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2006 NS Aging - Authorization of the RSVP (Retired & Senior Volunteer Program) 3 Year Renewal Application & Agreement
ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: April 18, 2006 Action Agenda Item No. SUBJECT: Authorization of the RSVP (Retired and Senior Volunteer Program) 3 Year Renewal Application and Agreement DEPARTMENT: Aging PUBLIC HEARING: (YIN) No ATTACHMENT(S): INFORMATION CONTACT: (1) RSVP Resolution for Submission (1 -3) Jerry Passmore, 245 -2009 (2) Final Application (Pg. 4 -51) Kathy Porter, 968 -2054 (3) Pro Forma Grant Award Notice (pg 51 -55) PURPOSE: To consider approving an application for a 3 -year renewal of federal grant funding for RSVP; request approval of the RSVP (Retired and Senior Volunteer Program) final application; and enter into an agreement with Corporation for National and Community Service for the period July 1, 2006 through June 30, 2009 in the amount of $180,753 ($60.251 per year) in federal funds. This is an increase of 1.35% over the current federal grant level for FY05 /06 ($59,448). BACKGROUND: This is a 3 -year Application for Federal Assistance covering volunteer services provided by 575 retirees serving approximately 65,000 hours through non - profit organizations in Orange County each year. The federal sponsor has honored long running, high quality Corporation for National and Community Service programs by allowing them to submit a 3 -year federal funding application. This has been done in order to save time for staff and sponsor by deleting much of the paperwork required in the annual application. RSVP will continue to work under a one -year budget plan. It will be necessary for RSVP to submit annualized budget revisions to the federal sponsor to show changes in either the federal or local funding levels. Local funding requirements continue as before based on the annual Orange County budgeting process. The RSVP objectives will include recruiting, placing, and recognizing these volunteers. RSVP will also provide the non - profit agencies support and training in the area of volunteer management. RSVP has developed a 3 -year work plan. RSVP will also strive to identify community needs and provide volunteer programming and management targeting these needs. FINANCIAL IMPACT: A minimal increase in County funds may be required for staff merits and cost of living adjustments. RECOMMENDATION(S): The Manager recommends that the Board approve the RSVP resolution, 3 -year application, and agreement and authorize Chair to sign application and Notice of Grant Award when received with the understanding that the 3 -year application does not affect the Orange County annual budgeting process and can be terminated at any time based on Corporation for National and Community Service handbook guidelines providing for advance notice in order to find another local sponsor. A RESOLUTION AUTHORIZING SUBMISSION OF A GRANT APPLICATION FOR THE RETIRED SENIOR VOLUNTEER PROGRAM (RSVP) BE IT RESOLVED by the Commissioners of Orange County that the Commissioners authorize the County Manager to submit an application to the Corporation for National and Community Service for a $180,753 three -year grant ($60,251 /year) for continuation of the Retired and Senior Volunteer Program for thirty -six months and to certify to the federal government the willingness of the County to assure a minimum of 30% in cash, goods, and services as the non - federal share in support of the program. Funding will continue to be reviewed and approved on an annual basis as part of the Orange County Budget Process and the RSVP will operate under a one -year budget. Budget revisions will be submitted to the Federal Sponsor at the end of the first and second years. It is understood that Orange County is not locked into a commitment for three years if it is decided by Orange County officials to discontinue support of the Orange County RSVP. The program can be terminated at anytime based on the Corporation for National and Community Service Handbook guidelines providing the required advance notice. This is the Eighteenth day of April, 2006. PAGE 2 CERTIFICATE OF RECORDING OFFICER The undersigned duly qualified and Clerk of the Orange County Board of Commissioners does hereby certify: That the attached resolution is a true and correct copy of the resolution to authorize the County Manager to submit an application to Corporation for National and Community Service for a $180,753 three -year grant ($60,251 per annual budget period) for continuation of the Retired and Senior Volunteer Program for thirty -six months and to assure minimum annual support of this program of 30% in cash, goods, and services, and further, that such resolution has been fully recorded in the journal of proceedings and recorded in my office. IN WITNESS WHEREOF, I have hereunto set my hand this day of April 18, 2006 ORANGE COUNTY BOARD OF COMMISSIONERS BY: Donna Baker, Clerk PAGE 3 KI CORPORATION FOR NATIONAL - - - -- AND COMMUNITY © S E R V I CE SENIOR CORPS GRANT APPLICATION Three Year 2006 -2009 Form is Authorized for Local Reproduction CNCS Form 424 -NSSC (Revised 8/02 to conform to electronic submission via eGrants) (Part 2) PART I - FACESHEET APPLICATION FOR FEDERAL ASSISTANCE 1. TYPE OF SUBMISSION: Application ® Non - Construction 2. DATE SUBMITTED TO CORPORATION FOR 3. a. DATE RECEIVED BY STATE: 3.b. STATE APPLICATION IDENTIFIER: NATIONAL SERVICE (CNS): 04-07 -2006 2B APPLICATION IDt# 4. a. DATE RECEIVED BY CNS: 41. CNS GRANT NUMBER: 06SR064484 03SRSNC132 5. APPLICANT INFORMATION LEGAL NAME: ORANGE COUNTY GOVERNMENT NAME AND CONTACT INFORMATION FOR PROJECT DIRECTOR OR OTHER PERSON TO BE CONTACTED ON MATTERS INVOLVING THIS APPLICATION (give ORGANIZATIONAL UNIT: ORANGE COUNTY DEPARTMENT ON AGING area codes): NAME: KATHERINE L. PORTER ADDRESS (give street address, city, county, state and zip code): Orange County Government Department on Aging TELEPHONE NUMBER: (919) 968 - 2054 P. O. Box 8181 FAx NUMBER: (919) 968 - 2093 Hillsborough, NC 27278 P-MA H. Ann F.• KPOR TER OCO.OR ANCTRNC -TT 6. EMPLOYER IDENTIFICATION NUMBER (EIN): 7. TYPE OF APPLICANT: (enter appropriate letter in box) ❑ B LOCAL GOVERNMENT - COUNTY A. State H' Independent School District 8. TYPE OF APPLICATION (Check appropriate box): ❑NEW ®CONTINUATION B. County 1. State Controlled Institution of Higher Learning G Municipal J. Private University ❑REVISION D. Township Ir Indian Tribe Ii Interstate L Individual If Revision, enter appropriate letters) in box(es): ❑ ❑ F. Intenmmicipal M. Profit Organization G. Special District N. Private Non -Profit Organization A. Increase Award B. Decrease Award C. Increase Duration O. Other (specify) D. Decrease Duration E. Other (specify): 9. NAME OF FEDERAL AGENCY: Corporation for National & Community Service 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPL.ICANT's PROJECT: RSVP 94.002 FGP: 94.011 RETIRED & SENIOR VOLUNTEER PROGRAM SCP 94.016 Senior Demonstration: 94.015 12. AREAS AFFECTED BY PROJECT (List Cities, Counties, States, etc.): TOWNS OF. HILLSBOROUGH, CHAPEL BILL, AND CARRBORO ORANGE COUNTY, NORTH CAROLINA 13. PROPOSED PROJECT: START DATE: 07/01/2006 END DATE: 0660/2009 14. ESTIMATED FUNDING: 15. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. FEDERAL, $ 180,753 a YES. THIS PREAPPLICATION /APPLICATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR b. APPLICANT $ 212,571 REVIEW ON: DATE c. STATE $ b. NO. ❑ PROGRAM IS NOT COVERED BY E.O. 12372 ❑ OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW d. LOCAL $ 41,031 e. OTHER $ 16. IS THE APPLICANT DELINOUENT ON ANY FEDERAL DEBT? ❑ YES If "Yes," attach an explanation. ® NO f. TOTAL S 434,355 17. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICAnON ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN DULY AUTHORMED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. a. TYPED NAME OF AUTHORIZED REPRESENTATIVE: h TITLE: c. TELEPHONE NUM13ER: Barry Jacobs Chair, Orange County Board of Commissioners 919 - 245 -2300 d SIGNATURE OF AUTHORLZID REPRESENTATIVE: e. DATE SIGNED: 0418 -2006 Modified Standard Form 424 -NSSC (Rev 4101) (0 PART II - BUDGET Organization:Orange County RSVP Budget Dates: July 1, 2006 -June 30, 2007 A. PROJECT PERSONNEL EXPENSES Position Title Annualized Salary % Time Spent on Project Total Project Cost Corporation Funds Requested Non - Federal Resources Excess Resources Project Director (longevity $ ) Project Assistant Director Administrative Assistant 12hrs/wk x 52wks x $10 hr Special Programs Assistant 14 hrs/wk x 52wks x $11 RSVP VITA Computer Technician 51 hrs/yr. x $24.31hr 45,706 31,444 6,239 8,008 1,240 100% 100° 100% 100% 100% 45,706 31,444 6,239 8,008 1,240 15,242 12,171 2,461 7,280 - 30,464 19,273 3,778 728 1,240 - - - - - TOM .PERSONNEL EXPENSES: : 1,059 $ 92,637 $ 37,154 $ 55,483 $- B. PERSONNEL FRINGE BENEFITS 27,235 6,369. 