Salina Area United Way
2013 to 2015 S.M.A.R.T. Community Improvement Goal Grant Proposals and Budget Plan
Agency: ___________________________________ Agency EIN: _____________ Phone: ______________________________
Address: __________________________________ Agency Website: _______________________________________________
Executive Director:__________________________ Board President: _______________________________________________
Phone: ____________________________________ Phone:________________________________________________________
E-mail: ____________________________________ E-mail: _______________________________________________________
Submit an electronic Word Copy of this proposal to [email protected] on or before May 1, 2012.
Proposed 2013 to 2015 S.M.A.R.T. Community Improvement Goal:
Is this a continuation of the 2009 to 2012 S.M.A.R.T. Community Improvement Goal? Yes ____ No _____
Instructions: This page is intended to provide the community and SAUW volunteers with a quick summary of this improvement.
Select which goal(s) this proposal supports. If this improvement addresses more than one, rank in order each goal with 1 being the highest.
Education: Helping Children and Youth Achieve Their Full Potential
Children enter school developmentally on track in the areas of literacy and social, emotional and intellectual skills.
Elementary and middle school students are engaged in school and make appropriate academic progress and healthy decisions.
Young people graduate from high school and young adults make a successful transition from high school to further schooling or work life.
Financial Stability: Promoting Financial Stability and Independence Among Working Families
Working families achieve and retain family-sustaining employment
Working families receive the income supports that are available to them
Working families have the financial resources to avoid poverty
Working families make smart financial-decisions and live within their budget1
Health: Improving Community Health
Babies are born at low risk of any preventable health problems.
Children and youth have access to timely, regular, preventive health care covered by insurance
Youth and adults are healthy and avoiding risky behavior
1
Still working to define an ongoing community measure of this priority.
DRAFT Agency Name: Document1
Priority Topic Area: Education, Financial Stability and Health
Page 2 of 8
S.M.A.R.T. Community Improvement Goal for December 2015
Purpose: The purpose of this proposal is to define the S.M.A.R.T. Community Improvement Goals for 2013 to 2015 and the specific actions to be
completed to strengthen Salina through funding from the Salina Area United Way through December 2015. This proposal is intended to validate a
direct link between the gaps in resources or root causes and how the actions will be implemented to make progress in strengthening the Salina
area community.
The A B Cs of Progress: The five basic pieces of information needed in the proposal form below are: (Do not answer these questions here.)
A. Why should SAUW funding be used to impact the S.M.A.R.T. Community Improvement Goal proposed in this application?
B. How will data be collected for the measurement of progress on your S.M.A.R.T. Community Improvement Goal?
C. What action steps and measures of completion will this S.M.A.R.T. Community Improvement Goal implement to strengthen our community?
D. What is the 2011 S.M.A.R.T. Community Improvement Goal baseline measure and what progress is expected in 2012, 2013, 2014 and 2015?
E. Is it reasonable to believe that there will be progress toward this SMART Community Improvement Goal that is the result of SAUW funding?
The intent of this document is to define plans or budgets for the next three years of community improvement. The purpose of this document is to
present how to better strengthen our community. This will be used by volunteers to evaluate organization actions and data collection processes
during an on-sight visit to be completed in June. This proposal will become the basis for annual reporting and a summary of what the organization
has learned and any changes it plans to make in use of funds.
Guidelines. Remember: the audience reviewing and reading this section will be trained quality improvement and outcome measurement
professionals, as well as the greater Salina community. In order to continue to receive SAUW funding, agencies must demonstrate how actions
are resulting in progress on their S.M.A.R.T. Community Improvement Goal. To assist in this process, volunteer reviewers will be trained in SAUW
system and process logic model, priority community indicators, target population definition, S.M.A.R.T. Goal Theory, collaborative impact principals
and have access to the 2011 S.M.A.R.T Community Improvement Goal Report submitted on January 31, 2012.
Instructions:
1. Save the Word and Excel documents exactly as follows: <organization name> 2012 SMART Community Improvement Goal Application. This
will appear in the header of every page of your application when it is printed.
