HomeMy WebLinkAbout20042634 RESOLUTION
RE: APPROVE APPLICATION FOR RENEWAL FOR THE COLORADO ABSTINENCE
EDUCATION PROGRAM COMMUNITY IMPLEMENTATION GRANT AND AUTHORIZE
CHAIR TO SIGN
WHEREAS,the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS,the Board has been presented with an Application for Renewal for the Colorado
Abstinence Education Program Community Implementation Grant between the County of Weld,
State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf
of the Weld County Department of Public Health and Environment, and the Colorado Department
of Public Health and Environment,commencing January 1,2005,and ending December 31,2005,
with further terms and conditions being as stated in said application, and
WHEREAS,after review,the Board deems it advisable to approve said application, a copy
of which is attached hereto and incorporated herein by reference.
NOW,THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County,Colorado,that the Application for Renewal for the Colorado Abstinence Education Program
Community Implementation Grant between the County of Weld,State of Colorado, by and through
the Board of County Commissioners of Weld County, on behalf of the Weld County Department of
Public Health and Environment,and the Colorado Department of Public Health and Environment be,
and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said application.
The above and foregoing Resolution was,on motion duly made and seconded, adopted by
t owing vote on the 1st day of September, A.D., 2004.
IS . 6% BOARD OF COUNTY COMMISSIONERS
' atf '�.�� 4 , / W�l D COUNTY, C ORADO
' 1861 .��
�+* `r Robert D. Masden, Chair
ne lerk to the Board
'rr
William H. rke, Pro-Tem
BY: ♦ .�_._�._ .
Deputy Clerk to the Board -C-44-
M. J. eile
APP D AS TO .
EXCUSED
David E. Long
ounty Attorn€y
EXCUSED
�,� � Glenn Vaad
Date of signature: ��`.`'` �Zi
2004-2634
H L0031
('( I / ItX - „) O9-77-&c%
6
resDEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 17TH AVE
GREELEY, CO 80631631 WEBSITE: www.co.weld.co.us
ADMINISTRATION (970) 304-6410
FAX (970) 304-6412
VI O PUBLIC HEALTH EDUCATION AND NURSING (970) 304-6420
FAX (970) 304-6416
ENVIRONMENTAL HEALTH SERVICES (970) 304-6415
COLORADO FAX (970) 304-6411
Memorandum
TO: Robert D. Masden, Chairman, Board of County Commissioners
From: Mark E. Wallace, MD, MPH, Executive Director S /t�''` w,-
Date: August 30, 2004 /
Subject: Colorado Abstinence Education Program Community Implementation Grant
Enclosed for Board review and approval is the application for renewal for the Colorado Abstinence
Education Program Community Implementation Grant. If funded, the time period for this renewal between
the Weld County Department of Public Health and Environment and the Colorado Department of Public
Health and Environment will be January 1, 2005 through December 31, 2005. The total amount of this
request for federal Title V funding is $65,000.
The Weld County Department of Public Health and Environment will use this funding to reduce teen
sexual activity and the subsequent consequences of premarital sex in Weld County; to increase parental
involvement and communication between parents and their children about the benefits of delaying sexual
activity until marriage and to increase the prevalence of community based, medically accurate, age
appropriate sexual abstinence messages in Weld County.
I recommend your approval.
Enclosure
2004-2634
6 DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT
1555 N. 17th Avenue
Greeley, CO 80631
WEBSITE: www.co.weld.co.us
l(it iD ADMINISTRATION: (970) 304-6410
FAX: (970) 304-6412
C PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420
O FAX: (970) 304-6416
ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415
COLORADO FAX: (970) 304-6411
Granting Agency: Colorado Department of Public Health and Environment
Applicant's Name: Weld County Department of Public Health and Environment
Applicant's Address: 1555 N. 17th Avenue
Greeley, CO 80631
Applicant's Phone: (970) 304-6420, ext. 2388
Applicant's Fax: (970) 304-6416
Project Title: Colorado Abstinence Education Program
Community Implementation Grant
Contact Person: Griselda Still, Abstinence Education Coordinator
Amount Requested: $65,000 for one year
Time Period of Request: January 1, 2005 —December 31, 2005
Weld County Department of Public Weld County Board of Commissioners
Health and�jEnvv roonnmmeennt % ‘, IMark E. Wallace, MD, MP , ••,,i• '- 4 Q obert D. Masden', Ch [r U 1 2004
01
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t 1 i ee. al /� /��!/t/
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ietch
r. t�eld County Clerk to the Board
BY e uty Cle to the Board
9C a —OH
COLORADO ABSTINENCE EDUCATION PROGRAM
COMMUNITY IMPLEMENTATION GRANTS
CONTRACT RENEWAL
January 1 —December 31,2005
DEADLINE: September 10, 2004
Please submit one signed original and two copies of your renewal application to:
Carla Beeson,A4
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive
Denver, CO 80014
Applications CANNOT be submitted via e-mail or fax.
Organization Name: Weld County Department of Public Health and Environment Tax ID#: 84 6000 813
Website: www.co.weld.co.us
Mailing Address: 1555 North 171°Avenue
City: Greeley State: Colorado Zip: 80631
Legal Address: (if different from above)
City: State: Zip:
Program Contact Name: Griselda Archuletta-Still,Abstinence Education Coordinator
Telephone#: (970)304-6420 ext.2388 Fax#: (970)304-6416 e-mail address: gstill@co.weld.co.us
Fiscal Contact Name(if different from above): Judy Nero
Telephone#: (970)304-6410 ext.2122 Fax#: (970)304-6412 e-mail address: inero@co.weld.co.us
Please provide the name and title of the individual(s)with contractual signing authority for the organization.
