Docstoc

PUBLIC ALLIES-SILICON VALLEY

Document Sample
PUBLIC ALLIES-SILICON VALLEY Powered By Docstoc
					         2007-2008 PARTNER ORGANIZATION APPLICATION


Public Allies works in collaboration with Partner Organizations for the development and
support of diverse young leaders for our community. Public Allies and our Partner
Organizations share responsibility for creating a quality experience for our Allies, and in
working to improve the Public Allies – Partner Organization collaboration. We are seeking
community partners willing to commit to this process.


                               TABLE OF CONTENTS

INSTRUCTIONS

SECTION I.         ORGANIZATION INFORMATION

SECTION II.        ORGANIZATIONAL INTENT AND DESIRED IMPACT

SECTION III.       ORGANIZATIONAL INFRASTRUCTURE

SECTION IV:        ALLY SUPERVISION

SECTION V.         ALLY POSITION AND SERVICE DESCRIPTION

SECTION VI.        SIGNATURES OF APPROVAL -- ALLY APPLICATION




                                        PAGE 1         2007-2008 PARTNER ORGANIZATION APPLICATION
            2007-2008 PARTNER ORGANIZATION APPLICATION
                                 Application Instructions

   Carefully review all of the material and complete the Partner Organization Application making
    sure to complete every section.


   Please note that you must submit one complete Ally Position Description each Ally placement
    requested.

   Be sure to include all of the required documents (see application for more detail):
       o   2007-2008 Partner Organization Application
       o   Ally Position Description (one for each Ally placement requested)
       o   Organizational brochure
       o   Organizational annual report
       o   Budget for the current fiscal year
       o   Letter verifying 501(c)3 status
       o   Resume of the Ally Supervisor(s)
       o   (If available) Newspaper articles or other information about your program

   Submit the complete package no later than May 31, 2007 to the attention of:
    Michelle Lyons-Mayer
    Program Director, Public Allies Arizona
    Center for Nonprofit Leadership and Management
    Arizona State University
    411 North Central Avenue, Suite 500
    Mail Code 4120 - UCENT
    Phoenix, Arizona 85004

   Please note that material must be received or postmarked by the due date in order
    to be considered. Only complete applications will be considered.

   Contact our office at (602) 496-0425 or via e-mail at michelle.lyons-mayer@asu.edu if
    you have any questions.



                                             PAGE 2        2007-2008 PARTNER ORGANIZATION APPLICATION
               2007-2008 PARTNER ORGANIZATION APPLICATION

SECTION I. ORGANIZATION INFORMATION
Please print or type.

Name of Organization: _______________________________________________________________

Mailing Address: ____________________________________________________________________

Street Address: ____________________________________________________________________

City: ______________________           State: _________________           Zip Code: ________________

Telephone: ______________________________                   Fax: ______________________________

Website: ___________________________

Name and Position of Ally’s Direct Supervisor: ____________________________________________

E-mail of Supervisor: _________________________________ Phone: ________________________

Will this person be Public Allies’ contact throughout matching process:     Yes ____   No ____

If not, name and position of contact person: _________________________________________

Name of Executive Director: _______________________________________________________

Name of Controller/CFO:                                                                  _____

Organization’s Budget:    < $250K ___ $250-500K ___ $500-999K ___ $1-3 mil ___ $3 mil + ___

Staff Size: _________         Number of staff 18-30 years old: ________

Scope of Organization: (check all that apply)

________National              _______Arts and Culture                       _______Environment
________State                 _______Community Development                  _______Faith-based
________Citywide              _______Crime Prevention/Public Safety         _______Health
________Neighborhood          _______ Education/Awareness                   _______Housing
                              _______ Workforce Development                 _______Policy/Research
                              _______Youth Development                      _______Other:

                                                PAGE 3        2007-2008 PARTNER ORGANIZATION APPLICATION
Has your organization ever hosted a VISTA, AmeriCorps member, or JVC?

       Yes ____       No ____          If yes, when: __________________________________

How did you hear about Public Allies?

       ________E-mail                        _______Arizona Nonprofit Community Report
       ________Flier                         _______Friend/Colleague
       ________Website                       _______Other, How? ______________________




SECTION II. ORGANIZATIONAL INTENT AND DESIRED IMPACT

What is your organization’s mission?




How will hosting an Ally further the organization’s mission?




What communities does your organization serve?




                                              PAGE 4           2007-2008 PARTNER ORGANIZATION APPLICATION
Describe how the organization collaborates with other nonprofits, local governments, civic
organizations, schools, etc.




How would an Ally contribute to the organization’s infrastructure or capacity beyond the ten months
of the program?




