APPLICATION SUPPORTING DOCUMENTATION.PDF

Gila River Indian Community Grant Application
Grant Cycle 2019
Cover Sheet
Municipality Information
1. Date of Application: 1/26/2018 (NOTE: Click or use up/down arrow keys to move among fields)
2. Name of City, Town or County: Maricopa County
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Bill Gates
4. Mailing Address: 301 W Jefferson Avenue, Suite 960
5. City: Phoenix State: Arizona Zip Code: 85003
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name/Title: Milka Doom, Financial Business Analyst
Email Address: MC12PercentGamingGrant@maricopa.gov Signature:
Applicant Information
7. Department/Organization Name: American Red Cross of Greater Phoenix
8. Is this a 501c non-profit Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Barbara Carey Title: Grants Manager
10. Phone Number: 602-347-6508
11. Mailing Address: 4747 N. 22nd St., Suite 100
12. City: Phoenix State: Arizona Zip Code: 85016
13. Email Address: Barbara.carey@redcross.org Website Address: redcross.org/local/az-nm-el-paso
Project Information
14. Project Name: Saving Lives with the American Red Cross
15. Purpose of Grant: We respectfully request your support to fund the purchase of a new, self-contained unit, mini
bloodmobile to serve the state of Arizona, primarily Maricopa and Pinal counties.
16. Priority Funding Area Healthcare
17. Annual amount requested $200,000.00
18. Number of years that funding is requested One
19. Total amount requested (annual amount x $200,000.00
number of years)
20. Has your organization received past 2015 - $175,000
funding from GRIC? If yes, list each year and 2017 - $100,000
amount
21. Geographic area served State of Arizona
For Office Use Only:
Data Entry Receipt Evaluation
Outcome  Approval Recommended/Amount $  Denial

Gila River Indian Community Grant Application
Grant Cycle 2019
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative in
paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s history, mission and goals.
For over 100 years, the American Red Cross in Arizona proudly has delivered on our mission, helping people
prevent, prepare for and respond to emergencies. Arizona is home to three Red Cross Chapters (Northern
Arizona, Greater Phoenix, and Southern Arizona) serving all 15 Arizona counties and part of the American Red
Cross Arizona-New Mexico-El Paso Region.
Services are provided in accordance with our mission: The American Red Cross prevents and alleviates human
suffering in the face of emergencies by mobilizing the power of volunteers and the generosity of donors,
furthering our vision to partner with the people of Arizona to develop and foster safer families, neighborhoods
and worksites … to promote a system of community self-sufficiency and compassionate response when
emergencies arise.
American Red Cross volunteers and employees are committed to improving the quality of human life and
enhancing self-reliance by providing disaster response and recovery, emergency family services, and
preparedness and safety training. During FY 2018, your Red Cross in Arizona provided vital services to
families and individuals in crisis while preparing our community members with life-saving skills. Our
accomplishments included:
• Responded to 872 local disasters, of which approximately 95% involved home fires
• Assisted 1,317 families / 3,753 individuals who suffered disaster incidents
• Provided over $803,000 in direct financial assistance for food/groceries and clothing; emergency shelter and
rent; bedding and household items; and replacement of prescription drugs, eyeglasses, medical supplies and
health-related items
• Installed 4,533 free smoke alarms, serving 5,384 individuals through the Home Fire Campaign
• Trained 41,416 individuals in CPR, first aid, AED, Babysitting and Family Caregiving, Aquatics,
community disaster education and other life-saving classes, a figure which grows to 4,011,952 when we
include those who have downloaded our Red Cross apps and accessed various components of our electronic
and “Digital Reach” aspects of our Health and Safety information and training
• Offered Service to the Armed Forces assistance to over 4,000 service members and their families, including
outreach services and pre-deployment briefings, emergency message relays, casework services, and
financial aid casework management
• Worked with the International Red Cross and Red Crescent societies to link families separated by armed
conflict, natural disaster or civil unrest in their home countries, and offered International Humanitarian Law
classes
• Collected and distributed donations of over 46,000 units of blood through the Red Cross Arizona Blood
Services Region, a subdivision of the single largest supplier of blood in the US, and conducted
approximately 2000 mobile blood drives, operating 24/7/365

Gila River Indian Community Grant Application
Grant Cycle 2019
From mining towns to metropolitan areas, deserts to shining seas, nearly every second of every day, someone is
assisted by the American Red Cross. Every two seconds, someone in America needs blood. Every eight
minutes, the Red Cross responds to a disaster in the community. We are proud to uphold our pledge to the
American people: when the Red Cross is notified of a disaster, the Red Cross responds, 100% of the time.
2. If the applying organization is non-municipal or a non-profit 501c, please describe your relationship with Arizona
municipalities including past and present support, whether through partnerships, collaborations, in-kind
contributions, grants, tax-based funding or other. Describe the supporting municipality’s role in this project. If
the applying organization is a municipality governmental sub-division please enter the text “Not applicable.”
The Red Cross worked with Maricopa County in 2015 and 2017 for funding from the Gila River
Indian Community. Our Disaster Cycle Services staff work in partnership with county emergency
services staff and first responders throughout Arizona in the context of disaster relief operations.
3. Describe the proposed project and your plan to implement.
Every two seconds, someone in America needs lifesaving blood. Whether it is someone recovering from an
accident, a woman giving birth or a child with a blood disorder, each person who needs blood trusts that it will
be there quickly and safely. With generous support from volunteer blood donors, the American Red Cross
answers this call in Arizona and across the country.
We are privileged to provide about 40% of the US blood supply, making us the single largest supplier of blood
and blood products in the country. No other single blood collection organization has the ability to collect, test
and process blood on such a large scale. As the only nationwide blood system, we serve as the country’s
preeminent supplier of red cells, platelets and plasma, and we help ensure that these lifesaving products are
available whenever and wherever they are needed.
To meet the nation’s blood supply needs, the Red Cross nationwide must collect roughly 14,000 blood
donations daily. Blood services vehicles are vital to reaching and harnessing the generosity of our blood donors,
the essential elements to shepherd blood on its complex journey from donor to patient—from collection site, to
testing site, to hospital, including:
• Providing easy and convenient donation opportunities where our donors are located—at schools,
workplaces, community centers or places of worship.
• Transporting necessary equipment, such as beds, analysis machines, tents, tables and supplies, to all
blood drives.
• Moving blood from the collection point to a Red Cross location, and then to one of our testing facilities
located across the U.S.
• Distributing blood and blood products to hospitals and cancer treatment centers.

Gila River Indian Community Grant Application
Grant Cycle 2019
• Fulfilling rare blood and emergency requests when blood is needed within several hours. Each year, the
Red Cross responds to over 40,000 urgent requests for blood.
To fulfill our mission, we have long relied on our bloodmobiles, the backbone of our blood services fleet, to
collect and deliver lifesaving blood. But we are excited to share with you a new opportunity – so new that the
vehicle doesn’t even have an official name yet – but it is a self-contained unit, a mini bloodmobile.
As you are well aware, to make giving blood as convenient as possible, bloodmobiles – specially fitted buses
containing equipment, beds and supplies – have been vital to reaching today’s busy donors near their homes,
workplaces, schools and other community-based locations. They enable us to collect blood at space-constrained
facilities and in hard-to-reach communities. Today about 85% of all blood donations are made at mobile or
organization-hosted blood drives, making bloodmobiles ever more vital to our collection efforts.
But full-size bloodmobiles – commonly called buses – are big, and they are extremely expensive. And here in
Phoenix, the Red Cross has only one bloodmobile which is definitely showing its age. Thanks to your adoption
of this bloodmobile in 2015, you helped to extend its life, for which we and countless blood donors and blood
recipients are very grateful. But a vehicle which averages 1200 miles per month and has far exceeded its
projected usable life of 10 years reaches a point when replacement is the only reasonable option.
Why are we so enthusiastic about this new mini bloodmobile?
• It is not tiny. It has three or four beds (vs. five or six in the full-size model), and it has two doors to
facilitate accessibility and optimize the flow of donors.
• It is more maneuverable for set up in parking lots and for accessing more remote locations in our state.
• It has a lower price point, about half the price of the full-size bloodmobile, making it more economical
to purchase, more economical to use, and offering the possibility of being able to potentially purchase
more than one of these mini bloodmobiles in the foreseeable future.
• It will allow us to hold more blood drives – smaller, more logistically feasible and more frequent blood
drives that increase our (your!) ROI vs. the full-size bloodmobiles with what is often excess capacity.
• It will be a new vehicle – new motor, new air-conditioning, new everything – a reliable vehicle that will
not cause us to cancel blood drives because of vehicle problems.
• The new mini bloodmobile will mean that we can sustain our efforts so that the essential activities –
blood drives at businesses, community organizations, churches and other facilities – can continue
24/7/365, serving as the foundation of our efforts in blood services in Maricopa and Pinal counties.
The project we propose to the Gila River Indian Community – Saving Lives with the American Red Cross – is
our request that you partner with us in support of Red Cross Blood Services through the purchase of a new, self-
contained unit, a mini bloodmobile to serve Maricopa and Pinal counties as well as throughout Arizona. We
hope you will join us in the mission to deliver lifesaving blood to patients in need, ensuring we can keep our
promise to be there, with lifesaving blood when help can’t wait. With your generous support, Arizona will be
among the first in the nation to house a new, mini bloodmobile to efficiently, effectively and compassionately
serve our communities.

Gila River Indian Community Grant Application
Grant Cycle 2019
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River
Indian Community.
Seen through the lens of the priority areas identified by the Gila River Indian Community, our request for
funding to support the purchase of a new, mini bloodmobile relates most directly to health care.
Trusted, reliable and always ready, the Red Cross serves as a critical supplier of blood here in Arizona and for
the entire nation. This means that when hospitals and cancer treatment centers are in need, they know they can
turn to the Red Cross. For our children, parents, grandparents and friends, the Red Cross can mean the
difference between life and death.
5. Identify the needs/problems to be addressed, target population and number of people to be served by the
project.
In the broadest terms, the need which we address is identified in the opening words of our mission statement:
The American Red Cross prevents and alleviates human suffering in the face of emergencies. The American
Red Cross of Greater Phoenix serves everyone in Maricopa and Pinal Counties. Considering our three chapters
(Greater Phoenix, Southern Arizona and Northern Arizona), we serve everyone in Arizona.
Last year, we collected and distributed donations of over 46,000 units of blood and conducted approximately
2000 mobile blood drives – an ambitious and challenging schedule to maintain under the best of circumstances,
but we could be doing more. The current state of our aging Phoenix bloodmobile causes many problems:
• Because the bloodmobile breaks down frequently, it must be removed to be serviced, and subsequently
blood drives have to be canceled.
• Due to its age, the vehicle overheats easily. During the summer months, we cannot schedule blood
drives involving the bloodmobile later than a 9 a.m. start time because the air conditioner will not be
able to keep up with the heat, which represents a safety issue for donors and staff.
• The bloodmobile takes in exhaust fumes, causing donors and staff at several drives to get sick,
necessitating cancellation of the drives.
Patients in need of blood look to the Red Cross as an unwavering source of help, and we depend on our
bloodmobiles to provide steadfast service. The new, mini bloodmobile (as described in question #3) will help to
solve the above problems.
• The new vehicles will be vastly more reliable, efficient and maneuverable, increasing the number of
possible mobile blood drives and enabling access to new and harder-to-reach communities in order to
collect the blood types most needed.
• Maintenance costs and maintenance time will be reduced, meaning significant financial savings and
increased availability.
The Red Cross mini bloodmobile will serve as a visual reminder to our communities that the Red Cross is at
work maintaining the blood supply. We hope you will join us in delivering help and hope throughout the state
of Arizona by underwriting the purchase, customization and transportation of a new mini bloodmobile. We

