2010 Family Strengthening Awards - Application Form

2010 Family Strengthening Awards Program Rewarding NCLR Affiliate Partners for Their Work in Strengthening Latino Families APPLICATION MATERIALS Basic Information Affiliate Name: _____________________________________________________ Contact Person: _____________________________________________________ Email Address: _____________________________________________________ Phone Number: _____________________________________________________ Address: ___________________________________________________________ __________________________________________________________________ Executive Director: __________________________________________________ Affiliate Annual Budget: ______________________________________________ Number of Individuals Served: _________________________________________ (Yearly totals. If actual number is not available, please provide an estimate.)

Number of Families Served: ___________________________________________ (Yearly totals. If actual number is not available, please provide an estimate.)

Name of Organization(s) Providing Recommendation Letter (at least one letter): __________________________________________________________________ __________________________________________________________________ FOR INTERNAL USE ONLY (Please do not fill out.)

Number of years affiliated with NCLR: _____________________________________________ Are the nominee s dues current?

Y

N

Are the nominee s recertification documents current?

Y

N

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Names of Individuals Providing Signed Testimonies (at least three testimonies): __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Please provide the name of the nominated program and the category under which the program is administered and contributes to family strengthening: Name of Nominated Program: _________________________________________________________________ Category: (Please select all that apply)

Education

Housing

Employment

Health

Advocacy

Other ______________________

I affirm that the information contained here is true, that the National Council of La Raza (NCLR) Affiliate organization is currently operational, and that the organization is in good standing as an Affiliate of NCLR. The applicant organization is willing to share its program specifications with other NCLR Affiliates should it become an Annie E. Casey Family Strengthening Award winner. It agrees to share the nominated program s best practices with other NCLR Affiliates through workshops held at the NCLR Annual Conference and peer-to-peer training sessions and to provide technical assistance to other NCLR Affiliates upon request.

_____________________________________________________________ President/CEO Signature Date _____________________________________________________________ President/CEO Printed Name 2

2010 Family Strengthening Awards Program Rewarding NCLR Affiliate Partners for Their Work in Strengthening Latino Families

APPLICATION NARRATIVE Each organization can nominate at least one program that is exemplary in strengthening Hispanic families.

Limit your total response to six pages, single spaced, with 12-point Times New Roman font and one-inch margins on all sides. Applications not following guidelines will not be considered.

Recommendation letters and testimonies should be attached to this narrative, not to exceed six pages, and follow the same formatting guidelines. Please note that judges will use a scoring rubric and programmatic indicators to assign points to the family strengthening programs that are submitted for review. Please submit to NCLR by Friday, March 12, 2010.

Nominated Program: ______________________________________________ Date Program/Service Began: _______________________________________ 1. How has the organization used a holistic approach to strengthen Hispanic families? What other programs does the organization run which support the work of the nominated program? (10 points) 2. Briefly summarize the nominated program. How long has the program been in existence? How does this program directly strengthen Hispanic families and improve their well-being? Please cite specific evidence supporting your statements. (15 points) 3. What are the characteristics of the Hispanic community that the program serves (e.g., single mothers, preschool-aged children, out-of-school youth, etc.)?

What are the needs/challenges of the Hispanic families served? Why is the program necessary? Give two examples of how the organization has created or modified the nominated program to respond better to the Hispanic community s needs. (10 points) 4. What are the goals and objectives of the family strengthening program and how is the program designed to achieve the set goals and objectives (e.g., activities, methods used)? Complete the attached Goals, Objectives, and Measurable

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Outcomes Timeline (Attachment 1). Please note that goals are broad, general intentions, while objectives are measurable. (10 points) 5. What is the evidence that the program is successful in strengthening Hispanic families? How does the program demonstrate measurable impact? Please include (a) the number of individuals and the number of families served, and (b) the type of data collected and how frequently it is collected. (15 points) 6. Please describe the program s funding resources and allocation of funds (10 points): a) How is this program funded? Are the funding sources ongoing or timelimited? Describe your sustainability strategy. b) What are the annual costs of delivering the program/service? What is the cost per client per year? Please include last fiscal year s program expenses as well as the 2010 projected program budget using the attached forms (Attachments 2 and 3). c) If selected, how does the applicant propose to allocate and use the Family Strengthening Award?

7. What were the challenges encountered in implementing the program? What best practices has the program developed to meet these challenges?

(10 points) 8. How feasible would it be for other NCLR Affiliates to replicate these family strengthening best practices in their own programs? What are the major components that lead the nominated program to success? Please provide a distinction between best practices for implementing the program from ground zero (process, infrastructure, funding) and best practices for improving or expanding the program (outcomes, impact, sustainability). (10 points) 9. How has the nominated program used the NCLR Affiliate Network and its relationship with NCLR to maximize its effectiveness to strengthen families?

(5 points) 10. How often have employees of the organization attended NCLR-sponsored events, such as the NCLR Annual Conference, Advocacy Day, and regional meetings in the past two years? Please be specific and provide examples of demonstrated engagement with NCLR. (5 points)

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