Grant Application. Building healthy and vibrant communities

Transcription

1 Grant Application The forms needed to apply for an Ontario Trillium Foundation grant All applicants should read the Ontario Trillium Foundation Program Guidelines before completing a grant application Building healthy and vibrant communities 45 Charles Street East, 5th Floor Toronto, ON M4Y 1S2 Telephone: Toll-free: Fax: TTY: The Ontario Trillium Foundation, an agency of the Ministry of Culture, receives $100 million annually from Ontario s charity casino initiative. September 2006

2 Instructions for all Ontario Trillium Foundation grant applicants Please note: We have two different application forms, our standard application and a Simplified Application for Small Capital Grants. Eligible organizations applying for capital funds only, up to a maximum of $15,000, must use the simplified application. Please read the guidelines for the Simplified Application Process for more information Step 1 Read the Ontario Trillium Foundation (OTF) Program Guidelines Read the OTF Program Guidelines first to determine if your organization is eligible and whether your proposal is a good fit with our granting priorities and assessment criteria. Step 2 Talk to us Contact staff at OTF to discuss your proposal before you begin to fill out an application form. We will be able to answer questions you may have about local and provincial granting priorities, budget limitations, the time frame for a decision, application tips, etc. Unfortunately, due to the high volume of applications, OTF staff are not able to review draft applications. Visit for a list of our staff or call to be directed to the appropriate OTF staff. Step 3 Complete your application Tools for applicants, including an Application Writing Guide, are available on the Tools and Tips section of our website or by calling us. Applications must be submitted, in either English or French, using the current OTF application form. Applications submitted on any other form will not be accepted. Answer all of the application questions. Answers may vary in length depending on the nature of your request and organization. Do not bind or cover your application in any way as we need to make copies for our reviewers. Simply use a clip to hold each copy together. Do not send videocassettes or CDs with your request. Due to the volume of applications received, we are unable to use or store these types of supplemental materials. We expect that most applicants will use the downloadable version of this application form available from the OTF website. However, if you do not have access to a computer, you may complete the application by typewriter or by hand in ink using block capital letters. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION i

3 Instructions for all Ontario Trillium Foundation grant applicants Step 4 Submit your application Send four (4) copies of your application as well as four (4) copies of all required attachments to: Ontario Trillium Foundation 45 Charles Street East, 5 th Floor Toronto, ON M4Y 1S2 Do not send applications to local offices. Your application will not be reviewed unless we receive all the required documents. OTF grant application deadlines The Ontario Trillium Foundation s application deadlines are 5:00 p.m. March 1, July 1 and November 1. If the deadline falls on a statutory holiday or weekend your request must be received by 5:00 p.m. the next business day. Applications received after the deadline date will be returned to the applicant. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION ii

4 Additional instructions for unincorporated branches, chapters or member agencies of provincial or national organizations If you are applying as an unincorporated branch, chapter or member agency of a provincial or national organization, please read the following additional instructions before you begin to fill out the application form. Complete the address and contact information and respond to all questions for the local branch or chapter with the exception of the year of incorporation or charitable registration and incorporation or charitable registration number, which must be provided for the provincial or national organization. Include all required attachments, but please note that: The following attachments should be submitted for the provincial or national organization: Proof of eligibility Financial statements Current operating budget List of board of directors The following attachments should be provided for the local branch/chapter, if available: Financial statements Current operating budget List of board of directors If the required attachments for the provincial or national organization have already been submitted to OTF in conjunction with an application for a grant for a branch, chapter or member agency in another Ontario community, you do not need to resend these as long as the information previously submitted is still current. We also require a letter from the provincial or national organization that: Acknowledges and endorses the application Gives permission for the appropriate person in the local group to sign the application on behalf of the organization Agrees to enter into the legally binding agreement with the Ontario Trillium Foundation if the application is approved A sample letter is available under Templates and Examples in the Tools and Tips section of the OTF website or by calling us. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION iii

5 Instructions for all Ontario Trillium Foundation grant applicants If you are applying as a collaborative, please read the following additional Instructions before you begin to fill out the application form. A collaborative is made up of two or more organizations that jointly submit an application to achieve a common goal. A collaborative may include eligible and ineligible organizations but at least one member must be eligible to apply for OTF funding. One of the organizations must be designated by the collaborative as the lead applicant who will sign the application and accept responsibility for accounting for and reporting on any grant approved. The lead applicant must be a not-for-profit corporation, a registered charity or an organization eligible for OTF funding. When preparing a collaborative application, the address and contact information and all questions about the organization must be answered for the lead applicant. In addition, the following attachments must be submitted for the lead applicant: Proof of eligibility Financial statements Current operating budget List of board of directors All questions related to the proposal must be answered for the collaborative. In addition, the following attachments are to be submitted for the collaborative: OTF request budget Collaborative agreement* Evaluation plan (only for operating or project funding requests in excess of $250,000) If the collaborative has been operating for a period of time and has prepared its own financial statements and operating budgets, these should be submitted in addition to those of the lead applicant *A collaborative agreement, signed by all collaborative members, must be submitted for all collaborative applications. It is a written agreement that lists the members, sets out the roles and responsibilities of each member and indicates how decisions will be made, how the grant will be spent and accounted for and who will prepare reports. A Tip Sheet on preparing a collaborative agreement is available in the Tools and Tips section of the OTF website or by calling us. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION iv

6 The Ontario Trillium Foundation grant application Section A: General information A1. Language preferred for correspondence (please select one): English French A2. Type of application (please select one): Single organization Collaborative Unincorporated branch/chapter of a provincial/national organization A3. If you are applying as a collaborative, please provide the following information: Name of collaborative: Thunder Bay Roots of Empathy Coalition Number of years working together: 5 Number of groups in the collaborative: 10 A4. Address and contact information: Organization name (in English and French, if available): Our Kids Count of Thunder Bay Inc. Previous name (if changed in the last five years): Street address: 425 N. Edward Streeet P.O. Box: City: Thunder Bay Province: ON Postal Code: P7C 4P7 Telephone: ( 807 ) Fax: ( 807 ) Website: ourkidscount.net Contact person s name: Gladys Berringer Title: Roots of Empathy Coordinator Telephone: ( 807 ) ext.23 gladysb@shaw.ca September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

7 The Ontario Trillium Foundation grant application Section A: General information A5. What is the eligibility status of your organization? (Please select one): Registered charity Not-for-profit corporation (not registered as a charity) First Nation Métis or other Aboriginal community Municipality (20,000 or less) Local Services Board County Library Board (serving municipalities with populations of 20,000 or less) Other (please specify) A6. If you are applying as a registered charity or a not-for-profit corporation, please provide the following information: Year of incorporation or charitable registration: 1998 Incorporation or charitable registration number: RR-0001 A7. What is the main sector your organization serves? (Please select one): Arts and culture Environment Human and social services Sports and recreation A8. How many active volunteers and staff are involved in operating your organization? Volunteers: Full-time staff: Part-time staff: A9. What program are you applying for? (Please select one): Community Program Province-Wide Program A10. Application is primarily for (please select one): Operating funding Project funding Capital funding Application is also for (select all others that apply): Operating funding Project funding Capital funding September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

