APPLICATION FORM

Women Living Leadership (WiLL), United Way of Jackson CountyApplication Form

WiLL Mission: To improve women and childrens lives by mobilizing the caring power of women.

WiLL Vision: To help women and girls in our community Stand Strong by Age 30. The vision is set around education, income, health and transportation United Ways building blocks for a good life.

Education: high school diploma or equivalency and access to job skills training

Income: financially stable and have money left over at the end of the month

Health: Possess skills and know resources to support positive physical, emotional and mental, and oral health outcomes for themselves and their families, including prevention, access to care, healthy relationships, healthy eating, the ability to deal with chronic conditions, and stress reduction

Transportation: access to reliable, affordable transportation

Access to Services: have identification, record expungement, access to housing, and the ability to remove other barriers

WiLL Values: Create, change, connect, commit, collaborate and celebrate.

Grant Parameters: WiLL is soliciting proposals to target one or all of the five building blocks, shown above, to helping women and girls Stand Strong by Age 30. WiLL council members will conduct application review, site visits and make funding recommendations to the WiLL Council and United Way of Jackson County Board of Directors. The scoring sheet is attached (do not complete this, it is for your information only).Use only the space provided (2 pages total) and 12 point font. It is not the intent of WiLL to fund any single program more than five years.WiLL grants are not for capital expenditures.Grant awards will not exceed $5,000. WiLL grants are paid out quarterly based on receipts and could be reduced due to pledge loss. Funded programs will be required to provide an evaluation.

Timeline: Grant applications are due by midnight on Friday, December 11th, 2015 via email only to: office@unitedwayofjacksoncounty.org. No late proposals will be accepted. The email MUST be sent by the agency CEO/Executive Director.Staff pre-screening of applications will be December 14th 17th, 2015.Site reviews will be conducted January 11th-15th, 2016. WiLL Council decision making will be January 21st , 2016 Awards announced by February 1st, 2016.

Required Attachments:_____ 501(c)(3) letter_____ WiLL Program budget_____ Agency budget for corresponding WiLL program period_____ Logic model_____ Copy of audit and management letter, financial review or 990

Women Living Leadership (WiLL), United Way of Jackson CountyApplication Form

Date:December 11, 2015

Organization Name: The Rose Circle Mentoring Network (RCMN)

Address: 295 East Main Street Suite #6 Ashland, OR 97520 Contact: Belinda Brown, Program Administrator Name of Program: Young Mothers Mentoring Program (YMMP)

Email: belinda@therosecircle.orgAmount Requested (per year): $2,500.Phone: 541-646-1252# of years funding is requested: 2Description of your organization and its purpose. The RCMN is a 501 (c) (3) nonprofit organization that provides Quality Based Mentoring in the Rogue Valley. The vision of the RCMN is to support, engage and empower youth and families through comprehensive mentoring programs.

2. Description of project for which funds are requested. RCMN facilitates the YMMP for young mothers and will provide 3 circles of 8-10 women throughout the WiLL Grant period. Childcare, healthy snacks, project coordination, training, monitoring and evaluation of these mentoring circles will be delivered.

3.Specifically, how will the grant funds be used? The WiLL funds will be used to purchase quality childcare providers and healthy snacks for the circles. They will also assist in sustaining a RCMN Project Coordinator to implement and monitor this program and provide program evaluation.

4.Number of paid staff on project: .25 Number of project volunteers: 8

5.How was the need for the project determined and how will the project respond? Over 250 teenage women give birth each year in Jackson County (Kids Count Data Book 2010). An average of 700 young women in our community, aged 20-24, also become mothers each year. The RCMN has been receiving an increase of referrals for the YMMP. This project will assist and support these young mothers by providing three mentoring circles throughout the WiLL Grant period. These YMMP Circles will be based upon the One Circle Girls Curriculum and the Parents as Teachers Program Materials along with the infant/toddlers 40 ASSETS information. (Evidence Based, Best Practice Programming).

6.Who are your collaborators on this project and what are their roles? Kid Time provides the space for holding the YMMP Circles and pays for one childcare coordinator. The Worksource Oregon and Jackson County Mental Health provide referrals. The Childrens Advocacy Center also provides referrals and provides space for training new mentors. Trinity Episcopal Church, (Ashland), provides childcare monies and the Ashland Food Co-op provides a food gift certificate.

7. How will your work help women and girls stand strong by age 30? Include how your work will address one of the five building blocks. The YMMP Project addresses the Health Building Block for young women who have children. The YMMP increases their understanding of development stages of their children and increases their parenting and coping skills. It also provides them with peer support and respite and increases their knowledge of community resources and access to resources that will support their parenting skills and increase their confidence to provide quality parenting. The YMMP Circles will provide the teen and young mothers a natural peer support group that will assist these parents in developing a strong, nurturing environment where they can share and learn from each other as they participate in parenting efforts and responsibilities.

8. What are your organizations special qualifications to address these objectives? RCMN is a Quality Based Mentoring Network that implements the One Circle Girls Curriculum, 40 ASSETS for infants/toddlers and components of the Parents as Teachers Curriculum. RCMN has facilitated the YMMP since 2012 and is positioned to increase services and build the capacity to serve more young mothers and eventually fathers, in the Rogue Valley.

How does this project fit into the overall plans of your organization and your partners? The YMMP provides comprehensive screening, training, monitoring and evaluation of the mentors and mentees. YMMP is a selective prevention program. (Institute of Medicine Model)

Who else is doing this work or something very similar? To the best of our knowledge, the Magdalene House and Family Nurturing Center is also providing young parents mentoring.

11.Is this a one-time effort or how do you see making it sustainable? The YMMP began in 2012 and has increased since that time to include more agency referrals and increased need for implementing evidence based best practices. The YMMP is seeking sustainable funding as evidence based program that incorporates the Parents as Teachers Curriculum and Training along with the 40 Developmental ASSETS for infants and toddlers. RCMN has utilized and implemented the Institute of Medicine Model (IOM) and is involved with the Jackson County Prevention Coalition with universal, selective and indicated prevention programming models that will position the RCMN to leverage more funding sources from the local, state and federal sources. The schools and agencies are recognizing this effort as a safety net service for the high risk teens and young mothers who need this support and knowledge base to become better parents. RCMN is being included in school and agency budgets.

12. How will you evaluate your learning and success? RCMN currently partners with Southern Oregon University to assist in an extensive external evaluation process that includes compilation of attendance, surveys and narratives from the participants. Pre and post tests will be conducted and the attached logic model will be utilized for measureable outcomes.