2022 Go Human Mini-Grants Application

I. Overview

The Southern California Association of Governments (SCAG) and Go Human announce the Call for Projects for the Go Human Mini-Grants Program (Mini-Grants Program). With support from the California Office of Traffic Safety (OTS), the Mini-Grants Program funds community-driven traffic safety projects that meet the needs of people most harmed by traffic injuries and fatalities.

In alignment with and futherance of SCAG's Racial Equity Early Action Plan, the Mini-Grants Program supports projects that utilize street space for community resiliency, recovery, and resource delivery that prioritize disadvantaged communities and communities most harmed by traffic injuries and fatalities. This framework emphasizes community-driven co-creation, where community engagement is a key element in the project.

Application Deadline: April 29, 2022 at 11:59 PM
II. Application Checklist

Before you complete this application, please be sure to review the Mini-Grants Program Guidelines and Frequently Asked Questions (FAQs). Access these materials at https://scag.ca.gov/apply-funding.

Follow this checklist to ensure that you are ready to apply to the Go Human Mini-Grant program.
- Can you complete your project within the 12-week grant implementation period? If not, consider reducing your scope of work.
- Is your organization eligible for a Mini-Grant? If not, consider partnering with an eligible organization.
- Are your costs allowed?
- Can you provide the required insurance?
- If awarded, can you submit the Mid-Project Update, Final Report, and deliverables required by the Mini-Grant Program? Learn about the reporting requirements you will need to comply with if awarded funding.
III. Scope of Work

This completed application will serve as the Scope of Work for your project, should it be selected for an award. SCAG may require Mini-Grant applicants to revise their Scope of Work during the application period before further consideration. SCAG may also require Mini-Grant Awardees to revise their Scope of Work prior to the implementation period.

The implementation period for all Mini-Grant funded projects begins on June 13, 2022 and ends on August 31, 2022. The Scope of Work includes the following tasks:
Task 1: Project Implementation
(June 13, 2022 - August 31, 2022)

Awardee shall perform the activities approved by SCAG to build street-level community resiliency and to increase the safety of people most harmed by traffic injuries and fatalities, including without limitation Black, Indigenous and People of Color; disabled people; and frontline workers.

Deliverables
- Project Plan with Schedule
- Mid-Project status update (via phone or e-mail)
- Promotional Outreach Materials
Task 2: Final Report and Documentation
(due September 9, 2022)

Awardee shall complete a short final report of the project that summarizes the activities funded by the Mini-Grant, outcomes of the project, and photo documentation (if applicable). SCAG shall provide a short Final Report template.

Deliverables
- Final Report
- Documentation
IV. Applicant Information
Organization Name *
Contact Name *

First Name Last Name
E-mail *
example@example.com
Phone Number *
Organization Type *

Community-Based Organization Non-Profit Organization Social Enterprise Other
Website / Social Media: *
City / Jurisdiction: *
County *
Can you provide a W-9? *
Can you provide proof of the following required insurance and are you able to meet SCAG’s insurance requirements? (refer to pages 4 and 5 of the Program Guidelines) *

General Liability Automobile Liability Workers’ Compensation Professional Liability I do not have any or all of these insurances.
If your organization is unable to meet specific requirements, please specify. (Applicants without insurance may be considered on a case-by-case basis).
Brief Description of Applicant: *

Provide a short description of your organization, including mission, goals, and demographic population served (100 words max). 0/100

1. Project Information
Project Name: *
Project Area: *
(Enter city, unincorporated area, neighborhood, or community)
Project Description: *

Please include if there are virtual and/or in-person elements to your project. 0/300
Click on the dropdown tabs below provide responses to questions in each category.

Reach Questions (25 points)
Describe the population your project will serve. Include how and why the population may have been historically or currently difficult to reach effectively (10 points) (200 words max) *

(10 points) 0/200
How many people do you anticipate reaching? (5 points) *
(5 points)
Explain the steps you will take to reach this audience. (10 points) (200 words max) *

(10 points) 0/200

Impact Questions (25 points)
What are the primary safety concerns of the population this project will serve? (10 points) (200 words max) *

(10 points) 0/200
How will your project address these safety concerns and what are the anticipated outcomes? (15 points) (200 words max) *

(15 points) 0/200

Feasibility Questions (20 points)
What are your qualifications to carry out this project? (10 points) (200 words max) *

(10 points) 0/200
How do you plan to implement your project within the implementation period and within budget? The implementation period is 12 weeks, from June13, 2022 to August 31, 2022. (10 points) (200 words max) *

(10 points) 0/200

2. Project Budget

(Cost-Effectiveness: 30 pts)

Using the budget template, please identify the labor costs and eligible direct costs to sufessfully complete your project. Upload the budget and supporting documentation as an attachment to this application.

Download the budget template available at https://scag.ca.gov/apply-funding.

Instructions
1. Organization and Project Information. Fill out your organization information and project title.
2. Job Titles and Hourly Rates. List the job titles of all staff that will work on your Mini-Grant project under ""Direct Labor Classification(s)."" List job titles and not names (e.g., Executive Director, Program Coordinator, Assistant, etc.). List the hourly rate for each staff under ""Maximum Hourly Rate."" You must support the hourly rate with documentation that includes that hourly rate."
3. Direct Costs. List the direct costs under "Other Direct Costs". Direct costs include eligible hard costs such as printing, permit costs, bicycle helmets, equipment rentals. It may also include services, such as photography and videography.
4. Enter Number of Labor Hours. Fill out how many hours each job title will work, by task. The spreadsheet automatically calculates the cost.
5. Enter Amounts for Direct Costs . Fill out how much budget you will need for each direct cost. You must support these costs with documentation.
6. Check the Grand Total . After entering your hourly rates, labor hours, and direct costs, the budget spreadsheet automatically calculates the grand total. This number will be your proposed budget.
Enter your total budget below:

3. Project Timeline

Please identify the key actions your organization will take to complete the proposed project. This schedule must include:

Mid-Project Review (To be provided in July 2022, in the form of an email or phone call)
Submission of the Final Report and Deliverables

Key Action Example:

Date	Activity	Description
June 2022	Project Planning	Develop curriculum for webinar series.

	Date	Activity	Description
Key Action #1
Key Action #2
Key Action #3
Key Action #4
Key Action #5
Key Action #6

Attachments may be added if necessary to complete schedule (see next page).

Attachments

Please upload your budget and supporting documentation. You may also include additoinal material that is necessary to complete other portions of your applicaiton.
Select your files to attach:

(optional)
Cancel of
Should be Empty:

Instructions