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Community Development - Community Programs
CDBG FY 2023-2024
Deadline: 12/7/2022
Council on Alcoholism and Drug Abuse
Santa Maria Mentor Program
Jump to: Pre-Application Application Questions Program Budget Tables Required Documents
USD$ 20,000.00 Requested
Submitted: 12/7/2022 6:12:25 PM (Pacific)
Project Contact
Lynda Rae
[email protected]
Tel: 805-745-1703
Additional Contacts
none entered
Council on Alcoholism and Drug
Abuse
232 E. Canon Perdido Street
Santa Barbara, CA 93101
United States
Executive Director
Scott Whiteley
[email protected]
Telephone(805) 963-1433
Fax (805) 963-4099
Web www.cadasb.org
Pre-Application top
1. What type of proposal is this?
Public service programs must answer this question and submit. Capital projects must continue.
2. What priority does this Capital project fall under?
-answer not presented because of the answer to #1-
3. Proposed Project Goal:
-answer not presented because of the answer to #1-
4. Project Description (Program Narrative):
-answer not presented because of the answer to #1-
5. Statement of Need: Provide a summary of the established need for the proposed project and the problems that will be solved as a result of the project.
-answer not presented because of the answer to #1-
Some answers will not be presented because they are not part of the selected group of questions based on the answer to #1.
Capital
Public Service
6. Proposed date of construction or project start:
-answer not presented because of the answer to #1-
7. Schedule:
-answer not presented because of the answer to #1-
8. Phasing:
-answer not presented because of the answer to #1-
9. Do Federal Labor Standards and Davis-Bacon prevailing wages apply? -answer not presented because of the answer to #1-
10. As a Public Service Applicant, indicate that you are aware that your Application deadline is not until Wednesday, December 7, 2022.
Yes
No
Documents Requested * Required?Attached Documents *
Budget for Proposed Capital Development Project
(Required for Capital project proposals)
download template
Agency Evaluation Worksheet (Required for Capital
project proposals)
download template
Application Questions top
Project Information
1. Please state the type of CDBG program / project you are applying for:
THIS IS A BRANCHING QUESTION. Different questions will apply based on your answer to this question. Please disregard any incorrect number sequencing.
2. Name of proposed program / project:
Santa Maria Mentor Program
3. Location of proposed program / project:
(Street address, if applicable of proposed program / project):
CADA's Daniel Bryant Youth and Family Center, 526 East Chapel Street, Santa Maria, CA 93454
Problem / Need Statement
4. Proposed Program / Project Description: Describe in detail the services that will be provided to Santa Maria residents with the requested CDBG funding and explain the established need for this program/project. What problems will this program/project solve or alleviate?
Include quantitative data to support your position.
The Santa Maria Mentor Program will recruit, train and supervise adult volunteer mentors who will be matched with students in grades 3 – 8 to provide one-to-one mentoring services that support students' improved academic performance and social and emotional health. Mentors meet with their Mentees for at least one hour weekly at school or community-based locations, talking about the student’s issues and concerns, working on school assignments, setting goals, and building a supportive relationship.
Mentors must be at least 18 years of age, have completed high school, and undergo a thorough evaluation, including a Some answers will not be presented because they are not part of the selected group of questions based on the answer to #1.
Public Services
Capital Project
Department of Justice background check and LIVE Scan fingerprinting. They must have a TB test and COVID-19 vaccinations.
Mentors transporting students must have appropriate automobile insurance and a signed “Parent Consent/Medical Release” on file. Applicants are individually interviewed by the Program Manager and receive an orientation training. They complete two online training modules that prepares them for their role in the mentoring relationship and a 2-hour Mandated Reporter Training for Volunteers (a school district requirement). Mentors receive ongoing supervision and coaching from program staff and additional trainings on specific topics throughout the year.
Mentor and mentee pairs determine activities based on shared interests, which may include visiting museums, attending art shows and sporting events, gardening, crafting, and hiking. This regular interaction helps Mentees learn to understand and avoid risky behaviors, develop self-confidence and social skills, and increases their connectedness to school, teachers, peers, friends, and family. Program staff also organize group educational and cultural activities for the mentor matches.
Most students are referred to the mentoring program for a combination of factors, including academic difficulties, poor social skills, family issues, behavioral problems, and disengagement with school. The program also advances racial equality in education by providing additional support to a primarily Latino student population who often experience educational challenges, which has been increased by learning losses due to pandemic school closures. Three-fourths of the population of Santa Maria is Latino/Hispanic. More than half of the children in the Santa Maria Bonita Unified School District (SMBUSD) have at least one parent who is mono-lingual Spanish-speaking. The language barrier contributes to family stress and difficulty achieving academic success. One third of students in SMBUSD are homeless or living in other insecure housing situations. A Community Health Needs Assessment conducted by Marian Regional Medical Center found that 62% of adult survey respondents in Santa Maria have less than a 12th-grade education and 28% have less than a 7th-grade education. Mentoring can help ameliorate these learning challenges and provide the social and emotional support students need to succeed.
5. Based on the City of Santa Maria's Community Development Block Grant priorities for Fiscal Year 2023-24, which PRIMARY priority do you feel your program / project falls under? The priorities are not listed in order of importance. They are numbered for referencing purposes only. Priorities #1 and #2 will only be considered for CDBG public services funding.
6. Explain why you believe your program / project best fits the PRIMARY priority selected.
Refer to NOFA packet for the detailed description of each priority and choose only one subcategory under one of the four priorities.
The Santa Maria Mentor Program is an expansion of a 27-year-old successful mentoring program implemented in South Santa Barbara County schools that CADA is now replicating in the Santa Maria schools. The Santa Maria Mentor Program began in the 2022-2023 school year as a pilot program in one high-needs school (Jimenez Elementary) and in the second semester, it is now expanding to other schools in the district. The Santa Maria Mentor Program is designed to expand educational and youth development opportunities for students who may be struggling academically or experiencing social/emotional issues.
Students are referred to the mentoring program to address a variety of needs including academic issues, self-esteem, study habits, delinquency, family issues, social skills, behavioral issues, peer relations, attitudes towards school and authority, and special needs. Our mentors are also in a unique position to help mitigate the learning loss, social isolation, loss and grief, and other mental health stressors youth have experienced during the time schools were closed during the pandemic, and from which they continue to recover.
Through the use of an evidence-based mentoring model that combines both school- and community-based mentoring, CADA’s Santa Maria Mentoring Program will provide additional social, emotional, and academic support to students with multiple risk factors to help them succeed academically and support their mental health and overall wellbeing. Mentoring has long been recognized as a proven effective strategy for positive youth development and as a deterrent to risky youth behavior. CADA’s Mentoring Program will provide children with three of the five protective factors identified by the Center for the Study of Social Policy: social connections, concrete support in times of need, and building social and emotional competence of children.
Thus, our theory of change is that measurable positive change in the lives of mentees will result from their relationship with their mentor. Mentees will become more engaged in school, improve their academic achievement, feel more connected to their school and community, build resiliency, gain resistance skills for a clean and sober lifestyle, and benefit from social supports that improve communication skills and relationships.
Target Population
7. At least 70 percent of the CDBG funding used must serve low- to moderate-income persons. How does your program / project benefit low- to moderate-income Santa Maria residents? Provide the income guidelines and requirements used to qualify participants for the proposed program/project.
Prevent homelessness and address critical emergency, at-risk youth, elderly and underserved populations
Expand educational and development opportunities
Provide affordable housing
Revitalize existing neighborhoods
Note: CDBG income limits can found on the City's webpage under General Subrecipient Resources www.cityofsantamaria.org/city-government/departments/community-development/special-projects-division/community- development-block-grant-cdbg-program
The program began making mentor-mentee matches at the beginning of the 2022-2023 school year. Our initial target school, Jimenez Elementary, is a K-7 school in which 80% of students are socio-economically disadvantaged and 13% are homeless.
Over half of the students are English Language Learners. Many of the mentees currently in the program come from Mixtecan families, from the Oaxaca region of Mexico, and have parents who are farmworkers. Their parents speak Mixtec, a native, strictly oral language, and do not read or speak Spanish. The school supplies a translator when mentor program staff meet with the parents. (The Daniel Bryant Youth and Family Center in Santa Maria also has a Mixtec-speaking therapist on our counseling staff.)
We have now begun to expand the program to other schools in the Santa Maria-Bonita School District. Students are referred to the program by school administrators, school psychologists and counselors who understand that the program is intended to serve students who come from primarily low to moderate-income families. We utilize free and reduced lunch qualification as a measure of program eligibility.
8. Check box or boxes of population category to be served by the proposed program / project:
9. Out of all the boxes checked above, which population category will primarily be served by the proposed program / project?
The program will serve at-risk youth in grades 3 – 8, however many of our matches will last through high school. Students are referred to the program based on a variety of risk factors including academic difficulties, poor social skills, family issues, grief and bereavement, behavioral problems, and disengagement with school.
Unit of Service
10. What is the total number of unduplicated persons OR households to be served OVERALL by the proposed SANTA MARIA program / project?
Please enter only for persons OR households (not both).
11. A.) Define the unit of service, other than persons or households, to be provided by the proposed program. A unit of service is the service that is being provided to the client under CDBG. B.) Provide the estimated units of service each person OR household will receive.
Example: A.) The unit of service can be defined as a bed night, meal, counseling session, etc.; B.) 1 person OR household equals (X amount) units of service; 1 person equals approx. 30 shelter bed nights.
A. The unit of service is one hour of one-to-one mentoring activities with a mentee. Each mentee receives a minimum of 37
Homeless
At Risk of Homelessness
Homeless Youth, 18-24 Years Old
Elderly
Victims of Crime
Persons with Mental Illness
Physically Disabled
Developmentally Disabled
Persons with AIDS/HIV
Unemployed
Language Barriers
Youth, 0-5 Year Olds
Youth, 6-12 Year Olds
Youth, 13-17 Year Olds
Families Living in Poverty
Families w/ Housing Burden
Substance Abuse Problems
At-Risk Youth
Other:
40Persons
Households
40.0040.00TOTAL
hours of service and as many as 75 hours of service per year, as explained in more detail in question 17.
Outcomes
12. Describe your short- and long-term goals and performance targets.
A.) Describe the intended outcomes for the program participants / beneficiaries; B.) What measures, tools and / or indicators will be used to demonstrate the outcomes?
CADA's evaluation of he mentor program includes 3 primary performance targets:
Goal 1. To support our mentors with training and staff support such that 75% of the mentor relationships last for 12 months or longer. (In our mentor program in Santa Barbara, 83% of matches have lasted 12 months or longer; 31% have been matched between 1 and 2 years; and 52% for three or more years.)
Goal 2. At least 75% of mentees who have participated in the program for one year will show improvement in at least four domains of the Hemingway Survey, which measures connectedness to school, peers, and family; social competence; and anti-social behaviors. CADA utilizes a 79-item self-report questionnaire, based on the Hemingway Survey, designed specifically for mentoring programs, to evaluate the impact of the program. The survey is administered when the mentee enters the program and again at the end of their first year of participation. The survey identifies changes in the following sub- scales: neighborhood connectedness; friends' connectedness; self-esteem/identity; connectedness to parents, siblings, peers, school, and teachers; future orientation/hope; and connectedness to reading. Additional items include indices for family relationships; antisocial behavior; social competence; gang resistance skills; substance use; and perception of the harmfulness of substance use.
In last year's evaluation of CADA's Santa Barbara Mentor Program, over 70% of mentees showed improvement in their connectedness to friends, parents, siblings, and teachers; social competence; gang resistance skills; and perceptions of the harmfulness of substance use. Over half showed improvements in school connectedness and family relationships.
We have also added five questions to the post-survey that ask mentees about their experience with their mentor, and these will be included in the evaluation report as a qualitative measure of mentee satisfaction. In last year's evaluation of CADA's Santa Barbara Mentor Program, 88% said their mentor enjoys spending time with them; 81% said their mentor cares about what's going on in their life; 78% said they can talk to their mentor about things that are important; and 75% said they would recommend the Mentor Program to a friend.
Goal 3. Mentors participating in the program for at least one year will demonstrate an increase in grade point averages in one or more core subjects. While the mentoring program is not primarily focused on tutoring or academic improvement, we do expect it to have an impact on students' academic performance over time. Program staff collect information on grades from the school district on each mentee at admission and at the end of the school year. We are also in discussion with participating schools about collecting attendance data. Administrators have told us they have seen significant improvement in attendance among students participating in the program, particularly those who were previously chronically truant.
Collaboration
13. Will you collaborate with other partners in implementing the proposed program / project? If so, identify the collaborative partners and describe how the proposed program / project will be designed and implemented.
How will funding be distributed to each collaborative partner and what percentage of the requested CDBG funding will be provided to each partner?
Our partnership with schools is fundamental to the implementation of the project. School psychologists, counselors and administrators identify and refer students who could most benefit from the program. They facilitate meetings with parents, provide data on grades, and allow mentor program staff to administer the surveys used to evaluate the program during school hours. CADA has had a long-standing relationship with the Santa Maria Bonita School District and is currently contracted to provide school-based mental health counseling services in the district, as well as Teen Court services. The district has wholeheartedly welcomed the implementation of the mentoring program on their campuses.
14. How do you cooperate or network with other existing related programs, organizations or community resources?
The Mentor Program Manager attends weekly meetings of the Santa Maria Valley Chamber of Commerce, which has provided many good leads for mentor recruitment. We have also advertised for volunteer mentors in the Santa Maria Valley Chamber Magazine. The Mentor Program Manager also belongs to the noontime Kiwanis Club, who have supplied mentors to the program. The Lions Club has also supported us with mentors. The City of Santa Maria has included advertising in their newsletters to help us recruit volunteer mentors. The Santa Maria Times published a feature story on the Santa Maria Mentor Program and the need for volunteers. We have also worked with the Dare to Dream Club for first generation Latino college students at Allan Hancock College who have supplied us with mentors.
We are working with local businesses and community organizations to help us provide discounted activities that our mentors and mentees can utilize. For example, Rancho Bowl donated shoes and rented lanes to us for half price for a recent bowling event for our mentors, mentees, and their parents. The City of Santa Maria Parks and Recreation Department has donated passes to the swimming pool. The Wilding Museum in Solvang and the Santa Maria Valley Discovery Museum have given us discounted entrance to their museums.
We also work with Family Service Agency who provides referrals of children to the program, which we then coordinate with the school staff on their campus.
15. Does the proposed program require parental participation or family involvement? If so, please describe in detail.
The Santa Maria Mentor Program requires that parents attend an initial “match” meeting with Mentor Program staff and their child’s prospective adult mentor so that they can meet the mentor and sign paperwork providing their permission for the mentor to meet with their child on or off campus. The match meeting is held at the child’ school and facilitated by school staff.
Mentors coordinate with the parents when they meet their child off campus.
The Mentor Program is not trying to replace parents, we are trying to involve parents as much as possible. Parents are welcomed to participate in group outings and events. We recently held a Fall bowling event to help introduce new mentors, mentees and parents in the program to each other. This really helps create a sense of community among all of the participants. We plan to hold several events annually for all of our mentor and mentees, to which we will also invite parents, to celebrate our mentee’s successes.
16. Do you utilize volunteers for direct services?
17. If answered "yes" to previous question, explain and indicate the total number of hours of volunteer labor used per year and for what purpose.
If you do not utilize volunteers for direct services because the circumstances do not allow for them or the situation is not appropriate, you may wish to make a comment to clarify your reasoning or answer "N/A".
Our adult volunteer mentors make a commitment to provide at least one hour of mentoring per week. For the first 2 – 3 months, they are required to meet their mentee on campus, usually during their lunch hour. Because lunch hours are short, some of our mentors meet with their mentee twice a week. After that, with the permission of the mentee’s parents, they are able to meet off-campus and on weekends. Mentors are encouraged to continue to meet with their mentees over the summer.
Based on a 37-week school year and a goal of matching 40 mentors with mentees, we estimate that our volunteer mentors will provide a minimum of 1,480 volunteer hours a year. When mentor-mentee meetings move off-campus, typically additional hours are spent. If mentoring continues over the summer, mentors would typically provide as many as 3,000 hours a year.
Description of Agency Services
18. Describe in detail the services your agency provides and how they are unique from the services provided by other agencies.
CADA's programs are unique in that they focus on providing a "safety net" of interconnected school-based and community- based prevention, intervention and treatment programs for youth and families dealing with substance abuse and/or mental health problems. CADA provides mental health counselors in schools in Carpinteria, Santa Maria and Lompoc. We offer youth who have committed a first-time misdemeanor offense a second chance through our Teen Court and Youth Empowerment Services (YES) diversion programs that engage teens in positive youth development and behavioral health treatment as appropriate. Our Daniel Bryant Youth and Family Centers in Santa Barbara, Lompoc and Santa Maria provide substance abuse and mental health treatment for teens using research-based, trauma-informed practices. We provide family-focused treatment using Multidimensional Family Therapy, as well as parent education groups. All treatment and parenting services are available in Spanish.
Our Mentor Program provides at-risk youth with trained adult mentors who offer them academic, social, and emotional support. It has been operating for 27 years in Santa Barbara, and we decided to bring it to Santa Maria because we saw the need for it first-hand, as a result of our experience providing mental health counseling in the Santa Maria Schools. To our knowledge, this mentoring program is the only one of its kind in Santa Maria. Other organizations, like the Police Activities League, provide groups activities, but not one to one mentoring.
When Family Service Agency ended their Big Brothers Big Sisters mentoring program countywide, they approached CADA to transition many of their mentors to our program, which we were able to accommodate in Santa Barbara. However, our Santa Maria mentor program was not yet in place at that time. FSA continues to refer youth to our mentoring program who they determine could benefit from a mentor.
Yes
No
CADA brings a wealth of experience to the program. We are very pleased to have hired Andra Mobley as a Mentor Program Manager for North County. Andrea earned a Master of Education from Walden University, and a BA in liberal studies with a concentration in social services from California State University Bakersfield. She additionally holds certificates and licenses in early childhood development. She has focused her efforts on the recruitment of mentors by visiting service organizations, local businesses and churches. We have made a special effort to recruit bilingual mentors and 50% of the mentors already recruited are Spanish-speaking. We have been able to attract many mentors who are young professionals and are excellent role models for our mentees.
19. How long have you been in existence and provided services to the community? CADA opened an office in Santa Maria in 1984 and purchased our current office building in Santa Maria in 1999. In 2017, CADA opened the Daniel Bryant Youth and Family Center in that same location, with the intention of providing all of the same services available to youth and families at our Santa Barbara Center. The Center provides the Teen Court and YES youth diversion programs, school-based counseling in the Santa Maria-Bonita School District, outpatient substance abuse and mental health youth treatment services, and parent education and family-focused treatment. This past year we added the Mentor Program to our service continuum. The Santa Maria Mentor Program builds upon 27 years of experience that CADA has in operating a similar program in South County.
CDBG Experience
20. Has your agency received CDBG funding in the past from the City of Santa Maria?
21. If YES, explain when your agency received funding and how your agency did in managing these funds. This includes providing information obtained during your most recent monitoring review by the Special Projects Team.
If NO, explain how your agency is prepared to manage these additional CDBG funds and confirm that you are aware of the various reporting requirements imposed by this federal funding.
CADA has received CDBG funding since 2007, primarily for our Teen Court program. Our last grant award was for FY 2019- 2020. We have not applied for Teen Court grants since that time as the program has been able to sustain itself from contracts with the Santa Maria-Bonita School District. CADA is very familiar with managing CDBG funds and with the reporting requirements imposed by this federal funding. We have submitted grant reports and financial documentation for past CDBG grants on time and as required.
Funding Sources
22. List the annual funding sources and amounts for the entire Agency or organization in the table below.
These figures should agree with the figures in the financial statements for your most recent prior fiscal year.
23. How do you offer a service that is both cost-efficient and effective? The Santa Maria Mentor Program leverages funding by having a single staff member who recruits, trains and manages volunteer mentors who provide their services at no cost to the program. Most of our mentor volunteers remain in the program for at least two years, if not more, so the cost of mentor recruitment and training involved in each mentor match is correspondingly reduced. Each year, as the program grows, we are able to serve a larger group of students with approximately the same budget.
The investment in a prevention programs like mentoring make sound financial sense in that these services are much less
Yes
No
393044Federal Government
State Government
2628523County Government
1105116Local Government
United Way
1148257Contributions
-133754Fundraising
596798Program Service Fees
Private Foundations
635298Other
6,373,282.006,373,282.00TOTAL
costly than the problems they prevent, like substance abuse and mental health treatment, and the costs of probation supervision and other expenses attributable to youth who become involved in the juvenile justice system.
Timeline
24. What is the proposed start date of construction / project? -answer not presented because of the answer to #1-
25. Phasing
-answer not presented because of the answer to #1-
Program Budget top
Revenue
Total Prior Year's
Budget for SM
Program
Total Annual Budget
for Proposed SM
Program
CDBG Portion of
Budget for Proposed
SM Program
Percent of
CDBG
Investment
CDBG Grant/City of Santa Maria (same
as amount requested)) USD$ 20,000.00 USD$ 20,000.00 USD$ 1.00 CDBG Funding from another subsidiary USD$ 0.00
Grants from other Gov't Agencies USD$ 0.00
United Way USD$ 0.00
Contributions USD$ 61,764.00 USD$ 47,484.00 USD$ 0.00
Special Events/Fundraising USD$ 0.00
Legacies & Bequests (Unrestricted) USD$ 0.00
Membership Dues USD$ 0.00
Program Service Fees USD$ 0.00
Other (Specify in Narrative) USD$ 30,720.00 USD$ 26,502.00 USD$ 0.00 Total USD$ 92,484.00USD$ 93,986.00USD$ 20,000.00USD$ 0.21 Expenses
Total Prior Year's
Budget for SM
Program
Total Annual Budget
for SM Program
CDBG Portion of
Budget for SM
Program
Direct Assistance to Individuals
Salaries USD$ 79,442.00 USD$ 79,442.00 USD$ 20,000.00
Professional Fees USD$ 1,313.00 USD$ 1,313.00
Supplies/Publication/Printing USD$ 4,181.00 USD$ 4,181.00 Occupancy/Utilities USD$ 1,709.00 USD$ 1,709.00
Travel/Mileage USD$ 450.00 USD$ 450.00
Other (Specify in Narrative) USD$ 5,389.00 USD$ 6,891.00 Capital - Design & Engineering
Capital - Property Acquisition
Capital - Construction
Capital - Financing/Legal
Capital - Relocation
Capital - Demolition/Clearance
Capital - Site Improvements
Capital - Admin/Activity Delivery
Capital - Off site Improvements
Capital - Other (Specify in Narrative)
Total USD$ 92,484.00USD$ 93,986.00USD$ 20,000.00
Program Budget Narrative
REVENUE
We are requesting a CDBG grant award of $20,000 towards the cost of the total mentor program budget of $93,986. The funds will be applied to salary of the Program Manager. Other revenue includes donations and contributions in the amount of $47,484 and foundation grant requests (listed as Other). We plan to submit grant applications the Towbes Foundation and the S.G. Foundation, both of whom gave us grants to launch the initial pilot program.
EXPENSES
Salaries. We have budgeted a total of $79,442 for this line item. This includes a full time Mentor Program Manager at an annual salary of $62,400 and one hour per week of CADA’s Contracts, Grants and Operations Manager ($31.25/hr x 52 weeks) at $1,625. Salaries total $64,025. Payroll taxes and benefits of $15,417 are included in this line item for these two positions at a rate of 24.08% of salaries.
Professional fees. Professional fees of $1,313 have been budgeted to cover the costs of the audit, outside services, and legal and accounting fees for the agency, allocated proportionately to this program.
Supplies. $4,181 has been budgeted for program brochures, office supplies, printing, program supplies, and group activities for mentors, mentees and parents, based on historical costs for these items.
Occupancy/Utilities. $1,709 has been budgeted for telephone and utilities at our Santa Maria office, allocated proportionately to each program housed in the facility, based on actual costs.
Travel. $450 has been budgeted for travel for the Program Manager to conduct mentor recruitment and attend match meetings at schools at a reimbursement rate of $0.625/mile x 720 miles per year.
Other. $6,891 has been budgeted for this line item. It includes $1,500 for communications and marketing such as mentor recruitment ads, $500 for mentor trainings, $2,148 for IT expenses allocated proportionately to this program, $2,015 for the insurance costs allocated to this program, and $728 for repairs and maintenance costs allocated to this program.
Tables top
% of Annual budget
Households or
Individuals
(Indicate one)
CDBG
Portion of
Budget
Annual Budget
for Santa Maria
Program (must
match the
budget tab)
Percent of
CDBG
Investment
OVERALL Annual
Number of Persons /
Households served
by Santa Maria
Program
REQUIRED Minimum
number of CDBG
Persons/Households
served
40 $ 20,000 $ 93,986 21 % 40 9
Total $ 20,000 $ 93,986 21 % 40 9
Required Documents top
Documents Requested * Required?Attached Documents *
List of board of directors and local advisory board, if applicable. If N/A, please submit a written statement
in lieu of the required attachments.
CADA Board of Directors
Copy of board authorization to apply for this grant.
CADA Board Authorization
Agency's organizational chart
CADA Organizational Chart
Certificates of insurance covering Worker's
Compensation and General Liability (it is not
necessary to name City of Santa Maria as additional
insured at this time)
Certificates of Insurance
Current and prior year's financial statements
CADA Financial Statement ending June 30, 2022
CADA Financial Statement - 10/31/22
Most recent annual audit report (if your agency does
not perform an annual audit because it is not required
to, please submit a written statement in lieu of the
required attachments.)
CADA Audited Financial Statement 2021-2022
Most recent Form 990 and Schedule A Federal Tax
Return
CADA Form 990
Application ID: 425090
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Budget information for the current fiscal year and
next fiscal year (if budget for next fiscal year is not yet available, please submit a written statement in
lieu of the required attachments.)
CADA Organization Budget
Capital Projects ONLY: Three (3) bids required, with
at least one (1) bid coming from a local contractor.
Failure to submit may result in an incomplete
application.
Organizational structure: List the total number of
employees for your agency by job title/classification
and salary/wage range for each job/classification.
download template
CADA Organizational Structure