8 The Ontario Trillium Foundation grant application Section A: General information A11. Total amount of OTF funding requested: $120,876 over 24 months, in order to: (Tell us what you want to do with the OTF grant in 50 words maximum.) The Thunder Bay Roots of Empathy Coalition invites the Ontario Trillium Foundation to make a difference in children s lives through Roots of Empathy. Roots of Empathy is an evidence-based classroom parenting program that has a dramatic effect in reducing levels of aggression and violence among schoolchildren. It teaches infant development, emotional literacy, inclusion and the development of empathy. With a two year Trillium grant we would be able to hold two additional training sessions to expand the program to provide the program to every school in Thunder Bay. We would also be able to hire a staff person to coordinate the program and assist the Coalition to develop and implement a sustainability plan. A12. Which, if any, of OTF s granting priorities will your proposal primarily address? (Please select one): Enhanced success for students and learners Healthier and more physically active Ontarians Enhanced employment and economic potential for workers and their families More effective volunteers and more people engaged in their communities Other (select this option if your proposal does not address any of the above OTF granting priorities but otherwise meets our granting principles and assessment criteria and responds to a local or provincial need) Which other OTF granting priorities (if any) does your proposal address: Enhanced success for students and learners Healthier and more physically active Ontarians Enhanced employment and economic potential for workers and their families More effective volunteers and more people engaged in their communities A13. What is the main sector that will benefit from the grant? (Please select one): Arts and culture Environment Human and social services Sports and recreation What other sectors will benefit from the grant? (Please select all others that apply): Arts and culture Human and social services Environment Sports and recreation September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

9 The Ontario Trillium Foundation grant application Section A: General information A14. Some proposals are directed at residents of a community in general while others are directed at a particular group or groups. Is your proposal directed at residents of your community in general? Yes No If you answered no, does your proposal primarily serve any of the populations or age groups listed below? People with disabilities Yes No Children (0-12) Yes No Francophones Yes No Youth (13-18) Yes No First Nations Yes No Adults (19-64) Yes No Métis or other Aboriginal community Yes No Seniors (65+) Yes No Ethnocultural and racial minority communities Yes No Women Yes No A15. Will this proposal benefit people living in: Rural or small communities (villages, towns or unorganized districts with populations of 20,000 or less)? Yes No Mid-size communities (urban centres with populations between 20,000 and 100,000)? Yes No Large urban centers or metropolitan suburbs (populations of 100,000+)? Yes No A16. How did you hear about OTF? (Choose all that apply): M.P.P. OTF staff Public service announcement Newspaper OTF website Word of mouth OTF presentation Previous OTF application Other (please specify) A17. If you have previously applied for OTF funding provide Request I.D. No., if available. Currently receiving funding from the OTF under Request ID Number September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

10 The Ontario Trillium Foundation grant application Section B: Tell us about your organization If you are completing your application by hand and require more space to answer certain questions, you may provide your answers on a separate page. Please ensure you identify the number of the question you are answering. B1. What is your organization s mandate and mission? Our Kids Count (OKC) is a community development project aimed at fostering the health and development of children age 6 and under in families in need of support. This project involves families in all aspects of program planning, implementation and evaluation. B2. What are your organization s typical activities (e.g. programs, courses, events, services)? OKC delivers programming through a variety of methods. We are currently offering programs in three Family Resource Centres, in neighbourhoods in the City of Thunder Bay. At these centres, parents are able to register for skill building and/or educational programs, while their children are cared for by trained Early Childhood Education workers. Examples of programs we have run include community kitchens, parenting, and budgeting. Two of these programs are designed specifically to meet the needs of Young Parents (parents under 22). In addition to programs that are running at the Resource Centres, we have also facilitated an Infant Rhymes and Rainbows program at an off-site location. Participants are also able to access services through One-to-One programs, such as Home Visiting or pre/postnatal educational sessions with our staff nurse. These programs would take place in the participants own home. B3. Who takes part in your organization s activities or programs or who uses your services? Please give the approximate numbers of current members, participants, audience members and/or clients. Our programs are open to all citizens in the City of Thunder Bay, who have children under the age of six. This also includes expectant mothers. During the fiscal year , Our Kids Count Programs provided services to 144 pregnant and postnatal (under 6 months) families, and 497 families, with 725 children. This translates to roughly 4180 visits from families, and 5090 visits from children. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

11 The Ontario Trillium Foundation grant application Section B: Tell us about your organization B4. How does your organization reach out to members of your community who have not traditionally been involved in the activities you offer? OKC is a community development organization that relies heavily on our commitment to reach families that do not traditionally access our programs. We have had great success in accomplishing this through our outreach tool of door knocking. Our front line workers will go door to door in their communities, to make contact with hard to reach populations. By meeting and talking with families at the door we learn which programs they would like to see offered. Follow up calls are made to these families, to encourage them to attend the centre. B5. What groups does your organization work with in the community? Provide examples of the ways you work together. We are currently involved in a number of partnerships with organizations in the city such as: the United Way, the Thunder Bay District Health Unit (through Fairstart, Health Promotions and the Healthy Babies/Healthy Children Program that we administer), Ontario Works, Children's Aid Society, Dilico, and Children's Centre Thunder Bay. We also partner with a number of schools (and the three School Boards within Thunder Bay), community centres, churches, neighbourhood police offices, as well as numerous organizations in and around the city. Our administrative office is located in conjunction with the Communities Together for Children/Ontario Early Years Centre in Northwood Mall. This allows for easy access of information and services for staff of both organizations. Our resource centre in Westfort is located with the Confederation College's Children and Family Centre. This has proven to be a beneficial partnership, as participants are able to access programs run by both organizations. There is support to all programs by staff of both organizations, thus reducing the financial strain to each organization, to staff all programs. Most recently, we have entered into an exciting new initiative to operate a new resource centre together with Confederation College Children and Family Centre and Dilico Ojibway Child and Family Services Dilico Family Preservation Program. Other community agencies(such as Ontario Works, Thunder Bay District Housing) are also involved to create a hub-model of service for families. B6. What major challenges and successes has your organization experienced recently? How did your organization respond to these challenges and successes? Our major challenge lately has been a lack of funding for initiatives that we feel are crucial to Our Kids Count, in particular the Roots of Empathy Program. This program has a high intensity of involvement as a commitment is made to each school for the entire school year. To continue to find funding has been a challenge. At all levels(schools, parents, community agencies), it is felt that this is a program that is making a difference in our community, one classroom at a time. Unfortunately, no new funding has been forthcoming and since we feel that this is an important program to run, we are once again applying to the Ontario Trillium Foundation. On a more positive note OKC, together with the Thunder Bay Roots of Empathy Coalition members, was successful in securing a grant through the National Crime September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

12 The Ontario Trillium Foundation grant application Section B: Tell us about your organization Prevention Strategy(ending July 2006).This enabled us to provide the program for the past two years in our community. This demonstrates our commitment to the Roots of Empathy program and our ability to work together with our community partners to support this program. In addition, the Thunder Bay Roots of Empathy Coalition was able to sustain the coordination of the program for the present school year, in 14 schools with one time funds secured from the Thunder Bay District Health Unit and the ROE National office. However, without a new training session, we were unable to meet the demand for the program and 11 school classrooms did not receive the program that requested it.. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

13 The Ontario Trillium Foundation grant application Section C: Tell us about your proposal If you are completing your application by hand and require more space to answer certain questions, you may provide your answers on a separate page. Please ensure you identify the number of the question you are answering. C1. Workplan Please complete the Workplan included on page 14 or available on the OTF website and submit it with your application. For multi-year applications, include a plan for each year of your application. A Tip Sheet for completing the Workplan is available in the Tools and Tips section of the OTF website. See attached workplan. C2. Explain why your proposal is important. Clearly state how it fills a gap, meets a need, develops a skill, builds on an opportunity, solves a problem, etc. If available, provide research or statistics that demonstrate interest in or a need for your proposal. Today s children receive daily exposure to violence and aggression in the news, on T.V., and in video games. Society s harsh tone needs to be actively countered in the classroom. The current focus on scholastic basics leaves little opportunity or method for fostering social and emotional learning. The result is a generation who may excel in academic literacy, but operate without a literacy of feelings. Promoting students social and emotional skills, as Roots of Empathy is proven to do, plays a critical role in improving their academic performance. Like all abilities, empathy is strengthened through practice. When children are able to understand another s point of view and respect their feelings, aggressive behaviour is less likely to occur; there is a positive effect on the tone of the classroom, creating a climate of social inclusion and contributing to safe and caring schools. Roots of Empathy provides a vital foundation in emotional literacy that students will use now and in the future, to build relationships with their peers and their own children. This can have a direct impact on bullying and future levels of family and societal violence. The principle of Roots of Empathy is that to build a civil society, we need to be able to understand and respond to the needs of others, as well as articulate our own. At the heart of the Roots of Empathy curriculum is an infant whose success is entirely dependent on his or her ability to express his or her needs to the parent. Elementary classrooms, Kindergarten to Grade 8, adopt a neighbourhood parent and infant for the school year. A certified Instructor visits the classroom once a week working with a specialized curriculum to coach students in observing baby's development, celebrating milestones, interacting with baby and learning about infant needs and temperament. Every three weeks, the Instructor is joined by the parent and infant. Through watching, listening, and asking questions, students witness the growing of a bond between parent and infant, and the evolution of the child s ability to communicate. With age-appropriate instruction in neuroscience and by learning to compare their own feelings and September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

