KIB CLUBS APPLICATION

Application Deadline: August 27, 2010

School/Youth Serving Organization Name *

Mailing Address *

Street Address
Address 2
City	State	Zip

Website Address

Briefly describe the mission and purpose in the community of your school or Youth Serving Organization (YSO). *

Evaluation Criteria for Proposed Projects

*3-Year Commitment- Each school or YSO will need to commit to a 3-year partnership. This will ensure that we work only with those who are dedicated to their goal. The longer timeline will help to provide comprehensive and sustainable education for the projects and the partnership as a whole. KIB can discontinue the relationship at our own discretion. After the project is underway, KIB will provide certain elements to ensure a successful relationship. These include, but are not limited to:
-monthly phone calls to the partner to discuss how things are going
-annual visit with the “Adult Committee Members” to evaluate the previous year and plan for the upcoming year
-help match potential community partners with the school or YSO
-spend approximately 673 hours and roughly $26,750 over 3 years

*Adult Committee Members- Each school or YSO requires the support and interest of 4 adults from varying levels:
-Administrator- Principal, Asst. Principal, Director, support from the top
-Facilitator- Teacher, Program Leader, someone who will be running the overall project
-Community Member- Neighbor, Business Owner, other Community Groups, a friend of KIB’s that lives in the area, someone who will help to incorporate the community in the projects
-Head Custodian

*“KIB Clubs”- The club will serve as an important liaison between KIB and the school or YSO and will act as the managing partner for the proposed projects. Some basic guidelines for the club are:
-1 adult leader to facilitate the program. The leader can be a teacher, a community member or even the parent of a student. The leader could also be someone from the “Adult Committee.”
-1 monthly meeting for club members to discuss and plan upcoming events.
-Members to raise money to perform an annual community service project.
-can be formed from other existing clubs such as an “art club” and a “science club”
-Kids in the KIB Club will serve as “mini-interns” to KIB through their service to the school and community and will receive recognition for doing so

*Landscape Design- This is your “blueprint” detailing what you want to get done over the next three years. You will pick what you want and we will help you implement it.
-KIB will help a lot with this aspect of the project development by connecting landscape architects with the school and using our own expertise
-it will be up to the partner to decide what they want to get done and detail when they want to do it

*Maintenance Strategy- Each project requires that a maintenance plan be put in place to ensure that it is long-lasting and viable. Future partnerships with Keep Indianapolis Beautiful will be based in part on how well projects are maintained.

*Lesson Plans and Activities- We want you to incorporate curricula-based learning with all of our projects so that the kids can see why they are doing what they are doing.
-KIB will help locate the resources needed and will provide education from our own staff

*Art- Each project partner is encouraged to set aside a space to allow public art to be displayed.

**Please note that these are not cash grants, but project grants. KIB will provide design, materials, and project management while you provide the ideas, volunteers, and future maintenance.

Keep Indianapolis Beautiful reserves the right to adapt all or any component of this proposal, based on the availability of resources (equipment, supplies, financial support, etc.)

3-Year Commitment Evaluation

Explain your plan to gather support (summer maintenance, in-kind donations, time and funds needed that the grant may not provide) for the project to last 3 years. How will you attract and secure volunteers, parents and community support? *

What has been done in the past at your school or YSO, if anything, that would help build support and interest in a 3-year commitment with KIB Clubs? *

Have you reached out to other community organizations for help? Have you been successful with them? *

What will your school or YSO do after the 3-year commitment with KIB Clubs to ensure lasting effect? *

Adult Committee Member Evaluation

Executive Level Contact: Principal, Director or someone in charge *

First Name

Last Name

Title of Executive Level Contact *

Telephone *

()

Email Address *

Facilitator Level Contact: Someone employed by the school or YSO *

First Name

Last Name

Title of Facilitator Level Contact *

Telephone *

()

Email Address *

Outside Level Contact: Someone not employed by the school or YSO *

First Name

Last Name

Title of Outside Level Contact *

Telephone *

()

Email Address *

Custodial Level Contact *

First Name

Last Name

Title of Custodial Level Contact *

Telephone *

()

Email Address *

KIB Club Evaluation

How will you go about forming a "KIB Club" at your school or YSO? Who will lead it? Will you be able to meet regularly to talk about and plan for upcoming events? *

"KIB Clubs" will be expected to perform an annual community service project. What are some ideas to help facilitate the financial cost of this? In other words, how will your "KIB Club" raise money to support this project? *

How many members do you think will be in your "KIB Club"? *

between 1 and 10
between 11 and 20
between 21 and 30
more than 30

Landscape Design Plan Evaluation

Landscape Design Elements (Select as many as you think can be accomplished in a 3-year span) *From the boxes that you checked, please give a brief description of what you would like to see happen with each category, such as a recycling initiative for "Solid Waste Management." *

Maintenance Strategy Evaluation

How is maintenance (watering, weeding, general clean-up) performed for existing environmental components currently at your school or YSO? *

How will water, if necessary, be provided for your components? *

Please describe a detailed plan of how your projects will be maintained once they are completed? *

Specifically, who will carry out this maintenance? *

Lessons Plans and Activities

How will education on the environmental components be implemented throughout the projects to the youth? *

What types of environmental education, if any, is going on at the school or YSO now? *

Student/Community Art

Can there be space set aside for student/community art to be displayed on the grounds so that it could be viewed by the public? *

Yes
No

Where?

Is there any public art being displayed at the school or YSO currently? In the past? If so, what kind?

Statement of Support

The following statement needs to be signed by the 4-person adult committee:

I have reviewed the proposal and support the implementation or funding of this project as described therein. I understand that the students must be allowed to participate in some manner. I also understand that maintaining the project is crucial, and that the school will create a maintenance plan that will outline the duties of staff and students and the care they will provide for all planted materials.

Title *

Date *

Electronic Signature (Initials) *

Title *

Date *

Electronic Signature (Initials) *

Title *

Date *

Electronic Signature (Initials) *

Title *

Date *

18,777

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