Mini-Grant Applications

The mini-grants are designed to be awarded to community organizations within the St. Croix Valley Healthy Communities’ geographic work area to help them with their programming in the areas in which St. Croix Valley Healthy Communities has a vested interest.  This form should help you in determining how both of us can satisfy our goals and objectives.  Please check all of the objectives which this mini-grant will cover and write a paragraph for each objective chosen.  This will help us in determining your eligibility for the grant.  If you have any questions, please contact us by phone, fax, or email.  Electronic submissions are encouraged.  Please submit your application to:

St. Croix Valley Healthy Communities
43 Union Street
Calais, ME  04619
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Fax:  207-454-2997


Organization Name:

 

Date of Application

 

Address:

 

City:

 

State:

 

ZIP Code:

 

Telephone Number:

 

Fax Number:

 

Email Address

 

Responsible Person

 

Title:

 

Signature:

 

 

 

Please check next the term that best describes the entity applying for funds:

£

501(c)(3) Non-profit organization

 

 

 

£

Not 501(c)(3).  Fiscal agent: is:

 

 

 

 

£

School Group

 

 

 

 

£

Community Group

 

 

 

 

£

Faith-based Group

 

 

 

 

£

Individual

 

 

 

 

£

Other:

 

 

 

 

 

Grant Request:

$

                                             

First, identify the SCVHC Work Plan areas this grant application will satisfy with a check using the Work Plan objectives, then summarize in a paragraph how each of the Work Plan Objective you have chosen will be accomplished, plus answer the following questions:

1.      Please describe your proposed project, including its purpose and objectives.

2.      How does this project meet the stated funding goals and priorities?

3.      Please describe your experience working with similar projects.

4.      Participation:

  • How many people do you expect to be involved and/or served, and from what towns?  What ages or populations (youth, women, seniors, etc.)?
  • Please list staff and/or volunteers who will be involved in the project.
  • Will there be other community members or groups involved in the project?  Please describe.

5.      Please complete a brief project timeline including start and completion dates.

6.      Please outline your budget for this project including other sources of funding, both potential and received.

 

SCVHC WORKPLAN

TOBACCO

1.3

Reduce the number of children under 18 exposed to secondhand smoke in local home-based daycare and child care facilities.

1.3a

Educate staff of daycare centers and/or home based daycare through on-site training, regulatory agencies or training sites above the state statutes restricting secondhand smoke in daycares.

£

1.3b

Educate parents of children in daycare settings about the daycare secondhand smoke state laws, the dangers of secondhand smoke exposure, and resources for quitting.

£

1.4

Increase the number of 100% smoke-free environments in the community established through policy or environment change with priority on multi-unit rental housing buildings.

1.4b

Educate tenants in multi-unit housing of the dangers of secondhand smoke and availability of smoke-free housing options.

£

1.5

Increase the number of parents with rules prohibiting smoking in homes and vehicles.

1.5b

Collaborate with childcare facilities/daycares to educate parents (especially those who smoke or live with smokers) about the changes of secondhand smoke and promote rules that prohibit smoking in homes and vehicles.

£

1.5c

Collaborate with primary care practices and organizations to educate parents (especially those who smoke or live with smokers) about the dangers of secondhand smoke and promote rules that prohibit smoking in homes and vehicles.

£

1.5e

Support local ordinances preventing smoking in cars with children present.

£

2.1

Increase the proportion of parents who report that they have discussed not smoking with their children through social marketing campaigns.

£

 

 

2.2

Increase the number of youth-driven tobacco prevention policy and environmental changes as part of a community-based youth empowerment initiative.

£

 

2.6

Increase the number of local healthcare providers, especially in family planning services, community health systems, who use Public Health Services Guidelines for treating tobacco use and dependence.

2.6a

Promote implementation of the Public Health Service Guidelines (PHS) for treating tobacco use and dependence to local providers and office staff, through office-based training using the PTM clinical outreach protocols and materials provided through CTI.

£

2.7

Increase the number of local social service providers who screen, advise, and refer clients to appropriate tobacco treatment opportunities.

2.7a

Promote participation by social service providers in Basic Skills and Intensive Tobacco Trainings so they can conduct appropriate tobacco interventions with their clients and provide resources for cessation treatment.

£

2.8

Increase the number of worksites that provide support for quitting for those employees who smoke and who want to quit. (Required of SAUs with SHCs)

2.8a

Educate employers on the benefits of establishing a comprehensive wellness approach that includes support for smokers who wish to quit, and inclusion of tobacco treatment in any company paid health insurance plan.

£

2.8b

Promote to employees the services offered through Maine Tobacco HelpLine (800-207-1230), including materials, coaching and NRT.

£

SUBSTANCE ABUSE

3.1

Increase effectiveness of local underage drinking law enforcement policies & practices (based on Maine Chiefs of Police OSA model policy). (Required in OSA SPF-SIG workplan)

3.1a

Work with police departments to enhance enforcement of underage drinking, furnishing, zero tolerance, and hosting laws.

£

 

3.1c

Work with police departments to adopt a departmental policy around underage drinking enforcement, based on the model policy.