Name: Mark E. Wallace,MD,MPH Title: Executive Director
Name: Robert D. Masden, Chair Title: Board of County Commissioners
I. Budget overview: Programs may request an amount equal to or less than the amount awarded in 2004. Please complete
the following budget table:
A. Amount Requested from CDPHE $65,000.00
B. Matching Funds(must be at least 75%of requested $97,520.41
funds above)
C. Total Project Budget(A+B) $162,520.41
Colorado Abstinence Education Program Grant Renewal Applications Page 2 of 20
2. Please complete the following table:
Number of paid staff dedicated to project(in FTE ... count part-time as .5 FTE) 1.75 FTE
Number of clients to be served by project. 3,500
Anticipated hours of contact per client 13
3. Program Goal(s)and Objective(s): Please provide the goals and objectives for the year two implementation of your
Title V Abstinence Education Grant. These may be revised from year one,or new goals and/or objectives. Additional
pages may be attached, if necessary.
a. Program Goals
i. To reduce teenage sexual activity and the subsequent consequences of premarital sex in Weld County.
ii. To increase parental involvement and communication between parents and their children in regards to
the benefits of waiting until marriage to engage in sexual activity.
iii. To increase the prevalence of community-based,medically accurate, age-appropriate sexual abstinence
messages in Weld County communities.
b. Process Objectives
i. By December 31,2005,provide at least 100 presentations to teenagers, in Weld County,to promote
abstinence until marriage as a healthy,realistic goal.
ii. By December 31,2005,host at least six(6)activities for teenagers during Weld County's Abstinence
Awareness Week and promote participation in the state-wide Abstinence Awareness Campaign.
iii. By December 31,2005,facilitate sexual cessation counseling to teenagers who participate in the STD
and/or Family Planning Clinics at the WCDPHE.
iv. By December 31,2005,provide at least five(5)abstinence education workshops for parents in Weld
County.
v. By December 31,2005, implement at least one(1)boundary building workshop for parents during
Weld County's Abstinence Awareness Week.
vi. By December 31,2005,host at least four(4)parent presentations during Talk to Your Kids about Sex
Month in Weld County.
vii. By December 31,2005,assist at least three(3)community organizations in implementing a Quincefiera
Rite of Passage Mentoring Program.
viii. By December 31,2005,at least ten(10)youth serving organizations will promote the abstinence
message in Weld County.
ix. By December 31,2005,provide a social norming media campaign to educate Weld County residents
about the abstinence message.
c. Impact Objectives
i. By December 31,2005,at least 75%of Weld County school districts will be exposing their students to
the A-H compliant curriculum,WAIT Training and/or The Art of Loving Well.
ii. By December 31,2005,at least 50%of adolescents,who attend at least three(3)consecutive sexual
cessation support group sessions,will commit to maintain their virginity or will commit to renewed
abstinence.
Hi. By December 31,2005,increase the understanding of abstinence from risky sexual behaviors as the
only 100%effective method for preventing STDs.
4. Briefly describe the target population(s).
Weld County,the third largest county in Colorado, is located in the Northeastern part of the state. It covers 3,999 square-
miles and in the year 2003 inhabited an estimated population of 207,120.
a. Our primary target population is the teenagers in the 12-18 year old age group in Weld County. The population
projection for this age group,for 2005, is 23,492. There are 12 school districts with 14 high schools and 16
middle schools,hosting 70.5%white and 27%Hispanic youth, of which many are high risk.
b. Our secondary target population groups would be the following: parents,teachers,youth pastors,healthcare
professionals and other community youth program leaders. Although these are secondary target groups,the
main intention for making them aware of the problem of teenage sexual involvement and the importance of
abstinence and relationship education is for the benefit of our primary target population.
Colorado Abstinence Education Program Grant Renewal Applications Page 3 of 20
5. Briefly describe the program's services. IF the program has changed curricula,format or major elements for
implementation in Year Two, please provide details.(Additional pages may be used to provide supplemental
information)
a. For implementation in year two,our program curricula,format and major elements will remain basically the
same.
i. We will continue our outreach to the schools throughout Weld County with the WAIT Training and
The Art of Loving Well A-H compliant curricula.
ii. We will continue implementing the Quinceafiera community based educational program to promote
abstinence to Hispanic adolescent females and their families.
iii. We will continue with the parent education presentations and workshops to provide parents with skills
to communicate to their children and receive up-to-date sexuality information.
iv. We will continue to host events for teenagers and parents during Abstinence Awareness Week and Talk
to Your Kid about Sex Month.
v. We will continue to host trainings for teachers,youth pastors,healthcare professionals and other Weld
County community members who interact with the teenagers of Weld County.
b. For implementation in year two,our program will expand in the following areas.
i. The program plans to hire a.25 FTE sexual cessation nurse to ensure counseling services to teenagers
in Weld County.
ii. The sexual cessation nurse will form and facilitate sexual cessation support groups at WCDPHE.
iii. The program will concentrate on presenting more STD education for teenagers and parents in Weld
County.
iv. The program staff will focus on expanding the abstinence message to other youth serving organizations
within the community(i.e.: City of Greeley and/or City of Evans youth programs, Boys and Girls
Clubs, After-School Programs,Girl Scouts, Boy Scouts, Churches).
v. The program staff will develop a positive media campaign to saturate Weld County.
6. Briefly describe how the program will monitor and evaluate its impact and process objectives.
The Weld County Department of Public Health and Environment will consult with Cindy Kronauge of Prime Solutions,
Ft. Collins,CO, as the Abstinence Education Program's evaluator. Abstinence staff will assist the program evaluator in
data collection and management activities. All evaluation information collected will be anonymous. There is currently a
pre/post questionnaire used in Weld County to assess the success of the curriculum in schools. Additionally,there will be
a scanable form in both English and Spanish to evaluate the Quinceafiera program. A post-training survey is used in
WAIT Training teacher trainings. Students are also asked to fill out a survey after the presentations that we present in the
classroom or other youth organizations. We will create and distribute a survey to the support group members in order to
determine the success of this new piece that we will be implementing. Parents will also fill out a questionnaire after
presentations. All of the monitoring and evaluation documents will be kept in a binder at WCDPHE. Anonymous client
data will be tabulated and stored electronically by the abstinence staff and evaluator. The evaluator will prepare a year-
end summary report of all the evaluation information.
