HFNJ/SITE VISIT COVER SHEET Time: 10 AM ID Agency Name

HFNJ/SITE VISIT COVER SHEET Date: Thursday, July 15, 2021 Time: 10 AM ID # 4132 Where: Zoom Videoconference Program Officer: Lisa Block Agency Name: Make the Road New York – Make the Road New Jersey (MTRNJ) Project Title: Comunidades Saludables1 – Year 3 Expansion/Mental Health Services Pilot Agency Annual Budget: $ 1.7 M Total Project Amount: $150,000.00 Requested Amount: $100,000.00 Brief Description: With funding from HFNJ since 2019 Make the Road New Jersey (MTRNJ) has established a model peer-led community health worker program in Newark2 which continues to has evolve to meet the growing and urgent health needs of undocumented LatinX immigrants. Two part-time bilingual promotoras have helped thousands of residents obtain affordable and free healthcare, navigate appointments, understand health information, and apply for/access benefits for themselves or citizen children. 2020-21 Highlights The immigration crisis and pandemic have taken a tremendous toll on the health and well-being of LatinX immigrants. MTRNJ promotoras and other staff have been addressing more complex needs and supported thousands more people. Once COVID hit, promotoras maximized their use of social media, virtual platforms, telephone/texting and safe in-person meetings. They became a lifeline to these communities, helping families deal with disease (medical and other needs), safely quarantine, address employer safety, meet basic needs, and bury their dead including in countries of origin. Promotoras are also facilitating vaccinations. The attached Interim Report documents key outcomes to date; MTRNJ has largely surpassed its goals. Proposed Funding There is tremendous unmet need among undocumented immigrants for mental health services, many of whom are uninsurable, Spanish-speaking and suffering from trauma. Increased funding in Year 3 will enable the hire of a third promotora for Newark 15 hours per week to meet the higher demand for health-related assistance and support a new mental health

1 Healthy Communities 2 The promotora initiative also serves immigrants in Elizabeth, but HFNJ and other funds dedicate staff to Newark.

initiative establishing Spanish/English support groups in partnership with Rutgers University and possibly other local mental health providers if the pilot demonstrates success. The mental health pilot will engage graduate students in psychology and social work from the Rutgers Graduate Psychology Clinic in facilitating support groups over the course of the year in 8-sesson cohorts. Groups will mostly meet virtually but at least one will be offered in a safe outdoor space. Based on the needs identified, there will be at least one bereavement group and one English-speaking group for Dreamers (unaccompanied minors/young adults). Groups will be organized by age, language and experience. Between 90 – 120 individuals will benefit and at least 1,000 immigrants will know about the program and be receptive to counseling. A description of outcomes can be found in the proposal. The role of the promotoras in this work will be to educate immigrants 1:1 via street outreach and other communications about the new program and its benefits; generate referrals to the support groups; and assist clinicians in understanding their clients’ needs including cultural. Strengths: 1. MTRNJ promotoras have become expert case managers as well as trusted health coaches

and educators. Their investment in this work has helped realized even greater impact. 2. MTRNJ promotoras work closely with MTRNJ staff including the Legal Director and COVID-

19 Director, and community agencies such as NJ Citizen Action and ICC. 3. The Mental Health Initiative will reduce barriers to counseling, one of the most urgent

needs in the community. Clinicians, aided by the promotoras, will use a culturally competent trauma-informed approach focused on self-care, resiliency and healing. Legal clients will all have access and the scale of the program may expand if there is early success (MTRNJ staff plans to meet with other mental health providers such as Main Street Counseling to develop options). The lessons of the pilot will help inform decisions on whether the organization should formalize mental health services as a service component.

4. Similar to the approach of the Newark Street Team, promotoras will engage in street

outreach and 1:1 coaching to reduce stigma and refer/follow clients in need. They are deeply invested in the proposed initiative.

5. Workforce health and safety is a crucial need that will be addressed in a separate effort. Challenges: 1. The amount requested in Year 3 has gone up, to expand services and address the impacts of

COVID-19. The grants budget for the Year 2 project is included in the packet.