£

3.2

Increase use of recommended parental monitoring practices for underage drinking. (Required in OSA SPF-SIG workplan)

3.2a

Build a social marketing campaign from OSA Parent Media materials that raises awareness of the importance of parental monitoring through channels within the local service area.  Examples of channels are:  media outlets, doctors offices, stores, community bulletin boards, public transportation, movie theaters, and restaurants.

£

3.2d

Assist schools to adopt a parental notification policy regarding substance use.

£

3.3

Increase effectiveness of retailers policies and practices that restrict access to alcohol by underage youth.  (Required in OSA SPF-SIG workplan)

3.3b

Organize approved Responsible Beverage Service Trainings for local merchants.

£

3.3c

Assist retailers in developing a policy that includes all best practice components of attending Responsible Beverage Server/Seller training.

£

3.3f

Through the CARD ME program assist retailers in developing practices that will help retailers stay within state laws for selling alcohol.

£

3.10

Reduce appeal of high risk drinking by increasing knowledge of the health risks. (Required in OSA SPF-SIG workplan)

3.10a

Through the Worksite Framework, distribute information about available assessment-feedback services, educational programs and/or “self-help” materials including self-administered survey and feedback.

£

3.10c

Conduct media advocacy campaign to increase public awareness of consequences resulting from high-risk drinking.

£

3.10d

Partner with colleges to distribute information about available assessment-feedback services, educational programs and/or “self-help” materials including self-administered survey and feedback.

£

3.11

Decrease promotions and pricing that encourages high risk drinking among young adults.  (Required in OSA SPF-SIG workplan)

3.11a

Work with retailers to limit promotions that encourage high-risk drinking through improved policies.

£

3.11d

Work with media to support retailers and community policy changes to change price and promotion practices that encourage high risk drinking.

£

3.11e

Assist colleges in developing and planning appropriate strategies to implement policies to reduce high risk drinking.

£

3.11f

Assist workplace with policies to reduce high risk drinking.

£

NUTRITION

4.2

Increase the number of early childcare centers with polices/programs to improve nutrition education for staff and parents.

4.2d

Distribute healthy eating packets with ideas for nutrition activities for licensed day care providers to use and share with parents.

£

4.8

Establish and provide technical support for a local or regional coalition of food pantries and food security organizations to improve nutrition and improve healthy eating and healthy weight management. (Required by USDA funding in Year 1)

4.8a

Provide education to food pantry staff (and advocate for change) on the benefits of providing nutrition education at local food pantries and food assistance organizations.

£

4.8b

Provide assistance and nutrition resources including Healthy Weight Awareness Campaign materials to food pantries to increase the amount of nutrition education available to FSP participants and FSP eligibles who visit local food pantries and food security.

£

4.8c

Assist local food pantries and food security organizations with development, adoption and implementation of a policy for promoting nutrition education to all of its clients.

£

PHYSICAL ACTIVITIES/SUN EXPOSURE

5.4

Increase the number of youth involved in after school activities in community settings.

5.4b

Distribute information regarding intramural programs and physical activities to student councils, PTA and PTO groups, and 21st Century grant sites.

£

5.4c

Assist community organizations, including faith-based and private organizations that serve youth, in increasing participation in after-school activities by provide marketing tools and resources.

£

5.4d

Provide materials and technical assistance to community organizations to educate community programs participants about physical activity as a lifelong habit.  (Hearts-N-Parks)

£

5.9

Increase number of early childhood centers and SAUs with guidelines for sun screen use for children and youth during outdoor physical activity events.

5.9b

Provide tools and resources to early childhood centers to address sun protection.

£

CHRONIC DISEASE – EARLY IDENTIFICATION & TREATMENT

6.8

Increase the number of people certified in CPR and local access to CPR training.

6.8d

Provide CPR and AED training to groups through partnerships with community organizations (e.g. include CPR training in other training such as orientation, in-service)

£

CHRONIC DISEASE – ACCESS TO SELF-MANAGEMENT SUPPORTS

7.1

Increase the number of at risk people who are able to access and understand how to use clinical and community supports for self management of health status related to chronic diseases.

7.1e

Participate in community blood pressure and cholesterol screening/clinics to provide information on or referrals to community supports for CVD self management.

£

7.8

Increase the number of local healthcare providers, especially in family planning services, community health centers, and mental health systems who use Public Health Service Guidelines for treating tobacco use and dependence.

7.8a

Promote implementation of the Public Health Service Guidelines (PHS) for treating tobacco use and dependency to local providers and office staff, through office-based training using the PTM clinical outreach protocols and materials provided through CTI trainings.

£

7.8b

Recruit provider practices to participate in clinical outreach trainings conducted by PTM treatment contractors CTI in order to implement Public Health Service (PHS) Guidelines.

£

7.8c

Promote participation by providers and staffs of providers in the Basic Skills training, Intensive Tobacco Treatment training, as well as the Tobacco Treatment Specialist certification program.

£

7.9

Increase the number of clinicians who refer youth and adults to community resources for physical activity and healthy nutrition resources.

7.9c

Work with partners to develop a resource guide for providers to refer adults to local community resources for physical activity (e.g., local gyms, adult education classes, community centers, senior centers, YMCAs, YWCAs).

£