Gila River Indian Community Grant Application
Grant Cycle 2019
would be pleased to recognize your generosity and, with your permission, would be proud to co-brand the new
mini bloodmobile with the seal of the Gila River Indian Community.
6. List three proposed outcomes for this project to be accomplished during the grant term.
1. Purchase a new mini bloodmobile
2. Decrease number of blood drives canceled due to vehicle maintenance issues – and by extension increase
number of units of blood collected
3. Sustain the ability of the American Red Cross to serve as a critical supplier of blood in Arizona and
throughout the nation
7. Define the project as a new or continuing program. Has GRIC previously funded this project?
This is a new project in the sense that it involves the purchase of a new, mini bloodmobile. However, Red Cross
Blood Services is an existing and continuing program here in Arizona.
8. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
We would plan to order the new mini bloodmobile upon confirmation of funding. We do not yet have exact
lead time needed before taking delivery. The timeline is flexible.
9. Identify other organizations, partners or funders participating in the project and their roles.
We have not requested funding for a new, mini bloodmobile from any other funders. We do partner with
businesses, community organizations and churches in sponsoring blood drives, and we supply blood throughout
Arizona.
10. Would you be able to implement the proposed plan if your organization received partial funding for this project?
We would, of course, prefer to receive full funding for this project. Partial funding would mean going to other
individuals and organizations to seek the outstanding balance, which is a possibility. Partial funding could
necessitate adjustment of our timeline.

Gila River Indian Community Grant Application
Grant Cycle 2019
11. Describe your plan for project financial sustainability beyond the grant period. If this is a program/project
previously funded by the Gila River Indian Community describe efforts made towards the previously described
sustainability plan.
Humanitarian Services, including Blood Services, speak to the heart and soul of the American Red Cross
nationwide and here in Arizona, part of the core services of the Red Cross, and will require on-going funding.
We will continue to seek such funding through individual, corporate and foundation partners. The American
Red Cross is not a government agency. Red Cross services are free to our clients; our appeals to the compassion
and generosity of Arizona residents, foundations and businesses enable us to provide these vital services and
will be on-going.
12. Describe your plan to document progress and results.
We will be proud to share with you on a regular basis a detailed accounting of the activities associated with
“your” mini bloodmobile: number of miles traveled, number of blood drives held, number of donors served,
number of units of blood collected. We would be honored to conduct blood drives at location(s) of your choice
on the Gila River Indian Community, including at your casinos, providing maximum visibility and opportunities
for visitors and residents to participate.
13. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community for state
shared revenues for this and any other project for the past five (5) years. If this information is included in a
separate attachment, please indicate that here.
The American Red Cross Greater Phoenix Chapter received funding in 2014, 2015, 2016 and 2018 from the
Salt River Pima-Maricopa Indian Community in support of Disaster Cycle Services, most specifically helping
to underwrite the direct financial assistance provided to disaster clients in Maricopa County.
We have applied for funding from the Ft. McDowell Yavapai Nation in support of Humanitarian Services. That
application was not funded.
The American Red Cross Southern Arizona Chapter has received funding from the Pascua Yaqui Tribe in
support of Disaster Relief and Service to the Armed Forces. They applied for funding from the Tohono
O’odham Nation, but the application was not funded.

Gila River Indian Community Grant Application
Grant Cycle 2019
Project Budget
Budget Period: Jan. 1, 2020 – Dec. 31, 2020
For each budget item listed here please provide a narrative description on the following Project Budget Detail page.
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other sources
1. Mini bloodmobile $200,000 $0 $0 $200,000
2. Click here to enter text. $0 $0 $0 $0
3. Click here to enter text. $0 $0 $0 $0
4. Click here to enter text. $0 $0 $0 $0
5. Click here to enter text. $0 $0 $0 $0
6. Click here to enter text. $0 $0 $0 $0
7. Click here to enter text. $0 $0 $0 $0
8. Click here to enter text. $0 $0 $0 $0
9. Click here to enter text. $0 $0 $0 $0
10. Click here to enter text. $0 $0 $0 $0
11. Click here to enter text. $0 $0 $0 $0
12. Click here to enter text. $0 $0 $0 $0
13. Click here to enter text. $0 $0 $0 $0
14. Click here to enter text. $0 $0 $0 $0
15. Click here to enter text. $0 $0 $0 $0
Total Budget $200,000 $0 $0 $200,000

Gila River Indian Community Grant Application
Grant Cycle 2019
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include the
dollar figure and how it was derived.
1. The budget, as entered above, represents the actual costs associated with the purchase of one mini
bloodmobile and the supplies/equipment in the vehicle to make it fully functional. Please note – we have not
included here the list of the technical specifications of a new bloodmobile, but we will be glad to share this with
you if you so desire. And of course, if you have any questions or would like additional information on anything
concerning our application, please do not hesitate to contact us.
2. Click here to enter text.
3. Click here to enter text.
4. Click here to enter text.
5. Click here to enter text.
6. Click here to enter text.
7. Click here to enter text.
8. Click here to enter text.
9. Click here to enter text.
10. Click here to enter text.
11. Click here to enter text.
12. Click here to enter text.
13. Click here to enter text.
14. Click here to enter text.
15. Click here to enter text.
Other explanation: Click here to enter text.

Gila River Indian Community Grant Application
Grant Cycle 2019
Cover Sheet
Municipality Information
1. Date of Application: Click here to enter a date. (NOTE: Click or use up/down arrow keys to
move among fields)
2. Name of City, Town or County: Maricopa County
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Bill Gates
4. Mailing Address: 301 W. Jefferson Street
5. City: Phoenix State: Arizona Zip Code: 85003
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name/Title: Milka Doom, Financial Business Analyst
Email Address: MC12PercentGamingGrant@maricopa.gov Signature:
Applicant Information
7. Department/Organization Name: Circle the City
8. Is this a 501c non-profit Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Lisa Kaiser Title: Grant Writer
10. Phone Number: 602-357-4257
11. Mailing Address: 300 W. Clarendon Ave, Suite 200
12. City: Phoenix State: Arizona Zip Code: 85254
13. Email Address: lkaiser@circlethecity.org Website Address: www.circlethecity.org
Project Information
14. Project Name: Circle the City Medical Respite Care Program
15. Purpose of Grant: To support medical respite care for homeless patients in Maricopa County
16. Priority Funding Area Healthcare
17. Annual amount requested $25,000
18. Number of years that funding is 1
requested
19. Total amount requested (annual $25,000
amount x number of years)
20. Has your organization received past yes
funding from GRIC? If yes, list each year
and amount
21. Geographic area served Maricopa County
For Office Use Only:
Data Entry Receipt Evaluation
Outcome A Approval Recommended/Amount $ A Denial

Gila River Indian Community Grant Application
Grant Cycle 2019
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative
in paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s history, mission and goals.
Founded by Sister Adele O’Sullivan, CSJ, MD, in 2008, Circle the City’s (CTC) mission is to create and deliver
innovative healthcare solutions that compassionately address the needs of men, women and children facing
homelessness. CTC has created a homeless-specific continuum of care, consisting of primary healthcare,
mobile medical outreach, medical respite care and wrap-around services that address patients' social needs,
including obtaining identification, insurance, transportation, and income enrollment.
2. If the applying organization is non-municipal or a non-profit 501c, please describe your relationship with
Arizona municipalities including past and present support, whether through partnerships, collaborations,
in-kind contributions, grants, tax-based funding or other. Describe the supporting municipality’s role in
this project. If the applying organization is a municipality governmental sub-division please enter the
text “Not applicable.”
CTC is 501(c)(3) non-profit. CTC has worked closely with Maricopa County in providing healthcare
for homeless patients. In January 2018, Maricopa County transferred operation of its healthcare for
the homeless program to CTC. Maricopa County has also beent he government entity CTC works
with in conjunction with apply for/receiving 12% Gaming Revenue Grants.
3. Describe the proposed project and your plan to implement.
The target population for CTC’s medical respite care program are persons experiencing homelessness who
have been living on the streets with acute conditions or who are in need of ongoing medical care for
recovery after discharge from a hospital.
A typical client served by CTC is homeless, uninsured, has multiple medical issues, and is either without
income or has very limited income.
CTC expects to provide recuperative, short-term residential medical respite services to approximately 900 women
and men during FY2019 between two sites of service (50 medical respite care beds in central Phoenix and 50
medical respite care bed at the Human Services Campus in downtown Phoenix. Respite patients meet daily with
providers to ensure that their medical needs are addressed, including chronic disease management and
maintenance of geriatric conditions such as cognitive impairment and frailty. Along with primary health
supports, additional on-site services include: pain management; medication management; psychiatric
evaluation and treatment; substance abuse intervention; physical therapy; occupational therapy. Patients also

Gila River Indian Community Grant Application
Grant Cycle 2019
work closely and regularly with case managers to apply for necessary documentation (identity, income,);
benefits including income and insurance; and housing. These measures are taken to ensure that patients are
discharged to a safe living environment (somewhere other that an emergency shelter of the streets). As a
provider of medical services, CTC is reimbursed for the medical care it offers. However,CTC’s medical respite
care program is residential and so functions as a shelter for our patients. For the residential aspects of the
program, CTC receives no government support or reimbursement. The shelter aspects of the program includes,
but is not limited to, providing patients with food, clothing, beds, linens, laundry, janitorial services. The cost
of these services is $75.00 per day, per patient. An average patient stay is 30 days. This is a cost of $2,250 per
month, per patient. It is the shelter aspect of our medical respite program that would be supported through
funding from the Gila River Indian Community.
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the
Gila River Indian Community.
CTC’s medical respite care program addresses the priority funding area of healthcare. Medical respite care is
an integral part of the continuum care for people who are homeless. It is an essential response to a gap in care:
it provides needed medical care for persons too frail or ill to recover from physical illness or injury while living
on the street, but who are not ill enough to be in a hospital.
5. Identify the needs/problems to be addressed, target population and number of people to be served by
the project.
The target population for CTC’s medical respite care program are persons experiencing homelessness who
have been living on the streets with acute conditions or who are in need of ongoing medical care for
recovery after discharge from a hospital.
A typical client served by CTC is homeless, uninsured, has multiple medical issues, and is either without
income or has very limited income.
CTC anticipates providing medical respite care for approximately 900 people in 2019.
CTC’s medical respite care program is vital to our patients and to our community because:
• It provides patients a safe place to rest, a clean pale to recover, nutritious food, clean water, secure
storage for medications, and the overall ability to comply with hospital discharge instructions, and
access to supportive services that assist in completing recovery
• Emergency shelters do not have the capacity to provide the medical care necessary for patient
recovery

