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RESOLUTION NO. 2010-27
RESOLUTION RATIFYING THE SUBMITTAL OF A GRANT
APPLICATION TO GENERAL MILLS CHAMPIONS FOR HEALTHY KIDS
FOR THE AMOUNT OF $ 10,000 TO IMPLEMENT THE "STEPPING OUT
CHILDHOOD OBESITY" ANNUAL DRILL, DANCE, STOMP, STEP & DRUM
COMPETITION.
BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF
THE CITY OF SAN BERNARDINO AS FOLLOWS:
SECTION 1. That the Mayor and Common Council hereby ratifY the submittal
of grant applications to the General Mills Champions for Healthy Kids, copies of which
are attached hereto, marked Exhibit" A" and incorporated herein by reference as fully as
though set forth at length; and
SECTION 2. Ifawarded, that the grant amount totaling $10,000 be accepted.
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Organization
2010-27
Page I of]
Exhibit A .
aJ
General Mills
Champions for Healthy Kids Grant Application
I My Organization I My Grants I Log Out
Organization Name:' City of San Bernardino Parks, Recreation and Community Services Department
If you are part of a coalition, please list the organizations
and a description of their roles.
The department as served on the Desert Sierra Health Network since June
2005. The Network is comprised of organizations that represent state, county
and city government, public health departments, faith based organizations, non-
profit agencies, school districts and private businesses. The Network is a leading
supporter for healthy change and reducing health disparities within our
community
Web Address; www.sbcity.org
Street Address:' 1350 South liE" Street
City:<- San Bernardino
State:' CA
Postal Code:' 92408
Phone:' 909-384-5233
Fax: 909-384-5160
For phone & fax, please use this number format: XXX-XXX-XXXX.
EIN #:' 95-7726000
For EIN #, please use this number format: XX-XXXXXXX.
o This organization is a 501 (c)3 not-for-profit.
~ This organization is a public agency, unit of government,
or religious institution.
Mission:' The mission of the Parks, Recreation and Community Services Department is to
create and preserve a diversified system of open spaces, recreation and
community services that meet the social and leisure needs and promotes
wallness through community empowerment, education and resource referrals
that will enhance the quality of life for all city residents.
Update and Save
https:/Ifoundationgrants.generalmills.com/organization.aspx
1/20/2010
2010-27
Exhibit A .
Individuals Responsible
Executive Director
1 Kevin Haw kins
Name:
I 909-384-5:
Phone #
Primary Contact
(Leave blank if same as Executive
Director)
I Glenda WertinRobinson
Name
I 909-384-5: I 909-384-5'
Phone # Fax #
I robinson.Jjlenda@sbcity.org
E-mail Address
I 909-384-5'
Fax #
I haw kins_kevin@sbcity.org
E-mail Address
Registered Dietitian
(required)
I Connie L. lexion
Name'
I 909-880-S.
Phone #
I R373
Registered Dietitian (Rd) #*
I Registered [}etitian
Credentials'
I cllexion@msn.com
E-mail Address
Fitness Professional (ifappIicabIe)
I
Name
I
Phone #
I
Credentials
I
E-mail Address
I
Fax #
I
Fax #
Program Name
Please enter the official name of the program to receive funding. *
"Stepping Out Childhood Obesity" Annual Drill, Dance, Stomp, Step & Drum
Competition
Brief Program Overview and Rationale
Briefly describe what your program will do and why it is important. *
Bullet [Joints and/or brief [Jhrases are encoural!ed.
Program will encourage youth and parents to participate in nutrition education classes
and diversified structured physical activities daily. Provide a minimum of8 (1-1.5) hour
nutrition sessions to a minimum of 120 youth and 60 adults/parents. Pre and post test to
be given. Develop and implement a community event that allows youth to compete with
peers, demonstrate their talents, routines, and perform for family and community.
Program Objectives
List several objectives of your program.
At least one objective related to nutrition and at least one related to physical activity are
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2010-27
Exhibit A .
required.
