Wisconsin Children with Special Health Care Needs s1

B Birth to 3 and Natural Supports Project

CORE Mini-Grant Application 2009

Application Materials: To submit an application, complete the written response to the questions that begin on the following pages. Feel free to contact us with questions about the application process and/or materials. Colleen Moss Linda Tuchman E-mail: [email protected] [email protected] Phone: (608) 890-1687 (608) 263-6467

Critical Dates and Selection Process

 The call for proposals will be disseminated beginning February 23, 2009.  Applications are due March 20, 2009.  Award notifications will be released April 1, 2009.

Review Criteria Applications will be reviewed by a committee who will rate each application on a100-point system and rank each based on selection criteria that include:  Completeness of team, including administrative support and parent involvement  Readiness to commit to program development and participation in technical assistance grounded in reflective practices.  Commitment to a first meeting with the CORE consultants and RESource on one of these assigned dates in April and May (April 8, 21, May 4, 5 or 11), with commitments to follow up meetings in July or August, and September or October.  Evidence that the team will practice new approaches, strategies and conversations between meetings.  Evidence of a commitment to use new approaches, strategies and conversations. throughout the early intervention process with at least 3 families.  Goals and activities that demonstrate program capacity to implement change.  Commitment to outreach and sharing.  Evidence that funds will be used to support team involvement to meet mini-grant activities.  Evidence of ideas for sustainability of activities and practices after funding concludes.

Resources to Assist with Application Resources to assist with preparation are available at these sites. We encourage you to review these materials in preparation for your application.

The CORE of a Good Life: Guided Conversations with Parents on Raising Young Children with Disabilities http://www.waisman.wisc.edu/naturalsupports/ec.php

Seven Key Principles developed by the Work Group on Principles and Practices in Natural Environments http://www.nectac.org/~pdfs/topics/families/Finalmissionandprinciples3_11_08.pdf http://www.nectac.org/~pdfs/topics/families/Principles_LooksLike_DoesntLookLike3_11_08. pdf

Wisconsin Birth to 3 Program Guiding Principles http://www.b3icc.state.wi.us/GuidPrinc.pdf

State of Wisconsin Foundations Bulletin #1 (Revised), Natural Environments and Locations of Early Intervention Services http://www.waisman.wisc.edu/birthto3/DHFSBULLETIN.php

Submit Application Materials To:

Colleen Moss Natural Supports Project A107 Waisman Center 1500 Highland Avenue Madison, WI 53705 Phone: 608-890-1687 FAX: 608-265-3441 [email protected]

Birth to 3 and Natural Supports Project

CORE Mini-Grant Application 2009

County:

Applicant Agency:

1. Team Participants (15) Key Contacts: Identify a team facilitator and the county administrative contact and include their signatures at the end of the application. The team leader will be the key contact for planning ongoing work with the Waisman Center and consultant staff. The county administrative person will be responsible for working with the Waisman Center to designate how the mini-grant funds will be transferred to the program.

Contact Person for County Administration: Address: Telephone: E-mail address:

Contact Person for Mini-Grant team (if different than the person as listed above): Address: Telephone: E-mail address:

Other Team Members: List the members of your team and their roles within your Birth to 3 team. Be sure to include all of the required team members, including a program coordinator/ administrator, service coordinator, parent, therapist(s), educator(s), community partner(s) and the name of your county’s RESource facilitator.

Other team Members: Names: Service Coordinators: Parents:

Therapists: Therapists:

Therapists:

Educators:

Community Partners:

Others:

RESource Facilitator for your region :

2. Interest (15): In 2 to 3 paragraphs describe why your team is interested in participating in this mini-grant application. Describe your team’s current capacity and readiness to commit to engaging in the mini-grant process. Consider your strengths and what you are most proud of.

3. Philosophy and Practices (15): Briefly describe your team’s current philosophy and practices regarding the provision of resources, services and supports to children and families serviced by your program. Include information about how IFSP development and the other early intervention processes have contributed to your team’s approach to these practices.

4. Goals and Outcome (20): Describe 2 to 3 goals and type of changes your team expects to accomplish (outcomes) as a result of participating in this mini-grant. Identify strategies to review current practices, identify changes and implement new practices to achieve your goals. Include projected timelines and ideas about how you know you will be successful. Consider:  What supports and resources will help you achieve your goal?  What you want to accomplish toward implementing increased relationship-based practices into your team’s early intervention processes? child find and referral, intake, first contacts, service coordination, evaluation and eligibility, IFSP development, ongoing assessment, provision of services, resources & supports, and transitions.  Your plan for implementing natural support strategies to increase children and families connection to their Community, Opportunities for Relationships and Reciprocity. 

5. Challenges (10): In 2 to 3 paragraphs, describe challenges currently facing your program? How might these challenges influence or impact your work toward accomplishing the priorities of this mini-grant application?

6. Dissemination (5): For statewide dissemination, you will be asked to share information during at least one Wisline and one regional meeting. Describe at least 3 other

ways that your team will share or be available to share information about your experiences and progress with the implementation of relationship-based interventions, including natural supports, into your early intervention process.

7. Budget (10): Briefly describe how your team will utilize funds from the mini-grant to ensure successful implementation of your proposed activities. You may attach a spread sheet. Grant money can be used to cover:  personnel time for participation in mini-grant activities  CORE facilitator meetings and team planning time  phone meetings with Birth to 3 RESource facilitator  materials to assist with mini-grant activities  postage  snacks for a meeting or community training, and mileage  visits to other programs to learn about their practices

Use of Funds Item Proposed Costs

______Total Project Costs:

Rationale for Costs: Provide a brief rationale for allocating resources for the purposes listed above.

8. Sustainability (10): Describe at least 3 ideas you have that might sustain continued development of your team’s involvement and commitment when the mini-grant funding is over?

______Signature Date Birth to 3 Program County Administrative Contact

______Signature of Mini-grant Key Contact/Team Facilitator Date