7. Will there be any changes in program staffing? If so,please provide details. 0 Yes ❑ No
We plan on hiring a sexual cessation counselor who can work with the nurses at WCDPHE and counsel sexually
active teenagers toward renewed virginity. It is our intention to hire a registered nurse who can counsel and work with
the Weld County Abstinence Program for 10 hours per week. The .25 FTE position will include, but not be limited to,
the following: counseling teens,encouraging the increase of the use of sexual cessation counseling among nurses at the
WCDPHE,promoting the use of sexual cessation counseling in other medical practices in Weld County,and providing
STD presentations to youth programs throughout Weld County.
Colorado Abstinence Education Program Grant Renewal Applications Page 4 of 20
8. Provide a one or two-page budget narrative explaining the attached budget. Provide details regarding how costs
were calculated and justification for any personnel identified within the budget.
a. Line item budget: Please see Appendix A
b. Budget justification: TOTAL Project Cost=$162,520.41 Direct Costs=$154,343.41
i. Personal Services and Fringe Benefits—$99530.79
Currently,there are three positions,a.75 FTE,a.50 FTE and a.25 FTE employed with the Abstinence
Education Program. There is an additional .05 supervisor and .05 administrative assistant that spend
time on abstinence education projects. The funding for personnel including fringe benefits and$2,500
for contractual services for the evaluator is provided as matching from the WCDPHE. Our projected
goal for 2005 is to hire a .25 FTE nurse who will work in the clinical area of the WCDPHE and use the
medical model of sexual cessation to counsel sexually active clients. $85820.41 provided by Weld
County Board of County Commissioners(matching). $13710.38 requested from CDPHE for.25 FTE
sexual cessation nurse.
ii. Quinceafiera Rite of Passage Mentoring Program—$8855
Assisting at least three community partners in implementing a Quinceflera program targeted to 60
Hispanic females ages 11-15 and their families. Three new and revised leader's guides @$185 X 3.
60 Quinceafflera handbooks and 60 parent handbooks that provide abstinence education and
relationship building information that are targeted to the Quinceafleras and their parents @$20 X 120.
Meeting expenses($1,000)will help assist community organizations with the cost of the logistical
expenses that are involved with implementation of meetings. Class materials and incentives will help
provide handouts and other abstinence items that the girls can take home as a remembrance of the
education that was received($1,000). The tiaras($15 X 60=$900),the DJ/sound($700),and the
decorations($300)will be used for the graduation ceremonies that will be held at the completion of
each Quinceflera program. Promotional materials/recruitment materials($1000)will be used to
collaborate with Friends First in implementing a special Quinceflera event. Funds requested from
CDPHE.
iii. WAIT Training—$11550
Host one-2-day WAIT Training teacher training for at least 30 participants. Trainer fee/expenses for
the two day training costs$2500. Curricula for 30 Weld County middle/high school teachers,
counselors and nurses @$295 each costs$8850. Conference continental breakfast and snacks for two
days for the 30 participants costs$200. Funds requested from CDPHE.
iv. WAIT Training Technical Support—$4000
Provide 10 Weld County middle/high school teachers,counselors,nurses and other community youth
leaders a scholarship to attend a WAIT Training teacher training that is being hosted by another
organization costs$295 each @ 10 is$2950. To supply 10 Weld County teachers who have been
trained in WAIT Training,but do not have the upgraded,revised,user-friendly curricula costs$75 per
curricula X 10 is$750. To host 3 teacher in-service luncheons with 10 participants at each luncheon
would be a total of 30 teachers @$10 per teacher for lunch costs$300. Funds provided by WCDPHE
(matching).
v. Art of Loving Well Teacher Training Scholarships—$2500
To supply 20 Weld County middle/high school teachers,counselors,nurses and other community youth
leaders a scholarship to attend an Art of Loving Well teacher training that is being hosted by another
organization costs$125 each @ 20 is$2500. Funds provided by WCDPHE(matching).
vi. Sexual Cessation Support Groups—$1000
Promotion and incentives($500)for the support groups include the cost to create reminder cards and
provide some transportation vouchers for those who may have conflicts with transportation. To host an
average of bi-monthly meetings,25 meetings @$20 per meeting,for snacks,cost$500. Funds
requested from CDPHE.
vii. Abstinence Awareness Week Events—$3300
Motivational, out-of-state speaker for Latina/Latino Youth Leadership Conference @$1800 for
speaker fee/expenses plus$500 for incentives(100 CDs @$5 each)for the participants. In-state
speaker fee/expenses for middle and/or high school assemblies for the five days of Abstinence
Awareness Week @$200 X 5 costs$1000. Funds requested from CDPHE.
Colorado Abstinence Education Program Grant Renewal Applications Page 5 of 20
viii. Parent Education Workshops—$1500
Ten trainer fees @$100/workshop costs$1000. Food per workshop costs$50 X 10 workshops is
$500. Four(4)of the ten(10)parent workshops will be implemented during Talk to Your Kid about
Sex Month. One(1)of the parent workshops will be implemented during Abstinence Awareness
Week. The last five(5)parent workshops will be strategically implemented throughout the year.
Funds requested from CDPHE.
ix. Community Empowerment—$3500
To create a variety of different community wide abstinence activities,we plan to collaborate with
different community groups and provide at least two(2)community events that focus around the
abstinence message(i.e. Mother-Daughter Modesty Day, Purity Ball). We will contribute to the events
the following amount of money: 2 community events of$1000 each is a total of$2000. To supply 50
youth from 5 different organizations(10 per organization)scholarships to the Pure by Choice Rally is
10 X 5 =50 X$10 for a cost of$500. In order to promote what is taking place in Weld County on a
state-level and provide resources to teenagers who attend the Pure by Choice Conference,$500 is for a
booth rental. To provide at least 20 volunteers that donate their time and energy to help spread the
abstinence message through Weld County a$25 gift certificate of appreciation would be a total of$500
(20 X$25). Funds requested from CDPHE.
