2016 TOHONO OODHAM APPLICATIONS 2.PDF

Created: 07/13/2015
Last updated: 05/12/2016
Page 1
General information
Organization Audubon Arizona
Contact First name George
Contact Last name Martinez
Contact e-mail gamartinez@audubon.org
Contact phone number 602-468-6470, ext. 121
Address
Street Nina Mason Pulliam Rio Salado Audubon Center
City Phoenix
State Arizona
ZIP Code 85040
From what tribe is the organization requesting the grant?
Tohono O’odham Nation
Total grant amount request
20000
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Nature in Your Neighborhood

Created: 01/07/2016
Last updated: 05/05/2016
Page 1
General information
Organization Central Arizona Dental Society Foundation
Contact First name Elizabeth
Contact Last name Toth
Contact e-mail aikentoth.associates@cox.net
Contact phone number 602-881-2579
Address
Street 5300 N. Central Ave.
City Phoenix
State AZ
ZIP Code 85012
From what tribe is the organization requesting the grant?
Tohono O’odham Nation
Total grant amount request
10,000
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Central Arizona Dental Society Foundation
Tohono O’odham Nation 2016 Grant Application Central Arizona Dental Society Foundation
5300 N. Central Ave.
Summary Phoenix, AZ 85012
The Arizona Dental Mission of Mercy (AZMOM) program, presented by the Central Arizona
Dental Society Foundation (CADSF), is a two-day clinic that provides free dental healthcare
services to those who are not able to access or afford dental care.
The program’s goals are to reduce health risks, alleviate pain and suffering and provide
educational tools for future self-care for the working poor, the unemployed, underemployed,
veterans and the homeless.
The first Arizona Dental Mission of Mercy program (2012) provided patients with basic dental
care such as oral exams, x-rays, extractions, and fillings. Now the program is restoring entire
mouths by surgically removing erupted teeth, placing crowns and dentures (on edentulous
patients).
We estimate that 2,000 men, women and children will receive dental care through the program
to be held on December 9 and 10, 2016, at the Arizona State Fairgrounds, Veterans Memorial
Coliseum, Phoenix, AZ.
The patients we serve
Some of our patients have not been able to eat solid food for 10 years. They are low- and very
low-income Arizona families who come from every county in Arizona, and as far away as North
Dakota, but primarily (94%) from Maricopa County.
Exit survey results (submitted by 88% of patients) revealed: (1) 76% had not visited a dentist in
the past 12 months because they could not afford the cost (2) 89% did not have dental
insurance; (3) 77% had a household income of less than $20,000, (4) 11% could not remember
the last time they saw a dentist.
Need for the project
Residents of Arizona are experiencing an oral healthcare crisis. Every day thousands suffer from
tooth decay, periodontal disease, abscesses and tooth loss because of barriers to oral healthcare.
According to 2012 Maricopa County Community Health Survey, one of the most important health
problems that impact our community is dental problems and access to dental care. However, the
state of Arizona no longer provides any dental health care insurance coverage for adults, leaving
an estimated 250,000 low-income adults, seniors and individuals with special needs in Maricopa
County without any way to access affordable oral healthcare services.
Barriers to dental care have health implications, but there is also social and economic impact as
well. Anyone who has had access to dental health care knows the social and economic benefits of
a presentable smile. And, conversely, those who have dental disease, damaged, or no teeth have

experienced the shame and embarrassment of poor appearance. Lack of dental care can lead to
tooth decay and other oral problems. That, in turn, can cause systemic health issues such as
kidney and cardiovascular problems. Poor oral health has a negative effect on birth outcomes
and can exacerbate heart disease, diabetes and other conditions. Decayed, broken and/or
missing teeth also affect self-esteem, employability and communication skills.
The Arizona Dental Mission of Mercy may be the only dental healthcare provider our patients
ever see. In 2015, 4% of AZMOM patients reported that they could not remember the last time
they went to a dentist, for 14% it had been more than 10 year, and 28% had not been to a dentist
in 1 to 3 years.
The good news is that most decay is treatable and oral diseases are curable.
How Dental Mission of Mercy addresses the need for dental healthcare
According to Dr. Pat Rabot, Phoenix Oral Surgeon, “Arizonans suffer from higher rates of dental
disease than many other states, and the AZ Dental Mission of Mercy is doing a great job providing
critical dental care to those who need it most.”
The CADSF uses a mission of mercy model of a volunteer-based dental healthcare delivery
system, providing focused care over a short period of time, utilizing dentists and other dental
professionals’ limited time to perform at capacity and provide as many dental procedures to as
many patients as possible.
Hundreds line up outside the Veterans Coliseum days before the event, sleeping in chairs,
sometimes in the rain, for a chance to receive dental care and be relieved of their pain and
suffering. The program is provided in 22 hours (5:00 a.m. to 6:00 p.m.), over two-days, once a
year.
Patients are treated based on the most urgent need, with infection control and pain elimination
as the priority. Secondarily, we will provide restorative services when possible, and if not
possible on site referrals will be given for follow-up care with our partner community dentists.
Because we need 1,500 volunteers (50% medical professionals) the CADSF board focuses on
cultivating their dental colleagues to volunteer. CADSF’s most important partners are the 250
local dentists, 200 hygienists, 350 dental assistants, 200 dental students, 25 pharmacists, 20 lab
techs, 15 x-ray technicians.
The CADSF planning committee performs an annual event review of space/venue,
supplies/equipment, logistics, and volunteer needs. During monthly board meetings, members
report strategic partnership successes and address opportunities for the clinic to better serve
patients.
Because team players can accomplish more, the Central Arizona Dental Society Foundation
fulfills its mission by continuing to build new community partnerships. We work with other
charitable dental providers such as the Arizona Dental Association and Arizona Community
Dental Clinic (ACDC) to coordinate access to dental care on a referral basis, and also to test new
delivery systems of dental health care. In 2015, CADSF and ACDC volunteers coordinated a first-

