GRIC 2015 APPLICATIONS 4.PDF

Created Tuesday, February 17, 2015
Page 1
General information
General information | Organization The Society of St. Vincent de Paul
General information | Contact First name Dorian
General information | Contact Last name Townsend
General information | Contact e-mail dtownsend@svdpaz.org
General information | Contact phone number (602) 850-6762
Address
Address | Street P.O. Box 13600
Address | City Phoenix
Address | State AZ
Address | ZIP Code 8 5 002
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
$50,000
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 $
Page 1

ra IRS Internal Department Revenue of the Treasury Service
P.O. Box 2508 In reply refer to: 0248219411
Cincinnati OH 45201 Jan. 15, 2015 LTR 4168C 0
86-0096789 000000 00
00014576
BODC: TE
DIOCESAN COUNCIL FOR THE SOCIETY OF
ST VINCENT DE PAUL DIOCESE PHOENIX
% MARCUS ANDERSON
PO BOX 13600
PHOENIX AZ 85002
010506
Employer Identification Number: 86-0096789
Person to Contact: Laura A. Botkin
Toll Free Telephone Number: 1-877-829-5500
Dear Taxpayer:
This is in response to your Jan. 06, 2015, request for information
regarding your tax-exempt status.
Our records indicate that you were recognized as exempt under
section 501(c)(3) of the Internal Revenue Code in a determination
letter issued in March 1946.
Our records also indicate that you are not a private foundation within
the meaning of section 509(a) of the Code because you are described in
section(s) 509(a)(1) and 170(b)(1)(A)(vi).
Donors may deduct contributions to you as provided in section 170 of
the Code. Bequests, legacies, devises, transfers, or gifts to you or
for your 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.
Please refer to our website www.irs.gov/eo for information regarding
filing requirements. Specifically, section 6033(j) of the Code
provides that failure to file an annual information return for three
consecutive years results in revocation of tax-exempt status as of
the filing due date of the third return for organizations required to
file. We will publish a list of organizations whose tax-exempt
status was revoked under section 6033(j) of the Code on our website
beginning in early 2011.

Gila River Indian Community Grant Application
Cover Sheet
Municipality Information
Date of Application: 2/24/2015
Name of City, Town or County: Maricopa County
Mayor (City or Town) or Board of Supervisor's Chairman (County): Steve Chucri
Mailing Address: 301 W. Jefferson St., 10th Floor
City: Phoenix State: Arizona Zip Code: 85003
Acknowledgement of Submission by Municipality Representative:
Typed Name: Amanda Nash Signature:
Applicant Information
Department/Organization Name: The Society of St. Vincent de Paul
Application Contact Person: Dorian Townsend Title: Grants and Research Manager
Phone Number: 602-850-6762
Mailing Address: P.O. Box 13600
City: Phoenix State: Arizona Zip Code: 85002
Email Address: dtownsend@svdpaz.org
Project Information
Project Name: Know Your A1c: Diabetes Prevention and Intervention Program
Purpose of Grant: Know Your A1c is an awareness and intervention program targeting low-income and disadvantaged
people who are unaware of their risks for pre-diabetes or diabetes. Know Your Alc uses alternative outreach methods
to identify and engage at-risk adults and their families to be screened for pre-diabetes and to diagnose unknown
diabetes, employing newly available point-of-service finger-stick laboratory A1c testing for diagnosis. Thereafter, the
identified individuals and families are guided through interventions including accessing and obtaining appropriate
healthcare, making lifestyle modifications, as well as learning the tools necessary for self-management and self-
advocacy for a healthy and productive life.
Priority Funding Area Healthcare
Annual amount requested $50,000
Number of years that funding is requested (1-5) 1
Total amount requested (annual amount x if of $50,000
years)
Has your organization received funding from No
Gila River Indian Community in the Past? If yes,
For Office Use Only:
Data Entry I Receipt Evaluation

Gila River Indian Community Grant Application
please list each year and amount
Geographic area served Greater Phoenix

Gila River Indian Community Grant Application
Narrative
Please structure your proposal to provide the following information in the order indicated. List the heading first and
then provide the narrative in paragraph form. Please be thorough but strive for brevity.
1. Briefly describe the organization's mission, history and goals.
2. Describe the goals and activities of the proposed project.
3. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River
Indian Community.
4. Identify the needs/problems to be addressed, target population and number of people to be served by the
project.
5. Define the project as a new or continuing program.
6. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
7. Identify other organizations, partners or funders participating in the project and their roles.
8. Would you be able to implement the proposed plan if your organization received partial funding for this project?
9. Describe your plan for project sustainability beyond the grant period.
10. Describe your plan to document progress and results.
11. 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.

Gila River Indian Community Grant Application
Narrative Section for the Society of St. Vincent de Paul
2015
Briefly describe the organization's mission, history, and goals.
The Society of St. Vincent de Paul (SVdP) serves homeless and working poor individuals and families in
central and northern Arizona. Our mission is to offer person-to-person service to the needy and
suffering regardless of race, origin, religion or gender. SVdP has been assisting central and northern
Arizona families since 1946.
SVdP's programs can be grouped into four main service areas: Feed. Clothe. House. Heal.
Feed
• Dining Rooms/Central Kitchen--The kitchen prepares over 4,000 meals every day for 5 dining
rooms and 23 supported nonprofits. 1,443,409 meals were served in FY 13/14.
• Food Reclamation Center--FRC receives and redistributes non-perishable food items. In FY
13/14, SVdP processed 7,024,109 pounds of food
• Vincentian Conferences of Charity-85 Vincentian Conferences operate out of local parishes
throughout central and northern Arizona, providing direct support to families. 6,062,004 meals
were distributed through food boxes in FY 13/14.
Clothe
• Ministry to the Homeless--Last year 25,846 homeless individuals visited our main campus for
showers, clean clothes, and other services
• Thrift Stores--19 thrift stores + $533,358 worth of essential items given to needy families
House
• Ozanam Manor--49-bed transitional shelter for homeless individuals who are elderly, disabled,
or veterans. Provided shelter to 133 individuals last year.
• Family Assistance Ministries and Vincentian Conferences Emergency Assistance--Provide
emergency rent and utility assistance to families in jeopardy of losing their home. Distributed
$14,865,642 in assistance in FY 13/14

Heal
e The Piper Medical and Dental Clinic serves as a medical and dental home to thousands of
uninsured and underinsured clients, providing 17,196 medical, dental, and ancillary visits last
year.
Describe the goals and activities of the proposed project.
Know Your A1c is an awareness and intervention program targeting low-income and disadvantaged
people who are unaware of their risks for pre-diabetes or diabetes. This campaign targets adults who
have risk factors identified through ADA guidelines, including overweight adults who are members of
high-risk racial/ethnic populations, engage in limited physical activity, or have a family history of
diabetes that puts them at risk. Type 2 diabetes often develops insidiously over a period of years and the
devastating complications are cumulative, leading to early morbidity, disability and mortality.
Know Your Alc uses alternative outreach methods to identify and engage at-risk adults and their
families to be screened for pre-diabetes and to diagnose unknown diabetes, employing newly available
point-of-service finger-stick laboratory A1c testing for diagnosis. Thereafter, the identified individuals
and families are guided through interventions including accessing and obtaining appropriate healthcare,
making lifestyle modifications, as well as learning the tools necessary for self-management and self-
advocacy for a healthy and productive life.
For pre-diabetics, 15 -30% will develop Type 2 diabetes within 5 years without intervention. In order to
combat this epidemic, the Know Your A1c program will follow four key stages: Stage 1: Public Awareness
and Early Detection, Stage 2: Facilitation of Follow-up Healthcare, Stage 3: Diabetes Prevention and
Intervention Education, and Stage 4: Evaluation.
Stage 1: Public Awareness and Early Detection
Point of service testing technology and Alc guidelines from the American Diabetes Association have
made it relatively easy and cost-effective to identify individuals with diabetes and pre-diabetes. Know
Your A1c will screen at least 2000 adults from the greater Phoenix community. Screening will focus on
young adults and low income families who have been identified as high-risk and with limited access to or
no established health care. All participants will receive a post card which visually displays the road to
diabetes and contains a section for individuals to track their A1c. This post card includes the risks and
prevention measures to delay Type 2 diabetes.
Stage 2: Facilitation of Follow-up Healthcare
Follow-up care will primarily be coordinated through the St. Vincent de Paul Clinic (SVdP), Adelante
Healthcare Mesa, and the CARE Program at Phoenix Children's Hospital. All participants will have follow-
up A1cs taken every three months as well as the measurement of other key diabetes markers.

Stage 3: Diabetes Prevention and Intervention Education
SVdP's Family Wellness Program will offer weekly diabetes and monthly prediabetes classes to
participants to facilitate the development of day-to-day positive lifestyle skills in nutrition, physical
activity, weight management, and health habits. Classes will be held at SVdP, Adelante Healthcare Mesa,
and at various Head Start sites.
Stage 4: Evaluation
Know your Mc will be externally evaluated by Dr. Gabriel Shaibi of Arizona State University. He holds a
joint appointment in the Exercise Science and Health Promotion Program in the School of Nutrition and
Health Promotion and research appointments with the Southwest Interdisciplinary Research Center and
the Center for Metabolic and Vascular Biology at ASU.
Describe how the proposed project satisfies one or more of the priority funding areas identified by the
Gila River Indian Community.
Know Your Alc satisfies the Healthcare funding priority by providing health education, health
promotion, disease prevention, wellness activities, recreational activities that promote physical fitness,
and nutrition.
Identify the needs/problems to be addressed, target population and number of people to be served
by the project.
Know Your Aic will serve the greater Phoenix area through both public outreach partnerships and
through partner programs for clinic services and diabetes education programming. The St. Vincent de
Paul's clinic is located near downtown Phoenix, while the partner facilities through Adelante Health
Care, Head Start, and Phoenix Children's Hospital are located throughout the Valley, allowing SVdP to
serve a target population at high risk for prediabetes and diabetes throughout the Valley.
The American Diabetes Association (ADA) recommends targeting everyone age 45 and older as well as
overweight adults of any age who have additional risk factors, including family history of diabetes, being
a member of a high-risk racial/ethnic population, physical inactivity, high cholesterol, signs of insulin
resistance (such as acanthosis nigricans), polycystic ovarian syndrome, history of gestational diabetes,
previous diagnosis of prediabetes, and/or hypertension. Having medical insurance and higher annual
family income are associated with lower odds of prediabetes and undiagnosed diabetes, which implies
that SVdP's primary population, i.e. the working poor, uninsured, and underinsured are at a higher than
average risk of developing prediabetes or diabetes.
In order to test for prediabetes or diabetes on the Mc scale, diabetes is defined as H bA1c greater than
or equal to 6.5, while prediabetes is defined as HbAlc greater than or equal to 5.7.

According to a recent publication in Population Health Metrics, more than one-fourth of the estimated
26 million Americans with diabetes are undiagnosed, and more than 90% of the estimated 79 million
adults with prediabetes remain undetected. As with many diseases, screening and early detection of
diabetes and prediabetes is the first step to initiating prevention and management, as well as avoiding
more costly treatment interventions. The CDC estimates that one in three persons will develop the
disease in their lifetime. Additionally, 7.2 million people in the U.S. do not know they have diabetes and
77.4 million do not know they have pre-diabetes. Many of the undiagnosed have limited access to
healthcare, which serves to further delay diagnosis and treatment. Type 2 diabetes is a large, costly, and
growing epidemic that without proper intervention leads to progressively negative health outcomes in
those affected.
The key objectives are to:
1. Establish an ongoing community screening process which targets adults at risk for pre-
diabetes/diabetes;
2. Focus services to low income, limited or no healthcare, and minority populations who are at
greater risks to develop pre-diabetes/diabetes and are more adversely affected;
3. Provide education and prevention information to the target population and to community
partners who are involved in working with the target population.
Outcomes:
1. Complete a minimum of 2,000 Alc screenings within the target population;
2. Increase community awareness of Know Your Alc resulting in earlier diagnosis of asymptomatic
adults with prediabetes and undiagnosed diabetes;
3. Pre-diabetics/diabetics participate in an effective intervention program to prevent or delay the
onset of or complications from Type 2 diabetes.
Define the project as a new or continuing program.
Know Your A1c is a new program, which draws upon SVdP's past experience in diabetes prevention
education.
Provide a brief timelines, including start and finish dates. Indicate if the timeline is flexible.
Program outreach and educational services will be offered throughout the year. SVdP operates on an
October to September fiscal year and initial client outcome evaluations will be conducted after the first
twelve months of the program. The Know Your A1c program timeline is flexible.

