INTRODUCTION AND PURPOSE

The 84 is a statewide movement of youth fighting tobacco in Massachusetts. The 84 represents the 84% of Massachusetts youth who did NOT smoke when the movement began. Now, 86% of youth do NOT smoke.

It’s time for The 84 to take action! The 84 Movement is excited to award mini-grants to further the work of The 84 and combat the influence of the tobacco industry to make our communities healthier, more just and more tobacco-free!

The 84 Movement Mini-Grant Details:

  • Number of awards: Up to 5 Chapters will be funded
  • Funding range: $2,000
  • Mini-grant period: February 2014 – June 2014
  • Overall eligibility: Applying groups must have at least 5 youth and 1 adult advisor who will work on the project, and must be registered for year 2013-2014 as an 84 Chapter at time of application. Register at .
  • Specific requirements: In an effort to focus on communities with a high smoking rate OR high retail store density per population, this mini-grant opportunity will be available only for the following communities: Boston, Brockton, Cambridge, Chelsea, Chicopee, Everett, Fall River, Fitchburg, Greenfield, Holyoke, Lawrence, Lowell, Lynn, New Bedford, North Adams, Palmer, Pittsfield, Quincy, Revere, Somerville, Springfield, Taunton, Webster, Worcester
  • Priority: Priority will be given to Chapters that have not already received an 84 mini-grant for the 2013-2014 school year.

EXPECTED DELIVERABLES AND IMPORTANT DATES

CALENDAR ITEM / DESCRIPTION / DATE
Release of Application / Distribution to networks, posting on website / Friday, January 24
Grant Deadline / Grant applications (1 original and 4 copies) due / Friday, February 14 by 5pm
Award Notification / Notification of grant awardees / Wednesday, February 26
Regional trainings / Additional regional trainings will be available. (Attendance: 5 youth and 1 adult) / Dates and locations TBA
Technical assistance / The 84 Movement staff will provide technical assistance. We will work with grantees to assist them remotely or in-person, based on their needs. / Dates and locations TBA
Kick Butts Day / Celebration of youth empowermentat the MA State House to allow youth and legislators to build relationships with each other. At least 2 youth and 1 adult are required to attend. Regional bus transportation will be available. / Wednesday, March 19, 2014
This event takes place on a school day.
Final Report Deadline / Final reports and all supporting materials are due no later than Friday, June 13th. / Friday, June 13, 2014
Mini-Grant Opportunity
Project: Local tobacco use data on flavored cigars and flavored e-cigarettes
PART 1: Obtain the YRBS data /
  • Schools across MA conduct surveys (i.e.Youth Risk Behavior Survey, Youth Health Survey, etc.) to collect information on different health topics that affect young people, including tobacco use.
  • Local survey data is important for tobacco prevention effortsbecause itinforms decision makers about key tobacco issues that need to be addressed in the local communities.
  • Because school administrators have the authority to release this data, part one of this mini-grant is to request tobacco use information from school administrators (i.e. cigarette smoking, cigar use, etc.) and explain to them that this data will be usedto educate decision-makers about how their community is influenced by tobacco and create more tobacco prevention efforts in the community.
  • Reportinformation you collect on your final mini-grant report.

PART 2: Conduct a peer-to-peer survey in your local high school /
  • A short online survey will be provided with three to five simple questions for young people to answer about their tobacco use, specifically related to flavored cigars and flavored e-cigarettes
  • Haveas many of the student body take the surveyto have enough information to present to decision makers (at least 25% is best).
  • Answers to all survey questions will be anonymous.

PART 3: Take action around the issue /
  • After the data from the school is collected, take action around the issue using the survey results (e.g. a presentation for school administrators or health classes; an activity to educate the students about the tobacco industry’s tactics, etc.).

PART 4: Presentation to Local Decision Makers /
  • Presentsurvey findings to the local board of healthBoard of Health or other local decision-makers with the authority to pass local policiesand ask them to commit to fighting Big Tobacco.
  • ReferBoard of Health or otherlocal decision-makerswith the authority to pass local policies to local tobacco control program

APPLICATION PROCEDURES

The following is a list of steps for filling out your application:

  1. Verify the overall and specific mini-grant eligibility requirements listed on the cover sheet.
  2. Register as a Chapter of The 84 at
  3. Register to attend Kick Butts Day and submit the consent forms (at least 2 youth and 1 adult required to attend). Register at
  4. Complete the application for the mini-grant. Please type all answers.
  5. Mail 1 original and 4 copies of the entire mini-grant package to Health Resources in Action, RECEIVED no later than Friday, February 14 by 5pm: Health Resources in Action, Attn: Leah Kuhlmann, 95 Berkeley St., Suite 208. Boston, MA 02116

