FY17 Summer Strong DC Grant Competition Request for Proposals

Released November 30, 2016

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TABLE OF CONTENTS CONTENTSUnited Way of the National Capital Area............................................................................................................4FY17 Summer Strong DC Overview..................................................................................................................4

Summer Grant Period..................................................................................................................................5

Programming Participant and Dosage Requirement........................................................................................5

Youth Development Outcomes.....................................................................................................................5

FY17 Summer Strong DC Granting Categories...................................................................................................6Afternoon Enrichment at DC Public School (DCPS) Summer School Sites........................................................6

Afternoon Enrichment at DC Public Charter School Summer School Sites........................................................6

District of Columbia Housing Authority (DCHA) Sites......................................................................................7

Safer, Stronger DC Community Partnerships Priority Neighborhoods................................................................7

Key Dates.......................................................................................................................................................9Notice of Intent to Apply...............................................................................................................................9

Grant Technical Assistance Sessions (GTA)..................................................................................................9

Proposal Deadline.......................................................................................................................................9

Award Process............................................................................................................................................9

Notification Process...................................................................................................................................10

Eligibility and Requirement.............................................................................................................................10Organizational Structure and Status............................................................................................................10

Programmatic Focus and Experience..........................................................................................................10

Operations and Finance.............................................................................................................................11

Other Applicant Requirements....................................................................................................................11

Awarded Grantee Requirements and Dispursements........................................................................................11Reporting Requirements............................................................................................................................13

Evaluation, Meeting and Training Requirements...........................................................................................13

Safety and Clearance Requirements...........................................................................................................14

DC Free Summer Meals.............................................................................................................................14

Summer Initiative Program Proposal Narrative.................................................................................................20Organization History and Relevant Experience.............................................................................................20

Participant Profile......................................................................................................................................20

Program Description..................................................................................................................................20

Program Outcomes and Evaluation.............................................................................................................21

Program Collaboration and Partnerships......................................................................................................21

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Overall Capacity........................................................................................................................................21

Summer Program Work Plan Form..................................................................................................................22Summer Proposed Budget/Narrative and Project Revenue Forms......................................................................23

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UNITED WAY OF THE NATIONAL CAPITAL AREA

At United Way of the National Capital Area, we work to help all members of our community to have a better life. We focus on the building blocks of a good life — a quality education, financial stability for individuals and families, and good health.

We convene the people and organizations necessary to create solutions to our region’s most pressing challenges. We collaborate with effective partners. We serve as the catalyst for community change.

We bring together the voices, expertise and resources needed to define, articulate and create community impact in the national capital area.

FY17 SUMMER STRONG DC OVERVIEW

United Way of the National Capital Area (United Way NCA) is proud to announce the FY17 Summer Strong DC grant competition. This grant competition invites high-performing, non-profit youth development organizations in Washington, DC, that serve young people between the ages of 5 and 24 with programming that addresses key developmental outcomes to apply for FY17 summer program funding. Applicant organizations must embody a general philosophy of positive youth development in their approach and program design. Proposals will be funded in the following categories: • Afternoon Enrichment at DC Public School (DCPS) Summer School Sites

o Younger Youth (ages 5 – 13) • Afternoon Enrichment at DC Public Charter School (DCPCS) Summer School Sites

o Younger Youth (ages 5 – 13) o Older Youth (ages 14 – 18) o Young Adults (ages 19 – 24)

• District of Columbia Housing Authority (DCHA) Sites o Younger Youth (ages 5 – 13) o Older Youth (ages 14 – 18) o Young Adults (ages 19 – 24)

• Safer, Stronger DC (SSDC) Community Partnerships Priority Neighborhoods o Younger Youth (ages 5 – 13) o Older Youth (ages 14 – 18) o Young Adults (ages 19 – 24)

• Traditional Summer Programming Sites o Younger Youth (ages 5 – 13) o Older Youth (ages 14 – 18) o Young Adults (ages 19 – 24)