Stage I.
1000 participants will be recruited through 20 healthcare community events as well as publications such
as Segundo Mano, The Vincent/an newsletter, community public television and radio PSA spots (Radio
Campesina, TeleMundo, and other local radio and TV news stations).
1000 participants will be recruited through SVdP Clinic, City of Phoenix-Head Start, Adelante Healthcare
Mesa, Valley of the Sun YMCA (Christown, Downtown, Maryvale), The Phoenix Children Museum, The
CARE Program at Phoenix Children's Hospital, Golden Gate Community Center, the Asian Pacific
Community in Action, the Maryvale Family Health Center, and community churches.
Stage 2
SVdP Clinic and Adelante Healthcare Mesa will serve as the primary clinical services providers for
continued monitoring of clients' Alcs and diabetes management.
Stage 3
SVdP will coordinate all educational programming, including classes taught at partner program sites.
Stage 4
Program success will be evaluated by Dr. Gabriel Shaibe of ASU.
Identify other organizations, partners, or funders participating in the project and their roles.
Primary participating organizations: Adelante Healthcare and City of Phoenix Head Start
Additional partners:
Stage 1: Outreach Partners:
Segunda Mano, The Vincentian newsletter, community public television and radio PSA spots (Radio
Campesina, TeleM undo, and other local radio and TV news stations), Adelante Healthcare Mesa, Valley
of the Sun YMCA (Christown, Downtown, Maryvale), The Phoenix Children Museum, The CARE Program
at Phoenix Children's Hospital, Golden Gate Community Center, the Asian Pacific Community in Action,
the Maryvale Family Health Center, and community churches.
Stages 2 and 3: Clinic Services and Prevention Education Partners:
The CARE Program at Phoenix Children's Hospital, Abrazo Health Care System, Glendale Pediatrics, and
Providence Pediatrics.

Stage 4: Evaluation Partner
Dr. Gabriel Shaibe, ASU Center for Health Equity Across the Lifespart
Would you be able to implement the proposed plan if your organization received partial funding for
this project?
SVdP would need to pursue additional funding partners, but would be able to implement the Know Your
Alc program should partial funding be received.
Describe your plan for project sustainability beyond the grant period.
SVdP is pursuing sustainable funding for the Know Your Alc program and has applied for additional
program funds through Pfizer, Dignity Health, and will also be presenting the Know Your Aix Program to
the Ben and Catherine Ivy Foundation, who have generously supported program creation and expansion
within our Clinic. SVdP also has the support of generous individual donors, who would support any
additional funding needs.
Describe your plan to document progress and results.
The evaluation plan will be guided by the RE-AIM framework. Assessments will include, Reach: patient-
reported outcomes (e.g. adherence to lifestyle behaviors, medical treatment recommendations, and
perceived diabetes control), Effectiveness: diabetes outcomes (e.g. changes in HbAlc and features of
the cardiometabolic syndrome), Adoption: referral patterns by providers and support by partner
institutions, Implementation: fidelity of intervention delivery by trained health care coordinators, and
Maintenance: sustainability of health improvements over time and ongoing intervention delivery by
partner institutions. Data management and analysis will be conducted by the ASU Center for Health
Equity Across the Lifespan under the direction of Dr. Gabriel Shaibi.
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.
N/A

Gila River Indian Community Grant Application
Project Budget
Budget Period: October 1, 2015-September 30, 2016
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other funders
1. Program Coordinators 1.5 FTE $25,000 $64,800 $0 $89,800
2. Travel $3,000 $o $o $3,000
3. [Pads (600 per unit) $1,200 $0 $o $1,200
4. Heartsmart Installation (300 per $600 $o $o $600
unit)
5. DCA (2300 per unit) $2,300 $o $2,300
6. Cartridges $2,680 $o $0 $2,680
7. Lancets $890 $0 $o $890
8. DCA Printer Paper $300 $o $o $300
9. Controls $185.52 $o $0 $185.52
10. Heartsmart development for $1,200 $0 $0 $1,200
partner programs
11. Printing $10,000 $o $o $10,000
12. Maintenance and Evaluation $2,644.48 $5,355.52 $o $8,000
13. Partner Expenses $0 $30,000 $0 $30,000
14. Click here to enter text. $0 $o $0 $o
15. Click here to enter text. $0 $0 $o $o
16. Click here to enter text. $0 $o $o $0
17. Click here to enter text. $0 $o $0 $0
Total Budget $50,000 $100,155.52 $o $150,155.52

Gila River Indian Community Grant Application
Project Budget Detail
Please provide a narrative description for each of the project budget items.
1. Program coordinators will run all aspects of the Know Your Alc program, coordinating both SVdP programming and
services at partner agencies. ($18.00 per hour, 25% indirect cost, maintenance, delivery, training)
2. Due to the number of partner sites, the first year of the program will require significant travel. SVdP estimates travel
costs to be $3,000.
3. IPads—The Heartsnnart monitoring program will be run off two !Pads to ensure maximum mobility for program
coordinators when visiting partner sites. ($600 per unit, 2 units)
4. Heartsmart Installation—Heartsmart will allow the Know Your A1c program to track critical data as well as provide
suggestions for prediabetic/diabetic clients. ($300 per unit, 2 units)
5. DCA—This machine will process Alc tests
6. Cartridges (for DCA)
7. Lancets--$44.16 per 1 box of 200, 20 boxes
8. DCA Printer Paper-5/1 pack @27.04 pre-tax, approximately $300
9. Controls-2 at $92.76 each
10. Heartsmart development costs for partner programs--$1,200
11. Printing (for the Know Your A1c Cards and other program materials)—estimated $10,000
12. Maintenance and Evaluation—External evaluation costs and program maintenance are estimated to be $8,000
13. Partner Expenses--$30,000--This includes staff time dedicated to the Know Your A1c program, additional A1c testing
costs, and training expenses
14. Click here to enter text.
15. Click here to enter text.
16. Click here to enter text.
17. Click here to enter text.

Created Thursday, February 19, 2015
Updated Friday, February 20, 2015
Page 1
General information
General information | Organization Maricopa County Human Services Department
General information | Contact First name Jacqueline
General information | Contact Last name Edwards
General information | Contact e-mail EdwardsJ003@mail.maricopa.gov
General information | Contact phone number 602-506-4812
Address
Address | Street 234 N. Central Avenue, 3rd Floor
Address | City Phoenix
Address | State AZ
Address | ZIP Code 8 5004
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
$275,000
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 $
Page 1

Internal Revenue Service
Department of the Treasury
P. 0. Box 2508
Date: June 1, 2004 Cincinnati, OH 45201
Person to Contact:
County of Maricopa Mrs. Coghill 31-07426
% Maricopa County Treas. Customer Service Representative
301 W Jefferson Street Room 100 Toll Free Telephone Number:
Phoenix, AZ 85003-2199 8:00 a.m. to 8:30 p.m. EST
877-829-5500
Fax Number:
513-263-3756
Federal Identification Number:
86-6000472
Dear Sir/Madam:
This is in response to your request of June 1, 2004, regarding your organization's exemption from Federal
income tax.
As a governmental unit or a political subdivision thereof, your organization is not subject to Federal income tax
under the provisions of Section 115(1) of the Internal Revenue Code, which states in part:
"Gross income does not include income derived from ... the
exercise of any essential governmental function and accruing
to a State or any political subdivision thereof ..."
Because your organization is a governmental unit or a political subdivision thereof, its income is not taxable as
explained above. Contributions used exclusively for public purposes are deductible under Section 170(c)(1) of
the Code.
Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA).
Your organization may obtain a letter ruling on its status under section 115 by following the procedures
specified in Rev. Proc. 2002-1 or its successor.
If you have any questions, please call us at the telephone number shown in the heading of this letter.
Sincerely,
ktgArt.
for janna K. Skufca, Director, TEIGE
Customer Account Services

Gila River Indian Community Grant Application
Cover Sheet
Municipality Information
Date of Application: 3/31/2015
Name of City, Town or County: Maricopa County
Mayor (City or Town) or Board of Supervisor’s Chairman (County): Mr. Steve Chucri, Chairman
Mailing Address: 234 North Central Avenue, Suite 3000
City: Phoenix State: Arizona Zip Code: 85004
Acknowledgement of Submission by Municipality Representative:
Typed Name: Amanda Nash Signature:
Applicant Information
Department/Organization Name: Maricopa County Human Services Department Early Education Division
Application Contact Person: Jacqueline Edwards Title: Strategic Planning & Policy Manager
Phone Number: 602-506-4812
Mailing Address: 234 North Central Avenue, Suite 3000
City: Phoenix State: Arizona Zip Code: 85004
Email Address: EdwardsJ003@mail.maricopa.gov
Project Information
Project Name: Head Start Classroom Expansion at House of Refuge
Purpose of Grant: Expand early care and education programs targeted towards serving young, vulnerable
children from low income children and their families who are experiencing housing insecurity through the
purchase and installation of a modular classroom, playground and related furniture and supplies for 20 three
and four year old children.
Priority Funding Area Education
Annual amount requested $275,000
Number of years that funding is requested (1-5) 1
Total amount requested (annual amount x # of $275,000
years)
Has your organization received funding from Gila No
River Indian Community in the Past? If yes,
For Office Use Only:
Data Entry
Receipt
Evaluation

Gila River Indian Community Grant Application
please list each year and amount
Geographic area served Mesa, AZ

Gila River Indian Community Grant Application
Narrative
Please structure your proposal to provide the following information in the order indicated. List the heading first
and then provide the narrative in paragraph form. Please be thorough but strive for brevity.
1. Briefly describe the organization’s mission, history and goals.
2. Describe the goals and activities of the proposed project.
3. Describe how the proposed project satisfies one or more of the priority funding areas identified by the
Gila River Indian Community.
4. Identify the needs/problems to be addressed, target population and number of people to be served by
the project.
5. Define the project as a new or continuing program.
6. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
7. Identify other organizations, partners or funders participating in the project and their roles.
8. Would you be able to implement the proposed plan if your organization received partial funding for this
project?
9. Describe your plan for project sustainability beyond the grant period.
10. Describe your plan to document progress and results.
11. 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.

Gila River Indian Community Grant Application
Project Budget
Budget Period: Click here to enter text.
Proposed Budget Expense Amount Amount In Kind Total Budget
requested from requested or contributions
(list each budget item) GRIC secured from
other funders
1. Modular Building $77,000 $0 $0 $0
2. Ground Preparation $12,000 $0 $0 $0
3. Utility Lines (Water, Sewer, $8,000 $0 $0 $0
Electricity)
4. Permits $6,000 $0 $0 $0
5. Building Delivery and Installation $80,000 $0 $0 $0
6. Parking Lot Grading, Paving & $23,000 $0 $0 $0
Striping
7. Playground Equipment, Shade, $48,000 $0 $0 $0
Surfacing, and Installation
8. Playground Fencing $5,000 $0 $0 $0
9. Classroom Furniture, Computer, $16,000 $0 $0 $0
Software
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 $275,000 $0 $0 $0

Gila River Indian Community Grant Application
Project Budget Detail
Please provide a narrative description for each of the project budget items.
1. Modular Building for Early Childhood Classroom Space: Base cost is $68.00 to $70.00 per square foot.
Building will contain a minimum of 700 square feet of classroom space. In addition, at least one restroom with
a sink, and a small office area will be needed. Cost estimate is based on a 28’ x 44’ modular for a total of
1,056 square feet, with a heating/cooling system.
2. Ground Preparation: The modular building will be set into the ground so that the door is flush with ground
level to provide easier access for ADA compliance, aesthetics with the existing property, as well as the
preferred method of installation by City and State fire inspectors. This will require a ground basin to be
prepared and reinforced, along with footings for the modular installation.
3. Utility Lines: Water, sewer, and electricity lines already exist on the property but will need to be routed and
stubbed out prior to the modular building delivery and installation.
4. Permits will be needed for all areas of the project: ground preparation, utilities, modular installation, parking
lot grading/paving, playground and shade structure installation.
5. Building Delivery and Installation: Costs will be based on where the vendor is located in proximity to delivery
location. The intention is to purchase locally but will be based on a competitive bid process. Installation will
require inserting the modular into the prepared basin, leveling, and utility hook ups.
6. Parking Lot Grading, Paving, and Striping: An area adjacent to the modular building will be graded and
paved for parking to accommodate staff, and parents dropping children off and picking them up.
7. Playground Equipment, Shade, Surfacing, and Installation: A minimum of 1,500 square feet will be used for
a playground adjacent to and with access from the modular building for dedicated preschool playground
equipment, shade, and resilient surfacing per State and Federal requirements.
8. Playground Fencing: State licensing requires fencing of at least 4’ height around the perimeter of the
playground area for child health and safety.
9. Classroom Furniture and Computers: The modular classroom will be furnished with appropriate preschool
age furnishings, an interactive Smartboard, as well as teacher and student computers and software.
10. Click here to enter text.
11. Click here to enter text.

Gila River Indian Community Grant Application
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.

