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Originals 2009/2010 Agency Funding Applications Results 4, Tabs 21-26
• RIGINALS 2009/2010 Agency Funding Applications Result 4, Tabs 21-26 Result 1 Rated by Rolf, Alicia, Adria, Elizabeth, Margie Result 2 Rated by Rolf, Alicia, Adria, Elizabeth, Margie Result 3 Rated by Rolf, Alicia, Adria, Elizabeth, Margie Result 4 Rated by Charlie, Cheryl, Tony, Robin, Sammi Result 5 Rated by Rolf, Alicia, Adria, Elizabeth, Margie Result 8 Rated by Charlie, Cheryl, Tony, Robin, Sammi Result 9 Rated by Charlie, Cheryl, Tony, Robin, Sammi 4 r-- 1 Application Cover Pages (Agency Information and Questions 1 — Agency Information Agency Name: Consejo Counseling and Referral Service */p Applicant Name and Address: Consejo Counseling and Referral Service a1S90 aredg,s,•,ExecutivIVirector 3808 S. Angeline St. Name an�'iTif :�C1/1- Seattle,WA 98118 206-461-4880 ���(C®4 (Area Code)Telephb €S / •J Mario@consejo-wa.org 206-461-6989 E-mail address(if available) (Area Code)Fax Number • Required signatures: By signing below,you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes. (SIGNAT BE IN BLUE IN ) Signature of Agency Board President/Date Signature of Agenc Director/Date Raymundo Olivas Mario Paredes Printed Name of Agency Board President Printed Name of Agency Director Program Information. }. Program Name South King County Latina Domestic Violence (DV)Advocacy Program z Contact Person (available to answer specific questions on this application) Chelle Hunsinger 206-461-4880 x170 Name (Area Code)Telephone Address (if different than above) chelle@consejo-wa.org 206-461-6989 E-mail address (if available) (Area Code)Fax Number Program is New for our agency 0 An Ongoing Program • 3. Brief Description of Program(One sentence) The program provides culturally and linguistically appropriate Domestic Violence Community and Legal Advocacy services to non-and limited English proficient Latina survivors of domestic violence in South King County. 4. Where are services provided? (If different from agency location) Domestic violence services are provided by phone,in person at our office, on location at advocacy appointments, or at safe locations determined by the client needs. Our current South King County domestic violence advocate is located in our Kent Office at the Alliance Center. Some South King County clients (Renton,Burien, and Tukwila) find it easier to commute in to our Columbia City Domestic Violence office. ORIGINAL Page 1 5J Total Program Cost: Actual 2007: $135,814 Proposed 2009: $204,144 Projected 2008: $148,236 6, Total City Funds Requested for this Program: City Awarded 2008 Requested 2009* General Fund CDBG Total Requested** 4burn $10,000 Federal Way $5,000 $20,000 Kent $12,000 $35,000 Renton $10,000 City Awarded 2008 Requested 2009* General Fund General Fund Burien $7,000 $15,000 Covington - $5,000 Des Moines $5,000 Enumclaw 0 SeiaTac $10,000 Tilkwila $5,000 *7ities on a two year funding cycle will renew 2009 awards to 2010 based upon performance and availability of fuhds. See Part II for city specific information. **Include your total request for Auburn,Federal Way Kent and Renton. The source of funding will be determined by staff. Page 2 7. Agency Contact Sheet Provide the following information for the agency and for the program requesting funds. Agency Contacts " General Agency Name: Consejo Counseling and Referral Service - Address: 3808 S. Angeline Street City/State/Zip: Seattle, WA 98118 Phone/Fax: 206-461-4880/206-461-6989 Agency Web Address: www.consejo-wa.org Executive Director Name: Mario Paredes Title: Executive Director Direct Phone: 206-461-4880 x 155 E-Mail: mario@consejo-wa.org Development Director Name: Evelyn Brom (or Grant Writer) Title: Development Director Direct Phone: 206-802-1962 E-Mail: evelynb@consejo-wa.org Finance/Accountant Name: Hella Monroy (person preparing invoices) Title: Controller Direct Phone: 206-461-4880 x 133 E-Mail: hella@consejo-wa.org Program Contact (Staff contact for contracting, reporting and program implementation.) Program Name: South King County Latina Domestic Violence Advocacy Program" Staff Name: Chelle Hunsinger Title: Domestic Violence Program Manager Direct Phone: 206-461-4880 x 170 E-Mail: chelle@consejo-wa.org Page 3 App 'cation Narrative Section (Questions 8 - 12) . 8. OR ANIZATIONAL EXPERIENCE (2 page maximum) In this s ction you should provide enough information about your agency/organization for the reviewer to 1 determi e whether you will be able to successfully implement the program you propose. A. Exp rience. Provide a short description of the programs and services you provide, including the length of time your agency has delivered these services and your experience working with the proposal's target population. 1 For thirty years Consejo has worked as a multi-service organization-to improve the quality of Latinos' lives in eattle and King County. Our mission statement is to provide a continuum of behavioral health, substanc abuse and domestic violence services including prevention, treatment and housing to individu is and families across Washington utilizing an interdependent treatment model so clients experien e acceptance, emotional security and developmental growth while learning new skills to improve he quality of their lives. Consejo's service delivery empowers clients to participate in their commun ties at their highest level of functioning. This app ication will focus on Consejo's Domestic Violence (DV) Department with 24 staff, operating out of ten sit-s including two transitional housing programs and a bateerers' treatment program. Consejo's DV Department currently provides accessible, culturally-competent direct service advocacy, legal advocac and transitional housing to primarily immigrant,non-English proficient Latina survivors of domestic violence and their. children. Consejo's DV Department's bilingual state-certified Batterers' lntervent on Program primarily reaches those abusers who have already become involved in the criminal justice s Istem. Consejo's DV Department provides outreach and education activities focused on educator the community about domestic'violence and providing information in Spanish about.accessing available resources. History: onsejo was founded in 1978 as a behavioral health and substance abuse community agency serving atinos. In 1991, Consejo developed domestic violence community advocacy programming to respond to Latinas and families who were experiencing violence in the home. State-certified Batterers' Treatment began in 1995. In l 998 Consejo opened its first transitional housing program for women and children fleeing domestic violence. In 2000, Consejo expanded domestic violence, sexual assault and prevention programs to five rural counties in Eastern Washington. In 2005, Consejo began a capital campaign, and in 2007, we opened the largest domestic violence transitional housing program in King County, Villa Esperanza, with 23 2- and 3-bedroom units and bilingual support services. Results: onsejo DV services prioritize increasing safety and understanding about domestic violence. Women i transitional supportive housing are assisted with finding safe, affordable permanent housing, and incre sing their education and incomes. Consejo's two domestic violence transitional housing programs currently have 27 families in residence (27 women and 64 children). In 2007, Consejo's DV Department served approximately 500 women in Community and Legal Advocacy in King County; over 100 women and children in Transitional Housing; 113 men in our Batterers' Intervention program; and we reached 700 individuals with Education and Training. In 2006, 1 onsejo was honored with the Arte Sana Sin Fronteras - Community Empowerment Award for groundbr-aking work generating awareness and to bridging the gap among diverse, under-served 'More tha half reside in South King County and nearly three and a half times as many survivors served by the program in 2000 according to the South King County Regional Domestic Violence Service System Plan. Page 4 immigrant and Spanish monolingual Latina survivors of sexual and domestic violence and their children in the Pacific Northwest. • B. Operational Structure. Discuss how your agency is operationally organized and the roles, responsibilities and expertise of management and staff Include (as an attachment to Question 19) an organizational chart, which indicates how the proposed program fits in to your organizational structure. Consejo's Executive Director oversees the following areas; Adult & Children's Mental Health (including HIV/AIDS prevention and care, Geriatrics,Innovative and Natural Health Services, Transitional Housing for Mentally lll), Domestic Violence(including Transitional Housing, Batterers Treatment, Sexual Assault Services, and Crime Victims Advocacy; the Domestic Violence Department is in nine Eastern and Western Washington locations), Chemical Dependency and Substance Abuse, and High Risk Youth Services (in Tacoma and our new South Park Youth and Family Service Center). Mr. Paredes has been a Senior Manager at Consejo since 1998 and became Executive Director in 2001. His leadership has navigated a major expansion in programming that serves a wider range of clients. Mr. Paredes is also a Sexual Assault Provider and a Certified Domestic Violence Treatment Supervisor with over 17 years of social service experience. In l 994, he earned his B.A. in Social Services from Western Washington University. In 2004, Mr. Paredes earned his M.A. in Nonprofit Management from Seattle University. Consejo's Management Team is listed along with their bios on our Web site at www.consejo- wa.org Chelle Hunsinger is Consejo's Domestic Violence Program Manager (see more p. 11). She has worked with domestic violence agencies in both South and East County and was instrumental in the early formation of DAWN's Latina Advocacy Program. The DV program has an Eastern WA DV Supervisor, Elida Espinoza and Western WA Supervisor, Larilyn Cartaya. Both have been with Consejo for over two years. Consejo's DV program has a staff of 24 and all domestic violence advocates providing direct services to domestic violence clients as well as all supervisors of direct service staff, will exceed the minimum training requirements required by WAC 388-61A-0150. The minimum standards include 20 hours of core domestic violence services training with a focus on Advocacy-Based Counseling and, in every year after they receive the core training, a minimum of thirty hours of continuing education. Ideally advocate staff will receive up to 50 hours of core domestic violence services training, and attend continual ongoing education throughout the year. Our bilingual Batterers' Treatment program is staffed by state certified batterers' intervention treatment provider Consejo Board functions are to provide organizational policy and financial oversight. Consejo's 11 governing Board members meet monthly, are 70%Latino-American, 5 women and 6 men. Three Board, members live and several work in'South King County. Con§ejo is operating from 4 sites in South King County to better serve the growing population trends of Latinos in the region. Out of necessity, Consejo staff keeps informed about the needs in the South King County cities because this is where we are working and serving clients. Staying informed directly impacts Consejo's service outcomes, operations, and strategic planning. Because of the population migration of Latinos, Consejo is currently investigating citing its entire DV program in South King County. Staff is familiar with Human Services planning in the cities to which we are applying for this funding and Consejo participated in the planning process of the 2001 South King County Regional DV Service System Plan. Consejo's ED regularly shares and updates the Board about the needs of South King County cities. Page 5 9. NE D FOR YOUR PROGRAM (2 page maximum) A. Prob em Statement. Describe the problem faced by your target population that will be addressed by your proposed program including any research or data that supports the need and/or gap in services. Do not describe how your program will address this problem. 'Ring County currently has a generous range of systems and services in place to respond in cases of domestid violence. Unfortunately, however, these services may not always be equally accessible to all county residents. National research on battering in marginalized communities has found that "although domesti violence occurs across all classes and races, literature suggests that women from communities of color experience more barriers to accessing and utilizing the systems in place to respond to domestic violence ,,2 When looking at the needs of survivors from the fastest growing ethnic minority in the U.S., we find that "many programs fall short of meeting the multiple needs of a growing Latino population. Lack of access to many services remains a primary concern for.survivors who face diverse challenges and barriers that hinder them from accessing the services they so desperately need."3 Language, cultural, religious and immigration-status barriers all combine to play a major role in impeding access. Despite the best efforts of domestid violence systems to make their services accessible, the reality is that a large disparity currently exists in the quality of advocacy, education, and outreach services received by non- and'limited English proficient immigrant survivors, and those received by mainstream, U.S. citizen clients. In addition to the barriers already mentioned, racial and ethnic discrimination can make it even more difficult for immigrant survivors to get the services that they need. In the 2000 Washington State fatality review, We read that: "Women of color, women who are limited English-proficient ...were less likely to be the rellcipients of 'best practices' as a result of conscious or unintentional biases of the part of the law enforcement officers, medical professionals, and social service providers they encountered." 4 Howeve 1, even with the best of possible intentions;a lack of cultural competency in mainstream systems can resin t in levels -of discomfort, for immigrant survivors that inadvertently impede their access: "Service that are based on European American values and life experiences often act as a barrier to access even in t e absence of direct exclusion or discrimination."5 When the advocates and other professionals who provide services to battered Latinas have no specific knowledge of the cultural values and circumstmnces of Latino families, including their particular social, economic, religious/spiritual, and immigration issues, the services will not be as effective for those Latina survivors as they will be for. survivors from the mainstream culture. . 2 Carter, Nita. "Forging New Collaborations Between Domestic Violence Programs, Child Welfare Services and Communities of Color." National Resource Center on Domestic Violence, Harrisburg, PA. <http://neIN.vawnet.org/Assoc_Files VAWnet/WOCN_ForgingColl.pdf> 3 National Latino Alliance for the Elimination of Domestic Violence, "Analytical Framework for Alianza." 4 Washington State Coalition Against Domestic Violence, "Honoring Their Lives, Learning From Their Deaths': Findings end Recommendations from the Washington State Domestic Violence Fatality Review, (Seattle: SCADV, 2000). p. 6 ` The Nat onal Latino Alliance for the Elimination of Domestic Violence, "Analytical Framework for Alianza." Page 6 One example of, cultural incongruence between systems and their immigrant clients can be in the philosophy of the service delivery model itself: "Feminist theory of DV work involves empowering the survivor to understand that she has the choice how to deal with her situation... This work is based on a Western concept of `rights' in which individuals are encouraged to differentiate from their parents and families and to make decisions about and seek out a life on their own.... For immigrant survivors from collectivist cultures, the notion of`choices' and `rights' may contradict the accepted view in these cultures for the appropriate lifestyle of women...Given this group orientation, interventions that encourage battered women to take action based on a perspective of individual rights might be culturally incongruent and subsequently ineffective for many of these women."6 Another challenge we will address in the Latino community is the lack of community awareness regarding domestic violence. One of the many myths regarding the issue is that it is `culturally acceptable,' in the Latino community. Current domestic violence research has shown us that battering occurs among all socioeconomic, racial, religious and cultural groups. Just like in the U.S. and other societies worldwide, the Latino culture has elements that have historically condoned and accepted gender- - based violence, as well as traditions and beliefs that denounce it. However, many Latina immigrants come from countries that provide little or no effective legal or societal protections to victims of domestic violence. Therefore, Latina survivors may not be aware of the many ways in which the systemic reaction of organizations in the United States differs from those that they are familiar with. For example, "[I]mmigrant women often do not know that battering is a criminal offense in their new country, nor are they aware of any social, legal, health, or other services available to women in their predicament."' For women who are linguistically and culturally isolated from mainstream systems within their own ethnic communities, they may have no way of finding out about the resources that could be available to them. B.Target Population. Identify and describe the population to be served by your program The majority of women who receive Consejo's domestic violence advocacy services are non- and limited English proficient Latinas who self-identify as refugees or immigrants. While the primary focus is to provide advocacy services to Spanish-speaking Latinas,there is a growing Hispanic indigenous community in King County that,may speak Spanish as a second language with varying degrees of fluency. Communities speaking Mixtec, Zapotec, and Tarascan (P'urhepecha)have been identified in South King County. A recent, 5-part investigative series on NPR radio identified an ethnic enclave of approximately 3,000 P'urhepecha speakers living in Burien8. These indigenous groups are doubly marginalized, and face even more significant barriers to service delivery than fluent Spanish-speaking Latinos. • There is currently a shortage of services for non- and limited English proficient Latina DV survivors, and immigration forecasts show us that this need is only going to increase.. According to 2007 United Way of King County Community Assessment, the Hispanic/Latino population is the fastest growing population in each of King County's sub-regions, with a growth rate in South King County of 29.7%between 2000 and 20.06. Additionally, the Latino community currently comprises 8.8% of the South King County region, which represents the highest regional concentration of Hispanic/Latinos in the area.9 6 Erez, Edna and Copps Hartley, Carolyn Battered Immigrant Women and the Legal System:A Theraputic Jurisprudence Perspective, Western Criminology Review 4(2), 155-169 (2003). Ibid. 8 "A Village Away From Home: Seattle's Purepecha Community" 1 Apr. 2008 <http://www.kuow.org/pvf/pvf_immigration.asp> 9"United Way of King County" 19 Mar. 2008 <http://www.uwkc.org/kcca/data/Race/default.asp> Page 7 10. P oposed Program A. Program Description. (2 page maximum) Describe what you want to do and how you will do it. Consejo'p South King County Latina DV Program will provide culturally and linguistically appropriate __ services to non- and limited English proficient Latina survivors out of our satellite office in Kent. A trained bilingual domestic violence advocate who is bicultural (either. immersed or born into the Latino culture) ill provide Advocacy-Based Counseling, legal advocacy, information, support group, and appropriate referrals to Latina survivors. All services will either be provided completely in Spanish, or with the assistance of an indigenous interpreter who can facilitate communication with non- or limited Spanish-I anguage proficient Latinas. The autonomy and self-determination of Consejo's Spanish-speaking Latina clients will be strengthened by the delivery of culturally sensitive domestic violence services provided in their own language. The bicultural, bilingual advocate's knowledge of the cultural values and circumstances of Latino families will reduce barriers and ensure parity in the quality of services provided.to Latina survivors of domestic violence. For native indigenous language Latina clients with limited Spanish proficiency, Consejo's services provided with the assistance of an indigenous interpreter may well be the first or only accessible services they ever receive. Tri-lingual English, Spanish and indigenous language interpreters are. exceedingly rare. For mainstream service providers, it is generally necessary to use a cumbersome, cost- prohibiti''e double-interpreter relay system, when it is even possible to provide interpreter services to these individuals at all. The services provided by Consejo's South King County Latina DV Program will result in Latina survivors having increased access to services, due to the reduction of language, cultural, and economic barriers. . The accessibility of advocacy-based counseling services for battered Latinas will result in increase safety, autonomy and self-determination, and decreased isolation for program participants. • r_?rovidin these services will also result in survivors having an increased knowledge of the United States legal system, as well as decreased fear and mistrust of mainstream systems and organizations. One-On-One Client Advocacy: Specialized services specifically tailored to the limited and non-English speaking Latina immigrant population include Advocacy-Based Counseling services provided to clients in Spanish. Basic domestic violence education on Power and Control, the Cycle of Violence, warning signs of abusive behavior and safety planning are verbally explained, and printed Spanish materials will be provided Additionally, an advocate will define and explain those U.S. community resources which may be unfamiliar to the client, such as domestic violence shelters, transitional and subsidized housing, public assistann benefits, parenting support services, subsidized child care, health insurance, employment and training programs, and low-income financial assistance programs, and make appropriate referrals. An advocate will also provide written, telephonic, and in-person interpretation and translation services as needed, i eluding assisting clients in filling out English paperwork, in order to facilitate client access to those res urces. , Legal A vocacy: Legal advocacy services provided may include a broad overview of the U.S. legal system, comparing and contrasting legal procedure with the legal system in the client's country of origin. - The leg system is so different in the United States from Latin America, that most clients have no idea where to even begin to address their legal needs. Depending on the client's level, of familiarity, the advocate may need to explain unfamiliar and generally misunderstood concepts such as: the difference between ivil versus criminal procedures, public defenders, bail, arraignment, plea bargains, evidence- based prosecution, probation, deferred prosecution, court-ordered treatment programs, Protection, Anti- ( and No Contact Orders, establishing paternity, no-fault divorce, parenting plans, child Page 8 support orders, Guardian Ad Litems and parenting evaluators, professionally supervised visitation, child relocation, custodial interference, and/or temporary ex-parte orders. Even with the provision of court interpreters, language, and cultural unfamiliarity continue to be major barriers to the legal system for limited-English proficient clients at the point of access. A Consejo advocate will perform sight translations as needed for those clients who have no idea what their legal documents say, as well as cultural mediation by providing an explanation of unfamiliar legal terms. In order to facilitate access to obtaining Protection Orders, an advocate will explain what an Order is, the benefits and limitations, transcribe the client's verbal Spanish statement into English, and facilitate the filing process. Consejo advocates also spend a significant portion of time transcribing client's verbal Spanish domestic violence histories into English, for use as declarations in immigration and family law proceedings. Court accompaniment for Latina survivors also includes explanation of what to expect at the hearing; coaching on ways to best prepare for the hearing; explanation of where to go or how to file documents; interpretation with court personnel outside of the formal hearing; as well as emotional and moral support. Consejo is very fortunate to enjoy a special collaborative working relationship with two local legal aid. organizations which allows Consejo clients to obtain pro-bong attorney services they might not otherwise have access to. The Northwest Justice Project receives a specific grant to provide access to civil legal services for immigrant DV survivors, and has dedicated the services of their Spanish-speaking attorney, Leticia Camacho, to work with Consejo clients on a weekly basis. Additionally, Consejo recently became a partner in a new collaboration with the Northwest Immigrant Rights Project (NWIRP) to provide more timely access to immigration relief for domestic violence survivors. This partnership allows Consejo clients to bypass NWIRP's current lengthy waitlist if they are working with one of our advocates. Additionally, the program has already established a strong collaborative relationship with many of the South King County systems-based advocates, such as Kent, Auburn, and Federal Way. Networking opportunities are currently underway with other cities as well, such as Renton. The Regional Justice ' Center in Kent is very familiar with the Consejo's program, and the advocates there have been the source of numerous referrals in 2007. Consejo currently provides the services mentioned above to clients throughout all of King County. Since Consejo already provides culturally and linguistically accessible services, the real challenge for our agency is the ever-increasing volume of requests for services that our program receives from residents of the South King county cities. In 2005 Consejo did not have a physical presence in South King County, but served the requests from those cities in our Columbia City office. Due`to the identified growing need, Consejo recruited a 1.0 FTE advocate dedicated to South King County in March of 2006 and acquired space for her in our Kent office in approximately October of 2006. For much of 2006 the volume of requests was slow, but began to pick up once the advocate was located in the Kent office, where our presence has raised awareness about our DV services. Within the Latino community, "word of mouth" and the community's familiarity with and trust of an organization are some of the most potent outreach tools available. The numbers from 2007 dramatically illustrate this principle in action, and also the overwhelming need for the expansion of Consejo's South King County Latina DV Advocacy Program. Consejo's current funding allows us to employ 4.0 FTEs in our DV Community Advocacy program. The South King County program consists of 1.0 FTE funded at only .49 FTE from the South King County consortium and 25% of our program total. This finding'level requires supplemental funding to meet this need. However, in 2007 the number of South King County residents served was 49% of our entire program total, and those numbers have continued to rise so far in 2008. Without obtaining increased funding for this program, Consejo will not be able to meet the demand for our services for all the South King County residents who request them. Page 9 B. Performance Measures and Outcomes. (1 page maximum) Performance Measure: Number of community advocacy hours provided. • 1. Outcome: Limited English speaking Latina survivors are able to access advocacy-based counseling services that increase their safety, self-determination and understanding of the dynamics of domestic violence. • Indicator IA: After receiving at least 8 hours of advocacy services, 95% of limited English speaking survivors can develop and implement a short- and long-term safety plan. • Indicator IB: After receiving at least 8 hours of advocacy services, 95% of limited English speaking survivors have a good to excellent understanding of domestic violence and its' dangers. 2. utcome: Limited English speaking Latina survivors have an increased knowledge of how to u ilize community resources and/or other informal supports to address safety, medical and/or other needs. • Indicator 2A: After receiving at least 8 hours of advocacy services, 90% of limited English speaking survivors have been referred to and used community resources or informal supports to address safety,medical and other needs. Perform nce Measure: Number of legal advocacy hours provided. 3. Outcome: Limited English speaking Latina survivors increase their knowledge of the United States legal system. • Indicator 3A: 90% of survivors that receive at least 5 hours of legal advocacy have an i creased understanding of the U.S. legal system and how it relates to their situation. Indicator 3B: 90% of survivors that receive at least 5 hours of legal advocacy feel like their situation improved as a result of those services. Outcome Performance Measure Documentation 1. Increase Safety, Self- Community Advocacy DV Advocacy Database Determination, and Hours . Understanding . Indicator lA Pre- and Post-Services Advocacy Assessment and Advocate Case Notes Related to Safety Planning in File Indicator l B Pre- and Post-Services Advocacy Assessment in File 2. Increase knowledge of Community Advocacy' DV Advocacy Database how to use resources and Hours otiher supports Indicator 2 A Pre- and Post-Services Advocacy Assessment and Notes Related to Referrals and Supports in File 3. Increase knowledge of Legal Advocacy Hours DV Advocacy Database arfd comfort with US • Legal system Indicator13 A - Case Notes About Legal Systems in File Indicator 3 B Case Notes Regarding Legal Information Shared and'Legal Services Used in File . Page l0 C. Staffing Plan & Evaluation. (1 page maximum) Advocates 2.0 FTE: The advocates with Consejo's South King County Latina DV Advocacy Program will: 1) Conduct new client intakes,to include DV information and education; 2)Assist each client in the development of a comprehensive plan to address her safety needs; 3) Provide crisis intervention as needed; 4)Provide advocacy-based counseling services; 5) Inform clients of their legal rights, options and the possible consequences of any future actions they may decide to take; 6) Assist clients in obtaining Protection Orders if they are determined to be necessary and beneficial, including advocacy and support services with legal proceedings, filings and documentation for associated law enforcement agencies; 7) Provide direct support to clients during court proceedings; 8)Provide direct support to clients during immigration proceedings; 9) Serve as an unofficial interpreter as needed; 10) Serve as a liaison between the client and the criminal justice system; 11) Serve as liaison between the client and community - resources, and coordinate consistent service continuity; 12)Ensure clients have access to resources to meet their basic needs including food, clothing and linkage to services. Saidy Garzon is the current South King County Latina DV Program Advocate. She received 37 hours of core domestic violence services training in the Spring of 2006, and received 76 hours of training in 2007 on subjects such as Advocacy- Based Counseling, Safety Planning,.Confidentiality and Record-Keeping, Legal Ethics and Boundaries, among many others. With the funding obtained by this proposal, Consejo will employ a second advocate to relieve the current situation where the program is severely over capacity to serve the number of clients seeking services. Data Coordinator.5 FTE: The Data Coordinator will provide administrative support to the Domestic Violence Program Manager, including data collection,preparing client data reports, and information analysis. The Data Coordinator collects client data from basic intake documents and other data collection systems generated within the agency. The Coordinator also prepares client data reports and a summary of the-data for funders, in order to fulfill Consejo's service and demographic contract requirements. Manager: Consejo's DV Program Manager, Chelle Hunsinger,will supervise the South King County Latina DV Advocacy Program. Ms. Hunsinger has over 12 years of experience working with DV survivors in the Latino community. Prior to coming to Consejo, she was previously a Bilingual Community Advocate with the Domestic Abuse Women's Network (DAWN) in Tukwila. Before that, she worked as both a Shelter Advocate and a Crisis Line Advocate with the Eastside Domestic Violence Program in Bellevue. However,the majority of her experience working with battered Latina immigrants was at Centro Latino in Tacoma. Chelle is a regular presenter for many local domestic violence agency core trainings, and developed the 50 hour Spanish training currently offered by DAWN. Ms. Hunsinger is frequently called upon to serve on panels, give presentations, and conduct workshops on battered immigrant issues. Ms. Hunsinger graduated magna cum laude with a B.A. in Spanish Language and Literature from the University of Puget Sound in 1997, and has studied and volunteered abroad with programs in both Guatemala and Mexico. Evaluation: In January 2007 Consejo's Domestic Violence Program implemented a brand-new, program- wide database tracking system. This new system now allows for accurate tracking and reporting of direct service client hours, easier sorting of demographic data, an improved method of tracking clients to measure outcomes,more accountability of staff time, and a more accurate idea of staff under-and over- performance. Each advocate is responsible for logging each direct service contact they have with a client in an electronic system. Every month all of the contacts realized by every advocate are collected and entered into this program-wide, aggregate database. Clients are easily tracked according to the amount of total cumulative hours of service they have received to date. Quarterly each advocate is given a list of their unduplicated clients who have received enough hours of service to qualify for outcome measurement, and performs an advocate assessment to measure the client's safety planning abilities, understanding of domestic violence, and knowledge of community resources. Page 11 D. Differences in Service Delivery by City. (2 page maximum) Consejo's South King County Latina DV Advocacy Program community and legal advocacy services do not vary by city. The average cost of service per client relative to 2009 funds requested by city is consistent. However, there are geographical differences in the way that clients find out about the ;program, referrals are received, types of networking conducted, relationship differences, etc. For exampl : Kent: ue to the location of the South King County office in Kent at the Alliance Center, the program receive the highest numbers of walk-ins from Kent residents. Another factor which contributes to the volume of walk-in clients is the co-location of the domestic violence advocate in Consejo's Kent satellite office, where other Consejo staff provides mental health services, and a multi-service center houses the Kent Food Bank, emergency assistance programs, and other services. Frequently clients who are there to access other forms of assistance walk in to request Consejo's domestic violence advocacy services as well. other geographical factor in the City of Kent is the proximity to the Regional Justice.Center. The SouthKing County advocate receives numerous referrals from the Protection Order advocates and the Supenoi Court clerk's office,many of whom come walking over straight from court. The advocate also collaborates with the Kent Municipal Court advocate, Anne Marie Tennison, when she has clients who have been the victim of a criminal case. Federal Way: We expect the number of Federal Way clients to increase dramatically in the next 3 to 5 years, die in large part to the presence of our new transitional housing program in the area. Since opening Villa Esperanza in October of 2007, Consejo has raised our profile with other local agencies and service roviders as a provider of domestic violence services to non- and limited English proficient Latina survivor . We.are now known to local clinics, schools, law enforcement, and community service offices in a way that we were not before. For example, as a result of learning about Villa Esperanza,the DV . Progr manager was invited to the Federal Way Public Health office to give a presentation about Consejo s DV services.. Since that time, the South King County Latina DV Program began to receive a steadily creasing number of referrals from Federal Way Public Health. We expect, as the staff at Villa Esperanza develops more relationships and become more established in the community,that providers will begin to refer more and more clients to the community and legal advocacy services through our South King County Latina DV Advocacy Program as well. The South King County advocate also collaborates with the Federal Way Municipal Court advocate, Cathy Williams, to serve those Federal Way residents who are amed as the victim in a criminal case. Burien: It is also projected that the number of Burien residents seeking services will dramatically increase in the next few years. Consejo's DV Program is currently implementing the first phase of a Comm 'ty Engagement Project in the city of Burien and two other contiguous neighborhoods this spring. 'ommunity engagement is one of the newest and most promising approaches to both domestic violence prevention and intervention work, especially among marginalized ethnic communities. The Family Violence Prevention Fund (FVPF)notes in a 2002 report that: "The most promising of the community projects surveyed by the FVPF involve local residents at every step of the process, from identifying the problem and spreading the word to developing interventions and implementing strategies for change. The organizations that do this kind of work recognize the sense of ownership that grows when community members are involved in solving problems." This phase will consist of training and supportirg community volunteers to conduct focus groups in White Center, South Park, and Burien with a target go+l of reaching 150 Latina community members. The first focus groups will be conducted in the middle of April 2008, and the information collected will be used to engage the community in developing grassroo s action plans for change. • Page l2 This project will have the additional effect of greatly increasing Consejo's visibility within the community in these areas as a provider of domestic violence services and assistance. Community members involved in the project will learn about domestic violence and implement their own prevention strategies. They will also identify Consejo's South King County Latina DV Advocacy Program as a resource for survivors.As survivors in the City of Burien reach out to their friends, families, and extended networks for assistance, it is expected that more and more of these "first responders"will refer them to Consejo's services. Auburn: Consejo's South King County Latina DV Advocacy Program has seen a marked increase in the number of Auburn residents seeking services in the last few months. The referrals coming from Auburn are unique in that they are almost exclusively coming from other Auburn residents who have already • accessed services. Large numbers of current Auburn clients whose family, friends, and neighbors are also experiencing domestic violence are now bringing these people in with them to see the advocate, asking if she can assist them as well. This is not surprising, considering that"word-of-mouth"has long been one of the more effective methods of information dissemination within immigrant communities. In fact, a large number of Consejo's clients throughout all'of our programs contact us due to our established reputation and the community's familiarity with the agency. The Latino community in Auburn is large and tight-knit and, as word of Consejo's South King County Latina DV Advocacy Program spreads through this culturally congruent, grassroots method,those numbers are expected to continue to rise. The South King County advocate enjoys a good working relationship with the Auburn Municipal Court advocate, Shelly David, with whom she collaborates for those clients whose batterers are involved in the criminal legal,system. Consejo supports initiatives that will make accessing services more accommodating for domestic violence survivors, especially those who are marginalized. We look forward to joining with the Auburn Police Department and other agencies to consider how Auburn may achieve system integration and coordination and better serve the growing number of residents from the Latino community affected by domestic violence. Renton: Large numbers of Renton residents have been seeking services from the program, even without any extensive outreach efforts in the past. However,new collaborative outreach relationships are currently in process, which we expect to result in more referrals and increased community awareness of the program. Recently, Renton Public Health contacted the program due to the large volume of Latina clients they.serve who are dealing with domestic violence issues. The advocate is collaborating with the staff there to provide training about our services and information that can be handed out to clients from the Renton Public Health office. Additionally Consejo has recently contacted the Renton Municipal Court advocate, Tina Harris,to meet with her and the Spanish-speaking detective, John Awai, and formalize a more collaborative partnership to serve Renton Latina-clients. Tukwila: Consejo has a growing presence throughout South King County including Tukwila. Affordable housing in Tukwila attracts many low-income families and the need for Consejo DV services will increase under our Latina community engagement initiative. Des Moines: Our visibility will also grow in the Des Moines area and consequently increase the number of women and families seeking Consejo services. Covington: Consejo's DV program served 2 residents in `07; we anticipate that number will increase in `08. SeaTac: Consejo has a strong working relationship with the DAWN Latina Program advocate who assists with Spanish speaking survivors at the municipal court through a small contract. Ms. Hunsinger was previously in this role. We know the current resources are not meeting the need. Page 13 11. ONG RANGE PLAN (] page maximum) In this s e ction you should describe your long range plans for this program. Discuss your plans for future service elivery, collaboration, and other sources of continued funding for the program. 'Consejo s long .range plan for this program is to continue building South King County services to resident affected by domestic violence. Currently, Consejo's South King County Latina DV Advocacy Program is over capacity.. In order to meet the high demand, advocates from other regions of the program have ha to assist in serving South King County residents. Additionally, the South King County advocate has the largest caseload and has frequently performed the highest number of direct service hours monthly. We hope to increase our time to provide community outreach, give community presentations, attend task force or networking meetings, and collaborate with other organizations and service providers at a higher level. Based on current data Consejo's greatest need is another bilingual Domestic Violence Advocate serving South King County residents. We look forward to collaborating more closely with Child Care Resourc s, ESL programs at Community Colleges, Child Development Programs like'Head Start and ECEAP, and health programs, and to developing our funding capacity to'support future initiatives. Apart from th projected demographic surge, the data from the program, in the short time that it has been establis ed, points to an increasing volume of clients requesting services as the program becomes more well-est blished, creates more networking relationships with other local domestic violence services, and develop a positive reputation within the community. National research on battered immigrant women has found that: "Knowledge about the availability of services made battered immigrant women aware of possible choices for addressing the violence in their lives and was a source of empowerment for many of them." I0 As word spreads within the community about the existence of domestic violence assistance, for . the most part unheard of in Latin America, we can project that more clients will come seeking services. Consejo is currently implementing the first phase of a Community Engagement Project this spring,,the first of i s kind in King County. The first focus groups will be conducted in the middle of April 2008, and the infoi,iiation collected will be used to engage the community in developing grassroots action plans for change. This project will help to raise awareness of the issue and of available resources, which will surely translate into an additional demand for direct services as well. What funding sources do you anticipate this program will have in the next three to five years? We know that service requests,from Consejo's South King County Latina DV Advocacy Program are only going to increase over the next three to five years. As we have already seen from the 2007 United Way of King County Community Assessment, the Hispanic/Latino population is both the fastest growing and higlfest regional ethnic concentration in King County. We have also established that there are an increasing number of indigenous Latin Americans in South--King County in the rapidly growing Burien "village way from home", as more and more indigenous P'urhepecha immigrants arrive in the area. The already ell-documented barriers and difficulties that this population has in accessing mainstream resources, combined with Consejo's expertise and proven success in providing services to these vulnerable clients, all prove that it is imperative to secure funding to grow this program. Expanding our funding from all South County cities where clients are residing is important to better serve the need. We are cons antly seeking short-term and long-term support for our programs and this program will seek support from foundations as well as through partnerships. Consejo increased relationships with foundations in 2007, including a 2008 10 year award by the Washington Families Fund for Villa Esper. .a Transitional Housing services, and we are under consideration for a Medina Foundation grant for the s. e program. In addition, at the time of this application, Consejo has pending proposals to three local fo dations -10 Erez, Edna and Copps Hartley, Carolyn Battered Immigrant Women and the Legal System:A Therapeutic Jurisprudence Perspective, Western Criminology Review 4(2), 155-169(2003). Page I4 12. BUDGET(2 page maximum) The budget section of your application pertains to the information provided in Question 17 of your application. A. Budget Request Narrative. In this section of the application narrative, provide a short paragraph explaining how your requested funds in Question 17 will be used. The $1 15,000 of funds requested from the South King County cities will be used to pay the salaries and benefits for two bilingual SKC advocates (2 FTE; $78,336)located in Kent who will provide client services and conduct networking across the South County region with the many police departments, municipal courts, and community agencies; a part-time data coordinator who will support the complex and multiple data and reporting requirements under the South King County cities funding consortium (.5 FTE; $18,605); and client support costs that include client assistance activities ($2,500), and child care and refreshments ($4,000). The remainder will support expanded coordination,joint planning, and supervision and administration costs ($11,560). B. Changes to Budget. Explain any significant changes between 2008, 2009 and 2010 expenses or revenues as noted in Question 17. Are there any known or anticipated changes to the program's 2008 Budget since adopted? We have reviewed the entire Consejo Domestic Violence Program budgetin order to establish the real • • costs of providing community advocacy services to Latina survivors. Previously, we used revenue received from funders to establish program budgets, which did not take into account the actual program costs. Using available and capped revenue as the only data to establish program costs grossly underestimated the true cost per unit of service and put Consejo in the position of subsidizing government services. In this application the budget document indicates increases between 2008 and 2009/2010 to add staffing which reflects 2007 actual number of clients served by jurisdiction and to better track and report for the South King County Human Services Programs, along with related overhead. We have also added funding for language interpretation (Mixtec, Zapotec, and Tarascan (P'urhepecha), client activities, and client emergency funds. C. Cost per Service Unit(s). You should provide an estimate of your cost per service unit provided by the program you propose. Explain how your cost per service unit was determined. These should be based on the total cost of the program and the total number of clients served, not just the funds requested. Cost Per Service Unit: $ 958.42 Explanation of how determined: Consejo implemented an improved DV data tracking system in 2007 that provided solid information upon which to assess our DV Advocacy program. Total program costs of the South King County Latina DV Advocacy Program are calculated at $204,144 for 2009 for a projected 213 clients to be served from South King County cities. The Cost Per Service Unit was determined by dividing $204,144 by 213. We are asking for South King County cities collectively to fund the program at$115,000 to support serving 115 clients total. As displayed in the budget, other funding sources will be used to cover the remaining costs to serve the projected number of 2l3 survivors who are residents of South County cities. A rate of$1,000 per client (service unit)is consistent across cities. We expect these 115 clients to achieve the outcomes and performance commitments in proposed in Number 14 of this application. Page 15 Agency: Consejo • Program:Latina DV Advocacy • 13. NUMBER of INDIVIDUALS/HOUSEHOLDS SERVED BY PROGRAM VI Individuals? or n Households? (Check which applies and use for reporting all demographics.) Unduplicated *Unduplicated Number of all Clients Served by Clients Served All Funding Sources with Funds Requested 2007 2009 2007 % of column 1 2008 2009 (Actual) clients served (Anticipated) (Projected) (City Requested by City Funding Only) Auburn 23 11.2% 26 30 10 Burien 25 12.1% 28 28 15 Covingtdn 2 1.0% 3 5 5 • Des Moines • 6 2.9% 6 6 5 • Enumclaw 0 0% 0 0 0 'ederal Way 45 21.8% 40 40 20 Kent 48 23.3% 48 48 35 Renton 33 16% 33 33 10 SeaTac 17 8.3% 17 17 10 Seattle n/a n/a n/a n/a n/a Tukwila 7 3.4% . 5 6 5 Other • l00% Total 206 (This column must 206 213 115 • total 100%) • *Unduplicated means count each client only once per calendar year per program. This number should match the number of clients by city indicated in the top row of Question 15. • Page 16 14. Performance Measures (Data Table) Agency: n o Program: am: Latin DV Advocacy 14a. Service with 2009 Requested Funds Proposed Performance Measures as defined below. A) Individual Advocacy B)Legal Advocacy hours C) hours Auburn 28 52 10 x 8 hours service Burien 42 78 15 x 8 hours service Covington 14 26 5 x, 8 hours service Des Moines 14 26 5 x 8 hours service Enumclaw 0 0 0 Federal Way 56 104 20 x 8 hours service Kent 98 182 35 x 8 hours service Renton 28 52 . 10 x 8 hours service SeaTac 28 52 10 x 8-hours service Seattle n/a n/a n/a Tukwila 14 26 5 x 8 hours service 14b ferforManceMeas fires 20091Pro osed_with funds re� uestedPCi`yrFundin -On -` :`, :.. Title: Brief explanation: Individual advocacy-based counseling, including:intake, safety planning, A) Individual Advocacy hours DV education, crisis intervention, information and`referral,:systems advocacy, and interpretation/translation. Explanation/overview of US legal processes, assistance in B)Legal Advocacy hours accessing/navigating the civil and criminal legal system, referrals to pro- bono family law and immigration attorneys, and court accompaniment. C) Page 17 Agency: Consejo 14 Performance Measures (Data Table), Cont. Program:Latina DV Advocacy 24c. Average Cost of Service Unduplicated Clients Served with Funds Average Cost of Service Requested 2009 Requested 2009 per Client (Same as last column of (Same as last column of Question 6) Question 13). Column 1 divided by Column 2 Auburn $10,000 10 $1,000 Burien $10,000 10 $1,000 Covingtn $5,000 5 $1,000 Des Moines $5,000 5 $1,000 Enumclaw 0 0 0 Federal Way $20,000 20 $1,000 Kent $35,000 35 $1,000 ='enton $10,000 10 $1,000 SeaTac $10,000 10 $1,000 Seattle n/a n/a n/a Tukwila $5,000 5 $1,000 Page 18 Complete Question 15 with 2007 Actual numbers reported in column 1 of Question 13. - Agency: Consejo 15. Demographics (from all funding sources) (Data Table) Program: Latina DV Advocacy rn cd o:Client Residence " U •0 0CD o i w nn O ' Q 0:1 U W c4 c c i F :.U.nduplicated check..one) ii Indlvlduals M N .0 o In oo r, r— N N N I �t •c rn ouseholds • . :`leived,in2007* ;Household Income Level - 30%of Median or Below 9 12 2 4 23 26 13 9 3 50%of Median or Below 4 1 3 3 1 80%of Median or Below 1 1 - Above 80%of Median Unknown 10 12 2 18 22 17 7 3 TOTAL 23 25 2 6 0 45 48 33 17 7 206 :Gender _:'.> .. . .. Male 1 Female 23 25 2 6 44 48 33 17 7 TOTAL 23 25 2 6 0 45 48 33 17 7 0-4 years _ 5 - 12 years 13 - 17years l 8-34 years 9 10 2 2 22 23 17 3 1 - 35-54years 8 6 2 10 11 7 7 ' 4 55-74 years • 75+years Unknown 6 9 2 13 14 9 7 3 TOTAL 23 25 2 6 0 45 48 33 17 7 Asian -Black/African American Hispanic/Latino(a) 23 25 2 6 44 48 33 17 7 Native American/Alaskan 1 Pacific Islander White/Caucasian Other/Multi-Ethnic TOTAL 23 25 2 6 0 45 48 33 17 7 :Eemale:Headed ]4 11 2 2 24 22 15 8 2 :Household ilDical ling Condition_. . • 1 2 0 0 0 1 0 3 0 iniiiialg �' `:f{ 21 25 1 6 33 47 30 17 7 peaking -`x ,:pit, ;.�: *Check Individual or Household,which should be the same as checked in Question 13. Unduplicated means count each client only once per calendar year. This should match the number served by City in the Actual 2007 column of Question 13. The "total"column will be different from Question 13 since the"other"column is not included due to space limitations. Page 19 16. OGRAM STAFF (DATA TABLE) In this ata table, record the number of full-time equivalent (FTE)paid staff and volunteers for this progr . FTE means a 40-hour week throughout the entire year. For example, if you enter"5" in the box .for Nun#ber of Volunteer FTEs,(this would mean that you have, on average, five volunteers assisting your ' .program at all times (assuming a 40-hour week). If you ow only the total number of hours contributed by all volunteers for this program, simply divide i that n ber by 2,080 to find the total FTE number. For example: 5,000 volunteer hours over the course of a year, divided by 2,080 equals 2.4 FTEs. 2007 2008 2009 ' (Actual) (Budgeted) (Projected) Total Number of Staff(FTEs)* 2.45 2.75 4.0 Numb r of Volunteer(FTEs) 0 0 0 Actual Number of Volunteers 0 0 0 r *Staff FTEs represent Direct and Indirect Costs as Follows: 2007 2008 2009 ' 3ilingual DV Advocate 1.8 1.8 2.0 ' DV Data Coordinator 0 0.25 0.5 DV Man ger 0.3 0.3 0.3 Executivb Director' 0.05 0.05 0.05 Accounting Staff 0.2 0.2 0.2 Develop, ent Staff 0 0.05 0.05 IT Mana er 0.05 0.05 0.05 IT Technician 0.05 0.05 0.05 Totals: 2.45 2.75 4.0- r • Page 20 17. PROGRAM REVENUE & EXPENSE BUDGETS (DATA TABLE) Program Budget: All columns should include total program operating revenue and expensed. Revenue Source 2007 2008 2009 (Actual) (Budgeted) (Projected/ Requested) Y' `h'- V i nL Y-�' S, oy�". 9'1{ e"E'.�'&i5-'at-h• . City Funding (General Fund & CDBG) = s A—ax ' ' ` �} ,' �' 'r' .•s:"x�°'�' 6a'ci.4� d�a � x �s..;.�+�.+�. Rs�s•.'��tY; � �sr�.o-: • Auburn $10,000 • Burien $7,000 $7,000 $10,000 • Covington $5,000 • Des Moines $5,000 • Enumclaw 0 • Federal Way $5,000 $5,000 $20,000 •. Kent $12,000 $12,000 $35,000 • Renton $10,000 • SeaTac $10,000 • Seattle • Tukwila $5,000 • Other(Specify) • Other (Specify) ,• ��F. SA�fiSK'F,<"�*:i"i: ':.ti'� 9,�.��nr �YA�s;4e1!'.:-{•iT3.. Other Government Funds 3 4 8 h'4�3$i-r .. .a 1FF: "s'Xt i ?Y, 'iE¢d'4. ,4411 .N..-•,c w�. ,'-`::.: �";.Sat'vgiga: • King County $68,144 $68,144 $68,144 • Washington State $26,000 $26,000 $26,000 • Federal Government (Specify) • Other (Seattle) $11,975 $24,492 Svr�h4 , Ya '".ix'f`•;:'j,fi.Siz.'..,z._v_5{�Private Sources ?& � °a :.i: A k hzv �r;e)� t' ko.z :✓'.• United Way (grants & designated donors) $5,695 $5,600 • Foundations and Corporations • Contributions (e.g., Events, Mailings) • Program Service Fees (User Fees) • Other(Specify) TOTAL PROGRAM BUDGET $135,814 $148,236 $204,144 Page 21 17. P OGRAM EXPENSE BUDGET, CONT. Agency: Consejo (DAT TABLE) Program:DV Advocacy Expenses 2007 2008 2009 (Actual) (Budgeted) (Projected) fragniiPerso nel Costs rs :,� 4i • S+ries $54,000 $54,000 $75,735 • Benefits $12,960 $15,120 $21,206 1 • Other • Toal Personnel $66,960 $69,120 $96,941 � � , g _ � `• V�k.. s--;, �* NC�r ekk �Operatingand Supplies , :S �tLi6�yait _. ok*A-a+.:a w. ■ Office/Program Supplies $2,420 $3,451 $5,160 • Rent and Utilities $7,207 $7,400 $9,762 . • Repair and Maintenance $1,411 $1,453 $1,497 ■ Ins�irance $1,741 $1,797 $3,717 • Postage and Shipping $10 $20 $575 in •ting and Advertising $384 $400 $4,000 • Pr • Telephone $2,338 . $2,340 $4,320 • Eq ipment $1,400 $1,400 $2,262 • Conference/Travel/Training/Mileage $3,177 $3,165 $3,505 • Dins and Fees - $420 • Pr Ifessional Fees/ Contracts $2,310 $2,322 $2,392 • Dire ct Asst. to Individuals $310 $400 $2,500 • Administrative Costs $45,882 $54,668 $56,358 • Other: ■ Language Interpreters $264 $300 $4,000 ■ Clint Activities Child Care/Refreshments _$4,000 • Copier $2,735 $2,735 $2,735 TOTAL PROGRAM EXPENSES $135,814 $148,236 $204,144 Net Pro fit (Loss) 0 0 0 (revenue-expenses)= . Page 22 Agency: Consejo 18. SUBCONTRACTS (DATA TABLE) Program:DV Advocacy • List all the agencies you will be subcontracting with for this program. Provide the agency name in the first column, a description of the contract/service in the second column, and the contract amount in the third column. Do not list agencies you coordinate with on a referral only basis.Indicate not applicable if you do not subcontract for any part of this program. Subcontracting Agency Specific Subcontracted Activities Contract in the Operation of Your Program Amount N/A r - Page 23 19. AI LICATION CHECKLIST Applicat ons missing one or more of the following components or not following these directions may not be revie ed. Sign and submit the application checklist with your application. Conten (Your application should contain each of these items in this orderN. .) @ pplication Cover Pages.The top three pages of your application must be a completed copy of the Agen y Information and Questions 1-7. App cation Narrative: :table: uestion 8 Organizational Experience (2 page maximum) uestion 9 Need for Your Program (2 page maximum) uestion 10 Proposed Program/Service (6 page maximum) uestion 11 Long Range Plan 0 page maximum) Qstion 12 Budget (2 page maximum) Da . @Question 13 Number of Individuals/Households Served @Question ]4a-c Performance Measures and Average Cost of Service @Question 15 Demographics(from all funding sources) @Question 16 Program Staff @Question 17 Program Revenue &Expense Budgets @Question 18 Subcontracts .. El R•quired documentation. Supply one copy of the following required documents with the signed original appli•ation. See Part Il: City Specific Supplemental Information to determine whether additional copies of the application and required documentation need to be submitted. El Question 19 Required Documentation, including: • Proof of non-profit status . _ • Organizational Chart • Agency/Organization Mission Statement • Board resolution authorizing submittal of the application (may be submitted up to 60 days after application). • . List of the current governing board and local board, if applicable,(include name,position/title, city residence, length of time on the Board,and expiration of terms. Note any vacancies.) • Board Meeting Minutes of last three board meetings of governing board and local board as applicable ■ Annual Budget • Financial Audit Cover Letter • Financial Audit Management Letter ■ Financial Statement • Verification of Non-Discrimination Policy =. • Program Intake Form • Sliding Fee Scale El Application Check List. (Signed below.) Name: Evelyn Brom ElCity Specific Supplemental information.Required in Position: Development Director Part 1] for applicable City only. Phone #: 206-802-1962 E-mail: evelrnnab conseio-wa.org/ / Signature c f Person Completing Checklist DO NOT SUBMIT ANY OTHER MATERIALS WITH THIS APPLICATION Make sure that you carefully check Part H of this application to see what additional attachments each city requires. Page 24 Consejo Counseling and Referral Service South King County Latina Domestic Violence Advocacy Program City of Renton Human Services 2009-2010 How will Consejo outcomes help achieve Renton Result No 4: Resident know about Domestic Violence and How to Keep Safe? Consejo Counseling and Referral Service (Consejo) has the following three outcomes for our South King County Latina Domestic Violence (DV) Advocacy Program, as listed on page 10 of our Common Application. 1. Outcome: Limited English speaking Latina survivors are able to access advocacy-based counseling services that increase their safety, self-determination and understanding of the dynamics of domestic violence. 2. Outcome: Limited English speaking Latina survivors have an increased knowledge of how to utilize community resources and/or other informal supports to address safety, medical and/or other needs. 3. Outcome: Limited English speaking Latina survivors increase their knowledge of the United States legal system. In our proposal, Consejo is increasing the amount of domestic violence services in South King County by adding a second bilingual advocate to our Kent office and increasing the amount of services available for Renton Latina residents by providing access and through culturally-competent outreach. The bicultural, bilingual Consejo advocate's knowledge of the cultural values and circumstances of Latino families, including their particular social, economic, religious/spiritual and immigration issues, will ensure that non-English proficient immigrant Renton residents who are survivors of domestic violence have access to high-quality services. Survivors meeting outcomes 1 and 2 will have received a minimum of eight(8) hours of advocacy services and be proficient at personal safety planning,have a good to excellent understanding of DV, and have been referred to and used community resources or informal supports to address safety, medical and other needs. Survivors meeting outcome 3 will have received a minimum of five (5) hours of legal advocacy services and have increased understanding of the U.S. legal system and how it relates to their situation, and feel like their situation improved as a result of those services. Our program outcomes relate to the following Renton Result 4 Outcome: Adult survivors of domestic violence develop/enhance skills/attitudes/values that support self- determination, and the following three Renton Indicators: Survivors demonstrate self- motivation/self-direction and/or self-empowerment; Survivors are able to make decisions and plan for the future; Survivors are proactive in addressing their needs. Consejo's DV Manager, Chelle Hunsinger enjoys an excellent collaborative working relationship with the Renton Municipal Court Advocate, Tina Harris and Renton's Spanish speaking Detective John Awai. In the last two years the Renton YWCA also added a Spanish speaking advocate to meet bilingual service needs of Latina survivors of DV in the region; a resource that is now at or over capacity. Also, our transitional housing program is working in collaboration with the Renton YWCA and El Centro de la Raza to provide a financial literacy program at Villa Esperanza. Internal Revenue Service Department of the Treasury District Director JUL. I L 1980 Data: JUL 1 1 1980 Our Letter Dated: August 4, 1978 Person to Contact: John Sutton Contact Telephone Number (206) 442-5106 n Consejo Counseling and Referral Service 9045 1 16th Avenue S.W. Seatt e, WA 98106 • Dear licant: T is modifies our letter of the above date in which we stated that • you would be treated as an organization which is not a private foundation until the expiration of your advance ruling period. Based on the infortnation you submitted, we have determined that you are not. a private foundation within the meaning of section 509(a) of the Internal Revenue Code, because you are 'an organization of the type described in sec ion *See below . Your exempt status under section 501(c) (3) of the code i still in effect. T, . G antors and contributors may rely on this determination until the -- • Internal Revenue Service publishes notice to the contrary. However, a granto4 or a contributor- may not rely on this determination if he4or she was in pant) responsible for, or was aware of, the act or failure to act that resultd in your loss of section _503(a141) status, or acquired knowle ge that the Internal Revenue Service had given notice that you would be remcved from classification as a section 509.(441) • organization . • Because this letter could help resolve any questions about your private foundation status, please keep it in your permanent records. If you-have any questions, please contact the person whose name and • telephone number are shown above. Sincerely yours, Arturo A. Jacobs • District Director 1509 (a) (1) and 170.(b)..(I).(A)jvi) - 915 Second Avenue, Seattle, Wash. 98174 Letter 1050 (DO) (7- Interral Kevenue Service Department of the Treasury District Director : 0 JUL t . 19 BOA Date: JUL 11 1980 Dur Letter Dated: August 4, 1978 Peraon to Contact: • John Sutton Contact Telephone Number, D. Conse 'o Counseling and 'Referral (206) 442-5106 Service 9045 16th Avenue S.W. • Seattle, WA 98106 • Dear licant: his modifies our letter of the above date in which we stated that • you would be treated as an organization which is not a private foundation until the expiration of your advance ruling period. • Based on the information you submitted, we have determined that you are not a private foundation within the meaning of section 509(a) of the Internal Revenue Code, because you are "an organization of the type described • in section *See below . Your exempt status• under section 501(c) (3) of the code i- still in effect. Grantors and contributors may 'rely on this determination until the Intern.l Revenue Service publishes notice to the contrary. However, a grantor or a contributor may not rely on this determination if he •or she was in part responsible for, or was aware of, the act or failure to act that result:d in your- loss of section _5091411) status, or acquired knowledge that the Internal Revenue Service had given notice that you would be removed from classification as a section 509.(441) • organization. • B°cause this le tter could help resolve any questions about your private • foundation status, please keep it in your permanent records. I you"..have any questions, please contact the person whose name and teleph.ne number are shown above. Sincerely yours. ZU41/27;6 Arturo A. Jacobs • District Director ;t (a) (1) and_170.(b).,(1).(A)..LYi) - 915 Second Avenue, Seattle, Wash. 981 74 Letter 1050 (DO) (7- Internal evenue Service Department of the Treasury District�+ Director WESTERN KEY DISTRICT OFFICE(EP/E0) E, SE' 21 1998 Form Number: 990 Periods Ended: December 31 , 1996 CONSEJO ' OUNSELING AND REFERRAL SERVICE In Reply Refer to: 3808 SOU 'H ANGELINE STREET EOG3 :AS SEATTLE , WA 98118 Person to Contact : Andrea Speck Contact Telephone Number: ( 206 ) 220-6082 Dear Sir or Madam: We are pleased to tell you that as a result of our examination for the above periods we will continue to recognize your organization as . tax-exempt . We have indicated below whether there is a change in your liability for the unrela ed business income tax as provided by sections 511 through 515 of :he Internal Revenue Code . - Th-re is no change . Th.nk you for your: cooperation. • - / : lY :ours (, • Se437ensen District Directo • 15 SpcR - j Avenue, MS 540 , Seattle , WA 98174 Letter 988(D01 ( Rav 9_0f1 !eternal Revenue Service Date of This Notice 2924 258 If you inquire about 03-22-78 your account,please Employer Identification Number refer to this 91-10 212 4 7 number or attach a p CONS JO COUNSELING AND REFERRAL copy of this notice SER ICE PO BOX 12721 SEATTLE CIA 98111 • 575 B 155555515 NOTICE OF NEW EMPLOYER IDENTIFICATION NUMBER ASSIGNED • Tha k you for your application for an employer identification number. The number above has been ssigned:to.you. We will use it to identify your business •tax returns and any other re- • =d documents, even if you have no employees. Please keep this number in your permanent records. Use the number and your name, ex- actly as shown above, on all Federal tax forms that require this information, and refer to the num- ber in all tax payments and in tax-related correspondence or documents. You may wish to make a record o the number for reference in case this notice is lost or destroyed. We ..ppreciate your cooperation. Form 5372 (Rev. 8-76) ;r • CONSEJO Counseling and Referral Service Organizational Chart-2008 Board of Directors Executive Director I I I 1 I I 1 Human Resources& Grant Writer&Program Tacoma CD visor T I Chem Dependency Data Mngment Controllert--� Operations Director Clinical Director Development Coordinator Youth Program I . Program Mngr Officer• Supervisor l 1 Assoc Clinical Dir/ Medical Director — Assoc Clinical Dir/ J Aging&Disability CDP/CDPT I_ Bellevue Out Patient IS Specialist Accounting Consultants Alternative Medicine Children&Family Program Youth Tacoma Trout Supervisor — Supervisor Program Domestic Violence • VillaProgram Manager CDP/CDPT Acupuncture 1 .Clinical _ _ Demo. Youth Seattle CDPS CDPTs Accounting 17.7 Administrative Psychiatric Core • Services King County Su •Supervisor ••_ Mental Health Clerk Programs Supervisor_ Clinical South Park Clinical P� Therapists(Individual _ /\ Seattle Out Patient Supervisor Supervisor — and Group Therapy), _ 'Wester Eastern Washington Truant Supervisor — Bastvr Day Support,Case J Washington Supervisor I Data En University Management Services, I Su sor Entry HMedicalSpecialist Receptionist — Records Practicum Kent Service Seattle Team Minority Consultations • CDPg CDPTs Program(12 Center for Youth Students) Children and __I DV Advocates Yakima County Seattle Youth Administrative Clerk— J Adult Mental Innovative Human Trafficking Advocate Femily/Csmmuniy Advnuale Screener Bellevue Service Health Mental Health Servicesaewal Ar at Adaroale Center Therapists Therapist __I Legal Amiga.unida. Children Mental_ I Advocate HIV/AIDS Health internship —{I Federal Way High Risk Pro am Tri•Cities Facilities Specialist — I Case Manager Therapist Service Center Youth Program _Sexual Assault Advocate Victims of Children's Gang Crime Advocate Volunteers& HIV/AIDS Eastgete Service Mental Health Specialists _ Teen Educator Administrative Interns— Prey Case Center Therapist _ _ Walla Walla • Mngmot Children Victims of— Mental Health I Perpatrator's Crime Advocate Therapist Seattle Central OfficeProrram Community Service _ Children MH . Providers Kenmorel — d Mi Case Bothell • Transitional Children MH Housing Adult MH • Na Mr M.e.ga M.-..sa to c, Printed on dlldlllxlg Consejo Counseling and Referral Service South King County Latina DV Advocacy Program 2009-2010 • Consejo's Mission Statement Our mission statement is to provide a continuum of behavioral health, substance abuse and domestic violence services including prevention, eatment and housing to individuals and families across Washington tilizing an interdependent treatment model so clients experience cceptance, emotional security and developmental growth while learning ew skills to improve the quality of their lives. onsejo Counseling and Referral Service outh King County Latina DV Advocacy Program n�'� w) 009-2010 aJ''-1 -� - athu) fu-01 I 'Pl4-. 64;11 (j‘- e: Board Resolutions Authorizing Submittal of the Application his Resolution will be submitted to the Board for their approval at the April 21, 2008 oard Meeting e it resolved that the Board of Directors of Consejo Counseling and Referral Service uthorizes submitting an application to the Human Service Programs for funding from the following South King County cities: Auburn, Burien, Covington, Des Moines, Federal ay, Kent,Renton, SeaTac, and Tukwila for 2009 -2010. e it resolved that the Board of Directors of Consejo Counseling and Referral Service uthorizes submitting an application to the Federal Way and King County Community evelopment Block Grant programs for renovations at Villa Esperanza. Be it resolved that the Board of Directors of Consejo Counseling and Referral Service authorizes submitting an application to.the Federal Way Human Service Programs for • Villa Esperanza Children's Advocacy Services. pproved unanimously by a vote of the Board of Directors on April 2], 2008. • tonio Pedroza Date oard Secretary CONSE)O CONSEJO, COUNSELING AND REFERRAL SERVICE • BOARD OF DIRECTORS 2008 ROSTER Ray II undo Olivas,PRESIDENT Raul Antonio Escobar,JD Latino-American(10/99) Latino-American(11/02) Multi-Servicios Boeing Company 8619 NE 169t Street 13509- 14`h Drive SE Kenrr.ore,WA 98028 Millcreek,WA 98102 Work 206-524-6269 Cell:206-255-3753 Work:425-965-3457. Home:206-226-3256 multiysLlerviciosusa hotmaii.com tony.escobar@boeing.com Mart a N.Cohen,VICE PRESIDENT Oscar II.Romero,MD Euro ean-American(1/03) Latino-American(12/03) King County Superior Court Interpreter Services U of W School of Medicine 1924 McGraw Street 1120 Cherry Street#240 Seattl ,WA 98112 Seattle,WA 98104 Work 206-296-9358 Work:206-624-0296 x 5 Horn : (unlisted)206-329-0314 Home:206-650-4837 marth .cohen kin count . ov romero2na u.washington.edu - - Suss So1a,TREASURER Shilo Renae Tippett,Psychologist Euro ean-American(6/02) European—American(1/08) Cons ltant VA Medical Center 1204 - 18th Avenue E 9714 34th Avenue SW Seattl a,WA. 98115 Seattle,WA 98126 Home:206-860-7594 Cell:206-941-2205 Work:206.277.6720 ssola seanet.com Home:206.965.0203 shi l o.tippettRva.gov Anto io Pedroza,MD,SECRETARY Latin-American(1/06) Sonia G.Morales Osegueda,PhD Valle Family Medical Center Latina-American(7/06) 3915 Talbot Road S,Suite#401 Washington State University- Renton,WA 98055 919 SW Grady Way,Suite#120 Work 425-656-4287 Home:206-551-8138 Renton,WA 98057 ton edroza valle med.or Work: 206-205-3133 Fax:206-296-0952 . sgmorales@wsu.edu Roge Barron Latin -American(9/97) Eugene Aisenberg,PhD Offic Superintendent of Public Instruction Latino-American(7/06) 2122 100t Place SE U of W School of Social Work Kent, WA 98031 4101 - 15t Avenue NE Work. 360-725-6156 Cell:253-797-0364 Seattle,WA 98105 rodb on@comcast.net Home:206-616-9365 ginoa@u.wash ington.edu Detr Montoya,PhD Latin-American(7/07) University of Washington 265 MacKenzie Hall,Box 353200 Seattl ,WA 98195-3200 Work�206-616-2196 detram u.washin ton.edu MEMBERS PRESENTS Raymundo Olivas, Susan Sola, Board Detra Montoya Gino Ainsember, Board President Treasure Board member Board member Sonia Morales, Heidi Blair, Board Shilo Tippet, Board Board member intern applicant MEMBERS EXCUSED Tony Pedroza, Tony Escobar, Martha Cohen, Oscar Romero, Board member Board Member Board member Board Member Roger Barron, Board member MEMBERS ABSENTS Demetrio Camacho, Board member STAFF PRESENTS Mario Paredes, Evelyn Brom, Executive Director Development Director DEVELOPMENT DIRECTOR'S REPORT: 1. The 30 year anniversary event was discussed; 100%Board Members was requested 2. 