14 The Ontario Trillium Foundation grant application Section C: Tell us about your proposal temperament with those of a baby, children learn lessons that they can apply to relationships in the classroom and throughout their lives. In February 2002, a Community Forum was hosted by the Thunder Bay District Health Unit to discuss ways to reduce the levels of family violence in Thunder Bay. The participants, who represented many agencies dealing with this issue, identified the Roots Of Empathy program as one initiative that they wanted to see made available in Thunder Bay and region. Since then, the ROE program has been well received locally. The demand for the program continues to increase, as teachers request the program in their classrooms over subsequent years and other teachers learn about the positive effect of the program and request it for their own classes. In fact, the demand for the program exceeds our Instructor availability. It is imperative that we continue to deliver the program and to expand. Research indicates that 50% of academic success is based on traditional intelligence, the rest relies on social and emotional literacy (Liff, 2003). In fact, a deliberate and comprehensive approach to teaching children social and emotional skills can: Raise their grades and test scores Bolster their enthusiasm for learning Reduce behaviour problems Enhance the brain's cognitive functions (Education Week, 2003) **Research conducted by the University of British Columbia has demonstrated that the ROE program is effective at reducing levels of aggression in children while increasing pro-social behaviours. Findings from this research yielded empirical support for the efficacy of the Roots of Empathy curriculum. Specifically, Roots of Empathy children, relative to comparison children, demonstrated significant improvements from pre-test to post-test in the following areas: Increased emotion knowledge Increased social understanding Increased pro-social behaviour with peers Decreased aggression with peers Decreased proactive aggression (e.g. bullying) Roots of Empathy is involved in ongoing university level research in both Canada and Austrailia. A longitudinal study is currently being conducted along with research that is supported by the government of Ontario, Manitobia and the J.W. McConnell Family Foundation. (see appendix 2) In addition, the year end evaluation completed by all schools participating in the program continues to support Roots of Empathy as a valuable program. Local community statistics also identify a need for this program. The City of Thunder Bay Children s Aid Society reports that Thunder Bay has a large number of children in need of protection, our children are reported to have the 2nd highest rate of poverty in all age groups, and Thunder Bay has a higher rate of teen pregnancy than the rest of Ontario. The Thunder Bay Police Statistical Report 2001 reports an increase in the number of youths charged with crimes of violence as 16% from Of all youths charged with violent crimes in 2001, 89% of them were classified as assaults. Bullying is a problem in schools in Thunder Bay and across the country. In fact, 1 in 7 children are bullied and peers are present in 85% of bullying episodes on the playground and in classrooms (Peppler and Craig 1995). The incidence of bullying and aggression experienced by school children is immediately problematic. Beyond September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

15 The Ontario Trillium Foundation grant application Section C: Tell us about your proposal the fact that no child should ever be made to feel vulnerable, insecure, threatened or victimized by violence, aggression in the school environment can inhibit learning and create interpersonal problems for children. Moreover, high levels of childhood aggression are problematic in the long-term as it is a significant predictor of adult criminal behaviour and other anti-social behaviours (Huesmann et al., 1984). Therefore, in the short term and long term, bullying and aggression can lead to negative outcomes for both the bully and the victim. Schools have a responsibility to protect their students from being a recipient and/or perpetrator of aggression. There has been an increasing emphasis on the use of universal, school-based primary preventative interventions for reducing aggression and promoting social-emotional competence but few of these school-based programs have sound research supporting their effectiveness (Durlak & Wells, 1997). In contrast, the efficacy of the Roots of Empathy Program is evidenced-based. Roots of Empathy has been identified by the Ministry of Education as meeting all of their criteria for effective bullying prevention programming. C3. Describe who, specifically, in your community will benefit from the proposal and, if you are applying to the Province-Wide Program, identify the communities you will reach across Ontario. Students in Kindergarten to Grade 8 in Thunder Bay and in rural schools will benefit from the program. Currently, 14 classrooms receive the program each year which is approximately 400 students. Through this funding application we wish to hold two additional training sessions which would result in a minimum of an additional 20 instructors trained to deliver the program. With 34 instructors delivering the program approximately 1,000 students would benefit from the program each year. In addition, infants from ages 2 months to 1 year and their parents who participate in the program will also benefit greatly. Society and the community at large will also benefit from this program. The incidence of bullying and aggression experienced by school children is immediately problematic. Beyond the fact that no child should ever be made to feel vulnerable, insecure, threatened or victimized by violence, aggression in the school environment can inhibit learning and create interpersonal problems for children. Moreover, high levels of childhood aggression are problematic in the long-term as it is a significant predictor of adult criminal behaviour and other anti-social behaviours (Huesmann et al., 1984). C4. Describe how your proposal supports the granting priorities of the Ontario Trillium Foundation, if applicable. Quality education includes the education of the heart as well as the head; it includes a focus on the whole person the cognitive, affective and behavioural domains of learning. It means preparing students to be concerned citizens who have empathy and respect for people within their increasingly diverse communities. It means providing opportunities for students to understand deeply the importance of civic engagement and what it means to be a global citizen in an increasingly interdependent global September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

16 The Ontario Trillium Foundation grant application Section C: Tell us about your proposal community. An approach to teaching that is infused with character development is education at its best. Avis Glaze, 2006 Finding Common Ground: Character Development in Ontario Schools, K-12 A comprehensive mission for schools is to educate students to be knowledgeable, responsible, socially skilled, healthy, caring and contributing citizens. Greenberg et. Al., 2003 The third basic, well being, is one we all know about but do little to invest in, even though it unlocks just about everything else. A good, concrete example of what I am talking about is the Roots of Empathy program... Michael Fullan quote from Turnaround Leadership 2006 Enhanced student success will be increased through the following ways Teaching Empathy - Students learn the ability to see and feel things as others see and feel them. This ability is central to good parenting and to successful social relationships. When children have empathy, they develop compassion and tolerance, and aggressive behaviour is less likely to occur. Demonstrating Attachment- As students observe the growth of the bond between infant and parent over the course of the school year, they learn the importance of warm, responsive care. Teaching Emotional Literacy Children learn that they are respected, they identify, label and talk about feelings and they validate themselves and others as individuals. Teaching Inclusion - Children practice skills of social inclusion and learn to value different opinions and pathways to competent parenting. Diversity is celebrated as families reflect many races, cultures, religions and abilities. Teaching Infant Development - Children observe the period of incredible growth and development of their baby between 2 and 4 months up to their first birthday at the conclusion of the program. Teaching Infants Safety and Anti-Abuse Strategies - Children are sensitized to Sudden Infant Death Syndrome, Shaken Baby Syndrome, Fetal Alcohol Spectrum Disorder, the dangers of second hand smoke and child abuse prevention. As students cultivate empathy, there is every hope that domestic violence in their adult lives will be reduced. Teaching Temperament Children gain insights into their own temperament and understand their baby's difficult temperament traits. The overall message is one of acceptance and respect for individual differences. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