x. Weld County Media Campaign—$8780.62
$9000 will supply us with the power to implement a vast media campaign throughout Weld County for
the entire year. We will develop an updated website(estimated$1200)and a quarterly newsletter that
will be useful for our program partners and other community members. We plan to display the
abstinence message through a variety of different sources such as billboards(estimated$3000),theatre
slides(estimated$3000),newspapers(estimated$400),posters in several different youth organizations
($180.62), and possibly the local radio/T.V. stations($1000). Funds requested from CDPHE.
xi. Abstinence Education Incentives/Promotional Items—$1925
To supply the teenagers of Weld County with educational incentives and promotional items that will
have the abstinence message engraved on the item in order to keep the abstinence message engraved in
their minds and hearts! We plan to have items to leave with the students after our presentations and
also give teachers incentives to give out to the students during their WAIT Training and Art of Loving
Well lessons. Examples: brochures, stickers,temporary tattoos,water bottles,pens/pencils,
highlighters,mints, suckers and bookmarks. Funds requested from CDPHE.
xii. Miscellaneous—$4200
Office supplies$500, operating supplies$500,postage$500,copying/printing$500,subscriptions(i.e.
Journal of Adolescent Health, Seventeen,Cosmo Teen)$300,phones$400 and meeting expenses
$1500. Funds provided by WCDPHE(matching).
xiii. Travel—$3702
1. Medical Institute for Sexual Health Conference—$2000
Registration fee,airfare,hotel&food for.25 FTE nurse to attend the conference costs$2000.
Funds requested from CDPHE.
2. Colorado State Abstinence Education Bi-Annual Meetings—$213
Mileage and per diem for WCDPHE staff to attend 2 meetings in Denver area costs$213.
Funds requested from CDPHE.
3. Colorado Coalition of Abstinence&Relationship Educators Meetings—$489
Mileage for WCDPHE staff to attend 9 meetings in Denver area costs$489.
Funds requested form CDPHE
4. Local Travel—$1000
Funds provided by WCDPHE(matching).
xiv. Administrative/Indirect Cost—$8177
I. Indirect Approved County Rate @ 14.39%costs$8,177.00
TOTAL FUNDS REQUESTED FROM CDPHE=$65,000.00
6
NOTE: PLEASE COPY THIS FORM(OR RECREATE WITHIN PROGRAM'S WORDPROCESSING SOFTWARE)AND COMPLETE ONE PAGE
PER OBJECTIVE.
Work Plan
Name of Organization: Weld County Department of Public Health and Environment,Abstinence Education Program
Year Two Grant Period: January 1 —December 31,2005
GOAL: To reduce teenage sexual activity and the subsequent consequences of premarital sex in Weld County.
Objective(s): By December 31, 2005, provide at least 100 presentations to teenagers, in Weld County, to promote abstinence until
marriage as a healthy, realistic goal.
Activities to Meet the Objective By When Person Responsible Monitoring Process Evaluation Process
Contact and distribute information December 31, Abstinence Staff # of flyers, advertisements Complete distribution of services
about the services we provide 2005 and contacts available through the abstinence
through the Weld County program
Abstinence Education Program to
youth serving organizations in Weld
County, especially schools in the
county.
Implement 100 presentations. December 31, Abstinence Staff Unduplicated client counts Post evaluations of the
2005 presentations
7
NOTE: PLEASE COPY THIS FORM (OR RECREATE WITHIN PROGRAM'S WORDPROCESSING SOFTWARE)AND COMPLETE ONE PAGE
PER OBJECTIVE.
Work Plan
Name of Organization: Weld County Department of Public Health and Environment,Abstinence Education Program
Year Two Grant Period: January 1 —December 31,2005
GOAL: To reduce teenage sexual activity and the subsequent consequences of premarital sex in Weld County.
Objective(s): By December 31, 2005, host at least six (6) activities for teenagers during Weld County's Abstinence Awareness Week and
promote participation in the state-wide Abstinence Awareness Campaign.
Activities to Meet the Objective By When Person Responsible Monitoring Process Evaluation Process
Plan and advertise at least six (6) April 30, 2005 Abstinence Staff # of flyers, advertisements, Planning meeting minutes and
activities for youth during contacts and planning completion of organization and
Abstinence Awareness Week in meeting agendas advertisement of events
Weld County.
Host on empowering Latino April 30, 2005 Abstinence Staff Speaker contract, Post survey of youth attending
abstinence speaker for the Latino unduplicated client count the event
Youth Conference that is held in and conference attendance
Greeley, Colorado. sheet
Host five (5) abstinence April 30, 2005 Abstinence Staff Speaker contract, Post survey of youth attending
presentations within schools,youth unduplicated client counts the presentations
groups, and/or other youth serving and conference attendance
community organizations sheets
throughout Weld County during
Abstinence Awareness Week.
8
NOTE: PLEASE COPY THIS FORM (OR RECREATE WITHIN PROGRAM'S WORDPROCESSING SOFTWARE)AND COMPLETE ONE PAGE
PER OBJECTIVE.
Work Plan
Name of Organization: Weld County Department of Public Health and Environment,Abstinence Education Program
Year Two Grant Period: January 1 —December 31,2005
GOAL: To reduce teenage sexual activity and the subsequent consequences of premarital sex in Weld County.
Objective(s): By December 31, 2005, facilitate sexual cessation counseling to teenagers who participate in the STD and/or Family
Planning Clinics at the WCDPHE.
Activities to Meet the Objective By When Person Responsible Monitoring Process Evaluation Process
Hire a .25 FTE nurse to implement January 31, Abstinence Posted employment ad and Completion of hire
sexual cessation counseling. 2005 Supervisor and interviews
Staff
Develop a centralized location for January 31, Abstinence Discussion and planning Completion of the workstation
the nurse to work from that is easily 2005 Supervisor and with the department head
accessible to the clinic area. Staff
Develop and disseminate February 28, Abstinence Staff Copies of brochures and Tracking sheets of individuals
informational brochures to the 2005 and Sexual distribution list receiving counseling
nurses of WCDPHE that includes Cessation Nurse
information about sexual cessation
counseling and the new services
that will be provided through the
Abstinence Program and the sexual
cessation counseling nurse.
Encourage nurses at WCDPHE to December 31, Sexual Cessation # of contacts Tracking sheets of individuals
refer their clients to the sexual 2005 Nurse receiving counseling and who
cessation nurse for individual referred them
counseling.
9
NOTE: PLEASE COPY THIS FORM(OR RECREATE WITHIN PROGRAM'S WORDPROCESSING SOFTWARE)AND COMPLETE ONE PAGE
PER OBJECTIVE.
Work Plan
Name of Organization: Weld County Department of Public Health and Environment,Abstinence Education Program
Year Two Grant Period: January 1 —December 31,2005
GOAL: To reduce teenage sexual activity and the subsequent consequences of premarital sex in Weld County.
Objective(s): By December 31, 2005, at least 75% of Weld County school districts will be exposing their students to the A-H compliant
curriculum, WAIT Training and/or The Art of Loving Well.
Activities to Meet the Objective By When Person Responsible Monitoring Process Evaluation Process
Organize and advertise one (1) November 30, Abstinence Staff # of flyers, advertisements, Complete organization and
WAIT Training teacher training 2005 and contacts implementation of one WAIT
within Weld County. Training teacher training
Host one (1) WAIT Training November 30, Abstinence Staff Evaluation of WAIT Post training survey completed
teacher training for at least 30 2005 Training, sign-in sheets, by trained teachers
interested classroom teachers, unduplicated client counts
counselors, school nurses, youth
pastors and healthcare professionals
in Weld County.
Organize and facilitate the December 31, Abstinence Staff Registration forms Complete of organization and
attendance of ten(10) middle/high 2005 registration of the teachers
school teachers, counselors, nurses,
and other community youth leaders
to attend a WAIT Training teacher
training being hosted by another
local organization.
10
Activities to Meet the Objective By When Person Responsible Monitoring Process Evaluation Process
Organize and facilitate the December 31, Abstinence Staff Registration forms Complete of organization and
attendance of twenty(20) 2005 registration of the teachers
middle/high school teachers,
counselors, nurses, and other
community youth leaders to attend
an Art of Loving Well teacher
training being hosted by another
local organization.
Organize and facilitate a variety of December 31, Abstinence Staff Number of technical Complete pre/post observation
technical assistant discussions that 2005 assistance visits and and conference with trained
will be attended by a grand total of unduplicated client counts teachers
50 teachers who are trained in
WAIT Training and/or The Art of
Loving Well.
Encourage previously trained December 31, Abstinence Staff Contacts with the teachers, Results from teacher meetings
teachers (Program Partners)to 2005 and Program unduplicated client counts and Pre/post Classroom surveys
provide a minimum of 10 hours of Partners and student attendance
curricula based abstinence records
education sessions to the same set
of participants.
11
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PER OBJECTIVE.
Work Plan
Name of Organization: Weld County Department of Public Health and Environment,Abstinence Education Program
Year Two Grant Period: January 1 —December 31,2005
GOAL: To reduce teenage sexual activity and the subsequent consequences of premarital sex in Weld County.
Objective(s): By December 31, 2005, at least 50% of adolescents, who attend at least three (3) consecutive sexual cessation support group
sessions, will commit to maintain their virginity or will commit to renewed abstinence.
Activities to Meet the Objective By When Person Responsible Monitoring Process Evaluation Process
Plan and organize support group February 28, Sexual Cessation # of contacts, logistical Completion of organization of
meetings for sexually active youth 2005 Nurse and details of location and sexual cessation support groups
to be held at WCDPHE. Abstinence Staff schedule of meetings
Develop and disseminate reminder February 28, Sexual Cessation Copies of cards and Attendance sheets from support
cards for health care providers to 2005 Nurse and distribution list group meetings
distribute to teens who are receiving Abstinence Staff
sexual cessation counseling to
attend the support group.
Host support group sessions at the December 31, Sexual Cessation Unduplicated client counts, Post survey of support group
WCDPHE. 2005 Nurse and sign-in sheets and meeting
Abstinence Staff agendas
12
NOTE: PLEASE COPY THIS FORM(OR RECREATE WITHIN PROGRAM'S WORDPROCESSING SOFTWARE)AND COMPLETE ONE PAGE
PER OBJECTIVE.
Work Plan
Name of Organization: Weld County Department of Public Health and Environment,Abstinence Education Program
Year Two Grant Period: January 1 —December 31,2005
GOAL: To reduce teenage sexual activity and the subsequent consequences of premarital sex in Weld County.
Objective(s): By December 31, 2005, increase the understanding of abstinence from risky sexual behaviors as the only 100% effective
method for preventing STDs.
Activities to Meet the Objective By When Person Responsible Monitoring Process Evaluation Process
Provide STD presentations for December 31, Sexual Cessation Unduplicated client counts Post evaluations of the
schools and other youth serving 2005 Nurse and presentations
organizations in Weld County. Abstinence Staff
Plan and advertise quarterly (at least December 31, Sexual Cessation # of flyers, advertisements Complete organization and
3) STD trainings for school staff 2005 Nurse and and contacts advertising of the trainings
and other interested organizations. Abstinence Staff
Host quarterly(at least 3) STD December 31, Sexual Cessation Unduplicated client counts Post evaluations of the trainings
trainings for school staff and other 2005 Nurse and and registration forms
organizations that are interested in Abstinence Staff
the basics of STDs for educational
purposes.
Encourage STD testing to those December 31, Sexual Cessation Post evaluation after # of teenagers in Weld County
who are, or have been, sexually 2005 Nurse and presentations (intend to getting tested
active. Abstinence Staff receive an STD test)
Promote and distribute educational December 31, Sexual Cessation Distribution list # of educational resources
resources during presentations and 2005 Nurse and distributed
upon request. Abstinence Staff
13
NOTE: PLEASE COPY THIS FORM(OR RECREATE WITHIN PROGRAM'S WORDPROCESSING SOFTWARE)AND COMPLETE ONE PAGE
PER OBJECTIVE.
