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MIDDLESEX UNITED WAY HCHY Fund Request Renewal ( July 2013 -
June 2014 )
Email [email protected]
Name Gail M. Onofrio
Address P.O. Box 897
City Deep River State CT Zip Code 06417
Phone Number +1 (860) 526-3600
Email [email protected]
Name Gail M. Onofrio
Address P.O. Box 897
City Deep River State CT Zip Code 06417
Phone Number +1 (860) 526-3600
Email [email protected]
Name Gale Dilger
Address P.O. Box 897
City Deep River State CT Zip Code 06417
Phone Number +1 (860) 526-3600
Executive Director
Contact Person
Alternate Contact Person
Name Tri-Town Youth Services Bureau, Inc.
Address P.O. Box 897
City Deep River State CT Zip Code 06417
Phone Number +1 (860) 526-3600
Partner Agency (Asset-Based Health Communities-Healthy Youth
Initiative)
Fax Number +1 (860) 526-3600
Healthy Communities - Healthy Youth of Chester, Deep River, and
Essex
Program (proposed or current) funded by Middlesex United Way
to June 2014What is your agency's fiscal year? July 2013
financial highlights for entire agencyFY 2011-12 FY 2012-13 FY
2013-14
MxUW Request $9,000.00 $8,000.00 $8,000.00
MxUW Donor Choice $130.00 $130.00 $130.00
Other Income $177,101.00 $183,000.00 $183,668.00
Total Income $186,231.00 $191,130.00 $191,798.00
Total Expenses $186,231.00 $191,130.00 $191,798.00
Net Surplus or Deficit $0.00 $0.00 $0.00
Please include a copy of
your agency's total budget for this current fiscal year
when you submit this report.
(Attach as an additional
document in your E-mail.)
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GENERAL INFORMATION
Tri-Town Youth Services has spearheaded HCHY since 2005, when
our first Search Survey was administered. The survey has been
subsequently administered in 2009, 2011, and most recently in 2013.
The data collected from these surveys reveals our community has
been very successful in increasing youth assets as well as in
reducing substance abuse. We seek Middlesex United Way funds in
order to be able to stay on this path, to continue this successful
work that benefits our youth and our community.
1. Middlesex United Way fund must be used for local programs /
services in Middlesex County. Please describe your need for
Middlesex United Way funds and how these funds will be spent
locally. (500 Characters Max)
2. Please list other sources of funding used to support
Middlesex United Way funded programs and the amount of each.
4. Of the TOTAL AGENCY BUGET, what percentage comes from each of
the following funding sources?
3. What percentage of funds requested are related to agency
administration and fund-raising? 0%
a. n/a
b.
c.
d.
$0.00
$0.00
$0.00
$0.00
Funding Source FY 2011-12 FY 2012-13 FY 2013-14
Government 53% 52% 52%
Fees for Service & Dues 2% 2% 3%
Fund-raising 40% 41% 41%
Investment Income 0% 0% 0%
Middlesex United Way 5% 5% 4%
Other United Ways 0% 0% 0%
Other 0% 0% 0%
TOTAL 100 100 100
e. $0.00
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BOARD OF DIRECTORS INFORMATION
1. Please list all Board members (identifying current officers)
with length of time served by each member.
2. Number of Board meetings held last year 9 From 9/11 To
6/12
3. Average number of directors that attended per meeting 7
Total Caucasian African-American Hispanic Other
Female 5 4 0 1 0
Male 4 4 0 0 0
4. Board Demographics
Gale Dilger, President 6
Current?LengthName of Director
Regina Mercedez, Secretary 6
Current?LengthName of Director
Cathy Cooke, Vice President 3
Todd Beardsley, Treasurer 2
Nancy Kozlik 2
Jeff Smith 2
Claire Walsh 2
David Fitzgibbons 1
Ryan Johnson 1
Low-Income Disabled
0 0
0 0
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PROGRAM INFORMATION
1. Describe current services and programs in your community that
address substance abuse and other at-risk youth issues. (1,000
Characters Max, with spaces)
The Tri-Town Substance Abuse Prevention Coalition (SAPC) is
highly regarded for its expertise. The Coalition builds capacity
internally and in the community. The SAPC is the umbrella for the
Asset Development Strategy Team. Dispersal of mini-grants,which
includes education on building youth assets, has led local
non-profits to embrace the Asset Approach: Scouts, Parks &
Recreation, libraries, schools, TTYSB, to name a few. Tri-Town
chairs the Coalition, and offers programs, services, and resources
to the community. Tri-Town provides counseling and referral and has
a Juvenile Review Board for kids in trouble with the law. Tri-Town
works closely with schools regarding risky behaviors. School
assemblies address substance abuse, bullying, and other risky
behaviors. DARE is in all elementary schools and ATOD are addressed
in health at middle and high schools.
