Organizational Chart Alan Cohen Mayor, City of Ithaca Key Decision and Policy Initiator Community Figurehead Beth Jenkins Director Mental Health Association Laurel Guy Coordinator Community Drug Task Force Debi Albanese Director, State and Federal Programs Ithaca High School • • Community Drug Task Force Timeline of Major Milestones and Project Deliverables October 1999 Notification of Grant Award Public Awareness Media Outreach Team begins reviewing media materials Consultant Alan Berkowitz is hiredfor Social Norms Marketing Campaign Partnership with ICSD School Outreach Team conducts student focus groups to identify afterschool enrichment activities November 1999 Public Awareness Dev. Social Norms Campaign Hot Spot Card Campaign Partnership with ICSD TCAT develops prototype for Student Bus Pass December 1999 Public Awareness Social Norms Survey instrument is developed Partnership with ICSD Tutoring Coordinator is hired for GIAC A+ Tutoring program January 2000 Public Awareness Dev. Social Norms Campaign Partnership with ICSD Scholarship program is launched Tutoring program is launched February 2000 Public Awareness IHS students begins series of surveys to collect Campus Factoid statements Garrity Communications is hired to design Social Norms Campaign Partnership with ICSD Negotiations with District Attorneys regarding Student Bus Pass Program reach a solution • • March 2000 Public Awareness Social Norms Survey is administered Social Norms Survey data is analyzed Garrity Communications begins designing the Social Norms Campaign Campus Factoid Survey data is analyzed Partnership with ICSD Second series of Scholarship classes start Bus Pass Application Letter go out to high school parents April 2000 Public Awareness Social Norms Marketing Campaign is launched Campus Factoids screen saver program is implemented Partnership with ICSD Bus Passes go out to high school students Bus Pass Application Letter goes out to middle school parents Renegotiated with TCAT for year-round student bus pass May 2000 Public Awareness Public Awareness & Education Campaign is being developed: Radio & TV ad campaign Website design process begins Series of articles for Ithaca Journal being planned and drafted through the summer Partnership with ICSD Partnership with Teen Center established for Fall 2000 for Scholarship program June 2000 Public Awareness Berkowitz conducts parent focus groups Series of articles for Ithaca Journal being planned and drafted through the summer Planning begins for series of Parent training workshop through partnership with BOCES July 2000 Public Awareness Berkowitz conducts parent focus groups Berkowitz develops core messages for Public Awareness & Education Campaign Series of articles for Ithaca Journal being planned and drafted through the summer August 2000 Public Awareness Garrity Communications designs Parent Kit Monthly article in year-long series is published in Parenting Journal • • Fall/Winter 2000 Public Awareness Parent Kit is mailed to all high school parents Radio and TV ad campaign is launched First series of parenting workshops begins Social Norms Campaign is updated: new Campus Factoids are added; new posters and table tents are printed Partnership with ICSD Scholarship program through Community School of Music and Arts is launched Tutoring program starts up Student Bus pass re-application letter goes out to high school and middle school parents Winter/Spring 2001 Public Awareness Second set of Radio & TV ads are launched Second series of parent workshops begins Monthly article in year-long series is published in Parenting Journal Partnership with ICSD Student Bus Passes are sent out for year 2001 Scholarship program is expanded Fall/Winter 2001 Public Awareness Ithaca ParentWebsite Launched Parent Kit is mailed to all high school parents Radio and TV ad campaign continues New series of parenting workshops begins Social Norms Campaign is updated: new Campus Factoids are added; new posters and table tents are printed Monthly article in year-long series is published in Parenting Journal Partnership with ICSD Scholarship program through Community School of Music and Arts expands Tutoring program starts up Student Bus pass re-application letter goes out to high school and middle school parents Winter/Spring 2002 Public Awareness Next set of Radio & TV ads are launched Next series of parent workshops begins Partnership with ICSD Student Bus Passes are sent out for year 2002 Scholarship program is expanded Fall/Winter 2002 Public Awareness Ithaca ParentWebsite updated Parent Kit series is mailed to all high school and middle school parents Radio and TV ad campaign continues • New series of parenting workshops begins Social Norms Campaign is expanded to all high school and middle school students: social norms is conducted of students; Berkowitz develops core messages for Public Awareness & Education Campaign Partnership with ICSD Student Bus Passes are sent out for year 2002/2003 Scholarship program is focused on Touchtones Steel Band Winter/Spring 2003 Ithaca ParentWebsite updated Parent Kit series is mailed to all high school and middle school parents Radio and TV ad campaign continues New series of parenting workshops begins Social Norms Campaign is expanded to all high school and middle school students: new posters printed, campus factoids are launched. • RESUMES OF KEY PERSONNEL CITY OF ITHACA 108 East Green Street Ithaca, New York 14850-5690 OFFICE OF THE MAYOR • ALAN J. COHEN Telephone: 607/274-6501 Fax: 607/274-6526 Mini -Bio of City of Ithaca Mayor Alan J. Cohen Born on April 22, 1959 to Joseph and Barbara Cohen. Grew up in Hicksville, N.Y., with his two younger siblings Jeffrey and Michelle, and attended Syosset High School. Cornell University Class of '81, graduated with a Bachelor of Science in Business Management. In 1984, purchased the tavern Simeon's on the Commons, converted it into a restaurant and managed it for the next twelve years. During that time he was involved in many community service activities, focusing on hunger and poverty relief. Activities include hosting a free New Year's Day Community Meal for the homeless and disadvantaged, the Ithaca Share Our Strength's Taste of the Nation fundraiser, food service consultant to homeless shelters and food pantries, Tompkins County Stop DWI Board, County Substance Abuse Prevention Coalition, Healthy Heart Program Board, Catholic Charities, Human Services Coalition board, Chamber of Commerce, Downtown Ithaca Inc., 0 the Tompkins County Advisory Board on Tourism and Development, Ithaca Urban Renewal cY Ag en , several school district committees and two local theater boards. He is an active Rotarian, and has served as a volunteer firefighter since 1994. After an unsuccessful