FY2011 Tweens and Teens Application by HC12093021184

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									   LIBRARY SERVICES AND TECHNOLOGY ACT
      FY2012 SERVING ‘TWEENS AND TEENS
                 APPLICATION
Your Agency:                      __________________________________________________________
                                                 (Library)

Agency Director:                  _________________________________________________________
                                                 (Name - Print)

                                   _________________________________________________________
                                                 (Signature)

Agency Address:                   _________________________________________________________
                                                 (Street, City, State, Zip)

Governing Authority:              ___________________________________________________________
                                                 (Name and Position - Print)

                                   __________________________________________________________
                                                        (Signature)

Project Director:                  __________________________________________________________
                                                 (Name and Position - Print )

                                   __________________________________________________________
                                                 (Address, if different from above)

                                   __________________________________________________________
                                              (Telephone, Fax and E-mail address)

Application Preparer:
(If different from above)                     (Name, Position, Telephone E-mail)



U.S. Congressional District:                 __________________

Geographic Area: (Check one):
                    _____ BOSTON              _____ CENTRAL                      _____ NORTHEAST

                    _____ METROWEST           _____ WESTERN                      _____ SOUTHEAST
Population of Municipality/Community:        __________________
Number of People to be Served by Project:    __________________
Current Total Library Budget:                __________________
Number of FTE Library Staff:                 __________________
Total L.S.T.A. Funds Requested:              $_________________
ORIGINAL PLUS SEVEN (7) COPIES MUST BE POSTMARKED TO THE MBLC BY:
    Wednesday, March 2, 2011; 98 North Washington St., Boston, MA 02114
An electronic copy should also be e-mailed to rachel.masse@state.ma.us with subject line:
                                      LSTA 2012 Application
                     FAXED APPLICATIONS WILL NOT BE ACCEPTED.
                                 Agency (Organization)/Library___________________________________
                                                  Municipality:__________________________________



  1. Abstract. Summarize your project in a brief narrative statement (no bullets) of 150 words
     or fewer. (Think who, what, when, where and why--as if you only had a few seconds to
     describe the essence of your project to someone unfamiliar with what you are doing.) We
     suggest writing this AFTER you have written your complete grant application.




  2. Community Narrative and Target Group.

         a. Briefly describe, in your own words, the community in which your library is
            based and the number, type and age of the population you serve. You can
            document demographic information with an attachment, if necessary.




         b. What is the target group that this project will reach? Please include the size of the
            potential audience of youth/students you realistically expect to be served by your
            project. Include approximate ages, etc.




3. Community Need. What are the needs/issues facing ‘tweens and teens in your community?
   Why is this project necessary at this time?




                                                                                        Page 2 of 14
                                  Agency (Organization)/Library___________________________________
                                                   Municipality:__________________________________



4. Program Description. The following components should be incorporated into your project.
   Please write a detailed narrative in which you describe your plans for the integration of each
   of these components.

          a. How will you form or strengthen a Teen Advisory Board (TAB)?




          b. What kinds of creative program strategies will be developed over a two-year
             period to work with and reach ‘tweens and teens?




          c. How do you plan to approach redesign of teen space in the library? Limited funds
             can be used for space planning, new furniture, some equipment, signage (no built
             in or capital expenditures, however).




5. Collection Development.


          a. Does your library have a collection development policy? _____ yes (attach)
             _____no

          b. Describe how your current collection addresses your proposed project activities.




          c. Please indicate how you plan to use grant funds to develop or expand collections
             of books, audio books, graphic novels, CDs, DVDs, and other media in alternate
             format including games and anime. To what extent can you demonstrate that
             some of these materials will be aligned with the state curriculum frameworks?




                                                                                         Page 3 of 14
                                Agency (Organization)/Library___________________________________
                                                 Municipality:__________________________________

6. Current Library and Community Offerings.

         a. What specific programs, services and activities do you currently offer to ‘tweens
            and teens (middle school and high school youth)?




         b. How will this project differ from what is currently being offered by your library?




         c. Please describe the efforts of other agencies or organizations in your community.
            Please include initiatives either from the local school system (middle and high
            school), boys and girls clubs, town/city recreation centers, sports organizations,
            religious organizations and/or specific agencies that target youth services.




7. Evaluation—Outputs and Outcomes.

         a. Outputs: Please write a narrative in which you describe the anticipated outputs
            for your Serving ‘Tweens and Teens project, e.g., anticipated number of
            programs, anticipated number of participants at programs, number of materials
            added to the collection, projected increases in circulation, etc.




         b. Outcomes (desired changes in target audience’s knowledge, skills, behavior,
            attitude, confidence, or life condition)—please complete the following grids:




                                                                                       Page 4 of 14
Outcome Evaluation
Please include a minimum of 2 outcomes and a maximum of 3. Each outcome should include at least one indicator (maximum 2)

Outcome 1: ________________________________________________________________________________________________
Changes in target audience—knowledge, skills, behavior, attitude, confidence, or life condition.