20 Corporate applications requesting support for the 30 year anniversary have been mailed. 3. 100%Board given was requested for 2008. In 2007, Consejo's board financial contribution was 80%. Board Members were thanked for their financial contribution, their time and skills. BOARD PRESIDENT 1. Consejo's Board minutes were reviewed and approved with minor changes. 2. Shillo tippet a potential Board members was introduced to the Board. Shillo's expertise, education, and personal goals were discussed. Board Members introduced themselves and welcome her to the meeting. EXECUTIVE DIRECTOR'S REPORT: 1. Consejo received $224,723 Non Medicaid allocation for the first quarter of 2008. This allocation was provided by King County Mental Health. These funds will cover behavioral health services for one year for approximately 7Q clients. 2. Pierce County Human Services will be conducting its annual site review the first week of February, 2008. The site review includes: Fiscal management, administrative policies and procedures and clinical care. 3. Consejo received a letter from Northwest Justice Project during the month of January. They will no longer be able to lease space for Consejo in the Walla Walla office. Consejo is in the process of leasing a new office in the Walla Walla area. We will move to the new office the first week of March 2008. 4. The Public Defenders Association has filed a complaint with DSHS domestic violence perpetrators certification program. The State is currently investigation Consejo and will visit our office the third week of February, 08. It is Consejo's position that the termination were justified and within the Washington Administrative Codes guidelines. Consejo's legal counsel is involved. 5. The Board was asked to pass a resolution to hire the same auditors to conduct the Villa Esperanza and Consejo's Independent audit. The resolution was unanimously approved. 6. The Board was asked to pass a resolution approving the individuals who will be using Consejo's Bank of America commercial credit card. The resolution was unanimously approved. 7. The Paul Allan foundation application for funding was denied. 8. Mario has a meeting with the Washington State Governor to discuss current legislative issues that affect our clients. 9. Consejo's clinical director has developed the 2008 Annual Training plan. This training is in accordance with our Carf, King County, State Division of Mental Health and State Substance Abuse Division funder. 10. Mario and other DV staff will attend a 30 hours domestic violence perpetrators training in Boston from February 27 to February 29, 2008 11. Mario is currently talking with Executive Corp to discuss Consejo's long term Strategic planning process. FINANCE COMMITTEE REPORT: 1. The 2008 Budget approval by the Board 2. The 2008 Fundraising Special event budget 3. The Financial committee discussed the upcoming internal audit review. 4. The finance committee requested that accounting department e-mail the 2007 revenues and expenses report. _ 5. The Finance committee will e-mail revised minutes sometime this week. The board unanimously approved to accept Shillo tippet as a new board member of Consejo. Next Board meeting will be Monday February 25,2008 at 5:30 p.m. at Consejo CONSEJO BOARD MEETING February 25,2008 Minutes Present: Raymundo Olivas, Martha Cohen, Susan Sola, Oscar Romero, Tony Escobar,Heidi Blair(student intern),Detra Montoya, Gino Aisenberg Staff: Mario Paredes,Exec.Director; Steve Chupik, Chief Information Systems Officer Excused: Tony Pedroza, Roger Barron, Shilo Tippett, Sonia Morales Visitor: Karen Elledge,Executive Service Corps of Washington The meeting was called to order at 6:15 PM by Board President Raymundo Olivas. The board was introduced to Karen Elledge of Executive Service Corps of Washington. Color Printer Investment: Steve Chupik presented preliminary information on the potential '.urchase of a.full color printer in view of increasing agency needs, including the big bknniversary event in Sept. He will provide full info for the Finance Committee March meeting. Steve also noted the need for an agency-wide system upgrade. Strategic Planning: Mario reported on his positive past experience with the Executive Service •Corps of Washington as consultants,with whom he, other managers and Sonia Morales,Board Member met last week to discuss Consejo's interest in a comprehensive strategic planning Process. A proposal from ESCW was distributed.Karen Elledge described ESCW, a non-profit group of over 170 professional volunteers which typically serves about 60 non-profit organizations/year. Karen is a lawyer and business person with experience in the health care field. Ken-y Kozuki, Gen.Mgr. of the Washington Athletic Club,would join the team, as would JIavier Tordable, a Spanish executive at Microsoft. The board questioned Karen as to ESCW's process and voiced concern with rushing to finish by the proposed date of Sept.2008. While the board was comfortable with the estimate of 120 hours of work,they felt the hours might be shifted to later months, given the heavy work involved in the Sept. 5 fundraiser. Gino stressed the importance of producing a plan that is workable and to 'vhich the organization and the board can be held accountable, as well as incorporating the new consumer-inclusion component.Mario suggested including a Strategic Planning component in every board meeting. He also mentioned the challenge of including the staff from Eastern WA. Ivlario reported that Casa de Esperanza,the premier source of empowerment for Latino communities nationwide,had selected Consejo as one of the test sites for one of their new programs. wren suggested adjusting the contract wording to include a flexible end-date and with the ossibility, if Consejo so desires, of extending the scope of work beyond the initial 120 hours. She also offered to come back to the board with a tentative timeline for the various components Qf the consultancy. Martha moved that the board accept the consultant agreement with these modifications, and Oscar seconded. Karen assured us that ESCW team members would be happy to return post-consultancy for any needed follow-up.Mario will get 3 references from Nancy Long,ED of the ESCW; for Detra to 2. check with. The motion carried to approve the contract, contingent upon Detra's receipt of positive checkings with previous ESCW clients. Minutes: The minutes of the January board meeting were read and approved, with minor corrections. Gino suggested consistently including the category "Old Business" in the agenda to address items from the previous month's minutes. Development Director's Report: Susan (on behalf of Evelyn and the event committee) emphasized the need for contacts from the board for Consejo's master contact list. Gino (ginoa@u.washington.edu) and Oscar(romero2@u.washington.edu)need to be resent the contact list template. The board recognized the importance of gathering this data soon. All committed to send in their contacts to Evelyn (evelynb@consejo-wa.org)by March 17. The board reviewed the list of potential sponsors. Mario will talk with Evelyn regarding follow up with organizations #1-26 and the Latino/a Bar Association. Detra will approach State Farm Insurance. Susan will follow up with Peterson Sullivan. The board decided not to solicit sponsorships from beer and liquor companies, although wine will be available at the event tables. All board members will attempt to find major sponsors. Gino suggested requesting a proclamation from the City of Seattle for the event. Martha and Heidi highly recommended a dessert dash at the event—always a good money-maker. The board agreed to each commit to 5 invitees minimum for the event; Martha will follow up with all board members to track our progress. Mario will talk to Shilo about soliciting attendance from the Sonics. Heidi asked about using an online company (EBay, etc.) for the auction. Gino suggested including items from Consejo's clients at small value levels, to try to include everyone, or the possibility of a whole table bidding on an item (ex: dinner far 8) and paying separately. Susan will bring up these ideas at the 2/26 event planning committee meeting. Finance Committee Report: Minutes of January's FC meeting were distributed, along with a preliminary profit and loss statement. The Finance Committee had a preliminary conference call with the auditors, and will meet with them the week of March 17. The Finance Committee and the Executive Committee will schedule consecutive meetings on (preferably) Wednesday, March 19. Susan will schedule with the auditors and confirm meeting date/times to all committee members. Mario will be out(but accessible by email)from Tues-Friday this week Executive Director's Report: Roy Carson from the Department of Social and Health Services conducted an investigation of Consejo's domestic violence offender treatment program terminations. This complaint was failed against Consejo by the Public Defenders' Association. Consejo is preparing an explanatory letter sto WA State authorities. Mario and Consejo's legal team feels all documentation regarding this ituation is complete and correct. Board members should remember to recommend new members!! Current board membership is 11. Susan suggested a potential member known to staff member Beth Emmons, and Mario will follow up with Beth. Transition: Due to Raymundo's heavy work load duiingtax time, Martha as VP will take his Place for the next few months. The meeting was adjourned at 8:30 PM. Consejo Board Minutes arch 24,2008 ocation: Consejo Seattle embers Present: Martha Cohen, Susan Sola, Sonia Morales, Mario Paredes, Roger Barron,Raymundo Olivas, Oscar Romero,Tony Escobar, Gino Aisenberg; Shilo Tippett Guests: Milagros Sandoval,Human Resources Director, Consejo's Accounting Department-Hella Monroy, Joseph Smith, Denys Garcia and Rina Solano "flie meeting was called to order at 5:50pm by Martha Cohen beginning with the introduction of the new Human Resources Director, Milagros Sandoval and the recognition of the accounting department staff. The accounting department staff was invited by the board to receive kudos for an excellent job at completion of the annual audits of Consejo and Villa Esperanza. During this time, the employees were thanked for their hard work and were given small gifts from the board members for their excellent work. Documents for this meeting: Board Agenda Minutes from previous minutes Salud 30`h Anniversary Event document 2007/2008 Board Goals Consent Agenda Article Board meeting dates for 2008 Executive Director's report The February 2008 minutes were reviewed and approved by the board. ?1d and Continuing Business: velyn Brom, Development Director and Martha Cohen, Board Vice-President reviewed the purpose of the database and its importance in terms of the 30 year celebration event and to begin building a base of donors in the community. Board members took some time during the Board meeting to complete lists for the database to give to Evelyn. Evelyn gave an update on work to date for the 30'h anniversary event. The Board iscussed the need to have board members identify 5 individuals for the Board tables, at 100.00 dollars per person. The Board also discussed the audience for the event, strategy fbr assuring that we break even or make a profit for this event.Evelyn reviewed the sponsorship levels and the need for corporate sponsors. We are now moving into the procurement phase of the 30 year anniversary planning, Evelyn described and discussed the event. The Board members made the following commitments. Oscar Romero l full table Gino Aisenberg 1 full table through the School of Social Work _ Tony Escobar 4 guests Raymundo Olivas 4-5 guests Sonia Morales 4-5 guests Tony Pedroza 4-5 guests Rodrigo Barron 4-5 guests etra Montoya 4-5 guests usan Sola 4-5 guests hilo Tippett Does not know at this time Mario Paredes One Table Reviewed board goals (see document). The Board discussed the need to get new by-laws, including updates to new board Aembers. The Board made a commitment to get critical documents to board members in dvance of board meetings to make the meetings more effective and efficient. Mario announced that the Executive Service Corp, Strategic Planning Consultants will Attend the next Board meeting on April 28th to discuss strategic planning strategies and rocesses. e Board will hold its Annual Board Retreat on May 31 s' from 8:30 to 5:00 p.m. The xecutive Service Corps will facilitate the retreat in the morning and the board will eceive training by United Way in the afternoon. Martha asked if Sonia Morales and Gino isenberg could assist and take the lead in planning for the annual retreat. Martha, Board Vice President asked Roger and Shilo if they would work on board development, including training of new board members, recruitment of new board members, and the annual retreat. Roger will take the lead role in this area. The Board 9urrently has 11 board members; the goal for 2008 is to have 15. The board needs to ontinue to work on new board member recruitment. Mario recommended for the Board t attend the United Way, Project LEAD graduation to recruit new members. oard Contributions: Martha discussed the need that Consejo have a 100% financial ontribution from board members. The amount can be what each board member feels t ey are able to contribute. This is different than contributing to or participating in the 0' anniversary event. The deadline for contribution was discussed, should it be in June r later. Mario suggested that we use May 31 S' the deadline for making this commitment. e board agreed with this commitment. oard Recruitment: The Board is committed to recruit 4 new members. Mario asked if tie board would like to continue our current process for recruitment of board members or hould we look at other process. Shilo, our newest board member was asked for feedback. She felt the current process was effective, it showed her that the board - _ demonstrated the importance of the selection process of new board members. Roger tasked for guidance in terms of how he and Shilo should approach recruitment'anew oard members in terms of characteristics, background, expertise, etc. Mario ecommended that the Board recruitment committee review the matrix process from last ear's annual retreat, which surveyed the current board members makeup. Also reviewed ere the new requirements to have board members who reflected the community that Consejo serves. The board also discussed the possibility of trying to include Eastern Washington board representation. We could consider the use of conference calls to make this logistically possible to involve this long distance board representation. xecutive Director Report: See report. inance Committee Report: The audit went well (see report). Auditors were not able r meet the Villa Esperanza tax credits requirements due to their loss of key personnel at Thcritical time. Consejo sub-contracted with another auditor company for this section. e Finance committee is satisfied with the audit results and recommended the board dopt the audit. The board approved the finance committee report (Roger Barron made he motion, T. Pedroza 2nd, all were in favor with no dissenters). In addition, the Finance ommittee also took a physical tour of the finance department and were pleased by the perations in place by the Consejo accounting department onsent Agenda article was discussed briefly by Susan Sola. She advised the board hat other organizations like Consejo that utilize this process often find this creates more ffective and efficient meetings. This process requires pre-work of documents that are dent in advance to board members for review, and then at the actual board meeting iscussion is minimized due to board members already being aware. Gino suggested that f we move to this system that we highlight key discussion points in these documents. artha asked that all board members review this article and that we attempt to implement is structure. oard meeting dates for the remainder of the year were announced. Meeting was adjourned at 8:15pm. Consejo Counseling and Referral Service 2008 Budget Domestic Violence Western Washington j Teen Peer/Sexual Assault KC Women Flatterer's City of City of City of City of City of City of City of City of City of Police City of State SA Teen Peer • • Specialized Enforceme Seattle • STOP • • - • Advocate Treatment Burien Kent Federal Way Redmond Bellevue Bothell Woodinville Kirkland Kenmore nt DVLA 065 068 060 070 063 061 063b • 063a 063c 063d 063e 064 069 062 065 Contributions United Way Foundations 17,250 Grants and Government Funding YWCA 5,000 5,000 County 15,114 62,868 11,592 King County MHCD State of Washington 10,000 35,000 Cities 26,756 16,229 7,000 12,000 5,000 10,000 5,269 6,000 1,500 10,000 94,871 - Federal Funds 45,683 Title XIX(Medicaid) Client payments 38,000 Private Insurance Consultation/Training Other Total Public Revenue 15,114 26,756 85,118 65,821 7,000 12,000 5,000 10,000 5,269 16,000 1,500 10,000 10,000 35,000 99,871 45,683 EXPENSES Salaries and Wages 9,934 17,218 48,513 64,029 4,448 7,702 2,965 6,034 3,319 4,525 905 6,034 6,637 13,616 67,508 32,745 Fringe Benefits 2,583 4,477 12,613 16,647 1,156 2,003 771 1,569 863 1,177 235 1,569 1,726 3,540 17,552 8,514 Total Personnel 12,517 21,695 61,127 80,676 5,604 9,705 3,736 7,603 4,182 5,702 1,140 7,603 8,363 17,157 85,060 41,259 Professional Fees 500 222 1,000 5,000 1,200 417 Supplies 400 1,023 1,500 600 250 - 200 - 100 250 500 800 2,200 1,023 Telephone 200 200 1,500 300 200 100 300 300 . 100 500 390 1,500 200 Postage&Shipping 100 66 50 500 - - Occupancy(Building&Grounds) 600 1,700 5,000 50 - 2,000 - - - 4,000 5,200 1,700 Rental&Maintenance of Equipment 212 2,000 • 1,500 213 Printing,Artwork,Publications,Etc 1,000 200 - - - 500 Travel 500 436 600 633 195 150 400 487 100 100 500 300 1,500 2,200 436 Conferences,Conventions 200 - - - Training 300 2,000 300 - - - - 300 300 3,000 300 Clients Specific Assistance 1,000 - - - 1,000 1,000 500 500 5,000 Liability Insurance - 212 1,766 952 251 138 188 50 251 1,000 1,000 213 Miscellaneous 1,500 250 250 - - Total Expenses Before Depreciation 14,817 26,000 80,059 88,961 6,804 12,000 5,436 9,753 5,406 5,990 1,390 9,903 9,853 29,457 103,360 45,760 Excess/Deficit Before Depreciation 297 756 5,059 (23,140) 196 0 (436) 247 (137) 10 110 97 147 5,543 (3,489) (77) Depredation 358 - 5,000 - - - - - • - 1,500 - - Total Expenses 15,176 26,000 85,059 88,961 6,804 12,000 5,436 9,753 5,406 5,990 1,390 9,903 9,853 30,957 103,360 45,760 Net Excess/Deficit - (62)1 756 I 59 I (23,140)1 196 I 0 I ' ,6) 247 (137)1 10 I 110 97 1 147 I 4,04" „ "•,489) (77) Consejo Counseling and Referral Service 2008 Budget • Domestic Violence &Victims of Crime Eastern Washington A y0::1 Wg� � o ,, v,t ~"•xatt -; State SA WA State Rural DV 8 SA VOCA VOCA Region VOCA. VOCA Region Marginal WHF OJP • Supportive Las Brisas Villa Esperanza Housing Mi DVLA Region 1 7 Region 10 14 Casa 067 144 145 146 130 200 220 - Contributions 1,000 United Way Foundations 15,000 17,250 Grants and Government Funding YWCA County 35,000 15,650 King County MHCD • State of Washington 14,000 Cities 44,548 Federal Funds 28,000 180,000 21,189 32,607 39,099 82,590 72,837 Title XIX(Medicaid) Client payments 17,338 • Private Insurance Consultationlrraining Other 345 64,672 Total Public Revenue 35,000 28,000 15,000 180,000 21,189 32,607 39,099 96,590 89,487 62,231 81,922 EXPENSES Salaries and Wages 22,803 21,118 11,925 123,425 13,500 21,942 26,885 56,806 32,315 22,878, 69,760 Fringe Benefits 5,929 5,491_ 3,101 32,090 3,510 5,705 6,990 14,769 8,402 5,948 18,138 Total Personnel 28,732 26,609 15,026 155,515 17,010 27,647 33,875 71,575 40,717 28,826 87,898 Professional Fees 275 2,759 3,000 5,000 10,000 15,000 Supplies 1,175 500 3,500 238 300 612 2,400 3,500 1,500 1,000 Telephone 600 250 1,659 1,078 1,200 1,170 5,000 3,125 Postage&Shipping 400 600 Occupancy(Building&Grounds) 720 1,200 4,800 1,386 1,800 1,200 6,000 7,000 9,131 Rental&Maintenance of Equipment 4,721 Printing,Artwork,Publications,Etc 1,000 - 900 1,000 500 2,500 Travel 873 1,500 10,164 1,167 2,037 2,328 6,408 1,171 500 1,000 Conferences,Conventions - Training 390 - 500 400 Clients Specific Assistance 785 Liability Insurance 400 3,436 900 3,500 7,500 Miscellaneous - 3,000 2,207 Total Expenses Before Depreciation 34,165 30,059 15,026 182,733 20,879 33,284 39,215 91,853 70,573 38,684 107,998 Excess/Deficit Before Depreciation 835 (2,059) (26) (2,733) 310 (677) (116) 4,737 1 18,914 23,547 (26,076) Depreciation - . 15,695 35,048 Total Expenses 34,165 30,059 15,026 182,733 20,879 33,284 39,215 91,853 86,268 73,732 107,998 Net Excess/Deficit -- 835 (2,059)1 (26)1 (2,733)1 310 I r)I (116)14,737 3,219 I I (11,501)I (26,076)1 Consejo Counseling and Referral Service 2008 Budget f: i 0 i ii i, iia :;. .;. ' Mental Health Substance Abuse lA`' , ' r t r�kAdministration "r:' • +.' . •-.<<w' ;'4 51: s .g;t='; __emu_._,. -... . MH Adult MH Children MH Adult MH Children HIV/AIDS HIV/AIDS SA Adult SA Adult SA Youth SA Youth STFY High Risk Fund Case Mgmt Seattle Seattle South KC South KC Prey CM Seattle Bellevue Seattle Tacoma Youth Raising Admin. 020 .032 020 032a 053 054 100 101 102 109 103 106 155 150 Contributions 140,000 15,000 156,000 United Way 111,396 111,396 Foundations 56,325 105,825 Grants and Government Funding - YWCA 10,000 County 74,480 217,000 82,248 221,000 180,000 60,000 974,952 King County MHCD 1,445,050 683,995 194,279 229,019 51,332 2,603,675 State of Washington 58,233 117,233 Cities 151,000 227,154 617,327 Federal Funds 502,005 Title XIX(Medicaid) 10,000 15,000 30,000 55,000 Client payments 180,000 20,000 255,338 Private Insurance 7,000 8,000 15,000 Consultation/Training 3,000 5,000 8,000 Other 65,017 Total Public Revenue 1,513,283 847,995 194,279 229,019 51,332 74,480 407,000 102,248 236,000 210,000 60,000 227,154 196,325 126,396 5,596,768 EXPENSES Salaries and Wages 833,942 510,543 131,984 146,793 33,643 35,924 219,764 70,858 144,134 78,947 43,167 123,066 86,714 358,480 3,537,451 Fringe Benefits 216,825 132,741 34,316 38,166 8,747 9,340 57,139 18,423 37,475 20,526 11,223 31,997 22,546 93,205 919,737. Total Personnel 1,050,767 643,284 166,300 184,959 42,391 45,264 276,903 89,282 181,609 99,473 54,391 155,063 109,259 451,685 4,457,188 Professional Fees 5,709 9,830 1,157 1,420 500 14,123 902 15 562 355 8,000 49,000 135,945 Supplies 15,000 4,596 5,865 • 2,475 700 2,625 12,480 1,500 12,000 1,500 500 10,206 5,000 28,817 126,835 Telephone 14,989 6,736 1,303 3,627 934 1,080 1,872 746 1,800 1,000 689 6,000 5,500 17,463 83,612 Postage&Shipping 1,524 634 133 341 312 - 300 50 120 50 400 1,468 7,047 Occupancy(Building&Grounds) 28,328 10,588 2,463 5,701 7,000 4,479 4,000 5,000 3,500 28,000 18,491 171,037 Rental&Maintenance of Equipment 7,000 5,000 5,000 5,000 934 720 5,200 1,500 12,000 51,000 Printing,Artwork,Publications,Etc 14,351 4,375 1,248 . 2,356 934 4,905 1,872 1,500 1,800 1,000 300 500 4,000 5,891 52,633 Travel 15,242 3,656 1,325 1,969 584 1,213 832 899 800 200 10,000 1,000 15,410 88,815 Conferences,Conventions 2,649 1,183 230 637 104 - - 100 - 500 25,000 30,604 Training 3,615 2,553 314 1,375 500 2,600 - 2,500 200 300 1,200 15,000 37,948 Clients Specific Assistance 123 11 - 584 2,500 - - - 2,000 15,002 Liability Insurance 24,177 16,222 4,898 • 6,013 3,821 63 2,380 1,503 1,000 1,315 25,000 108,147 Miscellaneous 7,763 3,428 762 1,546 2,000 600 10,400 25 10,000 300 200 1,000 400 28,000 73,631 Total Expenses Before Depreciation 1,191,237 712,087 191,009 217,419 49,561 73,530 324,297 98,508 219,351 110,581 60,000 225,019 135,374 683,225 5,439,444 Excess/Deficit Before Depreciation 322,046 135,909 3,270 11,600 1,771_ 950 82,703 3,740 16,649 99,419 0 2,135 60,951 (556,829) 157,324 Depreciation 36,338 22,099 3,269 1,775 1,792 5,205 85 3,242 2,048 256 597 2,133 12,389 148,830 Total Expenses 1,227,575 734,186 194,278 217,419 51,335 75,321 329,502 98,593 222,594 112,629 60,256 225,617 137,508 695,614 5,588,274 Net Excess/Deficit - I 285,708 I 113,810 I 0 I 11,600 I (3)1 41)I 77,498 I 3,655 I 13,406 I 97,371 1 (256)I 1,537 I 58,817 1 `r18) 8,494 t,',,,,,,:�k ' ,� 7 „ ci.r,,,, 5 r � ‘,,,,,,sue. ' ` a . ,d ,e€ �. •,,,,Ar^C 3'�, s iw* rt '6S. a:..,' .v '�,9 G ', s334s-...u3 ''l YItP -''' l V6K,64 ..7 4 .' s;T +...}' ti'J ''' �c. .�.�"'ia i 1'1 5fi... y y ,�Y"�€��'�.yn °7��#'� gg ;x�,..���.. ,�rl�,.�h i#U �u��.� .;". r� �f;'.ai.;.?* t'`�' r :.Ct., � �.lr,` +`��5;. � ��'�r.3�����,.�� 5�s� } •`�",i. �' r's' ys sr. ":tasTS•c? '?•rw __ '� d y.' �{ il � a{'? 'Y�. i 2 .s`�.w'G.-. 1.Fv.d'+'o %: , #y i �n kaS,y '.Ls-a'�a�is"S �L-.. s;��y� - b�i.;i��"uda .v;�s�:,t } �aa �[i' ' ?Fp'wy'�F:"k,`t� _.u�L"k'f5T'+�y"".x J'V.'�; �l�i b k -A'f�! g �' .{2:�'iZ� 8�'.ks:Y � ,�;`�,' ..� ,iv 3ars r. A.�..� •�� e�, � r�`7 Y� T'`�-�+ �- � c �� '� s�1 �4..1.� '��n-. {� -��.,x a�, � fs•�' �� sac "'u,.; YF"'r 3 -i V. 'S.` '"J� 4f Y-c A aq. -`a's >.. ��,:d1�'c'�'L-`�c.�. �� -xr.��`, �.-"�'�t i � -�ks�`�'�,� ^�e� .�"3 3)� ,� �''-`'�r��.�� �,�''3.v, �` �Tn±t�f�'{'• �`'P�u ¢�• e,44Pit; f a'., ihY;:° z�A -y°,,,,A e s - - 't- „` 'L�M.,+ �'S". 411eek.?.'�'d14.!:. ,M%itA S; 'e'"5 '4.+{.4ya; 4. L `; ..., n'?;Y�., 'Y„� .w_."a;S,.C•`¢�,.��?r, { �� �n �.,� �;�3 �a aA k �-.,y `���� � Smt yt't��S-�"'���.aa:�RF'i'h&S � � :. I sv o:-�-s�t *r „?O 3 i a 3 rt-�.,s, MI, ^S c t-` ', r�,rb� r t r + n , ,, sharn5 'y�"_-'.. {'{.x.��k�'i,�21`� 3 ,.�..,uvE wls;-4SF��uJlv�'���d.4hYl�W* ���''rE�svYr�P��d��� �-�cij��.kYi� S 1^�>7���s�" k.��"a�"-�J��b�Y���.r�PETERSON SULLIVAN PLLC ' '�"�• - ��_�r. =1g31FIELD P I81.1C ACCOUNTANTS '1 UNION STREET, SUITE 2300 SEATTLE, W SHINGTON 98101 INDEPENDENT AUDITORS' REPORT To the Board of Directors Co sejo Counseling and Referral Service Se ttle, Washington Wei have audited the accompanying statements of financial position of Consejo Counseling and Re erral Service as of December 31, 2007 and.:2006, and the related statements of activities, functional.expenses,and cash flows for the years then ended. These financial statements are the responsibility.of the Organization's management. Our responsibility is to express an opinion on the a financial statements based on our audits. We conducted our audits in accordance with auditing standards,generally accepted in the United Stat s.. :Those standards require that we plan and: perform:.the audit to obtain reasonable assu anceabout whether the financial statements are free of material misstatement. An audit incl des.examining,.on a test basis, PP evidence supporting the • .. .,:;amounts ?nd__disclosures in the fina cial:statements. An audit also includes assessing the' accounting principles-u.ed and significant estimates made by management, as well as'evaluating the overall financial-statement- presentation. We believe that our audits provide a reasonable basis;for.our opinion. `�— In otfr opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Consejo Counseling and Referral Service as of December 31, 2007 and -- 2006 and the changes in its net assets and its cash flows for the years then ended in conformity with ccounting principles generally accepted in the United States. /S/PETERSON SULLIVAN PLLC March 25,2008 .382.7777 • Fax 206.3827700 • www.pscpa.com 1 1 ;..,. • PETERSON SULLIVAN PLLC TIFIED PUBUC ACCOUNTANTS Tel 206.382.7777•Fax 206.382.7700 ..,,UNION STREE[f,SUITE 2300 http://www.pscpa.com SEATTLE,WASHI GTON 98101 March 25, 2008 The Finance Committee of the Board of Directors Consejo Counseling and Referral Service and Villa Esperanza,LLC Seattle, Washington We have audited the financial statements of Consejo Counseling and Referral Service and Villa Esperanza, LLC (the "Organizations") for the year ended December 31, 2007, and have issued our reports thereon dated March 25, 2008, and February 28, 2008, respectively. Professional standards require that we provide you with the following information related to the conduct of our audit. Our Responsibility Under Generally Accepted Auditing Standards As stated in ow-engagement letters dated January 23, 2008, our responsibility, as described by professional standards, is to express an opinion about whether the financial statements, prepared by management with your oversight are fairly presented, in all material-respects, in conformity with accounting principles generally accepted in the United States ("GAAP"). Our audit of the financial statements does not relieve you or management of your responsibilities. In carrying out this responsibility, we planned and performed the audits to obtain reasonable, but not absolute;assurance about whether the financial statements are free of material misstatement, whether caused by error or fraud. Because'of the nature of audit evidence and the characteristics of fraud, we are to obtain reasonable, not absolute, assurance that material misstatements are detected. We have no responsibility to plan and perform the audit to obtain reasonable assurance that misstatements, whether caused by error or fraud, that are not material to the financial statements are detected. In addition, in planning and performing our audit, we considered internal control of the Organizations. Such considerations were solely for the purpose of determining our audit procedures and not to provide any assurance concerning such internal control. The Finance Committee of the Board of Directors Consejo Counseling and Referral Service and Villa Esperanza, LLC Page 2 March 25, 2008 Significant Accounting Policies Management is responsible for the selection and use of appropriate accounting policies. In accordance with the terms of our engagement letter, we will advise management about the appropriateness of accounting policies and their application. The significant accounting policies used by the Organizations are described in Note 1 to the financial statements. No new accounting policies were adopted by either Organization in 2007 and the application of existing policies was not changed during the year ended December 31, 2007. We noted no transactions entered into by the Organizations during the year for which there is a lack of authoritative guidance or consensus. There are no significant transactions that have been recognized in the financial statements in a different period than when the transaction occurred. Quality of the Organizations' Accounting Principles Management is responsible not only for the appropriateness of the accounting policies and practices,but also for the quality of such policies and practices. The quality includes the consistency of the accounting policies and their application, the clarity and completeness of the financial statements, and includes items that have a significant impact on the representational faithfulness, verifiability, and neutrality of the accounting information included in the financial statements. Management's Judgments and Accounting Estimates Accounting estimates are an integral part of the financial statements prepared by management and are based on management's knowledge and experience about past and current events and assumptions about future events. Certain accounting estimates are particularly sensitive because of their significance to the financial statements and because of the possibility that future events affecting them may differ significantly from those expected. The most sensitive estimate affecting the financial statements was: Consejo Counseling and Referral Service Management's estimate of the allowance for doubtful accounts related to client fees and grants receivable is a sensitive estimate. This estimate is based on an historic, documented rate of amounts written off over the last several years. We evaluated the key factors and assumptions used to develop the allowance for doubtful accounts in determining that it is reasonable in relation to the financial statements taken as a whole. Document 3134.rru 114hr123107.dor Revised:04/H/'008 1:01.08 PM jinn The Finance Committee of the Board of Directors Consejo Counseling and Referral Service and Villa Esperanza,LLC Page 3 March 25, 2008 Villa Esperanza,LLC • We noted no sensitive or significant estimates that were required of management in preparation of the Villa Esperanza,LLC financial statements. Audit Adjustments For purposes of this letter, professional standards define an audit adjustment as a proposed correction of the financial statements that, in our judgment, may not have been detected except through our auditing procedures. An audit adjustment may or may not indicate matters that could have a significant effect on the Organizations' financial reporting process (that is, cause future financial statements to be materially misstated). In our judgment, none of the audit adjustments we proposed, whether recorded or unrecorded by the Organizations, either individually or in the aggregate, indicate matters that could have a significant effect on the Organizations' financial reporting process. All audit adjustments made were proposed by management. These adjustments, in our judgment, did not indicate matters that could have a significant effect on the Organizations' financial reporting process, given that management was aware of these adjustments prior to our performing auditing procedures. Management Representations We have requested certain representations from management that are included in the management representation letter dated March 25, 2008 (Consejo) and February 28, 2008 (Villa Esperanza). Disagreements with Management For purposes of this letter, professional standards define a disagreement with management as a financial accounting, reporting, or auditing matter, whether or not resolved to our satisfaction, 'that could be significant to the financial statements or the auditors' report. No such disagreements arose during the course of our audit. Management Consultations with Other Independent Accountants In some cases, management may decide to consult with other accountants about auditing and accounting matters, similar to obtaining a "second opinion" on certain situations. If a consultation involves application of an accounting principle to the Organizations' • financial statements or a determination of the type of auditor's opinion that may be expressed on those statements, our professional standards require the consulting Documeni 2134s,a1141w13310Ldor.Revised: 04/14C003 I:01:08 PM join The Finance Committee of the Board of Directors Consejo Counseling and Referral Service and Villa Esperanza,LLC Page 4 March 25, 2008 accountant to check with us to determine that the consultant has all the relevant facts. To our knowledge, there were no such consultations with other accountants. Significant Issues Discussed with Management Prior to Retention We generally discuss a variety of matters, including the application of accounting principles and auditing standards, with management each year prior to retention as the Organizations' auditors. However, these discussions occurred in the normal course of our professional relationship and our responses were not a condition to our retention. Difficulties Encountered in Performing the Audit We encountered no significant difficulties in dealing with management in performing and completing our audit. Management Letter We have not issued a management letter for either Organization. Independence Our professional standards require that we communicate to you in writing all relationships between our Firm and the Organizations or any affiliates of the Organizations that, in our professional judgment, may reasonably be thought to bear on our independence. We hereby confirm that as of March 25, 2008, we are independent accountants with respect to the Organizations within the-meaning of our professional standards. • * * * * * This letter is intended solely for the information and use of Consejo Counseling and Referral Service and Villa Esperanza, LLC's Board of Directors and/or Finance Committee, and management of the Organizations and it is not intended to be and should not be used by anyone other than these specified parties. Doanncnl 2134sns114hrl33107alor Revisal: 04/14/300S 1:01:08 PM km CONSEJO COUNSELING AND REFERRAL SERVICE Balance Sheet As of 12/31/2007 Current Year • Assets Current Assets Cash 360,842.90 Accounts Receivable 640,194.39 Prepaid Expenses 131,157.24 Due From Other Funds 565,688.16 Total Current Assets 1,697,882.69 Depreciable Assets Land, Buildings&Improvements (net) 2,024,488.39 Furniture, Equipment&Other(net) 207,758.86 Total Depreciable Assets 2,232,247.25 Total Assets 3,930,129.94 Liabilities Current Liabilities Accounts Payable 24,618.33 Obligations Payable 146,092.85 Accrued Payroll Liabilities 148,483.90 Vacation Payable 142,181.09 Loans Payable 1,918,282.22 Interest Payable 61,727.99 Due To Other Funds (2,751.58) Deferred Income 10.68 Designated Transfer 6,101.50 Tot.I Current Liabilities 2,444,746.98 Total Liabilities 2,444,746.98 Net Assets Beginning Balance Operating 1,673,982.41 Housing Development (416,681.20) PV Housing 116,354.46 Total Beginning Balance 1,373,655.67 C rrent Year Excess (Deficit) J 66,482.29 Mr Casa Replacement Reserve Balance 21,913.00 Mi Casa Operating Reserve Balance • 23,182.00 Total Net Assets 1,485,232.96 Total Liabilities &Fund Balance 3,929,979.94 • Date:3/10/08 05:32:30 PM 21 Bal Sheet-Opr Fund Page:1 1. CONSEJO CC&RS 1-15 NON-DISCRIMINIATION Discrimination because of race, color, gender, marital status, sexual orientation,political ideology, age, creed, religion, ancestry, national origin, or thepresence of anysensory, h s�cal disability, ry,mental or P ty, or any other reason prohibited by applicable federal, state or local law, will not be tolerated. Any violation of this policy by any employee may result in disciplinary action including, where appropriate, termination. 3 Revised Jily 1,2006 `` DOMESTIC VIOLENCE INTAKE FORM CONSEJO Fecha de hoy: (Today's date) cCOmo supiste de nuestros servicios? (How did you hear about our services?) ombre(s): (Name) Numero de telefono: (Phone Number) pellido(s): (Last Name(s)) cTienes identificador de Ilamadas? (Do you have Caller ID?) Direccion: (address) tPodemos desbloquear la linea de telefono? (Can we unblock the phone?) Ciudad, Estado, Codigo Postal: (City,State,Zip) Horas/dias cuando es seguro Ilamar: (Safe times/days to call) Sin vivienc�a propia ahorita? (Homeless?) Tu genera: (Gender) Tu edad: (Age) Tu f echo de nacimiento: (Date of Birth) cCual es tu relacion con tu pareja abusiva? (Relationship w/abuser?) cCaantas personas componen tu unidad familiar? CCual es el ingreso mensual de tu hogar? (How many people in your household.?) (What is your monthly household income?) eCuantos hi os menores de 18 arias tienes? c Viven esos hijos contigo? eVive tu pareja abusiva contigo? (How many hildren under 18 do you have?) (Do those children live w/you?) (Does your abuser live w/you?) ❑ Si ❑ No ❑ Si ❑ No Nombres de tus hijos: Fechas de nacimiento de tus hijos: c5on hijos de tu pareja abusiva? (Children's names) (Children's birthdates) (Are they your abuser's children?) ❑ Si ❑ No III ❑ Si ❑ No ❑ Si ❑ No ❑ Si ❑ No `` 0Si ❑ No cTe falta hablar ingles,o hablas un ingles limitado? (Are you non-or limited English proficient?) ❑ 51 ❑ No cEres originalmente de otro pals? (Originally from another country?) be ser asi ccual pais? (If so, which one?) ❑ Si n No cHablas algt+ idioma indigena o dialecto aparte que el espanol? be ser asi ccual idioma? (Do you speak an indigenous language apart from Spanish?) (If so, which one?) ❑ 5i 0No cCual es tu rl za/etnicidad? fTe consideras tener alguna discapacidad? (What is yourI race/ethnicity?) (Do you consider yourself to have a disability?) ❑Africano (Negro)o Africano Americana (Black or Discapacidad fisica(Physical disability) ❑Asidtico No de las Islas Pacificas) ) (Asian(Not Pacific Islander)) ❑Discapacidad mental (Mental disability) ❑Howaiano o de las Islas Pacif ices (Hawaiian or Pacific Islander) ❑Discapacidad de sensorial (Sensory disability) ❑Hispano o Latino (Hispanic or Latino) ❑Otra discapacidad (Other disability) ❑Indigena Americana o de Alaska (Native American or Alaskan) ❑Multiples discapacidades (Multiple disabilities) nCaucasico o Blanco (Caucasian or White) ❑Not reported (No se sabe) ra Razor (I ther)• ❑Ninguna (None) pars el us'o de oficina. Favor de no escribir en esta area. For office use only.Please do not write in this area. Client ID#: Advocate: Consejo Counseling and Referral Service South King County Latina DV Advocacy Program 2009-2010 Re: Domestic Violence Program Sliding Fee Scale All Consejo Counseling and Referral Service's domestic violence services are provided to our clients at no cost. 19, PLICATION CHECKLIST Applic tions missing one or more of the following components or not following these directions may not be revi wed. Sign and submit the application checklist with your application. Conte is (Your application should contain each of these items in this order.) . &J Application Cover Pages.The top three pages of your application must be a completed copy of the Agency Information and Questions 1-7. Ap lication Narrative:ir _ El Question 8 Organizational Experience(2 page maximum) El Question 9 Need for Your Program (2 page maximum) El Question 10 Proposed Program/Service (6 page maximum) El Question 11 Long Range Plan (] page maximum) ElQuestion 12 Budget (2 page maximum) Data Tables ElQuestion 13 Number of lndividuals/Households Served ElQuestion 14a-c Performance Measures and Average Cost of Service ElQuestion 15 Demographics(from all funding sources) ElQuestion 16 Program Staff , ElQuestion 17 Program Revenue &Expense Budgets ElQuestion 18 Subcontracts .. El Required documentation. Supply one copy of the following required documents with the signed original application. See Part I1: City Specific Supplemental Information to determine whether additional copies of the appl cation and required documentation need to be submitted. El Question 19 Required Documentation, including: • Proof of non-profit status , _ • Organizational Chart • Agency/Organization Mission Statement • Board resolution authorizing submittal of the application (may be submitted up to 60 days after application). • List of the current governing board and local board, if applicable, (include name,position/title, city residence, length of time on the Board, and expiration of terms. Note any vacancies.) • Board Meeting Minutes of last three board meetings of governing board and local board as applicable • Annual Budget • Financial Audit Cover Letter • Financial Audit Management Letter • Financial Statement • Verification of Non-Discrimination Policy - ■ Program Intake Form ' • Sliding Fee Scale El A s plication Check List. (Signed below.) Name: Evelyn Brom IRICi Specific Supplemental Information.Required in Position: Development Director Part l for applicable City only. Phone#: 206-802-1962 E-mail: evelynb@consejo-wa.org • UteVi --- K---ii.AVA- Signature of Person Completing Checklist DO NOT SUBMIT ANY.OTHER MATERIALS WITH THIS APPLICATION . Make sure that you carefully check Part II of this application to see what additional attachments each city requires. Page 24 ()-- 6 2 Application Cover Pages (Agency Information and Questions 1 — 7) 27____ A . f o � :etc: I ore at in : � Agency Name: Applicant Name and Address: Agency Director: Domestic Abuse Women's Network Lee Drechsel, Executive Director ! �� Name and Title PO , n Box 88007 , u i__ Trlkwila, WA 98138 i 425.656.4305 ext.251 APR-d 2008 (Area Code)Telephone Lee@dawnonline.org �,,� ,�� r �-�,p-�r,ft.a E-mail address (if available) HUMAN Mggt' °n"p°C;6�y `�gg`�^"tl ° (Area Code)Fax Number Required signatures: Brgigi1'rfig below;you cerfifTtlhat tthe information in this application is accurate to the best of your knowledge and that you have read the application, certifications,and ppendixes. (SIGNATURES MUST BE IN BLUE INK) \I-y/rycL,;- -, -/--L f/.e,/,S7 V-U. 10.YAki\- V.,.63/0p--- Si' a e of Agency Board President/Date Signature of Agency Director/Date Kay omlinson Lee Drechsel Printed Name of Agency Board President Printed Name of Agency Director .,.._.., :................._.. ' ` " . - a ; r;;:_ x ,:i ... .. . .. . .. �Pr0ramot do ,; , ( - • 1. Program Name 24-hour Crisis line for Victims of Domestic Violence Contact Person (available to answer specific questions on this application) Lee Drechsel 425.656.4305 ext. 251 Name (Area Code)Telephone Address(if different than above) Lee@dawnonline.org 425.656.4309 1 E-mail address(if available) (Area Code) Fax Number 2. Program is New for our agency ❑An Ongoing Program El 3. Brief Description of Program (One.sentence) pAWN's 24-hour crisis line for victims of domestic violence provide crisis intervention, referral information and/or safety planning to callers. 4. Where are services provided? (If different from agency location) NIA Page 5 5. Total Program Cost: Itctual 2007: $436,495 Proposed 2009: $470,401 Projected 2008: $454,198 6. Total City Funds Requested for this Program: City Awarded 2008 Requested 2009* General Fund CDBG Total Requested** Auburn 5,000 Federal Way 3,000 15,000 Kent 20,000_ Menton 3,000 20,000 City Awarded 2008 Requested 2009* General Fund General Fund 13urien 3,000 Covington - - Ds Moines 2,000 Enumclaw - - SeaTac 3,000 8,500 Tukwila 4,000 *Citids on a two year funding cycle will renew 2009 awards to 2010 based upon performance and availability of funds. See , ' Part for city specific information. **Include your total request for Auburn,Federal Way Kent and Renton. The source of funding will be determined by staff. Page 2 ( 7. Agency. Contact Sheet Provi e the following information for the agency and for the program requesting funds. Age cy Contacts r Gener l Agency Name: Domestic Abuse Women's Network Address: PO Box 88007 City/State/Zip: Tukwila,WA 98138 Phone/Fax: (425)656-4305/(425)656-4309 Agency Web Address: www.dawnonline.org Exec ive Director Name: Lee Drechsel Title: Executive Director Direct Phone: (425)656-4305 ext.251 E-Mail: Lee@dawnonline.org Devel pment Director Name: Melissa Arias (or Gr t Writer) 'Title: Development Director Direct Phone: (425)656-4305 ext.258 E-Mail: melissa.arias@dawnonline.org c Finan a/Accountant Name: Shannon Johnson (person preparing invoices) Title: Finance Director Direct Phone: (425)656-4305 ext.244 E-Mail: Shannon.Johnson@dawnonline.org Program Contact (Staff contact for contracting, reporting and program implementation.) Program Name: 24-Hour Domestic Violence Crisis Line. Staff Name: Alicia Glenwell Title: Director of Community Programs Direct Phone: 425.656.4305 E-Mail: AliciaAdawnonline.org Page 3 Application Narrative Section (Questions 8— 12) 8. ORGANIZATIONAL EXPERIENCE(2 page maximum) A. Experience: DAWN has been providing services to survivors of domestic violence and their childr n since 1980. DAWN's House, our 25-bed confidential emergency shelter,was opened in 1992 and has been at capacity since its inception(over 16 years). DAWN has a history of professional, culturally comp tent, client-focused service to the South King County community. In 2007, our organization served a tota of 1,725 unduplicated clients (a 31% increase over 2006),provided 14,880 bednights, and answ red 11,255 crisis calls. In ad ition to our emergency confidential shelter, DAWN manages 10 transitional housing units and will be opening 5 additional units in Renton, with site-based Section 8 vouchers in July of this year in a collaboration with the Downtown Agency to Save Housing. Additionally, in 2007 DAWN began offering extended, in-unit case management to families that are in permanent housing for up to 2.5 years,to ensure that they maintain safe and stable housing. These programs,partnered with DAWN's Safe Nights, provide DAWN's Continuum of Housing, which move women in lethal domestic violence situations from crisis homelessness to permanent housing— from opelessness to self-sufficiency. DA 's Community Programs include: 24-hour crisis line; Community Advocacy(both English and Spani h); Women's Support Groups (both English and Spanish); Legal Advocacy (civil and criminal legal mattes and immigration issues); Court Accompaniment; Community Education&Advocacy Training (both nglish and Spanish); Kids' Club; Middle and High School Education and Outreach Programs; and Safe Moves,(moving and storage services for survivors). B. Operational Structure. DAWN is organized by program(Housing, Community and Administration) and led by the Executive Director, Lee Drechsel. Lee oversees the staff and the day-to- day oversight of the organization. In addition to an Executive Director, DAWN has a full-time Director of Fi lance, full-time Development Director, full-time Development Associate, full-time Executive Assis ant and a part-time data entry person to assist with client and services data collection. Each program is als9 headed by a director. The Finance, Development, Housing, and Community Program Directors reportl to the Executive Director. The Leadership Team for the housing program is as follows: Lee Drechsel, Executive Director: DAWN's Executive Director has over 25 years of Executive level experience in non-profits. Prior to coming to DAWN Lee was the CEO of Camp Fire USA Central Puget Sound Council from 1991 to 2005. Before her work at Camp Fire she was the founding Executive Direr or of Eastside Domestic Violence Program and served in that capacity from 1981 to 1991. Lee serve l as DAWN's Interim Director from September of 2006 until February of 2007 before being appointed to the permanent position. Lee holds a Master's Degree in Counseling from Seattle University and is a Licensed Mental Health counselor in Washington State and is a Certified Fundraising Executive. Over he years, Lee has received numerous awards including the National Amos H. Dudley Professional Lead rship Award from Camp Fire USA in 1999; the 1998 "Women of the Year Award"from the Belle4rue Business and Professional Women,the `Women of Distinction Award" from the Lake Washington Soroptimist Club in 1991, and the Kirkland Business and Professional Women's Club's "Women in the Spotlight"award in 1991. She also received a one time award for"Exceptional Contribution" from the King County Coalition Against Domestic Violence in 1990. Page 4 Alicia Glenwell, DAWN's Community Program Director: DAWN's Director of Community Programs holds a B.A. in Psychology from the University of Washington and completed the Leadership and Management Development Series for Non-Profits offered by Highline Community College's Extended Learning Program. She has been with DAWN since 2003. Alicia has developed, coordinated and instructed DAWN's 50-hour DV Advocacy Training as well as many other DAWN training events. Alicia supervises all of DAWN's Community Programs, which includes the crisis line. Judit Torrents, Shelter Director: Judit has been with DAWN since July 2005. Prior to her position has Shelter Director, Judit served as DAWN's Housing First Coordinator. Judit earned her B.A. in Social Education from the Autonomous University of Barcelona in Spain. She has more than fifteen years of experience working in social services with a diverse population. Six of those years she has worked with women, and their children, survivors of domestic violence. Since moving to the United States, Judit has been}�, orked primarily for non-profits domestic violence agencies in their community and emergency shelter programs. In addition to her work experience, she has extensive training in the field of domestic violence and homelessness. A voluntary Board of Directors who represents a wide range of interests in the community governs DAWN. DAWN currently has 15 Board members: Seven are men, eight are women,three are survivors of domestic violence, 13% African America, 7%Latino, and 80% Caucasian. Eleven of the Board members live in South King County (Auburn, Covington, Federal Way, Kent, Maple Valley, and Renton), three members live in Seattle, one member lives on the Eastside and one member lives in Pierce County. 13% are under the age of 35; 21% are 36-45; 33% are 46-55; and 33% are 55 or over. The fifteen member Board meets ten times a year(every month except August and December). The role of the Board is to establish the DAWN's long-term mission and goals; to establish and oversee policies regarding the agency's management, to ensure the agency has sufficient financial resources to achieve goals and to hire and manage the Executive. The Board also has a role in community outreach and education. DAWN's board reflects the diversity of the community which DAWN serves and is invested in the agency. All members have a minimum of 80% attendance and 100% of DAWN's Board has made a significant financial contribution to the agency on an annual basis. In between full meetings of the Board,the Executive Committee meets to set the agenda for each Board meeting and address any issues that might be time sensitive. In addition to DAWN's Board of Directors, DAWN has seven standing committees: Executive, Finance, Strategic Planning and Development committees meet monthly; the Legislative, Board Recruitment and Auction committees meet regularly and in response to need. Page 5 ( 9. NEED FOR YOUR PROGRAM (2 page maximum) • A. Problem Statement. The Department of Justice reports that one in every four women in the United States will experience domestic violence during their lifetime. The need for services for survivors of domestic violence is further supported by local domestic violence prevalence data released in 2006,1 as part of a study cond Icted on a random sampling of female Group Health Cooperative members throughout Washington State. The study's findings, applied to women living in King County in 2007, reveal that approximately 73,52 women in King County would have experienced partner abuse within the last year and 37,226 women in King County would have experienced physical violence from a partner within the last year. An additional 21,853 children(an average of 1.6 children in these families) are potentially impacted. Servi es for victims and survivors of domestic violence(DV) are in critical need throughout King Coun y, and certainly in South King County, where DAWN is located. The 2005 Communities Count Repo published by Public Health- Seattle King County states that 11,968 DV offenses were reported in King County in 2003. The report further indicates that the rate of major domestic violence crimes (mur er, rape,robbery and aggravated assault) occurred in South King and that DV is on the rise only in South King County. Dr. Jacquelyn Campbell, an associate dean and professor at Johns Hopkins University and the author of the D ger Assessment lethality risk instrument, found that a survivor's contact with a community-based dometic violence agency significantly reduces a survivor's likelihood of being killed by her partner. A 24-hour domestic violence crisis line is a necessary mechanism for that connection for many reasons, including the ability to access it anytime and from anywhere, the assurance of confidentiality and anon3mity for a survivor feeling guilt or shame and the access to specialized, expert safety planning, corn unity referrals and emotional support that survivors need to get safe. Once 'mmediate safety has been achieved, domestic violence survivors continue to face unique challenges to ma ntaining stability. Access to 24-hour advocacy for ongoing safety planning, emotional support and reso ces is critical.National data shows that abused women return to their abusers 6 to 7 times before they 1 ave permanently. Reasons given for returning to the abuser is the lack of housing, money, and the skills eeded to live independently. B. Ta get Population. DAWN's target population is battered women and their children residing in South King ounty who need domestic violence advocacy. This sub region is home to approximately 690,000 peopl . South King County has 41%of the County's children, and 28% of the people of color; 14% of South King County residents are foreign born; 41% of households are considered low income, and 6.1% of f ilies live below the poverty level. South King County has the most single parent homes, highest level of poverty,vast rural areas, and the least amount of human services and human services-specific , fundiIg countywide. Local data indicate that 56% of families with children who use public assistance and food stamps and apply for free lunches in King County live in South King County. , Thor,II pson, R., Bonomi, A., Anderson, M., Reid, R., Dimer, J., Carrell, D., and Rivara, F., "Intimate Partner Violet: Prevalence, Types, and Chronicity in Adult Women,"American Journal of Preventive Medicine, 30(6): 2006, 447-457 Page 6 DA 's community program clients mirror the statistics set forth above. In 2007, 79% are very low inconie (according to HUD guidelines); 79%have children; 63% are people of color; 29% are immigrants or refugees; 34% are limited English speaking. Page 7 10. PROPOSED PROGRAM/SERVICE(2 page maximum) A. Program Description. (1) Services to be provided; The crisis line was the first service offered by the volunteers who started DAWN in 1980—they knew that first and foremost victims needed a resource that could provide competent 24-hour services, and accurate information and referrals. DAWN provides telephone advocacy 24-hours a day and 365 days a year. Callers speak to a trained domestic violence advocate who provides confidential crisis intervention support, assesses the callers immediate needs, engages the caller in safety planning,provides emotional support, explains the dynamics of domestic violence, and offers information and referral to other programs .The trained advocate also provides triage and referral for housing specific to the callers needs, helps providers, friends, family members etc. understands how to help a survivor, serves as a knowledgeable resource to community providers, etc. The service is phone-based and accessible to all victims of domestic violence. (2) ethods; DAWN is located in South King County; administrative and program offices are in the Tukwla area. The shelter and transitional housing program locations are confidential,but all are physically located in different cites in South King County. The crisis line is operated from DAWN's community program office and its confidential shelter. It is the only 24-hour domestic violence crisis line in South King County. Staff and trained volunteers answer the DAWN crisis line—both groups are referred to as crisis line advocates. Twice yearly, DAWN offers a 50-hour DV training in English and once a year in Spanish to professional and community members,the majority of whom go on to volunteer for the crisis line. The training is extensive; volunteers are tested throughout the training and at the graduation session, and are allowed to answer the line only if DAWN staff has confidence that the volunteer can do so with competency and professionalism. In addition, volunteers are encouraged to take their initial shifts at either the shelter, or in the DAWN office so that staff can assist them as needed, and monitor their calls initially. Volunteers answer about 50% of the crisis line calls. DAWN finds that this is a wonderful way to engage the community in training and front line DV work. As a result, over the years many individuals in the community have developed an in-depth understanding of DV, and serve as a community resource to friends, family and coworkers about the nature of DV and how to help others. Volunteers and staff receivle in-service training throughout the year to enhance their level of knowledge and skill. Volunteers often call and debrief their shift experience with the CAP Director and/or shelter staff, who are available 24/7 to assist if needed. (3) Outreach; DAWN staff work to ensure that individuals who may seek our services are aware of DAWN's housing programs. Outreach includes: Education and outreach to community resources; Participation in health and community resource fairs; Presentations to civic, church and school groups about'ts services; and maintaining an informational website. DAWN also has staff stationed in the RJC and in both the White Center and Renton DSHS offices where we provide onsite advocacy, education and referrals to community resources. DAWN staff attend all of South King County's 7 domestic violence task forces and participate on the board of the King County Coalition Against Domestic Violence and State Coalition Against Domestic violence. These memberships allow us to continually update providers and community partners of our services. Additionally, the Crisis Clinic refers callers with DV issues to DAWN(DAWN receives the largest number of referrals from the crisis clinic than any other King County DV agency), and the DAWN's crisis line is listed in their Where to Turn publication. The Washington State DV hotline patches callers into the DAWN crisis line, and the number is listed in numerous crisis service directories. Page 8 (4)Addressing the Problem; The need for domestic violence services surpasses DAWN's and the i_ community's capacity to provide them. The crisis line serves as a point of entry for those who are in the beginning stages of thinking something is wrong with their relationship,to providing life-saving safety planning for those who are readyto escape, or have just left a lethal relationship. The line provides a triage function for those seeking shelter and emergency housing and addresses many basic emergency needs so that callers can quickly and efficiently get the help they need. Anecdotally,many people approach DAWN staff and board members and tell about how they escaped their DV situation by placing a call o the DAWN crisis line. For many, it is their first encounter with someone who knows what they are to king about,believes their story, offers emotional support and understanding, helps them analyze the lethality of their situation,provides safety planning and practical and real-time assistance. (5) C ltural Competency; DAWN is deeply committed to providing culturally competent programming. DA has a strong cultural competency plan; advocates receive extensive training in cultural sensitivity, and c ltural awareness, diversity and cultural competency are called out in all three priority areas of DA 's strategic plan. The c isis line is provided in English only, and it is not TTY accessible (there is a National DV TTY Hotli e based in Seattle). To address the needs of limited English Speaking and Deaf.callers, DAWN's shelte also provides 24/7 phone coverage separate from the crisis line. This line is toll free accessible and d* es have a TTY capability. Additionally,phone-based interpreters can be utilized if the caller conta a is the shelter for crisis services. DA I is making programmatic changes over the next three years in line with its strategic priorities to allow all crisis line calls to access phone based interpretive services. (6) Si.nificant Change: DAWN does not anticipate making substantial changes to this program in the 2009-10 funding cycle. We have recently upgraded our telephone system so that crisis calls answered at DA 's community program office or shelter can be transferred directly to the appropriate program within}or outside of DAWN for immediate assistance. This helps to eliminate the substantial barrier of requiring callers to make multiple calls for service. 7 We have budgeted funding for 2008 to hire a Volunteer Coordinator to assist in recruiting and supporting Crisis Line volunteers, so that we may have more volunteers to cover more shifts. (7) Collaboration: DAWN will continue its strong collaborations and ties with over 50 other provider agencies in King County. Specific to the crisis line, advocates refer clients to a multitude of providers, agencies and services specifically in South King County, but also throughout the region. Representatives from approximately 12 other social service agencies donate their time and expertise in the training of the volunteer crisis line advocates, as well. r Page 9 B. Performance Measures and Outcomes: i. Performance Measure: Calls to DAWN's 24-hour Crisis Line. ii. Outcome A.): Reduce immediate distress of caller. Outcome B.): Diffuse crises for individuals. iii. Indicator A: Caller demonstrates distress reduction Indicator B: Caller demonstrates engagement in problem solving. In 2007, 75%of the crisis calls from DV-impacted callers showed evidence of distress reduction and 84% show:d evidence of problem-solving engagement. Page 10 C. Stiffing Plan & Evaluation. (1 page maximum) i. Staffing Plan: DAWN's crisis line program is staffe d by a total of 3 FTEs and 40 volunteers including: 1.0 FTE Director of Community Program; 40 trained volunteers who answer three to four 3-hour shifts per month and 5 relief crisis line staff who cover shifts when a volunteer is unavailable. 2 FTE Shelter Advocates handle overflow calls when a crisis line volun-eer is busy with a client and for calls made between 11pm and 7am. The Director of Community Programs (credentials set forth above) oversees the crisis line operation, which includes the coordinating the twice-yearly 50-hour domestic violence advocacy training. Alicia joined DAWN in 2003, and is viewed as a community expert on domestic violence. She is a sought after trainer, and serves on the CPS/DV Protocol Development Workgroup and the DV/CPS Best Practices Work Group. Alici has coordinated twelve 50-hour trainings for community members and volunteers,has trained and supe ised over 500 volunteers,takes regular shifts on the crisis line to keep her skills current,manages the to�hnical aspects of the line, and has a high level of expertise in both domestic violence and crisis intery ntion. At an given time, approximately 40 volunteers take 3 and 4 hour crisis line shifts from their home (the line isI answered by shelter staff between 11pm and 7 am). In 2007, this in-kind contribution was valued at ove $40,000. To ensure that volunteers are properly supported,Alicia conducts quarterly training sessio s, and regularly talks with them in person and over the phone to debrief calls and to keep them up - to date on program refinements. Alicia arranges for quality control call checks of volunteers and staff, whic I occur once every four months. ii. Ev luation. DAWN measures caller distress reduction and caller problem-solving engagement with the C isis Call Outcome Rating Scale (CCORS; Bonneson&Hartsough, 1987), a tool developed and valid ed at the Boys Town National Hotline. This survey consists of statements referring to "Caller Distress Relief',"Caller Problem-Solving Engagement" and"Caller Appreciation" and a five-point rating continuum ranging from"Strongly Agree"to "Strongly Disagree". A statistical calculator, also used,by the Crisis Clinic, accompanies the CCORS. DAWN modified the original scale,removing the statements referring to "Caller Appreciation" and changing the statistical calculator accordingly. Once per quarter, each DAWN Crisis Line Volunteer is given approximately 25 scales and instructed to fill oult one scale during or immediately after each crisis line call they receive. Although some calls will not be appropriate for rating(too short, caller is a professional seeking information, etc.), volunteers are asked to complete a scale for each call for the sake of efficiency. When the DAWN has collected 100 completed scales where 50% or more of the statements are applicable,the data is entered into the CCORS statistical calculator. The calculator generates the percentage of calls where the rater agreed or strongly agreed with evidence of distress reduction or problem-solving engagement. Progr-ss toward all program outcomes and planned improvements are reported to the board twice.a year. Page 11 D. Differences in Service Delivery by City. (2 page maximum) There is no difference in the cost of providing a crisis line call from one location to another. Calls to our crisis ine are anonymous and demographic information is only recorded if given voluntarily by the caller, makilg access universal regardless of location. As stated above DAWN's services are provided on a first call first serve basis. Each client that contacts DAWN is given equal access to time and resources. Page 12 11. LONG RANGE PLAN (1 page maximum) DAWN's Strategic Plan calls for its 24-hour crisis line to continue to be the point of entry for survivors of domestic violence in South King County. Our primary goals for the plan period are to increase and streamline callers' access to DAWN's and other services and to increase the crisis line's capacity to serve non-English speaking callers. As with all other county and state crisis lines, advocates give callers phone numbers when making referrals to other community resources. This is the case when referring the caller to DAWN services or to resources outside of the agency. The caller must hang up the phone and make another phone call to connect with that resource: DAWN plans to implement'a number of changes to streamline this process, including implementing a new phone system that allows advocates to transfer a call directly to another number. Our goal is that callers will not need to hang up and make another call before being connected with an advocate, shelter, or other community agency. Also, the crisis line does not currently have the ability to provide phone interpretation for non-English speaking callers, meaning that the important support provided by this service is not consistently available to those in that community. All crisis lines in this area struggle with this problem, as there are no affordable interpretation services that provide 24-hour, immediate service. Dawn is part of a new collaboration with community based specialized providers, who are working together to ensure that anyone who speaks English as a second language can be immediately connected to an advocate who speaks their language. It is an ambitious project, but one to which all of the domestic violence providers inking county are very committed. We anticipate that the funding for our crisis line will continue to come from the local,public and private constituencies in South King County. These individuals, businesses,private foundation and government entities understand the need for a local crisis line for victims of domestic violence and their children. The ability to access a trained advocate is invaluable, as it allows immediate stress reduction and the caller can leave,he line not just with additional community resources, but with a concrete plan to gain immediate safety Page 13 I , 12. BUDGET (2 page maximum) A. B dget Request Narrative. The requested funds will be used to partially support crisis line staffing. B. Changes to Budget. We do not anticipate and significant changes to the budget between 2008-2010. C. Cost per Service Unit(s). Cost¶er Service Unit: $ 14.08 per call. Explanation of how determined: cost per crisis call is determined by dividing the total program cost by the ni mber of calls answered. Page 14 Agency: D.A.W.N. Program: Crisis Line 13. NUMBER of INDIVIDUALS/HOUSEHOLDS SERVED BY PROGRAM r Individuals? or Households? (Check which applies and use for reporting all demographics.) Unduplicated *Unduplicated Number of all Clients Served by Clients Served All Funding Sources with Funds Requested 2007 2009 2007 %of column 1 2008 2009 (Actual) clients served (Anticipated) (Projected) (City Requested by City Funding Only) Auburfi 638 8% 625 625 166 Burien 224 3% .225 . 225 111 Covington 68 1% 65 65 0 Des Moines 161 2% 160 160 111 I _ _ Enumckaw 25 0 Federal Way 559 7% 550 550 166 Kent 902 11% 900 900 277 Rentoq 680 8% 700 700 221 SeaTa 326 4% 325 325. 166 Seattle 2939 35% 3000 3000 Tukwila 238 3% 240 240 111 Other 1684 20% 1690 100% Total 8441 (This column must 8480 8480 1329 total 100%) . *Unduplicated means count each client only once per calendar year per program. This number should match the number of clients by city indicated in the top row of Question 15. Page 1 Agency:D.A.W.N. 14. Performance Measures (Data Table) Program: Crisis Line 14a. Service with 2009 Requested Funds Proposed Performance Measures as defined below. A) Crisis Calls Auburn 214 Burien 143 Covingtlon • Des Moines 143 Enumclaw Federal Way 214 Kent 357 Renton 286 SeaTac 214 Seattle Tukwila 143 14b: Performance Measures 2009-Proposed-with;funds;requested City:Funding Only Title: Brief explanation: A)Crisis Calls One call that results in crisis intervention, resource information, referrals ,safety planning B) C) Page 2 Agency: D.A.W.N. 14 Performance Measures (Data Table), Cont. Program: Crisis Line 14c. Average Cost of Service Unduplicated Clients Served with Funds Average Cost of Service Requested 2009 Requested 2009 per Client (Same as last column of (Same as last column of Question 6) Question 13) Column 1 divided by Column 2 xample: $5,000 45 $111.11 Auburn $3,000' . 166 $18.07 Burien 2,000 - 111 '18.02 Covington Des Moines 2,000 111 ' 18.02 Enumclaw Federa Way 3,000 166 18.07 Kent 5,000 277 18.05 ' Renton 4,000 221 18.10 SeaTac . . 3,000 ' 166 18.07 Seattle Tukwil. 2,000 ' 111 , 18.02 Page 3 Complete Question 15 with 2007 Actual numbers reported in column 1 of Question 13. Agency: D.A.W.N. 15. Demographics (from all funding sources) (Data Table) Program: Crisis Line 1 i ,`Client.Residerice: : ° o CI a ct a:1 w w rx Nn vp H Unduplicated' :: check`one _ .Individuals N `oo° ° N M rn N Households N� 7741- o0 :: Served in2007*: Household Income Level'' 30%of Median or Below 50%of Median or Below 80%of Median or Below Above 80%of Median , Unknown TOTAL 638 224 68 161 25 559 902 680 326 2939 238 8441 .. , Male .. ., , Female 638 224 68 161 25 559 902 680 326 2939 238 8441 TOTAL 638 224 68 161 25 559 902 680 326 2939 238 8441 Age . . 0-4 years 5- 12 years 13- 17 years 18-34 years 35-54 years 55-74years - 75+years Unknown 638 224 68 161 25 559 902 680 326 2939 238 8441 TOTAL 638 ' 224 . 68 161 25 559 902 680 326 2939 238 8441 Asian Black/African American Hispanic/Latino(a) Native American/Alaskan Pacific Islander White/Caucasian Other/Multi-Ethnic TOTAL 638 224 68 161 25 559 902 680 326 2939 238 8441 ::FemaleHeaded. • lousehold..:..,..,,: •Disabling:Condition'',' Limited English.;, - '. Speaking. . .. : : ` . * Check Individual or Household,which should be the same as checked in Question 13. Unduplicated means count each client _ only once per calendar year. This should match the number served by City in the Actual 2007 column of Question 13. The "total"column will be different from Question 13 since the"other"column is not included due to space limitations. Page 4 16. PROGRAM STAFF (DATA TABLE) In this ata table, record the number of full-time equivalent(FTE)paid staff and volunteers for this program. FTE means a 40-hour week throughout the entire year. For example, if you enter"5"in the box - for Nu ber of Volunteer FTEs; this would mean that you have, on average, five volunteers assisting your progr ai at all times(assuming a 40-hour week): If you ow only the total number of hours contributed by all volunteers for this program, simply divide that n ber by 2,080 to find the total FTE number. For example: 5,000 volunteer hours over the course of a year, divided by 2,080 equals 2.4 FTEs. • 2007 2008 2009 (Actual) (Budgeted) (Projected) Total Number of Staff(FTEs) 2.2 2.5 2.8 Number of Volunteer(FTEs) 1.6 2 2.5 Actui1 Number of Volunteers 30 40 50 17. ROGRAM REVENUE & EXPENSE BUDGETS (DATA TABLE) Progr m Budget: All columns should include total program operating revenue.and expenses. Complete the fol owing data tables with figures indicating the source of program operating funds for 2007 (actual , 2008 (budgeted) and 2009 (projected). Budget amounts should match funding requested • (Quest on 14c) and Question 5. Include an explanation of any significant differences between the revenu-s and expenses by year in Question 12B of your application. . Page 5 Agency: D.A.W.N. 17. P OGRAM REVENUE BUDGET (DATA TABLE) Program: Crisis Line Rev nue Source 2007 2008 2009 (Actual) (Budgeted) (Projected/ • Requested) City Funding(Ge neral Fund & CDBG) • Auburn 3,000 • Burien 2,000 • Covington • Des Moines 2,000 • Enumclaw • Federal Way 3,000 • Kent 3,000 3,000 5,000 • Renton 4,000 4,000 4,000 • SeaTac 3,000 3,000 3,000 • Seattle • Tukwila 2,000 2,000 2,000 • Other(Specify) • Other(Specify) Other Government Funds , v • King County 45,000 45,000 45,000 • Washington State • F deral Government(Specify) • Other(Specify) .... .. ,,.., .....Y;.. Private Sources • 'United Way(grants &designated donors) 15,000 15,000 15,000 • Foundations and Corporations 26,000 30,000 30,000 • Contributions (e.g., Events, Mailings) 42,722 37,544 37,954 • Program Service Fees (User Fees) • Other(Specify) 6,000 10,000 10,000 TOTAL PROGRAM BUDGET 146,722 149,544 161,954 Page 6 17. PROGRAM EXPENSE BUDGET, CONT. Agency: D.A.W.N. (DATA TABLE) Program: Crisis Line T, Expenses . 