AmeriCorps strongly encourages job descriptions with volunteer recruitment objectives. Does your
organization work with volunteers? If so, will the Ally have the opportunity to work with them? Please
describe:




Please attach copies the following organizational literature.
      organizational brochure
      organizational annual report
      budget for the current fiscal year
      letter verifying 501c3 status
      Resume of Ally Supervisor(s)
      (If available) newspaper articles about our program

If you are unable to attach one or more of the above items, please explain:

                                               PAGE 5           2007-2008 PARTNER ORGANIZATION APPLICATION
III. ORGANIZATIONAL INFRASTRUCTURE

Does your organization have the (non-federal) resources to commit to your organization’s portion of
the stipend plus FICA and Worker’s Compensation to support an Ally/Allies at this time? Please specify
your funding source(s).




If your organization does not yet have the resources committed, by will you be certain that you have
the financial resources to support an Ally by September 1, 2007? Please describe your plan for
securing these resources.




Allies will need space to do their work, as well as computer and internet access to report on their
work and fulfill the program’s continuous learning requirements.

My organization will provide the following for our Ally (please check all that apply).

              desk
              computer
              phone
              internet access
              printer access
              his/her own working space or office equivalent to other staff

If you did not check one of the above, please tell us how this will/will not affect the Ally’s work.




                                               PAGE 6            2007-2008 PARTNER ORGANIZATION APPLICATION
SECTION IV: ALLY SUPERVISION

Public Allies Partner Organizations are equal partners in the creation of a quality experience for our
Allies, and in working to improve the Public Allies – Partner Organization collaboration. General
expectations and responsibilities of the Partner Organization and Ally Supervisor are listed below.

ALLY SUPERVISOR:                                         PARTNER ORGANIZATION:

- Accountability to objectives and support in            - Financial Commitment
achieving those objectives                               - Support of Public Allies Organizational
- Professional mentorship and guidance                   Philosophy
- Agency liaison
- Evaluation Participant

IV.A Please initial the following to agree to your organization’s commitment to the following:
         Participate in the Ally Matching Process
         Attend a mandatory Partner Organization Supervisor Orientation and mid-year in-service
           training
         Participate in program evaluation efforts including focus groups and exit surveys
         Participate in three meetings with the Ally and program staff and complete a 360°
           Assessment of the Ally
         To the extent possible – attend public Allies events such as program launch, “Meet the
           Allies”, Presentations of Learning and graduation
         Complete all required paperwork for the Ally
         Treat the Ally with the same respect of a staff member of the organization
         The Ally will not be asked to do work assignments or administrative tasks beyond their
           position description unless approved by Public Allies staff
         The Ally will not be asked to do work that is prohibited by AmeriCorps regulations or the
           Public Allies Arizona policies and procedures (e.g. lobbying and some fundraising activities)
         Provide direct supervision and support throughout the term of the program. The
           Supervisor will meet with the Ally at least weekly during the first month and at least every
           two weeks thereafter throughout the placement and provide adequate training,
           supervision and support based on the Ally’s skills and knowledge and the complexity of
           work to be accomplished
         The Ally will be given an extensive orientation to their service and to the organization that
           is at least 4 hours in length during the first week of service
         The Supervisor will assist the Ally with tools to evaluate the impact of their work in
           communities, such as pre- and post-tests, participant surveys, etc
         The Supervisor will serve as a mentor to the Ally and will provide growth and learning
           opportunities for the Ally

If the Ally Supervisor or another organizational representative is not able to commit to the
aforementioned criteria for the 10 months of the program, please explain.




                                                PAGE 7             2007-2008 PARTNER ORGANIZATION APPLICATION
Please describe the supervisor’s experience working with and/or supervising young people? Please
attach a copy of the supervisor’s resume to the application.




Public Allies expects the Ally’s direct supervisor to help guide the Ally’s progress in developing a
strong set of professional skills. What will your organization and the Ally’s direct supervisor do to
promote the Ally’s professional development?




                                               PAGE 8           2007-2008 PARTNER ORGANIZATION APPLICATION
SECTION V. ALLY POSITION AND SERVICE DESCRIPTION

The following page contains the format for an Ally position description. Please fill out a description
for each Ally you would like placed at your organization (maximum of three Allies). These
descriptions will be shared with Ally Applicant finalists during our matching process, and will serve
several important functions throughout the term of service:
     Communication Tool - that creates clear expectations between the Partner Organization
        Supervisor, the Ally and the Public Allies Arizona staff
     Planning/Management Tool - that provides a roadmap for action for the Ally and the basis for
        your supervision of their work
     Evaluation Tool - that provides a concise method to measure the impact of the Ally’s service in
        your organization and to the population you serve
     Monitoring Tool - that provides a clear way to monitor the Ally’s progress in the program and
        your role a the Partner Organization Supervisor

Your final position description will be entered into the Public Allies online reporting system (PISD).
Allies report on their progress twice a month and their supervisor approves the report. This is the
only responsibilities you will have for ongoing progress reporting and it will provide you with valuable
evaluation information. Because the Ally Position Description serves so many purposes – it is a bit
more complex than your typical Position Description.

Activities and Outcomes
In order to determine community impact and understand Ally service activities, Public Allies requires
that Allies regularly report on activity areas at their placements, and that they have at least one direct
service outcome that is measured. It is also important that Allies have a specified project that they
can take ownership in and have a sense of responsibility for completing during their service term.
The position description reflects this requirement in its format.