           Indicators                   Data Source              Data Intervals             Target Audience           Target or Achievement Level
   Measurable conditions that show   Where data will be found   When data is collected    Population being measured       Amount of impact desired
       outcome was achieved
                                                                                 Agency (Organization)/Library___________________________________
                                                                                                  Municipality:__________________________________




Outcome 2: ________________________________________________________________________________________________
Changes in target audience—knowledge, skills, behavior, attitude, confidence, or life condition.


          Indicators                   Data Source              Data Intervals                     Target Audience           Target or Achievement Level
  Measurable conditions that show   Where data will be found   When data is collected            Population being measured       Amount of impact desired
      outcome was achieved




                                                                                                                                         Page 6 of 14
                                                                                 Agency (Organization)/Library___________________________________
                                                                                                  Municipality:__________________________________




Outcome 3: ________________________________________________________________________________________________
Changes in target audience—knowledge, skills, behavior, attitude, confidence, or life condition.


          Indicators                   Data Source              Data Intervals                     Target Audience           Target or Achievement Level
  Measurable conditions that show   Where data will be found   When data is collected            Population being measured       Amount of impact desired
      outcome was achieved




                                                                                                                                         Page 7 of 14
 8. Project Publicity. Describe how you plan to actively publicize the project and encourage
    participation in the planned programs and activities.




 9. Project Staffing. Please discuss your proposed project staffing, demonstrating how well your
    library/organization is prepared to implement this project. In order to be successful, the
    library may need to add extra hours for a young adult librarian or to hire a TAB coordinator
    (maximum 25-30% of total grant funds over two years). Please indicate the personnel
    qualifications of your proposed staff.

           a. Who will be assigned to be your project director (this person must be on the
              payroll and paid with local funds)?



           b. Who else currently on your payroll will work on the project?



           c. Who else NOT currently on the payroll will work on the project?



           d. Please complete one “Project Personnel Sheet” for each person who will be
              assigned to your project (people/positions listed in A, B, C above, whether or not
              they are currently on the payroll or will receive payments with grant funds or
              volunteer their services).



10. Collaboration. Your project should be collaborative, involving cooperation between the
    school and public library, if possible. You should also involve other organizations that
    support youth in the community.


           a. Describe the collaborative component of this project. Also include here the
              involvement of any other local resource people or community agencies,
              organizations, etc.


Attach letters of support to demonstrate organization/community enthusiasm and commitment for
the project. The letters should specifically address what the agency or persons will do or
contribute to the project, if applicable. (Include substantive letters of support from school
librarian/principal, agency directors, key organizations and advisory committee members.)
                                  Agency (Organization)/Library___________________________________
                                                   Municipality:__________________________________



11. Timeline and Action Plan. Serving ‘Tweens and Teens is a Two Year Project. Please
    indicate a timeline for each year using the attached timeline. Complete a timeline of
    activities including when and by whom each activity will be carried out to ensure that
    project objectives are accomplished by the end of each year. (Remember that your project
    must follow the Federal fiscal year, which runs from October through September – Year
    One: October 2008 - Sept 2009; Year Two: October 2009 - Sept. 2010.)




12. Budget Form and Detail. Please complete attached sheets.




13. Future of the Project.

           a. If you do receive a grant, how will you continue your project after the grant
              period is over?




         b. In the event that you do not receive an LSTA grant, what short term steps would
            you take to serve the ‘tweens and teens population?




                                                                                         Page 9 of 14
                                  Agency (Organization)/Library___________________________________
                                                   Municipality:__________________________________

PROJECT PERSONNEL
Name:________________________________________________________________________


Current Position and Duties:_______________________________________________________
______________________________________________________________________________
______________________________________________________________________________


Description of Project-Related Work: ______________________________________________
______________________________________________________________________________
______________________________________________________________________________


Educational/Professional Experience Applicable to This Project:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________


Estimated Number of Hours per Week, Number of Weeks and Total Number of Hours of
Project-Related Work:
______________________________________________________________________________
______________________________________________________________________________


If individual is to be paid out of LSTA Funds:


   1. Total Salary/Contractual Amount Requested: _______________
   2. Total Number of Hours: _______________
   3. If this person is currently employed by the library, total number of hours currently
       working per week: _______________


  Duplicate as needed to include one form for each person (on payroll, paid with grant or
                 local funds or volunteer) who will be working on project.




