BLOOM365 Application

El Mirage Community Partnership Grant Program
Application
Program Overview 
The City of El Mirage Community Partnership Grant supports nonprofit organizations that provide essential
health and human services directly to El Mirage residents, including low-income families, seniors, youth,
and other individuals who may benefit from additional support.  
Health and human services refer to programs, projects, or activities that improve the general health,
including physical, mental, emotional, or social well-being, of individuals and families. These services
address basic needs, promote safety and stability, and enhance residents' overall quality of life.  
The program offers one-time funding of up to $10,000 per application annually from July 1 to June 30.
Eligible nonprofits and other qualified charitable organizations with 501(c)(3) status or IRS letter of
determination recognizing nonprofit status under A.R.S. §42-11154 may submit multiple applications for
funding, provided each application represents a distinct program or project.  
Applicants are limited to one application per program or project. Each application must specify the
minimum funding required. Applications are evaluated based on an evaluation scoring rubric approved by
the City Council. The ultimate funding decisions are made by the El Mirage City Council. 
Applicant Eligibility Criteria   

The applicant must be a 501(c)(3) nonprofit corporation or other qualified charitable or nonprofit
organization as provided for in A.R.S. §42-11154. 

The applicant must provide direct health and human services to El Mirage residents and
demonstrate how the program or project improves resident well-being. 

The applicant must demonstrate the ability to generate revenue from sources other than the City of
El Mirage. 

The applicant must submit the five following required documents:
    1) Proof of 501(c)(3) status or IRS determination letter under A.R.S. §42-11154. 
    2) Organizational mission statement. 
    3) Board of directors list, including roles and affiliations. 
    4) Last two years of IRS Form 990 filings (or explanation if not available or required to file). 
    5) Completed application signed by an authorized representative. 

If awarded, the applicant must register with the City of El Mirage as a vendor and provide an IRS

Form W-9 to receive funds. 

If awarded, the applicant must demonstrate satisfactory progress toward stated goals and
objectives and provide timely and accurate reports as required by the city. 
Application Directions 
Please answer the following questions in narrative form. Applicants will receive up to five points for a
complete and accurate application.  
Submission Directions 

One electronic copy of the application and required attachments must be submitted no later than
the date and time identified in the notice to apply. 

Late applications will not be accepted. 

Please save a copy of this application for your records.

Awarded applicants are required to report completed program or project goal measurements by a
date and time specified in the notice of award, before the end of the fiscal year of the award,
or sooner as may be required by the city.  
More Program Information
Visit www.ElMirageAZ.gov/Grants for more information about the program, including evaluation scoring
rubric.
Program-Related Inquiries  
For program questions or to update contact information, please contact Regan Jepson at
communityservices@elmirageaz.gov. 
Part 1: Agency and Program or Project
Section A: Agency Information 
Agency Name
BLOOM365
Tax Number
26-2944620
Executive Director / CEO
Donna M. Bartos
Website
https://bloom365.org
Address
20403 N Lake Pleasant Rd, 117-492, Peoria, Arizona 85382
Phone
(602) 799-5398