bid for city council in 1993, he ran for mayor in 1995. Running as an Independent, he conducted an old-fashioned door-to-door campaign and defeated the three term incumbent mayor. Mayor Cohen is primarily focusing on the issues of economic development, substance abuse, intermunicipal relations, organizational and human resource components of city government, youth, diversity, neighborhood integrity and traffic. • 'An Equal Opportunity Employer with an Affirmative Action Program' 4110 PROFESSIONAL EXPERIENCE: • Resume' Dr. Katrina Jacobson Turek 1996 to Present: Assistant Superintendent of Pupil Personnel Services Ithaca City Schools, Ithaca, NY Responsible for overseeing all support services, including Special Education, Titlel, ESL, Testing & Evaluation, Early Childhood, plus Athletics, PE and Health in' a public school district of 6100 students. In addition, all district records, attendance, disciplinary policies, procedures, and Hearings are supervised from this office, in addition to Home Schooling and Homebound Education. Community outreach and laison work is also an essential component, which includes the Community Drug Task Force, the School to Career Initiative Partnership with the Chamber of Commerce and other mental health and physical health community committees. 1987 to 1996: Student Support Services Project Director/Coordinator North East Independent School District, San Antonio, TX -Responsible for designing, implementing, training, coordinating and supervising comprehensive drug and violence prevention program for a public school district of 46,000 students with an annual budget of approximately $500,000. This includes student counseling services, mediation and conflict resolution, curriculum development (PK -12) and extensive parent and community outreach and education; includes grant writing, fiscal management, and supervision of 25 staff. 1985 to 1996: National Consultant and Trainer -Responsible for the 3-5 day teaching of specific curriculum (college credit) to teachers, counselors and school administrators -1988-1996: Quest International, Granville, OH -1985-1990: Lee Cantor & Assoc, Santa Monica, CA (Senior Trainer - Assertive Discipline) 1985-87: Assistant Principal, NEISD (500 elementary student enrollment) 1984-85: Interim Principal, NEISD (500 elementary student enrollment) 1979-85: School Counselor, NEISD (Caseload of 750 elementary students) 1975-79: Classroom Teacher, NEISD (5th grade) 1973-75: Pursuing MA -Internship, Boulder Creek, CA, Alternative High School 1969-73: Classroom Teacher, Moreland School District, San Jose, CA (6th grade) PROFESSIONAL ORGANIZATIONS: Association for Supervision and Curriculum Development American Association of Counseling and Development American Assoc. for Marriage and Family Therapy (Clinical Member) National Peer Helpers Association (Exec. Board Member) Peer Assistance Network of Texas (Vice Chair., Executive Council) REFERENCES: Placement Office College 41111 Columbia University New York, NY 10027 PROFESSIONAL HONORS: 1994 Palmer Drug Abuse Prevention Educator of the Year Award National Peer Helpers Assoc. Board Member 1992 National Outstanding Student Assistance Award -National School Board Assoc. 1994 Director -24 Hour Relay CHALLENGE Community Mobilization Project • • LICENSES/CERTIFICATIONS: Certified School Administrator, New York and Texas Certified School Counselor (K-12), TX and CA Certified Teacher (K-6), TX, CA and NY Licensed Professional Counselor, TX Licensed Marriage & Family Counselor, Nationally and TX Licensed Chemical Dependency Specialist, TX EDUCATION: Doctorate of Education - School Administration and Organizational Management, 1992 Columbia University, New York, New York -Mid Management and Supervision Certification, 1986 Trinity University, San Antonio, Texas Master of Arts - Counseling Psychology, 1975 San Jose State University, San Jose, California -Marriage and Family Therapy Specialization, 1983 St. Mary's University, San Antonio, Texas Bachelor of Arts - Elementary Education, 1969 S.U.N.Y. at Oswego, New York Professional Consultant Training (1985-1991) Lee Cantor & Assoc., Santa Monica, CA (1985-90) Quest International, Granville, OH (1988-91) t • • Laurel Guy 219 Elm Street Ithaca, New York 14850 • 607/272-2921 Summary of Qualifications: • Seasoned administrator in both business and non-profit environments with expertise encompassing special events; community organizing, advertising, marketing and public relations; grant writing; fundraising; budget preparation; staff and volunteer recruitment and training; office management. • Excellent oral and written communication, organizational, and creative problem -solving skills. • Demonstrated capability managing simultaneous projects and successfully meeting deadlines. • Active leadership in a variety of community organizations. Employment Highlights: COORDINATOR • Community Drug Task Force • Ithaca, New York (1998 to present) • .Responsible for coordinating this coalition that functions as a partnership between the City of Ithaca and the Ithaca City School district. The coalition is an alliance between the schools, government and neighborhoods, and develops strategies to reduce alcohol and other substance abuse in Ithaca and Tompkins County. • Develop strategic plan for coalition and coordinate all volunteer committee groups and their outreach activities. • Develop and implement public awareness campaign, write quarterly newsletter for task force members. • Organize special events and educational activities for targeted groups. DIRECTOR • Ithaca Festival • Ithaca, New York (1994 to present) • Responsible for overseeing all aspects of this music and arts festival that features the performances of over 1,000 musicians, dancers, actors, storytellers, community groups and ensembles. This celebration is one of the most unique festivals in the country, attracting an audience of over 45,000. • Created public relations, marketing and print, radio and TV advertising campaigns. • Developed new funding sources through grants and corporate sponsorships. • Coordinated staff and the efforts of over 300 volunteers. GENERAL MANAGER • TakeNote • Ithaca, New York (1991 - 1996) • Responsible for all aspects of this supplemental lecture note service at Comell University, including hiringand training50 student notetakers and editors, supervising p rnsing weekly editing sessions, maintaining subscriber database, distribution centers, creatingand designing print ads and flyers, 9 9 developing promotional campaigns, working with faculty and campus store personnel. • Developed and published additional educational support materials working with graduate TAs and professors. • Developed strategic plan and franchise model for expanding