2007 2008 2009 (Actual) (Budgeted) (Projected) Personnel Costs f.. {.3w: 't, 1 ;; >;`,' ■ Slaries 76,625 78,158 79,721 • Benefits 16,858 17,195 17,539 • Other • Total Personnel 93,483 95,352 97,259 y.. ... „. `OPerating and Supplies i ht < •f, .._ . ,.. ...r.. ,...... . . ......i • Office/Program Supplies/Food 4,653 4,700 4,800 • Rent and Utilities 19,057 19,400 29,770 • Repair and Maintenance ■ Insurance 1,076 1,080 1,100 1 ■ Postage and Shipping 625 640 640 • Printing and Advertising 2,166 2,200 2,200 • Telephone 1,864 1,900 1,900 • Equipment 518 525 525 • Conference/Travel/Training/Mileage 548 570 570 ■ Dues and Fees 613 625 638 1 • Professional Fees/ Contracts 2,853 2,900 2,901 • Direct Asst. to Individuals 1 • Administrative Costs 19,266 19,651 19,651 • Other (specify) . TOTAL PROGRAM EXPENSES 146,722 149,544 161,954 Net Profit(Loss) _ _ (revenue-expenses) = Page 7 Agency:D.A.W.N. 18. SUBCONTRACTS (DATA TABLE) Program: Crisis Line List all the agencies you will be subcontracting with for this program. Provide the agency name in the first column, a description of the contract/service in the second column, and the contract amount in the third column. Do not list agencies you coordinate with on a referral only basis. Indicate not applicable if you do not subcontract for any part of this program. Subcontracting Agency Specific Subcontracted Activities Contract in the Operation of Your Program Amount Page 8 19. APPLICATION CHECKLIST Appl cations missing one or more of the following components or not following these directions may not be re-iewed. Sign and submit the application checklist with your application. ( Contents (Your application should contain each of these items in this order.) IM Application Cover Pages.The top three pages of your application must be a completed copy of the Agency Information and Questions 1-7. A' plication Narrative: Question 8 Organizational Experience(2 page maximum) ❑/Question 9 Need for Your Program(2 page maximum) uestion 10 Proposed Program/Service(6 page maximum) Auestion 11 Long Range Plan(1 page maximum) uestion 12 Budget(2 page maximum) Data Tabl s [Question 13 Number of Individuals/Households Served Z/ uestion 14a-c Performance Measures and Average Cost of Service Question 15 Demographics(from all funding sources) 2/Question 16 Program Staff Question 17.Program Revenue&Expense Budgets IIE Question 18 Subcontracts ❑ Required documentation. Supply one copy of the following required documents with the signed original application. See Part II: City Specific Supplemental Information to determine whether additional copies of the application and required documentation need to be submitted. uestion 19 Required Documentation, including: • Proof of non-profit status • Organizational Chart • Agency/Organization Mission Statement • Board resolution authorizing submittal of the application(may be submitted up to 60 days after application). • List of the current governing board and local board, if applicable, (include name, position/title, city residence, length of time on the Board, and expiration of terms. Note any vacancies.) • Board Meeting Minutes of last three board meetings of governing board and local board as applicable • Annual Budget • Financial Audit Cover Letter • Financial Audit Management Letter • Financial Statement • Verification of Non-Discrimination Policy • Program Intake Form • Sliding Fee Scale J l E Application Check List. (Signed below.) Name: ham° ,�/LCh S� L j . City Specific Supplemental Information.Required in Position: �j�rCu /vG �irCG�orz Part II for applicable City only. G/3D.S x ZS1 Phone#: �.?S �S"/ 41 k--‘)\\ E-mail: C r C. c%Gri/.7asr /fie.4 1 i Signature of Person Completing Checklist DO NOT SUBMIT ANY OTHER MATERIALS WITH THIS APPLICATION Make sure that you carefully check Part II of this application to see what additional attachments each city requires. Page 9 City of Renton Supplemental Questions 2009 and 2010 Funding Applications Please select one result that is the best fit for your program and identify what st ategies will help you achieve that result: DAWN's Crisis Line application addresses the following result, strategies and activities: Result: Residents know about domestic violence and how to keep safe. Strategy A: Increase education about healthy relationships Activities: 1. Prevention Education 2. Workplace Domestic Violence Education Strategy B: Increase access to information about domestic violence Strategy C: Increase the amount of domestic violence services and programs Strategy D: Assure that DAWN's services are culturally competent. 1 Describe how the program outcomes that you have identified will help you achieve the selected result: D I WN's Crisis Line outcomes are: Reduce immediate distress of caller and Diffuse crises for individuals. The availability of a 24/7 Crisis Line which is open to all victims of domestic violence and their families is a vital resource in South King County. The ability to have 24-hour advocacy and support reduces the isolation of the individual seeking support and the trained advocates provide tools and resources to diffuse the crisis that generated the call. It is the only domestic violence crisis line in South King County (a swering about 12,000 calls annually) providing services which reduce crime by assisting victims of domestic violence early in the cycle of violence and also educating friends, family and employers/coworkers of victims about the dynamics of domestic violence and how to assist loved ones in understanding domestic violence and staying safe. Tl1e DAWN 24 hour crisis line is a very effective tool to help improve understanding of domestic violence. It is an accessible and anonymous point of entry into a source of information about a problem which is not often discussed and about which there are many myths and secrets. Victims of domestic violence (and those just seeking information) can take all of the time they need to ask questions, learn about the dynamics of abuse & plan for their next steps. They receive safety planning assistance and can move forward at a ra e which fits their immediate needs and priorities. DAWN has recently expanded the capacity of its crisis line by improving the phone sysI tem. This enhanced phone system can more readily take calls and makes transfers from one agency to another more seamless reducing the need to make multiple calls. This expansion of service will all more individuals to access the line and gain the information they need to know about domestic violence and stay safe. 2 Internal Revenue Service Department of the Treasury District Director Ee/Bo-II(m) '`. Date: 0 7 JUN 1982 Employer Identification Number: 91-1176122 Accounting Period Ending: • recember 31 Form 990 Required: Et Yes D No Dawn - Domestic Abuse Womens Person to Contact: Network. John Sutton P.O. Box 5174 ,Contact Telephone Number: Kent, WA 98031 (206) 442-5106 Dear pplicant: Based on information supplied, and assuming your operations will be as stated in your application for recognition of exemption, we have determined you are exempt from Federal income tax under section 501(c) (3) of the Internal Revenue Code. We have further determined that you are not a private foundation within the ' meaning- of section 509(a) of the Code, because you are an organization described in section 509(a) (1) and 170(b) (1) (A) (vi) . If your sources of support, or your purposes, character, or method of operation change, please let us know so we can consider the effect of the change on your • exempt status and foundation status. Also, you should inform us of all changes in your name or address. Generally, you are not liable for social security (FICA) taxes unless you file a waiver of exemptioncertifizate as provided in the Federal•Insurance Contributions Act. If you have paid FICA taxes without filing the waiver, you should contact us. You are not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA) . Since you are not a private foundation, you are not subject to the excise taxes under Chapter 42 of the Code. However, you are not automatically exempt from other Federal excise taxes. Ifyouu have any questions about excise, employment, or other Federal taxes, please let us know. Donors may deduct contributions to you as provided in section 170 of the Code. Beque4s, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift. tax purposes if they meet. the applicable provisions of sections 2055, 2106, and 2522 ,of the Code. The box checked in the heading of this letter shows whether you mustfile Form 990, Return of Organization Exempt from Income tax. If Yes is checked, you are required to file Form 990 only if your gross receipts each year are normally - more t an $10,000. If a return is required, it must be filed by the 15th day of of the fifth monthafte'r the end of your annual accounting period. The law imposes a penalty o.f. $10 a day, up to a maximum of'$5,000, when a return is filed late, unless there is reasonable cause for the delay. P.O. Box 21224, Seattle, Washington 98111 (over) Letter 947(DO) (5-77). You are not required to file Federal income tax returns unless you are subject to the tax on unrelated business income under section 511 of the Code. If you are subject to this tax, you must file an income tax return on Form 990—T. In this letter, we are not determining whether any of your present or. proposed activities are unrelated trade or business as defined in section 513 of the Code. You need an employer identification number even if you have no employees. If an employer identification number was not entered on your application, a number will be assigned to you and you will be advised of it. Please use that number on all returns you file and in all correspondence with the Internal Revenue Service. Because this letter could help resolve any questions about your exempt status and foundation status, you should keep it in your permanent records. If you have any questions, please contact the person whose name and telephone number are shown in the heading of this letter. Sinc ely yours, Distri Director • Letter 947(D0)(5-77) INN DAWN Lee Drechsel Executive Director ADMINISTRATION HOUSING PROGRAMS FUND DEVELOPMENT COMMUNITY PROGRAMS I I Shannon Carol Sandi Schram Melissa Arias Alicia Glenwell Johnson Sorvig Director of Housing Development Director Director of Community Programs Director of Executive I I Finance Assistant Judit Torrents Rena Brian Lacewell Vicky Tetzlaff Shelter Director Housing Adv. Facilities Assistant Development Associate Karen Paulina Advocate Latina Program Manager Andrea Alanna Volunteers Children's Adv. Housing Adv. Sile Advocate Nancy Spanish Advocate Shelter Belinda Volunteers Housing First Krystal Legal Advocate Crystal Lena Advocate Housing Adv. Joanna Vashon Rugayyah Advocate Carrie Community& Youth Advocate Katrina Advocate Crisis Line Relief Staff Ruth Advocate CAP Volunteers Kaelen Advocate Shelter Relief Bold names=Leadership Team Dawn Employees\Org Charg\08.doc DAWN DAWN's Mission Statement End Domestic Violence by Empowering Survivors and Fostering Communities Where Abuse Is Not Tolerated Domestic Abuse Women's Network P.O. Box 88007 • Tukwila,WA 98138 United Way PartnerAcency TOLL FREE 1-866-286-DAWN (3296) Offices:(425)656-4305 • Fax:(425)656-4309 UNITED WAY V TTY Gen. Info:(425)656-4305 24-Hour Help Line: (425)656-STOP(7867) TTY Shelter: (206)622-1881 E-mail:dawnetwork@dawnonline.org • Web:www.dawnonline.org • • Domestic Abuse Women's Network Board Resolution The board of directors of DAWN, at a meeting held on April 7, 2008 at which a quorum was present, adopted a resolution authorizing staff to submit an application for funding for services to victims of domestic violence to the following cities; Auburn, Burien, Covington, Des Moines, Federal Way, Kent, Renton, SeaTac, Tukwila for the Continuum of Housing Program, Crisis Line and Community Advocacy program. This resolution has been duly recorded and appears in the meeting minutes of the corporation and has not been altered, amended, or revoked. Date: krtl7 7)250g ��^ Q Thomas Kirkpatrick, yys�C.� Board Secretary Domestic Abuse Women's Network P.O. Box 88007 • Tukwila,WA 98138 United Way Partner Agency TOLL FREE 1-866-286-DAWN (3296) Offices: (425)656-4305 • Fax: (425)656-4309 UNITED WAY /7 TTY Gen. Info: (425)656-4305 24-Hour Help Line: (425)656-STOP(7867) p xtrrG TTY Shelter: (206)622-1881 E-mail:dawnetwork@dawnonline.org • Web:www.dawnonline.org " Domestic Abuse Women's Network Board of Directors Name Title Residence Term of Office Jamie Danielson Member Kent WA 2/07 —2/10 Lee Drechsel Executive Director Seattle WA Jan England Member Renton WA 1/05 —9/08 Gary Ernsdorff Member Kent WA 3/07 — 3/10 Aida Fraser-Hammer Member Covington WA 4/06 —4/09 Steven Gattis Member Seattle WA 9/07 — 12/10 Tom Kirkpatrick Secretary Maple Valley WA 11/02 — 11/08 Chris Jahrman Member Maple Valley WA 4/08 — 12/10 Penny Lara Member Bellevue WA 4/08 — 12/10 Diana Olsen Member Kent WA 9/07 — 12/10 Jay Olson Member Renton WA 9/07 — 12/10 Debra Overlin Vice President Seattle WA 7/03 — 7/09 Jen Politakis President Auburn WA 11/02 — 11/08 Ron Price Member Renton WA 4/06 —4/09 Jeff Thompson Treasurer Renton WA 5/06 — 5/09 Kay Tomlinson President Elect Lake Tapps WA 7/03 — 7/09 t \ tai i Board of Directors Meeting February 4, 2008 Present: Jamie Danielson, Lee Drechsel, Tom Kirkpatrick, Diana Olsen, Jay Olson, Jennifer Politakis, Ron Price, Jeff Thompson, Kay Tomlinson; Staff: Melissa Arias, Sandi Schram, Carol Sorvig, Judit Torrents. Excused: Jan England, Gary Ernsdorff, Aida Fraser-Hammer, Steve Gattis, Deb Overlin Kay Tomlinson, president, called the board meeting to order at 5:35 p.m. Note of Appreciation Kay thanked Jennifer Politakis for the four years that she served as President of the Board. Kay presented her with a gift of appreciation and the Board shared Kay's gratitude for her leadership and for serving as Past-President this year. Acceptance of Board Minutes There was one correction to the November 26, 2007, minutes: page 3 2008 Breakfast June 12 not 11. A motion was made and seconded to accept the minutes of the November 26, 2007, minutes as corrected (Jeff Thompson/Tom Kirkpatrick); motion passed. A special welcome was given to Judit Torrents, Shelter Director, who is a new member to the Leadership Team and will be attending the Board meetings. Executive Director's Reports Lee shared the following with the board: O 2007 Data of service: Lee went over "Who we served in 2007". It was decided that a few more statistics and verbiage will be added to the document and then e-mailed to each Board member so that they could share it with others. o Update on changing building code at the Shelter: Lee contacted Julia Patterson who is submitting an application to the county to change the code under an ordnance that covers shelters for domestic violence. This hopefully will be finalized by the end of March compared to 1 — 2 years through the court system. o Grants DAWN has applied for: We have not received the final decision regarding the grant with Sound Mental Health. We are also working on a grant to work with elder abuse. Development Committee Melissa Arias, Development Director, went over the 2008 Development Calendar. Melissa explained each of the sections and talked to the board about where their assistance would be most helpful: Identifying new major donors to tour DAWN's facilities; assist with events; attend donor appreciation events and help identify opportunities for DAWN to participate in community outreach and speaking engagements. Diana Olsen, Breakfast Co-Chair, announced o June 12th is the date of the Breakfast o This year our goal is 350 attendees which mean 35 table hosts. o Each board member was asked to host at least one table. Also please pass along any individual or company that you think might be willing to fill a table. o Norm Stamper. Former Seattle Chief of Police, is the Key Note speaker Board Assessment Kay Tomlinson passed out the report of the Board Assessment which the board completed last December. The consensus was that we are a Stage 4 Board moving toward Stage 5. She asked the Board to review the material this month especially noting the scoring of some of the questions and the comments. At the February board meeting we will discuss the results of the Assessment and at the March Board meeting the Board's next steps. Strategic Plan Lee Drechsel, executive director, thanked the Leadership Team, especially Alicia and Sandi, for their work on the Activities for each Tactic. Lee walked through the Activities with the Board. The Board voiced their thanks to the staff for the fantastic job and for Lee's leadership in designing a Strategic Plan that is a living document. At the March meeting when the Board discusses next steps using the results of the Assessment Tool, we will incorporate the goals and tactics of the Strategic Plan. Meeting adjourned at 7:20 p.m. Written and submitted by Carol Sorvig, Executive Assistant. Domestic Abuse Women's Network Board of Directors Meeting February 25, 2008 Present: Jan England, Aida Fraser-Hammer, Tom Kirkpatrick, Diana Olsen, Jay Olson, Deb Overlin, Jeff Thompson, Kay Tomlinson; Staff: Paulina Alvarado, Melissa Arias, Sandi Schram, Carol Sorvig, Vicky Tetzlaff, Judit Torrents. Excused: Jamie Danielson, Lee Drechsel, Gary Ernsdorff, Steve Gattis, Jennifer Politakis, Ron Price Kay Tomlinson, president, called the board meeting to.order at 5:37 p.m. Acceptance of Board Minutes It was moved and seconded (TK/DO) that the minutes of the February 4, 2008, Board Meeting be accepted as presented in the Board Packet; motion passed Development Committee Deb Overlin, Chair, shared o The invitations to DAWN's Caring Community Reception went out yesterday. The Reception is Wednesday, March 26t , at the Southcenter DoubleTree Hotel, Summit Room, from 4:30 —6:30 p.m. o The Committee is working on 2008 marketing, media, and education opportunities. If any member is aware of an opportunity for DAWN to • participate, speak to a community or business group, or advertise in print please send the information to Melissa. ;. o Three times a year DAWN puts an ad in the Puget Sound Business Journal and Deb circulated the current newspaper with our first ad for the year. o We are looking for members for the Auction Steering Committee. The committee meets once a month on the second Wednesday. We are especially looking for people who are connected to the community, a • business not represented on the board, and/or those who have prior auction experience. Diana Olsen and Jay Olson, co-chairs of DAWN's Annual Breakfast—Wake Up With DAWN 2008—presented: o Looking for table captains. The tables hold 8 people and at the meeting the board filled 14.5 tables which was a good start. Our attendance goal is 350. o When you think of someone who you think would make a good table captain or a company that you feel could fill a table please contact Melissa. Melissa Arias, Development Director, introduced Vicky Tetzlaff, new ( Development Associate. King County D. V. Lobby Day Sandy Schram, Director of Housing, handed out "Tips on How to Lobby" by WSCADV. She described how Lobby Day is set up and went over some of the bills that are being worked on in this session. To be put on the e-mail list for updates on bill you can sign up at actionWSCADV.org Kay announced that Ron Price has taken over as chair of the Legislative Committee. Finance Committee Jeff Thompson, Chair, shared that DAWN has good policies and guidelines in place in the financial department; we recently updated the guidelines for the development of the budget. For the Finance Committee, Jeff presented the list of Authorized Signers for DAWN's Financial Accounts for approval. Jeff noted that no one person can sign for over $3,500. The Board approved the list. Board Assessment For this Board meeting Kay went over the Governance section of the Assessment. She led the Board through the questions, discussing some of the ones that had larger variances in answers. o Some of the variance was felt to be due to lack of information. o Provide copies of Articles of Incorporation for next meeting. o Summary of Committees with job descriptions o Melissa will prepare a brief history of DAWN o Talked about what a Governance Board is o Oversight o Available to Executive Director for strategizing, advice, and support o Delegation o Not involved in day to day operations o Recruitment and Board Orientation o Committee Reports in board packet for Board members information o Highlights or questions at Board meetings o Have full board discussion on questions where there was a variance between 1 and 5 to ensure the board is at the same level. o How can we as a Board move from stage 4 to stage 5? o Why are we here? o How can we meet our mission? o How do we support the staff? o How do we go out to the community to support DAWN? o It was noted that in the book the assessment came from that there are two additional points for Stage Four Organizations: the board and executive director are clear about lines of authority and responsibility; and there is a commitment by both to share power and authority. There was also a discussion on the style of the Board meeting. It was felt that our present style meets our needs— it has structure but not stiff; all members felt free to speak up with their ideas. Meeting adjourned at 7:30 p.m. .1J .i mod } /1,4i41:Z147;1;N w { i; F t:r;;• ii:inw March Board of Directors Meeting April 7, 2008 Present: Lee Drechsel, Gary Ernsdorff, Tom Kirkpatrick, Jay Olson, Deb Overlin, Jennifer Politakis, Ron Price, Jeff Thompson, Kay Tomlinson; Staff: Melissa Arias, Sandi Schram, Carol Sorvig, Judit Torrents. Excused: Jamie Danielson, Jan England, Aida Fraser-Hammer, Steve Gattis, Diana Olsen, Kay Tomlinson, president, called the March Board Meeting to order at 5:40 p.m. Auction Melissa Arias, Development Director, introduced Mardi Newman, Auctioneer, to kick off the 2008 Annual DAWN Auction. Mardi complimented the Board on the success of the Auction last year and encouraged everyone's commitment to grow that success. There are two things to remember to make a successful auction — Temptation and Passion. Temptation is providing attendees with items they cannot resist (procurement) and Passion is inviting a room full of people - passionate about DAWN and the work it does. When the two meet is when we make money. If every person who attended last year.asked a couple to come with them this year, just think of what we could do. Procurements: o Use your creative mind o Wine Frenzy— big bottles (10 — 12) o Increase the number of the live auction items o Increase value of live auction items o Special unique items o Group Party ideas Remember asking a person for an item is a compliment to them. Jen Politakis, co-chair of the auction, shared that the Auction will be held at the Westin Hotel, downtown Seattle, this year on October 18th. The cost will be $150.00/person as we are trying to cover costs with the attendance. Goals are $25,000 in sponsorships and $250,000 in revenue Acceptance of Consent Agenda (includes Board Minutes) It was moved and seconded (TK/RP) that the minutes of the February 25, 2008, Board Meeting be accepted as presented in the Board Packet; motion passed Executive Committee Report Relocation: Kay shared that our current lease expires in 10/2009; however, the property management have asked us to vacate our premises by July '08. They are working with us to find a new location along with Wells Fargo. We have 4 options: o Re-locate within this complex o Move to another rental property o Purchase a location o Stay in present location until 10/09 Lee and the staff were asked to envision where we want to be in ten years in setting our space needs. The Finance and Executive committees will work with the relocation. - Board Assessment: Kay thanked everyone for the discussion at the last meeting on the governance section of the assessment. After further review of the assessment results the committee agreed that: • At each board meeting there will be a 15-minute segment highlighting an area of the organization if possible through a case study: history, programs, financing, how people find out about us, etc. • Committee notes will be added to each board packet. Members may contact committee chair for further discussion on a topic or if it is felt the board needs to discuss.a topic it can be moved to the agenda. • Motions and information will be included in board packet • At the beginning of each year, have a "Kick Off' board meeting to include ❖ review status of strategic plan ❖ Review bylaws/job description of board member •S Review Board's and DAWN'S contract with each other • To ensure each new board member is knowledgeable about board status a one-page comparison of types of board will be prepared and a member of the Executive Committee will be part of the Board Orientation • Consider redoing a board assessment in 2-4 years depending on board turnover . • Have new board members take aboard assessment after 6 months on the board • A process needs to be in place for discussion of new ideas. Board members should present new ideas to the strategic planning committee, Executive Director and/or committee chair. Breakfast Jay Olson, co-chair, shared we have 19 table hosts toward our goal of 40. He encouraged board members to think of groups of people associated with DAWN, companies, friends that could host a table; there are 8 places at each table. The Breakfast is June 12tn Reports and Motions . Board Development For the Board Development Committee, Kay presented Penny Lara and Chris Jahrman for board membership for a three-year term. Penny is the Latino Education Specialist, Access and Outreach Team for Public Health Seattle and King County; Chris Jahrman if Life Company Manager for PEMCO Life Insurance Company. The board unanimously approved both names. Program Committee Top Kirkpatrick, chair, presented the motion to change the name of the Program Committee to Strategic Planning Committee to better label the responsibilities of the committee. Motion passed Finance Committee Jeff Thompson, Treasurer, presented the Resolution for DAWN to submit applications for funding for services to victims of domestic violence in: Auburn, Burien, Covington, Des Moines, Federal Way, Kent, Renton, SeaTac, and Tukwila. Motion passed Jeff shared that the budget is on target for the year. Executive Director's Report Lee Drechsel, shared the auditors were in last week. There are now tougher audit standards for non-profits; we were given 5 pages of controls that we had to detail our process in handling. Lee thanked everyone who attended our Community Thank You Event on March 26th. She thanked Melissa for coming up with the idea and her follow-through. We have received many wonderful comments regarding the evening. DASH (the organization who we have partnered with for housing) has advised us that we will be receiving $25,000 from their employee/board contributions. Wednesday of this week, she and Rita Ryder, President of Strategic Initiatives, YWCA of Seattle-King-Snohomish Counties, are presenting a workshop at the Executive Alliance Non-Profit Conference in Bellevue. Lee encouraged each member to re-ask for the items procured last year for the auction and let Melissa know they are coming. Local or short trips for 2-3 days are very popular as well as parties, wine, and catered events. Meeting adjourned at 7:20 p.m. Written and submitted by Carol Sorvig, Executive Assistant. Domestic Abuse Women's Network 2008 Proposed Budget REVENUE Contributions (Individuals) 81,000 Contributions (Foundations & Corp) 145,000 Kid's Club Funding • 15,000 United Way 151,986 Workplace Designations 120,000 Grants & Contracts Washington State J 496,282 King County 411,483, Cities 126,100 Other 28,800 Special Events 240,000 Miscellaneous 10,000 Interest 35,000 Total Revenue 1,860,651 Expenses Salaries &Wages 1,105,279 Benefits 200,480 Taxes 101,836 Total Payroll Costs (with bonus) 1,407,594 Other Expenses Professional Fees 20,000 Supplies (Office) 12,000 Supplies (Program Materials, Equipment) 20,000 • Supplies (Food & Related) 15,000 Telephone 20,000 Postage & Shipping 10,500 Occupancy (Rent). 66,500 Occupancy(Utilities) 15,000 Occupancy (Maintenance) 12,000 Insurance 14,000 Equipment Rental & Maint. 8,000 Printing 13,520 Advertising 3,000 Mileage &Van expenses 10,500 Professional Development 7,000 Client Assistance 70,000 Dues & Subscriptions 5,500 Interest & Bank Charges 2,000 Fund Raising (Special Events) 75,000 Miscellaneous 13,000 Total Other Expenses 412,520 Reserve Allocation 40,537 Total Expenses $ 1,860,651 Net Revenue 0 77 - _ .,;:..p•ry,-.r,-u'-'r ^,.Y ^^T'^:.F.�.,:x.;'=kZ„-.-r .t';i-^ rT-rrrr<n- - -,nqa+ ri•.- =a t. "a-5 :ir;:g; _ :Ce 3 a�3+ - .fy� .S+rS — _ - l� 2 C - - Y'. lV 1 ^� +-'3i is w 4 H 1 .r;•`�fd + ✓ -�, l '�' �)' k _ 9C_. f '�", nG�', .7�. S .es.::r-c.: z r ,,,o-.c f s •r . .. .._ -w.?I`• _._... ..,`5 pu.z... .,;'�r','�,.: ._.. '..,<.,o.:q' - ,:k.�:;' - P.C= ir•.w,y: �i°'.':...._.:. ..... .... . n..:..ir'..,.,h.;..:r;.-c p.a'a .. . ,c. x`"e.,.. :!� u -.,: •,s yY.,.:•v, _ rw ,.w __., _. ,. ... - . - .. ..., .,.... .T,i�:.....:� PETERSON SULLIVAN`RLLC 601 UNION STREET, SUITE 2300 SEATTLE, V✓ASHINGTON 98101 pril 4, 2007 o the Board of Directors ' omestic Abuse Women's Network S attle, Washington • In planning and performing our audit of the financial statements of Domestic Abuse Women's Network for the year ended December 31, 2006, we considered its internal control over financial reporting in order to determine our auditing procedures for the purpose of.expressirig our opinion on the financial statements and not for the purpose of expressing an opinion on the effectiveness o_ its internal control. Accordingly, we do not'express an opinion on the effectiveness of its internal control. Our consideration of internal control in connection with our audit would not n cessarily disclose'all matters in internal control that might be material weaknesses under st ndards established by the American Institute of Certified Public Accountants. A material weakness is a significant deficiency, or combination of significant deficiencies, that results in more than a remote likelihood that a material misstatement of the financial statements w'11 not be prevented or detected by the entity's internal control. However, we noted no matters - ii olving internal control and its operation that we consider to be material weaknesses as defined a ove. T is report is intended solely for the information and internal use of management and the Board o Directors and is not intended to be and should not be used anyone other than these specified parties. ' • T _= 206.382.7777 • a,,-.:c'; 206.382.7700 • www.pscpa.com , No Management Letter DOMESTIC ABUSE WOMEN'S NETWORK FINANCIAL REPORT DECEMBER 31, 2006 r-` CONTENTS Page INDEPENDENT AUDITORS' REPORT 1 F NANCIAL STATEMENTS STATEMENTS OF FINANCIAL POSITION 2 ( STATEMENT OF ACTIVITIES-2006 3 STATEMENT OF ACTIVITIES-2005 4 STATEMENT OF FUNCTIONAL EXPENSES -2006 5 STATEMENT OF FUNCTIONAL EXPENSES-2005 6 STATEMENTS OF CASH FLOWS 7 NOTES TO FINANCIAL STATEMENTS 8- 12 { t- � t ! i 1 t_fa ,1,,i''.::'0- r' :''' t't t 2 T i ' .➢ -J I, Fes`; ) ,il� 4*., ➢ g 1 t1. \ F 1 .. x tK -N i i { 1 f i .e t y . ry , .-ETERSOTI WINO.tit _ ,.. i _. .. _<,St.f=:a _ _ `1 i . :?-`,. ~4,;-�- i'. > ;..,w ..r.'..v'�. ;;Z . ;T:� 601 UNION S REET; SUITE 2300 SEATTLE, WA HINGTON 98101 INDEPENDENT AUDITORS' REPORT To the Board of Directors Do nestic Abuse Women's Network Se ttle, Washington W have audited the accompanying statements of financial position of Domestic Abuse Women's N twork (a nonprofit corporation) as of December 31, 2006 and 2005, and the related statements of activities, functional expenses, and cash flows for the years then ended. These financial st ements are the responsibility of the Organization's management. Our responsibility is to ex ress an opinion on these financial statements based on our audits. W conducted our audits in accordance with auditing standards generally accepted in the United St tes. Those standards require that we plan and perform the audit to obtain, reasonable as urance about whether the financial statements are free of material misstatement. An audit in ludes examining, on a test basis, evidence supporting the amounts and disclosures•in the financial statements. An audit also includes assessing the accounting principles used and si nificant estimates made by management, as well as evaluating the overall financial statement pr sentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, th financial position of Domestic Abuse Women's Network as of December 31, 2006 and 2005, and the changes in its net assets and its cash flows for the years then ended in conformity with accounting principles generally accepted in the United States. Aril 4, 2007 . 1 1114 qR7 7777 . 7(1A 1R9-7700 0 www_oscoa.com DOMESTIC ABUSE WOMEN'S NETWORK STATEMENTS OF FINANCIAL POSITION December 31, 2006 and 2005 ASSETS 2006 2005 Current Assets Cash $ 616,472 $ 370,901 Contracts and grants receivable, net of allowance for doubtful accounts of$1,409 in both years 181,747 104,787 Pledges receivable 69,365 71,635 Prepaid expenses 17,263 13,719 Land and building held for sale 250,000 Total current assets 884,847 811,042 Property and Equipment Land 44,693 44,693 Shelter buildings 659,603 659,840 Equipment 49,066 42,817 Furniture and fixtures 75,887 75,702 Leasehold improvements 5,377 5,377 834,626 828,429 r Less accumulated depreciation (389,085) (349,276) Net property and equipment 445,541 479,153 Deposits 10,403 10,403 Total assets $ 1,340,791 $ 1,300,598 LIABILITIES AND NET ASSETS Current Liabilities Accounts payable $ 6,383 $ 21,402 Accrued payroll and related expenses 35,043 28,527 Accrued vacation 25,118 20,549 Total current liabilities 66,544 70,478 Net Assets Unrestricted 1,194,139 1,139,391 Temporarily restricted 80,108 90,729 Total net assets 1,274,247 1,230,120 r Total liabilities and net assets $ 1,340,791 $ 1,300,598 See Notes to Financial Statements 2 . DOMESTIC ABUSE WOMEN'S NETWORK STATEMENT OF ACTIVITIES For the Year Ended December 31, 2006 Temporarily Unrestricted Restricted Total Support and Revenue Government grants and contracts $ 725,338 $ - $ 725,338 United Way 69,364 69,365 138,729 Individual contributions 167,016 8,400 175,416 Foundations and corporations 178,330 178,330 S ecial events 132,621 132,621 Less: direct costs (31,370) (31,370) In-kind contributions 170,406 170,406 Miscellaneous 27,675 27,675 Total revenue 1,439,380 77,765 1,517,145 et assets released from restrictions Satisfaction of time and program restrictions 88,386 (88,386) Total support and revenue 1,527,766 (10,621) 1,517,145 Expenses - Irogram services 1,165,897 1,165,897 Management and general 206,710 206,710 11 undraising 100,411 100,411 Total functional expenses 1,473,018 1,473,018 Change in net assets 54,748 (10,621) 44,127 Net assets, beginning of year 1,139,391 90,729 1,230,120 Net assets, end of year $ 1,194,139 $ 80,108 $ 1,274,247 See Notes to Financial Statements 3 DOMESTIC ABUSE WOMEN'S NETWORK STATEMENT OF ACTIVITIES For the Year Ended December 31, 2005 Temporarily Unrestricted Restricted Total Support and Revenue Government grants and contracts $ 681,769 $ - $ 681,769 U ited Way - 69,364 71,635 140,999 Ii dividual contributions 157,260 157,260 B quest 250,000 250,000 Foundations and corporations 232,352 7,334 239,686 Special events 78,242 78,242 Less: direct costs (12,123) (12,123) In-kind contributions 208,777 208,777 Miscellaneous 17,449 17,449 Total revenue 1,683,090 78,969 1,762,059 Net assets released from restrictions Satisfaction of time and program restrictions 72,866 (72,866) Total support and revenue 1,755,956 6,103 1,762,059 Expeenses Program services 1,088,484 1,088,484 anagement and general 170,752 170,752 undraising 87,680 87,680 Total functional expenses 1,346,916 1,346,916 Ch nge in net assets 409,040 6,103 415,143 Net assets, beginning of year 730,351 84,626 814,977 Net assets, end of year $ 1,139,391 $ 90,729 $ 1,230,120 See Notes to Financial Statements 4 DOMESTIC ABUSE WOMEN'S NETWORK STATEMENT OF FUNCTIONAL EXPENSES For the Year Ended December 31, 2006 • Program Services Supporting Services Total Management Total Shelter Community Program and Supporting Operations Advocacy Services General Fundraising Services Grand Total Salaries and wages $ 376,764 $ 263,917 $ 640,681 $ 117,939 $ 52,996 $ 170,935 $ 811,616 Payroll taxes 30,301 23,227 53,528 12,117 3,928 16,045 69,573 Employee benefits 48,194 35,799 83,993 14,981 8,021 23,002 106,995 Total salaries and benefits 455,259 322,943 778,202 145,037 64,945 209,982 988,184 Professional fees 7,362 69,170 76,532 16,093 1,467 17,560 94,092 Supplies 13,544 8,835 22,379 . 1,622 _ _ 730 2,352 24,731 985 3,039 16,833 Telephone 5,935 7,859 13,794 � 087 5,912 Occupancy Postage 2,392 1,433 3,825 2,054 567 1,520 Occupancy 29,535 40,261 69,796 14,736 4,756 19,492 89,288 Equipment,repairs, 453 1,276 6,429 and maintenance 2,416 . 2,737 5,153 823 Printing 107 1,691 1,798 82 3,257 3,339 5,137 • 133 7,871 Transportation 4,790 2,948 7,738 57 76 47,871 Client assistance 39,087 6,279 45,366 Membership dues 1,583 905 2,488 1,040 823 1,863 4,351 Professional development 3,156 1,726 4,882 929 827 1,756 6,638 Advertising 2,065 1,899 3,964 590 514 1,104 5,068 Bank charges and miscellaneous 509 517 1,026 9,635 42 9,677 10,703 15,689 15,689 15,689 In-kind ising expenses 62,951 9,806 - Fundraising 26,950 89,9014,203 14,009 103,910 175,432 173,210 348,642 58,034 35,342 93,376 442,018 Total functional expenses before depreciation - 630,691 496,153 1,126,844 203,071 100,287 303,358 1,430,202 Depreciation 37,576 1,477 39,053 3,639 124 3,763 42,816 Total functional expenses $ 668,267 $ 497,630 $ 1,165,897 $ 206,710 $ 100,411 $ 307,121 $ 1,473,018 See Notes to Financial Statements 5 DOMESTIC ABUSE WOMEN'S NETWORK STATEMENT OF FUNCTIONAL EXPENS` 'S For the Year Ended December 31, 2005 . Program Services Supporting Services - Total Management Total • Shelter Community " Program and Supporting Operations .Advocacy Services General Fundraising Services Grand Total Salaries and wages $ 356,585 $ 234,499 $ 591,084 $ 97,810 $ 44,350 $" 142,160 $ 733,244 Payroll taxes 33,269 21,581 54,850 8,692 3,894 12,586 '- 67,436 Employee benefits 23,881 21,273 45,154 7,289 4,305 11,594 56,748 Total salaries and benefits 413,735 277,353 691,088 113,791 52,549 166,340 857,428 Professional fees 10,056 78,829 88,885 9,648 " 6,074 15,722 104,607 Supplies _ _ 13,768 9,392 23,160 2,640 801 3,441 26,601 Telephone _ - 4,958 8,694 13,652 . 2,644 - -- - - --1,055--- - - - 3,699 - -. __ 17,351 _ Postage 2,769 3,314 6,083 826 3,014 3,840 9,923 Occupancy 31,223 35,734 66,957 19,810 _ 5,838 25,648 92,605 Equipment,repairs; and maintenance 1,492 4,449 5,941 946 416 1,362 7,303 Printing 2,832 9,286 12,118 256 4,294 4,550 16,668 Transportation 5,353 -2,445 7,798 g 1 81 7,879 Client assistance 34,856 • _6,238 41,094 41,094 Membership dues 1,629 779 2,408 3,076 1,062 4,138 6,546 Professional development " 1,236 790 2,026 465 . 225 690 2,3 6 Advertising 510 1,799 2,309 Bank charges and miscellaneous 1,095 1,046 2,141 4,537 1,940 6,477 8,618 Fundraising 5,901 5,901 5,901 In-kind expenses 64.685 24,383 89,068 9,806 4,203 '14,009 " 103,077 176,462 187,178 - 363,640 54,654 34,904 89,558 453,198 Total functional expenses before depreciation 590,197 . 464,531 1,054,728 168,445 87,453 255,898 1,310,626 . Depreciation 32,155 1,601 33,756 2,307 227 2,534 36,290 Total functional expenses ,` $ 622,352 • $ 466,132 $ 1,088,484 $ 170,752 $ 87,680 $ 258,432 $ 1,346,916 See Notes to Financial Statements 6 - DOMESTIC ABUSE WOMEN'S NETWORK STATEMENTS OF CASH FLOWS For the Years Ended December 31, 2006 and 2005 2006 2005 Sash Flows from Operating Activities Cash received from Government agencies $ 648,378 $ 660,290 Donors 464,197 463,065 United Way 140,999 140,999 Interest and other 27,675 17,449 Sale of land and building 272,170 Cash paid to Employees (800,531) (734,834) Vendors (499,670) (404,588) Net cash flows from operating activities 253,218 142,381 lash Flows from Investing Activity Property and equipment acquisitions (7,647) (69,937) Net change in cash 245,571 72,444 Cash,beginning of year 370,901 298,457 Cash, end of year $ 616,472 $ 370,901 ash Flows from Operating Activities Change in net assets $ 44,127 $ 415,143 Adjustments to reconcile change in net assets to net cash flows from operating activities Depreciation 42,816 36,290 Donated land and building held for sale 250,000 (250,000) Donated materials and labor for shelter garage (36,100) Donated furniture and fixtures (2,304) Loss on disposal of fixed assets 747 Change in operating assets and liabilities Contracts and grants receivable (76,960) (21,479) Pledges receivable 2,270 Prepaid expenses (3,544) (6,073) Deposits (700) Accounts payable (15,019) 6,890 Accrued payroll and related expenses 6,516 95 Accrued vacation 4,569 (1,685) Net cash flows from operating activities $ 253,218 $ 142,381 See Notes to Financial Statements 7 NOTES TO FINANCIAL STATEMENTS Note 1. Statement of Purpose and Summary of Significant Accounting Policies Statement of Purpose Domestic Abuse Women's Network ("DAWN") is a not-for-profit Washington State Corporation foMnded in 1980 by a group of volunteers. The mission of DAWN is to end domestic violence by pr 4 viding culturally relevant services that empower battered women and their children, ad ocating for positive changes in the societal systems that impact the lives of women, and fo tering a better understanding of domestic violence through community education. DAWN provides a wide range of free services designed to meet the needs of battered women in Sduth King County. All of the following programs have the goal of increasing safety. Emergency Shelter: DAWN's house provides culturally sensitive confidential shelter for women and children seeking refuge, from domestic violence. Food, clothing, health care, mental health counseling for moms and kids, children's advocacy, emotional support, case management, chemical dependency counseling, support groups, yoga, safety planning, assistance finding transitional and permanent housing, and assistance with transportation are offered free of charge. Clients can stay in shelter for up to 90 days, but the average stay is 25 days. Extended Stay Program: DAWN furnishes 2-bedroom apartment units for moms and kids to stay free for 90 days, to pay the utilities only for the next 90 days, to pay up to 30% of their income as rent the next 90 days, and then transition to permanent housing, in their fully furnished unit, after that. Women's Advocacy: Advocates work in partnership with women who do not reside in a DAWN facility to identify and address a wide variety of needs. Advocates also offer financial literacy training to clients. Women's Support Groups: DAWN offers two weekly English and two weekly Spanish speaking support groups in a supportive atmosphere where the causes and effects of domestic violence are discussed and support is offered to and by the group attendees. Free childcare is provided. Legal Advocacy: Our legal advocate helps clients navigate the complex judicial system by offering information and access to resources for a wide variety of legal matters. The advocate also accompanies women to court. 8 Children's Programs: Kids' Club is a program for any child 6-10 years of age who has witnessed a domestically violent home. It offers an 8 session information/support group designed to help the children understand that the violence is not their fault, how to feel and stay safe, to improve communication with their custodial parent, and to deal with the shame, rage, guilt, isolation and grief that often attend their exposure. The non-abusing caregiver takes part in each session. The shelter-based children's program offers domestic violence education, recreational activities, play times, tutors for school-age children, and access to daycare and schools. The children's advocate provides moms and their children a supportive atmosphere, and access to information and resources to meet children's needs. Community Education: DAWN board members and staff make presentations throughout the year to schools, churches, businesses, civic groups, other agencies and the general public to increase awareness and understanding of domestic violence. Volunteer and Professional Training: During the spring and fall of each year, DAWN offers 50+ hours of domestic violence training to future crisis line volunteers and community professionals. Additional training on topics of interest are also offered. DAWN also conducts at least one 50-hour domestic violence training in Spanish, and offers an 8-hour training for clergy and lay clergy, also in Spanish. Financial Statement Presentation DAWN reports information regarding its financial position and activities according to three c asses of net assets: unrestricted net assets, temporarily restricted net assets, and permanently restricted net assets. DAWN has no permanently restricted net assets, so this class of net assets is not shown on the financial statements. Contributions and certain grants that are received are recorded as unrestricted or temporarily restricted support depending on the existence and/or nature of any donor restrictions. Temporarily Restricted Net Assets Temporarily restricted net assets consist of unexpended contributions restricted for particular purposes or time periods. Temporarily restricted net assets are transferred to unrestricted net assets as expenditures are incurred for the restricted purpose, or as time restrictions are met. I�AWN has elected to show restricted contributions whose restrictions are met in the same eporting period as unrestricted support. Temporarily restricted net assets consist of the following at December 31: 2006 2005 Time restricted (United Way) $ 69,365 $ 71,635 Child therapy 9,585 11,760 _ Shelter improvements 1,158 3,281 Kid's Club 4,053 $ 80,108 $ 90,729 9 C sh/Statements of Cash Flows C sh consists of checking and money market accounts. On occasion, DAWN has cash balances in excess of federally-insured limits. Pro•erty and E stile ment P operty and equipment are recorded at cost when purchased and fair market value when donated. Expenditures for property costing in excess of$1,000 and that significantly increase the e.timated useful life of assets are capitalized. Maintenance and repairs are charged to expense as i curred. Depreciation is provided on the straight-line method over the estimated useful lives of t e assets. I -Kind Contributions substantial number of volunteers, including the members of the Board of Directors, have made s gnificant contributions of time to DAWN." The value of this contributed time does not meet the riteria for recognition under current accounting standards and, accordingly, is not reflected in t e accompanying financial statements. Certain professional services, formally documented and harged to the relevant projects, are recorded in the accompanying financial statements. ontributions 'of materials received in the current year, based on the market value at the time of ontribution, have also been recorded. unctional Allocation of Expenses . he costs of providing the-various programs and other activities have been summarized on a unctional basis in the statement of activities. Accordingly, certain costs have been allocated 7ong the programs and supporting services benefited. dvertisin • dvertising costs are expensed as incurred. Advertising expense was incurred for employment ads ads and publicizing training events. Advertising expense was $5,068 and $2,309 for the years ended December 31, 2006 and 2005, respectively. Income Taxes DAWN is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. Estimates . The preparation of financial statements in conformity with accounting principles 'generally accepted in the United States requires management to make estimates and assumptions that affect certain reported amounts and disclosures. Actual results could differ from .those estimated amounts. 10 Note 2. Receivables Contracts and grants receivable consist of amounts due within one year from governmental agencies. Pledges receivable consists of United Way pledges due within one year. DAWN maintains an allowance for potential losses based upon management's periodic review of D`'WN's experience related to receivable collections. Any receivables written off are charged ag ainst the allowance. Note 3. Land and Building Held for Sale/Bequest During 2005, DAWN received a contribution of land and building as a bequest. DAWN sold this building during 2006. DAWN valued this contribution based on expected realization from sale, which approximated the realized gain on the sale. The contribution represented 15% of revenues for the year ended December 31, 2005. Note 4. Line of Credit DAWN has an unsecured line of credit of $150,000, with interest only payments of prime plus 0 25% (resulting in a rate of 8.5% at December 31, 2006) due monthly. No amounts were outstanding at December 31, 2006 or 2005. The line of credit expires in June 2007. Note 5. Leases DAWN subleases its business office from a bank. The business office sublease expires October 31, 2009, and requires monthly payments of $4,053 increasing to $4,195 for the last ffteen months. Rent payments for this lease are below market value and the difference is iicluded in these financial statements as an in-kind contribution. Future minimum payments on leases for the years ending December 31 are: 2007 $ 48,633 2008 49,342 2009 41,946 $ 139,921 Total rent expense on this and other leases (excluding in-kind amounts) was $77,644 in 2006 and $78,896 in 2005. 11 Note 6. Donated Assets and Services onated assets are reflected as contributions in the accompanying statements at their estimated values at date of receipt. • Donated services have not been recorded in the financial statements unless they meet appropriate accounting 'criteria for recognition. The following, items were onated and recognized for the years ended December 31: 2006 2005 Professional services $ 62,625 $ 69,600 Office rent 1 46,698 46,695 Materials and labor for shelter 36,100 Transitional housing rent 32,400 32,400 Shelter supplies 25,159 22,831 Furniture and fixtures 2,304 Other 1,220 1,151 $ 170,406 $ 208,777 I ote 7. Pension Plan ID AWN participates in a defined contribution pension plan covering substantially all employees. Included in employee benefits are costs relating to this plan of$46,459 and $2,701 for the years ending December 31, 2006 and 2005, respectively. Note 8. Revenue Concentrations DAWN received 27% and 30% of revenue from two funding sources for the year ending December 31, 2006 and 2005, respectively. , 12 DAWN's Employment Non-Discrimination Policies I. Equal Opportunity and Employment Practices DAWN firmly believes in treating.those with whom we come in contact in our work with the same courtesy, professionalism and respect which we would like to be shown ourselves. As a result, the agency strongly supports the concept of Equal Employment Opportunity and courtesy because we believe such philosophies benefit our agency, our employees, our clients, and our entire society. In keeping with this policy, all employees are expected to abide by applicable federal and state laws which prohibit discrimination against any employee or applicant for employment because of race, color, religion, sex (gender), national origin, age, disability, sexual orientation, or status as a qualified disabled veteran or veteran of the Vietnam era or survivor of domestic violence. This includes providing reasonable accommodations to the religious beliefs of others, as well as providing reasonable accommodations for individuals with physical, sensory or mental disabilities. These same principles require our employees to abide by applicable federal and state non-discrimination laws in their dealings with clients, visitors, vendors and suppliers. This includes providing appropriate accommodations for disabled individuals in order to permit them access that is comparable to services and facilities provided to non-disabled individuals. If you receive requests for such accommodations, ask your supervisor for guidance... All employees are expected to take personal responsibility in getting along with others who may have different beliefs, backgrounds, or other differences, and to display common courtesy in their dealings with one another. The common courtesy which we expect of our employees includes:..being careful to avoid teasing and unkind "jokes" or remarks about the personal characteristics of another person; avoiding workplace discussions of issues likely to generate personal disputes (such as religion and sex); avoiding racial, ethnic or sexually-oriented jokes; avoiding invasions of the personal . . privacy of others; and otherwise making genuine efforts to treat others with the same courtesy, consideration and respect with which you would like to receive. It also means avoiding any use of position or power for personal gain or advantage (including using influence or position to engage in any conduct which would constitute harassment under this policy). • There area number of reasons why DAWN places such a strong emphasis on the use of common courtesy in dealing with others. The most important reason is that we believe this approach helps us establish an environment of trust within our agency that makes it much easier to work together productively, and this trust allows us to give one another the benefit of the doubt when problems arise. This environment of trust, in turn, makes it easier to resolve misunderstandings and work out satisfactory solutions if some mistake has been made. . Equal Employment Opportunity Policy It is the policy of DAWN to afford equal opportunity for employment and advancement to all individuals regardless of race, ethnicity, religion, sex, marital status, national origin, age, physical, or mental handicaps, sexual orientation, ancestry, or survivorship of domestic violence. The agency is committed to equal employment opportunity because adherence to these principles is a cornerstone of the American way of life. DAWN adheres to all state, federal, and local laws, including Executive Order 11246, the Equal.Employment Act of 1972, and the Civil Rights Act of 1964. Therefore, this organization will take the following actions to ensure that we will: • recruit, hire and promote for all job classifications without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, ancestry or survivorship of domestic violence. • base decisions on employment so as to further the principles of equal employment opportunity; • ensure that promotion decisions are in accord with the principles of equal , employment opportunity; • provide a working environment that is free from sexual and other types of harassment; and • ensure that all personnel actions such as employment compensation, promotions, demotions, benefits, transfers, layoffs, return from layoff, agency-sponsored training, education, and social and recreation programs will be administered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, ancestry or survivorship of domestic violence. DAWN is committed to providing a working environment free from sexual and all other types of harassment. You are urged to bring any situation that involves discrimination or sexual harassment to the attention of your supervisor or the Human Resource Director immediately. All complaints will be acted upon and held in strictest confidence. American with Disabilities Act(ADA) Policy It is the policy of the agency to adhere to all provisions of the Americans With Disabilities Act (ADA). Therefore, the agency prohibits discrimination against potential or current employees who have, or are perceived to have, a physical, mental or sensory condition that substantially limits one or more major life activities. The agency is committed to employing individuals who are qualified for a position and can perform the essential functions of their job with or without reasonable accommodations. Documents:Employment Non-Discrimination Policy.doc Approved by Board,August 1,2005 DAWN's Non-Discrimination Policies DAWN firmly believes in treating those with whom we come in contact in our work with the same courtesy, professionalism and respect which we would like to be shown ourselves. As a result, DAWN strongly supports the concept of equal • opportunity and courtesy because we believe such philosophies benefit our agency, our employees, our clients, and our entire society. In keeping with this policy, all employees, clients, and volunteers are expected to abide by applicable federal and state laws which prohibit discrimination against any person because of race, color, religion, sex (gender), national origin, age, disability, sexual orientation, or status as a qualified disabled veteran or veteran of the Vietnam era or survivor of domestic violence. This includes providing reasonable accommodations to the religious beliefs of others, as well as providing reasonable accommodations for individuals with physical, sensory or mental disabilities. All employees, clients, and volunteers are expected to take personal responsibility in getting along with others who may have different beliefs, backgrounds, or other differences, and to display common courtesy in their dealings with one another. The common courtesy which DAWN expects includes: being careful to avoid teasing and unkind "jokes" or remarks about the personal characteristics of another person; avoiding discussions of issues likely to generate personal disputes (such as religion and sex); avoiding racial, ethnic or sexually-oriented jokes; avoiding invasions of the personal privacy of others; and otherwise making genuine efforts to treat others with the same courtesy, consideration and respect with which you would like to receive. It also means avoiding any use of position or power for personal gain or advantage (including using influence or position to engage in any conduct which would constitute harassment under this policy). There are a number of reasons why DAWN places such a strong emphasis on the use of common courtesy in dealing with others. The most important reason is that we believe this approach helps us establish an environment of trust within our agency that makes it much easier to work together productively, and this trust allows us to giveone another the benefit of the doubt when problems arise. This environment of trust, in turn, makes it easier to resolve misunderstandings and work out satisfactory solutions if some mistake has been made. Documents:DAWN's Non Discrimination Policy Approved by Board,August 1,2005 DAWN's Problem Solving & Grievance . Procedures • DAWN wants to'assist you to solve problems and settle grievances quickly and fairly,and has developed a procedure to do this. We believe that the best way to settle disagreements and problems is to talk about them and to try to find mutually agreeable solutions to the problems. This procedure can be used for any type of complaint, including the believe that you have been discriminated against because of race, creed, color, sexual orientation, age,gender, national origin, marital status, or the presence of any disability. This procedure can also be used if you think a staff member has treated you in a way that doesn't follow DAWN's policies, procedures and values. SOLVING PROBLEMS If you have a complaint about another client, a staff member, or the program itself, the first step is to talk to that person about it. If you have a disagreement with a particular person, it is best to talk with that person about it. If you can't do that or you feel that the problem isn't settled,talk with a supervisor. The supervisor may talk to you alone, or depending on the situation, may want to talk with both of you together to help you reach an agreement. If you can't agree,the supervisor will make a decision about how to settle the problem. FILING A GRIEVANCE If the problem is not settled in the discussions described above,you may submit a written grievance, which is signed and dated, to the Executive Director. Useful information includes the names of the people involved,the date(s) of the incident,a description of what happened,and other facts that describe the problem. The more information you provide, the better it will be understood. If you need assistance in writing your grievance or in some other way,you may ask your interpreter, a staff member, or someone not receiving services at DAWN to help you. You may also choose a.staff member, family member, friend or other advocate to represent you in the grievance procedure. Give or mail your written grievance to the Executive Director. She will review the information, may conduct and investigation, and may ask to meet with you. She will submit a response to you in writing within 4 weeks of the date she received your written grievance. NO INTAKE/APPLICATION FORM FOR CRISIS LINE (2, 3 i 23 Application Cover Pages (Agency Information and Questions 1 —7) PP g A c en Information fo at o Agency Name: Applicant Name and Address: Agency Director: Domestic Abuse Women's Network , Lee Drechsel,Executive Director PO Box 88007 Name and Title Tukwila,WA 98138 A d 425.656.4305 ext. 251 H It 11 V li L (Area Code)Telephone Lee@dawnonline.org , �., nn�1 425.656.4309 E-mail address(if available) A,Pr, S L U U V` (Area Code)Fax Number Required signatures: By signingNbel�ow,Eyotwerit Althat the information in this application is accurate to the best of your knowledge and�lj�,tpyou hawegread.the application, certifications, and appendixes. (SIGN TURES MUSTi,BE=IL..BLUE=INK)-- �uun 1 // ,Yhe? S. na e of Agency Board President/Date Signature of Agency Director/Date Kay Tomlinson Lee Drechsel Painted Name of Agency Board President Printed Name of Agency Director • Ps;^ 3•_s rogra . >......do 4. 1. Program Name DAWN's Community Advocacy Programs. Contact Person(available to answer specific questions on this application) Lee Drechsel 425.656.4305 Name (Area Code)Telephone Address(if different than above) Lee@dawnonline.org 425.656.4309 • E-mail address(if available) (Area Code)Fax Number 2. Program is New for our agency ❑An Ongoing Program 3. B{ of Description of Program (One sentence) DAWN's Community Advocacy Program provides one-on-one advocacy,peer support groups and youth prevention programs. 4. V6iere are services provided? (If different from agency location) Services are provided onsite at our community program office in South King County(address is confidential for safety and security reasons). Services are also offered at the CSO offices in White Center and Renton. (-- Page 1 5. Total Program Cost: ,ctual 2007: $146,722 , Proposed 2009: $161,954 Projected 2008: $149,544 6. Total City Funds Requested for this Program: City Awarded 2008 Requested 2009* General Fund CDBG Total Requested** Auburn 0 3,000 Federal Way 0 3,000 Kent 3,000 5,000 Renton 4,000 4,000 City Awarded 2008 Requested 2009* General Fund General Fund 1 urien 0 2,000 Covington 0 0 De Moines 0 2,000 Enumclaw 0 0 SeaTac 3,000 3,000 Tukwila 2,000 2,000 *Citie§on a two year funding cycle will renew 2009 awards to 2010 based upon performance and availability of funds. See Part II for city specific information. **Include your total request for Auburn,Federal Way Kent and Renton. The source of funding will be determined by staff. Page 2 7. Agency Contact Sheet Provide the following information for the agency and for the program requesting funds. Agency Contacts General Agency Name: Domestic Abuse Women's Network Address: PO Box 88007 City/State/Zip: Tukwila,WA 98138 Phone/Fax: 425.656.4305/425.656.4309 Agency Web Address: www.dawnonline.org Executive Director Name: Lee Drechsel Title: Executive Director Direct Phone: 425.656.4305 ext.251 E-Mail: Lee@dawnonline.org Development Director Name: Melissa Arias (or Gr t Writer) Title: Development Director Direct Phone: 425.656.4305 ext.258 E-Mail: melissa.arias@dawnonline.org Finance/Accountant Name: Shannon Johnson (persodlI preparing invoices) Title: Director of Finance Direct Phone: 425.656.4305 ext.244 E-Mail: Shannon Johnson Program Contact (Staff contact for contracting, reporting and program implementation) Program Name: DAWN's Community Advocacy Programs Staff Name: Alicia Glenwell Title: Director of Community Programs Direct Phone: 425.656.4305 ext.238 E-Mail: Alicia@dawnonline.org Page 3 Application Narrative Section (Questions 8 — 12) 8. ORGANIZATIONAL EXPERIENCE(2 page maximum) A. Experience: DAWN has been providing services to survivors of domestic violence and their children since 1980. DAWN's House, our 25-bed confidential emergency shelter, was opened in 1992 and has been at capacity since its inception. DAWN has a history of professional, culturally competent, client- focu ed service to the South King County community. In 2007, our organization served a total of 1,725 and plicated clients (a 31% increase over 2006), provided 14,880 bednights, and answered 11,255 crisis calls. In addition to our emergency confidential shelter, DAWN manages 10 transitional housing units and will be opening 5 additional units in Renton, with site-based Section 8 vouchers in July of this year in collaboration with the Downtown Agency to Save Housing. Additionally, in 2007 DAWN began offering extended, in-unit case management to families that are in permanent housing for up to 2.5 years,to ensure that they maintain safe and stable housing. These programs,partnered with DAWN's Safe Nights,provide DAWN'S,Continuum of Housing, which mov s women in lethal domestic violence situations from crisis homelessness to permanent housing— from hopelessness to self-sufficiency. DAWN's Community Programs include: 24-hour crisis line; Community Advocacy (both English and Spanish); Women's Support Groups (both English and Spanish); Legal Advocacy(civil and criminal legal matters and immigration issues); Court Accompaniment; Community Education&Advocacy Training (both English and Spanish); Kids' Club; Middle and High School Education and Outreach Programs; and Safe Moves,(moving and storage services for survivors). B. Operational Structure. DAWN is organized by program(Housing, Community and Administration) and led by the Executive Director, Lee Drechsel. Lee oversees the staff and the day-to- day oversight of the organization.. In addition to an Executive Director, DAWN has a full-time Director of Finance, full-time Development Director, full-time Development Associate, full-time Executive Assistant and a part-time data entry person to assist with client and services data collection. The Each program is also headed by a director. The Finance, Development, Housing, and Community Program Directors report to the Executive Director. The Leadership Team for the housing program is as follows: Lee Drechsel, Executive Director: DAWN's Executive Director has over 25 years of Executive level experience in non-profits. Prior to coming to DAWN Lee was the CEO of Camp Fire USA Central Puget Sound Council from 1991 to 2005. Before her work at Camp Fire she was the founding Executive Director of Eastside Domestic Violence Program and served in that capacity from 1981 to 1991. Lee served as DAWN's Interim Director from September of 2006 until February of 2007 before being appointed to the permanent position. Lee holds a Master's Degree in Counseling from Seattle University and is a Licensed Mental Health counselor in Washington State and is a Certified Fundraising Executive. Over he years, Lee has received numerous awards including the National Amos H. Dudley Professional Leadership Award from Camp Fire USA in 1999; the 1998 "Women of the Year Award"from the Bellevue Business and Professional Women,the "Women of Distinction Award" from the Lake Washington Soroptimist Club in 1991, and the Kirkland Business and Professional Women's Club's "Women in the Spotlight" award in 1991. She also received a one time award for"Exceptional Contribution" from the King County Coalition Against Domestic Violence in 1990. , Alicia Glenwell, DAWN's Community Program Director: DAWN's Director of Community Programs holds B.A. in Psychology from the University of Washington and completed the Leadership and Management Development Series for Non-Profits offered by Highline Community College's Extended Page 4 Learning Program. She has been with DAWN since 2003. Alicia has developed, coordinated and instructed DAWN's 50-hour DV Advocacy Training as well as many other DAWN training events. Alicia supervises all of DAWN's Community Programs. Paulina Alvarado, Latina Program Manager: Paulina came to DAWN in 2006 as a Women's Advocate. In 2008, Paulina took the position as Latina Program Manager. In that capacity she manages all of DAWN's Spanish Speaking Programs, including coordinating and instructing DAWN's 50-hour Advbcacy Training for the Spanish speaking community once a year. Paulina She received her undergraduate degree at the Universidad de Santiago in Chile. Prior to moving to Washington worked for six years in a supervisory capacity for programs that supported the advancement of women in Chile. Paulina also teaches Spanish at South Seattle Community College. A vo'untary Board of Directors who represents a wide range of interests in the community governs DA . DAWN currently has 15 Board members: Seven are men, eight are women,three are survivors of domestic violence, 13%African America, 7% Latino, and 80% Caucasian. Eleven of the Board members live in South King County (Auburn, Covington, Federal Way, Kent, Maple Valley, and Renton), three members live in Seattle, one member lives on the Eastside and one member lives in Pierce County. 13%are under the age of 35; 21% are 36-45; 33% are 46-55; and 33% are 55 or over. The frifteen member Board meets ten times a year(every month except August and December). The role of the Board is to establish the DAWN's long-term mission and goals; to establish and oversee policies regarding the agency's management,to ensure the agency has sufficient financial resources to achieve goals and to hire and manage the Executive. The Board also has a role in community outreach and education. DAWN's board reflects the diversity of the community which DAWN serves and is invested in the agency. All members have a minimum of 80% attendance and 100% of DAWN's Board has made a significant financial contribution to the agency on an annual basis. In between full meetings of the Board,the Executive Committee meets to set the agenda for each Board meeting and address any issues that nil ight be time sensitive. In addition to DAWN's Board of Directors, DAWN has seven standing committees: Executive, Finance, Strategic Planning and Development committees meet monthly; the Legislative, Board Recruitment and Auction committees meet regularly and in response to need. Page 5 9. NEED FOR YOUR PROGRAM (2 page maximum) A. Problem Statement. The Department of Justice reports that one in every four women in the United States will experience domestic violence during their lifetime. The need for services for survivors of domestic violence is furthier supported by local domestic violence prevalence data released in 2006,1 as part of a study conducted on a random sampling of female Group Health Cooperative members throughout Washington State. The study's findings, applied to women living in King County in 20072, reveal that approximately 73,520 women in King County would have experienced partner abuse within the last year and 37,226 women in King County would have experienced physical violence from a partner within the last year. Services for victims and survivors of domestic violence (DV) are in critical need throughout King County, and certainly in South King County, where DAWN is located. The 2005 Communities Count Report published by Public Health- Seattle King County states that the rate of major domestic violence crimes (murder,rape, robbery and aggravated assault) occurred in South King and that DV is on the rise only to South King County. Domestic violence is often under reported: 11,962 incidents of domestic violence were reported to local police and sheriff's departments in King County in 2006.3 The King County Sheriff's website notes that an estimated 148,000 cases of domestic violence go unreported. Dr. Jacquelyn Campbell, an associate dean and professor at Johns Hopkins University and the author of the Danger Assessment lethality risk instrument, found that a survivor's contact with a community-based domestic violence agency significantly reduces a survivor's likelihood of being killed by, her partner. This information in conjunction with the statistics above show the need for community based domestic violence services. Additionally, according to several recent community assessment reports, an estimated 23,000 children age 0-17 in King County witness adults in their home being violent with other family members and often becor}ie victims themselves. Studies suggest that in 30%to 60% of all families where women are being beaten, their children are also victims of abuse. Building Health Communities 2006-2008, reports that witnessing DV can have a lifetime impact. Boys who witness abuse are four times more likely to repeat the ccle. This report calls for agencies to work to prevent children and youth from repeating the cycle of violence and providing early and appropriate interventions once violence has occurred. There are very limited resources for children who have witnessed abuse in South King County. B. Target Population. DAWN's target population is battered women and their children residing in South King County. This sub region is home to approximately 690,000 people. South King County has 41% of the County's children, and 28% of the people of color; 14% of South King County residents are foreign born; 41% of households are considered low income, and 6.1% of families live below the poverty level. South King County has the most single parent homes, highest level of poverty, vast rural areas, and the least amount of human services and human services-specific funding countywide. Local data indicate that 56% of families with children who use TANF and food stamps and apply for free lunches in King County live in South King County. DAWN's community advocacy program clients mirror the statistics set forth above. In 2007, 79% are very low income (according to HUD guidelines); 79%have children; 63% are people of color; 29% are immigrants or refugees; 34% are limited English speaking. 