ROTARY CLUBS OF GAINESVILLE FOUNDATION, INC. Grant Application For Grant Funds From the 2017 Wild Game Feast Children's Home Society of Florida – Mid Florida Division Family Visitation Center Page 1 of 7 Children's Home Society of Florida – Mid Florida Division 1) THE ORGANIZATION a. What is the name and address of the Organization that is making the application? Children's Home Society of Florida – Mid Florida Division located at 711 NW 1st Street, Gainesville FL 32601 b. Who is the Contact Person for the Organization; and how can he or she be contacted? Jennifer Anchors, Executive Director may be reached at 352334-0955 or email at [email protected] c. Is the Contact Person a member of any of the five Alachua County Rotary clubs? No, Ms. Anchors is not a member. However, Michelle Farkas, Past CHS Board Member and current Planned Giving Committee Member is a member of the Alachua County Rotary, d. I s the Contact Person directly affiliated with the Organization? If not, what is the relationship? Yes, Ms. Anchors is the Executive Director of the Mid-Florida Division. e. Is the Contact Person a member of the Board of Directors of the Rotary Clubs of Gainesville Foundation, Inc.? No, Ms. Anchors is not a member of the Board of Directors of the Rotary. f. On what date was the Organization formed? Children's Home Society of Florida was founded in 1902 in Jacksonville. The Mid-Florida Division was founded in 1964. g. Is the Organization recognized by the Internal Revenue Service as a non-profit, tax exempt organization? Yes, Children's Home Society of Florida is recognized by the IRS as a non-profit tax exempt organization. h. What is the Organization’s Federal Employer Identification Number? 59-0192430 i. What type of entity is the Organization? Children's Home Society of Florida is a nonprofit 501(c)3 Corporation. j. What are the Organization’s sources of financial support? Please list in order of percent of total support. Government funding including grants and contracts, Medicaid reimbursement for services, in-kind donations, special events, CHS Thrift Shop, United Way, Other Fundraising/Grants, contributions, and fees. k. What is the total amount of support and revenue received by the Organization from all sources for the past fiscal year? $12,728,719.00 Page 3 of 7 Children's Home Society of Florida – Mid Florida Division l. Of all the support and revenue received by the Organization for its last fiscal year what percentage went to: 1. Fund raising? 3.09% 2. Disbursements to members of the Organization? None 3. Compensation to officers, directors and trustees of the Organization? .55% 4. Other salaries and wages? 57.38% 5. Payments to outside consultants? .26% 6. Rent? 4.21% m. What are the Organization’s programs and activities? Children's Home Society of Florida – Mid-Florida Division offers: a. Community School, is both a place and a set of partnerships between the school and the community designed to support students and neighborhoods. The Howard Bishop Middle School community school is a hub, bringing together many partners, (Alachua County School Board, Health Department of Health in Alachua County, University of Florida, Santa Fe College and Children's Home Society of Florida) to support families and youth. The Community School is working to unite the most important influences in a child's life - school, families and communities to create a network that supports their development toward productive adulthood. Its integrated focus on academics, health and social services, youth and community development and community engagement has been shown to improve student learning, strengthen families and contribute to healthier communities. Community schools offer a personalized curriculum that emphasizes real-world learning and community problem-solving. Schools become centers of the community and are open to everyone. b. Family Connections, is an evidenced based prevention program rooted in Safety Methodology that seeks to prevent child abuse and provide tools for the parents. It is a voluntary program with a family centered approach to empower families to address areas of risk for improvement and change. This program serves families with children who, while deemed safe at the conclusion of the Child Protection Investigator’s investigation, remain at high or very high risk of future involvement with the Child Welfare System. c. Mid-Florida Community Counseling, is a program designed to bring clinical interventions to clients in their homes and schools. Most clients with Medicaid coverage are eligible for these services. Our clinical team is versed in a variety of trainings and clinical interventions to meet the needs of their clients. d. Healthy Families, is a program which is part of Healthy Families America, a prominent, national child abuse and neglect prevention program that recognizes the impact a family’s dynamic has on a child’s environment. The program’s philosophy shares Fredrick Douglas’s belief that “It is easier to build strong children than to repair broken adults.” Page 4 of 7 Children's Home Society of Florida – Mid Florida Division Healthy Families melds social services, education, and health care “best practices” into a model that empowers families to become nurturing and self-sufficient. e. Family Treasures Thrift Shop, a program that serves the dual purpose of raising funds for Children's Home Society of Florida programs and providing items for the children and families served. f. Family Visitation Centers, these programs provide safe environments where children and their families can spend time together during courtordered supervised visits. Here, caring caseworkers demonstrate positive role modeling for parents while ensuring children are safe. Additionally, these centers allow divorced parents to exchange their children in a neutral setting. n. Does the Organization control, or is it controlled by, any other organization? If yes, please explain. No, Children's Home Society of Florida does not control nor is it controlled by any other organizations. o. Is the Organization financially accountable to any other organization? If yes, please explain. No, Children's Home Society of Florida is not accountable to any other organization. p. What assets does the Organization have that are used in the performance of its functions? The Organizations assets consist of computer equipment, a van, and office furniture. q. What is the Organization’s annual budget? 