Section B: Agency Overview  
Briefly describe your organization, the services it provides, mission, goals, and population served. 
Founded in 2006 as a grassroots “Go Purple” domestic violence awareness campaign, BLOOM365 is now
a 501c3 on a mission to prevent abuse before it starts. We address the systemic violence crisis in Arizona:
32% of youth witness physical assault, and over 50% of Maricopa County high schoolers report
experiencing abusive dating relationships. With the state student-to-counselor ratio at the nation-lowest of
570:1, BLOOM365 closes a massive victim service gap by providing the specialized domestic and sexual
violence prevention and intervention services that schools often lack.
Our comprehensive services are designed to "uproot" abuse and reach youth (ages 11–24), with a focus
on high school students in high-need districts across Maricopa County, Arizona. Our safety and well-being
programs include a 7-Dose Healthy Relationship Curriculum delivered in schools to build self-advocacy,
communication, and conflict resolution skills, as well as trauma-informed counseling, peer support groups,
and a confidential helpline (1-888-606-HOPE). Critical intervention is provided through Root It Out peer
accountability groups for youth at risk of perpetrating harm. Through our training and technical assistance
provider, we also offer a "3 Rs" training (Recognize, Respond, Reframe) equips parents, teachers, and
coaches as trusted adults. To ensure accessibility, all direct advocacy, crisis support, education curricula,
counseling and peer groups are fully adapted to serve all youth, including youth with disabilities.
Last fiscal year, we educated 4,745 youth on healthy v. unhealthy relationships, resulting in an 85%
increase in their ability to recognize red flags and interrupt harmful behaviors. We also provided advocacy
services to 181 youth survivors, and 127 trauma counseling hours, resulting in 75% of participants showing
improved safety and healing.
Our primary goal is to educate 10% of Gen Z about interpersonal violence, representing the tipping point
to end the generational cycle of abuse. BLOOM365’s work moves beyond “one-and-done” assemblies or
short-term aid to foster a permanent culture of safety, ensuring all Maricopa County youth have access to
the safe, healthy relationships they deserve.
Please upload the following required documents: 
1.
Proof of Section 501(c)(3) Tax Exemption - IRS determination letter verifying nonprofit status under
A.R.S. §42-11154 from the Internal Revenue Service. Please upload. 
2.
Organizational mission statement. Please upload. 
3.
Board of Directors list including a current list of board members with roles and affiliations. Please
upload.  
Upload Files Here
BLOOM365 Mission & Vision.docx.pdf
BLOOM365 501c3.pdf
BLOOM365-Board of Directors.pdf
Section C: Program or Project Information 
Program or Project Name
The BLOOM365 El Mirage Real Talk Program
Program or Project Contact Person
Lisa Scarber

Email 
lisa@bloom365.org
Phone
(602) 618-9310
Does the program or project directly serve residents of the City of El Mirage?
Yes
Please select one health & human services category that best aligns with the need met by the
program.
Domestic Violence / Crisis Intervention/ Safety Services
If you selected "Other" above, please specify:
Part 2: Program Description
Section A: Narrative Description 
Please provide a detailed description of the program or project that these grant funds will support,
if awarded.
The BLOOM365 El Mirage Real Talk Program is a comprehensive program designed to provide immediate
safety and long-term healing for El Mirage youth ages 11–24 who are witnessing or experiencing domestic,
sexual, or dating violence. BLOOM365 aims to meet youth where they are, bringing clinical and advocacy
services directly to the El Mirage Library or Senior Center, trusted community spaces that remove
transportation and socio-economic barriers that may prevent El Mirage youth from seeking help. School-
based mobile advocacy and counseling can also be available depending on the needs of El Mirage high
school students.
While we focus on primary (preventing abuse before it starts), secondary (interrupting harm from
happening again), and tertiary (after harm care) prevention, these City of El Mirage funds will be dedicated
exclusively to provide direct advocacy and licensed counseling services for 44 weeks across the upcoming
2026-27 school year. An advanced practice MSW Intern and a Peer Support Specialist (PSS) with lived
experience will provide drop-in advocacy and counseling services on-site for four hours a day, one day a
week. Days/hours each week will shift depending on participant needs and scheduling. Funding covers
four hours of delivery and two hours of preparation, travel time, and data collection at $30/hour for the
advanced practice MSW Intern, as the PSS are fully funded. At six hours a week for 44 weeks, the total
expense is $7,920.
A MacBook for data collection, group/session preparation, outreach efforts, and connecting participants
with resources will be also covered at $1,200 for the MSW intern’s use. This ensures the MSW intern can
stay mobile and responsive, whether they’re prepping for a group session or helping someone find
resources in real-time. The initiative fills a critical service gap in El Mirage, as high student-to-counselor
ratios continue to leave youth survivors without consistent, ongoing support.
The program will offer a multitude of services during drop-in hours managed by the MSW Intern and
supported by the PSS. The range of direct service components includes:
1. Trauma Counseling: Trauma-informed counseling services help participants build healthy coping skills,
improve emotional well-being, process trauma, and increase safety and stability. Services support youth
experiencing anxiety, depression, PTSD symptoms, self-harm behaviors, low self-esteem, family conflict,
and toxic stress. BLOOM365’s counseling approach is strengths-based, youth-centered, and focused on
helping young people heal, build resilience, and develop healthy relationships
2. Collaborative Safety Planning: Real-time harm mitigation strategies developed with youth aid navigation

