No preview available
HomeMy WebLinkAboutC04-229 Corporation for National and Community Service~ ~ }9 ' ~ ~ _ PART I -FACE SHEET APPLICATION FOR FEDERAL ASSISTANCE ~ 1. TYPE of suBMlssloN: Non-Construction 2a. DATE SUBMITTED TO CORPORATION FOR NATIONAL AND COMMUNITY SERVICE (CNCS): 08/13/03 2b. APPLICATION ID: 04SR036035 5. APPLtCAT10N INFORMATION 3. DATE RECEIVED BY STATE: 4. DATE RECEIVED: 08/13/03 LEGAL NAME. Eagle Co Govt Hlth & Hutton Svcs ADDRESS (gtve street address, city, state and ap code): 500 Broadway Eagle CO 81631 STATE APPLICATION IDENTIFIER: GRANT NUMBER: 02SRW00007 NAME AND CONTACT INFORMATION FOR PROJECT DIRECTOR OR OTHER PERSON TO BE CONTACTED ON MATTERS INVOLVING THIS APPLICATION (give area codes): NAME: Gail C. Britt TELEPHONE NUMBER; 970-328-8818 FAX NUMBER: 970-328-8809 INTERNET E-MAIL ADDRESS: volunteerst7u eaglecounty.us 6. EMPLOYER IDENTIFICA710N NUMBER (El/~: 7. TYPE OF APPLICANT: 846000762 7a. Local Govemrrent -County I- - 17b. ! 8. TYPE OF APPLICATION: _-_~ NEW ~ CONTINUATION ! REVISION If Revision, enter appropnate letter(s) in box(es): ~-~ A. Increase Award B. Decrease Award C. Increase Duration i I D. Decrease Duration ! 9. NAME OF FEDERAL AGENCY: Corporation for National and Community Service 10a. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 94.002 11. DESCRIPTIVE TITLE OF APPLICANTS PROJECT: I~I 10b. TITLE: Retired and Senior Volunteer Program Eagle/Summit Co RSVP 1-- 12. AREAS AFFECTED BY PROJECT (List Cities, Counties, States, etc): i Eagle CO: Basalt, Eagle, Gypsutq Minturn, Redch$ Vatl, McCoy Summt CO: billion, Fnsco,Brec:kenndge,Stlverthome r---- -- - 13. PROPOSED PROJECT: START DATE: 09/29/02 END DATE: 09/28/05 , 14. PERFORMANCE PERIOD: START DATE: 09/29/02 END DATE: 09/28/05 15_ ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE a. FEDERAL - ~ ORDER 12372 PROCESS? $ 98,74!.00 --I jJl YES, THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE b. APPLICANT , $ 42,218.00 TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR - - -- i REVIEW ON: c. STATE $ 0.00 I DATE: d. LOCAL -~-- g 42,218.00 r- -- ---------I-------- ------ ! I _ e_ OTHER $ 0.00 f. PROGRAM INCOME __ _ S 0.00 _ _ __ 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT'> g. TOTAL ~ YES if "Yes," attach an explanatbn. `xl NO $ 140,959 00 _ 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICAIION ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANTAND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. a. TYPED NAME OF AUTHORIZED REPRESENTATIVE: b. 71TLE: c. TELEPHONE NUMBER: Tom C. _Stone ha;rman, Bn^rd of Crnmty (970) 328-8605 Commissioners d. DATE: 7/13/04 -- ----- Run by GBRITT on June 29, 2004 6:32 PIN RFT BGT 424 EagielSummit Co RSVP Application ID: 04SR045814 Section I. Volunteer Support Expenses A. Project Personnel F~cpenses B. Personnel Fringe Benefits FICA Health Insurance Retirement Lffe hsurance C. Projecl Staff Travel Local Travel Long Distance Travel D. Equipment E Supplies F. Contractual and Consultant Services I. Other Volunteer Support Costs J. hdirect Costs Section I. Subtotal Eagle Co Govt Hlth & Human Svcs Budget Dates: Total Amt CNCS Share Grantee Shan: Excess Amount 47,287 47,287 0 0 3,607 3,607 0 0 12,455 12,455 0 0 2,167 2,167 0 0 450 450 0 0 Total $18,679 $18,679 $0 $0 2,140 2,140 0 0 2,117 2,117 0 0 Total $4,257 $4,257 $0 $0 12,203 765 11,438 p 21,130 0 21,130 0 350 350 0 0 $103,906 $71,338 $32,568 SO ~ecnon u. volunteer Expenses A. Other Volunteer Costs Meals 750 600 150 p Uniforms 0 0 0 p Insurance 1,800 1,800 0 0 Recognition 15,310 5,810 9,500 0 Volunteer Travel 19,193 19 193 0 0 Total $37,053 $27,403 $9,650 $p Section II. Subtotal $37,053 $27,403 $9,650 So t3udget Totals $140,959 $98,741 $42,218 $0 Funding Percentages 70% 30% Form 424A Modified SF-424A (4/88 and 12/97) Page 1 Budget Narrative for 04SR0454t 4 Page 1 of 3 Budget Narrative: Eagle/Summit Co RSVP for Eagle Co Govt Hlth & Human Svcs Section I. Volunteer Support Expenses A. Project Personnel Expenses Position/TiUe -Qty -Annual Salary % Time CNCS Share Grantee Share Total Amount Excess Amount Project Director: - 1 person(s) at 47287 each x 100 % usage 47,287 0 47,287 p Summit County Coordinator: - 1 person(s) at 0 each x 100 usage 0 0 0 0 CATEGORY Totals 47,287 0 47,287 0 B. Personnel Fringe Benefits Item -Description CNCS Share Grantee Total Amount Excess Share gmount FICA: 3,607 0 3,607 0 Health Insurance: 12,455 