1 Thompson, R., Bonomi, A., Anderson, M., Reid, R., Dimer, J., Carrell, D., and Rivara, F., "Intimate Partner Violence: Prevalence, Types, and Chronicity in Adult Women,"American Journal of Preventive Medicine, 30(6): 2006, 447-457 2 2007 Census Projection: Seattle/King County Public Health 3 Washington State Association of Sheriffs and Police Chiefs www.aspc.org Page 6 10. PROPOSED PROGRAM/SERVICE(2 page maximum) A. Program Description. (1) Services to be provided; DAWN's community advocacy programs are the i� back lone of the work that we do. Survivor services are offered in both English and Spanish and all programs and services are free to clients. Services to youth who have witnessed domestic violence and youth revention programs to prevent future abuse are also critical components to meeting our mission. The p 'mary components are as follows: One-On-One Client Advocacy: Advocates will provide advocacy based counseling Monday through Friday, by appointment, at DAWN's Community Advocacy Program (CAP) office and at both the Renton and White Center CSO offices. This includes basic domestic violence education on Power and Control, the Cycle of Violence, warning signs of abusive behavior and safety planning. Additionally, the advocate will offer community resources, such as domestic violence shelters, transitional and subsidized housing, public assistance benefits,parenting support services, subsidized child care, health insurance, employment and training programs and low-income financial assistance programs, and make appropriate referrals. Legal Advocacy: Legal advocacy services may include a broad array of civil and criminal legal matters. Depending on the client's level of familiarity, the advocate may need to explain unfamiliar and generally misunderstood concepts such as civil versus criminal procedures,public defenders, bail, arraignment,plea bargains, evidence-based prosecution, probation, deferred prosecution, court-ordered treatment programs, Prote Lion, Anti-Harassment and No Contact Orders, parenting plans, child support orders, professionally superiised visitation, child relocation, custodial interference, and temporary ex-parte orders. In addition to this advocacy, legal advocates will also provide court accompaniment for survivors and explain what to expect at the hearing; coaching on ways to best prepare for the hearing; explanation of where to go or how to file documents; as well as emotional and moral support. Peer Support Groups: Support groups provide a safe environment for clients to discuss feelings with others who have shared similar experience. It provides not only emotional support and education but they also allow survivors to feel less isolated. All sessions are lead by trained advocate who guides the group. DAWN is the only provider offering support groups in Spanish in South King County. Youth Programs: This consists of DAWN's Kids' Club and our middle,junior and senior high school violeiice education programs. Kids' Club promotes strategies to help parents and caregivers establish and mainain better communication and nurturing relationships with their children. The eight session group program addresses the children's sense of isolation, shame, rage and the feeling that they are not safe and cann¢t communicate with their custodial parent. The children learn that the violence and family disruption is the fault of the abuser,to deal with the rage and grief, and feel less alone. As a result, children will be better prepared to attend and focus on school responsibilities and behave less • aggressively. Kids' Clubs are conducted in a safe,trusting, and confidential atmosphere where children can share their experience of family violence. DAWN's teen anti-violence curriculum has been part of DAWN's programs for the past twenty years and has been recently expanded to offer a multi-week program based on a national curricula called "Owning Up". This multi-week program is geared toward middle and junior high school students and delves into the societal issues that lead,to gender based violence and provides tools for developing healthy relationships. (2)Methods; DAWN is located in South King County; administrative and program offices are in the Tukwila area. DAWN also operates a satellite office on Vashon Island and has two full-time advocates Page 7 located at both the Renton and White Center CSO Offices. Office hours for DAWN's community office are Mdnday thru Friday 8:30 to 5:30 and Tuesday Evenings from 5:30 to 9:00 pm. (3) Outreach; DAWN staff work to ensure that individuals who may seek our services are aware of our community based programs. Outreach includes: Education and outreach to community resources; Participation in health and community resource fairs; Presentations to civic, church and school groups about its services; and maintaining informational website. DAWN staff attend all of South King County's seven domestic violence task forces and participate on the Boards of the King County Coalition Against and the State Coalition. Additionally, DAWN's 24-hour crisis line is a constant source of referrals to our CAP programs. (4)Addressing the Problem; DAWN is South King County's only agency whose primary mission is to assist survivors and their children. Our holistic approach of one-on-one advocacy, legal advocacy, and supp4t groups empower the survivor to gain and maintain safety, while offering support, resources and tools io achieve this goal. DAWN's community programs not only provide support and resources for the mom but also offer comprehensive programming for her children, who are often the silent victims. (5) Cultural competency; DAWN is deeply committed to providing culturally competent programming. DAWN has a strong cultural competency plan, advocates receive extensive training in cultural sensitivity; and cultural awareness, diversity and cultural competency are called out in all three priority areas of DA 's strategic plan. All of DAWN'S CAP programs are provided in English and Spanish. When a limited English speaker (who does not speak Spanish) enters any one of DAWN's programs they are provided with translated materials, and an interpreter who works one-on-one with the client and is present for support groups and meetings. (6)Significant Change: DAWN does not anticipate making substantial changes to this program in the 200910 funding cycle. We have recently enhanced our youth program as explained above and we continue to look for opportunities to expand and grow DAWN's services for teen survivors. (7) Collaboration: DAWN will continue its strong collaborations and ties with over 50 other provider agencies in King County, including: Public Health, Youth Programs, Culturally Specific Providers, Mental Health Programs, Police &Fire Departments and many others. Page 8 B. Performance Measures and Outcomes: i. Performance Measure: One hour of service received. ii. Outcome: Survivors increase their safety, self-determination and understanding of the dynamics of domestic violence. iii. Indicator: 1.) Survivors Increase knowledge of community services 2.) Survivors strengthen skills and/or strategies that support personal goals. In 2007, 93% of clients who received 5 hours of service are able to develop and implement a short and long term safety plan AND have a good understanding of domestic violence. Page 9 C. Staffing Plan & Evaluation. (1 page maximum) i. Staffing: DAWN's community program is staffed by a total of 7.5 FTEs: 1.0 FTE Director of Community Programs; 1.5 Spanish Speaking Advocates; 1.0 FTE Legal Advocate; 3.0 Women's Advocates; and, 1.0 FTE Youth Advocate. The D. ector of Community Programs (credentials set forth above) oversees all community programs, which includes the coordinating the twice-yearly 50-hour domestic violence advocacy training. Alicia join DAWN in 2003, and is viewed as a community expert on domestic violence. She is a sought after trainer, and serves on the CPS/DV Protocol Development Workgroup and the DV/CPS Best Practices Work Group. DAWN's Latina Program Manager oversees the Latina Program and reports to the Director of Co i unity Programs. She is a native Spanish speaker and has worked for DAWN since 2006. She has extensive training in domestic violence services; coordinates the 50-hour domestic violence advocacy trainixg for the Latino community annually; and is .... DAWN's Legal Advocate has a B.A. in political science with honors and is in her final year of the Master's in Public Administration Program at Seattle University. She has received extensive training in legal issues affecting domestic violence and is a member of the KCCADV's Family Law Work Group. DAWIIN's women's advocates all have extensive training in domestic violence. One hold's a Master's in Familily Therapy from the University of Colorado; One holds a B.A. in Human Services from Phoenix University and the third has a B.A. in Women's Studies and is currently enrolled in the University of Washington's School of Social Work where she is working on her MSW. ii. Evaluation. DAViN evaluates all of its programs to comply with funding obligations but most of all to ensure program effec iveness and quality. Each client participates in filling out a survey upon entering our program and again after a client has received 5 hours of service. A portion of the survey is also filled out by the advo ate that has been working with the client as to their assessment of the clients abilities. All clients compete a pre-and post- survey when entering and exiting the shelter. This survey asks several questions regarding their ability to identify domestic violence, safety plan, and utilize community reso ces. These indicators are summarized twice a year to determine our clients progress toward being able o make a safety plan and how to access community resources. The Board receives this information twiceyearly. If a pattern emerges as a result of this collection that shows a systemic need for change, the organization can react to that need by modifying, adding or subtracting services as necessary. Page 10 D. Differences in Service Delivery by City. (2 page maximum) The cost of DAWN's community program services are the same regardless of the city, county or state that the clients originates from. DAWN's services are provided on a first come, first serve basis. Each client that coitacts DAWN is given equal access to time and resources. DAWN's Community Advocacy Prograim services are offered at our CAP office and in multiple locations throughout South King County including support groups in: Federal Way and Tukwila; Advocates in CSO offices in Renton and White Center; Youth programs in Auburn, Covington, Kent, and Tukwila; and Legal Advocacy at the Regional Justice Center and legal clinics in Federal Way and Auburn. • Page 11 11. LONG RANGE PLAN (1 page maximum) In DAWN's Strategic Plan for the next three years, we have prioritized expanding our Community Advocacy Program to two currently underserved populations: First are those currently with limited access, survivors with English as a second language, survivors who are needing support to deal with court ordered visitation and many survivors in general who are not aware of DAWN's resources. Funding for these targeted needs will come from current government sources and DAWN's increasing unrestricted dollars from our very successful fundraising events. Secondly we will be focusing on expanding out Community Programs for children who have witnessed domestic violence. We have piloted a Children's Early Response Team with Sound Mental Health, which helped survivors and their children connect with all of the community resources which they need to recei4e early support after domestic violence occurs. We will be funding our new Children's groups, prevention curriculum and community collaboration from foundation grants, United Way and DAWN unrestricted funds. i Page 12 12. BUDGET (2 page maximum) A. Budget Request Narrative. The requested funds will be used to partially support the DAWN's Direct or of Community Programs and DAWN's Women's Advocates. B. Changes to Budget. We do not anticipate and significant changes to the budget between 2008-2010. C. C st per Service Unit(s). Cost i'er Service Unit: $ 72 per hour Explanation of how determined: cost per hour is determined by dividing the total program cost by the number of hours of service provided by our Community Advocacy programs. Page 13 Agency:D.A.W.N. Program: Community Advocacy 13. l\UMBER of INDIVIDUALS/HOUSEHOLDS SERVED BY PROGRAM Individuals? or Households? (Check which applies and use for reporting all demographics.) Unduplicated *Unduplicated Number ofall Clients Served by Clients Served All Funding Sources with Funds Requested 2007 2009 2007 % of column 1 2008 2009 (Actual) clients served (Anticipated) (Projected) (City Requested by City Funding Only) Auburi 48 4% 46 46 15 Burien 35 3% 38 38 9 Covington 10 1% 11 11 1 Des Moines 13 1% 12 12 6 I Enumglaw 3 0 Federal Way 43 3% 50 50 45 Kent 78 6% 85 85 65 Renton 76 6% 82 82 65 _ SeaTac 27 2% 28 28 24 Seattle 81 6% 93 95 Tukwia 29 2% 30 30 12 Other 853 66% 875 898 100% Total 1296 (This column must 1350 1375 241 total 100%) *JnduP licated means count each client only once per calendar year per program. This number should match the number of clients by city indicated in the top row of Question 15. Page 1 Agency: D.A.W.N. 14. Performance Measures (Data Table) Program: Community Advocacy 14a. Service with 2009 Requested Funds Proposed Performance Measures as defined below. A) Hour of Service Auburn 150 Burien 90 Covington 0 Des Moines 60 Enumclaw 0 Federal Way 450 Kent 650 Renton 650 - SeaTac 240 Seattle 0 Tukwila 120 14.b Performance:Measures2(109_rProposed:with funds;requested City FundingQnly, Title: Brief explanation: Time spent individually with clients on advocacy, resource referral, A)Hour of Service crisis intervention, Legal advocacy, support groups B) C) Page 2 Agency:D.A.W.N. 14 Performance Measures (Data Table), Cont. Program: Community Advocacy '14c. Average Cost of Service Unduplicated Clients Served with Funds Average Cost of Service Requested 2009 Requested 2009 per Client (Same as last column of (Same as last column of Question 6) Question 13) _. Column 1 divided by Column 2 Example: $5,000 45 $111.11 Auburn $5,000 15 $333.33 Burien 3,000 9 333.33 Covington Des Mol nes 2,000 6 333.33 Enumclaw Federa Way 15,000 45 333.33 Kent 20,000 65. 307.69 Renton 20,000 65 307.69 SeaTac 8,500 24 354.17 Seattle Tukwila 4,000 12 333.33 Page 3 Complete Question 15 with 2007 Actual numbers reported in column 1 of Question 13. Agency: D.A.W.N. 15. Dlemographics (from all funding sources) (Data Table) Program: Community Advocacy ci) cd 0 a) ( I:5: cl::i64*.OSI4p4Ce :, .2to c .. cd o cd 1-4 73 71 0 .) a) -•!C 0 0 '-'',:,;:',-. :'-'.:•.:1.:'::',y.'..,...'-':.: '''Ir: ':-:: a a) ._, a) -5 5 E-4.. an 0 ad czi 1 0 1 ;-' -0 0 a) ) a) . . H Uniltip1iC464' (check one) :'''-.:'•'; ElIndiVinals .:':'': 00 tr) c:, cn cn oo v::, N ,--. cn •ci- N N N 00 N []Households Served in 2007* household Income Level '. •:`,:::„ ',':.-••,.':;f:::„:i,', ,: ..: :': :,::, : ,,„ , •.: :',: , 2.:,,,:,,,::.-: :•:, ,.•,:,::, ::„:, :...: ,,",,,:, ;,,: :,•,;,,..,:-,:, , :,:‘,.:;: •:: i : 30%of'\/ledian or Below 32 30 6 11 1 18 33 55 22 69 25 302 50%of Median or Below 5 2 1 1 3 6 4 3 9 34 80%of Median or Below 3 2 1 1 1 3 2 2 2 2 19 Above 80%of Median 2 4 7 1 1 15 Unknown 8 1 2 21 32 8 1 73 1 TOTAL 48 35 10 13 3 43 78 76 27 81 29 443 ;:':'.:',. '1' 1,::'-',',:',':,: ,:2:::::‘::-.,::,1'; :',:, ,. ::: :...:';''•';:;.•'::H:'-': :': ':' :"•,i.:": •: ; .:::::. ' •: ::'' :": ::''.';'•:::',:'''...: :-;-. :::::,::',':-;',... :'': . ••., ' : '• Male . Female 48 35. 10 13 3 43 78 76 27 81 29 443 TOTAL 48 35 10 13 3 43 78 76 27 81 29 443 Age ',r,;•'.:.'•::.:: : -‘ :f::::::. .,-' .: :::' '".:', ..'`. •'.•:,":, %. 2:.';'', ' ' •-• :'; '. - . : : '•",-: : - : : ''''-::: ' ' ','. ::: '... .. : : '• 0-4 years 5- 12 years 13 - 17 years 1 18-34 years 26 23 4 8 16 25 44 23 48 22 239 35 -54 years 14 11 6 4 1 6 21 22 4 29 6 124 55-74 years 1 2 4 7 75+years Unknown 8 1 2 21 32 8 1 73 TOTAL 48 35 10 13 3 43 78 76 27 81 29 443 :.:Ethnicity ,: i'.:::( •:::., '. :::' :::., ". ::::' '''' ::::':;:;:.:;';': ;:::: ::':;','S':`,.;:',..-'';';', :::''':::::,''':: ',:','::: ,:.' • ';;, : ';:•::'' .::: :::.:, r:..1 ' ';', :: : : ;: ''. .'_:: ' Asian -' - 2 2 6 1 11 Black/African American 3 2 0 2 0 4 3 15 2 20 4 55 Hispanic/Latino(a) 23 16 1 2 0 16. 14 13 16 33 8 142 Native 3 1 1 5 2 12 American/Alaskan Pacific Islander 2 1 1 4 White/Caucasian 12 14 9 8 1 4 28 31 6 22 7 142 Other/Multi-Ethnic 10 1 2 18 32 8 6 77 1 TOTAL 48 35 10 13 3 43 78 76 27 81 29 443 Fe,101p11-10401 ' ' :::: 25 29 7 9 1 16 28 54 23 69 24 285 ticiusehOcf.-- ; '..'.... .b..iabli4 Cpncli00 ,-:::::,' 5 4 5 4 12 10 2 12 5 59 14'!iite'CkEngli4Y:::.'- ''.2:' 24 14 1 1 0 16 16 15 20 28 7 142 Speaking ,:: '-'' - * Check Individual or Household,which should be the same as checked in Question 13. Unduplicated means count each client only once per calendar year. This should match the number served by City in the Actual 2007 column of Question 13. The -- "total"Column will be different from Question 13 since the"other"column is not included due to space limitations. Page 4 16. PROGRAM STAFF (DATA TABLE) In this data table, record the number of full-time equivalent(FTE)paid staff and volunteers for this program. FTE means a 40-hour week throughout the entire year. For example, if you enter"5"in the box for Number of Volunteer FTEs,this would mean that you have,.on average, five volunteers assisting your program at all times (assuming a 40-hour week). If you know only the total number of hours contributed by all volunteers for this program, simply divide that number by 2,080 to find the total FTE number. For example: 5,000 volunteer hours over the course of a year, divided by 2,080 equals 2.4 FTEs. 2007 2008 2009 (Actual) (Budgeted) (Projected) Total Number of Staff(FTEs) 6 6.75 6.75 Number of Volunteer(FTEs) .2 .5 1 Actual Number of Volunteers 3 5 7 17. PROGRAM REVENUE & EXPENSE BUDGETS (DATA TABLE) Program Budget: All columns should include total program operating revenue and expenses. Complete the following data tables with figures indicating the source of program operating funds for 2007 (actual), 2008 (budgeted) and 2009 (projected). Budget amounts should match funding requested (Question 14c) and Question 5. Include an explanation of any significant differences between the - revenues and expenses by year in Question 12B of your application. Page 5 Agency:D.A.W.N. 17. PROGRAM REVENUE BUDGET (DATA TABLE) Program: Community Advocacy Revenue Source 2007 2008 2009 (Actual) (Budgeted) (Projected/ Requested) City unding (General Fund & CDBG) ... • Auburn 5,000 • Burien 3,000 • Covington • Des Moines 2,000 • Enumclaw • Federal Way 3,000 3,000 15,000 • Kent 20,000 • Renton 3,000 3,000 20,000 • SeaTac 3,000 3,000 8,500 • Seattle • Tukwila 4,000 • Other (Specify) • Other (Specify) Othei Government Funds ■ King County 41,606 41,606 41,606 • VJliashington State 140,689 140,689 140,689 • Federal Government(Specify) • Other(Specify) Privalte Sources ▪ United Way (grants & designated donors) 63,588 68,000 65,000 • Foundations and Corporations 85,000 90,000 85,000 • Contributions (e.g., Events, Mailings) 76,614 84,903 45,606 • Piogram Service Fees (User Fees) • Other(Specify) 20,000 20,000 15,000 TOT/kl,PROGRAM BUDGET 436,495 454,198 470,401 Page 6 17. PROGRAM EXPENSE BUDGET, CONT. Agency: D.A.W.N. (DATA TABLE) Program: Community Advocacy - Ex enses 2007 2008 2009 (Actual) (Budgeted) (Projected) Personnel Costs = • Salaries 221,190 230.038 239,239 _ • Benefits 43,916 45,673 47,500 • Other • . Total Personnel 265,106 275,710 286,739 t. t� ..,r_ O eratin and Supplies _ ,-lam' P g PP • Office/Program Supplies/Food 6,820 7,025 N 7,235 • Rent and Utilities 43,452 44,756 46,098 • Repair and Maintenance 800 824 849 • Insurance 2,588 2,666 2,746 • Postage and Shipping 1,236 1,273 1,311 • Printing and Advertising 3,190 3,286 3,384 • Telephone 5,165 5,320 5,480 ■ Equipment 1,900 1,957 2,016 • Conference/Travel/Training/Mileage 8,545 8,708 8,969 • Dues and Fees 1,077 1,109 1,143 • Professional Fees/Contracts 6,140 6,324 6,514 • Direct Asst. to Individuals 3,925 6,000 6,000 • Administrative Costs 86,495 89,087 91,759 • Other(specify) • TOTAL PROGRAM EXPENSES $436,495 $454,198 $470,401 Nelt Profit(Loss) _ _ - (revenue-expenses) = - c Page 7 Agency: D.A.W.N. 18. SUBCONTRACTS (DATA TABLE) Program: List all the agencies you will be subcontracting with for this program. Provide the agency name in the first column a description of the contract/service in the second column, and the contract amount in the third column. Do not list agencies you coordinate with on a referral only basis. Indicate not applicable if you do I of subcontract for any part of this program. Subcontracting Agency Specific Subcontracted Activities Contract in the Operation of Your Program Amount • Page 8 19. APPLICATION CHECKLIST Applications missing one or more of the following components or not following these directions may not be reviewed. Sign and submit the application checklist with your application. Contents (Your application should contain each of these items in this order.) j9 Application Cover Pages.The top three pages of your application must be a completed copy of the Agency Information and Questions 1-7. Applicff Narrative: ' uestion 8 Organizational Experience(2 page maximum) Question 9 Need for Your Program(2 page maximum) 1-1 Question 10 Proposed Program/Service(6 page maximum) Question 11 Long Range Plan 0page maximum) [Question 12 Budget(2 page maximum) Data Tables Question 13 Number of Individuals/Households Served ['Question 14a-c Performance Measures and Average Cost of Service Question 15 Demographics(from all funding sources) [r Question 16 Program Staff [l Question 17 Program Revenue&Expense Budgets El'Question 18 Subcontracts • equired documentation. Supply one copy of the following required documents with the signed original application. See Part II: City Specific Supplemental Information to determine whether additional copies of the application and required documentation need to be submitted. [Question 19 Required Documentation, including: • Proof of non-profit status • Organizational Chart • Agency/Organization Mission Statement • Board resolution authorizing submittal of the application (may be submitted up to 60 days after application). • List of the current governing board and local board, if applicable, (include name, position/title, city residence, length of time on the Board, and expiration of terms. Note any vacancies.) • Board Meeting Minutes of last three board meetings of governing board and local board as applicable • Annual Budget • Financial Audit Cover Letter • Financial Audit Management Letter • Financial Statement • Verification of Non-Discrimination Policy • Program Intake Form • Sliding Fee Scale aApplication Check List. (Signed below.) A.-&/se/ ✓'City Specific Supplemental Information.Required in Name: jee, Part II for applicable City only. Position: `5(‘Ga //vG O/r &/L Phone#: ��,_5"-lp,S6 r/3 S)12S/ E-mail: (ee. �'d/Q/,i-inan & me,, o ij VI), SIL•LR‘4 Signature of Person Completing Checklist • DO NOT SUBMIT ANY OTHER MATERIALS WITH THIS APPLICATION Make sure that you carefully check Part II of this application to see what additional attachments each city requires. Page 9 City of Renton Supplemental Questions 2009 and 2010 Funding Applications Please select one result that is the best fit for your program and identify what strategies will help you achieve that result: DAWN's Community Advocacy Program application addresses the following result, strategies and activities: Result: Residents know about domestic violence and how to keep safe. Strategy A: Increase education about healthy relationships Activities: 1. Prevention Education 2. Programs for children (Kids' Club) and Youth (Owning Up) 3. Workplace Domestic Violence Education 4. Improve in-school domestic violence curricula Strategy B: Increase access to information about domestic violence Activity: 1. Create and use educational materials in languages used by the residents of Renton Strategy C: Increase the amount of domestic violence services and programs Strategy D: Assure that DAWN's services are culturally competent. Describe how the program outcomes that you have identified will help you achieve the selected result: DAWN's Community Advocacy Program outcome is: Survivors increase their safety, self- determination and understanding of the dynamics of domestic violence. DAWN will achieve this outcome by providing the survivor/client with tools they need to make safe choices; this includes education about domestic violence, and community resources. DAWN will also work with the community to assist in their understanding of domestic v olence, healthy relationships and how to help someone who is being abused through: l lid's Club (a support and education program for kids 6-10 and their non-abusing parent); outreach and education to the community at large (in 2007 DAWN staff provided DV education to over 4,000 individuals); work place violence training (in 2007 DAWN staff provided training to businesses including Weyerhaeuser, the Port of Seattle, and ConAm Group); and by working to bring research-backed dating violence curricula to youth in the Renton area through partnerships with youth service providers and middle and high schools. In addition to our one-on-one client work and our education, we are constantly working to ekpand the capacity of our services in order to serve the ever-growing demand. In 2007 DAWN increased its service capacity by 30% and we anticipate additional growth in 2008; by expanding DAWN's services, service hours, and service locations, we are again working to ensure that Renton residents know about domestic violence and how to stay safe. Finally, DAWN is 100%'committed to equal access to its CAP services for persons of all ages, abilities, cultures, and languages. DAWN has recently received funding for training to better serve Immigrant and Refugee populations to navigate the legal system. Treating c Tents with respect and dignity is built into all we do. DAWN has adopted a non- discrimination policy that applies to all DAWN clients, staff, outside providers, volunteers, a d board members; a policy to ensure that no individual regardless of age, ability, c Iture, or language is provided anything less than the highest level of service and professionalism. DAWN is continually implementing environmental as well as programmatic protocols to ensure that all DAWN clients, visitors, and staff feel welcome and able to have their needs met in a culturally appropriate manner. DAWN staff and board evaluate our progress toward cultural competency several times a year to ensure that we are continuing to adapt and grow in meeting the needs of our very diverse community. This commitment will enhance our ability to ensure that all residents, not just those who are of the cultural mainstream, will know about domestic violence and how to stay safe. , r Intern4I Revenue Service - Department of, the Treasury District Director _. EP/Eo-II(EI3) Date: 0 7 JUN 1982 Employer Identification Number: __ ' 91-1176122 t Accounting Period Ending: ( December 31 Form 990 Required: i Yes 0 No r Dawn — Domestic Abuse Womens Person to Contact: Network John Sutton P.O. Box 5174 Contact Telephone Number: Kent WA 98031 • (206) 442-5106 Dear pplicant: Based on information supplied, and assuming your operations will be as stated . in yo.ir application for recognition of exemption, we have determined you are exempt from Federal income tax under section 501(c) (3) of the Internal Revenue Code. e have further determined that you are not .a private foundation within the " meaning of section 509(a) of the Code, because you are an organization described in se tion 509(a) (1) and 170(b) (1) (A) (vi) . f your sources of support, or your purposes, character, or method of operation chang please let us know so we can consider the effect of the change on your ' exempit�status and foundation. status. Also, you should inform us of all changes in your hame or address. Generally, you are not liable for social security (FICA) taxes unless you file a wai er of exemption certificate as provided in the Federal Insurance Contributions Act. f you have paid FICA taxes without filing the waiver, you should contact us. You a, e not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA) . ince you are not a private foundation, you are not subject to the excise taxes under Chapter 42 of the Code. However, you are not automatically exempt from other Federl excise taxes. If" you have any questions about excise, employment, or other Federal taxes, please let us know. ' Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, ' transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 ,of the. Code. The box 'checked in the heading of'this letter shows whether you must file Form 990, Return of Organization Exempt from Income tax. If Yes is checked, you are required to file Form 990 only if your gross receipts each' year 'are normally more than $10,000. If a' return 'is required, it must be filed by the 15th day of of thie fifth month after the end of your annual accounting period. The law imposes a pe alty of $10 a day, up to a maximum of '$5,000, when a return is' filed late, unle s there is reasonable cause for the delay. ' ( ', P.O. Box 21224, Seattle, Washington 98111 (over) Letter 947(DO) (5-77) You are not required to file Federal income tax returns unless you are subject to the tax on unrelated business income under section 511 of. the Code. If you are subject to this tax, you must file an income tax return on Form 990—T. In this letter, we are not determining whether any of your present or proposed activities are unrelated trade or business as defined in section 513 of the Code. You need an employer identification number even if you have no employees. If an employer identification number was not entered on your application, a number will be assigned to you and you will be advised of it. Please use that. number on all returns you file and in all correspondence with the Internal Revenue Service. Because this letter could help resolve any questions about your exempt status and foundation status, you should keep it in your permanent records. If you have any questions, please contact the person whose name and telephone number are shown in the heading of this letter. Sinc ely yours, L Distri Director • Letter 947(DO)(5-77) Lee Drechsel Executive Director ADMINISTRATION HOUSING PROGRAMS FUND DEVELOPMENT COMMUNITY PROGRAMS I I Shannon Carol • Sandi Schram Melissa Arias Alicia Glenwell Johnson Sorvig Director of Housing Development Director Director of Community Programs Director of Executive I t Finance Assistant - Judit Torrents Rena Brian Lacewell Vicky Tetzlaff Shelter Director -Housing Adv. Facilities Assistant Development Associate Karen Pauline Advocate Latina Program Manager Andrea Alanna Volunteers Children's Adv. Housing Adv. Sile Advocate Nancy • Spanish Advocate Shelter Belinda Volunteers Housing First Krystal Legal Advocate Crystal Lena - - - Advocate Housing Adv. - Joanna Vashon Ruqayyah - Advocate - Carrie Community& Youth Advocate Katrina - Advocate Crisis Line • Relief Staff Ruth Advocate - - -- - • CAP Volunteers Kaelen Advocate Shelter Relief Bold names=Leadership Team Dawn Employees\Org Charg\08.doc DAWN DAWN's Mission Statement End Domestic Violence by Empowering Survivors and Fostering Communities Where Abuse Is Not Tolerated Domestic Abuse Women's Network P.O. Box 88007 • Tukwila,WA 98138 United Way PartnerPAency TOLL FREE 1-866-286-DAWN (3296) Offices: (425)656-4305 • Fax: (425)656-4309 UNITED WAY p TTY Gen. Info: (425)656-4305 24-Hour Help Line: (425)656-STOP(7867) eg TTY Shelter: (206)622-1881 °yNe$.r, E-mail: dawnetwork@dawnonline.org • Web:www.dawnonline.org j�yxa. Pi Domestic Abuse Women's Network Board Resolution The board of directors of DAWN, at a meeting held on April 7, 2008 at which a quorum was present, adopted a resolution authorizing staff to submit an application for funding for services to victims of domestic violence to the following cities; Auburn, Burien, Covington, Des Moines, Federal Way, Kent, Renton, SeaTac, Tukwila for the Continuum of Housing Program, Crisis Line and Community Advocacy program. This resolution has been duly recorded and appears in the meeting minutes of the corporation and has not been altered, amended, or revoked. Date: Att l 1 c 'Zoo? VThomas Kirkpatrick, - 'w"` Board Secretary bomestic Abuse Women's Network P.O. Box 88007 • Tukwila,WA 98138 United Way PartnerA ency TOLL FREE 1-866-286-DAWN(3296) Offices: (425)656-4305 • Fax:(425)656-4309 UNITED WAY (� TTY Gen. Info: (425)656-4305 24-Hour Help Line: (425)656-STOP(7867) 0 fKt uN �1�/1 TTY Shelter: (206)622 1881 ' ,vy E-mail:dawnetwork@dawnonline.org • Web:www.dawnonline.org fetyNet. Domestic Abuse Women's Network Board of Directors \lame Title Residence Term of Office Jamie Danielson Member Kent WA 2/07—2/10 Lee Drechsel Executive Director Seattle WA Jan England Member Renton WA 1/05—9/08 Gary Ernsdorff Member Kent WA 3/07—3/10 Vida Fraser-Hammer Member Covington WA 4/06—4/09 Steven Gattis Member Seattle WA 9/07 — 12/10 Tom Kirkpatrick Secretary Maple Valley WA 11/02— 11/08 Chris Jahrman Member Maple Valley WA 4/08— 12/10 Penny Lara Member Bellevue WA 4/08— 12/10 Diana Olsen Member Kent WA 9/07 — 12/10 Jay Olson Member Renton WA 9/07— 12/10 Debra Overlin Vice President Seattle WA 7/03—7/09 Jen Politakis President Auburn WA 11/02— 11/08 Ron Price Member Renton WA 4/06—4/09 Jeff Thompson Treasurer Renton WA 5/06—5/09 Kay Tomlinson President Elect Lake Tapps WA 7/03—7/09 • • „trtfit::, Nit! Board of Directors Meeting • February 4, 2008 - Present: Jamie Danielson, Lee Drechsel, Tom Kirkpatrick, Diana Olsen, Jay Olson, Jennifer Politakis, Ron Price, Jeff Thompson, Kay Tomlinson; Staff: Melissa Arias, Sandi Schram, Carol Sorvig, Judit Torrents. Excused: Jan England, Gary Ernsdorff, Aida Fraser-Hammer, Steve Gattis, Deb Overlin Kay Tomlinson, president, called the board meeting to order at 5:35 p.m. Note of Appreciation Kay thanked Jennifer Politakis for the four years that she served as President of the Board. Kay presented her with a gift of appreciation and the Board shared Kay's gratitude for her leadership and for serving as Past-President this year. Acceptance of Board Minutes There was one correction to the November 26, 2007, minutes: page 3 2008 Breakfast June 12 not 11. A motion was made and seconded to accept the minutes of the November 26, 2007, minutes as corrected (Jeff Thompson/Tom Kirkpatrick); motion passed. A special welcome was given to Judit Torrents, Shelter Director, who is a new member to the Leadership Team and will be attending the Board meetings. Executive Director's Reports Lee shared the following with the board: O 2007 Data of service: Lee went over"Who we served in 2007". It was decided that a few more statistics and verbiage will be added to the document and then e-mailed to each Board member so that they could share it with others. o Update on changing building code at the Shelter: Lee contacted Julia Patterson who is submitting an application to the county to change the code under an ordnance that covers shelters for domestic violence. This hopefully will be.finalized by the end of March compared to 1 — 2 years through the court system. o Grants DAWN has applied for: We have not received the final decision regarding the grant with Sound Mental Health. We are also working on a grant to work with elder abuse. ( Development Committee Melissa Arias, Development Director, went over the 2008 Development Calendar. Melissa explained each of the sections and talked to the board about where their assistance would be most helpful: Identifying new major donors to tour DAWN's facilities; assist with events; attend donor appreciation events and help identify opportunities for DAWN to participate in community outreach and speaking engagements. Diana Olsen, Breakfast Co-Chair, announced o June 12th is the date of the Breakfast o This year our goal is 350 attendees which mean 35 table hosts. o Each board member was asked to host at least one table. Also please pass along any individual or company that you think might be willing to fill a table. o Norm Stamper. Former Seattle Chief of Police, is the Key Note speaker Board Assessment Kay Tomlinson passed out the report of the Board Assessment which the board completed last December. The consensus was that we are a Stage 4 Board moving toward Stage 5. She asked the Board to review the material this month especially noting the scoring of some of the questions and the comments. At the February board meeting we will discuss the results of the Assessment and at the March Board meeting the Board's next steps. Strategic Plan Lee Drechsel, executive director, thanked the Leadership Team, especially Alicia and Sandi, for their work on the Activities for each Tactic. Lee walked through the Activities with the Board. The Board voiced their thanks to the staff for the fantastic job and for Lee's leadership in designing a Strategic Plan that is a living document. At the March meeting when the Board discusses next steps using the results of the Assessment Tool, we will incorporate the goals and tactics of the Strategic Plan. Meeting adjourned at 7:20 p.m. Written and submitted by Carol Sorvig, Executive Assistant. Domestic Abuse Women's Network Board of Directors Meeting February 25, 2008 Present: Jan England, Aida Fraser-Hammer, Tom Kirkpatrick, Diana Olsen, Jay Olson, Deb Overlin, Jeff Thompson, Kay Tomlinson; Staff: Paulina Alvarado, Melissa Arias, Sandi Schram, Carol Sorvig, Vicky Tetzlaff, Judit Torrents. Excused: Jamie Danielson, Lee Drechsel, Gary Ernsdorff, Steve Gattis, Jennifer Politakis, Ron Price Kay Tomlinson, president, called the board meeting to order at 5:37 p.m. Acceptance of Board Minutes It was moved and seconded (TK/DO) that the minutes of the February 4, 2008, Board Meeting be accepted as presented in the Board Packet; motion passed Development Committee Deb Overlin, Chair, shared o The invitations to DAWN's Caring Community Reception went out yesterday. The Reception is Wednesday, March 26t , at the Southcenter DoubleTree Hotel, Summit Room, from 4:30 —6:30 p.m. o The Committee is working on 2008 marketing, media, and education opportunities. If any member is aware of an opportunity for DAWN to participate, speak to a community or business group, or advertise in print please send the information to Melissa. o Three times a year DAWN puts an ad in the Puget Sound Business Journal and Deb circulated the current newspaper with our first ad for the year. o We are looking for members for the Auction Steering Committee. The committee meets once a month on the second Wednesday. We are especially looking for people who are connected to the community, a business not represented on the board, and/or those who have prior auction experience. Diana Olsen and Jay Olson, co-chairs of DAWN's Annual Breakfast—Wake Up With DAWN 2008—presented: o Looking for table captains. The tables hold 8 people and at the meeting the board filled 14.5 tables which was a good start. Our attendance goal is 350. o When you think of someone who you think would make a good table captain or a company that you feel could fill a table please contact Melissa. Melissa Arias, Development Director, introduced Vicky Tetzlaff, new Development Associate. King County D. V. Lobby Day Sandy Schram, Director of Housing, handed out "Tips on How to Lobby" by WSCADV. She described how Lobby Day is set up and went over some of the bills that are being worked on in this session. To be put on the e-mail list for updates on bill you can sign up at action@WSCADV.orq Kay announced that Ron Price has taken over as chair of the Legislative Committee. Finance Committee Jeff Thompson, Chair, shared that DAWN has good policies and guidelines in place in the financial department; we recently updated the guidelines for the development of the budget. For the Finance Committee, Jeff presented the list of Authorized Signers for DAWN's Financial Accounts for approval. Jeff noted that no one person can sign for over $3,500. The Board approved the list. Board Assessment For this Board meeting Kay went over the Governance section of the Assessment. She led the Board through the questions, discussing some of the ones that had larger variances in answers. o Some of the variance was felt to be due to lack of information. o Provide copies of Articles of Incorporation for next meeting. o Summary of Committees with job descriptions o Melissa will prepare a brief history of DAWN o Talked about what a Governance Board is o Oversight o Available to Executive Director for strategizing, advice, and support o Delegation o Not involved in day to day operations o Recruitment and Board Orientation o Committee Reports in board packet for Board members information o Highlights or questions at Board meetings o Have full board discussion on questions where there was a variance between 1 and 5 to ensure the board is at the same level. o How can we as a Board move from stage 4 to stage 5? o Why are we here? o How can we meet our mission? o How do we support the staff? o How do we go out to the community to support DAWN? o It was noted that in the book the assessment came from that there are two additional points for Stage Four Organizations: the board and executive director are clear about lines of authority and responsibility;and there is a commitment by both to share power and authority. There was also a discussion on the style of the Board meeting. It was felt that our present style meets our needs- it has structure but not stiff; all members felt free to speak up with their ideas. Meeting adjourned at 7:30 p.m. , i-\ . ---,s.‘ C,f,i,17,4',',114::ib.61's. , $�e {4,,r.A 5 J CC-.,, gk-ija,,,'‘,-.FAi$t„,41K1Xt March Board of Directors Meeting April 7, 2008 , Present: Lee Drechsel, Gary Ernsdorff, Tom Kirkpatrick, Jay Olson, Deb Overlin, Jennifer Politakis, Ron Price, Jeff Thompson, Kay Tomlinson; Staff: Melissa Arias, Sandi Schram, Carol Sorvig, Judit Torrents. Excused: Jamie Danielson, Jan England, Aida Fraser-Hammer, Steve Gattis, Diana Olsen, Kay Tomlinson, president, called the March Board Meeting to order at 5:40 p.m. Auction Melissa Arias, Development Director, introduced Mardi Newman,Auctioneer, to kick off the 2008 Annual DAWN Auction. Mardi complimented the Board on the success of the Auction last year and encouraged everyone's commitment to grow that success. There are two things to remember to make a successful auction — Temptation and Passion. Temptation is providing attendees.with items they cannot resist (procurement) and Passion is inviting a room full of people_ passionate about DAWN and the work it does. When the two meet is when we make money. If every person who attended last year asked a couple to come with them this year, just think of what we could do.. Procurements: ' . ' o Use your creative mind o Wine Frenzy— big bottles (10 — 12) o Increase the number of the live auction items - o Increase value of live auction items o Special unique items o Group Party ideas. Remember asking a person for an item is a compliment to them. Jen Politakis, co-chair of the auction, shared that the Auction will be held at the Westin Hotel,downtown Seattle, this year on October 18th. The cost will be $150.00/person as we are trying to cover costs with the attendance. Goals are $25,000 in sponsorships and $250,000 in revenue Acceptance of Consent Agenda (includes Board Minutes) It was moved and seconded (TK/RP) that the minutes of the February 25, 2008, Board Meeting be accepted as presented in the Board Packet; motion passed Executive Committee Report Relocation: Kay shared that our current lease expires in 10/2009; however, the property management have asked us to vacate our premises by July '08. They are working with us to find a new location along with Wells Fargo. We have 4 options: o Re-locate within this complex o Move to another rental property o Purchase a location o Stay in present location until 10/09 Lee and the staff were asked to envision where we want to be in ten years in. setting our space needs. The Finance and Executive committees will work with the relocation. Board Assessment: Kay thanked everyone for the discussion at the,last meeting on the governance section of the assessment. After further review of the assessment results the committee agreed that: • At each board meeting there will be a 15-minute segment highlighting an area of the organization if possible through a case study: history, programs,financing, how people find out about us, etc. • Committee notes will be added to each board packet. Members may contact committee chair for further discussion on a topic or if it is felt the board needs to discuss.a topic it can be moved to the agenda. • Motions and information will be included inboard packet • At the beginning of each year, have a "Kick Off' board meeting to include ❖ review status of strategic plan •S Review bylaws/job description of board member ❖ Review Board's and DAWN's contract with each other • To ensure each new board member is knowledgeable about board status a one-page comparison of types of board will be prepared and a member of the Executive Committee will be part of the Board Orientation • Consider redoing a board assessment in 2-4 years depending on board turnover • Have new board members take a board assessment after 6 months on the board • A process needs to be in place for discussion of new ideas. Board members should present new ideas to the strategic planning committee, Executive Director and/or committee chair. Breakfast . Jay Olson, co-chair, shared we have 19 table hosts toward our goal of 40. He encouraged board members to think of groups of people associated with DAWN, companies, friends that could host a table; there are 8 places at each table. The Breakfast is June 12th Reports and Motions Board Development For the Board Development Committee, Kay presented Penny Lara and Chris Jahrman for board membership for a three-year term. Penny is the Latino Education Specialist, Access and Outreach Team for Public Health Seattle and King County; Chris Jahrman if Life Company Manager for PEMCO Life Insurance Company: The board unanimously approved both names. Program Committee Top Kirkpatrick, chair, presented the motion to change the name of the Program Committee to Strategic Planning Committee to better label the responsibilities of the committee. Motion passed Finance Committee . Jeff Thompson, Treasurer, presented the Resolution for DAWN to submit applications for funding for services to victims of domestic violence in: Auburn, Burien,.Covington, Des Moines, Federal Way, Kent, Renton, SeaTac, and Tukwila. Motion passed Jeff shared that the budget is on target for the year. Executive Director's Report Lee Drechsel, shared the auditors were in last week. There are now tougher audit standards for non-profits; we were given 5 pages of controls that we had to detail our process in handling. Lee thanked everyone who attended our Community Thank You Event on March 26th. She thanked Melissa for coming up with the idea and her follow-through. We have received many wonderful comments regarding the evening. DASH (the organization who we have partnered with for housing) has advised us that we will be receiving $25,000 from their employee/board contributions. . Wednesday of this week, she and Rita Ryder, President of Strategic Initiatives, YWCA of Seattle-King-Snohomish Counties, are presenting a workshop at the Executive Alliance Non-Profit Conference in Bellevue: . Lee encouraged each member to re-ask for the items procured last year for the auction and let Melissa know they are coming. Local or short trips for 2-3 days • are very popular as well as parties, wine, and catered events. Meeting adjourned at 7:20 p.m. Written and submitted by Carol Sorvig, Executive Assistant. Domestic Abuse Women's.Network 2008 Proposed Budget REVENUE Contributions (Individuals) 81,000 Contributions (Foundations &Corp) , 145,000 Kid's Club Funding 15,000 United Way 151,986 Workplace Designations 120,000 Grants & Contracts Washington State 496,282 King County 411,483 Cities 126,100 Other 28,800 Special Events 240,000 Miscellaneous 10,000 Interest 35,000 Total Revenue 1,860,651 Expenses Salaries &Wages 1,105,279 Benefits 200,480 Taxes 101,836 Total Payroll Costs (with bonus) 1,407,594 f.-. Other Expenses . Professional Fees 20,000 Supplies (Office) 12,000 Supplies (Program Materials, Equipment) 20,000 Supplies (Food & Related) 15,000 Telephone 20,000 Postage & Shipping 10,500 Occupancy (Rent) 66,500 Occupancy (Utilities): 15,000 Occupancy (Maintenance) 12,000 Insurance 14,000 Equipment Rental & Maint. 8,000 Printing 13,520 Advertising 3,000 Mileage &Van expenses 10,500 Professional Development 7,000 Client Assistance 70,000 Dues & Subscriptions 5,500 Interest& Bank.Charges 2,000 Fund Raising (Special Events) 75,000 Miscellaneous 13,000 Total Other Expenses 412,520 Reserve Allocation 40,537 Total Expenses $ 1,860,651 . Net Revenue 0 _ J,- .�� �-�- ter. _ -� P' �tr. i. — ' tj'' { - I, .`tic,` ., : 1 ; r e- h,fit_ 'gib+ i, al PETERSON SULLIVAN PLLC - L,RT REST 5'Uk3.l!t, Ie,,,:t4.:•0.i.k'i';r' - 601 UNION STREET, SUITE 2300 SEATTLE, WASHINGTON 98101 pril 4, 2007 To the Board of Directors ' Domestic Abuse Women's Network eattle, Washington In planning and performing our audit of the financial statements of Domestic Abuse Women's Network for the year ended December 31, 2006, we considered its internal control over financial reporting in order to determine our auditing procedures for the purpose of expressing our opinion of the financial statements and not for the purpose of expressing an opinion on the effectiveness o its internal control. Accordingly, we do not express an opinion on the effectiveness of its internal control. Our consideration of internal control in connection with our audit would not nbcessarily disclose all matters in internal control that might be material weaknesses under standards established by the American Institute of Certified Public Accountants. ( A material weakness is a significant deficiency, or combination of significant deficiencies, that results in more than a remote likelihood that a material misstatement of the financial statements inI not be prevented or detected by the entity's internal control. However, we noted no matters volving internal control and its operation that we consider to be material weaknesses as defined above. T is report is intended solely for the information and internal use of management and the Board o Directors and is not intended to be and should not be used anyone other than these specified p rties. .). -sue. 5� -=— PL—L c_ tl r`<':< 206.382.I777 • ;'. ''1 206.382.7700 • www.pscpa.com No Management Letter DOMESTIC ABUSE WOMEN'S NETWORK FINANCIAL REPORT DECEMBER 31, 2006 • CONTENTS Page INDEPENDENT AUDITORS' REPORT 1 FINANCIAL STATEMENTS STATEMENTS OF FINANCIAL POSITION 2 STATEMENT OF ACTIVITIES—2006 3 STATEMENT OF ACTIVITIES—2005 4 STATEMENT OF FUNCTIONAL EXPENSES —2006 5 STATEMENT OF FUNCTIONAL EXPENSES —2005 6 STATEMENTS OF CASH FLOWS 7 NOTES TO FINANCIAL STATEMENTS 8 - 12 : . .i. r ..-..tea .:. - - - t1 - ',17:.-;,-;!:'!;,1:::,,,,4 :',1 1 irk 9 i R 5 } 3, Y £ , [ .. i .r. ..., 3 w-.,PETERSON SULLIVAN-RLL-C 1 ,,r-x.i_a -:,---...-4,— ._ s--;;;..0 rr• r E'4'n :4.,,.,y-*' - yr: -"tY � c 1•04. .ri .. -ew1, :.01 UNION TREET, SUITE 2300 SEATTLE, W•SHINGTON 98101 • , INDEPENDENT AUDITORS' REPORT To the Board of Directors Domestic Abuse Women's Network Sattle, Washington We have audited the accompanying statements of financial position of Domestic Abuse Women's Network (a nonprofit corporation) as of December 31, 2006 and 2005, and the related statements o activities, functional expenses, and cash flows for the years then ended. These financial ? st tements are the responsibility of the Organization's management. Our responsibility is to e press an opinion on these financial statements based on our audits. e conducted our audits in accordance with auditing standards generally accepted in the United States. Those standards require that we plan and, perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and siignificant estimates made by management, as well as evaluating the overall financial statement p esentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Domestic Abuse Women's Network as of December 31, 2006 and 2005, and the changes in its net assets and its cash flows for the years then ended in conformity with accounting principles generally accepted in the United States. �.� �. .5.�.✓- --- p LI_ A pril 4, 2007 1 206.382 7777 • . 206.382.7700 • www.pscpa.com DOMESTIC ABUSE WOMEN'S NETWORK STATEMENTS OF FINANCIAL POSITION December 31, 2006 and 2005 ASSETS 2006 2005 Current Assets Cash $ 616,472 $ 370,901 Contracts and grants receivable, net of allowance for doubtful accounts of$1,409 in both years 181,747 104,787 Pledges receivable 69,365 71,635 Prepaid expenses 17,263 13,719 Land and building held for sale 250,000 Total current assets 884,847 811,042 Property and Equipment Land 44,693 44,693 Shelter buildings 659,603 659,840 Equipment 49,066 42,817 Furniture and fixtures 75,887 75,702 Leasehold improvements 5,377 5,377 834,626 828,429 Less accumulated depreciation (389,085) (349,276) Net property and equipment 445,541 479,153 Deposits 10,403 10,403 Total assets $ 1,340,791 $ 1,300,598 LIABILITIES AND NET ASSETS Current Liabilities Accounts payable $ 6,383 $ 21,402 Accrued payroll and related expenses 35,043 28,527 Accrued vacation 25,118 20,549 Total current liabilities 66,544 70,478 Net Assets Unrestricted 1,194,139 1,139,391 Temporarily restricted 80,108 90,729 Total net assets 1,274,247 1,230,120 Total liabilities and net assets $ 1,340,791 $ 1,300,598 See Notes to Financial Statements 2 • DOMESTIC ABUSE WOMEN'S NETWORK STATEMENT OF ACTIVITIES For the Year Ended December 31, 2006 Temporarily Unrestricted Restricted Total Support and Revenue Government grants and contracts $ 725,338 $ - $ 725,338 United Way 69,364 69,365 138,729 Individual contributions 167,016 8,400 175,416 Foundations and corporations 178,330 178,330 Special events 132,621 132,621 Less: direct costs (31,370) (31,370) In-kind contributions 170,406 170,406 Miscellaneous 27,675 27,675 Total revenue 1,439,380 77,765 1,517,145 Net assets released from restrictions Satisfaction of time and program restrictions 88,386 (88,386) Total support and revenue 1,527,766 (10,621) 1,517,145 Expenses Program services 1,165,897 1,165,897 1VIanagement and general 206,710 206,710 Fundraising 100,411 100,411 Total functional expenses 1,473,018 1,473,018 C ange in net assets 54,748 (10,621) 44,127 Nelt assets, beginning of year 1,139,391 90,729 1,230,120 Net assets, end of year $ 1,194,139 $ 80,108 $ 1,274,247 • See Notes to Financial Statements 3 DOMESTIC ABUSE WOMEN'S NETWORK STATEMENT OF ACTIVITIES For the Year Ended December 31, 2005 Temporarily Unrestricted Restricted Total Support and Revenue Government grants and contracts $ 681,769 $ - $ 681,769 united Way 69,364 71,635 140,999 Individual contributions 157,260 157,260 Bequest 250,000 250,000 Foundations and corporations 232,352 7,334 239,686 Special events 78,242 78,242 Less: direct costs (12,123) (12,123) It1-kind contributions 208,777 208,777 Miscellaneous 17,449 17,449 Total revenue 1,683,090 78,969 1,762,059 Net assets released from restrictions Satisfaction of time and program restrictions 72,866 (72,866) Total support and revenue 1,755,956 6,103 1,762,059 Expenses - Program services 1,088,484 1,088,484 Management and general 170,752 170,752 Fundraising 87,680 87,680 Total functional expenses 1,346,916 1,346,916 Change in net assets 409,040 6,103 415,143 Ne assets, beginning of year 730,351 84,626 814,977 Ne assets, end of year $ 1,139,391 $ 90,729 $ 1,230,120 See Notes to Financial Statements 4 • DOMESTIC ABUSE WOMEN'S NETWORK • r STATEMENT OFFUNCTIONAL EXPENSES For the Year Ended December 31, 2006 Program Services Supporting Services Total Management Total Shelter Community Program and Supporting Operations Advocacy Services General Fundraising Services Grand Total Salaries and wages $ 376,764 $ 263,917 $ 640,681 $ 117,939 $ 52,996 $ 170,935 $ 811,616 Payroll taxes 30,301 23,227 53,528 12,117 3,928 16,045 69,573 Employee benefits 48,194 35,799 83,993 14,981 8,021 23,002 106,995 Total salaries and benefits 455,259 322,943 778,202 145,037 64,945 209,982 988,184 Professional fees 7,362 69,170 76,532 16,093 1,467 17,560 94,092 Supplies 13,544 8,835 22,379 1,622 730 2,352 24,731 Telephone 5,935 7,859 13,794 2,054 985 3,039 16,833 Postage 2,392 1,433 3,825 567 1,520 2,087 5,912 Occupancy 29,535 40,261 69,796 14,736 4,756 19,492 89,288 Equipment,repairs, - and maintenance 2,416 2,737 5,153 823 453 1,276 6,429 Printing 107 1,691 1,798 82 3,257 3,339 5,137 Transportation 4,790 2,948 7,738 57 76 133 7,871 Client assistance 39,087 6,279 45,366 45,366 Membership dues 1,583 905 2,488 1,040 823 • 1,863 4,351 Professional development 3,156 1,726 4,882 929 827 1,756 6,638 Advertising 2,065 1,899 3,964 590 514 1,104 5,068 Bank charges and miscellaneous 509 517 1,026 9,635 42 9,677 10,703 Fundraising 15,689 15,689 15,689 In-kind expenses 62,951 26,950 89,901 9,806 4,203 14,009 103,910 175,432 173,210 348,642 58,034 35,342 93,376 442,018 Total functional expenses before depreciation 630,691 496,153 1,126,844 203,071 100,287 303,358 1,430,202 Depreciation 37,576 1,477 39,053 3,639 124 3,763 42,816 Total functional expenses $ 668,267 $ 497,630 $ 1,165,897 $ 206,710 $ 100,411 $ 307,121 $ 1,473,018 See Notes to Financial Statements 5 DOMESTIC ABUSE WOMEN'S NETWORK STATEMENT OF FUNCTIONAL EXPENSES • For the Year Ended December 31, 2005 Program Services Supporting Services Total Management Total Shelter Community Program - and Supporting Operations Advocacy Services General Fundraising Services Grand Total Salaries and wages $ 356,585 $ 234,499 $ 591,084 $ 97,810 $ 44,350 $ 142,160 $ 733,244 Payroll taxes 33,269 21,581 54,850 8,692 3,894 12,586 67,436 Employee benefits 23,881 21,273 45,154 7,289 4,305 11,594 56,748 Total salaries and benefits 413,735 277,353 691,088 113,791 52,549 166,340 857,428 Professional fees 10,056 78,829 88,885 9,648 6,074 15,722 104,607 Supplies 13,768 9,392 23,160 2,640 801 3,441 26,601 Telephone 4,958 8,694 13,652 2,644 1,055 3,699 17,351 Postage 2.769 3,314 6,083 826 3,014 3,840 9,923 Occupancy 31,223 35,734 66,957 19,810 5,838 25,648 92,605 Equipment,repairs, and maintenance 1,492 4,449 5,941 946 416 1,362 7,303 Printing 2,832 9,286 12,118 256 4,294 4,550 16,668 Transportation 5,353 2,445 7,798 81 81 7,879 Client assistance 34,856 6,238 41,094 41,094 Membership dues 1.629 779 2,408 3,076 1,062 4,138 6,546 Professional development 1,236 790 2,026 465 225 690 2,716 Advertising 510 1,799 2,309 2,309 Bank charges and miscellaneous 1,095 1,046 2,141 4,537 1,940 6,477 8,618 Fundraising 5,901 5,901 5,901 In-kind expenses 64.685 24,383 89,068 9,806 4,203 14,009 103,077 176,462 187,178 363,640 54,654 34,904 89,558 453,198 Total functional expenses before depreciation 590,197 464,531 1,054,728 168,445 87,453 255,898 1,310,626 Depreciation 32.155 1,601 33,756 2,307 227 2,534 36,290 Total functional expenses $ 622,352 $ 466,132 $ 1,088,484 $ 170,752 $ 87,680 $ 258,432 $ 1,346.916 See Notes to Financial Statements 6 DOMESTIC ABUSE WOMEN'S NETWORK STATEMENTS OF CASH FLOWS For the Years Ended December 31, 2006 and 2005 2006 2005 Cash Flows from Operating Activities Cash received from Government agencies $ 648,378 $ 660,290 Donors 464,197 463,065 United Way 140,999 140,999 Interest and other 27,675 17,449 Sale of land and building 272,170 Cash paid to Employees (800,531) (734,834) Vendors (499,670) (404,588) Net cash flows from operating activities 253,218 142,381 Cash Flows from Investing Activity Property and equipment acquisitions (7,647) (69,937) Net change in cash 245,571 72,444 Cash,beginning of year 370,901 298,457 Cash, end of year $ 616,472 $ 370,901 Sash Flows from Operating Activities Change in net assets $ 44,127 $ 415,143 Adjustments to reconcile change in net assets to net cash flows from operating activities Depreciation 42,816 36,290 Donated land and building held for sale 250,000 (250,000) Donated materials and labor for shelter garage (36,100) Donated furniture and fixtures (2,304) Loss on disposal of fixed assets 747 Change in operating assets and liabilities Contracts and grants receivable (76,960) (21,479) Pledges receivable 2,270 Prepaid'expenses (3,544) (6,073) Deposits (700) Accounts payable (15,019) 6,890 Accrued payroll and related expenses 6,516 95 Accrued vacation 4,569 (1,685) Net cash flows from operating activities $ 253,218 $ 142,381 See Notes to Financial Statements 7 NOTES TO FINANCIAL STATEMENTS ote 1. Statement of Purpose and Summary of Significant Accounting Policies tatement of Pur ose omestic Abuse Women's Network ("DAWN") is a not-for-profit Washington State Corporation ounded in 1980 by a group of volunteers. The mission of DAWN is to end domestic violence by providing culturally relevant services that empower battered women and their children, advocating for positive changes in the societal systems that impact the lives of women, and ostering a better understanding of domestic violence through community education. AWN provides a wide range of free services designed to meet the needs of battered women in outh King County. All of the following programs have the goal of increasing safety. Emergency Shelter: DAWN's house provides culturally sensitive confidential shelter for women and children seeking refuge from domestic violence. Food, clothing, health care, mental health counseling 'for moms and kids, children's advocacy, emotional support, case management, chemical dependency counseling, support groups, yoga, safety planning, assistance finding transitional and permanent housing, and assistance with transportation are offered free of charge. Clients can stay in shelter for up to 90 days, but the average stay is 25 days. Extended Stay Program: DAWN furnishes 2-bedroom apartment units for moms and kids to stay free for 90 days, to pay the utilities only for the next 90 days, to pay up to 30% of their income as rent the next 90 days, and then transition to permanent housing, in their fully furnished unit, after that. Women's Advocacy: Advocates work in partnership with women who do not reside in a DAWN facility to identify and address a wide variety of needs. Advocates also offer financial literacy training to clients. Women's Support Groups: DAWN offers two weekly.English and two weekly Spanish speaking support groups in a supportive atmosphere where the causes and effects of domestic violence are discussed and support is offered to and by the group attendees. Free childcare is provided. Legal Advocacy: Our legal advocate helps clients navigate the complex judicial system by offering information and access to resources for a wide variety of legal matters. The advocate also accompanies women to court. 8 1 Children's Programs: Kids Club is a program for any child 6-10 years of age who has witnessed a domestically violent home. It offers an 8 session information/support group designed to help the children understand that the violence is not their fault, how to feel and stay safe, to improve communication with their custodial parent, and to deal with the shame, rage, guilt, isolation and grief that often attend their exposure. The non-abusing caregiver takes part in each session. The shelter-based children's program offers domestic violence education, recreational activities, play times, tutors for school-age children, and access to daycare and schools. The children's advocate provides moms and their children a supportive atmosphere, and access to information and resources to meet children's needs. Community Education: DAWN board members and staff make presentations throughout the year to schools, churches, businesses, civic groups, other agencies and the general public to increase awareness and understanding of domestic violence. Volunteer and Professional Training: During the spring and fall of each year, DAWN offers 50+ hours of domestic violence training to future crisis line volunteers and community professionals. Additional training on topics of interest are also offered. DAWN also conducts at least one 50-hour domestic violence training in Spanish, and offers an 8-hour training for clergy and lay clergy, also in Spanish. Financial Statement Presentation. DAWN reports information regarding its financial position and activities according to three classes of net assets: unrestricted net assets, temporarily restricted net assets, and permanently restricted net assets. DAWN has no permanently restricted net assets, so this class of net assets is not shown on the financial statements. Contributions and certain grants that are received are recorded as unrestricted or temporarily restricted support depending on the existence and/or nature of any donor restrictions. Temporarily Restricted Net Assets • Temporarily restricted net assets consist of unexpended contributions restricted for particular Purposes or time periods. Temporarily restricted net assets are transferred to unrestricted net assets as expenditures are incurred for the restricted purpose, or as time restrictions are met. DAWN has elected to show restricted contributions whose restrictions are met in the same reporting period as unrestricted support. Temporarily restricted net assets consist of the following at December 31: 2006 2005 Time restricted (United Way) $ 69,365 $ 71,635 Child therapy 9,585 11,760 Shelter improvements 1,158 3,281 Kid's Club 4,053 $ 80,108 $ 90,729 9 Cash/Statements of Cash Flows Cash consists of checking and money market accounts. On occasion, DAWN has cash balances in excess of federally-insured limits. Property and Equipment Property and equipment are recorded at cost when purchased and fair market value when donated. Expenditures for property costing in excess of$1,000 and that significantly increase the estimated useful life of assets are capitalized. Maintenance and repairs are charged to expense as incurred. Depreciation is provided on the straight-line method over the estimated useful lives of the assets. In-Kind Contributions , substantial number of volunteers, including the members of the Board of Directors, have made significant contributions of time to DAWN. The value of this contributed time does not meet the criteria for recognition under current accounting standards and, accordingly, is not reflected in the accompanying financial statements. Certain professional services, formally documented and charged to the relevant projects, are recorded in the accompanying financial statements. Contributions of materials received in the current year, based on the market value at the time of contribution, have also been recorded. Functional Allocation of Expenses ? __ The costs of providing the various programs and other activities have been, summarized on a functional basis in the statement of activities. Accordingly, certain costs have been allocated among the programs and supporting services benefited. Advertising Advertising costs are expensed as incurred. Advertising expense was incurred for employment dads and publicizing training events. Advertising expense was $5,068 and $2,309 for the years ended December 31, 2006 and 2005, respectively. Income Taxes DAWN is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect certain reported amounts and disclosures. Actual results could differ from .those estimated amounts. 10 N to 2. Receivables Contracts and grants receivable consist of amounts due within one year from governmental a encies. Pledges receivable consists of United Way pledges due within one year. DAWN aintains an allowance for potential losses based upon management's periodic review of aAWN's experience related to receivable collections. Any receivables written off are charged ainst the allowance. • Note 3. Land and Building Held for Sale/Bequest During 2005, DAWN received a contribution of land and building as a bequest. DAWN sold this building during 2006. DAWN valued this contribution based on expected realization from sale, hick approximated the realized gain on the sale. The contribution represented 15% of revenues f r the year ended December 31,2005. ote 4. Line of Credit AWN has an unsecured line of credit of $150,000, with interest only payments of prime plus Q 25% (resulting in a rate of 8.5% at December 31, 2006) due monthly. No amounts were outstanding at December 31, 2006 or 2005. The line of credit expires in June 2007. - ote 5. Leases AWN subleases its business office from a bank. The business office sublease expires October 31, 2009, and requires monthly payments of $4,053 increasing to $4,195 for the last Fifteen months. Rent payments for this lease are below market value and the difference is included in these financial statements as an in-kind contribution: Future minimum payments on leases for the years ending December 31 are: 2007 $ 48,633 2008 49,342 2009 41,946 $ 139,921 Total rent expense on this and other leases(excluding in-kind amounts) was $77,644 in 2006 and $78,896 in 2005. r 11 • Note 6. Donated Assets and Services Donated assets are reflected as contributions in the accompanying statements at their estimated values at date of receipt. Donated services have not been recorded in the financial statements unless they meet appropriate accounting-criteria for recognition. The following items were donated and recognized for the years ended December 31: 2006 2005 Professional services $ 62,625 $ 69,600 Office rent 46,698 46,695 Materials and labor for shelter 36,100 Transitional housing rent 32,400 32,400 Shelter supplies 25,159 22,831 Furniture and fixtures 2,304 Other 1,220 1,151 $ 170,406 $ 208,777 Note 7. Pension Plan DAWN participates in a defined contribution pension plan covering substantially all employees. Included in employee benefits are costs relating to this plan of$46,459 and $2,701 for the years ending December 31, 2006 and 2005, respectively. Note 8. Revenue Concentrations DAWN received 27% and 30% of revenue from two funding sources for the year ending December 31, 2006 and 2005, respectively. • 12 DAWN's Employment Non-Discrimination Policies I. Equal Opportunity and Employment Practices DAWN firmly believes in treating those with whom we come in contact in our work with the same courtesy, professionalism and respect which we would like to be shown ourselves. Asa result, the agency strongly supports the concept of Equal Employment Opportunity'and courtesy because we believe such philosophies benefit our agency, our employees, our clients, and our entire society. In keeping with this policy, all employees are expected to abide by applicable federal and state laws which prohibit discrimination against any employee or applicant for employment because of race, color, religion, sex (gender), national origin, age, disability, sexual orientation, or status as a qualified disabled veteran or veteran of the Vietnam era or survivor of domestic violence. This includes providing reasonable accommodations to the religious beliefs of others, as well as providing reasonable accommodations for individuals with physical, sensory or mental disabilities. These same principles require our employees to abide by applicable federal and state non-discrimination laws in their dealings with clients, visitors, vendors and suppliers. This includes providing appropriate accommodations for disabled individuals in order to permit them access that is comparable to services and facilities provided to non-disabled individuals: If you receive requests for such accommodations, ask your supervisor for guidance. All employees are expected to take personal responsibility in getting along with others who may have different beliefs, backgrounds, or other differences, and to display common courtesy in their dealings with one another. The common courtesy which we expect of our employees includes: being careful to avoid teasing and unkind "jokes" or remarks about the personal characteristics of another person; avoiding workplace discussions of issues likely to generate personal disputes (such as religion and sex); avoiding racial, ethnic or sexually-oriented jokes; avoiding invasions of the personal privacy of others; and otherwise making genuine efforts to treat others with the same courtesy, consideration and respect with which you would like to receive. It also means avoiding any use of position or power for personal gain or advantage (including using influence or position to engage in any conduct which would constitute harassment under this policy): There area number of reasons why DAWN places such a strong emphasis on the use of common courtesy in dealing with others. The most important reason is that we believe this approach helps us establish an environment of trust within our agency that makes it much easier to work together productively, and this trust allows us to give one another the benefit of the doubt when problems arise. This environment of trust; in turn, makes it easier to resolve misunderstandings and work out satisfactory solutions if some mistake has been made. Equal Employment Opportunity Policy It is the policy of DAWN to afford equal opportunity for employment and advancement to all individuals regardless of race, ethnicity, religion, sex, marital status, national origin, 9 Y g� age, physical, or mental handicaps, sexual orientation, ancestry, or survivorship of domestic violence. The agency is committed to equal employment opportunity because adherence to these principles is a cornerstone of the American way of life. DAWN adheres to all state, federal, and local laws, including Executive Order 11246, the Equal Employment Act of 1972, and the Civil Rights Act of 1964. Therefore, this organization will take the following actions to ensure that we will: • recruit, hire and promote for all job classifications without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, ancestry or survivorship of domestic violence. • base decisions on employment so as to further the principles of equal employment opportunity; • ensure that promotion decisions are in accord with the principles of equal employment opportunity; • provide a working environment that is free from sexual and other types of harassment; and • ensure that all personnel actions such as employment compensation, promotions, demotions, benefits, transfers, layoffs, return from layoff, agency-sponsored training, education, and social and recreation programs will be administered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, ancestry or survivorship of domestic violence. DAWN is committed to providing a working environment free from sexual and all other types of harassment. You are urged to bring any situation that involves discrimination or sexual harassment to the attention of your supervisor or the Human Resource Director immediately. All complaints will be acted upon and held in strictest confidence. American with Disabilities Act(ADA) Policy It is the policy of the agency to adhere to all provisions of the Americans With Disabilities Act (ADA). Therefore, the agency prohibits discrimination against potential or current employees who have, or are perceived to have, a physical, mental or sensory condition that substantially limits one or more major life activities. The agency is committed to employing individuals who are qualified for a position and can perform the essential functions of their job with or without reasonable accommodations. Documents:Employment Non-Discrimination Policy.doc Approved by Board,August 1,2005 DAWN'S Non-Discrimination Policies DAWN firmly believes in treating those with whom we come in contact in our work with the same courtesy, professionalism and respect which we would like to be shown ourselves. As a result, DAWN strongly supports the concept of equal opportunity and courtesy because we believe such philosophies benefit our agency, our employees, our clients, and our entire society. . In keeping with this policy, all employees, clients, and volunteers are expected to abide by applicable federal and state laws which prohibit discrimination against any person because of race,color; religion, sex (gender), national origin, age, disability, sexual orientation, or status as a qualified disabled veteran or veteran of the Vietnam era or survivor of,domestic violence. This includes providing reasonable accommodations to the religious beliefs of others, as well as providing reasonable accommodations for individuals with physical, sensory or mental disabilities. All employees, clients, and volunteers are expected to take personal .. responsibility in getting along with others who may have different beliefs, backgrounds; or other differences, and to display common courtesy in their dealings with one another. The common courtesy which DAWN expects includes:, being careful to avoid teasing and unkind "jokes" or remarks about the personal characteristics of another person; avoiding discussions of issues likely to generate personal disputes (such as religion and sex); avoiding racial, ethnic or sexually-oriented jokes; avoiding invasions of the personal privacy of others; and otherwise making genuine efforts to treat others with the same courtesy, consideration and respect with which you would like to receive. •It also means avoiding any use of position or power for personal gain or advantage (including using influence or position to engage in any conduct which would constitute harassment under this policy). . There area number of reasons why DAWN places such a strong emphasis on the use of common courtesy in dealing with others. ;The most important reason is that we believe this approach helps us establish an environment of trust within our agency that makes it much easier to work together productively, and this trust allows us to give one,another the benefit of the doubt when problems arise. This environment of trust, in turn, makes it easier to resolve misunderstandings and work out satisfactory solutions if some mistake has been made. Documents:DAWN's Non Discrimination Policy Approved by Board,August 1,2005 DAWN's Problem Solving & Grievance Procedures DAWN wants to assist you to solve problems and settle grievances quickly and fairly,and has developed,a procedure to do this. We believe,that the best way to settle disagreements and problems is to talk about them and to try to find mutually agreeable solutions to the problems. This procedure can be used for any type of complaint, including the believe that you have been discriminated against because of race, creed, color, sexual orientation,age,gender, national origin, marital status, or the presence of any disability. This procedure can also be used if you think a staff member has treated you in a way that doesn't follow DAWN's policies, procedures and values. SOLVING PROBLEMS If you have a complaint about another client, a staff member, or the program itself, the first step is to talk to that person about it. If you have a disagreement with a particular person, it is best to talk with that person about it. If you can't do that or you feel that the problem isn't settled,talk with a supervisor. The supervisor may talk to you alone, or depending on the situation, may want to talk with both of you together to help you reach an agreement. If you can't agree, the supervisor will make a decision about how to settle the problem. FILING A GRIEVANCE If the problem is not settled in the discussions described above,you may submit a written grievance, which is signed and dated, to the Executive Director. Useful information includes the names of the people involved, the date(s) of the incident,a description of what happened,and other facts that describe the problem. The more information you provide, the better it will be understood. If you need assistance in writing your grievance or in some other way,you may ask your interpreter,a staff member, or someone not receiving services at DAWN to help you. You may also choose a staff member, family member,friend or other advocate to represent you in the grievance procedure. Give or mail your written grievance to the Executive Director. She will review the information, may conduct and investigation,and may ask to meet with you. She will submit a response to you in writing within 4 weeks of the date she received your written grievance. DAWN. . Client Information Form • To ay's Date: . . •-Date of Birth: (f� • Client ID: • Gender: • First Name: • Telephone: • Last Name: • Safe to call? YES . NO • Current or last permanent street address: • Safe call notes: • How did you hear about DAWN? • Currently homeless? YES NO Unknown • What is your age in years? Unknown • T tal number of people in household: • Number of children under 18: ? • Singleparent(non-partnered)? YES NO Household size unknown? YES NO g ( P • Are you non-English speaking or of limited English ability? YES ..NO Unknown • re you an immigrant, refugee, or new arrival to this country? YES NO., Unknown • Have you ever served in the military?, YES NO If so, what branch? • as your spouse ever sewed in the military? YES . NO If so,what branch? • Illas your children's father ever served in the military (if father is different than the abuser)? YES NO • Ifi so, what branch? . Using the chart on the ❑ Category A What is your race? Choose all you feel apply back of this form, what o Category B o African (Black) or African American is the-gross yearly ❑ Category C ❑ Asian (not Pacific Islander) income category for ❑ Category D ❑ Hawaiian/Pacific Islander your household? ❑ Unknown ❑ ' Native American/Alaskan Native ❑ Caucasian Do you consider ❑ . Physical disability o Other yourself to be disabled ❑ Mental.disability o Unknown or have a handicap? If ❑ Sensory disability yes, please indicate the ❑ Other disability What is your ethnicity? type of disability. ❑ Multiple disabilities ❑ Hispanic/Latino ❑ Non-Hispanic/Non-Latino For Official Use Only: Advocate Initials Data Entry ID: Client Forms:Client Into Form.doc 2008 HUD INCOME GUIDELINES Instructions: Find the column for the number of people in your household. Go down that column until you find the • income range for your annual gross income last year. Look to the left to see what that row.is labeled. That is your income category. • Household — 1 2 3 . 