HomeMy WebLinkAboutAgenda - 04-18-2006-5gORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: April 18, 2006
Action Agen~d~ag
Item No. _~~_
SUBJECT: Authorization of the RSVP (Retired and Senior Volunteer Program) 3 Year
Renewal Application and Agreement
DEPARTMENT: Aging
PUBLIC HEARING: (Y/N) No
ATTACHMENT(S):
(1) RSVP Resolution for Submission (1-3)
(2) Final Application (Pg. 4-51)
(3) Pro Forma Grant Award Notice (pg 51-55)
INFORMATION CONTACT:
Jerry Passmore, 245-2009
Kathy Porter, 968-2054
PURPOSE: To consider approving an application fora 3-year renewal of federal grant funding for
RSVP; request approval of the RSVP (Retired and Senior Volunteer Program) final application;
and enter into an agreement with Corporation for National and Community Service for the period
July 1, 2006 through June 30, 2009 in the amount of $180,753 ($60,251 per year) in federal funds.
This is an increase of 1.35% over the current federal grant level far FY05/06 ($59,448).
BACKGROUND: This is a 3-year Application for Federal Assistance covering volunteer services
provided by 575 retirees serving approximately 65,000 hours through non-profit organizations in
Orange County each year. The federal sponsor has honored long running, high quality
Corporation for National and Community Service programs by allowing them to submit a 3-year
federal funding application. This has been done in order to save time for staff and sponsor by
deleting much of the paperwork required in the annual application. RSVP will acntinue to work
under cone-year budget plan. It will be necessary for RSVP to submit annualized budget revisions
to the federal sponsor to show changes in either the federal or local funding levels, Local funding
requirements continue as before based on the annual Orange County budgeting process. The
RSVP objectives will include recruiting, placing, and recognizing these volunteers, RSVP will also
provide the non-profit agencies support and training in the area of volunteer management. RSVP
has developed a 3-year work plan, RSVP will also strive to identify community needs and provide
volunteer programming and management targeting these needs.
FINANCIAL IMPACT: A minimal increase in County funds may be required for staff merits and
cost of living adjuustments.
RECOMMENDATION(S): The Manager recommends that the Board approve the RSVP
resolution, 3-year application, and agreement and authorize Chair to sign application and Notice of
Grant Award when received with the understanding that the 3-year application does not affect the
Orange County annual budgeting process and can be terminated at any time based on
Corporation for National and Community Service handbook guidelines providing for advance
notice in order to find another local sponsor,
A RESOLUTION AUTHORIZING SUBMISSION OF A GRANT APPLICATION
FOR THE RETII2ED SENIOR VOLUNTEER PROGRAM (RSVP)
BE TI' RESOLVED by the Commissioners of Orange County that the Commissioners
authorize the County Manager to submit an application to the Corporation for National
and Community Service fora $180,753 three-year grant ($60,251/year) for continuation
of the Retired and Senior Volunteer Program for thirty-six months and to certify to the
federal government the willingness of the County to assure a minimum of 30% in cash,
goods, and services as the non-federal share in support of the program. Funding will
continue to be reviewed and approved on an annual basis as part of the Orange County
Budget Process and the RSVP will operate under cone-year budget. Budget revisions
will be submitted to the Federal Sponsor at the end of the first and second years.
It is understood that Orange County is not locked into a commitment for three years if it
is decided by Orange County officials to discontinue support of the Orange County
RSVP. The program can be terminated at anytime based on the Corporation for National
and Community Service Handbook guidelines providing the required advance notice.
This is the Eighteenth day of April, 2006.
PAGE 2
3
CERTIFICATE OF RECORDING OFFICER
The undersigned duly qualified and Clerk of the Orange County Board of
Commissioners does hereby certify:
That the attached resolution is a true and correct copy of the resolution to
authorize the County Manager to submit an application to Corporation for National and
Community Service fora $180,753 three-year grant ($60,251 per annual budget period)
for continuation of the Retired and Senior Volunteer Program far thirty-six months and to
assure minimum annual support of this program of 30% in cash, goods, and services, and
further, that such resolution has been fully recorded in the ,journal of proceedings and
recorded in my office.
IN WITNESS WI~REOF, I have hereunto set my hand this day of April 18, 2006
ORANGE COUNTY BOARD OF COMMISSIONERS
BY:
Donna Baker, Clerk
PAGE3
~~ 2)®
CORPORATION
FOR NATIONAL,
,___.._.._. AND
COMMI7NITY
®5 E R V I C E
SENIOR CORPS
,~
S
;'
GRANT APPLICATION
Three Year
2006-2009
orm is Authorized for Local Reproduction
..
CNCS Form 424-NSSC (xevisea S/UL t0 coT1I0iTr1 io e~ec~rowc suuu,mo,vu .~., w.a...a~
~~ 2) \:/
PART I - FACESFIEET
APPLICATION FOR FEDERAL, ASSISTANCE ' rYPEOFSUHMISS1oN:
lication ®Nw-Construcdoo
A
pp
2. DATE SUBMIT-1'ID TO CORPORATION FOR 3 a.. DATE RECENED BY STATE: 3 b STATE APPLICATION IDENTfFTER:
NATIONAL SERVICE (CNS):
04-07-2006
^B APPLICATION IDR 4. a DATE RECEIVED BY CNS: 4 b. CNS GRANT NUMBER:
o6SROtaaaa 03SRSNC132
5. APPLICANT INFORMATION
NAME AND CONTACT INFORMATION FOR PROJECT DIRECTOR OR OTHER
LEGAL NAME: ORANGE COUNTY GOVERNMENT PERSON 70 BE CONTACTED ON MAT-IERS RNOL.VWG T}IIS APPC.ICATION (give
ORGANIZATIONAL UNIT: ORANGE COUNTY DEPARTMENT ON AGING area rodes):
ADDRESS (give slreu address. city. county. smte and zip code): NAME: KATHERINE L. PORTER
Orange County Government Department on Aging rE[TtrxoNE NUMBER: (919) 968 - 2054
P. O. Box 8181 FAX NUMBER: (919) 968 - 2093
Hillsborough, NC 27278
NCIiS
RCn~CO
ORANGF
KPORTF
.
.
.
tN . NN.rr.Mnn.nnnnns•
6 EMPLOYER IDENTIFICATION N[1MBER (EJNp 7 TYPE OF APPC ICANT': (enter npproprinrc letter in Los) ^
B
5 6 - 6 0 0 0 3 2 7 LOCAL-0OVERNMENT-COUNTY
B. TYPE OF APPLLCATION (Check appropriate boz): A Smte H Independent School Distrin
B County I Stain Controlled [ntGWtian of Higher Lcanting
^NEW ®CON"JHJUATION C. Municipal T. Private University
^REV[SION D. T'ownsNp K. Indian Tribe
id
l
i
^ ^ v
ua
E. Inlersmm L. Ind
F Intarmunicipal M Profit Orgnnizalien
IfRevisian. enter appropriam letter(s)in box(es): G Special District N. Private Neo-Profit Organizndon
A Inemase Award B Decmase Awanl C. Inemase Duration O. Odter (specify)
DDecmaze Dumlion EOdter (spec): 9 NAME OF FL•DERAL AGENCY:
Corporation for National & Community Service
]0. CATAL.GCi OF FEDERAL DOMESTIC ASSISTANCE NUMBER: I1 DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
RSVP: 9a 002 RETIRED & SENIOR VOLUNTEER PROGRAM
FGP: 94.011
scP: 9a ole 9 4 0 0 2
Senior Demonstration: 94.015
12. AREAS AFFECTED BY PROJECT (Lill Cities, CnuNies, Smtes. etc J:
TOWNS OF: HILLSBOROUGH, CHAPEL-FALL, AND CARRHORO
ORANGE COUNTY, NORTH CAROLINA
13. PROPOSED PROTECT: START DAIS: 07/01/2006 END DALE: 06/30/2009
I4. ESTIMATID FUNDING: I5. IS APPLICATION SUHTECT TO REVIEW BY STATE EXECUTIVE
a. FFDERAL~ S 180,7$:3 ORDER 12372 PROCESS?
a YES THIS PREAPPLICATION/APPLICATION WAS MADE AVAHABLE
FOR
TO THE STA TE EXECUTIVEORDER 12372 PROCESS
b. APPLICANT S 212,571 REVIEW ON:
DAIE
n STATE y
b.. NO ^ PROGRAM IS NO'I COVERED BY EO. I?372
d LOCAL. g 41,O.j1 ^ OR PROGRAM HAS NOI BEEN SELECTED DY STATE FOR
REVIEW
5
e GTTIFR
I6. IS THE APPLICANT DELWOUEN7 ON ANY FEDERAL-DEBTT
f TOTAL y 434,:3$5 ^ YES If"Yes;'ntmch an explanadon. ®NO
TO 1T~ BEST OF MY KNOWLEDGE AND DELIEF. ACL DATA IN TI115 APPLICATIONA'REAPPLICATION ARE TRUE AND CORRECT, THE DOCUMENT HAS BEEN DULY
17
.