PROJECT NARRATIVE
1. Briefly describe the organization’s mission history and goals.
The mission of the Maricopa County Human Services Department is to provide and coordinate
essential support and social services to vulnerable populations to enhance economic, educational,
and social opportunities and to strengthen communities. The Maricopa County Human Services
Department’s vision is all Maricopa County residents will have equal access to opportunities to
improve their lives. Presently, the Department’s Early Education Division is supporting this
mission and vision by administering the Head Start program. Over the last 50 years, Maricopa
County has served as the Head Start grantee providing educational and wrap around services to
our most vulnerable children and their families.
The Head Start Program is one of the initiatives established in 1965 as part of President Lyndon
Johnson’s War on Poverty. During his 1964 State of the Union address, President Johnson
stated, “Our aim is not only to relieve the symptoms of poverty, but to cure it and, above all, to
prevent it.” The War on Poverty is based on four landmark pieces of legislation:
• Social Security Amendments of 1965 which expanded Social Security benefits while
creating Medicare and Medicaid;
• The Food Stamp Act of 1964;
• The Economic Opportunity Act of 1964;
• The Elementary and Secondary Education Act which established Title 1 programs
Head Start is a comprehensive program that delivers a wide array of educational, medical, social,
and psychological services to eligible children and their families. The ‘total’ child is considered
as children are not ready to learn when their basic needs are not met. Hence, the program
focuses on ensuring students have access to nutritious meals, preventative medical care,
emotional stability, involved and knowledgeable parents, and social services designed to soften
the impact of poverty.
In 1996, the Head Start program was expanded to include services for children birth through age
three via the Early Head Start program. Hence, the framework of Birth to Five Centers was born
whereby providing equity in access to quality, age/developmentally appropriate services and
opportunity to close the achievement gap was created. Maricopa County Head Start’s Vision is
“Healthy, Educated Children in Supportive Families.” Our mission is to educate children and
support families with a broad and holistic range of supports to ensure that children ages zero to 5
are prepared and ready for school.
Our frame work includes:
• Partnering with families and children to ensure their health. We focus on working with
the most vulnerable families (such as families who are living in poverty, families who are
providing foster care and families with children who have disabilities.)
• Educating and Developing Young Children. Strategies in service delivery include in-
homes and in center-based sites; teaching children and families how to be healthy and
how to support children in their development and education.
• Developing Community Partnerships: Engaging communities to support families.
By providing quality, child and age appropriate educational services to our most vulnerable
children, on a daily basis, Head Start strives to close the achievement gap and to support family

stability.
2. Describe the goals and activities of the proposed project.
Goal 1:Expand existing Early Head Start program to include Head Start educational and
wrap around services for 3 - 4 year olds, whereby institutionalizing a long term 0 – 5
Center at House of Refuge.
1.1 By October 2015 secure funding to purchase and transform a modular
building into a state of the art educational setting that meets Head
Start performance standards.
1.2 By July, 2016 establish an age and developmentally appropriate
playground that meets Head Start performance standards.
1.3 By July, 2016 establish a parking lot that will meet standards for an
educational setting that includes ample parking for educators, parents
and visitors.
Goal 2:Establish outreach, recruitment and enrollment plan for 20 three - four year olds
to enroll in the newly established Head Start program located at the House of
Refuge.
2.1 50% of families enrolled in program will have multiple children birth to
five whereby having opportunity to enroll in a quality educational
program for multiple years.
2.2 Outreach/recruitment will be completed in the area in order to enroll
children who live in House of Refuge housing as well as student
housing located on the ASU campus.
Goal 3: Expand existing partnerships that will enhance
2.1 Partner with local institutions of higher learning offering eligible students
with young families’ opportunity to enroll their children in the program.
2.2 In offering students enrolled in local institutions of higher learning an
internship experience, establish agreements whereby establishing the
Early Head Start/Head Start program housed at House of
Refuge as an internship site.
3. Describe how the proposed project satisfies one or more of the priority funding areas
identified by the Gila River Indian Community.
The Gila River Indian Community identifies “education” as one of their priority funding areas.
Education – programs and projects that assist student and/or educators in achieving success in
the classroom from preschool thru post-secondary education programs and projects that provide
tutoring and hands on learning, scholarship programs, museums, any other type of educational
programs on any topic that enhances the general knowledge of participants or promotes life-
long learners.
Via its Early Head Start and Head Start programs, Maricopa County offers center-based services
to children 6 weeks thru 5 years of age. Head Start is available for children 3 – 5 years old, 4
days per week for 32 weeks, double classroom sessions of 3½ hours or single classroom sessions of 7
hours. Early Head Start services are offered to children 6 weeks to 2 years old, 5 days per week for
36 weeks, 7 hour classroom sessions.
Children classified in foster care, homeless, TANF or SSI are automatically eligible. Children at or
below federal poverty level and those diagnosed with special needs are ranked at higher risk. Ten

percent of Head Start’s enrollment slots must be filled with children who meet eligibility criteria for
their local School District or the Arizona Early Intervention Program (AzEIP). Referral for
community services are made on an as needed basis.
A variety of learning experiences that support school readiness are offered. This includes
expanding a child’s skills in the areas of language, literacy, math, and science, and promoting
his/her physical social and emotional development. The program provides a balance of large and
small group activities, and activities that are open-ended and child-centered. Children's school
readiness is measured by the skills set out in the five domains of the Head Start Child
Development and Early Learning Framework:
• Language and Literacy;
• Cognition and General Knowledge;
• Approaches to Learning;
• Physical Development and Health; and
• Social and Emotional Development.
Parents are recognized as the child’s most important teacher and are expected to participate in
the program. Hence, all parents are presented with a variety of volunteer opportunities that may
include:
• Assist the teacher with all classrooms activities;
• Visit the classroom and work directly with their child;
• Share information about their child, family and culture (such as special family celebrations,
music, art, food and stories);
• Do activities at home with their child that reinforce classroom activities such as reading with
their child 15 minutes every day;
• Attend monthly Parent Meetings, parent education workshops, and family activities;
• Participate in special fatherhood and male-involvement designed activities;
• Participate in Policy Council; and
• Meet with their child’s teacher to discuss their child’s growth and development.
Last but not least, families at the House of Refuge and surrounding communities are in need of
full day, full year services for their children. These families are seeking full time employment
which will enable them in caring for their children. They are in desperate need of affordable,
quality child care for their children. Hence, establishing a Birth to Five Center at the House of
Refuge makes perfect sense. Furthermore, our own data suggests that children returning for an
additional year of Head Start services do better on school success indicators such as language,
literacy, math and attention skills.
4. Identify the needs/problems to be addressed, target population and number of people to
be served by the project.
The House of Refuge is a faith based, not for profit organization that provides transitional
housing and wrap around services to homeless families. Supportive and case-management
services include and are not limited to:
• GED classes;
• Referrals to institutions of higher learning;
• Referral for behavioral health services;
• Development of employment skills and referrals for job placement;

• Parenting and child development classes;
• Referrals to on-site Early Head Start programming; and
• Partnering with local schools in ensuring school age children do not fall thru the tracks as
they transition out of a crisis.
The House of Refuge consists of 82, two bedroom, single family homes. On average, on a daily
basis, House of Refuge provides a safe, nurturing home environment to 100 adults and 150
children. House of Refuge and Maricopa County Head Start initiated a partnership in 2012.
Currently, our Early Head Start program located at House of Refuge provides services to eight
toddlers. Expansion to include a Head Start program for 20 three and four year olds will offer
families with preschoolers’ opportunity to enroll their children. For families with multiple
children, they will have the opportunity for their toddlers and preschoolers to participate in
quality, educational programs housed on one campus. Furthermore, the program will offer
multiple year, educational opportunity for children who enroll in Early Head Start and later
transition into the Head Start program.
Families, similar to those at House of Refuge, are at some of the lowest points in their lives.
These families need intensive case-management services and support services in caring for their
children. Establishing the House of Refuge as a Birth to Five Center will provide these families
with a quality, educational setting staffed with capable, competent early childhood professionals
to care for their children while they attend school, get a trade and/or secure employment.
5. Define the project as a new or continuing program.
In creating a Birth to Five Center at the House of refuge, our intention is to expand the existing
Early Head Start program to include a Head Start program. In this manner, children up to 3
years of age will be served in the Early Head Start program and children ages 4 and 5 in the
Head Start program.
6. Provide a brief timeline including start and finish dates. Indicate if the timeline is
flexible.
Activity Date Responsible Party
Notification of grant June, 2015 Gila River
continuing to award phase
Resolution forwarded to Gila August 14, 2015 Jacqueline Edwards
River
Notification of Award October 2015 Gila River
Approvals by House of November 2015 Education Division Grant and
Refuge, OHS Region 9 and Contracts Administrator
Maricopa County BOS
County Real Estate to Amend November – December 2015 Maricopa County Real Estate
Lease with House of Refuge
and submit Amendment to
BOS for Approval
BidSync solicitation or House December 2015 – January Maricopa County Grant and
of Refuge selection of 2016 Contracts Administrator,
contractor for the project. Office of Procurement
Services, House of Refuge,
and Operations Supervisor
Initial construction meeting to January 2016 Maricopa County Head Start

Activity Date Responsible Party
develop timeline, engineered Program Management Team,
drawings, placement of House of Refuge, and selected
building/playground/parking Contractor
lot, selection of modular and
materials, etc.
Construction Permits January – April 2016 Selected Construction
Contractor with Program
Oversight – Operations
Supervisor
Construction – prepare land to Construction start date will Selected Construction
include stabilizing ground and depend on when permits are Contractor with Program
installations of utilities received. Can take 2-6 Oversight – Operations
months for permitting. Supervisor
Approximate start date of
April 2016 is being used for
this timeline.
Purchase of modular building January – March 2016 Selected Construction
Contractor to sub-contract for
purchase with Program
Oversight – Operations
Supervisor
Implement outreach, March 2016 Family and Community
recruitment, intake and Partnership Manager
enrollment plan
Develop staffing pattern for March-April 2016 Child Development and
the Head Start Classroom Health Manager
(post for hiring if needed)
Delivery and Installation of April 2016 Selected Construction
modular building Contractor to sub-contract for
purchase with Program
Oversight – Operations
Supervisor
Submit for State Child Care April 2016 Operations Supervisor
License
Construction of parking lot April - May 2016 Selected Construction
Contractor with Program
Oversight – Operations
Supervisor
Construction of playground April – May 2016 Selected Construction
and purchase of playground Contractor with Program
equipment Oversight – Operations
Supervisor
Installation/Activation of May 2016 House of Refuge / Maricopa
Phone and Internet Lines County OET and IT
Certificate of Occupancy and May 2016 Selected Construction

Activity Date Responsible Party
Fire Inspections Completed Contractor with Program
Oversight – Operations
Supervisor
Sign classroom staff contracts May 2016 Child Development and
Health Manager
Purchase of Classroom May – June 2016 Operations Supervisor
Furniture, IT related items,
and all Supplies Necessary to
Begin Classes
State Child Care Inspection to June 2016 Operations Supervisor
obtain License to begin
Services
Construction Invoicing June 2016 Operations Supervisor and
Approved and Processed by Senior Grant Accountant
Fiscal Year End
Contingency Funds – Any June 2016 Operations Supervisor
unused funds will be used for
purchase of Classroom
Smartboard, Software, and
STEM products.
Begin classes July 2016 Child Development and
Health Manager
7. Identify other organizations, partners or funders participating in the project and their
roles.
The House of Refuge is our primary partner for this initiative. As previously mentioned, Early
Head Start services were initiated in 2012. As we expand services to include full day Head Start
services for 3 and 4 year olds, we will work closely with the City of Mesa in securing
construction permits. We will also work closely with the Arizona Department of Health Services
Office of Licensure in licensing the Head Start site. An additional partner on the project will be
the Higley School District. We will work with local Higley Elementary feeder schools in
promoting the Birth to Five Center. In ensuring a smooth transition to Kindergarten, we will
connect Head Start parents with elementary school staff.
8. Would you be able to implement the proposed plan if your organization received partial
funding for this project?
Maricopa County receives funding from the U.S. Department of Health and Human Services,
Administration for Children and Families, Office of Head Start. Funds are dedicated to costs
associated with delivery of services and wrap around services as well as ensuring facilities and
playground areas meet Head Start performance standards. Funds are typically not used for ‘brick
and mortar’ type of use. Hence, we don’t use funds for construction or to purchase property that
may serve as classroom settings. Therefore, we are not able to realize the purchase of the
modular and related construction with partial funding. We must rely on alternative funding, such
as grant funds, to ensure this project becomes a reality.