4 5 6 7 8 1. Category Person Persons Persons Persons Persons Persons Persons Persons Up Up Up • Up Up UP Up Up • Category A to to to to to to to to •$17,100 $19,500 $21,950.00 $24,400 $26,350 $28,300 $30,250 $32,200 _ Up Up Up Up Up UP Up Up ' Category B • to to .. to to to to - to to 28,500 32,550 • 36,650 40,700 43,950 47,200 50,450 53,700 . Up Up Up Up ' . Up UP Up Up Category C to to • to to to . • to to to $43,050 $49,200 $55,350 $61,500 $66.40 $71,350 $76,250 $81,200 $43,050 $49,200 $55,350 $61,500 $66.40 $71,350 • $76,250 $81,200 Category D or or or or • or or or or more more more . more more more • more more • DAWN clients:Cilent folder"-"-' income Guidelines.xls i • - DAWN NOTICE OF RIGHTS CONFIDENTIALITY OF CLIENT COMMUNICATIONS AND RECORDS ,-- ; Dawn client records and communications are confidential: Therefore, DAWN staff,volunteers, subcontractors and i terns will not voluntarily release or discuss your situation to any individual or organization outside of the. agen y without your authorization. However, in accordance with Washington State law, DAWN may be required • to release information under the following conditions: • All disclosures of the abuse or neglect of a child or a dependent adult not known to the appropriate authorities must be reported immediately by DAWN to Children's or Adult Protective Services per RCW 26.44.030. • If DAWN staff have reason to believe that you are in imminent danger of physically harming yourself or someone else, an intervention may have to be made that would require the release of partial information about you and or your situation per RCW 71.05.390. • Release of information is made to an authorized person to the extent necessary for a management audit, financial audit, or program evaluation. Restrictions under this provision include that the authorized person will sign a confidentially agreement vowing to keep client information confidential; no personally identifying information about the client can be copied or removed from DAWN; no copies of any documents about the client and/or client files can be removed from the agency. - • Response to subpoenas and court orders DAWN advocates do not inquire about warrants for felony arrest for child abduction, but, if a program _ participant discloses the existence of such a warrant, DAWN staff will respond in accordance with the DAWN Warrant for Arrest Policy. This policy instructs staff to encourage the client to turn him/herself in and requires shelter staff,to ask the client to leave the shelter immediately. In addition, in the event law enforcement appears at DAWN with a warrant for arrest for specified individual, staff will not resist efforts to enter,the premises to search for a respondent. In th event that DAWN must release client information as required by law or court order, DAWN will make ' reasonable attempts to provide notice to you about the disclosure of information. ' Any release of information will be limited to the minimum necessary to meet the legal requirements—this release does not void your right to confidentially and privilege on any other confidential communication between you nd DAWN. , `` Privileged Communications - .. A laiv enacted in 2006 gives domestic violence survivors and advocates at community-based programs the ability to assert privilege to protect their conversations and records from disclosure in court. In legal terms, privilege applies to special relationships recognized by law in which the persons involved cannot be forced to testify in court about what they said to each other in a private conversation. Privilege will apply when domestic violence survivors work with staff and volunteers at community.based agencies. In order to maintain theprivileged nature of any information disclosed by a domestic violence survivor, the conversation must take place between an advocate and survivor only, or with a professional spoken language or sign language interpreter present. -. If an interpreter is used, his/her role must be to only facilitate communication between the survivor and advocate. If the interpreter is also providing support to the survivor(for instance, if a family member or friend is acting as an unofficial interpreter in the situation instead of a contracted interpreter), then the communication is not privileged. If you have a friend or family member presentwhen you're talking to an advocate, the conversation cannot be .. considered privileged by state law. Broader confidentiality laws may still protect the conversation, however. If you(want to have another person present for support while disclosing private information to an advocate, the advocate should explain that the third person's presence jeopardizes your level of confidential protection. You can then decide how to proceed. Release of Information (ROI): It is also important for you to understand that you must sign a Release of r- Information (ROI) if you would like a DAWN staff member to release any information about your situation to anyone outside of DAWN. Your consent for the ROI can be withdrawn at any time whether it is made orally or in writing. If the ROI does not nclude an expiration date, it shall expire ninety days after the date it was signed. A new ROI must be signed every three months if you desire to have DAWN continue to release information. Please understand that if you sign an ROI you do not give up your right to have that information protected under other statures, rules or laws. You have the right to withdraw the ROI at any time. DAWN will provide services to you whether or not you sign an ROI. Emergency Plan for Childcare: In the event of an emergency that impacts your ability to return to a DAWN site and your child(ren) are left unattended past DAWN's ability to care for them, or in the event that you are incapacitated and unable to provide care for your children while in a DAWN program, DAWN requests that you provide us with an emergency contact individual who could take custody of your child(ren): Name Relationship to Child Day Phone: Evening Phone: If the need arises, DAWN staff will make arrangements to meet with this person offsite to transfer care of the children. Please do not disclose that you are a DAWN client to this person as you establish the emergency plan for your children. If you are unable to identify an alternate care provider for your children, DAWN staff is required to contact CPS to take temporary custody until you are able to care for them yourself. Access to your file: You have the right to review your DAWN file. Please inform your advocate that you would like to see the contents. You may ask for copies of portions of the file (as long as they are not a DAWN work product), and/or may request that revisions be made to the contents.. DAWN Client Notice of Rights and Confidentiality Agreement As a client of DAWN, I agree that I will observe and practice confidentiality. • For the safety and well being of all clients I will not discuss personal information learned within any of DAWN's programs. • I further agree that I will not use information learned about other clients against them within the social relationships formed as a result of participating in any DAWN program. • I further agree not to discuss the location of any DAWN service site with anyone. • I will also not unblock any phones that may be used while at DAWN. I understand that DAWN shares general demographic information with others in the community, but none specific to my family or me. This confidentiality policy has been explained to me and I understand my rights and the limits and exceptions to the expectations of complete confidentiality. Please check appropriate line: I DO I DO NOT want DAWN to release information to law enforcement and/or the prosecuting attorney upon my death or,incapacitation under violent or suspicious circumstances which may be used for investigation, arrest, prosecution and/or sentencing. Signature of Program Participant Date DAWN Staff witness Date • ACKNOWLEDGEMENT AND RELEASE FROM LIABILITY 1 UNDERSTAND AND ACKNOWLEDGE THAT: DAWN (Domestic Abuse:Women's Network) and its personnel are providing advice and services to me at my request. DAWN relies heavily on volunteer services; not professional services, so there are limitations to the services and advice it provides. There are no guarantees. Attorney's providing legal clinics on DAWN premises are not DAWN employees and DAWN does not take.responsibility for their advice. Attorney referrals are made by DAWN in good faith, but DAWN takes no responsibility for the advice, activities, or results of an attorney. DAWN is not a law office and DAWN does not give legal advice. Statements made to me by DAWN personnel are_not legal advice, and DAWN personnel cannot make decisions for me— I take full responsibility for my decisions. Statements and services provided by DAWN personnel to me are not a substitute for an attorney's services and cannot be viewed as a way to "save money." DAWN strongly urges that I seek legal counsel for any matter, which may end up in court or affect my legal rights. Sample forms that are made available to me are not endorsed by DAWN and DAWN takes no responsibility for their legal effect. Sample forms are.used at my own.risk. DAWN cannot guarantee confidentiality. Every effort is made to preserve confidentiality, but DAWN personnel are subject to the laws of the state of Washington and may be compelled to testify about their interactions with me. DAWN personnel are required to notify Child Protective Services (CPS) when they receive information that a child has been harmed or is at risk of being harmed. Signature: Date Forms clients:Acknowledgement&Release from Liability Form • CLIENT CONSENT AND DISCLOSURE OF INFORMATION hereby authorize DAWN (DOMESTIC ABUSE WOMEN'S NETWORK) P 0 BOX 88007 TUKWILA WA 98138 425 656 4305 To disclose (Name of Person or Agency) • (Complete Address and Telephone/Fax Number) The following specific requested information • • I am aware of and expect that all information is confidential and is protected by state and federal regulations. This Consent and Disclosure of Information is good for 90 days from the date signed. I understand that I can revoke this Consent at any time. I have read and understand DAWN's confidentiality policy. I have been given the opportunity to ask questions and had them answered. I fully understand the terms of this release and give my consent for the exchange of information. (Date) (Client Signature) (DAWN Staff Signature) 1. file copy in client record 2. send original with request. • DAWN clients:Client Consent&Disclosure of Information Form 2007 2 r- - 2e , , 21 Application Cover Pages (Agency Information and Questions 1 — 7) : , Agency Name: Applicant Name and Address: Agency Director: Domestic Abuse Women's Network -- - —1 Lee Drechsel, Executive Director II REU t�I N C IJ \ Name and Title PO Box 88007 Tukwila,WA 98138 V . 9 n �nnR \ 425.656.4305 ext.251 1-',1" ‘2' V i (Area Code)Telephone Lee@dawnonline.org t°@TY OF RENTON E-mi ail address(if available) LI-IUMA C"ly tuE7-0 , (Area Code)Fax Number Required signatures: By signing below,you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes. (SIG ATURES MUST BE IN BLUE INK) S' n re of Agency Board President/DateV/-C- 7 IN....Ca 'IktakA4)‘_ Signature of Agency Director/Date Ka omlinson Lee Drechsel Printed Name of Agency Board President Printed Name of Agency Director r.; 1�Iri rrr � o'�r �o a ri -, Pro � a - �` 1. Program Name Continuum of Housing Services for Victims of Domestic Violence Contact Person(available to answer specific questions on this application) Lee Drechsel 425.656.4305 ext. 251 Name (Area Code)Telephone Address(if different than above) Lee@dawnonline.org 425.656.4309 E-mail address(if available) (Area Code)Fax Number 2. Program is New for our agency ❑An Ongoing Program 3. BIief Description of Program (One sentence) DAWN provides emergency and transitional housing to survivors of domestic violence and their children. I 4. Where are services provided? (If different from agency location) Services are provided onsite at DAWN's shelter and transitional housing facilities in South King County. The addresses are confidential for safety and security reasons. Page 1 5. Total Program Cost: Actual 2007: $942,886 Proposed 2009: $1,113,073 Projected 2008: $1,072,249 6. I Total City Funds Requested for this Program: City Awarded 2008 Requested 2009* General Fund CDBG Total Requested** Auburn 9,000 9,000 Federal Way 17,000 25,000 Kent 32,000 35,000 I Renton 14,000 14,000 City Awarded 2008 Requested 2009* General Fund General Fund Burien 8,000 8,000 ovington 6,000 6,000 Dies Moines 5,000 5,000 i Fnumclaw - ISeaTac 7,600 7,600 Tukwila 7,000 7,000 *Cities on a two year funding cycle will renew 2009 awards to 2010 based upon performance and availability of funds. See Part II for city specific information. **Include your total request for Auburn,Federal Way Kent and Renton. The source of funding will be determined by staff. Page 2 l 7. Agency Contact Sheet • Provide the following information for the agency and for the program requesting funds. Agency Contacts General Agency Name: Domestic Abuse Women's Network Address: PO Box 88007 City/State/Zip: Tukwila,WA 98138 Phone/Fax: (425)656-4305 /(425) 656-4309 Agency Web Address: www.dawnonline.org Executive Director Name: Lee Drechsel Title: Executive Director Direct Phone: (425)656-4305 ext.251 E-Mail: Lee@dawnonline.org bevel pment Director Name: Melissa Arias (or Gr t Writer) Title: Development Director 7 Direct Phone: (425)656-4305 ext.258 E-Mail: Melissa.Arias@dawnonline.org Finance/Accountant Name: Shannon Johnson - (person preparing invoices) Title: Director of Finance Direct Phone: (425)656-4305 ext.244 E-Mail: Shannon.Johnson@dawnonline.org Program Contact (Staff contact for contracting, reporting and program implementation.) Progr m Name: Continuum of Housing Services for Domestic Violence Staff Name: Sandi Schram Title: Director of Housing Direct Phone: (206)622-1881 E-Mail: sandisAdawnonline.org Page 3 Application Narrative Section (Questions 8— 12) 8. ORGANIZATIONAL EXPERIENCE(2 page maximum) A. E perience. DAWN has been providing services to survivors of domestic violence (DV) and their childr n since 1980. DAWN's House, our 25-bed confidential emergency shelter, was opened in 1992 and has been at capacity since its inception(over 16 years). DAWN has a history of professional, culturally competent, client-focused service to the South King County community. In 2007, our organization served a total of 1,725 unduplicated clients (a 31% increase over 2006),provided 14,880 bednights, and answered 11,255 crisis calls. In adiition to our emergency confidential shelter, DAWN manages 10 transitional housing units and will be opining 5 additional units in Renton, with site-based Section 8 vouchers in July of this year in a collaboration with the Downtown Agency to Save Housing. Additionally, in 2007 DAWN began offering exten c ed, in-unit case management to families that are in permanent housing for up to 2.5 years,to ensure that t ey maintain safe and stable housing. These programs,partnered with DAWN's Safe Nights, provide DAWN's Continuum of Housing, which move women in lethal DV situations from crisis homelessness to permanent housing—from hopel ssness to self-sufficiency. DAWN's Community Programs include: 24-hour crisis line; Community Advocacy(both English and Spani I h); Women's Support Groups (both English and Spanish); Legal Advocacy(civil and criminal legal mattes and immigration issues); Court Accompaniment; Community Education&Advocacy Training (both nglish and Spanish); Kids' Club; Middle and High School Education and Outreach Programs; and Safe Moves,(moving and storage services for survivors). B. Operational Structure. DAWN is organized by program(Housing, Community and Administration) and led by the Executive Director, Lee Drechsel. Lee oversees the staff and the day-to- day 4ersight of the organization. In addition to an Executive Director, DAWN has a full-time Director of Finance,full-time Development Director, full-time Development Associate, full-time Executive Assis ant and a part-time data entry person to assist with client and services data collection. Each program is als headed by a director. The Finance, Development, Housing, and Community Program Directors report to the Executive Director. The Leadership Team for the housing program is as follows: Lee DIrechsel, Executive Director: DAWN's Executive Director has over 25 years.of Executive level experience in non-profits. Prior to coming to DAWN, Lee was the CEO of Camp Fire USA Central Puget Sound Council from 1991 to 2005. Before her work at Camp Fire she was the founding Executive Direc or of Eastside Domestic Violence Program and served in that capacity from 1981 to 1991. Lee served as DAWN's Interim Director from September of 2006 until February of 2007 before being appointed to the permanent position. Lee holds a Master's Degree in Counseling from Seattle University and is a Licensed Mental Health counselor in Washington State and is a Certified Fundraising Executive. Over the years, Lee has received numerous awards including the National Amos H. Dudley Professional Leadership Award from Camp Fire USA in 1999; the 1998 "Women of the Year Award"from the Bellevue Business and Professional Women,the `Women of Distinction Award" from the Lake Washington Soroptimist Club in 1991, and the Kirkland Business and Professional Women's Club's "Women in the Spotlight" award in 1991. She also received a one time award for"Exceptional Contribution" from the King County Coalition Against Domestic Violence in 1990. Page 4 Sandi Schram Director of Housin•: DAWN's Director of Housing has a Master's Degree in Counseling from :eattle University and she is a Licensed Mental Health Counselor. Sandi has been with DAWN since 004. Before coming to DAWN, Sandi was the Director of Community Programs at Eastside Dome tic Violence and was Counseling Supervisor at EDVP's confidential shelter. Prior to returning to the DV field she worked for 5 years with youth at Seattle Children's Home. Sandi supervises all of DAWN's emergency and transitional housing programs. Judit Torrents, Shelter Director: Judit has been with DAWN since July 2005. Prior to her position has Shelter Director, Judit served as DAWN's Housing First Coordinator. Judit earned her B.A. in Social Education from the Autonomous University of Barcelona in Spain. She has more than 15 years of experience working in social services with a diverse population. Six of those years she has worked with wome and their children survivors of domestic violence. Since moving to the United States, Judit has been orked primarily for non-profits DV agencies in their community and emergency shelter programs. In addition to her work experience, she has extensive training in the field of domestic violence and homelessness. A voluntary Board of Directors who represents a wide range of interests in the community governs DAWN. DAWN currently has 15 Board members: Seven are men, eight are women,three are survivors of DV, 13%African America, 7% Latino, and 80% Caucasian. Eleven of the Board members live in South King County(Auburn, Covington, Federal Way,Kent, Maple Valley, and Renton),three members live in Seattle, one member lives on the Eastside and one member lives in Pierce County. 13% are under - the agle of 35; 21% are 36-45; 33% are 46-55; and 33%are 55 or older. The fifteen member Board meets ten times a year(every month except August and December). The role of the Board is to establish the DAWN's long-term mission and goals; to establish and oversee policies regar ing the agency's management,to ensure the agency has sufficient financial resources to achieve goals d to hire and manage the Executive. The Board also has a role in community outreach and educa ion. DAWN's board reflects the diversity of the community which DAWN serves and is invested in the agency. All members have a minimum of 80% attendance and 100% of DAWN's Board has made a significant financial contribution to the agency on an annual basis. In between full meetings of the Boar.,the Executive Committee meets to set the agenda for each Board meeting and address any issues that ight be time sensitive. In addition to DAWN's Board of Directors, DAWN has seven standing co ittees: Executive, Finance, Strategic Planning and Development committees meet monthly;the Legis ative, Board Recruitment and Auction committees meet regularly and in response to need. Page 5 9. NEED FOR YOUR PROGRAM (2 page maximum) A. Pioblem Statement. The Department of Justice reports that one in every four women in the United States will experience DV during their lifetime. The need for services for survivors of DV is further supported by local domestic violerce prevalence data released in 2006.1 as part of a study conducted on a random sampling of female Group Health Cooperative members throughout Washington State. The study's findings, applied to women living in King County in 2007,reveal that approximately 73,520 women in King County would have Experienced partner abuse within the last year and 37,226 women in King County would have exper enced physical violence from a partner within the last year. An additional 21,853 children(an avera e of 1.6 children in these families) are potentially impacted. Furth r, nationally and locally, 50% of women and children who are homeless are so because of domestic violence. Additionally, a recent national study out of the University of Minnesota found that 46% of women who had experienced abuse reported staying with their abuser because they had no where to go. Domestic violence victims who are experiencing homelessness as a result of abuse often need more than just s elter. Many need to go into hiding for their safety and the safety of their children because their abuse has: harmed them physically,tried to murder or rape them,kidnapped or threatened to kidnap their childr n, or made a credible threat to cause physical harm or death. Beca se South King County exhibits the highest rates of domestic violence2 and the greatest levels of poverty compared to other portions of King County3 there is a serious need for confidential domestic viole Ice housing. 47%of renters and 27% of homeowners in South King County are paying more than 30% f their household income for rent.4 As a result, many South King County families are at constant risk o losing their current housing and becoming homeless. Specifically, 41% of households in South King ounty live below 80% of the median income and almost 10,000 families in South King County live belo the poverty line. Curre tly,the only confidential emergency shelter in South King County is operated by DAWN and is one o, only four shelters (81 Beds) in all of King County. Annually, DAWN's House provides'shelter to over 300 women and children. DAWN has consistently been at shelter capacity since its inception in 1992. In 2007, DAWN turned away 23 requests for shelter for every one request that we were able to accommodate. This tells us that many families remain in lethal situations because they have no options. Even when immediate safety has been achieved, domestic violence survivors continue to face unique challenges to maintaining stable housing and statistically return to an abusive situation six to seven times befor they leave permanently. Reasons given for returning to the abuser are the lack of housing, money, and t e skills needed to live independently. • B. Ta get Population. DAWN's target population is battered women and their children residing in South King county in need of confidential emergency shelter. This sub region is home to approximately 690,0 0 people. South King County has 41% of the County's children, and 28% of the people of color; 14% of South King County residents are foreign born; 41%of households are considered low income, and 6.1% bf families live below the poverty level. South King County has the most single parent homes, 1 Tho pson, R., Bonomi, A., Anderson, M., Reid, R., Dimer, J., Carrell, D., and Rivara, F., "Intimate Partner Violen e: Prevalence, Types, and Chronicity in Adult Women,"American Journal of Preventive Medicine, 30(6): 2006, 447-457 2 Communities Count 2005: Social & Health Indicators Across King County 32000 Census Data 4 Id. Page 6 highe t level of poverty, vast rural areas, and the least amount of human services and human services- specific funding countywide. Local data indicate that 56% of families with children who use TANF and food stamps and apply for free lunches in King County live in South King County. DA 's housing clients mirror the statistics set forth above. In 2007, 95%were very low income (acco ding to HUD guidelines); 89%had children; 80% are people of color; 30%were immigrants or refugees; 20%were limited English speaking. Page 7 10. PROPOSED PROGRAM/SERVICE(2 page maximum) A. Program Description. (1) Type of services; DAWN's Housing Program provides a comprehensive continuum of housing that takes homeless survivors of domestic violence from crisis homelessness to permanent housing and continues to support them as they transition to permanent housing to ensure safety and st bility for the long-term. Emer encv Shelter: The shelter program is first and foremost designed to remove women and their childr n from potentially lethal abusive situations by offering a temporary refuge from the abuser. Each client that is screened into DAWN's shelter is assigned an advocate and goes through an extensive intake proce s where a variety of needs are assessed. The shelter offers round the clock professional advocacy. DA 's primary goal for women entering the shelter is to help them achieve safety and independence. Once client's safety needs have been met, DAWN focuses on assisting the client in achieving a long termhousing solution. Safe Nights: DAWN places clients, free of charge, into a prescreened hotel when confidential shelters are full, and/or when the client family needs only a few days of safety before leaving the area to move to a safe place, and/or if they must leave shelter for safety reasons. Extended Stay Program (ES): This interim housing program moves survivors from crisis homelessness to permanent housing. An ES unit can typically accommodate a woman and up to three children. In this program DAWN provides up to one year of housing at a graduated cost to the client. Typically, the residents stay free for 3 months, and then pay utilities. After six months,residents pay 30% of their income. For our THOR funded units clients do not pay utilities but pay up to 30% of their income toward rent. After the client has completed the program, or at anytime that she is financially able, she can "trans tion in place"to permanent housing and assume the full cost of the unit. Transition to Permanency ' -_ Housi g Program (TTP): Once families have transitioned to permanent housing DAWN provides up to 2.5 years of ongoing case management. DAWN's intensive individualized services for clients in this perm ent supportive housing program will be offered to each family in their housing unit. In-unit servic s for this population are especially important because of their unique need for confidentiality and the lack of accessible public transportation in South King County. (2)Methods; DAWN is located in South King County; administrative and program offices are in the Tukwila area. The shelter and transitional housing program locations are confidential, but all are physically located in different cites in South King County. At DAWN's House, services are available around the clock, 24/7, 365 days per year. Access is provided on a first called first served basis; rooms are not reserved or held for more than a few hours. Clients gain access to the Extended Stay program by referral from DAWN's shelter or community based program, or a referral from another DV program or community partner. (3) Outreach; DAWN staff work to ensure that individuals who seek our services are aware of DAWN's housing programs. Outreach includes: Education and outreach to community providers; Participation in healthand community resource fairs; Presentations to civic, church and school groups about its services; and aintaining informational website. DAWN also. has staff stationed in the RJC and in both the White Cent and Renton DSHS offices where we provide onsite advocacy, education and referrals. DAWN ` staff attend all of South King County's seven domestic violence task forces and participate on the Boards of the King County Coalition Against Domestic Violence and the State Coalition Against Domestic Violence. Page 8 ' (4) A dressing the problem; The need for DV services surpasses DAWN's and the community's capacty to provide them. The services presented in this funding application are very basic: the hotel nights,and the shelter provide a service that allows a limited number of those at the highest risk for lethality to become and stay safe. Abusers can be violent and homicide (and suicide by the abuser after killin his partner and/or children) continues to be a very real threat. Safety planning,which includes explo 'ng options when beds are not available, is offered to every caller with the goal of increasing safety in the�immediate situation as well as exploration of ongoing safety. Extending the call to offer safety planning results in identification of factors and resources that can increase safety during the ongoing sheltef search. Extended Stay provides an affordable, supportive housing program for survivors and their families. This program, coupled with the hotel nights and shelter, provides a continuum of housing that helps to keep families who are episodically homeless due to DV from falling further into poverty and becoming institutionally homeless. Once permanent housing has been achieved, DAWN continues to provide support,resources and education to ensure clients maintain permanent housing and don't fall into the situation of having to choose between homelessness or returning to abusive partner. (5) C ltural Competency; DAWN is deeply committed to providing culturally competent programming. DAWN has a strong cultural competency plan; advocates receive extensive training in cultural sensitivity, and c k ltural awareness, diversity and competency are called out in all three priority areas of DAWN's grate is plan. Whe a limited English speaker enters any one of DAWN's programs they are provided with translated mater als, and an interpreter who works one-on-one with the client and is present for support groups and meetings. Culturally appropriate food is provided, space for meditation or prayer is accessible, and all clients are provided resources that meet the needs of their cultural practices. Shelter Advocates combined have uency in the following languages in addition to English: Spanish, Swahili, Kikuyu, and Tagalog. DA 's budget provides for interpreter services, which are available 24 hours per day. (6) Significant changes: Because the demand for housing always exceeds our capacity, DAWN has set housing expansion as a major objective for the next three years. Starting in 2009, DAWN will be adding six nOr transitional housing units in a partnership with the Downtown Agency to Save Housing (DASH), expanding our program from 10 to 16 units. DAWN is also embarking on a shelter expansion(an in-kind gift fram a construction firm)to begin in early 2009, which will increase shelter capacity by four additihnal units, or 50%. Also in late 2009 to 2010 DAWN will begin a second partnership with DASH, which has set aside 15 permanent housing units for survivors of DV and their families, as well as office and program space for DAWN staff to work on-site. (7) Collaboration: DAWN will continue its strong collaborations and ties with over 50 other provider agent es in King County. As mentioned above, DAWN has forged a partnership with DASH to provide suppo ive services in a new housing complex in South King County. This partnership is a perfect exam.le of public and private entities collaborating to keep families safe. Page 9 B. Performance Measures and Outcomes: i. ' erformance Measure: Bednight of shelter in DAWN's Housing Program. ii. Outcome: Survivors of domestic violence enhance tools and awareness that support personal safety a d/or personal goals. iii. Indicators: clients are able to: A) Strengthen skills and or strategies that support ongoing safety and/or personal goals; and B) Increase knowledge of community services. In 2007, 97% of clients who received at least 14 days of shelter had skills and/or strategies that supported ongoing safety; 96%were confident they could follow through with their safety plan; and, 97%had a good or excellent understanding of community services available to them. • Page 10 - C. Staffing Plan & Evaluation. (1 page maximum) i. Staffin : DAWN's Housing program is staffed by a total of 11.5 FTEs including: 1.0 FTE Director of Housing; 1.0 FTE Shelter Director; 4.25 FTE Shelter Advocates; 1.0 FTE Housing First Coordinator; 1.0 FTE Children's Advocate; 1.0 FTE Facilities Coordinator; 1.25 FTE Extended Stay Advocates; and 1.0 TTP Program Advocate. DAWN staff meets and most often exceeds the State of Washington's training requirements for domestic violence advocates. All supervisors are required to have minimum of two years of experience with a domestic violence service. The Director of Housing oversees all housing programs. The Shelter Director manages shelter. Credentials for both are above. Both have extensive experience in community and shelter based programs, including program start-up. The Shelter Director is multi-lingual, speaking Spanish, Catalan and English. She provides direct services along with the Shelter Advocates in-person and on all crisis and shelter phone lines to enhance our ability to provide services in multiple languages. Shelt r Advocates provide 24-hours per day of shelter coverage and advocacy based counseling to both shelter residents and clients seeking safety in the Safe Nights Program or through a motel voucher system. Services provided by Shelter Advocates include: Daily safety planning; daily living needs/comfort support and coordination; goal planning and facilitation; Support Groups; provision and explanation of community resources; financial planning/education; assistance with tech safety and resource website provided on the resident computer workspace; transportation assistance; advocacy based counseling for the crisis and shelter lines and emotional support. Shelter Advocates combined have the following credentials: One advocate has mastered in Public Administration and the others have either Bachelors degre s or a minimum of four years providing advocacy based services to survivors of domestic violence. i The T ransition to Permanency Advocates have extensive training in domestic violence advocacy and housing resources. The advocates are responsible for in-unit case management, resource referrals and creatqig linkages between DAWN and our community partners to best serve the participants of the program. ii. Evaluation. All clients complete a pre- and post- survey when entering and exiting the shelter. This survey asks sever41 questions regarding their ability to identify domestic violence, safety plan, and utilize community resources. These indicators are summarized twice a year to determine our clients progress toward being able to make a safety plan and how to access community resources. The Board receives this information twice yearly. If a pattern emerges as a result of this collection that shows a systemic need for change,the organization can react to that need by modifying, adding or subtracting services as necessary. Page 11 D. Differences in Service Delivery by City. (2 page maximum) The per bed night cost for DAWN's Housing Program is the same regardless of the city, county or state that the clients originates from. As stated above, DAWN's services are provided on a first called, first serve asis. Each client that contacts DAWN is screened in based on their situation's level of lethality and ether DAWN's program locations, based on the program's proximity to the abuser,pose any increased safety concern. If it is determined that placing a client into a DAWN shelter or housing program is unsafe, DAWN works diligently with its sister agencies on the Eastside and in Seattle to find a safe lication for that individual. Beds re not held open and no preference is given to a city with whom DAWN contracts. As you can see by th data, once contracted numbers have been reached DAWN continues to serve regardless of location of on in. Our primary concern in serving battered women and their children is that we can provide safety and t at our program is a good fit based on their needs. Page 12 - 11. LONG RANGE PLAN (1 page maximum) For 2009- 2010, DAWN anticipates a 50% expansion at our emergency shelter,thanks to an anonymous donation by a construction firm. Additionally, a partnership with DASH will result in two low income housi g complexes that will include units set aside for survivors of domestic violence and their children. DA will provide ongoing case management services for these units. As D WN'scurrent emergency shelter expansion is completed,the Board of Directors will continue to. evaluate opportunities to build additional shelter units in South King County as they arise. :DAWN's conceitration of additional resources on permanent housing as opposed to emergency housing has required our Board to consider even more carefully the ability to secure stable sources of Operating dollars before securing funding for a new physical facility in which to:offer any kind of emergency housing. Because of our clear role to only own and operate emergency shelter space, DAWN will continue to explore collaborations which allow the agency,to provide case management to families,who have survived domestic violence. The Ten Year Plan to End Homelessness and new sources of Federal and State funds make us optimistic that dollars will continue to flow to serve our clientele. Battered women don't fit the stereotype of the homeless,they most often have a home, but it is not safe. Nevertheless,they are in need of an very appreciative of homeless funds • DA is exploring several new housing collaborations with larger multi-program housing agencies. These future collaborations would allow us to provide site-based case management to our,very specific population which would result in increased safety and stability for families who have.experienced domestic violence. Finall r, DAWN will be participating in a new program to provide "real time" emergency housing - availability in Fall of 2008. This Day One Program,which is currently operating in Minnesota, is being adopted by King County and will be available to all emergency housing providers. The purpose of this program is to provide immediate access to safety and services for survivors andtheir children. The progr will provide a web-based network through which calls are transferred between programs. When a stirin ivor calls one program, an advocate answers the call,does a brief screening and either offers the caller a room if the shelter facility she hascontacted has availability or connects the call to another agency while the caller remains connected.. The caller places one call and the call does not end until space is. located. DAWN believes that this program will remove the barrier of making multiple calls in order to gain safety. We are excited to participate. Page 13 • 12. BUDGET (2 page maximum) The budget section of your application pertains to the information provided in Question 17 of your application. A. B dget Request Narrative. The requested funds will be used to pay for a portion of: Staffing costs to operate DAWN's shelter and provide 24-hour a day, 7 day a week advocacy and support; Staffing costs to manage the hotel program, including the use of the free Safe Nights program and paid vouchers; Staffing for our Transition To Permanency Program in order to recruit, screen, interview and select client families for the Extended Stay Transitional Housing Program and provide supportive services to those selected for the TTP program; and, continue to provide supportive services, as needed, once clients transition to permanent housing. A portion of the funding will also be used to lease apartment units for the TTP. B. Changes to Budget. There are no known or anticipated changes to the program's 2008 budget as of April 2008. In 20 d 9, DAWN will be adding six additional transitional housing units. Costs associated with staffing this expanded program have been reflected in the second half of 2009 and in 2010. Shelter expansion and the expenses associated with that expansion have also been factored into the budget as reflected in the Question 17 for 2010. DAWN has not factored in costs for an additional partnership with?ASH that could potentially add 15 additional units of permanent housing as we are just in the beginning phases of that project and additional funding sources have not been secured to make the program viable at this point. However, there is considerable community support and interest from funders in the program and we look forward to sharing it with you in 2010. C. Cost per Service Unit(s): $72.48 per bednight Explanation of how determined: Cost per housing bed night is determined by dividing the total housing program cost by the total bed nights to be provided. Page 14 Agency: D.A.W.N. Program: Continuum of Housing 13. NUMBER of INDIVIDUALS/HOUSEHOLDS SERVED BY PROGRAM Individuals? or n Households? (Check which applies and use for reporting all demographics.) Unduplicated *Unduplicated Number of all Clients Served by Clients Served All Funding Sources with Funds Requested 2007 2009 2007 % of column 1 2008 2009 (Actual) clients served (Anticipated) (Projected) (City Requested by City Funding Only) Auburn 20 4% 20 20 6 Burien 13 3% 12 12 5 Covinton 0 0 2 4 4 1 Des Moines 9 2% 10 10 3 Enumdlaw 0 0 0 2 0 • I Federal Way 44 10% 38 40 15 Kent 34 8% 28 30 20 RentonI 19 4% 23 25 8 SeaTac 21 5% 16 17 . 4 I Seattle 97 21% 113 113 0 Tukwila 11 2% 17 17 4 I Other 185 41% 188 189 �'£h,; :.'"'. d ry, : .�;',,i„:: .:: :.' , 100% Total 453 (This column must .467 477 69 total 100%) *U 11 duplicated means count each client only once per calendar year per program. This number should match the number of clients by city indicated in the top row of Question 15. Page 1 Agency: D.A.W.N. 14. Performance Measures (Data Table) Program: Continuum of Housing 14a. Service with 2009 Requested Funds Proposed Performance Measures as defined below. A)BEDNIGHTS Auburn 125 Burien 110 Covington 85 II Des Moines 70 Enumclaw Federal Way 345 Kent 485 RentonI 200 SeaTa 105 Seattle Tukwila 100 :Performance Measures_2009<:Proposed with:funds requested City Funding.Only Title: Brief explanation: One night of housing per clients, includes food, basic necessities, A)BEDNIGHTS advocacy B) C) Page 2 Agency:D.A.W.N.. 14 P rformance Measures (Data Table), Cont. Program:Continuum of Housing 14c. Average Cost of Service Unduplicated Clients Served with Funds Average Cost of Service Requested 2009 Requested 2009 per Client (Same as last column of - (Same as last column of Question 6) Question 13) Column 1 divided by Column 2 Example: $5,000 45 $111.11 Auburn $9,000 6 $1500 Burien $8,000. 5 $1600 Covington $6,000 4 $1500 Des Moines $5,000 3 $1666 Enumcliaw Federal Way $25,000 15 $1666 Kent $35,000 - 20 $1750 Renton $14,000 8 $1750 SeaTac , $7,600 4 $1900 Seattle Tukwila $7,000 4 $1750 Page 3 CompletL Question 15 with 2007 Actual numbers reported in column 1 of Question 13. Agency: D.A.W.N. 15. Demographics (from all fuiadinng sources) (Data Table) Program: Continuum of Housing cat 0 CD ' ..:Client Residence . , o C 0 �, 0:1 U Q W w t �icu H :`Unduplicated':;: :.(4eck'one):::'`. a"individuals o cn o o 7; T N 00 f louseholds' N N:-,Sery d'in2007*: ` ' Househld Income Level ;.: ,>.:> 30%of Median or Below 20 13 0 5 0 39 34 18 19 94 11 253 50%of Median or Below 4 5 1 2 3 15 80%of edian or Below Abov�80%of Median Unknown I TOTAL 20 13 0 9 0 44 34 19 21 97 11 268 Gender' Male 6 6 0 3 0 19 1 8 6 28 5 82 Female 14 7 0 6 0 25 33 11 15 69 6 186 TOTAL 20 13 0 9 0 44 34 19 21 97 11 268 Age. .. 0-4 years 5 1 0 2 0 8 6 7 5 27 4 65 I 5- 12years 6 6 0 2 0 9 12 3 7 12 3 60 13- 17 years 1 2 0 1 0 8 3 2 2 7 0 26 18-34 years 6 2 0 1 0 10 8 6 6 27 4 70 35-54 years 2 2 0 3 0 9 5 1 1 24 0 47 I 55-74 years I 75+years Unknown TOTAL 20 13 0 9 0 44 34 19 21 97 11 268 Ethnicity...;. ,, - _ . r Asian 4 1 5 Black/African American 11 0 0 4 0 9 2 4 10 27 4 71 I-l;ispanic/Latino(a) 9 9 0 0 0 17 16 0 6 29 2 88 Native 0 0 0 3 0 0 0 9 0 0 . 4 16 American/Alaskan Pacific Islander White/Caucasian 0 4 0 0 0 11 5 2 2 16 1 41 Other/Multi-Ethnic 0 0 0 2 0 7 7 3 3 25 0 47 TOTAL 20 13 0 9 0 44 34 19 21 97 11 268 FemalejHeaded`: ; , 5 2 0 2 0 13 7 4 7 12 4 56 k�ousehhold : : Disabling Condition': 1 0 0 1 0 0, 3 0 1 2 0 8 Limited.English, ": '. 3 3 0 0 0 4 3 1 2 1 2 19 "Spealui g ':; * Checkl Individual or Household,which should be the same as checked in Question 13. Unduplicated means count each client only once per calendar year. This should match the number served by City in the Actual 2007 column of Question 13. The "total"column will be different from Question 13 since the"other"column is not included due to space limitations. Page 4 16. ROGRAM STAFF (DATA TABLE) In this data table,record the number of full-time equivalent(FTE)paid staff and volunteers for this .ro_ra . FTE means a 40-hour week throughout the entire year. For example, if you enter"5" in the box for Nu ber of Volunteer FTEs,this would mean that you have, on average, five volunteers assisting your progr. at all times (assuming a:40-hour week). If you ow only the total number of hours contributed by all volunteers for this program, simply divide that number by 2,080 to find the total FTE number. For example: 5,000 volunteer hours over the course of a year, divided by 2,080 equals 2.4 FTEs. 2007 2008 2009 (Actual) (Budgeted) (Projected) Total Number of Staff(FTEs) 11.5 12.5 14 Number of Volunteer(FTEs) 1 1 1.5 Actual Number of Volunteers 8 8 10, 17. °ROGRAM REVENUE & EXPENSE BUDGETS (DATA TABLE) Progr.m Budget: All columns should include total program operating revenue and expenses. Complete the fo lowing data tables with figures indicating the source of program operating funds for 2007 (actua), 2008 (budgeted) and 2009 (projected). Budget amounts should match funding requested (Ques ion 14c) and Question 5: Include an explanation of any significant differences between the reven es and expenses by year in Question 12B of your application. Page 5 Agency:D.A.W.N. 17. PROGRAM REVENUE BUDGET (DATA TABLE) Program: Continuum of Housing Revenue Source 2007 2008 2009 (Actual) (Budgeted) (Projected/ Requested) City funding (General Fund & CDBG) • Auburn $9,000 $9,000 $9,000 • Burien $8,000 $8,000 $8,000 • Covington $6,000 $6,000 $6,000 • Des Moines $5,000 $5,000 $5,000 • Enumclaw • Federal Way $17,000 $17,000 $25,000 • Kent $30,000 $32,000 $35,000 • Renton $14,000 $14,000 $14,000 • SeaTac $7,600 $7,600 $7,600 • Seattle • Tukwila $7,000 $7,000 $7,000 • Other(Specify) • Other(Specify) •Othei Government Funds ;. °'" • Kng County $350,460 $350,460 $350,460 } ■ Washington State $339,637 $364,000 $385,000 • Federal Government(Specify) • Other(Specify) Private Sources ® United Way (grants & designated donors) $65,000 $68,000 $68,000 • Bpi and Corporations $50,000 $70,000 $70,000 in Contributions (e.g., Events, Mailings) $26,550 $103,189 $112,013 • Pifogram Service Fees (User Fees) • Other(Specify) $7,639 $11,000 $11,000 TOTAL PROGRAM BUDGET $942,886 $1,072,249 $1,113,073 Page 6 17. P OGRAM EXPENSE BUDGET, CONT. Agency: D.A.W.N. (I)AT TABLE Program:Continuum of Housing Expenses 2007 2008 2009 (Actual) (Budgeted) (Projected) Personnel Costs :. ,. : -::. ,s:: : ' • Salaries $470,611 $520,931 $546,978 • Benefits 89,475 125,023 131,275 • Other • Ti ta1 Personnel $560,086 $645,954 $678,252 Supplies OP ea g PP tin and Su s • Office/Program Supplies/Food $30,312 $30,839 $30,839 • Rent and Utilities 30,775 30,960 31,579 • Repair and Maintenance 10,214 10,440 10,649 • Insurance 5,565 6,988 7,128 • Postage and Shipping 3,087 5,241 5,346 • Printing and Advertising 5,270 8,245 9,262 1 • Telephone 8,001 9,080 9,080 • Equipment 2,572 3,993 4,073 • Conference/Travel/Training/Mileage. 9,108 11,400 11,628 • Dues and Fees 2,503 3,474 3,543 • Professional Fees/Contracts 17,449 9,983 10,183 Direct Asst. to Individuals 57,939 61,000 62,220 • Administrative Costs 200,005 234,652 239,345 • Other(specify) e E El TO AL PROGRAM EXPENSES $942,886 $1,072,249 $1,113,073 Net rofit(Loss) - - - (rev roue-expenses) = Page 7 Agency: D.A.W.N. 18. SUBCONTRACTS (DATA TABLE) Program: Continuum of Housing List all the agencies you will be subcontracting with for this program. Provide the agency name in the first • coluj�n, a description of the contract/service in the second column, and the contract amount in the third column. Do not list agencies you coordinate with on a referral only basis. Indicate not applicable if you do not subcontract for any part of this program. Subcontracting Agency Specific Subcontracted Activities Contract in the Operation of Your Program Amount Page 8 19. PPLICATION CHECKLIST Appli ations missing one or more of the following components or not following these directions may not be rev ewed. Sign and submit the application checklist with your application. Cont nts (Your application should contain each of these items in this order.) [application Cover Pages.The top three pages of your application must be a completed copy of the A_ency Information and Questions 1-7. A t plicatio Narrative: uestion 8 Organizational Experience(2 page maximum) uestion 9 Need for Your Program(2 page maximum) uestion 10 Proposed Program/Service(6 page maximum) Question 11 Long Range Plan(] page maximum) Er 12 Budget(2 page maximum) I ata Tables ErAl uestion 13 Number of Individuals/Households Served Iff uestion 14a-c Performance Measures and Average Cost of Service uestion 15 Demographics(from all funding sources) Ej Question 16 Program Staff - ZQuestion 17 Program Revenue&Expense Budgets 7 Question 18 Subcontracts t 'equired documentation. Supply one copy of the following required documents with the signed original application. See Part II: City Specific Supplemental Information to determine whether additional copies of the application and required documentation need to be submitted. ]Question 19 Required Documentation, including: ■ Proof of non-profit status i ■ Organizational Chart ■ Agency/Organization Mission Statement ■ Board resolution authorizing submittal of the application(may be submitted up to 60 days after application). • List of the current governing board and local board, if applicable, (include name, position/title, city residence, length of time on the Board,and expiration of terms. Note any vacancies.) • Board Meeting Minutes of last three board meetings of governing board and local board as applicable ■ Annual Budget • Financial Audit Cover Letter • Financial Audit Management Letter ▪ Financial Statement • Verification of Non-Discrimination Policy • Program Intake Form • Sliding Fee Scale' / / Application Check List. (Signed below.) Application he___ ���Gi/lcs�L City Specific Supplemental Information. Required in ' P rt II for applicable City only. " Position: Fx,,:,e r Elva. ; 're Jo/L Phone#: ���./vSe 3,"S" ic2S / E-mail: Z_ee . a(diel,o?(lite_.o y Signa ure-of Person Completing Checklist . DO NOT SUBMIT ANY OTHER MATERIALS WITH THIS APPLICATION . Make sure that you carefully check Part II of this application to see what additional attachments each city requires. - Page 9 City of Renton Supplemental Questions 2009 and 2010 Funding Applications Please select one result that is the best fit for your program and identify what strategies will help you achieve that result: DAWN's Continuum of Housing Program application addresses the following result, s rategies and activities: Result: Residents know about domestic violence and how to keep safe. Strategy A: Increase education about healthy relationships Activities: 1. Prevention Education 2. Programs for children and Youth Strategy B: Increase access to information about domestic violence Activity: 1. Create and use educational materials in languages used by the residents of Renton Strategy C: Increase the amount of domestic violence services and programs Strategy D: Assure that DAWN's services are culturally competent. 1 Describe how the program outcomes that you have identified will help you achieve --- tilie selected result: DAWN's Community Advocacy Program outcome is: Survivors of domestic violence enhance tools and awareness that support personal safety and/or personal goals. DAWN will achieve this outcome by providing the survivor/client with tools they need to make safe choices, this include education about domestic violence, community resources, and its imp pacts. Additionally, DAWN will assist survivors and their children in understanding the cycle of violence and providing parenting programs, children's programs and youth p ograms specifically tailored to clients in our Housing Program so that they understand tale cycle of violence, and how it is passed from generation to generation. These s irategies will achieve survivors ability to know about domestic violence and how to stay s fe. I addition to our one-on-one client work and our prevention/education programs we are c nstantly working to expand the capacity of our services in order to meet the ever growing demand (In 2007, DAWN turned away 23 requests for shelter for every one request it was able to meet). Last year, we increased our transitional housing capacity frim 6 to 10 units. In the summer of 2008 DAWN will be expanding this program by an a ditional 6 units of housing in the Renton area. Also, in 2009 with the support of a g nerous individual donor we will be expanding out emergency shelter by 50% allowing us to serve several additional families annually. Expanding DAWN's services and service locations we are working to ensure Renton residents know about domestic violence and how to stay safe. Finally, DAWN is 100% committed to equal access to its housing services for persons of all ages, abilities, cultures and languages. Our housing units are handicapped accessible ark available to all ages, though more frequently used by victims age 30 to 54. In aydition, DAWN will also "co-advocate" on behalf of these clients with other specialized providers to deliver. services as needed. DAWN has also recently received funding for training to better serve Immigrant and Refugee populations to navigate the legal system. D WN is fortunate to have several multi-lingual staff in its housing program but still relies h avily on interpreter service to ensure that a client is getting the most accurate information possible. DAWN is currently enhancing services for the elder population and individuals with special needs. Our goal is to be the County's premier provider of services for domestic violence survivors over fifty and those who need additional accommodations to ensure thatithey are able to get and stay safe. This commitment to access and cultural competence, will enhance our ability to ensure that all residents, not just those who are of th- cultural mainstream, will know about domestic violence and how to stay safe. 2 InternalI Revenue Service Department of the Treasury District] Director EP/ID-II(EB) Date: 0 7 JUN }982 Employer Identification Number. 91-1176122 Accounting Period Ending: December 31 Form 990 Required: a Yes El No t Dawn — Domestic abuse Womens Person to Contact: Network John Sutton P.O. x 5174 Contact Telephone Number: Kent, A. 98031 (206) 442-5106 Dear 1pplicant: Based on information supplied, and assuming your operations will be as stated in your application for recognition of exemption, we have determined you are exempt from ederal income tax under section 501(c) (3) of the Internal Revenue Code. ehave further determined that you are not a private foundation within the ' meaning of section 509(a) of the Code, because you are an organization described in section 509(a) (1) and 170(b) (1) (A) (vi) . Tf your sources of support, or your purposes, character, or method of operation change, please let us know so we can consider the effect of the change on your exempi status and foundation status. Also, you should inform us of all changes in your name or address. enerally, you are not liable for social security (FICA) taxes unless you file a waiter of exemption certificate as provided in the Federal Insurance Contributions Act. If you have paid FICA taxes without filing the waiver, you should contact us. You are not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA) . Since you are not a private foundation, you are not subject to the excise taxes under Chapter 42 of the Code. However, you are not automatically exempt from other Federal excise taxes. Ifyouu have any questions about excise, employment, or other Federal taxes, please let us know. Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 ,of the Code. irhe box checked in the heading of this letter shows whether you must file Form 990, Return of Organization Exempt from Income tax. If Yes is checked, you are required to file Form 990 only if your gross receipts each year are normally more than $10,000. If a return is required, it must be filed by the 15th day of of the fifth month after the end of your annual accounting period. The law imposes a penalty of $10 a day, up to a maximum of $5,000, when a return is filed late, unles6 there is reasonable cause for the delay. P.O. Box 21224, Seattle, Washington 98111 (over) Letter 947(DO) (5-77) minimi DjWN Lee Drechsel Executive Director I ADMINISTRATION HOUSING PROGRAMS FUND DEVELOPMENT COMMUNITY PROGRAMS I I Shannon Carol Sandi Schram Melissa Arias Alicia Glenwell Johnson Sorvig Director of Housing Development Director Director of Community Programs Director of Executive I i Finance Assistant Judit Torrents Rena Brian Lacewell Vicky Tetzlaff Shelter Director Housing Adv. Facilities Assistant Development Associate Karen Paulina I Advocate Latina Program Manager Andrea Alanna Volunteers Children's Adv. Housing Adv. Sile I Advocate Nancy Spanish Advocate Shelter Belinda Volunteers Housing First Krystal Legal Advocate Crystal Lena Advocate Housing Adv. Joanna Vashon Rugayyah Advocate Carrie Community& Youth Advocate Katrina Advocate Crisis Line Relief Staff Ruth Advocate CAP Volunteers Kaelen Advocate Shelter Relief Bold names=Leadership Team Dawn Employees\Org Charg\08.doc DAWN's Mission Statement End Domestic Violence by Empowering Survivors and Fostering Communities Where Abuse Is Not Tolerated Domestic Abuse Women's Network P.O. Box 88007 • Tukwila,WA 98138 United Way PartnerA�gency TOLL FREE 1-866-286-DAWN(3296) Offices: (425)656-4305 • Fax: (425)656-4309 UNITED WAY /� TTY Gen. Info:(425)656-4305 24-Hour Help Line:(425)656-STOP(7867) p ial TTY Shelter: (206)622-1881 E-mail:dawnetwork@dawnonline.org • Web:www.dawnonline.orgy"via Domestic Abuse Women's Network Board Resolution The board of directors of DAWN, at a meeting held on April 7, 2008 at which a quorum was present, adopted a resolution authorizing staff to submit an application for funding for services to victims of domestic violence to the following cities; Auburn, Burien, Covington, Des Moines, Federal Way, Kent, Renton, SeaTac, Tukwila for the Continuum of Housing Program, Crisis Line and Community Advocacy program. This resolution has been duly recorded and appears in the meeting minutes of the corporation and has not been altered, amended, or revoked. Date: C2038 1rJYV - Thomas Kirkpatrick, \V&% •1-i-•" Board Secretary Domestic Abuse Women's Network P.O. Box 88007 • Tukwila,WA 98138 United Way Partner 4�ency TOLL FREE 1-866-286-DAWN(3296) Offices:(425)656-4305 • Fax: (425)656-4309 UNITED WAY (� TTY Gen. Info: (425)656-4305 24-Hour Help Line: (425)656-STOP(7867) © KING TTY Shelter: (206)622-1881 E-mail:dawnetwork@dawnonline.org • Web:www.dawnonline.org j, y"�".y Domestic Abuse Women's Network Board of Directors Na Tie Title Residence Term of Office Jamie Danielson Member Kent WA 2/07 —2/10 Lee Drechsel Executive Director Seattle WA Jan England Member Renton WA 1/05—9/08 Ga Ernsdorff Member Kent WA 3/07 —3/10 Ai a Fraser-Hammer Member Covington WA 4/06—4/09. St ven Gattis Member Seattle WA 9/07— 12/10 To Kirkpatrick Secretary Maple Valley WA 11/02- 11/08 Chris Jahrman Member Maple Valley WA . 4/08— 12/10 Peinny Lara Member Bellevue WA 4/08— 12/10 Diana Olsen Member Kent WA 9/07 — 12/10 Jay Olson Member Renton WA 9/07 — 12/10 Debra Overlin Vice President Seattle WA 7/03—7/09 • Jeri Politakis President Auburn WA 11/02— 11/08 Ro Price Member . Renton WA 4/06—4/09 . Je Thompson Treasurer. Renton WA 5/06—5/09 Ka Tomlinson President Elect Lake Tapps WA 7/03 —7/09 - • • • 4 „*".. • • .• • Board of Directors Meeting • . February 4, 2008 Present: Jamie Danielson, Lee Drechsel, Tom Kirkpatrick, Diana Olsen, Jay Olson, Jennifer Politakis, Ron Price, Jeff Thompson, Kay Tomlinson; Staff: Melissa Arias, Sandi Schram, Carol Sorvig, Judit Torrents. • • Excused: Jan England, Gary Ernsdorff, Aida Fraser-Hammer, Steve Gattis, Deb Overlin • Kay Tomlinson, president, called the board meeting to order at 5:35 p.m. .. Note of Appreciation Kay thanked Jennifer Politakis for the four years that she served as President of • the Board. Kay presented her with a gift of appreciation and the•Board shared Kay's gratitude for her leadership and for serving as Past-President this year. Acceptance of Board Minutes There was one correction to the November 26, 2007, minutes: page 3 2008 Breakfast June 12 not 11. A motion was made and seconded to accept the minutes of the November 26, 2007, minutes as corrected (Jeff Thompson/Tom Kirkpatrick); motion passed. A special welcome was given to Judit Torrents, Shelter Director, who is a new member to the Leadership Team and will be attending the Board meetings. Executive Director's Reports . • • Lee shared the following with the board: .• o 2007 Data of service: Lee went over "Who we served in 2007". It was decided that a few more statistics and verbiage will be added to the • document and then e-mailed to each Board member so that they could share it with others. o Update on changing building code at the Shelter: Lee contacted Julia Patterson who.is submitting an application to the county to change the code under an ordnance that covers shelters for domestic violence. This hopefully will be finalized by the end of March compared to 1 — 2 years through the court system. • o • Grants DAWN has applied for: We have not received the final decision regarding the grant with Sound Mental Health. We are also working on a grant to work with elder abuse. Development Committee • Melissa Arias, Development Director, went over the 2008 Development • Calendar. Melissa explained each of the sections and talked to the board about • Domestic Abuse Women's Network Board of Directors Meeting February 25, 2008 Present: Jan England, Aida Fraser-Hammer, Tom Kirkpatrick, Diana Olsen, Jay Olson, Deb Overlin, Jeff Thompson, Kay Tomlinson; Staff: Paulina Alvarado, Melissa Arias, Sandi Schram, Carol Sorvig, Vicky Tetzlaff, Judit Torrents. Excused: Jamie Danielson, Lee Drechsel, Gary Ernsdorff, Steve Gattis, Jennifer Politakis, Ron Price Kay Tomlinson, president, called the board meeting to order at 5:37 p.m. Acceptance of Board Minutes It was moved and seconded (TK/DO) that the minutes of the February 4, 2008, Board Meeting be accepted as presented in the Board Packet; motion passed Development Committee Deb Overlin, Chair, shared o The invitations to DAWN's Caring Community Reception went out yesterday. The Reception is Wednesday, March 26t , at the Southcenter DoubleTree Hotel, Summit Room, from 4:30 —6:30 p.m. o The Committee is working on 2008 marketing, media, and education opportunities. If any member is aware of an opportunity for DAWN to participate, speak to a community or business group, or advertise in print please send the information to Melissa. o Three times a year DAWN puts an ad in the Puget Sound Business Journal and Deb circulated the current newspaper with our first ad for the year. o We are looking for members for the Auction Steering Committee. The committee meets once a month on the second Wednesday. We are especially looking for people who are connected to the community, a business not represented on the board, and/or those who have prior auction experience. Diana Olsen and Jay Olson, co-chairs of DAWN's Annual Breakfast—Wake Up With DAWN 2008—presented: o Looking for table captains. The tables hold 8 people and at the meeting the board filled 14.5 tables which was a good start. Our attendance goal is 350. o When you think of someone who you think would make a good table captain or a company that you feel could fill a table please contact Melissa. Melissa Arias, Development Director, introduced Vicky Tetzlaff, new Development Associate. King County D. V. Lobby Day March Board of Directors Meeting , April 7, 2008 . . . . Present: Lee Drechsel, Gary Ernsdorff, Tom Kirkpatrick, Jay Olson, Deb Overlin, Jennifer Politakis, Ron Price, Jeff Thompson, Kay Tomlinson; Staff: Melissa Arias, Sandi Schram, Carol Sorvig, Judit Torrents. Excused: Jamie Danielson, Jan England, Aida Fraser-Hammer, Steve. Gattis, Diana Olsen, Kay Tomlinson, president, called the March Board Meeting to order at 5:40 p.m. Auction Melissa Arias, Development. Director, introduced Mardi Newman, Auctioneer, to kick off the 2008 Annual DAWN Auction. Mardi complimented the Board on the success of the Auction last year and encouraged everyone's commitment to grow that success. There are two things to remember to make a successful auction — Temptation and Passion. Temptation is providing attendees with items they cannot resist (procurement) and Passion is inviting a.room full of people passionate about DAWN and the work it does. When the two meet is when we make money. If every person who attended last year asked a couple to come with them this year, just think of what we could do. Procurements: o . Use your creative mind o Wine Frenzy— big bottles (10 — 12) o Increase the number of the live auction items o Increase value of live auction items . o Special unique items . o Group.Party ideas Remember asking a person for an item is a compliment to them. Jen Politakis, co-chair of the auction, shared that the Auction will be held at the Westin Hotel, downtown Seattle, this year on October 18th. The cost will be $150.00/person as We are trying to cover costs with the attendance. Goals are $25,000,in sponsorships and $250,000 in revenue Acceptance of Consent Agenda (includes Board Minutes) It was moved and seconded (TK/RP) that the minutes of the February 25, 2008, Board Meeting be accepted as presented in the Board Packet;motion passed Executive Committee Report - ti King County; Chris Jahrman if Life Company Manager for PEMCO Life Insurance Company. The board unanimously approved both names: Program Committee Top Kirkpatrick, chair, presented the motion to change the name of the Program Committee to Strategic Planning Committee to better label the responsibilities of the committee. Motion passed Finance Committee Jeff Thompson, Treasurer, presented the Resolution for DAWN to submit applications for funding for services to victims of domestic violence in: Auburn, Burien, Covington, Des Moines, Federal Way, Kent, Renton, SeaTac, and Tukwila. Motion passed Jeff shared that the budget is on target for the year. Executive Director's Report ' Lee Drechsel, shared the auditors were in last week. There are now tougher audit standards for non-profits; we were given 5 pages of controls that we had to detail our process in handling. Lee thanked everyone who attended our Community Thank You Event on March 26th. She thanked Melissa for coming up with the idea and her follow-through. We have received many wonderful comments regarding.the evening. DASH (the organization who we have partnered with for housing) has advised us that we will be receiving $25,000 from their employee/board contributions. Wednesday of this week, she and Rita Ryder, President of Strategic Initiatives, YWCA of Seattle-King-Snohomish Counties, are presenting a workshop at the Executive Alliance Non-Profit Conference in Bellevue. Lee encouraged each member to re-ask for the items procured last year for the auction and let Melissa know they are coming. Local or short trips for 2-3 days • are very popular as well as parties, wine, and catered events. ' Meeting adjourned at 7:20 p.m. ' Written and submitted by Carol Sorvig, Executive Assistant. Domestic Abuse Women's Network 2008 Proposed Budget REVENUE Contributions (Individuals) 81,000 Contributions (Foundations & Corp) 145,000 Kid's Club Funding 15,000 United Way 151,986 Workplace Designations 120,000 Grants & Contracts Washington State 496,282 King County 411,483 Cities 126,100 Other 28,800 Special Events 240,000 Miscellaneous 10,000 Interest 35,000 Total Revenue 1,860,651 Expenses Salaries &Wages 1,105,279 Benefits 200,480 Taxes 101,836 Total Payroll Costs (with bonus) 1,407,594 Other Expenses Professional Fees. 20,000 Supplies (Office) 12,000 Supplies (Program Materials, Equipment) 20,000 Supplies (Food & Related) 15,000 Telephone 20,000 Postage & Shipping 10,500 Occupancy (Rent) 66,500 Occupancy (Utilities) 15,000 Occupancy (Maintenance) 12,000 Insurance 14,000 Equipment Rental & Maint. 8,000 Printing 13,520 Advertising 3,000 Mileage &Van expenses 10,500 Professional Development 7,000 Client Assistance 70,000 Dues & Subscriptions 5,500 Interest& Bank Charges 2,000 Fund Raising (Special Events) 75,000 Miscellaneous 13,000 Total Other Expenses 412,520 Reserve Allocation 40,537 Total Expenses $ .1,860,651 Net Revenue 0 �'"-•_ - _.,i .