2016 GRIC APPLICATIONS 5.PDF

Created: 01/14/2016
Last updated: 02/27/2016
Page 1
General information
Organization Phoenix Children's Hospital Foundation
Contact First name Jessica
Contact Last name Martin
Contact e-mail grants@phoenixchildrens.com
Contact phone number 602-933-2609
Address
Street 2929 East Camelback Road, Suite 122
City Phoenix
State Arizona
ZIP Code 85016
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
250,000
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 Community Grants Only) 83,000
Year 2 (Gila River Indian Community Grants Only) 83,000
Year 3 (Gila River Indian Community Grants Only) 84,000
Year 4 (Gila River Indian Community Grants Only)
Year 5 (Gila River Indian Community Grants Only)
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Gila River Indian Community Grant Application
Grant Cycle 2016
Cover Sheet
Municipality Information
1. Date of Application: 2/29/2016 (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): Clint L. Hickman
4. Mailing Address: 301 West Jefferson, 10th Floor
5. City: Phoenix State: Arizona Zip Code: 85003
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name: Click here to enter text. Signature:
Applicant Information
7. Department/Organization Name: Phoenix Children’s Hospital Foundation
8. Is this a non-profit 501c(3) Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Jessica Martin Title: Director of Foundation Giving
10. Phone Number: 602-933-2609
11. Mailing Address: 2929 East Camelback Road, Suite 122
12. City: Phoenix State: Arizona Zip Code: 85016
13. Email Address: jmartin2@phoenixchildrens.com Website Address: www.phoenixchildrens.org
Project Information
14. Project Name: Phoenix Children’s Hospital’s campaign to build a new Emergency Department and Level 1 Pediatric
Trauma Center
15. Purpose of Grant: Phoenix Children’s Hospital invites the Gila River Indian Community to join our Condition Critical
Campaign to more than double the size of our Emergency Department and Level 1 Trauma Center. If funded, a grant
award will launch us into the final phases of our campaign and secure your legacy through a naming opportunity.
16. Priority Funding Area Healthcare
17. Annual amount requested $Year 1: $83,000; Year 2: $83,000; Year 3: $84,000
18. Number of years that funding is requested Three
19. Total amount requested (annual amount x # $250,000
of years)
20. Has your organization received past funding 2010: $150,000 for the PCH Camp Maska Program. 2013: $181,495
from GRIC? If yes, list each year and amount to purchase dialysis equipment and support Camp Maska.
21. Geographic area served All of Arizona and the Southwest region
For Office Use Only:
Data Entry Receipt Evaluation

Gila River Indian Community Grant Application
Grant Cycle 2016
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 mission, history and goals.
The mission of Phoenix Children’s Hospital is to provide hope, healing, and the best health care to children and
families. Since 1983, we have grown to become the sixth largest children’s hospital in the nation. Last year we
served over 243,000 children and families within 75 different medical subspecialties, both on our main campus
in Phoenix and in satellite and urgent care centers across the state. We know the care we provide is the best
because we are consistently ranked among U.S. News & World Report’s list of Best Children’s Hospitals – the
result of a national survey asking over 1,000 pediatric specialists where they would send the sickest children.
Phoenix Children’s goal is to be the premier regional pediatric center in the Southwest. As part of realizing this
goal we are responding to the most crucial needs in pediatric health care and in our community. Today, one of
our greatest needs is to expand Phoenix Children’s Emergency Department and Level 1 Trauma Center –
Arizona’s only Level 1 pediatric trauma center. We are grateful for the opportunity to invite the Gila River
Indian Community to join Condition Critical, our current capital campaign and fight to save lives.
When children are severely injured or ill, Arizona’s only Level 1 Pediatric Trauma Center is best equipped to care
for them. Our Trauma Center has received the highest designation (Level 1) given to a hospital to care for the
sickest patients. While the average emergency department is equipped to handle cases of asthma, appendicitis,
or minor fractures, Phoenix Children’s is fully equipped and trained for families’ worst nightmares - the gunshot
wounds, car accidents, and severe head injuries. Our unique designation and highly trained staff means Phoenix
Children’s:
• Provides access to specialized pediatric clinical teams around the clock. At Phoenix Children’s, every
person involved in the patient’s care is trained in pediatrics – from the surgeons and 22 different kinds
of subspecialists available 24/7, to nurses, child life specialists and social workers who are at every
child’s bedside from the moment of admission.
• Operates one of the busiest trauma centers in the country. Because we treat many thousands of
patients every year and focus solely on children, our medical professionals have more experience and
our facility has equipment designed specifically for children on-hand. All of this results in fewer mistakes
and drastically improved outcomes for sick and injured children. In fact, Phoenix Children’s mortality
rate is half that of children’s hospitals nationwide, at just 0.6 percent.
• Offers critical resources for children with behavioral health problems. Every day, up to 20 children with
behavioral health needs occupy our emergency exam rooms. Phoenix Children’s also operates a
program for substance abuse screening and patient intervention.
• Is a leader in childhood injury prevention and public education to surrounding communities. Phoenix
Children’s dedicated Injury Prevention and Child Abuse Prevention programs help keep children from
needing the Emergency Department in the first place. Our Injury Prevention Specialists prevent child
maltreatment and the most common and deadly childhood injuries through outreach, awareness and
education services, reaching about 25,000 children and families every year.
When it comes to emergency and trauma care, we are the very best at what we do. But we’ve severely
outgrown our space, tweaking and retrofitting as we go to accommodate every child. We can’t do that anymore.

Gila River Indian Community Grant Application
Grant Cycle 2016
With current growth projections, we simply won’t have the space we need to keep up with the number of
children who turn to us for care.
2. If the organization is a non-profit 501c(3), please describe your relationship with the municipality including
past and present support, whether it be through partnerships, collaborations, in-kind contributions, grants,
tax-based funding or other. If the organization is a municipality governmental sub-division please enter the
text “Not applicable”
Maricopa County has served as a fiscal pass-through for Gila River Indian Community grants awarded to Phoenix
Children’s Hospital in 2010 and 2013. Phoenix Children’s Hospital also worked with Maricopa County to submit
12% tribal gaming grants to Gila River Indian Community in 2015. Phoenix Children’s receives federal grant
support through Maricopa for clinical services, most recently a $160,000 HRSA award for our Homeless and At-
Risk Youth Outreach Program.
3. Describe the proposed project and planned goals and activities.
We never want to turn a child away because we don’t have space. That’s why we’re fighting to be ready for
100,000 children – the number of patients expected to come through our Emergency Department and Level 1
Pediatric Trauma Center by 2020. Our current Emergency Department and Level 1 Trauma Center was built to
accommodate 22,000 children each year; today, we are struggling to treat over 83,000 in drastically insufficient
space. Phoenix Children’s Hospital launched our $40 million Condition Critical community campaign in response
to this need. Once complete, the new Emergency Department and Level 1 Trauma Center will provide:
Higher Capacity
• A new Emergency Department will increase the number of beds to 72, nearly doubling the current
capacity and allowing for the treatment of up to 140,000 patients annually.
• Even with limited space, we have one of the busiest pediatric trauma centers in the nation. When we
opened in 2008 we saw 583 trauma patients. That number has grown to more than 2,500 per year. The
current space can treat four trauma patients while the new expansion will accommodate up to nine
trauma patients at one time. When tragedies happen – like a group of teens in a car accident –
emergency responders will no longer have to decide which patients can be transported to Phoenix
Children’s and which ones need to be taken elsewhere.
Access to Care
• When a child is critically injured, minutes can mean the difference between life and death. Right now
emergency responders who are airlifting a patient have to transport them 200 yards from the helipad to
our operating rooms and Pediatric Intensive Care Unit (PICU). The new Emergency Department will be
located directly below the helipad and just seconds away from operating rooms, imaging equipment and
the PICU, reducing transport time and improving care.
• For families arriving by car, the new Emergency Department will have a more prominent and visible
location from Thomas Road, with parking available right outside the main doors.
Quicker Assessments
• The added space will allow for faster and more effective triage of patients, with the most critical
children taken directly to a room, and assessments and registration completed bedside. It is estimated
that the time from arrival to triage will decrease by 64 percent.