17 The Ontario Trillium Foundation grant application Section C: Tell us about your proposal Allowing for Participatory Democracy - Principles of democracy, consensus building and intrinsic motivation thrive in the ROE classroom and create a tone that is friendly and participatory. The focus of Roots of Empathy in the long term is to build capacity of the next generation for caring and compassionate citizenship and parenting. In the short term, Roots of Empathy focuses on raising levels of empathy, resulting in more respectful and caring relationships and reduced levels of bullying and aggression. Part of our success is the universal nature of the program; all students are positively engaged instead of targeting bullies or aggressive children. Roots of Empathy strives to break the intergenerational cycle of violence and poor parenting and create peaceful, safe classrooms, neighbourhoods and communities. C5. Describe your organization s ability to carry out the activities and achieve the goals of your proposal. The Roots of Empathy Coalition is comprised of exemplary leaders(see attached list of Coalition members), both in their respective organizations and within the community. Our members are highly skilled in the areas of child development, administration, education, health promotion and prevention programming, service delivery and community mobilization and development. Together, we have had years of experience in leading and implementing successful projects. Each member brings extensive networks to the Coalition, connections which are critical to the great local success of Roots of Empathy. The Coalition has established strong community relationships to date, and continues to seek partnerships to further enhance the success of the program. This program and the hard work and dedication of the Coalition have positively affected all students, families, school staff and communities, Instructors and funders involved. OKC has many diverse and talented staff, including qualified and very experienced Early Childhood Educators, Lactation and Community Nurses, a Nutritionist and a Social Worker, all with strong community development backgrounds. We also employ staff with administrative, evaluative and accounting backgrounds. Our Kids Count has a very high profile in the community of Thunder Bay. The many committees we are represented on and the many strong partnerships we are part of, both directly and indirectly, display this. OKC presently has representation on the following committees: The Prenatal Subcommittee, the Healthy Early Years Network, the Food Action Network and the Thunder Bay Children s Charter Coalition to name a few. Our Board of Directors has representation from the Children s Aid Society, Children s Centre Thunder Bay, District Social Services Administration Board/ Child Care Division, Retired Principal, Catholic Family Development Centre and six parents from our communities. OKC is also working with a) the Thunder Bay District Health Unit to deliver Home Visiting services to their Healthy Babies/ Healthy Children Program b) the Children and Family Centre through Confederation College to provide direct service to the Westfort Family Resource Centre/ June Steeve Lendrum Famiy Resource Centre c) the United Way as a Funded Agency receiving support for our nutritional September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

18 The Ontario Trillium Foundation grant application Section C: Tell us about your proposal programs. C6. List any partner organizations involved in planning, doing or evaluating the work, if applicable. Our coalition is involved in planning, implementing and evaluating Roots of Empathy. Organizations involved with Roots of Empathy are:thunder Bay District Health Unit, Lakehead Public School Board, Thunder Bay District Catholic School Board, NorWest Community Health Centre, Communities Together for Children/Ontario Early Years Centre, Conseil scolaire de district catholique des Aurores boreales,association des Francophones du Nord-Ouest de l'ontario, ROE National Office, Dilico Ojibway Child and Family Services,Urban Aboriginal Strategy Program, Rural Family Resource Program, Anishnawbe Mushkiki and the Children's Aid Society. The above organizations have partnered with us to help coordinate the program as well as supply staff to deliver the program.. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

19 The Ontario Trillium Foundation grant application Section C: Tell us about your proposal C7. How many volunteers and volunteer hours will be contributed to this proposal? Describe how you will track this volunteer contribution and any plans to recruit and train these volunteers. We would anticipate the recruitment of 5 volunteer instructors per year of this grant, for a total of 10 volunteers in addition to the 2 volunteers we currently have. Volunteer hours would approximately be 1,540 for the duration of this project. Administration and management of the volunteers would be conducted by the OKC Volunteer Coordinator in accordance with their established protocol. C8. If part of the work you will undertake with OTF funding needs to be sustained beyond the time covered by this grant, explain how it will be continued. A sustainability plan will be developed during the first 6 months of this grant. Work is currently being conducted to meet with the school boards, service clubs and United Way to identify future funding opportunities. Other foundations and corporate sponsors will be researched and proposals will be developed. However, should this not be a viable option, the present instructors and the volunteer instructors would be able to continue the program as it is now. Meetings have already been held with the School Boards and we are presently exploring ways that the School Boards may be able to provide some financial assistance in the future through their Character Building Initiatives. Ensuring sustainability is a pirority for the Coalition and all partners are committed to working on this to the best of their abilities. As part of this plan, the coalition will explore ways that each member would volunteer to assist with the ongoing coordination and maintenance of the program in the future, should funds not be secured. In addition, OKC is very committed to the sustainability of the ROE program and they are dedicated to incorporating some of the coordination for the ROE program into their work. C9. How does your proposal make your organization s programs/services more accessible to members of your community? Please comment on all barriers to participation including geographic, cultural, economic, as well as physical barriers. The goal of the Thunder Bay ROE Coalition is to have the Roots of Empathy program in every school in Thunder Bay. With additional funding we will increase our capacity to reach other schools that have been on a waiting list. The program will be accessed by an increased number of children for years to come, years beyond the two year funding that Trillium will provide. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

20 The Ontario Trillium Foundation grant application Section C: Tell us about your proposal We will also be able to reach out to rural schools who often do not receive as many programs due to the isolation factor. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

21 Please refer to the Attachments Checklist and include four (4) copies of all the required attachments with your application. Declaration I confirm that the information contained in this application and the accompanying documents is true, accurate and complete. I acknowledge that if this application is approved, I will be required to enter into a formal, legally binding agreement with the Ontario Trillium Foundation that will outline the terms and conditions of the grant. Name and signature of the chair or president of board of directors: Name: Title: Signature: Date: If this is a collaborative application, it should be signed by the chair or president of the lead applicant s board of directors. If this application is from a small municipality, it should be signed by a designated signing authority. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

22 Attachments Checklist Please read the following instructions carefully and ensure that you submit four (4) copies of all the required attachments with your application. Applications will not be reviewed unless we receive all the required attachments. Attachments 1-7 must be submitted by all applicants. Attachment 1 Proof of eligibility For single applicants, attach a complete copy of documents that confirm the eligibility of the organization. These include letters patent, notification of registration of charitable status or special act of incorporation. For First Nations, we require a band council resolution authorizing the application. Métis and other Aboriginal communities should include proof of organizational status such as letters patent or registration of charitable status. Unincorporated branches, chapters or member agencies of provincial or national organizations must submit proof of eligibility of the provincial or national organization. For collaborative applications, submit proof of eligibility for the lead applicant only. Attachment 2 OTF Request Budget Form (See attached form) A tip sheet for completing this form is available in the Tools and Tips section of our website or by calling us. Attachment 3 Workplan Please complete the Workplan included on page 14 or available on the OTF website and submit it with your application. For multi-year applications, include a plan for each year of your application. A Tip Sheet for completing the Workplan is available in the Tools and Tips section of the OTF website. Attachment 4 A list of your elected board of directors This list must include names, board positions, telephone numbers, and addresses. Also indicate board members occupations if relevant to their participation on the board. If the application is from an unincorporated branch, chapter or member agency of a provincial or national organization, attach the list of the board of directors for both the provincial or national organization as well as that of the branch, chapter or member agency. If the application is from a collaborative, provide a list of members of the lead applicant s board of directors. If the application is from a municipality, local services board or First Nation, attach a list of the members of council or band council. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