time dental laboratory to test the viability of providing one-step, same day dentures. And it
worked. The 2015 AZ Dental Mission of Mercy provided dentures, to 114 patients.
Program goals
Our short-term goals are to continue to provide free dental healthcare to Arizonans who face
barriers to access, and recruit enough dentists, dental professionals volunteers, needed to
provide care. Long-term goals are to expand the dental mission of mercy concept into more
communities around Arizona.
Program evaluation
The Central Arizona Dental Soceity Foundation staff and board evalutate the Mission of Mercy
program using intake, First- and Second-Stage Surveys and includes those results in an annual
Event Summary and Survey Report. In 2016, volunteer satisfaction will be measured through a
first-time survey as well.
The Event Summary and Survey Results also includes patient demographic and procedure data:
(1) number of patients served; (2) number of procedures performed; (3) number of volunteers;
(4) total dollar value of treatment provided; (5) age; (6) ethnic background; (7) gender; (8)
county/zip code; (8) income; (9) veteran status.
Other funding requests and status
• Pending grants; Wells Fargo, Western Alliance Bank, Phoenix Suns Charities, Fort McDowell
Yavapai Nation, APS, Gila River Indian Community, Mead Foundation, Boeing Foundation,
Comerica, Dr. Scholl Foundation, Thunderbirds Foundation
• Awarded funds; $5,000 Grants, $3,000 Corporate Sponsors, $48,000 Individuals
• 35 foundation or corporate grants are in process
Past distribution from Tohono O’odham Nation or other tribes
This is the first time the Central Arizona Dental Society Foundation is submitting applications to
the Tohono-O’odham Nation, Gila River Indian Community and the Fort McDowell Yavapai
Nation.
Contact person and alternate contact
Kevin Conroy, Executive Director, info@azmom.org, 602-567-3617
Liz Toth, Grant Consultant, AikenToth.Associates@cox.net, 602-881-2579
Priority area
The dental mission of mercy satisfies the Healthcare funding area. Dentists provide direct patient
care and all services provided are healthcare related, including dental health education for future
self-care.

County with which an agreement will be made
Maricopa County, Melody Henderson, Government Relations, 602-506-2798,
mhenders@mail.maricopa.gov
Request
Because the Arizona Dental Mission of Mercy program is capable of addressing this need, the
CADSF board respectfully requests $10,000. Funds will be used to rent dental chairs and
purchase lab supplies.
2016 Arizona Dental Mission of Mercy Program Budget
This program budget was prepared using researched figures and current pricing. Price Kong,
CPA certifies that CADSF’s financial systems comply with Generally Accepted Accounting
Principals.
Amount Amount
2016 AZ Dental Mission of Mercy Total In-Kind
requested from requested
Program Budget Budget Contributions
Tohono O’odham from others
In-kind Services and Equipment $1,905,741
Chair Rental $45,000 $5,000 $40,000
Executive Director $39,160 $39,160
Program Coordinator $36,000 $36,000
Videographer $3,750 $3,750
Storage & Equip Maintenance $5,050 $5,050
Dental Equipment $25,000 $25,000
Printing, Copying, Postage $3,500 $3,500
Dental Supplies $30,000 $30,000
Lab Supplies $30,000 $5,000 $25,000
Non Dental Supplies $13,000 $13,000
Telephone, Telecom $500 $500
Event Food for Volunteers $6,000 $6,000
Event Tee Shirts $6,000 $6,000
Web Services $2,500 $2,500
Moving Truck $2,450 $2,450
Volunteer mgmt. software $1,000 $1,000
Insurance $1,650 $1,650
Fundraising Events $2,000 $2,000
Travel & Meetings $1,900 $1,900
Total $254,450 $10,000 $244,450 $1,905,741



















CADS AZMOM
From 2012 through 2015 the Central Arizona Dental Society Foundation has hosted
its Dental Mission of Mercy (AZMOM) event at the Arizona State Fairgrounds in Phoenix, 2015 EVENT
AZ. Due to the overwhelming success of these events, we are proud to announce our BY THE NUMBERS
2016 CADS AZMOM Event – On December 9th – 10th 2016 we will once again be
conducting our clinic at the State Fairgrounds.
We utilize 100 portable dental units and require over 1,500 volunteers to make this 114
event occur. All of our events have changed the lives of so many people. 300 dentists,
along with at least as many dental assistants and hundreds of dental hygienists along DENTURES DELIVERED
TO PATIENTS
with about 600 day Volunteers. In 2015, we were able to treat over 1,800 patients and
provide $2 million in free dental care over the two day period. Also, for the first time
in 2015, we delivered 114 dentures! The CADS AZMOM events are considered to be the 250
largest charitable dental clinics ever held in the State of Arizona.
In 2016 our emphasis will again be on basic dental care such as fillings, extractions DENTISTS
and cleanings. We will again provide dentures, as well as limited lab work
(i.e., stainless-steel crowns for children, treatment partials). The program is unable to
treat patients with specific medically-compromising conditions (e.g., extremely high 1,500
blood pressure, severe disabilities).
Our CADS AZMOM event focuses on: VOLUNTEERS
• Providing free access to dental care while placing a high priority on patients
suffering from dental infections or pain;
• Raising public awareness of the increasing difficulty low-income adults and $2
children face in accessing critical dental care; and
• Creating health care advocates via the hundreds of lay volunteers participating MILLION DOLLARS
in the event
Arizona residents suffer from higher rates of dental disease and benefit less from over 44%
proven preventative methods than other states. A recent survey revealed that 21% of
OF ARIZONANS LACK
Arizona adults and 31% of Arizona children have never had a dental check-up. DENTAL INSURANCE
The good news is that most oral diseases are preventable. In Arizona, 5% of
children ages 6 months through 2 years have had tooth decay. By the time children
reach 11 to 13 years, over 65% have experienced tooth decay, and by the time adults 1,800
reach age 45, more than 99% have had decay.
Additionally, Arizonans report one of their major barriers to receiving dental INDIVIDUALS TREATED
services relates to finances. While 24% of Arizonans lack medical insurance, over 44%
of adults and 38% of children lack dental insurance. LEARN MORE
In summary, more Arizonans have dental disease than found nationally, while To learn more about this
many report difficulty accessing dental services. Since 2012, the AZMOM events have important event, donate
provided $6.3 million in free dental care to over 7,300 individuals in need within our or to volunteer, connect
community. online with CADS AZMOM
at www.azmom.org
CONNECT WITH US
www.azmom.org @cadsAZMOM
5300 North Central Ave. | Suite 200 | Phoenix, AZ 85012 (602) 567-3617 info@azmom.org
Central Arizona Dental Society Foundation (CADSF)is a 501(c) facebook.com/cadsazmom
INFO 3 public charity listed with the IRS.
2015