2. Sustainability may take another year or two, however, some new grants have been secured and data from the pilot will help leverage other funds. The executive director is actively

seeking support from various new sources. Countering this, the pandemic has destabilized health and mental health, and marginalized groups need counseling more than ever.

3. MTRNJ staff and Rutgers may need to put together a cogent plan for data collection for the mental health component. Additional capacity for program assessment overall would probably be helpful.

4. The evaluation chart may need tweaking.

5. Clarification is needed to understand the numbers of people receiving guidance and

assistance by the promotoras. Expected Agency Attendees: MTRNJ – Sara Cullinane, Executive Director; Legal Services Director; COVID-19 Response Coordinator; promotoras TBD. PRIOR GRANTS TO AGENCY

Grant Year Project Title Grant Amount Disposition Date 2020 Comunidades Saludables – Year 2 $ 70,178 9/14/2020 2019 Immigrant Access to Health Care Project $61,100 9/16/2019

Total Grants Approved: $131,178.00 Total Number Grants: 2 Last Grant Approval Date: 9/16/2019 Last Grant Approved Amount: $61,100.00

Attachments: __X__ Proposal __X__ Project Budget __X__ Other -Evaluation Chart, Interim Report & Budget 2020 Grant, Board List

RENEWAL REQUEST

Date of application: 5/17/2021 Grant: 4132

Title: Comunidades Saludables

Applicant: Make the Road New Jersey, a project of Make the Road States; 301 Grove St, Brooklyn, NY 11237

Chief Organizational Contact: Arlenis Morel, Executive Director

Tel: (718) 418-7690

[email protected]

Grant Request Contact: Ms. Sara Cullinane, Director of Make the Road New Jersey

Telephone: (908) 768-4991 Email: [email protected]

Project Budget: $150,000

Requested Amount: $100,000

Program Period: 10/1/2021-9/30/2022

Organizational Budget: $ 1.7 M

Organizational Background: A brief one paragraph description of agency mission and history, the popula-

tions that your agency serves, geographic and socio-economic focus and significant current initiatives

Make the Road New Jersey builds the power of immigrant and working class communities to achieve dig-

nity and respect through community organizing, the provision of legal and support services, policy innova-

tion and transformative education. MRNJ serves more than 15,000 immigrant families annually through our

service hubs in Elizabeth, Newark, Passaic and Perth Amboy.

Program Summary: summarize the primary focus of your proposed work, include your overarching goal and

anticipated outcomes. The next year is crucial for the recovery of our communities from the pandemic.

MRNJ will conduct intensive outreach, training and referrals to improve health access and outcomes among

low-income Latinos in greater Newark. First, through a peer-to-peer "promotora" program, MRNJ promo-

toras will conduct outreach to hard-to-reach immigrant communities to educate them on their eligibility for

health care services, public and subsidized health insurance and vaccines. Promotoras will also educate

community members on the importance of mental health and will create mental health support groups to

help low income Spanish speaking community members access mental health services.

Prospective number of people served: MRNJ will serve 7,000 low income immigrant and Latinx people

Project Accomplishments and Lessons Learned: Describe the project activities you completed in the past

year’s grant. What specific outcomes have been achieved to date? How has COVID-19 affected your work?

Address goals that have not been met or work that has not been completed. What lessons have been

learned that will be applied next year? How is the project changing as you move forward?

Throughout the pandemic, Make the Road New Jersey has become an increasingly trusted partner for im-

migrant families and workers, providing critical information, training and helping to connect thousands of

individuals and families to testing, vaccines and care. Our promotoras’ phones are ringing off the hook and

all of our workshops on health care, workplace safety and immigrant rights during the pandemic have been

oversubscribed. We have surpassed our goals in outreach and trainings only six months into the year. The

promotoras, with additional training, are now able to not only refer individuals for health care and health

insurance and charity care, but have also been able to identify and train thousands on workplace safety vio-

lations, and connect hundreds to vaccines. They have done significant work to dispel myths around the vac-

cine and to work with individuals to overcome fears to report workplace violations to the state.