Bullet voints and/or brief vhrases are encouraf!ed
*Increase youth ability to make healthy food choices
*Increase parent involvement in healthy food choices for their families
*Increase physical activity for all program participants
*Implement youth-led campaigns to increase daily fruits and vegetables consumption
*Increase community's awareness and tools that will strengthen their nutrition, physical
activity and food security.
Program Setting
Where will your program be delivered to youth? *
r r
After-school program Middle School
r
Boys & Girls Club
r
Community center
Girl ScoutslBoy Scouts
Elementary School
4-H
r Museum
(0 Parks and Recreation Department
r PreschoollDaycare
r State/county/city health department
r University
,- WIC clinic
r YMCA/YWCA
r Other I
('
r
('
('
Head start program
High School
Hospital/medical center
r
r
"
Indian reservation
Target Audience Age, Reach & Secondary Audience
Enter ranges for the audience age (in years), the number of youth served,
and the munber of people in the secondary audience impacted by this program.
a.) This program serves youth that are ~ * to j18 * years old.
b.) This program has the potential to reach f12il * to rsoo * youths during the grant period.
c.) This program impacts the following secondary audience (enter ranges for those that apply).
Community' G50 f1500 I
. I ,-- to I 'W_ peop e.
Families: r-so- to ~ people.
Staff: f10 to rw- people.
Additional Y outh: ~ to rsoo people.
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2010-27
Exhibit A .
Explain how this secondary audience is involved with your program.
Bullet points and/or brief phrases are encoural!ed.
Staff would be responsible for training, planning and documenting
Parents would be encourage to support youth efforts and participate in nutrition education and
physical activity programs
Community would be invited in to enjoy the entertainment and resources
Additional Youth will be surveyed
Target Youth Recruiting Strategy
Explain your recruiting strategy action steps. Please detail how you will
recruit, enroll, and maintain participants for this program. *
Bullet points and/or brief phrases are encoural!ed.
Program Description, application and entry forms will be accessible through the community
centers and website.
Target existing programs and mail application packets directly and follow up by phone to
encourage their participation.
Create powerful and compelling media campaign.
Target Youth Gender:
Select participant gender: *
,"
Female
(-
Male
(0'
Both
Target Youth RacelEthnicity
Enter percentages below such that the sum equals 100%. *
.
res % African-American/African
~ % American Indian
~ % Asian
~ % Hispanic/Latino
11 % Native Hawaiian or other Pacific Islander
~ % White
.
.
.
.
.
Target Youth Geographic Location
Fill in the below percentages as they apply to your target youth. The sum should equal 1 00%.
.
ro%
ro%
Rural
Suburban
.
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2010-27
Exhibit A
.
rrn% Urban
Need for Funding
Fill in the below percentages as they apply to your organization;
each value should be between 0 and 100 (optional).
.
f45%
f55%
Below poverty level
Freelreduced lunch
.
Special Needs/Risks Addressed
If applicable, select any that apply (optional).
~
Overweight, obese, or severely obese
I Disability
I Foster Home
I Homeless
I Teen Parent
I Other I
Explain how your program addresses these special needs:
Bullet ooints and/or brief ohrases are encoural!ed.
The "Stepping Out Childhood Obesity" annual competition requires youth to participate in
a 270 minutes of weekly physical activity and attend 12 hours of nutrition education
sessions within a 4 month time frame. Participation in this program will encourage lifelong
health.
Key Program Dates
Include the proposed timeline for the program's implementation during the grant period.
Start Date End Date
Planning July ~/l 2010 ~I Septerrber ~/I 2010 -.:J
Youth I Noventler ~/I 2010 ~I May ~/I 2011 -.:J
Participation
Evaluation I June ~/l 2011 ~I August ~/I 2011 -.:J
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2010-27
Exhibit A
Method of Delivery
Select all that apply (at least one required). *
r Assessment r Home Visits
~
~
~
Classes/Lessons
C . E ~
ommumty vents
I
~
Mailings
Website or Software
Other I
Contest
I
family Events
Model or Packaged Program
Optional - Select any that apply.