Last updated: 05/05/2016
Page 1
General information
Organization Child Crisis Arizona
Contact First name Barbara
Contact Last name Polston
Contact e-mail barbara.polston@childcrisisaz.org
Contact phone number 602-273-7363 ext. 160
Address
Street 817 N. Country Club Drive
City Mesa
State AZ
ZIP Code 85201
From what tribe is the organization requesting the grant?
Tohono O’odham Nation
Total grant amount request
30,000.00
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FOSTER CARE FAMILY RECRUITMENT AND SUPPORT
a. Need and filling it. There are over 21,000 children in the foster care system in
Arizona, an increase of 31.4% in the past two years (Arizona Republic, 2/21/16).
Over 40% of those are under age 5, with infants under a year old being most
frequently removed from their parents. These children have been removed for
various forms of abuse, neglect, or other maltreatment. The experiences of their
early childhood can lead to a range of adverse health conditions in adulthood.
Maltreated children are far more likely to fail in school, get into trouble as youth,
and perpetuate the cycle of abuse and violence in their own families. Yet, most
children in foster care adjust well, and these negative future possibilities are
mitigated, as long as their placement is stable and the foster family is skilled in
nurturing the child’s emotional needs.
With fewer than 9,500 licensed foster care spots in Arizona, it is clear that we are in a
foster care crisis. Child Crisis Arizona’s skilled and nurturing foster/adoptive parents are
needed more today than ever before. This Foster Care Recruitment and Support project
will fund activities meant to recruit, train, license, certify, retain, and support foster
care families to help bridge this gap in care for our most vulnerable children.
Child Crisis Arizona participates in the following activities to fill the need for foster
homes and ensure that placements, once made, are stable:
• Recruitment – with a full-time staff member devoted specifically to recruiting
potential foster and adoptive homes, we participate in tabling events, make
presentations to interested groups, and develop partnerships to allow the
distribution of recruitment materials. Orientation sessions, the first step to
pursuing becoming a foster or adoptive home, are held thrice monthly.
• Training – for those interested in foster care or adoption, we offer training that
begins with an orientation session. Those wishing to move forward complete an
application and move into a 33-hour training experience, mandated by the State
of Arizona. This class builds skills for parenting children who have behavioral,
emotional, physical or educational difficulties due to abuse, neglect, or
abandonment. The course is taught with cultural sensitivity and every effort is
made to realistically prepare potential parents to receive children from different
backgrounds with care and respect.
• Assignment of a Case Specialist – A Specialist is assigned to conduct the required
home visits and guide the family through the foster or adoption process. The
Specialist will work with the family through licensing (for foster families) or
certification (for adoptive families) and beyond. While the State of Arizona
requires only quarterly visitation after a child is placed, the Child Crisis Arizona
specialist visits with families weekly for the first month after a placement is
made and monthly thereafter. This higher level of service is one of the factors
that sets us apart and insures the stability of placements.

• Support Services – Child Crisis Arizona offers an array of support services not
offered elsewhere to support the caregivers, placed children, and other family
members. Services offered include specialized counseling, support groups,
parenting classes, children’s classes, six annual fun family networking
opportunities with other foster families, advocacy and referrals for families
within the educational, legal, mental health, and social services realms.
Child Crisis Arizona partners with the Arizona Department of Child Safety and Tribal
Social Services, who hold legal custody of the children, in their placement and the
monitoring of those placements. We are members of the KIDS Consortium, regular
members of the Urban Indian Child Welfare Coalition, and partner with various
organizations to provide services for our community’s most vulnerable children.
Program goals include the licensing or certification of 330 families (595 individuals)
during 2016 and placing 460 children into those foster or adoptive homes. We
anticipate that 95% of those families served will report satisfaction with our services
and we will maintain a disruption rate of less than 3%, as opposed to a national average
of 10 – 15%. “Disruption” means that a child is removed from his/her placement for a
different care setting; each disruption is traumatic for the child, causing behavioral and
educational setbacks and should be avoided.
To understand how our work effects one child’s life, consider this true story: When two-
year-old Jazzy arrived at our Emergency Children’s Shelter, she was smaller than most 12-
month-old babies. Emaciated, with dark circles surrounding her sullen eyes, all we were told
was that she was found abandoned. Later, Jazzy told us, “My mommy put me in the dryer.”
It was August – and 105° in the shade. Jazzy thought they were playing hide and seek. Mom
suggested she hide in the dryer in the apartment laundry room. She dutifully waited for her
mommy to find her, but she never did.
Jazzy’s mother never came to claim her and no relatives were found. When the Department
of Child Safety changed Jazzy’s long-term plan to adoption, one of Child Crisis Arizona
certified adoptive moms came to meet Jazzy. They liked each other and started bonding.
Within a few months, they became a family. We were fortunate to follow Jazzy from her
admission to our emergency shelter all the way to her “forever family” adoption. THIS is why
Child Crisis Arizona exists.
b. Population served Child Crisis Arizona serves all of Maricopa County. To qualify for
licensing as a foster parent, the applicant must be 21 or older; adoptive parents
must be 18 or older. Applicants may be married or single, be able to pass a
background check, present a physician’s statement verifying emotional and physical
health, and demonstrate economic stability. Foster and adoptive parents are
recruited, trained, and supported for the benefit of the children in the foster care
system. Those children are 35.6% Caucasian; 35.2% Hispanic; 8.2% Native American,