23 Attachments Checklist Attachment 5 Financial statements Attach financial statements for the two most recent completed fiscal years. If gross annual revenues are in excess of $250,000 for the two most recent completed fiscal years, you must submit financial statements that have been audited by a licensed public accountant. If gross annual revenues are between $100,000 and $250,000 for the two most recent completed fiscal years, we prefer that you submit financial statements that have been audited or reviewed by a licensed public accountant. If these are not available, you may submit internally prepared financial statements that include both a statement of revenues and expenses and a balance sheet. If gross annual revenues are less than $100,000 for the two most recent completed fiscal years, you may submit internally prepared financial statements. Your internal financial statements must include a statement of revenues and expenses and a balance sheet. If your organization does not prepare financial statements you may use the Financial Statement Form available under Templates and Examples in the Tools and Tips section of our website. If the application is from an unincorporated branch, chapter or member agency of a provincial or national organization, attach financial statements for both the provincial or national organization and the local branch, chapter or member. If the application is from a collaborative, attach financial statements for the lead applicant. If financial statements are produced for the collaborative, attach these as well. Attachment 6 Current operating budget This is a forecast of revenues and expenses for the organization s current complete fiscal year. Please indicate your fiscal year end. Your operating budget should not include the requested OTF grant in the revenues or any related expenses. Explain any major increases or decreases in operating revenues from the previous year. If the application is from an unincorporated branch, chapter or member agency of a provincial or national organization, attach the current operating budgets for both the provincial or national organization and the local branch, chapter or member agency. If the application is from a collaborative, attach the current operating budget for the lead applicant. If an operating budget is prepared for the collaborative, attach this as well. Attachment 7 List of three references The three external references you choose should be knowledgeable about your organization, the work it does in the community and its capacity to implement the proposal. They should be experts in your field or members of other organizations you have worked with, and/or belong to other agencies from which your organization has received funding. Telephone numbers and, if available, addresses are required. Please ensure your references are familiar with your application. Letters of reference are not required. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

24 Attachments Checklist The following attachment is required only for collaborative applications: Collaborative agreement If you are applying as a collaborative attach a copy of the collaborative agreement signed by each member of the collaborative. A Tip Sheet for writing a collaborative agreement is available in the Tools and Tips section of our website or by calling us. The following attachment is required only for municipal applications: Cover letter All municipal requests must include a cover letter confirming that: the municipality has a population of 20,000 or less (most recent census); is not in default under Part III of the Municipal Affairs Act; and is not applying for costs that have been previously funded by the municipality. A sample letter is available under Templates and Examples in the Tools and Tips section of our website or by calling us. The following attachment is required only for unincorporated branches, chapters or member agencies of provincial or national organizations: Letter from provincial or national organization A letter from the provincial or national organization authorizing the application and acknowledging its responsibility for the grant. A sample letter is available under Templates and Examples in the Tools and Tips section of our website or by calling us. The following attachments are required only if the application involves capital funding for renovations and/or equipment purchases: A five-year lease agreement, proof of ownership, or land use agreement of the building that will be renovated or of the lands to be improved. Estimates from two different suppliers for each item of equipment in excess of $1,000 and from two contractors for the proposed renovations. Photographs of all areas of the building where renovations will take place. For projects involving accessibility-related improvements: A complete description of the proposed improvements. Scaled and/or dimensional line drawings of sufficient detail to fully represent the proposed modifications (an example of line drawings is available under Templates and Examples in the Tools and Tips section of our website or by calling us). Photographs of the building s entrance to confirm that it is accessible, if application is for interior work only. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

25 Attachments Checklist The following attachment is required only for applications requesting operating or project grants of more than $250,000: Evaluation plan A Tip Sheet on evaluation planning is available in the Tools and Tips section of our website or by calling us. The following attachments must be submitted only if applicable: Explanation of any significant surplus or deficit If your organization is reporting, in the financial statements for its most recent completed fiscal year, an accumulated surplus equal to more than 12 months operating expenses, explain the source of this surplus and any plans for its use. If your organization is reporting, in the financial statements for its most recent completed fiscal year, an accumulated deficit, explain how the deficit was created and your plan for eliminating it. Your most recent annual report If your organization produces an annual report, include the most recent report with your application. Summaries of studies or reports If you mention studies or reports in your application, please provide executive summaries. Summary of duties, qualifications and salary ranges If you are requesting OTF funding to pay the salary and benefits of staff, please include a summary of duties, qualifications and salary ranges for each position for which you are requesting OTF funding. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

26 The Ontario Trillium Foundation grant application OTF Request Budget Form List all items related to your request for OTF funds in the most appropriate categories below. If you are applying for a multi-year grant, complete a separate form for each year of your request. A Tip Sheet for completing this form is available in the Tools and Tips section of our website or by calling us. Year: Income Contact Information Item Total expenses 1 Requested Income from other sources 2 In-kind contributions 3 Income OTF Confirmed Potential Confirmed Potential Source and contact person 4 Telephone and Salaries and Benefits (Permanent and contract staff) Program Costs (Program-related expenses such as materials, resources, transportation, promotion) Administration (Rent, insurance, office supplies, fax/phone, Internet and accounting and legal fees) Capital (Computers, office furniture, equipment, renovations, repairs) Evaluation Miscellaneous (Please specify) TOTAL 5 1. Itemize all costs over $1,000 and, on a separate page, provide budget notes that explain the details of these costs (e.g. salary $12,480 = 20 $12/hour for 52 weeks; or $5000 flooring = 250 square feet at $20/foot). 2. Please include sponsorships, donations, grants and other financial assistance. 3. Include your own contributions to the cost of the initiative and those in-kind contributions of your donors and community partners. 4. Specify the source of confirmed and potential income (including in-kind contributions) and provide the name, phone number and address of your contact person with each source of funding. 5. Your total expenses should balance with the total of all income and contributions. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION w w w. t r i l l i u m f o u n d a t i o n. o r g 13

27 Workplan Please use this form to respond to Question C1 in the application. As always, use the simplicity or complexity of your initiative to guide you about the level of information you provide. The information you provide in the table is important for the review and assessment of your application. It will also form the basis of our Letter of Agreement and your reporting requirements, if your application is successful. For multi-year applications, include a table for each year of your application. 1. Expected results What do you want to accomplish? 2. Activities How will you accomplish it? 3. Performance indicators How will you know you ve accomplished what you wanted to? Of special note: For equipment requests: If training is required, describe who will provide it and what it will cost in your list of activities. List the people who will be trained and state whether they will eventually train others. For operating requests: Describe what activities your organization will carry out during the grant term, including the activities needed to ensure your operations will be continued after the grant ends. For renovation and repair requests: Under activities, list all approvals, licenses or permits needed to ensure renovations and repairs meet building codes or regulations. Also, please describe how you will address any insurance or liability issues. September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION w w w. t r i l l i u m f o u n d a t i o n. o r g 14

28 Instructions: This Workplan has three elements: Expected Results, Activities and Performance Indicators. Please look at the descriptions and examples below and then fill out the table. Expected Results What do you want to accomplish? Describe the changes you hope will occur: your goal or desired outcome. Use Results or Change Words: Improve Reduce Enhance Expand Decrease Prevent Maintain For example, Increase in the number of youth who participate in environmental activities in their communities Increase in community capacity Activities How will you accomplish it? List the tasks or things you will do to achieve your goal. Use Activity or Action Words Conduct Deliver Facilitate Promote Train Provide Repair For example, Recruit and facilitate an information session for youth about how to become engaged in environmental causes Train community organizations about collaboration and resource sharing Performance Indicators How will you know you ve accomplished what you wanted to? Identify things that will show you are achieving the results you are planning. Use Indicator or Description Words: Quantitative o Numbers o Percentages Qualitative o Perceptions o Feelings o Attitudes For example, 75% of youth report engaging in environmental activities in their communities Community organizations work together in new ways Still unsure? Another way to think of it is: Activities Expected Results Performance Indicators September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION w w w. t r i l l i u m f o u n d a t i o n. o r g 15

29 Final Checklist Before submitting an application, we recommend that applicants complete the following checklist to ensure their applications are complete and ready for submission I have read the Program Guidelines and Instructions for OTF grant applicants. I have discussed my proposal with program staff at the Ontario Trillium Foundation. I have attached four copies of the completed application form and answered all applicable questions in sections A, B and C. I have attached four copies of the completed Workplan. I have attached four copies of attachments 1-7 and all other attachments that apply to my proposal. The declaration has been signed by the chair or president of the board of directors or a person with designated signing authority. I have contacted my references and they are familiar with this proposal. I understand the application and all supporting documents must be sent to: Ontario Trillium Foundation 45 Charles Street East, 5 th Floor Toronto, ON M4Y 1S2 September 2006 THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

30 August 2007 June 2008 Objective: To expand the ROE program to ensure that every school in Thunder Bay will receive the program and to provide continued coordination of the program. Expected Results Activities Performance Indicators 1. Increase the number of classrooms that will participate in the ROE 2. Coordinate training Recruit a minimum of 10 new classrooms within the city and rural Thunder Bay respectively and maintain the current 14 classrooms Ensure all school boards are receiving ROE programs One training session will be held in August 2007 for new instructors One day refresher will be scheduled for early in 2008 for new instructors 24 classrooms received the ROE program within the city of Thunder Bay and surrounding area Increased # of students receiving the program Increased # of programs being offered to each school board Increased # of certified instructors 100% completion of the classroom evaluation and one day training Classroom evaluation of new instructor 1

31 3. Recruit and match instructors, families and classes who will participant in the ROE Program Through letters, presentations, posters, media events and discussions with school boards, principals, teachers and agencies servicing pre-natal mothers Recruit stakeholders to provide in - kind hours for instructors Recruit volunteers for the program through the volunteer coordinator Increased # of families, instructors and classrooms, # of presentations, media events etc. Increased # of in-kind hours Increased # of volunteer hours 4. Provide all instructors with materials, individual and group support Distribute the toys and books to new instructors Update toys and books for instructors Coordinate and facilitate network meetings for instructors Continue Professional Development sessions for instructors # of toys and books provided Increased attendance to network meetings and Professional Development sessions Increased number and variety of sessions offered to the instructors 2

32 5. Continue to employ a Coordinator Coordinate regular meetings of the Coalition Liaise with the Provincial Coordinator and National office Continue to identify key stakeholders/people who should be involved with the program Recruitment of families, schools and instructors Deliver the program in a classroom Increased communication and planning for the Coalition members Increased # of members on the coalition # of families, schools and instructors 6. Increase the community awareness of the ROE program Develop media awareness plan Arrange partner/public awareness and promotion initiatives. Complete 26 sessions of the ROE program Increased # of presentations Increased # of articles in media and other promotional sources Year end celebration of achievements for families, teachers, principals, instructors and potential recruits. Increased attendance at the year end celebration 3

33 7. Complete evaluation Feedback secured from Teacher, student and instructor evaluations by year end Compile evaluation results to determine if ROE objectives are being met 8. Develop a sustainability plan Plan that invites community partners, business and schools boards to put together a sustainability plan Compile previous years program results to present to potential partners and funders Research and apply to other potential funders for permanent funding Present partnerships will continue(see collaborative agreement) Develop a safety plan to ensure the continuity of the program Increased # of feedback forms Increased emotional knowledge Increased positive social behaviours with peers Decreased aggression with peers ( bullying) Increased peaceful playgrounds and neighbourhoods # of meetings with potential funders statistics show an increase in the need for the program # of proposals written and sent Trained instructors available to implement the program in future years Students who have had the benefit of the ROE Program more likely to grow up as caring empathetic citizens Continued support from ROE National 4

34 August 2008 June 2009 Objective: To expand the ROE program to ensure that every school in Thunder Bay will receive the program and to provide continued coordination of the program. Results Activities Evaluation Plan 1. Increase the number of classrooms that will participate in the ROE program recruit a minimum of 10 new classrooms in the city of Thunder Bay and maintain the current 24 classrooms in the city and rural area Ensure all school boards are receiving ROE programs 34 classrooms received the ROE program in rural and city of Thunder Bay Increased # of students receiving the program Increased # of programs being offered to each school board Increased number of classrooms receiving the program 2. Coordinate training One training session will be held in August 2008 for new instructors One day refresher will be scheduled for early in 2009 for new instructors Increased # of certified instructors 100% completion of classroom evaluation and one day training Classroom evaluation of new instructors 5

35 3. Recruit and match instructors, families and schools who will participate in the ROE Program Review previous recruitment strategies to determine which avenues supported recruitment most effectively and focus on those areas Increased # of families, instructors and classrooms completing the 26 week program 4. Provide all instructors with materials, individual and group support Discuss with stakeholders the possibility of in kind hours for instructors Maintain current volunteers and continue with volunteer recruitment Distribute the toys and books to new instructors Update toys and books for instructors Increased # of in-kind hours Increased # of volunteers All instructors well equipped to deliver the program Coordinate and facilitate network meetings for instructors Continue Professional Development sessions for instructors Increased attendance to network meeting and Professional Development sessions Increased number and variety of sessions offered to the instructors 6

36 5. Continue to employ a Coordinator Coordinate regular meetings of the Coalition Regular Communications with Provincial Coordinator and the National office Continue to identify key stakeholders/people who should be involved with the program Implement the sustainability plan Increased communication and planning of the Coalition members to reflect the direction of the National office Increased # of members on the coalition 6. Increase the community awareness of the ROE program Continue implementing the media awareness plan Arrange partner/public awareness and promotion initiatives. Year end celebration for families, teachers, principals and instructors who were involved with ROE as well as principals and teachers who may be interested in the future # of funders providing secured dollars Increased # of presentations Increased # of articles in media and other promotional sources Increased attendance at the year end celebration Increased number of programs 7

37 7. Ensure the evaluation of the program is completed at the end of the year 8. Implement sustainability plan Recruit funders Feedback secured from all participants in the program. i.e. Teachers, principals, family, students and instructors Evaluates program delivery and completes program report Compare results from previous to present evaluation to determine if the goals of the program are being met Sign agreement with funders and agencies providing inkind hours Continue the sustainability plan that invites community partners, business and school boards to work together Compile previous years program results to present to potential partners and funders Research and apply to other potential funders for permanent funding Present partnerships will continue(see collaborative agreement) Increased number of feedback forms received from families, students and teachers. Increased emotional knowledge Increased positive social behaviours with peers Decreased aggression with peers ( bullying) Increased peaceful playgrounds and neighbourhoods # of funding partners secured # of dollars secured # of in- kind hours secured Trained instructors available to implement the program in future years Students who have had the benefit of the ROE Program more likely to grow up as caring empathetic citizens Continued support from ROE National Develop a safety plan to ensure the continuity of the program 8

38 9

39 Thunder Bay Roots of Empathy Coalition Terms of Reference 1. Purpose The purpose of the Roots of Empathy Coalition is: a) to develop a common understanding of the ROE Program and its value b) to promote the ROE Program among agencies c) to make recommendations regarding the planning, implementation and evaluation of the ROE Program 2. Membership The multi-disciplinary committee shall be composed of representatives from interested community organizations and individuals. 3. Roles and Responsibilities 3.1 To develop an implementation plan for ROE that shall include: schools and grades in which ROE will be offered criteria for classroom implementation of ROE process for selection of individuals to be trained as Instructors strategies for promotion of the Program organization of training and implementation methods of implementation of evaluation fundraising accountability and reporting and such other related items as may be appropriate 3.2 To implement the plan 3.3 To evaluate the ROE Program using the established evaluation tools 3.4 To report the results of the evaluation 4. Accountability The committee is accountable to: 4.1 The sponsoring agency and each individual participating agency 4.2 Roots of Empathy for implementation of the Program according to the ROE model 5. Officers 5.1 Chair The Chair shall be elected from the Coalition at the first meeting in September 5.2 Vice Chair The Vice Chair (optional) shall be elected from the Coalition at the first meeting in September Revised: June 23, 04 1 of 3

