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HomeMy WebLinkAboutNS Grant Authorization of the RSVP 3 Year Renewal Application and Agreement (Retired & Senior Volunteer Program)Page 4 { • F ~. G(3 RP 0 RAT I O I*7 F(3R NATIOIrTA•L ...._...._Atny --- GOMMUNI~Y •SERVICE SENIOR CORPS • . ,~ G1~:ANT APPLICATION Three Year 2003-2006 nrm is Authorized for Local Reproduction • ~NCS Form 424-NSSC (Revised 8/02 to conform to electronic submission via eurants~ Page 5 PART I - FACESHEET APPLICATION FOR FEDERAL ASSISTANCE 1. TYPE OF ® Non-Constivetion Application 2. DATE SUBMITTED TO CORPORATION FO 3. a. DATE RECEIVED BY STATE: 3.b. STATE APPLICATION IDENTIFIER: NATIONAL SERVICE (CNS): ~ SCH# 00-C-0000-0505 CFDA#94.002 03-25-2002 4. a DATE RECEIVED BY CNS: ~ 4.b. CNS GRANT NUMBER: . 02SRSNC034 5. APPLICANT INFORMATION LEGALNAME: ORANGE COUNTY GOVERNMENT NAMH AND CONTACT INFORMATION FOR PROJECT DIliECTOR OR OTHER PERSON TO BE CONTACTID ON MATTERS INVOLVING THIS APPLICATION (give ORGANIZATIONAL UNIT: ORANGE COUNTY DEPARTMENT ON AGING area codes): ADDRESS (give:veer ochre:s. ~; may. sr~e ~a~ ~~: NAME: KATHERINE L. PORTER Orange County Government Department on Aging TELEPHONE NUMBER: (919) 968 - 2054 Box 8181 P. O . FAx NUMBER: (919) 968 - 2093 Hillsborough, NC 27278 6. EMPZOYER IDENTIFICATION NUMBER (EII~9: 7. TYPB OF APPLICANT: (enter appropriate letter in baxJ ^ B 8. TYPE OF APPLICATION (Check appropriate box): A. Stata K Independent School District ® B. County L State ConGVlled Institution of Higher Learning CONI7N[JATION ^NEW G Municipal J. Private University ^REVISION D. Towasbip K. IndianTnbe B. Interstate L. Individual If Revision, ender appropriate letter(s) m box(es): ^ ^ F. Inter~micipal iG1. Profit Organization . G. Special District N. Private Non-Profit Organization A. Increase Award B. Decrease Award C. Increase Diaation O. Other (specify) D. I)aaease Duration E. Ofher (specify): 9. NAME OF FEDERAL AGENCY: Corporation for National & Community Service 10. CATALOG OF FIDERAL DOMESTIC ASS] STANCH NUMBER: 11. DBSCRIPTIVB TiTLB OF APPLICANT' S PROJECT: ~~` ~'~2 ' RETIRED & SENIOR VOLUNTEER PROGRAM FGP: 94.011 SCP: 94.016 9 4 0 0 2 Senior Derrronshation: 94.015 - 12. AREAS AFFECTID BY PROJBCT (List Cities, Countks, States, ete): TOWNS OF: T•7r-.r TROUGH, CHAPEL HQZ, AND CARRBORO ORANGE COUNTY, NORTH CAROLINA 13. PROPOSED PROJECT: START DATE: U7~U 12003 END DATE: U6~30~2U06 14. ESTIMATID FUNDING: 15. IS APPLICATION SUBJECT TO REVIEW BY STATE EXF.CCTrIVB a. ~~ S 170,073 ORDER 12372 PROCESS? ' a. YES. THIS PREAPPISCATION/APPLICATIONWASMADE AVAII.ABLE b. APPLICANT 000 S 1SO TO THB STATH EXHCUTTVE ORDER 12372 PROCESS FOR , RBVIEW ON: . a STATE S DATB 04!06/2003 b. NO. ^ PROGRAM IS NOT COVERED BY E.O. 12372 d. LOCAL s 40,431 . ^ OR PROGRAM HAS NOT BEEN SSLHGTED BY STATB FOR REVIEW e. OTHHR S 16. IS THE APPLICANT DBLINOUENT ON ANY FEDHRAL DEBT? £ TOTAL S 360,504 ^ YBS if"Yes," attach an explanation. ®NO ALL DATA IN THLS APPLICATION/PREAPPLICATION ARE TRUE AND OORRECT. THE DOCUbffi~T HAS BEEN DULY TO THE BEST OF MY KNOWLEDGE AND BELIEF 17 , . AUTHORI2>ID BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WII I. COMPLY W1TH THE ATTACH) ASSURANCES IF THE ASSISTANCE 1S AWARDBD. a. TYPED NAME OF AUTHORIZED REPRESENTATIVE: b. TTI7.E: o. TBLBPHONE NUMBER: Mazgazet Browa ~ Chair, Orange County Board of Commissioners 919-245-2300 d. SIGNATURE OF AUTHORi'ZID REPRESENTATIVE: e. DATE SIGNID: 04/01/2003 Modified Standard Form 424-NSSC (Rev 4/01) PART II -BUDGET 6 Applicant Organization:Orange County RSVP Budget Dates: July 1, 2003-June 30, 2004 CTI4I~ ~ ~~LVN ER>S~ORT=EXP ~S~S~~~ a~~ ~ ` : ~ ~~ ° t ~_ it FF ~ ~3- i' n h ~ e t~ t ` ~ ~ ~ i ~ ~ ~ w 1 i~~ F'~c ; ~ =' 'r ~ 5 ~ ,' j ~~ ~ a ~ i'"~~4~:~ fi ~~ ; ~ 7 1 { r.S )i`~"' .a~ r. w F^ .: } S .~ ~{' ~ ~~ ,~ ~~.~ ~'y °~I„ ~ F -Y I ' ~ \ y f e' ~1 F 1 ~ #'~.~. ~ 1' 1 d ~ L' - J r rY.~' ... ....i r?,~G.~4"~ ~2 .~. b.. )~ r ' r~ , 7{"`Tr7~- ..-.; :c,~ ~. at F ,7 . ~ d ~ t ~ 1 r~ ~ ` $ ~ !~ ' ~ , ~r '? ~ i : . Ms L ..1~~3 : U '. C.O IS(31II ~, ..€ ~ ~9 OI 17111 ~~` DA r f »?~ , C.~ ~. .. 5~. J A. PROJECT PERSONNEL % Time Total Corporation EXPENSES Armualized Spent on Project Funds Non-Federal Excess Position Title Salary Project Cost uested Resources Resources Project Director (longevity $945) 39,695 100% 39,695 15,242 24,453 - Project Assistant Director 28,928 100% 28,928 13,371 15,557 - Administ<•ative Assistant 12hrs/wk x 52wks x $10 hr 4,246 100% 4,246 2,007 2,239 - Special Programs Assistant 14 hrs/wk x 52wks x $10 7,280 100% 7,280 7,280 - ~ - °Tf]~AI~;~ - ._. ,.. ;' -~ < -~ ,', ;~ :_" ~ { ~,-~~; -. $ 80,149 $ 37,900 $ 42 249 $- B. PERSONNEL FRINGE BENEFITS 20,505 3,934 16,571 - C. PROJECT STAFF TRAVEL .Local Travel 521 300 221 - Lon Distance Travel 665 320 345 - D. E UIPMENT 200 - 200 - E. SUPPLIES 600 200 400 - F. CONTRACTUAL SERVICES 500 - 500 - G. OTHER VOLUNTEER SUPPORT COSTS 1,450 1,000. 300 150 H. IlVDIRECT COSTS - - - - `FO „ - ENSE5 $ 104,590 $ 43,654 $ 60,786 $ 150 .u.P.a ~.., SE _ r . _~. .= ~ . m A. VOLUNTEER ~ Stipends - - - - • SERVICE-RELATED Meals 90 - 90 - COSTS AND Uniforms - - - - REIMBURSEMEN'T Insurance - 2,355 1,404 951 - EXPENSES Recognition 7,320 6,320 1000 - Vohmteer Travel 4,313 4,313 - - Physical Examinations - - - - OtherAllowable E es 1,500 1,000 500 - =T(1 $ 15,578 $ ~13 037 $ 2,541 $- ~T - $ 120,168 $ 56,691 $ 63,327 $ 150 x; ~ tion between Columns 4 an d 47.24% 52.76% NSSC Form 424A (Optional Form 4/01) Modified SF-424A (Rev 4/01) 13 -- ~ PART III. ~.,~CTION D. DESCRIPTION OF OTHER VOLUNTEER ACTIVITIES NOT REFLECTED ON PROGRAMNIING FOR IMPACT OBJECTIVES WORKPLAN A_ TTFAT.TH/NTT7'RTTinN Applicant Organization: Orange County Retired & Senior Volunteer Prosram Period Covered: Starting: 07/01/2002 Ending: 06/30/2003 PROJECT PLANNING PROJECT REPORTING Column A: Col. B Column C. Col. D Volunteer Activities Date Actual Performance Date GOAL I• VOLUNTEER ASSIGNMENTS AND HOURS • 03-04 1 6mo vols. served - hrs. - Stations 03-04~ 610 vols. will serve - 60,500 hrs. •- 90 Stations Y~~ / vols. will serve - / hrs. - / Stations 04_05; 620 vols. will serve - 60,700 hrs. - 95 Stations 0405 04-05 1°` 6mo vols. served - ~ hrs. - Stations OS-0 646 vols. will serve - 61,000 hrs.-100 Stations FY0506 / vols. served - / hrs. - _/ Stations . OS-06 1°t 6mo _ vols. served - hrs.- Stations . / vols. served - / hrs. - / Stations Objective 1 Description of Activities: DELIVERY OF HEALTH SERVICES Description of Activities: DELIVERY OF HEALTH SERVICES FY0304 _ volunteers served hours in: Participate in actual delivery of health 29 volunteers will serve 4,950 hours in: Pazticipate in actual' delivery of health 6 month services, both preventive and curative, to individuals in a health care setting. services, both preventive and curative, to individuals in a health care setting. 12month Lifeline: install life saving alert devices in homes of at the risk. Push cart, li- Lifeline: install life saving alert devices in homes of at the risk Push cart, FY0405 brary work, newspaper, take blood pressures at sr ctrs (American Red Cross, library work, newspaper, take blood pressures at sr ctrs (American Red Cross, 6 month Carrboro Community Health Ctr., .Duke Univ. Med. Ctr, UNC Hospital, -DOA Carrboro Community Health Ctr., Duke Univ. Med. Ctr, UNC Hospital, DOA 12month Wellness) Wellness) 03-04 04-OS OS-06 0506 03-04 04-05 OS-06 29 vols. will serve 2,475 hrs. 2,475 hrs. 2,475 hrs. 6 month vols. served hrs. hrs. hrs. 29 vols. will serve 2,475 hrs. 2,475 hrs. 2,475 hrs. 12month _ vols. served hrs. hrs. hrs. Number of Volunteers: ' .'29_ Number of Stat[ons: _5 Number of Volunteers: Number of Stations: 3 Df it NSSC Code s A llcable: ~ ~ ~ Objective 2 ~ ~ FY0304 Description of Act(vlties: HEALTH.EDUCATION ` 6 month Description of Activltles: HEALTH EDUCATION -. 4 volunteers will serve 150 hours: Give information to cancer patients. Dis- 12month volunteers served hours: Give information to cancer patients. Dissemi- seminate information on general health practices or specific health .problems.. FY0405 Hate information on general health practices or specific health problems.. (Ameri- (American Cancer Society ; UNC -Hospital Volunteers) 6 month can Cancer Society , UNC -Hospital Volunteers) 03-04 04-OS OS-06 12month 03-04 04-OS OS-06 • 4 vols. serve 75 hrs. 75• hrs 75 hrs FY0506 vols. served hrs. hrs. hrs. i 4 vols. serve 75 hrs. 75 hts 75 hrs 6 month _ vols. served hrs, hrs. hrs. Number of Volunteers: ! 4_ Number of Stations: 2_ ~, 12month _ Number of Volunteers• Number of Stations• 1 3 Di it NSSC Code s A livable: - - ObJective 3 ~ FY0304 Description of Activities: MATERNAL/CH1LD HEALTH SERVICES Description of Activities: ~ MATERNAL/CHILD HEALTH SERVICES 6 month volunteers served hours: Provide clerical support, serve as board 2 volunteers will serve 160; hours: Provide clerical. support, serve as board 12month _ member. (Planned Pazenthood) member. (Planned Pazenthood) FY0405 03-04 04-OS OS-06 03-04 04-05 05=06 6 month vols. served hrs. hrs. hrs. 2 vols. will serve 80 hrs. 80 hrs. 80 hrs. 12month _ vols. served hrs. hrs. hrs. • 2 vols. will serve 80 hrs. 80 hrs. 80 hrs. FY0506 Number of Volunteers: ' 2 Number of Stations: 1 6 month Number of Volunteers: Number of Stations: _1 3 Di it NSSC Code s A usable: : + 12month _ T_ n~ .~ t1 DESCRL. .ON OF UTHER V OLUNTEER ACTIVITIES NOT REFLI/ .. ~ ED ON YROGRAMMIIV(T r:ux uvirac: r vn~r:~ rivr:a vv ~ Applicant Organization: Oranee Countv Retired & Senior Voluriteer Prosram Period Covered: Starting: 07/01/2002 EndinS: 06/30/2003 PROJECT PLANNING PROJECT REPORTING Column A: Col. $ Column C. Col. D • Volunteer •Activities Date Actual Performance Date Objective 4 0304 Description of Activities: MENTAL HEALTH Description of Activ[ties: ' MENTAL HEALTH 6 month _ volunteers served hours in: Board member-patient advocacy committee 1 volunteer will serve 20 hows in: Board member-patient advocacy committee 12month (John Umstead Hosp., Mental Health Assn.,) NOT ACTIVE AT THIS TIME (John Umstead Hosp., Mental Health Assn.,) Ir Y0405 ~ 04-OS Os-06 NOT ACTIVE, AT THIS TIME 03-04 04-OS OS-06 6 month -vols. served hrs. hrs. hrs. vol will serve 0 hrs. 0 hrs. 0 hrs. 12month _ vols. served hrs. hrs. hrs. vol will serve 0 hrs. 0 hrs. 0 hrs. FY0506 Number of Volunteers: Number of Stations: Number of Volunteers: Number of Stations: _ 6 month 3 Di it NSSC Cod s A licable: • 12month Objective 5 FY0304 Description of Activities: ' MENTAL RETARDATION 6 month Description of Activities: MENTAL HEALTH 2 volunteer will serve 120 hows in: Participate in programs & services for 12month _ volunteers served hows in: Board member-with ARC and with a sum mentally retarded/developmentally disabled in (non) ~ residential facilities or FY0405 mer camp for retarded children at Carol Woods Retirement Village advocacy (ARC -Association for Retarded Citizens, Carol Woods Summer 6 month Camp for retarded children) 03-04 04-OS OS-06 12month 03-04' 04-OS OS-06 • j 2 vol will serve 0 hrs. 0 hrs. 60 hrs. FY0506 _ vols. served hrs. hrs. hrs. 2 vol will serve 0 hrs. 0 hrs. 60 hrs. 6 month _ vols. served hrs. hrs. hrs. Number of Volunteers: ~ 2 Number of Stations: 2 12month ' 3 DI it NSSC Code s ~A licable: •' Number of Volunteers: Number of Stations: Objective 6 Description of Activities:': CONGREGATE MEALS FY0304 Description of Activities: CONGREGATE MEALS 75 volunteers will serve 4x00.0 hows in the area of nutrition to prevent the in- 6 month served hours: in the area of nutrition to prevent the institu- volunteers stitutionalization of persons by assisting older adults at congregate meal sites. 12month _ tionalization of persons by assisting older adults at congregate meal sites..j'repare Prepare and serve food, clean-up, plan menus, work as a cashier/record keeper FY0405 and serve food, clean-up, plan menus, work as a cashier/record keeper at cdngre- at congregate meal settings. (JOCCA Sites) 03-04 04-OS Os-06 6 month g~ meal settings. (JOCCA Site's) 03-04 04-OS 0 -0 ~~ 75 vols. will serve 3,000 hrs. 3,000 hrs. 2 000 hrs. " 12month vols. served hrs. hrs. hrs: ~ 75 vols. will serve 3 000 hrs. 3 OOp hrs. 2000 hrs. ' FY0506 vols. served hrs. hrs. hrs. ~ Number of Volunteers: ~ Number of Stations: 5_ 6 month _ Number of Volunteers: Number of Stations• 5 3 Di it NSSC Code s A licable: 12month _ objective 7 Description of Activities: SUBSTANCE ABUSE Description of Activities: SUBSTANCE ABUSE FY0304 volunteers served hows: Assist Director with clerical support.( Free- 2volunteers will serve 20 hows: Assist Director with clerical support.( Free- 6 month _ dom House) Prevention education and inforn~ation dissemination on prescription dom House) Prevention education and information dissemination on prescrip- 12month and over counter medication use, misuse, and abuse. (Freedom House (drug tion and over counter medication use, misuse, and abuse. (Freedom House FY0405 rehab) and RSVP-Brown Bag Yow Medicine-Medicine review)' (drug rehab) and RSVP-Brown Bag Yow Medicino-Medicine review) 6 month NOT ACTIVE AT THIS TIM E o3-oa 04-OS Os-06 NOT ACTIVE AT THIS TIME o3-04 o4-os os-o6~ - 12month - vols. served hrs. hrs. hrs. vol will serve 0 hrs. 0 hrs. 0 hrs. FY0506 _ ~ vols. served hrs. hrs. hrs. i vol will serve 0 hrs. 0 hrs. 0 hrs. 6 month 12month _ Number of Volunteers: Number of Stations: Number of Volunteers: _2 Number of Stations: _2_ 3 Dl it NSSC Code s A licable: a nKPLAN Note: Please reproduce or duplicate this template as needed to include all Volunteer Activities DESCRL SON OF OTHER VOLUNTEER ACTIVITIES NOT REFLI. ~ ~~D ON PROGRAM]VIING FOR IMPACT OBJECTIVES V1~ ..,RKPLAN Applicant Organization: Orange County Retired & Senior Volunteer Program Period Covered: Starting: 07/01/2002 Ending: 06/30/2003 PROJECT PLANNING PROJECT REPORTING Column A: Col. B Column C. Col. D Volunteer Activities Date Actual Performance Date Objective 8 Description of Activities: PHYSICAL DISABILTTIES PROGRAMS Description of Activities: PHYSICAL DISABILITIES PROGRAMS j! 04 _ volunteers served hours in 3 volunteers will serve 540 hours: Volun- 3 volunteers will serve 540 hours: Volunteers read daily newspapers, and spe- 6 month teen, read daily newspapers and special interest information for visually impaired vial interest inforn~ation for visually impaired listeners. Services provided'to 12month listeners. Services provided to individuals with physical disabilities such as coun- individuals with physical disabilities such as counseling workshops, rehabili- 0405 seling workshops, rehabilitation and other therapy, exercise, and assistance for ration and other therapy, exercise, and assistance for the Special Olympics. 6 month the Special Olympics. Educational services go under BHN 311. (Triangle Educational services go under BHN 311. (Triangle Reading Service, UNC - 12month Reading Service, UNC -Dept. Disabilities, CHParks/Reo-Special Olympics) Dept. Disabilities, CHPazks/Reo-Special Olympics) FY0506 03-04 . 04-OS OS-06 • 03-04 04-OS 05-06 6 month vols. served hrs. hrs. hrs. 3 vole. will serve Z50 hrs. 250 hrs. 250 hrs. 12month ~ T vols. served hrs. hrs. hrs. 3 vols. will serve 290 hrs. 290 hrs. 290 hrs. _ Number of Volunteers: '3 Number of Stations: 3_ Number of•Volunteers: Number of Stations: 3 Dl it NSSC Cod s A livable ' Objective 9 FY0304 Description of Activities: HOSPICE/TERMINALLY ILL 6 month Description of Activitiesa HOSPICE/TERMINALLY ILL 5 volunteers will serve 300: hours: Provide services to terminally ill patients 12month ~ volunteers served hours: Provide services to temunally ill patients and . and their families at hospices, health care institutions, and in homes of patients. FY0405 their families at hospices, health caze institutions, and in homes of patients. In- Includes counseling patients and family members and bereavement counseling. 6 month cludes•counselingpetients and family members and bereavement counseling. HIV/AIDS patients go under BHN 125. (Triangle Hospice) 12month HN/AIDS patients go under BHN 125. (Triangle Hospice) 03-04 04-05 OS-06 FY0506 03-04 04-OS OS-06 3 vols. will serve 75 hrs. 75 hrs. 150 hrs. 6 month vols. serve hrs. hrs. hrs. • 3 vols. will serve 75:hrs. 75 hrs. 150 hrs. 12month _ vols. serve .hrs. hrs. hrs. Number of Volunteers: 3 Number of Stations: 1 _ 3 Di it NSSC Code s A livable: ~ Number of Volunteers: Number of Stations: Objective 10 FY0304 Description of Activities: FOOD DISTRIBUTION/COLLECTION `.. Description of Activities: FOOD DISTRIBUTION/COLLECTION 6 month _ volunteers served hours: Organize and participate in nutrition educe- 3 volunteers will serve 120 hours -Organize and pazticipate in nutrition edu- 12month lion, community extension services, relevant information dissemination and cation, community extension services, relevant information dissemination and FY0405 service programs, gleaning surplus produce, meals on wheels, food stamps, food service programs, gleaning surplus produce, food stamps, food banks, pro- 6 month banks, programs relating .to food prepazation or nutrition and diet, school meal grams relating to food preparation or nutrition and diet, school meal programs, 12month. programs, w-ops, food drives, and planning and assisting in preparation of meals co-ops, food drives, and plannin and assistin in ire azation of meals to be. FY0506 to be distnbuted distributed. OC Coo Bxt. Prog. l ~ ?' 6.month 3-04 04-05 OS-06 12month _ vols. served hrs. hrs. hrs. 03-04 04-05 OS-06 vols. served hrs. hrs. hrs. 3 vols. will serve 120 hrs. 120 hrs. 60 hrs. _ 3 vols. will serve 120 hrs. 120 hrs. 60 hrs. Number. of Volunteers: Number of Stations: Number of Volunteers: ` 3 Number of Stations: 1 3 Di it NSSC Code s A livable: ' DESCRIPTION OF OTHER VOLUNTEER ACTIVITIES NOT REFLECTED vN YRUCTHAM1V111V is r•ux uvlra~ r vis~r:~: i i Applicant Organization: Orange County Retired & Senior Volunteer Prosram Period Covered: Startfng: 07/01/2002 Endine: 06/30/2003 PROJECT PLANNING PROJECT REPORTING Column A: Col. B Column C. Col. D ' Volunteer Activities Date Actual Performance ~ Date Objective 11 Description of Activities: HIV/AIDS . Description of Activities: HIV/AIDS FY0304 _ volunteers served _ hours in:: Provide services to HIV/AIDS patients and 4 volunteers will serve.100 hours: Provide services to HIV/AIDS patients and 6 month their families at hospices, health care institutions, and in the homes of patients. their families at hospices, health care institutions, and in the homes of patients. 12month Counseling patients and family members. (AIDS Service Agency) Counseling patients and family members. (AIDS Service Agency) FY0405 03- 04-OS OS-06 ~ 03-04 04-05 OS-06 6 month hrs. -vols. served hrs. hrs. '. 4 vols. will serve 50 hrs. 50 hrs. 50 hrs. ~12month _ vols. served hrs. hrs. hrs. 4 vols. will serve 50 hrs. 50 . hrs. 50 hrs. FY0506 Number of Volunteers: Number of Stations: _1_ Number of Volunteers: _4_ Number of Stations: _1_ 6 month . 