United Way of the Lower Mainland Seniors Independence & Participation Grant, 2012 Call for Applications: Criteria and Process

Seniors are supported in their wish for independence and active engagement in their communities

Funding Goal: To support the independence and active participation of vulnerable older adults in the Lower Mainland/Sea to Sky Corridor by funding programs which enable and enhance seniors’ independence and the making of social connections. ‘Vulnerable older adults’ are defined as people roughly 65 years of age and older who are at-risk due to low income, frailty, social isolation, precarious housing, abuse and neglect or barriers presented by language, disability, refugee, recent immigrant or sponsorship status, or other reasons.

Funding Summary: Recent research conducted for United Way of the Lower Mainland and presented in the Seniors Vulnerability Report of 2011 (http://www.uwlm.ca/sites/default/files/webfm/uw_2011_seniors_vulnerability_report_Low-Rez__final.pdf) indicates that vulnerabilities (low income, frailty, etc.) in the region’s older adult population are concentrated in the following social groups:

• older women (85 years of age and over)

• unattached, single-income seniors

• visible minority seniors

• Aboriginal seniors

• recent immigrant/refugee seniors

• older adults without a certificate, degree or diploma

• seniors with mobility limitations and/or chronic illness.

The Seniors Vulnerability Report also indicates that vulnerable older adults tend to live in certain neighbourhoods in the region. The following, for example, are ‘hot spots’ for low-income seniors:

• Maillardville/Burquitlam

• South Burnaby/New Westminster

• Richmond City Centre area

• Downtown Eastside/Downtown/Mount Pleasant areas of Vancouver.

Other pockets of vulnerable older adults are identified in the Seniors Vulnerability Report and others still will be known to exist through local knowledge. United Way of the Lower Mainland is targeting vulnerable seniors in these groups and neighbourhoods because they stand to benefit the most from programs which enable and enhance seniors’ independence and social connections. This grant call focuses on two types of programs/services/projects or initiatives, namely:

1) Independence: Programs or initiatives that are designed to support vulnerable older adults in their desire to remain independent, informed and up-to-date and responsible for their personal affairs. These include such things as income-tax clinics, financial literacy workshops, personal planning resource centres, and peer-counseling programs. (Not included are services typically brought to the home and known as ‘non-medical home supports’, e.g. housecleaning.)

2) Social Connections: Programs or initiatives that are of a social, educational and/or recreational nature, and are targeted to vulnerable seniors, including but not limited to drop-in centres, intergenerational programs, computer classes, physical exercise programs, support groups, walking clubs, as well as transportation services integral to the making of social connections.

Applicants are advised to read the recommendations related to Program/Service Directions in the last few pages of the Seniors Vulnerability Report.

Funding Parameters: Applicants for the Seniors Independence & Participation Grant may apply for up to 3 years of funding. The maximum amount awarded per program/project is $50,000 a year. The annual funding period is April 1 to March 31. Applicants may apply for funding in one or both of the funding categories, i.e. Independence and Social Connections.

Funding Criteria: In order to qualify for this grant, proposals must:

• Clearly set out how the applicant intends to provide care, services and/or programming of a non-medical nature to vulnerable older adults that achieve the goals of enabling and enhancing seniors’ independence and social connections.

• Be targeted at vulnerable seniors populations identified by social group and neighbourhood/area in United Way’s Seniors Vulnerability Report of 2011 or other evidence-based source.

• Focus on programs/projects/services that contribute to the following desired outcomes for vulnerable seniors: - Seniors’ level of independence has increased. - Seniors’ social connections are improved. - Seniors have developed supportive social relationships close to home. - Seniors’ well-being and quality of life has improved.

• Demonstrate how the proposed program/project/service will accomplish these outcomes.

Applicants are strongly encouraged to involve older adults in the design and operation of proposed programs/projects and, where appropriate, draw on the expertise of United Way-supported seniors community planning tables. Applicants are also encouraged to work in partnership with other organizations in the sector.