AUTHORED HY THC GOVERNING BODY OF THE APPLICANT AND THE APPL (CANT WILL COMPL Y WITH THE ATTACHED ASSURANCPS ff THE ASSISTANCE IS AW ARDED.
n TYP®NAME OF AUTHORIZED REPRESENTATIVE: b TITLE: c TELEPHONE NUMBER:
Barry Jacobs Chair, Orange County Board of Commissioners 919-245-2:300
d SIGNATURE OF AUTHORIZED REPRESENTATIVE: e. DATE SIGNED:
0416.2006
Modified Standard Form 424NSSC (Rev 4/01)
6
PART II - BiTI)GET
Applicant Organization:Orange County RSVP Budget Dates: July 1, 2006-June 30, 2007
SECTION L• VOLUNTEER SUPPORT EXPENSES
Column 1 Colunm 2 Column 3 Column 4 ' Column 5 Column 6
A PROIECTPERSONNEL
EXPENSES
Position Title
Annualized
Salary %Time
Spent on
Project Total
Project
Cost Corpomdoo
Funds
Requested
Noo-Federal
Resources
Excess
Resources
Project Director (longevity $ )
Project Assistant Director
Administrative Assistant 12hrs/wk x 52wks x $10 hr
Special Programs Assistant 14 }trs/wk x 52wks x $11
RSVP VITA Computer Technician 51 hrs/yr. x $24..31hr 45,706
.31,444
6,239
8,008
1,240 100%
100%
100%
100%
100% 45,706
.31,444
6,2.39
8,008
1,240 15,242
12,171
2,461
7,280
- 30,464
19,27.3
3,778
728
1,240 -
-
-
-
-
TOTAL PERSONNEL EXPENSES $ 92,637 $ 37,154 $ 55,483 $-
B. PERSONNEL FRINGE BENEFITS 27,235 6,369 20,866 -
PROTECT STAFF TRAVEL Local Travel
C 528 528 -
,
Long Distance Travel 225 225 -
D. EQUIPMENT
E. SUPPLIES VITA parts $956 Office Su .$2,260 -
3,216
1,061
2,155
-
F.CONTRACTUALSERVICES
G. OTHER VOLUNTEER SUPPORT COSTS 250
4,089
1,427 250
2,550 -
112
H. IIdDIl2ECT COSTS - - -
TOTAL VOLUNTEER SUPPORT EXPENSES 128,180 $ 46,764 $ 81,304 $ 112
SECTION 2: VOLUNTEER EXPENSES t
Column 3 Column 4 'Column 5 Column G
VOLUNTEER
A Stipends - - - -
.
SERVICE-RELATED Meals - ~ -
COSTS AND Uniforms - - - -
REIMBURSEMENT Insurance 2,463 1,404 _
1,059 _
EXPENSES Recognition 7,313 6,320 993 -
VolunteerTravel 5,741 4,563 1,178 -
Physical Examinations - - - -
Other Allowable Ex enses 1,200 1,200 -
=TOTAL VOLUNTEER EXPENSES 16,717
TOTALPROJECT COSTS 144,897
FUNDING"PERCENTAGES (percent distribution between Columns 4 and 5) $ 13,487
60,251
42.00% $ 3,230
84,534
58.00% $ -
112
'' :VOLUNTEER STRENGTH PROJECTION
A Non Sti ended FGP/SCP Volunteers• 580 C. Volunteer Hours: 64,500
B. VSYs or Volunteers -Federal: 0 Non-Fed 0 D. Staaons: ___ 114
NSSC Fotm 424A (Optional Form 4/OI) Modified SF-424A (Rev 4/01)
13
According to the 200o U.S, Census Data, approximately 8,60o adults 25 years of age and older in
Orange County are in need of literacy services, This includes adults who have neither finished high
school nor received their GED. It does not include r8 to 25 year olds who meet this definition.
According to the Executive Director of the Orange County Literacy Council, there are a variety of
reasons for this number, including:
-Some students are in GED classes with a community college in the adjacent county and find they
need additional r:r assistance
-Other students are unable to participate in standard classes for a variety of reasons, such as work
schedules, childcare issues or learning disabilities that prohibit them from learning effectively in
larger settings.
Further, illiteracy is amulti-generational problem: Parents who don't read to their children for
whatever reason end up with children who are less likely to read to their children. According to
North Carolina Dept of Public Instruction, there is an indicator that children who don't read fluently
by 3rd grade have a propensity to drop out of school later with the highest dropouts occurring in 9th
grade..
Since r984, the Orange County Literacy Council has developed and provided programs and trained
volunteers to assist adult learners to improve their reading, writing, basic math literacy skills and to
help with GED preparation. Of the estimated 8,600 adult learners defined, OCLC serves
approximately 20o per year.
Pad 2: Action Plan
---~ _ _ .
Trained RSVP volunteers will be matched by Orange County Literacy Council (OCLC) staff wr
adult learners (students) as tutors in English or English as a Second Language or as board members.
Page 14
Work Plan/Performance Measures
Total Number of Unduplicated Volunteers: 575
Work Plan/Performance Measures
Students and tutors will arrange a schedule and work with OCLC staff to set short- and long-term
objectives, Tutors wfll plan the lessons and tutor assigned students x:x or small groups in reading,
writing or math at a literacy center or any site of their mutual choice for x year. Volunteers will assist
with ongoing operational duties, special fundraisers and student recognition events, Depending on
the motivation and schedule of the student, the service will be provided for xz months,
_._ -.:
xz volunteers will serve x,4z8 hours annual total serving xz students approximately x to z hours per
week (x2 x 2 hours x 48 wks = xx52 tutors + 36 hours training + zoo hours board members [3 x zo
hrs per quarter]=x428). OCLC will provide: (x) a one-hour required orientation followedby a xz-
hour required tutor training (z) student pre- and post-testing using standard test TABE or CASAS (3)
a resource library (4) computer access via laptops (5) ongoing support to students and volunteers (6)
n„artarty ;n-service training for tutors on a regular basis
Summary
Students will be provided with x:x or small group tutoring by volunteer tutors.
Indicator:
# of students provided with 1:1 or small group tutoring by volunteer tutors
Target: 12#
How Measured:Activity log
Description:
(~CLC keens records of # potential students and # trained volunteers available
Indicator:
# of students studying with a tutor will meet at least one short-term goal
Target: 6#
Now Measured: Pre/Post test
Description:
8
Page 15
Summary
Fulltime students studying with a tutor will meet at least one short-term goal.
Work Plan/Performance Measures
Students measured must reach fulltime student status (NC Community College Sys): Each achieves 12 hrs tutoring.
Provides measurement base. OCLC pre-tests; post-tests monthly 20-30 hrs tutor
Summary
Students will teach rlong-term or 3 short-term goals,
Indicator:
# of fulltime students who v~ill reach Hong-term or 3 short-term goals
Target: 6#
How Measured: PrelPost test
Description:
Students measured must reach fulltime student status (NC Community College Sys): Each achieves 12 hrs tutoring.
According to Orange County Senior Center Administrator Janice Ty, ler, senior volunteers identified a
need for seniors:
(r) to have access to computer classes in a learning environment conducive to seniors rather than
trying to fit them into an environment of younger students
(2) to become more immersed in the technology age and not be isolated
('>iven the right tools, auser-friendly learning atmosphere among peers, a curriculum designed to
reduce the fear of technology, convenient access and instruction by persons of their own generation,
seniors would be more become more computer literate. While the *SeniorNet program in Orange
County offers basic well-attended courses, SeniorNet evaluations report an increased demand for
more advanced classes on different subjects. If SeniorNet classes were not offered, senior students
would have to travel a greater distance to class and have a less user-friendly senior learning
environment,
Page 16
Provides measurement base. OCLC pre-tests; post-tests monthly 2D-30 hrs tutor
~o
Work Plan/Performance Measures
*The SeniorNet program is an international nonprofit organization that provides computers,
curriculum and protocols for auser-friendly senior learning environment.. Classes are open to people
regardless of age although priority is given to people 56 years and over, which makes up more than
r5% (20,000) of the county population. (SeniorNet)
Part 2: Action Plan
!Service Activities
SeniorNet Volunteers perform several tasks year round to recruit and educate senior class
participants:
(r) (tst meeting) Council members, along with being an instructor, determine policy, publicity,
maintenance, curriculum, type of skilled personnel needed and schedule classes.
(2nd meeting) Instructors and coaches discuss the year's goals, propose schedules and delegate
(z) Maintenance of computers
(3) Volunteer Program Coordinator facilitates the entire local program.
(4) Trained SeniorNet RSVP instructors and coaches will teach students across r2 courses that meet
twice weeldy over g months at the Chapel Hill Senior Center. Training is on the job from learning
the curriculum as a coach to worldng alongside an instructor in class.
20 SeniorNet RSVP volunteers will serve r8oo hours for the year (approximately So hours a week for
36 weeks). Students pay a yearly membership fee of $4o to SeniorNet and $25 per course to cover
the cost of equipment maintenance and course resources. Scholarships are available to eligible
students. The computers are grant-funded through SeniorNet. Each volunteer instructor and coach
will receive approximately 24 hours annually of in-class free training. The program is fully
volunteer-supported with no paid staff. Chapel Hill Senior Center provides space, utilities and
Internet connection. RSVP provides its standard benefits package and recognition. Of the total
number of students participating in classes for this measurement period, go% will be taught by RSVP
Page 17
Work Plan/Performance Measures
volunteers,
to them,
Indicator: #of SeniorNet members who will register to attend r class during the measurement period
Target: 200 of SeniorNet members will register to attend 1 class during the measurement period
How measured: SeniorNet registration records and class schedule
Indicator: # students' whose learning will be enhanced due to the user-friendly environment
Target: rho students' learning will be enhanced due to the user-friendly environment
How measured: SeniorNet instructors will administer a written survey to all students,
Summary
SeniorNet students will improve in computer literacy.
Indicator: # of SeniorNet students' who will improve in computer literacy
Target: rho of SeniorNet students who will improve in computer literacy
Part 2: Action Plan -
Participate in programs about cultural preservation and enrichment such as historic preservation,
oral history, museum activities, drama and performing arts. Provide receptionist/clerical/office
Page 18
Summary
SeniorNet members will have access touser-friendly computer classes on topics of significant value
Summary
Students' learning will be enhanced due to the user-friendly environment.
How Measured: SeniorNet instructors administer a written survey to all students.
