From: Arroyo Seco NC Treasurer <email@example.com>
Date: November 14, 2010 3:32:27 PM PST
Subject: [ASNCAdmin] Fwd: ASNC Application for Funds Form Submission (Wendi Riser)
The following $900 request for pet education classes at the Hermon Dog Park is being forwarded to the Animal Welfare Cmte for review.
Arroyo Seco Neighborhood Council, Treasurer
Department of Neighborhood Empowerment
City of Los Angeles
Ph: 323-895-MARK (6275)
Begin forwarded message:
From: Wendi Riser <firstname.lastname@example.org>
Date: November 11, 2010 2:28:04 PM PST
Subject: ASNC Application for Funds Form Submission (Wendi Riser)
Reply-To: Wendi Riser <email@example.com>
Organization: Friends of Hermon Dog Park
Street Address: 6276 Pine Crest Drive
City, State, ZIP: Los Angeles CA 90042
Website (if any): www.HermonDogPark.org
Contact Person: Wendi Riser
Email Address: firstname.lastname@example.org
Contact Person's Telephone: 323 258 4654
Amount Requested ($): $900.
Funding Need Date (mm/dd/yy): 01/01/11
Total Project Budget if applying for event or capital project ($): $1200.
Donations received (or expected) for this project from businesses, citizens, other gov't entities ($): $300. from Friends of Hermon Dog Park, chairs from Councilman Huizar, ASNC microphone,
Community Project Category (select one) - examples provided denote only a sampling of the types of projects available and are not a complete list:
** Animal Welfare
Category name (if none of above):
1. Summary of Request: In the space below, briefly describe the purpose of the request, activities to be undertaken, target population —including ethnicity, gender, income level and estimated number of individuals — geographic focus and other relevant info regarding the request.
Example: Purchase sign for a community clinic that serves more than 1,000 low-income individuals, predominately, Latino & Asian immigrants in the Montecito Heights, Hermon & Sycamore Grove areas.
** Friends of Hermon Dog Park would organize quarterly pet themed forums near Hermon Dog Park, such as pet emergency preparedness, dealing with the death of a pet, wellness, etc. The target population would be FHDP members, and those in the larger region. We plan to have 50+ people.
2. How will the community be impacted by the proposed project and how will it benefit the neighborhood? Rationale: Community projects must directly benefit ASNC communities. Concerns about who & how many individuals will benefit from such projects also need consideration. Issues of access and fairness need to be addressed (e.g. if a project is approved to plant trees on one street corner, justification should be provided as to why that street corner needs trees or clean-up versus other street corners).
** Obvious benefits include increased awareness and knowledge of pet issues for all residents.
3. How has your organization attempted to obtain donations from local businesses, citizens, and/or govÕt agencies to offset expenses for this community project?
Rationale: Community groups cannot expect all funding to be provided by ASNC but should first look for other sources, including businesses, citizens, council districts, public agencies (e.g. Cultural Affairs), and other affected neighborhood councils.
** We will be asking Councilman Huizar for the rental of 50 chairs and a stage for each quarterly event. FHDP will pay to get posters made and placed as well as well as blanket our database about the seminars.
4. In what ways will the ASNC's financial support of this project be acknowledged & publicized? Examples: ASNC sponsorship mentioned in a prominent way on outreach materials, listed on the event or sponsoring group's website as a financial supporter, and listed in printed programs and display tables. (Note: The ASNC should be asked to provide appropriate text and design for advertising).
** The ASNC will be thanked on the fliers, posters, and on our website announcement of the event.
5. If this is for a capital improvement project, specify location and permits obtained (or in-process of obtaining). Provide copies of permits and insurance with application. Rationale: Capital improvement projects should be on public property, with coordination with the appropriate city agency (i.e. Street Services, Fire, Rec & Parks, etc). Appropriate permits need to be in place, and insurance may be required depending on the nature of work that will be performed.
6. If this is for program services (ie. after-school program, graffiti removal, etc), describe the selection process used to establish participants if for select group of individuals. Provide number of participants.
Rationale: If for a select group of individuals, a fair selection process should be created to establish participants. The service program needs to be provided by a legitimate non-profit/consultant. A neighborhood council or its members should not provide these services.
** We don't have all the quarterly meetings planned other than Cindy Sanchez who is a veteran animal disaster rescue coordinator and a Red Cross instructor. We want to poll the membership for the other seminars so that we're providing the information they most want to know about.
7. If this is for equipment and supplies, describe specifically who will benefit and how it will be controlled. Rationale: Equipment and supplies for either public or private organizations can only be used for the benefit of the local community. Purchases intended for private and/or paid use are not allowed. Must be labeled as ASNC-purchased material and properly controlled/inventoried. Cannot be turned into private property or salvaged without prior approval by Dept of Neighborhood Empowerment (DONE).
8. If this is for an event, describe the intended audience, location and entry requirements. Rationale: Events must be open to the public. There should not be an admission charge. If the event is on private property, insurance may be needed. If the event is on city property, appropriate permission/permits from city departments may be needed (i.e. street services, LAPD, R&P, etc)
** The intended audience are pet owners- but it's open to all. This is a free event that will be held under the Ave. 60 overpass.
9. If this is for a sign, banner or advertisement, describe the contents. Provide a copy of the artwork with the application. Note: Banners, signs and advertisements must include the Arroyo Seco Neighborhood CouncilÕs name and/or logo.
** Fliers will include the FHDP, ASNC and Councilman Huizar's logos. It will cover the who, what, when, where, why, and a bio of the instructor.
10. Other - please provide other important information necessary to better understand your organization or the specific needs of the targeted group or community that this request will serve.
DECLARATION: By checking the box below the applicant named above declares that the information provided in this form is correct. Agree
This application requires the following supporting documents be provided to ASNC before approval can be obtained. EMAIL DOCUMENTS TO ASNCTREASURER@GMAIL.COM. Check all boxes that apply. Letter of acknowledgement & thanks from receiving agency, Copy of artwork for banners, signs & ads
Date/Time: 2010-11-11 14:28:03 PST
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