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HomeMy WebLinkAboutC04-393 Colorado Department of Public Health and Environment – Early Head Start APPLI~AT~ON FOR FEDERAL ASSiSfiANCE - `TE SUBMITTED: Applicant Ide '- • 08CH0149 1. TYPE OF SUBMISSION Application Preapplication 3. DATE RECENED BY STATE: State Application Identifier Construction ^X Non-Construction ~ Construction ~ Non-Construction 4. DATE RECENED 8Y FEDERAL AGENCY Federal Identfier 5. APPLICANT INFORMAT~N Eagte County Early Head Start Legal Name: HHS Organizational Unk: , Department: Health an Human ervices Organizational DUNS: 084-024447 Divis n: ar i Address: Name and telephone number of the person to be contacted on matters treat: PO OX 660 involving this application (give area code) 55i Broadway Pre rx: rs. First ame: Kathleen ity: age Mild a ame: County: agle Last Name: orinash State: CO rp Code: 81631 Su rx: Country: USA mail: at teen. orinash eaglecounty.us 6. EMPLOYER IDENTIFICATION NUMBER (EIN) 8 4 .~ 6 0 0 0 7 6 2 Phone Num er (give area code) 970-328-8858 ax Number (give area co e) 970-328-8829 8. TYPE OF APPLICATION New ~ Continu~n 8 Revision enter appropriate letter(s) in box(es): A If Revision 7. TYPE OF APPLICANT (enter appropriate letter in box) ~~ (specfy) , Other (specify) 9. NAME OF FEDERAL AGENCY: HHS-Administration for Children & Families 10. CATALOG OF FEDERAL DOMESTIC 9 3 6 0 0 ASSISTANCE NUMBER: ~ TITLE (Name of Programj: Early Head Start 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: TITA Fatherhood Initiative 12. AREAS AFFECTED BY PROJECT (Cities, Counties, States etc.): Eagle County, Colorado 13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: Start Date: 1/1/2005 Ending Date: 1213V2005 a. Applicant3rd Distict b. Project 3rd District 15. ESTIMATED FUNDING 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTVE ORDER 12372 PROCESS? a Federal S 4-~ •~ a. YES THIS PREAPPLtCATIONlAPPLICATION WAS MADE AVAILABLE TO THE STATE b Applicant ; 1,000.00 EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON c State ; .00 Date d Local ; •~ b. NO ~ PROGRAM IS NOT COVERED BY E.0.12372 ^ OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW e Other S .00 f Program Income S .00 17. tS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBTT g Total ; 5,000.00 ~ Yes if "Yes,' attadr an explanation. ~ No 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE fS AWARDED a. Authorized Representative Prefa Chairman First Name Tom Middle Name C. Last Name Stone Suffix b. Title BoCC Chairman r« Telephone number 970-328-8605 d. Signature of Authorized Representative e. Date Signed ~ '-' ' Stannam rOrm 4L4 (KBV.y-lUU3) F'rBSCnbetl by UMt3 GIPCUIar A-1U'1 BUDGET INFORMATION -Non-Construction Programs OMB Approval No. 0348-0044 ~~ ".~ • ;tea' . *~" Grant Program Function Catalog of Federal Domestic Assistance Estimated Unobligated Funds New or Revised Budget or Activity (a) Number (b) Federal Non-Federal ' Federal Non-Federal Total 1. Program Operation 93.600 $1,000.00 $1,000.00 2. T&TA 93.600 $4,000.00 $4,000.00 3. 4. 5. Totals $4,000.00 $1,000.00 $5,000.00 t GRANT PROGRAM, FUNCTION OR ACTMTY Total 6.Object Class Categories (1) Program Operation (2) T&TA (3) (4) a. Personnel b. Fringe Benefits c. Travel d. Equipment e. Supplies f. Contractual g. Construction h. Other $4,000.00 $4,000.00 i Totat Direct Charges (sum of 6a - 6h) $4,000.00 $4,000.00 j. Indirect Costs k. TOTALS (sum of 6a - 6j) $4,000.00 $4,000.00 :°~:~_ 7. Program Income Authorized for Local Reproduction Standard Fonn 424A (Rev. 7-97) Prescribed by OMB Circular A-102 08CH0149 / 0 2005 HHS, Eagle County Early Head Start Supplemental EHS Grant Application Fatherhood Initiative 8 (a) Grant Program 8. NFS 9. 10. 11. 12. TOTAL (sum of line 13. Federal 14. Non-Federal 15. TOTAL (sum of lines (a) Grant Program 16. 17. 18. 19. 20. TOTAL (sum of lines 16-19) ~~;,; 21. Direct Charges: 23. Remarks: (b) Applicant $1,000.00 $1,000.00 ~~~ , 1st Quarter Total for 1st Year $1,000.00 $4,000.00 $250.00 $1,000.00 $1,250.00 $5,000.00 (b) First may., w.~.` ~. ~~~;, (c) State (d) Other Sources -.