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All programming must be focused in one of the above five categories. Preference will be given to applicants that have a history of serving youth and/or families in these categories. Applicants should make a concerted, intentional effort to reach those children and their families who live in and or attend school in the identified sites and might not otherwise know about, register for, or participate in programs. Applicants are strongly encouraged to host recruitment activities (barbeques, game nights, family fun day etc.) to draw youth to their programs. Recruitment should take place prior to the beginning of programming. NOTE: Applicants may apply once in each of the five categories; however, applicants will only be awarded grants in up to two categories. Summer Grant Period The FY17 Summer Strong DC grant competition has been developed to provide support for applicants that embrace a philosophy of positive youth development in their design and delivery. If you wish to apply in the DCPS, DCPCS, or Traditional Categories, you must provide programming for the entire length of the programming period which is June 26, 2016 through July 28, 2016. The grant period is June 12, 2017 through August 11, 2017. If you wish to apply in the SSDC category, you must provide programming for the entire length of the programming period which is June 26, 2017 through August 4, 2017. The grant period is June 12, 2017 through August 18, 2017. If you wish to apply in the DCHA category, you must provide programming for the entire length of the programming period which is June 26, 2017 through August 11, 2017. The grant period is June 12, 2017 through August 25, 2017. Programming Participant and Dosage Requirement The FY17 Summer Strong DC grants are cost-reimbursement grants with a maximum per-participant expenditure. The funding for programming will be a minimum ask of 30 participants up to a maximum ask of 90 participants being served. In addition, please read carefully the dosage requirements and respective per participant rates specific to each funding category below. Youth Development Outcomes Youth development is a process in which all young people seek ways to meet their basic physical, emotional and social needs and to build competencies (knowledge and skills) necessary to succeed in adolescence and adulthood. We seek to fund programs that provide intentional opportunities along with corresponding supports and services that help young people reach developmental outcomes and have meaningful roles in their community. Applicants must utilize and adhere to an overall youth development philosophy and provide intentional opportunities (with corresponding supports and services) for young people to meet the two (2) to three (3) developmental outcomes they select. (SEE ATTACHMENT 1) The youth development perspective begins with an emphasis on clearly defining youth outcomes, which are the attitudes, feelings, knowledge and behaviors that facilitate the most fulfilled and positive passage from childhood into adulthood. All programs desire successful developmental outcomes for their youth. However, programs must first

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know what developmental outcomes are and how they are displayed and expressed by youth in order to apply intentional and effective approaches to helping foster them. (SEE ATTACHMENT 2) FY17 SUMMER STRONG DC GRANTING CATEGORIES

Afternoon Enrichment at DC Public School (DCPS) Summer School Sites Grants at DCPS Summer School Sites will be awarded to support high quality summer programs for younger youth (ages 5-13) that excel at facilitating the developmental outcomes selected. Applicants must provide programming in one of the DCPS Summer School Sites listed below to conduct an afternoon enrichment program for students enrolled in summer school. NOTE: Applicants must be officially vetted by DCPS and must obtain a current letter of support from Najla Husseini (najla.husseini@dc.gov) at DCPS’s Office of the Chief Operating Officer with the proposal. If you have not yet been vetted, but are awarded funding, your organization must be vetted and approved during the March/April vetting period to secure funding. The following are the K-7th grade summer school sites open for programming: *Sites will be announced in mid to late December 2016 and will be posted on United Way NCA’s website upon availability. Applicants providing programming in this category will be required to provide programming for five (5) days per week for at least 5.5 hours between the hours of 12 pm and 5:30 pm or such hours needed to cover the full afternoon gap between the end of summer school and 5:30pm. Total budgets for proposed summer programs in DCPS sites must not exceed $600 per younger youth and serve at a minimum 30 younger youth and up to a maximum of 90 younger youth. Therefore, applicants will be applying to receive the minimum grant amount of $18,000 or up to the maximum grant amount of $54,000 for their program. Applicants located in DCPS Summer School Sites must provide services from June 26, 2017 through July 28, 2017. Afternoon Enrichment at DC Public Charter School Summer School Sites Grants at DCPCS Summer School Sites will be awarded to support high quality summer programs for younger youth (ages 5 – 13 years), older youth (ages 14 – 19 years), and young adults (ages 19 – 24 years) that excel at facilitating the developmental outcomes selected Eligible applicants include organizations, individuals or DCPCS LEAs (local education agencies). Applicants applying for a DCPCS Summer School Site, who are not the DCPCS local education agency (LEA) itself, must provide a current letter of support from the LEA’s central office. Applicants providing programming in this category will be required to provide programming for five (5) days per week for at least the number of hours needed to cover the full afternoon gap between the end of summer school and 5:30pm. Total budgets for proposed summer programs in DCPCS Summer School Sites must not exceed $600 per youth and serve at a minimum 30 youth and up to a maximum of 90 youth. Therefore, applicants will be applying to receive the minimum grant amount of $18,000 or up to the maximum grant amount of $54,000 for their program. Applicants located in DCPCS Summer School Sites must, at a minimum, provide services for a minimum of three weeks during the grant period of June 12, 2017 through August 11, 2017.

