School-based Community Hub Application

Application Questions

(If you have any questions regarding the application, feel free to contact info@westsideunited.org with the headline reading "WSU School-based Community Hub - Question")

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* 1. Are you an Elementary School operating on the West side of Chicago?

Yes

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* 2. What is the name of your elementary school?

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* 3. (Optional) Please provide a link to the school’s website.

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* 4. Who is the primary contact for the application?

Name

Title

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 5. Where is your elementary school located? Please specify the neighborhood.

Austin

Belmont-Cragin

East Garfield Park

West Garfield Park

North Lawndale

South Lawndale

Humboldt Park

Lower West Side

Near West Side

West Town

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* 6. Please provide a brief summary of the school’s history, mission, and leadership. (250 words)

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* 7. Please attach a list of any additional ancillary staff available at your school (nurse, social workers, etc.). Include brief commentary if necessary.

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* 8. What are the demographics of your student population by race/ethnicity and economic status?

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* 9. How does your school engage parents to meet the needs of the students? (250 words max)

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* 10. Please summarize one to three successful academic or afterschool programs led by your school. Specifically outline the need the programs address, accomplishments including results and metrics, and impact on the surrounding community. (250-500 words)

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* 11. Provide a list and brief explanation of current and/or expected programs available for students in the 2020-2021 school year (250-500 words).

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* 12. Do you already house any of the 5 services proposed in this ‘cluster of care’ model? If so, which ones? How would the Community Hub services support or improve what you already offer at your school? (250 words)

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* 13. The grantee will receive about 4 - 6 months to prepare for the launch of services along with WSU staff. What would your initial work plan offer in preparation for this hub? (e.g. preparation of a school-based needs assessment, analysis of student data, etc.) Please feel free to share your community approach to this (250 words).

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* 14. Does your school have any staff that would be able to help with data tracking during the 2-year pilot? If so, who would be nominated for this role?

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* 15. Please describe your school’s need for these type of services. What is the anticipated impact?

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* 16. How many youth would you expect to serve at your school’s Community Hub in 2020? In 2021? How will they be encouraged to use these services? How would these services be coordinated so that it is easy for the students and families to navigate? (250 words)

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* 17. 16. How will the services be communicated to students and parents? (250 words)

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* 18. For the services rendered through this grant, the school would need to offer an appropriate location (private rooms) to house the mental health services and an area for the trauma-informed teacher trainings. Do you already have a physical location secured for the Community Hub services? If so, explain what the space looks like. (250 words).

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* 19. Please revise the proposed budget for these services and include any additional sources of funding needed to launch the program (250 words).

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* 20. Please upload a letter of support for your elementary school. Parental and community involvement is key for this community hub, please allow community members to write the letter of support (e.g., parents, LSC, community members, or community-based organizations).

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* 21. (Optional) Any additional documents

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* 22. Do you attest that you run an elementary school that has secured all necessary licenses to operate in Chicago and Illinois?

Yes

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* 23. If selected, do you consent to West Side United promoting your organization as part of this program?

Yes

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* 24. If selected, do you commit to providing a report 6-months and 12- months after service provision in which you document how the funds have been used and report on selected measurement metrics?

Yes

School-based Community Hub Application

Application Questions

Question Title

* 1. Are you an Elementary School operating on the West side of Chicago?

Question Title

* 2. What is the name of your elementary school?

Question Title

* 3. (Optional) Please provide a link to the school’s website.

Question Title

* 4. Who is the primary contact for the application?

Question Title

* 5. Where is your elementary school located? Please specify the neighborhood.

Question Title

* 6. Please provide a brief summary of the school’s history, mission, and leadership. (250 words)

Question Title

* 7. ﻿﻿Please attach a list of any additional ancillary staff available at your school (nurse, social workers, etc.). Include brief commentary if necessary.

Question Title

* 8. What are the demographics of your student population by race/ethnicity and economic status?

Question Title

* 9. How does your school engage parents to meet the needs of the students? (250 words max)

Question Title

* 10. Please summarize one to three successful academic or afterschool programs led by your school. Specifically outline the need the programs address, accomplishments including results and metrics, and impact on the surrounding community. (250-500 words)

Question Title

* 11. Provide a list and brief explanation of current and/or expected programs available for students in the 2020-2021 school year (250-500 words).

Question Title

* 12. Do you already house any of the 5 services proposed in this ‘cluster of care’ model? If so, which ones? How would the Community Hub services support or improve what you already offer at your school? (250 words)

Question Title

Question Title

* 14. Does your school have any staff that would be able to help with data tracking during the 2-year pilot? If so, who would be nominated for this role?

Question Title

* 15. ﻿Please describe your school’s need for these type of services. What is the anticipated impact?

Question Title

* 16. How many youth would you expect to serve at your school’s Community Hub in 2020? In 2021? How will they be encouraged to use these services? How would these services be coordinated so that it is easy for the students and families to navigate? (250 words)

Question Title

* 17. 16. How will the services be communicated to students and parents? (250 words)

Question Title

Question Title

* 19. Please revise the proposed budget for these services and include any additional sources of funding needed to launch the program (250 words).

Question Title

* 20. Please upload a letter of support for your elementary school. Parental and community involvement is key for this community hub, please allow community members to write the letter of support (e.g., parents, LSC, community members, or community-based organizations).

Question Title

* 21. (Optional) Any additional documents

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* 22. Do you attest that you run an elementary school that has secured all necessary licenses to operate in Chicago and Illinois?

Question Title

* 23. If selected, do you consent to West Side United promoting your organization as part of this program?

Question Title

* 24. If selected, do you commit to providing a report 6-months and 12- months after service provision in which you document how the funds have been used and report on selected measurement metrics?

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* 25. How did you hear about this opportunity?

* 7. Please attach a list of any additional ancillary staff available at your school (nurse, social workers, etc.). Include brief commentary if necessary.

* 15. Please describe your school’s need for these type of services. What is the anticipated impact?