Gila River Indian Community Grant Application
Grant Cycle 2019
• Respite care improves quality of life. Many patients arrive with multiple, severe and complex health
needs, as well as psychosocial needs. Some of these needs emerge only after a patient is admitted to
respite care. Respite care helps patients identify and meet needs they may not otherwise be prepared
or able to address.
• Respite care facilitates active participation by patients in the process of their recuperation and
discharge planning
6. List three proposed outcomes for this project to be accomplished during the grant term.
• At least 75% of patients will complete their medical care plan
• At least 50% of patients will be connected with a primary care provider upon discharge from the
program
• At least 25% of patients will connected to mental health and/or substance abuse services (as indicated
by patient need) upon discharge from the program
7. Define the project as a new or continuing program. Has GRIC previously funded this project?
CTC’s medical respite care program, established in 2012, is a continuing program.
8. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
CTC established the medical respite care program in 2012 with a 50-bed medical respite care in
central Phoenix. In August 2018, CTC opened a second 50-bed medical respite care center on the
Human Services Campus in downtown Phoenix. The program is in continual operation and
ongoing.
9. Identify other organizations, partners or funders participating in the project and their roles.
In its medical respite care program, CTC works closely with: Central Arizona Shelter Services (CASS). CASS
refers patientsto theCTC medical respite program. The Human Services Campus (HSC) in Phoenix refers
patients to the medicl respite program. CTC, CASS, and HSC partner with Dignity Health in Phoenix to assure
a coordinated discharge of homeless patients to the medical respite care program, when appropriate.
Hospice of the Valley works with the medical respite care program to provide care for patients at the end of life.
Funders who have helped CTC expand its medical respite care program include, but are not limited to: the
UnitedHealth Foundation, BHHS Legacy, the Bob and Renee Parsons Foundation, the Diane and Bruce Halle
Foundation, the Virginai G. Piper Charitiable Trust.

Gila River Indian Community Grant Application
Grant Cycle 2019
10. Would you be able to implement the proposed plan if your organization received partial funding for this
project?
Yes.
11. Describe your plan for project financial sustainability beyond the grant period. If this is a
program/project previously funded by the Gila River Indian Community describe efforts made towards
the previously described sustainability plan.
Following major legislative changes in 2014, CTC's business strategy shifted to a revenue model that
leverages the resources of the Arizona Health Care Cost Containment System (AHCCCS), Arizona's
Medicaid program. CTC has secured contracts with eight Medicaid managed care organizations, resulting in
a projected incremental revenue of nearly $8 million across all programs for FY2018/19. The Medical
Respite Center, in particular, is increasing its level of independent stability with roughly 68% of its
operating expenses financed by operating income. In CTC’s new earned income-centric environment, the
organization effectively matches every dollar granted or donated to CTC with an additional $2-$3 of health
services, ensuring that each philanthropic dollar is leveraged as fully as possible. Additionally, CTC
participates in Arizona’s tax credit program for non-profits serving the poor. CTC holds three annual
fundraisers: a spring Garden Tea Party; a Community Breakfast in April; and a fall Top Golf event, with
proceeds from all three events benefitting patient programs. And CTC actively seeks grant funding from
corporations and private foundations.
12. Describe your plan to document progress and results.
CTC employs a number of systems to comprehensively measure the collective impact of services provided.
The most advanced method for monitoring outcomes is CTC's electronic medical record system (EMR), which
tracks patient demographics, frequency and length of engagements with CTC service providers, as well as
outcomes--both medical and social. A wide variety of provider notes, charts, and documents are scanned into
the integrated medical record, which can then be periodically reported on. Additionally, every patient
discharged from the Medical Respite Center is offered the opportunity to complete a patient satisfaction
survey. The results are aggregated on a monthly basis and provide valuable insights about CTC's services.
13. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community
for state shared revenues for this and any other project for the past five (5) years. If this information is
included in a separate attachment, please indicate that here.

Gila River Indian Community Grant Application
Grant Cycle 2019
In 2018, CTC applied for and received funding for the medical respite care program from the Salt
River Pima-Maricopa Indian Community.

Gila River Indian Community Grant Application
Grant Cycle 2019
Project Budget
Budget Period: Click here to enter text.
For each budget item listed here please provide a narrative description on the following Project Budget Detail
page.
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other sources
1. Shelter aspect of medical $25,000 $110,800 $0 $135,800
respite care program.
2. Click here to enter text. $0 $0 $0 $0
3. Click here to enter text. $0 $0 $0 $0
4. Click here to enter text. $0 $0 $0 $0
5. Click here to enter text. $0 $0 $0 $0
6. Click here to enter text. $0 $0 $0 $0
7. Click here to enter text. $0 $0 $0 $0
8. Click here to enter text. $0 $0 $0 $0
9. Click here to enter text. $0 $0 $0 $0
10. Click here to enter text. $0 $0 $0 $0
11. Click here to enter text. $0 $0 $0 $0
12. Click here to enter text. $0 $0 $0 $0
13. Click here to enter text. $0 $0 $0 $0
14. Click here to enter text. $0 $0 $0 $0
15. Click here to enter text. $0 $0 $0 $0
Total Budget $0 $0 $0 $0

Gila River Indian Community Grant Application
Grant Cycle 2019
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include
the dollar figure and how it was derived.
1. . For the residential aspects of the program, CTC receives no government support or reimbursement. The
shelter aspects of the program includes, but is not limited to, providing patients with food, clothing, beds,
linens, laundry, janitorial services. The cost of these services is $75.00 per day, per patient. An average patient
stay is 30 days. This is a cost of $2,250 per month, per patient. It is the shelter aspect of our medical respite
program that would be supported through funding from the Gila River Indian Community.
2. Click here to enter text.
3. Click here to enter text.
4. Click here to enter text.
5. Click here to enter text.
6. Click here to enter text.
7. Click here to enter text.
8. Click here to enter text.
9. Click here to enter text.
10. Click here to enter text.
11. Click here to enter text.
12. Click here to enter text.
13. Click here to enter text.
14. Click here to enter text.
15. Click here to enter text.
Other explanation: Click here to enter text.

Gila River Indian Community Grant Application
Grant Cycle 2019
Cover Sheet
Municipality Information
1. Date of Application: 1/31/2019 (NOTE: Click or use up/down arrow keys to move among
fields)
2. Name of City, Town or County: Maricopa County
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Bill Gates
4. Mailing Address: 301 W. Jefferson St. #10
5. City: Phoenix State: Arizona Zip Code: 85003
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name/Title: Milka Doom, Financial Business Analyst
Email Address: MC12PercentGamingGrant@maricopa.gov Signature:
Applicant Information
7. Department/Organization Name:
8. Is this a 501c non-profit Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Kathy Cole Title: Grants Manager
10. Phone Number: 480-820-3688
11. Mailing Address: 2602 W. Baseline Road
12. City: Mesa State: Arizona Zip Code: 84202
13. Email Address: Kathy.cole@clubzona.org Website Address: www.clubzona.org
Project Information
14. Project Name: After School STEM Education and E-Sports: Pathways to Greater Futures
15. Purpose of Grant: To help youth from low- and moderate-income households in Maricopa County to
develop interest and skill in science, technology, engineering and math (STEM), and to provide E-Sports
opportunities that reduce the social isolation of youth who are avid videogamers.
16. Priority Funding Area Education
17. Annual amount requested $120,000
18. Number of years that funding is 1
requested
19. Total amount requested (annual $120,000
amount x number of years)
20. Has your organization received past no
funding from GRIC? If yes, list each year
and amount
The project will directly serve the communities of Guadalupe,
21. Geographic area served
Tempe, Mesa, Chandler, Gilbert, Queen Creek.
For Office Use Only:
Data Entry Receipt Evaluation
Outcome A Approval Recommended/Amount $ A Denial

Gila River Indian Community Grant Application
Grant Cycle 2019
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative
in paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s history, mission and goals.
The mission of the Boys & Girls Clubs of the East Valley (formed in 1963) is to enable all young people,
especially those who need us most, to reach their full potential as productive, caring, responsible citizens.
Boys & Girls Clubs offer structured, purposeful, and fun After-School and Summer Camp programs to achieve
outcomes in three high priority areas: Academic Success, Good Character & Citizenship, and Healthy
Lifestyles. Club programming is based on five proven elements of positive youth development: a safe and
positive environment, supportive relationships with adults, fun learning and recreational opportunities, high
expectations, and recognition.
We strategically locate our Clubs in low-income neighborhoods that have high rates of low educational
achievement, crime, gang activity, drug abuse and teen pregnancy, because this is where we can reach and
impact those who need us most. We partner with schools, public housing facilities, police departments,
municipalities and social service agencies to share resources and reach youth and families.
We create transformational change in the lives of low-income, at risk youth and teens through:
1) High yield activities that are hands-on, outcome-driven, and interactive. They reinforce what Members
learn at school and provide opportunities for them to work together on team projects.
2) Targeted programs that are intentionally designed and chosen to help members achieve academic
success, healthy lifestyles, and good character and citizenship. Each program is age-specific and
designed to achieve distinct goals and objectives within an identified period of time
3) Frequent attendance. Club staff continually recruit new Members and promote frequent attendance in
order to maximize our impact.
While several Clubs offer before-school services, most of them are open on weekdays from 3:00 p.m. – 9:00
p.m. and during the summer from 7:00 am – 6 p.m. Membership dues are $30 annually, and we offer a sliding
fee scale based on family income for enrollment in our After-School, Sports Leagues, and Summer Camp
programs. Youth and teens from low-income households are provided with fee waivers and/or scholarships so
they can participate. No child is ever turned away due to inability to pay.
2. If the applying organization is non-municipal or a non-profit 501c, please describe your relationship with
Arizona municipalities including past and present support, whether through partnerships, collaborations,
in-kind contributions, grants, tax-based funding or other. Describe the supporting municipality’s role in
this project. If the applying organization is a municipality governmental sub-division please enter the
text “Not applicable.”
The Boys & Girls Clubs of the East Valley is a 501c3 organization, and the eight Clubs that are part of this
application all have long histories of receiving grants and contracts from their local municipalities. To identify
and reach low-income youth and families, Clubs continually partner with staff from municipal departments
including housing, police, and recreation. Clubs involve youth, teens and families in local community service
projects, including those organized by munipalities. Clubs collaborate by sharing facilities and other resources