2. Complete the Cover Sheet in the Word document. Be sure to include all the contact information.
3. Complete the Budget Summary in the Excel document. The budget being proposed is a three year budget and will be adjusted each year
depending on campaign results. Do not ask for more than a 30% increase funding over 2012 funding levels. Complete a three year budget based
on the assumption that your dollar amount will not change from year to year. Be sure to include your total operating expenses in cell B43.
4. In the Application all your comments should be in red text in the cells provided. There is no need to score your organization. Add more steps
and questions to this form as needed based on your application. If you have made changes to your proposed 2013 – 2015 goal, actions or budget,
be sure to explain the difference between what SAUW has on file and your January 31, 2012 report for 2011.
5. Submit both Word and Excel electronic files of this application to [email protected] on or before May 3, 2012.
DRAFT Agency Name: Document1
Priority Topic Area: Education, Financial Stability and Health
Page 3 of 8
A. Why should SAUW funding be used to impact the S.M.A.R.T. Community Improvement Goal proposed in this application?
1. Summarize the opportunity or problem being address by this S.M.A.R.T. Community Improvement Goal using community level
demographic, initialization and outcome data and information provided by the SAUW.
2. In just a few sentences restate why your S.M.A.R.T. Community Improvement Goal is necessary to close gaps in resources between
agencies or root cause system problems and how it is promoting the philosophical shift to a “hand up” not a “hand out.”
3. Explain why funding and actions to be taken in this proposal will strengthen the Salina area community by addressing the goals of the
SAUW listed on page 1 (cover page) of this application and why this organization is in a positive position to impact this community
improvement goal?
4. How will SAUW funding be used to work collaboratively with other community partners?
Scoring Guidelines:
1 = No statement of why this SMART Goal was identified and important to the SAUW, our community and this organization using community data.
3 = There is a statement of why this SMART Goal is needed using some community data; however, there is no identified problem, opportunity, gap or
root cause or why this SMART Goal was identified and important to the SAUW, our community and this organization.
5 = There is a statement of SMART Goal that includes an identified problem, opportunity, gap or root cause and why this SMART Goal was identified
and important to the SAUW, our community and why this organization is in a positive position to impact this community improvement goal by
working collaboratively with other partners.
Volunteer Reviewer Comments:
Score:
DRAFT Agency Name: Document1
Priority Topic Area: Education, Financial Stability and Health
Page 4 of 8
B. How will data be collected for the measurement of progress on your S.M.A.R.T. Community Improvement Goal?
1. Define the target population and the relationship between the clients served compared to the total potential clients in the target population of
our community as defined by the SAUW.
2. How will data be collected to demonstrate SAUW funding is being used and evaluated annually in order to revise plans and
goals? Explain the systems, processes, documents or databases used to support the numbers or percentages defined by your
S.M.A.R.T. Goal.
3. How will data be collected and reported to demonstrate how SAUW funding is being used to prevent future problems for the
Salina area by requiring program clients and service recipients to take responsibility for the education, financial stability and
health of themselves and their families? This can be accomplished many different ways, including clients referred to other
services, how clients will be responsible for follow up in order to receive services, how clients volunteered to help others.
However, there must be a system for communicating and reporting this data to the SAUW.
Scoring Guidelines:
1 = No statement and/or explanation
3 = There is a clear statement and understandable explanation and analysis of the target population for the SMART goal; however, there is no
explanation of how data will be collected to demonstrate how program clients and service recipients are taking responsibility for self
improvement.
5 = There is a clear statement and understandable explanation and analysis of the target population for the SMART goal; and there is an
explanation of how data will be collected to demonstrate how program clients and service recipients are taking responsibility for self
improvement.
Volunteer Reviewer Comments:
Score:
DRAFT Agency Name: Document1
Priority Topic Area: Education, Financial Stability and Health
Page 5 of 8
C. What actions steps and measures of completion will this S.M.A.R.T. Community Improvement Goal implement to strengthen our
community?
This section needs to summarize the staffing necessary to implement the proposed project, including position descriptions, number of staff and
their qualifications. If this is a collaborative proposal, describe how staff assigned to the project from different organizations will work together
to advance this project. Be sure to explain how volunteers will be identified, recruited, trained, motivated, recognized, thanked and appreciated
in this staffing section.