of dangerous domestic or dating situations.
3. Advocacy & Case Management: Individualized support helps participants increase safety, stability and
well-being by providing emotional support, safety planning, victims’ rights information, court
accompaniment, order of protection assistance, family education and connections to community resources
and basic needs.
4. Peer Support Groups: Facilitated groups by a Peer Support Specialist provide the opportunity for youth
to heal among their peers, reducing isolation and shame that are often associated with victimization.
5. Family & Parent Support: Providing concurrent parent support during peer group sessions ensures a
holistic healing environment. This helps guardians understand the nuances of trauma and how to
appropriately respond to their youth, creating a supportive home life that reflects progress made in
advocacy or counseling services.
Data from public health organizations, including the CDC, highlights that systemic poverty and
underfunded support systems act as root catalysts for community violence. With the El Mirage city poverty
rate sitting around 12.5% and school counselors stretched thin at a 570:1 student-to-counselor ratio, the El
Mirage Real Talk initiative will provide dedicated access to help and support to El Mirage youth and foster
a culture of violence prevention. By integrating an MSW Intern and peer support services directly within El
Mirage for 44 weeks, BLOOM365 can step in as a consistent, ongoing presence to cultivate safe and
healthy relationships, free of interpersonal violence.
Describe how this program or project will benefit El Mirage residents directly and the need or gap
in service that it meets. Please include data to support your response.
The BLOOM365 El Mirage Real Talk Program addresses the critical service gap for underserved youth
populations in the El Mirage community. While general crisis response services exist, there is a stark lack
of wraparound, youth-specific trauma intervention related to interpersonal violence.
Arizona currently faces the most severe student-to-counselor ratio in the country. While this ratio improved
from 645:1 to 570:1 for the 2025 school year, it remains more than double the American School Counselor
Association's recommended ratio of 250:1, leaving El Mirage youth with limited access to in-school mental
health support. This systemic lack of care is especially concerning given that over 50% of Maricopa County
high school students report abusive dating relationships.
For the 12.4% of El Mirage residents living below the poverty line, challenges for youth are compounded
by core barriers like cost, transportation, and a lack of bilingual, trauma-informed providers. Furthermore,
while youth with disabilities in Arizona are 3x more likely to be victimized than their peers, the majority of
regional victim services do not provide the specialized tools required to serve them effectively. Because
youth struggle to identify the signs of abuse and 1 in 10 will reach out to a peer before an adult, help-
seeking is frequently restricted to immediate crises. With the widening gap in ongoing abuse prevention
and intervention, all of these factors demonstrate the critical need for localized, youth-specific trauma
intervention and advocacy.
By providing direct services at local accessible sites in El Mirage, BLOOM365 removes physical and
psychological barriers to healing. Youth, and by extension residents as a whole, benefit from collaborative
safety planning for real-time harm mitigation, 1:1 counseling to process PTSD, flashbacks, and
maladaptive thoughts, and our "survivor-centered" approach aiming to ensure that 85% or more of youth
participants report feeling believed and validated.
From 2024-2025, our proven model delivered high-contact services to the Phoenix Metropolitan area,
which will be scaled specifically for El Mirage with this funding. During immediate crises, youth accessed
the L.E.V.E.L. HelpLine (158 participants), trauma counseling (127 participants), and peer support groups
(104 participants). Overall, 547 participants accessed BLOOM365 emotional support services, promoting
healing, safety and reducing the long-term impacts of isolation and shame.