MRNJ helped to connect 472 individuals with vaccines so far through partnerships with Essex and Union

County and the State Department of Health and FEMA. By creating these partnerships we were able to re-

fer individuals who were high risk and from underserved communities to receive vaccines in March without

having to use the often complex and burdensome online registration and appointment booking system that

can be difficult for community members to use if they are limited English proficient or do not have access

to a computer.

MRNJ also was able to raise an additional $110,000 and receive matched funds to provide direct cash assis-

tance to hundreds of immigrant families that were excluded from federal aid in the form of gift cards.

MRNJ’s mutual aid program, administered with support from the promotoras, delivered food and medica-

tion to 34 community members that were sick with COVID and could not access food or aid.

We worked with community members and partners that we met through the Healthcare Foundation of

New Jersey and NPR/Gothamist to create a multi-part series on Latino health in New Jersey during the pan-

demic. Karen Yi, the reporter, examines three facets of Latino health during the pandemic – access to

health care, workplace conditions and housing - and investigates why Latino men under age 50 make up

almost 50% of deaths in that age group while only comprising 12% of the population. In it, she profiles one

of the families we work with and also interviews Dr. Frank Dos Santos from Clara Maass.

We will focus on access to vaccines for the next six months and will create partnerships with Essex County

and the city of Newark to streamline vaccine access for community members.

Although we have already surpassed our goals in terms of worker trainings and individual case referrals for

workplace safety, we will continue to provide these trainings because the instances of workplace violations

of safety protocols, paid sick days and FMLA protections was so rampant.

Finally, during the pandemic, mental health stressors have only become more pronounced. MRNJ con-

ducted a survey of 225 immigrant families and found that two thirds of all respondents reported feeling el-

evated levels of stress. Half of all respondents reported being sad in the past month and that nothing could

cheer them up. Many people who took the survey reported worries for themselves (or loved ones), many of

whom are essential workers getting exposed to COVID-19; the intense stress of unemployment or reduced

hours among working adults in a household; widespread worries around making rent, paying bills and hav-

ing enough to eat; the difficulty of balancing caregiving responsibilities and supporting children’s wellbeing;

and the challenges of being isolated and separated from family members.

Objectives: List, chronologically or in order of importance, the specific objectives of your proposed work

and the specific activities to be undertaken to reach each objective, as they correspond to the HFNJ Project

Evaluation Logic Model. Indicate the staffing required and the timing for each objective. Indicate how you

will accommodate ongoing affects of COVID-19.

MRNJ will continue to provide health access and workplace safety trainings to Latinx community members

in the greater Newark area as we have done in 2019 and 2020.

To address this growing mental health crisis among immigrant and Latinx families, MRNJ will pilot a direct

service delivery model to provide support groups to immigrant young people and adults and create a more

comprehensive mental and behavioral health referral system to connect nearly one thousand immigrants

to mental health care. The communities that will benefit are low income immigrant, Latinx youth and

adults, including undocumented immigrants and others who are uninsured and ineligible for public health

insurance. At a time of extreme loss due to COVID-19, which has disproportionately impacted Latinx New

Jerseyans, and in which most families we work with are experiencing economic loss, coping with illness and

death, this programming is critical to our clients survival and wellbeing.

There are two prongs to our approach:

First, MRNJ will pilot immigrant mental health support groups with the aid of trained counselors that are

part of a network of providers we work with, including Sanar and Rutgers University graduate psychology

clinic. MRNJ will work to identify other local mental health providers, for example Main Street Counseling,

for partnership. Based on principles of trauma informed care, the support groups will meet weekly for 8

weeks and then will provide additional referrals for further mental health care for participants, as needed.

The purpose of the groups is to promote resilience, provide support, and teach self-care and copying strate-

gies to immigrants. There will be 6-8 groups in total. The groups will be organized based on age, language

and experience. There will be a Spanish language group for immigrant adults, an English speaking group for

young adult “Dreamers” and a bereavement group for individuals who have experienced loss, particularly

relating to COVID (we have lost several clients/members during the pandemic).

