ServiceWorks RFP for the Program

Transcription

1 ServiceWorks RFP for the Program 1 Application Cover Sheet 2 Section A: Rationale & 3 Approach Section B: Appendices Organization Name * Organization Address * Street Address City State / Province / Region Contact Person * Contact's Title * Postal / Zip Code First Last Contact's Phone Number * Contact's Address * ### ### #### Current Host Site * Referral Source No, my organization is not a Program Year ServiceWorks host site. Yes, my organization is a Program Year ServiceWorks host site. Please select (if applicable) Please indicate the existing host site that introduced you to ServiceWorks/encouraged you to apply to participate in program year three. Application Eligibility Requirements Please check to acknowledge that you have confirmed the status of these criteria. Failure to meet one or more of the criteria below may automatically disqualify an organization for consideration. Partner Affiliation * Organization is a member of HandsOn Network, is in good standing (current on dues and associated membership standards) at the time of Yes No Not Applicable

2 application, and can remain in good standing for the length of this grant award. Organization is current on fees payable to Points of Light/ HandsOn Network Organization is a current/former grantee of The Citi Foundation, and is in good standing at the time of the application. Organization is a participant in CNCS programming, and is in good standing (full compliance) at the time of the application. Charitable status * Location * Organization is an independent 501(c)(3) Organization has a fiscal agent partnership with a 501(c)(3) Organization is a program internal to another 501(c)(3) or local, county, state government or institution of higher education Atlanta, GA Boston, MA Buffalo, NY Chicago, IL Dallas, TX Detroit, MI Florence, KY Hagerstown, MD Irving, TX Jacksonville, FL Las Vegas, NV Los Angeles, CA Memphis, TN Miami, FL New Castle, DE New Orleans, LA New York City, NY Newark, NJ San Antonio, TX San Francisco, CA Sioux Falls, SD Select city above to confirm that organization is located in an eligible area. Project Request Please note that while organizations may request 3-5 VISTAs per site, the number of member slots is

3 subject to availability and grant award from the Corporation for National and Community Service. Total number of Full-Time VISTAs you are requesting for the program year * Executive Sign-off I understand that all VISTA projects must align with the VISTA program goals of poverty alleviation, community capacity building, community empowerment, and sustainability, and our proposed VISTA project must deliver the ServiceWorks curriculum in its entirety. Signature of CEO/Executive Director * Clear Name of CEO / Executive Director * First Last Date of Signature * MM / DD / YY 1 / 3

4 ServiceWorks RFP for the Program 1 Application Cover Sheet 2 Section A: Rationale & 3 Approach Section B: Appendices I. Organization Mission / Overview A. Provide a brief statement of your organization's mission and historical focus. * B. Why is this program appealing to the organization? * C. Share at least three specific examples of your organization's prior accomplishments and outcomes in the field of service and volunteerism. If currently hosting ServiceWorks, all examples should reference the program. * D. (Optional) Share additional information/artifacts that attest to the caliber of your organization's work (e.g., citations in publications, letters of support, etc.). Upload file(s) if needed using field below.

5 File Upload (add'l organizational artifacts) Add File References: Provide contact information for two references that can be contacted (one should be a peer / partner organization and one should be a beneficiary of your organization's programming) below. Contact Name Org/Program Affiliation Title / Role Phone Number E mail address Peer / Partner Organization Beneficiary II. National Service, Economic Opportunity, Youth Service Program History E. List your organization's experience hosting national service (e.g., AmeriCorps, Senior Corps, RSVP, NCCC, VISTA) members over the past 3 years. If you have more than 5 programs to choose from, select the most recent. Where there is no experience hosting national service (or less than 5 programs), enter N/A across entire row (do not leave blank). * Year Hosted Program Type (VISTA, National Direct, State, NCCC) Member Position Title and Focus Name of sponsoring Org (HON, CNCS, Other) Retention Rates Program 1 Program 2 Program 3 Program 4 Program 5 F. Describe your organization's experience with youth service or service learning for young adults, ages *

6 Number of year olds engaged annually Experience with youth service Experience with service learning Experience with training Describe how programs mentioned above have grown over time Which outcomes (e.g., projects/goals achieved, relationships built, character development, impact on future plans/activities) have been documented in program participants? G. Describe other programs your organization currently manages that may benefit ServiceWorks participants. III. Community Need, Engagement and Sustainability H. Describe the local community and the community need you plan to address through the engagement of VISTA members. * I. Describe how you will recruit and engage residents from your identified community in ServiceWorks planning and implementation (including how this will lead to program sustainability). *

7 J. Describe how you will engage local corporate and community partners in your efforts. List significant partnerships already identified, and the purpose/extent of the relationship. * IV. Program Implementation K. Describe how you plan to support VISTA members as they implement the program and adapt to the needs of the population they will be serving. * L. Describe your organization s history with implementing structured curriculum-based programming with guidelines provided by another organization. M. If your organization has no previous experience implementing a

8 structured curriculum or program model, please describe safeguards you will put in place to ensure that the curriculum is implemented as prescribed. N. Describe in detail tactics that you will use to recruit young adults to participate in this program (at least 60 young adults per VISTA to be engaged over program year = participants). * O. How will you ensure that 75% or more of the young adults you recruit for this program will be low- and moderate-income (defined as 80% or less of median area income)? * P. Describe types of service projects that you envision as part of the young adults experience. * Q. Describe how you will engage corporate and, community volunteers. *

9 R. Describe your organization's communications, social media and marketing resources (staff, tools, existing social media platforms, communications channels, etc.). * S. How will you use your grant funds to ensure successful programming? * T. Which additional funds/resources does your organization plan to allocate to the ServiceWorks program? * V. VISTA Supervision and Support U. How will you provide orientation and supervision to the requested

10 number of VISTAs. * a. Who will be the primary VISTA supervisor (list name, title, time with organization, and primary responsibilities within your organization)? Include a brief bio/resume highlighting relevant experience (or upload using field below). * File upload (supervisor bio/resume) Choose File No file chosen b. What percentage of this individual s time, and approximate hours per week, will be allocated to VISTA supervision and support? * c. Please list name, title and VISTA support role of any other staff member(s) who will be directly responsible for managing the AmeriCorps VISTA members. V. How will your organization s executive leadership show support for the ServiceWorks program, and be kept up to speed on

11 ServiceWorks activity? * W. Where will VISTA members be located for their service, and how does this relate to your organization s operations/programming and other staff? How does it relate to the population the VISTAs will serve? * X. If sub-site(s) will be engaged (i.e., VISTA located at location outside of host organization's premises), how will supervision / communication occur? Y. Which office space and equipment (e.g., computers, wifi, phones) will be dedicated/accessible to VISTA members? * Z. Please share any additional services / supports available that are likely to appeal to VISTAs (e.g., housing assistance, stipend, childcare, access to parking / public transportation).

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13 ServiceWorks RFP for the Program 1 Application Cover Sheet 2 Section A: Rationale & 3 Approach Section B: Appendices Section B: Appendices 1. Please visit the following link for information on the general ServiceWorks VISTA position description. Note that the activities listed in this description are the VISTA's priority, and extra responsibilities are subject to their capacity. VISTA position description 2. Please visit the following link for an outline of the minimum characteristics of a host site that is likely to be successful in implementing the ServiceWorks program. Host Site Profile 3. Please visit the following link for information on the ServiceWorks Program Evaluation expectations. Program Evaluation Expectations 3 / 3