9. Describe your plan for project sustainability beyond the grant period.
Maricopa County receives Head Start grant funds from the Office of Head Start. The funds we
receive covers costs for operations as well as a multi-disciplinary team that includes and is not
limited to teachers, support staff, family specialist, nurse, behavioral health professional, etc.
Upon notification of funding, we will purchase a modular that will be transformed into a
classroom. We will also establish an appropriate parking lot and a playground that meets Head
Start performance standards. From that point forward, we will sustain the additional Head Start
facility and surrounding space using Head Start grant funds. Existing Head Start grant funding
will cover costs for operating the program for years to come. Our programs are sustainable.
10. Describe your plan to document progress and results.
ChildPlus is a Head Start data management software widely used to capture and track data that
informs progress towards compliance of the Head Start performance standards. A variety of
content and monitoring reports, including health and human services reports and the Program
Information Report (PIR) submitted to Congress on an annual basis, may be generated using this
software. Staff delivering services at the House of Refuge Head Start program will use
ChildPlus to capture and track all of their data.
Data reports are produced on an ongoing basis and presented as tools that inform decision
making. Reports are presented to Head Start parents during their monthly Policy Council
meetings. Likewise, a wide menu of data reports are presented to staff at various meetings to
include and not limited to:
• Management Team;
• Education Leadership;
• Program Planning Team;
• Family Support Specialist Team; and
• Mentor Cohort.
During community meetings outcome reports are shared with partners such as:
• Arizona Head Start Association;
• First Things First; and
• EQUIP (Educators Evaluating Quality Instructional Products) meetings.
11. 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.
Maricopa County Head Start has not applied to or received funding awards from any Tribal
Nation, including Gila River Indian Community.

March 31, 2015
Gila River Indian Community
Office of Special Funding
Ms. Cheryl Pablo, Program Administrator
P.O. Box 2172
Sacaton, AZ 85147
Dear Ms. Pablo:
Maricopa County Human Services Department, Early Education Division is pleased to
participate in your call for proposals via the Gila River Indian Community State Shared Revenue
Grant Application for funding. Thank you in advance for this wonderful opportunity to partner
with you in expanding our Early Head Start program at House of Refuge to include Head Start
programming.
We estimate establishing a Head Start program at House of Refuge will cost $275,000. This will
include purchase of a modular building and transforming it into a state of the art preschool
classroom as well as building an appropriate parking lot and establishing a developmentally
appropriate playground that meets Head Start performance standards.
Expansion to include Head Start services will create educational opportunities for 20 children in
Mesa, Arizona. These children will experience a high quality educational program that will work
closely with their families in ensuring they are ready for Kindergarten and develop skills needed
to give them an edge to succeed in school and in life.
On an annual basis, Maricopa County Human Services Department receives operational funding
to support our Head Start programs. However, funds are typically not used for ‘brick and
mortar’ activities. Hence, we are forced to partner with a variety of organizations and
institutions that may have vacant space. In the case of House of Refuge, they have the available
land but not the housing unit. Therefore, we look forward to partnering with Gila River Indian
Community and secure funds needed to purchase the modular unit that will be transformed into a
Head Start classroom.
If you have any questions regarding this application, I may be reached at 602-506-4812 or
contact Alecia Jackson, Assistant Director of Early Education Division at 480-464-9669 x201.
Sincerely,
Jacqueline Edwards
Strategic Planning and Policy Manager

Created Thursday, February 19, 2015
Updated Tuesday, March 03, 2015
Page 1
General information
General information | Organization Maricopa County Human Services Department
General information | Contact First name Jacqueline
General information | Contact Last name Edwards
General information | Contact e-mail EdwardsJ003@mail.maricopa.gov
General information | Contact phone number 602-506-4812
Address
Address | Street 234 N. Central Ave., 3rd floor
Address | City Phoenix
Address | State AZ
Address | ZIP Code 8 5004
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
$971054
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 $524500
Year 2 $446554
Year 3 $
Year 4 $
Year 5 $
Page 1

Internal Revenue Service
Department of the Treasury
P. 0. Box 2508
Date: June 1, 2004 Cincinnati, OH 45201
Person to Contact:
County of Maricopa Mrs. Coghill 31-07426
% Maricopa County Treas. Customer Service Representative
301 W Jefferson Street Room 100 Toll Free Telephone Number:
Phoenix, AZ 85003-2199 8:00 a.m. to 8:30 p.m. EST
877-829-5500
Fax Number:
513-263-3756
Federal Identification Number:
86-6000472
Dear Sir/Madam:
This is in response to your request of June 1, 2004, regarding your organization's exemption from Federal
income tax.
As a governmental unit or a political subdivision thereof, your organization is not subject to Federal income tax
under the provisions of Section 115(1) of the Internal Revenue Code, which states in part:
"Gross income does not include income derived from ... the
exercise of any essential governmental function and accruing
to a State or any political subdivision thereof ..."
Because your organization is a governmental unit or a political subdivision thereof, its income is not taxable as
explained above. Contributions used exclusively for public purposes are deductible under Section 170(c)(1) of
the Code.
Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA).
Your organization may obtain a letter ruling on its status under section 115 by following the procedures
specified in Rev. Proc. 2002-1 or its successor.
If you have any questions, please call us at the telephone number shown in the heading of this letter.
Sincerely,
ktgArt.
for janna K. Skufca, Director, TEIGE
Customer Account Services

Gila River Indian Community Grant Application
Cover Sheet
Municipality Information
Date of Application: 2/27/2015
Name of City, Town or County: Maricopa County
Mayor (City or Town) or Board of Supervisor’s Chairman (County): Steve Chucri
Mailing Address: 301 W. Jefferson St.
City: Phoenix State: Arizona Zip Code: 85003
Acknowledgement of Submission by Municipality Representative:
Typed Name: Amanda Nash Signature:
Applicant Information
Department/Organization Name: Human Services Department
Application Contact Person: Jacqueline Edwards Title: Strategic Planning & Policy Manager
Phone Number: 602-506-4812
Mailing Address: 234 N. Central Avenue, 3rd Floor
City: Phoenix State: Arizona Zip Code: 85004
Email Address: EdwardsJ003@mail.maricopa.gov
Project Information
Project Name: Homeless Rapid Re-housing and Navigation Support Services
Purpose of Grant: Provide housing placement, assistance and navigation services to homeless individuals.
Priority Funding Area Public Safety
Annual amount requested $524,500 for Year 1, $446,554 for Year 2
Number of years that funding is requested (1-5) 2
Total amount requested (annual amount x # of $971,054
years)
Has your organization received funding from Gila No
River Indian Community in the Past? If yes,
please list each year and amount
Geographic area served Maricopa County
For Office Use Only:
Data Entry
Receipt
Evaluation

Gila River Indian Community Grant Application

Gila River Indian Community Grant Application
Narrative
Please structure your proposal to provide the following information in the order indicated. List the heading first
and then provide the narrative in paragraph form. Please be thorough but strive for brevity.
1. Briefly describe the organization’s mission, history and goals.
2. Describe the goals and activities of the proposed project.
3. Describe how the proposed project satisfies one or more of the priority funding areas identified by the
Gila River Indian Community.
4. Identify the needs/problems to be addressed, target population and number of people to be served by
the project.
5. Define the project as a new or continuing program.
6. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
7. Identify other organizations, partners or funders participating in the project and their roles.
8. Would you be able to implement the proposed plan if your organization received partial funding for this
project?
9. Describe your plan for project sustainability beyond the grant period.
10. Describe your plan to document progress and results.
11. 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.

Gila River Indian Community Grant Application
Project Budget
Budget Period: October 2015 – October 2017
Proposed Budget Expense Amount Amount In Kind Total Budget
requested from requested or contributions
(list each budget item) GRIC secured from
other funders
1. Contract Support Services $306,512 $26,000 $0 $332,512
2. Support Services Operations $99,419 $20,000 $0 $119,419
3. HMIS License $2,400 $0 $0 $2,400
4. Leasing Deposit Fees/lease Up $22,000 $40,000 $0 $62,000
Fee
5. Client Rental Assistance $502,000 $170,000 $0 $672,000
6. Client Utility Asisstance $0 $144,000 $0 $144,000
7. Client Move In Assistance $38,723 $0 $0 $38,723
8. County Administration $0 $34,400 $0 $34,400
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 $971,054 $434,400 $0 $1,405,454

Gila River Indian Community Grant Application
Project Budget Detail
Please provide a narrative description for each of the project budget items.
1. Contract Support Services: Maricopa County would contract out to a service provider to for salary and ERE
for fulltime Certified Peer Support Specialists/Navigators at approximately $14.50/hr, and Direct Supervision of
Navigators. Approximate costs over 24 months estimated at $10,511.89/month ($252,285). Employee Related
Expenses calculated at a rate of 31.8%. Approximate costs over 24 months estimated at $3,342.78/month
($80,227).
2. Support Services Operations: May include such expenses as vehicle lease(s) ($37,800), work cell phones
for Peer Navigators ($5,040), supplies ($18,776), mileage reimbursements ($40,299), and clinical operations
oversight for 24 months ($17,504).
3. HMIS License: A Homeless Managament Information System (HMIS) is a local information technology
system used to collect client-level data and data on the provision of housing and services to homeless
individuals and families. An HMIS License is $150 per person for a full year. All Navigators will need HMIS
access. $150 x 8 Navigators x 2 years = $2,400
4. Leasing Deposit Fees/Lease Up Fees: Leasing deposit fees are fees paid at time of move-in to cover
deposits owed - $700 x 40 participants = $28,000. Lease-up Fees are one-time fees used to provide the
housing related services $700 x 40 participants = $28,000. Utility deposit fees are fees paid at time of move-in
to cover deposits owed - $150 x 40 participants = $6,000.
5. Client Rental Assistance: To cover rental payments. $700/month x 24 months x 40 participants = $672,000
6. Client Utility Assistance: To cover utility payments. $150/month x 24 months x 40 participants = $144,000
7. Client Move-In Assistance: Includes approximately $968.09 per participant for furniture, furnishings, etc and
for coordination of the more-in process with the clients.
8. County Administration: Maricopa County staff grant and contract administration.
9. Click here to enter text.
10. Click here to enter text.
11. Click here to enter text.
12. Click here to enter text.

Gila River Indian Community Grant Application
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.

Narrative
1. Briefly describe the organization’s mission, history and goals.
The mission of the Maricopa County Human Services Department is to provide and coordinate
essential support and social services to vulnerable populations to enhance economic,
educational, and social opportunities and strengthen communities. The vision is that all
Maricopa County residents will have equal access to opportunities to improve their lives.
The Maricopa County Human Services Department (HSD) that exists today began as the
Community Services Department in 1965. The Maricopa County Human Services Department is
a social services department that provides a full spectrum of services to vulnerable populations
—adults, youth, and families—in five important areas: education, basic needs (food, shelter, and
clothing), workforce development, utility and housing assistance, and community development.
For example, HSD works with low-income children who need early education services to
prepare them to be successful in school; senior citizens who need help in order to continue
living at home, provides down-payment closing cost assistance to expand affordable housing
opportunities for low income households, and unemployed adults seeking additional training,
career counseling and employer connections.
HSD’s approach to common intake, intensive case management, high utilization of needed
services, documented follow-up, and shared data allows it to cut across divisional (and external
department) lines for a “no wrong door” philosophy of public service that strives to give
individuals access to services regardless of how or where their needs are first identified. At
HSD, we treat a whole person, their families and support systems rather than a client as an
isolated entity. Our divisions work closely together to provide a comprehensive set of supportive
services either through direct delivery of services or utilizing a vast network of service providers
and community partners to ensure clients receive what they need, when they need it, at the
level they need.
Many Maricopa County residents find themselves, at different stages of their lives, in economic
and social distress. HSD gives Maricopa County the capacity to provide the right links at the
right time to empower residents to achieve greater self-sufficiency, a higher quality of life, and
make a contribution to society as a whole and the county in particular.
2. Describe the goals and activities of the proposed project.
The proposed project, Rapid Re-Housing with Navigation Services (RRH-NAV) as described in
detail below, would seek to both continue housing assistance, placements, and navigation
services for homeless individuals in Maricopa County as well as expand the reach of the
services to a greater number of homeless individuals.
Program Model
The enactment of the 2009 Homeless Emergency Assistance and Rapid Transition to Housing
Act (HEARTH) created new regulations and priorities regarding the use of Emergency Solutions
Grant (ESG) funds. Through the U.S. Department of Housing and Urban Development,