16/17 Fiscal Year is $7,099,901. 2) THE PROJECT a. What is the Organization’s Project? The Family Visitation Center is housed in a home like setting in Gainesville and provides family in Alachua County a safe place for children and parents to visit with each other. The home is 56 years old and in need of renovations, repairs and safety improvements. With funds from the Rotary we will be able to make the needed improvements which will impact the building structure, function, and aesthetics of the home to provide a nurturing, welcoming and warm environment for the families. Please see the attached list of items/repairs needed to make the Family Visitation Center home safer and more welcoming. b. If the Project is funded, how would Rotary be recognized? Published on CHSMF Website, Unveiling with Rotary Members of the remodeled building with press release issued to invite media. Acknowledgment in the Children's Home Society of Florida e-Newsletter. c. What is the geographic area the Project will serve? (e.g., the City of Gainesville, or Alachua County, or the City of High Springs, etc.) The Family Visitation Page 5 of 7 Children's Home Society of Florida – Mid Florida Division Center offers families in Alachua County a safe place for the children to visit with their non-custodial parents, usually subject to court ordered or mediated visits. d. How does the Project benefit, improve or serve the Alachua County community? With funds we will be able to repair the Family Visitation Center. The flooring, fixtures and equipment are badly outdated and in need of repair or replacement. Updating this home will provide a safer environment for families to visit and ensure the staff are able to monitor the families while ensuring the safety of children. The repairs will benefit the Alachua County community because the Center will be more welcoming to families in need of this service. The security system will be expanded to include monitoring of the external building, thus ensuring the safety of children and parent victims of domestic violence. e. Does the completion of the Project depend on receipt of this Grant? Yes it does. As we receive funding, we will continuing to seek the remaining balance needed to complete the project for the Family Visitation Center. f. How many people in each of the following categories will benefit from the Project? We do not collect data on the first three categories. However, many families are economically disadvantaged, socially disadvantaged and may include disabled youth. 1. Economically disadvantaged – 2. Socially disadvantaged 3. Disabled youth 4. Youth - approximately 200 youth per year will benefit from the Project 5. Senior Citizens – A few families served include grandparents. 6. Other- please identify and explain – 125 parents per year of the 200 youth will benefit from the project 3) USE OF GRANT FUNDS a. How much Grant money is the Organization requesting for its Project from the Foundation? $39,522 b. Is this Grant the major funding source of the Project? Yes, at this time this grant is the major funding source of the Project. However, we continue to research and apply for other funding sources such as community partners and corporate donors. c. How will the Grant funds be used? The Grant funds will be used to insulate the home, remodel the inside of the Family Visitation Center, update the Security System, and repair the damage to the outside of the building from years of weather impact. The home is 55 years old. d. What are the other funding sources of the Project, and what commitments have Page 6 of 7 Children's Home Society of Florida – Mid Florida Division you received? At this time, there are no other funding sources or commitments for this Project. CHS has submitted applications to Lowes, Home Depot, and the Mazda Foundation to help support this project. e. What is the total budget or cost of the Project including all sources of funds? $39,522 f. What is the timeframe for starting and completing the project? This project will start once informed that we have been awarded the funds. We plan to complete the renovations no later than one year from date of funding from this application approval. 4) THE ROTARY SPONSOR Who is the Rotary Sponsor of this Project? Name: Michelle Farkas Address: 2114 NW 40th Terrace, Suite C-2 Gainesville, FL 32605 Phone number: (352)377-5854 Fax number: (352)377-5541 E-mail address:[email protected] CERTIFICATION BY THE APPLICANT I certify, to the best of my knowledge, that the statements and information contained herein are true and correct. I understand the Board’s policy on lobbying activities, and will comply with it. Dated: September 26, 2016 Applicant, Organization: Children's Home Society of Florida _____________________________________________ Signature of authorized person for applicant Organization Printed name: Jennifer Anchors Title: Executive Director Address: 711 NW 1st Street Gainesville FL 32601 Phone number: (352) 334-0955 Page 7 of 7 Children's Home Society of Florida – Mid Florida Division
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