Work Plan
Name of Organization: Weld County Department of Public Health and Environment,Abstinence Education Program
Year Two Grant Period: January 1 —December 31,2005
GOAL: To increase parental involvement and communication between parents and their children in regards to the benefits of waiting until
marriage to engage in sexual activity.
Objective(s): By December 31, 2005, provide at least five (5) abstinence education workshops for parents in Weld County.
Activities to Meet the Objective By When Person Responsible Monitoring Process Evaluation Process
Plan and advertise at least five (5) December 31, Abstinence Staff # of flyers, advertisements Completion of organization and
abstinence education workshops for 2005 and contacts advertisement of event
parents.
Host at least five (5) abstinence December 31, Abstinence Staff Unduplicated client counts Post workshop surveys
education workshops for parents. 2005 and sign-in sheets
14
NOTE: PLEASE COPY THIS FORM(OR RECREATE WITHIN PROGRAM'S WORDPROCESSING SOFTWARE)AND COMPLETE ONE PAGE
PER OBJECTIVE.
Work Plan
Name of Organization: Weld County Department of Public Health and Environment,Abstinence Education Program
Year Two Grant Period: January 1 —December 31.2005
GOAL: To increase parental involvement and communication between parents and their children in regards to the benefits of waiting until
marriage to engage in sexual activity.
Objective(s): By December 31, 2005, host at least one (1)boundary building workshop for parents during Weld County's Abstinence
Awareness Week.
Activities to Meet the Objective By When Person Responsible Monitoring Process Evaluation Process
Plan and advertise at least one (1) April 30, 2005 Abstinence Staff # of flyers, advertisements Completion of organization and
boundary building workshop for and contacts advertisement of event
parents during Abstinence
Awareness Week in Weld County.
Implement at least one (1)boundary April 30, 2005 Abstinence Staff Unduplicated client counts Post survey of parents attending
building workshop for parents and sign-in sheets event
during Abstinence Awareness Week
in Weld County.
15
NOTE: PLEASE COPY THIS FORM (OR RECREATE WITHIN PROGRAM'S WORDPROCESSING SOFTWARE)AND COMPLETE ONE PAGE
PER OBJECTIVE.
Work Plan
Name of Organization: Weld County Department of Public Health and Environment,Abstinence Education Program
Year Two Grant Period: January 1 —December 31,2005
GOAL: To increase parental involvement and communication between parents and their children in regards to the benefits of waiting until
marriage to engage in sexual activity.
Objective(s): By December 31, 2005, host at least four(4)parent presentations during Talk to Your Kids about Sex Month in Weld
County.
Activities to Meet the Objective By When Person Responsible Monitoring Process Evaluation Process
Plan and advertise at least four(4) November 30, Abstinence Staff # of flyers, advertisements Completion of organization and
presentations for parents and their 2005 and contacts, speaker advertising of events
children during Talk to Your Kids contract
about Sex Month in Weld County.
Implement at least four(4) November 30, Abstinence Staff Unduplicated client counts Post surveys after the events
presentations for parents and their 2005
children during Talk to Your Kids
about Sex Month in Weld County.
Encourage parents to host an November 30, Abstinence Staff Sign-up sheets Event and/or support completion
Abstinence Awareness Event and/or 2005
support an Abstinence Awareness
Event in their community.
16
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PER OBJECTIVE.
Work Plan
Name of Organization: Weld County Department of Public Health and Environment,Abstinence Education Program
Year Two Grant Period: January 1 —December 31,2005
GOAL: To increase the prevalence of community-based, medically accurate, age-appropriate sexual abstinence messages in Weld County
communities.
Objective(s): By December 31, 2005, assist at least three (3) community organizations in implementing a Quinceanera Rite of Passage
Mentoring Program.
Activities to Meet the Objective By When Person Responsible Monitoring Process Evaluation Process
Train at least three (3) interested December 31, Bi-lingual Unduplicated client counts Complete organization and
Weld County youth sewing 2004 Abstinence Program and sign-in sheets implementation of training and
organizations, including faith-based Coordinator and training evaluations
professionals, in the Quinceanera Abstinence Staff
program who will collaborate with
WCDPHE.
Plan and organize three (3)parent December 31, Bi-lingual # of flyers, advertisements Completion of organization and
recruitment/education sessions for 2005 Abstinence Program and contacts advertisement of sessions
the Quinceanera Program to Coordinator and
Hispanic parents of teens in Abstinence Staff
Spanish.
Implement three (3)parent December 31, Bi-lingual Unduplicated client counts # of Hispanic girls and families
recruitment/education sessions for 2005 Abstinence Program and sign-in sheets enrolled in Quinceauera program
the Quinceafiera Program to Coordinator and and post evaluations of parents
Hispanic parents of teens in Abstinence Staff sessions
Spanish.
17
Advertise and promote three (3) December 31, Bi-lingual # of flyers, advertisements Completion of organization and
Quinceanera(Rites of Passage) 2005 Abstinence Program and contacts advertisement of programs
Mentoring Programs that will be Coordinator
offered through Weld County and Community
community partners. Partners
Facilitate three (3) Quinceanera December 31, Bi-lingual Unduplicated client counts Pre/post evaluations
(Rites of Passage)Mentoring 2005 Abstinence Program and sign-in sheets
Programs, in collaboration with Coordinator and
Weld County community partners, Community
which will be attended by Hispanic Partners
adolescent females and their
parents.
18
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PER OBJECTIVE.
Work Plan
Name of Organization: Weld County Department of Public Health and Environment,Abstinence Education Program
Year Two Grant Period: January 1 —December 31,2005
GOAL: To increase the prevalence of community-based, medically accurate, age-appropriate sexual abstinence messages in Weld County
communities.
Objective(s): By December 31, 2005, at least ten (10) youth serving organizations will promote the abstinence message in Weld County.
Activities to Meet the Objective By When Person Responsible Monitoring Process Evaluation Process
Contact and distribute information December 31, Abstinence Staff # of flyers, advertisements Complete distribution of services
about the services we provide 2005 and contacts provided to youth programs
through the Weld County
Abstinence Education Program to
youth serving organizations in Weld
County.