Narrative
Maricopa County receives ESG funds annually. Under the HEARTH Act, new priority area
included Rapid Re-Housing incorporating a Housing First model, and the continued availability
of Emergency Shelter. There is also an increased focus on Street Outreach and services for
homeless and unaccompanied youth. The change in the program’s name, from Emergency
Shelter Grants to Emergency Solutions Grants, reflects the change in the program’s focus from
addressing the needs of homeless people in emergency or transitional shelters, to assisting
people to quickly regain stability in permanent housing after experiencing a housing crisis and/or
homelessness. National best practices have demonstrated that rapidly moving persons
experiencing homelessness into permanent housing and surrounding them with appropriate
services is the most efficient and cost effective approach to ending that individual’s or families’
homelessness.
Rapid Re-Housing component services and assistance generally consist of short-term and
medium-term rental assistance, rental arrears, rental application fees, security deposits,
advance payment of last month's rent, utility deposits and payments, moving costs, housing
search and placement, housing stability case management, mediation, legal services, and credit
repair.
In the Maricopa County RRH-NAV program, Navigation Services is defined as providing
progressive engagement and wrap-around support services via certified Peer Navigators for up
to 12 months depending on the need of the participant. Additional services may include
miscellaneous commodities and services required to assist homeless individuals in moving from
the streets to permanent housing such as temporary accommodations, furniture and food
supplies.
Prior to being accepted into the RRH-NAV program, individuals or families who access the
Men’s Overflow Shelter, the East Lot or access the Human Service Campus including CASS are
assessed using the Vulnerability Index-Service Prioritization Decision Assistance Tool (VI-
SPDAT). The Vulnerability Index (VI) is rooted in leading medical research and helps determine
the chronicity and medical vulnerability of homeless individuals. The Service Prioritization
Decision Assistance Tool (SPDAT) utilizes an evidence-based informed approach to assessing
an individual’s or family’s acuity. The tool helps identify areas in the person/family’s life where
support is most necessary in order to avoid housing instability. Using the tools together
combines the strength of the assessment. The funding model used to support the service terms
is as follows:
o Participants with VI-SPDAT scores 5-9: Up to twenty four (24) of RRH-NAV
financial assistance, housing stability case-management and navigation
services.
Funding Model RRH-NAV – Phase I (First Year)
A unique collaborative effort between the HSD-CD, the Arizona Department of Economic
Security, and the City of Phoenix Human Services Department was developed for the purposes

Narrative
of transitioning homeless individuals accessing the Human Services Campus services at the
Men’s Overflow Shelter (MOS) and the parking lot called the East Lot located near Central
Arizona Shelter Services (CASS) in Phoenix, to assist with the appropriate housing intervention.
The Human Services Campus has the largest emergency shelter in the Phoenix-metro area -
CASS and also operates the East Parking Lot, and MOS (which is closing April 1, 2015). The
funding model that will be used utilizes the approach of Rapid Re-Housing-Navigation (RRH-
NAV) which was established by Maricopa County Human Services Department, Community
Development Division (HSD-CD) in Fall of 2014. A request for proposal was released and the
current contractor that provides the RRH-NAV is Community Bridges (CBI), an Arizona non-
profit agency. CBI has been managing the placements of homeless individuals for five months
using this model. The County will be the administrator of the RRH-NAV project however, CBI
will provide the navigation and housing placements through an existing contract with the County.
The RRH-NAV program through CBI has already successful placed 47 MOS participants into
rapid rehousing from the streets to permanent housing using a Housing First approach. To
further our efforts, the first year we are requesting to house an additional 40 individuals with
rental assistance and support services through a navigator.
The RRH-NAV model is delivered by certified Peer Navigators who use progressive
engagement techniques to transition homeless persons directly from the streets to permanent
housing. Eligible activities include housing relocation and stabilization financial services,
housing stability case management, and navigation services. Short and medium term rental
assistance, as well as rental and utility deposits are available. In addition, collaboration with
housing authorities and the Regional Behavioral Health System to secure housing and case
management for individuals in need of Permanent Supportive Housing is a critical component of
the RRH-NAV program.
A hundred percent (100%) of the 40 RRH-NAV recipients will be homeless individuals and
identified users of the Human Services Campus. Participants will be prioritized by acuity
utilizing the VI-SPDAT tool and those that have VI-SPDAT scores 5-9 most appropriate for rapid
rehousing. The timeline from initial engagement to lease-up will be approximately 20 days.
During the engagement process the individual may have to be placed in bridge or temporary
housing (hotel/motel or emergency shelter) until their unit is available which will be
approximately a 5-10 day waiting period. During the engagement and permanent housing
selection the individual will be involved in the process of selecting a rental unit in the Phoenix-
metro area. Rental assistance will be provided up to 24 months and includes services.
3. Describe how the proposed project satisfies one or more of the priority funding
areas identified by the Gila River Indian Community.
This project satisfies the Public Safety and the Economic Development funding areas identified
by the Gila River Indian Community. Rapid Re-Housing with Navigation Services is a project
that uses community collaborations to promote public and individual safety by seeking to quickly
remove the barriers that homeless individuals face to getting into permanent shelter. These
barriers include the cost of utility and rental deposits and resources to connect clients to

Narrative
affordable housing, as well as additional barriers. This project, as described with navigation
services, works with formerly homeless individuals housed by the program to promote and
assist with employment and job readiness services.
4. Identify the needs/problems to be addressed, target population and number of
people to be served by the project.
According to the Maricopa Association of Government’s 2014 Point-In-Time Homeless Count,
local data collected during the one-day count indicated that 5,918 people had experienced
homelessness in Maricopa County, with 1,053 of them reported to be sleeping on the streets
and 4,865 people in shelters. There is a significant need in Maricopa County to rapidly move
persons experiencing homelessness into permanent housing and to surround them with
appropriate services. Maricopa County is committed to utilizing the most efficient and cost
effective approach to ending that individual’s or families’ homelessness, which national best
practices have shown to be Rapid Re-Housing using the Housing First Model.
The Human Services Campus opened its doors in November of 2005 and is home to a unique
collaboration of over a dozen agencies and service providers with the goal of ending
homelessness. The Human Services Campus provides basic needs and homeless services for
more than 1,100 individuals each day. As the Coordinated Assessment pilot site for single adults
in Maricopa County, the Campus partners have implemented the common assessment tool, VI-
SPDAT, to determine the most appropriate housing intervention based on acuity. As of fall 2014,
more the 3,800 unduplicated individuals had been assessed using the VI-SPDAT. Based on the
data collected, 15% (717 participants) scored 10+ on the VI-SPDAT, 55% (2,581 participants)
scored between 5 – 9 on the VI-SPDAT, and 30% (1,359 participants) scored between 0 – 4 on
the assessment. Located at the Human Services Campus are Central Arizona Shelter Services
(CASS), the Men’s Overflow Shelter until April 1, 2015, the Lodestar Day Resource Center, and
the parking lot near the Campus known as the East Lot. The Maricopa County target population
includes individuals accessing the Men’s Overflow Shelter prior to April 1, 2015 and individuals
and families accessing the Human Services Campus or East Lot.
If fully funded, this project is estimated to serve approximately 40 persons are expected to be
served through housing assistance and navigation services through the RRH-NAV. The
remaining individuals accessing the Human Services Campus who receive a VI-SPDAT
assessment from a qualified service provider. As described, Rapid Re-Housing will not be an
appropriate option for all individuals/families assessed at the Human Services Campus or the
East Lot. The VI-SPDAT assessment scores would allow those individuals to be directed to the
most appropriate services for their needs. Regardless of the programs or services most
appropriate for an individual, the VI-SPDAT assessment is an integral part of the process.
5. Define the project as a new or continuing program.

Narrative
This project, Rapid Re-Housing with Navigation Services, is a continuing program. In August
2014 Maricopa County provided a Notice of Solicitation for Rapid Re-Housing services. The
program officially launched on October 16, 2014 with Community Bridges, Inc. (CBI) being the
proposal accepted to provide the services per the Request for Proposal. Maricopa County has
committed to continuing funding this program with Emergency Solutions Grant funding. If this
grant were funded, Maricopa County would seek to renew its contract with Community Bridges,
Inc. for an additional two years, as allowable under Maricopa County Procurement Code.
6. Provide a brief timeline including start and finish dates. Indicate if the timeline is
flexible.
This project would start immediately upon contract signing, approximately October 2015. Our
timeline is flexible, however the success of some individuals receiving assistance from the initial
40 individuals housed from the Human Services Campus may depend on the increased RRH-
NAV funding that this grant would provide. Within the first six months of receipt of the funding,
approximately April 2016, the 40 RRH-NAV recipients would be placed into housing and the
length of assistance adjusted based on an evaluation of the household income at the year
anniversary of their lease. It should be noted after one year participants will be reassessed
every 6 months to determine income eligibility for the duration of the program, and up to a total
of 24 moths assistance would be provided.
Grant funds are requested to support the RRH-NAV program for two years, which would end
approximately in October 2017.
7. Identify other organizations, partners or funders participating in the project and
their roles.
Crucial to the success of the Rapid Re-Housing program is a strategic and integrated
community-wide dedication to ending homelessness in Maricopa County and Arizona. This is
achieved by local non-profit organizations, city and county local governments, and the
Continuum of Care.
The Rapid Re-Housing-Navigation program was established in 2014 through a collaborative
effort between the Maricopa County Human Services Department, the Arizona Department of
Economic Security, and the City of Phoenix Human Services Department. The Arizona
Department of Economic Security contributed $98,000 to the program during the project
initiation but expires on June 30, 2015. The City of Phoenix Human Services Department
contributed $150,000 to the program which expires June 30, 2016. In addition, HSD-CD will be
providing $130,000 of Emergency Solutions Grant funding that will expire June 30, 2016. All
partners participate in weekly Operations Team meetings as well as discuss issues critical to
placing homeless individuals in the appropriate housing interventions. The partnership relies on
strategic coordination with the Valley of the Sun United Way and other community-based
partners.

Narrative
The program requires coordination with other targeted homeless services such as participating
in regional efforts to end homelessness supported by the Maricopa County Continuum of Care,
to the maximum extent practicable, and to providing a strategic, community-wide system to
prevent and end homelessness. The Human Services Campus and Central Arizona Shelter
Services are an integral part of the success of RRH-NAV. To foster system and program
coordination with mainstream resources, Maricopa County requires service-providers, such as
Community Bridges, Inc. and HOM, Inc., to coordinate and integrate, to the maximum extent
practicable, Emergency Solutions Grant-funded activities with mainstream housing, health,
social services, employment, and education for which individuals at risk of homelessness are
eligible.
8. Would you be able to implement the proposed plan if your organization received
partial funding for this project?
If partial funding was received for this project, Maricopa County would have to serve less
homeless individuals and reduce the length of rental assistance and navigation services for the
initial 47 participants in the RRH-NAV program to ensure their success after the program.
However, we do not anticipate the project would be able to implement all of the additional 40
housing placements for men and women from the Human Services Campus as proposed.
9. Describe your plan for project sustainability beyond the grant period.
This project has garnered community-wide support from many partners interested in safe and
sustainable options for the homeless individuals located at the Men’s Overflow Shelter, the East
Lot, and CASS. Maricopa County plans to utilize a portion of its Emergency Solutions Grant
(ESG) funding towards this program for the next five years, as well as continuing its strong
partnerships with the City of Phoenix Human Services Department and the Arizona Department
of Economic Security to continue the fiscal viability of this important program. In additional to
federal funding, Maricopa County will employ lessons learned to continue to seek private grant
funding to support the Rapid-Rehousing with Navigation Services program.
10. Describe your plan to document progress and results.
Maricopa County currently tracks the success of the program with monthly metrics including the
numbers persons assisted with housing placements, housing assistance, and various services
received. Maricopa County will confirm that those persons placed in housing are re-assessed
every 6 months after the first year to ensure they are receiving only the services needed. At the
time of re-assessment, it will be determined whether the client should receive assistance for a
longer period, or if more or less services are necessary for the individual. By re-assessing
regularly, the individual will have the greatest chance of success after the rental and service
assistance from the program is diminished. Due to client confidentiality, Maricopa County would
document progress and results relating to the following areas:

Narrative
o Number of persons housed
o Rental assistance received
o Utility assistance received
o Average VI-SPDAT scores
o Average age of clients
o Move-in Dates
o Number of months of assistance received
o Number of persons exiting the RRH-NAV program
11. Indicate any application to and/or awards made by a tribe other than Gila River
Indian Community for state shared revenues for this and any other project.
Maricopa County Human Services Department will not submit an application for state shared
revenues to support the Rapid Re-Housing with Navigation Services program. This program is
scalable as previously described and if additional funding was received to support this program,
a greater number of new housing placements could be accomplished from the individuals
accessing the Human Services Campus.