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District of Columbia Housing Authority (DCHA) Sites Building on the success of previous partnerships with community-based organizations, DCHA is eager to provide high-quality services to neighborhoods and encourages organizations to propose a single program or a range of programs to meet the needs of young people in the community. Applicants at DCHA sites will be awarded to support high quality summer programs for programs for younger youth (ages 5 – 13 years), older youth (ages 14 – 19 years), and young adults (ages 19 – 24 years) that excel at facilitating the developmental outcomes selected. If your program serves a blend of younger youth, older youth and/or young adults from these three age subcategories, please note you may only apply in one age group category. The recommendation is that you apply in the category that describes the majority of your participants. Applicants must provide programming in one the DCHA Sites listed. The following are the DCHA sites open for summer programming: · Park Morton/ Garfield Family (W1) · Kelly Miller (W1) · SW Family Sites – Greenleaf, Syphax, James Creek (W6) · Fort Dupont / Stoddert Terrace (W7) · Montana Terrace (W5) NOTE: If awarded a grant in this category, prior to execution of the grant agreement and first payment, awarded applicants must submit proof of insurance, a license agreement, and participate in meeting with the applicable resident leadership hosted by DCHA before programming begins. NOTE: For DCHA sites in Safer, Stronger Community Partnerships Priority neighborhoods, applications should be submitted in the Safer, Stronger Community Partnerships Priority Neighborhood category (see below). Applicants providing programming in this category will be required to provide programming for at least three (3) days per week with a minimum of 4 hours of contact per day. Total budgets for proposed summer programs in DCHA sites must not exceed $320 per younger youth and serve at a minimum 15 youth and up to a maximum of 90 youth. Therefore, applicants will be applying to receive the minimum grant amount of $9,600 or up to the maximum grant amount of $28,800 for their program. Applicants located in DCHA Sites must provide services from June 26, 2017 through August 11, 2017. Early Evening hours, from 6:00pm – 8:30pm will also be considered for programming. Safer, Stronger DC Community Partnerships Priority Neighborhoods Safer, Stronger DC Community Partnerships is part of the District’s overall public safety agenda. This broad-based prevention strategy is rooted in public health with the recognition that reducing crime is not accomplished through law enforcement alone. The District’s goal through this program is to foster a community-oriented model to crime prevention and public safety. In order to do this, the Safer, Stronger DC Community Partnerships team has convened Action Teams to create open-dialogue between District government and community members. The teams consist of a coalition of community members and District government employees working together to develop neighborhood-specific action plans and identify gaps needing to be filled within the current systems to improve and enhance the quality of living in our communities Applicants for Safer, Stronger DC Community Partnerships Priority Neighborhoods will be awarded to support high quality summer programs for programs for younger youth (ages 5 – 13 years), older youth (ages 14 – 19 years),

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and young adults (ages 19 – 24 years) that excel at facilitating the developmental outcomes selected. If your program serves a blend of younger youth, older youth and/or young adults from these three age subcategories, please note you may only apply in one age group category. The recommendation is that you apply in the category that describes the majority of your participants.

Programming must take place in one of the six designated Police Service Areas (PSAs) listed below. Preference will be given to programs who serve youth living in and/or attending school in the designated PSA. The following are the Safer, Strong DC Community Partnerships Priority Neighborhoods where programming can take place: • PSA 507 (includes Langston/Carver) • PSA 602 (includes Lincoln Heights) • PSA 604 (includes Benning Terrace) • PSA 702 (includes Woodland Terrace) • Congress Park (located in PSA 705) • PSA 706 (Washington Highlands) Applicants will be required to provide services for five days (5) per week with a minimum of six (6) hours of contact per day per participant. Total budgets for proposed summer programs in community-based sites must not exceed $800 per youth and serve at a minimum 30 youth up to a maximum of 90 youth. Therefore, applicants will be applying to receive the minimum grant amount of $24,000 or up to the maximum grant amount of $72,000 for their program. Applicants applying in this category must, at a minimum, provide services from June 26, 2017 through August 4, 2017. Traditional Summer Programming Sites Grants at Traditional Summer Programming Sites, such as DPR facilities, will provide supports, services, and opportunities to move program participants toward outcomes of positive youth development. Applicants conducting programming at traditional summer sites will be awarded to support high quality summer programs for younger youth (ages 5 – 13 years), older youth (ages 14 – 19 years), and young adults (ages 19 – 24 years) that excel at facilitating the developmental outcomes selected. If your program serves a blend of younger youth, older youth and/or young adults from these three age subcategories, please note you may only apply in one age group category. The recommendation is that you apply in the category that describes the majority of your participants. Applicants will be required to provide services for five days (5) per week with a minimum of six (6) hours of contact per day per participant. Total budgets for proposed summer programs in community-based sites must not exceed $800 per youth and serve at a minimum 30 young people up to a maximum of 90 youth. Therefore, applicants will be applying to receive the minimum grant amount of $24,000 or up to the maximum grant amount of $72,000 for their program. Applicants applying in this category must, at a minimum, provide services from June 26, 2017 through August 4, 2017. NOTE: If an organization is wishing to provide services to youth at a DPR site, a vetting letter must be obtained from DPR by emailing Nicole Sims at Nicole.Sims@dc.gov

