COMMUNITY INFORMATION & REFERRAL SERVICE APPLICATION - SRPM 2014.PDF

Admin Tribe Selection
Created Monday, October 20, 2014
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Please select to which tribe this Organization has applied to:
Salt River
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Created Thursday, October 23, 2014
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General information
General information | Organization Community Information & Referral
General information | Contact First name Mark
General information | Contact Last name Lewis
General information | Contact e-mail MLewis@cir.org
General information | Contact phone number 6022638845
Address
Address | Street 2200 N. Central Ave., Suite 211
Address | City Phoenix
Address | State Arizona
Address | ZIP Code 85004
What is the name of the program or project for which your organization is requesting grant
funds?
2-1-1 Arizona
For what grant amount does the organization plan to request funding?
$78000
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SALT RIVER PIMA-MARICOPA
INDIAN COMMUNITY
10,005 E. Osbom Road, Scottsdale, Arizona 85256 / Phone 480-362-7520 / Fax 480-362-7593
12% Gaming Contributions Application
Date of Application: May 15, 2014
Organization Name: Community Information and Referral Services/2-1-1 Arizona
Organization/Municipal Government Street & Mailing Address: 2200 N. Central Ave. Suite 211
Phoenix, AZ 85004
Contact Person and Project Manager if different from Contact Person: Catherine Rea
Title: CEO
Address: 2200 N. Central Ave. Suite 211
Phoenix, AZ 85004
Phone: 602.263.8845
Fax:
Email Address: CRea®cir.org
Project Name: 2-1-1 Arizona
In 200 words or less, please provide a brief description of the project submitted to the
12% SRPM1C Grant program.
Community Information and Referral Services (CIR) was founded in 1964 and incorporated in 1979 as
a 501(c)(3) nonprofit organization. CIR's mission is "To serve as Arizona's key source of integrated
information that brings people and services together to meet vital needs", and our vision is that "All
Arizonans are easily connected to available health and human services in their communities".
CIR's 2-1-1 Arizona program is the main source for health and human service information and
referrals in the State of Arizona. With currently over 37,000 services available, 2-1-1 Arizona fulfilled
over 1.34 million service requests in FY 2013 through the 24/7 call center, website at
www.211arizona.org , and iphone and android apps. 2-1-1 provides callers with information and
referrals to basic human needs, physical and mental health resources, employment support, older
adult, persons with disabilities, children, youth and families support, and volunteer opportunities and
donations. 2-1-1 Arizona also provides easy access to vital community and government service
programs available, coordination of volunteer needs and opportunities statewide, eliminates
duplication of information and referral services for providers, provides demographic feedback and
tracking of trends in needs, services, gaps, and poverty areas, and valuable support for emergency 9-1-
1 operations and disaster relief efforts.

Beginning Date of Project: July 1, 2014 End Date of Project: June 30, 2015
Geographic Area to be served: 2-1-1 Arizona is available statewide in Arizona, but primarily
services Maricopa County at currently 83% of the total
referrals.
** Attach Detailed Budget**
Amount of Total Project: $78,000 Amount of 12% Request: $78,000
(No Multi-Year Request will be accepted)
If the Amount of funding received is less than the amount needed for the project, do you have other
funds to complete the project? (Please Explain):
2-1-1 Arizona is requesting $78,000 for FY 2015 to increase call center capacity by increasing direct
service to callers, specifically by adding 3.0 Full Time Equivalent (FTE) 2-1-1 Arizona Call Specialist
positions, and thereby adding approximately 6000 hours of answer time available to callers.
Currently, due to increase demand for services, 2-1-1 Arizona is experiencing a 30 % call
abandonment rate. Funding from SRPMIC would greatly assist in increasing fulfilling service
requests to 2-1-1 Arizona callers, and to all the programs that depend on us for referrals.
If you receive SRPMIC 12 % funding, will it be spent (Check One):
X Monthly
I: Quarterly
III Lump Sum
List of SRPMIC 12% funds you have received in the past and a list of other 12 % grants funding
you are seeking from other Tribal Governments for the 2013-2014 12% cycle.
None
List any other funds you have received from the SRPMIC and identify the source:
None
Funding for project/programs may be based on available funding. As such, if funding were not
available for the full the amount of request how would you prioritize funding.

