CIVITAN FOUNDATION APPLICATION GRIC 2017.PDF

Created: 02/06/2017 • Last updated: 03/02/2017
General information
Organization Civitan Foundation
Contact First name Jeremiah
Contact Last name Smith
Contact e-mail jeremiah.smith@everyonesagrantwriter.org
Contact phone number 6024055330
Address
Street 12635 North 42nd Street
City Phoenix
State AZ
ZIP Code 85032
From what tribe is the Gila River Indian Community
organization requesting the
grant?
Total grant amount request 35,000
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The Gila River Indian Community offers multi-year awards. If your
organization is requesting a multi-year grant for this project or program
from the Gila River Indian Community, enter the amount to be requested
each year.
Amount
Year 1 (Gila River Indian
35,000
Community Grants Only)
Year 2 (Gila River Indian
Community Grants Only)
Year 3 (Gila River Indian
Community Grants Only)
Year 4 (Gila River Indian
Community Grants Only)
Year 5 (Gila River Indian
Community Grants Only)
2 / 2



Gila River Indian Community Grant Application
Grant Cycle 2017
Cover Sheet
Municipality Information
1. Date of Application: 2/28/2017 (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): Denny Barney
4. Mailing Address: 301 W. Jefferson, 10th 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. Signature:
Applicant Information
7. Department/Organization Name: Civitan Foundation
8. Is this a 501c non-profit Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Kim Robinson Title: Director of Development & Marketing
10. Phone Number: (602) 953-2944
11. Mailing Address: 12635 N 42nd St
12. City: Phoenix State: Arizona Zip Code: 85032
13. Email Address: krobinson@campcivitan.org Website Address: civitanfoundationaz.org
Project Information
14. Project Name: Transitioning into Employment Program
15. Purpose of Grant: Workforce Development for Individuals with Intellectual and Development Disabilities
16. Priority Funding Area Economic Development
17. Annual amount requested $35000
18. Number of years that funding is requested 1
19. Total amount requested (annual amount x $35000
number of years)
20. Has your organization received past Click here to enter text.
funding from GRIC? If yes, list each year and
amount
21. Geographic area served Click here to enter text.
For Office Use Only:
Data Entry Receipt Evaluation
Outcome  Approval Recommended/Amount $  Denial

Gila River Indian Community Grant Application
Grant Cycle 2017
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 Civitan Foundation is to provide our community an accessible, safe, and affordable environment
while delivering superior life experiences to enhance the quality of life to individuals with developmental disabilities of
all ages. Civitan offers a variety of programs, including Camp Civitan, Recreation Programs, Community Outreach,
Disability Education, Food and Nutrition Education, Day Treatment Programs, and the Transitioning into Employment
Program (TEP).
TEP provides students with a broad spectrum of disabilities (down syndrome, cerebral palsy, autism spectrum disorders,
intellectual disabilities) the skills to secure and maintain gainful employment. The training and work activities take place
in seven separate vocational tracts (Media Design; Fine Arts; Culinary; Retail (Thrift Store); ECommerce; Janitorial; and
Shredding).
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 it be 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.”
Civitan Works closely with the state of Arizona, Maricopa County, and several municipalities through the Department of
Developmental Disabilities and the Department of Education. Civitan receives grant monies to deliver workforce
development, food and nutrition, and various other care programs for individuals with developmental disabilities
throughout the state, all year.
3. Describe the proposed project and planned goals and activities.
Transitioning into Employment is an educational work readiness program for adults with intellectual and developmental
disabilities that desire to be employed. It is specifically designed to educate and train individuals for a variety of work
environments. The program consists of four phases: assessing career aspirations and current skill level; adapted
classroom educational instruction; on the job training; and, job placement.
Program participants are expected to gain and demonstrate job readiness skills and be referred for employment upon
program completion.
1) At least 70% of participants completing twelve (12) months of participation, or their individualized training schedule,
whichever comes first, will be referred for community integrated employment.

Gila River Indian Community Grant Application
Grant Cycle 2017
2) At least 10% of participants participating in this program will be referred for competitive employment without
supports.
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River
Indian Community.
Civitan Foundation serves people marginalized and underestimated by the majority of society. However, like the Gila
River Indian Community, Civitan believes in working with others, all others, and in the dignity of work. Civitan enhances
the quality of life for individuals with developmental disabilities by providing pathways to meaningful work, and earning
competitive wages.
5. Identify the needs/problems to be addressed, target population and number of people to be served by the
project.
Young adults with development disabilities are often discouraged or discriminated against when it comes to
employment opportunities in the community. The unemployment rate among individuals with developmental
disabilities is 85%. They tend to acquire jobs that are disability typical, and are paid less than minimum wage. Our
students, however, are seeking and acquiring nontraditional employment. An investment of $35,000 from the Gila River
Indian Community will provide the necessary support to ensure one year of programming and related marketing for the
Transitioning into Employment Program (TEP), serving 80 individuals with developmental disabilities, creating
sustainable jobs within the community.
6. Define the project as a new or continuing program.
The TEP is a continuing program.
7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
The TEP is an existing, year-round program with no discernable end or beginning. Individual time in the program may
vary, but typically individuals remain in the program for multiple years.
8. Identify other organizations, partners or funders participating in the project and their roles.
Community supporters include: Thunderbirds Charities; ASU's School of Journalism and Mass Media; Arizona
Broadcasters Association; Which Wich sandwich shop; 32 Shea (local charter school lunch contract); Orange Tree Resort;
and Arizona Department of Education.
9. Would you be able to implement the proposed plan if your organization received partial funding for this project?
Civitan Foundation takes its role in the community seriously, as a result it has worked diligently to diversify and
strengthen its revenue sources for programs like the Transitioning into Employment Program. Although, full funding

Gila River Indian Community Grant Application
Grant Cycle 2017
from the Gila River Indian Community would ensure continued, uninterrupted service and employment to 80 individuals,
even partial funding will ensure service and employment for students. With an investment of $25,000, the Gila River
Indian Community would serve 50 students, and with $10,000; 20
10. Describe your plan for project 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.
For 49 years, Civitan Foundation has partnered with the greatest champions and advocates of the community, like the
Gila River Indian Community, and served individuals with developmental disabilities. In that time, and through those
partnerships and work, Civitan has created deep, meaningful relationships and fostered trust within the community. In
return, the community has always supported Civitan and its programs with its time, effort, and money. Civitan
Foundation plans to continue to be a reliable and effective partner in serving our community.
11. Describe your plan to document progress and results.
Civitan conducts an initial vocational/career interest inventory with participants that desire to learn the skills for
employment. When participants have mastered the classroom, they are placed in a Civitan center based job in the area
they trained; (culinary, media, cleaning crew, car/van washing, receptionist,
piece work, and SNAP outreach worker). Employees are given a monthly work schedule and they sign in and out daily
and job coaches monitor hour recordings and turn them into the bookkeeper. Civitan's Bookkeeper calculates work
hours and employees are paid on the 10 and 25 of each month.
More than 50% of program participants that are employed, have direct deposit. Every six months, employees go through
a time study to qualify for a pay increase.
Civitan ensures that direct service staff is trained in developing and teaching the employment related skills identified in
the Program Objectives. Staff will complete this by:
* maintaining a copy of each participant's current planning document;
* keep daily progress notes for each participant in the program;
* submit quarterly individualized progress reports and submit to Division of Developmental Disabilities;
* Keep a record of each participant's attendance and number of hours worked;
* Each participant shall successful pass an assessment at the end of each phase; and
* Civitan will maintain data that demonstrates full compliance with all programmatic and contractual requirements of
the Department of Labor and Division of Developmental Disabilities.
12. 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.
Not Applicable

Gila River Indian Community Grant Application
Grant Cycle 2017
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 funders
1. Salaries $22,000 $47,200 $0 $69,200
2. Benefits $2,100 $13,816 $0 $15,916
3. Materials & Equipment $10,900 $0 $0 $10,900
4. Marketing & Advertising $0 $6,000 $0 $6,000
5. Transportation $0 $6,250 $0 $6,250
6. Rent & Utilities $0 $8,400 $0 $8,400
7. Administration $0 $9,500 $0 $9,500
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
16. Click here to enter text. $0 $0 $0 $0
17. Click here to enter text. $0 $0 $0 $0
Total Budget $35,000 $91,166 $0 $126,166

Gila River Indian Community Grant Application
Grant Cycle 2017
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. Salaries: The salary item is composed of a Program Director ($50,000) and four (4) Job Coaches ($19,200). This
request would fund half the cost of the Job Coaches ($9,600) and approximately .25FTE of the Program Director
($12,400).
2. Benefits: The benefits includes taxes, insurance, and other benefit. The request covers approximately 15% of the total
benefit expense.
3. Equipment: Equipment includes training supplies, uniforms, curriculum, technology, activities, and other related
materials and equipment.
4. Marketing: Marketing includes all printed, mailed, emailed, posted, and digital materials intended to recruit students,
share their work, or promote the program and its partners.
5. Transportation: Transportation includes all mileage, vehicle maintenance, and repair.
6. Rent: Includes all space, electricity, gas, water, communications, internet, etc of the program.
7. Administration: Administrative costs include the Receptionist and printing, copying, and postage.
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Gila River Indian Community Grant Application
Grant Cycle 2017
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Other explanation: Click here to enter text.