Brenna Balduff Northwest Kansas Technical College Mobile Technical Education Lab Requests of more than $5,000 Northwest Kansas Technical College Mr. Benjamin Schears 1209 Harrison St Goodland, KS 67735 O: 785-890-1568 Miss Brenna Balduff 1209 Harrison St Goodland, KS 67735 brenna.balduff@nwktc.edu O: 785-890-1568 Printed On: 2 January 2018 Requests of more than $5,000 1
Brenna Balduff Northwest Kansas Technical College Application Form Organization Information Verification of tax-exempt status* Organization is: 501(c)(3) public charity Verification of status Please note: Applications from public charities (501(c)3 organizations) are required to attach verification of charitable status in order to be considered. A state sales tax exemption DOES NOT complete this requirement. Applications from churches and/or government entities are not required to attach a verification document. Tax Exempt Number.pdf Physical Address If the physical address of your organization is different than the mailing address, please enter your physical address below. Project Information Project Name* Name of Project. Mobile Technical Education Lab Amount requested* $125,501.32 Primary objectives* The Foundation has six primary objectives. Which of these does your program or project best addresses: Education County or Counties Served* Please check the primary county served by the program/project for which you are requesting funds. Printed On: 2 January 2018 Requests of more than $5,000 2
Brenna Balduff Northwest Kansas Technical College Cheyenne Decatur Gove Graham Logan Norton Rawlins Sheridan Sherman Thomas Trego Wallace Communities Served* Please list the primary community served by the program/project for which you are requesting funds. Northwest Kansas Technical College serves the educational need of a seventeen county service area including the twelve counties identified in the "Counties Served" section above. Northwest Tech also directly serves Greeley, Wichita, Scott, Hamilton, and Kearny counties in Kansas. Northwest Tech is a progressive college that serves students in primarily the trial-state area but also has other state and nations represented within the college community. Strategic Doing Project* Was this application generated through the Strategic Doing initiative? No Target Population* Please check one or more populations served by the program/project for which you are requesting funds. Teen (13-20) Adult Project Description* Briefly describe the program/project for which you are requesting funds. Northwest Kansas Technical College is seeking funds to develop a Mobile Technical Education Lab. The Mobile Technical Education Lab will consist of five simulated-based learning stations that will educate students about technical careers and give them the opportunity to experience a hands-on activity. This experience will give students and adults the opportunity to explore and discover new potential careers that they may have not considered before. Grant Request Description* If funded, how will you specifically use the Dane G. Hansen funds? Printed On: 2 January 2018 Requests of more than $5,000 3
Brenna Balduff Northwest Kansas Technical College Northwest Kansas Technical College is seeking funds to develop the Mobile Technical Education Lab. This would include the purchase of four simulated-based learning stations, a walk ramp, and funds for the interior of the trailer. The four simulated-based learning stations include the Wood-Ed table, SimSpray, AC/DC Trainer, and the Hybrid Vehicle Systems Panel Trainer. The Wood-Ed table is a virtual wood-cutting training device. Students will be able to experience customized learning exercises in different categories such as the band saw, shaper, rip saw and more. The SimSpray is a virtual reality simulator bay for Automotive Body repair. Students will be able to virtually spray a vehicle. The AC/DC trainer lets students safety explore the fundamental concepts of AC and DC electrical systems. The Hybrid Vehicle Systems Panel Trainer is a mock front end of a hybrid vehicle that students will be able to modify. Project Objectives* What do you hope to achieve and how will it benefit the people of Northwest Kansas? Northwest Kansas Technical College's Mobile Technical Education Lab to allow K-12 and adult learners the opportunity to experience hands-on participation in in-demand technical fields as identified by the Kansas Department of Commerce. The ultimate goal is to bring awareness of potential technical careers to students. Since we are in a rural region, it is most beneficial if we are able to bring the Stimulation Lab to our area schools. The mobile lab will include multiple stimulations such as welding, automotive body repair, electrical circuitry, carpentry, and automotive technology. This project will ultimately increase interest in technical career fields for our 17 county service area in Kansas. Timetable for the Project* When is the project projected to begin and end? For ongoing projects, when will the Dane G. Hansen funds be utilized? The