Welcome to RYASAP_ Catalyst for Community Change

Program application Respond ASAP – Space Limited Program Information Please note: In order to complete this application your program is required to be part of an IRS 501c3 organization.
1. If your program is planning on doing gender-specific programming for girls/teens/young women in the future please describe the planned program (skip any questions that are specific to programs already in operation):
2. (If applicable) Name of non-profit organization where your program resides:
If you are part of a larger organization please answer the following questions for your Program only:
3. Name of Program:
4. Number of years program has been in existence:
5. Street address, City, State, ZIP:
6. Phone number:
7. Fax number:
8. Email (must be a valid email address):
9. Web site:
10. Name of Executive Director:
11. Name and title of contact person who will be coordinating any staff who might be attending the trainings throughout the year: (We understand that training attendees may change throughout the program due to the nature of the training topics offered)
12. Is your program a school-based program?	Yes No
13. Is your program a faith-based program?	Yes No
14. Total number of employees:	full-time employees part-time employees volunteers
15. Please list all the funding sources your program currently has and include the percentage of the total budget that the source covers (i.e., grants – 25% , federal funding – 50%)?
16. For those currently doing gender-specific programming for girls/teens/young women, please describe your program’s mission:
17. Please briefly describe the population that you work with (include ages served by program) and include the number of girls/teen/young women that your program serves?
18. Does your program collaborate with community partners?	Yes No
19. If yes, can you list them and briefly describe how you work together?
20. Are the current program participants (girls/teens/young women) formally involved in:
– Program planning?	Yes No
– Developing activities?	Yes No
– Evaluating the program?	Yes No
– Advocating for the program?	Yes No
– Giving program feedback?	Yes No
21. Has your program ever been evaluated? Please provide a brief description and indicate whether it was in-house or external:
22. Although trainings will be delivered in the order and way that best dovetails with the needs of the group, the series will most likely cover many of the topics listed below. Please rate the need for each training topic within your current organization using the scale of 1 to 5. In other words, a topic rated 5 would indicate that it's an area you feel is very important to develop within your organization. (The first three trainings covered by Raising the Bar have been established - Best Practice program models, Evaluation Methods, and Assessment Tools.) Training Topics for Girl Driven Programs Please check one box per topic: 1 – least needed to 5 – most needed
The “How to” of gender specific programming	1 2 3 4 5
Relevant technology	1 2 3 4 5
Marketing your program	1 2 3 4 5
Engaging with parents & other constituencies	1 2 3 4 5
Cultural diversity sensitivity & issues	1 2 3 4 5
Organizational Sustainability	1 2 3 4 5
Fundraising	1 2 3 4 5
Financial Management	1 2 3 4 5
Grant Writing	1 2 3 4 5
23. Please list any other topics/trainings you feel would benefit your group?
24. What is your preferred mode of delivery for the trainings: (check each type)
– In-person	Prefer Indifferent
– Conference calls	Prefer Indifferent Do not have necessary equipment
– Webinars*	Prefer Indifferent Do not have necessary equipment
* Webinar is short for web-based seminar. Participants view the presentation through their Web-browser and listen to the audio through their telephone. Necessary equipment: computer with internet access and a phone.
25. Please indicate your preferred time of day/day of the week to attend training sessions (check as many as you would like):
Day of the week:	Monday Tuesday Wednesday Thursday Friday
Time of day:	10 a.m. to noon 1 p.m. to 3 p.m. 3 p.m. to 5 p.m. Evening
26. What are the main goals that your program would like to get from attending this TA program: Please check one box per topic: 1 – least needed to 5 – most needed
– Staff training	1 2 3 4 5
– Make program more girl(gender)-driven	1 2 3 4 5
– Sustainability	1 2 3 4 5
– Improve program evaluation/effectiveness	1 2 3 4 5

Program application

Program Information