15% African-American; 1.1% Asian, and 5.0% mixed ethnicity. Children in care are
48% female and 52% male; 33.4% are between the ages of 1-5. The majority of
children (50.5%) spend between 31 days and 12 months in out-of-home care. As
highlighted previously, there are over 21,000 of Arizona’s children in the foster care
system.
c. Budget of requested funds We request a grant of $30,000, allocating all Tohono
O’Odham funds to staff compensation. Support for staff time is our greatest
program expense and need:
Line Item Amount Grant Request
Salaries & wages $1,250,250 $22,500
ERE $316,450 $7,500
Computer Supplies/software $13,100
Office Supplies $ 8,000
Meeting Food $400
Equipment Rent $15,250
IT $8,900
Postage $2,000
Licenses & Fees $500
Dues/Subscriptions $1,000
Training $6,800
Travel $2,500
Mileage reimbursement $54,850
Recruitment/Screening $6,200
Program Food $3,250
Other Program Supplies/Services $57,600
In-kind expensed $64,250
Foster Family Expense $98,350
Utilities $21,750
Repairs and Maintenance $10,800
Janitorial Supplies $500
Depreciation $58,350
Building Rent $1,550
Insurance $12,500
Telephone $21,450
Transportation $700
TOTAL EXPENSES $2,037,250 $30,000
d. Funding requests and status Applications to support the Foster Care and Adoptions
Program, covering all aspects of program services, in the current year are:

Funding Source Amount requested Status
APS West Valley $5,000 Pending
Tempe Community Foundation $12,000 Pending
Mesa United Way $20,000 Pending
PayPal GIVES $10,000 Pending
Town of Gilbert $10,000 Pending
City of Mesa $10,000 Pending
City of Peoria $5,000 Pending
City of Queen Creek $2,500 Pending
City of Tempe $10,000 Pending
e. Past 12% distribution In the past five years, 12% gaming revenue distribution grants
received by either of our founding organizations, Child Crisis Center (CCC) in Mesa
or Crisis Nursery (CN) in Phoenix, include:
Community or Nation To Amount Awarded
Tohono O’Odham Nation CN $25,000 12/2013
Salt River Pima Maricopa CCC $50,000 11/2015
Indian Community
CCC $50,000 1/2015
CCC $50,000 12/2013
CCC $53,335 3/2013
Ft. McDowell Yavapai Nation CN $8,000 11/2011
CCC $9,000 11/2012
CCC $13,000 10/2013
CCC $8,000 9/2010
Gila River Indian Community CCC $75,000 11/2014
CCC $75,000 11/2011
f. Contact persons
Primary: Barbara Polston, Grant Specialist Secondary: Jessica Nierad, Grant Specialist
E-mail: grants@childcrisisaz.org E-mail: grants@childcrisisaz.org
Phone: 602-273-7363 ext. 160 Phone: 480-834-9424 ext. 4250
FAX: 602-244-1316 FAX: 480-304-9492
Mail: 817 N. Country Club Dr. Mail: 817 N. Country Club Drive
Mesa, AZ 85201 Mesa, AZ 85201
g. Priority area This proposal falls within the Child Advocacy priority area.
h. Government entity If awarded, Maricopa County will receive and process grant
funding on our behalf.

Last updated: 05/11/2016
Page 1
General information
Organization Buckeye Valley Rural Volunteer Fire District
Contact First name Mike
Contact Last name Duran
Contact e-mail mikeduran@cox.net
Contact phone number 623-386-5906
Address
Street 25206 W. MC 85
City Buckeye
State AZ
ZIP Code 85326
From what tribe is the organization requesting the grant?
Tohono O’odham Nation
Total grant amount request
124,000
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Buckeye Valley Rural Volunteer Fire District
dba Buckeye Valley Fire District
25206 W. US Hwy 85, Buckeye AZ 85326
Phone: (623) 386-5906
Chad Lancaster –Chairman, Roger Wallace - Board Clerk,
Michael Rose–Member, Daniel Richardson- Member, Deron Miller-Member
Mike Duran – Fire Chief
May 23, 2016
Chairman Edward Manuel
Tohono O’odham Nation
PO Box 837
Sells, AZ 85634
ATTN: Doreen McPaul
Dear Chairman Manuel,
For the 2016 Tohono O’odham 12% Revenue Sharing Program, the Buckeye Valley Rural Volunteer Fire
District (BVRVFD) is requesting $124,000 for the “remounting” of an ambulance under the Public Safety
priority area. Your review and consideration is requested for the following proposal, as outlined per the
guidelines of the Request for Proposal.
A) Explain the perceived need and explain how the proposal will address that need.
The Buckeye Valley Rural Volunteer Fire District (BVRVFD) is requesting funds for the
remounting of an ambulance. The process of remounting an ambulance is a cost effective way of
extending the service life of an ambulance rather than purchasing a new ambulance. It involves
taking the “box” off the back of an existing ambulance. (See photograph on page 5.)The box is
then placed on a new chassis and needed updates are added to the ambulance to make its use safer
and more efficient.
Our ambulances provide Advanced Life Support (ALS) care 24 hours a day, 7 days a week and we
are responsible for providing ambulance service to a coverage area of over 2,500 square miles that
encompasses parts of Maricopa, La Paz and Yuma counties.
Our call volume continues to increase. Last year we had over 10,000 calls for service. This
increase in volume is the result of a significant population boom within our service area and the
surrounding communities that we support. Our fire & EMS district is rapidly transitioning from a
rural, agricultural district to an all hazard suburban department. Our district utilizes the expertise
of full time employees, reserve employees and volunteers.
BVRVFD is a special tax district, within Maricopa County, funded through a combination of
property tax on the secondary assessed valuation of homes and ambulance revenue. In recent
years, district tax revenue has declined due to failed developments, vacant land and agricultural
assessments. Ambulance revenue continues to be a form of revenue. However, there have been
significant reductions in Medicare Part B and insurance reimbursements for the ambulance
services. It is also a competitive market with threats from public and private ambulance
competition. As a result of these reductions in our most critical funding areas, our income is
limited.
1

