Fillable EMERGENCY COVID ASSISTANCE GRANT APPLICATION (CITY OF FOREST GROVE)

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EMERGENCY COVID ASSISTANCE GRANT APPLICATION (CITY OF FOREST GROVE)

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The EMERGENCY COVID ASSISTANCE GRANT APPLICATION (CITY OF FOREST GROVE) form is 4 pages long and contains:

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  • 8 check-boxes
  • 54 other fields

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File type: PDF

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1
Sponsor:_______________________________________ Tax ID # ___________________
(N/A for City Board or Commission)
Contact Person:________________________________ Daytime Phone:_______________
Address:_______________________________________ Email Address: __________________
City:__________________________ State:_________ Zip:______________
Signature:_____________________________________
PROJECT INFORMATION
A. Project Title
________________________________________
Amount Requested:
$_______________
B. Mark all of the goals below which your project meets and explain how:
Goals
How project meets this goal
(be clear & specific)
Improve the appearance or
environmental quality of the
community
Reduce the amount or toxicity of
waste
Increase reuse and recycling
opportunities
Result in rehabilitation or upgrade of
real or personal property owned or
operated by a nonprofit organization
having 501(c)(3) status under the
Internal Revenue Service code
Result in the preservation or
enhancement of wildlife, riparian
zones, wetlands, forest lands and
marine areas, and/or improve the
public awareness and the
opportunities to enjoy them.
Result in improvement to, or an
increase in, recreational areas and
programs
Result in improvement in safety
Benefit youth, seniors, low income
persons and/or underserved
populations.
EMERGENCY COVID ASSISTANCE GRANT APPLICATION
Adelante Mujeres
03-047318
Andrea Chunga-Celis
503-992-0078 x208
2030 Main Street, Suite A
achungacelis@adelantemujere
s.org
OR
97116
Andrea Chunga Celis
Digitally signed by Andrea Chunga
Celis
Date: 2020.04.03 08:40:21 -07'00'
COVID-19 Community Response
$ 10,000.00
✔
Adelante Mujeres programming (education, leadership, and
entrepreneurship) provides empowerment opportunities for residents to
improve the socioeconomic environment of the Forest Grove community.
✔
Ensuring access to educational, leadership, and
entrepreneurship opportunities are provided for
socioeconomic security and safety for our family members.
✔
Adelante Mujeres serves the Latino, immigrant community that
includes 2,300 Forest Grove residents in which the majority
face income instability (low-income), and homelessness.
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signature
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2
C.
Brief
Project Description
and Explanation of how the COVID funds will be used:
Who will benefit if this project is funded?
_____________
Estimate how many Forest Grove
residents will benefit if this project is funded.
D.
We are gratefully requesting $10,000 to support the continued programming of Adelante Mujeres with
the increased demand by our community due to COVID-19. At Adelante Mujeres, we know we will get
through this, but in order to do so, we need to work together. Now more than ever, we need partners like
you.
We serve the most vulnerable community during this crisis. The vast majority of those impacted are
low-income individuals. Due to our commitment to the community, we are continuing to provide services
through the following programs:
• Education: Early Childhood and Adult Education, Chicas Youth Development, and Beyond Trauma.
• Microenterprise: Empresas Small Business, Sustainable Agriculture, Farmers Market, and Nourish the
Community.
• Leadership: Civic Leaders and Immigrant Solidarity.
We are providing the following during these challenging times to our participants:
• Virtual case management (through Zoom) for all participants throughout our 10 programs that provides
education for preschoolers to adults, trauma-informed support, youth mentoring, leadership and
advocacy, and business coaching to our small business owners.
• Ensuring that our 55+ Latino-owned small businesses are receiving the critical support and resources
needed.
• Providing our 156+ Forest Grove Latina youth to have accurate information to access food and critical
supplies to ensure learning is ongoing. Additionally, to have video conferences and phone calls with
participants and/or family members to continue mentoring support.
• Ensuring our Latino, immigrant community is receiving accurate information on a daily basis and that
they are connected with the right resource group and/or partner in terms of health, food, and shelter
needs.
Some key highlights of ongoing programming:
• Virtual GED classes to ensure our Adult Education Latina women are prepared for their GED exams.
• Chicas College and Career Coordinator supporting high school juniors and seniors with one-on-one
mentoring.
• All staff will prepare and deliver weekly culturally-responsive messaging to all participants regarding
COVID-19.
• Virtual Beyond Trauma (trauma-informed care) classes to our adult students and community members.
Adelante staff provides safety and comfort for participants. With the support of the City of Forest Grove,
we will ensure our most critical needs are met:
• Personnel support to ensure direct programming is ongoing by our dedicated staff.
• Increased communication/IT needs to facilitate employees working from home.
2,300
Latino Forest Grove residents that are: without healthcare, low-income, migrant.
3
Personnel Services
Supplies
Capital
Materials
Other (please explain):
Total
COVID Sponsor
Other #1
Other #2
E.
PROJECT
BUDGET
% of Total Budget provided by Sponsor: ______
Total Estimated Costs: ___________
Breakdown
estimated
costs
by
source:
________________________________________
How
were
these
costs
estimated
(quotes,
catalog,
previous
projects,
etc.)?
These costs are based on increased costs of IT and programming cost since March.
$ 7,000.00
$ 1,000.00
$ 2,000.00
12000
2000
2000
1000
Utilities/IT
$ 10,000.00
$ 14,000.00
$ 3,000.00
$ 0.00
$ 27,000.00
51.85%
4
PROJECT MANAGEMENT
A. Provide a brief narrative outlining the major tasks and projected time schedule
for completing of each task.
B. Describe prior experience managing similar projects. Include prior Community
Enhancement Projects.
C. Does this project require coordination with other public and private
organizations? Has the necessary coordination been completed? If yes,
please describe.
D. If the project is located on private land, discuss the public benefit of the project
and provide landowner permission for the project with this application.
Street.
Please
limit question responses to the spaces provided.
Applications must be submitted by 5:00 pm,
April
7
, 2020, at Forest Grove City Hall, 1924 Council
With support from the City of Forest Grove we will provide the following tasks:
Virtual Case Management (Timeline: April -June 30): Continue to provide direct services to
ensure participants and their family members are receiving adequate, culturally-responsive
support. This will be done with the following programs: Education, Microenterprise, and
Leadership Programs. Some key highlights of ongoing COVID-19 responsive programming:
• One-on-one phone calls with our Early Childhood Education families (we hold 3 Early Head
Start classrooms in Forest Grove) to ensure they have the essential tools and services in their
household (e.g., diapers, food, access to Internet).
• Supporting small businesses to access capital and receive ongoing coaching. This includes
weekly check-ins with Latino farm business owners.
We have been fortunate to have received and managed CEP grants and associated projects
since 2006. CEP has supported Adelante Mujeres with our Farmers Market, Chicas Youth
Development Program, and Early Childhood Education. As dedicated partners, we are
appreciative of your trust in our organization and that of our staff to deliver key
culturally-responsive programming to our shared community.
We are supported by private foundations, corporations, local and federal government, and
private donors. Adelante Mujeres is prepared to continue this critical work due to our 17 years
of continuous growth as a culturally-specific organization grounded in our long-term
commitment to the immigrant community.
We work with several other partners that provide assistance with and access to shelters, food,
and utilities, such as the Forest Grove School District, the Oregon Food Bank, and Comcast.
We are a key liaison for our community members who seek support first from Adelante
Mujeres, a trusted organization, prior to reaching out to other social services. By working
together, we will get through this, not only for our organization, but most importantly for our
community members.
No.
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Completed 3 August 2020

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