Work Plan/Performance Measures
assistance, usher, take photographs, assist with publicity and special events, serve on board, build sets
(Acldand Art Museum, American Dance Festival, ArtsCenter, Carol Woods-archives, CH Museum,
Deep Dish Theater, StreetSigns'I'heater, i7NC Playmakers, Wordshed Productions)
r6 vols. will serve r34o hrs. RSVP Benefits and recognition apply, Agencies provide training,
Summary
Summary
Summary
(CH Library & Friends, O.C, Library-Carrboro statiori, CHCCS - McDougle Elementary and Middle
Schools)
9 vols, will serve 85o hrs. annually. RSVP Benefits and recognition apply, Station training,
Summary
la
Page 19
Serve in a public or school library. Sort books, assist with check-out, voter registration, fundraising
~3
Work PlanlPerformance Measures
:Period of Performance
Anticipated Intermediate Impactl0utcome i Accomplishment: Measure:
Summary
:Period of Pertormance
:Anticipated End ImpactlOutcome Accomplishment: Measure:
Summary
J7`'` ~ a _ m i l~ -
-,
-, ' ., .. i i v ~ n i I ~ ' ~ ~'1
n i aI i~ __. _~ ~. __
.__: _. w.._ .:. __. ._.. . _,._ .._. ._
u ~ ____.... _.._.._~_. __ .. .
Part 2: Action Plan
I Service activities
Assist with activities in the classroom or with sports for pre-elementary, and day care programs.
Assist with mailings to parents.
Part 2: Action Plan
Page 20
Work Plan/Performance Measures
ernce ,vcuv¢ies ;
r -Services provided to individuals with physical disabilities such as workshops, assistance for the
Special Olympics; analyze and assist with handicapped accessible office arrangement, merge
computer mailing information files into one, train sight-impaired staff on use of latter files 2 -
Participate in programs & services for mentally retarded/developmentally disabled in (non)
residential facilities or advocacy including summer camp (Chapel Hill Parlcs & Recreation -Special
Olympics, OC Disability Awareness Council, Carol Woods Retirement Village)
o vnt„n+aerc will serve so hours. On-site training.
Summary
Summary
Summary
RSVP Senior Education Corps-Chapel Hill-Carrboro City Schools District (CHCCS) Reading Partners
Program. Senior Education Corps also addresses the needs of Orange County Schools (see separate
PFI)
According to CRESTAR (Center for Research on Education of Students Placed at Rislc, Johns
Hopkins University and Harvard University [June 1897]), research indicates that a child improves
his/her literacy skills and moves from a reluctant reader to an eager reader if they're read to on a
Iq'
Page 21
15
Work Plan/Performance Measures
one-to-one basis twice a week Based on Chapel Hill-Carrboro School District reports, a need exists
in the Chapel Hill-Carrboro School District (CHCCS) to help improve the literacy skills of students in
pre-R to 2nd grade. CHCCS Volunteers & Partners for Education Office has developed and
administers a Reading Partners Program to help meet that need.,
Of the estimated z5oo Pre-IC to 2nd graders in CHCCS (o4-os school year), an average 29o students
are served by its Reading Partners Program.
Part 2: Action Plan
RSVP volunteers will serve as reading and literacy tutors for pre-IC-z students in any of the CHCCS
district's 9 elementary schools of their choice. The program asks that volunteers serve z hours
weeldy for ro weeks and tutor 2 different students t:r.
Volunteers will tutor using the Book in a Bag program, made up of tutoring activities designed by
teachers to supplement classroom teaching. Volunteers arrive and pick up their tutoring "bag" to go.
Literacy skills would include letter and word recognition, sounds, consonant cluster sounds, and
reading proficiency. (9 CHCCS elementary schools)
Annually z5 volunteers may serve approximately 50o hours over 20 weeks (25 hrs per week x zo
wks). RSVP will recruit and refer volunteers to the CHCCS Volunteer office, devoting approximately
t hour per week to the program, 25 RSVP volunteers will serve a total of z5 hours per week, and
each will serve a minimum of z children weeldy in one r-hour session during a ro-week session.
RSVP benefit package and recognition apply. CHCCS wfll provide: (r) a 4-hour formal training to
new volunteers at the beginning of each ro-week session; (2) a refresher course to returning
volunteers; (S) site managers (4) volunteer assistant site managers who update materials and
monitor volunteers; (5) materials and assembly of the Book in a Bag curriculum; (6) recognition ('7)
r part-time staff to match teacher-selected students with volunteers.
Page 22
Work Plan/Performance Measures
Summary
Students will receive weeldy tutoring
INDICATORS: # students participating
TARGET: 5o students will participate
u.,~~, nR~nerTUriri• nu['C'~ Volunteer office records
INDICATOR: # students participating who will show unproved interest and eagerness towards
books
TARGET: 3'7 students participating will show improved interest and eagerness towards books
unrnr MRARTTT2 F.D~ Teacher and volunteer surveys administered by the CHCCS Volunteer Office
INDICATOR: # students who show positive gain in their literacy skills
TARGET: 3'7 students wlro will show positive gain in their literacy skills
Orange County School District (OCS) -RSVP Senior Education Corps- RSVP Reading Partners
Program: RSVP Senior Education Corps also addresses the needs of the Chapel Hill-Carrhoro City
Schools District (CHCCS) (see separate PFI)
According to Orange County School District reports (teachers and tests), a need exists in Orange
l (o
Page 23
Summary
Pre-It to 2nd graders participating will improve their interest and eagerness towards hooks
Summary
Pre-IC-2nd graders participating will gain literacy skills
unw MRA~TTRED: CHCCS Teacher survey, observations by teachers, interviews
~~
Work Plan/Performance Measures
County School District elementary schools to increase the reading and math literacy skills of teacher-
identified elementary school children, thereby increasing student performance. According to the NC
Dept of Public Instruction, there is an indicator that children who don't read by third grade have a
propensity to drop out of school later with the highest dropouts occurring in 9th grade, OCS is one of
two school districts in this county. It is a rural district in northern Orange County near Hillsborough
(pop, approx, 5000) and a total elementary enrollment for 2oo4-zoos of 3034 with an average 433
students per school.
Part 2: Action Plan _
Volunteers provide x:r or small group assistance with reading or math literacy skills during which
they may assist up to 4 students, Volunteers will serve an average of 4 students in need of reading or
math literacy skills assistance, Volunteers will tutor approximately zo minutes per child. Volunteers
tutor an average of 2 hours per week over a zo-week period during the school year.
Annually 20 volunteers will serve a total of 80o service hours for the school year (4o hrs x 20 wks),
OCS provides: x.Approx. x-hour orientation per volunteer
z,Reading Recovery teacher-trainer to develop curriculum and a 2-hour formal training and the
initial resource materials twice a year. (Volunteers entering the program between training sessions
will receive training on-site from their assigned school.)
3.A small stipend for the teacher-trainer from OCS.
RSVP will provide a tutor tool lcit, name badge, vest and special recognition & feedback session,
background checks on tutors and RSVP Senior Education Corps project coordinator will coordinate
this program (recruit, orient, place, monitor; recognize volunteers, monitor costs), work with OCS
school-RSVP liaisons to match volunteers, address communication and resource needs at approx.. x4
hours per week,
Page 24
i~3
Work Plan/Performance Measures
This program is a partnership between Orange County School District and RSVP. A separate PNS
__.,... „o m, n -,-,a ,.n.,Pr~ aSm;nstration and ouerating costs, RSVP Benefits and recognition apply,
INDICATORS: # students will be tutored
TARGET: 8o students will be tutored
vn~Ai MFARTTR RTI~ vnlnntPP.T SllNBVS
or books
INDICATOR: # of students tutored who will show improved interest and eagerness towards the
subject or books
TARGET: 4o students will show improved interest and eagerness in subject or books
vnxnr nrtFecTTTZaT~~ Te;,cher andvolunteer surveys, observations by teachers and volunteers
INDICATOR: # participants who will show gain in reading or math literacy skills
TARGET: 48 participants wiIl show gain in reading or math literacy skills
Part 2: Flction Plan
Page 25
Summary
Elementary school students will receive tutoring in reading or math literacy skills,
Summary
R-5 students participating in program will improve their interest and eagerness towards the subject
Summary
Participating students will gain reading or math literacy skills
unW MEASURED: Teacher survey, observations by teachers and volunteers
Work PlanlPerformance Measures
proctors, homework assistance or assist with school projects or an assigned subject area.
(Concessions-Lincoln Center, clerical-Pathways, non-RP volunteers, CHCCS-
Carr,Eph,FPG,Scroggs,Rashkis,Smith Mid,ECHhs,)
,....,.r_._- ...~
24 Volunteers will serve 50o hours, RSVP standard benefit and recognition applies. Schools provide
training when necessary, The service in this category is short-term and specialized in nature and is
...,+ nP,-fnrvn PA flit a consistent schedule.
Summary
Summary
Summary
According to North Carolina Botanical Garden's Annual Report, a need exists locally and
internationally for an educational and environmental-friendly setting that will appeal to broad
audiences to enjoy and to study issues of:
r-Plant diversity
2-Human dependence on plant diversity
3-The resulting need for conservation
lq
Page 26
Volunteers will serve at an Elementary, Middle or rttgu scuooi as ciasaruutfi a,u=~> ~~~__~~ u=~~~
ao
Work Plan/Performance Measures
4-The critical role of research in botanical gardens and universities for solving modern problems and
increasing quality of human life
The North Carolina Botanical Garden (NCBG), part of The University of North Carolina -Chapel
Hill, is a boo-acre center for research, conservation and interpretation of plants with special
emphasis on plants native to the southeastern United States and horticultural plants having
traditional uses or special botanical interest. It is located near an established neighborhood adjacent
to an urban area consisting of a major university campus, major hospital and Town of Chapel Hill.