this service to other universities; established a successful location at University of North Carolina at Chapel Hill. MANAGER • Made In New York Stores • Ithaca, New York (1985 - 1991) • Responsible for the daily operation of two retail stores and national mail order business that marketed products, food and wine made in New York State. Managed administrative operations including accounts receivable, accounts payable, supervised staff, wrote print ads and catalogue copy, developed new product ideas. ENVIRONMENTAL ANALYST • Texas Eastern • Houston, Texas (1980 - 1981) • Working with engineering services team, monitered pipeline facilities of this oil and gas corporation for compliance with state and federal environmental regulations. TECHNICAL WRITER • J.C.Kiriley Co. • Houston, Texas (1979 - 1980) • Wrote engineering reports that analyzed the level of corrosion in oil wells and pipelines for this oil well services company. Also wrote training manuals for several in-house positions. INSTRUCTOR • Outdoor Education Center • Houston, Texas (1978 - 1979) • Taught fifth grade curriculum with emphasis on environmental studies at this specialized magnet school in the Houston Independent School District. Education BACHELOR OF ARTS IN ENVIRONMENTAL STUDIES • Trinity University • San Antonio, Texas Related Activities: FOUNDER • Ithaca Artists' Market BOARD OF DIRECTORS • KitchenTheatre CAMPAIGN MANAGER • City of Ithaca Mayoral Candidate CAMPAIGN MANAGER • New York State Senate Candidate • • • Beth Jenkins 26 McLallen Street Trumansburg, NY 14886 Phone (607) 387-5178 OBJECTIVE To work for an organization as an administrator MANAGEMENT • Over 26 years experience in management of human service programs • Skilled in motivating and working with clients, boards and other community agencies • Ability to build linkages, partnerships and/or coalitions with human service agencies FINANCIAL • Experience with multiple public and private funding and regulatory sources • Knowiedge and experience in development and execution of budgetary processes • Ability to identify, write and secure Federal, State and local grants for program development PROGRAM DEVELOPMENT, PLANNING AND EVALUATION • Extensive experience in development, implementation and supervision of programs for children, youth, and adults of all ages • Successful development and implementation of mission statements, needs assessments and long range planning for human service programs • Experience in development of comprehensive program plans PUBLIC RELATIONS • Skilled in conducting public meetings and hearings • History of resolving human service issues through collaboration with community organizations • Ability to present written and verbal information to community organizations, media and goveming bodies EMPLOYMENT HISTORY Executive Director for Mental Health Association in Tompkins County December 1995 to present Responsible for the overall administration of the agency in conformance with federal, state and local mandates including program development, preparation of grant applications, supervision of ongoing operations, negotiation and implementation of sub -contracts, public relations and contact with elected officials, human service and community leaders; fiscal management, completion and management of budgets; recruitment, hiring, supervision and training of staff. Consultant Planner for Tioga County Area Agency on Aging October 1995 Worked with the Director of the AAA to analyze client population and related data to develop planning process using evaluation techniques; provide recommendations for efficient and effective use of resources; and provide technical assistance to the planning and budget process for the 1996-2000 Four Year Plan. Consultant Planner for Crisis Hostel Research Project September 1995 to December 1995 Worked with the Project Director to identify funding opportunities for the organization. Wrote funding letters and worked on timeline development and approach for funding sources. • • • page 2 of 2, Beth Jenkins, (607) 387-5178 Tompkins County Mental Health, 201 East Green Street, Ithaca, NY 14850 Mental Health Administrator October 1991 to August 1995 (accepted early retirement option) Expanded responsibilities of Assistant Director for Planning and Administration to include: supervision and development of four administrative teams encompassing the financial and administrative operations of the department; developed, supervised and coordinated budget and spending procedures for the department and contract agencies covering funding from Federal and State of New York Offices of Mental Health, Mental Retardation/Developmental Disabilities and Substance and Alcohol Abuse Services totaling 13 million dollars; established a new mental health department -wide computer billing and records system to handle over 2,000 cases and over two million in receivable. Assistant Director for Planning and Administration, March 1988 to October 1991 Evaluated departmental and contract agency programs for the four disability areas; served as department liaison to community, contract and state agencies; provided support and direction for the Mental Health Board and committees; represented Commissioner at public meetings; assisted in the development of departmental policies and procedures. Tompkins County Department of Social Services, 401 Harris B Dates Drive, Ithaca, NY 14850 Positions held from Case Worker to Acting Commissioner of the Department May 1968 to March 1988 Field to supervisory responsibilities for programs such as Medicaid, Food Stamps, Public Assistance, and Services; supervised case work teams responsible for programs including Family Day Care, Family Services, Foster Care, Adoption, Child and Adult Protective; insured regulatory compliance of providers such as Center and Certified Family Day Care; established procedures for financial management that met Federal and State requirements for Representative Payee for adult clients; responsible for hiring, training and management for up to 55 staff; supervised the Tompkins County Home and Farm; planned and coordinated training and evaluation programs; and assisted in department budgetary process. EDUCATION Youngstown State University, College of Arts and Sciences: AB Liberal Arts Elmira College: coursework in psychology and history SUNY Albany: coursework in social work Cornell University, College of Industrial Labor Relations: coursework in labor relations Tompkins Community College: Accounting 1982/Statistics, 1990 Continuing Education, NewYork State Office of Mental Health: Participatory Planning, Conducting Needs Assessments, Conducting consumer satisfaction surveys, Intensive Psychiatric Rehabilitation Treatment (IPRT) BOARDS, COMMITTEES AND AWARDS Suicide Prevention and Crisis Service; Jack Lewis Award for exemplary support to community members in crisis, 1995 Group Homes of Tompkins County Board, 1995 Broome DDSO Regional Advisory Board (OMRDD), 1994 -present Westem Regional Planning and Advisory Committee for Office of Mental Health,1992-1995 Health Planning Council Human Services Coalition Board Trumansburg Ulysses Joint Youth Commission, 1987-1993 Tompkins County Mental Health Board, 1980-1988 Case Management Team Award, State Office of Mental Health, 1984 Trumansburg Juniper Manor Planning and Development Board (Senior Housing) Tompkins County Board of Representatives Development Committee to establish an Office for the Aging in Tompkins County REFERENCES AVAILABLE UPON REQUEST • • Jun 2'7 00 0S:12a Ithaca Youth Bureau 607-273-2817 p.5 Mental Health Association „ in Tompkins CountyTm April 24, 2000 Alien Green Youth Bureau City of Ithaca 1 James L. Gibbs Drive Ithaca, NY 14850 Dear Mr. Green, 225 South Fulton Street. Suite H Ithaca, New York 14850 (6071 273-q250 Fax (607 ) 372-5343 It is with pleasure that I write this confirmation letter to the Ithaca Youth Bureau. As we have discussed, the Mental Health Association in Tompkins County is a partner with the City of Ithaca Community Drug Task Force and is to receive funds from the Drug Free Grant. We wish to allocate a portion of these funds to the Ithaca Youth Bureau for the Mentoring Project- Paul Schreurs Memorial Program. As we have discussed the amount for this first year will be $10,000. As you have proposed this would permit the Youth Bureau to hire needed staff. The more that I see and work with the Ithaca Youth Bureau staff, the more 1 am impressed. I feel that this is a perfect match for us and the mentoring program structure that Horacio Sanchez has provided the MHATC to use. Thank you for your enthusiam and willingness to work with our agency to enhance services to the mentors and the youth they serve. Please feel free to contact me for more information or clarification. Sincerely, 411.4 .41 Beth. Jenk Executive effector UNITED WAY OF TOi.1PKINS COUNTY • Jun 27 00 09:11a Ithaca Youth Bureau KEVIN THOMPSON , DUCATION Harvard University Graduate School - Cambridge, MA John F. Kennedy School of Government 807-273-2017 P-2 11-B Strawberry Hill Road Ithaca, New York 14850 607-272-0191 1984 Special Student in the Public Policy Program 1983-84; Study focus: Operations Research, Business/Government Relations, Public Management; Harvard University Scholarship. Cornell University Graduate School -Ithaca, NY 1981-83 College of Architecture, Art and Planning Master of Cly and Regional Planning (MRP) ; Concentration: Fis al Planning and Housing; Thesis: "Squatter Settlements in Kenya"; Emphasis in Fiscal Planning and Administration, Urban Design; Cornell University Fellowship; Cornell Fellowship to Tanzania, Africa as Team Planner with Operation Crossroads, Inc. Syracuse University- Syracuse, NY 1977-81 Maxwell School of Citizenship and Public Affairs Bachelor ofArts in Policy Studies, emphasis in State and Local Finance, Urban and Regional Economics: Syracuse University Scholarship; Gerontology Certificate.; Ari y R.O,T.C. - Summer Camp at Fort Knox, Kentucky, PROFESSIONAL EXPERIEVCg Brookline Fire Department -Brookline, MA 1987-96 Firefighter/EMT, Responsible for fire rescue and public safety; principal EMT for Group IV; Public Education and Awareness wining on fire prevention, personal health and safety. Thompson Real Estate Appraisal - Natick, MA 1992-96 Co-Owner/Assistant ner/Assistant RE. Appraiser, Assisted in the evaluation..ef real estate for valuation estimates; collected data on residential and commercial properties for uniform appraisal reporting; Perforated quality control, conducted on-site inspections, assisted in the management of multi -client fee for services. Massachusetts Housing Finance Agency -Boston, MA 1986-87 h.ranagernent Analyst, Responsible for monitoring the property management of a portfolio of 15 to 20 M1iFA-financed developments (portfoiio valued at $100,000,000) including, evaluating and reviewing developments from rent -up through rent-in=ease; Acted as Liason between Managerf evelcper, Tenants and other MHFA departments. Commonwealth of Massachusetts - Boston, MA 1985 - 86 Executive Office of Adrnialstration and Finance Assistant Project Manager, Assist in the coordination and development f Capitol Improvement projects within the Division of Capitol Planning and Operations- Office of Programming; Supervised and approved services rendered by Architects and Engineers in coordination with User and Operating State Agencies; Capitol allocation ofprcjecst ranged from S500,000 to $20 million. ft CTIVITIES Cornell and Syracuse University Black Alumni Association Cornell University- Department of City and Regional Planning Minority Recruitment Committee Certified Emergency Medical Technician I • • 3un 27 00 09:11a Ithaca Youth Bureau 607-273-2817 p.4 Youth Worker — Youth Bureau'Ithaca New York Fall/1999i Coordinated transportation to support student cultural exchange program; Acted as liason between students to discuss differences/similarities in Ithaca city and rural communities; Provided interactive activities to enhance program in diversity, Instructor Training — Boston, Massachusetts (1984) Obtained certificate in `Management Training' through the Executive Office of Finance; Received training in learning how to supervise individuals and groups; Increased knowledge of group dynamics, work styles and project management. Thank you for the opportunity to apply for this position. Should you have any questions on the documents, please feel free to contact me at 272-0191. COMIVMUNITY DRUG TASK FORCE MATERIALS • COMMUNITY DRUG TASK FORCE ROSTER Required Group Member Sector Contribution of Organization Schools • Katrina Turek, Assistant Superintendent . Pupil Personnel Services Ithaca High School Ithaca high school connection to the community about youth. school policy initiatives. Local Government Alan Cohen, Mayor City of Ithaca City of Ithaca Important Figurehead, Initiates policy in community regarding substance abuse Coordinator Laurel Guy Community Drug Task Force Initiatives collaboration and commitment to tasks of the Action Teams Law/Court Judge John Rowley Ithaca Drug Court Interacts with youth in treatment due to drug related charges through Drug • Treatment court; collaborates what is needed through laws and policy Religious Leader Rev. Cleveland Thornhill Reverend, St. Jamie's AME Zion Church AME Zion church is a historic African American church in the city of Ithaca. This church boasts a large congregation Local Business owner Chuck Bartosh • Owner, Clarity Connect Inc. Local business provides link to