I ACTIVATE ~ Go With the Whole Grain
I Animal Trackers I Kidnetic
I BodyWorks I PALA
I CATCH I Pathways
I CAL Girls r SPARK
I Dairy Council I Take 10
I Dole 5-a-Day r USDA Team Nutrition
I fitnessGram
If you have acquired a well-recognized program developed from
another source, please indicate the program title and source below (optional
Step Up To Health www.nroa.com & The Governor's Challenge www.calgovcouncil.org
The Champions Grant program encourages the use of high-quality evaluated
interventions.
See http://www.generalmills.com/foundation! for suggestions.
Program Frequency and Duration
Explain how many times each program will be conducted and the length of each
session.
a.) Briefly discuss the program format and indicate the frequency, length, and
total number of youth participation sessions. *
Bullet voints and/or brief vhrases are encouraged
Youth/teams wanting to participate in the "Stepping Out Childhood Obesity"
competition would practice a minimum of l.5hrs/day x 3 days/wks for 12 weeks
minimum. Teams would consist of 15 members minimum for a potential of 30 teams
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2010-27
Exhibit A
b.) Total contact per participant: F * hours and ro--- *
minutes.
Program Expected Outcomes
Select only those that apply (at least one required). *
'" A' d
ttltu e
'"
Awareness
Behavior change or intent to change behavior
Knowledge
Skills
'"
'"
'"
List the specified outcomes and how the program will produce those results. '1
Bullet voints and/or brief vhrases are encouraf!ed.
The outcomes will develop healthy food choices and physical activity for those groups
highest at risk of being overweight, obese or severely obese. Results will be produced
through program participation, community empowerment, education and resource
referrals.
Evaluation Plan
How will you measure the outcome(s) listed above under Expected Outcomes for your
program?
Specify your plan, including tools (i.e. surveys, pre/post tests, assessments, skill tests,
etc.) .
Bullet points and/or brief vhrases are encouraf!ed.
Y outhlParents registering and completing Governors Challenge.
Participation in nutrition education sessions, pre and post test given.
Performance of completed routine and level of complexity.
Community's attendance and program evaluation.
Youth nutrition/physical activity surveys.
Nutrition Topics
Select the nutritional topics that are part of your program (at least one required)."
r r
Beverage Choices Breakfast
r
Cereal
'"
Fat
'"
Food PyramidfDietary Guidelines
'"
Fruits & Vegetables
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2010-27
Exhibit A .
r Meals other than
r Label Reading breakfast
(lunch and dinner)
~ Low-Fat Dairy r Portion Control
r Family Meals r Snacking
r Water ~ Whole Grain
~ Other (Describe below)
Describe how nutrition topics will be incorporated into the program. *
Bullet voints and/or brief vhrases are encoural!ed
Offer weekly cooking classes for youth 9yrs and older
Offer bi-weekly nutrition education workshops for adults
Incorporate existing nutrition programs such as Harvest of the Month into fitness
programs.
Physical Activity
Select the physical activities that are part of your program (at least one required). *,
~ r
Active Play Adventure Sports
~ Aerobics r Biking
~ Dance ~ Fitness Classes
~ Gardening r Rock Climbing
~ Swimming ~ Team Sports
r Walking/Step Counting r Weight Lifting
r Yoga ~ Other (Describe below)
Describe how physical activity will be incorporated into the program. *
Bullet voints and/or brie{vhrases are encoural!ed
Participants will be encourage to register and participate in local drill, dance, stomp,
step or drum teams that will require them to participate in a minimum of 270 minutes
of structured physical activity weekly. Parents will also be encouraged to participate
in other physical activities offered that would provide a minimum 30 minutes of
structured activity daily.
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2010-27
Exhibit A .
Staffing Model
Describe who will staff your program and their roles. Make sure to include how the
Registered Dietitian will be utilized. *
Bullet points and/or brief phrases are encouraf!ed.
The Registered Dietitian will provide a minimum of (8) 1-1.5 hrs. nutrition education
sessions at 5 community centers located in low-income neighborhoods. Department
staff would be responsible for implementing, training and tracking program progress.
Documentation
List the type of photographs (10-15) you plan to send as part of your evaluation.'