Created Thursday, February 19, 2015
Page 1
General information
General information | Organization Hospice of the Valley
General information | Contact First name Cheryl
General information | Contact Last name Thomas
General information | Contact e-mail ckthomas@hov.org
General information | Contact phone number (602) 636-6307
Address
Address | Street 1510 E Flower St
Address | City Phoenix
Address | State AZ
Address | ZIP Code 8 50 1 4
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
$200,000
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 $100,000
Year 2 $100,000
Year 3 $
Year 4 $
Year 5 $
Page 1

'114 IRS . Internal Department Revenue of Me Treasury Service.
P.O. Box 2508 In reply refer to: 0248205661
Cincinnati OH 45201 Apr. 24, 2012 LTR 41680 E0
86-0338886 000000 00
00019594
BODC: TE
HOSPICE OF THE VALLEY
% DEBBIE SHUMWAY
1510 E FLOWER STREET
PHOENIX AZ 85014-5698
1214":
009401
Employer Identification Number: 86-0338886
Person to Contact: MS. JOHNSON
Toll Free Telephone Number: 1-877-829-5500
Dear TAXPAYER:
This is in response to your Apr. 13, 2012, request for information
regarding your tax-exempt status.
Our records indicate that you were recognized as exempt under
section 501(c)(3) of the Internal Revenue Code in a determination
letter issued in FEBRUARY 1978.
Our records also indicate that you are not a private foundation within
the meaning of section 509(a) of the Code because you are described in
section(s) 509(a)(1) and 170(b)(1)(A)(vi).
Donors may deduct contributions to you as provided in section 170 of
the Code. Bequests, legacies, devises, transfers, or gifts to you or
for your 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.
Please refer to our website www.irs.gov/eo for information regarding
filing requirements. Specifically, section 6033(j) of the Code
provides that failure to file an annual information return for three
consecutive years results in revocation of tax-exempt status as of
the filing due date of the third return for organizations required to
file. We will publish a list of organizations whose tax-exempt
status was revoked under section 6033(j) of the Code on our website
beginning in early 2011.

0248205661
Apr. 24, 2012 LIR 4168C EO
86-0338886 000000 00
00019595
HOSPICE OF THE VALLEY
% DEBBIE SHUMWAY
1510 E FLOWER STREET
PHOENIX AZ 85014-5698
If you have any questions, please call us at the telephone number
shown in the heading of this letter.
Sincerely yours,
S. A. Martin, Operations Manager
Accounts Management Operations

Gila River Indian Community Grant Application
Cover Sheet
Muntcupality Information
Date of Application: 2/27/2015
Name of City, Town or County: Maricopa County
Mayor (City or Town) or Board of Supervisor's Chairman (County): Steve Chucri
Mailing Address: 301 W. Jefferson, 10th floor
City: Phoenix State: Arizona Zip Code: 85003
Acknowledgement of Submission by Municipality Representative:
Typed Name: Amanda Nash Signature:
_ff
Applicant . . Information .
Department/Organization Name: Hospice of the Valley
Application Contact Person: Cheryl Thomas Title: Director of Institutional Giving
Phone Number: (602) 636-6307
Mailing Address: 1510 E. Flower St.
City: Phoenix State: Arizona Zip Code: 85014
Email Address: ckthomas@hov.org
Project Information
Project Name: Hospice of the Valley Charity Care Program
Purpose of Grant: Grant funding will support hospice care for adults and children with little or no insurance and scant
financial resources to pay for care.
Priority Funding Area Healthcare
Annual amount requested $100,000
Number of years that funding is requested (1-5) 2
Total amount requested (annual amount x # of $200,000
years)
Has your organization received funding from Yes. 2013 - $50,000 and 2014 - $50,000 (two-year grant $100,000
Gila River Indian Community in the Past? If yes, total)
please list each year and amount
Geographic area served Central Arizona: Maricopa County and neighboring Pinal County
For Office Use Only:
Data Entry Receipt .Evaluation

Gila River Indian Community Grant Application 2015
Municipality: Maricopa County
Organization Name: Hospice of the Valley
Program/Project Name: Hospice of the Valley Charity Care Program
NARRATIVE
I) Briefly describe the organization's mission, history and goals.
Hospice of the Valley (HOV) is dedicated to providing personalized compassionate
care for children and adults in central Arizona who need care due to serious illness or
who are nearing life's end. Our mission : comfort and dignity as life nears its end.
Last year HOV served 17,000 patients and their families.
Our local community roots, not-for-profit mission, service to the community, and
innovative leadership in advancing palliative and end-of-life services and education
distinguish us from all other organizations in central Arizona.
Founded in 1977, HOV is the oldest hospice agency serving central Arizona. As a
not-for-profit organization, HOV's overarching goal is to serve our community and
care for all who come to us in need, regardless of insurance status or financial means.
We care for patients who have nowhere else to go. HOV provides more charity care
than any other hospice in our community, which is made possible by generous
community support. In 2014, HOV provided $13.3 million in charity care for the
community.
HOV also serves the community through health-related educational and social
services programs including palliative home care programs for people with serious
chronic illness; educational presentations on dementia, chronic illness and end-of-life
issues; senior placement services; and grief support group programs.
2) Describe the goals and activities of proposed project.
Hospice of the Valley's proposed grant project will support the Hospice of the
Valley Charity Care program, which provides end-of-life care for hospice patients
and their families in central Arizona who have little or no insurance and scant
financial resources to pay for care.
Hospice of the Valley (HOV) delivers end-of-life care through teams consisting of a
doctor, nurse, social worker, nurse's aide, chaplain, volunteer and bereavement
counselor, with 24/7 service. Most patients are cared for in their homes or place of
residence, but when the needs of the patient and family can be better met in an
inpatient setting, the patient can stay for a short period in one of HOV's 13 inpatient
hospice units, which provide round-the-clock nursing care in small homelike settings.
Hospice of the Valley Grant Application to GRIC - NARRATIVE 1

These stays are a transitional time to assist with controlling symptoms until the
patient can return home or be cared for in another setting.
The overall goal of HOV' s charity care program is to provide patients without
insurance or financial resources the same unparalleled care as insured patients
receive. HOV' s charity care program makes it possible for uninsured patients to
receive all of the end-of-life care resources they need. Charity care patients are
provided the same compassionate, exceptional bedside care from HOV physicians,
nurses, social workers, nursing assistants and chaplains. When a charity care patient
needs a particular medication or piece of medical equipment for their care and
comfort, they receive it. HOV's charity care program also makes it possible for
patients without financial resources to receive end-of-life care earlier in their disease
progression and not have to wait until the last few days and hours of life because they
cannot afford care.
The primary activity of the proposed project will be to deliver compassionate end-of-
life care and support for adult and pediatric hospice patients and families who qualify
for charity care services.
HOV charity care program expenses include care team personnel salaries and
benefits, consultants, patient care supplies, transportation, program supplies and
equipment and other program expenses. The Gila River Indian Community's grant
will be used for patient care supplies, which will directly impact patient care and
comfort. These supplies include medications, which are often costly and
unaffordable for lininsured patient and families, as well as medical equipment and
other medical supplies for patient symptom management and comfort.
3) Describe how the proposed project satisfies one or more priority funding areas
identified by the Gila River Indian Community.
The proposed project directly relates to the Gila River Indian Community priority
area of "Healthcare." Hospice of the Valley is a not-for-profit healthcare agency that
provides hospice and palliative care services for adults and children who are nearing
end of life. Our proposed project, Hospice of the Valley Charity Care program,
benefits not only patients and families but also the general public by making available
high-quality healthcare services for all people in central Arizona.
4) Identify the needs/problems to be addressed, target population and number of
people to be served by the project.
Every day, thousands of people throughout central Arizona cope with a life-
threatening illness such as cancer, Alzheimer's disease/dementia, neurological
disorders, heart disease or lung disease. When their disease has progressed to the
point when quality of life is diminished or when treatment options have run out, these
individuals can turn to not-for-profit Hospice of the Valley for end-of-life care and
support as their illness progresses. Yet many people with life-limiting illness in our
Hospice of the Valley Grant Application to URIC - NARRATIVE 2

community do not know where to go for help, especially when they are without
health insurance or uncertain of their care options. Many of the uninsured are
individuals who lost their jobs and health insurance when they become sick and
cannot afford insurance on their own.
Our proposed project, Hospice of the Valley Charity Care program, provides end-of-
life care for those individuals with little or no health insurance and limited financial
resources to pay for their care. No one is turned away.
In 2015, HOV anticipates providing hospice services to around 750 indigent and low-
income patients in our charity care program. These patients come from all walks of
life, but compared to our general hospice population are more likely to be male,
younger and single. Children are among the recipients. Charity care patients are also
more likely to have primary diagnoses of cancer, cerebrovascular disease or liver
failure.
More important than the money and statistics are the human stories behind those
numbers, like these:
• Bruce, a self-employed businessman who could not get health insurance.
Unfortunately, he developed cancer at age 63 before he was eligible for
Medicare. HOV gave him exemplary care for nine months until he died.
• Heather, a 45-year-old career woman with brain cancer forced to leave her job
while undergoing treatment. Eventually her insurance benefits ran out. Then
she came to HOV.
• Pat, a self-employed salesman in his mid-50s who dropped his private health
insurance because he could no longer afford premiums, then was diagnosed
with terminal cancer.
• And Sophie, the adorable five-year-old who fought cancer since infancy and
was supported toward the end by HOV. Financially drained and suffering the
loss of their home to foreclosure, the family did not know where to turn for
help when Sophie began to lose her battle with cancer. Their doctor referred
them to HOV, which provided care for Sophie at no charge.
A Gila River Indian Community grant will help Hospice of the Valley provide skilled
and loving care for patients like Bruce, Heather, Pat, Sophie and the hundreds of
other children and adults with little or no insurance and scant financial resources who
come to us each year in need of comfort and support during a difficult time.
5) Define the project as a new or continuing program.
Hospice of the Valley's charity care program is a continuing program of the agency
and supported by community donations and grants.
Hospice of the Valley Grant Application to GRIC - NARRATIVE 3

6) Provide a brief timeline including start and finish dates. Indicate if the timeline
is flexible.
Because the Hospice of the Valley Charity Care program is a continuing program of
the agency, project activities are ongoing and the timeline is flexible. The number of
charity care patients served per month during the project period is expected to be
fairly equal from month-to-month, but may fluctuate based on HOV's overall patient
census.
Following is the anticipated timeline and activities for the two-year project period of
October 2015 through September 2017.
YEAR 1 (October 2015 — September 2016)
• October 2015: begin project.
• Provide hospice care to an estimated 750 adult and pediatric charity care
patients, spread evenly across the twelve-month period.
YEAR 2 (October 2016 — September 2017)
• Provide hospice care to an estimated 750 adult and pediatric charity care
patients, spread evenly across the twelve-month period.
• September 2017: Complete project and submit final report to GRIC
7) Identify other organizations, partners or funders participating in the project and
their roles.
Hospice of the Valley is the sole provider of hospice charity care services for the
proposed project. No other organizations or partners are involved in the project and
no other grant fiinders are secured at this time.
8) Would you be able to implement the proposed plan if your organization received
partial funding for this project?
Hospice of the Valley is committed to providing exceptional care and support for
adults and children with serious and life-threatening illness in central Arizona
regardless of their insurance status or financial means, as we have done since we were
founded in 1977. We would still be able to implement our proposed project plan with
partial funding and will seek other grants and donations to help fund charity care
services as described in the project plan.
Hospice of the Valley Grant Application to GRIC - NARRATIVE 4

9) Describe your plan for project sustainability beyond the grant period.
Hospice of the Valley will provide continued support for its charity care program
through private donations and grant funding, drawing upon a base of community
support that provides funding for special programs and services. If HOV receives a
Gila River Indian Community grant, it will help raise awareness of HOV charity care
services and further our reach into the community.
10) Describe your plan to document progress and results.
The goal of Hospice of the Valley's charity care program is to provide compassionate
end-of-life care to adults and children regardless of insurance status or financial
means.
HOV will document our progress toward this goal by tracking the number of hospice
patients served in our charity care program during the grant project period of October
2015-September 2017. We anticipate serving 750 patients in Year 1 and 750 patients
in Year 2 of the grant project period.
Our desired results are that every person who needs end-of-life care will receive
exceptional care and no one will be turned away, regardless of their insurance status
or financial means. These results are tracked through family satisfaction surveys and
patient admissions and billing records.
11) Indicate any application to and/or awards made by a tribe other than Gila River
Indian Community for state shared revenues for this and any other project
Hospice of the Valley does not have any current awards or pending applications
from/to any tribes for the proposed charity care project submitted to Gila River Indian
Community.
The following tribes have made previous state shared revenue awards to ROY for
other programs/projects:
1) Salt River Pima Maricopa Indian Community: Veterans hospice and palliative
care services (2014), perinatal palliative care program (2013), pediatric
program and New Song Center for Grieving Children (2012), pediatric
palliative and hospice care program (2011), indigent patient care (2010)
2) Fort McDowell Yavapai Nation: palliative home care program (2013)
HOV currently does not have any new applications for other projects pending to any
other tribe.
Hospice of the Valley Grant Application to GRIC - NARRATIVE 5

Gila River Indian Community Grant Application
Municipality: Maricopa County
Organization Name: Hospice of the Valley
Program/Project Name: Hospice of the Valley Charity Care Program — Hospice Services
Project Budget
Budget Period: YEAR 1 of 2: October 2015 — September 2016
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested requested or contributions
from GRIC secured
from other
funders
1. Salaries and benefits 0 $0 $0 $3,600,000
2. Consultants $0 $0 $150,000
3. Patient care medications, 100,000 $45,000 $0 $1,100,000
medical equipment, and
supplies
4. Transportation $0 $0 $200,000
5. Equipment and $0 $0 $140,000
maintenance
6. Printing and publication $0 $0 $40,000
7. Miscellaneous $0 $0 $170,000
8. Indirect costs $0- $0 $0 $600,000
Total Budget $100,000 $45,000 $0 $6,000,000
Note: General community donations from various individuals and organizations received by
Hospice of the Valley are used to fund the balance of charity care expenses remaining after
grant funding is received.

