Hermanowski Family Foundation Initial Request Form

---

Organization Name: Unicorn Village Academy
Legal Name (if Different):
Also Known As:
Mailing Address: 21100 Ruth and Baron Coleman Blvd, Suite 200
City: Boca Raton
State: FL
Postal Code: 33428
Main Phone: 561-826-9156
Main Fax: 561-620-9376
Organization Website: www.unicornvillageacademy.com
Employer ID Number: 45-5450011
Organization Tax Status: 501 (c)(3)

Proposal Information

---

Today’s Date: 03/14/19
Requested Amount: 10,000

Project Title: Special Need Scholarship
Project Description:

Unicorn Village Academy, UVA, is a Complete Educational Experience, serving middle and high school students with neurodiversities. UVA is designed with the necessary built-in supports for students unable to succeed in a ‘typical’ school setting. Programs offered include: Upper Middle & High school, providing individualized academic support preparing students for either 24-credit ACCESS Option or Standard Diploma; and a Pre-employment & Transition Program, preparing students for employment by providing opportunities for career exploration and interests in the local community, and college experiences. The focus of UVA programs is to prepare students for adult life with a multi-dimensional curriculum providing training in Life skills, Pre-employment skills & Academics. The curriculums encourage independence, self-advocacy, and preparation for life.

Unfortunately, many families cannot afford tuition and, left without options, will keep their child in public school. Sadly, this often results in a regression of skills and abilities, further limiting opportunities to succeed. Every day that passes is a day lost for these children.

Recent funds received from the Hermanowski Family Foundation have enabled UVA to enroll a student who had lost two years in the public school system. Within one month there were significant changes in his abilities both socially and academically. This student is now successfully completing credits towards his high school diploma and is also participating in several community pre-employment programs.

UVA is a program for those in need. It should be available to all regardless of financial status. It is our hope that this Special Need Scholarship will continue to provide many opportunities for students.

Upon completion of the project, UVA will provide a statement indicating how the funds were spent in alignment with grant request.

Total Project Budget: $10,000

Other Funding
Sources For The Project (Committed & Potential): N/A

Project Duration: School Calendar Year
Geographical Area Served: Palm Beach, Broward & Miami-Dade Counties
Age Group To Be Served: 13 – 21

Contact Information

---

Contact Prefix (Mr,Mrs etc.): Ms
Contact First Name: Evelyn
Contact Last Name: Falconer
Contact Title: School Principal
Contact Phone: 561-826-9156
Contact Email: evelyn@unicornvillageacademy.com

Hermanowski Family Foundation Initial Request Form

---

Organization Name: Cancer Alliance of Help & Hope, Inc.
Legal Name (if Different): N/A
Also Known As: CAHH
Mailing Address: 350 S. County Road, Suite 205
City: Palm Beach
State: Florida
Postal Code: 33480
Main Phone: 561-748-7227
Main Fax: 561-748-7293
Organization Website: www.cahh.org
Employer ID Number: 90-0101236
Organization Tax Status: 501 (c)(3) 170 (b) (1) (A) (vi)

Proposal Information

---

Today’s Date: 3/14/2019
Requested Amount: 5,000

Project Title: Children’s Cancer Navigation
Project Description:

When a child is diagnosed with cancer, their days quickly fill with treatments & doctor visits. Their parents are forced to analyze overwhelming amounts of information to achieve the best outcome for their child, remission. This always involves a myriad of medical specialties & procedures. Low-income & non-English speaking families face greater obstacles achieving positive outcomes due to language barriers when receiving & providing pertinent medical information to doctors & hospitals on behalf of their child.

Cancer care and survival rates have vastly improved over the years. However, it has come at a high price. Even families fortunate enough to have comprehensive health insurance struggle with extremely high deductibles, prescriptions costs, & innumerable out-of-pocket & un-covered expenses. When you also consider that one parent usually must quit their full-time job to care for their sick child, as this is often what is necessary, it is not surprising that families often find themselves in severe financial crisis & on the verge of homelessness. A 2013 study by the Hutchinson Cancer Research Center found that families with a child stricken with cancer were 2.5 times more likely to declare bankruptcy, as average treatment costs can easily reach $100,000 or more EACH YEAR.

Astoundingly, the 3rd largest percentage of children diagnosed with cancer in the state of Florida resides in Palm Beach County. Consequently, 70% of our clients are children stricken with cancer. Cancer Alliance of Help & Hope (CAHH) strongly advocates for each child client throughout treatment & beyond. We work collaboratively with the child’s family, medical team & through outreach to local, state, & national resources to ensure that each child’s needs are met. Our method of coordinating education & support is critical & has been shown to increase the child’s quality of life AND overall chance of recovery & survival.