20,866 - C. PROJECT STAFF TRAVEL Local Travel Long Distance Travel 528 528 - - 225 225 - •TOT� tNQL RUEXPENSES.:= Y' D. EQUIPMENT - $ 3,230 $ - .Y`OTAIz<P,IItJECT COSTS , ; ` .j x, .' E. SUPPLIES VITA parts $956 Office Su .$2,260 3,216 1,061 2,155 .FU, DING'PERCENTAGES = �_ t distribution between Columns 4 and 5) {' F. CONTRACTUAL SERVICES 250 x 250 G. OTHER VOLUNTEER SUPPORT COSTS 4,089 1,427 2,550 112 H. INDIRECT COSTS - - - - T()7`Ai WtfLIIl�T7'EEi It SUPP()IZT F_XPENSES 128,180 1 $ 46,764 $ 81,304 1 $ 112 A. VOLUNTEER Stipends SERVICE- RELATED Meals COSTS AND Uniforms REIMBURSEMENT Insurance EXPENSES Recognition Volunteer Travel Physical Examinations Other Allowable Expenses - - - - - - - - - - 2,463 1,404 1,059 - 7,313 6,320 993 - 5,741 4,563 1,178 - - - - - 1,200 1,200 - •TOT� tNQL RUEXPENSES.:= Y' 16,717 $ 13,487 $ 3,230 $ - .Y`OTAIz<P,IItJECT COSTS , ; ` .j x, .' 144,897 60,251 84,534 112 .FU, DING'PERCENTAGES = �_ t distribution between Columns 4 and 5) {' 42.00% 58.00% x �?OLUNTEER STRENGTH PROJECTION . .. .._' A. Non -Sti ended FGP /SCP Volunteers: 580 C. Volunteer Hours: 64,500 B. VSYs or Volunteers - Federal: 0 Non -Fed 0 ID. Stations: 114 NSSC Form 424A (Optional Form 4/01) Modified SF -424A (Rev 4/01) 13 Work Plan /Performance Measures Total Number of Unduplicated Volunteers: 575 According to the 2000 U.S. Census Data, approximately 8,60o adults 25 years of age and older in Orange County are in need of literacy services. This includes adults who have neither finished high school nor received their GED. It does not include i8 to 25 year olds who meet this definition. According to the Executive Director of the Orange County Literacy Council, there are a variety of reasons for this number, including: -Some students are in GED classes with a community college in the adjacent county and find they Trained RSVP volunteers will be matched by Orange County Literacy Council (OCLC) staff with adult learners (students) as tutors in English or English as a Second Language or as board members. Page 14 Work Plan /Performance Measures Students and tutors will arrange a schedule and work with OCLC staff to set short- and long -term objectives. Tutors will plan the lessons and tutor assigned students 1:1 or small groups in reading, writing or math at a literacy center or any site of their mutual choice for i year. Volunteers will assist with ongoing operational duties, special fundraisers and student recognition events. Depending on the motivation and schedule of the student, the service will be provided for 12 months. I ndicator: # of students provided with 1:1 or small group tutoring by volunteer tutors Target: 12# How Measured: Activity log Indicator: # of students studying with a tutor will meet at least one short -term goal Target: 6# How Measured: Pre /Post test Description: Page 15 • M Work Plan /Performance Measures Students measured must reach fulltime student status (NC Community College Sys): Each achieves 12 hrs tutoring. Provides measurement base. OCLC pre - tests; post -tests monthly 20 -30 hrs tutor Summary Students will reach i long -term or 3 short-term goals. Indicator: # of f ulltime students who will reach 1 long -term or 3 short -term goals Target: 6# How Measured: Pre /Post test Description: Students measured must reach fulltime student status (NC Community College Sys): Each achieves 12 hrs tutoring. Provides measurement base. OCLC pre - tests; post -tests monthly 20-30 hrs tutor __ ........... ......_- ______ According to Orange County Senior Center Administrator Janice Tyler, senior volunteers identified a need for seniors: (i) to have access to computer classes in a learning environment conducive to seniors rather than trying to fit them into an environment of younger students (2) to become more immersed in the technology age and not be isolated Given the right tools, a user - friendly learning atmosphere among peers, a curriculum designed to reduce the fear of technology, convenient access and instruction by persons of their own generation, seniors would be more become more computer literate. While the *SeniorNet program in Orange County offers basic well- attended courses, SeniorNet evaluations report an increased demand for more advanced classes on different subjects. If SeniorNet classes were not offered, senior students would have to travel a greater distance to class and have a less user - friendly senior learning environment. Page 16 Io Work Plan /Performance Measures SeniorNet Volunteers perform several tasks year 'round to recruit and educate senior class participants: (1) (1st meeting) Council members, along with being an instructor, determine policy, publicity, maintenance, curriculum, type of skilled personnel needed and schedule classes. (2nd meeting) Instructors and coaches discuss the year's goals, propose schedules and delegate (2) Maintenance of computers (3) Volunteer Program Coordinator facilitates the entire local program. (4) Trained SeniorNet RSVP instructors and coaches will teach students across 12 courses that meet twice weekly over 9 months at the Chapel Hill Senior Center. Training is on the job from learning the curriculum as a coach to working alongside an instructor in class. 20 SeniorNet RSVP volunteers will serve 1800 hours for the year (approximately 5o hours a week for 36 weeks). Students pay a yearly membership fee of $40 to SeniorNet and $25 per course to cover the cost of equipment maintenance and course resources. Scholarships are available to eligible students. The computers are grant - funded through SeniorNet. Each volunteer instructor and coach will receive approximately 24 hours annually of in -class free training. The program is fully volunteer- supported with no paid staff. Chapel Hill Senior Center provides space, utilities and Internet connection. RSVP provides its standard benefits package and recognition. Of the total number of students participating in classes for this measurement period, go% will be taught by RSVP Page 17 Work Plan /Performance Measures volunteers. z va Summary SeniorNet members will have access to user - friendly computer classes on topics of significant value to them. Indicator: #of SeniorNet members who will register to attend 1 class during the measurement period Target: 200 of SeniorNet members will register to attend 1 class during the measurement period How measured: SeniorNet registration records and class schedule Indicator: # of SeniorNet students' who will improve in computer literacy Target: 16o of SeniorNet students who will improve in computer literacy How Measured: SeniorNet instructors administer a written survey to all students. Participate in programs about cultural preservation and enrichment such as historic preservation, oral history, museum activities, drama and performing arts. Provide receptionist /clerical /office Page 18 IA Work Plan /Performance Measures assistance, usher, take photographs, assist with publicity and special events, serve on board, build sets (Ackland Art Museum, American Dance Festival, ArtsCenter, Carol Woods- archives, CH Museum, Deep Dish Theater, StreetSigns Theater, UNC Playmakers, Wordshed Productions) 16 vols. will serve 134o hrs. RSVP Benefits and recognition apply. Agencies provide training. Summary Summary Summary Serve in a public or school library. Sort books, assist with check -out, voter registration, fundraising (CH Library & Friends, O.C. Library - Carrboro station, CHCCS - McDougle Elementary and Middle Schools) 9 vols. will serve 85o hrs. annually. RSVP Benefits and recognition apply. Station training. Summary Page 19 Work Plan /Performance Measures Summary Summary 13 Assist with activities in the classroom or with sports for pre - elementary and day care programs. Assist with mailings to parents. 