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KEY DATES

• Wednesday, November 30, 2016: RFP Released • Wednesday, December 14, 2016: Notice of Intent to Apply (NOIA) due to United Way NCA by 5:00 p.m. • Thursday, December 15, 2016 – Monday, December 19, 2016: Mandatory Online GTA session made

available • Thursday, January 19, 2017: Completed Proposals due to United Way NCA by 5:00 p.m. • Thursday, February 23, 2017: Awards Announced via email

Notice of Intent to Apply IMPORTANT! All prospective applicants must also submit a Notice of Intent to Apply to United Way NCA. The Notice of Intent to Apply form should be completed and submitted via email (not by regular mail) to United Way NCA by Wednesday, December 14, 2016 at 5:00 p.m. Submittal of a Notice of Intent to Apply does not commit an organization to apply. However, failure to submit a Notice of Intent to Apply will disqualify an applicant. Any supplemental written information related to this RFP will be provided only to those organizations that have filed a Notice of Intent to Apply. The Notice of Intent to Apply (NOIA) form should be completed online at: https://www.surveymonkey.com/r/SUMMER17 Grant Technical Assistance Sessions (GTA) United Way NCA will hold an information session for nonprofit organizations interested in applying for Summer Grants. It is MANDATORY that applicants participate in the Grant Technical Assistance sessions (GTA). Questions regarding the RFP or proposal process must be submitted by Wednesday, December 21, 2016 at 5:00 p.m. All written questions and responses concerning this RFP will be posted on the UWNCA website by December 22, 2016 at 5pm. *Applicant must participate in an online Grants Technical Assistance (GTA) session, which will be made available between December 15-19, 2016. Proposal Deadline Completed Proposals should be submitted via email or in person at to the United Way NCA office no later than 5:00 p.m. on Thursday, January 19, 2017. • Incomplete proposals will not be accepted. • No extensions will be granted for the submission of missing proposal components. • Absolutely no applications will be accepted after 5:00p.m on Thursday, January 19, 2017.

Award Process Grantees proposals will be reviewed by a panel of three (3) to five (5) independent grant reviewers. The grant reviewers will read and score proposals based on the following point system:

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• Organization Profile 15 points • Participant Profile 15 points • Program Description 35 points • Outcomes and Evaluation 15 points • Collaboration 10 points

United Way NCA staff will add up to 10 points to the proposals. Staff will score proposals based on the following point system that can include, but is not limited to History and Compliance for current or former (funded within the last year) grantees. This includes: • Compliance with document and submissions timetable • Ability to meet work plan goals • Ability to meet ADA • Attendance at mandatory Grantee Meetings • Compliance with evaluation requirements Notification Process All funding decisions are final.

ELIGIBILITY AND REQUIREMENT

Organizational Structure and Status 1. Non-profit 501(c)(3) organizations for at least two years (since December 1, 2014 or before) are eligible to apply.

Organizations must verify their non-profit status by submitting a valid 501(c)(3) designation letter from the Internal Revenue Service, showing that the organization or the fiscal sponsor has been a non-profit for at least two years (since December 1, 2014 or before).

2. An organization described in Section 501(c)(4) of the Internal Revenue Code, 26 U.S.C. 501(c)(4), that engages in lobbying activities is not eligible to apply, serve as a host site, or act in any type of supervisory role in the program. Organizations that have both a 501(c)(3) and a 501(c)(4) tax status may only apply under their 501(c)(3) arm.

3. An organization must have been incorporated/registered to operate in the District of Columbia since no later than December 1, 2014. Organizations will be required to submit a Copy of the Incorporation under the District of Columbia Nonprofit Incorporation Act (not articles of Incorporation) no later than December 1, 2014.

4. An organization must have a physical location in the District of Columbia where they can provide services that is easily accessible to youth and their families.

Programmatic Focus and Experience 1. Organization’s primary vision and program focus must be on serving children, youth, and/or families within the

District of Columbia. 2. Applicants must have a strong history of providing youth development and family support programs/services to

the designated population in the designated sites are eligible to apply.

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3. Applicants must utilize an overall youth development philosophy (See Developmental Outcomes section) and provide intentional opportunities (with corresponding supports and services) for young people to meet the two (2) to three (3) developmental outcomes they select. Funding will also focus on programs that engage young people with developmental opportunities for project-based work as well hands-on and horizon-expanding experiences.

