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Last updated: 04/24/2015 Page 1 General information Organization Maricopa County Education Service Agency Contact First name Angie Contact Last name Pogue Contact e-mail angie.pogue@mcesa.maricopa.gov Contact phone number 602-372-3668 Address Street 4041 North Central Avenue, Suite 1200 City Phoenix State AZ ZIP Code 85012 From what tribe is the organization requesting the grant? Tohono O’odham Nation Total grant amount request 35000 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program, enter the amount to be requested each year. Amount Year 1 Year 2 Year 3 Year 4 Year 5 1 of 1 This page intentionally left blank. Tohono O’odham Nation 12% Gaming Distribution application (a) Perceived Need and How It Will Be Addressed: Building Futures is a collaborative between Maricopa County Education Service Agency (MCESA) and three strategic partner schools. This collaborative provides youth with a learning environment that helps students think and act like leaders. The goal of this partnership is to empower these emerging leaders, as members of society, with the skills and confidence needed to make a change in their community. Based on research done by the Higher Education Research Institute at UCLA, all kids have leadership potential and every student needs leadership skills. These skills will help them develop critical thinking skills which will enable them to establish positive friend groups and withstand negative peer-pressure. Using an evidence based curriculum will help them improve study habits and develop meaningful and attainable goals. This educational momentum will meet twice a week for a minimum of 60 hours a school year. Nurturing this leadership culture requires a team of education experts who can envision the potential within each youth. The Building Futures Volunteer Coordinator and Site Coordinators will be the team for these youth. Coaching students on how to take the initiative to improve their school’s culture is just one of the many benefits of this collaborative. Students will learn and have the opportunity to practice the skills necessary to be more prepared for a productive adulthood upon graduation. Through the guidance of the team, students will see that goal setting, hard work, creativity, and teamwork will lead to success. The Volunteer Coordinator manages and oversees the entire collaborative. An important role of the Volunteer Coordinator is communicating with stakeholders such as; administrators, Child/Family Team members, community members on the successes, challenge, and needs of the program quarterly or as requested. The Volunteer Coordinator is responsible for presenting the Building Future’s efforts at education conferences, to community businesses and organizations, and potential volunteers in order to gain additional support and resources for the collaborative to ensure sustainability and efficacy. On a site-by-site basis, the position entails developing lessons and tailoring them to fit the needs of each school. The Volunteer Coordinator gathers data and feedback from the sites and modifies the program as needed. Data will be collected to measure program effectiveness and could include; attendance, a variety of self and instructor lead assessments, needs assessment for school and community service projects. The Volunteer Coordinator will work with the Site Coordinator to teach half of the lessons and oversee the community projects. The purpose of the collaborative teaching is for the Volunteer Coordinator to model how the community projects and leadership curriculum are implemented; therefore, allowing the Site Coordinator to gain a full understanding of the program in hopes that he/she will have the knowledge to run the site without the guidance of the Volunteer Coordinator the following year. This will enable the program to be sustainable on these sites and give the Volunteer Coordinator the opportunity to expand it to additional sites the following school year. Site Coordinators will assist the Volunteer Coordinator with specific site needs. For example he/she will be responsible for organizing the youth, record keeping, arranging a campus meeting 1 location, transportation, supplies, snacks, parent permission slips for off-campus outings, and other responsibilities as needed. (b) Target Population: This collaborative is in three schools located within Queen Creek and Phoenix. The schools are located in high minority, low income areas and are in zip codes where there are high rates of juvenile referrals into the Maricopa County Juvenile Court System. The majority of the student population is made up of junior high through high school aged youth. One school in Phoenix is a K-12 school. Two of the three schools have a free and reduce lunch rate of above 85%. Students volunteer to participate in this collaborative, as this is not a class offered for a grade or credit. Schools decide whether faculty and administration nominate students for the collaborative or have students show initiative apply to the program on their own. On average, each campus has between 10-15 students who participate each semester. The students typically choose to participate until they graduate. Each semester a new group of students are selected to participate and it is the responsibility of the past group to mentor the new youth. This model will keep students actively involved in the program and constantly learning and refining their leadership skills. (c) Budget: Table 1. Budget Budget Line Item Justification Amount Volunteer Coordinator The Volunteer Coordinator (0.40 $22,500 Salaries FTE) will plan, teach, present, and design curriculum for the schools at each of the three participating school sites. Volunteer Coordinator Benefits corresponding to the $8,900 Benefits above salaries. Stipends for Site Each Site Coordinator will spend a $3,600 Coordinator at three schools minimum of 60 instructional hours with the students a school year. Each site will receive a stipend of $1,800. TOTAL $35,000 (d) Substantially related requests: MCESA applied for a $9,000 grant from Fort McDowell for supplies for Youth Advisory Councils at three schools in Maricopa County. This application has been submitted, but no award has been announced. 