3 Di 't NSSC Cod s A livable: 12month Objective 12 l±'Y0304 Descript[on of Activities: IIVIMUNIZATION 6 month Description of Activities: IlVIlViUNIZATION 1 volunteers will serve 25 hours: Coordinates the flu and pneumonia shots 12month volunteers served. hours: Coordinates the flu and pneumonia shots pro- program for seniors with the health dept. at senior centers-check clients idout, FY0405 ~.~ for seniors with the health dept. at senior centers-check clients in/out, col- 'collect payments etc.(Orange County Dept on Aging) 6 month lest .payments etc.(Orange County Dept on Aging) • . 12month 03-04 04-OS 0 -0 03-04 04-05 OS-06 I+Y0506 vols. served hrs. hrs. hrs. i 1 vols. will serve 25 hrs. 25 hrs. 25 hrs. 6 month . Number of Volunteers: 1 Number of Stations: 1 12month '3 Digit NSSC Code(s) Applicable: Number of Volunteers: 1 Number of Stations: 1 Note: Please reproduce or duplicate this template as needed to include all Volunteer Activities rES WORKPLAN ~ .. 0 DESCRL .ON OF OTHER vOLUNTEERACTIVITIES-NOT REFLI, _ .:ED ON PROGILAMMING FOR IMPACT OBJECTIVES V1~ .,RKPLAN B. HUMAN NEEDS SERVICE Applicant Organization: Orange County Retired & Senior Volunteer Prosram Period Covered: Starting: 07/01/2002 Ending: 06/30/2003 PROJECT PLANNING ~ PROJECT REPORTING Column A: Col. B Column C. Col. D Volunteer Activities Date Actual Performance Date Objective 13 Description of Activities: ADULT DAY CARE . Description of Activltfes: ADULT DAY CARE FX0304 _ volunteers served Volunteers provide entertainment (sing and dance).. 5 volunteers will serve 120 hours: Volunteers provide entertainment (sing and 6 month Do not' include adult day service for Mll/MR clients or setuor center programs dance).. Do not include adult day service for MH/MR clients or senior center 12month (Cjtazles House, Wynwood) programs (Charles House, Wynwood) 03-04 04-05 OS-06 FY040~ _ 0-04 04-OS OS-OG 5 vols. will serve 60 hrs. 60 hrs. 60 hrs. 6 month vols. served hrs. hrs. hrs. 5 vole: will serve 60 hrs. 60 hrs. 60 hrs. 12month _ _ vols. served hrs. hrs. hrs. • ' FY0506 Number of Volunteers: ~ 5 Number of Stations: _2_ 6 month Number of Volunteers: Number of Stations: 3 Di it NSSC Cod s A [tcable: 12month Objective 14- FY0304 Description of Activities: COMPANION/OUTREACH 6 month Description of Activities: COMPANION/OUTREACH • 70 volunteers will serve 2,325 hours: Run errands, transport, friendly visiting, 12month _ volunteers served hours:: Run errands, transport, friendly visiting, telephone reassurance, and activities such as peer support, writing letters, ao- 0405 telephone reassurance, and activities such as peer support, writing letters, active five listening, reading, help ease feelings of isolation and loneliness. Do not 6 month listening, reading, help ease feelings of isolation and loneliness. Do not include include Hospice. (Clazebridge, Meadowbrook, Wynwood, Yancey's Rest 12month Hospice. (Clarebridge, Meadowbrook, Wynwood, Yancey's Rest Home; Sun- Home, Banbridge, Rainbow Senior Citizens Club, O.C. Pazks & Rec. CSC, FY0506 bridge, Rainbow Senior Citizens Club, O.C. Parks 8c Rec. CSC, O.C. Pazks & O.C. Parks & Rec. GAHC)~ 03-04 04-OS OS-06 6 month Rec. GAHC) 70 vols. will serve 1000 hrs. 1000 hrs. 1500 hrs. 12month 03-04 04-05 OS-06 70 vols. will serve 825 hrs. 825 hrs. 825 hrs. vols. served hrs. hrs. hrs. Number of Volunteers: ~ 70 Number of Stations: 8 _ vols. served hrs. hrs. hrs. 3 Di it NSSC.Code: ~ _ Number of Volunteers: Number of Stations: Objective 15 ~ 0304 ~-~ Descr[ption of Activities: CRISIS INTERVENTION 6 month Description of Activities: CRISES INTERVENTION 3 volunteers will serve 440 hours -Assistance to individuals in times of per- 12month volunteers seined hours: Assistance to individuals in times of personal sonal crisis and grie>y hotlines, fundraising, receptionists, board members 0405 crisis and grief, hotlines, fundraising, receptionists, boazd members (Rape Crisis (Rape Crisis Center) 03-04 04-05 OS-06 6 month Center) 03-04 04-OS OS-06 3 vole, will serve 220 hrs. 220 hrs. 220 hrs. 12month vols. served hrs. hrs. hrs. ' 3 vols. will serve 220 hrs. 220 hrs. 220 hrs. ~ I'Y0506 _ vols. served hrs. hrs. hrs. Number of Volunteers: 3 Number of Stations: 1 6 month _ 3 Di it NSSC Code: 12month Number of Volunteers: Number of Stations: 1 Objective 16 FY0304 ' Description of Actlvltles:'DISASTER PREPAREDNESS/RELIEF 6 month Description of Activities: CRISIS INTERVENTION 3 volunteers will serve 200 hours -Assist individuals to prepare for and pro- 12month volunteers served hours: Assist individuals to prepare for and provide vide relief in tunes of disaster: hotlines, fundraising, receptionists; board mem- FY0405 relief in times of disaster: hotlines, fundraising, receptionists, boazd members, bers, trainers, apeakers,.clean-up,etc. (Red Cross) 03-04 04-05 OS-06 6 month ~~~ speakers, clean-up,etc. (Red Cross) 03-04 04-05 OS-06 • ~ 3 vols. will serve 0 hrs. 0 hrs. 100 hrs. 12month vols. served hrs. hrs. hrs 3 vols. will serve 0 hrs. 0 hrs. 100 hrs. hY0506 . vols. served hrs. hrs hrs Number of Volunteers: ~ 3 Number of Stations: 1 6 month. . . 3 Digit NSSC Code: 12month Number of Volunteers: Number of Stations: 1 ~ ~+ ,~•~ DESCRL .ON OF OTHER VOLUNTEER ACTIVITIES~NOT REFL~.~ QED ON PROGRAIVIlVIING FOR IMPACT OBJECTIVES Vb vRKPLAN Applicant.Organization: Oranse County Retired & Senior Volunteer Proeram Period Covered: Starting: 07/01/2002 Endin¢: 06/30/2003 PROJECT PLANNING PROJECT REPORTING Column A: Col. B Column C. Col. D Volunteer Activities Date Actual Performance _ Date Objective 17 Description of Activities: HOMELESS FY0304 Description of Activities: HOMELESS volunteers served _ hours in: Participate in programs .and services for indi- 25 volunteer will serve 2200 hours: Participate in programs and services for 6 month viduals and families experiencing housing crisis and living in shelters, transi- . individuals and families experiencing housing crisis and living in shelters, 12month tional housing or on the streets. Serve as receptionists, shelter monitors, prepare transitional housing or on the streets. Serve as receptionists, shelter monitors, FY0405 meals, serve meals, office assistance, monitor food bank. (IFC House, • IFC prepare meals, serve meals; office assistance, monitor food bank. (IFC House, 6 month Kitchen, IFC Admin) 03-04 04-OS OS-06 IFC Adnrin) ! ~ 03-04 04-OS OS-06 1FC Kitchen 12month ~ _ vols. served hrs. hrs. hrs. , 25 vols. will serve 1000 hrs. 1000 hrs. 1100 hrs FY0506 _ vols. served hrs. hrs. hrs. 25 vols. will serve 1000 hrs. 1000 hrs. 1100 hrg 6 month 12month ~ Number of Volunteers: Number of Stations: Number of Volunteers: _25_ Number of Stations: _3_ 3 Di it NSSC Code s A livable: Objective 18 ' Description of Activities: HOUSINGREHAB./CONSTRUCTION FY0304 6 month Description of Activities: HOUSINGREHAB./CONSTRUCTION 8 volunteers will serve 2,400 hours: Assist in construction, repair, inspection, 12month _ volunteers served hours: Assist in construction, repair, inspection, and and rehabilitation of houses. Build quality; low-cost housing-no profit-no FY0405 rehabilitation of houses. Build quality, low-cost housing-no profit-no interest for interest for qualified persons (Habitat for Humanity) 6 month qualified persons (Habitat for Humanity) ' ' 03-04 04-OS 05-06 12month 03-04 04-OS OS-06 8 vols. will serve 1100 hrs. 1100 hrs. 1200 hrs. P'Y0506 _ vols. served hrs. hrs. hrs. 8 vols. will serve 1100 hrs. 1100 hrs. 1200 hrs. 6 month _ vols. served hrs. hrs. hrs. 12month Number of Volunteers: _8_ Number of Stations: _1_ Number of Volunteers: Number of Stations: ~ 3 Di it NSSC Code s A livable: ` Objective 19 ` ]FY0304 Description of Activities: MENTORING Description of Activities MENTORING 6 month volunteers served hours: Provide guidance and leadership to children. 10 volunteer will serve 600; hours Provide guidance and leadership to children. 12month Strictly academic services go under Tutoring BHN 312. Strictly academic services go under Tutoring BHN 312. I' Y0405 (CHCCS Blue Ribbon Mentor, D.S.S. Mentoring) ( CHCCS Blue Ribbon Mentor, D.S.S. Mentoring) 6 month 03-04 ~4-OS OS-0 03-04 04-OS OS-06 12month _ vols. will serve hrs. hrs. hrs. 10 vols. will serve 300 hrs. 300 hrs. 300 hrs:' FY0506 _ vols. will serve hrs. hrs. hrs. 10 vols. will serve 300 hrs. 300 hrs. 300 hrs. 6 month. Number of Volunteers: 10_ Number ofStatlons: 4_ 12month Number of Volunteers: Number of Stations: 3 Di it NSSC Cod s A llcable: Note: Please reproduce or duplicate this template as needed to include all Volunteer Activities i N -n... r..._. DESCRli _~ON~OF OTHER VOLUNTEER ACTIVITIES NOT REFLI... QED ON PROGRAMIVIING FOR IMPACT OBJECTIVES V~ „ttKPLAN Applicant Organization: Orange County Retired & Senior Volunteer Program Period Covered: Starting: 07/01/2002 Ending: 06/30/2003 PROJECT PLANNING PROJECT REPORTING Column A: Col. B Column C. Col. D Volunteer Activities Date Actual Performance Date Objective 20 Description of Activities: SENIOR CITIZEN ASSISTANCE FY0304 Descrlption of Activities: SENIOR CTTIZEN ASSISTANCE 40 volunteers will serve 6400 hours: Services in a broad range of activities to 6 month volunteers served hours: Services in a broad range of activities to spe- specifically improve the lot; of seniors in society that has not been included in 12month _ cifically improve the lot of seniors in society that has not been included in any any other related category and is not personal assistance. Serve as board mem- YF 04.0_5 other related category and is not personal assistance. Serve as board members, bers, help elderly with day to day matters. Do not include In-Home care BHN 6 month help elderly with day to. day .matters. Do not include In-Home care BHN 117; 117; Adult day care BHN 201; companionship/outreach BHN 202; senior 12month Adult day care BHN 201; companionship/outreach BHN 202; senior center pro- center programs BHN 213;. (AA1tP -Hillsborough, AARP -Chapel Hill, FY0506 gr~ BHN 213. (AARP -Hillsborough, AARP -Chapel Hill, Carol Woods, Carol Woods, DOA -Aging Board, CH Sr. Ctr., Friends CH Sr. Ctr.) ' 6 month DOA -Aging Board, CH Sr. Ctr., Friends CH Sr. Ctr.) 03-04 04-05 OS-06 12month 03- 04-05 OS-06 40 vols. will serve 3200 hrs. 3200. hrs. 3200 hrs vols. vols. served hrs. hrs. hrs. 40 vols. will serve 3200 hrs. 3200 hrs. 3200 hrs _ vols. vols. served hrs. hrs. hrs. Number of Volunteers: ' 40 Number of Stations: _6_ 3 Digit NSSC Code(s) Applicable: . _ Number of Volunteers: Number of Stations• Note: Please reproduce or duplicate this template as needed to include all Volunteer Activities r w I,TION DESCRIPTION OF OTHER VOLUNTEER ACTIN ED C ,US NOT REFLECTED ON PROGRAMMING FOR IMPACT OBJECTIVES WOI4 ..AN . . . Applicant Organization: Oran¢e County Retired & Senior Volunteer Proeram Period Covered: Starting: 07/01!2002 Endinee 06/30/2003 f PROJECT PLANNING PROJECT REPORTING• Column A: Volunteer Activities col. B Date Column C. Actual Performance col. D Date Objective 21 FY0304 6 month Description of Activities: PRE-ELEM. DAY CARE volunteers served hours: participating in apre-elementary learning Description of Activities: PRE-ELEM. DAY CARE 3 volunteers will serve 100 hours participating in apre-elementary Teaming 12month _ and day care program (Read a Story to a Tot). Do not include Head Start. (Bi- and day care program (stead; a Story to a Tot). Do not include Head Start. (Bi- ~~ City Day Care, CSFPU6 Daycare, FPG Child Dav) OS 04 04 City Day Care, CSFPU6 Daycare, FPG Child Dev) 6 month - 03= hrs. hrs. served hrs vols 03-04 04-05 OS-06 3 vols. will serve 0 hrs. 0 hrs. 50 hrs. 12month FY0506 . . _ -vols.. served hrs. hrs. hrs. 3 vols. will serve 0 hrs. 0 hrs. 50 hrs. 6 month Number of Volunteers: _3_ Number of Stations: 3_ ~ 12month Number of Volunteers: Number of Stations: 3 Di it NSSC Cod s A livable: 0 0 Description of Activities: ELEM. EDUCATION Objective 22 Description of Activities: ELEM. EDUCATION 's 6 month h _ volunteers served hours in kindergarten through 6~' grades as class- computer aides. (CHCCS Blementary, OCSS round aides la ides grades as class- 3 volunteers will serve 100 hours in kindergarten through 6 12mont , yg , p room a room aides, playground aides, computer aides. (CHCCS Elementary, OCSS I~ Y0405 Blementary) 03-04 0404-OS OS-06 Elementary) 03-04 04-OS OS-06 hrs. 50 hrs 3 vols. will serve 0 hrs. 0 ~ 6 month 12month _ vols. served hrs. hrs. hrs. . !~ 3 vols. will serve 0 hrs. 0 hrs. 50 hrs FY0506 _ vols. served hrs. hrs. hrs. Number of Volunteers: 3 Number of Stat[ons: _2 ., „___.,.,~~...••..a~.-\ A....14nnh~n. 6 month 12month Number of Volunteers:.. _ _ Number of Stations: Objective 23 FY0304 Description of Activities SF('ONDARY EDUCATION 6 month Description of Activities: SE ONDARY EDUCATION 1 volunteer will spend 50 hours serving youth in 7 through 12s' grades. In- 12month volunteers served hours: serving youth in 7`s through 12s' grades. eludes extra curricular activities and clubs, physical education, fitness and I'Y0405 includes extra-curricular activities and clubs, physical education, fitness and sports programs, field trip supervision, teacher's aides, coaching or coaching 6 month ~~ programs, field trip supervision, teacher's aides, coaching or coaching aides, one-on-one service to students and career counseling.. Chapel Hill High 12month one-on-one service to students and career counseling.. Chapel Hill High, modes 03-04 04-OS OS-06 FX0506 , East Chapel Hill High, Culbreth Middle , McDougle Middle ,Phillips Middle 1 vole will serve 25 hrs. 25 hrs. 25 hrs. 6 month 03-04 04-OS 05=06 1 vole will serve 25 hrs. 25 hrs. 25 hrs. 12month vols. served hrs. hrs. hrs. Number of Stations: _1_ Number of Volunteers: _1 vols. served hrs. hrs. hrs• _ 3 Digit NSSC Code(s) Applicable: _ Number of Volunteers: Number of Stations: Objective 24 ~ Descr[ption of Activities: SPECIAL EDUCATION FY0304 6 month Description of Activities: SPECIAL EDUCATION _ volunteers served hours developing and participate in educational 3 volunteers will spend 150 hours to developing and participate in educational 12month programs for children who are physically and/or mentally disabled, emotion- rams for children who dare physicallyand/or mentally disabled, emotion- ro FY0405 ally disturbed, have specific learning disabilities, or who are gifted. g p ally disturbed, have specific learning disabilities, or who are gifted. 6 month (iJNC -Learning Disabilities) 03-04 04-03 OS- 6 (UNC -Learning Disabilities) • 03-04 04-OS OS-06 12month FY0506 _ vols. served hrs. hrs. hrs. 3 vols. will serve 100 hrs. 100 hrs. 100 hrs 6 month _ vols. served hrs. hrs. hrs. 3 vols. will serve 50 hrs. SO hrs. 50 hrs. 12month 3_ Number of Stations: _1_ Number of Volunteers: Number of Volunteers: Number of Stations: ~ _ ~ re_e. wraon n..a..L.\ A....10....hln. ,.. ~ __ •~ DESCRIl~ _ON OF OTHER VOLUNTEER ACTIVITIES NOT REFLE... ,~ ED ON PROGn:AM1VIIl~TG FOR IMPACT OBJECTIVES V~ ..1tIiPLAN Applicant Organization: Oran¢e Countv Retired & Senior Volunteer Program Period Covered: Starting: 07%01/2002 Ending: 06/30/2003 PROJECT PLANNING ~ ~ PROJECT REPORTING Column A: Col. B Column C. Col. D Volunteer Activities Date Actual Performance Date Objective 25 ~ Description of Activities: TUTORING AND CHII.D LITERACY Description of Activities: TUTORING AND CHILD LITERACY 0304 _ volunteers served hours in: Tutor children in grades k-12 and young 4 volunteers will serve lOQ hours: Tutor children in grades k 12 and young 6 month adults in a variety of academic subjects. (CHCCS) adults in a variety of academic subjects. (Chapel Hill-Carrboro City Schools) 12month ~ 03-04 04-OS OS-06 03-04 04-05 OS-06 0405 -vols. served hrs. hrs. hrs. ' 4 vols. will serve 180 hrs. 180 hrs. 50 hrs. 6 month _ vols. served hrs. hrs. ' hrs. 4 vols. will serve 180 hrs. 180 hrs. 50 hrs. 12month FY0506 Number of Volunteers: Number of Stations: Number of Volunteers: 4_ Number of Stations: _5_ 6 month 3 Di it NSSC Cod s A llcabie: 12month Objective 26 FY0304 Description of Activities: LIBRARY SERVICES 6 month Description of Activities: LIBRARY SERVICES 20 volunteers will serve 2,800 hours: Serve in a public or school library. Sort books, assist with check-out, voter registration, fundraising (CH Library & 12month FY0405 volunteers served hours: Serve in a public or school library. Sort Friends, Carol Woods, O.C Library, Ephesus School- CHCCS) 6 month books, assist with check-out, voter registration, fundraising (CH Library & 03-04 04-05 05-06 12month Friends, Carol Woods, O.C. Library, Ephesus School- CHCCS) 20 vols. will serve 1,400 hrs. 1,400 hrs. 1,400 hrs FY0506 ~ 03-04 04-OS OS-06 20 vols. will serve 1,400 hrs. 1,400 hrs. 1,400 hrs 6 month _ vols. served hrs. hrs. hrs. 12month vols. served hrs. hrs. hrs. - Number of Volunteers: _20 Number of Stations: 5 - 3 Digit NSSC Code(s) Appllcable: - Number of Volunteers: Number of Stations: '~~ Objective 27 FY0304 Description of Activ[tles: CULTURAL HERITAGE Description of Activities: CULTURAL HERITAGE 6 month _ volunteers served hours: participate in programs concerned with cut- 25 volunteers will serve 2,000 hours: participate in programs concerned with 12month total preservation and enrichment such as historic preservation, oral history, mu- cultural preservation and enrichment such as historic preservation, oral history, FY0405 seam activities, drama and other performing arts. Provide reception- museum activities, drama and other performing arts. Provide reception- 6 month ist/clericaUoffice assistance, usher at events, distribute fliers and publicity in the ist/clericaUoffice assistance, ushei at events, distnbute fliers and publicity in ~- 12month community, host special event receptions, serve on boards and committees the community, host special event receptions, serve on boards and committees 0506 .(Ackland Art Museum, Alliance for Historical Hillsborough, American Dance (Ackland Art Museum, Alliance for Historical Hillsborough, American Dance . 6 month Festival, Ar#sCenter, Chapel Hill Historical Society, Village Revue, Duke Home- Festival, ArtsCenter, Chapel Hill Historical Society, Museum of Life & Sci- 12month stead Hist. Site,. Museum of Life & Science, Chapel Hill Museutn/UNC Play- ence, Chapel Hill Museum, UNC Playmakers, NC Writers Network) makers, UNC -Wilson LibraryMC Writers Network ) 03-04 04-05 OS-06 03-04 -OS OS-06 ', 25 vols. will serve 1,000 hrs. 1,000 hrs. 1,000 hrs vols. served hrs. hrs. hrs. 25 vols. will serve 1,000 hrs. 1,000 hrs. 1,000 hrs _ vols. served hrs. hrs. hrs. Number of Volunteers: !. 25 Number of Stations: 9 _ - - 3 Digit NS5C Code(s) Applicable: Number of Volunteers: Number of Stations: DESCRL _ON OF OTHER VOLUNTEER ACTIVITIES NOT REFLF.._~ED ON PROGRAM1vIING FOR IMPACT OBJECTIVES V1'.,1tKPLAN Applicant Organization: Orange County Retired & Senior Volunteer Program Period Covered: Starting: 07/01/2002 Ending: 06/30/2003 PROJECT PLANNING ~ PROJECT REPORTING Column A: Col. B Column C. CoI.