The group will be led by a social worker or psychologist with clinical experience in group leadership, trauma

and teaching self-care. The support groups will focus on providing strategies for resilience and self-care us-

ing a trauma informed methodology developed by the providers. MRNJ’s promotoras’ role is to support

the creation of these groups, but the actual support groups will be facilitated by trained mental health

counselors. MRNJ will use zoom or outdoor meeting spaces in Newark and Elizabeth so that immigrant

adults or young people can obtain care while continuing to socially distance.

MRNJ has already piloted a first support group through a partnership with SANAR. Based on the initial suc-

cess, MRNJ seeks to expand the pilot.

Second, MRNJ’s health navigator or “promotora” will provide behavioral and mental health care referrals

that will be available to each client in our legal services program. This will ensure each of our 800+ clients

obtains information about mental health referrals and assistance in connecting with the provider should

they wish to pursue assistance. Our navigator will support clients to obtain information about referrals,

connect with referrals and develop partnerships to ensure clients are connected with culturally competent

care. She will also create referral documents in Spanish and English and materials that explain the im-

portance of behavioral health and mental health care and break down stigma.

This work will be supervised by our legal director and supported by our COVID response coordinator.

Outcomes: For each objective noted above, discuss the specific outcomes that you plan to achieve, includ-

ing both process outcomes (i.e., number of sessions held, people served, etc.) and change outcomes (im-

provements in health, changes in behaviors, attitudes, skills, and/or knowledge acquired; increased access

to services, collaborations, etc.)

For the mental health support groups, the support groups will meet weekly for 8 weeks with 15 partici-

pants each, and then will provide additional referrals for further mental health care for participants, as

needed. The purpose of the groups is to promote resilience, provide support, and teach self-care and copy-

ing strategies to immigrants. There will be 6-8 groups in total. The groups will be organized based on age,

language and experience.

Using a mutual-aid approach which emphasizes that self-care and well-being is a collective goal for the par-

ticipants and the organization, participants will:

· Develop collaborative, supportive and healthy relationships with each other;

· Learn tools for self-care including stress management and mindfulness techniques, and also for

recognizing signs of burnout;

· For the bereavement group: learning to cope with loss of a loved one and help others cope with

grief.

In addition, 1,000 immigrants will receive referrals for mental health care through our legal services and

promotora program.

For health care outreach: MRNJ will conduct street out-reach to recruit individuals to workshops and will

recruit through partner organizations, who will have a sign up list.

Spanish language educational sessions will be held in Newark churches and schools. Community partners

to include Ironbound Community Corporation, La Casa de Don Pedro, St. Lucy’s and St. Stephen’s Churches,

East Side High School and Lighthouse Assembly of God.

1 informational session per week reaching 4,000 community members

Impact Outcomes Include:

• Increased understanding of rights as immigrants in the healthcare system;

• Increased awareness of the benefits of health insurance

• Knowledge of community health care options

• Participants will understand their eligibility to obtain health care for themselves and their family

• Referrals to health care services and vaccines

• How to apply for charity care, public health insurance or health insurance

Promotoras will assist at least 200 immigrants to screen for workplace health safety issues and to address

issues in the workplace with the assistance of the legal team.

Evaluation Plan: How do you plan to evaluate your project? Set forth your evaluation plan, referring to the

HFNJ Evaluation Chart/Logic Model. How will you collect your data (i.e., observation, interviews, question-

naires, checklists, surveys, focus groups, sign-in sheets, electronic records, notes, etc.)? What instruments

will you use (i.e., pre and post surveys, Beck’s Depression Scale, ACES, documented observations, struc-

tured interviews/observations, etc.)? Who will be responsible for data collection? Who will be re-

sponsible for the analysis of that data?

Make the Road New Jersey has significant experience collecting, analyzing, and reporting on participant-

level data. We employ a customized web-based database using the Salesforce platform to track participants

in our programs. Data collection covers all major points of demographics, including country of origin,

household make-up, education levels, and dozens of optional fields customized for each program. Staff

who will be working on this program have years of experience evaluating the effectiveness of programs,

both through the careful collection and analysis of data to track process and outcome indicators.