2 (e) Previous Awards: Table 2. Previous Awards from Arizona Tribes Year Program Tribe Funds Requested 2010 Books for Home Reading Fort McDowell $8,000 Libraries-Reading for the Stars Yavapai Nation 2011 Continued funding for Books Fort McDowell $8,000 for Home Reading Libraries- Yavapai Nation Reading for the Stars 2012 Reading for the Stars Summer Tohono O’odham $55,500 Reading Program Nation 2012 Volunteer Program for Reading Gila River Indian $68,835 for the Stars Community 2012 MCESA-Reading for the Stars Fort McDowell $5,000 Yavapai Nation (f) Designated Contact People: Primary Contact: Angie Pogue; angie.pogue@mcesa.maricopa.gov; P: 602-506-3668; 4041 N. Central Ave, Suite 1100, Phoenix, AZ 85012; F: 602-506-2398 Alternate Contact: Shelley Carr; shelley.carr@mcesa.maricopa.gov; P: 602-372-7345; 4041 N. Central Ave, Suite 1100, Phoenix, AZ 85012; F: 602-506-2398 (g) Priority Area: The Building Futures proposal seeks to address the a) Education priority area. (h) Non-profit Government Agreement: Maricopa County Education Service Agency is a governmental entity, and the requirement for non-profits does not apply to this application. 3 Last updated: 05/04/2015 Page 1 General information Organization Maricopa County Community College District Foundation Contact First name Mary Contact Last name O'Connor Contact e-mail mary.oconnor@domail.maricopa.edu Contact phone number 4807318403 Address Street 2419 West 14th Street City Tempe State AZ ZIP Code 85281-6942 From what tribe is the organization requesting the grant? Tohono O’odham Nation Total grant amount request 402,950 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program, enter the amount to be requested each year. Amount Year 1 Year 2 Year 3 Year 4 Year 5 1 of 1 Internal Revenue Service Department of the Treasury P. 0 Box 2508 Cincinnati, OH 45201 Person to Contact: Date; August 6, 2003 Cassandra Jackson 31-07417 Customer Service Representative Mancopa County Community College District foundation Toll Free Telephone Number: 2419 West 14th Street BM rn to MO p rn EST Tempe, AZ 85281-6941 877-829-5500 Fax Number: 513-263-3756 Federal Identification Number: 86-0327449 Dear Sir or Madam: This is in response to your request of July 7, 2003 regarding your organization's taxiexempt status In April 1977 we issued a determination letter that recognized your organization as exempt from federal income tax Our records indicate that your organization is currently exempt under section 501(c)(3) of the Internal Revenue Code Based on information subsequently submitted, we classified your organization as one that is not a private foundation within the meaning of section 509(a) of the Code because it is an organization described in section(s) 509(a)( 1) and 1700)(1 )(A)(vi) This classification was based on the assumption that your organization's operations would continue as stated in the application if your organization's sources of support or its character, method of operations, or purposes have changed, please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization Your organization is required to file Form 990, Return of Organization Exempt from Income Tax, only if its gross receipts each year are normally more than $25,000 If a return is required, it must be filed by the 15th day of the fifth month after the end of the organization's annual accounting period The law imposes a penalty of $20 a day, up to a maximum of $10,000, when a return is filed late, unless there is reasonable cause for the delay All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of $100 or more paid to each employee during a calendar year Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (RITA) Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code However, these organizations are not autematicaliy exempt from other federal excise taxes Donors may deduct contributions to your organization as provided in section 170 of the Code Bequests, legacies, devises, transfers, or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code - 2- Maricopa County Community Collage District Foundation 86-0327449 Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code If your organization is subject to this tax, it must file an income tax return on the Form 990--T, Exempt Organization Business Income Tax Return In this letter we are not determining whether any of your organization's present or proposed activities are unrelated trade or business as defined in section 513 of the Code Section 6104 of the Internal Revenue Code requires you to make your organization's annual return available for public inspection without charge for three years after the due date of the return The law also requires organizations that received recognition of exemption on July 15, 1987, or later, to make available for public inspection a copy of the exemption application, any supporting documents and the exemption letter to any individual who requests such documents in person or in writing Organizations that received recognition of exemption before July 15, 1987, and had a copy of their exemption application on July 15, 1987, are also required to make available for public inspection a copy of the exemption application, any supporting documents and the exemption letter to any individual who requests such documents in person or in writing For additional information on disclosure requirements, please refer to Internal Revenue Bulletin 1999 Because this letter could help resolve any questions about your organization's exempt status and foundation status, you should keep it with the organization's permanent records If you have any questions, please call us at the telephone number shown in the heading of this letter T his letter affirms your organization's exempt status Sincerely, John E RickettS, Director, TE/GE Customer Account Services The Maricopa Colleges Foundation, with its donors and partners, supports the Maricopa County Community Colleges District, comprised of ten colleges. We support students, faculty and staff, through scholarships, programs, equipment, and financial and human capital. The Foundation was founded in 1977 to serve as the 501C3 non-profit entity to solicit and receive private gifts and grants on behalf of all Maricopa County Community Colleges. The Foundation has built its assets to over $38 million as of 2014. It is in the process of a campaign to raise $50 million over five years to support the ten colleges. A. Explain the perceived need and explain how the proposal will address the need The projects are from six of the ten colleges in our system. The projects address education success for under-served populations, including disabled and minority students starting in 9 th grade. We have operational plans and metrics in place that will be used to document success of the clinics and public programs. Standard student public records will be used to track student progress. B. Target population and number of people to be served by the project The colleges serve over 200,000 students. The general population will be served by the HUG clinic. C. Budget The total budget for all projects if $402,950. Each line item in the budget is a separate project. We could implement any or all of the projects with partial fimdina. 