2 volunteers will serve 75 hours annually. On -site orientation and training. Summary Summary Summary ®A Page 20 14 Work Plan /Performance Measures 1 - Services provided to individuals with physical disabilities such as workshops, assistance for the Special Olympics; analyze and assist with handicapped accessible office arrangement, merge computer mailing information files into one, train sight - impaired staff on use of latter files 2 - Participate in programs & services for mentally retarded /developmentally disabled in (non) residential facilities or advocacy including summer camp (Chapel Hill Parks & Recreation - Special Olympics, OC Disability Awareness Council, Carol Woods Retirement Village) 3 volunteers will serve 5o hours. On -site training. Summary Summary Summary RSVP Senior Education Corps - Chapel Hill - Carrboro City Schools District (CHCCS) Reading Partners Program. Senior Education Corps also addresses the needs of Orange County Schools (see separate PFI ) According to CRESTAR (Center for Research on Education of Students Placed at Risk, Johns Hopkins University and Harvard University [June 1997]), research indicates that a child improves his /her literacy skills and moves from a reluctant reader to an eager reader if they're read to on a Page 21 15 Work Plan /Performance Measures one -to -one basis twice a week. Based on Chapel Hill- Carrboro School District reports, a need exists in the Chapel Hill- Carrboro School District ( CHCCS) to help improve the literacy skills of students in pre -K to 2nd grade. CHCCS Volunteers & Partners for Education Office has developed and administers a Reading Partners Program to help meet that need. Of the estimated 2500 Pre -Kto 2nd graders in CHCCS (04 -05 school year), an average 290 students are served by its Reading Partners Program. RSVP volunteers will serve as reading and literacy tutors for pre -K -2 students in any of the Lt UUb district's 9 elementary schools of their choice. The program asks that volunteers serve 2 hours weekly for io weeks and tutor 2 different students 1:1. Volunteers will tutor using the Book in a Bag program, made up of tutoring activities designed by teachers to supplement classroom teaching. Volunteers arrive and pick up their tutoring 'bag" to go. Literacy skills would include letter and word recognition, sounds, consonant cluster sounds, and reading proficiency. (9 CHCCS elementary schools) Page 22 Fol Work Plan /Performance Measures Summary Students will receive weekly tutoring INDICATORS: # students participating TARGET: 50 students will participate HOW MEASURED: CHCCS Volunteer office records Summary Pre -K to 2nd graders participating will improve their interest and eagerness towards books INDICATOR: # students participating who will show improved interest and eagerness towards books TARGET: 37 students participating will show improved interest and eagerness towards books HOW MEASURED: Teacher and volunteer surveys administered by the CHCCS Volunteer Office Summary Pre -K -2nd graders participating will gain literacy stalls INDICATOR: # students who show positive gain in their literacy skills TARGET: 37 students who will show positive gain in their literacy skills HOW MEASURED: CHCCS Teacher survey, observations by teachers, interviews Orange County School District (OCS) - RSVP Senior Education Corps- RSVP Reading Partners Program: RSVP Senior Education Corps also addresses the needs of the Chapel Hill- Carrboro City Schools District (CHCCS) (see separate PFI) According to Orange County School District reports (teachers and tests), a need exists in Orange Page 23 Work Plan /Performance Measures 17 County School District elementary schools to increase the reading and math literacy skills of teacher - identified elementary school children, thereby increasing student performance. According to the NC Dept of Public Instruction, there is an indicator that children who don't read by third grade have a propensity to drop out of school later with the highest dropouts occurring in 9th grade. OCS is one of two school districts in this county. It is a rural district in northern Orange County near Hillsborough (pop. approx. 5000) and a total elementary enrollment for 2004 -2005 of 3034 with an average 433 students per school. Volunteers provide 1:1 or small group assistance with reading or math literacy skills during which they may assist up to 4 students. Volunteers will serve an average of 4 students in need of reading or math literacy skills assistance. Volunteers will tutor approximately 20 minutes per child. Volunteers tutor an average of 2 hours per week over a 20 -week period during the school year. Annually 20 volunteers will serve a total of 80o service hours for the school year (4o hrs x 20 wks). OCS provides: i.Approx. i -hour orientation per volunteer 2.Reading Recovery teacher - trainer to develop curriculum and a 2 -hour formal training and the initial resource materials twice a year. (Volunteers entering the program between training sessions will receive training on -site from their assigned school.) 3.A small stipend for the teacher - trainer from OCS. RSVP will provide a tutor tool kit, name badge, vest and special recognition & feedback session, background checks on tutors and RSVP Senior Education Corps project coordinator will coordinate this program (recruit, orient, place, monitor, recognize volunteers, monitor costs), work with OCS school -RSVP liaisons to match volunteers, address communication and resource needs at approx. 14 hours per week. Page 24 R IJ Work Plan /Performance Measures This program is a partnership between Orange County School District and RSVP. A separate PNS grant of $10,778 covers administration and operating costs. RSVP Benefits and recognition apply. Summary Elementary school students will receive tutoring in reading or math literacy skills. INDICATORS: # students will be tutored TARGET: 8o students will be tutored HOW MEASURED: volunteer surveys Summary K -5 students participating in program will improve their interest and eagerness towards the subject or books INDICATOR: # of students tutored who will show improved interest and eagerness towards the subject or books TARGET: 40 students will show improved interest and eagerness in subject or books HOW MEASURED: Teacher and volunteer surveys, observations by teachers and volunteers Summary . Participating students will gain reading or math literacy skills INDICATOR: # participants who will show gain in reading or math literacy skills TARGET: 48 participants will show gain in reading or math literacy skills HOW MEASURED: Teacher survey, observations by teachers and volunteers Page 25 ICI Work Plan /Performance Measures Volunteers will serve at an Elementary, Middle or High School as classroom aides, office aide, proctors, homework assistance or assist with school projects or an assigned subject area. (Concessions - Lincoln Center, clerical- Pathways, non -RP volunteers, CHCCS- Carr,Eph,FPG,Scroggs,Rashkis,Smith Mid,ECHhs,) 24 Volunteers will serve Soo hours. RSVP standard benefit and recognition applies. Schools provide training when necessary. The service in this category is short-term and specialized in nature and is not performed on a consistent schedule. Summary Summary Summary According to North Carolina Botanical Garden's Annual Report, a need exists locally and internationally for an educational and environmental - friendly setting that will appeal to broad audiences to enjoy and to study issues of: 1 -Plant diversity 2 -Human dependence on plant diversity 3 -The resulting need for conservation Page 26 i Work Plan /Performance Measures RSVP volunteers will work in a variety of capacities from direct service with visitors and staff to behind the scenes. Not all volunteers will serve weekly or have people contact. Some volunteers will: -- Maintain flower beds, nature trails, herb gardens or work on plant sales: 1 hour weekly - -Greet the public from local and long distance areas, direct visitors to areas of interest: 4 hour shifts weekly Page 27 Work Plan /Performance Measures -- Remove invasive plants, stabilize stream banks with plantings to improve erosion control, maintain the 8o acres of Piedmont woodlands - -Lead educational group tours such as on historical or native uses of plants, plants native to the three geographic regions of the state or general tours of the Garden, Mason Farm and Coker Arboretum. Younger groups will be exposed to carnivorous plants, water plants, pine trees and the need and effects of burning, and the overall immensity of Garden - -Serve as Seed Volunteers as a group to separate Garden -grown native plant seeds from seed heads and package them as free or for -sale distribution items to schools, museums and other groups. - 80,00o visitors annually will be served directly and indirectly by activities of trained RSVP volunteers. 