The project is rooted in a "survivor-centered" approach, aiming for several SMART outcomes for El Mirage
youth. Historically, 100% of youth participants who engage in BLOOM365 Real Talk services and complete
a post survey report feeling "believed and validated" by their counselor, as belief is the greatest predictor of
long-term healing. By using a baseline, midpoint, and end-of-service assessment, we will track
improvements in identifying signs of victimization and maladaptive thought patterns. Reduction in PTSD
symptoms and flashbacks result in real-time harm mitigation through 1:1 counseling and collaborative
safety planning. Real Talk ensures that no youth is left to navigate trauma alone simply because they lack
access to help and support.
Is this a new or continuing program?
Other
If you selected "Other" above, please specify:
The Real Talk Program encompasses BLOOM365's clinical and advocacy services, which are available in
our office, at community partner sites, and via our Mobile Outreach Van. We currently work with El Mirage,
but do not actively have a Real Talk program running in the community.
Section B: Scope & Timeline 
What are the program or project dates? 
August 2026-May 2027
Total number of persons expected to be served by this program or project during the funded year.
10
Total number of El Mirage residents you expect to be served by this program or project during the
funded year.
10
How soon will the program or project be implemented after funds are received, if awarded? (If not
applicable, write “N/A.”) 
The project will be implemented at the beginning of the 2026-2027 school year.
Section C: Accessibility and Resource Needs 
Does your program or project take place in the City of El Mirage? * 
Yes
Where will your project or program be located, and how does this location support your ability to
serve El Mirage residents effectively?
The BLOOM365 El Mirage Real Talk Program will be strategically located at the El Mirage Library or
Senior Center and delivered curbside via our ADHS licensed Mobile Outreach Van. Using established
community hubs to embed services intentionally removes stigmas often associated with seeking mental
health support, especially for youth, and replaces them with an environment of familiarity, safety, and
accessibility.
Our philosophy of meeting youth where they are is not a catchphrase, but a necessity. Youth residents
must be met with empathetic support in places accessible to them. Positioning our staff at the El Mirage
Library, Senior Center or in our Mobile Outreach Van (MOV) eliminates the need for youth to secure rides
to neighboring cities for specialized trauma care.
Moreover, for anyone, but especially for youth witnessing or experiencing interpersonal violence, entering
a dedicated behavioral health clinic or seeking help from a domestic violence shelter can be intimidating.

Providing services at community hubs where there are already afterschool and community programs taking
place offers a "discreet" access point to services. Youth can visit our MSW Intern or join Peer Support
Groups under the guise of attending a community session, ensuring their safety and privacy. It also
integrates BLOOM365 as a resource embedded into the community fabric of El Mirage.
Acknowledging the busy schedules of El Mirage’s working families, the program employs a “one stop shop”
model to provide wraparound support for all participants and their families. While a youth participant is
engaged in a peer support group or 1:1 counseling, their non-offending family members can access our
education or advocacy services to better understand how to support their youth, increasing the likelihood of
long-term program retention.
The proximity to El Mirage schools ensures that BLOOM365 Real Talk services can help to support the
systemic overwhelm often placed on school counseling staff. With the current student-to-counselor ratio,
our strong community presence becomes a referral destination for school staff who lack the capacity to
provide consistent and ongoing counseling and intervention support services.
This grant funding will enable BLOOM365 to maintain a consistent physical presence in the El Mirage
community because every young person in El Mirage deserves a safe place to go, a trusted adult to talk to,
and a clear path toward safety and healing.
Describe how your program or project will be open to the public and ensure accessibility for
persons with disabilities, including specific accommodations.
Hosting the program at El Mirage community spaces, such as the Library and Senior Center, ensures ADA
compliance through ground-floor service areas, ramp access, and fully accessible restrooms and meeting
spaces. Additionally, our Mobile Outreach Van is equipped to accommodate wheelchair users. By opening
these services to any El Mirage resident aged 11–24 in a familiar community hub entirely free of charge,
we remove financial barriers and ensure that economic status never dictates a young person's access to
safety.
BLOOM365 is also committed to the principle that education, safety, and healing must be intentionally
accessible to every young person, regardless of physical, cognitive, or developmental ability. Our GOYFF
SASP grant funded "Safety for All" program ensures that all of our services, including intervention in El
Mirage, are not just open to all, but proactively inclusive.
Recognizing that youth with disabilities are three times more likely to be victimized than their neurotypical
peers, we go beyond basic physical access to provide specialized sensory and communication support.
MSW Interns and Peer Support Specialists utilize visual aids, simplified language tools, and other adaptive
communication methods for youth with intellectual or developmental disabilities (IDD). For youth whose
disabilities may make traditional 1-hour sessions difficult, drop-in sessions will be as long and effective as
the individual requires to meet their specific endurance and focus levels.
Accessibility is not simply about physical accommodations. "Safety for All" requires that all staff and interns
undergo proper training to provide wraparound support to youth with disabilities, ensuring they understand
how to enhance a sense of safety and agency for all youth.
Integrating specific accommodations into the core of all operations ensures that even the most vulnerable
members of our community are never excluded from the path to recovery. The unique needs and voices of
El Mirage youth with disabilities will be centered throughout the program to ensure all young people
receive the help they need.
Will the implementation of this activity require space, staffing, grants management, or in-kind
contributions from another agency, a school, or another jurisdiction?
Yes

