HomeMy WebLinkAboutBack-Up DocumentsCity of Miami
Anti -Poverty Initiative Program
Funding Request Form
CONTACT INFORMATION:
Contact Person: Jamila English
Title: Executive Director
Phone number: (305) 960-5166
Email Address:jenglish@miamifocal.com
Name of Person completing this form: Jamila English
Legal Name of Organization: Foundation of Community Assistance & Leadership
Address (Street, City, State, Zip Code): 765 NW 36th Street, Miami FL 33127
Executive Director of Organization: Jamila English
Executive Director email: Jenglish@miamifocal.com
Executive Director Contact Phone Number: (305) 49$-1315
The organization is a registered and active State of Florida Corporation (select one):
InFor -profit organization
• Not -for profit organization {501(3)(c))
nLocal governmental unit
ElState governmental unit
• Educational and academic institution
• City of Miami department, office of elected official, agency or board
Return this form to: mtrevino@miamigov.com
Page 1of5
(Last Revised June 6, 2023)
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
ORGANIZATION AND PROGRAM/PROJECT INFORMATION
Organization History and Background Information:
FOCAL has provided services at the City of Miami's Moore Park for over twenty (20) years.
The program works to address the lack of academic success and the under development of skills
in high poverty neighborhoods. The program provides services and activities.
for learning success that increase self confidence.
Is your program/project providing direct services to residents of the City of Miami? YesEINo❑
Number of residents your entity will serve:
Frequency of Service:
Age Group Served:
150
5 days per week
5-18
Is your program/project impacting one of Miami's disadvantaged communities? Yes ZNo El
Geographic Area Served (specific to this project/program)
District Served (1, 2, 3, 4, 5, Citywide) 5 and 1
Neighborhood/Community being served:
Program/Project Priority area (Select one):
ts
El
Liberty City & Allapattah
Educational Programs for children, youth and adults
Crime Prevention
Elderly meals, transportation, recreational and health/wellness related activities
At -risk youth or youth summer job programs
Transportation services and programs
Job development, retention and training programs
Homeless Services
Food Distribution
Essential supplies, during a State of Emergency, natural disaster, or economic crisis
Return this form to: mtrevino@miamigov.com
Page 2 of 5
(Last Revised June 6, 2023)
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
Program/Project Title: FOCAL Moore Park Learning Center
Project/Program Description: FOCAL provides educational services to students that reside in
in the low income and high crime neighborhoods in the City of Miami. The program offers
experiences that expose students to personal and professional development through activates,
employment opportunities, and field trips.
Program Start Date: 8/23/2022 Program End Date: 8/31/2023
Please describe how this program/project and funding will alleviate poverty within the City of
Miami?
FOCAL alleviates poverty within the City of Miami by providing free academic support services to students
n a safe and inclusive environment The program's key focus arca include college and career readiness, which increases the opportunity
for students to become successful adults. FOCAL also provides employment opportunity to students to reduce financial hardships.
IMPACT AND PERFORMANCE:
Describe the overall expected outcomes and performance measures for this project/program.
And, list the supporting documentation that will be submitted with the Close Out Report:
The expected outcome is a 95% grade level promotion rate and an increase in performance
measures by 10%. The program will maintain demographics along with pre -test and post-test trackers for each student.
This information will be supplied to the City as supporting documentation to the Close Out Report.
Return this form to: mtrevino@miamigov.com
(Last Revised June 6, 2023)
Page 3 of 5
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
FUNDING REQUEST INFORMATION:
Amount Requested: $150,000
Explain how the City of Miami Anti -Poverty funding will be utilized:
The funding will be used to cover our short fall in daily meals, transportation, field trips and staffing.
Itemize API funding related to expenditures below:
Personnel Salaries & Wages: $50,000
Personnel Benefits $
Space Rental: $
Utilities (Electricity, Phone, Internet): $
Supplies: $
Marketing: $
Transportation (Participants): $25,000
Meals (Participants): $25,000
Professional Services (List each):
Other (please describe): Field trip: $50,000
Other (please describe):
Other (please describe):
Return this form to: mtrevino@miamigov.com
(Last Revised June 6, 2023)
Page 4 of 5
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
To be completed by the Entity/Recipient
By signing below you agree to the guidelines and stipulate that the information provided on this form is
accurate and complete.
Completed by (Print & Sign): Jamila English
Date: 8/29/2023
Additional Comments:
To be completed by District Commissioner/Mayor's Office
Recommended for funding: YesfNof
Funding Recommendation:
Commission Meeting Date:
Additional Comments:
I P TO, 0 0
q/2:3120
Completer by (Pri t & Sign):
Date: 8 ,3
To be completed by the Department
Received by (Print & Sign):
Date: 9/6/23
Additional Comments:
This item is approved to proceed with placement on the agenda and agreement preparation.
Return this form to: mtrevino@miamigov.com
Page 5 of 5
(Last Revised June 6, 2023)