�� i^',^l'%'""Y-:..,_,,...- �. -.�... •i-_,•![-..•,.-]'_.. ..}ln_"X'-'C..7f +R,-,,. "°,`.,F."".il_._.... - p;t?' .tT; ��'.ram , -.� '., ',., n '---r - .....T•..r»,- ---+ ., :. .�:^'�""r•,., ...F� -..ter s..�:,;"- _(- '.C' - ��'N": r - .. �-'t- +,�-,.`.:'��....ice'..: Y.`l�.):...," :": *.. ��. u'r,.., ,. ,r,�.r'1s / t• - it.. -,i '1 ' r' a;'r t • } 44 {. i• •�c�r ti .3 • s.;.:,met. •.t' PETERSON SULLIVAN _.. -...... ,,..._ :� PLLC a-?'. miry; pusq ac,, ,„ccUS 6_.;-fA,if 601 UNION STREET, SUITE 2300 SEATTLE, WASHINGTON 98101 April 4, 2007 To the Board of Directors Domestic Abuse Women's Network eattle, Washington In planning and performing our audit of the financial statements of Domestic Abuse Women's 14,etwork for the year ended December 31, 2006, we considered its internal control over financial reporting in order to determine our auditing procedures for the purpose of expressing our opinion o the financial statements and not for the purpose of expressing an opinion on the effectiveness o its internal control. Accordingly, we do not express an opinion on the effectiveness of its ii temal control. Our consideration of internal control in connection with our audit would not - n cessarily disclose all matters in internal control that might be material weaknesses under r' 1 s andards established by the American Institute of Certified Public Accountants. _ A material weakness is a significant deficiency, or combination of significant deficiencies, that rsults in more than a remote likelihood that a material misstatement of the financial statements Willi not be prevented or detected by the entity's internal control. However, we noted no matters involving internal control and its operation that we consider to be material weaknesses as defined above. This report is intended solely for the information and internal use of management and the Board of Directors and is not intended to be and should not be used anyone other than these specified parties. - ii::r 206.382.7777 • >•: :,_ 206.382.7700 • www.pscpa.com I No Management Letter 5, DOMESTIC ABUSE WOMEN'S NETWORK FINANCIAL REPORT DECEMBER 31, 2006 CONTENTS Page NDEPENDENT AUDITORS' REPORT 1 FINANCIAL STATEMENTS STATEMENTS OF FINANCIAL POSITION 2 STATEMENT OF ACTIVITIES —2006 3 STATEMENT OF ACTIVITIES—2005 4 STATEMENT OF FUNCTIONAL EXPENSES —2006 5 STATEMENT OF FUNCTIONAL EXPENSES —2005 6 STATEMENTS OF CASH FLOWS 7 NOTES TO FINANCIAL STATEMENTS 8 - 12 a: x i ^ ,!r ai'� __ ,..,--,--P-ETERtoN=SULtiv.AN:eiL-e fr::.._. --_" `T 4 ems. ,rah* Y.. .,..� _ a_„ Er.. .„„»,,44.4r •4,,;„ 601 UNION STREET, SUITE 2300 • SEATTLE, 1h�ASHINGTON 98101 , INDEPENDENT AUDITORS' REPORT 'Iio the Board of Directors Domestic Abuse Women's Network. Sleattle, Washington We have audited the accompanying statements of financial position of Domestic Abuse Women's etwork (a nonprofit corporation) as of December 31, 2006 and 2005, and the related statements o activities, functional expenses, and cash flows for the years then ended. These financial s atements are the responsibility of the Organization's management. Our responsibility is to e press an opinion on these financial statements based on our audits. ' _ e conducted our audits in accordance with'auditing standards generally accepted in the United States. Those 'standards require that we plan and perform the audit, to obtain reasonable a surance about whether the financial statements are free of material misstatement. An audit ill eludes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Domestic Abuse Women's Network as of December 31, 2006 and 2005, and the changes in its net assets and its cash flows for the years then ended in conformity with accounting principles generally accepted in the United States. •�pril 4, 2007 - 1 206.382.7777 • 206.382.7700 • www.pscpa.com DOMESTIC ABUSE WOMEN'S NETWORK STATEMENTS OF FINANCIAL POSITION December 31, 2006 and 2005 ASSETS 2006 2005 Current Assets Cash $ 616,472 $ 370,901 Contracts and grants receivable, net of allowance for doubtful accounts of$1,409 in both years 181,747_ 104,787 Pledges receivable 69,365 71,635 Prepaid expenses 17,263 13,719 Land and building held for sale 250,000 Total current assets 884,847 811,042 Property and Equipment Land 44,693 44,693 Shelter buildings 659,603. 659,840 Equipment 49,066 42,817 Furniture and fixtures 75,887 75,702 Leasehold improvements 5,377 5,377 834,626 828,429 Less accumulated depreciation (389,085) (349,276) Net property and equipment 445,541 479,153 Deposits 10,403 10,403 Total assets $ 1,340,791 $ 1,3.00,598 LIABILITIES AND NET ASSETS Current Liabilities Accounts payable $ 6,383 $ 21,402 Accrued payroll and related expenses 35,043 28,527 Accrued vacation 25,118 20,549 Total current liabilities 66,544 70,478 Net Assets Unrestricted 1,194,139 1,139,391 Temporarily restricted 80,108 90,729 Total net assets 1,274,247 1,230,120 Total liabilities and net assets $ 1,340,791 $ 1,300,598 See Notes to Financial Statements 2 DOMESTIC ABUSE WOMEN'S NETWORK STATEMENT OF ACTIVITIES For the Year Ended December 31, 2006 Temporarily Unrestricted Restricted Total Support and Revenue Government grants and contracts $ 725,338 $ - $ 725,338 United Way 69,364 69,365 138,729 Iidividual contributions 167,016 8,400 175,416 Foundations and corporations 178,330 178,330 Special events 132,621 132,621 Less: direct costs (31,370) (31,370) iii kind contributions 170,406 170,406 Miscellaneous 27,675 27,675 Total revenue 1,439,380 77,765 1,517,145 Net assets released from restrictions Satisfaction of time and program restrictions 88,386 (88,386) Total support and revenue 1,527,766 (10,621) 1,517,145 Ex enses Program services 1,165,897 1,165,897 Management and general 206,710 206,710 Fundraising 100,411 100,411 Total functional expenses 1,473,018 1,473,018 C ange in net assets 54,748 (10,621) 44,127 Net assets, beginning of year 1,139,391 90,729 1,230,120 Nelt assets, end of year $ 1,194,139 $ 80,108 $ 1,274,247 See Notes to Financial Statements 3 r DOMESTIC ABUSE WOMEN'S NETWORK STATEMENT OF ACTIVITIES For the Year Ended December 31, 2005 Temporarily Unrestricted Restricted Total Sup•ort and Revenue Government grants and contracts $ 681,769 $ - $ 681,769 United Way 69,364 71,635 140,999 Individual contributions 157,260 157,260 Bequest 250,000 250,000 Foundations and corporations 232,352 7,334 239,686 Special events 78,242 78,242 Less: direct costs (12,123) (12,123) Iii-kind contributions 208,777 208,777 Miscellaneous 17,449 17,449 Total revenue 1,683,090 78,969 1,762,059 Net assets released from restrictions Satisfaction of time and program restrictions 72,866 (72,866) Total support and revenue 1,755,956 6,103 1,762,059 Expenses program services 1,088,484 1,088,484 Management and general 170,752 170,752 undraising 87,680 87,680 Total functional expenses 1,346,916 1,346,916 Ch nge in net assets 409,040 6,103 415,143 Net assets, beginning of year 730,351 84,626 814,977 Net assets, end of year $ 1,139,391 $ 90,729 $ 1,230,120 See Notes to Financial Statements 4 DOMESTIC ABUSE WOMEN'S NETWORK STATEMENT OF FUNCTIONAL EXPENSES For the Year Ended December 31, 2006 Program Services Supporting Services Total Management Total Shelter Community Program and Supporting Operations Advocacy Services General Fundraising Services Grand Total Salaries and wages $ 376,764 $ 263,917 $ 640,681 $ 117,939 $ 52,996 $ 170,935 $ 811,616 Payroll taxes 30,301 23,227 53,528 12,117 3,928 16,045 69,573 Employee benefits 48.194 35,799 83,993 14,981 8,021 23,002 106,995 Total salaries and benefits 455,259 322,943 778,202 145,037 64,945 209,982 988,184 Professional fees 7,362 69,170 76,532 16,093 1,467 17,560 94,092 Supplies 13,544 8,835 22,379 1,622 730 2,352 24,731 Telephone 5,935 7,859 13,794 2,054 985 3,039 16,833 Postage 2,392 1,433 3,825 567 1,520 2,087 5,912 Occupancy 29,535 40,261 69,796 14,736 4,756 19,492 89,288 Equipment,repairs, and maintenance 2,416 2,737 5,153 823 453 1,276 6,429 Printing 107 1,691 1,798 82 3,257 3,339 5,137 Transportation 4,790 2,948 ' 7,738 57 76 • 133 7,871 Client assistance 39,087 6,279 45,366 45,366 Membership dues 1,583 905 2,488 1,040 823 1,863 4,351 Professional development 3,156 1,726 4,882. 929 827 1,756 6,638 Advertising 2,065 1,899 3,964 590 514 1,104 5,068 Bank charges and miscellaneous 509 517 1,026 9,635 42 9,677 10,703 Fundraising 15,689 15,689 15,689 In-kind expenses 62,951 26,950 89,901 9.806 4.203 14,009 103,910 175,432 173,210 348,642 58,034 35,342 93,376 442,018 Total functional expenses before depreciation 630,691 496,153 1,126,844 203,071 100,287 303,358 1,430,202 Depreciation 37,576 1,477 39,053 3,639 124 3,763 42,816 Total functional expenses $ 668,267 $ 497,630 $ 1,165,897 $ 206,710 $ 100,411 $ 307,121 $ 1,473,018 See Notes to Financial Statements 5 DOMESTIC ABUSE WOMEN'S NETWORK _ STATEMENT OF FUNCTIONAL EXPENSES • For the Year Ended December 31, 2005 Program Services Supporting Services Total Management Total Shelter Community Program and Supporting Operations Advocacy Services General Fundraising Services Grand Total Salaries and wages $ 356,585 $ 234,499 $ 591,084 $ 97,810 $ 44,350 $ 142,160 $ 733,244 Payroll taxes , 33,269 21,581 54,850 8,692 3,894 12,586 67,436 Employee benefits 23,881 21,273 45,154 7,289 4,305 11,594 56,748 Total salaries and benefits 413,735 277,353 691,088 113,791 52,549 166,340 857,428 Professional fees 10,056 78,829 88,885 9,648 6,074 15,722 104,607 Supplies 13,768 9,392 23,160 2,640 801 3,441 26,601 Telephone 4,958 8,694 13,652 2,644 1,055 3,699 17,351 Postage 2,769 3,314 6,083 826 3,014 3,840 9,923 Occupancy 31,223 35,734 66,957 19,810 5,838 25,648 92,605 Equipment,repairs, and maintenance 1,492 4,449 5,941 946 416 1,362 7,303 Printing 2,832 9,286 12,118 256 4,294 4,550 16,668 Transportation 5,353 2,445 7,798 81 81 7,879 Client assistance 34,856 6,238 41,094 41,094 Membership dues 1,629 779 2,408 3,076 1,062 4,138 6,546 Professional development 1,236 790 2,026 465 225 690 2,716 Advertising 510 1,799 2,309 2,309 Bank charges and miscellaneous 1,095 1,046 2,141 4,537 1,940 6,477 8,618 Fundraising 5,901 5,901 5,901 In-kind expenses 64,685 24.383 89,068 9,806 4,203 14,009 103,077 176,462 187,178 ' 363,640 54,654 34,904 89,558 453,198 Total functional expenses before depreciation 590,197 464,531 1,054,728 168,445 87,453 255,898 1,310,626 Depreciation 32,155 1,601 33,756 2,307 227 2,534 36,290 Total functional expenses $ 622,352 $ 466,132 $ 1,088,484 $ 170,752 $ •87,680 $ 258,432 $ 1,346,916 See Notes to Financial Statements 6 DOMESTIC ABUSE WOMEN'S NETWORK STATEMENTS OF CASH FLOWS For the Years Ended December 31, 2006 and 2005 2006 2005 Cash Flows from Operating Activities Cash received from Government agencies $ 648,378 $ 660,290 Donors 464,197 463,065 United Way 140,999 140,999 Interest and other 27,675 17,449 Sale of land and building 272,170 Cash paid to Employees (800,531) (734,834) Vendors (499,670) (404,588) Net cash flows from operating activities 253,218 142,381 Cash Flows from Investing Activity Property and equipment acquisitions (7,647) (69,937) et change in cash 245,571 72,444 Cash,beginning of year 370,901 298,457 Cash, end of year $ 616,472 $ 370,901 Cash Flows from Operating Activities Change in net assets $ 44,127 $ 415,143 Adjustments to reconcile change in net assets to net cash flows from operating activities Depreciation 42,816 36,290 Donated land and building held for sale 250,000 (250,000) Donated materials and labor for shelter garage (36,100) Donated furniture and fixtures (2,304) Loss on disposal of fixed assets 747 Change in operating assets and liabilities Contracts and grants receivable (76,960) (21,479) Pledges receivable 2,270 Prepaid expenses (3,544) (6,073) Deposits (700) Accounts payable (15,019) 6,890 Accrued payroll and related expenses 6,516 95 Accrued vacation 4,569 (1,685) Net cash flows from operating activities $ 253,218 $ 142,381 See Notes to Financial Statements 7 NOTES TO FINANCIAL STATEMENTS Note 1. Statement of Purpose and Summary of Significant Accounting Policies Statement of Purpose Domestic Abuse Women's Network ("DAWN") is a not-for-profit Washington State Corporation founded in 1980 by a group of volunteers. The mission of DAWN is to end domestic violence by providing culturally relevant services that empower battered women and their children, advocating for positive changes in the societal systems that impact the lives of women, and fostering a better understanding of domestic violence through community education. DAWN provides a wide range of free services designed to meet the needs of battered women in South King County. All of the following programs have the goal of increasing safety. Emergency Shelter: DAWN's house provides culturally sensitive confidential shelter for women and children seeking refuge from domestic violence. Food, clothing, health care, mental health counseling for moms and kids, children's advocacy, emotional support, case management, chemical dependency counseling, support groups, yoga, safety planning, assistance finding transitional and permanent housing, and assistance.with transportation are offered free of charge. Clients can stay in shelter for up to 90 days, but _ the average stay is 25 days. Extended Stay Program: DAWN furnishes 2-bedroom apartment units for moms and kids to stay free for 90 days, to pay the utilities only for the next 90 days, to pay up to 30% of their income as rent the next 90 days, and then transition to permanent housing, in their fully furnished unit, after that. Women's Advocacy: Advocates work in partnership with women who do not reside in a DAWN facility to identify and address a wide variety of needs. Advocates also offer financial literacy training to clients. Women's Support Groups: DAWN offers two weekly English and two weekly Spanish speaking support groups in a supportive atmosphere where the causes and effects of domestic violence are discussed and support is offered to and by the group attendees. Free childcare is provided. Legal Advocacy: Our legal advocate helps clients navigate the complex judicial system by offering information and access to resources for a wide variety of legal matters. The advocate also accompanies women to court. 8 Children's Programs: Kids' Club is a program for any child 6-10 years of age who has witnessed a domestically violent home. It offers an 8 session information/support group designed to help the children understand that the violence is not their fault, how to feel and stay safe, to improve communication with their custodial parent, and to deal with the shame, rage, guilt, isolation and grief that often attend their exposure. The non-abusing caregiver takes part in each session. The shelter-based children's program offers domestic violence education, recreational activities, play times, tutors for school-age children, and access to daycare and schools. The children's advocate provides moms and their children a supportive atmosphere, and access to information and resources to meet children's needs. Community Education: DAWN board members and staff make presentations throughout the year to schools, churches, businesses, civic groups, other agencies and the general public to increase awareness and understanding of domestic violence. Volunteer and Professional Training: During the spring and fall of each year, DAWN offers 50+ hours of domestic violence training to future crisis line volunteers and community professionals. Additional training on topics of interest are also offered. DAWN also conducts at least one 50-hour domestic violence training in Spanish, and offers an 8-hour training for clergy and lay clergy, also in Spanish. Financial Statement Presentation DAWN reports information regarding its financial position and activities according to three ¶lasses of net assets: unrestricted net assets, temporarily restricted net assets, and permanently estricted net assets. DAWN has no permanently restricted net assets, so this class of net assets is of shown on the financial statements. Contributions and certain grants that are received are I ecorded as unrestricted or temporarily restricted support depending on the existence and/or nature of any donor restrictions. Temporarily Restricted Net Assets emporarily restricted net assets consist of unexpended contributions restricted for particular urposes or time periods. Temporarily restricted net assets are transferred to unrestricted net assets as expenditures are incurred for the restricted purpose, or as time restrictions are met. ID AWN has elected to show restricted contributions whose restrictions are met in the same -eporting period as unrestricted support. Temporarily restricted net assets consist of the following at December 31: 2006 2005 Time restricted (United Way) $ 69,365 $ , 71,635 1 Child therapy 9,585 11,760 Shelter improvements 1,158 3,281 Kid's Club 4,053 $ 80,108 $ 90,729 1 9 ash/Statements of Cash Flows Cash consists of checking and money market accounts. On occasion, DAWN has cash balances in excess of federally-insured limits. Property and Equipment Property and equipment are recorded at cost when purchased and fair market value when donated. Expenditures for property costing in excess of$1,000 and that significantly increase the e timated useful life of assets are capitalized. Maintenance and repairs are charged to expense as i curred. Depreciation is provided on the straight-line method over the estimated useful lives of the assets. In-Kind Contributions A substantial number of volunteers, including the members of the Board of Directors, have made significant contributions of time to DAWN. The value of this contributed time does not meet the criteria for recognition under current accounting standards and, accordingly, is not reflected in the accompanying financial statements. Certain professional services, formally documented and dharged to the relevant projects, are recorded in the accompanying financial statements. Contributions of materials received in the current year, based on the market value at the time of ontribution, have also been recorded. unctional Allocation of Expenses The costs of providing the various programs and other activities have been summarized on a functional basis in the statement of activities. Accordingly, certain costs have been allocated among the programs and supporting services benefited. Advertising Advertising costs are expensed as incurred. Advertising expense was incurred for employment ids and publicizing training events. Advertising expense was $5,068 and $2,309 for the years ended December 31, 2006 and 2005, respectively. Income Taxes DAWN is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect certain reported amounts and disclosures. Actual results could differ from .those estimated amounts. 10 ote 2. Receivables ontracts and grants receivable consist of amounts due within one year from governmental agencies. Pledges receivable consists of United Way pledges due within one year. DAWN maintains an allowance for potential losses based upon management's periodic review of DAWN's experience related to receivable collections. Any receivables written off are charged against the allowance. Note 3. Land and Building Held for Sale/Bequest During 2005, DAWN received a contribution of land and building as a bequest. DAWN sold this Building during 2006. DAWN valued this contribution based on expected realization from sale, which approximated the realized gain on the sale. The contribution represented 15% of revenues for the year ended December 31, 2005. Note 4. Line of Credit DAWN has an unsecured line of credit of $150,000, with interest only payments of prime plus iJ.25% (resulting in a rate of 8.5% at December 31, 2006) due monthly. No amounts were outstanding at December 31, 2006 or 2005. The line of credit expires in June 2007. ote 5. Leases II AWN subleases its business office from a bank. The business office sublease expires October 31, 2009, and requires monthly payments of $4,053 increasing to $4,195 for the last fifteen months. Rent payments for this lease are below market value and the difference is included in these financial statements as an in-kind contribution. Future minimum payments on leases for the years ending December 31 are: 2007 $ 48,633 2008 49,342 2009 41,946 $ 139,921 Total rent expense on this and other leases (excluding in-kind amounts) was $77,644 in 2006 and $78,896 in 2005. 11 Note 6. Donated Assets and Services Donated assets are reflected as contributions in the accompanying statements at their estimated values at date of receipt. Donated services have not been recorded in the financial statements unless they meet appropriate accounting criteria for recognition. The following items were donated and recognized for the years ended December 31: 2006 2005 Professional services $ 62,625 $ 69,600 Office rent 46,698 46,695 Materials and labor for shelter 36,100 Transitional housing rent 32,400 32,400 Shelter supplies 25,159 22,831 Furniture and fixtures 2,304 Other 1,220 1,151 $ 170,406 $ 208,777 • Note 7. Pension Plan DAWN participates in a defined contribution pension plan covering substantially all employees. Included in employee benefits are costs relating to this plan of$46,459 and $2,701 for the years ending December 31, 2006 and 2005, respectively. I • Note 8. Revenue Concentrations DAWN received 27% and 30% of revenue from two funding sources for the year ending December 31, 2006 and 2005, respectively. 12 DAWN's Non-Discrimination Policies DAWN firmly believes in treating those with whom we come in contact in our work with the same courtesy, professionalism and respect which we would like to be shown ourselves. As a result,. DAWN strongly supports the concept of equal opportunity and courtesy because,we believe such philosophies benefit our agency, our employees; our clients, and our entire society. In keeping with this policy, all employees, clients, and volunteers are expected to abide by applicable federal and state laws which prohibit discrimination against, any person because of race, color, religion, sex (gender), national origin, age, disability, sexual orientation, or status as a qualified disabled veteran or veteran of the Vietnam era or survivor of domestic violence. This includes providing reasonable accommodations to the religious beliefs of others, as well as providing reasonable accommodations for individuals with physical, sensory or mental disabilities. All employees, clients, and volunteers are expected to take personal responsibility in getting along with others who may have different beliefs, backgrounds, or other differences, and to display common courtesy in their dealings with one another. The common courtesy which DAWN expects includes: being careful to avoid teasing and unkind "jokes" or remarks about the personal characteristics of another person; avoiding discussions of issues likely to generate personal disputes (such as religion and sex); avoiding racial, ethnic or sexually-oriented jokes; avoiding invasions of the personal privacy of others; and otherwise making genuine efforts to treat others with the same courtesy, consideration and respect with which you would like to receive. It also means avoiding any use of position or power for personal gain or advantage (including using influence or position to engage in any conduct which would constitute harassment under this policy). There are a number of reasons why DAWN places such a strong emphasis on. the use of common courtesy in dealing with others. The most important reason is that we believe this approach helps us establish an environment of trust within our agency that makes it much easier to work together.productively, and this trust allows us to give one another the benefit of the doubt when problems arise. This environment of trust, in turn, makes it easier to resolve misunderstandings and work out satisfactory solutions if some mistake has been made. Documents:DAWN's Non Discrimination Policy Approved by Board,August 1,2005 DAWN'S Employment Non-Discrimination Policies I. Equal Opportunity and Employment Practices DAWN firmly believes in treating those with whom we come in contact in our work with the same courtesy, professionalism and respect which we would like to be shown ourselves. As a result, the agency strongly supports the concept of Equal Employment Opportunity and courtesy because we believe such philosophies benefit our agency, our employees, our clients, and our entire society. In keeping with this policy, all employees are expected to abide by applicable federal and state laws which prohibit discrimination against any employee or applicant for employment because of race, color, religion, sex (gender), national origin, age, disability, sexual orientation, or status as a qualified disabled veteran or veteran of the Vietnam era or survivor of domestic violence. This includes providing reasonable accommodations to the religious beliefs of others, as well as providing reasonable accommodations for individuals with physical, sensory or mental disabilities. These same principles require our employees to abide by applicable federal and state non-discrimination laws in their dealings with clients, visitors, vendors and suppliers. This includes providing appropriate accommodations for disabled individuals in order to permit them access that is comparable to services and facilities provided to non-disabled individuals. If you receive requests for such accommodations, ask your supervisor for guidance. All employees are expected to take personal responsibility in getting along with others who may have different beliefs, backgrounds, or other differences, and to display common courtesy in their dealings with one another. The common courtesy which we expect of our employees includes: being careful to avoid teasing and unkind "jokes" or remarks about the personal characteristics of another person; avoiding workplace discussions of issues likely to generate personal disputes (such as religion and sex); avoiding racial, ethnic or sexually-oriented jokes; avoiding invasions of the personal privacy of others; and otherwise making genuine efforts to treat others with the same courtesy, consideration and respect with which you would like to receive. It also means avoiding any use of position or power for personal gain or advantage (including using influence or position to engage in any conduct which would constitute harassment under this policy). There area number of reasons why DAWN places such a strong emphasis on the use of common courtesy in dealing with others. The most important reason is that we believe this approach helps us establish an environment of trust within our agency that makes it much easier to work together productively, and this trust allows us to give one another the benefit of the doubt when problems arise. This environment of trust, in turn, makes it easier to resolve misunderstandings and work out satisfactory solutions if some mistake has been made. Equal Employment Opportunity Policy It is the policy of DAWN to afford equal opportunity for employment and advancement to all individuals regardless of race, ethnicity, religion, sex, marital status,national origin, • RESIDENT INTAKE DATA FORM DAWN ID D InfoNet Case Number (MM/YY of intake+ last digit of M/D/Y of client birth date) Advocate responsible for filling out intake: Intake ate First ame Last Name Date of Birth Age Full Current or Last Street Address: City County State Zip Live within City Limits? Yes n No❑ Unknown❑ (if within King Co.,check Thomas Guide to verify city limits AND put your initials indicating that it was done.) Disability ❑ None Ethnicity ❑ Non-Hispanic/Non-Latino ❑ Physical n Hispanic/Latino n Mental (Hispanic/Latino: A person whose ethnicity can be traced to any Spanish- n Sensory speaking county in the Western Hemisphere. Includes people who identify as Mexican, Puerto Rican, Caribbean Islander, Central American,or South ❑ Other American. Per the US Census definition Hispanics can be of any race.) ❑ Multiple Race n African (Black) or African American(a person who is native to the continent of Africa and/or a person who is a North, Central, or South American or Caribbean Islander of African descent. Specifically excluded from this group are Afrikaners and North African Caucasians.) ❑ Asian,Asian-American(An individual whose race or ethnicity is native to the continent of Asia,the Philippine Islands or the sub-continent of India) ❑ Native Hawaiian/Other Pacific Islander(A person whose race or ethnicity is native to Pacific Island areas(including Hawaii) n American Indian/Alaskan Native(Person who is native(indigenous)to NO America, SO America, Caribbean, or Central America.) ❑ Caucasian(White)(a person whose race is native to the continent of Europe,the Middle East,or North Africa.) ❑ Other(describe) n Unknown Refugee/Immigrant/Asylum Seeker? yes❑ No❑ Unknown n Limited English Proficiency? Yes n No n Unknown❑ Country of Origin eh..CP Women's Network—Shelter Program-Intake Information for Excel&InfoNet rev.4/2/2008 1 RESIDENT INTAKE DATA FORM Referred From: n Been to DAWN before/Self ❑ Doctor/medical ❑ Private Attorney - n Community advocate n Legal system or Prosecutor ❑ Crisis line/clinic n Legal or Court advocate ❑ DV hotline ❑ Church/minister/clergy n Social service agency n Education System . n Public Health(dept) n Therapist/counselor ❑ Friend/neighbor ❑ Police n Other DV program • ❑ Family ❑ Other n Media ❑ Legal Aid Attorney n Unknown Presenting Issues: Has your spouse ever served in the military? ❑ talking ❑ arassment Yes❑ No❑ N/A❑ ❑ I dult Survivor of Incest ❑ ape or Sexual Assault ' If so what branch? ' ❑ ther Issue Primary Abuser(check only one): Gender of Abuser: , ❑ Spouse ❑ Male ❑ Partner ❑ Female ❑ Exl-spouse - ❑ Ex-partner . Abuser's County of Residence: ❑ Parent/Step-parent ❑ Other Relative ❑ Other non-relative . . Abuser's Date of Birth Visitation Issues: ❑ Sul ervised Visitation Abuser's Age ❑ Unsupervised Visitation ❑ Vi itation Not An Issue ❑ N t Reported Abus r's,Ethnicity ❑ Non-Hispanic/Non-Latino n Hispanic/Latino .' Hispanic/Latino:A person whose ethnicity can be traced to any Spanish-speaking county in the Western Hemisphere. Includes people who identify as Mexican,Puerto Rican,Caribbean Islander,Central American,or South American. Per the US Census definition Hispanics can be of any race. Abus is Race n A scan (Black)or African American(a person who is native to the continent of Africa and/or a person who is a orth,Central,or South American or Caribbean Islander of African descent. Specifically excluded from this group are Afrikaners and North African Caucasians.) ❑ Asian,Asian-American(A person whose race or ethnicity is native to the continent of Asia,the Far East,the sub-continent of India, Cambodia,China,India,Japan,Korea,Malaysia, Pakistan,Thailand and Vietnam) ❑ Native Hawaiian/Other Pacific Islander(A person whose race or ethnicity is native to the Philippine Islands, Pacific Island areas(including Hawaii) ❑ American Indian/Alaskan Native(Person who is native(indigenous)to NO America, SO America, Caribbean, or Central America.) - n C ucasian(White)(a person whose race,is native to the continent of Europe,the Middle East,or North Africa.) ❑. Other(describe) , ❑ Unknown nnmPstir Abuse Women's Network—Shelter Program-Intake Information for Excel&InfoNet •rev.4/2/2008 3 Y. • DOMESTIC ABUSE WOMEN'S NETWORK (DAWN) EXTENDED STAY PROGRAM APPLICATION DAWN's Extended Stay Program,provides safe,confidential housing,advocacy,case management,and access to community resources for women and children who have been victims of domestic violence. Families receive housing for up to nine months.Each apartment has two bedrooms and comes with furniture and household items. Successful candidates for the program should meet the following eligibility requirements: • Applicant must need confidential housing due to domestic violence. • Applicant must be a female with one to three school-aged children(under the age of 19 at the time of application). • Applicant should have an effective safety plan in place. • _ Applicant must be motivated•and willing to meet weekly with an advocate in the unit. • Applicant must demonstrate the ability to set and achieve goals and show continuous progress toward meeting those goals. • Applicant should have a source of income or potential to establish an income. • • Applicant must be participating in or seeking training program or have employable skills. • Applicant must be willing and able to maintain an apartment in a responsible and respectful manner,and in accordance with apartment regulations. • Applicant should have a support system that is used effectively. • Applicant_must have no current alcohol or substance abuse issues. . • Applicant should be able to transition into permanent housing within nine months. • Applicant should have a safe and effective transportation plan. Please provide complete and candid answers to the following questions to help us determine if we are a suitable program for your needs.All information is confidential and used by DAWN staff members only. Eligible candidates will be interviewed upon review of applications.Selection for the program will be based on greatest need and family's potential for self-sufficiency. Candidates whose most recent address was South King County will receive priority. Date: Name: Date of Birth: • Referring Agency Please provide the following information for family members who will be residing together: • Children's Names Sex Date of Birth School Grade • Phone number(s)where it is safe to contact you: Best time to call: Last permanent residence(city&state): • 1 Revised 11/26/05 • DOMESTIC VIOLENCE HISTORY We request the following information concerning your domestic violence situation to assess the safety of you and your family if accepted into the Extended Stay Program. Name of abuser: Length of relationship: Do you have children in common?Yes No Do you have visitation/parenting plan(s)for children in common? Yes No If yes,please describe: Are there any court orders(protection,anti-harassment,etc.)involved with your relationship with the abuser and/or children?Yes No If yes, please describe: • Have any court orders been violated by either party?Yes No If yes, please describe: Please describe your current situation, including the domestic violence that brought you to a shelter or community program: • When did this abuse happen? Are you currently having any contact with your abuser(i.e. child visitation,parenting plans)? If yes, please explain: How long have you been separated from your abuser? Have you left your abuser before?Yes No How many times? Is your abuser looking for you now? Area(s)where you lived with the abuser: 2 Revised 11/26/05 Specific area.or city where abuser is currently living or which he frequents: 1 1 In what area(s)would you feel unsafe to travel? What is the probability of your abuser finding you and/or your children? 1ery likely Somewhat likely Not very likely Not at all likely an What is the probability of you or your children contacting this person? Very likely Somewhat likely Not very likely Not at all likely What is the probability of your children being kidnapped by this person? Very likely Somewhat likely Not very likely Not at all likely What is the probability of being killed/critically injured by this person? Very likely Somewhat likely Not very likely Not at all likely • I FINANCES,EMPLOYMENT &EDUCATION I What is your total monthly income? :Source of income(Please complete all that apply) Job$ TANF$ Child support$ Food Stamps$ Other$ from If you currently have no income,do you anticipate having an income within the next few months that will allow you to pay your living expenses? Yes , No Where are you currently employed?(If not currently employed,where were you last employed)? Date Employer ` Position - Length of employment Reason for leaving(if not currently employed) What steps are you taking to find employment? What is the highest grade level you reached in school? Are you currently(or have you previously)enrolled in a school or a training program?Yes No If yes,please describe: 3 Revised 11/26/05 i .. id you complete the program?YES NO re you or have you ever been a member of the military?YES NO as your abuser ever been a member of the military?YES NO HOUSING HISTORY Have you ever received a Section 8 voucher or been part of a low-income housing program with King County Housing Authority, Seattle Housing Authority,Renton Housing Authority,or any other housing uthority in any state in the country?Yes No Are you eligible to receive a Section 8 voucher again?If not,why? IIave you ever been evicted?Yes No yes,please explain: ave you applied to another transitional housing program? Yes = No I f yes,when? Were you approved or accepted by another housing program? Yes No f yes,please list names and dates. Name of Program Date approved/accepted Have you ever lived in transitional housing? Yes No If yes,when and where? Why did you leave? Do we have your permission to call and obtain information about your stay at other transitional programs? Yes No CURRENT&PREVIOUS SHELTER STAYS Name of Shelter Dates of Stay 4 Revised 11/26/05 Do you have a valid driver's license? Yes No Do you have a car?Yes No What mode of transportation do you use most often? HEALTH&WELLNESS Please describe any specific health needs you and/or your children have: Have you ever experienced problems with substance abuse? Yes No If yes,please explain: • Do you smoke cigarettes? Yes No • What/who are your current support systems? What specific area(s)would you benefit from support or assistance? • Please describe your personal goals for the next nine months: • How do you feel you would benefit most from the Extended Stay Program? • Thank you for filling out this application. Questions?Please call the Extended Stay Program Advocate at(425)656-4305,ext.262 Please send application to: DAWN Extended Stay Program Attn: Sarah P.O.Box 88007 Tukwila,WA 98138 Fax: (425)656-4309 • 5 Revised 11/26/05 r 21 Appl,iCatlOn Cover Pages (Agency Information and Questions 1 — 7) Agency. Information Agency Name: Valley Cities Counseling and Consultation "qa OR I G I N A L _ Applicant Name and Address: Agency irecto Valley Cities Counseling and Consultation Faith " 'chie, CEO 923 }?owell Ave. S.W. Ste. 100 • Name and Title qio� Ni� ✓5' Rentn,WA 98055 2534376=7,3445 (Area Code)?Teie'p ione O tf a' O frichie@valleycities.org 253-735-4111 N. ® '„vsrl E-mail address(if available) (Area Code)Fax N'umliezZil Required signatures: By signing below,you certify that the information in this applicatib s q, curate to the best of your knowledge and that you have read the application, certifications, and appendi . (SIGNA RES MUST BE INBLUE INK) Sign t of Agency Board President/Date Signature of Agency Director/Date Bria . Wilson Faith Richie Print d Name of Agency Board President Printed Name of Agency Director Program Information ' ' ' ' , : - -4,'` 1. Pr i gram Name. Promoting Healthy Families Against Domestic Violence Co+ tact Person (available to answer specific questions on this application) _ ora Dear 253-661-6634 ext. 117 ' Name (Area Code)Telephone 33301 — 1st Way S. ederal Way, WA 98003 ddress(if different than above) 1 ear@valleycities.org 253-661-6428 -mail address(if available) (Area Code)Fax Number 2. Prbgram is New for our agency ®An Ongoing Program ❑ 3. Brief Description of Program (One sentence) , Our Program will promote stability and resiliency for children who have been exposed to domestic violence through education and support groups for parents and children. 4. W ere are services provided? (If different from agency location) Su-vices will be provided at Valley Cities' Renton clinic, located at the address indicated above in the A;ency Information section. - 1 - 5. Total Program Cost: Actual 2007: Proposed 2009: $34,066 Pr jected 2008: 6. Totllal City Funds Requested for this Program: city Awarded 2008 Requested 2009* General Fund CDBG Total Requested** Aaburn Fede•al Way Dent Renton $20,000 City Awarded 2008 Requested 2009* General Fund General Fund Barien CovUngton Des Moines Enumclaw SeaTac Tukwila -2- 7. Aency Contact Sheet Provide:he following information for the agency and for the program requesting funds. Agency Contacts General Agency Name: Valley Cities Counseling and Consultation Address: 2704"I" St.N.E. City/State/Zip: Auburn, WA 98002 Phone/Fax: 253-833-7444/253-735-4111 Agency Web Address: www.valleycities.org Executi e Director Name: Faith Richie Title: Chief Executive Officer Direct Phone: 253-876-3425 E-Mail: frichie@valleycities.org Develop t7ent Director Name: Beth Goretti (or Grant riter) Title: Grant Writer Direct Phone: 253-876-3423 E-Mail: •egoretti@valleycities.org Financ (Accountant Name: Shekh Ali (person pr paring invoices) Title: Chief Financial Officer Direct Phone: 253-876-3468 E-Mail: sali@valleycities.org Progr m Contact (Staff contact for contracting, reporting and program implementation.) Program Name: Promoting Healthy Families Against Domestic Violence Staff Name: Lora Dear Title: Domestic Violence Advocacy Manager Direct Phone: 253-661-6634 ext. 117 E-Mail: ldear(2 valleycities.org -3 - Application Narrative Section (Questions 8— 12) 8. ORGANIZATIONAL EXPERIENCE A. Experience Founded by members of South King County communities in 1965, Valley Cities Counseling and Consultation is a dually-licensed mental health and chemical dependency treatment provider with a mission"to contribute to healthy and secure communities and quality of life.in South King County through the development, promotion and delivery of exemplary behavioral healthcare-services and related human services." We operate comprehensive behavioral health outpatient clinics in Renton,Auburn, Federal Way and Kent, as well as an outreach office in Seattle. Our purpose is to provide South King County communities with a full array of mental health and substance abuse services for people of all ages. Our top priority is to help families and individuals by providing a continuum of treatments and supports that maximize each client's potential and success. Our programs take a strengths-based approach to human development and functioning: rather than focusing on deficits and illnesses, we seek to understand and promote recovery and wellness. Listed below is a snapshot of our services and length of time providing those services: • 43 years providing licensed outpatient mental health services to adults, older adults, children, adolescents and families • 12 years providing licensed outpatient chemical dependency services for adults, older adults, children, adolescents and families • 43 years providing domestic violence victim advocacy services • 7 years providing domestic violence perpetrator treatment • 14 years providing outreach counseling at nursing homes throughout King County • 17 years providing school-based outreach counseling • 9 years providing education and employment services • 12 years providing family support centers located in neighborhood housing complexes • 11 years providing street-based and shelter-based outreach services for homeless individuals and families • 6 years providing transitional and permanent supportive housing services for homeless individuals and families • 1 year providing counseling and family support services specialized for veterans and military families Valley Cities has been providing mental health services and working with the mental health system since our founding in 1965. We are an integral part of King County's mental health system and work in active partnership with other service providers in an overall effort to meet the mental health needs of people in our community. -4- Clients of Valley Cities are served in a coordinated system of comprehensive services, often involving multiple programs, designed to assure a continuum of support for recovery. Each client at Valley Cities has the opportunity to receive services in group or individual settings, as well as the opportunity to see Mental Health Professionals, Chemical Dependency Professionals, Vocational Specialists, Community Support Specialists, Psychiatrists, Family Advocates, Special Populations Consultants, Domestic Violence Victim Advocates, Financial Counselors, and Benefits Specialists. B. Operational Structure Valley Cities operates under the management of a senior leadership team that includes the Chief Executive Officer, Chief Medical Officer, Chief Financial Officer, and Chief Operations Officer. This-team provides vision, structure and accountability to all agency programs and provides oversight and expertise to Program Directors, who in turn provide expertise and supervision to staff in each department. Our Chief Executive Officer has been in leadership roles in mental health for over 20 years and brings a strong finance and business background to our agency. Our Chief Medical Officer is a board-certified adult psychiatrist with more than 20 years experience in the field. Our Chief Financial Officer holds an accounting degree and has 25 years experience in accounting and auditing. Our Chief Operations Officer is dually-licensed to provide both mental health and chemical dependency services and'has over 20 years of experience. Valley Cities is governed by a 13-member Board of Directors that guides the mission, strategic direction and policies of the agency. The Board is actively involved in budget monitoring, approval of contracts and grant proposals as well as policy making. Board members stay informed about the needs in South King County through their active involvement with Valley Cities and other human service organizations, educational institutions, and human service related committees. The full Board meets once per month with the exception of combined meetings in July/August and November/December, for a total of ten meetings per year. In addition, Board committees for Finance, Internal Affairs, External Affairs and the Executive Committee meet monthly. Our Board of Directors reflects the diversity of those we serve and strives to recruit new members who represent diversity. Board members represent different ethnic backgrounds, ages and genders, and include service consumers and individuals with disabilities. We currently have two consumer/family members on our Board and are actively recruiting for a third consumer representative. -5- 1 9. NEED FOR PROGRAM A. Problem Statement, Domestic violence is defined as abuse committed against members of the same family, such as a spouse, former spouse, cohabitant, former cohabitant, a person with whom the abuser has had a child, or is having or has had a dating or engagement relationship regardless of sexual orientation or between children and elderly parents. Domestic violence may begin with angry words, a shove, or a slap, and may escalate into a pattern of assaultive controlling behaviors including physical, sexual, and psychological attacks against the victim, children, pets and property. In the United States, a woman is beaten every 15 seconds. Domestic violence is the leading cause of injury to women between ages 15 and 44. Sixty-three percent of young men between the ages of 11 and 20 who are serving time for homicide have killed their mother's abuser(Bureau of Justice Statistics, 2007). Domestic violence is the number one _ reason women and children in King County become homeless (King County Coalition Against Domestic Violence, 2008). Domestic violence is more than just a family problem; it is a crime. Since 1997, the rate of felony-level domestic violence crimes has increased in South King County while decreasing in the rest of King County. Domestic violence is a major problem in South King County communities and in Renton in particular. In 2006, there were 498 domestic violence-related crimes committed in the City of Renton—the fourth highest rate of domestic violence crimes in South King County cities. Statewide, half of all assaults in 2006 were domestic violence offenses and half of all women murdered were killed by a current or former boyfriend or husband. (Washington Association of Sheriffs and Police Chiefs, Crime in Washington 2006). Of the 261 domestic violence victims killed by abusers or their associates since 1997, at least 114, or 44%,had children living in the home with them at the time they were murdered. The majority, or 57%, of the victims' children were present at the time of the homicide. Some domestic violence abusers kill their children along with their partners, or instead of their partner. $etween January 1997 and July 2006, 32 children in Washington were killed by male abusers (Washington State Coalition Against Domestic Violence, 2006). Children are profoundly affected by domestic violence. Research suggests that in as many as 60% of all families where women are being beaten,their children are also the victims of abuse by the same perpetrator. Each year in the United States, more than 3 million children are exposed to the abuse of their parent by an intimate partner; between 30% and 70% of these children are themselves physically or sexually abused by their parent batterers. Domestic violence in the home has a debilitating effect on children's well-being and is often accompanied by neglect and manipulation by the abuser. Whether or not they are directly abused themselves, children are profoundly impacted by the -6- violence in their homes, and are often at higher risk for physical, emotional, and behavioral problems, including an,increased likelihood of becoming abusive themselves. There is a community need for services that promote stability and resiliency for families that experience domestic violence. Victims of domestic violence need confidential and easily accessible advocacy and support services. The City of Renton recognizes domestic violence awareness and safety as a condition of well-being, or a Renton Result, and identifies strategies to bring about such a Result for the Renton community. B. Target Population Our program's target population is families in Renton who have experienced domestic violence in their home—the adult parent who is a victim/survivor and their children who have witnessed and experienced the violence. Our program specifically targets children middle school-age and younger. Emotional pain is more difficult to conceptualize than physical pain, particularly for children. Witnessing domestic violence threatens the healthy development of children and increases the risk of developing problems later on in youth. We expect the children in our program to have trouble expressing their emotions and to be displaying emotional and behavioral disturbances such as withdrawal, low self-esteem, nightmares, self-blame, and aggression against peers, family members, pets, and property. Our target population will likely be suffering both psychological and physical injury, and experiencing rapid and major changes in their lives if the domestic violence has been -1 brought to the attention of law enforcement and the legal system. The violent situation and consequent rapid transitions cause many victims and their children to become overwhelmed with feelings of insecurity and fear. We expect most of the families in our target population to be parents under age 30, ethnically diverse, and low-income. Although domestic violence affects families of all cultures, races, occupations, income levels and ages, it is a fact that domestic violence is more likely to occur in homes below the poverty line, in minority households (even controlling for income), and among men and women 18 to 30 years of age (Minnesota Center Against Violence and Abuse, 2008). -7- 10. PROPOSED PROGRAM/SERVICE A. Program Description Type of services to be provided Our Promoting Healthy Families Against Domestic Violence Program uses trained mental health counselors to facilitate education and support groups within a therapeutic environment for parents and their children. The parent and child groups will be held simultaneously using evidence-based curricula that follows the same track and matches in the intended outcomes, but targets the educational programming to the two different groups. Methods (including locations) used to serve target population Program services are provided at Valley Cities' Renton clinic. The parent groups will follow the Safe Futures and Domestic Violence Training curricula and will include a parenting component that focuses on enhancing the stability of the parent-child relationship and increasing awareness about what constitutes abuse and the direct and indirect impacts of abusive behavior on their children. The children's groups will provide therapy and support and will follow the Children's Domestic Abuse Program curriculum—the first curriculum developed specifically for work with child victims of domestic violence. Focus will be placed on increasing children's awareness about what constitutes abuse and providing a safe environment for them to ask questions and express themselves. Our children's groups will strive to reduce both the internalizing and externalizing behaviors that children may exhibit as a result of the abuse that they have experienced. The children will be encouraged to express the feelings surrounding their traumatic experiences. The children's group facilitator will educate and support the children's development of appropriate and healthy social skills that increase self-esteem and positive behaviors and choices, in social settings as well as on an interpersonal level: Children will learn safety planning, conflict resolution skills and, most importantly, that domestic violence is never their fault. ' Individualized follow-up will be conducted by clinicians in our domestic violence victim advocacy program who will provide the parents and children with any further treatment and services they may need. The two groups will be offered in two-hour sessions once per week over a twelve-week period. Over the course of the year, we will provide four series of groups. Each group will be facilitated by a certified professional domestic violence clinician. Outreach used to reach your target population Group participants will be recruited from Valley Cities' domestic violence victim advocacy program that currently serves over 700 clients, as well as from other domestic -8- violence programs in the community. We will make special efforts to reach out to organizations that serve ethnic and cultural minorities. On a regular basis, our agency's Domestic Violence Victim Advocate conducts community outreach presentations on the topic of domestic violence awareness and best ways to work with victims of domestic violence. Recent presentations have been to doctors at Valley Medical Center and at several places of worship in local minority communities. How program relates to need Our program provides confidential and easily accessible therapeutic support group services to help families begin to heal from the incredibly damaging effects of domestic violence. Parents and children in our program meet others who are facing a similar situation, which decreases feelings of isolation. Our program provides education and support in a safe and welcoming environment filled with compassion and understanding. Our program encourages self-sufficiency, empowers families, enhances the quality of life, and helps build strong communities. How the program addresses the language and/or cultural needs of clients Program staff is aware of and sensitive to the cultural factors that may have an impact on services, including heritage, history and experience, beliefs, traditions, values, customs, behaviors, institutions, and ways of communicating. Clients in the program are encouraged to share information about their cultural heritage and cultural needs. Family members and all persons in the client's support system are welcome to participate in every aspect of program services. Program staff has access to Minority Health Specialists to provide special population consultations. Written materials can be translated and presented at a literacy level that doesn't raise additional barriers. Valley Cities maintains cultural consultation contracts for a range of ethnic populations, age groups, disabilities, and sexual minorities. Collaboration with other programs and/or agencies Our program staff actively participates in the South King County Community Network, part of the 36 Family Policy Council Community Networks throughout the state of Washington. Our involvement in this network helps build community capacity to help improve the lives of families and children through the coordination of efforts that support all elements of the community. Our partners in the South King County Community Network include King County Coalition Against Domestic Violence, YWCA, Domestic Abuse Women's Network, South King County Domestic Violence Task Forces, and Public Health—Seattle &King County. Our program collaborates with city Human Service departments, law enforcement, medical providers, court prosecutors, court advocates, family court staff, DSHS community service offices and other community agencies and area task forces. Our longstanding community presence and history of providing victim advocacy and perpetrator treatment services facilitates seamless resource coordination and referral for clients. -9- B. Performance Measures and Outcomes • Performance Measure: 48 parent support groups and 48 children's support groups will be provided, for a total of 96 support groups. Outcome: Parents and children in families experiencing domestic violence learn to cope with the emotional trauma of abuse, learn how to prevent future abuse and break the cycle of violence, and become aware of dangers that can target children outside of the family relationship, such as cyber-bullying and on-line sexual predators. Indicator: At least 80% of participating parents and children who respond to program surveys report that they have developed or strengthened coping skills that have helped them heal their emotional pain caused by domestic violence, have learned how to prevent future abuse, and have increased their awareness of outside threats that target children outside of the family relationship. C. Staffing Plan & Evaluation Staffing Plan The total staffing plan for this program is 0.31 FTE. Staffing consists of 0.30 FTE Certified Domestic Violence Treatment Providers who will provide the direct services to clients and 0.01 FTE Licensed Mental Health Counselor who will provide oversight and supervision. Evaluation A program evaluation, both a child and adult version, will be given to clients at the completion of each 12-week series. Client evaluations will be reviewed by the program supervisor and measured against program performance goals. We assure appropriate internal controls by having a clear system of accountability, with designated responsibility and review by the senior management and leadership of the organization. Our Director of Contracts has specific responsibility for monitoring contract compliance. Our senior management team reviews outcomes for each contract, both service deliverables and financial performance, on a quarterly basis. Our Quality Assurance Director assures that the data are available for the team to review. Discussion centers on whether we are meeting contract expectations and, if not, how we plan to intervene. Ultimately, we will evaluate the success of our program by the ability of program clients to feel emotionally and physically safe in the present and see hope in the future. D. Differences in Service Delivery by City Our Promoting Healthy Families Against Domestic Violence is proposed to the City of Renton only. - 10- 11. LONG RANGE PLAN s the program develops in the first year and we begin to achieve program objectives and increase numbers of participants, we plan to add peer support in year two of the program. We plan to train interested participants that have graduated from the program to become peer support specialists who will share their courage, strength, and coping strategies along their journey based on their life experiences with domestic violence. 12. BUDGET A. Budget Request Narrative Requested funds will be used to cover program staffing, preparation and administrative time, supplies, printing, telephone costs, and staff mileage. Operating expenses and supply costs for the program are estimated based on the prorated number of FTEs assigned to this program'compared to the overall budget for the Domestic Violence Program cost center. This program is staffed with 0.31 FTE, representing 18% of the total Domestic Violence Program, so 18% of each line item is allocated to this program. Administrative costs are charged at a rate of 10% of total program costs. B. Changes to Budget This is a new program. C. Cost per Service Unit(s) Cost Per Service Unit: $104.16 Explanation of how determined: The service unit is the service hour. We propose that the program will provide 192 service hours in 2009. We determined the cost per service unit by dividing the total cost of the program request by the total number service hours provided by the program ($20,000/192=$104.16). Our program proposes four series of parent/children groups in 2009. A series for each of the two groups consists of two-hour sessions once per week over a 12-week period. The number of service hours in a series for the parent group is 2 hours x 12 weeks=24 hours. The number of service hours in a series for the children's group is the same, for a total of 48 hours for both groups for a series. Four series is 48 service hours x 4 = 192 service • hours. - 11 - Agency: Valley Cities Counseling Program:PHFADV 13. NUMBER Of INDIVIDUALS/HOUSEHOLDS SERVED BY PROGRAM 171 Individuals? or Households? (Check which applies and use for reporting all demographics.) Unduplicated *Unduplicated Number of all Clients Served by Clients Served All Funding Sources with Funds Requested 2007 2009 2007 % of column 1 . 2008 2009 (Actual) clients served (Anticipated) (Projected) (City Requested by City Funding Only) Auburn Burien Covingtl nI Des Moines Enumclaw Federal Way Kent Renton 60 60 SeaTac Seattle Tukwila Other 100% Total (This column must 60 60 total 100%) *Unduplicated means count each client only once per calendar year per program. This number should match the number of clients by city indicated in the top row of Question 15. - 12- Agency.: Valley Cities Counseling 14. P rformance Measures (Data Table) Program: PHFADV 14a. Service with 2009 Requested Funds Proposed Performance Measures as defined below. A) 96 Support Groups B) C) Auburn Burien Covingtl n Des Moines Enumclaw Federal Way Kent Renton 96 SeaTac Seattle _ Tukwila 14b.: Pe formance Measures 2009 Proposed with:funds requested City Funding.Only Title: Brief explanation: A) Support Groups Education and support groups within a therapeutic environment for parents as well as groups for their children. B) C) - 13 - Agency: Valley Cities Counseling 14 Performance Measures (Data Table), Cont. Program: PHFADV 14c. Average Cost of Service Unduplicated Clients Served with Funds Average Cost of Service Requested 2009 Requested 2009 per Client (Same as last column of (Same as last column of Question 6) Question 13) Column 1 divided by Column 2 Ekample: $5,000 45 $111.11 Auburn Burien Covington Des Moines Enumcl w Federal Way Kent Renton 20,000 60 $333.33 SeaTac Seattle Tukwila - 14- Complet 1 Question 15 with 2007 Actual numbers reported in column 1 of Question 13. Agency: Valley Cities Counseling 15. Demographics (from all funding sources) (Data Table) Program: PHFADV 6 3 Clieri Residence cl czt a) -d • ce x CO 0 G-1 W f� P4 c) zv , H Unduplicated (check one) ®Individuals o 0 El Households Serv/d in 2007* 30%of Median or Below 25 25 50%of Median or Below 26 26 80%of Median or Below 6 6 Above 80%of Median 3 3 Unknown 0 0 TOTAL 60 60 Gender Male 25 25 Female 35 35 TOTAL 60 60 Age 0-4 years 2 2 5- 12 years 22 22 13 - 17 years 6 6 18-34 years 24 24 35 -54 years 6 6 55 -74 years 0 0 75+years 0 _ 0 IUnknown 0 0 I TOTAL 60 60 Ethnicit� , I Asian 2 2 Black/African American 15 15 Hikpanic/Latino(a) 5 5 Native 3 3 American/Alaskan 1 Pacific Islander }SVhite/Caucasian 30 30 Other/Multi-Ethnic 5 5 TOTAL 60 60 Female iIeaded. 15 15 Household Disabling Condition 2 2 Limited English Speaking 5 5 * Check Individual or Household,which should be the same as checked in Question 13. Unduplicated means count each client only once per calendar year. This should match the number served by City in the Actual 2007 column of Question 13. The"total"column will be different from Question 13 since the"other"column is not included due to space - limi ations. - 15 - 16. PROGRAM STAFF (DATA TABLE) In this data table, record the number of full-time equivalent(FTE)paid staff and volunteers for this program. FTE means a 40-hour week throughout the entire year. For example, if you enter"5" in the box for Number of Volunteer FTEs, this would mean that you have, on average, five volunteers assisting your progra at all times (assuming a 40-hour week). ' If you ow only the total number of hours contributed by all volunteers for this program, simply divide that number by 2,080 to find the total FTE number. For example: 5,000 volunteer hours over the course of a year, divided by 2,080 equals 2.4 FTEs. 2007 2008 2009 (Actual) (Budgeted) (Projected) Total Number of Staff(FTEs) 0 0 0.31 Number of Volunteer (FTEs) 0 0 0 Actual Number of Volunteers 0 0 0 - 16- Agency: Valley Cities Counseling 17. PROGRAM REVENUE BUDGET (DATA TABLE) Program: PHFADV Revenue Source 2007 2008 2009 (Actual) (Budgeted) (Projected/ Requested) City F'unding (General Fund & CDBG) . , • Auburn • Burien • Covington • Des Moines • Enumclaw • Federal Way • Kent • Renton 20,000 • SeaTac ' • Seattle • Tukwila • Other(Specify) • Other (Specify) Other Government Funds • King County • Washington State _ • Federal Government • Oher� (Specify) Priva a Sources • U ited Way (grants & designated donors) 2,000 • F undations and Corporations • C¢ntributions (e.g., Events, Mailings) • Program Service Fees (User Fees) 9,160 • Other: Valley Cities Match 2,906 TOT I., PROGRAM BUDGET 34,066 - 17- 17. PROGRAM EXPENSE BUDGET, CONT. Agency: Valley Cities Counseling (DATA TABLE) Program: PHFADV Expenses 2007 2008 2009 (Actual) (Budgeted) (Projected) Personnel Costs • S4aries 23,637 • Bcinefits 2,542 • Other: Payroll Taxes 1,896 • Total Personnel 28,075 1 Operating and Supplies • O�fice/Program Supplies 286 • Rcint and Utilities 1,031 • R pair and Maintenance 139 • In urance 19 1 • P stage and Shipping 12 • Printing and Advertising 76 • Tqllephone 224 • Equipment 448 • Conference/Travel/Training/Mileage 255 • Dikes and Fees 87 1 • Professional Fees / Contracts 275 • Direct Asst. to Individuals 0 • Administrative Costs 3,097 • Other: Taxes, Licenses and Fees 42 TOTL PROGRAM EXPENSES 34,066 Net Profit (Loss) (reveiue—expenses) = - 18 - Agency: Valley Cities Counseling 18. SUBCONTRACTS (DATA TABLE) Program: PHFADV List all the agencies you will be subcontracting with for this program. Provide the agency name in the first ( _ column a description of the contract/service in the second column, and the contract amount in the third column Do not list agencies you coordinate with on a referral only basis. Indicate not applicable if you do not subcontract for any part of this program. Subcontracting Agency Specific Subcontracted Activities Contract in the Operation of Your Program Amount Not Applicable • • - 19- 19. AIIPLICATION CHECKLIST Applications missing one or more of the following components or not following these directions may not be revi ed. Sign and submit the application checklist with your application. Conte (Your application should contain each of these items in this order.) Application Cover Pages.The top three pages of your application must be a completed copy of the Age-icy Information and Questions 1-7. Applica arrative: ioQuestion 8 Organizational Experience(2 page maximum) uestion 9 Need for Your Program(2 page maximum) / Q estion 10 Proposed Program/Service(6.page maximum) uestion 11 Long Range Plan(1 page maximum) Question 12 Budget(2 page maximum) Data Tables Z Question 13 Number of Individuals/Households Served 'Question 14a-c Performance Measures and Average Cost of Service 21 Question 15 Demographics(from all funding sources) Question 16 Program Staff 4/ Question 17 Program Revenue&Expense Budgets Question 18 Subcontracts 7i 'equired documentation. Supply one copy of the following required documents with the signed original applcation. See Part II: City Specific Supplemental Information to determine whether additional copies of the application nd required documentation need to be submitted. Question 19 Required Documentation, including: • Proof of non-profit status • Organizational Chart • Agency/Organization Mission Statement ■ Board resolution authorizing submittal of the application(may be submitted up to 60 days after application). • List of the current governing board and local board, if applicable, (include name, position/title, city residence, length of time on the Board, and expiration of terms. Note any vacancies.) • Board Meeting Minutes of last three board meetings of governing board and local board as applicable • Annual Budget • Financial Audit Cover Letter • Financial Audit Management Letter • Financial Statement • Verification of Non-Discrimination Policy • Program Intake Form • Sliding Fee Scale &)re-ft)Name: IV • 1 plication Check List. (Signed below.) 00 City Specific Supplemental Information.Required in Position: Vl Part II for applicable Ci only. Phone#: — E-mail: T('� --ie,- i J VCt!lki i+1 e orb . ,,(74-3CAV , Signatur: of Person Completing Checklist DO NO I SUBMIT ANY OTHER MATERIALS WITH THIS APPLICATION Make sure that you carefully check Part II of this'application to see what additional attachments each city requires. -20- City of Renton Application Supplemental Questions ( Funding Period 2009/10 1. Describe how the program outcomes as identified on page 9 of the application narrative will help achieve the selected Result. The anticipated outcome of our proposed Promoting Healthy Families Against Domestic Violence Program is that parents and children in Renton who are experiencing domestic violence learn to cope with the emotional trauma of abuse, learn how to prevent future abuse and break the cycle of violence, and become aware of dangers that can target children outside of the family relationship, such as cyber-bullying and on-line sexual predators. This outcome helps achieve the Renton Result#4: Residents know about domestic violence and how to keep safe. Our program includes therapeutic programming using evidence-based curricula that increases education about healthy relationships through prevention education. Our program strengthens Renton's community action strategies that work to provide safety and security for all family members and prevent the problem of domestic violence from re-occurring. Our program outcome will help achieve the Renton Result by reducing the prevalence of domestic violence in the community through increased education and support, and by cultivating and maintaining effective collaborations and partnerships to promote safe and healthy families. r - t - 1 - internal Revenue Service Department of the Treasury District P.O.Box 2350 Los Angeles,Calif.90053 Director • Person to Contact: Valley Cities Counseling Gilda Lewis and Consultation Telephone Number: 2704 "I" Street NE (213) 694-2336 Auburn, 'WA 98002-2411 Refer Reply to: E0041394 Date:rApil 13 1994 RE: Valley Cities Counseling and Consultation EIN: 91-6063183 Gentlemen: This letter is in response to your request for a copy of the determination letter for the above named organization. Our records indicate that this organization was recognized to be exempt from Federal Income Tax in December 1965as described in Internal Revenue Code Section 501(c) (3) . It is further classified as an organization that is not a private foundation as defined ,in Section 509ca) of the code, because it is an organization described in Section 170 (b) (1) (A) (iii)'. The exempt 'status for the determination letter issued in December 1965 continues to be in effect. If you need, further assistance, please contact our office at the above address or telephone number. Sincerely, ' Gilda Lewis Disclosure Assistant Valley Cities Counseling & Consultation Management Organizational Chart Effective April 2008 Board of Directors • Faith Richie Chief Executive Officer r-^ Daenene Reed „„�,- Executive Assistant i I Stacey Devenney I Chief Operations Marc Avery .; Shekh Ali Officer Chief Medical Officer ` Chief Financial Officer ` .,/,,,,-;.; t ' I I / _\ e- \ / \ , I 1 / I 1 / 1 Program for Lynn Allar Cindi Strong Scott Swaim Functional Family Beth Hammonds y r FWYFS TherapyServices Assertive CommComm it r Access&Older Human Resources Treatment Adult Services Adult Services Senior Director Senior Director (FFT) (PACT) Senior Director 1 ' I ` . \. / `Senior Director/ ` / I 1 / 1 1 / 1 / Tri Hoang 1 Dawn Cherne ran McDougal-Tree., , Pegi Moll Kali Henderson Housing&Contract g Kate Naeseth Development Information Quality Assurance Performance Homeless Family Child&Family Director Management Director&Records Director Services Director Services Director ` / Director / / \ i ` / wisimJ 1 1 1 1 / 1 Nikole Penman Tera Hooley Adult Services Tracy Johnson Judy Coburn Child&Family Rebecca Bennett Child&Family Manager Access Manager — Beth Goretti Business Manager 11 / Manager Families in Shelters Manager Kent Grant Writer Federal Way Manager Kent / / / J 1 1 1 / , / 1 Lora Dear Diana Massucco Aida Vavra Greg Olson Domestic Violence Older Adult Accounting Ella Mceil i.imcHeenry Child&Family Manager Services Manager Manager i. Dependency Manager k / / Manager / ` Auburn / Greg Signst �/ 1 Adult Services YCmc+inv1 Laurie Nicks 1 / 1 Manager J Accounts Danielle Cartun Federal Way ,'If am l l t P�)4-1 Receivable Veterans Services round Sery es Manager / V Manager / 1 K istalene Pitts-Palmerton �J / 1 IMMI Adult Services /�1D Ace_ p ./' /f,,tom s. Manager \J i d C.►ll..l.� f �IrlA,t r \ Natalie Tolmasoff Auburn / Financial Counselor 4 Family Support ` / l Revised 4/08 VALLEY counseling & consultation To Access Services, Please Calk 253.939.4055 ity 253.735.3354 postmaster(thvalleycities.org www.valleycities.com AGENCY MISSION STATEMENT Administration&Auburn Comprehensive Services Counseling 2704"I"Street NE ValleyCities and Consultation contributes to healthy and secure communities Auburn,WA 98002 and quality of life in South King County through the development, promotion, and delivery 253.833.7444 fax 253.833.0480 of exemplary behavioral healthcare services and related human services. SERVICE SITES: Federal Way Comprehensive Services 253.661.6634 Federal Way Youth& Family Services 253.835.9975 Homeless Family Services 253.833.7444 Kent Comprehensive Services 253.520.9350 Renton Services 425-264-2080 Faith Richie Chief Executive Officer BOARD OF DIRECTORS Chairman-Brian J.Wilson Vice Chair-Walt Bishop Treasurer-Susan Streifel Secretary-Chuck Booth Jean Asplund Barbara Bell Sharon LaVigne Barbara Muczynski Senator Pam Roach Ken Seng Pam Taylor Iwen Wang Charles Woode HONORARY BOARD MEMBERS Connie Epperson Stephen Johnson Cyril Van Selus Sauce Shimojima ADVISORY MEMBERS Chair,Leila Booth Fred Heiser • Joanne Seng Roger Thordarson Lois Wood A Untied Way Partner VALLEY counseling & consultation To Access Services, April 28, 2008 Please Call: 253.939.4055 try 253.735.3354 City of Renton postmaster@valleycities.org www.valleycities.com Human Services Division Administration&Auburn 1055 S. Grady Way Comprehensive Services Renton, WA 98057 2704"I"Street NE Auburn,WA 98002 253.833.7444 Dear City of Renton, Human Services Division: fax 253.833.0480 SERVICE SITES: As Chief Executive Officer of Valley Cities Counseling and Consultation, I affirm the Federal Way Comprehensive Services submission of this application to the City of Renton for 2009-2010 General Funds and 2009- 253.661.6634 2010 Community Development Block Grant(CDBG) Public Service Funds for the Federal Way Youth& following program: Family Services 253.835.9975 • Promoting Healthy Families Against Domestic Violence - $20,000 Homeless Family Services 253.833.7444 The Board of Directors of Valley Cities Counseling and Consultation shall pass a formal Kent Comprehensive Services resolution at its next board meetingon May15, 2008, affirmingValleyCities Counseling and Consultation's request for funding from the City of Renton. The resolution will be Renton Srvices Provided to the Cityof Renton directlyfollowingpassage of the resolution. 