0 12,455 0 Retirement: 2,167 0 2,167 0 Life Insurance: 450 0 450 0 CATEGO RY Totals 18,679 0 18,679 ''' ~0 C. Project Staff Travel Local Travel Purpose -Calculation CNCS Share Grantee Total Amount Excess Share Amount site management and volunteer development 6202@.345 2 140 0 , 2,140 0 CATEGORY Totals 2,140 0 2,140 0 Long Distance Travel Purpose -Destination -Trans. Amount -Meals/ Lodging -Other Travel CNCS Share Grantee Share Total Amount Excess Amount nce + 2 state meetings: -Meals 1,262 Lodging/Trans 855 r Other O 2,117 0 2,117 p CATEGORY Totals 2,117 0 2,117 p D. Equipment hops://egrants.cns. gov/pls/cns~lsgUcn_bgtnarr.prt_bgtnarr?c_grnt_id=04SR045 814&p_m... 6/29/2004 Budget Narrative for 04SR045 R ~ 4 Page 2 of 3 Item/Purpose -Qty -Unit Cost CNCS Share Grantee Tots! Amount Share Excess Amount CATEGORY Totals 0 0 0 0 E. Supplies Item/ Purpose -Calculation General Office Su lie / / / CNCS Share Grantee Share Total Amount Excess Amount pp pens s paper notepads etc.: 600 information/promotional mat./memberships etc.: per item estimate 0 565 600 750 600 0 1,315 Computer/faxlnetworkconnection/software/maintenance/IT support: 2 ~ 5,040 5,040 I Office Space Eagle/Summit: 2 ~~ 4.388 4,388 -~ !!-- p Printer:2 200 300 500 0 Phone:2 0 360 360 ~~ LL~~ CATEGORY Totals 765 11,438 12,203 .. 0 F. Contractual and Consultant Services Pur ose -Calculation P CNCS Share Grantee Share Excess Total Amount Amount Administrative Supervision: Summit Eagle: 125hours@38.00 420 hours @ 39.00 0 21,130 21,130 0 CATEGORY Totals 0 21,130 21,130 0 I. Other Volunteer Support Costs Item CNCS Share Grantee Share Total Amount Excess Amount Staff training and Support: 350 0 350 0 CATEGORY Totals 350 0 350 0 J. Indirect Costs Calculation -Rate Type -Claimed -Cost Basis -Rate CNCS Share Grantee Total Amount Excess Share Amount CATEGORY Totals 0 0 0 0 SECTION Totals 71,338 32,568 103,906 ~ p~ Section ll. Volunteer Expenses https://egrants, cns.gov/pls/cns~lsgUcn_bgtnarr.prt_bgtnarr?c_grnt_id=04SR045814&p_m... 6/29/2004 Budget Narrative for 04SR045 Q' 4 A. Other Volunteer Costs Page 3 of 3 Item -Description CNCS Share Grantee Share Total Amount Excess Amount Meals: 125 @ 6.00 600 150 750 0 Uniforms: 0 0 0 0 Insurance: 307@ 5.85 1,800 0 1,800 0 Recognition: 450 @30.00 5,810 9,500 15,310 0 Volunteer Travel: 63977 MILES @ .30 x 450 vol. =aver. 142 miles. most site locations are at least 40 miles from volunteer 19 193 0 homes. Large geographic areas are the largest obstacle to , 19,193 0 volunteering in rural Colorado CATEGORY Totals 27,403 9,650 37,053 0 SECTION Totals 27,403 9,650 37,053 ~~ ~~ BUDGET Totals 98,741 42,218 140,959 ~ Source of Funds Section Description ~~ Section I. Volunteer Support Expenses ~~ ~f Section II. Volunteer Expenses https://egrants.cns. gov/pls/cns~lsgUcn_bgtnarr.prt_bgtnarr?c_grnt_id=04SR045 814&p_m... 6/29/2004 Narratives Strengthening Communities Rural Resort RSVP will develop collaborative approaches with Human Service, Public Safety organizations and Senior Programs to maximize program resources and achieve significant community impact. These agencies and RSVP will mutually evaluate community systems and approaches for the use of volunteers and develop shared improvement objectrives. The program director and coordinator will work to assure quality community participation and ownership of the RSVP program through the RSVP Community Advisory Team system. The team will have an annual work plan, will invite participation from private and public agencies, senior citizens, volunteer stations and others as appropriate to strengthen the fabric of the community. Rural Resort RSVP is working with a registered VIPS organization, a first responders group and has been granted an EASI charter. Recruitment and Development Rural Resort RSVP seeks to recruit volunteers who have the interests, skills and experiences to ensure its continued success. A maximum spectrum of seniors will be reached via the media and presentations in locations where seniors gather. To promote the notion of RSVP volunteers functioning as a team, volunteer assignments will be clustered by common skills, interests, and shared impact objectives. Assistance will be given to agencies on the effective recognition of volunteers. Rural Resort RSVP aims to develop volunteer station relationships and ensure high-quality volunteer experiences. To accomplish this, the program director and