NCBG's focus on environmental protection is demonstrated by its immense project of propagating,
growing and collecting native plants as part of its public education program, which encourages
leaving native and propagated plant environments undisturbed. Special services include regular
educational tours and Horticultural Therapy for all ages or impairments,
The Garden enjoys approximately 80,000 visitors annually--researchers, students from around the
world, visitors-young and old.. ro,ooo take the tours. For these reasons, it needs to present an
educational and environmental friendly setting that will appeal to its visitors and their expectations
and needs. If there were no volunteers assisting the Garden, it would not be able to maintain its
current level of educational programming, appearance, environmental and weekend operating hours
and tours, According to NCBG reports, all areas are open ~ days a week, year-round only because of
the volunteers. (North Carolina Botanical Garden)
Part 2: Action Plan
RSVP volunteers will work in a variety of capacities from direct service with visitors and staff to
behind the scenes. Not all volunteers will serve weeldy or have people contact. Some volunteers will:
--Maintain flower beds, nature trails, herb gardens or work on plant sales: r hour weeldy
--Greet the public from local and long distance areas, direct visitors to areas of interest: 4 hour shifts
weekly
Page 27
a~
Work Plan/Performance Measures
--Remove invasive plants, stabilize stream banks with plantings to improve erosion control, maintain
the 8o acres of Piedmont woodlands
--Lead educational group tours such as on historical or native uses of plants, plants native to the
three geographic regions of the state or general tours of the Garden, Mason Farm and Colter
Arboretum.. Younger groups will be exposed to carnivorous plants, water plants, pine trees and the
need and effects of burning, and the overall immensity of Garden
--Serve as Seed Volunteers as a group to separate Garden-grown native plant seeds from seed heads
and package them as free or for-sale distribution items to schools, museums and other groups,
~.~...r~ ............. .,
Annually, 27 RSVP volunteers will serve x25o hours over 48 weeks (an average of x hour per wee
The Garden provides name tags, gloves, clippers, poison ivy repellant and other items necessary for
Garden activities along with formal and subsequent ongoing training. Tour guides will receive an
initial 4-hour training with x-hour monthly training updates. The seed packets are generated from
garden-grown seeds of plant varieties commonly found in the wild. The Garden is funded in part
from the state, grants and the Botanical Garden Foundation, RSVP provides its standard benefits
,..., .,L.,..~ oo~l rornanifinn..
Summary
OUTPUTS
x-8o,o0o visitors annually will be served directly and ind'ir'ectly by activities of trained RSVP
volunteers.
2-Approximately xo,ooo seed packets will be distributed to schools and various organizations for free
or at minimal cost.
INDICATORS: x- ~ of visitors served 2- ~ seed packets made and distributed
TARGET:
Page 28
as
Work Plan/Performance Measures
r-8o,o0o visitors will be served directly and indirectly by activities of trained RSVP volunteers,
2-ro,ooo seed packets will be made and distributed
HGW MEASURED: r-Staff counts of visitors 2-Garden records of ~' seed packets made and
Aietrihntar~
INDICATOR: % of Garden visitors who will be highly satisfied with their experience
TARGET: ~o% of Garden visitors will be highly satisfied with their experience
NnW MEASURED: Written Client satisfaction survey
INDICATOR: % Seed packet recipients will use the packets to increase environmental awareness.
TARGET: 60% of the seed packet recipients will use the packets to increase environmental
awareness.
HOW MEASURED: Written Client Survey available as an option at various sites; number of survey
Part 2: Action Plan
Board members recruit volunteers, coordinate/administer specific programs for RSVP including
recognition event, participate in RSVP Speakers Bureau, develop evaluation tools and analyze data,
Administrative volunteers assist with mailings, research and data entry. (RSVP Advisory Council
Page 29
Summary
Garden visitors will be highly satisfied with their experience at the Garden.
Summary
Seed packet recipients will use the packets to increase environmental awareness.
respondents; records of seed packet distribution
Work Plan/Performance Measures
members, clerical assistance, mailings, consultant, photography)
r8 vols. will serve 50o hrs. RSVP Benefits and recognition apply. RSVP provides Council orientatron;
portable file, recordkeeping and evaluation tools for Speakers Bureau; supplies and postage for
mailings; project training and supervision. A Powerpoint presentation developed by Univ of North
n., _,.r..,., r oar„ any Carve Tnrarns will be used for recruitment, pending a projector.
Summary
Summary
Summary
environmental health, diet, school meal programs
(2)Counsel seniors with medical bill and insurance problems
(3)Teach refresher driving class on safe driving techniques for seniors
(4)Teach computer skills at rural library,
(5)Assist with mailings to introduce teachers/students to global education
a.~
Page 30
(r)Develop and participate in information campaigns on consumer issues aucii u~ =„emu=a==~~, ~~~~~~
counseling, and consumer protection; 5-A-Day nutrition education, physical activities and health,
a~-
Work Plan/Performance Measures
(6)Tutor ESL students ra or in small groups in a public location, schools or within a home to help
improve speech and comprehension, inform of local culture and community services/activities or
counsel job applicants
()Organize educational materials for presentations, distribution, mailings
(8)Office rescue
(t1ARP - 55 Alive/Teach Your Specialty; Orange Co Library, Cedar Grove; UNC World View; EI
Centro Latino, RSVP-ESL, UNC International Center [Conversation Partners and Women's English
Conversation class], Chapel Hill Carrboro school district ESL; SHIIP; OC Coop Ext. Prog)
35 volunteers serve r5oo hours and 32o clients, (r, 2) extensive free training (3) 8-hour training and
6 hour observation; station provides course curriculum (4) county provide computers
Overall, stations provide space, materials, training, staff guidance on content selection and presenters
An~.alnn lnecnnc
Summary
Summary
Summary
__. ,
Part 2: Potion Plan ''
Page 31
a5
Work Plan/Performance Measures
Volunteers (retired executives) will counsel new, small businesses, assist nonprofit agencies with
evaluation, problem solving strategies and fundraising. (ESC, SCORE)
__ _.. ._
... „. r....,..... ,. _ .
8 vols. will serve 30o hrs, RSVP Benefits and recognition apply. Stations provide orientation and
Summary
Summary
Summary
--Serve as board members to identify community needs, organize and work on solutions for
community problems--support services of Dept Social Services Social Workers to aid critical
situations of clients, mainly children and families
-Provide assistance in set up and video production operation for community television programming
featuring current senior issues
Page 32
--Plan, design and operate social service programs, rarse runos, onrce ass„iaucc
a~
Work Plan/Performance Measures
(Friends of Orange County Dept Social Services, Orange Co Govt Boards and Committees: OC
representative on aging, senior center design committee, voter registration canvassing; People's
Community TV Channel, Town of Carrboro, WUNC--FM Radio, WUNC-Center for Public TV)
r9 volunteers will serve 2600 hours, Orange County Dept of Social Services will supply a list of
family needs and location for Friends to locate items and deliver using their own vehicles. RSVP
Benefits and recoenition apply. Stations provide training and facilities,
Summary
Summary
Summary
According to an IRS statement from its Greensboro NC office, IRS has identified a problem with
certain individuals not getting their federal and state taxes filed and not getting eligible refunds.
Overall, this group consists of low- tomiddle-income people living inside or outside of Orange
County, This group includes people who may below- tomiddle-income, older, homebound,
disabled, non-English-speaking; people who find the forms confusing; or people who have few
financial resources to pay for professional tax assistance, a cost which averages $roo. Therefore,
many factors contribute to the need for the RSVP-VITA Volunteer Income Tax Assistance program:
lack of access to services due to physical handicaps, language or travel barriers, financial costs; and
Page 33
a~
Work Plan/Performance Meastares
inability to understand the tax forms. Over the past three years, a yearly average of 90o Orange
County low- tomiddle-income taxpayers have requested free assistance with income tax
preparation. The estimated 2002 population of Orange County was 122,538 as stated by the North
Carolina State Data Center 2003. We expect the number of requests to increase to approximately
r2oo this year due to population grov,=th, influx of Hispanics, and a higher rate of poverty due to the
economy. VITA has been developed to increase the target group's access to these services, thus
leading to compliance with filing taxes that are accurate and acost-savings for clients,
Part 2: Action Plan
r) Prior to tax season: An RSVP-VITA Board will plan sites, training agenda, schedules, recruitment,
publicity and inventory machines/supplies, VITA volunteers translate and with RSVP staff, prepare
and distribute publicity in English and Spanish to media and community sites, Volunteers study tax
manuals and attend training prior' to service, All volunteers recruit volunteers,
2)During Tax Season: RSVP-VITA volunteers wiA provide income tax preparation and/or counseling
on federal and state tax returns. Through one-on-one assistance or a special phone line, a bilingual
volunteer will address the needs of clients who don't have access to interpreters. Volunteer
coordinators at each site greet clients and assist them with the initiation and completion of the tax
preparation process. Volunteers handle appointments,
3)Post-tax season: Volunteers continue to troubleshoot past clients' returns, when necessary.
Volunteer statistician compiles and analyzes data from VITA Client Response Card. (RSVP VITA)
RSVP developed and administers this program. An estimated q6 volunteers will serve r6oo clients for
a total of 450o hours including training to help this group file taxes. IRS-trained volunteers provide
32 hours of training on tax information to all volunteers and 8 hours on computerized preparation of
tax returns, The NC Department of Revenue will provide a trainer for state returns. RSVP will
Page 34
a~
Work Plan/Performance Measures
provide office, storage and training space, phone lines and maintenance of donated machines. IRS
will supply laptops, some paper, shredding services, five printers, inlc cartridges, tax software and
training materials at an estimated cost of $roo per trainee, which is donated by the IRS. Seven site
facilities are provided by various agencies across two counties (5 in Orange County, 2 in Chatham)
at a local hospital, senior centers, county town halls and a training site for physically challenged
individuals. After Aprfl r5th, VITA services are provided on an as-needed basis.
RSVP provides its standard volunteer benefit package and recognition. Orange County Government
..,;ii c„nnly nna Nisna niC phone line,
filing assistance, and a significant number of federal and state tax returns will be e-filed.