2- Approximately io,000 seed packets will be distributed to schools and various organizations for free or at minimal cost. INDICATORS:i- # of visitors served 2- #seed packets made and distributed TARGET: Page 28 a! Work Plan /Performance Measures 1- 80,00o visitors will be served directly and indirectly by activities of trained RSVP volunteers. 2- 10,000 seed packets will be made and distributed HOW MEASURED: 1 -Staff counts of visitors 2- Garden records of # seed packets made and distributed Summary Garden visitors will be highly satisfied with their experience at the Garden. INDICATOR: % of Garden visitors who will be highly satisfied with their experience TARGET: 70% of Garden visitors will be highly satisfied with their experience HOW MEASURED: Written Client satisfaction survey Summary Seed packet recipients will use the packets to increase environmental awareness. INDICATOR: % Seed packet recipients will use the packets to increase environmental awareness. TARGET: 60% of the seed packet recipients will use the packets to increase environmental awareness. HOW MEASURED: Written Client Survey available as an option at various sites; number of survey respondents; records of seed packet distribution �t WHIM Board members recruit volunteers, coordinate /administer specific programs for RSVP including recognition event, participate in RSVP Speakers Bureau, develop evaluation tools and analyze data. Administrative volunteers assist with mailings, research and data entry. (RSVP Advisory Council Page 29 a3 Work Plan /Performance Measures members, clerical assistance, mailings, consultant, photography) 18 vols. will serve Soo hrs. RSVP Benefits and recognition apply. RSVP provides Council orientation; portable file, recordkeeping and evaluation tools for Speakers Bureau; supplies and postage for mailings; project training and supervision. A Powerpoint presentation developed by Univ of North Carolina Learn and Serve Interns will be used for recruitment, pending a projector. Summary Summary Summary Page 30 Work Plan /Performance Measures (6)Tutor ESL students i:i or in small groups in a public location, schools or within a home to help improve speech and comprehension, inform of local culture and community services /activities or counsel job applicants (y)Organize educational materials for presentations, distribution, mailings (8)Office rescue (AARP - 55 Alive /Teach Your Specialty; Orange Co Library Cedar Grove; UNC World View; El Centro Latino, RSVP -ESL, UNC International Center [Conversation Partners and Women's English Conversation class], Chapel Hill Carrboro school district ESL; SHIIP; OC Coop Ext. Prog) 35 volunteers serve 15oo hours and 320 clients. (1, 2) extensive free training (3) 8 -hour training and 6 hour observation; station provides course curriculum (4) county provide computers Overall, stations provide space, materials, training, staff guidance on content selection and presenters develop lessons. Summary Summary Page 31 W RS Work Plan /Performance Measures Volunteers (retired executives) will counsel new, small businesses, assist nonprofit agencies with evaluation, problem solving strategies and fundraising. (ESC, SCORE) 8 vols. will serve 3oo hrs. RSVP Benefits and recognition apply. Stations provide orientation and training. Summary Summary Summary - -Plan, design and operate social service programs, raise funds, office assistance - -Serve as board members to identify community needs, organize and work on solutions for community problems -- support services of Dept Social Services Social Workers to aid critical situations of clients, mainly children and families - Provide assistance in set up and video production operation for community television programming featuring current senior issues Page 32 OR Work Plan /Performance Measures (Friends of Orange County Dept Social Services, Orange Co Govt Boards and Committees: OC representative on aging, senior center design committee, voter registration canvassing; People's Community TV Channel, Town of Carrboro, WUNC - -FM Radio, WUNC- Center for Public TV) i9 volunteers will serve 2600 hours. Orange County Dept of Social Services will supply a list of family needs and location for Friends to locate items and deliver using their own vehicles. RSVP Benefits and recognition apply. Stations provide training and facilities. Summary Summary , Summary According to an IRS statement from its Greensboro NC office, IRS has identified a problem with certain individuals not getting their federal and state taxes filed and not getting eligible refunds. Overall, this group consists of low- to middle - income people living inside or outside of Orange County. This group includes people who may be low- to middle- income, older, homebound, disabled, non - English- spealdng; people who find the forms confusing; or people who have few financial resources to pay for'professional tax assistance, a cost which averages $Zoo. Therefore, many factors contribute to the need for the RSVP -VITA Volunteer Income Tax Assistance program: lack of access to services due to physical handicaps, language or travel barriers, financial costs; and Page 33 a-I Work Plan /Performance Measures 1) Prior to tax season: An RSVP -VITA Board will plan sites, training agenda, schedules, recruitment, publicity and inventory machines /supplies. VITA volunteers translate and with RSVP staff, prepare and distribute publicity in English and Spanish to media and community sites. Volunteers study tax manuals and attend training prior to service. All volunteers recruit volunteers. 2)During Tax Season: RSVP -VITA volunteers will provide income tax preparation and /or counseling on federal and state tax returns. Through one -on -one assistance or a special phone line, a bilingual volunteer will address the needs of clients who don't have access to interpreters. Volunteer coordinators at each site greet clients and assist them with the initiation and completion of the tax preparation process. Volunteers handle appointments. 3)Post -tax season: Volunteers continue to troubleshoot past clients' returns, when necessary. Volunteer statistician compiles and analyzes data from VITA Client Response Card. (RSVP VITA) RSVP developed and administers this program. An estimated 76 volunteers will serve 1600 clients for a total of 45oo hours including training to help this group file taxes. I RS- trained volunteers provide 32 hours of training on tax information to all volunteers and 8 hours on computerized preparation of tax returns. The NC Department of Revenue will provide a trainer for state returns. RSVP will Page 34 i Work Plan /Performance Measures provide office, storage and training space, phone lines and maintenance of donated machines. IRS will supply laptops, some paper, shredding services, five printers, ink cartridges, tax software and training materials at an estimated cost of $ioo per trainee, which is donated by the IRS. Seven site facilities are provided by various agencies across two counties (5 in Orange County, 2 in Chatham) at a local hospital, senior centers, county town halls and a training site for physically challenged individuals. After April 15th, VITA services are provided on an as- needed basis. RSVP provides its standard volunteer benefit package and recognition. Orange County Government will supply one Hispanic phone line. Summary Mainly during tax season eligible clients will receive free tax preparation and /or, counseling and e- filing assistance, and a significant number of federal and state tax returns will be e- filed. INDICATORS: # clients assisted, # of tax returns e -filed TARGET: 1,60o clients served, 1400 federal returns and 1300 state returns will be e- filed. HOW MEASURED: Client Exit Survey, Statistician Report