help sponsor initiatives, and know what they can do to reduce substance abuse. Use, and trafficking Media Sandy List Publisher, Ithaca Child Link with media gives publicity to Task Force, as well as other youth programs within the Organizations Serving Youth Cassandra Nelson Greater Ithaca Activities Center(GIAC) GIAC provides many of the afterschool programs to youth in the Northside of the City of Ithaca. They can contribute ideas and collaborate efforts Civic or Volunteer Organizations Tracy Farrell Common Council member City of Ithaca Common Council members are community volunteers elected by the residents of the city of Ithaca. They give their constituents a voice. and bring real life issues to the Task Force Religious Leader Doug Green Minister, First Congregational Church Link to Congregation to encourage workshops on prevention and education for youth and parents 34 i • Organization Serving Youth Sara Hess Planner, Tompkins County Youth Bureau The Youth Bureau can initiate programs to serve youth as well as bring problems with existing programs up for discussion Law enforcement Court Georgette King • Ithaca Drug Treatment Court Interacts with youth in treatment due to drug related charges through Drug Treatment court; collaborates what is needed through laws and policy Youth Amity Weiss ' Ithaca High School Student Youth: youth given a voice to community and school district Prevention and i Intervention Beth Jenkins Director, Mental Health Association of Tompkins County This agency provides much needed link to prevention and intervention efforts of youth and families Religious or Fraternal Organization Mimi Melegrito Kiwanas A local business organization that can provide sponsorship, policy initiatives and a link to a larger group of people. Local University Tim Marchall Cornell University Substance abuse psychologist Cornell University is a large institution that can provide resources to community, on Law Enforcement • Phil Newby Ithaca City Police City Police give perceptions and data on what crimes occur and how they can be deterred by an increased presence in the neighborhood Health Care • Professional Lynne Tylee Clinical Supervisor, Alpha House Alpha House is one of the only residential services for substance users and addicts in Ithaca, they can provide information on treatment programs and outreach to the Task Force. 1 Year Time Line (see attachments) 4 Year Strategic Plan (see 4 year timeline attached, in addition please see the Community Drug Task Force Report for a comprehensive overview of future initiatives) Sustaining Funding after 4 years In four years time the City of Ithaca will be able to absorb cost of a full- time Paid coordinator of The Community Drug Task Force. The Mental Health association will have the communities positioned to train within their 35 APPLICATION FOR FEDERAL ASSISTANCE OMB Approval No. 0348-0043 2. DATE SUBMITTED Applicant Identifier 1. TYPE OF SUBMISSION: A plication Construction 0 Non -Construction 5. APPLICANT INFORMATION Legal Name: Preapplication 0 Construction 0 Non -Construction 3. DATE RECEIVED BY STATE State Application Identifier 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier Organizational Unit: Address (give city, county, State, and zip code): Name and telephone number of person to be contacted on matters involving this application (give area code) 6. EMPLOYER IDENTIFICATION NUMBER (EIN): II II 11 I 8. TYPE OF APPLICATION: 0 New 0 Continuation If Revision, enter appropriate letter(s) in box(es) II 0 Revision A. IncreaseAward B. Decrease Award C. Increase Duration D. Decrease Duration Other(specify): 7. TYPE OF APPLICANT: (enter appropriate letter in box) A. State H. Independent School Dist. B. County I. State Controlled Institution of Higher Learning C. Municipal J. Private University D. Township K. Indian Tribe E. Interstate L. Individual F. Intermunicipal M. Profit Organization G. Special District N. Other (Specify) 9. NAME OF FEDERAL AGENCY: 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: TITLE: 12. AREAS AFFECTED BY PROJECT(Cities, Counties, States, etc.): 11. DESCRIPTIVE TITLE OF APPLICANTS PROJECT: 13. PROPOSED PROJECT , 14. CONGRESSIONAL DISTRICTS OF: Start Date Ending Date a. Applicant b. Project 15. ESTIMATED FUNDING: 00 a. Federal b. Applicant 00 00 c. State d. Local e. Other 00 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? 00 f. Program Income g. TOTAL 00 a. YES. THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON: DATE b. No. 0 PROGRAM IS NOT COVERED BY E. O. 12372 0 OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? 0 Yes If "Yes," attach an explanation. 0 No 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATIOWPREAPPLICATION ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. a. Type Name of Authorized Representative b. Title c. Telephone Number d. Signature of Authorized Representative e. Date Signed Previous Edition Usable Authorized for Local Reproduction Standard Form 424 (Rev. 7-97) Prescribed by OMB Circular A-102 35 1a.UL«l.if.!71, ..:_ APPLICATION FOR OMB Approval No. 0348-0043 FEDERAL ASSISTANCE 2. DATE SUBMITTED [fill in date sent] Applicant Identifier [leave blank] 1. TYPE OF SUBMISSION: 3 _Application ?Preapplication J Construction I • Construction Ei Non -Construction I • Non -Construction 3. DATE RECEIVED BY STATE [leave blank] State Application Identifier [leave blank] 4. DATE RECEIVED BY FEDERAL AGENCY [leave blank] Federal Identifier [leave blank] 5. APPLICANT INFORMATION Legal Name: Juvenile Justice Coalition Organizational Unit: Address (give city, county, State, and zip code): 7200 Lynn Street y Arlington, VA 22201 (Arlington County) Name and telephone number of person to be contacted on matters involvinc this application (give area code) Thomas James (703) 555-1256, (703) 555-1257 (fax), tjames@jjc.com 6. EMPLOYER IDENTIFICATION,NUMBER (EIN): 7. TYPE OF APPLICANT: (enter appropriate letter in box) A. State H. Independent School Dist. B. County I. State Controlled Institution of Higher C. Municipal J. Private University D. Township K. Indian Tribe E. Interstate L. Individual F. Intermunicipal M. Profit Organization G. Special District Other (Specify) non-profit N Learning 3 — 8 7 6 5 4 1 31 8. TYPE OF APPLICATION: N New II Continuation If Revision, enter appropriate letter(s) In box(es) A. Increase Award B. Decrease Award C. Increase D. Decrease Duration Other(specify): Duration U Revision 9. NAME OF FEDERAL AGENCY: Office of Juvenile Justice and Delinquency Prevention 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: F 1 6 - [ 1I G i 99 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: Drug -Free Communities Support Program 10/01-09/30 TITLE: Drub Free Communities Support Program 12. AREAS AFFECTED BY