425-264-2080 p p g Faith Richie Sincerely, Chief Executive Officer BARD OF DIRECTORS lica4 Chairman-Brian J.Wilsonf I Vice Chair-Walt Bishop Treasurer-Susan Streifel Faith Richie Secretary-Chuck Booth Jean Asplund Chief Executive Officer Barbara Bell Sharon LaVigne Barbara Muczynski Senator Pam Roach Pam Taylor Sauce Shimojima Iwen Wang Charles Woode HONORARY BOARD MEMBERS Connie Epperson Stephen Johnson Cyril Van Selus Ken Seng ADVISORY MEMBERS Chair,Leila Booth Fred Helser Joanne Seng Roger Thordarson Lois Wood A United Way Partner Valley Cities Counseling&Consultation and of Directors-Board Roster - April 2008 Board Me; Board mart Term Position Home Address Phone& Email Occupation Work Address Ethnicity Gender Date Expires Jean Asplund 309"F"St.SE 253-833-8484 Retired Insurance Auburn,WA 98002 catspawn.^a.)comcast.net Agent/Office Manager N/A White Female 2/27/97 6/2009 Barbara Bell 26034 142 Ave SE 253-631-7779 Teacher,Kent School Kentlake High School Kent, WA 98042 Barbara.bellriaentl2.wa.us District 21401 SE 300 ST White Female 1/15/04 6/2010 Kent,WA 98042 Walter Bishop Vice 32525—1 10`h Ave.SE 253-833-8828 Retired Graduate Chair Auburn,WA 98092 isawtb(acomcast.net Architect Engineer N/A White Male 1/22/98 6/2010 Retired Deputy Charles Booth 305"R"Street NE 253-939-1843 Superintendent of Secretary Auburn,WA 98002 boothcl@comcast.net Auburn School District N/A White Male 2/21/02 6/2008 and Retired Mayor for ' City of Auburn - - 253-833-0379(h) Sharon LaVigne 1205 25th ST SE 253-876-1918(w) City of Auburn ( ) Communications 25 W Main Street White Female 5/1/05 7/2008 Auburn,WA 98002 253-288-3132(f) Support Coordinator Auburn,WA 98001 slavigne cnr auburnwa.gov Barb Muczynski 108"T"Street NE 253-833-2186 Retired Teacher and Auburn,WA 98002 barmattskinjuno.com Dining Room N/A White Female 4/29/93 6/2008 Management Pam Roach PO Box 650 (253)735-4210(360)786-7660(w) 202 Newhouse Bldg Auburn,WA 98071 pamroach(a Olympia,State Senator Ol ia,WA 98504 Female 07/01/06 6/2009 v, Retired from Public 3/22/2007 Kenneth Seng 33700—135 SE 253-833-1584 Education(teaching and N/A White Male 6/2010 Auburn,WA 98092 , iokenseng(u)aol.com (rejoined) administration) Susan Streifel • 13804 233 Way SE 253-925-6845(w) Woodstone Credit Union White/ Treasurer Issaquah,WA 425-392-2438(h) CEO 1825 S 316th Street Female 1/15/04 6/2010 • 98027-6412 sstreifel(awoodstonecu.org Federal Way,WA 98003 Arabic 36529 2°d Ave SW 253-835-7678(w) Multi-Service Center Pam Taylor Federal Way,WA 253-874-1091 (h) Development Director 1230 S 336`h St,Ste D White Female 3/1/08 3/1/11 98023 253-651-4112(c) Federal Way,WA 98003 Brian J.Wilson 2421 West Crockett St, 206-283-2075(h) Chief of Police 33325 8th Avenue South Chairman Seattle,WA 98199- 253-835-6711(w) Federal Way Department P.O.Box 9718 White Male 12/03/01 6/2008 4111 Brian.wilson(acityoffederalway.com of Public Safety Federal Way,WA 98063 Charles Woode 3416 SW 333`d Street 253-835-3463 2003 Western Ave.#610 Federal Way,WA charlesw�charleswoode.com Attorney Seattle,WA 98121-3133 Black Male 3/21/02 6/2008 98023 ch (253)835-2510(w) Iwen Wang 5 94Ave NE (425)453-5719(h) Assistant City Manager 33325 8th Ave S Asian Female 1/18/07 6/2010 Bellevue,WA 98004 City of Federal Way Federal Way,WA 98003 Iwen.wang(cityoffederalway.com The Board of Directors meets the 3rd Thursday of every month. July/August and November/December meetings are combined to make a total of 10 meetings per year. VALLEY CITIES COUNSELING & CONSULTATION BOARD OF DIRECTORS BOARD MEETING MINUTES %4 W/O/4,X./`1747;%'Li:'G%.3/5�r/1:%6i/L-,/.4%9/l.T%%L'/f! !.7:Wr/O/ .4%7,74 i%_/f.I/O/9/%U/,C%J/C%C//87,7/6,7A,/J/<V7,'Zi /07/®/.G%fl/67/P/w9/MOZ,9/7/7.673/G:?/✓/ef%9:P/6/d/.A974J/a"/6T/ZWM.740/C/.A.%!S/®/d/@ DATE: January 17, 2008 PLACE: 2704 I Street NE, Auburn, Washington MEMBERS PRESENT: Brian Wilson, Jean Asplund, Chuck Booth, Sharon LaVigne, Barb Mucyznski, and Charles Woode EXCUSED MEMBERS: Pam Roach, Ken Seng, Sauce Shimojima, Walt Bishop, Barbara Bell, Iwen Wang , and Susan Streifel ABSENT MEMBERS: STAFF PRESENT:- Faith Richie, Shekh Ali, Marc Avery, Daenene Reed, Sarah Eckhart, and Atit Marmer %!!/G//,' 7/.:CL:,'ZG%JYLJ/ _e%F,£Y/✓/.SV6%;%J%.1/d/.FJ/6%G/s1%S.f/e7/a:7/O/0%.63,43/GW17!'%£// 47/G%d/6%J/.JVA74l%G/7/7//✓/.d%.^.Y/FJ/s'%/fT/L//,.7/G✓7,7/,rf://L'l/✓.%/J/G,/f9/!u'/!✓/.^J/,:.%GY/S/.a"//7/N/e9%.74%.7-C-% 7/44.7/. "i47//96U/9/GS I. CALL TO ORDER AND ANNOUNCEMENTS 'Chair, Brian Wilson called the meeting to order at 5:10 p.m. Introductions were made. Daenene 'asked Board Members to "Save the Date" for our annual VCCC Picnic scheduled for 8-8-08 at the Game Farm Park in Auburn. II. STAFF RECOGNITION The Board of Directors recognized: Sarah Eckhart, Front Desk Staff, works at the main site in Auburn. Sarah came to work for VCCC in the spring of 2006. Sarah is always willing to help complete projects, file, make copies, and always makes sure the quality of the project is done right and in a timely manner. Sarah is newly married, 7 months, and is expecting her first child. Faith thanked Sarah for all her hard work. Stephen "Atit" Marmer, Older Adult Services Clinician, joined VCCC in 1991. Atit started in Child and Family Services, before going to Adult Services, and is now a member of the Older Adult Services. Atit has taken on the role of team leader at two nursing facilities, has been covering CRISTA, and continues to see outpatients as well as serving a total of three facilities. Faith thanked Atit for all his hard work. Brian thanked Sarah and Atit, on behalf of the Board of Directors, for their support and dedication to Valley Cities and our clients. Ili. APPROVAL OF THE AGENDA Consent agenda was approved. MOTION: Chuck moved that: THE BOARD OF DIRECTORS APPROVES THE CONSENT AGENDA FOR January 17, 2008. Motion was seconded by Jean Asplund and carried. IV. NOVEMBER MINUTES: November minutes were approved as written with the approval of the consent agenda. V. STAFF REPORT TO THE BOARD CEO REPORT: Faith reported that VCCC works very closely with Washington Community Mental Health Council (WCMHC), which will be holding g their February Board Meeting in Olympia to coincide with the State Legislative visits on February 6t and 7th. We have scheduled visits with seven legislators from 12:45—3:30 on February 6th, which Chuck and Leila Booth will also be attending. Faith handed out the WCMHC Budget and Policy Issues for 2008. They will be discussing the Housing Project, VII. INTERNAL AFFAIRS.COMMITTEE Jean Asplund reported that the IA committee had had no formal meeting. However, she has only received five completed CEO Evaluation Reports from other Board Members. Brian will present the draft in Executive Committee in February. The process for the CEO Evaluation is that Internal Affairs tabulates the information, sends to Brian, and he finalizes the information and delivers the evaluation to the CEO. VIII. EXTERNAL AFFAIRS COMMITTEE No meeting was held in January. The next meeting will be in February. IX. EXECUTIVE COMMITTEE • SEIU Update: Faith reported that the first negotiation meeting with SEIU will beheld tomorrow afternoon. She, along with three other agencies, have a proposed Partnership Agreement to present at the meeting tomorrow. The Partnership Agreement has to be completed by April 1st because the Sales Tax starts on July 1st. Faith passed out copies of the letter that Brian sent to Councilman Phillips. Faith I lso relayed to the Board that she has had meetings at all VCCC sites to discuss SEIU. X. EXECUTIVE SESSION: CEO Evaluation will be presented to Executive Committee at the February 13th meeting. Xl. BOARD REMARKS FOR THE GOOD OF THE ORDER Jean commented on the great job that the Recovery implementation Group is doing. XI. ADJOURNMENT The meeting was adjourned at 6:40pm. The next meeting will be held on Thursday, February 21, 2008, at 5:00 pm, in Auburn, WA. VALLEY CITIES COUNSELING & CONSULTATION BOARD OF DIRECTORS BOARD MEETING MINUTES _ .r .. ,. c .. .,.--..:>.t^.n-.r .x+/„i.... . :..J..,..._r ....,:Y.;i..,_•:d".:.e.':f,'.....i'.'sf/.^./. .^fi`::.,f+s.e%r^;;fi:rG':p%Z'.....�..'5::,.4..:h'��...-. .x i.-r..._..C....... S .. .."..-f -... .rt..:.. _.,-,l DATE: February 21, 2008 PLACE: 2704 I Street NE, Auburn, Washington MEMBERS PRESENT: Brian Wilson (by phone), Jean Asplund, Chuck Booth, Sharon LaVigne, Barb Mucyznski, Susan Streifel, !Wen Wang, Walt Bishop, and Charles Woode EXCUSED MEMBERS: Pam Roach, Ken Seng, Sauce Shimojima, and Barbara Bell. ABSENT MEMBERS: STAFF PRESENT: Faith Richie, Stacey Devenney, Daenene Reed, and Beth Goretti. .,..c..:;.;..-ra::.,:.;,::c.;...:i.rr;.i✓ :::a;.•z.rfrr,:imir-zviri;,sr,ri.;Sri.iririri4risrric^�s-iai,ri.:lair.:pier isn.o-.✓✓:.isr,:axra:i::isiirsurr-rsrctvu'rs:sss-^rrr.Fi:a;;.:in.�iux.-ricra-r:�.,.%a-u:s;;,...,.:...,,.;,.:a: ..,..... CALL TO ORDER AND ANNOUNCEMENTS Vice-Chairman, Walt Bishop called the meeting to order at 5:10 p.m. Introductions were made. Stacey announced that we had received feedback from King County on our Recovery Template, w'th high accolades for our Board involvement. Scott Swaim attended the Senator Patty Murray's Round Table on Veterans issues today. II. STAFF RECOGNITION Tie Board of Directors recognized: Beth Goretti, Grant Writer, who started with VCCC in the summer of 2006. Beth's detailed hard work and determination have been instrumental in allowing VCCC to start new programs and greatly expand others. Her 70% success rate with grant applications far exceeds the industry benchmark of 25 — 50%. Walt and Faith thanked Beth, on behalf of the Board of Directors, for her support and dedication to Valley Cities and our clients. III. APPROVAL OF THE AGENDA Consent agenda was approved. S - OTIbN: usan rroved�t'at:M h T-1E BOARD.OF DIRECTORS.:APP.ROVES>THE:CONSENT:AGENDA.'FOR-'Februa ":'21'-:2008', ' lz i was s'.;c:n`e of on e o d b wen:;lN n �an cars d:M '�I. a d ie #. , IV. NOVEMBER MINUTES: November minutes were approved as written with the approval of the consent agenda. V. STAFF REPORT TO THE BOARD CEO REPORT: Faith reported that Auburn's One Night Count was held on January 25th. VCCC was the lead agency in Auburn. There was also a homeless count in Kent, Renton, Seattle, and Federal Way. Unfortunately, the street count this year when compared to last year increased by 15%, with over Z000 people out sleeping in parks, encampments, in their cars or riding buses all night. Faith discussed the agency's strategic plan, with an emphasis on five major.areas: • Becoming a recovery oriented organization: Our Recovery Implementation Group meets monthly, with specific workgroups meeting in between to move the tasks along. The consumer representatives have been working to design a consumer/client advisory committee that would be charged with representing the voice of consumers with the CEO. • Provide timely, responsive access into our services: We are focused on making sure that our waiting list does not grow, and that clients are offered an intake appointment within ten days, • MOTION: Brian moved that: THE BOARD OF DIRECTORS".APPROVE PAM;TAYLOR."AS:A:MEMBER;.OF THE BOARD, FOR A THREEERM,YEAR T .EFFECTIVE;MARCH 2O08. Notion was seconded°by Susan$treifel and carried. Faith discussed Officer Elections and how the by-laws call for voting for Officers during our Annual meeting in March. Current Officers are willing to continue to serve and they provide great leadership to the organization. MOTION: "Chuck Moved that THE BOARD OF DIRECTORS;APPROVE"THAT ALL OFFICERS;RETAIN`THEIR;POSITIONS, :F}OR ANOTHER.TERM: '.Motion was seconded.by,Barb'Muczynskiand..carried. ' X. XECUTIVE SESSION: CEO Evaluation will be postponed until the March Board Meeting. Xl. BOARD REMARKS FOR THE GOOD OF THE ORDER Faith asked if any Board Members would be able to attend the Auburn Planning Commission Meeting at Auburn City Hall on 3-4-08 at 6:30. Chuck and Walt stated they would be attending. XI. ADJOURNMENT The meeting was adjourned at 6:45pm. The next meeting will be held on Thursday, March 20, 2008, at 5:00 pm, in Auburn, WA. VALLEY CITIES COUNSELING & CONSULTATION } BOARD OF DIRECTORS BOARD MEETING MINUTES . •,,Ti.:/G**/1A/. :Y/V/✓/.:%e'Y/6'/C%4T/N/6:/sJ/.�/G%6l/v::Yf/!P/48/i1%LJ/l.%19/fS/6.%®/tl/L•�'/!O/d9/G1/.O/.<J'/?J/!'/..T/L+"/G'/G%AsYE/.6%O/%O/LY/!.a/PdY.4/.CJ/sP%!.'Y/�d7/2%O/.'%6%bY/6WS%•A%6%�%G'/?;:1.'/C/n4'/e;;.r,:,,,i.",fe•••!.'-:•i.^.:! DATE: March 20, 2008 PLACE: 2704 I Street NE, Auburn, Washington MEMBERS PRESENT: Walt Bishop, Jean Asplund, Chuck Booth, Sharon LaVigne, Susan Streifel, Pam Taylor, Ken Seng, Iwen Wang, and Charles Woode EXCUSED MEMBERS: Brian Wilson, Barb Muczynski, Pam Roach, and Barbara Bell. ABSENT MEMBERS: STAFF PRESENT: Faith Richie, Stacey Devenney, Shekh Ali, Marc Avery, Daenene Reed, and Richelle Vawter. . .. -:.-.: r., .:-..=,:;.:.:c:;_*.:;.,•f,.,-r,->....,..:::...,,......n.sr,.,.....,..,...-,<. ..,... ... ... ..:«x:r,.>.a-.s!r... -^,..•..c*,:. .••.ays„",r.<�...e..rc..,:.:./....., ...-.„r•o:r+r'-...- ,>/s:. I. CALL TO ORDER AND ANNOUNCEMENTS Vice-Chairman, Walt Bishop called the meeting to order at 5:10 p.m. Introductions were made. Pram announced that the joint grant developed by Multi-Service Center and Valley Cities to work with At-Risk Youth has been approved and should be started by 5-1-08. It was announced that Brian Wilson was recently elected as the 2008 Chair of the King County Police Chiefs Association. II. STAFF RECOGNITION The Board of Directors recognized: • Richelle Vawter, with Pathways Home, started with Valley Cities two years ago. She was selected because she sets a great example of peer leadership as the Pathways Home Team put on a strong push to reach their goal of'100 families served in 2007. She speaks out enthusiastically in meetings, and takes On extra cases. She takes the initiative in areas that represent a valuable example of ground level peer leadership, and moves the team towards greater performance in service excellence and the support of team and staff motivation. Richelle thanked the Board for their support and relayed how much she loves working for Valley Cities. She feels that her job is very rewarding and is proud that we are focused on recovery. 1Nalt and Faith thanked Richelle, on behalf of the Board of Directors, for her support and dedication WI Valley Cities and our clients. III. APPROVAL OF THE AGENDA C'I nsent agenda was approved. MOTION: Sharon rrioved"that:_ THE BOARD OF DIRECTORS APPROVE THE CONSENT-AGENDA FOR March'20, 2008: Motion'was seconded by Susan,Streifel-and carried;."<:•._ ; IV. NOVEMBER MINUTES: February minutes were approved as written with the approval of the consent agenda. V. STAFF REPORT TO THE BOARD .CEO REPORT: Shekh and'Faith met with Wells Fargo, and performance contingent, they would be happy to work with us on the financing for a new Federal Way facility. Partnership Agreement: • • After having weekly meetings with SEIU and two other agencies (Highline and SMH) to work on the Partnership Agreement, it is possible that it will be completed in April, or May at the latest. Faith will bring that to you for your review and approval prior to implementation. New Billing System for Clients: Staff have implemented a new billing system for,the agency which incorporates a new financial agreement, a new sliding fee scale and an advance beneficiary notice (ABN), which provides an authorization to bill clients for non-covered services. Federal Way Facility: Discussed the scope, location and potential funding sources (including CDBG funds) for a new Federal Way site, which would replace our current leased facility. VII. INTERNAL AFFAIRS COMMITTEE Jean Asplund reported that the IA committee had not met in March. VIII. EXTERNAL AFFAIRS COMMITTEE Chuck reported that the External Affairs committee had not met in March. IX. EXECUTIVE COMMITTEE Chuck, Walt, and Barb attended the Auburn Planning Commission meeting, along with Faith, Dan, and Scott. The Auburn Planning Commission members unanimously recommended City Council approval of a zoning changing that would open the door to supportive housing for the community's homeless and potentially homeless. Faith thanked all that attended the meeting. X. EXECUTIVE SESSION: CEO Evaluation will be postponed until the April Board Meeting. XI. BOARD REMARKS FOR THE GOOD OF THE ORDER Nothing atIthis time. Xl. ADJOURNMENT the meeting was adjourned at 6:30pm. The next meeting will be held on Thursday, April 17, 2008, at 5:00 pm, in Auburn, WA. • I . II VALLEY CITIES COUNSELING & CONSULTATION • 2008 Budget Summary Consolidated Annual ' 01/08 02/08 03/08 04/08 05/08 06/08 07/08 08/08 09/08 10/08 11/08 12/08 12/08 Prepaid Health Plan 550,131 516,963 560,226 544,449 562,510 544,846 562,047 560,387 544,308 564,475 544,706 561,926 6,616;976 Federal 55,308 55,308 55,308 55,308 55,308 55,308 55,308 55,308 55,308 55,308 55,308 55,308 663,693 State 1,917 1,917 1,917 1,917 1,917 1,917 1,917 1,917 1,917 1,917 1,917 1,917 23,000 County 132,368 132,368 132,368 149,873 149,873 149,873 149,873 149,873 149,873 149,873 149,873 149,873 1,745,957 City 15,787 15,787 15,787 15,787 15,787 15,787 15,787 15,787 15,787 15,787 15,787 15,787 189,446 Schools 250 250 250 250 250 250 250 250 250 250 250 250 3,000 United Way 29,295 29,295 29,295 29,295 29,295 29,295 29,295 29,295 29,295 29,295 29,295 29,295 351,539 Other 31,320 31,320 31,320" 31,320 31,320 31,320 31,320 31,320 31,320 31,320 31,320 3I,320 375,836 Contributions 3,240 3,240 3,240 3,240 3,240 3,240 3,240 3,240 3,240 3,240 3,240 3,240 38,883 Interest 791 791 791 791 791 791 791 791 791 791 791 791 9,486 Contracts&Other Revenue 820,406 787,237 830,500 832,229 850,290 832,626 849,826 848,166 832,088 852,255 832,486 849,706 ' 10,017,816 Medicaid 19,568 ' 19,568 21,568 21,568 21,568 21,568 21,758 21,758 21,758 21,758 21,758 21,758 255,956 Medicare 26,793 26,793 26,793 26,793 26,793 26,793 26,793 26,793 26,793 26,793 26,793 26,793 321,513 Insurance 18,622 18,622 18,622 18,622 18,622 18,622 18,622 18,622 18,622 18,622 18,622 18,622 - 223,468 Private 16,983 16,983 16,983 16,983 16,983 16,983 16,983 16,983 16,983 . 16,983 16,983 16,983 203,796 Third Party Revenue 81,966 81,966 83,966 83,966 83,966 83,966 84,156 84,156 84,156 84,156 84,156 84,156 1,004,734 Total Revenue 902,372 869,203 914,467 916,195 934,256 916,592 933,983 932,322 916,244 936,411 916,642 933,862 11,022,550 Salaries 597,390 545,443 549,096 569,113 572,208 546,199 632,200 577,226 604,713 632,200 549,739 632,200 7,007,727 Employee Benefits 62;223 56,812 57,136 59,092 59,383 56,684 65,745 60,028 62,886 65,745 57,169 65,745 728,648 Payroll Taxes 52,347 47,795 48,120 49,878 50,168 47,887 55,460 50,637 53,049 55,460 48,226 55,460 614,487 Total Payroll 711,960 650,050 654,353 678,083 681,759 650,770 753,405 687,891- 720,648 753,405 655,134 753,405 8,350,862 Professional Fees 24,827 24,827 24,827 24,827 24,827 24,827 24,827 24,827 24,827 24,827 24,827 24,827 297,924 Staff Development 7,063 7,063 7,063 7,063 7,063 7,063 7,063 7,063 7,063 7,063 7,063 7,063 84,761 Travel&Vehicle 14,761 14,761 14,761 14,761 . 14,761 14,761 14,761 14,761 14,761 14,761 14,761 14,761 177,135 Operating 46,907 46,907 46,907 46,907 46,907 46,907 46,907 46,907 46,907 46,907 46,907 46,907 562,882 Occupancy 92,529 92,529 92,529 92,529 92,529 92,529 92,529 92,529 92,529 92,529 92,529 92,529 1,110,350 General 4,958 4,958 4,958 4,958 4,958 4,958 4,958 -4,958 4,958 4,958 4,958 4,958 59,499 Printing/Advertising 8,837 8,837 8,837 8,837 8,837 8,837 8,837 8,837 8,837 8,837 8,837 8,837 106,048 Client Assistance 18,491 18,491 18,491 18,491 18,491 18,491 18,491 18,491 18,491 18,491 18,491 18,491 221,891 Total Expense w/o Admin 930,334 868,424 872,727 896,457 900,133 869,144 971,779 906,265 939,022 971,779 873,509 971,779 10,971,353 Total Admin 0 0 0 0 0 0 0 0 0 0 0 0 0 Total Expense w/Admiu 930,334 868,424 872,727 896,457 900,133 869,144 971,779 906,265 939,022- 971,779 873,509 971,779 10,971,353 Operating Net Change -27,962 779 41,739 -19,738 34,123 47,448 -37,796 26,057 -22,778 -35,368 43,134 -37,917 51,197 Extra-Ordinary Item • 0 0 0 0 0 0 0 0 0 0 0 0 0 Total Net Change -27,962 779 41,739 19,738 34,123 47,448 -37,796 26,057 -22,778 -35,368 43,134 -37,917 51,197 Printed^^1/17/2008 BRANCH, RICHARDS & CO., P.S. incorporated in 1972 Certified Public Accountants 155 NE 100tl St.,Suite 410 Fax•(206)729-3498 - Seattle,WA 98125 Phone•(206)729.0114•(206)624-4723 INDEPENDENT AUDITOR'S UNQUALIFIED OPINION ON FINANCIAL STATEMENTS AND SUPPLEMENTARY SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS • • Board of Directors Valley Cities Counseling and Consultation Auburn, Washington • We have audited the accompanying statement of financial position of Valley Cities Counseling and Consultation as of December 31, 2006 and the related statements of activities and cash flows fold the year then ended. These financial statements are the responsibility of Valley Cities Counseling and Consultation's management. Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the • financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Valley Cities Counseling and Consultation as of December 31, 2006, • and the changes in its net assets and its cash flows for the year then ended in conformity with generally accepted accounting principles. The.financial statements include certain prior-year summarized comparative information in total but not by net asset class. Such information does not include sufficient detail to constitute a presentation in conformity with generally accepted accounting principles. Accordingly, such information should be read in conjunction with the organization's financial statements for the year'ended December 31, 2005, from which the summarized information was derived. In accordance with Government Auditing Standards, we have also issued our report dated May 1'7, 2007 on our consideration of Valley Cities Counseling and Consultation's internal control over financial reporting and our tests of its compliance with certain provisions of laws, regulations, contracts and grants. The purpose of that report is to describe the scope of our testing of intternal control over financial reporting and compliance and the results of that testing, and not to provide an opinion on the internal control over financial reporting or on compliance. That report is an integral part of an audit performed in accordance with Government Auditing Standards and should be considered in assessing the results of our audit. BRANCH, RICHARDS & CO., P.S. Incorporated in 1972 Certified Public Accountants 155 NE 100th St.,Suite 410 Fax•(206)729-3498 Seattle,WA 98125 Phone•(206)729.0114•(206)624-4723 May 17, 2007 Board of Directors Valley Cities Counseling and Consultation Auburn, Washington Dear Ladies and Gentlemen: Inlplanning and performing our audit of Valley Cities Counseling and Consultation (VCCC), as of December 31, 2006, we considered the internal control structure in order to determine our auditing procedures for the purpose of expressing our opinion, and not to provide assurance on the internal control structure. However, during our audit, we noted certain matters involving the internal control structure and other operational matters that.are presented for your consideration. This letter does not affect our report dated May 17, 2007, on the financial statements of Valley Cities Counseling and Consultation. FISCAL YEAR 2005 COMMENTS AND UPDATES Insurance Contra Accounts Observation: During our audit testing we noted that the balance of the insurance contra account see'med•large in comparison to the total insurance revenue accounts. The contra account is used to write-down insurance revenue to the amount that is estimated to be collected from the insurance companies. In November 2004, VCCC received a new King County contract for Chemical Dependency services. This contract was a new funding source and included billings to an intermediary that operates as insurance. The contra write-down percentage applied to the new chemical dependency contract was consistent with the other insurance contracts. It appears that billings under this new contract were essentially 100% collectible. A large audit adjustment, $114,155, was posted to reduce the insurance contra account thus increasing revenue and accounts receivable. Subsequent to fiscal year-end the CFO and accounts receivable billing personnel performed an analysis and concluded that a 25% contra write-down percentage would be appropriate for all insurance revenue and receivables taken as a whole. The CFO has continued to adjust the insurance contra account on a monthly basis in 2006 as part of the month end,closing process. Recommendation: We recommend that fiscal staff and management continue to review these accounts on a monthly basis to evaluate the level of write-down percentage of insurance billings to the appropriate level. Recommendation: Based on discussions with management the above improvements along with a Key indicator report has been created to help management identify and respond to potential hanges from funding sources. We recommend that management take a proactive approach to potential funding changes in all contract services and how they will effect VCCC and make appropriate contingency plans in case similar situations occur. Policies and procedures should.be implemented that will address specific procedural changes that were created when this issue is fully evaluated. Our review of this issue was at a very high level, a more detailed internal review of this issue may provide more significant recommendations. 2006 Update During our testing of revenue and accounts receivable and discussions with management we rioted numerous management reports created for analysis of PHP information including current and historical revenues data, current and historical enrollment data, collections data and comparisons of budget to actual for some of these reports. These reports are reviewed and ani ialyzed by appropriate management and discussed in monthly management meetings. FISCAL YEAR 2006 COMMENTS Debt Reconciliation's & Rent Payments During 2006,VCCC purchased two properties financed with the proceeds of mortgage notes and a draw from a Line of Credit(LOC) from a bank. We noted during our testing of mortgage debt and Line of Credit balances that a monthly reconciliation for debt payments had not been prepared. VCCC provided a schedule showing how loan payments were applied to each loan, based on our review of this schedule we noted that loan payments for the new loans were applied incorrectly to interest expense, which was allocated incorrectly to each loan. There was no overall financial statement impact as interest expense for one loan was overstated and interest expense for the other loan was understated. We recommend that a reconciliation of each loan is performed and reviewed monthly and that separate general ledger accounts be used for each loan arid LOC. We also noted in the schedule showing how loan payments were applied to each loan that rent payments and a damage deposit from the rental of one of the new properties was recorded as a reduction to interest expense totaling $6,400, which understated interest expense during fiscal year 2006. Two other months rent payments were recorded to a more appropriate account, miscellaneous revenue. We recommend that VCCC create a standard policy and procedures to follow for recording irregular cash receipts such as these payments. Bank Reconciliation's We noted that the accounting staff was not using the accounting systems properly when performing the bank reconciliation. The accounting system was not being used to clear checks resulting in a difference between the bank reconciliation outstanding check amounts and the accounting systems outstanding checks. Each month the bank reconciliation would be completed in an excel format but the outstanding checks were not cleared from the accounting system. This process resulted in accumulated discrepancies of approximately$6,600. An adjusting journal entry was posted at the end of 2006 to bring the Accounting system into agreement with the bank reclo_nciliation. Management is currently using the accounting system to properly reconcile the general ledger balance with the bank balance. • • VALLEY CITIES COUNSELING AND CONSULTATION AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31,2006 • BRANCH, RICHARDS & CO., P.S. Incorporated in 1972 Certified Public Accountants 155 NE 100th St.,Suite 410 Fax•(206)729-3498 - Seattle,WA 98125 Phone•(206)729-0114•(206)624-4723 INDEPENDENT AUDITOR'S UNQUALIFIED OPINION ON FINANCIAL STATEMENTS AND SUPPLEMENTARY SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS • Board of Directors Valley Cities Counseling and Consultation Auburn, Washington We have audited the accompanying statement of financial position of Valley Cities Counseling and Consultation as of December 31, 2006 and the related statements of activities and cash flows for the year then ended. These financial statements are the responsibility of Valley Cities Counseling and Consultation's management. Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also inch'ides assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion. In Or opinion, the financial statements referred to above present fairly, in all material respects, __ the financial position of Valley Cities Counseling and Consultation as of December 31, 2006, and the changes in its net assets and its cash flows for the year then ended in conformity with generally accepted accounting principles. The financial statements include certain prior-year summarized comparative information in total but not by net asset class. Such information does not include sufficient detail to•constitute a presi ntation in conformity with generally accepted accounting principles. Accordingly, such information should be read in conjunction with the organization's financial statements for the year ended December 31, 2005, from which the summarized information was"derived. In accordance with Government Auditing Standards, we have also issued our report dated May 17, 2007 on our consideration of Valley Cities Counseling and Consultation's internal control over financial reporting and our tests of its compliance with certain provisions of laws, regulations, contracts and grants. The purpose of that report is to describe the scope of our testing of internal control over financial reporting and compliance and the results of that testing, and not to pillovide an opinion on the internal control over financial reporting or on compliance. That report is an integral part of an audit performed in accordance with Government Auditing Standards and should be considered in assessing the results of our audit. VALLEY CITIES COUNSELING AND CONSULTATION STATEMENT OF FINANCIAL POSITION . DECEMBER 31, 2006 AND 2005 ASSETS 2006 2005 Cash & Cash Equivalents $ 869,084 $ 785,679 Accounts and Grants Receivable, net of allowance for doubtful accounts of$15,000 in 2006 and 2005 569,197 658,436 Prepaid Expenses and Deposits 103,879 106,798 Land, Building and Equipment(Note 2) 5,630,531 4,979,160 Accumulated Depreciation (1,472,010) (1,263,577) 'Land, Building and Equipment, net 4,158,521 3,715,583 TOTAL ASSETS $ 5,700,681 $ 5,266,496 LIABILITIES AND NET ASSETS LIABILITIES Accounts Payable and Accrued Liabilities • $ 88,944 $ 105,995 Accrued Compensation and Related Payables 588,711 563,387 Deferred Revenue 62,388 51,329 Line of Credit(Note 4) 41,512 . -- Notes Payable (Note 3) 3,131,216 2,783,061 TOTAL LIABILITIES 3,912,771 3,503,772 NET ASSETS Unrestricted 1,115,194 1,1 1 1,288 Unrestricted, Board Designated (Note 8): Program Development 100,000 100,000 Facilities Development 100,000 100,000 Risk Reserve 150,000 150,000 Total Unrestricted 1,465,194 1,461,288 Temporarily Restricted (Note 9) 322,716 . 301,436 TOTAL NET ASSETS 1,787,910 1,762,724 • TOTAL LIABILITIES AND NET ASSETS $ 5,700,681 $ 5,266,496 - I See notes to financial statements. 3 I VALLEY CITIES COUNSELING AND CONSULTATION STATEMENT OF CASH FLOWS 1 • DECEMBER 31,2006 &2005 2006 2005 Cash Flows From Operating Activities: Change in Net Assets $ 25,186 $ (186,684) Adjustments to reconcile decrease in net assets I:. net cash used by operations: Depreciation 208,433 192,624 Cash provided(used)by changes in operating assets and liabilities: Accounts and Grants Receivable 89,239 (174,782) Prepaid Expenses and Deposits 2,919 (249) . Accounts Payable and Accrued Liabilities (17,051) (67,972) Accrued Compensation and Related Payables 25,324 (3,603) Deferred Revenue 11,059 (3,084) Net Cash Provided/(Used)by Operating Activities 345,109 (243,750) Case Flows From Investing Activities: Purchase of Land, Building and Equipment (651,371) (107,069) Net Cash Used by Investing.Activities (651,37.1) (107,069) Cash Flows From Financing Activities: . proceeds from Notes Payable 447,950 -- Proceeds from Line of Credit 44,818 -- Payments on Loans Payable&Line of Credit (103,101) (75,670) Net Cash Provided/(Used)by Financing Activities 389,667 (75,670) Net Increase in Cash & Cash Equivalents 83,405 (426,489) Cash&Cash Equivalents at Beginning of Year 785,679 1,212,168 Cash&Cash Equivalents at End of Year $ 869,084 $ 785,679 Sup-)lementary Disclosure: ' Cash paid during the year for interest $ 163,830 $ 150,680 Cash paid during the year for Taxes $ 9,747 $ 12,974 See n tea to financial statements. 5 • Supporting Services Program Intensive Total Management Development/ Total Total Seiivices Program Serv. &General Compliance Total 2006 2005 $ 653,259 $ 4,931,943 $ 1,302,066 $ 72,908 $ 1,374,973 $ 6,306,917 $ 6,564,129 74,302 477,802 120,497 10,204 130,701 608,503 572,849 • 62,916 434,685 106,857 6,544 113,402 548,087 588,707 • 790,476 5,844,430 1,529,420 89,656 1,619,076 7,463,506 7,725,685 69,942 388,233 13,676 1,219 14,896 403,129 392,786 22,648 269,125 22,065 2,849 24,914 294,039 271,364 27,001 163,821 41,165 3,447 44,612 208,433 192,624 18,982 125,758 33,962 4,110 38,072 163,830 150,680 16,830 116,616 16,876 1,838 18,713 135,329 139,790 11,571 128,723 7,125 1,571 8,695 137,418 152,508 (53) 1R0;697 -- 1,141 1,141 181,838 103,304 7,612 62,245 15,701 4,556 20,257 82,502 111,260 20,110 114,893 27,262 1,435 28,697 143,590 130,912 9,819 61,366 .11,843 1,225 13,068 74,434 75,776 6,246 48,033 9,588 1,189 10,777 58,810 62,698 6,568 38,403 9,644 2,186 11,831 50,234 82,333 10,979 149,517 -- -- -- 149,517 135,331 6,443 32,409 3,688 1,880 5,568 37,977 41,149 1,535 9,207 2,017 4,277 6,295 15,502 17,797 7,328 51,467 7,392 945 8,337 59,804 48,424 1,331 19,919 23,109 3,828 26,937 46,856 40,964 12,521 77,416 8,306 1,716 10,022 87,438 39,106 1,550 9,014 2,385 600 2,985 12,000 .16,274 -- -- -- -- -- -- 158 $ 1,049,439 $ 7,891,292 $ 1,785,225 $ 129,667 $ 1,914,892 $ 9,806,184 $ 9,930,923 • • 6 Older Adult Services Older Adult Services provides behavioral healthcare to meet the special needs of seniors. An interdisciplinary team provides psychiatric evaluation, individual, family and group therapies to nursing home residents, and consultation services to primary care physicians and nursing home staff. Outpatient, senior center and some in-home services are also provided. Clinical Support Services Clinical Support Services includes Information Systems, Access to Care, After Hours Crisis Team, Front Desk Support, Medical Records and Quality Management Services. These programs directly support all clinical programs by providing either client assistance and/or data collection and reporting in order to manage client care. Medical Services Medical Services comprises all staff psychiatrists and nurse practitioners. All expenses related to these staff are captured in this program. This separate program was created in fiscal year 2006 to isolate the medical expenses rather than having them embedded in the expenses of the programs they served, as in previous years. Therefore, comparative balances for prior years are not available. Intensive Services Intensive Services consist of adult case management and intensive outpatient programs designed for clients who require a higher level of care than offered through an outpatient program. Other services include homeless outreach, and an adult addictive disorder program providing intensive outpatient and specialized relapse prevention services. Adult Services - Adult Services assists adults and their families with mental illness and varying needs from serious mental illness to stress associated with relationship difficulties, work place or career concerns, blended families and single parenting. Specialized services are also available to those who have experienced sexual abuse or domestic violence. Services are designed to assist with recovery and stop intergenerational patterns of abuse and family violence. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Basis of Accounting The financial statements of Valley Cities have been prepared on the accrual basis of accounting and accordingly reflect all significant receivables, payables and other liabilities. • Basis of Presentation Valley Cities presents its financial statements in accordance with Statement of Financial Accounting Standards (SFAS) No. 117 Financial Statements of Not-for-Profit Organizations. Under SFAS No. 117, Valley Cities is required to report information 8 Property and Equipment Property and equipment are stated at cost. Depreciation is recorded on a straight-line basis over the assets' estimated useful lives, ranging from 3 to 40 years. All purchases with an estimated useful life exceeding one year and costing $500 or more are capitalized. Donated Services Donated services, if deemed material in amount are recorded at their estimated values. The estimated values of donated services are reported as both support and expenses in the accompanying Statement of Activities. Valley Cities did not receive a material amount of donated services in 2006 or 2005. Donated Property and Equipment Contributions of property and equipment are recorded as support at their estimated fair value at the date of donation. Such contributions are reported as unrestricted support unless the donor has restricted the donated asset to a specific purpose. Assets donated with explicit restrictions regarding their use and contributions of cash that must be used to acquire property and equipment are reported as restricted support. Absent donor stipulations regarding how long those donated assets must be maintained, Valley Cities reports expirations of donor restrictions when the donated or acquired assets are placed in service as instructed by the donor. Valley Cities reclassifies temporarily restricted net assets to unrestricted net assets at that time. Cash and Cash Equivalents For purposes of the Statement of Cash Flows, Valley Cities considers all unrestricted highly liquid investments with an initial maturity of three months or less to be cash equivalents. Accounting Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Income Tax Status Valley Cities is a not-for-profit corporation under the provisions of Section 501(c)(3) of the Internal Revenue Code and, as such, is subject to income taxes only to the extent of taxable unrelated business income. During 2006 and 2005, Valley Cities did not generate any taxable income and therefore no provision for federal income tax is necessary. In addition, Valley Cities qualifies for the charitable contribution deduction under Section • • 170(b)(1)(A) and has been classified as an organization that is not a private foundation under Section 509(a)(2). 10 • • • aturities of long term obligations for the next five years and thereafter are as follows: Year Ending ecember 31, 2007 $ 98,313 2008 113,375 2009 120,379 2010 2,469,796 2011 29,622 Thereafter 299,731 $ 3,131,216 NOTE 4—LINE OF CREDIT h� May 2006, Valley Cities drew $44,818 on a Line of Credit with a bank to finance part of the purchase of property in Auburn, discussed in Note 3. The interest rate on the Line of Credit is a variable rate, totaling 9.25% at December 31, 2006. The line of credit carries no special restrictions, is unsecured and has a borrowing limit of$50,000. NOTE 5 —LEASES Valley Cities has entered into various agreements to lease operating facilities and copiers under noncancelable operating leases with terms through June 2013. Certain facilities lease agreements require Valley Cities to pay common area maintenance charges and some of the leases are subject to escalation clauses. • Required future minimum payments under noncancelable leases are as follows: Year Ending December 31, Total Copiers Facilities 2007 504,364 36,048 468,316 2008 504,364 36,048 468,316 2009 484,106 36,048 448,058 2010 189,401 36,048 153,353 2011 115,150 24,032 91,118 Thereafter 182,236 -- 182,236 $ 1,979,621 $ 168,224 $ 1,811,397 NOTE 6—PENSION PLAN • Valley Cities maintains a tax sheltered annuity plan for which employees are eligible to receive employer contributions after completing one year of service, Employer contributions to the plan are based on compensation and years of service, and are immediately vested through annuity contracts. No unfunded past service liability exists. Employer contributions to the plan totaled $201,116 in 2006 and totaled $178,529 in 2005, and are reflected in employee benefits on the accompanying Statement of Functional Expenses. 12 NOTE 11 —SUBSEQUENT EVENT h�March 2007, VCCC entered into an agreement to replace the existing network infrastructure with new hardware and directory services hosted on a Microsoft Exchange environment totaling $475,000. The agreement will be financed over 3 years with monthly payments of principal and interest of$15,542. • 14 • Amaterial weakness is a significant deficiency, or combination of significant deficiencies, that results in more than a remote likelihood that a material misstatement of the financial statements Will not be prevented or detected by the organization's internal control. Our consideration of internal control over financial reporting was for the limited purpose described in the first paragraph of this section and would not necessarily identify all deficiencies i7 internal control that might be significant. deficiencies or material weaknesses. We did not identify any deficiencies in internal control over financial reporting that we consider to be material weaknesses, as defined above. This report is intended for the information of the audit committee, management and federal awarding agencies and pass-through entities. However, this report is a matter of public record and its distribution is not limited. 6. (AD., P s Certified Public Accountants May 17, 2007 • • • • j 16 • • • • +mpliance with requirements that could have a direct and material effect on each of its major federal programs in order to determine our auditing procedures for the purpose of expressing our • opinion on compliance and to test and report on•internal control over compliance in accordance With OMB Circular A-133. Our; consideration of the internal control over compliance would not necessarily disclose all matters in the internal control that might be material weaknesses. A material weakness is a condition in which the design or operation of one or more of the internal control components does not reduce to a relatively low level the risk that noncompliance with applicable requirements of laws, regulations, contracts and grants that would be material in relation to a major federal program being audited may occur and not be detected within a timely period by e nployees in the normal course of performing their assigned functions. We noted no matters involving the internal control over compliance and its operation that we consider to be material weaknesses. This report is intended for the information of the audit committee, management and federal awarding agencies and pass-through entities. However, this report is a matter of public record arid its distribution is not limited. p s Certified Public Accountants May 17, 2007 • • • 18 • � I VALLEY CITIES COUNSELING AND CONSULTATION NOTES TO SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS DECEMBER 31, 2006 NOTE 1 - BASIS OF ACCOUNTING • The Schedule of Expenditures of Federal Awards is prepared on the same basis of accounting as . Valley Cities Counseling and Consultation's (Valley Cities) financial statements. Valley Cities uses the accrual basis of accounting. NOTE 2 - MAJOR PROGRAMS The asterisk (*) to the right of a CFDA number identifies the grant as a major'federal program as defined by OMB Circular A-133. NOTE 3 -PROGRAM COSTS The amounts shown as current year expenditures represent only the federal portion of the program costs. Actual program costs may be more than shown. • • • • • 20 • • • CITIES ng Fitt epo To Access Services, Please Call: 253.939,40_z5 try 253 735,3354 1V1:;3y Concern: post t naster&alley'cities,ortl • N'WW,valleyeihen.Com Ad tuinistration&Auburn C'brnprenensice Services : I, Susan Streifel, in my capacity as the Treasurer oft:he Board of Directors and Chair of 2704"1"Street NF.. the Finance Committee,have reviewed ;:rnd accepted the 2006 Audited Financial Auburn,WA 98002 253.833.7444 Statement.for Valley Cities Counseling& Consultation on behalf of the Valley Cities flex 253.833.0480 Board of Directors. SERVICE SITES: Federal Way C'oruprchensive Services 253.661.6634 Sincerely Federal Way Youth& Family Services 253.835.9975 Homeless Family Services k.�; t,` ,(i,:. . „� 253.833,744 i Kent Compr'ehexrsive Susan Streifel Services Treasurer Board.of Direetots • 253.520,9350 Faith Richic • C:'hkjlixeru;nr.Clfjr`eee • BOAT OF DIRECTORS - Chairman-Brian J.Wilson VIcc Chair-Walt Bishop rrrasurcr_iusan Streifel Secret ary(;hock Booth • Jean Asplund Barbara Bell Hon Stephen C.Johnson Sharon laVigne IJarbara Muezynsu . Senator Pant Roach Sauce Shbnolinta Charles Woo,je !wen Wang HONORARY BOARD MEMBERS • Dee Lorenz Gary Morgan Kan song Cyril Van Solos 1 • ADVISORY MEMBERS { Chair,I cila Booth , Fred Helscr Debbie Luce Joanne Song Kathy Stretch Roger T honlarsort .ott Wood el United Way Partner .040 1.0) t. 0.ritw'C • • { POLICIES AND PROCEDURES Type: Rights/Responsibilities/Ethics Title: Service access: non-discrimination VALLEY CITIES Distribution: Senior Management counseling & consultation _ Officer Signature: Date: Title: Purpose: To assure that non-discriminatory services reach a broad scope of populations in need of behavioral health services. Policy: Services are made available to the public and are accessible in a non-discriminatory manner which facilitates consumer utilization of services. The provider shall deliver services in an accessible and non-discriminatory manner and at times and locations that assist consumer use. Services to priority populations shall include-alternative locations for service delivery, including home visits,school visits,or visits to other community agencies. Services to clients shall be accessible and meet the needs of clients of differing: age, marital status or living arrangement, political affiliation, educational attainment, socio-economic status, ethnicity, national origin,race,religion, gender, sexual orientation, disability or handicap. a. The provider shall eliminate or substantially reduce physical, communication and socio-cultural barriers to utilization of services. b. The provider shall assure access to TTY and certified interpreters for hearing impaired consumers. c. Services shall be compatible with the culture and language abilities of the client. d. In-home services shall be available to homebound consumers where possible. e. Alternative service delivery models shall be provided, where possible, to enhance utilization by these underserved groups. f. Program materials, publications, and audio-visual materials shall be culturally sensitive and non- discriminatory. Services shall be provided regularly on some evenings and/or weekends as determined by consumer needs. Procedure: Responsible Party Action Agency Leadership 1. Service delivery and general operating procedures provide access to and meet special needs of acutely and chronically mentally ill and serious disturbed persons of differing: age, marital status or living arrangement,political affiliation, educational attainment, socio- economic status,ethnicity, national origin,race, religion, gender, sexual orientation,disability or handicap. a) Service locations are selected and strategically located to maximize availability and accessibility to potential clients for whom transportation is a problem. • ,b) Service locations are as barrier-free as possible in physical accessibility and socioeconomic accessibility. c) Fee structures and waiver of fees are set to meet low-income realities whenever financially possible. PP-A093-08/24/04 Page 1 of 2 Section 2.4.5 VALLEY CITIES 41111 counseling &consultation APPLICATION FOR SERVICES ` 'L or Office Use Only ' "ntake Clinician ID# Intake Date Medical Riecord Home ❑ 01 Auburn ❑ 05 Kent ❑ 03 Federal Way ❑ 09 Seattle Welcome to Valley Cities Counseling and Consultation! We appreciate your choosing us as your • provider for mental health services. Before you meet with your clinician,please take a moment to read and complete this form. This information helps us to open a clinical record in order to begin services. If you have any questions please ask the receptionist, or your clinician for assistance. CLIENT INFORMATION Client Last Name First Name Middle Name Birth Date Social Security Number Legal Guardian Relationship Address Street Address City State Zip Code(Required) Nursing Home? Indicate Nursing Home facility name ❑ Yes ❑ No Home(include area code) Worlc/Business(include area code) Phone Numbers ) Mobile/Cell(include area code) Message(include area code) ) ( ) • inancially ❑ Self (skip to next section) ❑Parent/Guardian ❑ Other Responsible Party Name Telephone Number(include area code) ) Street Address City State Zip Employed Company Telephone Number(include area code) ) County Oi Residence ❑ 17 King ❑ 31 Snohomish ❑ 27 Pierce ❑ Other: Marital Status ❑ 1 Single ❑ 4 Divorced/Separated ❑ 2 Partnered ❑ 5 Widowed ❑ 3 Married Interpret i r Required ❑ 1 No ❑ 2 Yes Emergency Contact Name Relationship Telephone(include area code) ) Allergies • Medication allergies Other Allergies - ❑None reported Bee sting allergy? ❑ Yes ❑No -,- ender ❑ 1 Female ❑ 2 Male CLI0001 17/3/07 Page 1 of 7 Client Name/ID: Left side-Top Sexual Orientation ❑ 1 Heterosexual ❑ 08 Not asked or not identified Status n 2 Gay, Lesbian or Bisexual . Languag n 0• 0 Unknown ❑ 20 Polish ;identifies the language ❑ 01 Japanese ❑ 21 Greek in which a person prefers ❑ 0• 2 Korean ❑ 22 Tigrigna o receive services) ❑ 0• 3 Spanish n 2• 3 Amharic • ❑ 04 Vietnamese ❑ 24 Finnish n 0• 5 Laotian ❑ 2• 5 Farsi n 0• 6 Cambodian ❑ 26 Czech ❑ 07 Mandarin ❑ 27 Mien, ❑ 08 Hmong ❑ 28 Yakima ❑ 09 Samoan ❑ 29 Salish ❑ 10 Ilocano ❑ 30 Puyallup •n 11 Tagalog ❑ 31 Thai ❑ 12 French n 32 . Portuguese . ❑ 13 English ❑ 60 Italian ❑ 14 German ❑ 81 Other African ❑ 15 American Sign Language ❑ 82 Other Native American ❑ 16 Cantonese n 83 Other Filipino Dialect ❑ 17 Hungarian n 85 Other Asian ❑ 18 Russian ❑ 87 Other Communication Method ❑ 1• 9 Romanian n 99 Other Hispanic Origin ❑ 709 Cuban n 799 Other Spanish Hispanic ❑ 7• 22 Mexican/Chicano/Mexican American ❑ 998 Not Spanish/Hispanic ❑ 727 Puerto Rican Ethnicity [1] 8• 00 White/Caucasian n 608 Filipino (Check all tha apply) ❑ 597 American Indian n 6• 11 Japanese ❑ 600 Asian Indian ❑ 612 Korean ' ❑ 658 Native Hawaiian n 6• 13 Laotian ❑ 033 Other Pacific Islanders ❑ 618 Thai ❑ 0• 34 Other Asian ❑ 619 Vietnamese ❑ 870 Black, African American n 660 Guamanian or Chamorro n 7• 99 Other Race ❑_695 Samoan El 604 Cambodian n 995 Alaska Native El 6• 05 Chinese ❑ 996 Hispanic Family Size (the actual number of related individuals living in the household who are dependent on the household income) Annual Household $ Not monthly Income Female Head of • ❑' Yes ❑ No ❑ Unknown Household Is your treatment court ordered? n Y• es El No Is your treatment ordered by the department of corrections (DOC)? n Y• es ❑ No Are you under the supervision of the department of corrections (DOC)? ❑ Yes ❑ No If"yes", please provide us with the name and phone#, so we are able to notify them that you have applied for services DOC Worker' Name Telephone Number(include area code) ( ) CLI0001-7/3/07 Page 2 of 7 Client Name/ID: Left side-iop Are you a Veteran or currently serving in the US Military,including National Guard or ❑ Yes ❑ No Reserves?i • Is your spouse a Veteran or currently serving in the US Military,including National Guard ❑ Yes ❑ No or Reserves? Is your parent or guardian a Veteran or currently serving in the US Military,including ❑ Yes ❑ No National Guard or Reserves? If you answered Yes,to any of the above questions please indicate: (if known) • Branch of Service: ❑ 1 Air Force ❑ 5 Navy ❑ 2 Army ❑ 6 Reserves ❑ 3 Coast Guard ❑ 7 National Guard j ❑ 4 Marines • Discharge Type ❑ 1 Honorable n 4• Bad Conduct Date: ❑ 2 Medical n 5• Dishonorable ❑ 3 General n 9 Unknown ❑ 8 Other: • Period of Service n 1 WWII ❑ 5 GWOT ❑ 2 Korea ❑ 6 OEF ❑ 3 Vietnam ❑ 7 OIF ❑ 4 Persian Gulf CLI0001-7/3/07 Page 3 of 7 Client Name/ID: Left side-Top • QUESTIONNAIRE • If you are 13 or older, please complete this section The following questions are about common psychological, behavioral or personal problems. These problems are ^onsidered significant when you have them for two or more weeks, when they keep coming back, when they keep you rom meeting your responsibilities, or when they make you feel like you can't go on. Please answer the next questions • using Yes br No. 1. During the past 12 months, have you had significant problems... IDScr a. with feeling very trapped, lonely, sad, blue, depressed, or hopeless about the future? ❑ Yes ❑No b. with sleep trouble, such as bad dreams, sleeping restlessly or falling asleep during the day? El Yes El No c. with feeling very anxious, nervous,tense, scared, panicked or like something bad was going to happen? ❑ Yes ❑No d. wlilen something reminded you of the past, you became very distressed and upset? ❑ Yes 1-1No e. with thinking about ending your life or committing suicide? ❑ Yes ❑No 2. During the past 12 months,did you do the following things two or more times? EDScr a. Lie or con to get things you wanted or to avoid having to do something? ❑ Yes ❑No b. Have a hard time paying attention at school, work or home? ❑ Yes ❑No c. Halve a hard time listening to instructions at school, work or home? ❑ Yes ❑No d. Been a bully or threatened other people? ❑ Yes ❑No e. Start fights with other people? ❑ Yes ❑No 3. During the past 12 months,did... SDScr a. you use alcohol or drugs weekly? • ❑ Yes ❑No • b. you spend a lot of time either getting alcohol or drugs,using alcohol or drugs, or feeling the effects of alcohol or drugs(high, sick)? ❑ Yes ❑No c. you keep using alcohol or drugs even though it was causing social problems, leading to fights, or getting you into trouble with other people? •❑ Yes ❑No d. your use of alcohol or drugs cause you to give up, reduce or have problems at important activities at work, school, home or social events? ❑ Yes ❑No • e. you have withdrawal problems from alcohol or drugs like shaking hands, throwing up, having • trouble sitting still or sleeping, or use any alcohol or drugs to stop being sick or avoid withdrawal problems? ❑ Yes ❑No • • • • • • CLI0001-7/3/07 Page 4 of 7 Client Name/ID: Left side-Top • RECEIPT OF DOCUMENTS By Signing below, I certify the following: I have received the Valley Cities' Client Handbook, a Therapist Disclosure Statement, VCCC Notice of Privacy Practices, King County Notice of.Privacy Practices, and the Washington State Publication Client and Counselor Responsibilities and Rights. By signing this I also acknowledge that I have read and understand my client rights. Client Signature: • Date: x CONSENT FOR TREATMENT The information in this application and consent form is complete and accurate to the best of my knowledge. I give my permission to contact my Emergency Contact in the event of an emergency. I request land authorize the staff at Valley Cities Counseling & Consultation to evaluate, treat or provide consultation to myself or to the individual named below of whom I am the parent or legally constituted guardian. Client Signatu ie: Date: • • Parent/Guardidn Signature: Printed Name: Relationship to client: Date: • ill voluntary clients must sign that they consent (13 years of age and older) • • • • • • • • • • STOP HERE -o e ' You have completed the client portion of this form. S ■ OP Please return this form to the receptionist. • • • CLI0001-7/3/07 Page 5 of 7 Client Name/ID: Left side-Tip ADDITIONAL CLIENT DATA ; Substance Abuse ❑ 1 Drug ❑ 6 Client denies (clinician suspects) (within past year) ❑ 2 Alcohol ❑ 7• In remission for a year or more ( ❑ 3 Drug and alcohol ❑ 8 None Impairment Kind 1. 2. 3. (enter up to three, enter 10 No disability 34 Other communication difficulties the code that has the 23 Developmental disability—Physical 43 Medically compromised homebound greatest impact on 24 Developmental disability—Mental 44 Medical or physical disabilities clients functioning first, 31 Visual disability 45 Neurological disabilities and subsequent codes in 32 Deaf 80 Other disabilities not listed above order of impact) 33 Hard of hearing Employment Status . ❑ 1• 1 Employed full time(35 hrs or more/wk) ❑ 06 Volunteer work • ❑ 3• 1 Employed part time (less than 35 hrs/wk) ❑ 07 Retired ❑ 04 Supported employment n 9• 6 Not employed ❑. 05 Employed sheltered workshops I Education Status: 21 Full time education❑ n 9• 7 Not in education activities ❑ 41 Part time education Other Activity ❑ 71 Other normal for age or culture ❑ 98 No normative activity Code: Grade Level: ❑ 00 Preschool/kindergarten ❑ 14 2-year degree(AA, AS) ❑ 01-12 List specific grade completed: ❑ 16 4-year degree(BA, BS) ❑ 13 Some college or technical training ❑ 18 Post-graduate education I Priority Code ❑ 4 Acutely mentally ill ❑ 5 Chronically mentally ill adult ❑ 2 Seriously disturbed person ❑ 6 Severely emotionally disturbed child -'tesidential ❑ 10 Independent housing,alone or w/others '❑ 30 Long-term adaptive services 0rrangemlent ❑ 20 Supported housing—supervised by n 41 Congregate care facility mental health staff ❑ 46 Group care(children) • start date ❑ 22 Adult family home— licensed as such ❑ 50 Long-term rehabilitative services(LTR) by DSHS ❑ 61 Jail/juvenile correctional facility ❑ 25 Residential Drug/Alcohol treatment n 6• 2 Psychiatric inpatient facility (90 days or more) ❑ 82 Homeless ❑ 26 Foster care(children) ❑ 83 Temporary housing I Nursing Home n BV Avalon Healthcare FKA Beverly n AC Lifecare Center of Auburn ❑ BB Bailey Boushay ❑ NA North Auburn Rehabilitation ❑ CH Canterbury Rehabilitation Center ❑ MB St. Ann Nursing Home III CS Crista Nursing Center n WI Weatherly Inn ❑ EV Evergreen Enumclaw Healthcare ❑ NN No Nursing Home ❑ JP Judson Park CLI0001-7/3/07 Page 6 of 7 Client Name/ID: Left side-Ti p DIAGNOSIS Code Description (No abbreviations) AXIS I Primary Diagnosis: • • AXIS II ❑ No Diagnosis ❑ Axis II Diagnosis Deferred AXIS III ❑ None AXIS IV ❑ Mild ❑ Moderate ❑ Severe AXIS V ❑GAF ❑CGAS ❑PIR-GAS(Dco3) The box below)is for the use of the CD Program ONLY Target CD Diagnosis Adults and NON-Pregnant/Post-partum Women Youth and Pregnant/Post-partum Women (Please check one box only) ❑ 303.9 Alcohol Dependency ❑ 305.0 Alcohol Abuse ❑ 304.9 Unspecified Substance Dependency ❑ 305.9 Unspecified Substance Abuse The boxes below are only needed for clients who are 13.years old or older Questionnaire Scores • (Score 0-5 or 8, 9 for each section Section 1: Section 2: Section 3: Internalizing Disorders Screen Externalizing Disorders Screen Substance Disorders Screen _ 8=refused 9=unable to complete) ( quadrant Score • ❑ Quadrant 1 ❑ Quadrant 2 ❑ Quadrant 3 ❑ Quadrant 4 ❑No Quadrant °lease check one box only) Lo MH/Lo CD Hi MH/Lo CD Lo MH/Hi CD Hi MH/Hi CD No Dual Dx (9) Li TIER REQUEST Form is included with this packet because this should be a PHP client. ❑ Financial Information, page 6 (to be completed by clinician if this form did not originate in Access). ❑ PROGRAM ENROLLMENT form completed and included with application. Client signed that he/she received the VCCC Notice of Privacy Practices dated April 14, 2003. ❑ Yes ❑No (document reason in Progress Note if client does not sign) Client received the King County Notice of Privacy Practices dated April 14, 2003. ❑ Yes ❑No Special Population Consultation: ❑ Required ❑ Not Required To the beat of my knowledge,every question on this form has been answered,and the answers are accurate. Clinician Signature Date Supervisor Signature Date Route to di to entry immediately after signing. I have completed entry of this form into the Valley Cities information system. I verified its completeness and accuracy. Data Entry Signature • Date • CLI0001-7/3/07 Page 7 of 7 Client Name/ID: Left side -Top VALLEY CITIES counseling&consultation FEE SCHEDULE • Client Name: ID#: Effective: January 1st, 2008 Discount Adjusted Monthly Income Flat Rate Hourly Rate "_ >e:r:' Doco lR:NP;"Si ',i rilivliia l�t : Fami x.. =�`'SKGoup �.-.e� ;C a Scale % From To `Infa � $eices_:` g i`ive s?M",:yi%tSle'riesV yices`<:•'"l�lain0izien`t.IN A 0% 3,471 and up 150.00 187.50 115.00 125.00 45.00 90.00 B 10% 3,180 3,470 135.00 168.75 103.50 112.50 40.50 81.00 C 20% 2,889 3,179 120.00 150.00 92.00 100.00 36.00 72.00 D 30% 2,598 2,888 105.00 131.25 80.50' 87.50 31.50 63.00 E 40% 2,307 2,597 90.00 112.50 69.00 75.00 27.00 54.00 F 50% 2,016 2,306 75.00 93.75 57.50 62.50 22.50 45.00 G 60% 1,725 2015 60.00 75.00 46.00 50.00 18.00 36.00 H 70% 1,434 1,724 45.00 56.25 34.50 37.50 13.50 27.00 I 80% 1,143 1,433 30.00 37.50 23.00 25.00 9.00 18.00 J 90% 852 1,142 15.00 18.75 11.50 12.50 • 4.50 9.00 K 100% 0** 851 - - - - - - ******************************************************* AdjustedMonthly Income is calculated as the household gross Income less $290.00 per any additional person in the household ******************************************************* Consumer is responsible for all co-insurance or co-payments at the time of service ******************************************************* 1 Third Party Insurance is always billed at VCCC established full fee ******************************************************* **In keeping with Washington State administrative code, we offer a special$0.00 fee for consumers eligible for I services who have incomes below the grant standards for the general assistance program. ******************************************************* Adjusted Monthly Income & Sliding Scale calculation: Gross Monthly Income: (a) #of Dependents: (b) Amount to be Adjusted: (c) (b)*$290.00 Adjusted Monthly Income: (d) (a)-(c) Scale: (refer to scale above) Discount: (refer to scale above) % Estimated Copal,'or Coinsurance for covered services Psychiatric Evaluation Medication Management Intake Assessment Individual Therapy Family Therapy - Group Therapy Other Client Signature: Date: FIN0002-2/26/08 Page 1 of 1 Client Name/ID: Data Base : White-A/R Yellow-Chart Pink--Client • 26 2 6 (:vv\ta:Q., Application Cover Pages (Agency Information and Questions 1 — 7) Agency Information Agency Name: YWCA of Seattle-King-Snohomish County Applicant Name and Address: A encyGDirector:L f:�) YWCA Susan Sherbrooke,CEO 1118 5th Ave N a and Title=� 0 20008 Seattle,WA 98101 2 6-461W5;1° (Area G�ode)Telephope�°� ' -' wWw.ywcaworks.org 206-461-4860 E-mail address(if available) (Area Code)Fax Number Required signatures: By signing below,you certify that the information in •' applicatio, is accurate to the best of your knowledge and that you have read the application, certific. io• . o p, .40( . (SIGNATURES MUST BE IN BLUE INK) 7./3/ Signature of Agency Board President/Date S •ature of Age cyDirector/Date / gi g Y g Susan Mask Susan Sherbrooke Printed Name of Agency Board President Printed Name of Agency Director Program Information 1. Program Name Domestic Violence Services Contact Person(available to answer specific questions on this application) Tune Wiley 425-226-1266 X 1002 Name (Area Code)Telephone 1010 S 2nd Street Renton,WA 98057 Address(if different than above) jwiley@ywcaworks.org 425-226-2995 E-mail address(if available) (Area Code)Fax Number 2. Program is New for our agency ❑An Ongoing Program 3. Brief Description of Program(One sentence) The South King County branch of the YWCA provides advocacy-based counseling to victims of domestic violence which includes: safety planning,problem-solving,reinforcing the client's autonomy and providing information and referral to community resources 4. Where are services provided? (If different from agency location) Domestic Violence advocacy and support groups are based all through out South King County. Page 5. 5. Total Program Cost: Actual 2007: $352,913 Proposed 2009: $385,077 Projected 2008: 319,540 6. Total City Funds Requested for this Program: ' City Awarded 2008 Requested 2009* General Fund CDBG Total Requested** Auburn 20,000 30,000_ Federal Way $4,000 30,000 Kent 30,000 30,000 Renton 30000 City Awarded 2008 Requested 2009* General Fund General Fund Burien 5,000 Covington 9,300 10,000 Des Moines 5,000 Enumclaw 3,000 5,000 SeaTac 5,000 Tukwila 20,000 20,000 *Cities on a two year funding cycle will renew 2009 awards to 2010 based upon performance and availability of funds. See Part II,for city specific information. **Incl;ude your total request for Auburn,Federal Way Kent and Renton. The source of funding will be determined by staff. Page 2 7. Agency Contact Sheet Provide the following information for the agency and for the program requesting funds. Agency Contacts General Agency Name: YWCA of Seattle-Kingand Y Snohomish County Address: 1118 5th Ave City/State/Zip: Seattle,WA 98101 Phone/Fax: 206-461-4854/206-461-4860 Agency Web Address: www.ywcaworks.org Executive Director Name: Susan Sherbrooke Title: Chief Executive Officer Direct Phone: 206-461-4851 E-Mail: ssherb@ywcaworks.org Development Director Name: Celia Forrest (or Grant Writer) Title: Director of Domestic Violence Services Direct Phone: 425-226-1266 X 1017 E-Mail: cforrest@ywcaworks.org Finance/Accountant Name: Storm Wilder (person preparing invoices) Title: Administrative Analyst Direct Phone: 425-226-1266 X 1012 E-Mail: swilder@ywcaworks.org Program Contact (St ff contact for contracting, reporting and program implementation.) Program Name: YWCA Domestic Violence Service Staff Name: June Wiley Title: Regional Director Direct Phone: 425-226-1266 X 1002 E-Mail: jwiley@ywcaworks.org � I Page 3 YWCA Domestic Violence Services Program Application, 2009, 2010 8. Organizational Experience (2 pages max) A. Experience The South King County branch of the YWCA has been providing human services since the 1960's. South King County is a Region of the YWCA of Seattle—King County—Snohomish County, established in Seattle in 1894. The Seattle Region is the location for all of the centralized services of the organization: financial management and payroll,human resources, community relations and development. In addition Seattle is the primary location for Employment services, Youth services and Childcare programs as well as specialized services for the African American community. Services in South King County began with Emergency Housing for Homeless families in Renton, Kent and Auburn. Throughout the 1980's South King County YWCA added Transitional Housing Units with funds from HUD McKinney Supportive Housing grants. In 1993, South King County YWCA opened Anita Vista; the first transitional housing program for victims of domestic violence in South King County. In 2002, at the request of local cities in South King County, the YWCA began providing Advocacy-based Counseling to Victims and Survivors of Domestic and their children. The YWCA has been providing domestic violence advocacy- based services throughout South King County with support from Auburn, Covington, Kent, Enumclaw, Federal Way, Renton, Tukwila, King County and DSHS. The YWCA has been able to secure funds for limited motel voucher services when local shelter resources are not available. The YWCA believes that individuals can best fulfill their lives when they have the personal, economic, and life skills needed to take care of themselves and their families. We place a high value on collaboration, and work with a wide range of government, business, civic, and non-profit organizations. The YWCA is governed by a mission-driven and highly regarded Board of Directors. The South King County Region works toward: Ending Homelessness: Our goal is to meet the basic survival needs of homeless and low-income women, children and families, and enable them to achieve housing stability. Providing Safe Havens: Our goal is to prevent violence through education and advocacy. When domestic violence has occurred, we help families recover and rebuild their lives. Building Self- sufficiency: Our goal is to help low-income adults and families become increasingly independent through employment and life skills training. South King County YWCA Housing Program has 14 units of Emergency Housing, 37 units of Transitional Housing. With the recent subcontract with MultiService Center to oversee five units of transitional housing for survivors of domestic violence, Domestic Violence Services has expanded service offerings to include transitional housing as well as motel vouchers. YWCA staff have been active on the Boards of King County and the State DV Coalitions. The YWCA is also a collaborating partner with the Safe Haven Visitation YWCA Domestic Violence Services Program Application, 2009, 2010 and Exchange Center in Kent and serves on the Statewide TANF Family Violence Advisory Committee. YWCA collaborates with Sound Mental Health and DAWN in a pilot project which was originally suggested by the Safe and Bright Futures Project to provide teams of Child Advocates and Child Therapists to work with families experiencing domestic violence. Operational Structure The YWCA of Seattle—King County—Snohomish County is governed by a policy and governing Board of women and men from the Seattle, King County and Snohomish County area. The Board of Directors is made up of community professionals from the private sector including banking, legal, business, education, construction and media(54). Twelve percent of the Board is from the non-profit sector and thirty-four percent are community volunteers from the private sector. Ninety-nine percent of the members are women. The Board is ethnically diverse with twenty-four percent of the members being people of color. Two YWCA board members are from South King County. The long range development and strategic planning function is directed by the President of Strategic Initiatives. The day to day planning and implementation is directed by the Chief Executive Officer. The Service and Administrative areas of the YWCA are directed by eight Senior Directors for the following divisions: Human Resources, Finance and Administration; Development, Children, Youth& Families, Housing Development, School's Out, Snohomish County Operations and Employment and Regional Services. The South King County Region is part of the Employment and Regional Services, which includes Domestic Violence Services. The Regional Director for South King County guides the work of the Administrative Analyst, Community Resource Coordinator, Director of Emergency and Transitional Housing and the Director of Domestic Violence Services. The South King County Region has 18 employees, 17 full time and one part time. The Board of Directors stays connected and informed about needs Of South King County through participation of the Associate and Regional Directors in South King County Homeless Initiatives and various city Human Services planning committees. Linda Rasmussen, Associate Director of Homeless Initiatives for the YWCA of South King County was a member of the original Committee to End Homelessness in King County, which resulted in the Ten Year Plan. The YWCA's Chief Executive Officer, Sue Sherbrooke also is currently a member of the Interagency Council that is leading the County's Ten Year Plan to End Homelessness. The Senior Director of Employment and Regional Services has over ten years experience as Director of programs for an at-risk population with four years directing YWCA Employment and Regional Services. The newly hired Regional Director has nearly 20 years experience in program management, specifically in domestic violence advocacy, education and housing/homeless services. The Director of Domestic Violence Services has twenty-five years experience; 13 years with South King County YWCA, first as Director of Housing and later as Director of Domestic Violence Services. The diverse team of Advocates are highly trained and have between two and twenty-five years experience working with victims of domestic violence. S YWCA Domestic Violence Services Program g Application, 2009, 2010 9. Need for Your Program A. Problem Statement. Describe the problem faced by your target population that will be addressed by your proposed program. • The Washington State Coalition Against Domestic Violence training manual titled: B.E.R.T.H.A. (Basic Educational Resource to Help Advocates) states problems faced by victims of domestic violence originate from the controlling behavior of the abuser. Problems include: o Physical danger o Isolation o Restricted access to financial resources o Threats to harm children or other family members o Lack of legal resources o Lack of support and understanding from the general public o Lack of safe housing • The Social and Health Indicators Across KingCountyas reported byPublic p Health Seattle &King County in their publication"Communities Count" reports that"The rate of major domestic violence crimes (murder, rape,robbery and aggravated assault)has increased since 1997 in the South Region." • According to the Domestic Violence Fatality Review, "If I Had One More Day..."by the Washington State Coalition Against Domestic Violence (2006), in Washington State, over a two year period (July 1, 2004 to June 30, 2006)there were 113 domestic violence fatalities. These included 48 female victims killed by their male abuser, 10 children, 9 male perpetrators and 26 male perpetrator suicides." • "Violence Against Women: A National Crime Victimization Survey Report", (January, 1994)reported that research studies show that six times as many women victimized by intimates as those victimized by strangers chose not to report the violence to police because they feared reprisal from the offender. • Studies by the Surgeon General's Office reveal that domestic violence is still the leading cause of injury to women between the ages of 15 and 44,more common than automobile accidents, muggings, and rapes combined. • The Journal of American Medical Association reported that half of all women will experience some form of violence from their partners during marriage and that more than one-third are battered repeatedly every year. • All Domestic Violence Advocates and all of the shelters (both YWCA and DAWN) in South King County are operating at capacity every day. The shelters have 29 to 1 turn-away rate. Approximately 2,000 individuals are served each year by YWCA and DAWN together. The number of callers to the YWCA Domestic Violence Services is increasing every year. South King County is home YWCA Domestic Violence Services Program Application, 2009, 2010 to 603,900 people, the largest percentage of any region in King County. South King County is also home to 41.4% of the county's children and 39% of the county's households with children. Nearly 10,000 South King County families live below the poverty level-more than any other part of the county. South King County is home to nearly twice as many young families as any other part of the county. These fact are from "A Matter of Need" , 2005,published by the South King County Council of Human Services. While poor people do not suffer more domestic violence than wealthier women, they do have fewer options to address their barriers and it is true that younger women suffer more domestic violence than older women. B. Target Population. Identify and describe the population to be served by your program—both demographically and geographically. YWCA Domestic Violence Community Advocates serve women and men of any age who have been victims of domestic violence who live in South King County or who are homeless and currently staying in South King County. This includes the cities of Renton, Kent,Auburn, Federal Way, Tukwila Burien, SeaTac, Des Moines, Covington, Enumclaw and the area from the south Seattle City limits to the north Pierce County line and from the Puget Sound into the Cascade foothills. Ninety-six percent of the domestic violence victims served in 2007, were at or below thirty percent of median income,ninety nine percent were single female parent households and eleven percent spoke English as a second language. Of those served many single women with children receive Temporary Assistance to Needy Families (TANF). The immigrant and refugee populations who live in South King County,predominantly Hispanic, East African and Russian, as well as other immigrant groups are the focus of both outreach and prevention efforts. Specifically, YWCA Advocates speak Spanish,Arabic, Swahili, Kikuyu, Russian and Bulgarian who have cell phones for direct access. Interpreters will be arranged for advocacy in other languages. A° 7 YWCA Domestic Violence Services Program Application, 2009, 2010 10. Proposed Program/Service A. Program Description. YWCA Domestic Violence Services (DVS) strives to provide a welcoming, non- judgmental, empowering environment for survivors of domestic violence to identify their issues and their strengths, enhance their safety, consider their options and gain information about resources so that they can make informed decisions about their future. By making comprehensive programs and advocacy-based counseling widely available and accessible, more survivors can more easily get assistance to keep themselves and their children as well as our community safer from domestic violence. 