Please complete all questions as thoroughly as possible. This year all sites are required to include a direct implementer (teacher and/or parent group leader) in the completion of this application. The direct implementer will be included in the follow-up of this application. For application questions, please contact Lisa Mulligan at lmulligan@iik.org or 303-839-1808 ext. 107. Completed applications are due by close of business on Monday, February 8, 2016 and should be emailed directly to Nichole Robillard at nrobillard@iik.org. Please include any additional text that does not fit in the answer box in the additional information box on the last page. BACKGROUND INFORMATION Organization Name: Tax ID #: Street Address: Mailing Address: Administrator Contact Name and Role/Title: Administrator Contact Phone # and Email Address: Teacher and/or Parent Group Leader Contact Name and Role/Title: Teacher and/or Parent Group Leader Contact Phone # and Email Address: Please provide a brief description of your organization and the population you serve. 1
Has your site previously implemented The Incredible Years (IY)? Yes (If yes, please complete the attachment entitled 2016 RFP Application for Current Implementers ) No For which components are you requesting funding with this application (Please check all that apply)? Parent Groups Dinosaur School Curriculum Teacher Classroom Management 2
ORGANIZATIONAL NEED 1. Describe the social and emotional needs of children and families within your organization and in your community. 2. How does your organization currently address the social and emotional needs of children and families? 3. Are you looking to integrate or replace existing programming with a component of IY? If so, what is missing from your current programming? Or what are you looking to enhance? 4. How are programs you are already implementing and structures you already have in place potentially able to support the implementation of IY? 5. What student/community needs are motivating your organization to consider implementing IY? 3
COMMUNITY READINESS 1. Who has been involved in discussions regarding early childhood social/emotional programming? Please include names and title/role. 2. What role does your organization play in your community? 3. Do you have partnerships with local businesses, non-profits, neighborhood associations or other community groups? How, if at all, will they support your implementation of IY? Please provide examples. Do you have any plans to expand your reach in the community, in support of the program? 4. Are you currently working with any community agencies and/or local councils that are working on childhood and/or parent support initiatives? If so, how are you collaborating with them? Do you have any plans for additional collaboration in the future? Please provide examples. 4
ORGANIZATIONAL CAPACITY 1. What do you see as the benefits of implementing IY within your community? 2. How well do you think IY meets your goals for your students and/or families social and emotional development? 3. What do you see as potential challenges or difficulties to implementing IY? 4. How will/are these challenges be(ing) addressed? Please identify specific approaches, plans or strategies. 5. On a scale of 1 to 5, with 1 being not at all and 5 being extremely how motivated are the administrators to support the delivery of this program? 5
6. Have the administrators met with teachers and/or other staff about the possibility of implementing IY? What was their response? 7. On a scale of 1 to 5, with 1 being not at all and 5 being extremely how supportive and motivated are the teachers and/or parent group leaders to deliver this program? 8. If the administrator is not the direct supervisor of the implementers, are supervisors in support of IY implementation? On a scale of 1 to 5 with 1 being not at all and 5 being extremely how motivated are the supervisors to support the delivery of this program? 6
FIDELITY COMPLIANCE Please complete the following grids for the IY components you wish to implement in the 2016-2017 program year. Please skip the grids for the components your organization does not intend to implement in the 2016-2017 program year. Goal for total # of Parent Groups in : Proposed Location(s) for Implementation: Will you collaborate with other organizations to implement parent groups? If so, please list the name(s) of the partner organizations planning to implement IY, including a contact person s name, title and email/phone number. IY Parent Program Model Components of Fidelity Select 2 qualified parent group leaders (please review attached Parent Group Leader Profile) Allow release time for 2 staff to attend 3-day workshop for training in the BASIC Early Childhood Parent Program Offer the BASIC Early Childhood Parent Program for 14 consecutive weeks, 2½ hours weekly Allow for parent group leaders to have adequate prep & planning time (approx. 2½ hours weekly) Create plan for parent recruitment and strategies for parent retention Identify and compensate a point person for family engagement and recruitment Provide confidential space for groups to run and a separate space for child care Identify and compensate a coordinator that will be responsible for the logistical coordination of the group (ex: securing space, making copies, coordinating meals, etc.) Ability to Comply (Yes, No, or Don t Know) Anticipated successes and/or challenges 7
Secure quality childcare providers for parent group, weekly Provide meals for group, weekly Provide access to AV equipment to run DVDs, as needed to implement the curriculum (video vignettes) Pay 2 trained parent group leaders (that fit the group leader profile) an appropriate stipend for time spent running groups, as well as time spent in prep & planning Budget for ongoing materials costs associated with the parent groups, including books, magnets and parent incentives Allow for parent group leaders to have adequate time to complete evaluation information at the end of each session, as well as support participants in completing the pre- and post-test evaluations. All data is submitted on time. Provide parent group leaders with dedicated time to engage in coaching and consultation from IIK staff and/or peer coaches in support of fidelity. Maintain consistent communication with IIK staff regarding parent group logistics in advance of program start date, as well as throughout the series. 8