2. Describe your HCHY initiative and the current substance abuse
and/or at-risk youth behaviors that your community intends to
target through asset-building. Please identify the specific asset
areas your Collaborative would like to enhance through UW grant
funds. (1,500 Characters Max, with spaces)
Tri-Town's primary approach for its HCHY initiative involves
community mobilization, rather than limiting ourselves to a
programmatic approach. Our approach is in keeping with Search
Institute's recommended "Five Action Strategies for Putting Assets
in Action." (The Asset Activist's Toolkit: Handouts and Practical
Resources for Putting Assets into Action, Jolene L. Roehlkepartain,
2005.) 1. Engage Adults 2. Mobilize Young People 3. Activate
Sectors 4. Invigorate Programs 5. Influence Civic Decisions We work
with various sectors of the community with ongoing communication
and collaboration to guide and motivate them to build youth assets.
The more entities that roll up their sleeves and actively build
assets, the better! This gets more assets built in our towns than
we could do ourselves and the ongoing education means all those
entities have increased capacity to continue building youth assets.
Because of our community mobilization approach, we rarely target
specific assets or behaviors. We follow the theory that the more
assets our youth have, the lower their rate of substance use/risky
behaviors. Similarly, the more assets they have, the greater the
number of thriving behaviors. Since we work collaboratively, part
of our work will include meeting with our Asset Development
Strategy Team to develop plans for the 2013-14 year.
3. Describe your action plan and how intentional asset-building
is a part of the plan. (750 characters max with spaces)
Our Community Mobilization action plan includes: continually
expanding our Community E-mail Enrollment Lists, sending pragmatic
messages to parents every two weeks on intentional building of
assets, quarterly articles on assets to Town Newsletters, monthly
articles to schools with practical tips for all parents, working
with schools, faith community, etc. collaboratively throughout the
year and with the Asset Development Strategy Team to plan/hold a
Forum to share survey data with the public, and offering
mini-grants to local non-profits (including the educational
component ) in the spring. We will also send press releases to
local papers as relevant.
4. Provide outcome measurements for the goals you hope to
accomplish, including those addressing the asset areas identified
in question #2 (use outcome form at the end of this
application)
5. Describe the root causes of the problem(s) your initiative
addresses. (500 characters max with spaces)
Our initiative is focused primarily on youth. Many teens
"experiment"with substances and other risky behaviors. Often viewed
as a "stage", impulsive teen behavior is an outward sign of brain
development. Utilizing an asset approach helps teens to develop and
to reinforce neurological pathways that lead to healthy habits. The
HCHY model uses common language and asset building concepts to
mobilize the community in positive ways.
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PROGRAM INFORMATION (Continued)
9. Describe how Middlesex United Way dollars were leveraged in
2012-13 with other funding sources. List each source and amount of
leveraged dollars received.
a. toward match for DFC
b.
c.
$8,000.00
$0.00
$0.00
9.1 Resources that were secured by using Middlesex United Way
dollars as a required match.
9.2 Additional resources that might not have been secured had it
not been for Middlesex United Way's financial support of your
agency.
a. N/A
b.
c.