Gila River Indian Community Grant Application
Grant Cycle 2016
• Wait times will decrease significantly for all patients, meaning fewer children and families will leave
without being seen by a pediatric specialist – a number estimated to drop by nearly 50 percent.
Specialized Treatment
• For patients with chronic illnesses requiring specialized care, Phoenix Children’s will be able to place
them in a room more promptly and provide them with treatment by nurses trained in those specific
diseases.
• Additional “safe rooms” will be available for behavioral health patients who pose a danger to
themselves, with psychiatric staff on-hand to evaluate them.
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River
Indian Community.
Our $250,000 grant request for Phoenix Children’s Condition Critical capital campaign aligns with Gila River
Indian Community’s priority areas of Healthcare and Public Safety. Access to pediatric emergency medical care
affects entire communities throughout our state. We know for a fact that when a child isn’t treated at a verified
Level 1 Pediatric Trauma Center, they are more likely to undergo unnecessary surgeries, lose a limb, or suffer
other permanent damage due to mistakes. Similarly, our facility is a critical resource for children and teens who
are at risk of harming themselves or others. Between six and 20 behavioral health patients occupy the
emergency rooms each day, and some of these children wait days before they can be transferred to a mental
health facility due to a statewide shortage of psychiatric beds. Families should not have to wait that long when
their child is in crisis.
As mentioned above, emergency responders rely on us, especially during the worst case scenarios like when
multiple children are hurt in the same accident. Their ability to respond quickly to a tragedy, and prevent an
even worse one from happening, is directly tied to the amount of space we have available to treat kids. Our
Emergency doctors stand alongside EMTs and fire departments as the “first line of defense”, and we work
closely with them accordingly. In fact, the new Emergency Department and Level 1 Trauma Center will even
have a dedicated EMS Work room supporting ambulance operations. This space will include an office for
technicians, restroom facilities and space for EMS storage.
5. Identify the needs/problems to be addressed, target population and number of people to be served by the
project.
Today the pediatric population in the Phoenix area is 1 million. By 2030 that number will reach 1.5 million,
placing even greater demands on pediatric emergency and trauma care. As home to the only Level 1 Pediatric
Trauma Center in the state, we must be ready for it.
Yet our Emergency Department was built to accommodate just 22,000 kids a year. Last year, more than 83,000
children came through our doors. Within five years, we anticipate a need to treat more than 100,000 critically
injured or ill kids every year. And these children should not be treated just anywhere.
Children are not like little adults. Their bodies are different; their brains are different. They react differently to
medications. They have different physical and emotional needs. They don’t communicate the same way — or, if
very young, at all.
The harsh reality is that many hospital emergency departments simply are not prepared for children. It’s not
what they do. They don’t have equipment like breathing tubes or catheters sized for children of various ages and
sizes, for example. Staff don’t know how to properly stabilize a seriously injured or ill child. They don’t know
how to order proper IV fluids or recognize a life-threatening drop in blood sugar.

Gila River Indian Community Grant Application
Grant Cycle 2016
They aren’t trained to care for kids in an emergency, and that’s when mistakes happen - fatal mistakes. The fact
is that children treated at pediatric trauma centers are more likely to survive with one-fourth the mortality rate
of adult hospitals and they have a shorter overall hospital stay.
A study recently published in JAMA Pediatrics looked at the ability of more than 4,000 hospitals to care for
pediatric emergency patients. On a scale of 100, the median readiness score was 69. The only measure of
comfort in a median score of 69 is that in 2003, it was 55.
But when more than 15 percent of the hospitals that participated in the review are missing critical tools — such
as those needed to remove something that’s blocking a child’s airways — it’s clear that taking your child to just
any hospital isn’t good enough. It also helps explain why more than 30,000 children a year are brought to
Phoenix Children’s Emergency Department and Level 1 Trauma Center from other hospitals.
The good news is we have the staff and training we need. We are the very best at what we do, and we have the
stats to prove it: We have one of the lowest mortality rates in the country. We simply do not have the space for
all of the children who need us and we never want to turn a child away.
6. Define the project as a new or continuing program.
The Emergency Department and Level 1 Pediatric Trauma Center will be a new project, and the only facility of its
kind in Arizona.
7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
The timeline of the full Emergency Department and Level-1 Trauma Center build-out is listed below.
January through February 2016
• Final plans, specifications, and estimates completed
• Beginning stages of demolition (i.e. tree salvage process commenced)
• Permits obtained from the City of Phoenix
February through April 2016
• Street closures and civil surveys underway
• Water retention tanks relocated
May through June 2016
• Basement excavation commences
• Concrete foundation pours
August through October 2016
• Steel fabrication/erection
November through December 2016
• Deck concrete pours
September 2016 through January 2017
• Building envelope and roof installation
November 2016 through March 2017
• Mechanical rough-in and framing (i.e. building stucco and windows)
February 2017 through July 2017
• All building finishes

Gila River Indian Community Grant Application
Grant Cycle 2016
July 2017 through August 2017
• Equipment and furniture installations
• Emergency Department staff training
• Arizona Department of Health Services signoff and approvals
September 2017
• “Go-live” date for the Emergency Department and Trauma Center
8. Identify other organizations, partners or funders participating in the project and their roles.
Our Condition Critical campaign represents a collaboration of leaders in health care, business and the giving
community. In 2014, Phoenix Children’s Hospital received a cornerstone gift of $4.5 million from a private
charitable foundation. To-date, we have secured enough donations from individuals (including $1 million from
our own group of dedicated Level 1 trauma surgeons), corporations and family and private foundations to bring
us to 77% completion of our capital campaign goal, which has launched us into the final stage of our campaign.
9. Would you be able to implement the proposed plan if your organization received partial funding for this project?
Any level of support from the Gila River Indian Community will advance our cause. Should you choose to award
partial funding, all monies will go toward the highest area of need in designing and constructing the new facility.
A full award of $250,000 will help us realize this vision faster, and will secure your legacy through naming
recognition. Our available naming opportunities at this dollar level are listed below, and other opportunities
starting at the $100,000 level are still available. We would welcome the opportunity to discuss these options
further at time of award.
Helipad Transport Elevator - The helipad transport elevator was built as part of the hospital tower
construction. The benefit of the elevator’s location is its immediate proximity to the emergency
department and trauma suite.
Clinical Staff Work Area - The four clinical staff work areas located in the center of each of the emergency
department exam pods are self-contained units providing for physician, nursing and staff services with
work areas, supply storage, medications, equipment space and nutrition. The staff work areas are open
working environments with complete visual connection to all exam rooms located in the exam pod. In
addition to providing direct connection between the staff and patients, this environment is designed to
foster collaboration among the clinical team members.
Conference and Training Room - The Conference and Training Room is a very important part of the
operation of an emergency department. The space located within the clinical department creates a team
work environment for the multiple people supporting the emergency department. The room is especially
important as it provides space for in-service education for up to 30 clinicians at a sitting. In-service for
continuing education is a crucial part of the 24 hours per day/7days per week daily life in the emergency
department.
EMS Work Room - The EMS Work Room is a much needed space supporting ambulance operations for
the emergency department. The space provides an office and break for the technicians serving the
hospital. Additionally, a restroom facility and storage room for EMS supplies are provided.
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.