INDICATOR: # clients will save an average of $loo TARGET: 1600 clients will save an average of $100 Page 35 Work Plan /Performance Measures HOW MEASURED: (1) VITA Response Card (VCR) (2) Average cost of fee -based service Organize, develop and /or assist in a store that sells used clothing, house wares, household items for reasonable prices - target people in crisis as well as public at large (Orange Congregation in Missions Thrift Shop and board) 18 vols. will serve 23oo hrs. RSVP Benefits and recognition apply. On -site station training Summary Summary Summary Page 36 ka 30 Work Plan /Performance Measures Volunteers will assist older adults at congregate meal sites. Prepare and serve food, clean -up, plan menus, work as a cashier /record keeper at congregate meal settings. (JOCCA Sites) 36 vols. will serve 300o hrs. RSVP Benefits and recognition apply. On -site training. Summary Summary Summary Participate in actual delivery of health services, both preventive and curative, to individuals in a health care setting. Patient relations, library work, gift shop, take blood pressures at senior centers, immunizations, provide touchable art tour for visually impaired, sew sock - monkeys to be used in UNC Children's Hospital recreational therapy to help calm and educate patients, provide transportation and direct services to AIDS patients in a residential center, provide clerical support, serve as board member. (Alliance of AIDS Services North Carolina, Duke Eye Center, Orange County Dept on Aging Wellness, Planned Parenthood, UNC Hospital [Includes UNC Hospital sewing; excludes research) Page 37 31 Work Plan /Performance Measures 36 volunteers will serve 305o hrs. RSVP standard benefits package and recognition apply. Agencies provide training. - Alliance for AIDS Services provides residence and services for local AIDS patients -Duke University Eye Center provides Touchable Art Gallery within Duke Medical Center - Orange County Dept on Aging Wellness Program provides equipment for blood pressure checks; Orange County Health Dept provides vaccine for immunizations; Senior Centers provide space and additional equipment - Planned Parenthood provides space -UNC sewing - 3 Volunteers will sew monkeys from socks 3 hours a week, averaging 468 hours annually. Each monkey takes approximately 5 hours to make. The UNC Hospitals Volunteer Association will supply materials - approximate cost $738. The RSVP volunteer chairperson will provide 2 hours training and will be responsible for product quality control. Local church provides meeting site for activity. - Alliance for AIDS Services provides resident and services for local AIDS patients through Orange Community House -Duke University Eye Center provides Touchable Art Gallery -Dept on Aging Wellness Program provides equipment for blood pressure checks; Orange County Health Dept provides vaccine for immunizations; Senior Centers provide space and additional equipment - Planned Parenthood provides space -UNC sewing - 4 Volunteers will sew monkeys from socks 3 hours a week, averaging 600 hours annually. Each monkey takes approximately 5 hours to make. The UNC Hospitals Volunteer Association will supply materials - approximate cost $738. The RSVP volunteer chairperson will provide 2 hours training and will be responsible for product quality control. Local church provides Page 38 Work Plan /Performance Measures meeting site for activity. Summary Summary Summary 3� A need exists in Orange County to deliver hot and nutritious meals daily to frail and disabled homebound individuals who are unable to prepare meals for themselves, shop for groceries and /or have someone who can prepare meals for them. According to the National Policy and Resource Center on Nutrition and Aging, home delivered meals (Meals -on- Wheels) are associated with decreased hospital stays and allow participants to remain in their homes. According to the Meals -on- Wheels Director in southern Orange County, approximately 7o homebound residents of the total estimated population of 60,000, receive Meals-on-Wheels service. In northern Orange County, the Director of the Meals -on- Wheels program through Orange Congregations In Missions, (OCIM), estimates 4o residents throughout the area receive home delivered meals. This service makes it possible for recipients to receive nutritious meals, remain in their homes and delay assisted living. The recipients also need the daily contact with a caring volunteer. In many cases this is the only contact they receive with another human. Age and income of recipient do not limit this service. A sliding scale based on income level is used to determine the amount individuals pay with a ceiling of $3.00. Page 39 33 Work Plan /Performance Measures w Trained volunteers will serve both Meals -on- Wheels programs to (i) deliver meals to the target population 5 days a week, (2) restock pantry, package meals and occasionally bake at home. Volunteers pick up the coolers /caddies around ii:oo a.m. and deliver the meals to the recipients in southern and northern Orange County and then return the empty coolers and caddies to the pick -up site. Each route takes approximately 1 - 1.5 hours. Volunteers may engage recipients in light conversation, check on overall well-being and make referrals to case manager when necessary. (Meals on Wheels- Chapel Hill - Carrboro and OCIM Meals on Wheels) 47 RSVP volunteers are assigned delivery routes and serve an estimated 2444 hours annually. RSVP volunteers will serve approximately 14o homebound individuals annually. A catering company prepares and packs meals into coolers and delivers the ordered number of meals to the Meals -on- Wheels office at Binkley Baptist Church in Chapel Hill and the OCIM office in Hillsborough. RSVP benefits package and recognition apply. The agency provides training to volunteers. Summary Homebound individuals receive home delivered meals from volunteers. INDICATORS: # homebound individuals will receive meals, # of meals delivered annually TARGET: 14o homebound individuals will receive meals; 33,600 meals delivered annually. HOW MEASURED: Station reports, meal delivery records Summary Homebound individuals may have some human contact with the volunteer. INDICATOR: # of homebound individuals will receive human contact TARGET: 84 homebound individuals will receive human contact Page 40 94 Work Plan /Performance Measures HOW MEASURED: Station reports, meal delivery records Summary Homebound individuals will be able to remain in their own homes through the delivery of nutritious meals annually. INDICATOR: * of individuals will remain living in their own homes. TARGET: i05 individuals will remain living in their own homes. HOW MEASURED: Station reports, meal delivery records i.o volunteer will serve 85o hrs. RSVP Benefits package and recognition apply. Station training Summary Page 41 Work Plan /Performance Measures Summary Summary 35 ._.. . ._._ ......... .._.... Provide services to terminally ill patients and their families at hospices, health care institutions, and in homes of patients. Includes counseling patients and family members and bereavement counseling: (Duke Community Care) ....._ .. 