Total Project Budget: 543,070.00

Other Funding
Sources For The Project (Committed & Potential): Batchelor Foundation; 25,000 – (C) Split Rock; 5,000 – (C) PBC Trust Fund; 5,000 – (C) Mirasol; 10,000 – (p) Ibis; 10,000 (p) Wycliffe; 10,000 (p) PNC; 10,000 (p)

Project Duration: on-going
Geographical Area Served: Palm Beach
Age Group To Be Served: 0-18

Contact Information

---

Contact Prefix (Mr,Mrs etc.): Mr.
Contact First Name: Stanton
Contact Last Name: Collemer
Contact Title: CEO
Contact Phone: 561-748-7227
Contact Email: scollemer@cahh.org

Hermanowski Family Foundation Initial Request Form

---

Organization Name: Best Buddies Palm Beach
Legal Name (if Different): Best Buddies International, Inc.
Also Known As: Best Buddies
Mailing Address: 1655 Palm Beach Lakes Blvd. | Suite 505
City: West Palm Beach
State: Florida
Postal Code: 33401
Main Phone: 561.972.5312
Main Fax: 561.557.2109
Organization Website: https://www.bestbuddies/florida
Employer ID Number: 52-1614576
Organization Tax Status: 501c3

Proposal Information

---

Today’s Date: 03/13/2019
Requested Amount: $10,000

Project Title: Best Buddies Palm Beach Friendship and Leadership Program
Project Description:

The Best Buddies Palm Beach Friendship Program builds one-to-one friendships between students with and without intellectual and developmental disabilities (IDD), offering social mentoring while improving the quality of life and level of inclusion for a population that is often isolated and excluded. Through their participation, people with IDD form meaningful connections with their peers, gain self-confidence and self-esteem, and share interests, experiences and activities that everyone should enjoy.

BBI staff recruit, train, and guide faculty and student leaders in running successful chapters. At each middle and high school, a faculty advisor and a special education advisor work with student leaders to recruit students with IDD (buddies) to be matched in one-to-one friendships with students without disabilities (peer buddies). Best Buddies requires that new friends contact each other once per week and that they spend time together at least twice per month.

One major key to the success of our project design is the one year commitment required of all buddy pairs. This continuity allows for meaningful friendships to develop while providing a mutually supportive community for participants.

Goals for this project include:
1) Increase opportunities for socialization and inclusion of people with IDD
2) Help individuals with IDD develop life skills critical to furthering education and employment
3) Provide opportunities for leadership development in middle school, high school, and college students, so that they will continue to improve their communities
4) Increase awareness of the abilities of people with IDD in students and community members

With the support of the The Charles and Joan Hermanowski Foundation, our programs will continue to create a ripple effect of change by empowering communities to embrace individuals with intellectual and developmental disabilities to create a more inclusive world.

Total Project Budget: 138,802

Other Funding
Sources For The Project (Committed & Potential): $50,000

Project Duration: 7/1/2019 to 6/30/2020
Geographical Area Served: Palm Beach County
Age Group To Be Served: 6-21

Contact Information

---

Contact Prefix (Mr,Mrs etc.): Ms.
Contact First Name: Tricia
Contact Last Name: Williams
Contact Title: Palm Beach Area Director
Contact Phone: 561.972.5312
Contact Email: triciawilliams@bestbuddies.org

Hermanowski Family Foundation Initial Request Form

---

Organization Name: The Victory Center for Autism
Legal Name (if Different): The Victory Center, Inc.
Also Known As:
Mailing Address: 18900 NE 25th Ave
City: North Miami Beach
State: Florida
Postal Code: 33180
Main Phone: 3054661142
Main Fax: 3054661143
Organization Website: thevictoryschool.org
Employer ID Number: 65-0968171
Organization Tax Status: Tax Exempt 501(c)(3)

Proposal Information

---

Today’s Date: 3/12/2019
Requested Amount: $10,000

Project Title: Victory Summer Program
Project Description:

The Miami-Dade community currently lacks adequate summer day camp opportunities for students affected by autism and other related developmental disabilities. Additionally, very few summer programs serve high school age students with behavioral challenges associated with autism. As the prevalence of autism continues to grow, The Victory Center offers a specialized full-day summer program for students on the autism spectrum, ages 2-22. The 9-week program gives families access to high quality and comprehensive behavioral therapy combined with individualized academic instruction, facilitated social interaction, and weekly enrichment field trips. Currently, Miami-Dade schools only offer half day programming geared towards secondary special-needs students. This type of programming traditionally only happens in the month of July and it is subject to available federal funding. The Victory Center has a proven track record for offering age-appropriate programming for both primary and secondary special-needs students. The Victory Center Summer programming is instructed by highly trained professionals and supervised by two onsite doctoral level Board-Certified Behavior Analysts.