coordinator will review Mou's and discuss RSVP goals and objectives with existing agency partners, while actively developing new MOU's with other agencies, particularly those involved in homeland security functions. Training on RSVP policies, procedures, protocol, general volunteer management and station responsibilities will be provided for participating agency volunteer supervisors. Program Management To ensure that all volunteers have the skills, knowledge and confidence to provide quality services, the program director and coodinator will work with agency partners to provide appropriate training to Page 2 Narratives volunteers. Rural Resort Region RSVP will meet or exceed RSVP quidelines and requirements through apro-active quality assurance program. Advice and assistance will be obtained through the state office and through mentoring relationships with other successful RSVP programs. To support achievement of program outcomes, Rural Resort Region RSVP will work with agency partners to assess the impact of R5VP volunteers. The Community Advisory Team will also be utilized in performance appraisal, along with a yearly evaluation of volunteer stations. To increase public awareness of Rural Resort Region RSVP, the project director and coordinator will disseminate information about RSVP to key audiences and participating agencies. The local media will be utilized via a column in local newspapers. Local reporters will be invited to special events, including recognition and public meetings between agencies and RSVP. A regular column will appear in Senior Program publications and Eagle County Volunteer publications. Organizational Capacity The mission of the sponsoring organization is "to work in partnership with the community to promote healthy lifestyles, help persons achieve self-sufficiency, and prevent abuse, neglect and disease." The sponsoring organization uses approaches of professional service, public education and volunteer participation to achieve that mission. RSVP's mission"to provide opportunities for retired persons to participate more fully in the life of their community through sigfnfficant volunteer service." is compatible in many ways:>with a focus on community life and community involvement.>in a recognition of community service as a means for achieving a healthy life style.>in identification of significant outcomes that come as a result of service. RSVP has worked closely with The Eagle County Volunteer Center, a department located within the sponsoring organization, that acts as the central volunteer development mechanism in Eagle County.This program was initiated by Eagle County Health & Human Services in 1996. It is through this program that Rural Resort RSVP can obtain quality intergenerational volunteer opportunities for its participants. Page 3 Narratives The sponsoring agencies in Eagle and Summit Counties have significant experience in designing and implementing programs with the community that involve volunteers -from foster parents, to homemakers, to family mentors and mediators, to senior nutrition programs. As sponsoring agency, Eagle County Health & Human Services brings experience in grants management and program implementation. As part of County government, the department is supported by human resources, accounting, information technology, legal and other county administrative support services. Other Not applicable. PNS Amendment (if applicable) Not applicable. Page 4 Work Plan/Performance Measures Service Category : Other Community and Econonac Total # Stations : 21 Total # Volunteers : 155 Development Period of Performance i-, Community Need Accomplishment: 09-03 through 09--04 Measure: 'u The Population in Eagle County has nearly doubled since the i99o census. Although housing costs are consistently among the highest in the state, wages remain at ig% below the state average. This makes community services critical in developing supports for working families. Period of Performance Service Activity Accomplishment: 09-03 through 09-04 Measure: RSVP volunteers will help community non-profits provide tangible goods and services to working families. Assist a variety of human service agencies in fundraising efforts. Assist both local chambers of commerce in visitor assistance services. Period of Performance Anticipated Input Accomplishment: 09-03 through 09-04 Measure: 65 volunteers will serve io hours a week to extend the service of community non-profits. 