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wwwHealthierGenerationorg

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wwwHealthierGenerationorg

     950 E. Bogard Road, Suite 218 ?Wasilla, AK 99654

     Phone: (907) 352-2863 ? Fax: (907) 352-2865

     www.matsuhealthfoundation.org

    GRANT APPLICATION

    FOR THE

    MAT-SU HEALTH FOUNDATION

    COMPETITIVE

    HEALTHY SCHOOLS PROGRAM

    RELEASE DATE:

    Friday, November 12, 2010

    APPLICATION DEADLINE:

    Friday, February 25, 2011

    by 5:00 p.m. (AST)

Email, Fax or Mail Completed Grant Application To:

    Mat-Su Health Foundation

    Sharon Scott, Program Officer

    950 E. Bogard Road, Suite 218

    Wasilla, AK 99654

    Email: s.scott@msrmc.com

    Phone: (907) 352-2864

    Fax: 907-352-2865

    Mat-Su Health Foundation

    1 of 9

    “Improving the health and wellness of Alaskans living in the Mat-Su!”

     950 E. Bogard Road, Suite 218 ?Wasilla, AK 99654

     Phone: (907) 352-2863 ? Fax: (907) 352-2865

     www.matsuhealthfoundation.org

    Healthy Schools Program

I. About this Grant

    The MSHF Healthy Schools Program strongly believes that a healthy school environment should not require financial sacrifices. The Mat-Su Health Foundation, working with resources from the Alliance for a Healthier Generation, has developed innovative solutions that will help overcome resource constraints and ensure school budgets are not adversely impacted. This grant program seeks to support schools with seed funds to implement and sustain a healthier school environment.

II. Program Background

    The Healthy Schools Program (HSP) was launched by the American Heart Association (AHA) and the William J. Clinton Foundation (WCF) with funding from The Robert Wood Johnson Foundation (RWJF). The Mat-Su Health Foundation (MSHF) in support of the Valley’s schools

    strongly endorses the goal to reduce the nationwide prevalence of childhood obesity by 2015. MSHF is providing funding to support the implementation of the Healthy Schools Program in the

    Mat-Su Borough School District for the 2010-11 school year. The MSBSD has assigned

    Lura Hagge, a MSBSD Professional Development employee to assist the individual schools with the process of establishing a Healthy Schools Program and applying for competitive funding with the Mat-Su Health Foundation.

III. Estimated Range of Awards

The Mat-Su Health Foundation will award grants up to $5,000 to the first fifteen schools that

    successfully complete the application process identified below.

IV. Application Specifications

    Release Date: No applicant may begin the grant process before the Mat-Su Health Foundation’s release date of Friday, November 12, 2010.

Due Date: Applications may be submitted by email, fax or mail to Sharon Scott, MSHF’s

    Program Officer. All applications must be postmarked on or before 5:00 p.m. Alaska Standard Time (AST) on February 25, 2010, to be eligible for consideration. Applicants are strongly

    urged to complete and submit their applications as thoroughly and quickly as possible since grants will be awarded on a first-come, first-serve basis.

    Sharon Scott, Program Officer

    950 E. Bogard, Suite 218

    Wasilla, Alaska 99654

    Email: s.scott@msrmc.com

    Fax: (907) 352-2865

    Confirmation of Receipt of Application: You will receive an email confirmation acknowledging the receipt of your application.

    2 of 9

    “Improving the health and wellness of Alaskans living in the Mat-Su!”

     950 E. Bogard Road, Suite 218 ?Wasilla, AK 99654

     Phone: (907) 352-2863 ? Fax: (907) 352-2865

     www.matsuhealthfoundation.org

    Review: Applications will be submitted for grant review established through the Healthy Schools Program and evaluated against each school’s Prioritization Chart, Action Plan and Budget Narrative.

    Announcement: Grants will be awarded on a first-come, first serve basis and all results of the application process will be made to all grantees no later than Friday, March 9, 2011.

    Contracts: Principals of the schools granted an award will be asked to sign a Grant Agreement which will accompany the grant award letter.

Grant Period: One year from the date that the grant funds are awarded.

    Payment and Reporting: Payment will be disbursed upon award. Each school will be required to complete a short report regarding the proposed project about the results of the proposed project by the date identified in each school’s Grant Agreement.

V. Grant Guidelines

    Proposed use of these funds must be related to at least one of the following focus areas included in the school’s Action Plan and must move the school toward at least one of the

    criteria in the Healthy Schools Program Framework.

    ; Physical Activity

    ; Healthy Eating

    STEPS TO COMPLETING THIS IMPLEMENTATION GRANT APPLICATION:

    Grantees should refer to resources at www.HealthierGeneration.org

    1. Create a School Wellness Council (SWC). The SWC creates an Action Plan

    based on their school’s Prioritizations Chart (this Chart is generated from the

    Inventory answers recorded on the Healthier Generations website.)

    2. The School Wellness Council uses the Healthy Schools Program resources

    found on the website to ensure that their individual school’s plans are based on

    proven best practices.

    ; A Network Manager with Healthier Generations is available:

    Beth E. Graham, MPH, CHES, National Network Manager

    Alliance for a Healthier Generation

    830B Howard Avenue | Myrtle Beach, SC, 29577

    T 843.213.1135 - F 843.213.1135

    C 843.742.1380

    beth.graham@healthiergeneration.org

    ; A Resource Database and toolkits are available to schools on

    www.HealthierGeneration.org

    3. The School Wellness Council completes this Implementation Grant application to

    explain how they will use the grant funds to implement one or more priority Action

    Steps on their Action Plan.

    3 of 9

    “Improving the health and wellness of Alaskans living in the Mat-Su!”

     950 E. Bogard Road, Suite 218 ?Wasilla, AK 99654

     Phone: (907) 352-2863 ? Fax: (907) 352-2865

     www.matsuhealthfoundation.org

Restrictions:

; Eligible applicants are all Mat-Su Borough School District schools who are 2010-2011

    participants of the Mat-Su Health Foundation’s $1,000 School Health, Safety, Nutrition, and

    Fitness Grant Program,

    AND do not begin the grant process before the official release date of November 12, 2010,

    AND elect to participate in the Healthy Schools Program during the 2010-2011 and 2011-

    2012 school years.

    ; If your application includes equipment costs, they may not exceed 50% of direct costs and

    should be used exclusively for this program.

    ; Applicants may designate up to $250 of the grant funds to offer a stipend to a coordinator,

    whose responsibilities will be to coordinate and support the implementation of the proposed

    activities as part of their school’s Action Plan.

    ; Services must be provided within the school environment (includes before and after school

    activities).

    ; Funds must be used after they are received. Funds cannot be applied to services rendered

    before the grant award date.

    4 of 9

    “Improving the health and wellness of Alaskans living in the Mat-Su!”

     950 E. Bogard Road, Suite 218 ?Wasilla, AK 99654

     Phone: (907) 352-2863 ? Fax: (907) 352-2865

     www.matsuhealthfoundation.org

    CHECKLIST TO SUCCESSFULLY COMPLETE

    MAT-SU HEALTH FOUNDATION

    HEALTHY SCHOOLS GRANT APPLICATION

     Convene a School Wellness Council to complete the Inventory to appraise your school’s

    current health policies, practices and programs within the Healthy Schools Framework

Analyze your school’s Inventory results (prioritization chart) and identify key priorities for

    improving your school’s environment to promote physical activity and healthy eating with

    your School Wellness Council.

     Develop your school's Action Plan to address key priorities that are important, feasible, and

    sustainable with your School Wellness Council.

Consult with Beth Graham, National Network Manager, for assistance and to identify

    resources to support the implementation of your school’s Action Plan.

     Consult with a Healthy Schools’ Content Manager for recommendations and ensure

    implementation plans are aligned with the Healthy Schools Framework for creating a healthy

    school environment.

     Consult with MSHF or MSBSD staff identified below for questions on application procedures:

    Lura Hegg, Lura.Hegg@matsuk12.us Sharon Scott, s.scott@msrmc.com

    MSBSD Professional Development MSHF Program Officer

    Office: (907)-746-9295 Office: (907) 352-2864

     Complete the Healthy Schools Action Plan to identify steps for achieving key priorities,

    program leaders, resources needed to implement priority actions, and evidence of

    successful implementation.