~' .; (e) TOTALS $1,000.00 $1,000.00 ~. ~~ rt,~ ~ ~ N~ Y 4th Quarter 3rd Quarter $1,000.00 2nd Quarter $1,000,00 $1,000.00 $250.00 $250.00 $250.00 $1,250 00 $1,250.00 $1,250.00 ~; R "~ FUTURE FUNDING PERIODS (Years) (e) Fourth (d) Third (c) Second f . ~ ~a~ ,~ a ,~; ~ ;~, ~ Charges: ~~ 22. Indir Standard Form 424A (Rev. 7-97) Paget Authorized for Local Reproduction Su elemental EHS Grant Applicati°n Fatherhood Initiative ~,.~-., -aaad Start p Eag.c County Early Head Start 2005 One-time T/TA funds is beginning to develop a strategic planning model for fatherhood involvement which includes stakeholder analysis, environmental scan, program mission/vision, goal areas, objectives, action plan and budget development, and reviewing and refining the plan. Eazly Head Start currently is utilizing Regional T/TA. Current involvement: - 25% of fathers are involved routinely in program activities. - 50-75% are involved intermittently and/or for special events. The challenges include: - Identifying the needs of fathers in the community and what services they might find most useful. - Most fathers think that Early Head Start is for mothers. The program's goal is to support and sustain fathers' involvement in their child(ren) lives year after year. Objectives include: - To assess the need to determine who the fathers in the community are. What is it that they want/need and what are the fatherhood issues present in the community? - To identify goals and measurable outcomes. - To develop a strategic plan for implementing the findings based on the assessment. The program has and will continue to institutionalize father involvement via the assessment and planning process by getting input from fathers and community partners and then by making these fathers and community partners part of the planning process. The anticipated outcome is to increase fathers' participation in the lives of their children. Upon implementation of the assessment, identification of the goals, and development of the strategic plan, the program anticipates an increase of 10% in the routine participation of fathers in the program, bringing the participation level to 35%. The target audience will be fathers in the program and in the community Activity Lead Res onsibili Resources/Tools/ Events/Processes Time Frame Indicators Determine Family Service HS Building 12/04 to 1!05 Assessment which Coordinator, Blocks for Father tool identif ed assessment to Director Involvement, HS use. Father Involvement Web Site, HS training guides, Regional T/TA Devise timeline Director T/TA, staff, 1/OS Timeline to accomplish parents, Board written. assessment. -2- Eaa_~ County Early Head Start 2005 One-time T/TA funds Activity Lead Resources/'Tools/ Time Frame Indicators Res onsibili Events/Processes Complete Home Visitors, Fathers in 2/04 to 4/05 Fatherhood assessment Family Service program, may be assessment with fathers Coordinator, done at home, completed and from program Director special informal reflective of and meetings. community. communit . Complete Family Service Head Start, HHS 2/04 to 4/05 Fatherhood assessment Coordinator, divisions, local assessment with Director, Ex. partners, possibly completed and community and Director, schools, faith reflective of faith based Board, PC based community. or anizations. or anizations Analysis of Family Service Possibly Sean 5/OS Community assessment. Coordinator, Brotherson of the understands Director University of needs of North Dakota. fathers. Share with Director, Analysis of 6/05 to 7/05 Stakeholders, stakeholders Family Service assessment. fathers, PC, including Coordinator, Board have fathers, PC, Ex. Director, reviewed and Board. PC President offered input to and/or PC Ex. assessment. Comm. Identify goals Director, Assessment, HS 6/05 to 7/05 Written goals & measurable Family Service Building Blocks identified & outcomes. Coordinator, for Father outcomes are Ex. Director, Involvement, HS measurable. Home Visitors, Father Fathers, PC, Involvement Web Board, Site, HS training community guides, Regional artners T/TA. Develop Director, Assessment, HS 7/05 to 8/05 Written plan strategic plan Family Service Building Blocks approved by to achieve Coordinator, for Father PC and Board. program goals. Ex. Director, Involvement, HS Home Visitors, Father Fathers, PC, Involvement Web Board, Site, HS training community guides, Regional artners T/TA. -3-