$0.00
$0.00
$0.00
10. Please share at least one success story related to your
asset-building initiative (1,500 Characters Max, with spaces)
Asset building has been "institutionalized!" Two examples of
this were evidenced during the past year. Tri-Town's first Freshman
Transition Event was held in August, 2012. Valley Regional High
School embraced the event, making it Day 1 of their two-day
Orientation to high school for incoming freshmen. The second
example pertains to a state grant Valley Regional received, the
State Personnel Development Grant. One facet of their work with
this grant involves identifying and providing recognition for
positive behavior. School administrators took the initiative for
writing said behaviors in asset terms. Neither example would have
been possible without capacity building and collaborative work over
the last few years.
6. Describe your Asset-Building Collaborative; name, number of
meetings per year, how members are working together and building
stronger partnerships. (1,000 characters max with spaces)
Our Asset-Building Collaborative is the Asset Development
Strategy Team, which is a subcommittee of the Tri-Town Substance
Abuse Prevention Coalition. While the Coalition meets five times a
year, the ASDT meets infrequently. ADST meets occasionally, as
needed, and communicates more often through emails or involvement
in various partnerships. For example, Tri-Town's Director meets
from time-to-time with school administrators, such as the
Superintendent of Schools, or representatives of the faith
community or civic clubs. Some members of the ADST also work with
the Coalition and other subcommittees.
8. Update coalition roster and provide 3-5 letters of support.
(Please attach these as additional documents in your E-mail.)
Include names and affiliations of team members and letters of
support from stakeholders and/or partners in the initiative.
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PROGRAM PARTICIPANT DEMOGRAPHIC DATA
Total Served Male Female White African American Hispanic Other
Low Income
Chester 4111 2055 2056 0 0 0 0 0
Clinton 0 0 0 0 0 0 0 0
Cromwell 0 0 0 0 0 0 0 0
Deep River 4855 2427 2428 0 0 0 0 0
Durham 0 0 0 0 0 0 0 0
East Haddam 0 0 0 0 0 0 0 0
East Hampton 0 0 0 0 0 0 0 0
Essex 7203 3601 3602 0 0 0 0 0
Haddam 0 0 0 0 0 0 0 0
Killingworth 0 0 0 0 0 0 0 0
Middlefield 0 0 0 0 0 0 0 0
Middletown 0 0 0 0 0 0 0 0
Old Saybrook 0 0 0 0 0 0 0 0
Portland 0 0 0 0 0 0 0 0
Westbrook 0 0 0 0 0 0 0 0
Total Served 16169 8083 8086 0 0 0 0 0
Statistics for People Served by Town for the period of July 2011
- June 2012. Numbers served must be UNDUPLICATED.
1. Definition for Low Income Clients. (500 Characters Max, with
spaces)
N/A Please note: An unduplicated count reflects town population
that receives asset messages through Town Newsletters, Tri-Town
Newsletters, school newspapers, and bi-monthly email messaging.
Total served: 16,169
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PROGRAM BUDGET / FINANCIAL INFORMATION
Support, Revenue & Expenses Fiscal Year 2011-12Fiscal
Year
2012-13Fiscal Year
2013-14
Public Support & Revenue - All Sources
1. Middlesex United Way Request $9,000.00 $8,000.00
$8,000.00
2. Middlesex United Way Donor Choice $0.00 $0.00 $0.00
3. Contributions $0.00 $0.00 $0.00
4. Special Events $0.00 $0.00 $0.00
5. Contributed by Associated Organizations $0.00 $0.00 $0.00
6. Revenue from other United Way's $0.00 $0.00 $0.00
7. Fees & Grants - Government Agencies $0.00 $3,000.00
$0.00
8. Other $0.00 $0.00 $0.00
9. Other $0.00 $0.00 $0.00
10. Membership Dues $0.00 $0.00 $0.00
11. Program Fees / Incidental Revenue $0.00 $0.00 $0.00
12. Sales of Materials $0.00 $0.00 $0.00
13. Investment Income $0.00 $0.00 $0.00
14. Miscellaneous Revenue $0.00 $0.00 $0.00
15. TOTAL REVENUE $9,000.00 $11,000.00 $8,000.00
Expenses* MxUW Funds Only
16. Salaries $6,315.00 $6,133.00 $6,277.00 $6,277.00
17. Employment Benefits $0.00 $0.00 $0.00 $0.00
18. Payroll Taxes, etc. $483.00 $380.00 $389.00 $389.00
19. Professional Fees, Consultants, Sub-contracts $0.00