project will begin in the Spring. The simulated-based learning stations will be ordered as soon as possible. The trailer construction and installation of the simulated-based learning stations will be completed by May 2018. Additional Support Describe additional sources of support (if any) that have been secured or that will be pursued for this project. A majority of the Mobile Technical Education Lab will be constructed by Northwest Tech students. Evaluation* How will you evaluate the success of the project/program? Be specific. (If funded, this will be helpful when completing the final grant report.) The success of the Mobile Technical Education Lab will be determined by how many people in Northwest Kansas that it reaches. Students and adult learners will be required to sign-in before entering the Mobile Technical Education Lab. Northwest Tech will be able to track how many people have entered the Mobile Technical Education Lab to try the simulated-based learning stations. Northwest Tech will also track the different locations that the Mobile Technical Education Lab visits. Printed On: 2 January 2018 Requests of more than $5,000 4
Brenna Balduff Northwest Kansas Technical College Sustainability* How will the project/program be sustained in the future? (For capital projects, how will you maintain or operate the item or facility?) The funding requested in the grant proposal is for equipment that will benefit students for many years. The program is sustained through traditional revenue streams including tuition, Perkins grants, endowment funds, and additional grant funds. Supporting Documents Proposal Budget* Complete the budget form attached on the Grant Criteria page under document requirements and upload here. DGH-Budget-Sheet- final.xlsx Balance Sheet* A detailed financial statement is required. Please do not attach your entire audit report. An example can be found on the Grant Criteria page, under document requirements. Balance Statement.pdf Income Statement* A detailed financial statement is required. Please do not attach your entire audit report. An example can be found on the Grant Criteria page, under document requirements. NT Income Statement.pdf Board of Directors* Please attach a list of your board members. (Name and title, no biographies.) Area of Control.pdf Bid or Quote A copy of the bid or quote is required for a capital project or purchase. Quotes1.pdf Letter of Support 1 A letter of support may be attached, but is not required. Printed On: 2 January 2018 Requests of more than $5,000 5
Brenna Balduff Northwest Kansas Technical College Support NWTechcollege.pdf Letter of Support 2 A second letter of support may be attached, but is not required. NW Tech Support Letter.pdf Letter of Support 3 A third letter of support may be attached, but is not required. Additional Documents If there are additional documents that are critical to the trustees understanding of your proposal, upload them here. Electronic Signature Signature of Applicant* By entering my full legal name here, I warrant the truthfulness of the information provided in this application. Brenna Balduff Title of Applicant* Grant Writer Signature of Principal or College President (if required) By entering my full legal name here, I warrant that I have read and support this application. Benjamin Schears Title of Principal or College President President Signature of CEO, Director, Mayor, etc. If this request is for a City, 501 (c)(3) Organization, Government Entity, etc., the signature of the CEO, Director, Mayor, etc., is required. By entering my full legal name here, I warrant that I have read and support this application. Printed On: 2 January 2018 Requests of more than $5,000 6
Brenna Balduff Northwest Kansas Technical College Benjamin Schears Title of CEO, Director, Mayor, etc. President Internal Tracking Number* 2018-1-18 501c3* Yes Printed On: 2 January 2018 Requests of more than $5,000 7
Brenna Balduff Northwest Kansas Technical College File Attachment Summary Applicant File Uploads Tax Exempt Number.pdf DGH-Budget-Sheet- final.xlsx Balance Statement.pdf NT Income Statement.pdf Area of Control.pdf Quotes1.pdf Support NWTechcollege.pdf NW Tech Support Letter.pdf Printed On: 2 January 2018 Requests of more than $5,000 8
Dane G. Hansen Project Budget Form Organization: Northwest Kansas Technical College Project name: Mobile Technical Education Lab List project expenses (be specific) Wood-ED Table $75,900.00 SimSpray Virtual Realty Painting Simulator Bay $30,500.00 AC/DC Trainer $5,401.32 Hybrid Vehicle Systems Panel Trainer $7,200.00 Honda EU7000 Mobile Generator $4,500.00 Semi Trailer Walk Ramp $500.00 Semi Trailer Interior (Flooring, lighting, etc) $1,500.00 *Total Project Expenses $125,501.32 Project Revenue Secured Applied-for In-kind donations can be included- provide equitable dollar amount. Budgeted funds, gifts received, etc (Grants, Pending donations) Dane G. Hansen Foundation Request $125,501.32 TOTALS $125,501.32 *Total Project Revenue $125,501.32 *Revenue and Expense totals should be the same.