Host community education and December 31, Abstinence Staff Meeting attendance sheets Meeting agendas
collaboration meetings with leaders 2005 and Community and agendas
to collaborate on Abstinence Organizations
Events.
Implement abstinence events in December 31, Abstinence Staff Unduplicated client counts Post evaluations of presentation
collaboration with youth serving 2005 and/or service provided
organizations in Weld County.
Continue to educate staff of youth December 31, Abstinence Staff # of flyers, advertisements Registration forms of those who
serving organizations in Weld 2005 and contacts decided to attend the trainings
County through abstinence
education and trainings.
19
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PER OBJECTIVE.
Work Plan
Name of Organization: Weld County Department of Public Health and Environment
Year Two Grant Period: January 1 —December 31,2005
GOAL: To increase the prevalence of community-based, medically accurate, age-appropriate sexual abstinence messages in Weld County
communities.
Objective(s): By December 31, 2005, provide a social norming media campaign to educate Weld County residents about the abstinence
message.
Activities to Meet the Objective By When Person Responsible Monitoring Process Evaluation Process
Develop and advertise a fun, December 31, Abstinence Staff # of flyers, advertisements Completion of the website and
interactive, educational website that 2005 and contacts advertising and a"hit-counter"
contains a vast amount of updated on the actual website
information that contains
components for teenagers, parents,
teachers, youth pastors, and
healthcare professionals.
Develop website and media December 31, Abstinence Staff Copies of promotional items Completion of distribution and
campaign promotional items to 2005 and distribution list "hit-counter" on website
distribute throughout Weld County.
Display billboard ads in Weld December 31, Abstinence Staff # of billboard ads and Completion of the running time
County. 2005 contracts with companies for the billboard ads
Advertise print ads in high school December 31, Abstinence Staff # of advertisements and list Completion of the running time
newspapers in Weld County 2005 of school newspapers who for the newspaper ads
throughout the school year. advertised for the WCDPHE
20
Place abstinence messages on December 31, Abstinence Staff Contract with theatre Completion of the showing of
theatre slides during peak times 2005 the theatre slides and evaluations
throughout the year. from movie participants
Distribute a quarterly updating December 31, Abstinence Staff # of quarterly newsletters End-of-the-year evaluation of the
newsletter to program partners and 2005 sent and a copy of the newsletter
interested Weld County residents in mailing list
order to maintain the county-wide
effort of abstinence promotion.
Order and make available, upon December 31, Abstinence Staff Inventory list and request Inventory year-end-count and
request, a variety of brochures, 2005 forms completed request forms
pamphlets,posters and other printed
materials to Weld County residents.
Dispense brochures, pamphlets and December 31, Abstinence Staff Distribution list Complete delivery of the printed
posters to schools and other youth 2005 material
organizations throughout Weld
County.
Appendix A
Colorado Abstinence Education Program
BUDGET REQUEST
(Page 1)
APPLICANT: Weld County Department of Public Health & Environment, Abstinence Education Prose.
PROJECT: Comprehensive Model Abstinence Education Program Grant
Source of Funds
Detailed Budget Total Applicant Requested
For the Period Amount and from
01/01/05 Annual Number Required Other CDPHE
to Salary Months
12/31/05 Rate Budget
%Time
DIRECT COST
Personal Services: $ $ $
.75 FTE Health Education Specialist 31,842.34 31,842.34 0
.50 FTE Health Education Specialist 18,344.58 18,344.58 0
.25 FTE Health Education Specialist 10,614.11 10,614.11 0
.25 FTE Community Health Nurse I 10,299.45 0 10,299.45
.05 Office Tech 1,326.70 1,326.70 0
Contractual/Fee-for-service: 2,500.00 2,500.00 0
Sub-Total $74,927.18 $64,627.73 $10,299.45
Supervising Personnel:
.05 FTE Health Promotion Supervisor 2,690.70 2,690.70 0
Sub-Total
$2,690.70 $2,690.70 $3410.93
Fringe Benefits: 31.97% $21,912.91 $18,501.98 $3410.93
Total Personal Services $99,530.79 $85,820.41 $13,710.38
Colorado Abstinence Education Program
BUDGET REQUEST
(Page 2)
APPLICANT: Weld County Department of Public Health & Environment, Abstinence Education Prog.
PROJECT: Comprehensive Model Abstinence Education Program Grant
Source of Funds
Requested
Total Applicant From
Amount and CDPHE
Required Other
DIRECT COST(Continued)
Operating Expenses: $ $ $
Quinceanera Program 8855 8855
Program leader's guide @ $185 X 3 555 555
Quinceanera handbooks @ $20 X 60 1200 1200
Parent handbooks @ $20 X 60 1200 1200
Meeting expenses 1000 1000
Class materials/educational incentives 1000 1000
Tiaras 900 900
DJ &sound system 700 700
Media/advertising 1000 1000
Promotion materials/recruitment materials 1000 1000
Decorations 300 300
WAIT Training @ 30 participants 11550 11550
WAIT Training Curricula X 30 @ $295.00 8850 8850
Trainer fee X 2 days @ $1,250 2500 2500
Conference food X 2 days X 30 participants 200 200
WAIT Training Technical Support 4000 4000
10 WAIT Training scholarships @ $295 X 10 2950 2950
10 Upgraded/revised curriculum @ $75 X 10 750 750
3 Teacher in-service luncheons w/10 participants each @ $10 X 30 300 300
Art of Loving Well Teacher Training Scholarships 2500 2500
20 Scholarships @ $125 X 20 2500 2500
Sexual Cessation Support Groups 1000 1000
Promotion/incentives for Participants 500 500
Meeting Expenses & Food 500 500
2 Abstinence Awareness Week Events 3300 3300
Out-of-State speaker fee and expenses 1800 1800
Promotion/incentives for event 500 500
In-State speaker fee and expenses @ $200 X 5 1000 1000
10 Parent Education Workshops 1500 1500
Trainer fee @ $100/event X 10 1000 1000
Food @ $50/event X 10 500 500
Community Empowerment 3500 3500
Community Events 2000 2000
Pure by Choice Rally Scholarships 500 500
Pure by Choice Rally Booth 500 500
Volunteer incentives 500 500
Weld County Media Campaign 8780.62 8780.62
Abstinence Education Incentives/Promotional Items 1925 1925
Miscellaneous 4200 4200
Office Supplies 500 500
Operating Supplies 500 500
Postage 500 500
Copying/Printing 500 500
Subscriptions 300 300
Phones 400 400
Meeting Expenses 1500 1500
Sub-Total $51,330.00 $10,700.00 $40,530.00
Travel:
Medical Institute for Sexual Health Conference 2000 2000
Registration Fee, Airfare, Hotel, Food X 1 2000 2000
Colorado State Abstinence Education Bi-annual Meetings 213 213
Mileage to Denver @.340/mile X 160 miles X 2 meetings ' 108 108
Per Diem for staff @ $35.00/day X 3 staff 105 105
CCARE Meetings 489 489
Mileage to Denver @ .340/mile X 160 miles X 9 meetings 489 489
Local Travel 1000 1000
Sub-Total $3702.00 $1000 $2702
Equipment:
Sub-Total $0.00 $0.00 $0.00
TOTAL DIRECT COST $154,343.41 $97,520.41 $56,823.00
Colorado Abstinence Education Program
BUDGET REQUEST
(Page 4)
APPLICANT: Weld County Department of Public Health & Environment,Abstinence Education Prop.