40 5.3 Secretary The Secretary shall be elected from the Coalition at the first meeting in September. 6. Responsibilities of Officers 6.1 Chair The Chair shall chair all meetings of the Coalition The Chair shall be the spokesperson for the Coalition The Chair shall direct the preparation of the Agenda The Chair shall sign the minutes of the meeting upon approval by the Coalition The Chair shall provide advice, direction and assistance to the Program between meetings as required by staff and as appropriate. 6.2 Vice Chair The Vice Chair shall assume the role of the Chair in her/his absence. 6.3 Secretary The secretary shall prepare and distribute the agenda The secretary shall take the minutes of the meeting The secretary shall distribute the minutes of the meeting to Coalition members within 7 days of the meeting The secretary shall issue notice of the meetings. 7. Quorum 7.1 A quorum shall be a majority of members of the Coalition 8. Voting 8.1 Each member of the Coalition including the Chair shall have one vote 9. Decision Making 9.1 Decisions shall be made by majority vote of the Coalition 9.2 A tie vote is defeated 10. Meetings 10.1 Meetings shall be held monthly, or as needed, as agreed upon by the Coalition. 11. Agendas 11.1 The agenda format will be as follows: I Call to order II Approval of agenda III Minutes of previous meeting IV Unfinished business V Reports VI New business (arranged in order of priority) VII Date of next meeting VIII Adjournment Revised: June 23, 04 2 of 3

41 12. Amendment to Terms of Reference 12.1 These Terms of Reference will be reviewed annually at the September meeting and amended as appropriate 12.2 These Terms of Reference may be amended at any meeting upon the majority vote of the Coalition The above Terms of Reference for the Thunder Bay Roots of Empathy Coalition have been agreed to by at least a majority of the Coalition members. Date Approved Chair Revised: June 23, 04 3 of 3

42 Our Kids Count of Thunder Bay Inc. Board Members September 2007 June 2008 Scott Harris, Chair Name Home Address And Phone # 510 Ryerson Crescent Thunder Bay, ON P7C 5R Business Phone and Fax # and (home) svjharris@shaw.ca Rob Barrett, Vice Chair Catholic Family Development Centre 380 Dufferin Street P7B 1N6 311 South Marks Street Thunder Bay, ON P7E 1M (Cell) (fax) rbarrett@catholicfamilycentre.ca Rob Richardson, Past Chair Children s Aid Society 1110 Jade Court P7B 6M7 R.R. #1, John St. Road Murillo, ON POT 2GO (fax) rob.richardson@thunderbaycas.ca Silva Sawula, Secretary send mailings to: Children s Aid Society 1110 Jade Court P7B 6M Oriole Place Thunder Bay, ON P7K 1B (fax) silva.sawula@thunderbaycas.ca John H. Friday Children s Centre Thunder Bay 283 Lisgar Street P7B 6G6 Tara Gauld Project Researcher Centre for Rural & Northern Health Research (Mail to Home Address) Ross Judge Weiler Maloney Nelson William Street Thunder Bay P7B 6M1 130 Kamwood Drive Thunder Bay, ON P7J 1M Black Bay Road Thunder Bay, ON P7A 1P (cell) Apt Jasper Drive Thunder Bay, ON P7B 6R (fax) johnf@childrenscentre.ca (Part Time only) tgauld@shaw.ca (fax) rjudge@wmnlaw.com Website: Tara Silver, JSL Planning Team 441 York Street Thunder Bay, ON P7A 7S tasilver27@hotmail.com T:\LF-CL\WPC\2_Submissions\133_Our Kids Count\Current Board Members - Sept June 2008.doc Created on 9/25/2007 2:16:00 PM

43 Shirley Nisbet JSL Planning Team 283 Pearl Street Apt. 307 Thunder Bay, ON P7B 1E Stacey Jakobsen Academy Planning Team 488 Rupert Street Thunder Bay, ON P7B 3Y Mary Slipperjack Academy Planning Team 41 Trillium Way Thunder Bay, ON P7B 4J Melanie Gottfred Westfort Planning Team 1613 Centre Avenue Thunder Bay, ON P7E 2Y Melesa Hane Westfort Planning Team 714 West Mary Street Thunder Bay, ON P7E 4L T:\LF-CL\WPC\2_Submissions\133_Our Kids Count\Current Board Members - Sept June 2008.doc Created on 9/25/2007 2:16:00 PM

44 Financial statements This form may only be used by organizations with gross annual revenues of less than $100,000 that do not prepare financial statements. ORGANIZATION: Our Kids Count of Thunder Bay Inc. TELEPHONE: EXT.: (807) CONTACT NAME FOR FINANCIAL INFORMATION: Lorraine Person Balance sheet information YEAR END: 3/31/06 3/31/05 (ACTUAL)$ (ACTUAL)$ Assets Fixed assets (e.g. land, capital assets less depreciation) 70, , Other assets (e.g. cash, prepaid expenses) 158, , Total assets: 229, , Liabilities Mortgage, loans payable 70, , Other liabilities (e.g. bank overdraft/invoices outstanding) 131, , Total liabilities: 202, , Equity Externally restricted reserves (e.g. restricted for a specific purpose by funder) Internally restricted reserves (e.g. restricted by the board of your organization) Other reserves (e.g. unspent funds from previous years) or deficit 26, , (Total assets Total liabilities) = Total equity: 26, , CURRENT BUDGET $ Statement of income and expenditure Revenue Government revenue (municipal, provincial and/or federal) 580, , , (List amount received from each ministry/department separately) Grants from other funders (Rotary Club, United Way, etc.) 39, , , (List amount received from each funder separately) Fundraising revenue (bake sales, fundraising dinners, events, etc.) 5, , , (List net amount received from each activity separately) Other revenue (membership fees, etc.) 14, , (List revenue sources and amounts separately) Total revenues: 641, , , Expenses Salaries and benefits (incl. part-time/temporary staff) 405, , , Program costs (program-related expenses, materials, resources, etc.) 56, , , Administration (rent, telephone, electricity, etc.) 63, , , Capital expenses (computers, furniture, equipment, etc.) 51, , Miscellaneous expenses (volunteer and/or staff travel, etc.) 40, , , Total expenses: 617, , , Surplus (deficit): 23, , , Note: On a separate page, please record and give a fair market estimate of any in-kind donation (materials, computers, rent, etc.)

45 Our Kids Count/Roots of Empathy Coalition POSITION DESCRIPTION Title: Reports to: Roots of Empathy Coordinator Executive Director Our Kids Count Roots of Empathy Coalition Position Summary: The Roots of Empathy Coordinator supports and assists with the coordination of the Roots of Empathy Program. The Roots of Empathy Program is intended to build civil and peaceful societies by supporting the development of empathy in children. The program involves schools, families and children in the City of Thunder Bay. The position ensures classroom programs are set up, materials are purchased, families matched to classrooms, smooth operation of activities and effective implementation of the program. The promoter will set up relationships with schools, act as liaison between ROE head office staff and trainers, the school system, agencies, families and the coalition. DUTIES AND RESPONSIBILITIES: Annual Program Start-up: 1. Makes available information about ROE to interested school board personnel 2. Recruit schools to participate in the program 3. Recruit ROE families to participate in the program. 4. Link with the Roots of Empathy Head Office to ensure smooth operation of the program. 5. Liaise with ROE Instructors/ Mentor regarding their needs. 6. Order and distribute materials for the program. 7. Complete the matching of instructors, schools and families for each program site 8. Complete Program Location Forms, collect Classroom Information forms and forward them to the National ROE Office. Training: 1. Coordinates with ROE National to book Training date 2. Distributes Instructor Application forms to potential instructors and forwards completed forms, with recommendations to the Provincial Coordinator

46 3. Secures training locations and coordinates logistics of training, including dates, number of participants with Provincial Coordinator 4. Order through National Office and distribute all instructional materials for new instructors 5. Finds local families to participate in the training session 6. Organizes logistics of the One-day Refresher training for new instructors Program Maintenance: 1. Maintain regular contact with Instructors, Mentors, Coalition, School Boards and Provincial Coordinator 2. Organize presentations on the program for the broader community and the media. 3. In consultation with the Mentor, organizes Professional Development Workshops for veteran instructors twice a year. 4. Organize and participate in regular Roots of Empathy Coalition meetings. 5. Research potential funding sources and prepare funding proposals to expand the program and to ensure sustainability of the program. 6. Maintain accurate and detailed records of program activities. Complete funding reports. 7. Maintains clear and consistent communication with supervisor on program status. 8. Ensure the program is evaluated effectively Year End: 1. Together with the Mentor, Coalition and Instructors plans and hosts Baby Celebration event and ensures that all Student, Family, Teacher and Principal certificates have been presented. 2. Verifies that all ROE Instructors have distributed, collected, and sent personally year end feedback forms and evaluations to National Office. 3. Begin plans for annual start up for the next year.