Total Project Budget: $50,000

Other Funding
Sources For The Project (Committed & Potential): Anthony Abraham Foundation; Lustgarten Whitney Fund

Project Duration: July – August
Geographical Area Served: Miami-Dade County; Broward County
Age Group To Be Served: 2-22

Contact Information

---

Contact Prefix (Mr,Mrs etc.): Mr.
Contact First Name: Darian
Contact Last Name: Burrell-Clay
Contact Title: Development Associate
Contact Phone: 3054661142
Contact Email: dburrellclay@thevictoryschool.org

Hermanowski Family Foundation Initial Request Form

---

Organization Name: The Jacob S. Zweig Foundation, Inc. d/b/a In Jacob’s Shoes
Legal Name (if Different):
Also Known As: In Jacob’s Shoes
Mailing Address: 5431 NW 15th Street, Suite #10, Margate
City: Margate
State: Florida
Postal Code: 33063
Main Phone: (954) 905-2505
Main Fax: N/A
Organization Website: www.injacobsshoes.org
Employer ID Number: 27-1252273
Organization Tax Status: 501(C)(3)

Proposal Information

---

Today’s Date: 3/9/2019
Requested Amount: 5,000

Project Title: Sole Necessities
Project Description:

In Jacob’s Shoes provides essential basic necessities to at-risk children/youth including shoes, backpacks, school supplies and athletic gear. Our goal is that no child goes without the fundamental tools needed for academic achievement and life-long success.

Over the past year we have substantially increased support to our partners in Southern Palm Beach County including Boca Raton, Boynton Beach, Delray Beach and Lake Worth through the establishment/expansion of 11 shoe closets at area schools/agencies. In 2018 we provided 7,322 pairs of shoes and 333 backpacks filled with school supplies to at-risk children in Boca Raton and surrounding PBC.

The community need met is extreme poverty forcing thousands of at-risk children/youth to attend school ill-prepared and at a distinct disadvantage among their peers. These children/youth attend school in worn, ill-fitting shoes that are harmful to their developing feet and cause significant embarrassment/ emotional distress. Likewise, necessary school supplies essential for academic success are also beyond their reach as is athletic equipment for participation in sports and activities that promote physical health/greater achievement. Childhood is the foundation where our futures are laid; a foundation incomplete with the fundamental needs for success leaves at-risk children at a distinct disadvantage for achievement.

We collaborate with 125 local shelters, schools, charities and social service organizations to address and meet the need described in this proposal. We partner with the Spirit of Giving Network of Charities and distribute shoes each year at their back to-school event known as “The Spirit of Giving Back-To-School Bash”. We also provide for homeless students on a year-round basis by working directly with the Palm Beach County School District McKinney-Vento Homeless Education Program (formerly known as HEART). Over the past year we have significantly increased support to our partners in Boca Raton, Lake Worth, Boynton, and Delray through the establishment or expansion of shoe closets at area schools.

Total Project Budget: 21,000

Other Funding
Sources For The Project (Committed & Potential): Fortin, $7,000 (C); Boca Rio, $5,000 (P); Ibis Foundation, $5,000 (C)

Project Duration: 12 months
Geographical Area Served: Boca Raton, Boynton Beach, Delray Beach, Lake Worth and surrounding Southern Palm Beach County
Age Group To Be Served: 3-18

Contact Information

---

Contact Prefix (Mr,Mrs etc.): Mrs.
Contact First Name: Harlene
Contact Last Name: Zweig
Contact Title: President
Contact Phone: (954) 579-5868
Contact Email: harlene@injacobsshoes.org

Hermanowski Family Foundation Initial Request Form

---

Organization Name: ReadyKids
Legal Name (if Different):
Also Known As: Formerly Children Youth and Family Services
Mailing Address: 1000 E. High Street
City: Charlottesville
State: VA
Postal Code: 22902
Main Phone: 4342964118
Main Fax:
Organization Website: www.readykidscville.org
Employer ID Number: 54-0546000
Organization Tax Status: 501c3