Grant Application Deadline and Procedures •• Completed application form must be submitted by 5pm on March 2, 2012.

•• Following a review of applications, successful applicants will be informed of the funding decisions within six (6) weeks of the deadline.

•• United Way of the Lower Mainland (UWLM) will disburse funds upon receipt of a signed Funding Agreement.

Please submit completed applications to CII Submissions via email: cii.submissions@uwlm.ca with the subject heading: Seniors Independence & Participation Grant, 2012. Your application will be acknowledged by return email. If you do NOT receive this acknowledgement, please call Cindy Cassidy at 604-268-1300, ext. 2256 to ensure your application has been received. For questions related to the grant and/or application, please contact Beverley Pitman at 604-268-1300, ext. 2277 (beverleyp@uwlm.ca).

Conditions of Funding All funding recipients must sign a Funding Agreement that includes the following conditions: •• Funds will be used for the program/project as approved by UWLM;

•• All funds received from UWLM must be expended during the time-frame specified by the grant;

•• Written approval will be required from designated UWLM staff prior to any funding, operational, and/or timeline changes to the original approved proposal;

•• An annual Outcome Evaluation Report including a summary financial statement will be submitted to UWLM (a template will be provided by UWLM);

•• UWLM’s support will be acknowledged in all communication and promotional materials pertaining to this program/project.

Seniors Independence & Participation Grant, 2012Application Form Submission Deadline: 5pm, March 2nd, 2012

This application must be typed and submitted electronically. Handwritten or late applications will not be considered. We strongly encourage you to refer to the cover page as you work through this application. Additional guidance can be found by clicking on the “ ” ” icon beside select questions.

SECTION 1: ORGANIZATION INFORMATION Organization Name: Address: City:

Province: BC

Postal Code:

Telephone:

Ext:

Fax:

E-mail: Executive Director or Designate:

(please include designate title) BC Society No.

S

Charitable Registration No

RR

Application prepared by and contact information (if different from above): Name:

Position:

Telephone:

Ext:

Fax:

E-mail:

If you are sponsoring this application please provide name and contact information of organization/coalition/planning table etc.: Organization Description/Mandate: SECTION 2: PROGRAM/PROJECT INFORMATION In cases where the funding criteria is intended for capacity initiatives (i.e., infrastructure development and operational expenditures, your organization or coalition name will serve as the ‘program/project name’). Program/Project Name: Program/Project Description: Program/Project Geographic Focus Area(s) (Although the program/project may serve communities throughout the Lower Mainland, please indicate the primary geographic area(s) for delivery): Anmore Langley City North Vancouver District Sunshine Coast Belcarra Langley District Pemberton Surrey Bowen Island Lions Bay Pitt Meadows Squamish Burnaby Maple Ridge Port Coquitlam Vancouver Coquitlam New Westminster Port Moody West Vancouver Delta North Vancouver City Richmond Whistler White Rock Total amount requested from UWLM:

Total program/project budget:

Year 1

Year 2

Year 3

Indicate the amount requested from UWLM annually. If this grant provides funding for more than 1 year, indicate the amount requested from UWLM for Year 2 and 3. Please refer to page 1 ‘Criteria and Process’ under ‘Funding Parameters’ to determine the duration of this grant. Only in cases where the funding criteria are intended for capacity initiatives (i.e., infrastructure development and operational expenditures) please provide your organization’s total operations budget. Total operations budget:

Describe Target Population: Describe How Program/Project Meets Funding Criteria:

SECTION 3: PROGRAM / PROJECT LOGIC MODEL Note: If you are attaching an existing logic model or Outcome Measurement Framework (OMF) instead of the form below, please ensure it contains information concerning ALL the mandatory fields from both sections 3 and 4. Inputs Activities Activity Timelines Outputs Short-Term Outcomes Intermediate Outcomes Long-Term Outcome Indicate the resources required to deliver the program/project activities e.g., FTE staff, office space