Gila River Indian Community Grant Application
Project Budget Detail
Budget Period: YEAR 1 of 2: October 2015 — September 2016
Please provide a narrative description for each of the project budget items.
1. Salaries and benefits: Direct hospice care services provided to patients and families by
hospice clinical team (physicians, nurses, social workers, chaplains, certified nursing
assistants and bereavement counselors). Salaries pus benefits at 20% rate. Total budget:
$3,600,000 ($0 GRIC, $3,600,000 other funding).
2. Consultants: External clinical care providers and consultants (physicians, translation, and
other). Total budget: $150,000 ($0 GR1C, $150,000 other funding).
3. Patient care medication, medical equipment and supplies: Patient care needs including
medications, durable medical equipment and other medical supplies for disease symptom
management and patient care and comfort. Total budget: $1,100,000 ($100,000 GRIC,
$1,000,000 other funding).
4. Transportation: Patient medical transport and staff mileage for travel to patient home care
visits. Total budget: $200,000 ($0 GRIC, $200,000 other funding).
5. Equipment and maintenance: Computer and communications equipment for patient care
staff. Total budget: $140,000 ($0 GRIC, $140,000 other funding).
6. Printing and publication: Patient care forms and educational materials. Total budget:
$40,000 ($0 GRIC, $40,000 other funding).
7. Miscellaneous: Staff training and continuing education, meetings, employee relations,
administrative supplies and equipment and other. Total budget: $170,000 ($0 GRIC,
$170,000 other funding).
8. Indirect costs: Administrative and overhead costs (10%). Total budget: $600,000 ($0 GRIC,
$600,000 other funding).
Other explanation: Hospice of the Valley's GRIC grant request is for a two-year period:
$100,000 for Year 1 (October 2015-September 2016) and $100,000 for Year 2 (October 2016-
September 2017). Budget page is submitted for each year of grant.

Gila River Indian Community Grant Application
Municipality: Maricopa County
Organization Name: Hospice of the Valley
Program/Project Name: Hospice of the Valley Charity Care Program — Hospice Services
Project Budget
Budget Period: YEAR 2 of 2: October 2016 — September 2017
Proposed Budget Expense Amount In Kind Total Budget
(list each budget item) requested or contributions
secured
from other
funders
1. Salaries and benefits $0 $0 $3,600,000
2. Consultants $0 $0 $150,000
3. Patient care medication, $45,000 $0 $1,100,000
medical equipment and
supplies
4. Transportation $0 $0 $200,000
5. Equipment and $0 $0 $140,000
maintenance
6. Printing and publication $0 $0 $40,000
7. Miscellaneous $0 $0 $170,000
8. Indirect costs $0 $0 $600,000
Total Budget sicki,000 $45,000 $0 $6,000,000
Note: General community donations from various individuals and organizations received by
Hospice of the Valley are used to fund the balance of charity care expenses remaining after
grant funding is received.

Gila River Indian Community Grant Application
Project Budget Detail
Budget Period: YEAR 1 of 2: October 2015 — September 2016
Please provide a narrative description for each of the project budget items.
1. Salaries and benefits: Direct hospice care services provided to patients and families by
hospice clinical team (physicians, nurses, social workers, chaplains, certified nursing
assistants and bereavement counselors). Salaries plus benefits at 20% rate. Total
budget: $3,600,000 ($0 GRIC, $3,600,000 other funding).
2. Consultants: External clinical care providers and consultants (physicians, translation, and
other). Total budget: $150,000 ($0 GRIC, $150,000 other funding).
3. Patient care medication, medical equipment and supplies: Patient care needs including
medications, durable medical equipment and other medical supplies for disease
symptom management and patient care and comfort. Total budget: $1,100,000
($100,000 GRIC, $1,000,000 other funding).
4. Transportation: Patient medical transport and staff mileage for travel to patient home
care visits. Total budget: $200,000 ($0 GRIC, $200,000 other funding).
5. Equipment and maintenance: Computer and communications equipment for patient
care staff. Total budget: $140,000 ($0 GR1C, $140,000 other funding).
6. Printing and publication: Patient care forms and educational materials. Total budget:
$40,000 ($0 GRIC, $40,000 other funding).
7. Miscellaneous: Staff training and continuing education, meetings, employee relations,
administrative supplies and equipment and other. Total budget: $170,000 ($0 GRIC,
$170,000 other funding).
8. Indirect costs: Administrative and overhead costs (10%). Total budget: $600,000 ($0
GRIC, $600,000 other funding).
Other explanation: Hospice of the Valley's GR1C grant request is for a two-year period:
$100,000 for Year 1 (October 2015-September 2016) and $100,000 for Year 2 (October 2016-
September 2017). Budget page is submitted for each year of grant.

Created Friday, February 27, 2015
Page 1
General information
General information | Organization Phoenix Rescue Mission
General information | Contact First name Jolene
General information | Contact Last name LeFlore
General information | Contact e-mail jleflore@phoenixrescuemission.org
General information | Contact phone number 602-346-3320
Address
Address | Street 1468 North 26th Avenue
Address | City Phoenix
Address | State Arizona
Address | ZIP Code 8 5 009
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
$50,000
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 $50000
Year 2 $
Year 3 $
Year 4 $
Year 5 $
Page 1