As is our consistent practice at MRNJ, we will implement an evaluation plan at the beginning of the project

in order to capture and document actions contributing to relevant project impact and outcomes. By collect-

ing data from the beginning, we will be able to aggregate reports on the number of participants, the num-

ber of interactions and workshops held by each promotora, and the outcome of each workshop or

intervention. We will consolidate available data on a monthly basis to track our progress towards the pro-

ject outcomes. Two qualitative mechanisms will be used to track outcomes:

1) Post-quizzes from comprehensive informational workshops, individual outreach, and community leader

workshops document increased knowledge of health insurance, immigrant rights to access health care,

public charge concerns and increased awareness of health disparities and numbers of individuals reached

through our outreach efforts.

2) Focus groups pre and post health sessions to review changes in health habits and outcomes for program

participants.

Sustainability: What specific steps have you taken to achieve sustainability for this project? Set forth a plan

for future sustainability/ how this project will continue once funding from HFNJ is no longer provided?

MRNJ has secured a 26,000 matching grant from the Community Foundation of New Jersey - Farris Family

Foundation- for the mental health portion of the project. MRNJ has also applied for a $5,000 grant from

Victoria Foundation to continue this work and will use some funds from RWJ to continue the workplace

safety outreach.

Budget Narrative: Be sure to download and use the HFNJ Grant Application Budget Form, which must be

submitted with your request. Explain each of the major lines of your budget. Be sure to include other ma-

jor sources of funding for this project such as grants, donations, fundraising, and reimbursements. Indicate

whether these sources are anticipated or have been received.

This proposal seeks funding for salary and fringe benefits for three part time promotoras who will work 20

hours per week at a rate of $15 per hour with two weeks paid vacation. We are seeking to increase the pro-

motoras from 2 to 3 so that we can provide additional assistance to individuals to create the mental health

groups. We also seek funding for a portion our legal team, which will provide assistance making workshop

materials and informational brochures and will also conduct one on one appointments and intakes with in-

dividuals with questions on accessing workplace health and safety. MRNJ's services coordinator will also

support the creation of the mental health groups. We also seek funding for the Legal Director's time for su-

pervision of the program.

Acknowledgement: How will you acknowledge HFNJ’s support of this project?

Make the Road New Jersey will acknowledge the Health Care Foundation of New Jersey on our website, so-

cial media and in promotional material for the project.

The Healthcare Foundation of New Jersey Grantee Project Evaluation Chart

Make the Road NJ

Comunidades Saludables (Healthy Communities) - Grant Year #3 Updated July 12, 2021

PROJECT GOAL: Improve access to essential healthcare and mental health services for Latinx immigrants in Newark

Column 1 Column 2 Column 3 Column 4 Column 5

Specific Objectives Activities Expected Outcomes How Outcomes Will

be Measured

Actual Outcomes (Expected and Unexpected)

(Interim & Final Reports) List your project’s objectives as noted in your proposal.

What activities do you propose to undertake to accomplish each objective?

What specifically do you hope to achieve (i.e. numbers of people served, changes in health indicators, behaviors, and/or attitudes) relevant to each activity?

What methods and instruments will you use to measure your outcomes?

What specifically did you achieve? (Relate to column 3)

1. Connect 4,000 Latinx immigrants with health care and vaccines

1a. Hire third promotora for Newark to educate/assist hard-to-reach immigrants with health literacy and care.

1ai. Bilingual staff will be recruited from Newark’s immigrant community and be onboarded by October 1. Total of 3 promotoras will spend approx. 15 hours/week in Newark and surrounding immigrant neighborhoods doing 1:1 outreach and distribute flyers on health access, vaccines and mental health.

1a. Personnel files. Daily logs kept by

promotora

1.


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be Measured


(Interim & Final Reports) 1b. Weekly social media

posts and periodic text message blasts

1aii. 3500 Spanish-speaking residents will receive flyers with information about health access, mental health services and vaccines and will be provided with contact information for the promotoras.