4 volunteers will serve 325 hours. RSVP Benefits and recognition apply. Training provided by Agency Summary Summary Summary Page 42 3(0 Work Plan /Performance Measures Participate in programs and services for individuals and families experiencing housing crises and living in shelters, transitional housing or on the streets. Serve as receptionists, shelter monitors, meal preparers /servers, office assistance, food bank. (IFC House, IFC Kitchen, IFC Admin) 23 volunteers will serve 145o hrs. RSVP Benefits and recognition apply. Training Provided by Agency Summary Summary Summary Assist in construction, repair, inspection, and rehabilitation of houses. Build quality, low -cost housing for eligible persons (Habitat for Humanity) 11 vols. will serve 280o hrs. RSVP Benefits and recognition apply. Training provided by Agency Page 43 Work Plan /Performance Measures Summary Summary Summary 31 Run errands, transport, friendly visiting, telephone reassurance, and activities such as peer support, writing letters, active listening, reading, and entertainment helping to ease feelings of isolation and loneliness. Does not include Hospice. (Britthaven Nursing Home, Brookshire Asst Living, Carrboro Senior Living, Shepherd House, O.C. Parks & Rec. (CSC) Senior Crafters, Friends of Dept Social Services- telephone reassurance, O.C. Parks & Rec. Golden Age Happy Circle, Carol Woods Retirement Community - health human service and friends) Annually 34 vols. will serve 2600 hrs. RSVP benefits and recognition apply. Stations provide orientation and onsite training. Summary Page 44 �Z 7 Work Plan /Performance Measures Summary Summary A large number of the independent -living elderly population in Orange County need some level of assistance with non - medical care such as meal preparation, grocery shopping, and transportation. Also, many of these seniors experience loneliness due to a lack of family and friends living close by. Orange County Dept. on Aging Master Aging Plan shows that the vast majority of older adults prefer to live in their own homes, maintaining as much independence as possible for as long as possible. In situations where family support is available, caregivers frequently become overwhelmed with the added responsibilities and benefit greatly from some outside support. Orange County, North Carolina, has a senior (6o +) population of almost 16,000 (approximately 12% of the total population). The program is designed to support seniors living independently, to help them feel less isolated and to help them experience an improved quality of life when provided with non - medical assistance. Clients will be referred to the program from a variety of sources including Orange County's Department on Aging, the Department of Social Services, local hospitals, family and self-referrals.. Friend -to- Friend volunteers will be matched with identified program clients. Friend -to- Friend volunteers will visit each client in his /her home, one time each week, for one hour, for a one -year period. Friend to Friend volunteers will act as companions and provide services such as telephone reassurance, run errands, accompany the older adults to appointments, do yard work and meal Page 45 39 Work Plan /Performance Measures preparation, provide assistance with writing correspondence and general companionship. (Dept on volunteer. INDICATOR: # of clients who will feel less isolated TARGET: 22 clients will feel less isolated HOW MEASURED: Satisfaction Survey, # of clients Summary Clients will feel the program has helped support their respective capacity to live independently during Page 46 ap Work Plan /Performance Measures the 12 month program year. INDICATOR: # of clients who will feel the program supports their capacity to live independently TARGET: 22 clients will feel the program supports their capacity to live independently HOW MEASURED: Station Client Survey ii volunteers will serve 37o hours RSVP Benefits package and recognition apply. Agency provides training Summary Summary Page 4T Work Plan /Performance Measures Summary 41 ......___._..___..__..... _.. According to Ronald McDonald House (RMH) Charities and local North Carolina hospitals, there's a need in the surrounding counties for low -cost or free temporary housing & basic needs (food) for non -local families of hospitalized, critical pediatric patients. Families have to spend an average of $15o /day for a regular motel room and meals or have to stay in their cars, hospital lobbies or waiting rooms. Families would be in a strange place, with a motel -room type setting, limited access to food, to socialization and to community information. To help meet this need, RMH Charities established a local Ronald McDonald House, operated mainly through volunteers. Without them, management would have to hire staff at a cost of approximately $50,000 a year. RMH is a 20,000 square -foot, free - standing, non -profit residential facility with 3o bedrooms and private baths. It has a common kitchen for guests to prepare meals and socialize along with quiet areas for fellowship. According to its Volunteer Director, its services rely on a high - quality volunteer base to aid with operations, patient contact, guest relations, volunteer recruitment, maintenance and ME Work Plan /Performance Measures 25 RSVP volunteers will serve 3400 hours annually, the equivalent of 1.7 paid full-time staff.... Guests will be asked to contribute a small daily fee but donations comprise less than io% of the operating budget .... The House will provide housecleaning supplies; three 3 -hour training sessions with on -site training as needed; name tags; parking, snacks and drinks; and a $2000 recognition INDICATORS: # of families who will be highly satisfied TARGET: 600 of families will be highly satisfied Page 49 A-3 Work Plan /Performance Measures HOW MEASURED: Optional written surveys; House records of people surveyed and registered. Measurement period will be every 6 months. Summary Referred families using this facility will be able to remain closer to their child longer due to reduced financial barriers. INDICATOR: # of families using the facility will remain closer to their child longer due to reduced finacial barriers TARGET: 600 of families using the facility will remain closer to their child longer due to reduced finacial barriers HOW MEASURED: Optional written surveys; House records of people surveyed and registered. Measurement period will be every 6 months. e Provide guidance and leadership to children. (CHCCS Blue Ribbon Mentor, Orange County Rec an Parks - mentoring) io vols. will serve 715 hrs. RSVP Benefits and recognition apply. Station Training Provided Summary Summary Page 50 Work Plan /Performance Measures Summary M �.. _ _m .. ..... .... ..... ..... , , Today's mobile society breaks down the support formerly available to seniors when a nuclear family unit resided nearby. In addition, life spans are steadily increasing; therefore the need for senior support services and programs is growing at an increasing rate. Using volunteers provides opportunities for seniors to serve and stay active while providing community services for the elderly that would otherwise be unavailable because of limited staff and funding. The Orange County Department on Aging, through its 3 senior centers, provides citizens access to a wide variety of services, activities and opportunities. They include information, intellectual stimulation, social activities, health and wellness programs and groups, transportation, volunteer opportunities, and counseling regarding age- related or care giving issues and the coordination of individual services. In addition, the Department identifies needs and plans future programs. Their goal is to "add years to life and life to years." In the absence of these centers and the volunteer support they mobilize, the seniors' need for many services would likely be unmet and the need for extended care could be accelerated. Keeping seniors actively involved in the community as long as possible contributes to their improved physical, social and mental well -being as stated in the Orange County Master Aging Plan. For example, volunteers are mobilized for class instructors, event assistants, administrative /clerical support, and board /committee members. Orange County has 16,000+ older adults, and the Centers serve approx. Page 51 Work Plan /Performance Measures 1/3 of this population annually. [Source: North Carolina State Data Center (2003) and Senior Center Records] 2101 � Volunteers serve in various activities: i. ENTERTAINMENT VILLAGE REVUE - rehearse plays and musicals to be performed at 3 senior centers and at various community locations; -MUSIC VOLUNTEERS -play piano at teas and various other functions 2. ADMINISTRATIVE /CLERICAL -FRONT DESK RECEPTIONISTS- answer phones, direct seniors to various activities, and make appointments for services at the 3 senior centers FRIENDS OF THE SENIOR CENTER - boards /committees raise funds for rent and various activities - SENIOR TIMES DISTRIBUTION -bi- monthly publication needing to be placed at sites seniors frequent - PROGRAM ASSISTANTS -help plan and coordinate activities. (3 Senior Centers) 3. PROGRAM ASSISTANTS Computer Class for Seniors (Northern Orange County) •55 Alive Driving Instructors -Dance and Music Classes - Potlucks, Teas, Trips, etc. 112 volunteers will provide approximately 530o hours annually at the 3 Centers and various community sites. Service needs