Operations and Finance 1. Organization must be in good financial standing with the DC Office of Tax and Revenue and the Internal

Revenue Service, as well as follow all appropriate charitable financial reporting standards. 2. Applicants must submit a recent DC Clean Hands Form (August 1, 2016 or later) from the DC Office of

Tax and Revenue, showing the organization and/or fiscal sponsor. The application for this form can be found at: https://ocfocleanhands.dc.gov/cch/

3. Organizations must have a valid Certificate of Good Standing with the DC Department of Consumer and Regulatory Affairs, showing the organization and/or fiscal sponsor. The application for this form can be found at: http://dmped.dc.gov/publication/clean-hands-self-certification

4. Organization must have a valid Charitable Solicitation or Charitable Exempt license (also called a business license), showing the organization and/or fiscal sponsor. The application for this form can be found at: http://dmped.dc.gov/service/register-and-license-non-profit-organization

5. Organization must also provide a valid Copy of Incorporation (SEE ATTACHMENT 5) Other Applicant Requirements 1. Applicants must have appropriate approvals:

a. If planning a program in DCPS Summer School Site, applicants must be vetted and must submit a current letter of support from DCPS’s Office of the Chief Operating Officer. Please contact Najla Husseini, najla.husseini@dc.gov

b. If planning a program in DCPCS Summer School Site, and are not the DCPCS LEA itself, applicants must provide a current letter of support from the DCPCS’s central office.

c. If planning a program in a DPR site, applicants must submit a vetting letter from Nicole Sims, Nicole.Sims@dc.gov

d. If planning a program in a DCHA site, prior to execution of the grant agreement and first payment, awarded applicants must submit proof of insurance, a license agreement, and participate in meeting with the applicable resident leadership hosted by DCHA before programming begins. Please contact Sherrill Hampton at shampton@dchousing.org

2. If applicable, applicants must be in compliance with previous and/or current United Way NCA /DC Trust grant(s).

AWARDED GRANTEE REQUIREMENTS AND DISPURSEMENTS

United Way NCA will advance grant funds incrementally. The initial funding advance after grant execution will be 35%. The subsequent payments of 55% and 10% will be based on approved progress toward work plan goals, and completed program and financial reports with corresponding source documentation.

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Financial Reporting Overview The Grantee shall maintain an accounting system that conforms to generally accepted accounting principles, which will permit an audit of all income and expenditures received or disbursed by the Grantee in the provision of services under this Grant Agreement. Accounting records shall be supported by source documentation, including but not limited, to canceled checks, invoices, vouchers, paid bills, financial statements, approved time and attendance reports, bank statements and payroll records, which shall be clearly identified, legible and readily accessible to United Way NCA. All source documents for all expenditures under this grant shall be provided by the Grantee to United Way NCA, upon request, along with scheduled expenditure reports.

The Grantee shall maintain records that contain information identifying any grant awards received, any authorizations, any obligations, any unobligated balances, all assets, all outlays and all income. The records shall compare actual expenditures to the approved budget as well as cumulative grant award installments/payments. The Grantee must submit quarterly expenditure reports that provide the following information:

§ Approved Budget Line Item Amount (as proposed)

§ Current Period Expenditures

§ Cumulative Expenditures to Date

§ Remaining Unspent Funds to Date

Grantee must also certify that the expenditure report represents an accurate accounting of the expenses paid in conjunction with operating the approved Summer Strong DC Initiative program, administered by United Way of the National Capital Area on the behalf of the District of Columbia.

By certifying the expenditure report, Grantee also acknowledges and consents that both the District of Columbia and United Way of the National Capital Area reserve the right to audit all records and/request written substantiation for all expenditures made that are charged to the grant. Each Expenditure report must be signed and certified by the Grantee’s Chief Financial Officer (or closest applicable title) and by the Executive Director/Chief Executive Officer. The Grantee shall provide United Way NCA the following records for funded expenditures through Expenditure Reports and Program Reports, and during monitoring and site visits by United Way NCA staff, as applicable: • Documentation of staff time;

• Documentation of all equipment, materials, supplies and travel expenses;

• Inventory records and supporting documentation for allowable equipment purchased to carry out the Program;

• Rationale supporting allocation of space charges;

• Any other records that support charges to the Budget, and;

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• A listing of all expenditures incurred during the current period. Execution of the Grant Agreement and Payments are contingent on the following: Reporting Requirements 1. Awarded grantees must complete and submit a Work Plan and revised budget prior to the start of the program

and release of the first payment. 2. Awarded grantees in the DCHA category must submit proof of insurance, a license agreement, and participate in

a meeting with the applicable resident leadership hosted by DCHA before programming begins prior to execution of the grant agreement and release of first payment.

3. Grantees are required to submit participant attendance records using the specified template provided by United Way NCA. All programs funded under this RFP will receive payments based on the average daily attendance (ADA) of participants. Grant amounts will reflect the number of youth to be served. The United Way NCA Attendance Template, along with site visits by our staff, will be used to collect data on participant enrollment and attendance throughout the grant period. A grantee’s ADA must be at least 75% of the number of participants the grantee is funded to serve. If the ADA is less than 75% of the number funded to serve, then the grant payment will be reduced. The reduced grant advancement is calculated by taking the actual ADA divided by .75, multiplied by the per participant rate that is listed in this RFP and/or the grant agreement, multiplied by the next percentage advancement.