Describe the specific action steps required to meet each outcome e.g., Deliver outreach services to isolated seniors

Indicate times when activities are implemented e.g., Month/Year-Month/Year

List the deliverables directly generated as a result of each activity e.g., # of seniors reached; # of outreach calls made

Define the specific changes that the program/project activities are intended to achieve

Short-Term: Changes that happen as a direct result of your program/project’s activities; e.g., Isolated seniors’ connections to appropriate community services are increased

Intermediate-Term: Changes that happen after the program has ended, or 3-5 years after it started; e.g., Seniors’ level of engagement with the broader community is increased

Long-Term: The vision of the future your program/project is working towards; e.g., No seniors in the community are isolated

SECTION 4: PROGRAM / PROJECT MEASUREMENT PLAN Short-Term Outcomes Indicators Data Sources and Collection Methods Insert short-term outcomes directly from section 3 e.g., Isolated seniors’ connections to appropriate community services are increased.

List measureable items that indicate each outcome is being achieved e.g., % of seniors who report accessing more community services

Describe how indicator information is collected, where it comes from, and when e.g., Telephone surveys with senior clients, 6 months after they were initially contacted by program staff

SECTION 5: ANNUAL BUDGET (YEAR 1) Itemize all sources of Revenue and Expenses. Please note that the Total Revenue MUST equal the Total Expenditures. *A budget page must be completed for each year of funding being requested – please refer to ‘Funding Parameters’ as noted on the cover page.*

Expenditures: Revenue: Administration

Request from UWLM

Salaries/Benefits

Your Organization’s Contributions:

Contract Fees

Cash

In-kind

Honoraria

List Additional Revenue Sources (specify):

Printing/ Copying

Source & Contact Name

Cash

In-kind

Conf’d

Travel

Others (specify)

Total Program/Project Expenditures

Total Program/Project Revenue(Including request from UWLM)

Use of UWLM Funds: Indicate the expense type and the amount

Expense Type Amount Administration

Salaries/Benefits

Contract Fees

Honoraria

Printing/Copying

Travel

Others (specify)

Total Expenses

SECTION 5: ANNUAL BUDGET (YEAR 2) Itemize all sources of Revenue and Expenses. Please note that the Total Revenue MUST equal the Total Expenditures. *A budget page must be completed for each year of funding being requested – please refer to ‘Funding Parameters’ as noted on the cover page.*

Expenditures: Revenue: Administration

Request from UWLM

Salaries/Benefits

Your Organization’s Contributions:

Contract Fees

Cash

In-kind

Honoraria

List Additional Revenue Sources (specify):

Printing/ Copying

Source & Contact Name

Cash

In-kind

Conf’d

Travel

Others (specify)

Total Program/Project Expenditures

Total Program/Project Revenue(Including request from UWLM)

Use of UWLM Funds: Indicate the expense type and the amount

Expense Type Amount Administration

Salaries/Benefits

Contract Fees

Honoraria

Printing/Copying

Travel

Others (specify)

Total Expenses

SECTION 5: ANNUAL BUDGET (YEAR 3) Itemize all sources of Revenue and Expenses. Please note that the Total Revenue MUST equal the Total Expenditures. *A budget page must be completed for each year of funding being requested – please refer to ‘Funding Parameters’ as noted on the cover page.*

Expenditures: Revenue: Administration

Request from UWLM

Salaries/Benefits

Your Organization’s Contributions:

Contract Fees

Cash

In-kind

Honoraria

List Additional Revenue Sources (specify):

Printing/ Copying

Source & Contact Name

Cash

In-kind

Conf’d

Travel

Others (specify)

Total Program/Project Expenditures

Total Program/Project Revenue(Including request from UWLM)

Use of UWLM Funds: Indicate the expense type and the amount

Expense Type Amount Administration

Salaries/Benefits

Contract Fees

Honoraria

Printing/Copying

Travel

Others (specify)

Total Expenses