Gila River Indian Community Grant Application
Grant Cycle 2016
Operational costs are outlined in the capital expense budget enclosed with this application. These represent
one-time costs, as Phoenix Children’s Hospital will not require new staffing support or other ongoing
infrastructure in order to operate the new space. Once we have reached our campaign goal of $40 million, the
Hospital will support the remaining $22,550,000
11. Describe your plan to document progress and results.
Once the new Emergency Department and Level 1 Pediatric Trauma Center is fully operational, the Phoenix
Children’s Hospital clinical team will track patient experience and outcomes to demonstrate the efficacy of our
services. Outcome data will include, but is not limited to:
• Lower Mortality Rates: Phoenix Children’s Hospital’s mortality rate is half the average of
children’s hospitals nationwide. Patient health outcomes are tracked through the Electronic
Medical Record (EMR) System and we utilize standard national benchmarking tools for
children’s hospitals to compare mortality rates with others on an annual basis.
• Number of Children and Families Served: Expanded facilities will enable staff to serve even
more of Arizona’s children and families requiring emergency and critical care. Total number of
children and families served will be tracked using the EMR System.
• Overall Patient and Family Satisfaction: Overall patient and family satisfaction includes
shorter length of stay and reduced patient wait time. Patient experience and health outcomes
are tracked by the EMR System along with results from patient satisfaction surveys.
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. If this information is included in a separate attachment, please
indicate that here.
Since 2011, Phoenix Children’s Hospital has partnered with the Salt River Pima Maricopa Indian Community
(SRPMIC), the Tohono O’odham Nation, and the Fort McDowell Yavapai Nation in order to enhance and expand
our facilities and pediatric medical subspecialty services. Most recently, we were grateful to receive a 2015 grant
award of $130,000 from SRPMIC to support both the Condition Critical campaign and to significantly grow
clinical and patient support services within the Cardiometabolic risk Assessment, Research and Education (CARE)
Program. If awarded and if a naming opportunity is desired, the Gila River Indian Community will be the first
tribe that has secured naming rights in this new facility.

Gila River Indian Community Grant Application
Grant Cycle 2016
Project Budget
Budget Period: 06/01/2016 – 09/31/2017
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. Emergency Department Design and $250,000.00 $23,197,097.82 $0 $23,447,097.82
Construction Costs
2. Additional Information Technology $0 $2,244,880.43 $0 $2,244,880.43
and Equipment Storage Space
3. Emergency Department $0 $11,972,695.65 $0 $11,972,695.65
Furnishings, Medical and Information
Technology Equipment
4. Phoenix Children’s Hospital $0 $22,550,000.00 $0 $22,550,000.00
Campaign Contribution
5. Final Campaign Phase (Community $0 $2,585,326.10 $0 $2,585,326.10
Contributions)
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
16. Click here to enter text. $0 $0 $0 $0
17. Click here to enter text. $0 $0 $0 $0
Total Budget $250,000 $62,550,000.00 $0 $62,800,000.00

Gila River Indian Community Grant Application
Grant Cycle 2016
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. Emergency Department Design and Construction Costs- Emergency department design and construction costs are
determined by Phoenix Children’s facilities management and competitive, successful vendor bids.
2. Additional Information Technology and Equipment Storage Space- These costs are determined by facilities
management, the existing information technology department, and competitive, successful vendor bids.
3. Emergency Department Furnishings, Medical and Information Technology Equipment- These costs are determined by
facilities management, Phoenix Children’s clinical care and administration leadership, the existing information
technology department, and competitive, successful vendor bids.
4. Phoenix Children’s Hospital Campaign Contribution- Phoenix Children’s Hospital will support the remaining
$22,800,000 in capital costs once the Phoenix Children’s Hospital Foundation has reached our campaign goal of
$40,000,000.
5. Final Campaign Phase (Community Contributions)- During the final phase of the capital campaign, Phoenix Children’s
Hospital Foundation will seek philanthropic contributions from the general community to complete the campaign, which
is estimated in fiscal year 2016. The estimated opening date for the new Emergency Department and Level-1 Trauma
Center is September 2017.
6. Click here to enter text.
7. Click here to enter text.
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9. Click here to enter text.
10. Click here to enter text.
11. Click here to enter text.
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13. Click here to enter text.

Gila River Indian Community Grant Application
Grant Cycle 2016
14. Click here to enter text.
15. Click here to enter text.
16. Click here to enter text.
17. Click here to enter text.
Other explanation: Click here to enter text.


Last updated: 02/01/2016
Page 1
General information
Organization North County Fire & Medical District
Contact First name Tim
Contact Last name Van Scoter
Contact e-mail tvanscoter@ncfmd.az.gov
Contact phone number 602-881-2733
Address
Street 18818 N. Spanish Garden Drive
City Sun City West
State AZ
ZIP Code 85375
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
95,000
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 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)
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NORTH COUNTY FIRE & MEDICAL DISTRICT
Internationally Accredited ~ ISO Class 1 Designated Agency
18818 N. Spanish Garden Drive ⦁ Sun City West, Arizona 85375 ⦁ (623) 544-5400 ⦁ Fax (623) 544-5455 ⦁ www.ncfmd.az.gov
February, 24, 2016
Ms. Cheryl Pablo
The District proudly Gila River Indian Community
serves the PO Box 97
communities of: Sacaton, AZ 85147
Sun City West RE: North County Fire & Medical District – Local Government Agency Status

Coldwater Ranch

Corte Bella Ms. Pablo:

Cross River The North County Fire & Medical District (formally the Fire District of Sun City West) is a local
 government “Special District” under the Arizona Revised Statues 48-805 and is a not for profit
Dos Rios government entity with an Internal Revenue Service issued Employer Identification Number of
 86-0503076. IRS verification letter is attached to this letter.
Marisol Ranch

Pinnacle Peak
County Island Respectfully,

Rancho Cabrillo

Rancho Silverado Tim Van Scoter
 Assistant Chief
Rio Sierra Sun City West Fire District

Sundero

and other
unincorporated
portions of
Maricopa County


Gila River Indian Community Grant Application
Grant Cycle 2016
Cover Sheet
Municipality Information
1. Date of Application: 2/24/2016 (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): Clint Hickman
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: Clint Hickman, Supervisor-District 4 Signature:
Applicant Information
7. Department/Organization Name: North County Fire & Medical District
8. Is this a non-profit 501c(3) Organization? No Yes If yes, attach IRS Determination
Letter
9. Application Contact Person: Tim Van Scoter Title: Assistant Chief
10. Phone Number: 623-544-5400
11. Mailing Address: 18818 North Sphanish Garden Drive
12. City: Sun City West State: Arizona Zip Code: 85375
13. Email Address: tvanscoter@ncfmd.az.gov Website Address: www.ncfmd.az.gov
Project Information
14. Project Name: North County FMD – Firefighter SCBA Equipment
15. Purpose of Grant: To supply firefighters with vital safety equipment – breathing air cylinders to perform
firefighting and life safety duites in extreme conditions in homes, businesses and other structures in Sun City
West, surrounding unicorporated areas of the Fire District and surrounding communites in the
automatic/mutual aid system in which we participate in within the metro Phoenix area.
16. Priority Funding Area Public Safety
17. Annual amount requested $95,000
18. Number of years that funding is requested 1
For Office Use Only:
Data Entry
Receipt
Evaluation

Gila River Indian Community Grant Application
Grant Cycle 2016
19. Total amount requested (annual amount x # of $95,000
years)
20. Has your organization received past funding NO
from GRIC? If yes, list each year and amount
45 square miles of the northwest metro Phoenix area
21. Geographic area served including the community of Sun City West and
surrounding areas.

Gila River Indian Community Grant Application
Grant Cycle 2016
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 mission, history and goals.
The North County Fire and Medical District (NCFMD) serves the Northwest Phoenix Metropolitan area with 142
uniformed, civilian and volunteer employees. The District was formed in 1981 and has grown to protect roughly
50,000 residents within an approximate 45 square mile area. The District provides fire protection, medical
service, hazardous materials response, technical rescue, disaster preparedness, public assistance/non-
emergency response, public education, and other supportive services to the community and surrounding area.
“As a team of highly trained and dedicated professionals, it is our mission to provide the highest
standard of emergency and non-emergency services to all those who may seek our help. We are a
service provider and will faithfully provide these vital services, promptly and safely. As a family of
individuals committed to serving others, we will always provide for the welfare of our personnel through
a healthy and rewarding work environment. We are dedicated to respect, integrity, compassion, and
leadership amongst ourselves so that we may proudly serve others.”
The District is a unique entity which has a history of using an innovative approach to delivering excellent quality
and highly efficient services to its residents. In 2015, the District responded to approximately 9,900 calls for
assistance, with an average response time for emergency calls of 3 minutes and 39 seconds. This continues to
be one of the best average response times in the Phoenix Metropolitan area. The services are provided from
five facilities strategically positioned throughout the District.
The District has five fundamental strategic goals which include: Community Outreach & Partnerships, Financial
Sustainability, Resource Development & Deployment, Personnel Development and Infrastructure. The
proposed project directly contributes to these goals and will greatly enhance our ability to serve and protect the
community.
2. If the organization is a non-profit 501c(3), please describe your relationship with the municipality
including past and present support, whether it be through partnerships, collaborations, in-kind
contributions, grants, tax-based funding or other. If the organization is a municipality governmental
sub-division please enter the text “Not applicable.”
Not Applicable
3. Describe the proposed project and planned goals and activities.
The goal of this proposed project is to provide vital safety equipment in the form of breathing air cylinders for
our 80 certified firefighters to use to perform their tasks at structure fires and other emergencies. These
breathing air cylinders are worn by firefighters while they are fighting fires, saving lives and stabilizing
emergency scenes including those with dangerous hazardous materials. These cylinders are necessary
equipment for all firefighters to perform their duties to the public daily. The ultimate goal is to ensure that the
Fire District can meet its responsibility to provide the best service possible to its 50,000 residents.