INDICATORS: # clients assisted, # of tax returns e-filed
TARGET: r,6oo clients served, r4oo federal returns and r3oo state returns wffl be e-filed,
vntnr nrt>; ecrru>;.n• Cliant F.xit Survev. Statistician Report
INDICATOR: # of additional clients will be served over the previous year
TARGET: roo additional clients will be served over the previous year
unw ivrAACtiRRT): VITA Response Card (VCR) and Statistician Report
INDICATOR: # clients will save an average of $roo
TARGET: r6oo clients will save an average of $roo
Page 35
Summary
Mainly during tax season eligible clients will receive free tax preparation and/or, counseling and e-
Summary
The number of eligible clients will increase from the previous service year.
Summary
Clients served will save an average of $roo each in tax preparation fees
aq
Work Plan/Performance Measures
HOW MEASURED:
(r) VITA Response Card (VCR)
Part 2: Action Plan
Organize, develop and/or assist in a store that sells used clothing, house wares, household items or
reasonable prices-target people in crisis as well as public at large (Orange Congregation in Missions
Thrift Shop and board)
^ ,.,,i~ ..,;ii ~Pr„e ~~no hrs. RSVP Benefits and recognition apply. On-site station training
Summary
Summary
Summary
Part 2: Action Plan
Page 36
r~~ Av~ravP mst of fee-based service
Work Plan/Performance Measures
Volunteers will assist older adults at congregate meal sites. Prepare and serve food, clean-up, plan
menus, work as acashier/record keeper at congregate meal settings. (JOCCA Sites)
._,_ . m ,..,..,o ~„~~ t,.~ u.~VP Benefits and recognition apply. On-site training,
Summary
Summary
Summary
health care setting. Patient relations, library, work, gift shop, take blood pressures at senior centers,
immunizations, provide touchable art tour for visually impaired, sew sock monkeys to be used in
iJNC Children's Hospital recreational therapy to help calm and educate patients, provide
transportation and duect services to AIDS patients in a residential center, provide clerical support,
serve as board member. (Alliance of AIDS Services North Carolina, Duke Eye Center, Orange
County Dept on Aging Wellness, Planned Parenthood, UNC Hospital [Includes UNC Hospital
,.,,.....,,,. o.,~t„Aoe racaa rchl
30
Page 37
Participate in actual delivery of health services, oom prevenuve a~,u ~u.u~=• ~> ~~ .....~• •~-_-- ---
.~~
Work Plan/Performance Measures
36 volunteers will serve 3050 hrs, RSVP standard benefits package and recognition apply. Agencies
provide training,
-Alliance for AIDS Services provides residence and services for local AIDS patients
-Duke University Eye Center provides Touchable Art Gallery within Duke Medical Center
-Orange County Dept on Aging Wellness Program provides equipment for blood pressure checks;
Orange County Health Dept provides vaccine for immunizations; Senior Centers provide space and
additional equipment
Planned Parenthood provides space
-UNC sewing - 3 Volunteers will sew monkeys from socks 3 hours a week, averaging 468 hours
annually. Each monkey takes approximately 5 hours to make. The UNC Hospitals Volunteer
Association will supply materials -approximate cost $'738, The RSVP volunteer chairperson will
provide 2 hours training and will be responsible for product quality control. Local church provides
meeting site for activity.
-Alliance for AIDS Services provides resident and services for local AIDS patients through Orange
Community House
-Duke University Eye Center provides Touchable Art Gallery
-Dept on Aging Wellness Program provides equipment for blood pressure checks; Orange County
Health Dept provides vaccine for immunizations; Senior Centers provide space and additional
equipment
-Planned Parenthood provides space
-UNC sewing - 4 Volunteers will sew monkeys from socks 3 hours a week, averaging 600 hours
annually, Each monkey takes approximately 5 hours to make. The UNC Hospitals Volunteer
Association will supply materials -approximate cost $~38. The RSVP volunteer chairperson will
provide 2 hours training and will be responsible for product quality control. Local church provides
Page 38
3a
Work Plan/Performance Measures
Summary
Summary
Summary
A need exists in Orange County to deliver hot and nutritious meals daily to frail and disab e
homebound individuals who are unable to prepare meals for themselves, shop for groceries and/or
have someone who can prepare meals for them. According to the National Policy and Resource
Center on Nutrition and Aging, home delivered meals (Meals -on-Wheels) are associated with
decreased hospital stays and allow participants to remain in their homes, According to the Meals-on-
Wheels Director in southern Orange County, approximately 7o homebound residents of the total
estimated population of 60,000, receive Meals-on-Wheels service. In northern Orange County, the
Duector of the Meals-on-Wheels program through Orange Congregations In Missions, (OCIM),
estimates 4o residents tluoughout the area receive home delivered meals. This service makes it
possible for recipients to receive nutritious meals, remain in their homes and delay assisted living,
The recipients also need the daily contact with a caring volunteer.. In many cases this is the only
contact they receive with another human. Age and income of recipient do not limit this service. A
sliding scale based on income level is used to determine the amount individuals pay with a ceiling of
$3,00.
Page 39
33
Work Plan/Performance Measures
population 5 days a week, (2) restock pantry, package meals and occasionally bake at home,
Volunteers pick up the coolers/caddies around rr:oo a.m. and deliver the meals to the recipients in
southern and northern Orange County and then return the empty coolers and caddies to the pick-up
site. Each route takes approximately r - r.5 hours. Volunteers may engage recipients in light
conversation, check on overall well-being and make referrals to case manager when necessary.
(Meals on Wheels-Chapel Hill-Carrboro and OCIM Meals on Wheels)
nuc~pa[eu u,N~.
47 RSVP volunteers are assigned delivery routes and serve an estimated 2444 hours annually. RSVP
volunteers will serve approximately r4o homebound individuals annually. A catering company
prepares and packs meals into coolers and delivers the ordered number of meals to the Meals-on-
Wheels office at Binldey Baptist Church in Chapel Hill and the OCIM office in Hillsborough.. RSVP
benefits package and recognition apply. The agency provides training to volunteers.
Summary
Homebound individuals receive home delivered meals from volunteers.
INDICATORS: ~ homebound individuals will receive meals, : of meals delivered annually
TARGET: r4o homebound individuals will receive meals; 33,600 meals delivered annually,
HOW MEASURED: Station reports, meal delivery records
Summary
Homebound individuals may have some human contact with the volunteer,
INDICATOR: # of homebound individuals will receive human contact
TARGET: 84 homebound individuals will receive human contact
Page 40
Trained volunteers will serve both Meals-on-W beets programs ru i i~ uoi=~~= ___~~~~ •~ ~~~ •--~--
34
Work Plan/Performance Measures
ur,T~~ nrt~ e crruFn• .c+a+inn rannrts. meal deliverv records
meals annually.
INDICATOR: ~ of individuals will remain living in their own homes.
TARGET: ro5 individuals will remain living iir their own homes,
Part 2: Action Plan
Disseminate information on general health practices or specific health problems. Front line office
resource for cancer patients and families; serve as community representative onboard aimed to
protect the rights and welfare of human research subjects; participate in medical research projects;
prepare newsletter and assist with community and board meetings of the Orange County Healthy
Carolinians project that targets education information relating to identified priority health issues
countywide
(Cornucopia Cancer Support Center, UNC School of Medicine, UNC Hospital Volunteers Research,
Orange County Health Department)
._.~___ ,
<.,a,,.,+P~r w;ll cPrve 8so hrs, RSVP Benefits package and recognition apply, Station training
Summary
Page 41
Summary
Homebound individuals will he able to remain in their own homes through the delivery of nutritious
FrnW MAASURED: Station reports, meal delivery records
35
Work Plan/Performance Measures
Summary
Summary
__
Pad 2: Action Plan
Provide services to terminally ill patients and their famflies at hospices, health care institutions, and
in homes of patients. Includes counseling patients and family members and bereavement
counseling. (Duke Community Care)
4 volunteers will serve 325 hours, RSVP Benefits and recognition apply, Training provided by
Bann rv
Summary
Summary
Summary
Page 42
3(0
Work Plan/Performance Measures
Participate in programs and services for individuals and families experiencing housing crises and
living in shelters, transitional housing or on the streets. Serve as receptionists, shelter monitors, meal
preparers/servers, office assistance, food bank. (IFC House, IFC IGtchen, IFC Admire)
uw.Ny...-. ...r__
23 volunteers will serve r45o hrs. RSVP Benefits and recognition apply. Training Provide y
Summary
Summary
Summary
-•-~--- _
Assist in construction, repair, inspection, and rehabilitation of houses. Build quality, ow-cost
housing for eligible persons (Habitat for Humanity)
u vols, will serve 280o hrs. RSVP Benefits and recognition apply. Training provided by Agency
Page 43
37
Work Plan/Performance Measures
Summary
Summary
Summary
Part 2: Action Plan
Run errands, transport, friendly visiting, telephone reassurance, and activities such as peer support,
writing letters, active listening, reading, and entertainment helping to ease feelings of isolation and
loneliness. Does not include Hospice.. (Britthaven Nursing Home, Brookshire Asst Living, Carrboro
Senior Living, Shepherd House, O.C. Parks & Rec. (CSC) Senior Crafters, Friends of Dept Social
Services-telephone reassurance, O.C. Parks & Rec. Golden Age Happy Circle, Carol Woods
Retirement Community-health human service and friends)
Annually 34 vols.. will serve z6oo hrs. RSVP benefits and recognition apply. Stations provide
....into rinn an(3 nnCitl? tralnln E.
Summary
Page 44
.38
Work Plan/Performance Measures
Summary
Summary
A large number of the independent-living elderly population in Orange County need some level of
assistance with non-medical care such as meal preparation, grocery shopping, and transportation.
Also, many of these seniors experience loneliness due to a lack of family and friends living close by.
Orange County Dept. on Aging Master Aging Plan shows that the vast majority of older adults prefer
to live in their own homes, maintaining as much independence as possible for as long as possible. In
situations where family support is available, caregivers frequently become overwhelmed with the
added responsibilities and benefit greatly from some outside support. Orange County, North
Carolina, has a senior (60+) population of almost r6,ooo (approximately r2°6 of the total
population). The program is designed to support seniors living independently, to help them feel less
isolated and to help them experience an improved quality of life when provided with non-medical
assistance.