are communicated to the Orange County Department on Aging from a variety of sources. The staff evaluates needs and formulates plans to address them. Volunteers are Page 52 P Work Plan /Performance Measures then recruited and assigned to required tasks. Frequency of volunteer input: Senior Times Distribution- 6 /yr., Village Revue - 20 performances /yr, Front Desk - 250 times /yr., Friends of Senior Center - 4 times /yr., Music - 45 times /yr. •3 Senior Centers provide - and all program areas share - access to copier, pianos, practice space, program space, kitchen service area, equipment and supplies as needed, including food for regular teas and potlucks. The Village Revue requires additional support of audio equipment, instruments and maintenance. Friends of the Senior Center help pay the rent /utilities via fundraising. Volunteers receive on -the -job training except for volunteer -led dance and music training provided to entertainers. RSVP provides: benefit package and recognition. Summary Of the 16,000 Orange County seniors it is estimated that 3,000 will participate in programs offered at 3 Orange County Senior Centers INDICATORS: # of seniors who will participate in activities offered at 3 Orange County Senior Centers TARGET: 3000 seniors will participate in activities offered at 3 Orange County Senior Centers HOW MEASURED: Senior Center Monthly Statistical Reports and the Senior Centers Evaluation Summary Seniors participating in activities offered at 3 Orange County Senior Centers will increase their community involvement INDICATOR: # of seniors will increase community involvement. TARGET: 500 seniors will increase their community involvement HOW MEASURED: Orange County Senior Centers Evaluation Page 53 41 Work Plan /Performance Measures Summary Participating seniors will experience an improvement of their physical, social and mental well- being. INDICATOR: # of the seniors will improve their physical, social and mental well-being TARGET: 500 of the seniors will improve their physical, social and mental well-being HOW MEASURED: Orange County Senior Center Evaluation Services in a broad range of activities to specifically improve the well-being of seniors in society, not included in any other related category and is not personal assistance. Serve as board members (AARP - Chapel Hill, Carol Woods, Orange Co Dept on Aging - Aging Board and Aging Committees, Orange Co Recreation and Parks- Senior Games -in 3rd /4th Qtr., RSVP music volunteers) 35 vols. will serve 300o hrs. RSVP Benefits and recognition apply. Stations provide orientation and training. Summary Summary Summary Page 54 i Work Plan /Performance Measures Volunteers will provide services for incarcerated offenders in a minimum - security prison for men: counseling and taking on errands /job hunts, nurturing the well-being of families before prisoners are released and helping inmates reintegrate into the community. (Orange Corrections) 2 vols. will serve 4o hrs. Station will provide background checks, training. RSVP benefits and recognition apply. Summary , Summary Summary Provide aid, assistance and counseling to abused /neglected children and their families. Provide a safety net for the child facing the legal system. Conduct training in prevention /awareness and serve Page 55 M i• r� Work Plan /Performance Measures as Guardian ad Litem. (Guardian ad Litem) Serve on Board of Directors for the UNC Childhood Trauma and Maltreatment Center. 6 vols will serve 80o hrs. RSVP benefits and recognition apply. Stations provide formal training: Guardian ad Litem 2 evenings a week for 3 weeks, 20 -3o hours to include court observation Summary Summary Summary (1)Train and assist others in conflict resolution /mediation techniques and violence prevention. Mediate disagreements- -such as domestic, neighborhood, landlord /tenant, customer/business, personal disputes - -to prevent legal action; support office administration (2)Provide clerical assistance for pro -bono legal firm aiding victims of abuse (3) Provide traffic court assistance by pulling files prior to court and on court day, distribute files to incoming clients, direct and assist them in locating assigned courtroom (Dispute Settlement Ctr., DVC Legal Services, OC Courts) Page 56 Work Plan /Performance Measures 8 volunteers will serve 790 hours. On -site station training varies from moderate to intense. Summary Summary Summary Willis 5a (1) Presentations /special events to raise awareness of local crime issues for seniors and community at -large such as tourist safety, elder abuse and scams. Volunteers speak to groups of seniors at senior centers, retirement homes & special events (2) Provide receptionist assistance and data entry of cases (Chapel Hill Police Dept) 3 volunteers will serve Soo hrs. RSVP Benefits and recognition apply. Station provides 2 hours of training for presentations and 2 hours for data entry. Summary Summary Page 57 Work Plan /Performance Measures Summary 51 (Orange County Chapter of the American Red Cross, RSVP Disaster Preparedness Program, Raleigh- Durham International Airport-RDU) 13 volunteers will serve 180o hours. RSVP Benefits package and recognition apply. Initial and ongoing training provided by stations (i) Red Cross Disaster Action Team [28 hours per volunteer] and bloodmobile [on -site] (3) RDU will provide 4 hours training outside terminals and 4 hours inside, a Policy and Procedures Manual, Frequently Asked Questions sheet and periodic meetings for updates. Summary Page 58 ASSURANCES As the duly authorized representative of the applicant, I certify, to the best of my knowledge and belief, that the applicant: I. Has the legal authority to apply for federal assistance, and the institutional, managerial, and financial capability (including funds sufficient to pay the non - federal share of project costs) to ensure proper planning, management, and completion ofthe project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the state, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit employees from using their position for a purpose that constitutes or presents the appearance ofpersonal or organizational conflict of interest, or personal gain. 4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. 4728 -4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 CFR 900, Subpart F). 6. Will comply with all federal statutes relating to nondiscrimination. These include but are not limited to: Title VI of the Civil Rights Act of 1964 (P.L. 88 -352) which prohibits discrimination on the basis of race, color, or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 1681 -1683, and 1685- 1686). which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), which prohibits discrimination on the basis of disability (d) The Age Discrimination Act of 1975, as amended (42 U.S.C. 6101- 6107), which prohibits discrimination on the basis of age; (e) The Drug Abuse Office and Treatment Act of 1972 (P.L. 92 -255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91 -616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) sections 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290dd -3 and 290ee -3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in be National and Community Service Act of 1990, as amended; and 0) the requirements of any other nondiscrimination statute(s) which may apply to the application. 7. Will comply, or has already complied, with the requirements of Titles Il and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (RL. 91 -646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of federal or federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of federal participation in purchases. 5a 8. Will comply with the provisions of the Hatch Act (5 U.S.C. 1501 -1508 and 7324 -7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 9. Will comply, as applicable, with the provisions of the Davis -Bacon Act (40 U.S.0 276a and 276a -77), the Copeland Act (40 U.S.0 276c and 18 U.S.C. 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. 327 -333), regarding labor standards for Federally assisted construction sub - agreements. 