Earned (Fees, ticket sales, etc)
NOT FOR PROFIT ENTERPRISES Northwest Kansas Technical College Income Statement July 1, 2015- June 30, 2016 Ordinary Income Operating Revenue Expenses Operating Expenses Non-operating Expenses Increase in Net Assets $4,240,971.00 $7,555,195.00 $3,902,478.00 $588,254.00
Ed Ackerman USD 314, Brewster Randy Balluch Student Welfare Chair USD 208, WaKeeney Billi Beckman Public Relations Chair USD 412, Hoxie Jane Brubaker USD 103, Cheylin Paul Bruggeman Secretary USD 316, Golden Plains Bruce Buck Vice Chairman USD 241, Wallace County Brad Bucl Building & Grounds Chair USD 281, Graham County Giovani Caasi Faculty Chair USD 293, Quinter Thad DeWeese USD 494, Syracuse Myra Douthit USD 297, St. Francis Eric Erven USD 466, Scott County Anita Gabel USD 274, Oakley Mark Hanson USD 275, Triplains Lee Ihrig USD 352, Goodland Kris Lemman USD 315, Colby Greg Martin Circular USD 242, Weskan Damian Melgoza USD 292, Wheatland/Grinnell Frank Otter Treasurer Northwest Kansas Technical College Area Board of Control Members
USD 211, Norton Dan Patterson USD 215, Lakin Richard Dick Short Assistant Treasurer Sherman County Tammy Simons USD 467, Leoti Shea Stewart USD 200, Greeley County Alan Suter USD 291, Grinnell Linda Vap USD 105, Rawlins County Dan Wasson Chairman USD 294, Oberlin
[Type text] November 27, 2017 Dane G. Hansen Foundation P.O. Box 187 Logan, KS 67646 To Whom It May Concern: On behalf of the Kansas State Department of Education, I am excited to see this proposal and would like to recommend for Northwest Kansas Technical College to be awarded grant funds in pursuit of a Mobile Technical Education Lab. This project will use simulation stations to allow middle school to adult learners the opportunity to experience hands-on participation in in-demand technical fields as identified by the Kansas Department of Commerce. The ultimate goal will bring awareness of potential technical careers to students. Since Northwest Tech is located in a rural region, it is most beneficial if they are able to bring the Mobile Technical Education Lab to area schools. Simulation is often used when the real world conditions cannot be easily created, or is too costly. The equipment that will be purchased with the grant funds is designed to introduce technical careers that might not otherwise be familiarized with at such an early age. Students and adult learners will be able to experience real-world scenarios that will better prepare them for choosing a career. The Mobile Simulation Lab operated by the Northwest Kansas Technical College will shed light on the opportunities relevant to the future of children in the 17 county region of northwest Kansas and create relevance for the learning paths in which those students choose as our schools prepare them for a future of innovation. I am pleased to recommend this project and the benefits it will provide for students and adult learners in Northwest Kansas. Sincerely, Randy Watson Commissioner of Education
December 18, 2017 BOARD OF EDUCATION Jessica Cole President Terry Smith Vice President Brad Bergsma Gennifer House Lee Ihrig Diana Spinney Ron Vignery TREASURER Marcia Harkins Dane G. Hansen Foundation P.O. Box 187 Logan, KS 67646 To Whom It May Concern: I would like to make a recommendation for Northwest Kansas Technical College to be awarded grant funds in pursuit of a Mobile Technical Education Lab. I believe this project is very important for our rural community and surrounding areas. This will give our students the opportunity to explore and discover new potential careers that they may not have considered before. We encourage our students to tour multiple colleges before they decide on where they want to continue their education and it should be the same ideology for the careers they wish to pursue. We encourage students to consider many careers, but they are limited to reading or watching videos. The Mobile Technical Education Lab will feature different career options that students will be able to experience. Since they are simulations, students will be more likely to try something they have never had experience with or are otherwise uninterested in. This could potentially change their minds and set them on a new path. I am personally excited for this project and what it will offer for our students. It fits perfectly for what we are trying to do with College and Career Readiness and Career Exploration. Sincerely, BOARD CLERK Mark Scheopner Bill Biermann, Superintendent USD 352 - Goodland SUPERINTENDENT Bill Biermann 1311 Main PO Box 509 Goodland, Kansas 67735 785 890-2397 Fax 785 890-8504 www.usd352.org