$3,000.00 $0.00 $0.00
20. Supplies, Printing & Publications, Postage &
Shipping $0.00 $287.00 $0.00 $0.00
21. Occupancy, Utilities, Telephone, Rental & Maintenance of
Equipment $0.00 $0.00 $0.00 $0.00
22. Conferences, Conventions, Meetings & Travel $1,000.00
$0.00 $0.00 $0.00
23. Specific Assistance to Individuals $0.00 $0.00 $0.00
$0.00
24. Membership Dues $0.00 $0.00 $0.00 $0.00
25. Awards & Grants $1,202.00 $1,200.00 $1,334.00
$1,334.00
26. Miscellaneous $0.00 $0.00 $0.00 $0.00
27. Payments to Affiliated Organizations $0.00 $0.00 $0.00
$0.00
28. Administrative Expense (if not included above) $0.00 $0.00
$0.00 $0.00
29. TOTAL EXPENSES $9,000.00 $11,000.00 $8,000.00 $8,000.00
EXCESS OR DEFICIT $0.00 $0.00 $0.00
* For those programs with more than one funding source provide
overall program budget in the first 3 columns for the fiscal years
as indicated; in the 4th column please identify how you propose to
allocate Middlesex United Way funds during FY 2013-14
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BUDGET EXPLANATION
Line # / Item FY 2013-14 Explanation
16. Salaries $6,277.00 Director's involvement in asset building
leadership and ongoing
community communication. Approximately 3.3 hours per week at
$36.58 per hour.
17. Employment Benefits $0.00
18. Payroll Taxes, etc. $389.00 FICA for Director's salary for
3.3 hours dedicated to this grant.
19. Professional Fees, Consultants, Sub-contracts $0.00
20. Supplies, Printing & Publications, Postage &
Shipping $0.00
21. Occupancy, Utilities, Telephone, Rental & Maintenance of
Equipment $0.00
22. Conferences, Conventions, Meetings & Travel $0.00
23. Specific Assistance to Individuals $0.00
24. Membership Dues $0.00
25. Awards & Grants $1,334.00 Mini-grants for local
non-profits to build youth assets.
26. Miscellaneous $0.00
27. Payments to Affiliated Organizations $0.00
28. Administrative Expense (if not included above) $0.00
For your overall program budget please use this form to explain
how you calculated expenses for each line item.
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Middlesex United Way
July 2013 – June 2014 FUND REQUEST Renewal: Healthy Communities
• Healthy Youth
Coalition Roster
• Dr. Ruth Levy, superintendent of District #4 Schools is an
enthusiastic member of the Asset Development Strategy Team. • Jane
Cavanaugh, retired Social Worker of Chester Elementary School, has
demonstrated her leadership ability in developing
and promoting Social Development. (Tim Duffy’s 2004 presentation
utilized a quote from Maurice Elias, which demonstrated the close
connection between Social Development and Asset Building.) The
success of the program at Chester Elementary School gave impetus to
district-wide Social Development Goals. This initiative reaches
beyond schools to garner support throughout the community.
• Reverend Timothy Haut, Pastor of the Deep River Congregational
Church, is also a member of the Deep River Rotary Club. He is very
enthusiastic about supporting and furthering this initiative and
works to invigorate his parish’s active youth programs as well as
connecting with and motivating others in the Tri-Town Clergy
Association.
• Marjorie Russell, School Counselor at Essex Elementary, has
worked for Region 4 since 1996. Her background includes working
with youth service bureaus, and therefore, she is especially suited
to community collaboration. At Essex Elementary School, she
coordinates Social Development and is instrumental in leading asset
building efforts as well.
• Mary Hambor has served as a Special Education teacher for 26
years (with 18 at Valley Regional High School) and is completing
her seventh year as School-to-Career Coordinator at Valley Regional
High School. Mary’s passion and expertise has been in the area of
transition for students from high school to post-secondary
education and/or employment. In her current role, she networks with
the community to provide career exploration activities (i.e. job
shadowing, company tours, employment) for students at Valley
Regional High School.