Part 2: Action Plan
Clients will be referred to the program from a variety of sources including Orange County's
Depariinent on Aging, the Department of Social Services, local hospitals, family and self-referrals.
Friend-to-Friend volunteers will be matched with identified program clients. Friend-to-Friend
volunteers will visit each client in his/her home, one time each week, for one hour, for aone-year
period. Friend to Friend volunteers will act as companions and provide services such as telephone
reassurance, run errands, accompany the older adults to appointments, do yard work and meal
Page 45
Work Plan/Performance Measures
preparation, provide assistance with writing correspondence and general companionship, (Dept on
Aging Eldercare-Friend to Friend Program)
nticipated Input '
12 Friend-to-Friend volunteers will spend approximately 576 hours annually engaged in activities
with Orange County clients. Volunteers will spend a total of t2 hours per week for 48 weeks serving
z4 homebound clients living alone and helping them maintain independence. Each client will
receive r hour of service per weelcfor a rz-month period. RSVP standard benefit package and
recognition apply. Agency's Volunteer Coordinator checks references, runs criminal background
checks and provides orientation and training. Volunteers provide DMV driving records.
Summary
Elderly clients living alone will receive weekly scheduled assistance from their Friend to Friend
volunteer annually.
INDICATORS: # elderly clients will be assisted.
TARC,ET: 3o elderly clients will be assisted,.
rrrne~ rrtv n eTiA FT7• Vnln ntaar honr6 I'eDOrt
volunteer.
INDICATOR: # of clients who will feel less isolated
TARGET: 22 clients will feel less isolated
..~,<., nR>; ncTTD FiI• Ca Hcfn rtinn Survev, # of clients
39
Page 46
Summary
Seniors living at home will experience feelings of less isolation with the help of aFriend-to-Friend
Summary
Clients will feel the program has helped support their respective capacity to live independently during
q-o
Work Plan/Performance Measures
the 12 month program year.
INDICATOR: ~ of clients who will feel the program supports their capacity to live independently
TARGET: 22 clients will feel the program supports their capacity to live independently
HOW MEASURED: Station Client Survey
Assistance to individuals in times of personal crisis, loss or grief, fundraising, board members;
Counsel people with a variety of personal/ professional concerns/needs through information,
education, referral, one-on-one, small groups, access to reference library, financial counseling...Assist
with refugee resettlement such as,job search, living arrangements, transitions, language tutoring,,.
Provide aid to homeless animals through on-site shelter assistance, publicity of special programs,
assistance with special events, educational efforts (Jewish Family Services of Durham and Chapel
Hill, Lutheran Family Services, Orange Congregation in Missions Samaritan Relief; Orange County
Animal Shelter, Women's Center)
u volunteers will serve 3'7o hours RSVP Benefits package and recognition apply, Agency provides
Summary
Summary
Page 47
~-~
Work PlanlPerformance Measures
Summary
According to Ronald McDonald House (RMH) Charities and local North Carolina hospitals, there s a
need in the surrounding counties for low-cost or free temporary, housing & basic needs (food) for
non-local families of hospitalized, critical pediatric patients. Families have to spend an average of
$r5o/day for a regular motel room and meals or have to stay in thew cars, hospital lobbies or
waiting rooms, Families would be in a strange place, with amotel-room type setting, limited access
to food, to socialization and to community information. To help meet this need, RMH Charities
established a local Ronald McDonald House, operated mainly through volunteers, Without them,
management would have to hire staff at a cost of approximately $So,ooo a year.
RMH is a 20,000 square-foot, free-standing, non-profit residential facility with 3o bedrooms and
private baths. It has a common kitchen for guests to prepare meals and socialize along with quiet
areas for fellowship, According to its Volunteer Director, its services rely on ahigh-quality volunteer
base to aid with operations, patient contact, guest relations, volunteer recruitment, maintenance and
community information,
-This volunteer pool provides stability and consistency so staff can focus on direct services such as
programming, fundraising and operations.
- Their investments of time, energy, commitment and reliabffity make the environment positive and
easy for' new volunteers to join. It presents a setting for families to feel safe and to share fellowship..
- RMH has a low staff to client ratio equivalent to '7 full-time staff:rzoo families (2-3 family
members) annually. (Ronald McDonald House)
Page 48
a~a
Work Plan/Performance Measures
ervice Activities
RSVP volunteers wil] contribute approximately 3 hours each week over 48 weeks in at least one area:
House volunteer will register guests and orient them to the facility and House rules for
safety....Volunteer Committee will maintain the building, clean and prepare the rooms after family
leaves and set up for the next guest._..Special Event volunteers to assist with birthday parties, send
donation aclmowledgments, provide supportive listening, assist with fundraising and serve as a
community spolcesperson....An RSVP volunteer, as the volunteer coordinator, will collect and submit
hours of other RSVP volunteers on-site_.,.All volunteers will recruit new volunteers,
nticipatetl Input -„
25 RSVP volunteers will serve 3400 hours annually, the equivalent of 1.'7 paid fuIl-time
staff,..,Gueststyill be asked to contribute a small daily fee but donations comprise less than ro% of
the operating budget..,.T'he House will provide housecleaning supplies; three 3-hour training sessions
with on-site training as needed; name tags; parking, snacks and drinks; and a $zooo recognition
event. RSVP will provide its standard benefits and recognition..
Summary
Approximately r2oo families of seriously ill children will reside at this House while their child is being
treated for a serious illness at local North Carolina hospitals.
Indicator: ~ of families will be guests
Target: xzoo families will be guests
rr..... r,r,..,~„ro~• unnatrt Mr.T)nnald House rei;istration records
INDICATORS: ~ of families who will be highly satisfied
TARGET: 600 of families will be highly satisfied
Page 49
Summary
Guests will be highly satisfied with Ronald McDonald services or facIlities,
43
Work Plan/Performance Measures
HOW MEASURED: Optional written surveys; House records of people surveyed and registered.
Measurement period will be every 6 months,
Summary
Referred families using this facility will be able to remain closer to their child longer due to reduced
financial barriers,
INDICATOR: ~ of families using die facility will remain closer to their child longer due to reduced
finacial barriers
TARGET: 600 of families using the facility will remain closer to their child longer due to reduced
finacial barriers
HOW MEASURED: Optional written surveys; House records of people surveyed and registered,
Measurement period will be every 6 months,
ervice wcuvmes ,
Provide guidance and leadership to children. (CHCCS Blue Ribbon Mentor, Orange County Rec and
Parks-mentoring)
1o vols. will serve ~r5 hrs. RSVP Benefits and recognition apply. Station Training Provided
Summary
Summary
Page 50
!.~-~
Work Plan/Performance Measures
Summary
ommunity Neea -
Today's mobile society breaks down the support formerly available to seniors when a nuclear family
unit resided nearby. In addition, life spans are steadily increasing; therefore the need for senior
support services and programs is growing at an increasing rate. Using volunteers provides
opportunities for seniors to serve and stay active while providing community services for the elderly
that would otherwise be unavailable because of limited staff and funding.
The Orange County Department on Aging, through its 3 senior centers, provides citizens access to a
wide variety of services, activities and opportunities. They inclrrde information, intellectual
stimulation, social activities, health and wellness programs and groups, transportation, volunteer
opportunities, and counseling regarding age-related or care giving issues and the coordination of
individual services, In addition, the Department identifies needs and plans future programs. Their
goal is to "add years to life and life to years.."
In the absence of these centers and the volunteer support they mobilize, the seniors' need for many
services would likely be unmet and the need for extended care could be accelerated. IZeeping seniors
actively involved in the community as long as possible contributes to their improved physical, social
and mental well-being as stated in the Orange County Master Aging Plan. Por example, volunteers
are mobilized for class instructors, event assistants, administrative/clerical support, and
board/committee members. Orange County has r6,ooo+ older adults, and the Centers serve approx.
Page 51
~5
Work Plan/Performance Measures
r/S of this population annually. [Source: North Carolina State Data Center (2003) and Senior Center
Records]
r, ENTERTAINMENT
VILLAGE REWE -rehearse plays and musicals to be performed at 3 senior centers and at various
community locations;
MUSIC VOLUNTEERS-play piano at teas and various other functions
2. ADMINISTRATIVE/CLERICAL
•FRONT DESIZ RECEPTIONISTS-answer phones, direct seniors to various activities, and make
appointments for services at the 3 senior centers
FRIENDS OF THE SENIOR CENTER-boards/committees raise funds for rent and various activities
SENIOR TIMES DISTRIBi7TION-bi-monthly publication needing to be placed at sites seniors
frequent
.PROGRAM ASSISTANTS-help plan and coordinate activities. (3 Senior Centers)
3. PROGRAM ASSISTANTS
-Computer Class for Seniors (Northern Orange County)
•55 Alive Driving Instructors
•Dance and Music Classes
-Potlucks, Teas, Trips, eta
rr2 volunteers will provide approximately 530o hours annually at the 3 Centers and various
community sites. Service needs are communicated to the Orange County Department on Aging from
a variety of sources. The staff evaluates needs and formulates plans to address them. Volunteers are
Page 52
Volunteers serve in various activities:
q' ~
Work Plan/Performance Measures
then recruited and assigned to required tasks.
Frequency of volunteer input: Senior Times Distribution- 6/yr., Village Revue - zo
performances/yr, Front Desk - 25o times/yr., Friends of Senior Center - 4 times/yr., Music - 45
times/yr.
•3 Senior Centers provide -and all program areas share -access to copier, pianos, practice space,
program space, kitchen service area, equipment and supplies as needed, including food for regular
teas and potlucks. T'he Village Revue requires additional support of audio equipment, instruments
and maintenance. Friends of the Senior Center help pay the rent/utilities via fundraising. Volunteers
receive on-the-job training except for volunteer-led dance and music training provided to
entertainers.
n ~ro .....,,;,~a~• hA„Pfir naclca~e and recoenition.
at 3 Orange County Senior Centers
INDICATORS: # of seniors who will participate in activities offered at 3 Orange County Senior
Centers
TARGET: 300o seniors will participate in activities offered at 3 Orange County Senior Centers
unw MR.ARTTRRD: Senior Center Monthly Statistical Reports and the Senior Centers Evaluation
community involvement
INDICATOR: ~ of seniors will increase community involvement.