Proposal Information

---

Today’s Date: March 8, 2019
Requested Amount: $10,000

Project Title: Inside Out Counseling Program
Project Description:

Since 2002, InsideOut has offered an immediate response to the treatment needs of children (ages 2-18) who have been abused, neglected and/or exposed to domestic violence in Charlottesville and the five surrounding counties. In FY18, Inside served 309 primary victims and 236 secondary victims. The high-level outcomes for the program include:
i. Children are socially/emotionally healthy and relate well to others.
ii. Children experience positive parent/child and family interactions.
iii. Children receiving services through the InsideOut program are not re-victimized.

To achieve these outcomes, InsideOut completes the following activities:
• Trauma Counselors provide counseling services to children and families who have been victims of abuse and neglect in the counties of Albemarle, Fluvanna, Greene, Louisa, Nelson, and the City of Charlottesville. These services are provided using evidence based treatment strategies as well as play and art therapy techniques.
• Trauma Counselors complete an extensive intake assessment and individualized treatment plan. Each client is evaluated using the Child and Adolescent Needs and Strengths (CANS) Assessment and/or the Trauma Symptom Checklist for Children, evidenced based tools, during the beginning phase of treatment and then again at discharge.
• Trauma Counselors consult and collaborate with community organizations and other service providers including but not limited to social workers and case managers from DSS, school staff, and medical providers.

Total Project Budget: $1,082,411 (FY20 Inside Out Counseling Budget)

Other Funding
Sources For The Project (Committed & Potential): Funding Sources: FY 19 Inside Out funders include: • Virginia Department of Social Services Victims of Child Abuse Grant • Virginia Sexual & Domestic Violence Victims Fund Grant • Local Government Funding: City of Charlottesville & County of Albemarle • Private Foundations: Murlan Foundation, Louisa County Community Fund and LEAW Family Foundation • Private Contributions

Project Duration: Ongoing
Geographical Area Served: Charlottesville and the five surrounding counties
Age Group To Be Served: 2-18

Contact Information

---

Contact Prefix (Mr,Mrs etc.): Mrs.
Contact First Name: Allison
Contact Last Name: Henderson
Contact Title: Director of Philanthropy
Contact Phone: 434-296-4118
Contact Email: ahenderson@readykidscville.org

Hermanowski Family Foundation Initial Request Form

---

Organization Name: Center for Trauma Counseling, Inc.
Legal Name (if Different): N/A
Also Known As: CTC
Mailing Address: 6801 Lake Worth Road, Suite 307, Greenacres
City: Greenacres
State: FL
Postal Code: 33467
Main Phone: 5614443914
Main Fax: N/A
Organization Website: www.palmbeachmentalhealth.org
Employer ID Number: 45-4708248
Organization Tax Status: 501 (c)(3) 170 (b) (1) (A) (vi)

Proposal Information

---

Today’s Date: 3/6/2019
Requested Amount: 5,000

Project Title: Child & Adolescent Trauma Counseling
Project Description:

Our Child & Adolescent Trauma Counseling Program operates in Palm Beach County, Florida and primarily serves children and adolescents 3-18 who have been impacted by trauma and/or abuse and are uninsured, underinsured and in need. Traumatic events include; bullying, car accidents resulting in major injury or death, mass shootings and fear of mass shootings, unexpected death of a parent or sibling, etc. Forms of abuse include; physical, sexual, mental, and emotional as well as abandonment and neglect.

For these children, Center for Trauma Counseling provides targeted mental health counseling including tools and resources for managing and eliminating the negative effects these incident(s) have on each child’s current well-being and future positive outcomes. Our treatment plans utilize a variety of modalities with a major emphasis on Eye Movement Desensitization Reprocessing (EMDR), Cognitive Behavior Therapy (CBT) and Peer and Group Counseling.

Each client’s course of treatment typically spans 6-8 weeks, based on one to two sessions per week, and is predicated on severity of presenting symptoms. However, it is clinically appropriate for clients to receive longer-term therapy in some cases. Thus, the extent of services naturally varies based on individual client needs.