A.) 2-1-1 Arizona Call Specialists direct service
B.)
C.)
D.)
Which municipal governmental entity will serve as your pass through or accept 12% funds on your
behalf?
Maricopa Colin% Arizona.
By execution of the 12% Gaming Contribution Grant Application the undersigned agrees that the
information contained in the Application is true to the best of the Applicants knowledge. The
Applicant shall notify the SRPMIC if any information in this Application changes.
ignature fol. the Applicant
Catherine Rea, CEO
Name and Title
The Application shall be signed by the senior elected official of the local government, or in the case
of a non-profit entity, the Chief Executive Officer authorizes to commit the non-profit entity to
apply for, accept, and implement an award from the SRPMIC utilizing 12% Gaming
Contributions.

Arizona *
42 MIFZIT m
T
M
Get Connected. Get Answers.
Community Information and Referral Services
2-1-1 Arizona Proposed Budget
Service Hourly Rate Total hours Amount $
3.0 Additional FTE $10.00 6,240 $ 62,400
2-1-1 AZ Call Specialists
Employee Related Costs 25% $ 15,600
Total Direct Service $ 78,000
Personnel:

*
Arizona
AN
Get Connecsed.GetAnswers.
Commun,y Informean end 1,6m151.4‘..
2-1-1 Arizona FY 2013-2014 Budget
REVENUE:
SILC/RSA 56,100
HUD - 2-1-1 AZ Shelter (CONTACS) 176,752
Arizona Dept of Economic Securihir-BOS 2-1-1 AZ 73,865
Arizona Dept. of Housing - Mortgage Hotline 60,000
Maricopa County Health Dept/Child Immunizations 10,000
City of Peoria - 211/HMIS 2,000
City of Tempe - 2-1-1 4,900
United Way of Northern Arizona 7,746
Valley Of The Sun United Way 2-1-1 AZ/Shelter/HMIS 232,965
Yuma County United Way 3,000
Season for Sharing 35,000
APS Foundation 5,000
SRP Foundation 20,000
Governors Service Commission 15,000
Childrens Action Alliance 30,000
Fundraising/Donations/contributions 30,000
Directory Sales 32,000
Resource Partner and Page Advertising 15,000
TOTAL REVENUE 753,228
EXPENSE:
TOTAL PAYROLL 417,782
TOTAL FULL TIME EQUIVALENT EMPLOYEES 15.35
EMPLOYEE RELATED EXPENSES
Payroll Taxes (8%)(FICA, SS, Medicare, AZ Emp Job Training tax) 33,423
403(B) Tax Savings Annuity/Agency Match (25%) ($150/emp) 4,252
Health/Dental/Life/Disability Ins/($3350/FTE) 51,423
TOTAL EMPLOYEE RELATED EXPENSES 89,098
TOTAL PAYROLL + EMPLOYEE RELATED EXPENSES 506,880
OTHER EXPENSES
Audit and Accounting 15,000
Advertising/Employment Ads
Advertising/Telephone Directories/Yellow Pages -
Bank and Investment Service Charges
Merchant Charge Card Fees
Board Lunches/meetings ..
Conferences/Seminars/Training 5,000
Donations and Contributions
Dues/Subscriptions -
Empoyee Recognition
Equipment Rental/Lease/Purchase - Not HMIS 4,000
Equipment Rental/Lease/Purchase - HMIS
Insurance/Property & Liability 3,000
Licenses/Permits/Fees
Office Supplies 2,000
Postage
Directory Postage/Delivery Charges
Printing & Reproduction 15,000
Professional Fees/Contracted Services 20,000
Public Relations and Fund Raising
Rent 50,000
Repairs & Maintenance 1,098
Telephone/Communication/Internet 100,000
Mileage 1,000
TOTAL EXPENSE BEFORE NON OPERATING 722,978
Debt Retirement (Telephone) -
Interest Expense -
TOTAL BEFORE ADMIN ALLOCATION 722,978
Admin Allocation 50,923
TOTAL EXPENSES 773,901
Change in Net Assets I (20,673)