If you selected "Other" above, please specify (If not applicable, write “N/A.”):
N/A
Section D: Collaboration and Outreach 
Are you currently partnered with, or have you ever partnered with, the City of El Mirage?
Yes
Describe how you will collaborate with the City of El Mirage to coordinate outreach promoting the
program or project to the residents of El Mirage.
To ensure the program reaches youth most in need, BLOOM365 will deepen our established relationship
with city staff to create a seamless outreach network. Our strategy transitions our work in El Mirage from
general awareness to targeted, ongoing outreach.
BLOOM365 has collaborated with the city of El Mirage for several years to elevate awareness on Teen
Dating Violence and share youth centered resources with the greater community. We maintain regular
communication with Community Partnership Administrator, Regan Jepson, to ensure service alignment
with the City’s broader social goals. Working with El Mirage Cares, we have actively participated in
designated awareness month events for Teen Dating Violence and Domestic Violence and participated as
an exhibitor and speaker at the first two Domestic Violence Awareness Walk & Resource Fair events,
providing resources directly to residents. In partnership with both El Mirage Cares and the City, our youth
advocates also successfully hosted a "Pizza and Education" series this past February for Teen Dating
Violence Awareness Month (TDVAM), facilitating a healthy relationships forum for local teens.
For this initiative, BLOOM365 will coordinate with the City’s communications team to implement a
consistent, low-barrier digital presence that reaches as many El Mirage young people as possible. We
propose a monthly collaborative social media series on the City’s official Facebook and Instagram pages.
BLOOM365 staff will provide short videos with abuse prevention tips, including "Green v. Red Flag"
relationship education and information about services. These posts will be accompanied by direct links to
sign up for El Mirage-based BLOOM365 services. Utilizing our own LinkedIn and local coalition contacts,
we will promote our 44-week presence in El Mirage beyond other non-profit partners and city employees
and directly to the community.
While digital outreach is essential, we must recognize the digital divide within communities. For this
reason, physical resources will be available in high-traffic areas and schools. We will request placement for
bilingual flyers and QR-code posters at locations such as El Mirage City Hall, schools, and local Parks and
Recreation bulletin boards.
How will you work with other local partners to maximize impact and ensure residents are aware of
and engaged with your services?
BLOOM365 will maximize impact by operating as an essential resource within El Mirage’s existing support
network, ensuring residents are aware of our services. Our founding roots are in the West Valley and
through our longstanding relationship with El Mirage Cares, we will continue to work in tandem with Regan
Jepsen to ensure BLOOM365 Real Talk safety and healing services are well promoted. BLOOM365 will
continue our role as a lead partner in the October Domestic Violence Awareness and February Teen
Dating Violence Awareness events, as these community gatherings allow residents to meet our staff in a
low-pressure, supportive environment.
As El Mirage youth spend the majority of their day within the Dysart Unified School District, we will
continue to communicate our student centered offerings to school social workers, counselors, and
administrators, with the goal of increased referrals. We will also ensure all materials are “peer-approved”
by partnering with the Youth Advisory Commission (EMYAC), centering youth voices and leadership
throughout the project.