Cover Sheet

1. NAME OF YOUTH GROUP / 4. SPONSORING ORGANIZATION/ COALITION CONTCT INFORMATION
Name of Organization/ Coalition:
2. YOUTH CONTACT INFORMATION (5 youth) / Contact Name:
Name: Grade: / Title:
Name: Grade: / Mailing Address:
Name: Grade: / Phone:
Name: Grade: / Email:
Name: Grade: / To whom should the grant check be written?
3. ADULT ADVISOR CONTACT INFORMATION / Full address where the grant check should be sent:
Name:
Title:
Organization: / 5. GRANT DETAILS
Mailing Address: / Previous Grantee? Yes No
Phone: / Number of youth currently in group:
Fax: / Number of youth to be engaged in project:
Email: / High School to be surveyed:
Estimated number of students that attend the high school to be surveyed:
We have confirmed with school administrators that they will release the YRBS data to us: YES NO NOT YET
We have confirmed with school administration that they will approve our efforts to collect school tobacco use data and take follow-up actions: YES NO NOT YET

MINI-GRANT ELIGIBILITY AND AGREEMENTS

6. MINI-GRANT ELIGIBILITY AND AGREEMENTS (Put a check mark next to each eligibility requirement and agreement to ensure that your group’s eligibility)
□ Applicant groups are currently registered as a Chapter of The 84 (register at
□ At least two youth and one adult are registered to attend Kick Butts Day on March 19, 2014 (register at
□ Applicant has checked with school administration or community group administration to verify that grant funds are able to be accepted.
□ Applicants are existing high school-age youth groups (e.g. SADD, student council, sports team, health careers club).
□ Applicant groups are or have a sponsoring organization that is a school, faith-based organization or 501(c)3 community-based agency or is a city-sponsored youth group. The sponsoring organization must assume fiscal responsibility for the funds awarded and is responsible for submitting the required reports.
□ Applicants cannot spend grant funds on lobbying (call for action and/or direct support of state legislation) on behalf of a specific state bill, or for direct attacks on the tobacco companies or their employees.
□ Applicants do not have an affiliation or contractual relationship with any tobacco company, its affiliates, subsidiaries, or parent company. This includes use of youth prevention curricula from tobacco companies.
□ Applicants cannot use the grant funds for cessation programs.
□ Applicants have an adult advisor/sponsor that works with and supports the youth group leading the project and acts as the adult contact for the project.
□ Applicants have a young person who will act as a youth contact.
□ Applicant groups must have at least five youth in their group at the start of the project who will be working on the grant project.
□ Applicants have the capacity (staff time, expertise, and infrastructure, etc.) to complete the project and all project requirements.
7. CERTIFICATION: We, the undersigned, certify that the statements contained herein are true and complete to the best of our knowledge and, if awarded funding, agree to and accept the terms of Health Resources in Action and The 84 Movement. If awarded funding, we also agree to complete the expected deliverables within the timeframe allotted.
.
Signature of Sponsoring Organization’s Executive Director/ CEO Date

The 84 Movement – Mini-Grants, 2013-2014

PROJECT APPLICATION

Name of person/ people writing report:

Name of organization:

______

PLEASE TYPE RESPONSES ON A SEPARATE PAGE:

1. INTEREST IN FIGHTING TOBACCO (Name of youth):

  1. To be written by youth: Why is your group interested in fighting Big Tobacco? Why does this issue matter to you?
  1. To be written by youth: What would you like to see changed in your community around the issue of tobacco?

2. YOUTH LEADERSHIP

  1. What roles do youth play in your organization?
  1. What is an example of a youth-driven or youth-led project that your organization has worked on? What was the role of youth? If available, please describe a project that also demonstrates your tobacco prevention experience.

3. GRANT WORK AND CAPACITY

  1. How will you accomplish all project goals in the time period allotted (e.g. how many youth will you involve, when and where might you conduct project activities, etc.)? Please be specific.
  1. Who are the youth who will be involved in this project (e.g. name, grade, length of involvement in your program), and how do you plan to keep them consistently engaged throughout the year?
  1. Who are the adult staff who will advise and/or oversee the project? Please list name(s), a brief description of their role in your organization, how much time they can devote to overseeing this project, and the specific role they will take on.
  1. Have you been involved in tobacco prevention work in the past? If so, please describe. □Yes □No

The 84 Movement – Mini-Grant, 2013-2014

BUDGET FORM

Organization name: ______

Youth program name (if different): ______

City/ town focus for this project: ______

The 84 Movement – Mini-Grant Project Opportunities, 2013-2014: $2,000

In the space provided under each item, give a brief description of how you will spend the money. This is a projection, and if you make changes, you will note those changes in your final report.

Item / Total
Stipends(money paid to the youth and adults involved in this project to compensate them for the work they do related to this project)
Description: / For Youth / $
For Adults / $
Program Support (purchasing cheap tobacco products for surveys, travel, office supplies, copying, printing, postage, training items, refreshments, etc.)
Description: / $
Administrative(Up to 10% of the funds can be used for administrative costs such as rent, E.D. time, etc.) / $
Other, please list / $
Total Expenses / $

CONTACT INFORMATION FOR FURTHER MINI-GRANT APPLICATION QUESTIONS

The 84 Movement Staff

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The 84 is a program of the Massachusetts Department of Public Health, developed and managed in partnership with Health Resources in Action.

Carly Caminiti, Project ManagerLeah Kuhlmann, Administrative Coordinator

617-279-2240 x307617-279-2240 x373

TTY: 617-451-0007TTY: 617-451-0007

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The 84 Movement is managed by Health Resources in Action and funded by the Massachusetts Department of Public Health.