90 volunteers will contribute i5oo hours per year to help community non-profits meet a variety of human service, cultural and recreational needs in the community. Period of Performance Anticipated Accomplishrr~nts/Outputs Accomplishment: 09-03 through 09-04 Measure: 155 RSVP volunteers collecting and distributing food, clothing and other necessities and working to raise funds through 21 area non-profit agencies whose missions are to support the needs of the underemployed families in the region. will increase community understanding of the needs of working families and promote neighbor to neighbor response to meeting basic family and community needs. Period of Performance Anticipated Intermediate Impact/Outcome Accomplishment: Measure: Intermediate Outcome: Community understanding of needy families will increace. Indicator: Number of volunteers participating in the programs involved with this service will increase. Target: Essential items collected will increase by 5% each year of the grant. Page 5 Work Plan/Performance Measures Service Category : Other Com7unity and Econornc Total # Stations : 21 Total # Volunteers : 155 Development How Measured: Statistical Report from RSVP program and i collection record and i distribution record from volunteer sites performing this service. Anticipated End Impact/Outcome Period of Accomplishment: Performance ,- Measure: ~--' Programs involved in this service will reach families who were not previously served. Indicator: number of families served will increase by 5%. Target: At least two sites involved in this activity will show a 5% increase in the numbers of clients served. How measured: client reports from two randomly choosen sites Service Category: Other Education Total # Stations : 12 Total # Volunteers : 76 Period of Performance Community Need Accomplishment: 09-01-03 through 08- Measure: 31-2004 #i Eagle County is the second highest county in Colorado for stress factors associated with child abuse and neglect. #2 It is necessary to preserve and teach local history to give strength and roots to the increasing numbers of new residents. Period of Performance i- Service Activity Accomplishment: Measure: ~~ RSVP volunteers will be utilized to assist as family mentors, classroom assistants, daycare assistants, and Library assistants. A team will work with local seniors and the Historical Societies to complete an oral history project (captured on video) Period of Performance Anticipated Input Accomplishment: Measure: U 50-~o RSVP volunteers will contribute 4 hours a month in community literacy and cultural heritage Page 6 Work Plan/Performance Measures Service Category : Other Education Total # Stations : 12 Total # Volunteers : 76 programs. i5-25 volunteers will work 4 hours a month with Head Start, Early Head Strart and other community pre-elementary programs. i RSVP volunteer will work with local childcare programs and school districts to locate and place pre-school assitant volunteers of any age. Period of Performance , Anticipated Accomplishments/Outputs Accomplishment: Measure: It is estimated that i5o children will be involved in literacy programs. 20 children will be engaged in Individual Reading Plans, 50-75 children/families involved in pre-school programs. 5 volunteer assistants will provide a calming presence for local daycare centers. Period of Performance Anticipated Intermediate Impact/Outcome Accomplishment: Measure: Intermediate Outcome: Numbers of children involved in literacy programs will increase. #2. At least two historical programs will be assisted with RSVP volunteers. Indicator: Numbers of children enrolled in literacy programs. Numbers of persons attending history programs. Target: At least io new children will be enrolled in Eagle and Summit County literacy program. At least io people will attend each of these two programs. How Measured: Enrollment reports from the volunteer sites involved in Literacy or English as a second Lanquage. Attendance sheet from program. Period of Performance Anticipated End Impact/Outcome Accomplishment: Measure: End Outcome: Literacy Skills will increase among those participating in these literacy projects. # of people familiar with local history will improve. Indicator: Test scores in reading will increase by one grade level. #2.Numbers of people attending programs will increase Target: At