~D Volunteer Activities Date Actual Performance Date Objective 28 FY0304 Description of Activities: HEAD START 6 month Description of Activities: HEAD START 4 volunteers will serve 300;hours: Provide services to Head Start programs to 12month volunteers served hoots: Provide services to Head Start programs to help children of low-income families in all parts of child development and ]j~0405 _ help children of low-income families in all pails of child development and school school readiness through programs such as Read a Story to a Tot. (Carr Court, 6 month readiness through programs such as Read a Story to a Tot Glenwood, Lincoln Center) 12month (~ ~~~ Glenwood, Lincoln Center, 2"d Baptist) 03-04 04-OS .05-06 k X0506 ~-04 04-OS OS-06 4 vols. will serve 100 hrs.. 100 hrs. 150 hrs. 6 month vols. served hrs. hrs. hrs. 4 vols. will serve 100 hrs. 100 hrs. 150 hrs. 12month _ vols. served hrs. hrs. hrs. Number of Volunteers: _4 Number of Stations: _3_ 3 Digit NSSC Code(s) Applicable: Number of Volunteers: Number of Stations• Objective 29' 0304 Descrlpflon of Activities: ADULT EDUCATION & LTTERACX Description of Activities: ADULT EDUCATION & LITERACY 6 month _ volunteers served hours: Tutor-Help illiterate adults learn to read. Srs 10 volunteers will serve 600 hours: Tutor-Help illiterate adults learn to read • 12month teaching srs computer skills-basic to the Internet. Assist educators in learning to Srs teaching srs computer ~ skills-basic to the Internet. Assist educators in FY0405 deal with group of students from various cultures -speaking various languages. learning to deal with group; of students from various cultures -speaking vari- 6 month 2 day refresher driving class for seniors-teach safe driving techniques for the ous languages. 2 day refresher driving class for seniors-teach safe driving 12month . older driver. Counsel women with av~rity ofconcerns/needs. (Durham Tech., techniques for the older. driver. Counsel women with a verity of con- FY0506 Literacy Council, World View, AARP - 55 Alive,.The Women's Center) cernslneeds. (Durham Tech., Literacy Council, World View, AARP - 55 6 month 03-04 04-OS OS- 6 Alive,.The Women's Center) 12month _ vols. served hrs. hrs. hrs. 03-04 04-OS OS-06 vols. served hrs. hrs. ''hrs. 10 vols. will serve 200 hrs. 200 hrs. 300hrs ' 10 vols. will serve 200 hrs. 200 hrs. 300hrs Number of Volunteers: Number of Stations: Number of Volunteers: '10 Number of Stations: 5 3 Di it NSSC Code s A livable: Note: Please reproduce or duplicate this template as needed to include all Volunteer Activities r rn DESG. , . TION OF;OTHER VOLUNTEER ACTIVITIES NOT REFLECTED ,....PROGRAMMING FOR IMPACT OBJECTIVES WORKPLAN n F~vvruntvn~rFivT Applicant Organization: Orange County Retired & Senior Volunteer Prosram Period Covered: Starting: 07/01/2002 Endins: 06/30/2003 PROJECT PLANNING PROJECT REPORTING Column A: Col. B Column C. Col. D Volunteer Activities Date Actual Performance Date Objective 30 Description of Activities: WASTE REDUCTION. MGT. RECYCLING Description of Activities: WASTE REDUCTION. MGT. RECYCLIIVG FY0304 _ volunteers served hours in: Pick-up of recycled items. Recycle, and 1 volunteer will serve 50 hours: Pick up of recycled items. Recycle, and dis- 6 month dispose of. wastes in ways that are environmentally safe. (Chapel Hill Senior pose of wastes in ways that are environmentally safe. (Chapel Hill Senior 12month Center ) Center) FY0405 03-04 04-OS OS-06 03-04 04-05 OS-06 6 month _ vols. served hrs. hrs. hrs. 1 vols. will serve 25 hrs. 25 hrs. 25 hrs. 12month _ vols. served hrs. hrs. hrs. 1 vols.. will serve 25 hrs. 25 hrs. 25 hrs. FY0506 Number of Volunteers:. Number of Stations: Number of Volunteers: 1 Number of Stations: 1 6 month 3 Di it NSSC Code s A licable: 12month Deacri tioa of Activities: ENVIRONMENTAL AWARENESS Objective 31 FY0304 Description of Activities:. CLEAN/SAFE WATER Description of Activities: CLEAN/SAFE WATER 6 month _ volunteers served hours: Assist with projects such as: Set up ground 2 volunteer will serve 100 hours: Assist with projects such as: Set up ground 12month and surface water protection programs, monitor/test tap water and natural water and surface water protection programs, monitor/test tap water and natural wa- FY0405 sources to support healthy and diverse aquatic species, inventory and test ter sources to support healthy and diverse .aquatic species, inventory and test 6 month wells/streams, water tanks, counseling. (O.C. Govt. Soil & Water) wells/streams, water tanks, counseling. ~ 12month 03-04 04-OS OS-06 (O.C. Govt. Soil & Water)' 03-04 04-OS 05-06 FY0506 _ vols. served hrs. hrs. hrs. 2 vols. will serve 10 hrs. 10 hrs. 50 hrs. 6 month vols. served hrs. hrs. '~~hrs. 2 vols. will serve 10 hrs. 10 hrs. 50 hrs. 12month _ Number of Volunteers: Number of Stations: . Number of Volunteers: ~2 Number of Stations: 1 3 Di ''t NSSC Code a A licable: Objective 32 FY0304 Description of Activities: OTHER ENVIRONMENT 6 month Description of Activities: OTHER ENVIRONMENT 5 volunteers will serve 400hours: Include other eavironmental activities which ~ 12moath _ volunteers served hours: Include other environmental activities which cannot be classified in any other way. {Anirnal Protection Society, Carrboro FY0405 cannot be classified in any other way. (Animal Protection Society, Carrboro Parks &Rec, CH/Carr YMCA, CH Parks &Rec, O:C. Parks & RecS) 6 month Parks &Rec, CH/Carr YMCA, CH Parks &Rec, O.C. Parks &Rec, Finlay Golf • ~ 03-04 04-OS OS-06 12month Course) 5 vols. will serve 200 hrs. 200 hrs. 200 hrs 1! Y0506 03-04 04-OS OS-06 5 vols. will serve 200 hra. 200 hrs. 200 hrs 6 month _ vols. served hrs. hre. hrs. 12month _ vols. served hrs. hrs. hrs. Number of Volunteers: 5 Number of Stations: 5 3 Digit NSSC Code(s) Applicable: - Number of Volunteers: Number of Stations: Note: Please reproduce or duplicate this template as needed to include all Volunteer Activities DESC~` ~ fiION OF OTHER VOLUNTEER ACTMTIES NOT REFLECTED ~~~~PROGRAMMING FOR IMPACT OBJECTIVES WORKPLAN D. Elr ~. ~.RONMENT Applicant Organization: Orange County Retired & Senior Volunteer Program Period Covered: Starting: 07/01/2002 Endins: 06/30/2003 PROJECT PLANNING PROJECT REPORTING Column A: Col. B Column C. Col. D Volunteer Activities Date Actual Performance Date Objective 30 Description of Activities: WASTE REDUCTION, MGT. RECYCLING Description of Activities: WASTE REDUCTION. MGT. RECYCLING FY0304 volunteers served hours in: Pick-up of recycled items. Recycle, and 1 volunteer will serve 50 hours: Pick-up of recycled items. Recycle, and dis- 6 month _ dispose of wastes in ways that are environmentally safe. (Chapel Hill Senior pose of wastes in ways that are environmentally safe. (Chapel Hill Senior 12month Center ) Center) 04 5 03-04 Q4-OS OS-06 03-04 04-OS OS-06 6 month vols. served hrs. hrs. hrs. 1 vole. will serve 25 hrs. 25 hrs. 25 hrs. 12month _ vols. served hrs. hrs. hrs. 1 vols. will serve 25 hrs. 2S hrs. 2~ hrs. FY0506 _ Number of Volunteers: Number of Stations: Number of Yolun'teera: _I Number of Stations: 1 6 month ~ 3 Di it NSSC Code s A licabie: 12month Descri tion of Activities: ENVIRONMENTAL AWARE SS Objective 31 FY 304 Descriptfon of Activities:_CI.EAN/SAFE WATER Description of Activities: CLEAN/SAFE WATER 6 month .volunteers served hours: Assist with projects such as: Setup ground 2 volunteer will serve 100 hours: Assist with projects such as: Set up ground 12month and surface water protection programs, monitor/test tap water and natural water and surface water protection programs, monitor/test tap water and natural wa- FY0405 sources to support healthy and diverse aquatic species, inventory and test ter sources to support healthy and diverse aquatic species, inventory and test 6 month wells/streams, water tanks, counseling. (O.C. Govt. Soil & Water) wells/streams, water tanks, ;counseling.. 12month 03-04 04-OS 05-06 (O.C. Govt. Soil & Water) 03-04 04-OS OS-06 FY0506 vols. served ~ hrs. hrs. hrs. 2 vols. will serve 10 hrs. 10 hrs. SO hrs. 6 month _ ~ vols. served hrs. hrs. '•~hrs. 2 vols. will serve 10 hrs. 10 hrs. 50 hrs. 12month _ Number of Volunteers: Number of Stations: ~ . Number of Volunteers: ~2_ Number of Stations: ,1_ 3 Di it NSSC Cod s A licable: Objective 32 FY0304 Description of Activities: OTHER ENVIRONMENT 6 month Description of Activities: OTHER ENVIRONMENT 5 volunteers will serve 400; hours: Include other environmental activities which ~ 12month volunteers served bows: Include other environmental activities which cannot be classified in any other way. (Animal Protection Society, Carrboro FX0405 _ cannot be classified in any other way. (Animal Protection Society, Carrboro Parks & Rec, CH/Cart YMCA, CH Pazks & Rec, O.C. Parks & RecS) ~ 6 month Parks 8c Rec, CH/Carr YMCA, CH Parks & Rec,_ O.C. Parks & Rec, Finlay Golf 03-04 04-05 OS-06 12month Coutse) 5 vols. will serve 200 hrs. 200 hrs. 200 hrs 0506 03-04 04-OS OS-06 5 vols. will serve 200 hrs. 200 hrs. 200. hrs 6 month _ vols. served hrs. hrs. hrs. 12rnonth vols. served hrs. hrs. hrs. Number of Volunteers: ` 5 Number of Stations: 5 _ 3 Digit NSSC Code(s) Applicable: Number of Volunteers: Number of Stations: r iVote: Please reproduce or duplicate this template as needed to include all Volunteer Activities DESC'~ TION OF; OTHER VOLUNTEER ACTIVITIES NOT REFLECTED . PROGRAMMING FOR IMPACT OBJECTIVES WORKPLAN E. CC,~.~IMUNITY/ECONONIIC DEVELOPMENT Applicant Organization: Orange County Retired & Senior Volunteer Program Period Covered: Starting: 07/01/2002 Endive: 06/30/2003 PROJECT. PLANNING I PROJECT REPORTING " column A: Col. B Co1Bmn C. Col. D Volunteer Activities Date ~ Actual' Performance Date Objective 33 Description of Activities: CONSUMER EDUCATION Description of Activities: CONSUMER EDUCATION FY0304 _ volunteers served hours in: Develop and participate in information 6 volunteers will serve 300 hours: Develop and participate in information cam- 6 month campaigns on consumer issues such as. insurance estate counseling and con- - paigns on consumer issues such as insurance, estate counseling, and consumer ' 12month , , sumer protection. Counsel seniors with medical bill and insurance problems.. . protection. Counsel seniors. with medical bill and insurance. problems.. FY0405 (SH]IP) (S~) 6 month 03-04 04-OS OS-06 03-04 04-OS OS-06 12month vole served hrs. hrs. hrs. 6 vols. will serve 100 hrs. 100 hrs. 150 hrs. FY0506 _ vols. served hrs. hrs. hrs. 6 vols. will serve 100 hrs. 100 hrs. 150 hrs. 6 month _ Number of Volunteers: _6_ Number of Stations: 1 12month Number of Volunteers: Number of Stations: 3 Di it NSSC Cod s A licable: Objective 34 0 04 Description of Activities: REGIONAL/STATE/CITY PLANNING Description of Activities: ItEGIONAL/STATE/CITY PLANNING 6 month volunteers served boon;: Boazd members-Surveys, renewal, and zon- 5 volunteer will serve 300 hours: Board members-Surveys, renewal, and zon- 12month ing activities. Task force on Poverty and shaping the future for Orange County ing activities. Task force on Poverty and shaping the future for Orange County FY0405 (O.C. Govt. Planning Dept.) (O.C. Govt. Planning Dept.) 6 month 03-04 04-OS OS-06 03-04 04-05 OS-06 12month vols. served hrs. hrs. hrs. 5 vols. will serve 0 hrs. 0 hrs. 150 hrs. FY0506 _ vols. served hrs. hrs. hrs. 5 vols. will serve 0 hrs. 0 his. 150 hrs. 6 month _ 12month Number of Volunteers: Number of Stations: Number of Volunteers: 'S Number of Stations: 1 3 Di it NSSC Cod s A Iicable: Objective 35 `- 0304 Description of Activities: SOCIAL SERVICE PLANNING/ DELIVERY/ , 6 month Description of Activities: SOCIAL SERVICE PLANNING/ DELIVERY% '~ : COMMUNITY ORGANIZATION. 12month . COMMUNITY ORGANIZATION 17 volunteers will serve 2400 hours: Plan, design and operate social service 0405 _ volunteers served hours: Plan, design and operate social service pro- programs, proposal writing, fund-raising, etc. Identify community needs, or- • 6 month grams, proposal writing, fund-raising, etc. Identify community needs organize gaq~ize and work on solutions for community problems. Fundraising, board 12month , and work on solutions for community problems. Fundraising, boazd members members, office asst., set-up, DS$ support services for low to middle income- FY0506 , office asst., set-up, DSS support services.for low to middle income-main target: main target: needs of the; children (Town of Carrboro, CH/Carr. Chamber . 6 month needs' of the children (Town of Carrboro, CH/Carr. Chamber Commerce O.C. Commerce, O.C. Govt. Human Rights/Rels, UNC Public TV, Ronald McDon- 12month , Govt. Human Rights/Rels, UNC Public TV, Ronald McDonald House, Friends aid House, Friends D.S.S., OCIM Thrift Shop Boazd, WUNC - FM, O.C Go~rt. D.S.S., OC]M Thrift Shop Boazd, WUNC - FM, O.O. Govt. Aging Board, Carol Aging Board, Carol Woods) Woods ) '. 03-04 04-05 OS-06 03-04 04-OS OS-06 17 vols. will serve 1,740 hrs 1,740 hrs. 1,200hts. vols. served hrs. hrs. hrs. 17 vols. will serve 1,740 hrs 1,740 hrs. 1,200 hrs. _ _ vols. served hrs. hrs. hrs. Number of Volunteers: ' 17_ Number of Stations: 10_ Number of Volunteers: Number of Stations: 3 Di it NSSC Cod s A llcable: l.T T1 1 ~"'~ ~w~C: riva~c rcpruuuce yr aupiicate this template as needed to include all Volunteer Activities `O DESC`~~ TION OF OTHER VOLUNTEER ACTIVITIES NOT REFLECTED ~ '`PROGRANIlVIIN.GFQR IMPACT OBJECTIVES WORKPLAN Applicant Organization: Oranee County Retired & Senior Volunteer Proeram Period Covered: Starting: 07/Ol/ZOUZ Endive: U6%3U/LUU3 PROJECT PLANNING PROJECT REPORTING Column A: CoL B Column C. Col. D Volunteer Activities Date Actual Performance Date Objective 36 Description of Activities: COMM. BASED VOL. PROGRAMS Description of Activities: COMM. BASED VOL. PROGRAMS 0 04 _ volunteers served hours in: Recruit volunteers, coordinate/administer 17 volunteers will serve 400 hours: Recruit volunteers, coordinate/administer 6 month such programs as VAC's, Red Cross, & RSVP. RSVP Advisory Council mem- such programs as VAC's„ Red Cross, & RSVP. RSVP Advisory Council 12month bens, clerical assistance (see 729 for RSVP-VITA Program)Vot. Orange Board members, clerical assistance (see 729 for RSVP-VITA Program)Vol. Orange FY0405 member (RSVP, Volunteer Orange) Board member (RSVP, Volunteer Orange) 03-04 04-OS OS-06 6 month 03-04 04-OS OS-06 17 vols. will serve 200 hrs. 200 hrs. 200 hrs 12month _ vols. served hrs. hrs. hrs. 17 vols. will serve 200 hrs. 200 hrs. 200 hrs FY0506 _ vols. served hrs. hrs. hrs• 6 month Number of Volunteers: Number of Stations: Number of Volunteers: 17_ Number of Stations: _2 12montlt 3 Dl it NSSC Code s A licable: Objective 3T- Description of Activities: MGT. CONSULTING FY0304 Description of Activities: MGT. CONSULTING 2 volunteers will serve 100'hours: Retired executives counsel small businesses 6 month _ volunteers served hours: Retired executives counsel small businesses -Asst at voting sites, vote education, etc: (SCORE, O.C. Govt. Board of Blec- 12month Asst at voting sites, voter education, eta lions, Executive Sr Service Corps) 03-04 04-05 OS-06 FY0405 (SCORE, O.C. Govt. Board of Elections, Bxecutive Sr Service Corps) 2 vols. will serve SO hrs. 50 hrs. 50 hrs. 6 month 03-04 04-OS 2 vols. will serve 50 hrs. 50 hrs. 50 hrs. 12month _ vols. served hrs. • hrs: hrs. ' ~ ~ FY0506 _ vols. served hrs. hrs. hrs. Number of Volunteers: ~ 2_ Number of Stations: 3_ 6 month Number of Volunteers: Number of Stations: 3 Di it NSSC Code s A licable:. • 12month Descrl lion of Activities TAX ON TIN UNSEL G Objective 38 -Description of Activities: TBRIIT STORE .. FY0304 Description of Activities: THRIFT STORE 20 volunteers will serve'1,200 hours: Organize, develop and/or assist in a store 6 month _ volunteers served hours: Organize, develop and/or assist in a store that that sells used clothing, house wares, furniture, etc. for reasonable prices-target 12month sells used clothing, house wares, furniture, etc. for reasonable prices-target the the low income, homeless, disadvantaged (OCIM Thrift Shop, PTA Thrift FY0405 low income, homeless, disadvantaged (OCIM Thrift Shop, PTA Thrift Shop) Shop) 03-04 04-05 OS-06 6 month 03-04 04-05 OS-06 20 vols. will serve 500. hrs. 500 hrs. 600 hrs 12month _ vols. served ~ hrs. hrs. hrs. 20 vols. will serve 500 hrs. 500 hrs. 600 hta.. FY0506 ~ _, vols. served hrs. hrs. hrs. Number of Volunteers: ~ 20 Number of Stations: 2 6 month 3 Di it NSSC Cod a A licable: 12month " Number of Volunteers: Number of Stations: Objective 39 - Description of Activities: OTHER COMM/ECON.DEV. FY0304 Description of Activities: OTHER COMM/ECON.DEV. . 10 volunteers will serve 600 hours: Providing clerical assistance, receptionist, 6 month volunteers served hours: Providing clerical assistance, receptionist, fundraising and video production ('The Peoples Channel, assisting with set-up 12month assisting with set-up and video production (The Peoples Channel) , WUNC - TV) FY0405 03-04 04-OS OS-06 03-04 04-05 05-06 6 month _ vols. served hrs. hrs. hrs. 10 vols.. will serve 200 hrs. 200 hrs. 300 hrs. 12month _ vols. served hrs. hrs. hrs. 10 vols. will serve 200 hrs. 200 hrs. 300 hrs. FY0506 Number of Stations: _2_ Number of Volunteers: ' 10 6 month . Number of Volunteers: Number of Stations: n _ 3 Diait NSSC Code(s)_Applicable: '12month e Note: Please reproduce or duplicate this template as needed to include all Volunteer Activities DESCr ` TION OF-OTHER VOLUNTEER ACTMTIES NOT REFLECTED ^~ !PROGRAMMING FOR IMPACT OBJECTIVES WORKPLAN F_ PI'r..(,TC SAFF,TV ~ ~ Applicant Organization: Orange Countv Retired & Senior Volunteer Program Period Covered: Starting: 07/01/2002 Ending: 06/30/2003 PROJECT PLANNING PROJECT REPORTING ' Column A: Col. B Column C. Col. D • Volunteer Activities Date Actual Performance ~ Date Objective 40 ~ FY0304 Description of Activities: OFFENDER/EX-OFFENDER SERVICES/REHAB 6 month Description of Activities: CRIME AWARENESS/ AVOIDANCE , 1 volunteers will serve 20 hours: Providing counseling services for incarcerated 12month _ volunteers served hours in: Provide counseling services for incarcer- offenders. (NC Corrections Facility) 03-04 04-OS OS-06 FY0405 ated offenders. (NC Corrections Facility) 03-04 04-OS OS-06 ' 3 vols. will serve 0 hrs. 0 hrs. 10 hrs. 6 month _ vols. served ^~ hrs. hrs. hrs. 3 vols. will serve 0 hrs. 0 hrs. 10 hrs. 12month vols. served hrs. hrs. hrs. Number of Volunteers: 1 Number of Stations: 1 FY0506 3 Digit NSSC Code(s) Applicable: ~ 6 month Number of Volunteers: Number of Stations: ' ~ 12month Objective 41 FY0304 Description of Activities: CHILD ABUSE/NEGLECT Descript[on of Activities: CHILD ABUSE/NEGLECT 6 month _ volunteers served hours in: Provide aid, assistance and counseling to 5 volunteer will serve 160 hours: Provide aid, assistance and Eounseling to 12month abuse/neglected children and their families. Providing a safety net for the child • abuselneglected children and their families. Providing a safety net for the child FY0405 facing the legal system Conduct training in prevention/awate-ness and serve facing the legal system Conduct training in prevention/aware-ness and serve as 6 month as Guardian ad Litem Guardian ad Litem 03-04 04-05 OS-06 12month 5 vols. will serve 80'hrs. 80 hts. 80 hrs. I+'Y0506 ~ 03-04 04-OS OS-0 ' S vols. will serve 80 hrs. 80 hrs. 80 hrs. 6 month _ vols. served hrs. hrs. hrs. Number of Volunteers: 'S Number of Stations: 1 12month _vols. served hrs. hrs. hrs. 3 DI it NSSC Cod s A livable: ~ Number of Volunteers: 5 Number of Stations: 2 Objective 42 ~ FY0304 Description of Activities: CRIME AWARENESS/ AVOIDANCE ~ 6 month Description of Activities: CRIME AWARENESS/ AVOIDANCE 3 volunteers will serve 300hours: Train individuals indirect deposit services, 12month volunteers served hours in: Tn;in individuals in direct deposit serv- scam alerts, tourist safety,elder abuse, and general crime awareness. Volunteers FY0405 _ ices, scam alerts, tourist safety and general crime awareness. Volunteers•speak speak to groups of seniors at senior center, retirement homes, 8c nutrition sites. 6 month to groups of seniors at senior center, retirement homes; & nutrition sites. They . They inform the community at large through the media. They have formed a 12month inform the community at large through the media. They have formed a SALT SALT Council for planning and development (S.A.L.T.) 0506 Council for planning and development (S.A.L.T.) 03-04 04-OS 05-06 6 month 03-04 04-OS OS-06 3 vols. will serve 150 hrs. 150 hrs. 150 hrs. 12month vols. served hrs. hrs. hrs. 3 vols. will serve 150 hrs. ' 150 hrs. 150 hrs. _ vols. served hrs. hrs. hrs. Number of Volunteers: ' 3 Namber of Stations: 1 ~ ~ Number of Volunteers: Number of Stations: 3 Di it NSSC Code s A 1[cable: Objective 43 ~ FY0304 Description of Activities: COMM. POLICING/ PATROL Description of Activities:': COMM. POLICING/ PATROL 6 month _ volunteers served hours: Develop and participate at an existing 4 volunteer will serve 500 hours: Develop and participate at an existing police 12month policemini-station and/or citizen patrol. Provide receptionist assistance and mini-station and/or citizen patrol. Provide receptionist assistance and information FY0405 infomuttion and referral services at the police station & satellites (Chapel Hill and referral services at the police station & satellites (Chapel Hill Police Station, 6 month Police Station, Cop Shop) Cop Shop) 03-04 04-OS OS-06 12month 03-04 04-05 OS-06 4 vols. will serve 250 hrs. 250 hrs. 250 hrs. FY0506 vols. served hrs. hrs. hrs. 4 vols. will serve 250 hrs. 250 hrs. 250 hrs. 6 month _ vole served hrs. ~ hrs. hrs. Number of Volunteers: _4_ Number of Stations: _Z_ 12month Number of Volunteers: Number of Stations: N 3 Di it NSSC Cod s A livable: ~-' ApplicauN~` ~ rganization: Orange Countv Retired & Senior Volunteer Pro! u Period Covered: Starting: U7/ill/zUUi ~naing: uu/3u/~u~ PROJECT PLANNING PROJECT REPORTING Column A: Col. B 'Volunteer Activities • Date Ob~cettve 44 i FY0304 Description of Activities: CONFLICT RESOLUTION/ MEDIATION Description of Activities:: CONFLICT RESOLUTION/ MEDIATION 6 month volunteers served hours: Participate and train others in conflict 5 volunteer will serve 300 boon:: Participate and train others in conflict resolution/mediation 12month _ iesolution/mediation techniques and violence prevention. Mediate dlsagree- techniques and violence prevention. Mediate disagreements, such as domestic, neighborhood, FY0405 meats, such as domestic, neighborhood, landlord,/tenant, customer/business & landlord,/tenant, customer/businesa & personal disputes, to prevent legal action (Dispute 6 month personal disputes, to prevent legal action (Dispute Settlement Ctr.) Settlement Ctr.) ~ 03-04 04-05 0-06 ' S vols. will serve 150 hrs. 150 bra. 150 hrs. 12month 03-04 04-OS OS-06 5 vols. will serve 150 hrs. 150 hrs. 150 hrs. 5_ Number of Stations: _1 Number of Volunteers: FY0506 6 month _ vols. served hrs. hrs• hrs• ~ 3 Digit NSSC Code(s) AppUcable: 12month _ vols. served hrs. hrs. hrs. Number of Volunteers: 4 Number of Stations: 1 Objective 45 Description of Activities: NEIGHBORHD WATCH BLOCK WATCH Description of Activities: NEIGHBORHD WATCH BLOCK WATCH. FY0304 _ volunteers served hours in: Develop and participate in community 2 volunteers will serve 20 hours: Develop and participate in community watch 6 month watch programs. (Chapel Hill Community Watch) programs. (Chapel Hill Community Watch) 12month 03-0 04-OS OS-06 03-04 04-OS US-06. FY0405 -vole served hrs. hrs. hrs. 2 vols. will serve 10 hrs 10 hrs 10 hrs 6 month _ vols served hrs. hrs. hrs. 2 vols. will serve 10 hrs l0.hrs 10 hrs 12month • FY0506 Number of Volunteers: Number of Stations: Number of Volunteers: '2 Number of Stations: I 6 month 3 Di it NSSC Code s A Ilcable: 12month ' Objective 46 i FY0304 Description of Activities: SAFE CHILDREN & YOUTH Description of Activities: SAFE CHILDREN & YOUTH 6 month volunteers served hours in: Establish and maintain safe play streets 1 volunteer will serve 100 hours: Establish and maintain safe play streets and safe 12month _ and safe corridors, train youth and adults in these areas, provide youth recrea- corridors, train youth and'; adults in these areas, provide youth recreational and FY0405 tional and educational activities such as supervised summer activities for teens educational activities suchas supervised summer activities for teens and~:children 6 month and children and pre and after school programs, conduct gun and/or to_y gun and pre and after school programs, wnduct gun and/or toy gun exchange, and 12month exchange, and conduct a safety cadet program/ boot camp ` conduct a safety cadetprogram/ boot camp. FY0506 03-04 04-OS OS-06 ' 03-04 04-OS OS-06 6 month _ vols. served hrs. hrs. hrs. ' 1 vols. will serve 50 hrs. 50 hrs. 50 hrs 12month _ vole. served hrs. hrs. hrs. 1 vols. will serve 50 hrs. 50 hrs. 50 hrs Number of Volunteers: Number of Stations: ' Number of Volunteers: ~ 1 Number of Statlonsc 1 ' 3 D1 it NSSC Cod s A livable: ~ ~ - Objective 47 ! FY0304 Description of Activities: OTHER PUBLIC SAFETY Description of Activities: SEXUAL ABUSE/RAPE 6 month _ volunteers served hours: Provide counseling for sexual abuse in- 1 volunteers will serve 40; hours: Provide counseling for sexual abuse including 12month cluding rape and sexual harassment. Serve as board member.. All child re- rape and sexual harassment. Serve as board member.. All child related activities. FY0405 fated activities go under BHN 803. (Rape Crisis Center) go under BHN 803. (Rape Crisis Center) 03-04 04-05 05-06 6 month 03-04 04_05. OS-06 1 vols. will serve 10 bra. 10 bra. 20 hrs. 12month _ vols. served hrs. hrs. hrs. 1 vols. will serve 10 hrs. 10 hrs. 20 hrs. FY0506 ~ vols. served hrs. hrs. hrs. Number of Volunteers: ~ 1 Number of Stations: f 6 month ~ ti 3 Digit NSSC Code s A livable: 12month Number of Volunteers: Number of Stations: Objective q,~.~.' 0304 ~ ~ tscription of Activities: OTH ER PUBLIC SAFETY DescriptioL, -ctivities: OTH ER PUBLIC SAFETY 6 month _ volunteers will serve hours: Clerical-pull traffic files for court- 1 volunteers will serve ,. 200 hours: Clerical-pull traffic files for court- 12month greeter/receptionist-direct, inform & assist court-house visitors Other activities greeter/receptionist-duect, inform & assist court-house visitors Other activities FY0405 not in other areas. (OC Courts) not in otherareas. (OC Courts) 03-04 04- 05 OS-06 6 month 03-04 04-OS OS-06 1 vols. will serve 100 hrs. 100 hrs. 100 hrs. 12month _ vols. served hrs. hrs. hrs. 1 vols. will serve 100 hrs. 100 hrs. 100 hrs. FY0506. _ vols. served hrs. hrs. hrs. 6 month . Number of Volunteers: '1 Number of Stations: _i_ 12month Number of Volunteers: Number of Stations: 3 Di it NSSC Cod a A livable: - N . w / ..-... ,--1 PART III. aECTION C. ' • OBJECTIVES WORKPLAN FOR PROGRAMMING FOR IMPACTIOUTCOME BASED ACTIVITIES A licant Or anization: Oran a Coun Retired and Senior Volunteer Pro am Period Covered: Starting. 07-O1-2oo3 Ending: 06-30-2004 N5SC 3-Digit Code(s) Applicable: Part L ~-om~~nity Need to be Addressed: Children from across the state of North Carolina are refemd to specialists at iJNC , , Hospitals, located in Chapel Hill, Orange County. These are 89 pediatric beds, plus a few in the bum unit, and between 500 and 800 different children are patients at UNC Hospitals each year. Hospitalized childrar are not only away from home, but they are th li d h i b i Total Number of Senior Corps volunteers contributing to ey ze ; osp ta e ng often lonely and without their families. These children have little control over thou arvironrrunt while need diversion from then illness and loneliness, and need to feel as comfortable as possible. The goal of the Sock Monkey Pro- meeting the need: '] r, ~r is that ev child in atria services and the bum unit receive a stuffed sock monkey. Stuffed animals are a normal part >- ~T P~ te , ~, 07-12/03: 7 vols.• serve 525 hr ~t ~~~~ ~ . _. ` ' of childhood thus they provide a safe connection for a child coming-into a foreign area, and like other forms of love and care, •,, t , ~ e , • serve 525 hr u `" 01-06/04:' 7 vols they help sick children improve faster. The sock monkeys are used to educate the children, helping them to better understand . their illness and reduce their fears, thereby helping to make them mote comfortable about scheduled surgery or procedures. Stuffed toys help staff form safe relationships with children, which in rum leads to increased compliance and cooperation on the Total Number of Volunteer Stations• 1 child's part. Only children who are inpatients are eligible to receive a monkey, and rho monkeys are not'offered for sale. The RSVP Sock Monke Pro will crate from Jul 1 2000 throu h June 30 2001 and will serve 210 children. Part 2: Action Plan Tasks and Timeline PROJECT PLANNING i PROJECT REPORTING Column A Col. B Column C. Col. D Plans Tasks and Activities Date Actual Performance Date Planned Service Activityi; RSVP volunteers "the Monkey Ladies" will sew monkeys Actual Service Activity: RSVP volunteers "the Monkey Ladies" will sew mon- from socks to donate to hospitalized children with a pediatric disease. RSVP Monkey 07-12/03 keys from socks to donate to hospitalized children with a pediatric disease. RSVP Monkey Ladies will meet at a local church, one lino a week for three hours, for aone-year period . Ol-06/04 Ladies will meet at a local church, one time a week for three hours, for aone-year peiiod (50 weeks) and will create 210 stuffed monkeys annually. When 20 monkeys aro com- (50 weeks) and will create 210 stuffed monkeys annually. When 20 monkeys are com- pleted, the volunteer ohairperson will take the monkeys to the hospital where they ate pleted, rho volunteer chairperson will take the monkeys to the hospital where they are stored until requested by the pediatric department. (PFI 1" Effective July 1, 2000) stored until uested b the ediatric d artment. Planned Inputs: Cumulatively, Monkey Ladies will spend a total of 21 hours per Actual Inputs: Cumulatively, -Monkey Ladies will spend a total of Zl hours per week for 50 weeks sewing monkeys from socks. Bach takes approximately 5 hours to week for 50 weeks sewing monkeys from socks. Each monkey takes approximately 5 make. The Monkey Ladies will spend annually creating approximately 210 hours to make. The Monkey Ladies will spard a total of annually creating approxi- atuffed sock monkeys. Tha UNC Hospitals Volunteer Association will purchase supplies ~ mately stuffed sock monkeys. The UNC Hospitals Volunteer Association will pur- for the stuffed monkeys at a coat of $1,035. The volunteer chairperson will provide 2 chase supplies for the stuffed monkeys at a cost of $ .The volunteer chai~erson will hours training for the Monkey I;adies, and will be,responsible for quality control of the 07-12/03 provide 2 hours training for the Monkey Ladies, and will be responsible for quality`control product. The volunteer support costa of travel reimbursement, insurance and recognition of the product. The volunteer support costs of travel reimbursement, insurance and recogni- are estimated to be $25.63 er volunteer for a total of $179.41. The Recreation Thera ist P P O 1-06/04 lion are estimated to be $25.63 per volunteer for a total of $179.41. The Recreation Thera- will use the monkeys to.educate tha patient about what is to happen medically. ist will use the monk to educate the atiart about what is to ha medicall Anticipated Accomplishments: 210 children will each receive one stuffed monkey Actual Accomplishments: _ children each received one stuffed monkey made by the and crafting for the sewin d h " " made by an RSVP Monkey lacy. if there were not RSVP volunteers willing to make sock monkeys, hospitalized children would not receive the emotional benefits that these g ours . RSVP volunteers serve Monkey Ladies UNC Hospitals Monkey Ladies program. If there were not RSVP volunteers willing to monkeys offer. The monkeys are hand-made from socks~they are appropriate for cliil- make sock monkeys, hospitalized children would not receive the emotional benefits that dren with respiratory problems, whereas plush toys.are not. Also, because the monkeys M these monkeys offer. Also, because the monkeys are hand-made from socks they are ap- whereas plush toys are not. The annual roblems e irato hild ith i t f RI. Calcu- contain no metal parts they can accompany children having a Cat Scan or fated at $15.39 per hour, (dollar value of the volunteer hour-2000 Economic Report of , 07-12/03 , ry, p ren w r sp or c propr a e volunteer value of the program was $ As an intergenerational program, the Sock the President) is $15,015 (1,050 x 515.39). As an intergenerational program, the Sock Ol-06/04 Monkey Program provides care for the children as well as an opportunity for RSVP mem- Monkey Program provides care for tha children as well se an opportunity for RSVP beta to socialize while remaining active and honing their fine motor skills members to socialize while remainin active and honin their fine motor skills. Anticipated Impact: RSVP Monkey Ladies will sew sock morikeya for 210 chiklrar Actual Impact:6 RSVP Monkey Ladies spent -hours malting sock monkeys for _ hospitalized at UNC-Chapel Hill. The 210 pediatric patients will feel safer, will show children hospitalized at UNC-Chapel Hill. According to pediatric ward offt- showed increased cooperation atiarta felt safer ediatric i t th l/ fF/th i increased cooperation with staff; will be comforted by rho monkeys, will increase his/her understandin the illness and will a eriarce less fears about ' din sur or g ~ '~° g gam' lvo3 o7 , p e p etap s , a sta c with staff, were Comforted b the rrronkeys, increased his/her understanding of their illness y procedure, as measured by feedback fiomprofessionals involved with the child's care. - 01-06/04 and experienced. less fear about impending surgery or procedures, as measured by feedback r~ from the atients and famil members. ~;. Note: Please reproduce or duplicate this template ea needed to include au c;ommumty rleeas ue~ecnves ara wor~cp,ans. ,f''~' OBJECTIVES WORKPLAN FOR PROGItAD'IlVIING FOR IMPACT/OUTCOME BASED ACTIVITIES A licant Or anization: Oran a Coun Retired and Senior Volunteer Pro am Period Covered: Starting:; 07-O1-2oo3 Endings o6-so-zoos NSSC 3-Digit Code(s) Applicable: Part 1. Communi Need to be Addressed: s ~~ - :According to the Meals-on-Wheels Director, Jeanie Amel, annually 160 residents out of the el Hill-Carrboro Southern Oran a area ulation of approximately 60,000, receive Meals on Wheels services. ' ~ ;According to the OCiM Meals-on-Wheels Director, Rev. Sharon Freeland, Total Number of Senior Corps volunteers contributing to annually 90 residents out of the Hillsborough, Cedar Grove,l3fland/Cheeks (Northern Orange) area population of approximately meetin the IIeed' 70 g 30,000, qualify for and receive Meals on Wheels services. Hot, nutritious rr~als need to be delivered daily to frail and disabled homebound citizens who are unable to prepare- meals for themselves, unable to shop for groceries and/or have no one who can prepare meals for them This service makes it possible for 07-12/03:70 vols. served 1500 hr •~ ~~ °;~ t* ~ r ~~lIt ~~ the recipients to remain in their homes and avoid institutionalization for as long as possible. The recipients also need the daily Ol-06/04:70 vols. servded 1500 ~ x S' ~' 1I contact with a caring volunteer. Tn many cases this is the only contact they receive with another human being. Age and income of the recipient does not limit this service. The maximum charge is $3.00 per meal. A sliding scale based on income level is used to detemtine what individuals rrarat pay. Total Number of Volunteer Stations: 2 Part 2: Action Plan Tasks and Timeline PROJECT PLANNING PROJECT REPORTING Column A Col. B Column C. Col. D Plans Tasks and Activities Date Actual Performance Date Planned Service Activity; Trained volunteers will work for both Meals-on-Wheels Actual Service Activity: 'lYained volunteers worked for both Meals-on-Wheels programs programs to deliver meals; to the target population 5 days a week, Monda~Friday. 07-12/03 to deliver meals to the target population 5 days a week, Monda}~Friday. Routes are pre- Routes are predetermined and assigned ahead of time. Volunteers' schedules will vary O1-06/04. detemrined and assigned ahead of time. Volunteers' schedules will vary based on their based on their availability.; Thoy pick up the coolera/caddiea around 11:00 a.m and availability. They pick up the coolers/caddies around 11:00 a.m and deliver the meals to deliver the meals to the recipients in Southern and Northern Orange County and then the recipients in Southern and Northern Orange County and then return the empty coolers return the empty coolers and caddies to the pickup site. Bach route takes approximately and caddies to the pickup site. Psch route takes approximately 1-1.5 hours. Route size can 1-1.5 hours. Route size cart from 3 to 14 reci tents. FI 1~ F.fl'eetive Jul 1 2000 from 3 to 14 reci 'sots. Planned Inputs: 40 (Southern) 30 (Northern) (70 Total) RSVP volunteers are assigned Actual Inputs: _ (Southern) _ (Northern) (_ Total) RSVP volunteers were assigned delivery routes and work approximately 2 hours per week (may vary). RSVP volunteers delivery routes and worked approximately _ hours per week (may vary). RSVP volunteers will serve approximately 160 (S~56 ('IV) (216 Total) recipients annually. Meals ate ~ will serve approximately _ (S)! (I~ T tai r~ipients annually. Meals are pre- prepared and packed into coolers by a catering company that delivers the ordered num- pared and packed into coolers by a catering company that delivers the ordered'number of ber of meals to the Meals-on-Wheels office at Binkley Baptist Church in Chapel Hill (S) meals to the Meals-on-Wheels office at Binkley Baptist Church in Chapel Hill (S) and the and the OCIM otlice in Hillsborough tN). RSVP will provide volunteer CIMA insurance 07-12103 OCIM office in Hillsborough (N). RSVP will provide voluntcer CIMA insurance coverage coverage at approximatelyj$Sbolunteer/year totaling $300 and annual recognition coat at approximately $5/volunteer/year totaling $_ and annual recognition cost of of $12/volunteer totaling $1,008. If requested, RSVP will reimburse volunteer mileage Ol-06/04 $12/volunteer totaling $ . Ifrequested, RSVP will reimburse volunteer mileage to and to and from the volunteer station. RSVP is limited to $20 total reimbursement per month from the volunteer station. RSVP is limited to $20 total reimbursement per month for any for an one vol. one vol. Anticipated Accomplishments: will work between 3 and 6 hours per Actual Accomplishments: -volunteers worked between _ and _ hours per month, an month,•an average of for the year (some provide back-up services). Calculated average of for the year (some provide back-up services). The total value of this at $15.39 per hour, (dollar value of the volunteer hour-2000 Economic Report of the community contdbution is .Approximately _ (S) _ (N) ( total) homebound President) the total value of this Communi contribution is $78,650. Approximately 160 07-12/03 individuals will receive nourishing meals 5 days per week or as long as needed. Approxi- (S) 56 ~ ' • ` will receive nourishing meals 5 days per. O 1-06/04 merely meals will be delivered. week or as ion as needed. " ximatel 13440 meals will be delivered. Anticipated Impact: Thisservice makes it possible for the 216 homebound individuals Actual Impact: This service made it possible for the _ homebound individuals (annu- (annually), to remain in their own homes and avoid institutionalization as long as possi- ~ ally) to rerrrain in their own homes and avoid ins8tutionalization as long as possible. They ble. They t~eive a nourishing meal and have daily contact with caring individuals. 07-12/03 receive a nourishing meal and have daily contact with caring individuals. Families and Families and friends that are not able to always be there, get some peace of mind know- 01-06/04 friends that are not able to always be there, get some peace of mind knowing that disabled in that disabled loved ones receive this service. loved ones receive this service. N ... :. •.. .. ~~ . OBJECTIVES WORI~LAN FOR PROGRAMM-.. v FOR IMPACT/OUTCOME BASED ACTIVITIES A licant Or anization; Oran a Conn Retired and Senior Volunteer Pro am Period Covered: starring.; o7-of-zoo3 rnain : 06- - 04 " NSSC 3-Digit Code(s) Applicable• Part 1. Community Need to be Address s A large number of the indepardart-living elderly population need some level of assistance with non-medical care such as meal preparation, grocery shopping, and transportation. Also, marry of these seniors experiwce loneliness due to a lack of family and friards livingclose-by. Research shows that the vast majority of ' older adults prefer to live in'their own homes, maintaining as much independence as possible for ere long as possible. in situations Total Number of Senior Corps volunteers contributing to where family support is available, caregivers frequartly becorrx overwhelmed with the added responsibilities and barefit greatly meeting the need• from some outside support. ;Orange County, North Carolina, has a senior (60+) population of almost 14,000 (approximately 12% 07-12/03: 15 vols served 300 hr of the total population). According to the Orange County Departrrrerrt on Aging, as of Manch.1999; 30 swiora aged 60+ had been . identified as in need of some level of assistance to help them maintain their indepwdarce and remain living in their own home. 01-06/04: 15 Vols. served 300 hr <~ The Friend to Friend Volunteer Program will sense 30 homebound swiora. The program is designed to support seniors living indepardartly, to help them feel less isolated and to help them experiwce an improved quality of life whar provided with non- Total Number of Volunteer Stations: 1 medical assistance.. Part 2: Action Pla Tasks and Timeline i PROJECT PLANNING PROJECT REPORTING Columlu A Col. B Column C. Col. D Plans Tasks and Activities Date Actual Performance Date Planned Service Activity: Friend to Friard volunteers will be matched with idartified Actusi Service Activity: Friend to Priard volunteers will be matched with identified pro- program cliwts. Clients wilt be referred to the program from a variety of sources in- 07-1 Z/03 >z~ clients. Charts will be referred to the program from a variety of sources including eluding Orange County's Department on Aging, the Department of Social Services, local 01-06/04 Orange County's Department on Aging, the Department of Social Services, local hospitals hospitals and family and self-referrals. Friwd to Friwd volunteers will visit each cliart and family and self-referrals. Friend to Friend volunteers will visit each client in his/her in his/her home, one tirrre each week, for one hour,. for a ono-year period. Friwd to home, one time each week, for one hour, for eons-year period. Friwd to Friwd volunteers Friend volunteer: will act as companions, and provide services such as telephone real- will act as companions, and provide services such as telephone reassurance, running er- surance,running errands, accompanying the older adults to appointtt~nts, doing yard rands, act an We older adults to Drop ying appointments, doing yard work and meal ptepara- work and meal preparation; providing assistance with writing correspondwce and gen- .lion, providing assistance with writing correspondwce and gareral companionship. eral co anionahi . PI 1" Effective Ju 1 1999 Planned Inputs: Cumulatively, will spend a total Actual Inputs: Cumulatively, _ Friend to Friend (RSVP) volunteers spwt approximately of 12 hours per week for; 48 weeks serving ~ living alaure and hours per week for _ weeks serving _ homebound seniors living alone and helping helping them maintain independence. Each cliart will receive 1 hour of service er them maintain indepwdarce. Each client received _ hour of service per week for the pe- week fora 12-rrronth period. Friend to Friend volunteers will spwd ~ riod. _ Friwd to Fiiwd volunteers spent'- hours FY01-03 engaged in activities with engaged in activities with! Orange.County older adults. The volunteer support costs 07-12/03 Orange County older adults. The volunteer support costs including travel reimliurserrrent, including travel reimbursement, insurance and recognition arc estimated to be $19.17 pa' insurance and recognition are estimated to be $19.17 per volunteer or a total of $ `~ for volunteer or a total of $287.55 for the total annual volunteer coat of the ro 01-06/04 the total annual volunteer cost of the Anticipated Accomplishments: Thirty hotr~bound elderly clients living alone will Actual Accomplishments: _ homebound elderly clients living alone received weekly receive weekly scheduled assistance from their Friard to Friard volunteer. If there were scheduled assistance from their Friwd to Friard volunteer. volunteers worked not Friard to Friend services available in Orange County, tither other agwcies would 07-12/03 _ hours. If there were not Friwd to Friend services available in Orange County, either other have to provide these services at a cost of $15.39 an hour (520,592 per year)," or the Ol-06/04 agencies would have to provide these services at a cost of $1539 an hour ($ per cliart would have to give up their independwce. year),* or the cliwt would have to give up their indepwdence. _ homebound elderly c6- arts who spend the majority of their days alone developed relationships with their RSVP ' volunteers who vided re ular scheduled assistance. Anticipated Impact: The; Friend to Friard volunteers will provide the services above Actual IunpaM: and all charts will remain living at home. The 30 clients served will feel less isolated 07-12/03 and show an improved quality of life measured by feedback from the actual charts, 01-06/04 famil members if available and the volunteers themselves. N O~ OBJECTIVES WORKPLAN FOR PROGRAMMING FOR IMPACT/OUTCOME BASED ACTIVITIES A licant Or anization: Oran a Coun Retired and Senior Volunteer Pro ram Period Covered: Startin : 0 -O1-2003 Endin : 06-30-2004 Part 1. Community Need: NSSC 3-Digit Code(s) Applicable: The O.C. Dept. on Aging operates three multi-purpose senior centers. Centers are designed to provide opportuni- Total Number of RSVP volunteers Contributin to meet- g ties for enrichment, community involvement, socialization and public service benefits. The Senior Centers also provide services designed to meet the varied needs of the older adult population and promote health and wellness ing the need: by encouraging self-detetrnination, stimulation and continued activity. Community voltmteers are vital to the Sen- 07-12/03: 55 vols. served 2705 hr for Centers which operate on a very limited budget. Volunteers are used as receptionists, class facilitators,. educe- 01-06/04: -55 vols. served 2705 tional programs, and planning committee members. Orange County has 15,000+ older adults and the Senior Cen- ters serve approximately, l/3 of this population annually. .Total Number of Volunteer Stations: 1 Part 2: Action Plan Tasks and Timeline PROJECT PLANNING ~ PROJECT REPORTING Column A Col. B Column C. Col. D Pla Tasks and Activities Date Actual Performance Date Planned Service Activityr Village Revue- Volunteer group of 20 individuals will practice weekly 07/03- Actual Service Activity: Village Revue- Volunteer group of _ individuals practiced and perform at least 20 times annually in the Senior Centers and in community outreach, such as 06/04 wcekly and perform at least _ times amrually in the Senior Centers and in community nursing home, life care communities, senior housing, etc. Music Volunteers - 5 volunteers will outreach, such as nursing home, life care communities, senior housing, etc. Music Volunteers provide musical entertainment at Senior Center afternoon teas and occasionally at potlucks. Front - _ volunteers provided musical entertainment at Senior Center afternoon teas and occasion- Desk receptionists - 25 volunteers will answer rho phone, tako registration, give information and ally at potluoks. Front Desk receptionists - _ volunteers will answer the phone, take regis- offer general office assistance. Friends of the Chapel Hill and Central Orange Senior Centers - 32 tration, give information and offer general office assistance. Friends of the Chapel Hill and volunteers responsible for fundraising and program development. Senior Times Distribution - 1 Centre[ OranYe Senior Centers - _ volunteers responsible for fundraising and program volunteer responsible for distributing 1,500 •Senior Times to 12 drop sites in .the county. Program development. Senior Times Distribution - volunteer distributed 1,500 Senior Times to 12 Assistants - 29 volunteers !to provide direct assistance with programs, including luncheons, pot- drop sites in the county. Program Assistants - -volunteers to provide direct assistance lucks teas ecial events facilitatin classes. with ro ems includin luncheons flocks teas ecial events facilitatin classes. Planned Inputs: Ytllage Revue -weekly practices, offer 20 perfomrance annually. Music Yolun- 07/03- Actual Inputs: Yillgge Revue -weekly practices, offer _ performance annually. Music er -Entertainment at 50 afternoon teas annually and perfomrance of music at three other events 06/04 Volunteers- Bntertaimnerrt at _ afternoon teas annually and performance of music at three annually. Front Desk Receptionist- a total of 60 hours of service weekly at the Senior Centers. other events amwally. Front Desk Rec t~nist- a total of 60 hours of service weekly at the Friends Boards- 512 hours annually. Senior Times Distribution- 48 hours annually distnbuting Senior Centers. Friends Boards- _ hours annually. Senior Times Distribution- 48 hours Senior Tunes. Program Assistants - Approx. 2 hours per week per volunteer. Station will provide amrually distributing Senior Times. Program Assistants - Approx. 2 hours per week per office supplies, food/drink for teas ($3,300/yr) and potluck (5800/yr), volunteers donate. some volunteer. Station will provide office supplies, food/drink for teas (S •. /yr) and potluck baked goods and foods for the teas, potlucks, special events, RSVP provides insurance ($330/yr) ($ . /yr), volunteers donate some baked goods and foods for the teas, potlucks, special events RSVP rovides Insurance S ' ' 07/03- Antici ated Accom lishments: 06/04 Actual Accomplishments: Senior Center service volunteers vided hours of ' service on an annual basis The annual value of the program is $83,260 (5410 x 515.39). Anticipated Impact: Senior Center operations will continue to effectively serve the growing older 07/03- Actual Impact: Orange County has 15,000+ older adults and the Senior Centers served adult population of Orange County. The Orange County Senior Centers will continue to offer 06/04 approximately of this population annually.. participants contacts will innovative programs through the use of volunteers and will continue to expand programs as the be served in the Orange County Senior Centers through the use of paid and volunteer staff. needs change. 85,000 participants contacts will be served in the Oran a Coun Senior Centers throw the use of aid and volunteer staff. .. N. V .. OBJECTIVES WORICPI.AN FOR PROGRAMMING FOR IMPACT/OUTCOME BASED ACTIVITIES A licant Or anization: Oran a Coun Retired and Senior Volunteer Pro ram Period Covered: Starlings 07-01-2003 Endin : 06-30-200 NSSC 3-Digit Code(s) Applicable: Part 1. Community Need to be Address i o must comp to North Carolina's Children's Hos- - pital to be treated for serious illness. The Ronald Mcl)ottald House of Chapel Hill welcomes approximately 1,100 families each year. The Chapel Hill House is an independent non-profit facility, but is part of the family of more than 200 Ronald McDonald Houses around the world.'Ronald McDonald Houses. give families the opportunity to be with their children during stressful Total Number of Senior Corps volunteers contributing to .. times, and also a real home to come back to afla~ a long day at the hospital. The families who stay at the "House with a Heart' meeting the need' 20 receive encouragement, empathy and hope from other families, and caring staff and volunteers. The Chapel Hill House is a 07-12/03:15 vols. Served 1420 ht twenty-bedroom, 14,273 square foot facility that moat function as a small hotel -but always feel like a home.. Guests staying at served 1420 O 1-06/04:15 vols the Ronald McDonald House are asked to contribute a small daily fee, but donations comprise less than 10% of the operating . budget. To meet its goals, the House is managed by a small staff in cooperation with volunteers. RSVP volunteers are involved in many aspects of rurming the House from guest registration to supportive listening. The Ronald McDonald House is largely a' Total Number Of Volunteer StatIOIIS: 1 volunteer operation and meeffi a critical need in the comtramity. The Ronald McDonald House Program will operate from July 1, 2003 throw h June 30 2004 and will serve 1 100 families each Part 2: Action Plan Tasks and Timeline PROJECT PLANNING PROJECT REPORTING Column A CoL B Column C. Col. D Plans Tasks and Activities Date Actual Performance Date Planned Service Activity:: RSVP volunteers will serve the House in at least one of the Actual Service Activity: RSVP volunteers served the House in at least one of the follow- following areas: House volunteer, Guest Services Committee; Special Bvenffi. Volun- 07-12/03 m8 ~~~ House. volunteer; Guest Services Committee; Special Events. Volunteers regis- teers will register guests, maintain the building, assist with special events such as birth- 01-06/04 tered gu~ffi. mamtamed the building, assisted with special events such as birthday parties, day parties, send donation! acknowledgments, provide supportive listening, assist with sent donation aclmowledgmenffi, provided supportive listening, assisted with fund-raising fund-raising activities, and; serve as spokespeople for the House in the community, to activities, and served as spokespeople far the House in the community, helped provide a help provide a home away; from home for the families of seriously ill children. House home away from home for the families of seriously ill children. House volunteers were volunteers will be engaged in a service area one time a week, for three hours, for a pe- engaged in a service area one ti~ a week, for _ hours: rind of one FI 1° Effective Jul , 2000 Planned Inpuffi: Cumulatively, will spend a total of 45 hours per Actual Inputs: Cumulatively, _ RSVP volunteers will spent a total of hours per week week for 48 weeks providing services to hel maintain the Ronald McDonald House. 07-12/03 for _ weeks providing services to help maintain the Ronald McDonald House. The House The House volunteers will;spend annually engaged in the operation of the 01-06/04 volunteers will spend hours annually engaged in the operation of the House. The House. The volunteer support cosffi of travel reimbursertrent, insurance and recognition volunteer support costs of travel reimbursement, insurance and recognition are estimated to are estimated to be $25.63 Viper volunteer or a total of $384.45 for the annual cost of the be $ per volunteer or a total of $ for the annual cost of the program. Prot Anticipated Accomplishments: Approximately Actual Actomplishments: Approximately families of seriously ill children had a will have a home away from home white their child is being treated for a serious illness home away from home while their child is being treated for a serious illness at North Caro- at North Carolina Children's Hospital. If there was not a.House Volunteer Program, lira Children's Hospital. If there was not a House Volunteer Program, either families either families would have to pay to stay in a hotel at the average cost of a room of $100 07-12/03 would have to pay to stay in a hotel at the average cost of a room of $100 per night, or per night, or additional staff would have to be hired. The annual volunteer value of the Ol-06/04 additional staff would have to be hired. The annual volunteer value of the Ronald McDon- Ronald McDonald House RSVP volunteer ro is $40 612 2 840 x $15.39. ald House RSVP volunteer is $ x $15.39 . Anticipated Impact: Family members of seriously ill children being treated at the Actual Impact: Family members of seriously ill children being treated at the North Caro- North Carolina Children's Hospital will have the option of staying in a home away from line Children's Hospital had the option of staying in a home away from home at the Ronald horns at the Ronald McDonald House of Chapel Hill. The 1,100 families served will be 07-12/03 McDonald House of Chapel hill. The families served stayed close to their children able to stay close to their children and provide the emotional support a sick child needs, 01-06/04 and provide the emotional support a sick child needs, without the added stress of paying for without the added stress of paying for hotel rooms. Family members will be provided an hotel rooms. Family members were provided an affordable home away from home where affordable home away from horns where they receive support, encouragement, empathy, they receive support, encouragement, empathy, and hope, as measured by feedback from and h e, as measured b feedback from d actin uesffi. d actin esffi. N OBJECTIVES WORKPLAN FOR PROGRAMME . s FOR IMPACT/OUTCOME BASED ACTIVITIES A licant Or anization: Oran a Coun Retired and Senior Volunteer Pro ram Period Covered: Startin : 0 -O1-2003 Bndin : 06-30-2004 Part 1. Community Need to be Addressed: NSSC 3-Digit Code(s) Applicable' lCH[CCSI Literacy Proiect. Senior Education Coros also addresses the needs of Oranee Counts Schools (see seoa- rate PF A need exists in CHCCS to help close the minority student achievemart gap by improving the literacy skills of pre-K-2 and the Total Number of Senior Corps volunteers contributing to math skills of K 5 elementary students in the Chapel Hill-Carrboro. City School System (CHCCS). Total elementary atudeat meeting the need• enrollment is 4,485 (2001-2003 school year). The CHCCS Project will provide tutoring services in aN 8 CHCCS elementary 07-12/01: 20 vols. served 360 hr 1 ~ ~' ' ' ~ , is"5 ~+ , schools, serving a total of 40 etudarts. 1998-99 School Year 11% of elementary students tested as 'hon-proficient." RSVP served 360 hr 01-06/03: 20 vols volunteers will serve as literacy and math tutors for selected children. All children will improve by 50% in subject compe- . tency; skills, and interests as reported by 75% of the teachers based on observations and measured through pre-established goals set.by the teachers. Administration i8 through the CHCCS Volunteers & Partners for Education Office. Total Number of Volunteer Stations: Part 2: Action Plan Tasks and Timeline PROJECT PLANNING PROJECT REPORTING Column A Col. B Column G Col. D • Plans Tasks and Activities Date ~ Actual Performance Date Planned Service Activity: RSVP volunteers will serve as literacy tutors for pre-K 2 and 07/03- Actual Service Activity: Effective July 1, 2003, RSVP volunteers will receive training and as K-5 math tutors for elementary students in Chapel Hi11-Carrboro City School district, 06/p4 serve as pro-K 2 literacy and K 5 math tutors in _ of the 8 elementary schools. The Part- serving 8 eleiraaitary schools: Carrboro, Ephesus, Hates, Frank Porter Graham, Glar- Hers in Education office will assign RSVP volunteers per teacher request. RSVP will recniit •wood, McDougle, Scruggs, end Seawall. There is an average of 550 elementary students and assign volunteers to the project. Individual tutoring sessions will occur one time per enrolled at each school. RSVP will recruit and assign volunteers to the project. Each week for at least 60 minutes during the 2003-2004 school year. RSVP volunteer will receive 4-hour training and be assigned to a specific school. Teach-. era request volunteers for specific help with selected students. The Partriets in Education volunteer ofTice matches studarts/volunteers. Tutors will provide one-on-one assistance with reading, literacy, and math skills at least one time per wcek for 60 minutes during the 2003-2004 school year. Students may meet with more than one volunteer. (PFI 1" . Effective Jul 1 2000 Planned Inputs: will serve a total of 20 hours per week and each 07/03- Actual Inputs: _ RSVP volunteers will serve a total of _ hours per week and each will will directly serve session during the school 06/04 directly serve at minimum _ child meeting once a week. Each child will receive one year. Volunteers will receive 4 hours of training by a school representative prior to tu- weekly tutoring session of _ minutes. Volunteers will tutor a total of hours and toying students. The RSVP; Reading Project Coordmator will devote 1 hour per week to _ students annually. Volunteers will receive _ hours of training prior to tutoring students. The the project. The volunteer support costs of travel reimbursement, insurance and recogni- RSVP Reading Project Coordmator will devote _ hours per week to the project.~'~ lion are estimated to be 525.63 per volunteer or a total of $512.60 for the wst of the Pro~~• Anticipated Accomplishments: one-on-one tutoring 07/03- Actual Acwmplishments: Studarts will have role models for reading and academic suc- from aRSVP volunteer during the 2003-2004 school year. Affiually, 20 RSVP volun- 06/04 cess. Annually, / total students (20 projected) received one-on-one/small group tutor- teers will serve a minimum of 1 student each for at least 1 hour per week for 36 wceks, ing from _ RSVP voluttteers during the 2003-2004 school year. Bach volunteer tutored for a total of All children will improve by 50% in subject an average of / students for an average of minutes ~ minutes projected) competency, skills, and interests as reported by 75% of the teachers based an observer- per child for _ time ftatne...Annual volunteer hours totalled / (#students X #hrs X lions and measured through pre-established goals set by the teachers. The annual value #wka). _ studarts improved Weir reading and math skills and interest as reported by of the t0 is 511081 720 x 515.39. % teachers. The annual value of them is 5 #vol hrs x $15.39 . Anticipated Impact: RSVP volunteers will provide tutoring services to 20 elementary 07/03- Actual Impact: _RSVP volunteers will provide tutoring services to _ elementary students in We 8 CHCCS elemartary schools. All children will improve by 50% in sub- 06/04 students in We _ elementary schools. At least _% of the school participants will report jest wmpetarcy, skills; and interests as reported by 75% of the teachers based on obser- student improvements in subject area. vationa and measured Wrou tablished oafs set b the teachers. N ~o Objectives Worllplan for Programming for Impact/Outcome Based Activities A licant Or anization: Oran a Conn Retired and Senior Volunteer Pro ram Period Covered:. Startin : 07-01-2003 Endin : 06-30-2004 Part 1. co runt ed t e ~ NSSC 3-Digit Code(s) Applicable: • A need exists in Orange County, North Carolina to increase the reading/math literacy skills and to decrease the percentage of elementary school children scoring in the "non-proficient" range on end-of--year literacy tests in. the orange county school system (ocS). orange county is comprised of two school districts -orange county Schools (OCS) with .Total Number of Senior Corps volunteers contributing t0 a total elementary enrollment for 2001-2003 of 2,904 and Chapel HiWCarrboro City School System (CHCCS), with a total elo- meeting the need' mentary student enrollment of 4,485. All children will improve by 50% in subject competency, skills, and interests as reported by 07-12/01: 20 vols. served 1080 hr '` v ~` ~ r ~ ~ ~ ~ - ~ b ' 75% of the teachers based on observations and measured through pro-established goals set by the teachers. The.RSVP Reading served 1080 hr ' ' ' r < Ol-06/03: 20 vols Partners Project is designed to improve teadmg and math skills, thereby increasing student perfomrance. The OCS Reading Proj- . ect will serve a total of 80 students and will provide tutoring services in all 7 OCS elementary schools. The program was modi- fiea effective withGrant Year Two zoot-2003. Total Number of Volunteer Stations: _7_ Part 2: Action Plan Tasks and Timeline PROJECT PLANIVIIVG PROJECT REPORTIlVG Column A Col. B Column C: Col. D Plana Tas and Activities Date Actual Performance Date Planned Serv[ce•Activity RSVP volunteers will serve as literacy and math tutors for OCS Actual Service Activity: RSVP volunteers will receive training and sem as literacy and math tutors elementary. students in grades K - 5 in 100% of OCS elementary schools. The 7 OCS 07/03- for 7 OCS elementary students in grades K-S with an average of _ students at each school. Tutors elementary schools an: New Hope; Hillsborough; Grady Brown; Biland Cheeks; Central; 06/04 wilt have access to additional optional training through the CHCCS Volunteer Office. Individual Cameron Park; and Pathways.. There is an average of 415 elementary students enrolled at schools will provide orientations. Reading Recovery teachers/principals will serve as liaisons be- each school (tota12904). Tutors will have access to a 4-hour training through the• Chapel tween volunteers and classroom teacher; to match students:RSVP volunteers and address communi- Iiill-Carrboro School district. Individual OCS schools ere responsible for additional cation and resource needs. Tutors will provide assistance to individuals or small groups with reading training and on-site orientations. Reading Recovery teachers/principals will serve as liai- and math for a minimum of 3 hours per tutor per week and at least 45 minutes per child. All children sons between volunteers and classroom teachers to match students:RSVP volunteers and will improve by SO% in subject competency, skills, and interests as reported by 73% of the teachers address communication and; resource needs. Each tutor will assist up to 4 selected students based on observations and measured through pre-established goals set by the teachers. with reading or math one time per week for a period of 43 minutes for a total of 3 volun- teerhours per week (includes training and preparation). Students will have role models for reading and academic success. All childrrar will improve by SO% in subject competency, skills, and interests as iepoitud by 73% of the teachers based on observations and me~s- ured throu re-established oats set b the teachers. FI 1" Effective Jul 1 2000 Planned Inputs: RSVP will recruit and work with schools on placement. 07/03= Actual Inputs: _ RSVP volunteers will serve of the 7 schools, working one-on-one. or in They will work one-on-one with assigned students, each volunteer serving 4 children per 06/04 small groups for a total of hours per week serving a total of _ students a week, Bach child week, up to 43 minutes each child for a total of 3 hours per wcek and 27 hours (36 wksx43 will receive one weekly tutoring session of _ minutes. Volunteers will tutor a total of hours and min) each child for the school year. Annually a total of will be served during _ students annually. The RSVP Reading Project Coordinator will track volunteer hours and costs the school year. The RSVP; Reading Project Coordinator leader will track volunteer hours and spend _ hours per week on this project. Volunteers will receive _ of orientation and train- and costs and devote 8 hours per week to the project. The estimated operational costs of ing by an OCS representative prior to tutoring students. The total cost for the OCS Reading Project volunteer support, reavitment; retention, travel reimbursement, insurance and recognition . will be $ are estimated to be a total of $10,778. Training/orientation will be provided through the OCS Vol. Coordinator and'additional 4-hour training is optional through CHCSS Volun- teer office. The annual value of the is $33 42 2160 x $15.39. . will receive one-on-one tutoring from an Anticipated Accomplishments: 80 students 07/03- Actual. Acwmpltshments: Students will have role models for reading and academic success. . RSVP Readin Partner. 20 RSVP volunteers will serve a total of 3 hours per week, for 36 06/04 Arurually, / total students (80 projected) received one-on-one/small group tutrning from wceks, Each volunteer will serve a RSVP volunteers during the 2003-2004 school year. Each volunteer tutored an average of minimum of 4~students during the school year. All students receiving one-on-one tutoring ' . students for am average of minutes (_ minutes projected) per child for _ time frame. will increase their reading or math skills and interest, and will meet pre-established.read- Annual volunteer hours totalled / (#students X #hrs X #wks). _ students improved their ing goals. Students will have role models for reading and academic success. The annual reading and math skills and interest as reported by _ % teachers. The annual value of the program value of the is $33 2 2160 x $15.39. ~ is $ #vol hrs x $13.39 . Anticipated Impact:- RSVP volunteers will provide tutoring services to 80 elementary Actual Impact: -RSVP volunteers will provide tutoring services to _ elementary students in the students in the 7 OCS elementary schools providing each child with 27 hours of tutoring _ elem~mtary schools. At least. % of the school participants reported student improvements in in math or reading. All children will improve by SO%. in subject competency, skills, and 07/03- subject area. W interests as reported by 73% of the teachers based on observations and measured through . ` 06/04 ~ the teachers. re-established oats set b ..:... - . Objectives Worltplan for Pro rammin for Imact/Outcome Based A licant Or anization: Oran a Coun Retired and Senior Volunteer Pro ram Period Covered: starting., 0~-of-zoo3 Endln u- 0-200 NSSC 3-Digit Code(s) Applicable: Part 1. Community Need to be Addressed: ~ ii _ A need exists in Orange County, North Caro- Tina, to provide Bnglish as a Second Language tutoring services to adults and children. The inability. to communicate or. under- stand cultural differences places the county's non-English speaking population at a great disadvantage and sets the atago for po- ' tartfal problems for all_tesidarts. ESL students must Team basic language skills to help them with such.issues as health problems, Total Number of Senior Corps volunteers contributing to emergarciea, employment, housing, schools, shopping, end transportation. Most of rho atudarts seeking or referred for ESL h h l i hi /h meeting the need: er iterate n s services are between the ages of 18 and 35 years, and rar-ge in ability from moderately, literate to thoso ig ly 4 - ~ ~ ~ native language. (The school systems' ESL programs provide services to students through grade 12). The 2000 estimated popu- f ' ' P ' 07-12/03: 30 vols. served 700 ~ , ',; ' ~ lation of Orange County, North Carolina was 118,227. Population percentages by race for 2000: White - 78%; Black -13.8%; O1-06/04: 30 vols. served 700 Aaian/other - 4.6%; Hispanic - 4.5% (Source: US Census Bureau-2000 Census). According to Orarige County, as of March 1, 1999,150 non-Sngliah apeaidng adults had requested ESL services. The ESL pmgrarna will operate fiom July i, 20A3 to June Total Number of Volunteer Stations: 4 30, 2004 and RSVP volunteers will serve 60non-English speaking adults. The program is designed to increase the ability ofESL - students to i rove his/her Fat lan a e skills and to understand cultural differences. ' Part 2: Action Pla Tasks and Tlmellne ' PROJECT PLANNING PROJECT REPORTING Column A Col. B Column C. Col. D Plan Tasks and Activities Date Actual Performance Date Planned Service Activity: &SL (RSVP) volunteers will be matched with anon-English Actual Serv(ce Activity: ESL (RSVP) volunteers were matched with anon-English speaking ESL students. Students will be 'referred to the program by Durham Technical 07-12/03 speaking adult ESL student. Instruction is based on individual student's goals, utilizing College, Orange County Department of Human Services, UNC Internatia~nal Centex and 01-06/04 such tools and techniques as audio and visual materials, other library resources, imagina- the public schools or respond to publicity. BSL volunteers will tutor' an assigned student lion, patience and compassion. one time each week, for two hours, for sons-year period, at service locations: EI Centro Latino, Carrboro Branch Library; Chapel Hill Public Library; UNG Davis Library; UNC International Center-English Conversation Partners, international Women's English Conversation Class. ESL (RSVP) volunteers will tutor students duringfaro-to-face, one- on-one or group exchanges to impmvo speech and comprehension of the English lan- gunge by providing instruction in vocabulary, grammar, and other practical communica- tion skills. instruction is based on individual student's goals, utilizing such tools and techniques as audio and visual materials, other 1'brary resources, imagination, patiarce and co assion. FI 1"Effective. Jul 1,1999 ' Planned Inputs: Cumulatively, wily spend a total of 60 ~ Actual Inputs: Cumulatively, _ ESL (RSVP) volunteers will spent a total ofhours hours per week for 48 weeks teaching language to to' help them become pas week for weeks teaching language to _ ESL students to help them become famil- familiar with American culture, citizenship and offering them conversational opportuni- iar with American culture, citizenship and offering them conversational opportunities. ties. Each student will receive 2 hours of instroction per week,for a 12-month period. 07-12/03 ~ Bach student will receive 2 hours of instruction per week fora 12-month period. ESL ESL (RSVP) volunteers wtil spend (soma: students are taught in groups by (RSVP) volunteers spent hours this year engaged in tutoring activities. The volun- one or more vole) annuallg argaged in tutoring activities. The volunteer support ccets O1-06/04. ~. support costa including training, travel reimbursemart, insurance-and recognition are including training, travel reimbursement, insurance and recognition are estimated to be estimated to be $_ per volunteer or a total of $ for the total annual volunteer cost $24.17 er volunteer or a total of $725.10 for the total annual vol cost of the of the ro Anticipated Accomplishments: Sixty (60) BSL students will receive weekly scheduled Actual Accomplishments: _ ESL studarts received hours scheduled tutoring tutoring fronp an assigned volunteer. If there were not ESL services available in Orange from one of _ &SL volunteers. If there were not ESL services available in Orange County, County, either other organizations would have to provide these services at a cost of either other organizations would have to provide these services at a cost of $15.39•an hour $15.39 an hour ($41,184 per year),' or the non-English speaking resident would remain 07-12/03 ($ for FY)," or the non-English speaking resident would remain at-risk for potential at-risk for potential problems and would be denied the opportunity to become an integral 01-06/04 problems and would be denied the opportunity to become an integral and productive part of and productive part of American society.. American society (3) volunteers teach group sessions. Anticipated Impact: 100 percart of studarts enrolled in the Orange County SSL pro- 07-12103 Actual Impact: _ percent of studarts enrolled in the O:ar-ge County BSL program im- gram will improve then English language skills, and achieve pre-set goals as determined 01-06/04 Proved their English language skills, and achieve pre-set goals as.determined by the studart by the student on the "Student Needs AssessinenY' and as measured by the "ESL Skill on the "Student Needs Assessment' and as r-x;asured by the "ESL Skill Assessment'. Assessment' ~ t'`~ t+ ~`~ OBJECTIVES WORKPLAN FOR PROGRAMME. .. FOR IMPACT/OUTCOME BASED ACTIVITIES A licant Or anization: Oran a Coun Retired and Senior Volunteer Pro am Period Covered: Starting: • 07-O1-2003 Ending: - -2 ~ ~ NSSC 3-Digit Code(s) Applicable: ~ Part 1. Community Need to be Addressed: ~~ ~ The senior population ie in need of instruction in computer use to ensure they are not left behind in the age of computer technol- ogy. Senior Net, an international non-profit organization, was founded in 1986 tb assist seniors increase their computer knowl- edge. It is based on the idea that seniors, given the right tools, auser-friendly teaming atmosphere among peers, a curriculum Total Number of Senior Corps volunteers contributing to