Gila River Indian Community Grant Application
Grant Cycle 2016
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the
Gila River Indian Community.
As a public safety organization, this proposed project requested by the NCFMD directly satisfies the priority
funding area stated as “programs and projects that enhance the efforts of police and fire departments, crime
prevention programs, reduction of environmental hazards, education programs that promote public and
individual safety, shelters”. As stated in our mission statement, public safety is our number one priority.
5. Identify the needs/problems to be addressed, target population and number of people to be served by
the project.
The NCMFD is requesting funds to purchase 80 breathing air cylinders, a vital piece of our firefighters safety
equipment, to ensure that we can provide emergency services to the community we serve. These air cylinders
provide 45 minutes of breathing air to a firefighter and are worn on a backpack frame. We find ourselves in a
position that is requiring us to replace all of our firefighter’s breathing air cylinders before 2017. Federal safety
regulations place a service life on this equipment and after 15 years of use, the air cylinders must be replaced.
Our current air cylinders were purchased in 2002. Due to limitations in tax revenues, capital funds for this
project have been used for higher priority items. Funding this project with GRIC grant funds will ensure that we
can replace this aging equipment and ensure the safety of our firefighters. Without this grant assistance, we
will still have to replace the air cylinders, but other essential services will have to be postponed reducing
services to the community. This project would greatly enhance our ability to serve the 50,000 residents of our
District. This equipment is used on every fire and hazardous incident response by our firefighters and is a vital
part of the services we provide to the citizens of the valley.
6. Define the project as a new or continuing program.
This is not a new program for us, but does not require funding each year. This project is on a 15 year cycle.
No new funding would be required beyond this request for some time. The District works to incorporate this
type of ongoing costs into our long term capital funding. This request for funding is the product of increases in
demand for services and expansion of our service areas that have required capital funding to be allocated in
other programs in recent years with to decreases in fire district funding due to proposition 117. Our hope is
that we have sufficient funding in the future to ensure that we do not have to look elsewhere for funding for
these vital projects.
7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.

Gila River Indian Community Grant Application
Grant Cycle 2016
The proposed timeline set for this project would include a start date of January 2017 or the date the project is
funded by your grant program. The finish date would be on or before June 30, 2017 (the end of our fiscal
year). The timeline is flexible and the District would be open to any timeline or changes necessary to meet
your program funding.
8. Identify other organizations, partners or funders participating in the project and their roles.
There are no other organizations, partners or funders directly participating in the development of this project.
The NCFMD has developed this project to meet the needs of the District, its firefighters and the community.
However, as stated, this project will greatly benefit many agencies, communities and people outside of our
District through our partnerships and response agreements as this equipment is used daily while responding to
emergency calls for service.
9. Would you be able to implement the proposed plan if your organization received partial funding for this
project?
The District’s current budget lacks the funds for this project without diverting funds from other critical programs.
Due to legislative mandates and limitations, the District is unable to increase revenue to fund this critical
project. The NCFMD is primarily funded by property tax. Recent legislative changes make it very difficult for
fire districts to increase revenue. The NCFMD Governing Board has already approved this grant application
with the project budget as listed. If this project was partially funded by your program, it would require a
reevaluation of our current capital funding at that time to ensure the additional funds were available to
complete the project.
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.
There is no previous sustainability plan to justify as the NCFMD has never received funding for this or any
project from the GRIC or any other tribal grant program. NCFMD ensures that this type of equipment is
inspected and tested as required by industry and federal standards. Breathing air is critical to the safety of our
firefighters and these new cylinders will ensure that we meet our goal of providing this vital tool used by our
firefighters to provide emergency service to the community. The NCFMD works to incorporate this type of
ongoing costs into our long term capital funding and will plan for future replacements through capital funding
allocation and depreciation.
11. Describe your plan to document progress and results.

Gila River Indian Community Grant Application
Grant Cycle 2016
The NCFMD has written policy on procurement of capital items such as proposed in this project. The District
would document all the steps for this project procurement, including developed of specifications, requests for
bids, delivery, and placing the equipment in service. The NCFMD has received the Distinguished Budget
Presentation Award for the last four years in a row from the Government Finance Officers Association of the
United State (GFOA). The program awards state and local governments for preparing documents of the very
highest quality that reflect both the guidelines established by the National Advisory Council on State and Local
Budgeting and the GFOA’s best practices on budgeting and documentation. This project would follow the same
best practices and public records can be produced to show that the funds were used as intended.
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. If this information is included in a separate
attachment, please indicate that here.
The NCFMD has never received funding from this or any other tribal/state shared revenue grant programs. The
Gila River gaming facilities are well supported by the citizens of the Sun City West retirement community and
we look forward to working with you on this project.

Gila River Indian Community Grant Application
Grant Cycle 2016
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
requested from requested or contributions
(list each budget item) GRIC secured from
other funders
1. 80 each. Carbon Fiber Air $95,000 $0 $0 $95,000
cylinders
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
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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 $95,000 $0 $0 $95,000

Gila River Indian Community Grant Application
Grant Cycle 2016
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. 80 each. MSA 4,500PSI SCBA Carbon Fiber Air cylinders. $1187.50 each – Total $95,000 (item, shipping,
applicable taxes) Price quote #UFEQ19869, received from United Fire, Inc. 335 N. 4th Ave, Tucson, AZ 85705
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.
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14. Click here to enter text.
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16. Click here to enter text.
17. Click here to enter text.
Other explanation: Click here to enter text.

Created: 02/02/2016
Last updated: 03/09/2016
Page 1
General information
Organization Maricopa County Education Service Agency
Contact First name Tamela
Contact Last name Franks
Contact e-mail tamela.franks@mcesa.maricopa.gov
Contact phone number 602-506-2294
Address
Street 4041 N Central Ave
City Phoenix
State AZ
ZIP Code 85012
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
93,353
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 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)
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Gila River Indian Community Grant Application
Grant Cycle 2016
Cover Sheet
Municipality Information
1. Date of Application: 2/29/2016 (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): Clint Hickman
4. Mailing Address: 301 W. Jefferson St
5. City: Phoenix State: Arizona Zip Code: 85003
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name: Click here to enter text. Signature:
Applicant Information
7. Department/Organization Name: Maricopa County Education Service Agency
8. Is this a non-profit 501c(3) Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Tamela Franks Title: Executive Director, Opportunities for Youth
10. Phone Number: 602-506-2294
11. Mailing Address: 4041 N. Central Ave, Suite 1200
12. City: Phoenix State: Arizona Zip Code: 85012
13. Email Address: Tamela.franks@mcesa.maricopa.gov Website Address: education.maricopa.gov/connect
Project Information
14. Project Name: Opportunity Youth Fairs
15. Purpose of Grant: Click here to enter text.
16. Priority Funding Area Economic Development
17. Annual amount requested $93,353
18. Number of years that funding is requested 1
19. Total amount requested (annual amount x # $93,353
of years)
20. Has your organization received past funding 2012 - $68,835
from GRIC? If yes, list each year and amount
21. Geographic area served Maricopa County
For Office Use Only:
Data Entry Receipt Evaluation