Gila River Indian Community Grant Application
Grant Cycle 2019
with City or Town sponsored events and programs. The North Tempe, Tempe Ladmo, Chandler and Queen
Creek Clubs are located in facilities that are provided in-kind by the respective municipality. We own the
Guadalupe and Gilbert Club buildings, but the land they sit on is owned by the local municipality provided
inkind. In Mesa, the Stevenson Club is located in a facility and on grounds owned by the School District. We
decided to ask Maricopa County to be our fiscal agent and sponsor for our application to the Gila River Indian
Community, because the eight Clubs to be funded span such a large geographic area within Maricopa County.
3. Describe the proposed project and your plan to implement.
The proposed STEM and e-Sports project will engage low-income youth ages 5-18 in hands-on, fun ‘every day’
applications of science, technology, engineering and math (STEM). STEM and e-Sports activities will be
delivered in small groups based on age, interests, and current skill levels. Members will be challenged to solve
STEM problems as teams, deepen their individual knowledge and skills, and become self-directed learners
who develop their own lines of inquiry. Gila River Grant funds will allow us to hire a full-time STEM Director
who will oversee project implementation and provide related training and support to direct service staff and
volunteers at eight Boys & Girls Clubs of the East Valley.
The project includes two separate but closely related components: I) infusing our legacy After-School and
Summer Camp programming with STEM-focused learning activities consistently, and II) providing e-Sports
coaching and leagues that bring socially isolated youth into our Clubs for team-based videogaming.
I. STEM activities will be integrated within and enhance existing After School and Summer Camp programming
at eight Boys & Girls Clubs of the East Valley. Currently, STEM activities vary by club and are often based on
the interests and skills of the specific staff member. The intent of this project is to create a STEM program that
will be implemented consistently across all sites. The STEM Director will carry out the Everything STEM
Planning Guide, a tool developed by the Boys & Girls Clubs of America on how to start, evaluate, and enhance
STEM programming at Clubs. He/she will support the implementation of a wide range of activities that build
on the natural curiosity of youth, ensuring that STEM experiences are consistently integrated within the daily
rotation of Clubs’ After School activities. Several examples follow:
Specialty Focus Groups: The number and depth of specialty focus groups that are STEM related will be
significantly expanded to include beginning, intermediate, and advanced levels, and technology savvy staff and
volunteers will be placed at Clubs to assist groups with their projects. Past special interest groups have been
involved in creating mobile apps, digital art and videos, building with legos, making robots, and applying
mathematics to sports and other daily activities.
BE GREAT Graduate, Diplomas to Degrees, and Career Launch: Staff and volunteer mentors will expand their
efforts to encourage youth to graduate from high school with a plan for post-secondary education in STEM.
Increased emphasis will be placed on helping teens develop skills in the teamwork, data analysis, computer
programming, and technological literacy required for STEM careers.
Money Matters: This program will begin to engage youth in using computer software to create budgets,
develop saving and investing plans to pay for college or start up small businesses.
Power Hour and Healthy Lifestyles: Club staff and volunteers will incorporate new learning activities focused
on STEM concepts during our daily hour of homework assistance. Increased emphasis will be placed on the
science of nutrition and physical activity.

Gila River Indian Community Grant Application
Grant Cycle 2019
II. The E-Sports component of the proposed project will use the BRAVE Athletes model created by Bravous, a
commercial firm that develops age-appropriate videogaming packages based Opponent Process Theory,
Wooden’s Pyramid of Success, and Positive Coaching. The key themes and elements of the BRAVE Athletes
model are encapsulated below:
B for Balance: Games will teach youth that success in life and competition begins and ends with social and
emotional balance.
R for Respect: Athletes will be coached to respect themselves, their coaches, parents and most of all the other
players. The program teaches players how to compete WITH someone, not against them.
A for All-In: Athletes will be coached to develop a growth mindset energized by challenge. The program
focuses on the process of skill development, teamwork, and improvement.
V for Values: Athletes will be coached to focus on the process rather than the outcome, to take responsibility,
to maximize every opportunity, to develop emotional intelligence, and to compete with character.
E for Excellence: Athletes will be coached to excel in every aspect of their game, mental and physical. The
program emphasizes exercise, healthy diets, and a strong emotional mindset.
The BRAVE Athletes model addresses the needs of today’s youth, by engaging them in e-Sports emphasizing
team work, skill development, multi-tasking, communication, and strategic thinking. This is done by configuring
videogame scenarios, solutions, and problems in a virtually unlimited number of ways, so that age-appropriate
skills, drill, and lessons can be learned.
At the eight targeted Boys & Girls Clubs, a total of 160 youth (32 per Club) will be provided opportunities to join
BRAVE Athletes Leagues that meet twice weekly for a 12 week period, culminating in a full-day tournament
and awards ceremony. Each week, the first session will focus on a blend of skill development and team
building, culminating in scrimmages to allow for practice. The second session will constitute ‘game days’
wherein teams compete with each other in BRAVE Leagues. Team standings will be kept, and progress will
be reported. Their 12-week experience will culminate in a full-day tournament followed by an awards
ceremony. Three Leagues will be conducted during the grant year.
The estimated timeline for e-Sports implementation follows:
Weeks 1-4: Eight Boys & Girls Clubs of the East Valley recruit youth to participate in BRAVE Leagues
grouped by age level.
Weeks 5-6: Parents attend an orientation session.
Weeks 7 -12: Twice weekly, 60-minute Clinics are held that help youth increase game-specific skills in a
myriad of ways that deepens with age and with experience working in teams to solve problems. Bravous-
certified coaches provide training and an individual skill evaluation for each youth, to help them see and
strengthen their contribution to the team. Youth receive weekly newsletters that include game skill
development content, updates and reminders. Social media posts will broadcast and recognize players’
achievements weekly. At the end of each week 12, a full-day tournament will be held followed by an awards
ceremony. We will contract with Bravous to implement these services.

Gila River Indian Community Grant Application
Grant Cycle 2019
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the
Gila River Indian Community.
This project satisfies the Education funding priority by providing increased opportunites for low-to moderate
income youth to learn and apply skills related to science, technology, engineering, and math (STEM). In the
long-term, the purpose is to inspire them to graduate from high school with an interest in furthering their
education in these high-growth career fields. All learning experiences will be hands-on, team-based, and
tailored to various age groups.
5. Identify the needs/problems to be addressed, target population and number of people to be served by
the project.
NEEDS/PROBLEMS TO BE ADDRESSED
The proposed project addresses the need to close the opportunity gap that prevents low-income youth from
aspiring to post-secondary education and careers in the fields of science, technology, engineering and
mathematics (STEM). In short, poor kids, poor schools, and poor neighborhoods are ‘left behind’ due to
limited access to resources that influence the capacity of youth and teens to excel in and aspire to STEM
studies.
While examining why low-income students are entering STEM studies at a much lower rate than their higher-
income counterparts, researcher Victoria Rideout assessed patterns of technology use. Her 2016 study on
‘why low-income kids are nowhere to be found in STEM’ documented the digital divide that exists among low-
income youth, especially those from racial and ethnic minority groups (www.theadvocate.org/low-income-kids-
nowhere-found-stem). She found that most low-income families have difficulty affording a home computer
with an Internet package. This leads to disparities in the capacity of their children to complete homework in
elementary and high school, and thus they become behind in their studies at a young age. This has many
long-term consequences, one of which is lack of the basic literacy and math skills needed by STEM subject
areas.
In addition to falling behind in their general education, low-income youth have far less exposure to educational
activities while they are out of school. According to the US Department of Education
(www.education.gov/stem), the wealthiest 20% of families devote almost seven times the resources to their
children’s enrichment activities outside of school than do the poorest 20%. This widens the learning and
opportunity gap.
In November of 2018, the Hechinger Report on inequality in education (www.hechingerreport.org),
documented that low-income families tend to live in less-privileged neighborhoods where the quality and
financial situation of schools is also low. They document that poor schools have limited ability to acquire to
acquire and access the types of resources needed for education in STEM. This limits students’ opportunities
and career options. Because their schools cannot offer high quality STEM education, upon graduating from
high school, low-income students often do not meet the knowledge requirements for entering local community
colleges, much less top post-secondary institutions.
The Stanford Social Innovation Review and a host of other leaders of social and educational change, have
identified that schools alone cannot sufficiently teach the breadth of skills needed by students to navigate,

Gila River Indian Community Grant Application
Grant Cycle 2019
evaluate, and apply knowledge in ways that meet the new demands of our society. Skills like communication,
teamwork, critical thinking, and flexibility have always been important for work and life, but they are needed
now more than ever, to solve many of the challenges that face societies on a local, regional, national and
global level.
After-school and summer learning programs for youth and teens, such as those offered by the Boys & Girls
Clubs, can help reduce the disparities and inequities, and help meet the challenges outlined above, by
providing extra-curricular education, computer and Internet access, and financial assistance so that low-
income youth and teens can participate in STEM learning activities. By providing STEM-focused activities
beyond the school curriculum, Boys & Girls Clubs can give youth and teens a vision of what life can hold for
them.
The proposed project also addresses a negative effect of the digital world: youth who isolate themselves due
to their absorption in playing video games. Studies have shown that isolation during youth and adolescence
produces three unhealthy outcomes in later life, especially among males: 1) They fail to enter the work force
or quit working during early adulthood. Described by some as ‘failure to launch,’ this phenomena has a serious
impact on their individual lives and on the economy of the broader society.1-2 This outcome involves primarily
boys. 2) They commit suicide, an outcome that is six times higher in boys while in their early 20’s, compared to
in girls.3-4 3) They hurt others. The rate of mass shootings by boys and young men as tripled since 2011.5-6
By turning videogaming into a team-based, social, and physically active e-Sports program at Boys & Girls
Clubs, we aim to prevent these negative effects and help turn videogaming into a more positive youth
development activity. For taken as a whole, research is showing that the positive results of videogaming can
overwhelmingly override the negative. Video gaming produces many of the same kinds of benefits as other
forms of play. Gamers often do well in school, and they develop many of the skills that are prized by today’s
workplaces.
A 2018 article7 in Psychological Bulletin reviewed all of the research published since 2000 on the cognitive
effects on youth and teens of playing action video games. They found 111 studies that revealed strong
positive outcomes on perception, top-down attention, spatial cognition, multitasking, and cognitive flexibility
(ability to switch strategies quickly when old ones strategies don’t work). Their analysis indicated that a total of
just 10 to 30 hours of video play significantly improved performance in these areas. Many of the studies also
showed positive outcomes related to creativity, enhanced well‐being, cognition, problem‐solving skills,
cooperation and other intergroup relations, and physical activity levels.8-12
Video gaming has become increasingly varied, complex, creative, and social. Similar to traditional athletic
sports, many of today’s video games are played cooperatively, with two or more players working together as a
team to achieve a common goal. Youth can now play the same games together in groups, either on a shared
computer or while in the same room with others. However, there is a lack of structured and supportive
programs and for youth who are interested in competing with others virtually (rather than physically) through
the growing trend called eSports.
Youth have many opportunities to participate in community sports leagues, and local schools offer many sports
programs. Those who participate in traditional team sports receive coaching, develop close friendships with
teammates, and have character building experiences that help prepare them for the challenges of adolescence
and adulthood. They have a sense of belonging, receive recognition, and gain self-esteem from being valued
by the team. In comparison, youth who instead compete in video gaming are not provided with similar
opportunities. They need ways to develop the same sense of belonging and self-esteem that is gained

