Hermanowski Family Foundation Initial Request Form

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Organization Name: Agassiz Village
Legal Name (if Different): Agassiz Village Founded by Mr. & Mrs. Harry E. Burroughs
Also Known As: Agassiz Village Summer Camp
Mailing Address: 238 Bedford Street, Suite 8
City: Lexington
State: MA
Postal Code: 02420
Main Phone: 781-860-0200
Main Fax: 781-860-0352
Organization Website: www.agassizvillage.org
Employer ID Number: 04-2160531
Organization Tax Status: non-profit 501(c)(3)

Proposal Information

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Today’s Date: 3/20/15
Requested Amount: $5,000

Project Title: Learn to Swim Program
Project Description:

The Agassiz Village Learn To Swim program is an individualized, instructional swim program offered to all campers at all skill levels. The program follows the guidelines of the American Red Cross program levels and is overseen by an American Red Cross certified lifeguard and/or water safety instructor. The intent of this program is to build the camper\’s self confidence and sense of accomplishment through skills advancement.
Our Learn To Swim program offers an opportunity for individual campers to challenge themselves and for groups of campers to show encouragement and support to their fellow campers. The program is organized, executed, supervised, and evaluated by the Agassiz Village Waterfront Director. The Waterfront Director develops age and skill appropriate instructional swim plans, supervises swim instructor staff, ensures safety and a positive, encouraging environment for the program, and evaluates the progress of each participant along with overall program deliverables. The Waterfront Director reports directly to the Camp Director.
Each camper’s skills are assessed on the first day of the session. By the end of the two-week session each camper will have participated in at least four instructional swimming activity periods and a minimum of four recreational swim periods. Every camper will actively participate in each of their instructional swimming activity periods, will have 45-minute instruction with a qualified Agassiz Village swim instructor, and receive an achievement assessment from the Agassiz Village waterfront director at the end of their session. There is an official ceremony at a camp-wide assembly to present the awards to campers who achieved a next skill level.
A $5,000 grant from the Hermanowski Foundation will allow us to upgrade our equipment (life jackets, kick boards, “noodles”, first aid, waterfront and life guard supplies) and support the cost of staffing and insurance.

Total Project Budget: $30,000

Other Funding
Sources For The Project (Committed & Potential): $25,000

Project Duration: Six week summer program
Geographical Area Served: Greater Boston Massachusetts
Age Group To Be Served: Low income boys and girls age 8-17

Contact Information

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Contact Prefix (Mr,Mrs etc.): Mr.
Contact First Name: Scott
Contact Last Name: Kennedy
Contact Title: Development Director
Contact Phone: 781-860-0200
Contact Email: skennedy@agassizvillage.org