• Laura Kasprow, School Social Worker at Deep River Elementary
has long been a supporter of asset development in our towns. In her
role at Deep River Elementary School, she is in a perfect position
to work with students as well as local families and the community.
Since her attendance at the Search Institute Professional
Development for elementary teachers in August 2007, she has been
sending home asset-based parenting tips monthly.
• Gail M. Onofrio, Director of Tri-Town Youth Services, has
direct links with youth in Tri-Town programs and in the schools.
With youth service bureaus designed as coordinating agents in their
towns and Gail’s 23 years as Director, she is in a perfect position
to have forged and maintained strong bonds with all sectors of the
community. This is an ideal vantage point from which to coordinate
the Asset Building initiative.
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• Sarah Curran and Cori Camire are youth representatives, who
joined the team two years ago. • Matt Talmadge, Associate Principal
of Valley Regional High School, joined the team last year.
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Town of Chester203 Middlesex AvenueChester, Cf 06412
telephone: 860-526-00 1 3facsimile: 860-526-0004
www.chesterct.org
March 7,2013
To Whom lt May Concern:
I am writing to express my strong support for Tri Town Youth
Services' application onbehalf of the youth and communities of
Chester, Deep River and Essex to MiddlesexUnited Way for the Health
Communities-Healthy Youth initiative.
As a stake holder in these communities I support the efforts to
build youth assets andstronger communities that the Asset Approach
will afford.
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SerscrNreN's OrrrcB174 Main Streer
Deep fuver, Connecticur 06417
March 19, 2073
To Whom it May Concern:
TriTown Youth Services has been an indispensable part of our
town (and of Chester
rise
and Essex, our neighbors to the north and south) for 29 years.
The scope of its
programs has broadened as both families and our schools have
increasingly come to
depend upon it. And as the communiry's needs have grown TTYS has
never failed toto the challenge.
As a Deep River Police Officer for nearly four decades (and as
First Selectman since
7989) I can bear witness to the essential services this agenq/
has consistently provided.It is so important to Deep River that,
when we were awarded a Small Cities grant toprovide a new home for
our Social Services, we were able to include our youth service
as well.
Today more than ever a strong youth and family service is
absolutely necessary. Please
join us in your generous support ofTri-Town Youth Services.
Thank you.
Sincerely, ./i,l
''')r'@"/LRichard H. Smith,First Selectman
Rlfsl;r.
Tel: 860-526-6020 Fax 860-526-602J rvrvrv, deep rive rc t.us
Email: [email protected]
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RncroNAL Scnoor, DrsTRrcr No.4CHESTER . DEEP RIVER . ESSEX
Ruth I. Levy, Ed.D.Superintendent of [email protected]
l2.ct.us
Tracy T, JohnstonDirector of Pupil
[email protected]
, f)eeP Riue^
.t:-"7'et'o^ a: doo; t*'? Exe[eo@
Joanne D. Beekley, Ed.D.Assistant Supelintendent of Schools
ilrcoklcrtarlc{r,1. k I 2.r:t- us
Garth SarvyerBusiness IHanager
[email protected] 12.ct. us
Memorandum of Understanding
As Superintendent of Schools, and a member of the Asset
Development Strategy Team,I fully support Tri-Town's Spring 2013
application to the United Way to fund the asset-based Healthy
Communities. Healthy Youthinitiative. I pledge to support the
application in my role as Superintendent of Schools in Regional
District #4through:
(l) Seizing every possible opportunity to educate various
sectors of our community about the value of, and needfor, asset
building.
(2) Taking an active role in building youth assets and
participating in efforts to strengthen our schools
andcommunity.
(3) Working with our Team to plan and give impetus to community
mobilization around asset building.
zltqlts zltslrcurt"Date
Central Administrative OfEces . P.O. Box 187 . Deep River, CT,
06417-0187 . (860) 526-2417 . FAX (860) 526-5469www.re94.k 12. ct.
us
. Ruth LevyTri-Town Youth Services
Tri_town HCHY AppTri-town coalitionrostrTri_town Letters of
Support