In our fleet, ambulances average over 100,000 miles annually, they are very well maintained.
However high mileage, “Code Three” driving, extreme temperatures and rough terrain take their
toll on the equipment. Our district employs two (2) mechanics that provide scheduled and
emergency maintenance to our fleet.
These funds will allow BVRVFD to greatly extend the service life of an aging ambulance in its
fleet and will be used for safe treatment and transport of the sick and injured.
B) Describe the population and who will benefit from the proposal if approved.
BVRVFD is located thirty (30) miles from the west of Phoenix. An outline of our service area is
defined by a Certificate of Necessity (CON) from the Arizona District of Health Services. (See
photograph on page 5.) This area covers 2,500 square miles and parts of parts of Maricopa, Yuma
and La Paz counties. In this area there are approximately 75,000 residents. This does not account
for millions of visitors and travelers on the 81 miles of interstate highway and thousands of miles
of roadways in our service area. The remounted ambulance will help us to continue to provide
service to this area.
The fire district is a member of the greater Phoenix Area Automatic Aid Consortium that is
comprised of over twenty (20) districts and has formal mutual aid agreements with our three (3)
closest neighboring districts; Tonopah, Harquahala and Gila Bend.
BVRVFD also responds quite frequently to assist members of the Tohono O’odham Nation, both
on and off tribal lands. If Gila Bend’s ambulance is busy or out of the area, BVRVFD is the
primary ambulance to serve the San Lucy District. If an incident occurs in the San Lucy District or
Gila Bend, that requires more than one ambulance, BVRVFD is dispatched. BVRVFD provides
protection for State Route 85 and Old US 80. These are main roads to the Phoenix Metropolitan
Area, and the Desert Diamond Casino for travelers from the Tohono O’odham Nation Lands, Gila
Bend and other areas to the south of our fire district.
The Buckeye Valley Rural Volunteer Fire District has its share of high risk patients such as people
with special needs, the elderly and children. To add to the challenge of caring for these patients, it
is located in a federally designated Healthcare Provider Shortage Area (HPSA) and a state
designated Medically Underserved Area (AzMUA).
C) Include a budget of the requested funds, with the total amount requested clearly notated.
With the requested funds the Buckeye Valley Rural Volunteer Fire District will remount an
ambulance. As you can imagine, the price to remount an existing ambulance is significantly lower
than the price to purchase a new ambulance. A new ambulance with all of the features costs nearly
40% more than a remount project. The cost of a remount is as follows:
Total Cost to Tohono O’odham
for Ambulance Remount:
Ambulance Chassis $47,000
Ambulance Remount $77,000
Total Cost of Proposal: $124,000
All additional costs such as radios, extra emergency lighting and graphics for identification and
visibility will be paid by the BVRVFD as IN KIND Contributions. The initial estimate for these
IN KIND contributions is $8,900.
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Last updated: 05/12/2016
Page 1
General information
Organization Central Arizona Shelter Services
Contact First name Katia
Contact Last name Brown
Contact e-mail KBrown@cassaz.org
Contact phone number 602.256.6945
Address
Street 230 South 12th Avenue
City Phoenix
State Arizona
ZIP Code 85007
From what tribe is the organization requesting the grant?
Tohono O’odham Nation
Total grant amount request
15,000
1 of 1