designed to reduce the fear of technology, and instruction by persons of their own. generation, will quickly become adept in the meeting the. need' ~ computer field. Orange County, North Carolina, has a senior (60+) population of almost 14,000 (approxirrrately 12% of the total ~~ .. ~ ~ • served 800 1- 07-12103: 18 vols population): O.C. Department omAging, began offering Senior Net courses in 1998, and since that time there has been a waiting list of seniors wanting to enroll. The Senior Net Program will operate year round and will- serve 324 senior students annually, . u r 1 ~' = . , O1-06/04: 18 vols. served 800 ht ' ~~, ~ U • through asixteen-hour instruction program designed to teach basic computer skills, word processing or Internet use. Total Number of Volunteer Stations: Part 2:. Action Plan Tasks and Timeline • PROJECT PLANNING PROJECT REPORTING ! Column A Col. B Column C. Col. D Plans Tasks and Activities Date Actual Performance Date Planned Service Actlvlty:! Trained Senior Net (RSVP) volunteers will instruct Senior Actual Service Activity: Trained Senior Net (RSVP) volunteers will instruct Senior Net Net students (55+) through one of the four rrwnth-long available courses: Introduction to 07/03- students (55+) through one of the four month-long available courses: Introduction to Com- Computers (available twice a month); Introduction to Word Processing; Introduction to 06/04 puters (available twice a month); Introduction to Word Processing; hntroducton to the the Internet. Students will be approved to take the course as soon as space is available Internet. Students will be approved to take the course as soon as space ie available and the and the $ZS course fce is paid. Three of twelve Senior Net (RSVP) volunteer instructors $25 course fee is paid. Three of twelve Senior Net (RSVP) volunteer instructors will be will be assigned to tutor each class of 9 students, two times a week, far two hours, for assigned to tutor each class of 9 students, two times a week, for two hours, for each four- • each four-week, sixteen-hour course. The courses will be offered each month, excluding week, sixteen-hour course. The courses will be offered each month, excluding July, August July, August and December, at the Chapel Hill Senior Center and December, at the Chapel Hill Senior Center. FI 1" Effective S tembec 1 1999 Planned Inputs: Cumulatively, will spend a total of Actual Inputs: Cumulatively, _ Senior Net (RSVP) volunteers spent a total of _ hours 48 hours per week for 36 weeks teachin basic computer skills, word processing skills or ~ per week for 36 wceks teaching basic computer skills, word processing skills or Internet use Internet use to Each 4-week course will consist of 9 students to _ Senior Net students. Each 4-week course consisted of 9 students assisted by 3 Sen- assiated by 3 Senior Net (RSVP) volunteers. A total of thirty six, 4-week long Senior Not for Net (RSVP) volunteers. A total of ,~ 4-week long Senior Net courses were offered ~eachin s annuall d h ill courses will be offered durin the ear. Senior Net (RSVP) volunteers will spend g y our spen during the year. Senior Net (RSVP) volunteers w . The volunteer support costs are estimated to Senior Net classes. The volunteer support costs are estimated to be $_ pax volunteer or a be $19.17 per volunteer on a total of $230.04 fair the total amrual volunteer coat of the 07/03- total of $ for the total annual volunteer cost of the program. The computers used were program.'The computers used were obtained through a grant from Bell South. The $25 06/04 obtained through a grant fivrtr Bell South. The $25 course fee covers the cost of equipment course fee covers the cost of u' t maintenance ttainin materials etc. maintenance trainin materials etc. Antidpated Accomplishments: Three hundred, twenty four Senior Net students will Actual Accomplishments: Senior Net students received a total of _ hours of in- receive atotal of 16 hours; of instruction from an assigned volunteer in an a~sphere stroction from an assigned volunteer in an atmosphere found conducive to seniors learning found conducive to seniors learning about computex and lntemet use. The annual about computer and Internet use. The annual monetary value of the Senior Net (RSVP) monetary value of the Senior Net (RSVP) volunteers for this program is $15.39 an hour ~ volunteers for this program is.S15.39 an hour per• volunteer or a total of $ per year.* per volunteer or a total of $24,710.40 per year.* If Senior Net classes were not offered at If Senior. Net classes were not offered at the Chapel Hill Senior Center, senior students the Chapel Hill Senior Center, senior students would have to travel a greater distance to a would have to travel a greater distance to a class, pay a greater fee for the course, and have class, pay a greater fee for;the course, and have a leas supportive learning environment. 07/03- a less supportive learning environmenC Durham Tech is the closest facility offering a Durham Tech is the closest facility offering a similar introductory course. The fee 06/04 similar introductory course. The fee charged by Durham Tech is• $60 for 12 hours of in- ch ed b Durham Tceh is $60 for 12 hours of instruction. struction. Anticipated Impact: The Senior Net students will not be left behind in the age of corn- Actual Lnpactr The Senior Net students will not be left behind in the age of computer. purer. The 324 Senior Net students will learn basic skills for using the computer, word 07/03- The _ Senior Net students teamed basic skills for using the computer, word processor processor and increase his/her understanding of the lnternek The Senior Net Program 06/04 and increase his/her understanding of the Internet. The Senior Net Program will improve will improve the computer literacy skills of "the Senior Net students as reported by the the computer literacy skills of the- Senior Net students as reported by the students on a post- " students on a ost-course curve . course surv ~ w N OBJECTIVES WORI{PLAN FOR PROGNtAMMINGFORIMPACT/OUTCOME BASED ACTIVITIES A licant Or anization: Oran a Coun Retired and Senior Volunteer Pro ram Period Covered: starang: 07-of-zoo3 rnaln : o6-so-zoo4 ' NSSC 3-Digit Code(s) Applicable• • id ~ ~ Part 1. Community Need to be Addressed: l~ A need exists in Orange .County for communicati~ to the public on issues of conservation and erivironnrental awareness as well as appreciation of nature. The North Carolina Botanical Garden, part of Ttie University of North Carolina -Chapel Hill, is a center for research, Conservation and interpretation of plants with special emphasis. on plants native to the southeastern United Total Number of Senior Corps volunteers contributing to States and horticultural plants having traditional uses or special botanical interest: The Garden pursues four major themes: plant meetin the need: diversity, human dependence on plant diversity, the resulting need for conservation, and the critical role of research in botanical g gardens and universities for solving modem problems and increasing human quality of life. Its collections area, nature trails, 07-12/03: 20 vols. served 540 ht • (~ -' Coker Arboretum, Mason Farm Biological Reserve and other lands comprise nearly 600 acres. The Garden enjoys approximately 01-06/04: 20 vols. served 540 hr fa d M 80,000 visitors annually. Special services include regular educational tours for school students (approximately 100 students per week), and programs such as Horticultural T7rerapy for persons of all ages with a range of impairments. Volunteers serve in all Total Number of Volunteer Stations: l areas: The Main Visitor Area which includes the Garden Commons, the Totten Center, and the Nature Trails; Coker Arboretum; _ _ and Mason Farm. All areas :are open 7 days a week, year-round. The NC Botanical- Garden RSVP Volunteer Program will oper- ate from Jul 1 2001 throu June 30 2003. Part 2: Action Plan Tasks and Timeline PROJECT PLANNING PROJECT REPORTING Column A . Col. B Column C. Col. D Plans Tasks and Activities Date Actual Performance Date Planned Service Activity: Effective July 1, 2000 RSVP volunteers will work in a vari- Actual Service Activity:l3ffective July 1, 2000 RSVP volunteers will work in a variety of sty of capacities at the NC Botanical Garden. Volunteer duties will include working in 07/03- capacities at the NC Botanical Garden. Volunteer duties will include working in the Gar- .the Garden Corrunona -maintaining flower beds and working on plant sales; Totten 06/04 den Commons -maintaining flower beds and working on plant sales; Totten Center - Center -working in the gift shop, administrative offices, and assisting with planting working in the gift shop, administrative offices, and assisting with planting Programs; Na- programs; Nature Trails -'maintaining the 80 acres of piedmont woodkands; Tours - tore Tnuls -maintaining the 80 acres of piedmont woodlands; Tours -leading educational leadin educational tours at the Garden Mason Farm and Coker Arboretum. u toms at the Garden Mason F and Coker Arboretum. Planned Inputs: Cumulatively,. will spend a total of 22.5 hours per 07/03- /lctual Inputs: Cumulatively, _ RSVP volunteers will spend a total oP _ hours per week for 48 weeks maintaining the Main Visitor Area, the Coker Arboretum and the 06/04 week for 48 weeks maintaining the Main Visitor Area, the Coker Arboretum and the Mason Mason Farm Biological Reserve of NC Botanical Garden. Each RSVP volunteer will Farm Biological Reserve of NC Botanical Garden. Each RSVP volunteer will serve 1.5 serve 1.5 hours per week ova a 12-month period. RSVP volunteers will spend hours per week over a 12-month period. RSVP volunteers will spend _ hours annually engaged in (larder activities. The support volunteer costs of travel reim- engaged in Gatdea activities. The support volunteer costs of travel reimbursement, insur- bursement, .insurance and recognition are estimated to be $25.63 pa volunteer or a total arcs and recognition aze estimated to be $_ pa vokunteer or a total of $ of $384.45. I Anticipated Accomplishments:ltSVP volunteers will hel maintain ail ro stns of the 07/03- Actual Acrnmplishments: RSVP volunteers will help maintain all programs of the North North Carolina Botanical Garden, allowing for at least 13 06/04 •C~~ Botanical Garden, allowing for at least visitors during the'year. The general The general public will be better educated about issues of conservation and environ- public will be batter educated about issues of conservation and environmental awareness mental awareness and will'have an increased appreciation of nature. If there were not and will have an increased appreciation of nature. If these were not RSVP volunteers as- RSVP volunteers assisting the Garden, either the Garden would be•unable to maintain its slating the Garden, eitha~the Garden would be unable to maintain itg current level of edu- current level of educational programming and grounds maintenance or additional staff' rational programming and grounds maintenance or additional staff would have to be hired would have to be hired at a cost of $15.39an hour a15 444 * at a cost of $15.39 an hour $ • Anticipated Impact: The Garden will continue to maintain its 600 acres of land, will 07/03- Actual Impact: The Garden will continue to maintain its 600 acres of land, will also con- also continue to pursue its four major themes, and will be able to remain open 7 days a 06/p4 tiaue to pursue its four major themes, and will be able to remain open 7 days a week, year- week, year-round. The Garden will continue with its•research, conservation, and inter- round. The t,rarden wilk continue with its research, conservation, and interpretation of pretation of plants with rho goal of solving modem problems and increasing, human plants with the goal of solving modem problems and increasing human quality of life. The quality of life.. The general public will increase its understanding about issues of cones- general public will increase its understanding about issues of conservation ,will have an vation ,will have an increased awareness of the environment as well as an increased increased awareness of the environment as well as an increased appreciation of nature as a reeiation of nature as measured b the numbs of Garden visitors Burin the measured b the numbs 4f Garden visitors Burin the Note: Please reproduce or duplicate this template as needed to include all Community Needs Objectives and workplans. w ~ ` OBIECTIVES WORI{PI.AN FOR PROGRAMII. FORIMPACT/OUTCOME BASED ACTIVITIF~ , A licant'Or anization: Oran a Coun Retired and Senior Volunteer Pro ram Period Covered: starting:! 07-01-2003 Endin : 06-3o-zo ~ Part 1. ('ommunity Need to be Addressed• A need exists in Orange County, North Carolina, to provide &~ income tax prepaiapodfilmg assistance to low to middle income taxpayers. The failure to file tax returns sets the stage for problems with the IRS and results in a loss of approximately 5416,000 in federal tsx refunds and $204,000 in earned income areait (Etc), to Orange County taxpayers moat in need of financial assts- ranee. (source: Orange County VITA statistics). Also, residents taking advantage of the VITA program.save an average of $107 each charged for commer>rial filing, an additional.benefitrotaling approximately $90,000. Several reasons have been attributed to residents not Sling their taxes including the inability to understand the tax forms, the inability to pay for incotsre~tsx preparation assistance and the inability to travel due to age and/or physical handicaps. The estimated 1997 population of Orange County,. North Carolina was 107,253. Orango County incomo stadstics for 1996: Per Capita Income - $25,597; Median Household In- come - 541,169; Average Household hicome - 554,763. (Source: NC Office of State Planning 1997). Over the past three years, a yearly average of 900 O.C:: low to middle income residents have requested free assistance with income tax preparation. The Orange County Volunteer Income Tax Asaistancb (VITA) program will volunteers will serve 1,0011 low to middle ineorne real- dents. The program is designed to increase the number of low to middle income, non-English speaking, disabled an8 elderly residents comply with IRS regulations by filing their taxes so they may receive any tax refunds owed to them, and avoid penalties from the IRS. NSSC 3-Digit Code(s) Applicable: otal Number of Senior Corps volunteers contributing to meetin the need• g s~ 5i 07-12/03: 7 vols. served 100 hr ~ ' "~ _ S~ .rt9' 01-06/04: -45 vols. served 2200 _ :' • Total Number of Volunteer Stations: _1_ Part 2:.Action Plan Tasks and Timeline PROJECT PLANNING • PROJECT REPORTING Column A Pian Tas and Activities Col. B-Date Column C: Actual Performance Col. D-Date . Planned Service Activity:,: RSVP/VTTA volunteers will provide free incorr~ tax preps- 07/03- Actual Service Act[vity: RSVP/V1TA volunteers provided free income tax prepar~- ration/filing to residents meeting pre-established income criteria. The VITA program 06/04 tion/filing to residents meeting pre-established income criteria. The VITA program was e County: IJNC Hospital; Chapel Hill Senior Center; Hillsbor- in Oran it d t 5 ff will be offered at 7 sites -around Orange County: iINC Hospital; Chapel Hill Senior Center; Hillsborough Senior Center; Carrboro Town Hall; Orange Enterprises, Club g ere a s es o ough Senior Center; Carrboro Town Hall; Orange Bnterpriaes. Sites were open on specific `r Nova and Chatham County Council on Aging. Sites are open on specific days and hours il 151h (a - h A i" th F b ffii r through days and hours for operation during the normal tax-51ing season -February 1 7hours/week). Atter April 15a, the VITA services were provided on ril 15a (approx A p roug pr ruary n~ season - e mal tax- for operation during the no prox. 32-36 hours/wcek). Afler Apri115 , •the VITA services'will be provided ar an as . p an as needed basis.. VITA services were also be provided in health care facilities and the needed basis. VITA services will also be provided in health taro facilities and the homes home's of disabled and/or elderly residents unable to travel to a VITA site. VITA is also of disabled and/or elderly residents unable to travel to a VITA site. VITA is also offered offered to non-English speaking taxpayers. to non-En ' h 'n ec. 07/1999 Planned Inputs: July IRSVP/VTTA volunteers will begin planning for 2003-04 (in- ti /h i l i 07/03- Actual Inputs: RSVP/V1TA volunteers began planning for 2001-03 (includes estab- securing service locations/hours, computer rnainte- training volunteers schedul fishin s ours, oca ons ng serv ce cludes establishing schedules, training volunteers, secur computer maintenance etb). VITA volunteers.will receive 48-hours of training including 06/04 , e g , Hance etc). VITA volunteers received. hours of paining including computerized prepa- computerized preparation of tax returns. RSVP will secure and maintain 37 free comput- will spend a total of 200 hours er week Cumulatively ers ration of tax returns. RSVP secured and maintained _ free computers. Cumulatively, _ RSVP/VTTA valunteera spent a total of hours per week for _ weeks for'a.,total of , . .for 10 wceks for a total of preparing tax returns for be $100 i d i i i _;~iburs preparing tax returns for _ low to middle income residents tax season...The is estimated to bo $100 per traince and is donated by the IRS and t of the IRS trainin co per mate to ng s est n tax season.' The cost of the IRS• tra trainee and is donated by the IRS and State Division of Taxation. The cost of staff sup- g , s Stag Division of Taxation. The cost of staff support, computer maintenance, and office computer maintenance, and office supplies is estimated to be $3,200 and is donated port supplies is estimated to be 53,200 and is donated by the OC Ciovemment. The volunteer , by the OC Oovemmenk The volunteer support costs including travel, reimbursement, support costs including travel, reimbursement, insurance and recognition are estimated to insurance and recognition are estimated to be $19.17 per volunteer or a total of $862.65 d fl di l be 519.17 per volunteer or a total of 5862.65 for the total amiual cost of the program. is sent to all media sources and flyers are produced (English/Spanish) and dis- Publici yers a sources an me for the total annual cost of the program. Publicity is aent.to al are produced (English/Spanish) and distributed in locations targeting our client base. ty tributed in locations targeting our client base. Non-Ehgliah speaking clients are asked to Non-Bn lisps akin clients are asked fA brim rote ters Anticipated Accomplshmenta: 1,000 low to middle tax payers will receive free tax lnyrr in retets • ' ' Actual Accomplishments: low to middle tax payers received freo tax prepara- preparation/filing assistauce from a RSVPNTTA volunteer: If them were not a VITA ; another agency would have to provide these services, during prognun in Orange County 07/01- tion/filing assistance from.a RSVP/VTTA volunteer. If there were not a VITA program in Orange County, another agency would have to provide these services, during a time when , a time when IRS offibes~are downsizing, at a coat of 515.39 per hour (528,600). Addi- d f i a •„ 06/03 IRS offices are downsizing, at a cost.of $15.39 per hour (S_~• Additionallj+, some might not receive a tax refund or pay taxes owed, and ht'riof'flle a tax return residents mi or pay ve tax re un tionally, some residents might not fllo a tax return, might not rece , g taxes owed and would be out of co fiance with the IRS. Lnpact: Orange County low to middle income taxpayers will have the Anticipated - would be out of c trance with the IRS. Actuat.l[mpact: Orange County low to middlo income taxpayers will have the option of . option of gsing,free tax preparatiodfllmg assistance. 