47 QUALIFICATIONS/REQUIREMENTS: 1. Post secondary education in a related field is preferred. 2. An understanding of the Roots of Empathy program and experience as a Roots of Empathy Facilitator would be a definite asset 2. Demonstrated ability to work independently. 3. The use of a personal vehicle is required. 4. May be required to work irregular hours. 5. Awareness of community resources and organizations. Skills: 1. Excellent organizational, interpersonal and communication skills both written and verbal. 2. Interest and knowledge in violence prevention strategies and children s issues. 3. Skills in group facilitation and community development. 4. Familiarity with Microsoft Word, Excel, Outlook and PowerPoint beneficial. 5. Experience working in multidisciplinary teams and community coalitions an asset. 6. Experience writing and/or reviewing funding proposals. 7. Skills in media relations writing PSA's, doing interviews etc. 8. Presentation skills. PREPARED BY: Gladys Berringer

48 REFERENCES Terry Ellwood, Director of Education Lakehead Public Schools 2135 Sills Street Thunder Bay, ON P7E 5T2 (807) (office) (807) (fax) Karen McDaid, Executive Director Communities Together for Children 425 North Edward Street Thunder Bay, ON P7C 4P7 (807) (office) (807) (fax) Maureen Nault, Teacher Holy Family School Thunder Bay Catholic District School Board 2075 Rosslyn Road Thunder Bay, ON (807) Nicole Binette, ROE Parent and Instructor 36 College Street Thunder Bay, ON P7A 5J2 (807)

49 ROE Coalition Members Name Organization Phone # Fax # Address Bill Krezonoski Crestview Public School bkrezonoski@lakeheadschools.ca RR #1 Oliver Road Murillo, ON Genevieve Cernjul NorWest Community Health Centres gcernjul@norwestchc.org Simpson St. P7C 3J6 Scott Harris Retired Principal svjharris@shaw.ca Ryerson Cr. P7C 5R8 Gladys Berringer Our Kids Count gberring@tbaytel.net Ext #24 Northwood Park Plaza 425 N. Edward St. Allison Simeoni ROE KPP asimeoni@tbaytel.net Ext. #23 P7C 4P7 Northwood Park Plaza 425 N. Edward St. P7C 4P7 Celeste King cking@tbcdsb.on.ca Jennifer Learning TBDHU Jennifer.Learning@tbdhu.com Balmoral St. P7B 6E7 Linda Houston Conseil scolaire de District Catholique des Aurores Boreales lhouston@csdcab.on.ca N. High Street P7A 8C7 Silvia Arno CAS silvia.arno@cas.gov.on.ca Jade Ct. P7B 6M7 Shelia Marcinyshyn Anishnawbe-Muskiki sheilam@anishnawbemushkiki.org Ext. # Roystn Ct. P7A 4Y7 Laura Mastronardi Rural Family Resource Centre ruralfrc@tbaytel.net P.O. Box 39 Murillo, ON Lori Easton Communities Together for Children P0T 2G0 lori_easton@ctctbay.org N. Edward St. P7C 4P7

50 The Ontario Trillium Foundation grant application OTF Request Budget Form List all items related to your request for OTF funds in the most appropriate categories below. If you are applying for a multi-year grant, complete a separate form for each year of your request. A Tip Sheet for completing this form is available in the Tools and Tips section of our website or by calling us. Year: 1 Income Contact Information Item Salaries and Benefits Roots of Empathy Coordinator (Permanent and contract staff) Program Costs (Program-related expenses such as materials, resources, transportation, promotion) Administration (Rent, insurance, office supplies, fax/phone, Internet and accounting and legal fees) Total expenses 1 Requested Income from other sources 2 In-kind contributions 3 Income OTF Confirmed Potential Confirmed Potential Source and contact person 4 Telephone and 20,809 20,809 Gladys Berringer ext.23 gladysb@shaw.ca 37,000 Training session $25,000 Mileage for coordinator and volunteer instructors $2,000 Promotional /program supplies $ ,419 Administrati on cost for OKC 5,079 Phone $600 Internet Instructor kits $5,000 Flight and accomoda tion for trainer $2,000 Training space from Ontario Early Years Centre $400 Office rent from OKC $3,000 Classroo ms from Lakehead, Catholic and Lunches for training sessions provided by Coalition partners $600 School Boards: Terry Elwood Brian DePiero Linda Houston OEYC- Karen McDaid karen_mcdaid@ctctbay.org Coalition Members - see attached list for contact information Lorraine Person - OKC ext.21 lorrainep@tbaytel.net School Boardsas above THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

51 $300 Francoph one Boards $19,440 Capital (Computers, office furniture, equipment, renovations, repairs) Evaluation Miscellaneous (Please specify) 1,500 Program evaluation s are conducted and compiled by provinicial office $1, ,720 Veteran Instructors time to deliver the program 36,540 New instructors 26,100 School Staff- Teachers 19,440 ROE National Office See attached list of veteran Instructors To be determined To be determined THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

52 Education al assistants 3,240 Coalition members 10,800 Family Volunteer s 3,600 Use of Instruction al Materials Centre at Public and Catholic School Boards 3,000 To be determined See attached list of Coalition members To be determined Instructional Materials Centre Lakehead Public Schools TOTAL 5 190,448 55, , , Itemize all costs over $1,000 and, on a separate page, provide budget notes that explain the details of these costs (e.g. salary $12,480 = 20 $12/hour for 52 weeks; or $5000 flooring = 250 square feet at $20/foot). 2. Please include sponsorships, donations, grants and other financial assistance. 3. Include your own contributions to the cost of the initiative and those in-kind contributions of your donors and community partners. 4. Specify the source of confirmed and potential income (including in-kind contributions) and provide the name, phone number and address of your contact person with each source of funding. 5. Your total expenses should balance with the total of all income and contributions. THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION

53 The Ontario Trillium Foundation grant application OTF Request Budget Form List all items related to your request for OTF funds in the most appropriate categories below. If you are applying for a multi-year grant, complete a separate form for each year of your request. A Tip Sheet for completing this form is available in the Tools and Tips section of our website or by calling us. Year: 2 Income Contact Information Item Salaries and Benefits Roots of Empathy Coordinator (Permanent and contract staff) Program Costs (Program-related expenses such as materials, resources, transportation, promotion) Administration (Rent, insurance, office supplies, fax/phone, Internet and accounting and legal fees) Total expenses 1 Requested Income from other sources 2 In-kind contributions 3 Income OTF Confirmed Potential Confirmed Potential Source and contact person 4 Telephone and 28,538 28,538 Gladys Berringer ext.23 gladysb@shaw.ca 37,000 Training session $25,000 Mileage for coordinator and volunteer instructors $2,000 Promotional /program supplies $ ,090 Administrati on cost for OKC 6,650 Phone $600 Internet Instructor kits $5,000 Flight and accomoda tion for trainer $2,000 Training space from Ontario Early Years Centre $400 Office rent from OKC $3,000 Classroo ms from Lakehead, Catholic and Lunches for training sessions provided by Coalition partners $600 School Boards: Terry Elwood Brian DePiero Linda Houston OEYC- Karen McDaid karen_mcdaid@ctctbay.org Coalition Members - see attached list for contact information Lorraine Person - OKC ext.21 lorrainep@tbaytel.net School Boardsas above THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION THE ONTARIO TRILLIUM FOUNDATION GRANT APPLICATION