1 Phoenix College & Paradise Valley -CC & Rio Achieving a College Education early 65,000 Salado outreach 2 Phoenix College & Paradise Valley CC & Rio Hoop of Learning early outreach 52,500 Salado 3 Rio Salado College Sustainable Food System 27,000 4 Gateway CC HUG Clinic 75,000 5 Chandler Gilbert CC Instructional Kitchen 153,450 6 Glendale CC Tutoring for students with disabilities 20,000 7 Glendale CC Exercise is Medicine 10,000 TOTAL FUNDING REQUEST 402,950 D. Funding for these projects has been requested from the Gila River and other projects that are part of the $50 million Student Success campaign have been submitted to local and national funders. E. Indicate any application to and/or awards made by Tohono O'odham Nation or other tribes for state shared revenues for this and any other projects. Salt River Pima Maiicopa Indian Community funds other projects at Scottsdale Community College, Mesa Community Colleges and the District office of Maricopa Community Colleges (serving all ten colleges). For the 2014-15 year, the total funded was $212,000. This is the only tribal funding that comes through the Maricopa Community Colleges Foundation. F. Designated contact person and alternate Mary J. O'Connor (480) 731-8403. Mary.oconnor@domail.maricopa.edu fax (480) 731-8411 mailing address- 2419 W. 14th Street, Tempe, AZ 85281 Alternate — Rosalie Johnson (480) 731-8395 rosalie.johnson@domail.maricopa.edu fax (480) 731-8411 G. Describe how the proposed project satisfies one or more of the priority funding areas identified by Tohono O'odham Nation. Our projects fit in several categories- education-our programs assist students in achieving success in the classroom by providing tutoring, scholarships and other student support services that enhance the general knowledge of participants and promotes life-long continuous learning. Healthcare- our HUG clinic, and "exercise is medicine" projects in the proposal meet the goals of Tohono O'odham by promoting health, wellness, nutrition, direct patient care and improve the overall health of the participants and the community. H. Maricopa County will be the entity we have an agreement with to receive the grant funding on our behalf. 1. The Achieving a College Education (ACE) is an early outreach program at all ten Maricopa Community Colleges. The program is designed to reduce dropouts among "at-risk" students and transition them to Community College and university studies. Phoenix College, Paradise Valley Community College and Rio Salado College are requesting program and scholarship funds to support the students in this program. Scholarships for 50 students as well as some materials for workshops (7 Habits of Highly Effective Teens). 2. Hoop of Learning is similar to the ACE program, but is limited to Native American students. It provides academic support to students in grades 9-12 to transition them to Community College and university studies. Phoenix College, Paradise Valley Community College and Rio Salado College are requesting program and scholarship funds to support the 50 students in this program. 3. Rio Salado is requesting program and scholarship funding for a cohort of students in the Sustainable Food Systems Certificate program. The funding will provide tuition, fees, books, a knife kit and chef jackets for 10 students. 4. Gateway Community College operates a Healthcare United Clinic (HUG) at which students get real-life practical experience in health care settings. They seek to make the clinic "mobile" and are requesting fund for supplies ($7,170), a mobile ultrasound machine ($44,230), EPIC Licensure ($14,000),Clinic faculty director ($9,600). 5. Chandler-Gilbert Community College is requesting funding for an instructional kitchen. $153,450. The kitchen will have 4 complete "stations" and 1 teaching station. The facility will be shared by Nutrition, Exercise Science, Wellness and Sustainability programs. It will increase student success by providing experiential learning, such as field-to-table experiences. 6. Glendale Community College is requesting funding for tutoring services for students with disabilities. This program has seen a significant increase in enrollment in recent years and needs expanded funding. This direct 1-1 tutoring instruction promotes increased academic skills leading to college course success. The $20,000 in this line item budget will be used to pay the tutors for fall, spring and summer sessions. 7. Glendale Community College is requesting funding for its "Exercise is Medicine" program. Exercise is Medicine (EIM) is a global health initiative managed by the American College of Sports Medicine (ACSM). Working in collaboration with the American Medical Association (AMA), EIM is committed to the belief that physical activity is integral in the prevention and treatments of diseases. The goal is to include exercise participation as a vital sign at every doctor visit and to link patients with community resources. Glendale Community College (GCC) is an excellent resource to support health promotion and disease prevention in the community. GCC boasts an array of degreed and certified exercise professionals who currently promote physical activity and guide clients/participants through fitness programming and promote physical fitness GCC has state-of-the-art facilities and can accommodate a diverse population to improve the overall health of participants in the community GCC prepares fitness professionals for the workforce in Exercise Science, Personal Training and Nutrition degrees and certificate. The $10,000 budget in this line item will be used for staffing for the sports performance lab and ambassadors of programs.