Gila River Indian Community Grant Application
Grant Cycle 2016
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 mission, history and goals.
Maricopa County Education Service Agency (MCESA) is submitting an application on behalf
Opportunities For Youth to hold regional job fairs that target disconnected (opportunity) youth. Disconnected
youth are defined as individuals between 16 and 24 who are neither working nor in school, also known as
opportunity youth. The mission of Opportunities for Youth is that youth will be successfully re-engaged and on
track for success in college, career, and life. The vision is to harness the power of cross-sector collaboration to
create a comprehensive system of opportunity that re-engages our Valley’s disconnected youth. A 2012 analysis
conducted by Measure of America identified the greater Phoenix area as having an disconnected youth rate of
18.8%, the highest rate among 25 metropolitan cities in the United States. In response to the initial data, MCESA
held two Summits in 2014 attended by over 300 cross-sector stakeholders representing 120 agencies. Attendees
discussed the challenges surrounding re-engaging disconnected youth and strategies for creating a community
based collaborative network to support re-engagement. These findings resulted in MCESA mobilizing cross-
sector state, county, and city leaders in January 2015 to join the Opportunities for Youth Board of Directors.
Currently there are 46 board members serving the initiative. The board of directors has established a goal that
by 2020, we will achieve an 11% opportunity youth rate in Maricopa County.
2. If the organization is a non-profit 501c(3), please describe your relationship with the municipality including past
and present support, whether it be through partnerships, collaborations, in-kind contributions, grants, tax-based
funding or other. If the organization is a municipality governmental sub-division please enter the text “Not
applicable.”
Not applicable
3. Describe the proposed project and planned goals and activities.
Opportunity Youth Fairs is a project with a goal of hosting six fairs over 12 months to re-connect
disconnected youth by getting them on track for employment. Fairs will be held throughout Maricopa County in
areas with the highest disconnected youth rates. Fairs will be regionally-based and tailored to the unique needs
of the disconnected youth in the community. Employers that have committed to hiring disconnected youth will
be present and ready to hire at each fair. Disconnected youth face many barriers and need differentiated
support to be ready for employment. Prior to meeting with employers, youth will receive job readiness support
if needed. Job readiness services could include resume writing, application assistance, mock interviewing,
networking skills training, access to clothes for interviews, child care, and transportation. Any youth who are not

Gila River Indian Community Grant Application
Grant Cycle 2016
offered employment will be connected to partnering employment services agencies and other community
resources which will prepare them for future opportunities.
This project was piloted through the 100k Opportunity Fair in October 2015. One of the most effective
methods of recruiting this population to attend the fair was door-to-door outreach. Street outreach teams will
consist of youth who have been formerly disconnected and have turned their lives around to successfully pursue
their goals. Youth who will be hired on the outreach team will have overcome a myriad of challenges, and can
therefore speak and relate to any of the concern’s or issues of disconnected youth. For instance, one of the
prospective youth was formerly incarcerated and is now advocating for youth in similar situations. Another
prospective hire from the LGBTQ community has experienced homelessness.
Teams will go out in pairs and deployed in target areas to reach youth and inform the community about
the regional Opportunity Youth Fairs. Street outreach team members will be trained to communicate with
disconnected youth in the target areas and will train any additional leveraged volunteers. Main outreach hours
will be done in the afternoon and early evenings; times when the target population is more readily visible. This
was one lesson learned from the pilot event that has shown a need for more resources to street outreach efforts
for future fairs.
The 100k Opportunity Fair had 50 community resource and employment partners that came together to
serve disconnected youth. More than 1,700 young people attended and 500 immediate job offers were
extended. This fair leveraged community resources and required collaboration across industries and service
areas. Opportunities for Youth seeks funding to continue this cross-sector collaboration and collective planning
to best serve this population and have the greatest impact throughout the county.
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River
Indian Community.
Opportunity Youth Fairs address the Gila River Indian Community economic development funding
priority. The fairs will promote job readiness and employment assistance. According to a 2012 Arizona Mayor’s
Roundtable report, 45,000 Phoenix youth were disconnected in 2012. If not addressed, each disconnected
youth cost the city of Phoenix $765,900 over their lifetime for a total loss of up to $34.5 billion from unrealized
fiscal earnings plus expenses incurred for health, crime and welfare. Opportunity Youth Fairs will target youth
and re-connect them to job opportunities to help decrease this potential fiscal losses to the economy.
5. Identify the needs/problems to be addressed, target population and number of people to be served by the
project.
Measure for America (2012) identified the Phoenix metropolitan area has having the greatest number of
disconnected youth out of the 25 largest metropolitan areas in the United States. Disconnected youth are

Gila River Indian Community Grant Application
Grant Cycle 2016
defined as individuals 16 to 24 who are neither working nor attending school, also known as opportunity youth.
Many of these youth are considered the primary caregivers in their homes, which includes being financially
responsible for their family’s livelihood. When these youth are not working, they are forced to rely on
government assistance further incurring fiscal losses to the city and state. Evidence also reveals that youth who
are not gainfully employed are more likely to engage in criminal activity and risky behaviors due to the
conditions of their environment. Many of these youth live in communities with high to severe concentrations of
poverty, low educational attainment, teen parenthood, transience, single-parent households, and other risk
factors that when aggregated compromise residents’ safety and well-being.
The demographics of disconnected youth vary significantly as there are many reasons youth can become
disconnected. The 2012 Measure of America report estimated that there were 5,808,827 disconnected youth
nationally. Out of these youth 39% live in poor households, 33% dropped out of high school, 46% have only a
high school diploma or GED as their highest degree, 35% are young mothers and 13% have disabilities. The
Maricopa County Justice Services Planning and Information department studied the disconnected youth
population for all of Maricopa County and found disproportionally higher rates of disconnection in African
American (28%), American Indian (28%) and Hispanic (23%) populations.
According to the US Bureau of Labor Statistics, the number of unemployed youth was 2.8 million in July
2015 with a rate of 12.2%. Although unemployment rates have dropped overall, the youth unemployment rates
continue at over 10% across all demographics i.e. July unemployment rates for young men (12.7%), women
(11.7%), whites (10.3%), blacks (20.7%), Hispanics (12.7%) and Asians (10.7%). To address this need, Opportunity
Youth Fairs aims to re-connect these youth to employment.
The target attendance at each fair will be at least 50 disconnected youth. The fairs will be held at
facilities within target communities. Depending on the space hosting the fair, significantly more youth could be
served at each event.
A minimum of 300 youth will be directly served at the Opportunity Youth Fairs. Street outreach teams
will reach more than 300 youth as they recruit for fair attendance. Recruitment will include referrals to other
community resources as well as education opportunities and employment information for future fairs.
Significantly more than 300 youth will be reached through the street outreach team efforts.
6. Define the project as a new or continuing program.
This program will build off of the momentum of the 100,000 Opportunity Fair and Forum. A coalition,
led by FSG and Aspen Institute’s Forum for Community Solutions, has put on this fair in three cities and aims to

Gila River Indian Community Grant Application
Grant Cycle 2016
spur long-term engagement with employers in target cities beyond the one-time event. Opportunity Youth Fairs
is a new program to continue engaging employers in hiring disconnected youth. The regionally-based fairs will
bring together businesses, community organizations, governmental workforce agencies and key stakeholders to
leverage existing resources that target disconnected youth. These fairs will also have a heavy emphasis on
getting youth job ready. Youth who attend the fairs will have access to resources, such as, career advisement,
mock interviews, resume writing, access to business clothes, connection to education or training programs, and
other resources that may help to mitigate barriers to employment.
7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
Table 1 outlines the Opportunity Youth Fairs timeline, which is a flexible timeline.
Table 1. Opportunity Youth Fairs Timeline
Activity Start Date End Date Person(s) Responsible
Hire Opportunity Fairs Specialist October November Opportunities for Youth
2016 2016 Executive Director
Recruit Street Outreach Team members November December Opportunity Fairs
2016 2016 Specialist
Train Street Outreach Team members December December Opportunity Fairs
2016 2016 Specialist
Secure fair sites November September Opportunity Fairs
2016 2017 Specialist
Secure and schedule employer and community November September Opportunity Fairs
resource partners to attend fairs 2016 2017 Specialist
Recruit youth to attend fairs December September Street Outreach Team
2016 2017 members
Collect data – outreach, registration, fair November September Opportunity Youth
attendance, and follow-up 2016 2017 Specialist
Host fairs January September Opportunity Fairs
2017 2017 Specialist
Provide follow-up services for youth January September Opportunity Fairs
2017 2017 Specialist
Create sustainability plan with partners January September Opportunities for Youth
2017 2017 Executive Director
8. Identify other organizations, partners or funders participating in the project and their roles.
Opportunities for Youth partners with many youth serving organizations throughout Maricopa County.
The Opportunities for Youth Board of Directors has 45 members representing approximately 40 organizations. A
team of individuals sit on the Career Connections Action Team designed to create a pipeline to employment for
disconnect youth requiring close collaboration with employers and workforce agencies in the community.