2016 Central Proposal Arizona to Tohono Shelter O’odham Services, Nation Inc.
a. Perceived Need and Program
Our mission: “To empower men, women, and children with diverse needs to end their
homelessness by providing shelter and supportive services.”
Central Arizona Shelter Services (CASS) was incorporated in 1984 as a 501 (c)(3) non-
profit organization to temporarily meet the community need for emergency shelter to
serve Maricopa County Arizona’s growing homeless population. CASS’ Single Adult
Shelter in Central Phoenix provides 350 beds for men and 120 for women in gender-
specific dorms.
Vista Colina Emergency Family Shelter (Vista Colina), located on two acres in the
Sunnyslope neighborhood of Phoenix, is a 30-unit apartment complex with 120 beds.
VC’s provides on-site laundry, food pantry, an early childhood development program, an
after school program, playground, community room, job resource area, and 24/7 staff
offices. The shelter’s 30 units allows CASS to serve an average of 200 families each
year. In FY 14/15 ending 6/30/15, Vista Colina served 473 children who were homeless,
170 of whom were newborns to five years of age. In the first three quarters of FY
15/16, we have served 505 children, 161 of whom were five years old and younger.
Community Need
Homelessness has devastating consequences on infants, toddlers, and preschoolers.
The lack of the family’s stability prevents preschoolers from enrollment in early
childhood programs that prepare them for school. According to Child Trends: Early
Childhood Highlights 2012, 75% of homeless preschoolers have at least one
major developmental delay, such as delayed speech, and nearly half, 44%, suffer
from two or more delays. These children miss traditional childhood milestones that
have lifelong implications. Motor skills, such as hand/finger coordination are delayed as
are crawling, standing, walking, toilet training, sense of self, and ability to form
sentences. These delays have profound effects on children’s success into their teenage
and adult years. Children without stable homes are more than twice as likely as others
to repeat a school grade, be expelled or suspended, or drop out of high school.
Program Description
Early intervention can minimize the effect of homelessness on preschoolers.
Therefore, CASS implemented an Early Childhood Development Program over 15 years
ago to address the consequences of homelessness as early as possible in the children it
serves.
The Vista Colina Early Childhood Program identifies developmental delays in the
homeless children who participate in the program and develops plans to address
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2016 Central Proposal Arizona to Tohono Shelter O’odham Services, Nation Inc.
developmental delays. The program director earned a Master’s degree in Education
Curriculum and Instruction. Her staff is comprised of professionals with degrees and
credentials in Early Childhood Education.
Teachers conduct an initial evaluation within the first month of enrollment. Subsequent
evaluations are performed during the second and third months of the child’s stay.
Teachers develop a plan and notify parents about any developmental delays that are
identified during the assessment. The program uses The Creative Curriculum, ® a
research-based curriculum that provides comprehensive tools that foster learning and
growth through responsive caregiving for preschool children.
The Early Childhood Development Program is accredited by National Accreditation
Commission for Early Care and Education Programs. In addition, the program earned
the highest possible rating, 5-star, in early 2016 from First Things First’s Quality First
Program. Quality First established a statewide standard of quality for early care and
education programs and funds quality improvements that research proves help children
thrive. By achieving a 5-star rating, the Vista Colina Early Childhood Development
Program has demonstrated that it provides all the elements that result in a program
that prepares children for kindergarten, including:
• Teachers and caregivers who know how to work with infants, toddlers and
preschoolers;
• Positive, nurturing relationships that give young kids the individual attention they
need;
• Learning environments that encourage creativity and imaginative play;
• Hands-on activities that stimulate and encourage positive brain connections in
children; and,
• Caregivers who provide regular feedback to parents on the development of their child.
The program, located on-site at Vista Colina in its own building, operates Monday
through Friday from 8:00 a.m. to 4:30 p.m. Daily activities promote large and fine
motor skill development, reading, listening, play, art, and music. Children are assigned
to one of four classrooms according to age. The program also offers a licensed kitchen,
a staff lounge/library/computer room, administrative offices, and a multi-purpose
room.
Daily activities promote large and fine motor skill development, art/music/creative play,
outdoor play, reading / language /listening, nature/science/math, and dramatic play.
Children in the program receive nutritious meals and snacks throughout the day.
Outcomes:
The goal is for each child to progress during their participation in the program. As
previously noted, interim evaluations are conducted to monitor their achievements. We
attempt to conduct exit assessments on all children who participate in the program.
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2016 Central Proposal Arizona to Tohono Shelter O’odham Services, Nation Inc.
Based on historical data, 200 children in participate in the program next fiscal year. Of
the 200, 70% of families will notify us of their departures so we can conduct a final
evaluation. Of the children who have exit evaluations, 64% will show positive
outcomes: 24% will meet all developmental standards, 40% will approach standards.
b. Describe the population who will benefit from the proposal if approved.
We project to serve 200 unduplicated children ages 0 – 5 years who are homeless; 100
from birth – 2 years old and 100 3 – 5 years old. Based on data from past years, we
project their demographic profile as follows:
• Black/African American: 50% • White/Caucasian: 30% • Asian: 5%
• Native Americans: 5% • Multiracial: 10%
Seventy-five percent (75%) will be Hispanic.
As a regional emergency shelter, CASS serves homeless families from throughout
Maricopa County. Families experience homelessness for a variety of reasons. In FY
14/15, domestic violence (24%), job loss (24%), economic (17%), and relocation (7%)
were the most frequent causes of our families’ homelessness. Less than 1% of our
families were chronically homeless.
c. Include a budget of the requested funds, with the total amount requested clearly
notated.
Vista Colina Early Childhood Development Program
Projected Budget FY 16/17
Revenue
Tohono O’odham Nation $15,000
Valley of the Sun United Way $67,000
Cities and Towns $50,000
Maricopa County $5000
State $150,000
Contributions/Donations/Grants $139,000
Total $426,000
Expenses
Salaries & ERE $280,000
Employee Education $1,000
Professional Fees & Contracts $17,000
Specific Assistance for Individuals $18,000
Communications $1,000
Supplies/ Equipment Rental & $5,000
Maintenance
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2016 Central Proposal Arizona to Tohono Shelter O’odham Services, Nation Inc.
Occupancy (Rent, Utilities, etc.) $35,000
Occupancy Tohono O’odham Nation $15,000
Travel/Meetings $1,500
Non-payroll Insurance $4,500
Indirect Costs $48,000
Total $426,000
d. List any other funding requests that have been made for this or substantially related
proposals and provide the status of those requests.
Submitted and Under Consideration:
• Valley of the Sun United Way: $67,000 (Under consideration for FY 16/17)
• Phoenix Suns Charities: $10,000 (Under consideration for FY 16/17)
• Diamondbacks Foundation: $5,000 (In process)
• Cardinals Charities: $5,000 (In process)
e. Indicate whether the entity has already received a 12% distribution from the Tohono
O'odham Nation or other Arizona tribes, along with the amount and date awarded.
CASS received $25,000 from the Salt River Pima-Maricopa Indian Community on July 1,
2015 in support of its Regional Single Adult Shelter. CASS has not received a grant from
the Tohono O’odham Nation in the past.
f. Identify a designated contact person and alternate contact person for follow-up,
including e-mail address, phone number, mailing address, and fax number for these
persons.
Primary Contact: Alternate Contact:
Katia Brown, MBA Billie Cawley
Chief Development Officer Chief Program Officer
KBrown@cassaz.org BCawley@cassaz.org
Telephone: 602-256-6945 Telephone: 602-256-6945
Fax: 602-256-6401 Fax: 602-256-6401
Mailing Address: Mailing Address
Central Arizona Shelter Services, Inc. Central Arizona Shelter Services, Inc.
230 South 12th Avenue 230 South 12th Avenue
Phoenix, AZ 85007 Phoenix, AZ 85007
g. Indicate which priority area (from the above list) the proposal falls under.
Education
h. Maricopa County has agreed to work with CASS to secure this grant.
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Spring 2016
The Newsletter of Central Arizona Shelter Services
Editor: J. David Smith
Letter from the CEO Mark Holleran
It may already be March, but to me it’s still a new year and another opportunity to help
individuals who find themselves unexpectedly homeless for the first time.
For most of us, each new year represents an opportunity to start fresh. We implement
resolutions intended to enhance our physical fitness or financial well-being, or simply to
ensure we spend more time with loved ones; often, as we age, we realize that, along with
our health, family and friends are truly our most prized possessions.
I find it heartwarming when individuals I consider to be “young” have discovered the
profound importance of family – regardless of genetic makeup – at an early age. Such was
the case recently.
After months of searching for work, Theresa, 31, and Javier, 33, decided to move with their
two young children from Yuma to Phoenix in search of a better life.
A family member offered them a place to stay as they looked for work and a new home. Two weeks later, they were suddenly asked
to leave. With no place to turn, Theresa and Javier found themselves seeking shelter and assistance from CASS’ Vista Colina Emergency
Family Shelter.
As they settled into their new surroundings at Vista Colina, Theresa explained to her son, Michael, 6, that they were homeless. Fortunately
for Michael, he didn’t understand what being homeless meant. He still was with his family and thought they were living in a new apartment.
Theresa explained to her son that this was a temporary place to stay and that they would find a new home of their own soon.
Theresa told Michael, “We may not be wealthy, but we are rich in so many different ways. We have our health and each other. Family is
important and we should be thankful that we are all together.”
Through the help of CASS, Theresa and Javier both found good jobs. Michael is enrolled in school and Isabel, 1, is participating in Vista
Colina’s on-site, nationally-accredited child care program. As Theresa had promised, they will be moving into a home of their own very
soon. Together, they are living their dream of building a better life.
At CASS, we understand the importance of keeping families safe – and together – when they’re experiencing life’s most difficult challenges.
With your help we’re able to keep newly-homeless families intact while helping them move forward and into permanent housing.
For the homeless,
Mark Holleran
Corporate Partner Spotlight
CASS and its sister organization Arizona Housing, Inc. (AHI) would like to salute the efforts of Intel, a
major in-kind donor and volunteer provider to CASS/AHI. In addition to their volunteer efforts, this year
alone Intel provided 500 peanut butter and jelly sandwiches for the residents of AHI, as well as laced 300
pairs of designer sandals that were donated to the female clients at CASS. Operating our two shelters
365 days a year and 24 hours a day is an enormous and constant endeavor. Without the support of our corporate partners and community
volunteers the task would be unthinkable. We extend our deepest gratitude to Renee Levin, Intel Community Engagement Manager,
Theresa Niemeyer, Intel Involved Program Manager and all of the wonderful employees of Intel who have supported CASS/AHI.