4. Grantees are required to submit monthly expenditure reports with corresponding source documentation and a final report to grants@uwnca.org

5. Notification on incidents that include, but are not limited to, safety hazards, injuries, emergencies, and/or conflicts that affect the children and youth participating in the program must be received by United Way NCA within 24 hours, and written incident reports are required within five days of any unusual incident that involves staff and/or participants.

Evaluation, Meeting and Training Requirements 1. Grantees are required to participate in research and evaluation activities commissioned by United Way NCA.

These activities include but are not limited to youth/family consent forms, collection and submission of youth/family information, and survey distribution and collection activities.

2. Grantees are required to submit Name, DOB, Address, Grade, and Race/Ethnicity for each United Way NCA/Trust-Funded participant.

3. Participation in DC BEST curriculum is encouraged for all summer programs and consists of the following: (1) 30-hour AYD course; (2) 15-hour AYD Supervisors course; and (3) 15-hour Navigating Youth Culture course.

4. All grantees are required to attend Grantee Meetings. These mandatory meetings provide important information about compliance and accountability. They also provide technical assistance, dialogue with city agencies and offices, interaction with the funding community and the opportunity to learn from peers and colleagues.

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Safety and Clearance Requirements Grantees will be required to provide background the following types of background checks on ALL staff being charged to the grant.

• FBI finger print • National Sex Offender • DC Child Abuse Registry • TB tests • First-Aid/CPR-certified staff and volunteers (one certified volunteer or staff per 15 youth) are required at all

sites. Programs are also required to provide an Emergency Preparedness Plan that deals with threats of terrorism, Code Red Days when extreme heat causes program interruption, etc. and includes a communication plan for parents/guardians. Proof that all safety and clearance requirements have been met must be provided before the end of the grant period. DC Free Summer Meals Organizations receiving funding for summer programming are required to participate in the Office of the State Superintendent for Education’s (OSSE) DC Free Summer Meals Program. The Program provides federal funding to summer sites to provide nutritious meals to children up to the age of 18. Sites can serve a maximum of two meals per day or a meal and a snack. USDA guidelines state that sites cannot serve both lunch and supper. Organizations can participate in the DC Free Summer Meals Program by doing one of the following: 1. Enrolling in the program on their own; 2. Working with a sponsor such as the DC Department of Parks and Recreation (DPR) to arrange for meals to be

delivered to summer program sites; or 3. Bringing children and/or teens participating in a Summer Program for lunch to a nearby DC Free Summer Meal

site every day. Summer program directors are also encouraged to provide information about nearby DC Free Summer Meal sites offering breakfast. Programs that elect to take their children to a DC Free Summer Meals site should contact the site in advance so that they can ensure that there are enough meals. To find the nearest meal site and its contact information visit www.dcfreesummermeals.org.

The most important part is to ensure that all children and youth have access to a DC Free Summer Meals site, even if the site is not being utilized. Funded organizations will receive technical assistance to help enroll in the DC Free Summer Meals Program. The Office of the State Superintendent of Education, Wellness and Nutrition Services Division, can help summer programs enroll or connect with a sponsor. For more information, please contact Lindsey Palmer at lindsey.palmer@dc.gov.

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Applicants can include participation in the DC Free Summer Meal as a match. Sites will be required to report whether they enrolled in the program on their own, worked with a sponsor, or took children and/or teens to a nearby DC Free Summer Meal sites and how many children or teens ate meals each day. The USDA approved reimbursement rates have been released and are available at: http://frac.org/federal-foodnutrition-programs/summer-programs/summer-funding/.

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FY17 OST SUMMER PROPOSAL CHECKLIST

Applicants are to use this list for submission to ensure the inclusion of all required items.

Proposal Cover Page

Proposal Checklist

Proposal Narrative

Work Plan Form (ATTACHMENT 3)

FY17 Proposal Budget Form with Narrative (ATTACHMENT 4)

Previous Fiscal Year finances: Audited Financial Statement AND Pages 1-6 of most recent IRS Form-990, no older than 2014 (June 30 2014) Signed

Copy of Letter of 501(c)(3) Status from the Internal Revenue Service no later than December 1, 2014

(ATTACHMENT 5)

Copy of Incorporation under the District of Columbia Nonprofit Incorporation Act (not articles of Incorporation) no later than December 1, 2014 (ATTACHMENT 5)

For organizations not incorporated in the District of Columbia: Registration as a Foreign Entity in the District of Columbia no later than December 1, 2014

Copy of Clean Hands Certificate with the DC Office of Tax and Revenue no older than March 27, 2015 (ATTACHMENT 5)

Copy of Certificate of Good Standing with the DC Department of Consumer and Regulatory Affairs no older than

March 27, 2015 (ATTACHMENT 5)

Copy of currently valid Charitable Solicitation or Charitable Exempt license (Business License) (ATTACHMENT 5)

Signed Nondiscrimination Policy

Signed Anti-Bullying Policy (in compliance with Youth Bullying Prevention Act of 2012)

Certify compliance with regulatory requirements of the US Patriot Act provisions and anti-terrorism measures.