TARGET: 50o seniors will increase their community involvement
HOW MEASURED: Orange County Senior Centers Evaluation
Page 53
Summary
Of the r6,ooo Orange County seniors it is estimated that 3,00o will participate in programs offered
Summary
Seniors participating in activities offered at 3 Orange County Senior Centers will increase their
~7
Work Plan/Performance Measures
INDICATOR: ~ of the seniors will improve their physical, social and mental well-being
TARGET: Soo of the seniors will improve their physical, social and mental well-being
Part 2: Action Plan
Services in a broad range of activities to specifically improve the well-being of seniors in society, not
included in any other related category and is not personal assistance, Serve as board members (AARP
- Chapel Hill, Carol Woods, Orange Co Dept on Aging -Aging Board and Aging Committees, Orange
Co Recreation and Parlcs-Senior Games-in 3rd/4th Qtr,, RSVP music volunteers)
._._.~ --
35 vols. will serve 300o hrs. RSVP Benefits and recognition apply. Stations provide orientation and
training,
Summary
Summary
Summary
Page 54
Summary
Participating seniors will experience an improvement of their physical, social and mental well-being.
HOW MEASURED: Orange County Senior Center Evaluation
48
Work Plan/Performance Measures
counseling and taking on errands/job hunts, nurturing the well-being of families before prisoners are
released and helping inmates reintegrate into the community. (Orange Corrections)
2 vols. will serve 4o hrs. Station will provide background checks, training. RSVP benefits and
recoenition apply.
Summary
Summary
Summary
_. __ __.
Part 2: Action Pian '
ervice Activities 4'
Provide aid, assistance and counseling to abused/neglected children and their families, Provide a
safety net for the child facing the legal system. Conduct training in prevention/awareness and serve
Page 55
Volunteers will provide services for incarcerated offenders in aminimum-security pnson ror men:
49
Work Plan/Performance Measures
as Guardian ad Litem. (Guardian ad Litem) Serve on Board of Directors for the UNC Childhood
Trauma and Maltreatment Center.
6 vols will serve Soo hrs. RSVP benefits and recognition apply. Stations provide formal training:
Guardian ad Litem 2 evenings a week for 3 weeks, 20-3o hours to include court observation
Summary
Summary
Summary
Part 2: Action Plan
(x)Train and assist others in conflict resolution/mediation techniques and violence prevention,
Mediate disagreements--such as domestic, neighborhood, landlord/tenant, customer business,
personal disputes--to prevent legal action; support office administration
(2)Provide clerical assistance for pro-bono legal fum aiding victims of abuse
(3)Provide traffic court assistance by pulling files prior to court and on court day, distribute files to
incoming clients, direct and assist them in locating assigned courtroom
(Dispute Settlement Ctr•, DVC Legal Services, OC Courts)
Page 56
5a
Wark Plan/Performance Measures
8 volunteers will serve q9o hours. On-site station training varies from moderate to intense.
Period of < Performance
anticipated AccomplishmentslOutputs Accomplishment: Measure
Summary
Summary
Summary
(r) Presentations/special events to raise awareness of local crime issues for seniors and community
at-large such as tourist safety, elder abuse and scams. Volunteers speak to groups of seniors at senior
centers, retirement homes & special events
(2) Provide receptionist assistance and data entry of cases (Chapel Hill Police Dept)
Anticipated Input
3 volunteers will serve Soo hrs.. RSVP Benefits and recognition apply. Station provides 2 hours of
training for presentations and 2 hours for data entry.
Summary
Accomplishment:'i 'Measure:
Summary
Page 57
~i
Work Plan(Performance Measures
.Anticipated End impact/Outcome
Summary
_ _...
Part 2: Action Plan
(t) Volunteers will be on call/activated to provide critical assistance during each stage of a disaster or
emergency; will support efforts for readiness: bloodmobiles, board members, trainers, cleanup
(2) Assist individuals to be prepared prior to a disaster or emergency through special events in
collaboration with specialized agencies; includes fundraising, planning, coordinating event
(3) Volunteers take a written test on FAQs and complete training. Greet/direct people welting
assistance at airport based on airport safety protocols, including observing potential unsafe or
terrorist situations
(Orange County Chapter of the American Red Cross, RSVP Disaster Preparedness Program, Raleigh-
Durham International Airport-RDU)
wuic~pa~eu mNu~
r8 volunteers will serve r8oo hours, RSVP Benefits package and recognition apply. Initial and
ongoing training provided by stations (r) Red Cross Disaster Action Team [28 hours per volunteer]
and bloodmobile [on-site] (8) RDU will provide 4 hours training outside terminals and 4 hours
inside, a Policy and Procedures Manual, Frequently Asked Questions sheet and periodic meetings for
updates.
Summary
Page 58
5a
ASSURANCES
As the duly auilrorized representrtive or the applicant, I certif}', to [he best of my kmowledge and belief, ilraC the applicant:
1 Has the legal authority to apply for federal assistance, and dte institutional,
manaeerial, and financial capability (including funds sufficient to pay the
non-federal share of project costs) to ensure proper planning, management,
and wmpledon ofthe project described in this application
2 Will give the awarding agency, the Comptroller General of the United
States, and if appropriate, the sate, through any awhorized representntrve,
access to and the right to examine all records, books, papers, or documents
related to the mvard; and wilt establish a proper accounting system in
accordance with generally xeepted accounting standards or agency
directives
3. WiII establish safeguards to prohibit employees from using dreir position
Cor a purpose that consdmtes or presents the appearance of personal or
organizational conflict of interest, or personal gain
4. Will initiate and complete [he work within the applicable time frame after
receipt of approval of the awarding agency
5 Will comply with the Intergovernmental Personnel Act of 1970 (42 U S C
4728-1763) relating to prescnbed sandards for merit systems for programs
funded under one of the nineteen statutes or regulatons specified in
Appendix A oYOPM's Standards fora Merit System of Personnel
Administration (5 CFR.900, Subpart P).
6. Will comply with all federal statutes relating to nondiscrimination.
These include but are not limited to: Title VI of the Civil Rights Act oT
1964 (P.L 88-352) which prohbits discrimination on the basis of
race, color, or national origin; (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S C 1681-1683, and
1685-1666) which prohibits discrimination on the basis of sex; (c)
Section 504 of the Rehabilitation Act of 1973. as amended (29
U.S.C. 794). which prohibits discrimination on the basis of disability
(d) The Age Discrimination Act of 1975. as amended (42 U S C.
6101-6107), which prohibits discrimination on the basis of age; (e)
The Drug Abuse Office and Treatment Act of 1972 (P L 92-255), as
amended, relating to nondiscrimination on the basis of drug abuse;
(f) The Comprehensive Alcohol Abuse and Alcoholism Prevention,
Treatment and Rehabilitation Act of 1970 (P. L. 97-616), as
amended, relating to nondiscrimination on the basis of alcohol abuse
or alcoholism; (g) sections 523 and 527 of the Puhlic Health Service
Act of 1912 (42 U S.C 290dd-3 and 290ee-3), as amended. h ITifle
to confdenliality of alcohol and drag abuse patient records; ( )
VIII of the Civil Rights Act of 1968 (42 U S.C 3601 et seq ). as
amended. relating to nondiscrimination in the sale, rental or financing
of housing; (i) any other nondiscrimination provisions in the National
and Community Service Act of 1990. as amended; and Q) the
requirements of any other nondiscrimination statute(s) which may
apply to the application.
7 Witl comply, or has already complied, with the requirements of Titles II and
In ottee Unitarm Relocation Assistance and Real Property Acquisition
Policies Act oC 1970 (P L... 91-646) which provide for fair and equitable
meatrnenC oCpersons displaced or whose prop=rry is acquired as a result of
federal or federally assisted programs these requirements apply m alt
interests in real property acquired for project purposes regardless of federal
participation in purchases
8. Will comply with ilre provisions of dre Hatch Act (5 U.S C 1501-ISOS and
7324-7328) which limit the polirical 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-IIacon 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.SC.
327-333), regardinS labor standards for Federally assisted consvuc[ion sub-
agreements
10 Will comply, if applicable, with flood insurance purchax requirements of
Section 102(a) aC the Flood Disaster Protection Act of 1973 (1' L. 93=234)
which requires the recipients in a special flood hazard area ro participate in
the progam and to purchase flood insurance ifthe mtal cost of insurable
constmction and acquisition is 510,000 rir more
I1. Will comply with environmental standards which may be prescribed
pursuant to the following: (a) insdmtian of environmental quality convol
measures under the National Environmental Policy Act of 1969 (P L 91-
190) and Executive Order (EO) 11514; (b) notification of violating facilities
pursuant to EO 11738; (c) protection of wedands pursuant to L•0 11990; (d)
evaluation of flood hazards in floodplairu in accordance with EO 11988; (e)
assurance of project consistency with the approved state management
program developed under ilre Coastal Zone Management Act of 1972 (I6
U S C 145] et seq ); (f) conformity of federal actions to Stara (Clean Air)
Implementation Plans under Section 176(e) of[he Clean Ass Act of 1955, as
amended (42 U S C 7401 et seq ); (g) protection of undergound sources of
drinking water under ilre Safe Drinking Water Act of 1994, as amended
(P L. 93-i23); and (h) protection of endangered species under the
Endangered Species Ac[ of 1973, as amended (P L. 93-205)
12 Will comply with the Wild and Scenic Rivers .Aft of 1968 (16 U SC 1271
et seq) related to protecting components or potential components aFthc
national wild and scenic rivers system.
