Hermanowski Family Foundation Initial Request Form

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Organization Name: Goodwill Easterseals Miami Valley
Legal Name (if Different):
Also Known As: GESMV
Mailing Address: 660 S. Main Street
City: Dayton
State: Ohio
Postal Code: 45432
Main Phone: 937-461-4800
Main Fax:
Organization Website: www.gesmv.org
Employer ID Number: 31-0537112
Organization Tax Status: 501c3

Proposal Information

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Today’s Date: 2/3/26
Requested Amount: $10,000.00

Project Title: Child Screening Service with Early Mental Health Component
Project Description:

Goodwill Easterseals Miami Valley’s Child Screening Services (CSS) with Early Childhood Mental Health
(ECMH) identifies developmental delays and behavioral health concerns in children ages 0–5. Program staff
conduct free developmental and mental health screenings in area childcare centers, checking for indications
that a child has reached appropriate developmental milestones. If milestones are delayed or unmet, referrals
are made for appropriate intervention services. The goal is that children will have caught up with their
typically developing peers by the time they enter school. The program also includes Therapeutic Intervention
Preschool (TIP) classrooms for children with significant needs. TIP classrooms provide intensive support to
prepare students for mainstream education by maintaining high teacher to student ratios and staffing
classrooms with early childhood mental health professionals. Services are free to families and focus on
underserved communities in the Miami Valley.

Total Project Budget: $368,651.00

Other Funding
Sources For The Project (Committed & Potential): Fred and Alice Wallace Charitable Fund, $4,00.00 (pending); Frank M. Tait Foundation, $25,000.00 (committed); PNC Foundation, $10,000.00 (committed); Community Foundation for Kettering, $4,200.00 (committed); Stouder Memorial Foundation, $10,000.00 (committed); Reynolds and Reynolds Associate Foundation, $1,000.00 (committed); G. William Hartzell Fund, $2,000.00 (committed); Iddings Foundation, $10,000.00 (committed); Mathile Family Foundation, $30,000.00 (committed); Kettering Family Philanthropies, $20,000.00 (committed); Springfield Foundation, $10,000.00 (committed)

Project Duration: Ongoing; Funding will be spent within grant period
Geographical Area Served: Western and Southwestern Ohio
Age Group To Be Served: 0-5 years

Contact Information

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Contact Prefix (Mr,Mrs etc.): Mrs.
Contact First Name: Samantha
Contact Last Name: Panson
Contact Title: Annual Fund & Community Engagement Manager
Contact Phone: 937-528-6515
Contact Email: s.panson@gesmv.org