'Thu 1000 residents served by, rho d lti i id e d ill ' ' using frce tax preparatiodfiling assistance. The residents served by the VITA ram received any tax rebates they are due and avoided penalties imposed by the IRS ro mpose na es avo p w ,any tax reBates they are due an VITA program will receive for not filing taxes. The number of Orange County residents not filing a tax by the IRS 07/01- 06/03 g P for not filing taxes.. The number of Orange County residents not filing a tax return due to i w •n. . ' _ return due to.costr disability, or language barrier will be reduced, u'reported by service ents on a dust, disability, or language barrier was reduced,.as reported by service recip recipients on a Host-servicesurvey. oat=service curve . - CERTIFICATIONS REGARDING (A) DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY ss MATTERS; (B) DRUGFREE WORKPLACE REQimtF>~N'rS; AND (C) LOBBYING A- -'icants should refer to the regulations cited below to detemvne which certifications(s) apply to their grant, and review the instructions included in the r'. lions. 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 C,FR Part 1229, and "New Restrictions on Lobbying" in 45 (,'FR 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 RESPONSIBLITI~S As required by Executive Order 12549, Debarment and Suspension, and implemented at 45 CFR Part 1229, for prospective participants is primacy covered transactions, as defined at 45 CFR Part 1229, Sections 1229.105 and 1229.110 - 1. The applicant certifies that it and its principals: (a) Are not presently debanrd, suspended, proposed for debarment, declared ineligtble, 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 coffiection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or c~tract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlcmant theft, forgery, bribery, falsification or destruction of records, malting 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 coanaission 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 is this certification, he or she shall attach an explanation to this application. B. DRUGI?REE 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 adrub-free workplace, and wdl - (a) Publish a statement notifying employees that unlawful manufi-cture, distribution, dispensing, possession or use of a controIled sub-stance is prohibited in the grantee's workplace and specifying the actions that wr71 be taken against employees for violation of such prohibition; (b) Establish an ~-going drug-free awareness program to inform employees about - (1) The dangers of drug abuse m the workplace; (2) The grantee's policy of mainlsiniag adrug-free workphace; . ~ (3) Any available drug counseling, rehabiliffition, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse viohations 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 subpazagraph 1(a) that as a condition of employment under the grant, employee will - (1) Abide by the terms of the sffitearent; and (2) Notify the employer in writing of any conviction for a violation of a criminal drug statute which occurred in the workplace, no hater their 5 calendar days after such conviction; (e) Notify the cognizant Corporation Chants Officer within 10 calendar days after receiving notice of such conviction under subparagraph (d)(2) 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 r~eiving noiice with respect to any employee who is so convicted - (1) Take appropriate persomrel 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 assist~ce or rehabilitation program approved for such purposes by a Federal, Sffite or local health, law enforcanent or other appropriate agency; (g) Make a good faith effort to c~tinue to maintain a ding-free workplace through implementation of paragraphs 1(a) though 1(f1. C. LOBBYING As required by Section 1352, Title 31 of the U.S. Code, and implemetnted 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 fiords have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing air attempting to influence an officer or employee of any agency, a Member of Congress, an officer ar employee of Congress, ~ an employee of a Member of Congress is oormection with the awarding of any Federal contract the malting of any Federal giant the making of nay Federal hoar, the entering into of any cooperative agreetncat or the extension, continuation, renewal, ar~ndment or modification of any Federal contract Brant loan, or cooperative agreement. 2. ]f any fiords other than Federal appropriated fiords have been paid or will be paid to any person for influencing or attempting to influence an office or employee of any agency, a Member of Congress, as officer or employee of Congress,. or an employee of a Member of Congress in co-mection with this Federal contract, great loan, ar ~~ coopciativa agreement the undersigned shall complete and submit Standard Form-LLL, `Disclosure Form to,Report Lobbying," in accordance with its instructions: -- 3. The undersigoed shall require that the language of thus certification be included in the award documents for all subcontracts at all tiers (including subcontracts, sub- grants, and contracts ands grants, loans, and cooperative agreements) sad that eIl 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 au'" rtion for me to sign this certification as official representative is on file in the applicant's office) Omuue County Government Board of Coaanissioners Margaret Brown. Chair Applicant Organization Printed Name and Title of Authorized Representative April 1, 2003 Signature of Authorized Certifying Official Date ASSURANCES ss AH THE D1p'LY .flVTHOSIZED SEp$EBEFTATIVE OF THE A1QIQLICA1~fT, I CE$TIFY, TO THE BEST OF MY SFOWLED6E A1~D BELIEF, THAT THE A>Q1iLICA1~T: 1. Has the legal authority to apply far federal assistance, and the institutional, managerial,. and financial capability (including fiords sufficient to pay the non-federal share ofproject costs) to ensure proper planning, rnaiiagement, and completion of the project described in this application. 2. Will give the awardmg agency, the Comptroller General of the Uainod States, and if appropriate, the state, trough any authorized represenffitive, access to and the right to examine all records, books, Papers, or documents related to the award; and will establish a proper accounting system is accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit canployees from using their position for a purpose that constitutes or presorts the appearance of personal or organizational conflict of interest, or personal gain 4. Will initiate and complete the work within the applicable tune Same after receipt of approval of the awardmg agency. 5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C, 4728-4763) relating to prescribed standards for ire=rit systems for progn~ funded under one of the nineteen sffitutts or regulations specified in Appendix A of OPM's Standards far a Merit System of Persoffiel 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 oa the basis of race, color, or national origin; (b) Title lX of the Education Amendments of 1972, as amended (20 U<S.C. 1681-1683, and 1685-1686). which prohibits discrimmation 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) T>x Age Discrimination Act of 1973, as amended (42 U.S.C. 6101-6107), which prohibits discrimination on the basis of age; (e) The Ihug Abuse Office and Tneatment Act of 1972 (P.L 92-255), as amended, relating to nondiscaiirrinatian on the basis of drug abuse; (f) The Comprrlnensive Alcohol Abuse and Alcoholism Prevention, Treahneat and Rehabilitation Act of 1970 (P.L 91-616 as airrended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (p, J sxtions 523 and 527 of the ]?ublic Health Service Act of 1912 (42 U.S.C. 290dd-3 and 290eo-3), as artnended, relating to confidentiality of alcohol and drug abuse patiort 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; ~ any other aondiscriffination provisions in tbe National and Co»ammity Service Act of 1990, as amended; and (j) the requirements of any other nondiscrimination statute(s) which may apply to the application. 7. -Will eoaipiy, or has ah+eady complied, with the rrquirenrnents of Titles II and lII of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L 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 f~ project purposes regardless of federal parhicipation in purchases. 8. Will comply with ffie provisions of ffie Hatch Act (5 U.S.C. 1501-1508 and 7324-7328) which ]unit 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.C 276a and 276a-77), the Copeland Act (40 U.S.C 276c and 18 U.S.C. 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. 327-333), regarding lobar standards for Federally assisted construction sub- agrecmcaffi. 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 conshvctian and acquisition is S10,000 or more. I i. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmenffi1 quality cmitrol ~asuins under the National Environmental Policy Act of 1969 (P.L 91- 190) and Executive Order (EO)11514; (b) notification of violating facilities pursuant to HO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood harards in floodpIsins in accordance with BO 11988; (e) assurance of project eonsistorcy with the approved state maniagement program developed under the Coastal Zone Management Act of 1972 (16 U.S.C 1451 et seq.); (f) confoi>znity 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 undeaground sources of drinking water under the Safe Drinking Water Act of 1974, as aided (P.L 93-523); and (b) protection of endangered species under the l~ndangeted 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.C 1271 et seq.) related to protecting companorts or potortia] coarpaanents of the national wild and scenic rivers system. 13. Will assist the awarding agencyin assuring compliance with Section 106 of the National Aistorrc 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.). I4. Will comply wi@r P.L 93-348 regarding the protection of himnan subjects involved in research, development, and related activities supported by this award of assistance. 15. Wrll comply with the Laboratory Animal Welfare Act of 19661P.L 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatr~at.of warm blooded animals held for research, teaching, or oflier activities supported by this award of assistance. 16. Will comply with the bead-Based Paint Poisoning Prcveatioa Act (42 U.S.C. § § 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation ofresidmce stnrctraes. 17. Will cause to be perfasmed 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, and Non-Profit Organizations. 18. Will comply with all applicable requirements of aIl other Federal laws, executive orders, regulations, application guidelines, and policies governing this Program SIGNATURE OF AUTHORIZED REPRESENTATIVE LEGAL APPLICANT DATE TITLE S~p~.~: OS/30/~Ca2 1 I:10 AM Corporation for National Service -FOR OFFICIAL IISE ONLY Page 1 of 1 Notice of Grant Award. -Federal Funding Certification 37 Grant Number ~ Amendment Number GH D2SRSNC034 0 Grantee 1D Amendment Date 1566000327 Al May 30, 2002 Grantee Address ORANGE COUNTY PO BOX 8181 HILLSBOROUGH, NC 27278 issued By Program Manager SOUTHERN SERVICE CENTER HAROLD WILLIAMS Corp For National Service 60 Forsyth Street, SW Suite 3M40 ATLANTA, GA 30303 NORTH CAROLINA STATE'OFFICE ROBERT WINSTON FEDERAL BD, PO CENTURY STATION 300 FAYETTEVILLE STREET MALL SUITE 131 RALEIGH, NC 27601-1739 ~' Accounting Information Line CFDA Program Name Begin Date End Date Funding Citation Increment Amount Total Amount 1 94.002 Retired Senior Volunteer Program Jul 01 2000 Jun 3D 2003 2DD2-'""-DVSA-61215-P74-4101 $54,511.OD $54,51 i.00 2 94.002 Retired Senior Volunteer Program Jul 01 2000 Jun 30 2003 " 2002-'**-DVSA-6121.5-P74-4101 $2,180.OD $2,180.00 ' Total Funding: $56,691 DD $56,691.00 Grants Management Official - l~AY 2 9 2002 Signature Date t '-~~ C Nfltice Of Grant Award rant Number - 02SRSNC034 Type of Grant - 3-Continuation Terms and Conditions ;~ The Program/Project Manager for this grant is listed on the face page of the Notice of Grant Award. The Program/Project Manager has full authority to represent the Corporation in connection with management of the technical and programmatic performance of the grant. They are not authorized to change the terms and conditions, estimated costs, or period of performance, ar to give approvals, written or verbal, specifically reserved for the grants officer. Grantees not paid through HHS/PMS will request Federal funds using a Standard Form 270, °Request for Adv~rice or Reimbursemenf', submitting a single original signed copy to the .Service Center. Grantees paid through HHS/PMS will submit semi-annual FSRs defined in the FSR fable below. Grantees not paid through HHS/PMS will report quarterly expenditures on Standard Form 269A °Financial~Status Report", by submitting a single original signed form to the Service Center within 30 days of the end of each fiscal quarter (March 31, June 30, September 30, December 31) With reference.to Quarterly Financial Status Reports, there will be no fourth quarter FSR submitted. A final FSR will be due within ninety (90) .days of the end of the budget period. . When issuing statements, press releases, requests for proposals, bid solicitations, annual reports and other documents describing projects or programs funded in whole or in part with Federal Corporation money, the grantee receiving Federal funds, including but not limited to the State and ~ ~ . local governments, shall clearly. state (1) the percentage of the total cost of the project or program which will be financed with Federal Corporation money, and (2) the dollar amount of Federal Corporation funds for the project or program. Grantees paid through HHS/PMS will report quarterly disbursements to HHS through SMARTLINK II. Grantees will report disbursements using the web based version of the Standard Form 272, Federal Cash Transaction Report, no later than 45 calendar days following the end of each quarter. 38 Thursday, May 30, 2002 Grantees not paid through HHS/PMS whose monthly advances of Federal funds are projected to be $25,000 or more are required to submit to the Grants Officer original 39 signed copy of Standard Form 272, Federal Cash Transactions Report, no later than 15 calendar days following the end of each quarter. Salaries and wages charged to this grant must be supported by signed time and attendance records for each individual employee, regardless,of position, and by documented payrolls approved by a responsible official of the grantee. Salaries and wages chargeable between this .grant and other programs or functions of the grantee organization must be supported by individual time distribution records. Grantees will send checks for disallowances of grant costs and when cash is to be returned to the Agency at the closeout of the grant relationship to the Corporation Collection Officer in the Service Center, or in the case of grants awarded by Headquarters, to the Corporation Collection Officer at Headquarters. Grantees shall prepare a Project Progress Report (CNCS-1020 for Senior Corps or CNS~1433 for AmeriCorps'h/ISTA) semi-annually at the end of the 2nd. and 4th quarters of the budget period. The report shall be submitted to the Corporation Program/Project Manager no later than 30 days after the end of the designated reporting period. _ Grantee shall prepare a Government Performance and Results Act (GPRA) Project r" Data Report for Senior Corps annually for the fiscal year ending September 30. The ~` report must be submitted to Senior Corps Headquarters each December 1st. Institutions of higher education and other non=profit organizations covered by OMB Circular A-110 must maintain advance Federal funds in an interest bearing account. Interest earned on advances deposited in such accounts shall be remitted annually in a check, made payable to the U. S. l"reasury, to the Department of Health and Human Services, Payment Management System, P.O. Box 6021, Rockville, MD 20852. The document transmitting the check must indicate that the payment is interest earned on advanced Federal funds. Interest up to $250 per year maybe retained by the grantee for administrative expenses. Grantee will assure that at Recognition events, the Corporation is acknowledged as the Federal agency responsible for the primary Federal funding of the project. Unexpended Federal funds from a prior budget period should be applied to reduce the advance amount by no later than the second advance. The amount of the unexpended balance and the computation of how it will be applied must be . ,explained on the Request for Advance. or Reimbursement, Standard Form 270. External evaluation and data collection. The grantee must cooperate with the Corporation and its evaluators in all monitoring and evaluation efforts. As part of __. this effort, the grantee must collect and submit certain project data, as defined in the Project Profile and Volunteer Activity (PPVA) and must provide data as.' Thursday, May 30, 2002 requested or needed to support external evaluations. ~o Casts allowed under this grant are limited to those categories contained in signed application package dated 03/25/02. Financial Status Reports: Grantees-paid through HHS/PMS must submit the Standard Form 269, Financial Status Report (FSR), semi-a~iiually from the start date of the grant to report the stafus of all funds. FSRs must report expenses on a • cumulative basis over the performance period of the grant and be submitted according to the following schedule: Period Covering: Report Due: January 1 to June 30 August 1 July 1 to December31 February 1 Programs completing the final year of their grant must submit a final FSR-that is cumulative over the entire grant period. This FSR is due 90 days after the close of the grant. This award includes a $2180.00 administrative cost increase based on additional Fiscal Year 2002 funding provided by the Congress. This action is taken at the convenience of the government to expedite providing increased Fiscal Year 2002 appropriations to programs. The sponsor must propose which line item(s) the increase will be applied to within 60 days of receiving this award. tr The budget period of this grant if from 07/02 to 06/30/03. i Thursday, May 30, 2002