Action Steps
(Measure of Completion)
Responsible
Position/Teams
1. Action
Resources ($ Inputs) and Support (Other
Community Organizations)

Target Date
Measure of Completion:
a) How will SAUW and Agency funds be used to implement and complete this action? (See Question C Toolkit)
b) Will this action step be continued in all three years of SMART Goal funding? Explain why it will or will not, or how it might be
changed/improved.
Action Steps
(Measure of Completion)
2. Action
Responsible
Position/Teams
Resources ($ Inputs) and Support (Other
Community Organizations)

Measure of Completion:
a) How will SAUW and Agency funds be used to implement and complete this action? (See Question C Toolkit)
b) Will this action step be continued in all three years of SMART Goal funding? Explain why it will or will not, or how it might be
changed/improved.
Target Date
DRAFT Agency Name: Document1
Priority Topic Area: Education, Financial Stability and Health
Page 6 of 8
Action Steps
(Measure of Completion)
3. Action
Responsible
Position/Teams
Resources ($ Inputs) and Support (Other
Community Organizations)

Target Date
Measure of Completion:
a) How will SAUW and Agency funds be used to implement and complete this action? (See Question C Toolkit)
b) Will this action step be continued in all three years of SMART Goal funding? Explain why it will or will not, or how it might be
changed/improved.
Scoring Guidelines:
1 = No statement and/or explanation for each action step planned and how SAUW and Agency Funds will be used for this SMART Goal.
3 = There is a statement of how SAUW and Agency Funds will be used for this SMART Goal; however, there is no explanation of how the use of
funds might be changed or improve in 2014 or 2015.
5 = There is a statement of how SAUW and Agency Funds will be used for this SMART Goal and explanation of how funds are used will be changed
or improve in 2014 or 2015.
Volunteer Reviewer Comments:
Score:
DRAFT Agency Name: Document1
Priority Topic Area: Education, Financial Stability and Health
Page 7 of 8
D. What is the 2011 S.M.A.R.T. Community Improvement Goal baseline measure and what progress is expected in 2012, 2013, 2014 and
2015?
S.M.A.R.T. Improvement Goal (State Goal Here!)
Baseline
Measure
2011
2012
Predicted or estimated results
for each calendar year
2013
2014
2015
If your Goal is measured in numbers, proposal results here.
If your Goal is measured as a rate or percentage,
include the numerator here.
Record the denominator here.
Calculate the rate or percentage here.
1. Explain how your SMART Community Improvement Goal is Smart, Measurable, Reasonable, Achievable and Timely.
2. Explanation how reasonable (likely or probable) the predicted or estimated progress will be to achieve?
Scoring Guidelines:
1 = No statement of a S.M.A.R.T. Community Improvement Goal, a baseline or explanation.
3 = There is a statement of baseline results or progress in 2011 and/or explanation; however, there is no explanation how reasonable the predicted
progress will be to achieve
5 = There is a statement of baseline results or progress in 2011 and/or explanation; and there is a clear explanation how reasonable the predicted
progress will be to achieve
Volunteer Reviewer Comments:
Score:
DRAFT Agency Name: Document1
Priority Topic Area: Education, Financial Stability and Health
Page 8 of 8
E. Is it reasonable to believe that there will be progress toward this SMART Community Improvement Goal that is the result of SAUW
funding?
1. Considering the total amount of funding provided by the SAUW, explain why a reasonable person would believe that the actions steps
stated in this proposal will cause meaningful and measureable progress toward this 2015 S.M.A.R.T. goal.
2.
Explain in simple terms how individual clients will benefit from the action steps of this S.M.A.R.T. Goal.
Scoring Guidelines:
1 = There is no reasonable way the proposed SMART Goal could achieve any improvement.
3 = There is reasonable belief the proposed SMART Goal could achieve any improvement; however, it is not clear how SAUW Funding will make an impact.
5 = There is reasonable belief the proposed SMART Goal could achieve any improvement; and it is clear how SAUW Funding will make an impact.
Volunteer Reviewer Comments:
Score: