HomeMy WebLinkAboutGrant Request - 4-H Leaders AssnEconomic Development Fund
Discretionary Grant Program
Organization: Deschutes County 4-H Leaders' Association
Organization Description: Deschutes County 4-H Leaders' Association is a non-profit
organization established to financially assist the OSU/Deschutes County 4-H program.
The mission of the 4-H program is to help young people to learn and grow through a
process to build competence, confidence, connection, compassion and character (the 5
C's).
Project Name: Five C's Project
Project Description:The Teen Staff is for youth in 7th to 12th grade to partner ship adults
to enhance leadership development while providing skill building activities. The Five C's
Project will monitor the Teen Staff program through monthly surveys to measure there
levels of competence, confidence, connection, compassion and character.
Project Period: March 2008 — February 2009
Amount of Request: $7,000 (Total budgeted cost = $16,200)
Previous Grants:
• July 2001 - $3,000 ($3,000 Daly)
• May 2002 - $3,600 Educational/Training Equip. ($3,600 Daly)
• September 2002 - $3,250 Shelving and Storage Equip. ($3,250 Daly)
• September 2005 - $5,000 Update educational materials ($5,000 Daly)
• September 2006 - $6,000 Challenge Course ($4,000 Luke, $1,000
Daly, $1,000 Clarno)
Deschutes County Board of Commissioners
1300 NW Wall St., Bend, OR 97701-1960
(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org
DESCHUTES COUNTY ECONOMIC DEVELOPMENT FUND
DISCRETIONARY GRANT PROGRAM APPLICATION
Direct Application to:
Commissioner Tammy Baney
Commissioner Dennis R. Luke
Date:
zAlos
Project Name:
Commissioner Michael M. Daly
All Three Commissioners
five.
Project Beginning Date: r
Amount of Request:
dro
Applicant/Organization:
Address:
Project End Date:
Date Funds Needed:
Tax ID #:
City & Zip:
Telephone:
Email:
Desch uk6 Ce<
4/l L rier?
3S-93 SLO /i i t »y;/ ta 7
Contact Name(s):
Fax:
5111-611/f
Alternate Phone:
4/619 -12.1/4f
.5224v
93-42o2a- 71,
/eJrrr,nI 9'77Jl
On a separate sheet, please briefly answer the following questions:
1. Describe the applicant organization, including its purpose, leadership structure, and activities.
2. Describe the proposed project or activity.
3. Provide a timeline for completing the proposed project or activity.
4. Explain how the proposed project or activity will impact the community's economic health.
5. Identify the specific communities or groups that will benefit.
6. Itemize anticipated expenditures*. Describe how grant funds will be used and include the
source and amounts of matching funds or in-kind contributions, if any. If the grant will
support an ongoing activity, explain how it will be funded in the future.
Attach:
Proof of the applicant organization's non-profit status.
* Applicant may be contacted during the review process and asked to provide a complete line item budget.
Amount Approved:
By: Date:
Declined: By: Date:
February 6, 2008
DESCHUTES COUNTY 4-H LEADERS' ASSOCIATION
Dave Inbody
Deschutes County Administration
1300 NW Wall Street, Suite 200
Bend, OR 97701-1960
Mr. Inbody:
3893 S.W. AIRPORT WAY REDMOND, OREGON 97756
I would appreciate your consideration in forwarding the FIVE C's Project proposal to all three
Commissioners. The request is for $7,000.
The FIVE C's Project will measure the levels of confidence, compassion, connection, character,
and competence 4-H members gain as they undertake projects, events, and activities that lead to
their contributing to Deschutes County communities through healthy and safe families, social
relationships, and economic self-sufficiency.
The FIVE C's Project is scheduled to begin March 2008 and conclude in February 2009.
Respectfully,
David J. Whi Associate professor
OSU/Deschutes County 4-H faculty
FEBCEll
1 1 20C 3
BOARD OF COMMISSION RS
ADMINISTRATION
DESCHUTES COUNTY ECONOMIC DEVELOPMENT FUND
DISCRETIONARY GRANT PROGRAM APPLICATION
1. Describe the applicant organization, including its purpose, leadership structure, and
activities.
The Deschutes County 4-H Leaders' Association (DC4HLA) is a 501 (c) 3 charitable
organization established to financially assist the OSU/Deschutes County 4-H program
carry out its mission to help young people learn and grow through an intentional process
that builds competence, confidence, connection, compassion, and character (known as the
Five C's). The DC4HLA is governed by an Executive Board and Council made up of
elected and appointed adults. State 4-H faculty and county supported staff advise the
DC4HLA and, in turn, receive advice from the DC4HLA.
2. Describe the proposed project or activity.
The FIVE C's Project
Teen Staff is a 7th through 12th grade 4-H member program within Deschutes County 4-H
that incorporates youth/adult partnerships designed to enhance leadership development
while providing meaningful skill building activities. The FIVE C's Project will monitor
Teen Staff periodically through one calendar year. During this time, Teen Staff will
respond to monthly surveys designed to measure levels of competence, confidence,
connection, compassion, and character. Teen Staff are trained as para -professionals to
carry out duties and responsibilities associated with educational events and activities. As
examples: Teen Staff provide clerk services for competitive events, staff the 4-H
Building and answer 4-H related questions during fair, and assist the DC4HLA in raising
needed funds through the annual Gala, Million Penny Radio Round Up, the Over the
Clover Cafe, and their own entrepreneurial initiatives. It is anticipated that participation
in Teen Staff will lead to increases in each of the five C's.
3. Provide a timeline for completing the proposed project or activity.
Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb
08 09
Pre
Test
Pre
Test
Pre
Test
Pre
Test
Post
Test
Post
Test
Post
Test
Post
Test
Post
Test
Post
Test
Post
Test
Post
Test
Pre Test measurements will take place starting in March 2008 and conclude in June 2008.
Post Test measures will be taken from July 2008 through February 2009.
4. Explain how the proposed project or activity will impact the community's economic
health.
The literary evidence supports the notion that youth engaged long-term, with caring
adults, through meaningful activities, increase their levels of the five C's. Furthermore,
research is showing that increased levels of the five C's lead to a Sixth C known as
contribution.
As contribution develops in Teen Staff the communities in Deschutes County can expect
positive impacts through healthier family and social relationships and economic self-
sufficiency.
5. Identify the specific communities or groups that will benefit.
Teen Staff represent the broad rural and urban communities of La Pine, Bend, Redmond,
Terreboone, and Sisters. Not only do the Teen Staff interact with youth in the 4-H
program, they immerse themselves in their communities and interact with other youth,
peers, adults, and the business sector.
6. Itemize anticipated expenditures. Describe how grant funds will be used and include
the source and amounts of matching funds or in-kind contributions, if any. If the grant
will support an ongoing activity, explain how it will be funded in the future.
Project Income
Income
Extension Service
District
$3,500
In -Kind
Total
$2,200
Economic
Development Fund
$7,000
Deschutes County
4-H Leaders'
Association
$3,500
$5,700
$7,000
$3,500
Total
$14,000
$2,200
$16,200
Project Expenses
Income
In -Kind
Total
Evaluation
$2,200
Administration
$14,000
$2,200
$14,000
Total
$14,000
$2,200
$16,200
DESCHUTES COUNTY 4-H LEADERS
ASSOC
178X BEAR CREEK RD
BEND, OR 97701
Gentlemen:
Internal Revenue Service
EP/EO Disclosure Desk
-P.O. Box 2350 Los Angeles, CA 90053
Ferson to Contact:
L. Barragan (A to K)
F. Miraflor (L to Z)
Telephone Number:
2-13) 194-23::6
Refer Reply to:
92-18
Date: 3-12- �L
RE: 23-6028976
-DESCHUTES COUNTY 4-H LEADERS
ASSOC
This is in response to your request for a determination
letter of the above-named organization.
A review of our records indicates that the above-named
organization was recognized to Le exempt from Federal income
tax -in MAY, 1964, as an organization described in
Internal Revenue Code section 501(c)(3). It is further
classified as an orgariization that is not a private
foundation as defined in section 509(a) of the code, because
it is an organization described in section (05).
This letter is to verify.your exempt status
and the fact that the determination letter
issued in MAY, 1964 continues to be in effect.
I.f you are in need of further assistance, please feel free to
contact me ai the above address.
We appreciate your cooperation in this regard.
Sincerely,
Disclosure Assistant