1aiii. Promotoras will collect contact info from residents needing healthcare assistance. 1b. Posts and text message outreach will reach 50,000 individuals

1aii-iii. Salesforce data tracking client contacts.

1b. Reports generated on social media activities. 1a-b. Salesforce data analyzing calls, needs and assistance provided.


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be Measured


(Interim & Final Reports) 1c. Monthly workshops

on access to health care, health rights and how to access health insurance (virtual)

1c. Min. 500 Newark immigrants will be trained through the workshops in health access and health rights, and will learn where to access quality care and vaccines.

1c. • Workshop sign-ins and

follow-up; • Pre- and post- tests to

measure knowledge • # of individuals able to

access health care, vaccines or enroll in charity care, Medicaid or ACA

2. Improve

workplace safety and health for vulnerable immigrants

2a. Train 2 promotoras in on OSHA1 rules, workplace safety.

2a. Promotoras will receive significant training by MRNJ’s legal team through the month of October and ongoing to prepare to conduct community based presentations on health in the workplace.

2a. Confirmation of trainings. Assessment by supervising staff and partners.

2.

1 US Occupational Safety and Health Agency


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be Measured


(Interim & Final Reports) 2b. Promotoras will

provide community outreach through 1:1street canvassing, phone banking, and community presentations.

Topics will include: - OSHA best practices -COVID safety tips -Family leave rights -how to exercise health care rights in the workplace 2b. Promotoras will assist at least 200 immigrants in understanding/addressing workplace health safety issues, paid family leave benefits and other health-issues in the workplace, i.e. Workplaces to be targeted include warehouses, domestic workers, construction workers and temp agencies.

2b. Reports entered into Salesforce by promotoras tracking individuals referred and individuals with workplace issues that have been remedied through administrative action, legal action or advocacy.


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be Measured


(Interim & Final Reports) Qualitative outcomes include:

• Workers will be informed of their rights

• Workers will be assisted with and able to access workplace benefits, paid leave benefits and will have recourse to remedy any violations of their rights.

3. Improve mental health among immigrant and Latinx community members

( partnership with Rutgers Dept of

3a. Support Groups led by Rutgers Graduate School of Psychology students and RU Psychologist supervisor

3a. Process Outcomes: • 6-8 support groups in

Spanish will be conducted in Year 1 for up to 15 participants each.( 90-120 participants)

3a. Pre- and post- interviews with participants by MTRNJ. Additional data/outcomes will be provided from clinicians.


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be Measured


(Interim & Final Reports) Psychology funded by other sources)

• There will be a Dreamers2 Group, Bereavement group and possibly others

• Each cohort will meet for 8

weeks total. • Support groups will meet

virtually with one in-person option.

• Use a trauma-informed culturally appropriate process, decreasing barriers to help; and fostering resilience, support and strategies to cope with stress and loss

2 Dreamers – unauthorized immigrant minors, who may now be in their 30s with families of their own


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be Measured


(Interim & Final Reports)

Qualitative Impacts: Support group participants will: · Develop collaborative,

supportive and healthy relationships with each other;

· Learn tools for self-care

including stress management and mindfulness techniques, and also for recognizing signs of burnout;

· Strengthen resiliency . For the bereavement group:

learn to cope with loss of a loved one and help others cope with grief.


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be Measured


(Interim & Final Reports) 3b. Promotora

Assistance to Immigrants with Mental Health Concerns

3c. Promotoras and COVID relief coordinator will provide additional referrals to 1000 individuals for further mental health care for participants, as needed.

3b. Promotoras will: • recruit participants through

street outreach and other 1:1 communications

• track clients’ participation and troubleshoot any access issues (N=min. 90)

• educate immigrants about mental health, reduce stigma and fear and encourage referrals for future mental health care

3c. 1,000 immigrants will be

connected with referrals to mental health services

3b. Salesforce entries for referrals; feedback from clients and clinicians. 3c. Salesforce data; client records; data tracking promotora/staff assistance accessing care.