Goal for total # of Dinosaur School Classrooms: Proposed Location(s) for Implementation: Will you collaborate with other organizations to implement parent groups? If so, please list the name(s) of the partner organizations planning to implement IY, including a contact person s name, title and email/phone number. Dinosaur School Model Components of Fidelity Allow release time for teachers and classroom staff (2 per classroom) to attend Dinosaur School training for 3 full day trainings spread over the course of the school year. Implement 2 large group circle times (10-15 minutes each) and 2 small group activities (10-15 minutes each) weekly Use video vignettes as indicated in the curriculum (requires access to AV equipment in the classroom to show video vignettes on DVD in support of the large group lesson) Use role play and practice to promote skill building in children Sends home parent letters and bi-weekly home activities (incurs copy costs) Participate in evaluation and submit data by deadlines. All classrooms implementing Dinosaur School complete a pre-test (October) and a post-test (April) on each child in the classroom, as well as teacher profile forms. All data is submitted by deadlines. Allow for Dinosaur School teachers to have planning time to prepare for each lesson (approximately 30-45 minutes per week in the first year of implementation) Promote opportunities to integrate IY philosophy into other curriculum and throughout the day Commitment to having IIK staff and/or peer coaches visit your site for the purposes of coaching and consultation in support of fidelity Ability to Comply (Yes, No, or Don t Know) Anticipated successes and/or challenges 9
Goal for total # of Teacher Classroom Management Classrooms: Proposed Location(s) for Implementation: Will you collaborate with other organizations to implement parent groups? If so, please list the name(s) of the partner organizations planning to implement IY, including a contact person s name, title and email/phone number. IY Teacher Classroom Management Model Components of Fidelity Allow release time for teachers and classroom staff (2 per classroom) to attend Teacher Classroom Management training for 5 full days spread over the course of the school year. Participate in monthly (total of 6) coaching visits, based upon skills learned in training (includes coaching meeting) Develop and implement behavior plans in the classroom Participate in evaluation and submit data by deadlines. All classrooms implementing Teacher Classroom Management complete a pre-test (October) and a post-test (April) on each child in the classroom, as well as teacher profile forms. All data is submitted by deadlines. Commitment to having IIK staff and/or peer coaches visit your site for the purposes of coaching and consultation in support of fidelity Ability to Comply (Yes, No, or Don t Know) Anticipated successes and/or challenges 10
FUNDING AND SUSTAINABILITY This grant will not support full funding for program implementation. There is an expectation that sites will provide some level of community match to fund a portion of the work. Research shows that local investment is essential to successful, sustainable implementation of IY in a community. 1. Please list the funding sources available, or that you will seek, to help support your implementation of IY in 2016-2017. Please note if the funding is pending or already secured. Please also note any additional funding, which is considered a community match, that is allocated to general program implementation, money earmarked for a specific piece of the implementation (i.e. materials), in-kind support of the program, etc. 2. Does your organization have experience finding collaborative funding and resources to sustain programs? Are you currently using, or do you plan to use, any collaborative resources in support of IY? 3. What is your long-term vision for implementation of this program in your community? 4. How do you plan to support the sustainability of IY within your organization and your community? 11
BUDGET REQUEST Please outline the expenses for which you are requesting funding. Provide as much narrative as possible to help clarify your organization s specific funding needs, based on the guidelines listed below. In the amount requested column, indicate how much money your organization requests for the particular items that have varying rates. For example, if it costs your organization $125/week to provide child care for one parent group, and you are requesting child care for 2 groups, note the following: $125/week X 14 weeks = $1750 X 2 groups = $3500. If you are unclear about exact amounts to request, simply write out your organization s needs, and we will be in communication about an appropriate budget. *Only complete budgets for the components of the IY program for which you are requesting funding in the 2016-2017 program year. PARENT GROUP EXPENSES *Please note: All IY Parent Groups Leaders must attend the 3-day certified IY Parent Group training. Additionally, each group will need a curriculum set and parent books and magnets for each family in attendance. The additional leader manual and the audio books are optional but recommended. Additionally, all IY Parent Groups must offer weekly child care and meals as part of the fidelity to the model of the program, as well as coaching support (where appropriate). ***All IY Parent Group reimbursement funding is contingent upon submission of evaluation data. Parent Group Training Item Description Rate Amount Requested Training Fee Parent Group Training per participant (includes all 3 days) $450 Travel Costs Per Diem: hotel, meals, etc. varies Staff Time for Training Stipends or sub coverage costs required for staff release time varies TOTAL Parent Group Materials Item Description Rate Amount Requested Parent Group Curriculum Set Leader Manual, Vignette DVDs, Pyramid Poster $1,895 Additional Leader Manual Additional Leader Manual for second facilitator (not required) $90 Parent Books - English Each family participating in the group receives a book $18 12
