UJA-Federation of New York Caring Commission The Daniel Jordan Fiddle Foundation Ignition Grant Award for Innovative Young Adult and Adult Autism Services
2011–2012 Ignition Grant Award
Ignition Grant Objective The Daniel Jordan Fiddle Foundation Ignition Grant Award for Innovative Young Adult and Adult Autism Services, established by UJA-Federation of New York, the Hilibrand Foundation, and the Daniel Jordan Fiddle Foundation (the Participating Organizations), aims to provide seed money to pilot a new, innovative program in the field to enable young adults and adults ages 16 and older and living with autism spectrum disorders (ASD) to have access to opportunities that will allow them to achieve additive levels of independence (the Program). The grant may advance opportunities related but not limited to:
Social skills Employment Education Personal health and wellness Housing or residential situations
Pilot concepts must establish a new service, capitalize on an unrealized opportunity, target a new population, or otherwise push the boundaries of what is currently available in the Jewish community.
Grant Criteria Ignition grant proposals must:
Target underserved young adults or adults living with ASD (for example, socioeconomic, geographic, age-related, and so forth). Establish a clear understanding of communal need and target audiences. Provide a clear vision of program outcomes. Demonstrate the capacity of the organization to design and implement the program, as well as document the possibility for large-scale expansion. Demonstrate how this program will serve participants by offering a new, unfulfilled, and unique opportunity in your community.
Organizations awarded the ignition grant will be required to submit a programmatic evaluation to UJA- Federation of New York at the end of the grant term. This evaluation will include the program development process, quality of services, program weaknesses, the impact on the audience or community, growth of the audience, organizational growth, and a realistic assessment of programmatic growth, if applicable. Applicants must demonstrate that they have engaged key constituents in the overall planning process for the Program. In addition, photographs and video of the Program in action will be requested, including photo release forms from all participants that grant permission to each of the Participating Organizations to use such images to promote and expand awareness about the Program.
For the purposes of this program, young adults are defined as 16 years old and older.
Grant Award Details: One grant will be awarded by UJA-Federation of New York and will be known as the Daniel Jordan Fiddle Foundation Ignition Grant Award for Innovative Young Adult and Adult Autism Services. The grant award will be no more than $10,000. This grant award application is open to UJA-Federation of New
1 UJA-Federation of New York Caring Commission The Daniel Jordan Fiddle Foundation Ignition Grant Award for Innovative Young Adult and Adult Autism Services
2011–2012 Ignition Grant Award
York beneficiary agencies. Applications should be submitted to Caring Commission Planning Executive Diane Scherer at [email protected] no later than 6:00 p.m. on Wednesday, August 31, 2011.
Eligibility: This award opportunity is limited to UJA-Federation of New York beneficiary agencies. Agencies that are not part of UJA-Federation’s network may work in collaboration with a UJA-Federation of New York beneficiary agency. A memorandum of understanding must be completed and submitted by both organizations as part of the grant application materials.
Terms: The grant term is for one year from the date of the public announcement of the award recipient. The Daniel Jordan Fiddle Foundation, the Hilibrand Foundation, and UJA-Federation of New York together will determine whether there will be subsequent awards based on the success of this pilot and the availability of funds. Furthermore, grantees will be expected to publicize the award and acknowledge the Participating Organizations in such related written materials as articles and announcements.
Selection: One awardee will be selected for funding by representatives from UJA-Federation of New York, the Hilibrand Foundation, and the Daniel Jordan Fiddle Foundation; the selection of the grant award recipient is at the sole discretion of the Participating Organizations. A formal public announcement will take place in fall 2011.
For more information, please contact Diane Scherer at [email protected] or 1.212.836.1604.
2 UJA-Federation of New York Caring Commission The Daniel Jordan Fiddle Foundation Ignition Grant Award for Innovative Young Adult and Adult Autism Services
2011–2012 Ignition Grant Award
Proposal Application Form
Agency Information
Agency Name1 ______
Address ______
Website ______
Program Website (if applicable)
Grant Contact Name and Title
Phone E-mail
Agency Mission ______
______
If your agency is working in collaboration with another agency, you must attach a memorandum of understanding and accompanying letter stating how the collaborating organizations will work together. The CEO of each organization is expected to sign the memorandum of understanding.
1If an agency is working in collaboration with another organization, include information for both organizations and note the lead agency.
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2011–2012 Ignition Grant Award
Proposal Application Form
Ignition Grant Information
Proposal Title
2011–2012 Amount Requested 2011–2012 Program Budget 2011–2012 Agency Budget
Client Information This grant will serve people in: Manhattan Queens Brooklyn Bronx Westchester Long Island Staten Island
Number of Clients Grant Will Engage Number of Volunteers Grant Will Engage
Please describe the characteristics of this population, including age, ethnicity, religion, and so forth:
Please explain how the expected client population is currently underserved:
Proposal Application Form
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2011–2012 Ignition Grant Award
Project Description This grant will seek to address (check all that apply): Social Skills Personal Health and Wellness Housing or Residential Situations Employment Education Other:
Provide a brief project description:
______
What services currently exist in your community for adult autism programming?
Describe the goals of your proposal, including: A full description of the program you wish to design and implement. A program timeline and program outcomes, including key program activities that will help you achieve program outcomes. Explain how you envision the program to have a lasting effect on the community. Estimate of the number of anticipated clients or participants, volunteers, staff, community members, and so forth engaged annually through this program. ______- ______Proposal Application Form
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2011–2012 Ignition Grant Award
Has your agency submitted a similar proposal to UJA-Federation through another RFP or funding source?
Yes No If yes, please explain:
Please provide a budget using the attached 2011–2012 Program Budget form.
Organizational Capacity Describe the capacity of your agency to implement this proposal, including: A brief organizational history of your work with this content area, the number of programs developed and successfully implemented, and the percentage of the budget focused on this issue area. Your agency’s resources and qualifications of those involved in the initiative for meeting your goals. Lay and professional leadership support the proposed program has available within your organization. Whether this program includes one or more collaborating organizations, detailing the responsibilities of each of the organizations and how staff time and funding will be allocated. An outline of your agency’s marketing strategy for program exposure and recruitment.
______
Proposal Application Form
Evaluation and Exit Strategy 6 UJA-Federation of New York Caring Commission The Daniel Jordan Fiddle Foundation Ignition Grant Award for Innovative Young Adult and Adult Autism Services
2011–2012 Ignition Grant Award
Monitoring and evaluation of the program should allow for the tracking of the quality and quantity of service and the program’s impact as it relates to the client, the organization, and the community, where appropriate. A description of the tools that will be used to capture this information as well as the specific indicators should be noted. A vision for an exit strategy from this funding should also be included.
Please note that a final report will be required and will need to include a line-item budget detailing how the funding was used. ______
Photo Release Form All decided upon grantees might be asked to complete a photo and video release form for program participants that might be photographed. By signing the bottom of the page, you agree to use a UJA-Federation of New York photo release form in the event it is needed for publicity related matters.
Agency’s Chief Voluntary Officer Agency’s Chief Executive Officer
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2011–2012 Ignition Grant Award
2011–2012 Program Budget
2011–2012 Projected Budget
(July 2011–June 2012)
Personnel Costs (salaries by position, including all staff directly connected to the program)
Fringe Benefits and Payroll Taxes 1. TOTAL PERSONNEL COSTS $0 Other Expenses (all non-salary costs)
2. TOTAL OTHER EXPENSES $0 3. TOTAL EXPENSES (add 1 and 2 above) $0 Income Government and Public Support Other Philanthropic Support (list source) Programs Fees
4. TOTAL INCOME Before UJA-Federation Grant $0 5. NET Before UJA-Federation Grant (subtract 3 from 4 above) $0 6. UJA-Federation Grant Request 7. FINAL SURPLUS OR DEFICIT (add 5 and 6 above) $0 Budget comments:
Name of CFO Signature of CFO
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