Gila River Indian Community Grant Application
Grant Cycle 2019
through participation in traditional team sports. They need adult coaches who mentor them and help them
develop emotionally, as well as technically. These needs are especially prevalent in low-income youth whose
families cannot provide them with such opportunities.
TARGET POPULATION AND NUMBER TO BE SERVED
We aim to make STEM education and e-Sports available to all youth and teens who attend our After School
and Summer Camp programming, which serves at least 8,000 Members at the eight targeted Boys & Girls
Clubs. Combined, they have an average daily attendance rate of at least 1,000 youth throughout the school
year and at least 400 daily during Summer Camp.
All targeted youth reside in Maricopa County, and at least 73% of them are from low-to-moderate income
households and live in economically distressed areas. A vast number of research studies have shown that as
poverty increases, rates of undesirable outcomes for youth rise and opportunities for success are less likely.
Approximately 17% of Members live in single parent families, and 80% are from minority races or ethnicities. A
high proportion of our members live in multi-generational and/or extended family households, in which they are
being raised by relatives other than their parents and in substandard and/or crowded conditions. A
considerable number of members are in foster care or in the care of guardians, because their parents are
incarcerated or have been declared unfit to be parents. In neighborhoods targeted by the Club, the crime rate
is considerably higher than the national average and has been increasing by 11% annually. Youth from these
family situations often face significant challenges that affect their ability to do well in school, and that pose
other barriers to post-secondary education and participation in STEM careers.
Citations for Need/Problem Statement
1. CNN Sep 2018 Jobs Report. https://www.cnn.com/2018/10/05/economy/september-jobs-report/index.html.
2. https://www.bloomberg.com/news/articles/2018-11-02/millennial-men-leave-perplexing-hole-in-a-hot-u-s-
labor-market.
3. Suicide Prevention Center, Rate of Suicide by Race/ Ethnicity, US 2000-2014, http:// www.sprc.org/ racial-
ethnic-disparities.
4. Young, F. Why Men Are Killing Themselves, Newsweek, February 12, 2015, http:// www.newsweek.com/
2015/ 02/ 20/ suicide-men-305913.html.
5. FBI, Crime in the United States: 2011, Expanded Homicide Data Table 1, https:// ucr.fbi.gov/ crime-in-the-
u.s/ 2011/ crime-in-the-u.s.-2011/ tables/ expanded-homicide-data-table-1.
6. Cohen A.P. Rate of Mass Shootings Has Tripled Since 2011, Harvard Research Shows, http://
www.motherjones.com/ politics/ 2014/ 10/ mass-shootings-increasing-harvard-research.
7. Bediou, B., et al (2018). Meta-analysis of action video game impact on perceptual, attentional, and
cognitive skills. Psychological Bulletin, 44, 77-110.
8. Ewoldsen, D. R., et al (2012). Effect of playing violent video games cooperatively or competitively on
subsequent cooperative behavior. Cyberpsychology, Behavior, and Social Networking, 15, 1-4.
9. Granic, I., Lobel, A., & Engels, R. (2014). The benefits of playing video games. American Psychologist,
69, 66-78.
10. Kovess-Masfety, V., et al (2016) Is time spent playing video games associated with mental health,
cognitive and social skills in young children? Social Psychiatry and Psychiatric Epidemiology, 51, 49-357.
11. Stevens et al. (2008). In-game, in-room, in-world: reconnecting video game play to the rest of kids’ lives. pp
41-66 in K. Salen (Ed.). Cambridge, MA: MIT Press.

Gila River Indian Community Grant Application
Grant Cycle 2019
12. Valez, J. A., et al (2012). Ingroup versus outgroup conflict in the context of violent video game play: The
effect of cooperation on increased helping and decreased aggression. Communication Research, 20, 1-
20.
6. List three proposed outcomes for this project to be accomplished during the grant term.
1. On a daily basis throughout the grant year, approximately 1,000 youth from low-to-moderate
income families will have opportunities to participate in STEM-focused activities and e-Sports
Leagues after the school day and during the summer at eight targeted Boys & Girls Clubs of the
East Valley.
2. The Boys & Girls Clubs of the East Valley will develop and implement a system for evaluating the
impact of STEM and e-Sports programming on youth at all of its 11 Clubs.
3. By the end of the grant year, STEM and e-Sports will become a sustainable part of standard
programming offered at all 11 Boys & Girls Clubs of the East Valley.
7. Define the project as a new or continuing program. Has GRIC previously funded this project?
GRIC has not funded this project in the past. The Boys & Girls Clubs of the East Valley has offered
robotics and computer technology programming at our 11 Clubs for the past decade, but the
proposed project takes these things to the next level by allowing us to hire a STEM Program Director
and to dedicate part-time staff to daily STEM activities. In 2018 we conducted a successful pilot of
the proposed e-Sports Leagues at our Chandler Club and based on that experience, we are ready to
launch this innovative program across all of our Clubs.
8. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
Estimated timeline: July 1, 2019 – June 30, 2020. Immediately upon notification of grant award, we
will begin the process of hiring a STEM Program Director and training staff to deliver the project.
The project will operate from 3:00 – 8:00 pm on weekdays throughout the school year. The project
will also be included in our Summer Camp program which operates on weekdays when school is
out.
9. Identify other organizations, partners or funders participating in the project and their roles.

Gila River Indian Community Grant Application
Grant Cycle 2019
The Boys & Girls Clubs of America is providing resources to help us train staff at all of our 11 Clubs
to implement STEM programming. The US Office of Juvenile Justice funds Mentoring Programs at
seven of our Clubs, and Future for Kids recruits and trains mentors from local corporations and
universities. These mentors will assist staff to deliver STEM programming. Bravous, a local
software development company that created the BRAVE Athletes e-Sports model, will provide inkind
expertise and resources to that component of the project. Each Club that will be involved in the
proposed project receives annual funding from their municipality, civic organizations, corporations,
foundations, United Way and special fundraising events. In many cases, the Clubs targeted by this
project reside in facilities that are provided inkind by municipalities and schools. These resources
provide essential operating support to our Clubs, which in turn allows them to design and implement
special projects such as the one we are asking GRIC to fund.
10. Would you be able to implement the proposed plan if your organization received partial funding for this
project?
Yes, but we would need to adjust our proposed staffing levels and operate the project in a more
limited manner and/or at fewer Clubs initially, phasing others in gradually over time and as our
resources allow.
11. Describe your plan for project financial sustainability beyond the grant period. If this is a
program/project previously funded by the Gila River Indian Community describe efforts made towards
the previously described sustainability plan.
Gila River Indian Community funding will provide leverage as we continue to seek additional sources of funding
to expand the scope and depth of STEM education at our Clubs. We have a strong track record for obtaining
the financial support needed to maintain new programming over time, after an initial grant period ends. Our of
Vice President of Development leads a dedicated fundraising team that conducts special events, continually
applies for public and private grants, and seeks major gifts from individuals and corporations. Our Board has
an active Resource Development Committee that meets monthly to helps us build relationships with funders
locally and statewide. The Boys & Girls Clubs have identified and embraced STEM education as an important
means to improve the economic health of families and communities, so we are deeply committed to raising the
funds needed to ensure that disadvantaged youth have opportunities to enter post-secondary education and
careers in STEM fields.
12. Describe your plan to document progress and results.

Gila River Indian Community Grant Application
Grant Cycle 2019
Each Club tracks data such as member age, ethnicity, average daily attendance, the number who participate in
each of our programs and special interest groups, and the number who receive work experience. This data is
stored in KidTrax, the secure database provided by the Boys & Girls Clubs of America.
The STEM Director will be responsible for developing an evaluation plan for the project, training staff to
conduct assessments of progress, and creating quarterly reports that will be shared with GRIC. Club staff have
experience using pre- and post-tests to assess participant changes in knowledge, skills, and attitudes. Pre-
and post- measures will include:
Measures specific to STEM
1. I am good at solving science-related problems
2. I am good at solving math-related problems
3. I am curious to learn more about science, computers of technology
Measures specific to e-Sports:
1. I have at least one friend my age who helps me when I am having a hard time.
2. There is an adult who always wants me to do my best
3. I listen to what other people say
In addition to the above more formal evaluation methods, Club staff routinely ‘take the pulse’ of participants by
conducting informal polls that include a Question of the Day or a short survey that they complete and then
discuss in small groups. Clubs also assess the quality of their services and facilities. Branch Managers use
an observation tool to evaluate staff and identify how each can improve service delivery. Our Vice President of
Operations continually works with Clubs on self-assessments and improvement planning.
13. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community
for state shared revenues for this and any other project for the past five (5) years. If this information is
included in a separate attachment, please indicate that here.
None.

Gila River Indian Community Grant Application
Grant Cycle 2019
Project Budget
Budget Period: Click here to enter text.
For each budget item listed here please provide a narrative description on the following Project Budget Detail
page.
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other sources
1. STEM Director $35,000 $0 $0 $35,000
2. Program staff $14,000 $103,000 $0 $117,000
3. Equipment $10,000 $30,000 $0 $40,000
4. Supplies $0 $12,000 $0 $12,000
5. E-Sports implementation $60,000 84,000 $0 $144,000
6. Training $1,000 $0 $0 $1,000
7. Occupancy $0 $18,000 $0 $18,000
8. Click here to enter text. $0 $0 $0 $0
9. Click here to enter text. $0 $0 $0 $0
10. Click here to enter text. $0 $0 $0 $0
11. Click here to enter text. $0 $0 $0 $0
12. Click here to enter text. $0 $0 $0 $0
13. Click here to enter text. $0 $0 $0 $0
14. Click here to enter text. $0 $0 $0 $0
15. Click here to enter text. $0 $0 $0 $0
Total Budget $120,000 $247,000 $0 $367,000

Gila River Indian Community Grant Application
Grant Cycle 2019
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include
the dollar figure and how it was derived.
1. STEM Director: 40 hours a week salaried position including benefits.
2. Program Staff: 25 hours per week x 48 weeks x 8 Clubs $12 per hour including benefits.
3. Equipment: computer software and licensing, robotics materials, science experiments, headsets, laptops
4. Supplies: office supplies, printing cartridges, blank CDs, games, activity sheets.
5. e-Sports implementation: this is a contracted amount for the services of Bravous e-Sports staff to conduct
three seasons of BRAVE Athletes Leagues serving 160 total youth (32 per Club, 300 per season)
6. Training: purchasing instructional manuals and photocopying.
7. Occupancy: utilities and facility maintenance costs.
8. Click here to enter text.
9. Click here to enter text.
10. Click here to enter text.
11. Click here to enter text.
12. Click here to enter text.
13. Click here to enter text.
14. Click here to enter text.
15. Click here to enter text.
Other explanation: Click here to enter text.