least 25% of students attending will be able to document improvement. How Measured: Reports from Literacy programs. Attendance Records from program events Page 7 Work Plan/Performance Measures Service Category : Other Health/Nutrition Total # Stations : 12 Total # Volunteers : 200 Period of Performance -~ Community Need Accomplishment: 09-03 through 09-04 Measure: ~' Eagle and Summit Counties are located in a resort region of Colorado and according to a 1999 Eagle County Need assessment the cost of living in this region ranges from 2'7% to 132% more than national standards. The bulk of the workforce in this area falls into the service category and although the "wage scales sometime exceed statewide averages" (from a 200o Eagle County Benchmark study)workers are not able to keep pace with the high cost of living. According to a 1999 Senior Needs assessment the senior population in the county grew by at least 8o percent between i99o and 1998 and is expected to grow another 40% in the next 5 years. According to this report only 3% of this senior population currently receive assistance, but i5% of the population over age 75 indicated that they have difficulties paying their bills. Due to this economic disparity Health and Nutrition programs are needed to assure proper nutrition and health related services. Period of Performance Service Activity Accomplishment: Measure: 20o RSVP volunteers will obtain health related information from the Eagle County Health Department & distribute this information at health fairs, blood drives and congregate meal sites. Volunteers will register and direct clients at health fairs, blood drives, congregate meal sites. RSVP volunteers will assist in planning menus and will distribute food at two breakfast outreach programs. RSVP volunteers will also perform this function at 5 senior nutrition sites. A team of volunteers will collect and distribute food during the Vail Valley Cares and Salvation Army's holiday food program. The participants in these programs are refered by Health and Human Services, area Churchs, and schools. A team of volunteers will be trained to provide in-home care,provide transportation to doctors appointments and to the grocery store. Mileage reimbursement and insurance for this transportation will be covered by Health and Human Services. Training to implement these services will be provided by health and human services in corporation with the local Redcross. Page 8 Work Plan/Performance Measures Service Category: Other Health/Nutrition Total # Stations : 12 Total # Volunteers : 200 Period of Performance .-, Anticipated Input Accomplishment: Measure: '~ 20 volunteers will distribute health related information and assist medical staff at 2 health fairs. It is anticipated that boo residents will be served. 6 volunteers will be trained by bonifils blood drive staff to distribute information and assist medical staff in blood drives. It is expected that 20 pints of blood will be obtained in each of these drives. 3 volunteers will serve breakfast at 2 breakfast outreach programs in 2 elementary schools. 20o children will attend these programs five days a week. Over the course of a year i61 volunteers will help with balanced meal planning, in conjunction with, the Alpine Area Council on Aging, assist in the preparation with County Staff and will serve meals in 5 senior congregate meal sites. i4,56o meals will be served in a 12 month period. 1o volunteers will collect and distribute food at two holiday food projects, which will serve iooo people. Period of Performance Anticipated Accomplishments/Outputs Accomplishment: Measure: 20o RSVP volunteers will provide food, be trained by medical staff to perform simple health screen tests and distribute health and nutrition information to at least 2200 low income and elderly residents through 12 volunteer stations in 2 daily nutrition programs 5 weekly senior nutrition programs and 6 special events per year. Period of Performance Anticipated Intermediate Impact/Outcome Accomplishment: Measure: Intermediate Outcome: Participation in Nutrition and Interventive health programs will increase. Indicator: Numbers of persons attending congregate meal sites, health fairs and blood drives. Target: Increase of 5% countywide participation in nutrition and health programs. How Measured: Participate registration reports from volunteer sites. Period of Performance