PROJECT: Comprehensive Model Abstinence Education Program Grant
Source of Funds
Requested
Total Applicant from
Amount and CDPHE
Required Other
ADMINISTRATIVE/INDIRECT COST $ $ $
Indirect Approved County Rate 14.39% 8,177 8,177
Sub-Total $8,177 $ $8,177
TOTAL PROJECT COST $162,520.41 $97,520.41 $65,000.00
*Local County
BOCC
SOURCE OF FUNDING FOR THE MATCH, i.e. State, Local, in-kind, etc.
Local: Board of County Commissioners (BOCC), County funding $ 97,520.41
In-kind:
Other(Itemize):
Total $97,520.41
May the non-Federal funds be used to match this grant? Yes X No
Signature of Director or Authorized Representative:
Dr. Mark E. Wallace,Director Weld County Department of Public Health&Environment
APPLICATION BUDGET AND/OR EXPENDITURE REPORT FORM
APPLICANT: Weld County Department of Public Health and Environment FOR THE PERIOD: 1/01/05 TO 12/31/05
I
PROJECT:ABSTINENCE EDUCATION PROGRAM
Annual No.of Total SOURCE OF FUNDS
-- - - - - - - - - - Requested I
Salary Months Amount Applicant&Other _ Received
Rate Budget FTE Required Match from CDPHE
PERSONAL SERVICES:
.75 FTE Health Education Specialist $31,842.34 12 75% $31,842.34 $31,842.34
.50 FTE Health Education Specialist $18,344.58 12 50% $18,344.58 $18,344.58
_25 FTE Health Education Specialist $10,614.11 12 25% $10,614.11 $10,614.11
.25 FTE Community Health Nurse I $10,299.45 12 25% $10,299.45 $10,299.45
.05 FTE Office Tech _ - $1,326.70 12 5% $1,326.70 $1,326.70
.05 FTE Supervising Personnel _.. _ $2,690.70 12 5% $2,690.70 _ $2,690.70
ContractuaVFee for Service $2,500.00 $2,500.00 $2,500.00
Fringe Benefits: Rate=31.97% $21,912.91 $21,912.91 $18,501.98 $3,410.93
Total Personal Services $99,530.79 $85,820.41 $13,710.38
OPERATING EXPENSES(which are not part of indirect):
Quinceanera Prowram $8,855.00 $0.00 $8,855.00
WAIT Training _ $11,550.00 $0.00 $11,550.00
WAIT Training Technical Support $4,000.00 $4,000.00 $0.00
Art of Loving Well Teacher Training Scholarships $2,500.00 $2,500.00 $0.00
Sexual Cessation Support Groups _ $1,000.00 $0.00 $1,000.00
Abstinence Awareness Week Events $3,300.00 $0.00 $3,300.00
Parent Education Workshops $1,500.00 $0.00 $1,500.00
Community Empowerment $3,500.00 _ $0.00 $3,500.00
Weld County Media Campaign _ $8,780.62 $0.00 $8,780.62
Abstinence Education Incentives/Promotional Items $1,925.00 $0.00 $1,925.00
Miscellaneous Operating Expenses $4,200.00 $4,200.00 $0.00
Total Operating $51,110.62 $10,700.00 $40,410.62
EQUIPMENT
$0.00 $0.00 $0.00
Total Equipment $0.00 $0.00 $0.00
TRAVEL(In-state/Out-state)8.Meetings
Medical Institute for Sexual Health Conference $2,000.00 $0.00 $2,000.00
Colorado State Abstinence Education Bi-Annual Meetings $213.00 $0.00 $213.00
Cola Coalition of Abstinence&Relationship Educators Meetings $489.00 $0.00 $489.00
Local Travel $1,000.00 $1,000.00 $0.00
Total Travel 3 702.00 1 000.00 2 702.00
ADMINISTRATIVE/INDIRECT COST
At 14.39% i $8,177.00 $0.00 $8,177.00
Total AdmInistratIve/Indirect Costs $8 177.00 $0.00 177.00
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':✓ ,..<.N p,:;d� rw».�. ." `...;; !iu.rs :. t;llu �Gr
*Source of funding for"Other"(Match or In-kind) I ..
Weld County Board of County Commissioners $97,520.41
, $
I $
$
TOTAL $97,520.41
May the NON FEDERAL funds be used as match? YES X NO
I
Signature of Authorized Representative Date
Rev 8/30/2004 BUDGETAPPLFORM.XLS
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