Pirates Charities Action Math Baseball Application: 2017 Season

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Program Overview: Pirates Charities has offered the Action Math Baseball (formerly Fantasy Baseball Math) program to organizations in our region since 2011. This integrated math curriculum is used to teach math to students in grades four through eight, and is also adaptable for older students. It is used in both inschool and after-school settings. Action Math Baseball is aligned with Pennsylvania State Exams in the areas of mathematics, reading and physical education, and promotes higher order science, technology, engineering and math skills (STEM), in preparation for math-based careers. With the support of Pirates General Manager Neal Huntington and his wife Becca, Pirates Charities is pleased to offer the opportunity to apply for this program for the 2017 season to eligible nonprofit organizations and schools in the Pittsburgh region. If your organization is selected as a Action Math Baseball participant, Pirates Charities will provide the following benefits: Participation, free of charge, in a teacher training workshop for all teachers and supervisors involved in the program Action Math Baseball Classroom Kits, which include teacher and student manuals and all necessary program materials (enough for 36 students per kit) Pittsburgh Pirates branded player wheel cards Participation in the Pittsburgh Regional Action Math Baseball World Series, a tournament among local participating organizations Action Math Baseball teams that determines a regional champion The opportunity to benefit from Pirates incentives for students as available throughout the year Eligibility: In order to participate in the Pirates Charities Action Math Baseball program, organizations must meet the following requirements: Registered 501(c)(3) nonprofit organization or public or private school within the Pittsburgh Pirates market area Non-profit or school must have been in operation for one full year prior to date of application Student population served should range from grades four to ten Each participating organization must elect a Program Coordinator to maintain data for his or her site s participating classrooms. Coordinator is required to serve as point of contact for the World Series in May Must have an adequate number of certified teachers or experts in the field of education/tutoring, to serve the number of students participating in the program Organization must submit a follow-up report no later than three months following the completion of the program, including anecdotal outcomes and final participation numbers by school, site and total number of student participants. Program timeline: January 7, 2017 Instructor training held at PNC Park February 2017 Instructors introduce curriculum and begin to teach students the Action Math Baseball program April 2017 May 2017 June 2017 Action Math Baseball Opening Day at all sites students begin to play against each other at sites Representatives from participating sites come to PNC Park to take part in the Pittsburgh Regional Action Math Baseball Playoffs and World Series Students participating in World Series will be invited to PNC Park to watch a Pirates game as guests of the Pirates. World Series Champions will be recognized at the game. 1 P a g e

Instructions: Please fill out the following application, including all required attachments, and return to the address below no later than December 1, 2016 in order to be considered for the 2017 season. Incomplete applications will not be accepted. Application does not guarantee approval. Questions: Questions regarding the Pirates Charities Action Math Baseball Program should be directed to: Jackie Hunter Phone: (412)325-4776 Email: jackie.hunter@pirates.com Completed applications should be mailed to: Jackie Hunter Action Math Baseball Program PNC Park at North Shore 115 Federal Street Pittsburgh, PA 15212 Please note: Faxed or emailed applications will not be accepted. Applications must be mailed or hand-delivered to the address above. 2 P a g e

Organizational Information Date of application: Legal name of Organization: (should be the same as on IRS determination letter and as supplied on IRS Form 990) This organization is a (check one): 501(c)(3) nonprofit Public School Private School For what type of educational program will organization use Fantasy Baseball Math Program (check one)? In-school After-school Year Founded: Current Annual Operating Budget (if applicable):$ Executive Director/Principal: Email: Contact Person/Title (if different from ED/Principal): Contact email: Contact phone: Address (principal administrative office): City: State: Zip: Mailing address (if different from above): Phone: Fax: Website: I certify, to the best of my knowledge, that: 1. The tax-exempt status of this Organization is still in effect (if applicable), 2. This organization does not support or engage in any terrorist activity, and 3. If this Organization is selected to participate in the Fantasy Baseball Math program, any grant funds or donated goods will not be distributed to or used to benefit any organization or individual supporting or engaged in terrorism, or used for any other unlawful purpose. Signatures: President, Board of Directors (if applicable) Date Executive Director/Principal Date 3 P a g e

History and Background (please limit your answers to the space provided) 1. State your organization s mission. 2. Provide a brief synopsis of your organization, including history, current programs and activities, and major accomplishments. 4 P a g e

Program Narrative (up to one additional page may be attached if necessary) 1. Please describe your organization s interest in the Action Math Baseball Program. How will this program advance your goals as an organization? How does Action Math Baseball fit into your standard activities/curriculum? 2. Who will the program benefit? Provide a demographic description of the intended population served including ages. What percentage of the students served by your organization are considered low income (percentage of free/reduced lunch participants)? 3. Please propose a schedule for inclusion of the program within existing class schedule/curriculum. Example: Action Math Baseball will be taught on Mondays and Wednesdays for X weeks from April-June (note: this schedule is subject to change by organization and is understood to be an estimate). 4. Should Pirates Charities be unable to approve your request in full, does your organization have funding available to support this program for the total number of requested applicants? If not, would your organization be willing to accept less Action Math Baseball Kits than originally requested? 5. Program Coordinator please provide name and contact information for the individual who will oversee the Action Math Baseball Program at your school or non-profit organization. This person will be responsible for tracking participation at your organization as well as attending the Pittsburgh Regional Action Math Baseball World Series at PNC Park in May 2017. 5 P a g e

Participating Schools/Sites Please provide a list of all of the schools or sites within your organization that you plan to have participate in the Action Math Baseball program in the form below. School/Site Name and address Teacher/site supervisor name(s) # of participating classrooms # of participating students (total) 6 P a g e

Action Math Baseball Kit Request Please fill out the form below to request Action Math Baseball Kits for the number of teachers and students who you would like to participate in the Action Math Baseball program through your organization. Note that requests will be reviewed based upon availability and application does not guarantee acceptance. Please help Pirates Charities make this program available to as many students as possible by limiting your request to the actual number of kits that your organization will needs and use. Item Action Math Baseball Classroom Kit Includes one (1) teacher s guide and manuals/materials for thirty-six (36) students Additional Teacher s Guide(s) Quantity Pirates giveaway request The Pirates are pleased to provide giveaway items for your organization s use throughout the program (i.e. Pirates branded promotional items). For planning purposes, please enter an amount of giveaway items that your organization would be able to use for this program (should correspond to number of participating students): Other Attachments (as applicable): -Organization Annual Budget -Organization Annual Report -List of officers and directors -IRS Determination Letter 7 P a g e