Board of 10th Annual CASS TP Campaign
Directors CASS celebrated the 10th anniversary of its toilet paper contest in March!
Each year for the past ten, CASS has challenged local schools to select one week during the month
of March for the collection of wrapped rolls of toilet paper. Last year alone, participating schools
collected 8,796 rolls which were donated to our two Valley shelters.
Ann Becker Canyon Ridge Elementary is our three-time winner (2013, 2014, 2015) and has been awarded the
honor of proudly displaying our coveted toilet paper trophy at their school in Surprise. Can another
elementary- or high-school knock them off the throne in 2016?? We’ll announce this year’s winner via
Mike Bielecki social media in early April.
While toilet paper may not be an obvious item for donation to the shelter, it’s a $10,000+ expense
annually. With nearly 600 individuals staying at our shelters every night it’s an absolute necessity. Our
De Wet Du Plooy annual drive helps offset this significant expense and you can help.
While this year’s annual drive has come to a close, we accept packaged toilet paper year round. To
donate please contact Brenda Cash, Volunteer & In-Kind Donations Manager, by phone at 602-256-6945
Howard C. Epstein ext. 1019 or via email at bcash@cassaz.org.
Eddie Genna Volunteer Shout Out!
The North 17 Apartments, owned by CASS affiliate
M. Joyce Geyser Arizona Housing, Inc. (AHI), recently benefited from an
extra special volunteer effort to replace the disintegrating
wood chips on its playground. As an Eagle Scout Project,
J. Elliott Hibbs Kevin Wagner raised the funds needed and coordinated
the labor necessary to remove the existing ground cover
and replace it with rubber mulch. The apartment complex,
Derrick Johnson which serves formerly homeless individuals and families,
has a newly improved playground for the children that live
there. Boy Scouting’s most difficult advancement require-
Guy Mikkelsen ment is the Eagle Scout Project. It presents the opportunity
for the Scout to plan, develop and demonstrate leadership
to others.All of us at CASS & AHI tip our hats to Kevin and
James E. Morlan wish him a bright and prosperous future.
Bryan Murphy, Esq. Mark Your Calendar for Arizona Gives Day
Mark your calendar for Arizona Gives Day on Tuesday, April 5. Donate any time between now and
MiAsia Pasha
11:59 pm on April 5th to support the critical services of CASS and help us increase our chances of
winning a portion of $175,000 in prize money. Visit azgives.org TODAY and locate the CASS donation
Nicholas A. Rago page using the search field at the top of
the Arizona Gives Day home screen (or
type the following URL directly into your
John R. Rivers browser:
https://azgives.org/c/GivesDay/a/cassaz
To donate directly to CASS by phone
Douglas J. Sylvester
please telephone us at 602-417-9800.
moving life fo
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Support CASS While You Shop - Without Even Thinking About It!
CASS partners with two great retailers who’ll donate directly to the shelter every time you shop (without any additional fees passed along
to you). We encourage you to register online for these special programs with Fry’s Food Stores and Amazon.
Fry’s Food Stores – Community Rewards Program
Once registered, CASS will receive a percentage of your shopping total each time you shop. You must have a Fry’s
V.I.P. online account to register for this program. Have your V.I.P. card (or the telephone number associated with it)
with you when you sign-up online. If you don’t already have a Fry’s V.I.P. online account you can create one at the
web address below:
1. Enter the following URL into your computer’s Internet browser: https://www.frysfood.com/topic/new-community-rewards-program
A. If you don’t already have a Fry’s V.I.P. online account click on the link to create one. Once you have a V.I.P. online account you
can move on to step B.
B. If you already have a Fry’s V.I.P. online account click on the ENROLL NOW button.
i. You’ll be prompted to sign into your account.
ii. Once you sign in, you’ll be asked to “Find your Organization.” Enter Central Arizona Shelter Services or our five-digit
identifier for CASS – 80086 – in the blank field and click on the SEARCH button.
iii. CASS should appear below the heading “SELECT YOUR ORGANIZATION.” Click on the radio button to the left of our name
and then click on ENROLL.
iv. Complete the easy steps outlined on the page and you’re enrolled! CASS will now begin receiving rewards each time you shop.
v. Remember to re-enroll at the beginning of each calendar year.
Amazon Smile
Once you register, Amazon donates 0.5% of the price of your eligible AmazonSmile purchases to CASS.
To register, follow the steps below:
1. Enter the following URL in your computer’s browser: http://smile.amazon.com/
2. Sign in with your existing Amazon login and password OR click on the CREATE AN ACCOUNT hyperlink below the Sign In credentials.
3. Enter Central Arizona Shelter Services in the “Or pick your own charitable organization” field and click on the SEARCH button.
4. Central Arizona Shelter Services will appear at the top of the organization listing; click on the SELECT button.
5. You’re ready to shop! You’ll know you’ve selected CASS as you’ll see “Supporting: Central Arizona Shelter Services, Inc.” at the top of
the page.
Remember to visit smile.amazon.com each time you shop Amazon to ensure your purchases are eligible.
You’re Invited to the Friday, April 22, 2016
Registration 7:30a.m.
Breakfast 8:00a.m. to 9:00a.m.
JW Marriott Camelback Inn
Scottsdale Resort and Spa
5402 E. Lincoln Drive
fundraising
Scottsdale, AZ 85253
Breakfast is complimentary
RSVP by April 15, 2016. Please email events@cassaz.org or call Katia Brown at 602-417-9800 to RSVP or for more information.
orward
3