PROJECT INCOME Total Agency Resources

HFNJ Request Other Grants

Agency/Project ResourcesRobert Wood Johnson 20,000 20,000

Farriss Family Foundation 26,000 26,000 Victoria Foundation 4,000 4,000

Reimbursements and FeesOther Grants (List) 100,000 $100,000.00

Personnel

Salaries (List)Promotoras x 3 60,000 60,000 Legal Director 10,000 10,000 - COVID coordinator - .5 FTE

27,500 27,500

Fringe - 31% 30,225 18,600 11,625 Rutgers Psychologist and students

IN KIND

Total Personnel $ 127,725 $ 88,600 $ 39,125

Capital

Capital Expenses (List) Laptops 2,000 2,000

Printer 500 500

Total Capital Expenses $ 2,500 $ - $ - $ 2,500

Administrative

Office Expenses (List)Rent 3,555 3,555

Grant Application Budget Form

The purpose of this Budget Form is to provide HFNJ with complete information about your program/project’s projected expenses and revenues. YOU MUST USE THIS FORMAT to present your budget. You may add categories where necessary.

Organization Name: Make the Road NJ

Total Income $ 150,000

Project/Program Name: Comunidades SaludablesThis budget covers the period: ___10/1/_______2021_ to ____10/1/______2022___

Total Office Expenses $ 3,555 $ - $ - $ 3,555

Program and related

Program Costs (List)Cell phone lines - 70x 12 x 3

2,520 2,520

Travel 6,000 4,000 2,000 Zoom line 1,200 1,200 Translation 4,500 1,680 2,820 Flyers and printing 2,000 2,000

Total Program Costs $ 16,220 $ - $ 11,400 $ 4,820

Total Expenses $ 150,000 $ 100,000 $ 50,000 $ -

PROJECT EXPENSES Total Project Resources

HFNJ Appd.

Other Grants*

Other Grants*

Personnel

Salaries (List)2 Promotoras 20 h x $15 31,200 31,200 Staff attorney 50,000 10,000 40,000 5 % director 4,600 4,600

Fringe 26,598 14,198 12,400 Total Personnel $ 112,398 $ - $ 59,998 $ 52,400 $ -

Capital

Capital Expenses (List) Cell phone service 70x12 x2 for promotoras

1,680 1,680

Total Capital Expenses $ 1,680 $ - $ 1,680 $ - $ -

Administrative

Office Expenses (List)Rent 1,000 1,000 Copies 2,000 2,000 Peer to peer texting 1,200 1,200 Chart paper and markers 200 200

Total Office Expenses $ 4,400 $ - $ 4,400 $ - $ -

Program and related

Program Costs (List)Travel for promotoras 500 500 Space Rental 3,600 3,600

Total Program Costs $ 4,100 $ - $ 4,100 $ - $ -

Project/Program Name:This budget covers the period: _____10/1/2020 to ____10/1/2021____

$ - Total Expenses

Healthcare Foundation of New Jersey Grant Application Budget Form

The purpose of this Budget Form is to provide HFNJ with complete information about your program/project’s projected expenses and revenues. YOU MUST USE THIS FORMAT to present your budget. You may add categories where necessary.

Organization Name: Make the Road New Jersey

$ 122,578 $ 70,178 $ 52,400 $ -

* If there are other major sources of funding for the project to be supported by this grant, please list them individually in these columns. Add additional columns if necessary.

PROJECT INCOME Total Agency/Project Resources

Office space, internet, computers

Reimbursements and FeesVictoria Foundation 32,400

Farriss Foundation 20,000 HFNJ Foundation 70,178 70,178$

Total Income $ 122,578 $ 70,178 $ 52,400

* If there are other major sources of funding for the project to be supported by this grant, please list them individually in these columns. Add additional columns if necessary.

MAKE THE ROAD STATES, INC. BOARD OF DIRECTORS

Lorelei Salas, President Amy Carroll, Treasurer / Secretary Walter Barrientos, Finance Committee Member Oona Chatterjee, Board Member Deborah Axt, Board Member Javier Valdes, Board Member

Documents

HFNJ/SITE VISIT COVER SHEET Time: 10 AM ID Agency Name