13 Wilt assist the awarding agency in assuring compliance with Section 106 of
the National Historic Preservation Act of 7966, as amended (1G U S C
470), EO 11593 (identification and protection of hismric properties), and
the Archaeological and Hismric Preservation Act of 1974 (16Ti 8 C 4GIa-1
et seq ).
14 Will comply with P L 93-348 regarding the protection ofhurnan subjects
involved in research, development, and related activities supported by this
award of assistance
15. Will comply with the Laboratory Animal Welfare Act of 1966 (P L. 89-544,
as amended, 7 U S C. 2131 et seq) pertaining to dre care, handling, and
treatment of warm blooded animals held for research, teaching. or oilrer
activities supported by this award of assisance
l6 Will comply with the Lead-Dared Paint Poisoning Prevention Act (42
U S C §§ 4801 e[ seq.) which prohibits the use of lead based paint in
conswction or rehabilitation ofresidence strucarres
17 Will cause to be perfbrmed the required Ernncial and compliance audits in
accordance with the SinSle.AUdit Act of 1954, as amended, and Otv1B
Circular A-133, Audits of States, f ocal Governments, and Non-Profit
Organizations.
18 Wilt comply widr all applicable requirements of all other Pedeml laws,
executive orders, regulations, application guidelines, and policies governing
[his program
SIGNATURE OF AUTHORIZED CERTIFYING TITLE
f iT norAnI17ATIf1N DATE SUBMITTED
( nor"..,,,., ............_.._.. _..
CERTIFICATIONS REGARDING (A) DEBARMENT, SUSPENSION AND OTIiER RESPONSIBILITY ~ 3
~,r a mmc•'o c. rn~ nvrir2_>u~uFr. wnRKPT.A('.F. RF.niTIREMENTS: AND (C) LOBBYING
Mara a a aaaav, \+'/ .. ... . ~"'." .....""_ _
Applicants should refer to the regulations cited below to determine which certifications(s) apply to their grant, and review the instructions included in the
regulations, Signing this form complies with certification requirements under "Govemment-wide Debarment and Suspension (Non-procurement)",
"Government-wide Requirements for Dmg-Free Workplace (Grants)" in 45 CFR Part 1229, and "New Restrictions on Lobbying" in 45 CFR Par[ 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.
M DEBARMENT, SUSPENSION, AND OTAER RESPONSRILITIES
As required by Executive Order 12549, Debarment and Suspension, and implemented at 45 CFR Part 1229, for prospective participants in primary covered transactions. as
defined at 45 CFR Pan 1229, Sections 1229105 and 1229.1 t0 -
1. The applicant certifies that it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Fedeml department or
agency;
(b) Have oot, within a 3-year period preceding this application, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal
offense in connection with obtaining, attempting to obtain, or performing a public (Fedeml, Smte or local) vansacdon or contract under a public transaction;
violation of Federal or Smte antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or deswction of records, making false
statements, or receiving stolen property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a Fedeml, Smte or local government entity with commission of any of dre offenses
enumerated in paragraph t(b) of this cerditcation;
(d) Have not, within a 3-year period preceding this applicadon, had one or more public transactions (Fedeml, State or local) terminated for cause or default.
2. Where the applicant is unable to certify to any of the statements in this certificadon, he or she shall attach an explanation to this application.
B. DRUG-FREE WORKPLAN (GRAN'T'EES OTI~R IIiAN WDNmUAL S)
As required by the Drug-Free Workplace Ac[ of 1986, 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 pzovide a drub-Gee workplace, and will -
(a) Publish a statement notifying employees that unlawful manufacture, distribution, dispensing, possession or use of a convolled sub-stance is prohibited in the
grantee's workplace and specifying the actions drat will be Wkcn against employees for violation of such prohibidon;
(b) Establish an on-going drug-free awareness program to inform employees about -
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drag-free workplace;
(3) Any available drag counseling, rehabilitndon, and employee assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse violations occumng in dre workplace.
(c) Require that each employee to be engaged in dre performance of the grant be given a copy of the statement required by paragraph t (a);
(d) Nadfy the employee in dte smtement required by subparagraph 1(a) Ihat, as a condcdon of employment under the grant, employee will -
(t) Abide by the terms of the smtement; and
(2) Notify the employer in writing of any convicdon for a violation of a criminal drug smlute which occurred in the workplace, no later than 5 calendar days after
such convicdon;
(c) Notify the cognizant Carpomdon Grants Officer widrin ]0 calendar days after receiving notice of such conviction under subparagraph (d)(2) from the employee, or
otherwise receiving actual notce. The notice shall include the title of the employee's posidon and the identification number(s) of the affected grant;
(t) Take one of the following actions, widrin 30 calendar days of receiving nodce with respect to any employee who is so convicted -
(I) Take appropriate personnel action against such an employee up [o and including terminadon consistent with the requirements of the Rehabilimdon Act of 1973,
as amended; or
(2) Require such employee to participate satisfactorily in a drug abuse assistance oz rehabilitation program approved (ar such purposes by a Fedeml, State or local
health, law enforcement, or other appropriate agency;
(g) Make a good faith effort to continue to mainmin a drug-free workplace dvough implementation of paragraphs 1(a) through 1(f).
C. LOBBYWG
As required by Secdon 1352, Title 31 of the US. Code, and implemented at 45 CFR Part 1230, for organiwtions entering into a gram or cooperative agreement over
$IOO,000, as defined at 45 CFR Pan 1230, Sections 1230 105 and 1230 110, [he applicant certifies drat:
i No Fedeml appropriated funds have been paid or will be paid, by or on behalf of dre undersigned, to any person for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer ar employee of Congress, or an employee of a Member of Congress in connection with the awarding of any
Fedeml contract, the malting of any Fedeml grant, the making of any Fedeml loan, the entering into of any cooperative agreement, or the extension, condnuadon,
renewal, amendment, or modiPicadon of any Fedeml contract, gmn6 loan, or cooperative agreement.
2. If any funds other than Fedeml appropriated funds have been paid or will be paid to any person far influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connecdon with this Fedeml contract, grant, loan, or
cooperative agreement, the undersigned shall complete and submit Standard Forth-LLL, "Disclosure Form to Report Lobbying;' in accordance with its inswctions.
3. The undersigned shall require that dre language of this cerdfication be included in the award documents for all subcanvacts at all tiers (including subconvacts, sub-
grants, and contracts under grants, loans, and eooperadve agreements) and That all sub-recipients shall certify and disclose accordingly.
As the duly authorized represenradve of the applicant. 1 hereby certify that the applicant will comply with the above certification(s) (A copy of [he governing body's
authorization forme to sign this certification as official represenmtive is on file in the applicant's office)
Oran a Count Govemment Board of Commissioners Ba 7acobs Chair
Applicant Organizrdon Printed Name and Title of Authorized Represenmtive
-April 16, 2006
Signature of Authorized Certifying Official Date
Notice of Grant Award CorporafionforNationalandCornmunityService $y
60 Forsyth St Sw, Suite 3rrr10
~'y v'/O(o ~py,~(~L ~.___ Atlanta, (sA 30303-8808
Retired and Senior Volunteer Program
Grantee
Orange Cty Dept on Aging BIN: 566000327
RSVP Chapel Hill Senior Center400 A-1 S Elliott Road Chapel Hill NC 27514
Award Information
Agreement No: 0:3SItSNCt32 ProjeclPeriod: 07/01/2003-06/30/2006
Amendment No : 2 Budget Period: 07/01/2005 - 06/.30/2006
CFDA No..: 94.002
Award Description
The purpose ofthis award is to assist the grantee in canying out a national service progmmas authorized by the Dorr>estic
Volunteer Service Act of 197.3, as art~nded (42IIS C, Chapter 22)
Funding Information
Previously Thls Awardl Total Current
Current Year Awarded Pmendment Year
Thfs Year
Total Obligated by CNCS 50 559,<W8 559,418
Csamec's Unobligatcd SO S0 SO
Balance (Cvryovcr)
Iotat Available SO 559,418 559,448
Cumulative Funding for Project Per iod
Total Awarded in Previous Years $I 17,918
Total CNCS Funds Awarded to Date 5177,366
Special Conditions
This amendrrent augrr~nts this grant to include a .0083% administrative increase in the amount of 5489 00, All other terrns
and conditions remlin the saner.
Costs allowed under this grant are linrited to those categories contained in signed application package dated 5/11/2005.
C.xantees shall prepare a Project Progress Report (CNCS-1030 for Senior Corps or CNS 143.3 for AmeriCotps * VISTA) s emi-
annually at the end of the 2nd, and 4th quarters ofihe budget period. The report shall be submitted to the Corporation Program
Managerno later than .30 days after the end of the designated reporting period.
Terms of Acceptance: By accepting funds under this grant, the Grantee agrees Io comply with all terms and condi0ons of
the grant that are on the Corporation's website at
hup://egrams ens.gov/termsandcondi0ons/RSVPTandC°/n20Revised°62020050013.pdf, all assurances and codifications made in
the Grant application, and all applicable federal statutes, regulations and guidelines. The Grantee agrees to administer the
funded Program in accordance with the approved Grant application and budget(s), supporting documents, and other
representations made in support of the approved Grant application.
55
Notice of G rant Award 60 Forsyth St Sw, Suite 3rrr10
~- ~~7,~^,~/!p~ (~ Atlanta, GA 30303-5808
Retired and Senior Volunteer Program ~ V~ rV `r ~""
Grantee
Orange Cty Dept on Aging EIN: 566000327
RSVP Chapel Hill Senior Center 400 A-1 S Elliott Road Chapel Hill NC 27514
C/o~rporation forNationaland Community Service:
t , + *~~~ 06128/?005
~•}w'W_~Tt+{+~_ ~~ Veda Williams, 404-562-0054
Signature Date Grants Official
Linda Mullis, 919-85G-0731
Evelyn Morrison
Narr>r (typed) Program Official
Senior Crtants Officer