230 S. 12th Avenue
NONPROFIT ORG
Phoenix, AZ 85007
602-417-9800 U.S. POSTAGE
cassaz.org PAID
PHOENIX, AZ
PERMIT NO. 4853
cassaz.org
Wish List
Donate items on our wish list and help us meet the needs of the
600 homeless men, women and children we serve each night.
URGENT NEED: As the temperature begins to rise we desperately
Donate Today! need donations of bottled water. Our annual heat relief efforts
I am cassaz.org/give and bottled water collection will be in effect through October.
working or call
Clothing Shaving cream Dish drying racks
602.417.9800
Seasonal casual Toilet paper Dish sponges
clothing and shoes Toothpaste/ Disinfecting wipes
Donate Today to for men, women Toothbrushes Microwaves
receive your tax credit* and children Heat Relief Plungers
(new or gently used)
*Your donation to CASS qualifies you for the Arizona Charitable Tax Credit, a dollar-for-dollar tax credit up to $200 Hats Pots and pans
for individuals and $400 for married couples. This credit is in addition to the public and private school tax credits. Underwear (new)
Sunscreen Trash bags
Infants & Toddlers (large, heavy duty)
Household
Donation Center Baby wipes Items USB flash drives
(in hard containers (to store resumes and
230 S. 12th Avenue, Phoenix, AZ 85007 for easy stacking) Air mattresses other important
● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● Diapers (sizes 4, 5, 6) Backpacks or electronic documentation)
Donations are typically accepted Monday through Friday between the Fold-up duffel bags
hours of 8:30 am and 5:30 pm, although they are gladly accepted at Similac formula Food Pantry
(blue or orange lids) Bath towels
other times by appointment. (new or gently used) Boxed/packaged
● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● Hygiene Items potatoes or rice
Please contact Brenda Cash for important directions/instructions and/or Bed sheets
to schedule an appointment during off-hours. Brenda can be reached Body lotion (new or gently used, Cereal
by phone at 602-256-6945, ext. 1019 or via email at bcash@cassaz.org. Deodorant twin flats preferred Shelf stable milk
Disposable razors but all sizes welcome) Gift Cards
Feminine products Box fans Target, Costco,
Foot powder Dishes/glasses Walmart, etc.
602-417-9800 • cassaz.org
Our Mission: To empower men, women and children with diverse needs
to end their homelessness by providing shelter and supportive services.