Kentucky Bicycle and Bikeway Commission Grant Program Application Form

Name of Organization: Our Lady of Bellefonte Hospital Foundation

Address: St. Christopher Dr.

City: Ashland State: KY Zip Code: 41101

Phone: (606) 833 – 3398

Contact Person: Mary Ellen Conley Title: Grant Writer

Brief Description of Your organization and the Goals and Objectives:

The OLBH Foundation's mission is to support the hospital's strategic goals through philanthropy. Funding comes from a variety of sources, including public and private grants, donations (employee and community), planned giving opportunities, and a variety of fundraising events.

Support from the OLBH Foundation has enabled the hospital to provide better care to the region through the purchase of new technology, as well as construction, renovation and clinical studies. A variety of community endeavors are supported through the Foundation including little league teams, Meals on Wheels and the Alzheimer’s Association.

Project for which funding is requested: Bicycle Safety Camp

Amount Requested: $3,000 If approved, funds are needed by what date? Spring 2017

If approved, the check should be disbursed to: Our Lady of Bellefonte Hospital Foundation

Address: St. Christopher Dr.

City: Ashland State: KY Zip: 41101

Federal ID # 61-1381952 Or Social Security # N/A

See attached description of project. Our Lady of Bellefonte Hospital Foundation

(a) How this program or project fits the purposes of Kentucky Bicycle and Bikeway Commission Grant Program vision statement:

The program being proposed will fit the purposes of the KBBCGP by:

(1) Educating children and their parents in matters pertaining to bicycle and pedestrian safety by involving them in a hands-on training event where the children will be involved in learning to do bicycle safety checks, the importance of wearing a bicycle helmet and the importance of following the rules of bicycle and pedestrian safety.

(2) Educating children and their parents concerning the health benefits of bicycling. OLBH will soon be launching a new community outreach initiative, Kentucky Healthy Choices (KHC), which will emphasize the importance of eating healthy foods and being active. Realizing that exercise and nutrition go hand, children and their parents attending the bicycle camp will be made aware of the importance of diet and exercise by incorporating educational tools from KHC.

(b) Is this a new project or program or a continuation of an existing one?

The 2016 Bicycle Safety Camp was a huge success and plans call for the continuation of the same venue and format with very few changes. The Paula Nye Memorial Bicyclist and Pedestrian Education Grant has made it possible for the OLBH camp to continue and thrive when many funding sources have decreased greatly in view of the current economy.

(c) Who will be responsible for the project or program?

OLBH will be the primary sponsor of the event and employees, who have been involved with the existing event, will be responsible for planning, organizing and staging the 2016 bicycle camp. A number of community agencies and businesses will also offer their specific expertise to the project.

Marketing for the program, to assist with attendance, will be provided by the Marketing Department of Our Lady of Bellefonte Hospital providing newspaper advertising along with colorful flyers for distribution to local schools and throughout the community. The OLBH website, www.olbh.com, will have the information along with OLBH Facebook and Twitter.

(d) Is the request is for a onetime project or for an ongoing program?

The request for funding is for an ongoing program.

(e) Describe the system(s) to be put in place to measure the results of the program.

The following methods will be used to measure results:

(1) Attendance (2) Informal evaluation by staff/volunteers during the event (3) A formal follow-up evaluation meeting of staff/volunteers Our Lady of Bellefonte Hospital Foundation

Kentucky Healthy Choices Bicycle Safety Camp

Budget

T-Shirts (Children and volunteers) $ 800.00

Giveaways for each child $ 1,500.00 (sports bags promoting biking filled with water bottles, bike reflectors, lip balm, sunscreen, sunglasses, etc. along with educational materials to reach children and their parents on safe bike riding.)

Door Prizes (Awarded by drawing for all children in attendance. $ 700.00 Emphasis is placed on “toys” which encourage children to exercise such as badminton, yard darts, balls, tee ball, soccer balls, soft balls. Get outside and move!)

Total Grant Funds Requested $ 3,000.00

Notes:

 OLBH physicians are asked each year to contribute to the existing Bicycle Safety Camp. Our pediatricians, in particular, are supportive of the camp.

 The local cycling club, Ashland Cycling Enthusiasts (ACE Club), traditionally volunteers at the Bike Safety Camp currently being held each spring. A large numbers of the ACE bikers volunteer at the camp and do a fantastic job with the young bikers!

 “Traffic signs”, purchased in 2014 with Paula Nye Grant funds, will be used once again for the 2016 Bike Camp. This one time purchase and help greatly with the “atmosphere” of the camp.

 The effectiveness of the 2017 Bicycle Camp will be evaluated by the coordinators and volunteers. Evaluation will include the amount of food provided and consumed, cost of prizes and goodie bags, effectiveness of the educational presentations, etc.