Going beyond partnerships, we embed ourselves in grassroots spaces to ensure a strong community
presence that meets youth where they are. By maintaining a presence at community spaces, we can
consistently connect with prospective Real Talk participants. Collaborating with multiple partners ensures
that, no matter where a resident looks, they are aware of the safety and support available through
BLOOM365.
Part 3: Program or Project Goals and Outcomes
Please provide up to three goals of the program or project and describe how progress will be
measured to ensure success in providing health and human services to the residents of El
Mirage. It is important to ensure that your goals correspond with the proposed number of residents to
be served within the program year. Explain how you will collect and report data and measure the
impact for each stated goal. 
Example Goal: Of the 80 persons served by the project, 40% (32 persons) will find employment within
three months of entering the program. This will be measured by follow-up contact with each program
participant. 
Measurable Goal No. 1
Provide an estimated 10 youth, ages 11-24, with individual counseling services. As a result, 80% or more
will indicate satisfaction with counseling services.
Measurable Goal No. 2
Engage 10 or more youth in Real Talk Peer Support Group programming, resulting in 80% or more
indicating that they feel believed/not alone and an enhanced sense of healing and well-being (self-esteem,
self-care, stability, skill-building, social connectedness, etc.).
Measurable Goal No. 3
Utilize real-time data collection and participant feedback collected by the Peer Support Specialist to
enhance program design and healing outcomes for El Mirage youth.
Part 4: Funding Request
Total Community Partnership Grant Funding Requested
8,490.00
Minimum Community Partnership Grant Funding Requested
2,640.00
Is program or project implementation contingent upon receiving the full award?
Implementation is not contingent on receiving the full award. Our Peer Support Specialist program is fully
funded through other sources, so all foundational peer-led components of the project will proceed. The
funds from this grant are specifically allocated to the MSW Intern to provide on-site counseling and
advocacy services.

If approved for an amount less than 100% of your request, how will you address the shortfall?  
If approved for less than 100% of our request, BLOOM365 will adjust the project scope by reducing the
total number of counseling sessions and the duration of the MSW Intern’s presence in El Mirage. While a
shortfall would limit the volume of youth served, even a reduced number of service weeks is vastly superior
to the current service gap. Our priority is providing high-quality, specialized trauma support to ensure El
Mirage youth have access to abuse prevention and response services.
Part 5: Program or Project Budget
Section A: Total Program or Project Budget 
Total Cost of the Program or Project Operations
8,490.00
Total Program or Project Funding from Other Funding Sources
0.00
What other funding sources presently support this program or project? 
While BLOOM365 maintains a diverse network of programmatic victim services funding, the consistent
delivery of Real Talk in El Mirage is dependent upon this award. The unique peer-led components of our
programs and services are currently funded by various state grants. Peer Support Specialists are fully
funded through GOYFF STOP funds through December 2026, providing the lived-experience, mentorship,
and peer-to-peer advocacy that are vital for youth to engage in curriculum, connect with each other, and
build support systems and strategies. Other state grants such as VOCA and SASP enhance our victim
services ensuring "Safety for All.”
This grant would specifically fund an advanced practice MSW Intern who will provide 1:1 trauma
counseling, collaborative safety planning, and ongoing advocacy, allowing the STOP-funded Peer Support
Specialists to lead groups and facilitate outreach.
Therefore, while the “peer” aspect of the program is funded, we lack the essential funding needed to
deliver consistent, ongoing licensed counseling services to youth victims in El Mirage.
Section B: Total Budget for Program or Project – Grant Award
Only 
Grant Award Budget Narrative 
Wages/Salaries
7,920.00
Employee-Related Expenses (ERE)
0.00
Professional Services & Outside Services
Training
0.00
Materials & Supplies
1,200
General Office Supplies
0.00
Administrative Cost (not to exceed $1,000 or
10% of grant request)
0.00