Our objectives includes:

• Provide mental health intervention services within a 48-hour period from time of referral.
• Provide critical intervention with immediate service to self-referral and walk-in clients.
• Increase the availability of immediate, short and long-term services using a minimum of two regularly scheduled peer and group counseling sessions per week
• Increase the availability of mental health intervention services for youth and families through consistent outreach and coordination with community based programs

Total Project Budget: $58,545

Other Funding
Sources For The Project (Committed & Potential): Mary Alice Fortin $5,000 (C) The Batchelor Foundation – $2,000 (C) CICF – $5,000 (C) Plangere – $6,000 (P) Wycliffe; $3,500 (P)

Project Duration: Our Child and Adolescent Program is on-going. However, for the purposes of this proposal, any funding awarded will be expended during the 2019-2020 fiscal year.
Geographical Area Served: Southern Palm Beach County
Age Group To Be Served: 3-18

Contact Information

---

Contact Prefix (Mr,Mrs etc.): Mrs.
Contact First Name: Helya
Contact Last Name: Ortiz
Contact Title: Executive Director
Contact Phone: 561-504-3640
Contact Email: helya@palmbeachmentalhealth.org

Hermanowski Family Foundation Initial Request Form

---

Organization Name: Springfield Boys & Girls Club
Legal Name (if Different): SBGC
Also Known As:
Mailing Address: 481 Carew Street
City: Springfield
State: MA
Postal Code: 01104
Main Phone: 4137327201
Main Fax:
Organization Website: www.sbgc.org
Employer ID Number: 04-1858620
Organization Tax Status: 501(c)3

Proposal Information

---

Today’s Date: 3/4/2019
Requested Amount: 10000

Project Title: Job Ready Program
Project Description:

In a city where 42.3% of all children under the age of 18 live below the federal poverty level (US Census Bureau 2018), it is critical that SBGC continue to provide no- or low-cost access to high-quality youth development programming, despite rising organizational costs. Our Job Ready Program provides youth ages 13-16 with job readiness skill development opportunities to enable youth to break the cycle of poverty.

We will use funds to offer all teens interested in a job within the club during the school year and summer months. Teens 13-16 years old will be given 15 hours of work per week. The weekly stipend is $75, and paid during the regular Club pay cycle. They are also instructed on resume writing, mock interviewing, dress for success, and money matters.

Total Project Budget: 50000

Other Funding
Sources For The Project (Committed & Potential): $5,000 from Berkshire Bank in 2018-2019; $10,000 from Chicopee Savings Bank in 2019-2020

Project Duration: Annual running academic and summer months
Geographical Area Served: Springfield MA
Age Group To Be Served: 13-16 year olds

Contact Information

---

Contact Prefix (Mr,Mrs etc.): Dr.
Contact First Name: Jennifer
Contact Last Name: Higgins
Contact Title: Grant Writer
Contact Phone: 4136265151
Contact Email: jhiggins@sbgc.org

Hermanowski Family Foundation Initial Request Form

---

Organization Name: Worcester Chamber Music Society
Legal Name (if Different):
Also Known As: WCMS
Mailing Address: 323 Main Street
City: Worcester
State: MA Massachusetts
Postal Code: 01608
Main Phone: 5087575006
Main Fax:
Organization Website: www.worcesterchambermusic.org
Employer ID Number: 20-8538873
Organization Tax Status: 501(c)3

Proposal Information

---

Today’s Date: 3/4/2019
Requested Amount: 5000

Project Title: Neighborhood Strings
Project Description:

Neighborhood Strings is a collaboration between the Worcester Public Schools (Woodland Academy; Clark Street School), The Seven Hills Charter Public School, Clark University, and the Worcester Chamber Music Society, Neighborhood Strings seeks to transform the lives of urban youth through music. Neighborhood Strings provides low-cost rental instruments, after-school music lessons and ensembles in string instruments, intensive mentorship by Worcester Chamber Music Society teaching artists, field trips to concerts, and local performing opportunities to 75 youth (ages 6-17) from the Main South and Downtown neighborhoods during the school year. Neighborhood Strings provides instruction and instruments for at-risk urban school children in Worcester, MA for little-to-no charge throughout the school year. We waive the fee for students that are unable to pay the nominal fee.

Total Project Budget: 147,000

Other Funding
Sources For The Project (Committed & Potential): Cahn Fund for Social Change, WebsterFive, CDQ Foundation

Project Duration: Annual running 9/1/2019-5/31/2019
Geographical Area Served: Worcester MA
Age Group To Be Served: 6-17 years

Contact Information

---

Contact Prefix (Mr,Mrs etc.): Ms.
Contact First Name: Tracy
Contact Last Name: Kraus
Contact Title: Executive Director
Contact Phone: 5087575006
Contact Email: tracy@worcesterchambermusic.org