10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93 -234) which requires the recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91- 190) and Executive Order (EO) 1 1514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved state management program developed under the Coastal Zone Management Act of 1972 (16 U.S.0 1451 et seq.); (f) conformity of federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93 -523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93 -205). 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.0 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16U.S.C. 469a -1 et seq. 14. Will comply with P.L. 93 -348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89 -544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§ 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984, as amended, and OMB Circular A -133, Audits of States, Local Governments, andNon -Profit Organizations. 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, application guidelines, and policies governing this program. SIGNATURE OF AUTHORIZED CERTIFYING TITLE APPLICANT ORGANIZATION I DATE SUBMITTED CERTIFICATIONS REGARDING (A) DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY 3 MATTERS: (B) DRUG -FREE WORKPLACE REQUIREMENTS; AND (C) LOBBYING Applicants should refer to the regulations cited below to determine which certifications(s) apply to their grant, and review the instructions included in the regulations. Signing this form complies with certification requirements under "Government -wide Debarment and Suspension (Non- procurement) ", "Government -wide Requirements for Drug -Free Workplace (Grants)" in 45 CFR Part 1229, and "New Restrictions on Lobbying" in 45 CFR Part 1230. The certification(s) shall be treated as a material representation of fact upon which reliance will be placed when the Corporation determines to award the covered transaction, grant, or cooperative agreement. A. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBLITIES As required by Executive Order 12549, Debarment and Suspension, and implemented at 45 CFR Part 1229, for prospective participants in primary covered transactions, as defined at 45 CPR Part 1229, Sections 1229.105 and 1229.110 - 1. The applicant certifies that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not, within a 3 -year period preceding this application, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a Federal, State or local government entity with commission of any of the offenses enumerated in paragraph 1(b) of this certification; (d) Have not, within a 3 -year period preceding this application, had one or more public transactions (Federal, State or local) terminated for cause or default. 2. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application. B. DRUG -FREE WORKPLAN (GRANTEES OTHER THAN INDIVIDUALS) As required by the Drug -Free Workplace Act of 1988, and implemented at 45 CFR Part 1229, Subpart F, for grantees, as defined at 45 CFR Part 1229, Sections 1229.605 and 1229.610 - 1. The applicant certifies that it will or will continue to provide a drub -free workplace, and will - (a) Publish a statement notifying employees that unlawful manufacture, distribution, dispensing, possession or use of a controlled sub -stance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establish an on-going drug -free awareness program to inform employees about - (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug -free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. (c) Require that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph 1(a); (d) Notify the employee in the statement required by subparagraph 1(a) that, as a condition of employment under the grant, employee will (1) Abide by the terms of the statement; and (2) Notify the employes in writing of any conviction for a violation of a criminal drug statute which occurred in the workplace, no later than 5 calendar days after such conviction; (e) Notify the cognizant Corporation Grants Officer within 10 calendar days after receiving notice of such conviction under subparagraph (dx2) from the employee, or otherwise receiving actual notice. The notice shall include the title of the employee's position and the identification number(s) of the affected grant; (f) Take one of the following actions, within 30 calendar days of receiving notice with respect to any employee who is so convicted - (1) Take appropriate personnel action against such an employee up to and including termination consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) Require such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State or local health, law enforcement, or other appropriate agency; (g) Make a good faith effort to continue to maintain a drug -free workplace through implementation of paragraphs 1(a) through 1(f). C. LOBBYING As required by Section 1352, Title 31 of the U.S. Code, and implemented at 45 CFR Part 1230, for organizations entering into a grant or cooperative agreement over $100,000, as defined at 45 CFR Part 1230, Sections 1230.105 and 1230.110, the applicant certifies that: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, or the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award documents for all subcontracts at all tiers (including subcontracts, sub - grants, and contracts under grants, loans, and cooperative agreements) and that all sub - recipients shall certify and disclose accordingly. As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certification(s). (A copy of the governing body's authorization for me to sign this certification as official representative is on file in the applicant's office) Orange County Government Board of Commissioners Barry Jacobs Chair Applicant Organization Printed Name and Title of Authorized Representative _April 18, 2006 Signature of Authorized Certifying Official Date Notice of Grant Award Corporation for National and Community Service Sy / 60 Forsyth St Sw, Suite 3m40 Atlanta, GA 30303 -8808 Retired and Senior Volunteer Program Grantee Orange Cty Dept on Aging IIN: 566000327 RSVP Chapel Hill Senior Center 400 A -1 S Elliott Road Chapel Hill NC 27514 Award Information Agreement No.: 03SRSNC132 Project Period: 07/01/2003 - 06/30/2006 Amendment No.: 2 Budget Period: 07/01/2005 - 06/30/2006 CFDA No.: 94.002 Award Description Purpose The purpose ofthis award is to assist the grantee in canying out a national service programas authorized by the Domestic Volunteer Service Act of 1973, as amended (42 U.S.C., Chapter 22). Funding Information Previously This Award/ Total Current Current Year Awarded Amendment Year This Year Total obligated by CNCS $o $59,448 $59,448 Grantee's Unobligated $0 $0 $0 Balance (Carryover) Total Available $o $59,448 $59,448 Cumulative Funding for Project Period Total Awarded in Previous Years $117,918 Total CNCS Funds Awarded to Date $177,366 Conditions This amendment augments this grant to include a .0083% administrative increase in the amount of $489.00. All other ten s and conditions remain the s aim. Costs allowed under this grant are limited to those categories contained in signed application package dated 5/11/2005. Crantees shall prepare a Project Progress Report (CNCS -1020 for Senior Corps orCNS 1433 for AmeriCorps *MSTA) s emi- annually at the end of the 2nd, and 4th quarters of the budget period. The report shall be submitted to the Corporation Program Manager no later than 30 days after the end of the designated reporting period. Terms of Acceptance: By accepting funds under this grant, the Grantee agrees to comply with all terms and conditions of the grant that are on the Corporation's website at http:// egrants. cns. gov/ termsandcondidons/ RSVPTandC %20Revised %2020050613.pdf, all assurances and certifications made in the Grant application, and all applicable federal statutes, regulations and guidelines. The Grantee agrees to administer the funded Program in accordance with the approved Grant application and budget(s), supporting documents, and other representations made in support of the approved Grant application. I . Notice of Grant Award j `I D /o Retired and Senior Volunteer Program ' " `�L e Grantee Orange Cty Dept on Aging RSVP Chapel Hill Senior Center 400 A -1 S Elliott Road Chapel Hill NC 27514 Corporation for National and Commmnity Service: 06/28/2005 Signature Date Evelyn Morrison Name (typed) Senior Grants Officer Title 55 60 Forsyth St Sw, Suite 3m40 Atlanta, GA 30303 -8808 EIN: 566000327 Veda Williams, 404 - 562-4054 Grants Official Linda Mullis, 919 - 856-4731 Program Official