                                                                                        Page 10 of 14
                                                                                                       Agency (Organization)/Library___________________________________
                                                                                                                        Municipality:__________________________________


 TIMELINE WORKSHEET                  YEAR: _______
  MONTHS                                                        Oct.       Nov.      Dec.       Jan.       Feb.      Mar.      Apr.       May       June         July   Aug.       Sept.
  Project Month
  (contract year runs Oct.-Sept.)                                1         2          3         4           5         6         7          8          9          10     11          12

  ACTIVITIES:
  1.


  2.



  3.



  4.



  5.



  6.



  7.



Instructions:          Integrate all activities listed in the previous section into one timeline. Check off month(s) in which each activity will take place or
                       use an arrow to indicate on-going activities for sequential months. If more space is needed, use photocopies of this form. Use a
                       second sheet for two year projects.




                                                                                                                                                                               Page 11 of 14
              PROJECT BUDGET - (FOR THE FIRST PROJECT YEAR. Copy form for second project year.)
                              LINE ITEMS                                  LSTA       LOCALLY APPROPRIATED        OTHER         TOTALS
                                                                                            FUNDS               SOURCES*

             PERSONNEL                                      SALARIES             0                          0              0            0

                                                 FRINGE BENEFITS                 0                          0              0            0

                                                           SUBTOTAL              0                          0              0            0

                                                                                 0                          0              0
                                                               BOOKS                                                                    0
                                                                                 0                          0
                                                        PERIODICALS                                                        0            0
                                           COMPUTER SOFTWARE                     0                          0              0
                                                                                                                                        0
                                   DATABASES (ONLINE OR CD-                      0                          0              0            0
   LIBRARY MATERIALS                                  ROM)
                                                                                 0                          0              0
                                         VIDEO CASSETTES/DVDs                                                                           0
                                                                                 0                          0              0
                                        AUDIO-RECORDINGS/CDs                                                                            0
                                                                                 0                          0              0
                                                       MULTI-MEDIA                                                                      0
                                                                                 0                          0              0
                                                      OTHER ( Identify)                                                                 0
                                                           SUBTOTAL              0                          0              0            0


                                                                                 0                          0              0            0
                 SUPPLIES
                                                           SUBTOTAL              0                          0              0            0


                                                          HARDWARE               0                          0              0            0
                                       APPLICATIONS SOFTWARE                     0                          0              0            0
             EQUIPMENT
              (Attach List)           OTHER (Identify on detail page)            0                          0              0            0

                                                           SUBTOTAL              0                          0              0            0

                                                                                 0                          0              0            0
                   TRAVEL
                                                           SUBTOTAL              0                          0              0            0

                                                                                 0                          0              0            0
          CONTRACTUAL
              SERVICES
                                                           SUBTOTAL              0                          0              0            0
             (Attach List)

                                                                                 0                          0              0
                                                            POSTAGE                                                                     0
                                                                                 0                          0              0            0
                                                             FREIGHT
                                                                                 0                          0              0
                                                         TELEPHONE                                                                      0
                                                                                 0                          0              0
                                        ADVERTISING/PRINTING                                                                            0
                                                                                 0                          0              0
                                    EQUIPMENT MAINTENANCE                                                                               0
                    OTHER                                                                                   0              0
                                                      AUDIT (Required)           0                                                      0
                                                                                 0                          0              0
                                                      HONORARIUMS                                                                       0
                                                                                 0                          0              0
                                    CONFERENCES/WORKSHOPS                                                                               0
                                                                                 0                          0              0
                                                OTHER (IDENTIFY)                                                                        0

                                                           SUBTOTAL              0                          0              0            0

          GRAND TOTAL            (ADD SUBTOTALS)                                 0                          0              0            0

*Specify Other Sources, e.g. Friends of the Library
BUDGET DETAIL
Please explain how the federal funds will be used in each category shown on previous budget
pages. Where equipment is concerned, be specific about what is to be purchased (brand names
are not necessary). Remember, CIPA compliance precludes the purchase of computers that
access the Internet unless your institution already agrees to filtering everywhere in the library.
                                    Agency (Organization)/Library___________________________________
                                                     Municipality:__________________________________




                                 Additional Information

   1. If your organization is submitting more than one LSTA application in this
      grant round (as allowed by the Preservation Survey and EqualAccess Fact
      Sheets), please indicate what priority you would like this project to be:

               Priority ______ of _________ (total number applying for).


   2. Please provide us with the name(s) of the person or persons who wrote this
      application, and a phone number if it is not provided elsewhere:

               Name: ___________________________________________

               Title: ____________________________________________

               Phone Number: ____________________________________

               Name: ___________________________________________

               Title: ____________________________________________

               Phone Number: ____________________________________

               Name: ___________________________________________

               Title: ____________________________________________

               Phone Number: ___________________________________




   ________________________________________________________________


FOR MBLC USE ONLY:

APPLICANT IS UP TO DATE ON REPORTS FILED: ____ YES   ____NO

NOTES:




                                                                                          Page 14 of 14

								
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