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FY17 OST Summer Proposal Cover Page Organization:

Organization Federal Tax-Exempt Number:

Date of 501(c)3 Inception:

Address:

Contact Person:

Title of Contact Person:

Telephone:

E-mail:

Person Authorized to Negotiate:

Authorized Signature:

Date:

Granting Category:

Afternoon Enrichment at DCPS School Sites Afternoon Enrichment at DCPCS Summer School

Sites DCHA Sites Safer, Stronger DC Community Partnerships Priority

Neighborhoods Traditional Summer Programming Sites

Proposed Ward for Program:

Proposed Police Service Area of Program Site (PSA) (This can be found at: http://geospatial.dcgis.dc.gov/PSAFinder/)

Participant age range: (Applicants can only select one age group and one program site).

Younger Youth (5 – 13 years) Older Youth (14 – 18 years) Young Adult (19 – 24 years)

Proposed Program Site Name and Address: Number of Proposed Participants: 30

31- 45 46- 60 61- 75 76- 90

Amount Requested from United Way NCA:

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Program Budget: $

Annual Organizational Budget: Less than or equal to $100k Between $100k and up to$250k $250k and up to $400k Over $400k

Terrorist Exclusion: * Check the box to certify that the organization named

in this application is in compliance with all statutes, Executive orders, and regulations restricting or prohibiting U.S. persons from engaging in transactions and dealings with countries and entities, or individuals subject to economic sanctions administered by the U. S. Department of the Treasury's office of Foreign Assets Control. The organization named in this application is aware that a list of countries subject to such sanctions, a list of Specially Designated Nationals and Blocked Persons subject to such sanctions, and overviews and guidelines for each such sanctions program can be found at http://www.treas.gov/ofac. Should any change in circumstances pertaining to this certification occur at any time, the organization will notify both United Way NCA and OPM's CFC Operations immediately

Non-Discrimination Policy *:

I certify that the organization named in this application has a policy and demonstrates a practice of non-discrimination as it relates to the operation of the organization, including service delivery on the basis of race, creed, color, religion, gender, age, national origin, physical or mental health, sexual orientation or any characteristic protected by law.

I affirm that the applicant organization prioritizes diversity and inclusion and that it will seek out, welcome and build upon the diversity and the positive attributes that exist within the communities served. This includes ensuring that all services are accessible to all individuals, and that the organization demonstrates an understanding of, respect for, and responsiveness to the home culture and language of the individuals and families served.

Youth Bullying Prevention Act of 2012* I certify that the organization named in this

application has a Bullying Prevention policy in accordance

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with the requirements of the Youth Bullying Prevention Act of 2012 that is enforced on its property, sponsored functions, in transportation and electronic communications to youth.

*These policies will be reviewed and verified for compliance during onsite monitoring visits

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SUMMER INITIATIVE PROGRAM PROPOSAL NARRATIVE

Proposals that do not meet the following proposal format guidelines and exceed ten (10) pages will not be accepted or reviewed: • The original proposal and all copies must contain all the listed documents in order to be considered for

funding. • Use standard margins (1-inch), 12-point Times New Roman font, double-spaced with page numbers. • The proposal narrative is not to exceed ten (10) pages.

*Note: The Work Plan, Budget and Narrative, and Letters of Support do not count towards the 10 page limit.

Organization History and Relevant Experience 1. State the mission of your organization and describe how the program you are proposing aligns with your

organization’s mission. In addition, provide information on the length of time your program has been available in the proposed site.

2. Describe your organization’s history and specific experience (within the past two years) in providing services for youth in the community (Ward and PSA) in which you applying and intending to provide services in.

3. Describe your organization’s history in providing services in the site in which you are applying and intending to provide services in.

4. Describe specific characteristics of your organization that make it a successful youth development organization. Participant Profile 1. Describe the youth you will be serving including demographics and history working with this population. 2. Describe what specific strategies you will use to recruit youth to your program. If you have used these

recruitment techniques described in the above question in the past, what successes and challenges have you encountered using them? If you have not used these techniques, what suggests that they will be successful for your program recruitment this summer?

3. Describe how many youth you have served in previous summers and your current capacity to serve the proposed number of program participants for your upcoming summer program.