Gila River Indian Community Grant Application
Grant Cycle 2019
Cover Sheet
Municipality Information
1. Date of Application: 1/30/2019 (NOTE: Click or use up/down arrow keys to move among
fields)
2. Name of City, Town or County: Maricopa County
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Bill Gates
4. Mailing Address: 301 W. Jefferson Street, Suite 960
5. City: Phoenix State: Arizona Zip Code: 85003
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name/Title: Milka Doom, Financial Business Analyst
Email Address: MC12PercentGamingGrant@maricopa.gov Signature:
Applicant Information
7. Department/Organization Name: Ryan House
8. Is this a 501c non-profit Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Tracy Leonard-Warner Title: Executive Director
10. Phone Number: 602-200-0767
11. Mailing Address: 110 W. Merrell St., First Floor
12. City: Phoenix State: Arizona Zip Code: 85013
13. Email Address: tleonardwarner@ryanhouse.org Website Address: https://www.ryanhouse.org/
Project Information
14. Project Name: End of Life Services for Children at Ryan House
15. Purpose of Grant: End of Life Care Services for Terminally-Ill Children
16. Priority Funding Area Healthcare
17. Annual amount requested $75,000
18. Number of years that funding is 1
requested
19. Total amount requested (annual $75,000
amount x number of years)
20. Has your organization received past Yes, Capital Campaign grant of $500,000 awarded between
funding from GRIC? If yes, list each year 2008-2011; $100,000 awarded in 2014, and $50,000
and amount awarded in 2017.
21. Geographic area served Maricopa County and throughout Arizona
For Office Use Only:
Data Entry Receipt Evaluation
Outcome A Approval Recommended/Amount $ A Denial

Gila River Indian Community Grant Application
Grant Cycle 2019
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative
in paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s history, mission and goals.
Ryan House was founded in 2004 by a visionary young Arizona family whose eight month-old son, Ryan, was
diagnosed in 2002 with Spinal Muscular Atrophy and given just a few months to live. With generous
investments from the Gila River Indian Community, the Board of Visitors, Hospice of the Valley, St. Joseph’s
Hospital (and various other supporters), Ryan House opened its doors in 2010.
The inspiration and model for Ryan House is the first children’s hospice in the world, located in Oxford,
England (Helen House). While living in London, the Cottor family was referred to Helen House after their son,
Ryan, was diagnosed with a life-limiting condition. The Cottors’ experience at Helen House convinced them of
the essential need for facility-based, family-centered respite, palliative and end-of-life care. The Cottors
returned to their home state with a passion to establish a similar house for Arizona families, and bring this
unique care model to the United States.
Today, any Arizona child from birth to 18 with a life-limiting or terminal condition who is cared for at home is
eligible for Ryan House services. Our mission is to embrace all children and their families as they navigate life-
limiting and end-of-life journeys. The children we serve suffer from conditions that cause significant functional
impairment and are diagnosed by physicians to be irreversible and terminal. These children are not expected
to live into their 20s, and require round-the-clock medical, and basic care.
Our primary goal is to provide a continuum of care to enhance the lives of Arizona’s most medically-fragile
children and their families on the most difficult journey imaginable. The care delivered at Ryan House is
coordinated and seamless for each child and family, as we work closely with the child’s primary physician and
other care providers. Our secondary goal is to support the entire family to help the family remain intact, and
even thrive, during the challenge of caring for their sick child, and their child’s death.
As one parent stated, “The care you provide is excellent. Our family is incredibly grateful for the amazing care
you give our ‘sweet Caroline’. Thank you.” In 2017-2018, Ryan House served over 200 children throughout all
of our programs and services. We are forever grateful for your generosity and passion for our mission. Our
programs would not be possible without the Gila River Indian Community’s founding support.
2. If the applying organization is non-municipal or a non-profit 501c, please describe your relationship with
Arizona municipalities including past and present support, whether through partnerships, collaborations,
in-kind contributions, grants, tax-based funding or other. Describe the supporting municipality’s role in
this project. If the applying organization is a municipality governmental sub-division please enter the
text “Not applicable.”
Ryan House has incredible relationships with many of the cities in Arizona. The City of Phoenix has awarded
Ryan House CDBG funding several times in the past. Both the City of Scottsdale and Maricopa County have
accepted Gila River Indian Community funds previously on our behalf. We always look to build upon, and

Gila River Indian Community Grant Application
Grant Cycle 2019
strengthen, all of our relationships with cities and municipalites, as we serve medically-complex children
throughout the entire area of Maricopa County and throughout Arizona. We are applying through Maricopa
County again this year, as the majority (85%) of children we serve are Maricopa County residents. We are
grateful for the opportunity to apply through the County.
3. Describe the proposed project and your plan to implement.
Ryan House seeks funding to support our End-of-Life Care Program for medically-fragile children with terminal
illnesses. Funding from the Gila River Indian Community will help us give these children and their families the
culturally-sensitive and quality-driven end-of-life care they need and deserve. From diagnosis through end-of-
life, Ryan House provides a comprehensive program of family-centered care including medical, psychological,
social and spiritual support service and therapies.
Activities provided include full medical and hospice care, activities to strengthen familial bonds and
relationships, and activities to enhance their overall quality of life; all end-of-life planning and care is family-
driven and family-focused at Ryan House. Our approach addresses the emotional, spiritual, and social needs
of the family while also providing relief of the symptoms, pain, and stress associated with any serious illness.
Our skilled and dedicated Care Team that provides hands-on-care around the clock includes registered
nurses, certified nursing assistants, medical directors – physicians that are experts in the pediatric care of
children with special healthcare needs – social workers, a certified Child Life Specialist, a non-demoninational
chaplain, and volunteers. Parents and siblings have the opportunity to stay overnight in our family suite to be
close to their child as well.
Medically-fragile children served (ages birth through 18) typically suffer from approximately 75 different
diagnoses, including: blood disorders, various cancers, congenital abnormalities and syndromes, neuro-
degenerative disorders, cystic fibrosis, cardio-pulmonary illnesses, consequences of tragic accidents, such as
near drownings and car crashes, shaken baby syndrome, muscular dystrophy, brain defects, undiagnosed
genetic conditions, and more. At Ryan House, we wrap our arms and hearts around each one of these children
and their families. Ryan House literally becomes a part of each family as they lose their child.
The End of Life Program at Ryan House is the only pediatric end-of-life and hospice program of its kind in the
entire state of Arizona and encompasses supportive planning and care consistent with clinical, cultural, and
ethical standards of each family served. 35 children passed away at Ryan House last year (2017-2018) and
156 particpated in respite services. We anticipate the End of Life Program will serve approximately 50 children
and their families during 2019-2020.
With the care provided by our prestigious care partners and highly-trained staff, we are able to foster a loving
community that offers ongoing support and compassion from diagnosis to end-of-life. We provide therapies for
children, such as art, music, and hydro. Our Story of Me room provides our children with the chance to tell
their “story of me” using various media technologies and therapeutic play. The room provides opportunities for
families to document the story of their child’s life prior to their death. It provides a state-of-the-art multimedia
experience that allows Ryan House children to capture memories and promote healthy communication with
their entire family; the room helps capture the child’s journey - from diagnosis through end-of-life.

Gila River Indian Community Grant Application
Grant Cycle 2019
We also provide bereavement care, which supports families in a number of ways, offering a personalized tile in
Ryan House’s Memorial Garden, a Treasured Memories bereavement box for families, on-site support groups
and family counseling.
With funding from the Gila River Indian Community, we will continue to provide critically-needed care to
medically-fragile children nearing end of life and their families as they navigate the unimaginable.
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the
Gila River Indian Community.
A funding request for our End-of-Life Program at Ryan House satisfies the Gila River Indian Community’s
“Healthcare” funding area by providing world-class healthcare for children with life-limiting and terminal
illnesses. While at Ryan House, our interdisciplinary care team assumes full medical care of each child
throughout their stay, while they have unique opportunities to maximize functioning, receive pain relief, and
significantly increase their quality of life. Without Ryan House, children would suffer, medical costs for families
and the community would significantly increase, and families would crumble, facing lifelong and devastating
effects.
5. Identify the needs/problems to be addressed, target population and number of people to be served by
the project.
A terminally ill child has no expectation of a cure for his or her disease or illness. From 2006 to 2017, mortality
rates for children in Arizona ages 1-14 years old averaged 225 per year. Two of the leading causes of death
were from malignant neoplasms and congenital malformations. Arizona Department of Health Services –
Bureau of Public Health Statistics.
Furthermore, the odds of a marriage ending in divorce when the parents have a sick child are as high
as 90%. Couples’ time and conversations with other families experiencing the same stressors are
critically needed. (“Perspectives on Marriage with Critically Ill Children”, Make-a-Wish Foundation,
2016). Research from the Journal of the American Medical Association (JAMA Pediatrics Report,
2013) indicated that parents of terminally-ill children suffer from psychological and economic distress
over their child’s diagnosis, prognosis, and the increasing cost (co-pays) involved in medical, respite,
and end of life care. Ryan House’s End-of Life Care and Palliative Care programs are needed more than
ever.
The diagnosis of a terminal illness in a child is devastating for all involved: parents, kinship caregivers, family
members, and the children themselves, as they grieve for the life they had planned for their child and believed
they would have. The journey is most often long, lonely, and devastatingly sad. It is difficult to acknowledge
that a child is dying and will not live a normal lifespan. Clinicians share many of the same stresses that the
child’s family members experience. The strain, disruption, pressure, and depletion associated with such stress
require significant personal and professional efforts to adapt and achieve balance. Many pediatric patients still
die in a cold, sterile hospital setting where the focus is on diagnosing, curing, and prolonging life. Life-saving
efforts are usually common when the patient is a child. When working with the dying, these skills are less
important and can lead to potential for conflict in goals, values, interests, and frames of references.

Gila River Indian Community Grant Application
Grant Cycle 2019
The broad and far-reaching effects of illness on family members can be substantial. In a study conducted by
the U.S. National Library of Medicine National Institutes of Health (2013), family members were interviewed
after the death of their child and reported experiencing psychological and health-related effects. Most
significant was that during the timeframe that they cared for their terminally ill child, their quality of life
diminished. Family structures were weakened (other children received less attention and became resentful of
their dying sibling); spouses and partners expressed feelings of neglect and loss of connectivity with the
primary parent caring for the terminally ill child. Families also reported high rates of divorce and/or separation
from their spouse or partner. The many direct and peripheral effects of their child’s illness took its toll on
caregivers who reported experiencing increased mortality risk, mental and physical strain, and ultimately,
hopelessness for their caregiver situation. The families participating in the survey had no source of out-of-
home palliative care in their communities. For children facing end-of-life in Arizona, Ryan House is the only
place that provides inpatient pediatric end-of-life and hospice care for medically-fragile children – there is
nowhere else to turn. At Ryan House, our goal is to ease each child’s pain and suffering, and to provide the
best quality of life - through their end of life. Our home-like environment provides a safe and comfortable place
for families to be embraced by our Care Team while they endure the unbearable.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3864647/
Our goal is to enhance the lives of children with life-threatening illnesses while supporting the entire family.
This goal directly aligns with the Ryan House mission of embracing all children and their families as they
navigate life-limiting or end-of-life journeys. Ryan House offers a new, innovative, and cost-effective healthcare
delivery model for children who are terminally ill; it improves quality of life and serves as an alternative to costly
emergency room and hospital use.
This program is desperately needed because the inpatient (facility-based) pediatric end-of-life and hospice
care services and programs of Ryan House are not duplicated anywhere else. Furthermore, the financial
burden related to costly medical treatments and care often results in the loss of jobs, homes, bankruptcy, and
even the breakdown of a family; therefore, all Ryan House services are provided free-of-charge to families.
Finally, the need for this program can also be demonstrated through the stories of the children and families we
serve. This year, we are saddened to share with the Gila River Indian Community the passing of our
organization’s namesake, Ryan Cottor. His mother’s words are below.
“December 7, 2018
Our family is incredibly sad to share that, due to unexpected complications related to Ryan's Spinal Muscular
Atrophy, he died this morning.
Ryan was transported to the Mayo Clinic Phoenix Campus on Wednesday after he experienced an occluded
airway. At Mayo, it became clear that he had experienced some level of brain damage and he began to
experience repeated seizures. The goal was to stabilize him to be able to complete an M.R.I. to determine the
extent of the damage. Thursday was a quiet day, mostly without seizures - a hopeful sign that his brain was
having a chance to rest and heal. However, at 3am Friday morning, his nurse noticed a change in his pupil
dilation. A CT scan confirmed that his brain was swelling and herniating.
We were able to transfer to Ryan House where Ryan's incredible Primary Care Physician, also one of the

