REQUEST FOR PROPOSALS COMMUNITY PROJECT FUNDING

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REQUEST FOR PROPOSALS COMMUNITY PROJECT FUNDING West Virginia University Extension Service, in collaboration with state and community partners will provide funding of $500 to $4,000 for community organizations in Barbour, Gilmer, and Pleasants counties. The purpose is to promote active, healthy environments and educational activities for young children (ages 2-5) and their families. If your organization is interested, please complete and submit the proposal below. These are one-time mini-grants. They are competitive, and will be objectively ranked by a selection committee. The total number of projects funded depends on the requested amounts and the strengths of the proposals. Eligible organizations must email the completed application by the deadline and they must comply with all guidelines and procedures. INSTRUCTIONS & APPLICATION Due August 1, 2016 GUIDELINES & PROCEDURES: One application per organization is permitted. An organization should be an entity with a tax ID number and the capacity to manage the funds and carry out the proposed project. The application must be complete and follow all instructions. Applications received after the deadline will not be considered. Requests may range from $500 to $4,000. Projects will be reviewed by a selection committee. They will be prioritized and funded based on the availability of funds. Projects will be given priority which show: 1. community/school collaboration 2. creativity 3. potential to effectively engage children (ages 2-5) and their families 4. sustainability (example: not one-time events) Funding decisions will be made and applicants notified by September 15, 2016. The period to complete the project is October 2016 to September 2017.

PLEASE NOTE: We reserve the right to request revisions to an application to improve the strategy and/or cost-effectiveness. If funded, you will be asked to complete required financial documents. Once these are received, a check payable to your organization will be sent to you by West Virginia University. You are expected to comply with best practices for financial management of funds. Documentation of all expenditures must be available for audit. Any unused funds must be returned to West Virginia University. Notify your WVU Extension Agent in writing/email if there is any change in circumstances that might affect your ability to carry out the project. Project team members may visit organizations/communities to learn about and see funded projects. You will be informed before any visit. The Final Project Report and at least five digital photos are due by email on October 15, 2017. PROJECT EXPECTATIONS: Have a clear and concise plan and stick to it. Propose a plan to improve the health of young children (ages 2-5) and their families through increased opportunities for physical activity and healthy eating. Examples: enhance areas for active play, community/school gardens, family engagement programming. Involve many community members and develop new partnerships. Be creative and make health fun. Plan ways to measure your project results. Use resources wisely. E-mail completed application to: Gilmer County Lisa Montgomery, Extension Agent Lisa.Montgomery@mail.wvu.edu Community Organization Name: Tax ID/FEIN #: County: Check one Barbour Gilmer Pleasants Address: City, Zip:

Name of Organizational Representative Completing this Application: Brief Description of Your Organization, Mission, and How You Serve Young Children/Families: Daytime Phone: Email : Specific Community Target Population and Total Number You Expect to Reach: (100 words or less) Overall Project Goal: Check 1 or more. Increase physical activity Improve healthy food choices Describe the desired impact of the project on the target audience. (300 words or less) Project Plan: Summarize the overall plan and why it is important to your community. Expected Outcomes: List the outcomes in terms of the following changes. Knowledge Skills Behaviors Attitudes Environmental Conditions Evaluation Plan: How will you measure your accomplishments to know if you achieved the expected outcomes?

Project Timeline: Outline the time period from October 1, 2016 to September 30, 2017, what will be accomplished each month and who is responsible for each task. Month Activity/Accomplishment Who is Responsible October 2016 November 2016 December 2016 January 2017 February 2017 March 2017 April 2017 May 2017 June 2017 July 2017 August 2017 September 2017 List of Community Partners/Schools and Their Specific Roles in This Project: Community Involvement: In addition to those listed above, how will the community in general be involved in the project? Itemized Budget: Funding proposals can from $500 to $4,000. No personnel costs are allowed. Please itemize all estimated expenditures under each category. 1. Materials & Supplies 2. Equipment 3. Printing 4. Postage 5. Food 6. Other- Please specify Proposed Budget Expenditures Other Costs (In-kind, donated from other sources)

TOTAL PROJECT REQUEST Budget Justification: List each expenditure category and why each is necessary for the project. Materials & Supplies Equipment Printing Postage Food - Other - By placing my name and date below, I agree to the following: Complete all project activities between October1, 2016 and September 30, 2017. Comply with best practices for financial management of funds. Provide documentation of all expenditures, if requested. Notify your Extension Agent in writing if circumstances change which might affect your ability to carry out the project. A Final Project & Budget Report form will be sent to you before the end of the project period. This needs to be completed and sent to your Extension Agent by October 15, 2017. At least five digital pictures of program activities must accompany the report. Your Printed Name and Signature: Position or Title: Date: