PAGE 1 THE COUNTRY BOYS OUTREACH GRANT APPLICATION The Independent Television Service Community Connections Project (ITVS-CCP) is offering GRANTS of up to $5,000 to public television stations interested in working with the COUNTRY BOYS outreach initiatives focusing on the need for mentoring youth. COUNTRY BOYS is a co-production of David Sutherland Productions, Inc. and WGBH/Frontline, in association with ITVS. Building on the intimate portraiture that earned THE FARMER’S WIFE national acclaim, filmmaker David Sutherland interweaves the distinct narratives of two at-risk adolescents grappling with and overcoming daunting emotional and physical obstacles related to their unique family lives. The series, which was shot over a three-year period in the Appalachian region of Eastern Kentucky, will air in the fall of 2005. Visit www.itvs.org/outreach/countryboys/ to read more about this series and to view a clip. Grants of up to $5,000 will be awarded to 10-12 public television stations that are interested in using the series to address the need for mentoring youth through one or more of the following outreach goals. Community Engagement Goals: Increase the number of adult mentors creating caring relationships with at-risk youth. Support discussion and build awareness of the developmental needs of boys and how they can be nurtured through adolescence. Connect teens and family members to substance abuse prevention, counseling and treatment programs and support. Strengthen partnerships between schools, businesses, faith-based organizations, and communities to provide better access to services and support for at-risk or disconnected youth. Support policy discussions that address the needs of rural youth including issues of economic development and educational access. Support policy discussions on issues related to kinship care. PAGE 2 Successful applicants will: Identify opportunities to help young people and the professionals supporting them in the areas of mentoring, substance abuse prevention and treatment, education, adolescent development, or kinship care Provide evidence of strong partnerships with youth-serving organizations and institutions in the community–building on the ITVS-CCP COUNTRY BOYS National Partners. Provide evidence of a collaborative planning process and measurable outcomes. Demonstrate how they will promote activities through station resources (web, marketing, programming, etc.) into this initiative. Include an evaluation plan that documents both process and outcomes, and submit this final report to ITVS within six months of broadcast. Provide a detailed and reasonable budget with matching funding from local sources, which can include station or partner organization in-kind match. Conference Call/Application Deadline An applicant conference call will be offered on FEBRUARY 1, 2005 at 3:00pm EST. Dial 866-262-1846, the code is *3247378* (Press the star key before and after the number) Your application must be submitted via email and be received by MARCH 21, 2005. E-mail your completed proposal to: outreach@itvs.org (subject: COUNTRY BOYS RFP) Grant awards will be announced within a month of deadline. Contact Information/Technical Assistance For questions and technical assistance please contact Susan Latton by email: latton@charter.net or by phone: 608-441-2450) Resources Provided: ITVS will make available various resources to support outreach activities around COUNTRY BOYS. A seven-minute promotional trailer is currently available and can be requested by contacting Kelly Brownlee (kelbro@bellsouth.net). Other resources to include: • Discussion guide • Fact Sheet • Website • Video content • National partners • E-newsletter PAGE 3 COUNTRY BOYS GRANT APPLICATION COVER PAGE STATION ______________________________________________________________ AMOUNT REQUESTED ___________________________________________________ PROJECT COORDINATOR _____________________________________________________ ADDRESS ___________________________________________________________________ CITY______________________________STATE _____________ ZIP ___________________ PHONE _____________________________ FAX ____________________________________ EMAIL ______________________________________________________________________ Project Description (short version: max. 100 words) Provide a brief description of your outreach campaign: PAGE 4 COUNTRY BOYS GRANT APPLICATION GUIDELINES (continued) Please submit your proposal responding to the following six questions and complete the budget and cover sheet provided. Observe the following formatting requirements: Type or word process your proposal using 12-point font (forms are available electronically at www.itvs.org/outreach/countryboys/resources.html Page length is limited to six pages including the cover and budget pages. 1. List your community partners and describe how you have engaged them in a collaborative planning process for this outreach campaign and your grant proposal. 2. Using the ITVS-CCP COUNTRY BOYS Planning Guide (located at http://www.itvs.org/outreach/countryboys/resources.html), list the outcome goal(s) you have selected to focus on and provide background data on why you and your partners identified this area of focus. Be specific about your target population. 3. Provide a timeline of planned activities indicating who will be responsible for completing each one. 4. Describe any planned resource development and/or use of existing resources or initiatives that will support this campaign. Please note how you have involved other station departments such as programming, web, communications and/or development into your outreach initiative. 5. Describe which components of the campaign you plan to evaluate and how. Describe how you will measure your progress toward the outcome goal(s) you have chosen. 6. Describe your department’s staffing capacity and experience in completing a project like this. PAGE 5 COUNTRY BOYS GRANT APPLICATION BUDGET PAGE We ask that you match your request to us with funding from local sources, which can include station or partner organization in-kind match. Possible line item categories are suggested below. You are free to add or delete as best fits your project. A. ITVS Funds Requested Salaries List name, title, and hrs or % Supplies & Expenses Travel Equipment rental Postage Printing Promotion Other Expenses TOTAL B. Station and/or Partner Contribution C. TOTAL