Gila River Indian Community Grant Application
Grant Cycle 2019
Medical Directors at Ryan House, discontinued his IV meds and removed his ventilator support. Ryan died
comfortably, peacefully, and relatively quickly at 8:31am. He was surrounded by family and the team at Ryan
House, who has been like extended family over the past 8 1/2 years.
Although in his Senior Year, Ryan was accepted and was planning to begin A.S.U.'s Digital Culture (Graphic
Information Technology) in August, 2019. With his love of editing and video-creation, we'd like to share a link to
a recent video Ryan created, produced, and published: https://youtu.be/5avl6J_y6kY
Thank you for being a part of Ryan's lifetime. We have been beyond fortunate to spend 17 years, 7 months
and 13 days with Ryan.
The Cottor Family”
Ryan Cottor’s high school graduation photo is below.
6. List three proposed outcomes for this project to be accomplished during the grant term.
1. By the end of the grant term, 85% or more of the families served will experience less stress,
anxiety, and exhaustion as a result of End-of-Life services.
2. By the end of the grant term, 90% of the families of children participating in the program will
experience improved quality of life and family dynamics.
3. By the end of the grant term, 100% of families served through the End-of-Life Program will say
that they participated in meaningful activities with their child during their stay.
7. Define the project as a new or continuing program. Has GRIC previously funded this project?
End of Life care at Ryan House is a continuing program. Yes, GRIC previously funded this project. Ryan
House received generous funding from GRIC in 2017 for this program.

Gila River Indian Community Grant Application
Grant Cycle 2019
8. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
The End of Life program at Ryan House is ongoing; it takes place and serves medically-complex children
facing end-of-life 365 days per year. End-of-Life care for children begins when the child enters Ryan House,
and ends after each child’s passing. We also provide bereavement services to help families through the
grieving process, including: sibling support, anticipatory grief support, an annual community event to honor
passed children, bereavement boxes to families that are filled with special keepsakes, and Enduring Ties, a
group counseling session that is offered twice monthly. Once a family is a part of Ryan House, they are always
a part of Ryan House. Grant funds would be used during Ryan House’s 19/20 fiscal year (10/1/2019 –
9/30/2020).
9. Identify other organizations, partners or funders participating in the project and their roles.
Ryan House uses a collaborative, team approach to care delivery and operates in partnership with Hospice
of the Valley to provide a full circle of care to children and families beyond its walls. Shared facilities and
operations enable both organizations to benefit from considerable cost savings, allowing more funds to be
spent on direct services. Ryan House also partners with hospitals, including Phoenix Children’s Hospital, and
other Arizona organizations that serve children with life-limiting and terminal conditions, such as Make-A-Wish
Arizona. These partnerships ensure that the unique and individualized needs of Ryan House children and
families are met. Make-A-Wish Arizona and Ryan House also refer clients to one another for services; the
children Ryan House cares for qualify for wishes, and some of the children served by Make-A-Wish Arizona
qualify for stays at Ryan House. Furthermore, our medical director leads the palliative care program at Phoenix
Children’s Hospital, and is a highly-regarded specialist in the emerging field of pediatric palliative care.
10. Would you be able to implement the proposed plan if your organization received partial funding for this
project?
If partial funding was received for this project, Ryan House would still be able to implement our project but may
have to turn away children and families for which funding was unavailable.
11. Describe your plan for project financial sustainability beyond the grant period. If this is a
program/project previously funded by the Gila River Indian Community describe efforts made towards
the previously described sustainability plan.
Ryan House has successfully supported End-of-Life care since opening its doors in 2010. We received a
generous Gila River Indian Community grant in 2017. Since then, we have had an increase in individual donors

Gila River Indian Community Grant Application
Grant Cycle 2019
and community partners who are committed to our programming; however, the number of children and families
we are serving continues to grow. Although we are continuing to sustain activities through our aggressive
fundraising program that includes corporate and foundation grants, individual donations, workplace giving
campaigns, third-party events, and three signature special events, there are more and more children and
families that are in need of our care. Our organization remains fiscally-sound, and our fundraising program
continues to grow each year.
We have received additional large grants over the last year, and seek to engage new funders who believe in
our mission and our work.
As a part of our efforts to diversify revenue sources, our Reimbursement Committee still continues to work with
state lawmakers and insurance industry experts to advocate for Ryan House services. Ryan House is also
working to expand and strengthen its Board of Directors and committees, and to further offset expenses by
increasing volunteer staff support and in-kind donations of goods and services.
12. Describe your plan to document progress and results.
Ryan House documents our progress and results through case management files, medical records, feedback
from children and siblings, qualitative testimonials given by parents and caregivers, staff observation and
anonymous parent surveys. In our most recent program evaluation, success of this program and the positive
effects of services on children and their families were indicated through anonymous parent/guardian surveys.
Results/outcomes showed that:
93% of families said they (child and family) participated in activities that were meaningful to them.
81% of parents said that they experienced less stress and anxiety as a caregiver.
87% of families said that, as a result of Ryan House services, they were able to spend more time
with their other children.
73% of parents said that their relationship with their spouse or significant other had improved.
90% of families said that through Ryan House, they felt connected to a community of support.
98% of families said they would recommend Ryan House to others.
We anticipate that the outcomes for this grant will be similar to the ones outlined above.
13. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community
for state shared revenues for this and any other project for the past five (5) years. If this information is
included in a separate attachment, please indicate that here.
Ryan House received a $15,000 grant from Fort McDowell Yavapai Nation in 2018, specifically for our Child
Life Program. In 2013, Ryan House applied for, and received, an award of $10,000 from the Ft. McDowell

Gila River Indian Community Grant Application
Grant Cycle 2019
Yavapai Nation for our Sponsor-A-Stay Program. We applied for $20,000 for our Child Life Program in 2014
and 2015; both requests were declined.
Ryan House has applied for, and received, funding from the Salt River Pima-Maricopa Indian Community,
specifically for our Sponsor-A-Stay Respite Program for the last 5 years. Awards are as follows:
2018: $125,000
2017: $125,000
2016: $75,000
2015: $75,000
2014: $75,000
Ryan House plans to apply for funds for that program again in 2019, if invited.
In 2015, Ryan House applied to Tohono O’Odham for the Sponsor-A-Stay Program for $50,000. This request
was declined.

Gila River Indian Community Grant Application
Grant Cycle 2019
Project Budget
Budget Period: 10/1/2019 – 9/30/2020
For each budget item listed here please provide a narrative description on the following Project Budget Detail
page.
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other sources
1. Program/Clinical Salaries $59,800 $100,707 $0 $160,507
2. Facility Costs $6,100 $11,102 $0 $17,202
3. Child Life Specialists $3,800 $6,692 $0 $10,492
4. Grief Support Supplies $3,350 $6,200 $0 $9,550
5. Program and Educational $100 $0 $0 $100
Activity Supplies
6. Technology Costs $1,850 $3,433 $0 $5,283
7. Child Life Specialists $0 $0 $0 $0
8. Click here to enter text. $0 $0 $0 $0
9. Click here to enter text. $0 $0 $0 $0
10. Click here to enter text. $0 $0 $0 $0
11. Click here to enter text. $0 $0 $0 $0
12. Click here to enter text. $0 $0 $0 $0
13. Click here to enter text. $0 $0 $0 $0
14. Click here to enter text. $0 $0 $0 $0
15. Click here to enter text. $0 $0 $0 $0
Total Budget $75,000 $128,134 $0 $203,134

Gila River Indian Community Grant Application
Grant Cycle 2019
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include
the dollar figure and how it was derived.
1. Program/Clinical Salaries: This line item totals $160,507 and includes a portion of the cost of our Certified
Nursing Assistants, Nursing Staff, and applicable employee taxes and benefits.
2. Facility Costs: The total cost for this line item is $17,202 and includes a portion of occupancy costs.
3. Child Life Specialists: This line item includes a portion of our Child Life Specialist salaries and their
employee-related expenses. The total for this line item is $10,492.
4. Grief Support Supplies: This line item totals $9,550 and includes bereavement supplies.
5. Program Educational and Activity Supplies: This line item totals $100 and includes costs for life-enhancing
therapeutic activities (i.e. pool maintenance and supplies, child/family activities and events, supplies for The
Story of Me room, child life enhancement costs, and additional activity and educational supplies).
6. Technology Costs: The total for this line item is $5,283 and includes telecommunications and technology
costs.
7. Click here to enter text.
8. Click here to enter text.
9. Click here to enter text.
10. Click here to enter text.
11. Click here to enter text.
12. Click here to enter text.
13. Click here to enter text.
14. Click here to enter text.
15. Click here to enter text.
Other explanation: Click here to enter text.























Gila River Indian Community Grant Application
Grant Cycle 2019
Cover Sheet
Municipality Information
1. Date of Application: 2/5/2019 (NOTE: Click or use up/down arrow keys to move among fields)
2. Name of City, Town or County: Maricopa
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Steve Chucri
4. Mailing Address: 301 W. Jefferson, 9th Floor
5. City: Phoenix State: Arizona Zip Code: 85003
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name/Title: Click here to enter text.
Email Address: Click here to enter text. Signature:
Applicant Information
7. Department/Organization Name: Arizona YWCA Metropolitan Phoenix
8. Is this a 501c non-profit Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Bridget Costello Title: Development Director
10. Phone Number: 602-258-0990
11. Mailing Address: 2999 N. 44th St. #250
12. City: Phoenix State: Arizona Zip Code: 85018
13. Email Address: bridget.costello@ywcaaz.org Website Address: www.ywcaaz.org
Project Information
14. Project Name: Own It Financial Education
15. Purpose of Grant: Provides financial education to disadvantaged women.
16. Priority Funding Area Education
17. Annual amount requested $5000
18. Number of years that funding is 1
requested
19. Total amount requested (annual $5000
amount x number of years)
20. Has your organization received past No
funding from GRIC? If yes, list each year
and amount
21. Geographic area served Maricopa County
For Office Use Only:
Data Entry Receipt Evaluation
Outcome A Approval Recommended/Amount $ A Denial

Gila River Indian Community Grant Application
Grant Cycle 2019
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative
in paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s history, mission and goals.
YWCA formed in London, England in 1855 by Emma Robarts and Mrs. Arthur Kinnaird. In 1858,
YWCA formed in the United States with women’s residences opening in New York and Boston. A
long history of providing social services and creating a platform of equality led the YWCA to Arizona
in 1912. YWCA Maricopa County’s (YWCA) mission is dedicated to eliminating discrimination,
empowering women, and promoting peace, justice, freedom and dignity for all. Since 1912, YWCA
programs have educated, advocated for, fed, and provided vital support to vulnerable members of
our community. Our clients are low-income women and their families, seniors, and disabled adults in
Maricopa County. The specific community issues YWCA programs address are elderly hunger in
Glendale, financial instability, and empowering women.
The Senior Meals program feeds, engages, and sustains vulnerable seniors and disabled adults in
Glendale and El Mirage, providing the only Meals-on-Wheels program in that area. Own It Financial
Education provides financial education to disadvantaged women and their families through
collaborative efforts with 40 other non-profits and organizations. The Women’s Empowerment Series
and Young Women’s Forum elevates women and young professionals. And YWCA’s Stand Against
Racism advocates for the elimination of racism and the end to the gender pay gap.
In 2014, one in five Arizonans (19.2%) said that there were times during the prior 12 months that
they didn’t have enough money to buy food that they or their families needed. That ranks Arizona
13th worst in the country in food hardship rate, down from a peak of 20.9% in 2012 but still higher
than the pre-recession level of 18.8% in 2008, the first year food hardship was tracked. Nationwide,
food hardship rate was 17.2% in 2014.
Financial literacy impacts individuals across income levels. However, the impact is more significant
for low-income women, many of whom are the sole financial providers for their household because
of divorce, domestic abuse, or the death of a spouse. YWCA’s Own It program provides a
comprehensive curriculum and ongoing support to help low-income women improve their financial
position. Financial education helps prevent poverty and reduces reliance on government and
community programs.