Consult with Beth Graham, National Network Manager, to review your school’s action plan,

    budget narrative, and Implementation Grant application before submitting.

    Email: beth.graham@healthiergeneration.org; phone: (843) 213-1135

     Submit all required documents as identified in section VI. by the grant deadline.

    5 of 9

    “Improving the health and wellness of Alaskans living in the Mat-Su!”

     950 E. Bogard Road, Suite 218 ?Wasilla, AK 99654

     Phone: (907) 352-2863 ? Fax: (907) 352-2865

     www.matsuhealthfoundation.org

VI. Implementation Grant Application Submittal Format

    All the documents listed below must be completed and submitted as one document to the Mat-Su Health Foundation’s Program Officer by the date and time listed below.

1) Completed School Profile Page (form attached)

    2) School Wellness Council roster of participating members and date established 3) Completed School Inventory Forms and date inventory conducted 4) Completed Action Plan This plan must outline priority action steps, steps to

    achievement, the lead person responsible, a timeline, any resources utilized, and

    evidence of successful implementation. An Action Plan template is provided at

    www.HealthierGeneration.org.

    5) Complete Budget Narrative (form attached) list how your school intends to spend the

    $5,000 in grant funds. This budget must be used to fund programs and activities that

    are listed on your school’s Action Plan.

    6) District/school’s W9 Form

    Submit completed Implementation Grant Application by

    February 25, 2011 at 5:00 p.m. Alaska Standard Time (AST) to:

    Mat-Su Health Foundation

    Sharon Scott, Program Officer

    950 E. Bogard, Suite 218

    Wasilla, AK 99654

    Email: s.scott@msrmc.com

    Office - (907) 352-2864

    Cellular (907) 315-5193

    Fax - (907) 352-2865

    6 of 9

    “Improving the health and wellness of Alaskans living in the Mat-Su!”

     950 E. Bogard Road, Suite 218 ?Wasilla, AK 99654

     Phone: (907) 352-2863 ? Fax: (907) 352-2865

     www.matsuhealthfoundation.org

    School Profile Page

School Name

Mailing Address

City, State, Zip Code

Telephone Number

Fax Number

Grant Contact Name

Grant Contact Email Address

School Principal Name

Principal Email Address

     School Principal Signature

     Application Date

    Beth Graham, National Network Manager Healthy Schools Program Contact Email Beth.graham@healthiergeneration.org

    Phone (843) 213-1135 Amount of Request (Up to $5,000)

    Approximate Number of Students

    Approximate Number of Employees

     If working with MSBSD district staff,

    list the name that provided

    consultation and/or assistance

    7 of 9

    “Improving the health and wellness of Alaskans living in the Mat-Su!”

     950 E. Bogard Road, Suite 218 ?Wasilla, AK 99654

     Phone: (907) 352-2863 ? Fax: (907) 352-2865

     www.matsuhealthfoundation.org

    BUDGET NARRATIVE

    ; Align implementation steps/activities that are being funded with your school’s Action Plan ; Provide clear description for each step/activity that funding is being requested.

    ; Provide a total funding request.

    Action Step Description of Funding Request Funding

     Describe the implementation step or activity being Identify which priority action is Amount funded and how it supports the achievement of being supported by this your school’s priority action step. funding request

    Example:

    A school employee wellness Conduct a staff needs assessment on school employee needs assessment has been wellness by distributing paper or electronic copies of the conducted with staff. assessment. $20 Purchase a one-month subscription ($20) to an online survey (i.e. Survey Monkey or Zoomerang) to conduct a staff needs/interest assessment and $150 analyze the results.

     Purchase five incentives @ $50 each to offer as a

    reward for completing needs assessment.

Total funding request (not to exceed $5,000):

    8 of 9

    “Improving the health and wellness of Alaskans living in the Mat-Su!”

     950 E. Bogard Road, Suite 218 ?Wasilla,

    AK 99654

     Phone: (907) 352-2863 ? Fax: (907) 352-2865

     www.matsuhealthfoundation.org

    9 of 9

    “Improving the health and wellness of Alaskans living in the Mat-Su!”

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