Program/Project Incentives (gift cards, food,
certificates of achievement)
0.00
Marketing/Outreach
0.00
Other
0.00
If you selected "Other" to the previous question,
please explain.
N/A
Explain how grant funds will be utilized to support administrative costs for your project.
N/A
Section C: Program or Project Funding Sustainability 
How will your organization generate or secure additional funding to sustain services for the
continued operation of this program or project? 
To sustain the services established by the total grant award requested, BLOOM365 utilizes a diverse
sustainability strategy that ensures the El Mirage Real Talk program sustains beyond a first year grant
award. BLOOM365 is in the process of transitioning toward a sustainable billing model through AHCCCS
reimbursement for eligible counseling, behavioral health, peer support and case management services,
creating a recurring revenue cycle to support the program.
Local fundraising support further strengthens our financial foundation through the Arizona Qualifying
Charitable Organization (QCO) tax credit, which allows individual donors to redirect their state tax liability
to BLOOM365. This provides a consistent, annually recurring source of unrestricted funding rooted in the
community. By demonstrating specific impacts and measurable successes during this City of El Mirage
award period, we will also strengthen our case for larger, multi-year commitments from private family
foundations and corporate social responsibility programs that are active within the West Valley.
Beyond direct financial procurement, we ensure the project’s longevity by embedding a sustainable
"culture of prevention" within the city’s social infrastructure. Through a partnership with a training and
technical assistance provider, BLOOM365 will be able to also offer residents, educators, and city staff
training to establish a permanent network of student leaders and trusted adults ready to prevent and
respond to interpersonal violence. This effort is amplified by our Peer Support Specialists (PSS), who
foster youth-led social connections and advocacy.
Our audacious goal is to educate and activate 10% of the local population, reaching a "tipping point" that
shifts social norms permanently.
If the program receives less than the requested amount of funding, what adjustments, if any, would
be made to the program and services provided to El Mirage residents?
If the program does not receive full funding, the total number of counseling sessions and the duration of
the MSW Intern’s presence in El Mirage will be reduced. In the event of receiving limited funding, we will
strategically adjust the following:
1. Volume of Sessions: We will reduce the total number of 1:1 counseling drop-ins by our MSW Intern to
one, rather than two, per week. This ensures that while fewer individual youth may be served, those who
are receive the full, therapeutic experience necessary for trauma recovery without being "rushed" through
the process.
2. Program Duration We will adjust the MSW Intern’s drop-in period from the planned once a week
presence of a 44-week cycle to a shortened term (e.g. once a month).. This allows us to maintain a
consistent presence during the highest-need periods of the fiscal year, but still stay within the allocated
budget.
3. Direct Crisis Services: If forced to choose between service types, we will prioritize Direct Counseling and

Safety Planning over the purchase of a MacBook for the MSW intern. While a dedicated device would
streamline our data and preparation, the immediate safety of youth in crisis remains our non-negotiable
priority and will always take precedence over technology.
4. Hybrid Support Models: We may supplement reduced on-site hours with remote advocacy or HelpLine
support, already funded through our VOCA grant, to ensure El Mirage youth residents still have a point of
contact when the MSW Intern is not physically at the space.
El Mirage currently faces a stark lack of youth-specific trauma services. Even if funding only allows our
staff to be on-site for a limited number of days per year, that period of time is significantly better than the
current alternative: no localized support at all.
Part 6: Operational and Financial Status
Please upload the following required attachments: 
Applicant organization's last two IRS Form 990 filings.   
If your organization is not required to file a 990, upload a brief explanation. 
Please upload attachment (1). 
990 2022-2023 BLOOM365.pdf
Please upload attachment (2). 
BLOOM365 990.pdf
If your organization does not have either document available, please explain below.
Authorized Representative Signature