Bullet points and/or brief phrases are encouraf!ed.
Types of photograph used for evaluation would be pictures depicting program's
participants, parents and supporters. Program Fliers, posters, newspaper articles,
Sustainability
Describe how the program (staffing, future funding, etc.) will be sustained beyond the
grant period.
Bullet points and/or brief phrases are encouraf!ed.
Focus on the increase revenue and cost savings for the community.
Link the interest of the City with the program's interests.
Demonstrate the value of program to outside public and private agencies.
Clarify the return investment to potential stakeholders.
Research available grants.
Budget
Provide a budget estimate and grant request for the program.
Include justification of each expense (both startup and delivery) in the spaces
provided.
The total must equal exactly $10,000. Note: Please use whole dollar amounts
only.
Type of
Expense
Program
Development! D I' Computed
e Ivery
Start -up Cost Cost Subtotal
Description
and Rationale
Staff/Consultants
$f900
$1 2600 $3500
Registered lliet~ian.
Recreation & Park staff service
,
f
Office &
Administrative
Supplies
$f14oO
$f5oD $1900
Postage. printing. paper. ink
cartridges, clip boards, note
pads, folders, pencils, wrist
bands, calculators, ~
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2010-27
Exhibit A .
Food
N/A
$1 1000 $1000
Nutrition classes, food
derronstration, healthy choices
concessions
<
f
Equipment/Capital
$11500
Ilgilal carrera, carn::order and
tr;.pod
N/A $1500
<
f
Teacher's resource book,
$f900 $f900 student worksheets, awards
Program Materials $1800 resource/tip sheets. parrphlets,
cookbooks, recipe cards, Pf
Travel $ro- $ro- $0 L j
f
First aid and cleaning supplies
Other $ro- $roo $300 f
<
Total $4700 $5300 $10000 Calculate Tota~ I
Breakout of nutrition vs. physical activity expenses. Must equal 1 00%:
rJ5O/N .. .
I w /0 utnl10n expenses ."
f65 % Physical activity expenses *
Breakout of education vs. equipment expenses. Must equal! 00%:
f67 % Education
133 % Equipment and overhead *
Optional - briefly describe additional sources of your funding (if any).
Bullet voints and/or brief vhrases are encouralled.
The Department has been a Local Incentive Awardee (L1A) with the California
Department of Health Services since 1998 and currently awarded $93,805. The
department was also awarded $10,000 from the Governor's Council on Physical
Fitness and Sports 2009 Spotlight Award for Park Program of the Year.
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2010-27
Exhibit A ,
Conclusion
Why is this program worthy of a Champions Grant? What makes it unique,
innovative and exemplary?
Note: Do not repeat information shared earlier in the application. *
Just as the General Mills Foundation works to enrich the lives of children and
families by enhancing the health and vitality of neighborhoods, so is the mission of
the San Bernardino Parks, Recreation and Community Services Department. Since
1890, the department has been a leader in addressing health and wellness issues
through opening its facilities and parks to provide structured activities led by
trained staff.
One way the department enriches the lives of its residents is the development and
implementation of innovative and exemplary programs. One such program is the
"Stepping Out Childhood Obesity" Drill, Dance, Stomp, Step & Drum
Competition.
Reasons program is worthy:
. Attract groups highest at risk of poor nutrition and fitness habits.
. Partners with agencies that have like goals to document changes in youth
and adults nutrition and physical fitness activities.
. Encourages parents/community members to volunteer their time towards
building youth self- esteem and confidence.
. Hosting community event supported by over 500 families and community
members.
We believe the program is innovative and know that it is significantly impacting
the nutrition and fitness levels its youth and families and worthy of Champion
grant.
r
If selected to receive a Champions for Healthy Kids grant, this
organization agrees to complete all requests
for information and evaluation data in a timely manner, before, during
and after the grant period. "
Save or Submit
Click Save & Update if you pIan to complete and finalize it later. If the above is
correct and complete, click Finalize and Submit, and you will receive on-screen
confirmation
that your application has been submitted successfully.
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