PROJECT (Cities, Counties. States, etc.): Arlington, VA 13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF: Start Date 10/01/02 Ending Date 09/30/03 a. Applicant 5 b. Project 5, 6, 7 15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. YES. THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON: DATE a. Federal $ 0o 100,000 b. Applicant $ 00 c. State $ 00 b. No. 12 PROGRAM IS NOT COVERED BY E. O. 12372 0 OR PROGRAM HAS NOT BEEN SELECTED BY STA I F FOR REVIEW d. Local $ 00 e. Other (match) $ 100,000 00 f. Program Income $ o0 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? • Yes If "Yes," attach an explanation. ji No g. TOTAL $ 00 200,000 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. a. Type Name of Authorized Representative Morgan Tyler b. Title Executive Director c. Telephone Number (703) 555-3478 d. Signature of Authorized Representative e. Date Signed Previous Edition Usable Authorized for Local Reproduction tandard Form 424 (Rev. 7- Prescribed by OMB Circular A-102 INSTRUCTIONS FOR THE SF -424 Public reporting burden for this collection of information is estimated to average 45 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0043), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. This is a standard form used by applicants as a required facesheet for preapplications and applications submitted for Federal assistance. It will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure in response to Executive Order 12372 and have selected the program to be included in their process, have been given an opportunity to review the applicant's submission. Item: 1. Self-explanatory. 2. Date application submitted to Federal agency (or State if applicable) and applicant's control number (if applicable). Entry: 3. State use only (if applicable). 4. If this application is to continue or revise an existing award, enter present Federal identifier number. If for a new project, leave blank. 5. Legal name of applicant, name of primary organizational unit which will undertake the assistance activity, complete address of the applicant, and name and telephone number of the person to contact on matters related to this application. 6. Enter Employer Identification Number (EIN) as assigned by the Internal Revenue Service. 7. Enter the appropriate letter in the space provided. 8. Check appropriate box and enter appropriate letter(s) in the space(s) provided: -- "New" means a new assistance award. -- "Continuation" means an extension for an additional funding/budget period for a project with a projected completion date. -- "Revision" means any change in the Federal Government's financial obligation or contingent liability from an existing obligation. 9. Name of Federal agency from which assistance is being requested with this application. 10. Use the Catalog of Federal Domestic Assistance number and title of the program under which assistance is requested. 11. Enter a brief descriptive title of the project. If more than one program is involved, you should append an explanation on a separate sheet. If appropriate (e.g., construction or real property projects), attach a map showing project location. For preapplications, use a separate sheet to provide a summary description of this project. Item: 12. Entry: List only the largest political entities affected (e.g., State, counties, cities). 13. Self-explanatory. 14. List the applicant's Congressional District and any District(s) affected by the program or project. 15. Amount requested or to be contributed during the first funding/budget period by each contributor. Value of in- kind contributions should be included on appropriate lines as applicable. If the action will result in a dollar change to an existing award, indicate only the amount of the change. For decreases, enclose the amounts in parentheses. If both basic and supplemental amounts are included, show breakdown on an attached sheet. For multiple program funding, use totals and show breakdown using same categories as item 15. 16. Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. 17. This question applies to the applicant organization, not the person who signs as the authorized representative. Categories of debt include delinquent audit disallowances, loans and taxes. 18. To be signed by the authorized representative of the applicant. A copy of the governing body's authorization for you to sign this application as official representative must be on file in the applicant's office. (Certain Federal agencies may require that this authorization be submitted as part of the application.) SF -424 (Rev. 7-97) Back 39 OMB APPROVAL NO. 1121-0188 EXPIRES 5-98 (Rev. 12/97) Budget Detail Worksheet Purpose: The Budget Detail Worksheet must be used to prepare the budget and budget narrative. All required information (including the budget narrative) must be provided. Any category of expense not applicable to your budget may be deleted. The Budget Detail Worksheet and Budget Narrative must include both the Federal and non -Federal (match) amounts. A. Personnel - List each position by title and name of employee, if available. Show the annual salary rate and the percentage of time to be devoted to the project. Compensation paid for employees engaged in grant activities must be consistent with that paid for similar work within the applicant organization. _ Name/Position Computation Cost TOTAL B. Fringe Benefits - Fringe benefits should be based on actual known costs or an established formula. Fringe benefits are for the personnel listed in budget category (A) and only for the percentage of time devoted to the project. Fringe benefits on overtime hours are limited to FICA, Workman's Compensation, and Unemployment Compensation. Name/Position Computation Cost TOTAL Total Personnel & Fringe Benefits OJP FORM 7150/1 (5-95) 41 C. Travel - Itemize travel expenses of project personnel by purpose (e.g., staff to training, field interviews, advisory group meeting, etc.). Show the basis of computation (e.g., six people to 3 -day training at $X airfare, $X lodging, $X subsistence). In training projects, travel and meals for trainees should be listed separately. Show the number of trainees and the unit costs involved. Identify the location of travel, if known. Indicate source of Travel Policies applied, Applicant or Federal Travel Regulations. Purpose of Travel Location Item Computation Cost TOTAL D. Equipment - List non -expendable items that are to be purchased. Non -expendable equipment is tangible property having a useful life of more than two years and an acquisition cost of $5,000 or more per unit. (Note: Organization's own capitalization policy may be used for items costing less than $5,000). Expendable items should be included either in the "supplies" category