Gila River Indian Community Grant Application
Grant Cycle 2019
YWCA works to advance women both in the home and in the workplace. Efforts include women and
family advocacy through public policy, presentations on current local issues to educate and
empower women, scholarships, and professional business mentoring. YWCA also hosts an annual
Tribute to Leadership Awards event, honoring individuals whose accomplishments help to eliminate
discrimination and empower women.
Organization Goals:
Goal A: Fund Development: Create, implement, and manage a comprehensive fundraising operation
Goal B: Organizational Development: Ensure the YWCA is financially sound and has appropriate
policies and procedures in place to strengthen stability and accountability
Goal C Board Development: Enhance the Board to represent the community and strengthen the
organization
Goal D: Marketing and Communications: Strengthen the brand and increase awareness of the
YWCA
Goal E: Programs: Create and sustain programs that achieve our mission
2. If the applying organization is non-municipal or a non-profit 501c, please describe your relationship with
Arizona municipalities including past and present support, whether through partnerships, collaborations,
in-kind contributions, grants, tax-based funding or other. Describe the supporting municipality’s role in
this project. If the applying organization is a municipality governmental sub-division please enter the
text “Not applicable.”
YWCA’s Own It program works with a number of the City of Phoenix related groups and receives
funding from the City of Glendale for our Meals on Wheels and Senior Meals Program.
3. Describe the proposed project and your plan to implement.
Since 2003 the Own It Financial Education Program has empowered participants through a multi-
week curriculum of fiscal management education with different topics each week. The goal of Own It
is to help low-income women and their families manage financial resources more effectively, reduce
personal debt, and increase savings. The program is facilitated in English and Spanish by volunteer
certified financial professionals who focus on a different aspect of managing money. Instructors help
clients evaluate their financial situation and assess their needs, strengths, and abilities related to

Gila River Indian Community Grant Application
Grant Cycle 2019
financial success. Each participant receives a workbook to supplement instruction and conduct
classroom exercises. Instructors teach clients how to create and manage a budget, open and
manage checking and savings accounts, develop a savings plan, reduce debt, and establish healthy
financial habits.
The curriculum includes:
Week One: Money Management; Dreams, Values, Goals
Week Two: Overcoming Obstacles; Communicating About Money
Week Three: Creating a Spending Plan; Record Keeping
Week Four: Understanding Credit; Financial Institutions.
This curriculum creates proven changes in participants' behavioral habits demonstrated through
program evaluations. The program is offered in collaboration with community partners at various
locations and on-site at the YWCA’s office in Phoenix.
Expected Outcome: 75% of participants report an increase in savings or reduced personal debt six
to nine months after completing the program.
Program Goals
1) Debt reduction among 700 participants
2) Increased savings and/or investments for retirement and college
3) Identifiable changes in financial behaviors (i.e. developing and using a family budget.)
4) Promote greater trust with financial institutions
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the
Gila River Indian Community.
The YWCA has provided financial education for nearly 16 years, and we recognize that additional
populations we could impact include children, youth, and minority/underserved families. This need is
supported by the Jump$tart Coalition’s National Survey of High School and College Students which
indicates that the financial literacy of high school students has fallen to its lowest level ever. Other
statistics indicate increased disparity in net worth between population groups. According to the
National Endowment for Financial Education (NEFE), the current disparity in net worth between
Latinos and Whites is $9,720 vs. $94,800.

Gila River Indian Community Grant Application
Grant Cycle 2019
5. Identify the needs/problems to be addressed, target population and number of people to be served by
the project.
Money management is a quality of life issue. Financial capability is having the "knowledge, skills,
and access to manage financial resources prudently and effectively," President's Advisory Council
on Financial Capability (June 2015.) The Organization for Economic Co-operation and Development
reports that greater access would bring women financial empowerment, greater opportunities, and
improved well-being. The Pew Research Center provides the following statistics:
• Divorcees, especially women, often find themselves falling into poverty once they no longer
possess the financial stability a marriage can offer.
• Women who are below the poverty level are 94% more likely to be divorced
• Women who receive government assistance are 69% more likely to be divorced.
• Women currently living with children under 18 are 73% more likely to be divorced.
According to the National Conference of State Legislatures, women control the majority of consumer
spending, yet women are 40 percent more likely to be poor than men, and 67 percent of women feel
they have little knowledge of financial products and services. The YWCA believes the greatest gift
we can provide for a financially disadvantaged woman is financial education. Financial education
builds safety and security for disadvantaged families and inevitably improves our community as
financial stability creates less reliance on public services and increases the economy.
6. List three proposed outcomes for this project to be accomplished during the grant term.
1. Debt reduction among participants
2. Increased savings and/or investments
3. Identifiable changes in financial behavior
7. Define the project as a new or continuing program. Has GRIC previously funded this project?
Continuing program, with no prior GRIC funding.
8. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
Courses are scheduled and provided throughout the year at the YWCA office and at partner
locations.

Gila River Indian Community Grant Application
Grant Cycle 2019
9. Identify other organizations, partners or funders participating in the project and their roles.
Community partners and their roles:
1. Southeast Regional Library, Maricopa County Library District on-site program provided for clients
2. Valley of the Sun United Way Financial Stability Coalition Collaborative partnership to improve
standardize outcomes
3. UMOM on-site program provided for clients
4. Teen Outreach Pregnancy Services on-site program provided for clients
5. Mesa Community College on-site program provided for students
6. Child Crisis Arizona on-site program provided for clients
7. Girls Scouts Arizona Cactus-Pine Council on-site program provided for clients
8. Fresh Start Women's Foundation on-site program provided for clients
9. Estrella High School on-site program provided for students
10. Maggie's Place on-site program provided for clients
11. City of Phoenix on-site program provided for clients
12. Girl Scouts Financial Literacy Innovation Circle Collaborative partnership to improve financial
literacy outcomes in Girl Scout programs
13. Homeward Bound on-site program provided for clients
10. Would you be able to implement the proposed plan if your organization received partial funding for this
project?
It costs approximately $5,000 to conduct one four week course. If we received partial funding we
would seek to secure the remaining funds through other sources.
11. Describe your plan for project financial sustainability beyond the grant period. If this is a
program/project previously funded by the Gila River Indian Community describe efforts made towards
the previously described sustainability plan.
The YWCA is one of 12 nonprofits participating in United Way's Financial Stability Partnership
(FSP). The purpose of the FSP partnership is to create a shared performance management system
to be utilized by small and midsize nonprofits that provide financial education and empowerment
services. With this system, we can share the infrastructure for measuring impact and leverage this
data for program development and measurement of social return on investment. As the program
grows and succeeds, the investment from potential funders will also grow.

Gila River Indian Community Grant Application
Grant Cycle 2019
12. Describe your plan to document progress and results.
The YWCA tracks and monitors participation in the Own It program through attendance in the four-
week program. Course participation is measured through the weekly program evaluations submitted
by the program participants. The YWCA uses the information collected from the program
participants in the United Way's Financial Stability demographic survey to determine our projected
goals. The achievement information is gathered through the nine month follow-up with each
participant. The output measures are shared with our community partners to demonstrate the impact
of the program and a secondary review of the evaluations is completed to ensure the curriculum
meets the needs of the participants.
13. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community
for state shared revenues for this and any other project for the past five (5) years. If this information is
included in a separate attachment, please indicate that here.
We have submitted grants to Gila River Indian Community, Tohono Oodham, and Fort McDowell
Yavapai Tribes in the past five years but have not received a grant from any of these requests.

Gila River Indian Community Grant Application
Grant Cycle 2019
Project Budget
Budget Period: Click here to enter text.
For each budget item listed here please provide a narrative description on the following Project Budget Detail
page.
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other sources
1. Communications- Phones $0 $1,694.64 $0 $1,694.64
2. Employee Benefits $0 $13,906.46 $0 $13,906.46
3. Equipment $0 $796.67 $0 $796.67
4. Occupany-Bldg-Permits $0 $21,318.36 $0 $21,318.36
5. Operational/Technical Expense $0 $5,380.40 $0 $5,380.40
6. Payroll Taxes $0 $12,660.66 $0 $12,660.66
7. Postage $0 $323.90 $0 $323.90
8. Printing $0 $1,221.70 $0 $1,221.70
9. Professional Services $0 $1,602.00 $0 $1,602.00
10. Program Supplies $0 $4,000.00 $0 $4,000.00
11. Salaries $5,000 $133,367.92 $0 $138,367.92
12. Supplies-Office $0 $1,575.55 $0 $1,575.55
13. Transportation $0 $500.00 $0 $500.00
14. Click here to enter text. $0 $0 $0 $0
15. Click here to enter text. $0 $0 $0 $0
Total Budget $5,000 $198,348.26 $0 $203,348.26

Gila River Indian Community Grant Application
Grant Cycle 2019
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include
the dollar figure and how it was derived.
1. Communications, Phones ($1,694.64): Allocation of phone, fax and internet services based on plan pricing
2. Employee Benefits ($13,906.46): Paid time off, health insurance, and retirement plan percentage calculated
based based on total program payroll
3. Equipment ($796.67): Allocation of office equipment rental and maintenance, copiers, computers, etc.,
based on maintenance contract and expected purchases
4. Occupancy-Bldg-Permits ($21,318.36): Cost allocation of office space and maintenance
5. Operational Expense ($5,380.40): Website management, IT support, and database fees
6. Payroll Taxes ($12,660.66): Payroll taxes based on estimated percentage of total program payroll
7. Postage ($323.90): Estimated postage and copying expenses based on prior year
8. Printing ($1,221.70): Estimated printing copying expense of program and course materials based on prior
year
9. Professional Services ($1,602.00): Training expense for course instructors
10. Program Supplies ($4,000.00): Estimated cost of purchased course material handouts and take home kits
based on prior year
11. Salaries ($138,367.92): Projected Program Director and Assistant annual salary expense
12. Office Supplies ($1,575.55): Estimated basic office supplies
13. Transportation ($500): Estimated transporation costs associated with coordinating services at various
locations
14. Click here to enter text.
15. Click here to enter text.
Other explanation: Click here to enter text.