Gila River Indian Community Grant Application
Grant Cycle 2016
To directly support the fairs, Opportunities for Youth will leverage cross-sector partners representing
local and national businesses, local government, nonprofit, community-based organizations, schools, post-
secondary institutions, health, behavioral health, faith-based organizations, and justice. These partners have
access to job placement, job readiness resources, hosting facilities, education opportunities, and wraparound
resources. The Opportunity Fairs Specialist will coordinate the fairs and oversee the street outreach team
members, but the partners will provide services at and leading up to the fairs. Specific roles will be designated
prior to each fair to best serve the community.
9. Would you be able to implement the proposed plan if your organization received partial funding for this project?
The total budget for the proposed program is $127,065 for one year, and Opportunities for Youth is
requesting $93,353 from the Gila River Indian Community. Opportunities for Youth are applying for additional
funds to get this program fully funded. If partial funding was received from the Gila River Indian Community,
Opportunities for Youth would continue to implement the program, but the effort will have to be scaled back
until full funding is secured. A full-time Opportunity Fairs Specialist needs to be dedicated to the project to
coordinate six fairs in the next year. An initiative of this magnitude requires a full FTE to coordinate this effort
with the number of cross-sector partners throughout Maricopa County. To fully implement the fairs, a 1.0 FTE is
required. If we received only partial funding, the specialist would have to move to a part-time status greatly
scaling back the frequency and impact of the fairs. Additionally, the street outreach team members are
necessary to reach the greatest amount of youth to attend the fairs. A partial award would result in fewer
outreach members, which would result in fewer youth being reached and fewer youth attending the fairs.
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.
Opportunity Youth Fairs will standardize processes and content for job and resource fairs that target
disconnected youth. During the grant period, Opportunites for Youth will coordinate and convene the existing
efforts to build a long-term infrastructure that supports disconnected youth employment attainment. Once the
job and resource fairs are established in the community, the goal is to create a disconnected youth employment
pipeline that includes regular opportunity fairs supported through grants, donations and community partners.
11. Describe your plan to document progress and results.
Opportunity Youth Fairs targets disconnected youth, but the program will not turn anyone away from
receiving services. In order to document progress and results, the Opportunity Fairs Specialist will collect data in
four phases: outreach, registration, at the event and follow-up. Data will be analyzed after each phase to inform

Gila River Indian Community Grant Application
Grant Cycle 2016
how to improve future fairs, including but not limited to outreach strategies, community resources present at
the fairs, and referral processes. Data will be broken out beyond the measures below to differentiate between
types of youth connection. The following data will be collected to inform ongoing programming:
1. # youth reached through outreach efforts
2. # of youth registered (including how they heard about the fair)
3. # youth attended
4. # youth connected at the fair (employment offers, community resource, or educational pathway)
5. # youth not receiving employment offers that were re-connected to the system through follow-up
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. If this information is included in a separate attachment, please
indicate that here.
Opportunites for Youth has never received an award from a tribe. Maricopa County Education Service Agency
has received grant funds in the past for other projects.
Table 2. Previous Awards
Year Program Tribe Funds Awarded
2010 Books for Home Reading Fort McDowell Yavapai Nation $8,000
Libraries-Reading for the Stars
2011 Continued funding for Books for Fort McDowell Yavapai Nation $8,000
Home Reading Libraries-Reading
for the Stars
2012 Volunteer Program for Reading Gila River Indian Community $68,835
for the Stars
2012 MCESA-Reading for the Stars Fort McDowell Yavapai Nation $5,000
2015 Building Futures Fort McDowell Yavapai Nation $7,500

Gila River Indian Community Grant Application
Grant Cycle 2016
Project Budget
Budget Period: October 2016 – September 2017
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. Outreach Teams $31,200 $31,200 $0 $62,400
2. Opportunity Fairs Specialist $35,360 $0 $0 $35,360
3. Fringe Benefits $16,793 $0 $0 $16,793
4. Marketing $2,000 $2,000 $0 $4,000
5. Print Ads $2,500 $2,500 $0 $5,000
6. Push Texting Platform $0 $1,512 $0 $1,512
7. Supplies $1,000 $1,000 $0 $2,000
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
16. Click here to enter text. $0 $0 $0 $0
17. Click here to enter text. $0 $0 $0 $0
Total Budget $88,853 $38,200 $0 $127,065

Gila River Indian Community Grant Application
Grant Cycle 2016
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. Outreach Teams will be deployed in targeted areas to recruit disconnected youth to attend the regional fairs. There
will be a total of 6 outreach team members at 0.5 FTE. (0.5 FTE x 6 positions x $20,800 salary/year = $62,400) .
Opportunities for Youth will seek additional funding for 50% of this cost, and is requesting $31,200 from the Gila River
Indian Community.
2. The Opportunity Fairs Specialist (1.0 FTE) will be responsible for coordinating the regional fairs and supervising the
street outreach team members. (1.0 FTE x $35,360 salary/year = $35,360).
3. Fringe benefits are calculated at $10,000 per FTE for fixed health/dental benefits plus 19.21% of salaries for variable
costs.
4. Marketing materials include radio spots and tv spots for advertising 6 Opportunity Youth Fairs and will cost
approximately $4,000.
5. Printed materials will be hung in community spaces and distributed to youth. Printed materials included two sizes of
flyers – business card size and 8.5 x 11 full page. The cost to print flyers for 6 Opportunity Youth Fairs is approximately
$5,000.
6. A push texting platform will be used to send youth reminders about the upcoming fairs. Recipients of text messages
will be regionally targeted. Each text costs $0.03. Estimated 2,100 texts x $0.03 x 4 text reminders per fair x 6 fairs =
$1,512. The number of youth on the text list will determine how many text reminders are sent. If significantly more
youth are reached, only three reminders may be sent out. Opportunities for Youth will continue to seek funding from
additional sources to cover the cost of this line item.
7. Supplies include miscellaneous office, computer, food and water for youth attending the fairs, and other supplies
needed to excecute the project budgeted at $2,000 per year. Opportunities for Youth is requesting $1,000 from the Gila
River Indian Community, and will continue to seek funding from additional sources for the remainder of this line item.
8. Click here to enter text.
9. Click here to enter text.
10. Click here to enter text.

Gila River Indian Community Grant Application
Grant Cycle 2016
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.
16. Click here to enter text.
17. Click here to enter text.
Other explanation: Click here to enter text.