or in the "Other" category. Applicants should analyze the cost benefits of purchasing versus leasing equipment, espe- cially high cost items and those subject to rapid technical advances. Rented or leased equipment costs should be listed in the "Contractual" category. Explain how the equipment is necessary for the success of the project. Attach a narrative describing the procurement method to be used. Item Computation Cost TOTAL type Supplies - List items by t e ( office supplies, postage, training materials, copying paper, and , such as and expendable equipment items costing less than $ own capitalizationb policy taperecorders) beoused for P computation. (Note: Organization's show the basis for comps 000). Generally, supplies include any materials that are expendable or items costing less than consumed during the course of the project. Supply Items Computation TOTAL Cost construction costs are not allowable. In some cases, minor repairs or F. Construction As a rule, renovations may be allowable. Check with the program office before budgeting funds in this category. Purpose Description of Work TOTAL Cost G. Consultants/Contracts - Indicate whether applicant's formal, written Procurement Policy or the Federal Acquisition Regulations are followed. Consultant Fees: For each consultant enter the name, if known, service to be provided, hourly or daily fee (8 -hour day), and estimated time on the project. Consultant fees in excess of $450 per day require additional justification and prior approval from OJP. Name of Consultant Service Provided Computation Cost Subtotal Consultant Expenses: List all expenses to be paid from the grant to the individual consultants in addition to their fees (i.e., travel, meals, lodging, etc.) Item Location Computation Cost Subtotal Contracts: Provide a description of the product or service to be procured by contract and an estimate of the cost. Applicants are encouraged to promote free and open competition in awarding contracts. A separate justification must be provided for sole source contracts in excess of $100,000. Item Cost Subtotal TOTAL 44 H. Other Costs - List items (e.g., rent, reproduction, telephone, janitorial or security services, and investigative or confidential funds) by major type and the basis of the computation. For example, provide the square footage and the cost per square foot for rent, or provide a monthly rental cost and how many months to rent. Description Computation Cost TOTAL I. Indirect Costs - Indirect costs are allowed only if the applicant has a Federally approved indirect cost rate. A copy of the rate approval, (a fully executed, negotiated agreement), must be attached. If the applicant does not have an approved rate, one can be requested by contacting the applicant's cognizant Federal agency, which will review all documentation and approve a rate for the applicant organization, or if the applicant's accounting system permits, costs may be allocated in the direct costs categories. Description Computation TOTAL ('ost 45 Budget Summary- When you have completed the budget worksheet, transfer the totals for each category to the spaces below. Compute the total direct costs and the total project costs. Indicate the amount of Federal requested and the amount of non -Federal funds that will support the project. Budget Category Amount A. Personnel B. Fringe Benefits C. Travel D. Equipment E. Supplies F. Construction G. Consultants/Contracts H. Other Total Direct Costs I. Indirect Costs TOTAL PROJECT COSTS Federal Request Non -Federal Amount 46 Budget Detail Worksheet OMB APPROVAL NO. 1121-0188 EXPIRES 5-98 (Rev. 12/97) A. Personnel Name/Position Computation Cost FEDERAL REQUEST (name), Executive Director (name), Coordinator (name), Information Specialist (name), Community Dev. Specialist (name), Peer Helper (name), Clerical Support ($64,890 x 10%) ($46,276 x 30%) ($32,000 x 10%) ($26,000 x 70%) ($23,000 x 40%) ($19,776 x 10%) $6,489.00 $13,883.00 $3,200.00 $18,200.00 $9,200.00 $1,978.00 The executive director will provide oversight of grant, including fiscal and personnel management, community relations, and project implementation, evaluation, and dissemination. The coordinator will coordinate coalition,services and project activities, including hiring, training, and supervising staff, coalition communication, data collection, and` dissemination of findings. The in- formation specialist will plan and oversee research, evaluation, and data collection activities. The community development spe- cialist will provide staffing support to the working council in the area of media, cultural and religious outreach, and outreach to businesses. The peer helper will be responsible for youth peer recruitment, coordination, and support. The clerical support will process paperwork, payroll, and expense reports and be a major pointof:Ont t • NON-FEDERAL MATCH AMOUNT (name), Executive Director (name), Project Coordinator (name), Secretarial support (name), Volunteers for Youth Summit The executive director will provide oversight to the implementation iof the grant to ensure compliance with all grant requirements. The State's mental health agency is contributing these.funds to the'grant. The full-time project coordinator will be responsible for implementing and"coordinating all coalition activities aii'd meetings The coalition has secured -local funding for half of the coordi- nator's salary (20 hours per_week). The coalition's secretary`ts devoting, 2* of *time to:support grant activities. Twenty youth are volunteering time to plan and implement the:Youtfi•Summit_ scheduled for Spring•2002. Average amount of time per youth is estimated at 7.5 hours and $7.00 is average volunteer rate for youth/parents. TOTAL - $52,950.00 ($40/hr. x 2 hrs ;x 52 wk,) $4,160.00 ($12.02/1* x 20 hrs: x 52 wks) $12,500.00 (2% of $13,000.,[annual salary` ])$260.00 x 1.50 hrs. x $7/hr.) ' , $21,000.00 TOTAL $37,920.00 B. Fringe Benefits Name/Position FEDERAL REQUEST Employer's FICA Worker's Compensation Health/Life Insurance Disability Insurance Unemployment Insurance NON-FEDERAL MATCH AMOUNT Employer's FICA Retirement Unemployment Insurance Workers Compensation Health/Life Insurance Computation ($52,950 x 7.65%) ($52,950 x 2.5%) ($52,950 x 7%) ($52,950 x 1.5%) ($52,950 x 1.5%) ($12,500 x 7.65%) ($12,500 x 6.85%) ($12,500 x 1%) ($12,500 x 2.5%) ($12,500 x 7%) The coalition has secured local funding to pay all fringe benefits for the project cru n in:um.. Cost $4,051.00 $1,324.00 $3,707M0 $794.00 $794.00 TOTAL $10,670.00 $956.25 $856.25 $125.00 $312.50 $875.00 .I'( )'I',\ I . 