Parent Books - Spanish Each family participating in the group receives a book $16 Parent Book - Audio Version - To loan to any parent who needs/prefers audio (usually 1 per $40 English site) Parent Book - Audio Version - To loan to any parent who needs/prefers audio (usually 1 per $25 Spanish site) Piggy Bank Magnets Each parent participating receives a magnet $1 Discount for working with IIK 25% off full curriculum sets ($474) Shipping shipping rates will vary TOTAL Parent Group Facilitation Item Description Rate Amount Requested Incentives Gift Certificates/Prizes/raffle items for parents varies Meals Pre-Group Meals for parents and children varies Child Care Child Care During Sessions varies Stipends Parent Group Leader #1 Compensation (5 hours/week) varies Stipends Parent Group Leader #2 Compensation (5 hours/week) varies Office Supply Costs Copies, Chart Paper, Markers, etc. varies Staff Time for Parent Engagement Dedicated time for parent recruitment varies Group Coordination Dedicated time for logistical coordination varies TOTAL 13
Coaching and Evaluation Item Description Rate Amount Requested 1st Series Coaching and Evaluation 3 coaching visits and independent evaluation -This is for any parent group that has 1 or both parent group leaders who have not previously implemented the IY curriculum. $500 2nd Series Coaching and Evaluation 3rd Series Coaching and Evaluation TOTAL 2 coaching visits and independent evaluation -This is for any parent group that has 1 or both parent group leaders who have only previously implemented one or two IY parent group series. 1 coaching visit and independent evaluation -This is for any parent group that has both parent group leaders who have previously implemented at least 2-3 parent group series. $350 No Charge Other Costs (please define) Item Description Rate Amount Requested TOTAL PARENT GROUP BUDGET 14
DINOSAUR SCHOOL EXPENSES Please note: All implementing Dinosaur School staff must participate in the 3-day certified Dinosaur School training, including classroom support staff. Training fees vary based on the number of participants attending the training and will be determined in collaboration with Invest in Kids. It is recommended that 2 classrooms share Dinosaur School materials. If 2 classrooms share materials, it is recommended that one additional classroom curriculum binder set and one additional Detective Kit be purchased. Additionally, all first and second year implementing Dinosaur School classrooms must receive coaching support. Dinosaur School Training Item Description Rate Amount Requested Training Fee Dinosaur School Training per participant (includes all 3 days) varies Travel Costs Per Diem: hotel, meals, etc. varies Staff Time for Training Stipends or sub coverage costs required for staff release time varies TOTAL Dinosaur School Materials Item Description Rate Amount Requested Dinosaur School Classroom Curriculum binders, Detective Kit, Vignette DVDs, Home $1,350 Curriculum Activities Binder, Feelings Wheels, Wally books, Stickers Additional Curriculum Binder Set Curriculum Binders (for additional teacher sharing materials) $225 Spanish Home Activities Notebook Home Activities Notebook in Spanish (recommended where $40 appropriate - can be shared among classrooms) Additional Detective Kit Detective Kit (for additional teacher sharing materials) $95 Puppet Set Dina, Molly, Wally, Tiny puppets $1,079 Discount for working with IIK 25% off full curriculum set $ (337.50) Shipping varies TOTAL 15
Dinosaur School Coaching and Item Description Rate Amount Requested Evaluation 1st Year Coaching and Evaluation 7 coaching visits and independent evaluation $500 2nd Year Coaching and Evaluation 3-4 coaching visits and independent evaluation $350 TOTAL Other Costs (please define) Item Description Rate Amount Requested TOTAL DINOSAUR SCHOOL BUDGET 16
TEACHER CLASSROOM MANAGEMENT EXPENSES *Please note: All implementing Teacher Classroom Management staff must participate in the 5-day certified Dinosaur School training, including classroom support staff. Training fees vary based on the number of participants attending the training and will be determined in collaboration with Invest in Kids. Each classroom attending the training is required to have a Teacher Book, as well as receive coaching support. Teacher Classroom Management Item Description Rate Amount Requested Training Training Fee Teacher Classroom Management Training per participant varies (includes all 5 days) Travel Costs Per Diem: hotel, meals, etc. varies Staff Time for Training Stipends or sub coverage costs required for staff release time varies TOTAL Teacher Classroom Management TRAINING Teacher Classroom Management Materials Teacher Books Shipping TOTAL Teacher Classroom Management Materials Item Description Rate Amount Requested How to Promote Social and Emotional Competence: A Guide for Teachers of Children 3-10 Years Old (one per participant) 27.95 varies Coaching and Evaluation Item Description Rate Amount Requested 1st Year Coaching and Evaluation 6 coaching visits and independent evaluation 500.00 TOTAL Teacher Classroom Management Coaching 17
Other Costs (please define) Item Description Rate Amount Requested TOTAL Teacher Classroom Management BUDGET TOTAL IY BUDGET REQUEST FROM INVEST IN KIDS: Any additional information you would like to share. Date: Name and Title: Signature: 18