Created: 02/08/2016
Last updated: 03/09/2016
Page 1
General information
Organization National Kidney Foundation of Arizona
Contact First name James
Contact Last name Ivie
Contact e-mail jivie@azkidney.org
Contact phone number (602) 840-1644
Address
Street 360 E. Coronado Rd., Suite 180
City Phoenix
State Arizona
ZIP Code 85004
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
300,000
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 Community Grants Only) 100,000
Year 2 (Gila River Indian Community Grants Only) 100,000
Year 3 (Gila River Indian Community Grants Only) 100,000
Year 4 (Gila River Indian Community Grants Only)
Year 5 (Gila River Indian Community Grants Only)
1 of 1


Gila River Indian Community Grant Application Cover Sheet
Municipality Information
Date of Application: February 29, 2016
Name of City, Town or County: Maricopa County
Mayor or Board of Supervisor’s Chairman: Clint Hickman
Mailing Address: 301 W. Jefferson, 10th Floor
City: Phoenix State: AZ Zip Code: 85003
Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name: Amanda Nash Signature:
Applicant Information
Department or Organization Name: National Kidney Foundation of Arizona
Mailing Address: 360 E. Coronado Rd., Suite 180
City: Phoenix State: AZ Zip Code: 85004
Contact Person*: James Ivie, PhD, LCSW Title: Director of Patient Services
Phone Number: (602) 840-1644 E-mail Address: jivie@azkidney.org
*The individual listed here will be our direct point of contact for grant-related questions or requests for
information. Duplicates of all grant correspondence will be sent to the contact person.
Project Information
Project Name: ESRD Patient Transportation Program
Purpose of Grant (one sentence): The purpose of the grant is to assist patients with end
stage renal disease (ESRD) who are unable to pay for transportation to dialysis or other
urgent medical appointments when alternative resources are not available.
Beginning and ending dates of Program or Project: 7/1/2016 to 6/30/2019
Year one: July 1, 2016 to June 30, 2017
Year two: July 1, 2017 to June 30, 2018
Year three: July 1, 2018 to June 30, 2019
Amount Requested: $300,000.00 Total Project Cost: $579,849/year
( X ) Multi-year Request – If checked, # of years requested: 3 Amount/year: $100,000
Priority Funding Area:
( ) Economic Development ( ) Education (X) Healthcare ( ) Public Safety (X) Transportation
Has your organization received past funding from GRIC? If yes, list each year and
amount.
2011 = $85,000 / 2012 = $85,000 / 2014 = $90,000 / 2015 = $90,000
Geographic Area Served: Arizona statewide with emphasis on Maricopa County

Gila River Indian Community Grant Application
Briefly describe the organization’s mission, history and goals: The National Kidney
Foundation of Arizona (NKF AZ) is a 501(c) (3) not-for-profit organization founded in
1963 to address the vital needs of Arizona’s first end-stage renal disease patients who
were treated with lifesaving dialysis. Over time, a broad array of patient assistance
programs was developed to help with medications, transportation, dental care, utility
assistance, rent payments, nutritional support, and educational scholarships. NKF AZ
also conducts free community health screenings. These programs provide thousands of
Arizona residents with health awareness, early detection of disease, and financial
assistance each year. The mission of NKF AZ is commitment to the prevention of kidney
disease through awareness, education and research and to improve the quality of life for
Arizonans with kidney disease. There are currently more than 9,000 dialysis patients in
Arizona and well over 2,000 Arizonans are newly diagnosed with kidney failure each
year. Over 1,000 dialysis patients die annually and a few hundred receive kidney
transplants. Looking back as far as 2003, there has been an average increase in the
dialysis population of over 750 patients per year. Our goal is to continue providing the
level of assistance that patients need even though the dialysis population keeps
growing. Included in that goal is a recognition that increased program diversity is
needed, especially in rural parts of Arizona.
If the organization is a non-profit 501c(3), please describe your relationship with the
municipality including past and present support, whether it be through partnerships,
collaborations, in-kind contributions, grants, tax-based funding or other. If the
organization is a municipality governmental sub-division please enter the text “Not
applicable.”
NKF AZ has a long-standing relationship with Maricopa County government agencies.
For example, the Maricopa County Board of Supervisors partnered with NKF AZ in 2010
and again in 2013 to submit grant applications to GRIC for the State Shared Revenue
Program. NKF AZ also has a strong relationship with the Maricopa County Department
of Public Health (MCDPH) through the Health Improvement Partnership of Maricopa
County (HIPMC), which addresses the needs of the most vulnerable in our community by
reducing preventable illness and death. NKF AZ currently serves on the HIPMC
workgroup to address diabetes among the American Indian population. MCDPH
has provided faculty for our annual Southwest Nephrology Conference and NKF AZ
submitted a letter of commitment in support of a 2014 MCDPH grant application to the
Department of Health & Human Services pledging participation in a national prevention
partnership.
Describe the proposed project and planned goals and activities: Most patients receiving
dialysis treatment must travel from their homes to an outpatient hemodialysis center three
times each week for the rest of their lives or until they receive a successful kidney
transplant. At times, some of those patients face an urgent need for cab rides to a surgery
center for repair of damage to their fistula, graft or catheter. Other patients need
transportation to appointments related to a transplant work-up. The cost of transportation
can create a severe financial hardship for some of those patients. NKF AZ assists

patients who are unable to pay for transportation to dialysis or other urgent medical
appointments when alternative resources are unavailable. The goal of our transportation
assistance is to get ESRD patients who are facing financial hardships to and from
dialysis; to and from pre-/post-transplant medical appointments; and to and from urgent
medical appointments, such as repair of damaged dialysis fistulas, grafts or catheters.
Our program supplements public transportation options that are sometimes difficult for
patients to use or afford, helps them to keep their own vehicles in good repair, and pays
temporarily for gas when patients commute to dialysis in rural areas. Assistance is
provided in the form of Dial-A-Ride tickets in Maricopa County, Sun Van Paratransit
Services in Tucson, City of Phoenix bus passes, guarantees to cover 25% of cab fares that
are paid for with taxi vouchers issued by the City of Phoenix and the City of Glendale
(the cities pay 75% of the cab fares) and guarantees to pay for pre-approved emergency
cab rides to dialysis or other medical appointments. Circle K gas cards are issued to
patients in rural areas who have a long commute to dialysis. Assistance with the cost of
car repairs or car payments can be approved when the vehicle is the patient’s primary
means of transportation to dialysis.
Describe how the proposed project satisfies one or more of the priority funding areas
identified by the Gila River Indian Community: The NKF AZ transportation program
satisfies both the transportation and health care priority areas of the GRIC.
Transportation assistance is provided in a variety of forms such as bus passes, Dial-A-
Ride tickets, taxi vouchers, car repairs, car payments and gas cards. Reliable
transportation supports and facilitates statewide access to life-saving health care services
at dialysis facilities and transplant centers.
Identify the needs/problems to be addressed, target population and number of people to
be served by the project: For people who are low-income or who have lost the ability to
work due to the disabling effects of End Stage Renal Disease (ESRD), the cost of routine
transportation to dialysis treatments can become an obstacle to compliance with the
medical advice and treatment regimen prescribed by their doctors. Lack of transportation
resources can result in missed treatments; delay in the repair of damaged dialysis fistulas,
grafts or catheters; and increase the risk of preventable emergency room visits and
hospitalizations. Even though the NKF AZ transportation program reaches people
throughout Arizona, over 70% of patients receiving transportation assistance reside in
Maricopa County and about 80% of all expenditures for transportation assistance go to
Maricopa County residents. Historically, the transportation program has provided
assistance to an average of 250 ESRD patients each year. Over the past four fiscal years,
applications for assistance have steadily increased to 321 patients in FY 2012, 335
patients in FY 2013, 363 in FY 2014, and 368 in FY 2015. This growth is a result of the
steady increase in the number of people on dialysis each year. It is projected that well
over 400 patients per year will need transportation assistance in the years ahead,
which means sustained growth well above the historical averages of the past. A
recent survey of social workers and patients identified some unmet transportation needs.
These constituents are asking NKF AZ to provide more help in rural parts of the state,
which would mean increasing gasoline assistance, helping with public/private transit
fares, and helping with travel expenses to urban transplant centers. It is projected that