Skills
In the “working conditions and physical effort” section, please tell us the typical place of work and
types of activities the Ally will be expected to perform. For example: “Work is normally performed in
a typical interior/office work environment. Moderate physical activity. Requires handling of average-
weight objects up to 25 pounds or standing and/or walking for more than four (4) hours per day.”

In the “required skills” section, please describe the type of individual you feel would work most
effectively within your organization and would be most successful at accomplishing the project(s)
outlined in the service description, and include:
a. Skills/Qualifications (including educational level/degrees, language proficiencies, technical skills)
b. Personality/Work Style (e.g. outgoing, analytical, patient, good with kids, etc.)
c. Life Experiences, Demographic Considerations
d. Other (Do they need a car? Will they need to have flexible schedule for weekend or evening
    work?)

Interview Contact
Please provide the contact information for the person who will coordinate Ally Applicant interviews.
Interview Contact: ___________________________________
Phone Number: _____________________________________
E-Mail: ____________________________________________


                                               PAGE 9           2007-2008 PARTNER ORGANIZATION APPLICATION
                           SECTION V. Cont’d - Ally Position Description

Name of Partner Organization:                             Website:

Mission:

Position Title:
Summary of Responsibilities:                              Focus Area:
                                                                  Education
                                                                  Environment
                                                                  Public Safety
                                                                  Other Human Needs
                                                                  Youth Development
                                                                  Community Revitalization
                                                                  Children and Families
                                                                  Other:
Working Conditions and Physical Effort:

Required Skills:

Desired Skills:

Acquirable Skills:


Objective #1
Objective Title
Activities
   What will the Ally be doing at their
    placement?
   Who will the Ally be working with?
    (specific target group)
   How often or what proportion of
    their working time will they be
    doing the proposed activities? (i.e.
    25% of their time, or 3 afternoons
    per week).
   Be specific about other expectations
    or responsibilities of the Ally with
    regard to this objective.
Target Group
Outcome Results
   What will be the outcome of the
    Ally's activities?
   What will have changed as a result
    of the above activities?
Performance Standard,
Measures and Timeframe
   What specifically will be measured
    to indicate that the above result
    was accomplished?
   What tool will be used to measure
    the result?
   When will the results be measured
    and reported?




                                            PAGE 10       2007-2008 PARTNER ORGANIZATION APPLICATION
Objective #2
Objective Title
Activities
   What will the Ally be doing at their
    placement?
   Who will the Ally be working with?
    (specific target group)
   How often or what proportion of
    their working time will they be
    doing the proposed activities? (i.e.
    25% of their time, or 3 afternoons
    per week).
   Be specific about other expectations
    or responsibilities of the Ally with
    regard to this objective.
Target Group
Outcome Results
   What will be the outcome of the
    Ally's activities?
   What will have changed as a result
    of the above activities?
Performance Standard,
Measures and Timeframe
   What specifically will be measured
    to indicate that the above result
    was accomplished?
   What tool will be used to measure
    the result?
   When will the results be measured
    and reported?


Objective #3
Objective Title
Activities
   What will the Ally be doing at their
    placement?
   Who will the Ally be working with?
    (specific target group)
   How often or what proportion of
    their working time will they be
    doing the proposed activities? (i.e.
    25% of their time, or 3 afternoons
    per week).
   Be specific about other expectations
    or responsibilities of the Ally with
    regard to this objective.
Target Group
Outcome Results
   What will be the outcome of the
    Ally's activities?
   What will have changed as a result
    of the above activities?
Performance Standard,
Measures and Timeframe
   What specifically will be measured
    to indicate that the above result
    was accomplished?
   What tool will be used to measure
    the result?
   When will the results be measured
    and reported?




                                           PAGE 11   2007-2008 PARTNER ORGANIZATION APPLICATION
SECTION VI. SIGNATURES OF APPROVAL -- ALLY APPLICATION


I am aware of the application for ______ (#) Public Ally/ies for the 2007-2008 program year. I
confirm that _______________________________ (name of organization) is financially capable of
hosting an Ally/ies for the duration of the program year from September 2007-June 2008. I have read
and agree to uphold the expectations and responsibilities of being a Partner Organization/Supervisor.
I am also aware that the potential direct supervisor from my organization will be expected to conduct
interviews with possible Ally candidates. I understand that completing this application and conducting
Ally interviews does not guarantee that my organization will receive an Ally.




Signatures of approval:




EXECUTIVE DIRECTOR                                                                DATE




PRESIDENT/CHAIR OF BOARD OF DIRECTORS                                             DATE




PROSPECTIVE ALLY SUPERVISOR                                                       DATE




FINANCE DIRECTOR/ACCOUNTANT, (if applicable)                                      DATE




                                            PAGE 12           2007-2008 PARTNER ORGANIZATION APPLICATION

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:5
posted:2/27/2012
language:
pages:12