1) Type of Services and 2. Methods/locations Community Based Domestic Violence Victim Advocacy: Community Advocates provide advocacy-based counseling which includes: support group facilitation, issues identification, problem solving and support for the autonomy of the victim while traveling to locations that are safe and convenient to clients in South King County. Community Based Domestic Violence Legal Advocacy: The Legal Advocate helps clients understand the court systems, Protection Orders, Custody, Parenting Plans, Child Support or Divorce proceedings and assists clients to find legal resources such as attorneys, legal clinics, forms and records and assist clients to set priorities for the family's future.. Domestic Violence Support Groups: Community Advocates provide four weekly and one monthly open enrollment support groups for women to explore issues of interest identified by the participants and offer facilitated educational opportunities. Support Groups meet in Renton, Federal Way, Kent and Enumclaw. Domestic Violence Technology Safety: As a pilot site for the Washington State Coalition Against Domestic Violence Technology Safety Project, computers are provided for client use and trained Community Advocates provide individual and group education in using technology safely. Domestic Violence Financial Education Groups: Trained Community Advocates provide a ten session, repeating series of financial literacy for women using the "Hope and Power" curriculum and the Federal Deposit Insurance Corporation (FDIC) curriculum covering credit building and repairing, budgeting and savings, banking and taxes and all things financial. These classes are co-facilitated by a YWCA Advocate and an experienced Certified Public Accountant who leads a local foundation. Domestic Violence Education: The YWCA Domestic Violence Program provides tailored presentations to raise awareness about domestic violence and prepare participants to provide safe assistance to victims and children. Additional topics are also available such as "The Impact of Domestic Violence on Children" and "Working with Muslim Women Survivors of Domestic Violence". Emergency motel stays and transportation assistance: YWCA has been successful in obtaining several small grants in order to make motel accommodations available for victims with children who cannot find safe shelter and who must flee for safety. Emergency supplies, food and transportation assistance as well as advocacy are provided during the motel stay. YWCA Domestic Violence Services Program Application, 2009, 2010 3. The YWCA uses the following outreach methods: Website: www.ywcaworks.org provides specific information about the entire YWCA organization including South King County YWCA services. Publications and telephone: The YWCA Domestic Violence and Housing Services are listed in the"Where to Turn"books published by the Seattle/King County Crisis Clinic,the Community Information Line and in local/regional phone books . Person to Person: The Domestic Violence Program participates on numerous committees, coalitions and task forces where program information is shared regularly. YWCA staff participate in Community Resource and Health Fairs in South King County cities and in the annual United Way campaign speaking to many businesses/clubs about our services. Color Brochures, flyers and other publications are regularly distributed throughout King County to service providers, law enforcement,public libraries, health and mental health providers, city halls, court houses and other places where survivors might see them. 4. Knowing that domestic violence is very widespread and mostly hidden within homes, we strive to become know and easily accessible so that more people feel comfortable seeking information and community resources to increase safety for themselves, their family members, their co-workers or neighbors. YWCA Advocates are available to consult with anyone to share options for addressing domestic violence. 5. First, we have a very diverse team of Advocates who are multilingual, multicultural. Second, YWCA's entire staff attends on-going training in cultural competency. Third, we are committed to employing interpreters whenever needed. Fourth, we work closely with all of the providers who focus their outreach and services to specific groups that have been marginalized by culture, language, ability or lifestyle differences. 6. Changes in Services: During the past two years, advocates, increased services through groups, added special projects(financial literacy classes,training about Muslim women survivors of domestic violence, cross-trained YWCA staff, increased focused outreach to inform diverse populations and increased collaborative relationships, all to serve more people in more effective ways and increase efficiency. Those measures have been well received and outreach has increased the demand for services so that now, we must request additional funds for staffing in order to meet the demand for service. All staff are currently at peak capacity serving diverse populations with culturally relevant services. 7. Collaborative Relationships: *Child Protective Services/Domestic Violence "Best Practices"workgroup. *Planning committee/co-sponsor annual Conference on the Impact of Domestic Violence on Children. *King County Public Health Departments. *Safe and Bright Futures Pilot Project, "Children's Response Team" with Sound Mental Health and DAWN. *Peaceful Families Project (addressing Muslim family safety). *Domestic Abuse Women's Network, (DAWN-YWCA MOU) and other domestic violence agencies. YWCA Domestic Violence Services Program Application, 2009, 2010 B. Performance Measures and Outcomes i. Performance Measure One: Number of domestic violence survivors served. Ii Outcome: Increased knowledge of options for dealing with domestic violence iii. Indicator: 100% of participants will receive information&referral to community resources i. Performance Measure Two: Number of hours of advocacy-based counseling g ii. Outcome: Increased personal safety for survivors and their families iii. Indicator: 90% of participants will be assisted to develop or modify their personal safety plans. YWCA Domestic Violence Services Program Application, 2009, 2010 C. Staffing Plan and Evaluation. i. Staffing Plan Domestic Violence Services Staff will consist of four full time Community Advocates, two full time Legal Advocates and one full time Director. (7 FTE total) The Community Advocates provide advocacy-based counseling which includes: support group facilitation, issues identification, problem solving and support for the autonomy of the victim. The Legal Advocates provide education about the civil and criminal legal systems and information and referrals for legal resources. One Advocate also serves as the Lead Advocate; scheduling and supporting staff as a back-up in the absence of the Director. Community Advocates also create and maintain client case files and provide demographic and outcome information for the client database. The Director oversees program development, outreach, budget, staff assignments, personnel functions and other administrative duties. All YWCA staff complete at least 24 hours of cultural competency training during their first year of employment and they receive on-going training pertinent to serving the homeless families and victims of domestic violence as well as advocacy techniques and strategies. This totals to more than 40 hours of additional training each year of service for each Advocate. The YWCA has created a Social Justice Associate Director who facilitates the whole agency's Social Justice efforts both within the agency and supporting the communities' social justice efforts. An on-going social justice committee invites speakers to present workshops for staff regularly. Educational credentials vary among Advocates from AA Degrees to Masters Degrees. More importantly, altogether the Advocacy team's years of advocacy work experience adds up to sixty-four years. In addition, YWCA's new South King County Regional Director came to us from New Beginnings where she had worked seventeen years with increasing responsibilities and she is a nationally recognized expert and faculty member, training on issues of stalking. ii. Evaluation: Advocates keep a daily log of phone calls, appointments, advocacy-based counseling hours and referrals given. The Director reviews the logs each month, and reviews exit data quarterly. The client exit data contains the outcome results. Intake information and exit outcomes are recorded in a data base so that the essential information about each client served can be tabulated quickly and accurately. We obtain evaluative information from clients and use that information to improve services. In addition, the Director invites clients and colleagues to give feedback about their experiences with advocates so that improvements can be made. YWCA Domestic Violence Services Program Application, 2009, 2010 D. Differences in Service Delivery by City: Each City has unique aspects that make differences in outreach necessary. The advocacy- based counseling provided by trained advocates is provided in the same manner in all cities. Some differences in outreach are due to populations, some are due to size or geographical layouts of the city, other differences may be due to the relative public awareness about domestic violence. The majority of referrals come from other service providers or from friends or family. We have learned over the last six years of providing services that outreach in Tukwila and Enumclaw, for example, though more difficult than some cities, is essential and must be on-going. This may be due to pockets of immigrant populations and the configuration of the cities. Tukwila is also unique in that Tukwila Police respond to numerous domestic violence calls that involve residents of cities other than Tukwila. In rural communities, it is very important be well acquainted with the community and be knowledgeable about how rural communities differ from urban or suburban communities. 9' (7- YWCA Domestic Violence Services Program Application, 2009, 2010 {! 11. Long Range Plan: Domestic Violence Services are an essential component of services for South King County YWCA. YWCA staff in all other programs call upon the DVS frequently. The prevalence of domestic violence survivors in the homeless population creates a daily need for Community, Legal or Children's Advocacy Services. Persons who initially approach the YWCA for Rental Assistance, Emergency or Transitional Housing, Employment, or educational materials reveal their domestic violence experience and can receive prompt, respectful support, information and referral. The long range plan for Domestic Violence Services includes continuing to seek out private and public funding sources to make these services more widely available. Prevention of domestic violence depends not only upon public awareness, but also a community readiness to assist families, emergency resources and advocacy, collaboration among systems and social change so that domestic violence becomes unacceptable behavior. YWCA, in the longer term would like to do more prevention work. In particular the YWCA would like to continue systems work with Child Protective Services, Law Enforcement,the Courts, DSHS and others. The involvement of our staff on domestic violence task forces, planning efforts and systems education results in an improved response from our staff and from the systems when they are needed. 1s' L3 YWCA Domestic Violence Services Program Application, 2009, 2010 12. Budget A. Budget Request Narrative With this proposal the YWCA is seeking to increase previous Human Services funding to meet the needs of callers and to keep up with inflation in the cost of providing services. Eighty percent of the requested funds are for Advocate compensation. Twenty percent is for Domestic Violence Services operating costs. YWCA is fortunate in having less staff turnover than many service agencies experience. This circumstance also raises costs significantly. Our current team of Advocates each work at full capacity every day and the demand is growing. The greater the success of public awareness raising efforts, the more numerous the calls for service. This is a very good trend, given the danger and difficulty for survivors in seeking help and the huge numbers of women who never tell anyone about their abuse. Advocacy must be available, it saves lives, it prevents future abuse and it helps people become self- sufficient. B. Changes to the Budget: No major changes to the budget are expected. C. Cost Per Service unit: $55 per hour of service. This is determined by taking the total cost of the Services divided by the number of clients expected to be served multiplied by the average number of hours per client. Agency:YWCA I Program:DV Services 13. NUMBER Of INDIVIDUALS/HOUSEHOLDS SERVED BY PROGRAM Individuals? or n Households? (Check which applies and use for reporting all demographics.) Unduplicated 1 *Unduplicated Number of all Clients Served by Clients Served All Funding Sources with Funds Requested 1 2007 2009 2007 % of column 1 2008 2009 (City Requested (Actual) clients served (Anticipated) (Projected) Funding Only) Y Y Auburn 104 15 110 110 54 Buries} 4 1 5 5 9 Covington 15 2 16 16 20 Des Moines 17 2 21 21 9 Enumclaw 8 1 10 10 9 Federal Way 183 27 180 180 54 Kent 126 18 121 121 54 Renton 25 4 30 30 54 SeaTac 6 1 8 8 9 Seattle' 19 3 24 24 Tukwila 18 3 22 22 36 Other 1 161 23 154 154 - I 100% Total 686 (This column must 701 701 308 total 100%) I Un * duplicated means count each client only once per calendar year per program. This number should match the number of clients by city indicated in the top row of Question 15. Paget rf Agency:YWCA 14. Performance Measures (Data Table) Program: DV Services 14a. I, Service with 2009 Requested Funds- � q Proposed Performance Measures as defined below. A)Individuals Served B)Hours of Service C) Auburn 54 540 Burien 9 90 Covington 20 200 Des Moines 9 90 Enumclaw 9 90 Federal Way 54 540 Kent 54 540 Renton 54 540 SeaTac 9 90 Seattle Tukwila 36 200 14b. Performance Measures 2009 Pro posed with funds requested P Ci q tiy;Funding Only, Title: Brief explanation: A) indlwiduals served Unduplicated individual residents of city i B)number of hours of Hours include intake, counseling, advocacy and outcome evaluation advocacy-based counseling (Average=at least ten hours per person) provided C) Page tlw Agency:YWCA 14 Performance Measures (Data Table), Cont. Program: DV Services 14c. Average Cost of Service Unduplicated Clients Served with Funds Average Cost of Service Requested 2009 Requested 2009 per Client (Same as last column of (Same as last column of Question 6) Question 13) Column 1 divided by Column 2 Example: $5,000 45 $111.11 Aubuin 30,000 54 $55/hr Burien 5,000 9 $55/hr Covinton 10,000 20 $55/hr Des Moines 5,000 9 $55/hr Enumclaw 5,000 9 $55/hr_ Federal Way 30,000 54 $55/hr Kent 30,000 54 $55/hr Renton 30,000 54 $55/hr SeaTac 5,000 9 $55/hr Seattle, Tukwila 20,000 36 $55/hr Page//7 Complete Question 15 with 2007 Actual numbers reported in column 1 of Question 13. Agency:YWCA 15. Demographics (from all funding sources) (Data Table) Program: DV Services d Client Residence o � a, 0 i d CO U Q W 4-4 CA H Unduplicated (check one) ❑Individuals o d `n r` M kn 0 Households '" N 00 " Served in 2007* Household Income Level 30%of Median or Below 89 3 12 16 7 156 108 22 6 15 16 450 50%of Median or Below 10 1 3 1 18 16 1 4 2 56 80%of Median or Below 5 1 9 2 2 19 Above 80%of Median 1 Unknown TOTAL 104 4 15 17 8 183 126 25 6 19 18 525 Gender Male 4 1 1 3 2 1 1 13 Female 100 4 14 17 8 182 123 23 5 18 18 512 TOTAL 104 4 15 17 8 183 126 25 6 19 18 525 Age 0-4years 5- 12 years 13- 17years 18-34 years 62 1 7 8 8 112 76 11 3 16 10 314 35-54 years 36 3 7 9 63 46 13 3 3 8 191 55-74 years 6 1 8 4 1 20 75+years Unknown TOTAL 104 4 15 17 8 183 126 25 6 19 18 525 Ethnicity Asian 12 1 21 15 1 1 1 52 Black/African American 15 1 8 28 21 7 1 6 5 92 Hispanic/Latino(a) 15 2 1 1 29 26 3 1 4 3 85 INative 7 6 4 1 1 1 20 American/Alaskan Pacific Islander 3 1 5 3 2 14 White/Caucasian 49 1 13 8 7 87 54 12 3 6 8 248 Other/Multi-Ethnic 3 7 3 1 14 TOTAL 104 4 15 17 8 183 126 25 6 19 18 525 Female(Headed 100 4 14 17 8 182 123 23 5 18 18 512 Household Disabling Condition 15 3 1 26 12 1 1 2 61 Limited English - Speaking 18 2 1 1 31 30 3 1 4 3 94 *Check'Individual or Household,which should be the same as checked in Question 13. Unduplicated means count each client only once per calendar year. This should match the number served by City in the Actual 2007 column of Question 13. The "total"column will be different from Question 13 since the"other"column is not included due to space limitations. Page,/ 1 � 16. PROGRAM STAFF (DATA TABLE) In this data table, record the number of full-time equivalent(FTE)paid staff and volunteers for this program. FTE means a 40-hour week throughout the entire year. For example, if you enter"5" in the box for Number of Volunteer FTEs, this would mean that you have, on average, five volunteers assisting your program at all times (assuming a 40-hour week). If you know only the total number of hours contributed by all volunteers for this program, simply divide that number by 2,080 to find the total FTE number. For example: 5,000 volunteer hours over the course of a year, divided by 2,080 equals 2.4 FTEs. 2007 2008 2009 (Actual) (Budgeted) (Projected) Total Number of Staff(FTEs) 4.5 5 6 Number of Volunteer(FTEs) 25 .25 .25 Actual Number of Volunteers 1 1 1 Page 1 Agency: YWCA 17. PROGRAM REVENUE BUDGET (DATA TABLE) Program: DV Services Revenue Source 2007 2008 2009 (Actual) (Budgeted) (Projected/ Requested) City Funding(General Fund & CDBG) ; • Auburn 20,000 20,000 30,000 • Burien 5,000 • Covington 9,300 9,300 10,000 • Des Moines 5,000 • Enumclaw 3,000 3,000 5,000 • Federal Way $4,000 $4,000 30,000 • Kent 30,000 30,000 30,000 • Renton 30,000 • SeaTac 5,000 • Seattle • Tukwila 20,000 20,000 20,000 • Other(Specify) Villa Capri MOU 14,000 20,000 20,000 • Other(Specify) Other Government Funds • King County KC Women's 102,000 102,000 102,000 • 'Washington State 82,064 80,245 80,500 • Federal Government(Specify) • Other(Specify) WSCAV 8,688 15,000 Private Sources • United Way(grants & designated donors) • Foundations and Corporations • Contributions (e.g., Events, Mailings) 2,625 • Program Service Fees (User Fees) 1,650 • Other(Specify) YWCA Gen Fund 55,586 15,995 12,569 TOTAL PROGRAM BUDGET 352,913 319,540 385,077 Page 's 17. PROGRAM EXPENSE BUDGET, CONT. Agency: YWCA (DATA TABLE) Program: DV Services Expenses 2007 2008 2009 (Actual) (Budgeted) (Projected) Personnel Costs . • Salaries 168,465 145,374 180.746 ■ Benefits 37,785 34,947 42,062 • Other 18,822 17,068 21,050 • Total Personnel 225,072 197,389 243,858 Operating and Supplies ■ Office/Program Supplies 7,970 7,088 7307 • Rent and Utilities • Iepair and Maintenance • Iinsurance 3,352 3,043 3431 ■ Postage and Shipping 554 966 1039 • Printing and Advertising 1,488 7,134 7463 . • Telephone 5,849 6,178 6363 • l quipment 100 2,085 2147 • Conference/Travel/Training/Mileage 10,121 13,420 14,648 • Dues and Fees 1,167 1,040 1070 • Professional Fees/Contracts 3,234 49 2719 • Direct Asst. to Individuals 34,984 17,500 28,946 • Administrative Costs 35,031 42,166 437690 • Other(specify) Occupancy Allocation 9,816 9,715 10,050 • MIS Allocations 6,503 6,826 7,030 • Sr. Program Director Allocations 7,672 4,941 5,237 ' 1 is I TOTAL PROGRAM EXPENSES 352,913 319,540 385,077 Net Profit(Loss) (revenue-expenses) = Page}�2" Agency: YWCA 18. SUBCONTRACTS (DATA TABLE) Program: DV Services List all the agencies you will be subcontracting with for this program. Provide the agency name in the first column, a description of the contract/service in the second column, and the contract amount in the third column. Do not list agencies you coordinate with on a referral only basis. Indicate not applicable if you do not subcontract for any part of this program. Subcontracting Agency Specific Subcontracted Activities Contract in the Operation of Your Program Amount Screen,select,on-going advocacy-based counseling to 20,000 Multi-Service Center Villa Capri five families in transitional housing Page.1-3' 19. APPLICATION CHECKLIST Applications missing one or more of the following components or not following these directions may not be reviewed. Sign and submit the application checklist with your application. Contents (Your application should contain each of these items in this order.) I* Application Cover Pages.The top three pages of your application must be a completed copy of the Agency Information and Questions 1-7. Application Narrative: ® Question 8 Organizational Experience(2 page maximum) Question 9 Need for Your Program(2 page maximum) Question 10 Proposed Program/Service(6 page maximum) Question 11 Long Range Plan(1 page maximum) Question 12 Budget(2 page maximum) Data Ti Tables Question 13 Number of Individuals/Households Served Question 14a-c Performance Measures and Average Cost of Service Question 15 Demographics(from all funding sources) ' Question 16 Program Staff Question 17 Program Revenue&Expense Budgets Question 18 Subcontracts Required documentation. Supply one copy of the following required documents with the signed original a plication. See Part II: City Specific Supplemental Information to determine whether additional copies of the 1 application and required documentation need to be submitted. 6 Question 19 Required Documentation,including: • Proof of non-profit status • Organizational Chart ■ Agency/Organization Mission Statement • Board resolution authorizing submittal of the application(may be submitted up to 60 days after application). • List of the current governing board and local board, if applicable, (include name,position/title, city residence,length of time on the Board, and expiration of terms. Note any vacancies.) • Board Meeting Minutes of last three board meetings of governing board and local board as applicable ■ Annual Budget • Financial Audit Cover Letter • Financial Audit Management Letter • Financial Statement • Verification of Non-Discrimination Policy • Program Intake Form • Sliding Fee Scale :.Application Check List. (Signed below.) ;!ICity Specific Supplemental Information.Required in Name: Carolyn Pollreis '.it II for applicable City only. Position: Office Manager Phone#: 425-226-1266 X 1014 E-mail: cpollrei@ywcaworks.org 0 CI_Nkk .‘Ni\---9'kV)-tla_A_AM Signature of Person Completing Checklist DO NOT SUBMIT ANY OTHER MATERIALS WITH THIS APPLICATION Make sure that you carefully check Part II of this application to see what additional attachments each city requires. Page l8' �7 Renton Supplemental Application YWCA Domestic Violence Services How the program outcomes will help achieve the selected Result. Result#4: Residents will know about domestic violence and how to keep safe. Renton residents will receive advocacy-based counseling from trained YWCA Advocates which uses problem solving methods and includes identifying the barriers to safety; developing safety checking and planning skills; clarifying issues; increasing self-esteem and self awareness;; and improving and implementing skills in decision making, parenting, self help and self care. Advocacy- based counseling means the involvement with an Advocate in individual, family or group session with the primary focus on safety planning and on empowerment of the client by reinforcing the client's autonomy and self-determination. Two outcome measures that have been identified by national research (Chris Sullivan, "Measuring Our Success") efforts to measure the effectiveness of advocacy-based counseling are: 1. the first outcome is that domestic violence services will result in enhanced knowledge of options for dealing with domestic violence, 2. the second outcome is that domestic violence services will result in increased personal safety for survivors and their family. These outcomes are completely consistent with the potential provider level outcomes suggested to achieve Result#4. Adult survivors of domestic violence develop or enhance skills that support self determination because they are given information, referrals and encouragement in an empowering environment that enables them to set their own goals and plans for their future. The support for one's autonomy enhances confidence and encourages survivors to be proactive in addressing their needs. Safety planning assistance includes information about danger assessment, ways to be safer at home, work and elsewhere as well as making plans for future. Information about taking threats seriously,the presence of weapons, the history of the relationship and how to talk to children about safety are included. While it is important to note that having a safety plan by itself does not necessarily make survivors safe from the abuser, but proactive planning in the event of a dangerous domestic violence situation occurs can be life saving. y9 • 501 (c) (3 ) Determination Letter • ;' ' t • U.S: TREASURY DEPARTMEF4T • -14 r: INTERNAL REVENUE SERVICE:. • wIUtTWUTO January- 13, 1965 PORt fl-0310 !ems?1a . Young :omen's Ghristiao Assoc. of Seattle i'I l R. P fth Avenue Seattle, Wasiin ton In re: Our letter dated October 27, 1964 In further reference to the matters cited in our letter .spe_afied above, based on the information provided for your organization, we have rands the following determination: j7 Tour organization is exempt under sub—section 501 (c) (3) of the Internal Revenue Code. • • E7 You do not currently have exempt- status under section 501(a) or 321 of the Internal Revenue Code. Attached is an ap Aication for ,exemption which you Way complete and return to this office should you..desire to apply for such exemption. • If you are in doubt as to your filing requirements in view of the above determination, please contact this office. Very truly yours, �•.s. ,� ' ' ' �•, District Director • • point tt-o318 (8-64) �3 • YWCA of Seattle-King County-Snohomish County `-c Organizational Structure rev01/08 Board of Directors I CEO President s Sue Sherbrooke , Rita Ryder , Executive Assistant Sandra Roddy I 1 I I I I I ' Human Resources , Finance& Development& ` Children,Youth , Employment& ` 'Housing Development Snohomish County , ` Administration Community Affairs &Families Regional Services &OperationsSchool's Out WA ` Matthew Bullock ` Kris Lambright Sherry Dawley , Patricia Hayden gMatt KingMary Anne Dillon Mari Offenbecher , • Linda Hall , Accounting Community Affairs ` Central Area Seattle Employment Services Downtown Housing Network Director ` Cliff Griffin Cathy MacCaul Jeanice Hardy Mike Schwartz &Operations Janet Frieling •• i Leslie Leber Facilities • , . Youth Programs � ` Nik Walker SeaTac Airport Volunteer Services Jennifer Martin Lost&Found Professional Development Lisa Caissie Veta Hernandez Jacqueline Information 1 • IF' Homeless School ` • Jainga Hyllseth Systems • .4 Age Services& e 1 &Client Data Annual Giving Licensed Childcare Dress for Success Ed Apostol J ` TBD Gina DeCampo Mandy Refugee Impact Grant Mullens-Williams Pang Chang e ' . • . • S. Payroll Donor Services Angeline's Center ' ` y Ali Peters g East King County e • Imelda Bonilla Liz Mills Elizabeth Westburg WRAP • • , .. • S. Krista Galloway • ' 1 Major Gifts S. S. • Grant Compliance Corinne O'Connell . Social Justice 1 Martin Friedman South King County Mimi Cheung • , June Wiley J Homeless Initiatives i Linda Rasumussen e Health Care Access ` • Scott Pinegar Children's Services . • TBD e 1 ` ' Greenbridge CDC Mina Amin Our Mission r The mission of the YWCA of Seattle • King • 7 `, • . 1. - ,� g , - County • Snohomish County is to advance the f.. quality of life for women of all ages, races, and faiths, and their families. In support of this 1 ti :: 1 'N,,• r. ' .. b, mission, the YWCA provides services to meet : it, , •,� critical needs,promote self-sufficiency, reduce I 0.4 ' ' violence, and achieve equal opportunities for all 4 : ,.,, , people_ Our Vision We believe that, working together, we can create a community where: • All women and families have a safe, stable place to live. • All adults have the opportunity to earn a livable wage and achieve self- sufficiency. • All children and youth can develop the skills they need to succeed in life. • All people can live in dignity—free from violence, racism and discrimination. YWCA of Seattle •KingCounty y •Snohomish County Board of Directors January 22, 2008 GRANT APPLICATIO N AUTHORIZATION The YWCA receives nearly 50%of its operating funds from 130+public sector funding sources. Many of the applications for these grants and contracts require Board authorization. Each year, we request formal Board authorization for staff to prepare and submit applications for these funds. REQUESTED ACTION: That the Board authorize senior program staff to prepare applications for funding to support YWCA.programs and submit these applications to Federal,State, County and Municipal funding sources. CERTIFICATE I certify as a YWCA of Seattle•KingCounty•Snohomish County Board tY y Officerthe foregoing board action was adopted at the YWCA Board of Directors Meeting on Januar 22, 2008. 1'k.• Y A Board Officer YWCA SEATTLE•KING COUNTY•SNOHOMISH COUNTY BOARD OF DIRECTORS, 2007-2008 BOARD CHAIR SUSAN MASK BOARD CHAIR-ELECT MARYANN CRISSEY IMMEDIATE PAST BOARD CHAIR BARBARA FAHEY SECRETARY ELLEN CONEDERA DIAL V.C. FINANCE/TREASURER MARY SNAPP V.C. FACILITIES/SPECIAL PROJECTS BETSY MOSELEY V.C. PUBLIC RELATIONS SHARON ROWLEY V.C. INVESTMENTS SHARON ROWLEY V.C. VOLUNTEER LEADERSHIP JEANNIE NORDSTROM V.C. MAJOR GIFTS CHARLENE BLETHEN V.C. HOUSING DEVELOPMENT CYNTHIA PARKER V.C. HUMAN RESOURCES DEBORAH HARRIS V.C. PLANNED GIVING/ENDOWMENT N. ELIZABETH MCCAW ALUMNAE REPRESENTATIVE JEAN ENERSEN V.C. BENEFIT LUNCHEONS LESLIE JONES JAN SINEGAL V.C. PUBLIC POLICY NINA ODELL OFFICERS OF THE BOARD &AT-LARGE, JONELLE M.C. JOHNSON EXECUTIVE COMMITTEE MEMBER MOLLY HANLON BARBARA MORGAN MARY ANNE ENG BOARD MEMBER POSITION/TITLE RESIDENCE YR. TERM* Charlene Blethen Community Volunteer Mercer Island 08(2) Martha Mayes Boes Independent Consultant Bellevue 08(1) Bobbe Bridge Center for Children &Youth Justice Seattle 08 President Sonya Campion The Campion Foundation Seattle 10(1) Trustee Cheryl Chow Girl Scouts Totem Council Seattle 08(2) Director Marianna Conner Community Volunteer Everett SNOH CO REP* Maryann P. Crissey Banner Bank Seattle 08 Vice President& Client Manager Ellen Conedera Dial Perkins Coie Seattle 08(1) Partner Bob Drewel Puget Sound Regional Council Arlington 10(2) Executive Director Jean Exiersen KING 5 TV Seattle ALUM REP Anchor Mary Anne Eng Community Volunteer Mercer Island 09 Barbara Fahey Community Volunteer Edmonds IPC Mimi Gardner Gates Seattle Art Museum Seattle 09 Director Molly Hanlon Educator and Community Volunteer Seattle 09 YWCA SEATTLE-KING COUNTY-SNOHOMISH COUNTY BOARD OF DIRECTORS, 2007-2008 2-7 BOA D MEMBER POSITION/TITLE RESIDENCE YR. TERM* Pamela J. Harkins Starbucks Coffee Company Edmonds 10(1) VP Partner Resources/Supply Chain Coffee Operations-Human Rels. Deborah Harris Community Volunteer Medina 08(2) Kandace Holley Community Volunteer Bellevue 08(1) Christal Jenkins T9 Communications, AOL/ Seattle 09(1) Time Warner Associate Product Manager Jonelle M.C. Johnson KeyBank Tukwila 09 SVP &Western Reg'l Mgr., Global Treasury Mgmt. Leslie D. Jones Sound Transit Seattle 10 Sr. Level Manager, Diversity Progs. Marl 'na Kiner-McIver Community Volunteer/CPD Seattle E. CHERRY REP* and Associates President Kaycee W. Krysty Laird Norton Tyee Seattle 09(1) President and CEO Sandra Madrid, Ph.D. UofW School of Law Bothell 09(2) Asst. Dean, Students and Comm. Dev. Susan Mask Washington Mutual Seattle 08(2) First VP and Sr. Counsel, Legal Dept. N. Elizabeth McCaw Stokes Lawrence, P.S. Seattle 08(1) Attorney& Shareholder Charles Mitchell, Ph.D. Seattle Community College District Seattle 10(2) Chancellor Barb a S. Morgan Washington CEO Magazine Bellevue 09 Executive Editor Betsy Moseley International Media Partners, Inc. Bellevue VC FAC/SPEC Executive Vice President PROJECTS Jeannie Nordstrom Community Volunteer Seattle VC VOL LEAD Nina Odell Puget Sound Energy Edmonds 08 Dir., Federal Government Relations Cynthia Parker Seattle-Northwest Securities Corp. Seattle 09(2) - VP, Affordable Hsg and Real Estate - - ----------------- Sharon Rowley Community Volunteer Seattle VC INVESTS Jill S. I1 uckelshaus Costco Wholesale Corp. Medina 10(1) Jan Siegal Community Volunteer Bellevue 10(2) Mary . Snapp Microsoft Corporation Seattle 09(2) Law & Corporate Affairs Corp VP and Deputy Gen. Counsel Phyllis Stark Community Volunteer Redmond ESB REP* John Valaas Community Volunteer Medina 10(2) Wende Wahl Community Volunteer Renton 10(1) YWCA SEATTLE-KING COUNTY-SNOHOMISH COUNTY BOARD OF DIRECTORS, 2007-2008 28 EX-OFFICIO BOARD MEMBERS Sue Sherbrooke YWCA Seattle-King County- Seattle 4 Snohomish County Chief Executive Officer Rita Ryder YWCA Seattle-King-County- Seattle 29 Snohomish County President—Strategic Initiatives TOTAL 41 STATUS Elected (up to 42 total) 34 Nominating (at least 25) 29 Executive: Regular(up to 15) 4 Executive: Young Leaders (at least 2) 1 Annual Board Appointment (1: Alumnae 1 Rep) Ex Officio (up to 7: IPC, CEO, PSI, 6 East, Central, Snohomish, South King) BOARD INVOLVEMENT— in years Range <1 —25 Average 7 Median 5 QUORUM 1/3 ( ) 14 SUPER-MAJORITY (2/3) 27 PLEASE NOTE INFORMATION IN BYLAWS OF THE YOUNG WOMEN'S CHRISTIAN ASSOCIATION SEATTLE-KING COUNTY-SNOHOMISH COUNTY UNDER ARTICLE 6: BOARD OF DIRECTORS: Section 6 d. Terms of Office. The election of Board members will be reported at the Annual Meeting and the term ofoffice will be three (3) years. The terms of office of-the Board of Directors-will-begin on May 1 of each year. Board members can serve additional 3 year terms. The retiring Board Chair will automatically serve one additional year on the Board with vote. As of April 2008 YWCA SEATTLE-KING COUNTY-SNOHOMISH COUNTY BOARD OF DIRECTORS, 2007-2008 /9' YWCA BOARD PROFILE 2007-2008 TOTAL 41 AGE Under 30 1 2% 30-50 11 27% Over 50 29 71% ETHNICITY African American 6 15% Asian 3 7% Caucasian 31 76% Latina/Latino 1 2% Native American 0 0% REGION East King 10 24% Seattle 24 59% Snohomish 5 12% South King 2 5% PROFESSIONAL EXPERTISE Banking/Finance/Investments 7 17% Community Volunteer 13 32% Human Resources 2 5% Development/Construction 2 5% Education 2 5% General Business 2 5% Legal 5 12% Media 2 5% Non-Profit 5 12% Public Sector 1 2% BOARD INVOLVEMENT- in years Range <1 -25 Average 7 Median 5 STATUS Elected (up to 42 total) 34 Nominating (at least 25) 29 Executive: Regular(up to 15) 4 Executive: Young Leaders (at least 2) 1 Annual Board Appointment(1:Alumnae Rep) 1 Ex Officio (up to 7: IPC, CEO, PSI, 6 East, Central, Snohomish, South King) QUORUM (1/3) 14 SUPER-MAJORITY(2/3) 27 YWCA BOARD MEETING &HOLIDAY PARTY P. 1 DECEMBER 11,2007 YWCA OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY BOARD OF DIRECTORS MEETING&HOLIDAY PARTY DECEMBER 11, 2007 @ 5:3o P.M.AT KANDY&RICK HOLLEYS HOME PRESIDING: Susan Mask, Board Chair Present: Blethen, Campion, Crissey, Eng, Fahey, Holley,Jones,Madrid,Mask,McCaw,Morgan, Moseley, Rowley, Ruckelshaus, Stark,Wahl. EX-OFFICIO: Ryder. A quorum was present. EXCUSED: Boes, Bridge, Chow, Conner, Dial, Drewel,Enersen, Gates, Hanlon, Harkins, Harris,Jenkins, Johnson, Kiner-McIver, Krysty, Mitchell, Nordstrom, Odell, Parker, Sandstrom, Sinegal, Snapp,Valaas. EX-OFFICIO: Sherbrooke. STAFF: Bullock, Dawley, Hall, Kettman, Lambright, MacCaul, Mills, O'Connell, Rasmussen, Roddy, Westliurg. GUESTS: Board Alumnaes—Rhoda Altom, Maureen Frisch,Joni Henry; University of Washington MBA Board Fellow—Julianne Lamsek. WELCOME - Susan Mask • Susan Mask welcomed everyone to our board holiday party. Board Alumnaes--Rhoda Altom, Maureen Frisch,and Joni Henry were introduced. Thank you so much Kandy Holley for inviting us to your festive, beautiful home and for hosting tonight's board party! • Cynthia Parker and Sue Sherbrooke could not be with us because they are in New York City marketing our Affordable Housing Fund to several foundations and banks. They return to Seattle on the 12th. • Board members were requested to read Committee Updates on pink handout. MINUTES - Susan Mask Susan Mask motioned November 27, 2007 Board Minutes be approved, as presented. Crissey, Rowley, MSP. CHEFS'FEST - Susan Mask Susan thanked Phyllis Stark and Wende Wahl, 2007 Chefs'Fest Co-Chairs,for outstanding work with October's event. Phyllis hadn't been present at November's board meeting. Thank you Phyllis! DESIGNATION OF UNRESTRICTED BEQUESTS (ACTION) - Beth McCaw Beth McCaw presented the board action item that members received with December iith's board mailing. • A motion was made that the board approve designating all unrestricted bequests received in 2007 to the general endowment fund(currently$15,090). Ruckelshaus, Fahey, MSP. DEVELOPMENT REPORT - Charlene Blethen and Leslie Jones Charlene Blethen presented a snapshot of 2007 fundraising efforts. The September report indicated $300,000 remained to be raised. We received$340,000 in major gifts toward Annual Fund goal,which does not include gift amounts under$1,000. Thanks board members! Thank you Corinne O'Connell, Stewaridship Manager,for personal cultivation with major donors. Yearend Direct Mail-Appeal-was sent the first week of December. Thank you for helping make calls. Please provide updates to Corinne O'Connell. Board Campaign for 2008. Thank you board for the good job and participation with 2oo7's Board Campaign. We are seeking your continued support with i00%participation towards 2008 Board Campaign. 2oo8's Campaign Team members are: Barb Fahey, Ellen Dial, Sonya Campion, Kandy Holley, Christal Jenkins, and Charlene Blethen. Board members will receive an appeal in January 2008 and requested to return by March 1st. Thanks Campaign Team for agreeing to serve. Thanks Sherry Dawley, Development and Community Affairs Director, Corinne O'Connell, Charlene Murray and entire Development Team. 2008 BENEFIT LUNCHEONS UPDATE - Leslie Jones Leslie Jones presented the 2008 Benefit Luncheons update. Three months remain before Luncheons begin! An appeal was made for Luncheon Sponsors. At present$217,000 (65%)has been received towards $325,00o Sponsorship goal. A number of renewals and new requests are pending. Table Captains. We are on pace with recruitment. As of December 3rd, 190 table captains are signed up with 39 expected to renew 31 YWCA BOARD MEETING &HOLIDAY PARTY P.2 DECEMBER 11,2007 their commitment for the Eastside Luncheon by January 31.st. We appreciate and thank board members for signing up as a table captain for 2008 Luncheons. Please let Sherry know if you still need to sign up and/or can assist with pending recruitments. Everett Benefit Luncheon. The Committee made the decision to continue using current space (maximum seating 800)at Convention Center and not go on ice rink in 2008 to conserve costs. The decision will be revisited in 2009. SENIOR LEADERSHIP CHANGE Board members were referenced to YWCA Leadership Team and Other Updates handouts for additional inforr1iation about the decision to refill the Senior Program Director position. GREENBRIDGE UPDATE - Maryann Crissey Maryann Crissey presented highlights on the Greenbridge Project. The construction kick-off event was held November 28th in White Center and partners--King County Housing Authority and City of Seattle as well contractors,Walsh Construction and architects, Stickney Murphy Romine were on-hand to celebrate with us. The concrete has been laid, and New Markets Tax Credits are set to close by December 31st, 2007. • Krs Lambright, Chief Financial Officer, and Sue Sherbrooke have done a wonderful job with lease negotiations with City of Seattle versus annexation(King County Library System). OTHER ANNOUNCEMENTS Sherri Dawley introduced Cathy MacCaul, newest team member of Development&Community Affairs. Cathy is Community Affairs Associate Director. She starts work on January end. Welcome Cathy! Board members were requested to review January 2008 calendar and Other Updates handouts referencing Affordable Housing Fund. ADJOURNED The Board Meeting adjourned at 6:34 p.m.for Holiday Party festivities. Thanks Kandy for hosting! Respectfully Submitted, Susan Mask, Board Secretary Pro Tern 32-- YWCA BOARD MEETING P. 1 JANUARY 22,2008 YWCA OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY BOARD OF DIRECTORS MEETING JANUARY 22, 2008 @ 12:00 P.M.AT OPPORTUNITY PLACE PRESIDING: Maryann Crissey, Chair-Elect for Susan Mask, Board Chair Present: Blethen, Boes, Bridge, Campion, Chow, Conner, Crissey, Dial, Eng, Hanlon, Harkins, Madrid, Moseley, Odell, Rowley,Ruckelshaus,Sinegal, Stark,Wahl. EX-OFFICIO: Sherbrooke, Ryder. A quorum was present. EXCUSED: Drewel, Enersen, Fahey, Gates, Harris, Holley,Jenkins,Johnson,Jones, Kiner-McIver, Krysty, Mask, McCaw, Mitchell,Morgan,Nordstrom, Parker, Sandstrom, Snapp,Valaas. STAFF Bullock, Caissie, Dawley, Hall, Hardy, Hayden, Lambright, MacCaul, Mills, Roddy. GUESTS: University of Washington MBA Board Fellows—Julianne Lamsek and Nicole Pargoff; University of Washington MSW and MPA—Melanie Lyons. WELCOME - Maryann Crissey • Maryann Crissey welcomed everyone to the first board meeting of 2008. Board Chair Susan Mask is traveling the Caribbean to see her daughter off for school semester at sea. • Three greeting cards were circulated to Board members Alice Sandstrom and Kaycee Krysty and Board Emeritus Ty Scheumann who are all recovering from health issues. • Rita Ryder introduced Melanie Lyons, University of Washington second year MSW and MPA student. Melanie is interning with Rita until the end of May. • Board members were invited to the senior staffs Social Justice Initiatives presentation with Dr. Kimberley Richards on Wednesday, February 13th from 12:00 to 1:3o p.m. More details to be emailed. • Board members were requested to read handouts, Committee Updates on pink and Strategic Initiatives Repo rt on yellow. MINUTES - Ellen Dial • Ellel Dial moved that the December 11, 2007 Board Holiday Party minutes be approved, as presented. Harkins, MSP. DEVELOPMENT REPORT - Jan Sinegal Jan Sinegal presented an update on 2008 Benefit Luncheons. At present, a total of$300,00o has been raised toward our Sponsorship goal of$325,000. We still have a need for underwriters. Please let Jan or Sherry Dawley,,Development&Community Affairs Director,know if you have tips or can make phone calls. ■ Table Captains Recruitment. Currently,we have recruited 275 table captains. An additional loo+table captains are needed to meet our goal of 385. Our Eastside Benefits Luncheon is on Tuesday, March 11th at the Meydenbauer Center. Please ask your friends to host a table even if you are unable to be at the Luncheon. A surprise will be presented at the close of 2o08 Luncheons to the board member who had the most guests and/or hosted most tables. Table Captain sign-up cards were circulated. ■ Centerpiece Work Parties. Two work parties are scheduled on Saturday,February 23rd and March 1st from 9 a.m. to 3 p.m. at the Fifth&Seneca Building. Volunteers are needed. Junior high school students are welcomed. A sign-up sheet was circulated. ■ Please feel free to take Luncheon posters of our three featured Guest Speakers--Erin Gruwell for Eastside Luncheon at Meydenbauer Center;Susan L. Taylor, in Seattle on Thursday March 27th at Washington State Convention&Trade Center; and Patty Duke for Snohomish County on Tuesday April 15th nt Everett Events Center. 2007 YEAREND HIGHLIGHTS - Charlene Blethen Charlene Blethen presented highlights of the 2o07 yearend fundraising report, elaborating on the report __,given at December 11th's Board Holiday Meeting. Molly Hanlon gave a wonderfully illustrated example of a lonor who since 2005 had attended our Benefit Luncheons and became a major donor in 2o07. This was the result of personal touches, inviting to major donor briefings, and making thank-you calls. A full fundraising report will be made at the February 26th Board Meeting. Thank you, Board members for strong support. Thanks Sherry Dawley, Development&Community Affairs Director; and Corinne O'Connell, Stewardship Manager,for invaluable work. 33 YWCA$OARD MEETING P.2 JANUARY.22,2008 BELLEVUE ROTARY AUCTION - Charlene Blethen for Kandy Holley Charlene Blethen,filling in for Kandy Holley,presented the Bellevue Rotary Auction update. Please mark your calendars for Saturday, May loth for the Bellevue Rotary Auction at the Meydenbauer Center. It is a great opportunity for us to raise awareness about YWCA Eastside. We will receive 25%of proceeds from event and i00% of the funds raised from `Raise The Paddle'.These proceeds will help secure a permanent home fbr our Eastside Women's Center. Two handouts referenced--a sample Procurement Form and flyer that identified secured items sought. Please let Kandy or Charlene know if can assist with auction items. ■ Nina Odell said that Puget Sound Energy is a sponsor,paddle contributor,and table host. Please let Nina know if you want a seat reserved at the Puget Sound Energy table. FINANCE - Maryann Crissey for Mary Snapp Maryann Crissey presented the Finance Committee report on behalf of Mary Snapp. Board members were referenced to three action items received with January 22nd's board mailing: Grant Application Authorization,Audit Committee Appointment,and Amended Signing Authority 2007/2008. IN A notion was made that the board authorize senior program staff to prepare applications for funding to support YWCA programs and submit these applications to Federal, State, County and Municipal funding sources. Bridge, Rowley,MSP. • A motion was made that the board appoint the following members to serve as the YWCA Audit Committee for 2008: Barb Fahey,Mary Snapp, Maryann Crissey,Marianna Conner,John Currie,Joan Albee, and Jen Steele. Boes, Moseley,MSP. • A motion was made that the board adopt the following resolution of signing authority: BE IT RESOLVED that the Board Chair, Susan Mask; Board Chair Elect,Maryann Crissey; Treasurer/Vice President, Mary Snapp; Chief Executive Officer, Susan D. Sherbrooke; President Strategic Initiatives, Rita Ryder; and Director of Finance&Administration/CFO, Kris Lambright,be and they hereby are fully authorized and empowered to transfer, convert,endorse, sell, assign,set over and deliver any and all shares of stocks,or other securities now registered or hereafter registered in the name of this corporation, or in the name of any affiliated organization, including but not limited to the Family Village Limited Partnership,Angeline's LLC, Summerfield Housing LLC,Young Women's Service Association of Seattle-King County,YWCA Greenbridge LLC,YW AHF Lynnwood LLC,YW AHF Everett LLC,YW AHF Mountlake Terrace LLC, Passage Point Housing LP,and YW Home Now BE IT RESOLVED that the Board Chair, Susan Mask; Board Chair Elect,Maryann Crissey Treasurer/Vice President, Mary Snapp; Chief Executive Officer, Susan D. Sherbrooke; President Strategic Initiatives, Rita Ryder; and Director of Finance&Administration/CFO, Kris Lambright,be and they hereby are authorized to sign checks,transfer and withdraw funds in the name of this corporation, or in the name of any affiliated organization, including but not limited to the Family Village Limited Partnership,Angeline's LLC, Summerfield Housing LLC,Young Women's Service Association of Seattle-King County,YWCA Greenbridge LLC,YW AHF Lynnwood LLC,YW AHF Everett LLC,YW AHF Mountlake Terrace LLC, Passage Point Housing LP, and YW Home Now LLC from the financial institutions selected by this corporation. BE IT FURTHER RESOLVED that one signature only shall by required for checks under$io,000.00. Two signatures shall be required for all checks of$io,000.00 or more and for all withdrawals from savings institutions or investment accounts. AND BE IT FURTHER RESOLVED that the above named officers be authorized to complete the documentation required by financial institutions in order to implement this authorization. Rowley, Bridge, MSP. OFFICERS NOMINATING COMMITTEE(Action) - Maryann Crissey Maryann Crissey presented the fourth action item, 2o08-2009 Officers Nominating Committee. A motion was made that the board elect Susan Mask, Barb Fahey, Nina Odell, Barbara Morgan, Jean Enersen, Mary Anne Eng,Jonelle Johnson,Jeannie Nordstrom, and Sharon Rowley to serve as the Officers Nominating Committee for 2o08/2009. Bridge, Hanlon,MSP. 2y YWCA BOARD MEETING P.3 JANUARY 22,2008 GREENBRIDGE PROJECT UPDATE - Maryann Crissey , Maryann Crissey presented the Greenbridge Project update. The New Markets Tax Credit Financing for _ Greenbridge Facility closed on December 27, 2oa7 and the funding on December 28th for a net $2.6million for completion of Seneca Renovation and Greenbridge Project. We also signed an Intent to Lease agreement with King County Library System. We are also very close to an agreement with the City of Seattle to transfer the library to the City if the White Center area is annexed. The construction is going very well. The foundation slab is scheduled to be poured on February 8th. Greenbridge Committee meetings occur weekly with Walsh Contractors, Stickney Murphy Romine architects, and YWCA staff. The Project Committee continues to meet every 4-6 weeks. The interior colors are the next scheduled agenda project. Greenbridge Learning Center is scheduled to open its doors in November 2008. OUR YWCA&THE COMMUNITY'S io-YEAR PLAN TO END HOMELESSNESS Sue Sherbrooke presented a PowerPoint slide show on Our YWCA&The Community's io-Year Plan to End Homelessness—"making homelessness rare and temporary." Our community's io-year plan to end homelessness effort is part of a nation-wide effort. Today was the first in a 3-month program series. Slides included: io-Year Plans Timeline; Key Strategies In CommOn; What's Changed;YWCA's Unique Position; and YWCA Homeless Services. Today's topic—Single Homeless Women; February 26th's Full Board meeting—Homeless Families,Youth; March 2oth's Full Board—Prevention Efforts. Homeless Single Women topic presented by Liz Mills, Opportunity Place Director,was on the women attending our Angeline's Day Center. Angeline's is a behavior-based program serving 23o different women daily ranging in age i8 and older. Current age range of women served at Angeline's is 35 and older. Overall highlights included challenges, opportunities,consequences, and violence prevention. The success story of Debra, a 47-year old former Angeline's client,who for the past six months has been residing at Seneca Housing was presented. ADJOURNED _ The Board Meeting adjourned at i:2i p.m. Respectfully Submitted, Ellen Dial, Board Secretary YWCA BOARD MEETING P. 1 FEBRUARY 26,2008 YWCA OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY BOARD OF DIRECTORS MEETING FEBRUARY 26, 2008 @ 12:0o P.M.AT OPPORTUNITY PLACE PRESIDING: Maryann Crissey, Chair-Elect for Susan Mask, Board Chair Present: Blethen, Bridge, Campion, Conner, Crissey, Dial, Enersen, Eng, Fahey, Harkins, Holley,Madrid, McCaw, Moseley, Rowley, Sinegal, Snapp,Wahl. EX-OFFICIO: Sherbrooke, Ryder. A quorum was present. EXCUSED: Boes, Chow, Drewel, Gates, Hanlon, Harris,Jenkins,Johnson,Jones, Kiner-McIver, Krysty, Mask, Mitchell,Morgan, Nordstrom, Odell, Parker, Ruckelshaus,Sandstrom, Stark,Valaas. STAFF: Bullock, Caissie, Dawley, Dillon-Bryant, Hall, King, Lambright, Leber, O'Connell, Roddy,Westburg. GUESTS: University of Washington MBA Board Fellows—Nicole Pargoff; University of Washington MSW and MPA—Melanie Lyons. WELCOME &ANNOUNCEMENTS - Maryann Crissey • Maryann Crissey welcomed everyone to the February board meeting. Board Chair Susan Mask is traveling in Cape Town this month visiting her daughter. • Board members,please read Committee Updates pink and Strategic Initiatives Report yellow handouts. • GirlsFirst Summer Internships. Board members were referenced to GirlsFirst Program Overview and Summer Internships handouts for GirlsFirst Program's request. Board members and companies thanked for past participation were: Ellen Dial&Perkins Coie,Kandy(and Rick)Holley&Plum Creek Timber, and Mimi Gates&Seattle Art Museum. REPORT FROM OFFICERS NOMINATING COMMITTEE - Maryann Crissey Maryann presented a preliminary report on slate of 2008-2009 Board Officers. Charlene Blethen has agreed to serve as the Chair-Elect. The full report will be presented at March 25th Full Board Meeting. MINUTES - Ellen Dial • Ellen Dial moved that the January 22, 2008 Board minutes be approved, as presented. Fahey,MSP. DEVELOPMENT REPORT - Jan Sinegal Jan Sinegal presented the 2008 Benefit Luncheons update. Sponsorship Goal, a total of$346,00o in sponsorships has been raised surpassing the$325,00o goal by an increased$40,000. The goal for all three Luncheons is $1.544 million. • Table Captains Recruitment Needs. Board members were requested to consider hosting a second table forI the Seattle Luncheon. There is an additional 20+table captains needed. Seattle's guest lists are due March 3rd. Please remember to turn in your Eastside Luncheon's guest lists, now. • Volunteers. Please consider various volunteer opportunities in the counting room on Luncheon day, March 1st Centerpiece Work Party, or set-up the evening before. A sign-up sheet was circulated. • Reception for Seattle Guest Speaker Susan L.Taylor. Board members are invited to March 26th evening reception hosted by Jonelle Johnson and Board Alumni.Wanda Herndon__..Invitationswill be mailed. BELLEVUE ROTARY AUCTION - Kandy Holley Kandy Holley presented the Bellevue Rotary Auction update for Saturday,May loth at the Meydenbauer Center. Board members were referenced to'save the date'postcard. Today's discussion focused on procuring 12 - 15 items for the live auction. A list was presented on several procured items already received. Please let Kandy know if you have items and/or ideas to present by March 15 deadline. Proceeds will help benefit:our Eastside Women's Center with securing a permanent home. • Table Captain Recruitments. We are responsible to host 10-12 tables. Please sign up to be a table captain through Corinne O'Connell, Stewardship Manager. BOARD CAMPAIGN - Charlene Blethen Charlene Blethen presented the 2008 Board Campaign report. Seventeen gifts totaling$210,000+has been received to-date. Board colleagues serving on the Committee with Charlene include: Maryann Crissey, Ellen Dial, Barb Fahey, Kandy Holley, Christal Jenkins, and Sonya Campion. A reminder of the Campaign goal of t00% board participation was given. Board members were thanked for supporting the Board Campaign. YWCA BOARD MEETING P.2 FEBRUARY 26,2008 FUNDRAISING REPORT - Charlene Blethen Charlene presented the 2007 fundraising report. Board members were referenced to the green legal handout. We're in the midst of a five-year plan to grow Annual Fund by io%yearly, and reach targeted goal of$3 Million by 2010. Thank you board for another outstanding fundraiser year! Sherry Dawley and Corinne O'Connell were thanked for marshalling support and help with strengthening fundraiser efforts. FINANCE - Mary Snapp Mary Snapp presented the 2007 Yearend Projections report. Board members were referenced to blue handout. The key column noted for focusing on was Variance category on right side and the positive numbers inside parentheses. Highlights were presented on programs'budgets, United Way, contingency/depreciation, and board restrictive funds. Overall, a very good year. The Finance Committee anticipates asking the board at its March Board Meeting to set aside surplus board restrictive funds to help fund future projects. And to include the agenda for May's Board Retreat, a discussion on formal plan for use of surplus funds. Also as a heads up,for discussing at the Board Retreat for the year 2020 reviewing more "fabulous"opportunities and complex issues under development. Thanks Kris Lambright, Chief Financial Officer,for extensive legwork. ENDOWMENT PERFORMANCE - Sharon Rowley Sharon Rowley presented the 2007 Investment Report. Board members were referenced to goldenrod handout. Total endowment funds,benchmark comparisons,and goals were reviewed. This is the first year of reporting a 7-year return. The endowment goal for year 2010 is $25 million. Endowment Committee members serving with Sharon include: Betsy Moseley, Shari Burns, and Mary Pugh. ■ CFO of the Year Nominee. Maryann announced Kris Lambright is a non-profit finalist for the Puget Sound Business Journal's event CFO of the Year for non-profit organizations. Our auditors, Clark Nii ber, nominated her. PROPERTY NAMING PROPOSAL(ACTION) - Sharon Rowley Sharoni Rowley presented the Property Naming Proposal action item. Board members received handouts — with March 4th board mailing. ■ A motion was made that the Board adopt the attached property naming plan presented by the Public Relations Committee. Bridge, Eng. ■ Discussion. Marianna Conner is mixed on YWCA Snohomish County regional office...loves that name and wants to talk about implication will be. Sharon Rowley said there is some precedent for naming a YW branch after a women of historic merit--e.g.YWCA East Cherry was formerly known as Phyllis Wheatley until it relocated in 1964; there are YWs in other parts of the country still using that name today. Sherry Dawley said the idea behind naming options was to find historical women that are relevant and known by the local community. Rita Ryder said geographic names might be best for regional offices and historic women most relevant for Seattle locations. Jean asked is there a compromise for prominently displaying names inside the building. Sonya Campion gave an example of Planned Parenthood's board going to neighborhood-based site names to build local support and ownership. Sharon said she would bring all these comments related to naming regional centers back to the Public Relations Committee for re-evaluation. ■ A motion-was-made that the-Board-adopt the-attached property naming plan presented by the Public Relations Committee with the Bridge amendment that the Committee bring back a plan related to branch office names in the future. Crissey, Eng, MSP. ISSAQUAH HIGHLANDS: FUNDRAISING FEASIBILITY PLAN - Rita Ryder Rita Ryder presented the Issaquah Highlands Fundraising Feasibility Plan. Board members were referenced to Strategic Initiatives Report on yellow double-sided handout. The Committee is gearing up for a two month process to"test the waters"and refine case for a potential fund raising effort for the non- residential components of Issaquah Highlands project. The project's estimates cost of$5o million with a funding gap ranging $8 - $10 million. The Committee's goal is to present to the Board at May 20 Retreat. OUR YWCA&THE COMMUNITY'S to-YEAR PLAN TO END HOMELESSNESS —PART II FAMILIES - Sue Sherbrooke,Mary Anne Dillon Sue Sherbrooke circulated a list of Seattle City Council members and requested board to indicate those they know and would be willing to contact in coming months. 27 YWCA BOARD MEETING P.3 FEBRUARY 26,2008 A Power Point slide show was presented on Part II—Families&Homeless Families. Board members were referred to the handout. Sue provided an overview and highlights from Part I of the three-part series begun at January's Board Meeting then gave detailed information noted on the Homeless Families slide's three main focuses--rapid re-housing,family reunification, and homelessness prevention. Mary One Dillon, Snohomish County Region Director,distributed a couple copies of io-Year Plan in Snohomish County, published in 2o06. Snohomish County as a whole is not able to provide day shelter and adequate size cold weather shelters. Our YWCA plays a major role in helping the county meet its goals related to affordable housing and ending homelessness.In addition to preserving 220 affordable housing units,YWCA programming provides a comprehensive and unique service delivery package including rapid re-housing, mental health services,and domestic violence services. New federal earmarked funds will expand domestic violence services for children as well. Thank you Maryann and wonderful Snohomish County Staff' CEO REPORT - Sue Sherbrooke Sue said Mary Anne's program at Edmonds Highlands was featured as one of three at the National Alliance to End Homelessness Conference. Sue thanked board members for their help with email correspondence on HB 2449 and our efforts to be exempted from provisions requiring collective bargaining for childcare workers in programs that accept government subsidy payments. The Baby Corner meeting follows adjournment of our Board meeting. Board members were requested to review March board calendar on terra green handout. We'll see you at Eastside Luncheon on March nth! ADJOURNED The Board Meeting adjourned at 1:29 p.m. Respectfully Submitted, Ellen Dia l, Board Secretary YWCA of Seattle - King County - Snohomish County 2008 Board Approved Operating Budget Support/Revenue Contributions 5,446,849 20% United Way 1,775,500 6% Government Fees& Grants 12,882,173 47% Program Service Fees 6,806,755 25% Investment Income 767,000 3% Total Public Support& Revenue 27,678,277 100% Expense Salaries 11,999,099 43% Employee Benefits 2,154,130 8% Payroll Taxes 1,382,271 5% Professional Fees&Contracts 987,615 4% Supplies 874,122 3% Telephone 235,298 1% Postage/Delivery 94,977 0% Occupancy 2,674,871 10% Equipment Rental/Maintenance Contracts 225,879 1% Printing &Advertising 247,912 1% Program Travel 249,941 1% Training/Conferences 106,286 0% Specific Assistance to Individuals 2,746,140 10% Dues 59,466 0% Grants to Other Agencies 974,166 4% Insurance 457,258 2% Miscellaneous 150,274 1% Interest and Required Debt Service Coverage 1,788,572 6% Depreciation/Capital Purchases 250,000 1% Payment to YWCA NW Coalition 20,000 0% Total Expenses 27,678,277 100% Excess (Deficiency) of Public Support& Revenues Over Expenses - _ Certified Public Accountants &Consultants 1 u?CO l L.4 ,,rte.: Cu'u 1700 �Jjjj�� jj�� Ro 6••uc NA 9A.u04 Indepen ent u routs eport T:f;;.;n•:�„ F1.1i,:5 ,;f i0 RN).'CA.R741 ►r larks ube..t um Board of Directors 1-11,;,.,,,. Young Women's Christian Association of Seattle-King County-Snohomish County and Affiliates Seattle, Washington We have audited the accompanying consolidated statement of financial position of Young Women's Christian Association of Seattle-King County-Snohomish County and Affiliates (the "Organization") as of December 31, 2004, and the related consolidated statements of activities, functional expenses and cash flows for the year then ended. These financial statements are the responsibility of the Organization's management. Our responsibility is to express an opinion on these financial statements based on our audit. The prior year summarized comparative information has been derived from the Organization's 2003 consolidated financial statements, which were audited by other auditors and whose report dated May 5, 2004, expressed an unqualified opinion on those financial statements. We conducted our audit in accordance with auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Young Women's Christian Association of Seattle-King County-Snohomish County and Affiliates as of December 31, 2004, and the changes in its net assets and its cash flows for the year then ended, in conformity with accounting principles generally accepted in the United States of America. In accordance with Government Auditing Standards, we have also issued our report dated April 18, 2005, on our consideration of Young Women's Christian Association of Seattle-King County-Snohomish County and Affiliates' internal control over financial reporting and on our tests of its compliance with certain provisions of laws, regulations, contracts and grant agreements and other matters. The purpose of that report is to describe the scope of our testing of internal control over financial reporting and compliance and the results of that testing, and not to provided an opinion on the internal control over financial reporting or on compliance. That report is an integral part of an audit performed in accordance with Government Auditing Standards and should be considered in assessing the results of our audits. _ . . Our audit was made for the purpose of forming an opinion on the basic financial statements of the Organization taken as a whole. The supplemental schedule presented on page 19 for the year ended December 31, 2004 is presented for additional analysis and is not a required part of the basic financial statements. Such information has been subjected to the auditing procedures applied in the audit of the basic financial statements and, in our opinion, is fairly stated in all material respects in relation to the basic financial statements taken as a whole. atAk 11,4,1,4A_ Ps. Certified Public Accountants April 18,2005 Certified Public Accountants &Consultants •Ptt..0 CLARK NUBER t p T;415.4 St.d?19 F:n2S.4.;I/ 0 Board of Directors Young Women's Christian Association of Seattle King County-Snohomish County and Subsidiaries Seattle, Washington In planning and performing our audit of the financial statements of Young Women's Christian Association of Seattle-King County-Snohomish County and Subsidiaries (collectively, the "Organization") as of and for the year ended December 31, 2006, in accordance with auditing standards generally accepted in the United States of America, we considered the Organization's internal control over financial reporting(internal control) as a basis for designing our auditing procedures for the purpose of expressing our opinion on the financial statements, but not for the purpose of expressing an opinion on the effectiveness of the Organization's internal control. Accordingly,we do not express an opinion on the effectiveness of the Organization's internal control. Our consideration of internal control was for the limited purpose described in the preceding paragraph and would not necessarily identify all deficiencies in internal control that might be significant deficiencies or material weaknesses. However, as discussed on the following pages, we identified a certain deficiency in internal control that we consider to be a significant deficiency. A control deficiency exists when the design or operation of a control does not allow management or employees, in the normal course of performing their assigned functions, to prevent or detect misstatements on a timely basis. A significant deficiency is a control deficiency, or combination of control deficiencies, that adversely affects the entity's ability to initiate, authorize, record, process, or report financial data reliably in accordance with generally accepted accounting principles such that there is more than a remote likelihood that a misstatement of the entity's financial statements that is more than inconsequential will not be prevented or detected by the entity's internal control. This communication is intended solely for the information and use of management, the board of directors, and others within the Organization and is not intended to be and should not be used by anyone other than these specified parties. The Organization's written response to the significant deficiency identified in our audit is included in this document but has not been subjected to the auditing procedures applied in the audit of the financial statements and, accordingly, we express no opinion on it. amk Certified Public Accountants May 1,2007 YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY AND SUBSIDIARIES Consolidated Statement Of Financial Position December 31,2006 (With Comparative Totals For 2005) 2005 Restated 2006 (Note 2) Assets Current Assets: Cash and cash equivalents $ 2,751,776 $ 2,870,210 Accounts receivable, net 2,594,609 2,184,884 Current portion of pledges receivable, net 899,900 744,868 Prepaid expenses and other current assets 454,136 352,162 Total Current Assets 6,700,421 6,152,124 Pledges receivable,net 2,922,194 3,312,633 Investments 26,683,528 25,060,245 Restricted cash 795,773 726,671 Land, buildings and equipment, net 48,648,955 46,809,532 Deposits and other assets 580,646 191,154 Total Assets $86,331,517 $82,252,359 Liabilities And Net Assets Current Liabilities: Accounts payable,accrued expenses,and other current liabilities $ 2,622,333 $ 1,974,752 Current portion of long-term debt 170,306 81,828 Total Current Liabilities 2,792,639 2,056,580 Long-term debt, net of current portion 18,230,006 18,092,904 Total Liabilities 21,022,645 20,149,484 Minority interest in consolidated subsidiaries 4,133,327 4,634,437 Net Assets: Unrestricted- Board designated reserves 12,869,680 11,363,863 Undesignated 32,784,294 28,929,562 Total unrestricted 45,653,974 40,293,425 Temporarily restricted 10,382,930 12,249,632 Permanently restricted 5,138,641 4,925,381 Total Net Assets 61,175,545 57,468,438 Total Liabilities and Net Assets $86,331,517 $82,252,359 The accompanying notes are an integral part of the,financial statements -3- SECTION B: COMMITMENT TO DIVERSITY The YWCA has a long and proud history of commitment to diversity in the communities we serve and the staff we employ. We believe that a diverse work force adds greatly to the strength and effectiveness of our organization. EQUAL EMPLOYMENT OPPORTUNITY The YWCA is an equal opportunity employer and is pledged to carry out the spirit and letter of applicable federal, state and local laws and regulations prohibiting unlawful discrimination in employment on the basis of age, ancestry, color, creed, gender, marital status, national origin, political ideology, race, religion, sexual orientation, veteran status or the presence of a physical, mental or sensory disability. Further, it is the intent of the YWCA to insure that the principle of equal opportunity will be carried out in all employment practices, including, but not limited to: recruitment, selection and placement, compensation,promotion and transfer, disciplinary measures, demotions, layoffs and terminations, training, daily working conditions, awards and benefits and all other terms and conditions of employment. NONDISCRIMINATION ON BASIS OF DISABILITIES The YWCA will fully comply with all requirements of the Americans with Disabilities Act, Section 504 of the Rehabilitation Act and all other applicable laws and regulations prohibiting discriminatory practices against individuals with disabilities. No qualified individual will be discriminated against because of a physical or mental disability in connection with recruitment, selection and placement, compensation, promotion and transfer, disciplinary measures, demotions, layoffs and terminations, training, daily working conditions, awards and benefits, any other term or condition of employment or any other aspect of employment. The YWCA will make reasonable accommodations for the known physical and mental disabilities of qualified applicants or staff persons to enable them to perform essential job duties, unless such accommodation would impose.an undue hardship_Staff persons with -- adisability who are requesting an accommodation to perform the essential functions of their job need to contact the Human Resources Department. Upon receipt of a request for an accommodation, the Human Resources Department will meet with the staff person to identify the precise limitations resulting from the disability and potential accommodations that the YWCA might make to overcome those limitations. The staff person may be required to provide written verification of the disability and resulting limitations from an appropriate licensed treatment provider. YWCA of Seattle King County Snohomish County Domestic Violence Program Client Name: Alias: Advocate: Intake Date: • Program Code: Income Source: MID/Y Date of Birth: Age: Income: $ MIDIY 11 Phone#: Referred by: Gender: ❑Male Female❑ Partnership Status: ❑Married El Single ill Partnership ❑Other ❑Transgendered ❑Divorced ❑Separated ❑Widowed Home Zip Code: CITY: Is the client homeless? ❑Yes ❑No If homeless,formerly from above zip code,which city does this client live? (City Name) Does this client live outside city limits? ❑Yes ❑No Barriers Does this client consider herself to ._•..sehold Composition have a disability? ❑Yes ❑No How many people live in this household? Is this Client an Immigrant or How many are children are under age 18? refugee? ❑Yes ❑No Is this a single parent(non-partnered) household? ❑Yes ❑No Does this client have limited use of English? ❑Yes ❑No Has domestic violence affected this clients life? 0 Yes ❑No Ethnicity Code: (example B/AA) Alcohol/Substance Abuse? ❑Yes ❑No Criminal History ❑Yes ❑No n unknown Is this family receiving medical coupons? El Yes ❑No RJC Case ❑ Is this family receiving food stamps ? ❑Yes ❑No KCC Case ❑ Is this family receiving WIC? ❑Yes ❑No Children #1 #2 #3 #4 Name: Name: Name: Name: Age/DOB: Age/DOB: Age/DOB: Age/DOB: ( "der: ❑Male El Female Gender: ❑Male ❑Female Gender: ❑Maie ❑Female Gender: ❑Maie ❑Female icity: Ethnicity: Ethnicity: Ethnicity: Disability: Disability: Disability: Disability: YWCA of Seattle-king qty-Snohomish County INDICATO ,JESTIONS CLIENT NAME: OUTCOME MEASURES PROGRAM CODE: Articulate SP: YES NO Can Change SP: YES NO EXIT DATE: EXIT INCOME: $ Level of Safety: Improved Not Improved Level of Understanding: Improved Not Improved UWKC Outcome UWKC&YWCA Indicators YES N NA DOMESTIC VIOLENCE SHELTER&LONG-TERM COUNSELING/ADVOCACY (1) (0O (blank) U3 Has client developed a safety plan? El CI CI U4 Does client express confidence in ability to follow safety plan? CI0 CI Ul Does client indicate increased understanding of dynamics/impact of abuse? CI U2 Does client avoid blaming self? El El CI U3 Has client evaded becoming isolated? CI U4 Is the client able to recognize personal strengths? 0 El U5 Does the client demonstrate improved self care? CI U6 Is the client able to make decisions and plan? CI CI CI a to m I 0 y W 71 (/) -I < > T nvn 0 m0 0 m 0 ( f o m m Cl) a.Ei c CD cT w m o m coo c 0 C v to w 7J CD L G ( y NO SLIDING FEE SCALE