Program Description 1. Define in detail how your program promotes youth development based on the definition in this RFP. 2. Describe the need for your program in the proposed site including any gaps it might fill. 3. Describe any challenges that might occur to hinder your program starting in mid-June. 4. Describe the specific opportunities for genuine youth participation and leadership in your program. Your

response should include details on the role(s) young people have had in contributing to the design and content of your summer program; the choices they will have once programming begins; and how much opportunity they have in decision-making and implementation of projects.

5. Provide a detailed timeline in the form of a schedule, lesson plan or weekly summary of events. (The more detailed you can be in your schedule the easier it will be for reviewers to envision your program.)

6. Provide a description of how you will incorporate family engagement into your program. If family engagement is not a part of your program, please explain why.

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Program Outcomes and Evaluation 1. Describe how your organization currently uses data to monitor, evaluate, and improve programs as well as the

capacity to collect demographic and attendance data for the youth served. 2. Describe how you will you collect both quantitative and qualitative data to determine the efficacy of your

proposed programming for this summer. Program Collaboration and Partnerships 1. Please list and describe the official and unofficial partnerships that your organization has established, detailing

the specific roles they will play in your summer program. You should include letters of support. 2. Please describe the history of these partnerships and what benefits these partners have brought to your

program. Overall Capacity 1. Describe the professional qualifications of key staff that are intended to work on this initiative and the roles they

will play, including if they are trained or orientated to your youth development framework. 2. Please describe how personnel in your organization are trained or orientated to your youth development

framework/philosophy. Include any initial, annual, and periodic staff training requirements. 3. Describe your organization’s capacity to track and report outcomes, including the ability to collect and manage

data that allows for consistent, accurate and expedient reporting.

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SUMMER PROGRAM WORK PLAN FORM

Summer Program Work Plan Instructions/Sample for Instructions on how to correctly complete the form and

a sample completed form.

Organization:

Funding Category: � Younger Youth � Older Youth � Young Adults

Developmental Outcome:

Priority Population:

Activity:

Program Implementation Indicator(s):

Youth Outcome Indicator(s) for Change:

Data Source:

Developmental Outcome:

Priority Population:

Activity:

Program Implementation Indicator(s):

Youth Outcome Indicator(s) for Change:

Data Source:

SUMMER PROPOSED BUDGET/NARRATIVE AND PROJECT REVENUE FORMS

Summer Proposed Budget/Narrative for Instructions for Instructions on how to correctly complete the form.

FY17 Summer Program Proposal Budget and Budget Narrative Form

FY17OSTSummerProgramProposalBudgetForm

Organization:

Expenses

OSTBudget TotalAmount

SalariesandWagesManagement Teachersandinstructors Othereducationandserviceprofessionals

Aids,assistantsandinterns

Clericalandotherstaff Fringebenefits SubtotalSalaries: ConsultantsandProfessionalFeesServicetochildrenandparents

Technicalassistance Evaluation Professionalservices(acct.,legal,etc.)

Stafftraining Otherconsultantsandprofessionalfees

SubtotalConsultants/

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ProfessionalFees: TravelandTransportationFieldtrips/youthtravel Stafftravel Othertravel SubtotalTravel: EquipmentComputerequipment Officeequipment(otherthancomputer)

Furniture Otherequipment SubtotalEquipment: SuppliesBooks,media,otherlearningmaterials

Othersuppliesforparticipants

Generalofficesupplies Othersupplies SubtotalSupplies: TelecommunicationsTelephone Internetaccess Othercommunications SubtotalTelecommunications:

OtherDirectCostsPrinting PostageandDelivery Occupancy Other(canincludeTBTests,CPR/FirstAidTraining,and/orFBIbackgroundchecks)

SubtotalOtherDirectCosts:

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TotalDirectCosts: IndirectCosts:(maynotexceed5%ofTotalDirectCosts)

TotalBudgetRequest:

BUDGETNARRATIVE

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FY17 Summer Program Projected Program Revenue Form

Grants/Contracts: TOTAL Current Committed Pending

Federal Government (please list source/s) $ $ $ $

Foundation (please list source/s) $ $ $ $

Corporations (please list source/s) $ $ $ $

United Way/Combined Federal Campaign $ $ $ $

Individual Donors $ $ $ $

Total Grants/Contracts: $ $ $ $

Earned Revenue: TOTAL Current Committed Pending

Events $ $ $ $

Publications and Products $ $ $ $

Fees $ $ $ $

Membership Income $ $ $ $

Other (please specify) $ $ $ $

Total Earned Revenue: $ $ $ $

In-Kind Support TOTAL Current Committed Pending

Donated Goods $ $ $ $

Donated Services $ $ $ $

Other (please specify) $ $ $ $

Total In-Kind Support: $ $ $ $

Total Revenue Projected $ $ $ $