increases in the patient population and expansion of rural transportation assistance
will cost our program about $10,000 more per year.
Define the project as a new or continuing program: The NKF AZ transportation
assistance program has been in operation for the past two decades. Most of the help goes
to the two largest population centers in the state, Maricopa County and Tucson. As noted
above, over 70% of patients receiving transportation assistance reside in Maricopa
County and about 80% of all expenditures for transportation assistance go to Maricopa
County residents. The Tucson Sun Van transportation program historically accounts for
10-15% of expenditures. That means that only about 5% of annual transportation
expenditures go to other parts of Arizona. Social workers assigned to dialysis facilities
outside of Maricopa County and the Tucson area are increasingly appealing to NKF
AZ to establish more options for rural patients who travel longer distances to
dialysis and have fewer public transportation options. Expansion of rural
transportation assistance would constitute a new program emphasis. The option
with broadest application would be a purchasing card (P-Card), which is a form of debit
card. P-Cards could be issued to patients who use their own vehicles and need help to
pay for gas. NKF AZ could implement a variety of controls for each P-Card; for
example, a single-purchase dollar limit, a monthly limit, and merchant category code
(MCC) restrictions that only allow the purchase of gasoline. The cards can also be
deactivated if they are not used within a designated time frame. Other targets for new
program development are the Western Arizona Council of Governments (WACOG), the
Northern Arizona Council of Governments (NACOG), Central Arizona Association of
Governments (CAAG), Southeastern Arizona Governments Organization (SEAGO), and
Pima Association of Governments (PAG). These governmental non-profits serve their
local jurisdictions, income challenged households, and vulnerable populations based on
the needs of their regions. Transportation for routine dialysis treatments is one of
those needs. The resources those organizations have helped establish include programs
similar to Dial-A-Ride that target the elderly and disabled. The distances involved
sometimes take up to an hour of travel time for a small number of people who pay out of
pocket for the ride. In some long distance cases, a patient has to transfer from one
transportation provider to another when the route crosses service areas. Other patients
have an early start time for their dialysis, which is outside the regular business hours of
the Dial-A-Ride service. Those patients rely on private vehicles for rides. Assistance
with the cost of Dial-A-Ride fares and the cost of gasoline are just two examples of how
assistance can be provided.
Provide a brief timeline including start and finish dates. Indicate if the timeline is
flexible: Funding will be applied to expenditure approvals made during fiscal year 2017,
which begins on July 1, 2016 and ends on June 30, 2017. If a multiple year award is
granted, funding would be applied to expenditure approvals made during fiscal year 2017
through fiscal year 2019. The timeline can be flexible based on level of funding.
Identify other organizations, partners or funders participating in the project and their
roles: Support for the NKF AZ patient assistance programs has been committed by and/or
requested from the Arizona Women’s Board (AWB), the Southern Arizona Foundation

(SAF), the Arizona Community Foundation (ACF), the Arizona Dept. of Health Services
(DHS), and our donor network. The Arizona Women’s Board raises general funds each
year at their annual Author’s Luncheon. Those funds provide support to all NKF AZ
mission programs and services. The SAF contributes smaller amounts each year that are
restricted for use in southern Arizona. The President of SAF has informed us that their
Foundation is being restructured and may no longer provide the same level of support in
the years ahead. The ACF provides funds for general operating support. DHS provides
funding that supports our dental program, our nutritional support programs, our cookbook
project, and our most basic transportation services. Our donor network generally
contributes unrestricted donations that support our mission as a whole.
Would you be able to implement the proposed plan if your organization received partial
funding for this project? NKF AZ is grateful for the generous support of the Gila River
Indian Community. We would not be able to help as many people as we do and we could
not offer such an extensive array of transportation options without the funds you have
provided. Partial funding for this project would also prevent us from expanding
rural transportation assistance, which is where our constituents observe more people
need help. NKF AZ has been able to sustain our transportation assistance program for
the past 20 years despite periodic fluctuations in funding. In this instance, our ability to
implement the proposed plan without GRIC funding would be constrained to our most
basic services. If NKF AZ does not receive funding from GRIC to continue this
program, a reduction in services will leave many patients without transportation to
dialysis and without an alternative resource to turn to.
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: In 2006, NKF AZ received
over $500,000 in state funds to support our patient assistance programs for transportation,
medications, nutritional supplements and dental care. In 2007, state funding was reduced
to $300,000. In 2008, state funding was cut entirely and no state funding was
restored until 2014. The NKF AZ Board of Directors decided to continue providing
transportation assistance during that interval despite the loss of state funding and new
sources of support were explored. That plan was only sustainable until 2011 when
continuation of our transportation assistance program was made possible by a
generous grant from GRIC. Without those funds, NKF AZ would not have been
able to offer the extensive assistance programs that we do nor would we be able to
help as many people as we can. State funds currently account for about 40% of our
transportation budget. Last fiscal year, transportation expenditures exceeded $143,000.
This fiscal year, transportation assistance is trending at about the same level in terms of
both expenditure approvals and numbers of patients helped. It is projected that
transportation assistance will reach over 350 patients with expenditures exceeding
$140,000 by the end of the fiscal year in June. We plan to continue our vital assistance
programs for ESRD patients through ongoing community outreach and fundraising. Our
Board allocates funding from many sources of revenue that we receive throughout the
year including our special event fundraisers such as our Dancing with the Stars, Prom
Redux, golf tournaments, walks, donated cars, individual and memorial contributions.

Describe your plan to document progress and results: Outcomes for the patient
transportation program are measured in terms of the number and demographics of
patients assisted, how well those numbers compare with previous years and the extent to
which we are able to maintain the level of assistance that patients need. Outcomes can
also be tracked in terms of the number of rides approved, the level of demand for each
form of assistance (tickets, fares, vouchers or repairs) and the extent of assistance
distribution to different parts of Arizona. Our plan is to increase the percentage of
assistance that reaches patients in the more rural parts of Arizona from 5% to 10%.
NKF AZ also conducts an annual constituent satisfaction survey of patients and social
workers who used the transportation program. Constituents rate our various
transportation programs on a scale from1 to 5 and respond to open-ended questions on
how assistance contributed to medical stability and quality of life. Survey results
provide both quantitative and qualitative measures of progress and results.
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. If this information is
included in a separate attachment, please indicate that here: Applications were submitted
to the Fort McDowell Yavapai Nation and to the Tohono O’odham Nation last year.
Both applications were denied. The Fort McDowell Yavapai Nation was asked to
support our medication assistance program. The Tohono O’odham Nation was asked to
support translation and interpreter services for our Path to Wellness community health
screening program.

ESRD PATIENT TRANSPORTATION PROGRAM
Budget Period: July 1, 2016 to June 30, 2017
Proposed Budget Amount Requested Amount secured Total Budget
from GRIC from other Funders
Salaries / Wages $6,500 $14,547 $30,950
Payroll Taxes $2,037 $4,333
Patient
Transportation* $87,000 $58,000 $145,000*
Project Supplies $6,500 $6,500 $13,000
Totals: $100,000 $81,084 $193,283
Note: 100% of funding not yet secured
*PATIENT TRANSPORTATION DETAIL
Budget Expenditures Percentage of Unduplicated Average Amount of
Category per Category Expenditures Count of Help Given per
per Category Patients Patient
Helped
Dial-A-Ride
Tickets $82,652 57% 158 $523
Taxi Cab $24,424 17% 110 $222
Fares
Tucson Sun
Van Passes $14,782 10% 58 $255
City of
Phoenix Bus $ 5,461 4% 22 $248
Passes
Car Repairs $ 4,021 3% 4 $1,005
Car $ 2,680 2% 4 $670
Payments
Rural
Dial-A-Ride $5,954 4% 24 $248
Tickets
Rural Fuel $ 5,026 3% 20 $251
Cards
TOTAL: $145,000 100% 400 $363

Created: 02/18/2016
Last updated: 02/26/2016
Page 1
General information
Organization Maricopa Trail and Park Foundation
Contact First name Jan
Contact Last name Hancock
Contact e-mail hancockjan77@gmail.com
Contact phone number 6022528387
Address
Street 805 N. 4th Ave - Unit 703
City Phoenix
State Arizona
ZIP Code 85003
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
60,000.00
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 Community Grants Only) 20,000.00
Year 2 (Gila River Indian Community Grants Only) 20,000.00
Year 3 (Gila River Indian Community Grants Only) 20,000.00
Year 4 (Gila River Indian Community Grants Only)
Year 5 (Gila River Indian Community Grants Only)
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