10,1 25,11(1 4 / C. Travel Purpose of Travel Location Item Computation Cost FEDERAL REQUEST 2 -day grantee conference Washington, DC Airfare ($200 x 2 people) $400.00 Hotel ($119 x 2 people x 2 nights) $476.00 Meals ($46 x 2 people x 2 days) $184.00 2 -day regional training Chicago, IL Airfare ($150 x 2 people) $300.00 Hotel ($155 x 2 people x 2 nights) $620.00 Meals ($46 x 2 people x 2 days) $184.00 The grant requires travel for two staff to attend a grantee conference in Washington, DC, and two staff to attend a training and technical assistance workshop to be held in a regional office. Travel estimates are calculated based on Federal per diem rates. TOTAL $2,164.00 NON-FEDERAL MATCH AMOUNT 2 -day regional training conference $400.00 attendance for 2 people Chicago, IL Atrfafe (2 x$200) Hotel, (2 x 2 nights; x;$155/night) $620.00 Per diem Y (2 x 2 days...446/0y) $46/day) $184.00 a' $117.00 Mileage for outreach workshops Greenville,IL($.33Imile x:354•miles) The regional conference, sponsored by the Center for e Application of Prey_ent on Technologyt th (CAPT), will provide training and ,- ; technical assistance to grantees in the,central region. The,executtye director dro ect,coordinator will participate. Estimated P J costs are calculated based on Federa`liper diem rates for Chicago, IL 1The,local1 busmess communis ks providing funds for confer- ence attendance. Project coordinator will travel to Greenville lL to lead workshops for,outreach projecteefforts: The local fraternal organization is reimbursing mileage cost. �,ar TOTAL $1,321.00 :4E D. Equipment'. Item 48 E. Supplies Supply Items FEDERAL REQUEST Office supplies Postage Video camera 2 computers 1 printer 1 copier Computation Cost ($50/mo. x 12 mo.) ($20/mo x 12 mo.) $1,000 ($800/computer x 2) $300.00 $500.00 $600.00 $240.00 $1,000.00 $1,600.00 $300.00 $500.00 Office supplies and postage will be needed for general operation of the project. The video camera will be used to record youth drug awareness training sessions for cable TV presentation. The equipment will support grant -related activities by coalition members and project staff. NON-FEDERAL MATCH AMOUNT 1 bookcase Office supplies 1 digital camera Project flier printing 2 printers 1 fax machine 1 copier $74.00 (12 mo. x $50/ $30Q(0" (4,60X0.50/page) 00/printe r2 $1*i' TOTAL $4,240.00 $74.00 $600.00 $300.00 $2,326.00 $600.00 $150.00 $500.00 $500 " 5 , The local television station is donating these supplies fort: e in implementation of theagrant and related cooalttionactivities. A coalition member is donating] ie'pnnting of pro ect tra�nin materials andifliers. The coahuon_is ,onatmg thisoequipment for use l( t'A. h: rK in implementation of the:grant and related coahtton activities\ Y O'TAL $4,550.00 escription ;of'Work 49 G. Consultants/Contracts Consultant Fees Name of Consultant Service Provided FEDERAL REQUEST (name) Evaluation Specialist Computation Cost ($150/day x 30 days) $4,500.00 Dr. (name) will collect and analyze school survey data and write evaluation report. NON-FEDERAL MATCH AMOUNT (6 x $17.50/hr.xL01 s./mo x2 Mos.) $25,200.00 Subtotal $4,500.00 (name) �a2 mR Approximately six coalition members are volunteering their time to fac :te the youth drug prevention sessions outlined in the strategic plan. Hourly rate is based on average salaries of volunteers Coalition facilitators Consultant Expenses Item FEDERAL REQUEST Mileage Dr. (name) is expec , __Location $25,200.00 to make uplto6 trips to round trip x 6 trips rlltttate with the coalition NON-FEDERAL MATCH AMOUN None Contracts Item Comp Cost $119.00 to collect survey data. Subtotal $119.00 ation Cost FEDERAL REQUEST PSA production � � " ($23/hr. x 100 hrs.) $2,300.00 A local vendor will produce a 1'/2-minutePSA from the youth drug awareness training video for local television market. Task includes cutting and editing the tape p eparing the introductory segment, inserting transition music or narrative as appropriate, and synchronizing the sound track. A Request for Proposal will be issued to secure a competitive bid before final selection is made. NON-FEDERAL MATCH AMOUNT None FEDERAL REQUEST TOTAL $6,919.00 NON-FEDERAL MATCH AMOUNT TOTAL $25,200.00 50 H. Other Costs Description Computation Cost FEDERAL REQUEST Rent (700 sq. ft. x $15/sq. ft.) i.e. ($875/mo. x 12 mo.) $10,500.00 Telephone and fax ($100/mo. x 12 mo.) $1,200.00 Student alcohol, tobacco, and other drug (ATOD) surveys ($1/survey x 4,447 surveys) $4,447.00 Summer camp registration fee ($40/youth x 48 youth) $1,920.00 Rent, telephone, and fax machine will be used to operate the project. Survey copyright requires the purchase of the ATOD surveys. Summer camp fee of $40 per person is required to participate in the ROPES course. NON-FEDERAL MATCH AMOUNT Rent (700 sq. ft. x $15/sq. ft./yr.) i.e. ($875/mo. x 12 mos.) $10,500.00 Television time for PSA dissemination (50 spots x $250 each)' $12,500.00 Food and beverages for (40 attendees x $2 S0 person x program meetings 3 meetutgs) $300.00 �_ Space rental for Student/Parent Awareness Event $1,200.00 �� � , The county government is providing office space for e project:staff'to utt ertake e daily operational tasks of the project. The local television station is donating air time ased on 1'/2 niinut ec PSA. The o cal market isdonating the food and bever- ages, including snack food and fruit drinks for 40 people Food an�verages wi11 be erved as part o theedrug awareness rite of passage activity between program parenfs and youth thatpecedes the.gradua on activt r Food and beverageewill comply with OJP's Financial Guide. allowabiareasonable; work -rely ednt and„�ttot 6 ial event:IA schoolsystem is :nttPing rental fee for weekly activity room.usefor a period of 2 ho s each wee The ac' ty room will•b used fot g pre on awareness T.sessions with youth..41V TOTAL $18,067.00 11 OTAL $24,500.00 I. Indirect Cost Description FEDERAL REQUEST 8% of personnel and fringe benefits ($63,620 x 8%) $5,090.00 The indirect cost rate was approvedby the Department of Justice in 2001. (A copy of the fully executed, negotiated, indirect cost 41,4 gomputation Cost agreement is attached.) NON-FEDERAL MATCH AMOUNT 8% of personnel and fringe benefits ($41,045 x 8%) (See attached copy of the negotiated indirect cost agreement.) TOTAL $5,090.00 $3,284.00 TOTAL $3,284.00 51 Budget Summary Budget Category A. Personnel B. Fringe Benefits C. Travel -. D. Equipment E. Supplies E Construction Federal Request - Non - $52,950.00 $10,670:00 $2,1.4 j 0` G. Consul II. Other Total Direc I. Indirect Costs TOTAL PROJECT COS Contracts Federal Request Non -Federal Match $1: 067:00, 94,9 43:00 .5090: $100,000.0! 100,000.00 Federal Match Total 37,920 + $90,870M0. 3,12500 w, i' $13,79500,.; 321.00 r $3,485..00 ,', • 0.00 °; $0.00., $4,5 000 ; f $8,790.00 $0 0 ^j $0M0 $25,200.00 $32,1900'' 24,50W $42,567.00 96,716.00 $191,626 00_s $3284.00 $8,374.00 $100,000.00. _ - $200,000.00., -: 52