Gila River Indian Community Grant Application
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Narrative
1. BRIEFLY DESCRIBE THE ORGANIZATION’S MISSION, HISTORY, AND GOALS.
Phoenix Rescue Mission was established in 1952 by six local businessmen to provide assistance
to migrant workers looking for a place to work. The initial location for services was on South 3rd
Street in downtown Phoenix, where an evening meal, chapel service, and clothing were
provided to migrant workers and vagrants. Between 35 and 50 clients were served each day.
Sixty-three years later, the Phoenix Rescue Mission has grown to represent 60 staff member,
over 6000 volunteers, 45 + community partners, and serves over 14,000 homeless and working
poor families each year.
Primary program services available through Phoenix Rescue Mission include daily meals,
shelter, showers, clean clothing, community outreach, long-term residentail recovery,
vocational development, job placment, and child development programs. Homeless and low
income families are welcome to receive hot meals served at Phoenix Rescue Mission’s
community kitchen. Everyone who comes to The Mission’s community kitchens are served
without the fear of being rejected due a long application process. Phoenix Rescue Mission’s
community meals are served 365 days a year, three times a day -breakfast, lunch, and
dinner. Last year, Phoenix Rescue Mission served 386,426 meals, distributed 468,258 bottles of
water.
Phoenix Rescue Mission’s "Hope Coach" travels throughout the community distributing water,
sack lunches, and encouragement to homeless men, women, and children in public places.
Phoenix Rescue Mission partners with local schools to identify homeless and low income K-12
students that qualify to receive healthy living kits. Throughout the years these kits have been
distributed to 5,000 (+) at-risk children and teens. Community outreach events take place
throughout the year. These events are designed to offer a streamline delivery of services for
unsheltered individuals and low income families. Up to 45 community partners join with
Phoenix Mission during the Back-to School event, Holiday Food Box, and Winter Wonderland
events. Special summer heat relief and winter relief services impact 5000+ families throughout
Maricopa County.
Emergency shelter is provided for men who need a place to sleep, showers, clothing, and a hot
meal to eat. Last year, Phoenix Rescue Mission provided 79,456 bed nights of emergency
shelter.
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Phoenix Rescue Mission’s long term (12 to 18 month) Men’s Addiction Recovery and Changing
Lives Center programs assist homeless men, women, and children attain and maintain a drug-
free lifestyle. The program equipts participants with the necessary skills and ability to become
productive community members. Last year up to 500 men, women, and their children enrolled
into Phoenix Rescue Mission’s long term addiction recovery programs.
Phoenix Rescue Mission’s program are privately funded, therefore allowing longer lengths of
stay which research has demonstrated, provides the capacity to successfully address complex
trauma-related abuse, addictions, ad behavioral health issues. Within the past year over 500
men, women, and children have enrolled in Phoenix Rescue Mission’s emergency and long term
addiction recovery programs.
During the past year, over 6,000 volunteers have linked with Phoenix Rescue Mission by
providing 27,138 (+) volunteer program service hours. Phoenix Rescue Mission’s program
services are strengthened through partnerships with 45+ community, government, business,
and corporate agencies. Staff from partnering agencies serves as medical, behavioral health
social service, and vocational development experts.
Phoenix Rescue Mission’s commitment to service focuses on preventing and ending
homelessness among men, women, children, and working poor families by offering solution-
based programs that include: long term residential recovery, children’s development program,
vocational development, emergency services shelter, community outreach services - including
Hope Coach, neighborhood engagement, and K-12 school events.
2. DESCRIBE THE GOALS AND ACTIVITIES OF THE PROPOSED PROJECT.
Phoenix Rescue Mission’s Hope Coach community outreach services are designed to implement
specific strategies that create a culture of positive change. The program goal focuses on ending
the cycle of poverty, addiction, abuse, and homelessness by meeting basic needs and equipping
up to 600 homeless individuals and working poor families with the necessary tools that lead
toward recovery and patterns of healthy living.
The proposed grant to Gila River Indian Community allows Phoenix Mission an opportunity to
expand its Hope Coach target reach to include homeless, men, women, children, disabled
adults, veterans, and seniors living on a fixed income. The population of people impacted by
this grant will receive emergency servicies – food boxes, clothing, hygiene kits, school uniforms,
emergency shelter, health/wellness referals, and the opportunity to enroll in Phoenix Rescue
Mission’s emergency shelter and long term (12-18 month) addiction recovery programs.
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Program services are provided through Phoenix Rescue Mission’s Hope Coach and up to 10
community events.
Phoenix Rescue Mission’s Hope Coach van travels throughout Maricopa County including the
cities of Phoenix, Glendale, and Peoria distributing food and water to people sleeping in vacant
houses, cars, city parks, low-income apartments, and on highway underpasses. The Hope Coach
also provides winter relief and Code Red summer heat relief services. Summer heat relief
stations offer bottle water, fresh fruit, and sack lunches. Summer heat relief is provided up to 5
days a week during the hot months of May through September. Winter relief stations offer sack
lunches and water along with warm clothing during the cold months of November through
January. Summer heat and winter community service events are located in city parks, outside
community centers, churches, schools, libraries, and low income senior living complexes.
Every year, Phoenix Rescue Mission experiences an increase in the amount of families who are
unable to receive a holiday meal. Imagine having little to offer your family during the holiday,
not enough discretionary money in your budget to pay for gifts or to spend on a good holiday
meal.
Up to 10 community events are provided throughout the year. Phoenix Rescue Mission delivers
500+ food boxes to homeless, low income, and working poor families throughout the year.
Phoenix Rescue Mission partners with up to 10 school districts throughout Maricopa County to
provide The Back to School, Thanksgiving, Winter Wonderland events. School officials from
Phoenix and surrounding cities reach up to 500 children, parents, grandparents, and working
poor families by providing basic needs – food boxes, clothing, hygiene kits, school uniforms, and
school supplies. Food boxes are delivered to individuals who are food insecure and have no
means of public or private transportation. Many of these individuals are elderly and disabled
with limited mobility.
Along with the expansion in emergency meals and community outreach activities, Phoenix
Rescue Mission Hope Coach and community outreach staff provides support for unsheltered
individuals sleeping on our city streets by enrolling them into Phoenix Rescue Mission’s
emergency shelter and long-term addiction residential addiction recovery programs.
No program fees are associated with Phoenix Rescue Mission program services. All monies
needed for the program services are funded through the individual donations, grants, and in-
kind contributions.
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3. DESCRIBE HOW THE PROPOSED PROJECT SATISFIES ONE OR MORE OF THE PRIORITY FUNDING AREAS IDENTIFIED
BY THE GILA RIVER INDIAN COMMUNITY.
Phoenix Rescue Mission’s Hope Coach and community outreach program satisfies Gila River
Indian Community Grant public safety and healthcare priority funding areas. Public safety is
enhanced through crime prevention, public, and individual safety. Phoenix Rescue Mission’s
Hope Coach and community outreach program activities enhance the efforts of the City of
Phoenix Police Department, City of Phoenix Parks and Recreation, the courts, and the
Misdemeanor Repeat Offender Program or (MROP). The Misdemeanor Repeat Offender
Program partners with Phoenix Rescue Mission to place homeless individuals into Phoenix
Rescue Mission’s emergency shelter and or the long-term residential addiction recovery
programs. Phoenix Rescue Mission residential programs provide an alternative instead of
placing homeless individuals under arrest.
Up to 600 homeless men, women, children, and working poor families engage in public and
safety activities through their participation in Phoenix Rescue Mission’s community events and
Hope Coach service activities. Community safety issues are addressed by providing basic needs,
emergency supplies, clothing, health/wellness referrals, hygiene kits, emergency shelter, and
long term residential addiction recovery programs.
Over 90% of the men, women, and children entering the residential recovery programs suffer
with arthritis, diabetes, heart disease, migraines, respiratory infections, periodontal disease,
tooth decay, vision problems, malnutrition, obesity, skin problems, depression, and other
health issues. Disease prevention, medical / dental assessment, nutrition, behavioral health,
drug, and alcohol recovery services are also provided through Phoenix Rescue Mission’s long
term residential addiction recovery programs.
Phoenix Rescue Mission community outreach staff partners with Phoenix Rescue Mission’s
addiction recovery counselors, hospitals, social service agencies, and behavioral health staff to
provide health/wellness assessments for program participants. Once the assessment are
established program participants meet with Phoenix Rescue Mission’s certified counselors and
participate in one-on-one and group counseling sessions along with addiction recovery classes.
These activities allow each program participant the opportunity to engage in personal
enrichment, life skills, health/wellness, work therapy, mentoring, and job placement activities.
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4. IDENTIFY THE NEEDS/PROBLEMS TO BE ADDRESSED, TARGET POPULATION AND NUMBER OF PEOPLE TO BE
SERVED BY THE PROJECT.
Phoenix Rescue Mission Hope Coach and community events respond to the needs for up 600
adults and children. These participants represent adults who are at the 150% Federal Poverty
Level, not receiving TANF benefits, and who maybe working or have not worked in the last 6
months. A breakdown of program participants include recently homeless men, women,
veterans, seniors, newly unemployed individuals, long term unemployed individuals, low
income adults who are ex-offenders, illiterate, Spanish only speakers, unskilled labors, high
school drop outs, single parent moms, children, veterans, seniors, disabled, and individuals who
have issues related to substance abuse.
The program addresses needs/problems facing hard working individuals and working poor
families who contend with a daily choice between money for food, medicine, or rent. Lack of
financial resources force the low income families to address basic needs. Finding food, clothing,
and shelter are major concerns among the population of adults and children served by Phoenix
Rescue Mission’s Hope Coach and community outreach events. Last year, Phoenix Rescue
Mission met the needs of over 5000 working poor families by delivering community wide
outreach services in churches and K-12 school facilities. Free meals are also offered to the
population of homeless and working poor families represented in this grant. Working poor
families are welcome in the community kitchen without the fear of being rejected due a long
application process.
A demographic breakdown of individuals served by the proposed Gila River Indian Community
Grant includes Phoenix Rescue Mission’s most recent demographics. These demographic
include 80% adults, 7% children and 13% age unknown. Approximately 12% females, 73%
males, and 15% individuals whose gender is reported as unknown. The ethnic composition of
the program participants includes up to 40% Haspanic/Latino, 32% White, 11% African
American, 7.5% Multi-Racial, 1.5% Native American, and 8% unknown. The most recent year
data is consitant with demographics highlighted in the 2013 Homeless in Arizona Annual Report
and Phoenix Rescue Mission’s Changing Lives Center program tracker resports.
The income data of individuals served by Phoenix Rescue Mission’s Hope Coach and Community
Outreach Program includes a median annual income of $0 to $18,500.
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5. DEFINE THE PROJECT AS A NEW OR CONTINUING PROGRAM
Phoenix Rescue Mission Hope Coach and community outreach program continues to serve the
needs of homeless and working poor families. Each day, Phoenix Rescue Mission’s Hope Coach
van travels throughout Phoenix and surrounding communities distributing sack lunches and
bottles of water to people sleeping on out city streets. Last year, over 17,000 sack lunches and
16,000 bottles of water were distributed to unsheltered and working poor families. Over 500
low income families received food boxes, clothing, back-to-school items, and health/wellness
referrals during Phoenix Rescue Mission’s community events. More than 500 homeless men,
women, and their children enrolled in Phoenix Rescue Mission’s emergency shelter and long
term addiction recovery programs. These program participants received medical, dental,
counseling, nutrition, and addiction recovery services.
6. PROVIDE A BRIEF TIMELINE INCLUDING THE START AND FINISH DATES. INDICATE IF THE TIMELINE IS FLEXIBLE.
Phoenix Rescue Mission’s Hope Coach Community Outreach program activities are
accomplished through a 4-step process.
Step One: The Hope Coach Daily Delivery of Emergency Services (July 1, 2015- June 30, 2016)
Phoenix Rescue Mission’s Hope Coach van delivers sack lunches, bottle water, hygiene kits, and
health/wellness information to unsheltered men, women, children, and working poor families
throughout Maricopa County. The Hope Coach makes daily stops where homeless and working
poor families congregate including: city streets, local parks, social service agencies, blood banks,
schools, and churches.
Step Two: Summer Heat and Winter Emergency Relief Stations
(July 1, 2015 – September 30, 2015, November 2015 – January 30, 2016, and May 1, 2016 –
June 30, 2016)
Up to 5 summer and winter relief stations are scheduled during the holiday and weekend
hours. Throughout the hot summer months heat relief stations offer bottle water, and fresh
fruit. During the winter months relief stations offer hats, gloves, blankets, bottled water, and
sack lunches. Relief sites are available adjacent to city parks, schools, churches, social welfare
agencies, and in blighted communities where the homeless congregate.
Step Three: Healthy Living Kits (August 1, 2015 –September 30, 2015 and November 1, 2015 –
December 30, 2015)
Phoenix Rescue Mission community outreach staff partners with up to 10 K-12 schools,
churches, and community agencies throughout the cities of Phoenix, Glendale, and Peoria to
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identify homeless children, working poor families, and grandparents raisings their
grandchildren. Once these families are identified, Phoenix Rescue Mission community outreach
staff distributes Phoenix Rescue Mission’s healthy living kits to homeless and working poor
adults, parents, and their children. The healthy living kits include health/nutrition information,
oral health supplies, healthy snacks, school supplies, clothing, and in some cases school
uniforms.
Step Four: Emergency Shelter and Long Term Residential Addication Recovery Services
(July 1, 2015 – June 30, 2016)
Collaborations between Phoenix Rescue Mission, the City of Phoenix Police Department, the
City of Phoenix Parks and Recreation, the courts, and the Misdemeanor Repeat Offender
Program or (MROP) addresses solutions toward ending of the high population of homeless
individuals sleeping in the City of Phoenix parks. Through the Misdemeanor Repeat Offender
Program, instead of placing homeless individuals under arrest, police can offer the homeless a
better option of enrolling in Phoenix Rescue Mission’s emergency shelter and long term (12 to
18 month) addiction residential recovery programs. The homeless person is then transported to
the Phoenix Rescue Mission via the Hope Coach van.
During Hope Coach runs Phoenix Rescue Mission’s community outreach staff will also transport
unsheltered men to Phoenix Rescue Mission’s emergency shelter and long term residential (12
to 18 month) Addiction Recovery Program for Men and the Changing Lives Center for homeless
women and their children. These programs allow homeless men, women, and children the
opportunity to reside on one of the two Phoenix Rescue Mission residential campuses located
in the Southwest Phoenix and Central Phoenix communities. During the 12 to 18 month stay,
program residents receive free counseling, health assessments, nutrition classes, parenting
training childcare, after school programs, academic, and personal development sessions.
Phoenix Rescue Mission’s programs are privately funded, therefore allowing longer lengths of
stay which research has demonstrated, provides the capacity to successfully address complex
trauma-related abuse, addictions, and poor health. Within the few years over 600 men,
women, and children have enrolled Phoenix Rescue Mission’s emergency shelter and long-term
residential recovery programs.
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7. IDENTIFY OTHER ORGANIZATIONS, PARTNERS, OR FUNDERS PARTICIPATING IN THE PROJECT AND THEIR ROLES.
Phoenix Rescue Mission partners with 45 (plus) community agencies to provide a full range of
health, education, economic, and community development services for homeless individuals
and working poor families. A sample of community partners and services include; Native
Health, Phoenix Indian Medical Center, Healthcare for the Homeless, St Joseph’s Hospital &
Medical Center Urgent Psychiatric Care, and Dental Home Concepts. These agencies provide
basic medical and dental evaluations along with prescriptions, medical and dental treatment
services for program residents without health insurance. Education resources are available
through partnerships with local universities, community colleges, GED programs, certification
and work-ready training programs. Economic and community development assistance services
are available through partnerships with Native American Connections, Arizona Department of
Economic Security, Homeless Court, Phoenix School of Law, and a list of additional agencies.
Phoenix Rescue Mission continues to extend partnerships with agencies throughout Arizona.
The extended partners include non-profits, philanthropy, government, business and other faith-
based organizations to build a holistic program for homeless men, women, veterans, seniors,
disabled, and working poor families. This collaboration among community partners is designed
to incorporate a multi –faceted structure that reaches out to individual and families in need by
responding the their basic needs, offering recovery to families through the residential
programs, and restoring program participants back to wholeness by securing jobs, housing,
faith based connections, and mentors upon graduating from Phoenix Rescue Mission’s long-
term recovery programs. Alumni activities assist in following up with participants after they
transition back into the community as productive citizens.
8. WOULD YOU BE ABLE TO IMPLEMENT THE PROPOSED PLAN IF YOUR ORGANIZATION RECEIVED PARTIAL
FUNDING FOR THIS PROJECT?
Phoenix Rescue Mission would be able to implement the proposed plan for Hope Coach and
community outreach events if partial funding was received from the Gila River Indian
Community grant. However, Phoenix Rescue Mission respectfully request the full funding
request of $50,000 to expand services and meet the increased need among low income seniors
veterans, and disabled adults – who struggle with the decision to use their limited income to
purchased medication for high blood pressure or respond to the hunger they experience on a
daily basis.
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9. DESCRIBE YOUR PLAN FOR PROJECT SUSTAINABILITY BEYOND THE GRANT PERIOD.
Phoenix Rescue Mission has 63 years of experience developing and sustaining its services
through the generous support of individuals, businesses, foundations, corporations and
churches. Donations are generated through direct mail, special events, proposal submissions
and other structured, personalized fundraising strategies. Phoenix Rescue Mission’s active
donor family consists of more than 60,000 individuals, businesses, foundations, corporations
and churches that support direct and indirect program services. In addition, 4 million dollars of
in-kind revenue is projected for the Phoenix Rescue Mission FY15 operational budget. Program
services are also sustained through Phoenix Rescue Mission’s funding strategies, which include
opportunities for support at all monetary levels from our large and generous donor family,
including annual commitments in excess of $100,000 gifts to gifts under $100.
10. DESCRIBE YOUR PLAN TO DOCUMENT PROGRESS AND RESULTS
The program progress and results are validated through monthly reviews and individual
assessment tools. The criteria for program success is linked with specific strategies that create a
culture of positive change. Program evaulations will measure positive growth as it realtes to
public safety along with the overall health and wellbeing among homeless men, women,
children, seniors, diasbled, and working poor families.
Phoenix Rescue Mission’s Hope Coach community outreach program outcome(s) include:
 up to 50,000 sack lunches distributed to homeless men, women, children, seniors,
disabled, and working poor families.
 up 425,000 bottles of water distributed to homeless men, women, children, seniors,
disabled, and working poor families.
 up to 600 homeless individuals and working poor families receive emergency relief and
or recovery services during Phoenix Rescue Mission’s community outreach, emergency
shelter, and long term residential addiction recovery programs.
 up to 300 homeless individuals, working poor families, disabled, and seniors will receive
one or more health/wellness information services related to addiction, abuse, proper
nutrition, hygiene kits, and or medical/dental referrals and assessments.
11. INDICATE ANY APPLICATION TO AND/OR AWARDS MADE BY A TRIBE OTHER THAN GILA RIVER INDIAN
COMMUNITY FOR STATE SHARED REVENUES OF THIS AND ANY OTHER PROJECT.
Phoenix Resuce Misson has not received any awards from a tribe other than the Gila River
Indian Community for state shared revenues of the this and any other project.
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