Allstate Foundation SAVE Sponsorship Teen Safe Driving Grant Application Sponsored Chapters will receive: 322 Chapanoke Road, Suite 110 Raleigh, North Carolina 27603 Toll Free 866-343-SAVE Tel 919-661-7800 Fax 919-661-7777 www.nationalsave.org $1000 mini grant for Teen Safe Driving Activism Projects - Can be used for chapter supplies, educational items, trainings, activities and events. Free SAVE Chapter Affiliation - SAVE certification and student membership cards, regular updates on cuttingedge research related to Teen Safety, such as teen safe driving, tolerance, inclusion, diversity, bullying, harassment, intimidation, and other topics; and access to a members-only section of the National SAVE website with the latest information and technical assistance. Educational and Promotional Materials: Teen Safe Driving Tool Kit with Brochures, Posters, Lesson Plan National Youth Traffic Safety Month (May) Planning Guide Project Banner 2nd Edition SAVE Essentials Manual: A SAVE Tool Kit (or other SAVE Educational Items if chapter has a manual) Back to School Safety Materials National SAVE Day Materials Youth Safety Calendar Advisor Stipend – Upon receipt of the Final Activity report, the advisor will receive a $200 stipend. Ongoing Support and Technical Assistance for SAVE’s Youth Safety Efforts Opportunities to Partner with local Allstate Agents Expectations of your Chapter: Activities - Chapters who receive sponsorship are expected to participate in the following activities: Participate in a Teen Safe Driving training. Activism Projects focusing on Teen Safe Driving – Chapters will plan student-directed projects promoting teen safety including teen driver safety throughout the school year. Ideas include: posters, brochures, parent/student fact sheets, announcements, assemblies, presentations at PTA meetings, and SAVE Chapter membership drive activities. Key times for 2014-2015 activities: Back to School Safety Activities (August – September) America’s Safe Schools Week (October 20-24) Holidays (November/December) National Youth Violence Prevention Week (March 23-27) National Youth Traffic Safety Month/Prom/Graduation (May) X the TXT Event /Teen Safe Driving Rally – Chapters will conduct a Teen Safe Driving Rally/X the TXT event during one of the key times and invite the media and an Allstate representative to attend the event. Promote events - Promote events, activities and projects with your local media contacts and school district office. Recognize Sponsorship / Involve Allstate Local Agents Recognition - SAVE Chapters will recognize the Allstate Foundation Sponsorship via signage at all events, in press releases, and in materials distributed. Thank You Letters - SAVE chapters will have students create a thank you note(s) to the Allstate Foundation thanking them for their support. This Thank You is to be submitted to the National SAVE office. Involvement - SAVE chapters will invite their local Allstate Agents to assist with SAVE chapter events/activities. This can include inviting them to the Teen Safe Driving Rally and SAVE chapter meetings, asking them for assistance with planning events or providing volunteers or speakers. Please contact National SAVE if you need assistance with securing Allstate representatives for your activities. Activity Reports SAVE chapters receiving sponsorship will submit a brief midyear activity report by December 12, 2014 highlighting SAVE Chapter activities for the fall, and a Final report by May 22, 2015 for spring activities. Provide news clippings, photographs, etc. pertaining to your SAVE program, including a summary of student populations serviced, demographics, names and contact information for any Allstate representatives with whom you have worked, and other supporting materials. SAVE-Allstate Grant Application 2014-2015 Please complete this application and return with appropriate signatures by September 15, 2014. Application can be faxed to 919-661-7777. School/Agency Name: _____________________________________________________________ School District: ___________________________________________________________________ Street Address: ___________________________________________________________________ City: _________________________________________State:____________ Zip: ______________ Phone: ( ) ________________________Fax: ( ) ______________________________ Main Advisor/Contact: _____________________________________________________________ Email: ____________________________________ Alternate Phone Number/Cell: _______________ Please list the Teen Safe Driving activities your chapter hopes to conduct during: 1. Back to School Activities (August-September) 2. America's Safe School Week (October 20-24, 2014) 3. National Youth Violence Prevention Week (March 23-27, 2015): 4. National Youth Traffic Safety Month (May 2015), including prom/graduation activities: 5. Activities during other times of the school year: Please indicate the number of teens you anticipate will: 1. _________ hear the safe driving message. 2. _________ participate in a safe driving activity. 3. _________ lead a safe driving activity. Please indicate the number of adults (not teens) you anticipate will: 1. _________ hear the safe driving message. 2 2. _________ participate in a safe driving activity. Is there a local Allstate agent in your town? (http://allstateagencies.com/agentlocator/searchpage.aspx) Please list the agent(s) you will be asking to participate in your event(s) if your school is chosen to receive this grant: 1. ____________________________________________________________ 2. ____________________________________________________________ The expectations for fulfillment of this application have been read and understood by all individuals signing on behalf of the school or agency. If our SAVE Chapter is chosen to receive this grant, we understand the expectations of the grant and will be able to fulfill those expectations including the teen safe driving activities, the reporting requirements, and we will involve a local Allstate Agent. Funds for this sponsorship are made possible by the Allstate Foundation and administered through the National Association of Students Against Violence Everywhere (SAVE). Signature: ______________________ __________________________ Print Name: ______________________ __________________________ Title: SAVE Advisor School Administrator Date: ______________________ __________________________ 3