Anticipated End Impact/Outcome Accomplishment: Measure: Outcome: Overall health of seniors and students attended these programs will be improved. Indicator: Increased numbers of people will be attending congregate meal sites assuring an Page 9 Work Plan/Performance Measures Service Category : Other Health/Nutrition Total # Stations : 12 Total # Volunteers : 200 increased level of adquate nutrition. Target: A 5% increase in client participation in nutrition and preventative health programs How Measured: Menu's of Meal sites, indicating a proper nutiritional balance and the participation records of these programs. Health fair survey indicating the number of persons who detected an early health problem. Service Category : Other Human Needs Total # Stations : 12 Total # Volunteers : 85 Period of Performance Community Need Accomplishment: 09/03 through 08/04 Measure: ~] Small mining and agricultural communities have experienced explosiv (nearly double from census 1990) growth. Lack of affordable housing healthcare and child care and the stresses compounded by multiple jobs and long commutes, require RSVP volunteeers to serve as, mentors, and assist in a myriad of social assistance programs. Period of Performance Service Activity Accomplishment: Measure: RSVP volunteers will serve as youth mentors; assistants for seniors/disabled persons; builders of adequate housing; information/referral/reassurance network volunteers;coaches at summer day camps, plan and implement activities for community organizations. Period of Performance , -~ Anticipated Input Accomplishment: Measure: I__I Volunteers will provide over 2000 hours of services this year. Teams will be trained by and located with The Buddies Program; CSU Extension; ECDHHS; Prevention Alliance; Red Cross; Shaping our Summit, Americorps and Habitat for Humanity. Period of Performance -~ Anticipated Accomplishments/Outputs Accomplishment: Measure: ~' Provide mentoring services to 5-i- youth; homemaker/chore service to 20 seniors; Page 10 Work Plan/Performance Measures Service Category : Other Human Needs Total # Stations : 12 Total # Volunteers : 85 referral/reassurance services to 4o seniors; 4 volunteers trained to educate the community in "The 4o developmental assets program. 20 volunteers to assist in the building of homes for 5 families. 4 volunteers will provide tax-preparation assistance to 12 seniors/low income families. Service Category: Other PublicSafQty Total # Stations : 15 Total # Volunteers : 50 Period of Performance Community Need Accomplishment: 09-03 through 08-04 Measure: Public Safety/Homeland Securtiy, volunteers are needed to assist victimes of domestic violence, acidents and criminal activity with comfort, shelter or day to day needs. Volunteers are needed to act as the extra eyes and hands of all public safety agencies. Experienced professional volunteers are especially needed to operate base emergency operations. Period of Performance Service Activity Accomplishment: Measure: RSVP volunteers, will be trained by sponsoring sites in crisis intervention, mountain rescue activities, emergency preparedness and neighborhood watch groups. They will team with law enforcement, health care professional and fire departments. Period of Performance Anticipated Input Accomplishment: Measure: Teams of 5-2o volunteers will provide service according to the needs presented by the individual sites in the community each month. Period of Performance ,-, Anticipated Accomplishments/Outputs Accomplishment: Measure: LJ Volunteers will be trained and ready to respond in the case of any sudden tragedy effecting this region. Volunteers will provide at least 10o hours of service per month to ongoing public safety programs such as neighborhood watch. Page 11 Required Documents Document Name Aggregate Dollar Amounts offiznding Articles ofIncorporation Board ofDirectors CPA Certification Commznity Advisory Group names and addresses List ofthe names ofany Funding Organizations/Sources Negotiated Indirect Cost Agreement Organizational Chart Project Director's Job Description Roster ofVolunteer Stations Statement ofdate oflast A133 audit Staterr~nt ofwhether applicant is subject to A133 audit Status Not Applicable Not Applicable Not Applicable Already on File at CNCS Sent Sent Not Applicable Already on File at CNCS Already on File at CNCS Sent Already on File at CNCS Already on File at CNCS Page 12