Summer Reading Grants is sponsored by Dollar General Literacy Foundation. This program provides grant funding to local nonprofit organizations and libraries to help with the implementation or expansion of summer reading programs. Programs must target Pre-K through 12th grade students who are new readers, below grade level readers or readers with learning disabilities.

Dollar General Literacy Foundation Preview Form This is an example of the application questions with which you will be presented. It is recommended that you compose the answers to the paragraph questions in a word processing program and then cut and paste that text into the online application. Please check the appropriate contact match box(es) for this grant application.

All correspondence related to this application will be sent to the attention of the selected recipient(s). If the contact person changes after your application is submitted, please call DGLF staff at 615-855-5201.

(Text)(40 character maximum) (Text)(40 character maximum) (Text)(500 character maximum) (Text)(100 character maximum) (Text)(50 character maximum) (Text)(20 character maximum) 27295 (Text)(30 character maximum) 336-853-4800 (Text)(30 character maximum) 336-853-4803 *E-mail Address (Text)(100 character maximum) holly. jones@davidsoncountync. gov Please provide accurate contact information for your organization.

All correspondence from the Foundation will be sent via USPS regular mail and the check, if selected for funding, will be made out to the organization listed below. If your organization is selected for funding, please note that grants are non-transferable and awarded to the organization, not the person submitting on the organization's behalf.

(Text)(100 character maximum) Davidson County Public Library Syste m West Davidson Library Branch (Text)(100 character maximum) 246 Tyro School Road (Text)(50 character maximum) Lexington (Text)(20 character maximum) 27295 (Text)(25 character maximum) Davidson County (Text)(30 character maximum) 336-853-4800 (Text)(30 character maximum) 336-853-4803 *Nearest Dollar General Store (Number)(15 character maximum) 2.

1 miles IRS 501(c)3 Determination Letter (File Upload)File Upload; 5242880 byte N/ A *How long has your organization been in Please complete the overview section below with information relating directly to the program you are applying for. Do not include information or data for other programs your organization may offer.

(Paragraph)(500 character maximum) The Library’s mission is to provide resources and services for reading, thinking, learning, (Text)(255 character maximum) Parent Involvement Literacy Program during the Summer Reading Program- Oceans of *Number of individuals to be served by funding from this Summer Reading applica - *Projected Ethnicity Served • Asian/Paci fi c Islander 3.

8 Asian/Paci fi c Islander 4 Multi-Racial 4 *Program Target Audienc e • Below Grade Level Reader s • English Language Learner s • Readers with Learning Disabilities Below Grade Level Reader s English Language Learner s Readers with Learning Disabilities *Has your organization received previous funding from the Dollar General Literacy If Yes, what was the grant amount and when (Paragraph)(250 character maximum) The North Davidson Library branch received a $3000 Child Literacy Grant from the Dol - *How many individuals were served by this The grant application was for 400 children Please complete the Community Summary below with information relating directly to the community or population your program serves.

Use recent and relevant data (i.e., American Community Survey, US Census, NCES, etc.) and be specific. *Geographic Classi fi catio n (Number)(3 character maximum) 25% (Number)(3 character maximum) 27% (Number)(3 character maximum) 3% *Language Other Than English (Number)(3 character maximum) 17. 5% Project Design and Evaluation Please provide information relating directly to the program your organization is ap - plying for.

*Statement of Impac t (Paragraph)(500 character maximum) The West Davidson Public Library branch in Lexington NC will implement an early liter - acy project to address de fi cits in early read - ing pro fi ciency. The library will provide a parent involvement literacy bag with early literacy strategies and concepts that promote reading and school readiness for 100 preschool students.

The project will help the library reestablish early literacy outreach and encourage school readiness following the impacts of COVID-19 on family engage - ment with pre-schools and public libraries. *Project Design (Paragraph)(1500 character maximum) Our Summer Reading Program starts on the 6th of June and ends July 15th. The fi rst week of the Summer Reading Program will feature a performer to kick off the Summer Reading Program.

Each week of the program we will have special events, guests and per - formers for the children. The last week of the Summer Reading Program we will celebrate with a picnic at a nearby park with fun games and lunch to celebrate the program participation the during the summer. Each week the preschool classes and groups will visit the library for our programs either with their parents or preschool summer day pro - grams.

During our special summer pro - gramming times we will offer a weekly sto - rytime, an activity, a performer and with this grant funding we will distribute a parent in - volvement literacy bag to each participant to take home with them. We will give out liter - acy bags for fi ve weeks to the parents bring - ing in their preschoolers or to the preschool staff to send these bags home with each child.

The bags will include a book, an activ - ity and materials to expand literacy learning and school readiness on their own. We will also include library information and a library (Paragraph)(1500 character maximum) he project will start June 6th and will end on July 15th.

During the week of the 6 th we will ask the parents or the preschool staff to complete a quick checklist measuring each preschoolers current level of learning and development. During the last week of the program in the third week of July, we will ask the same people to complete the same checklist on each child.

On our fi nal Sum - mer Reading Program event we will award prizes and incentives for completing the par - ent involvement literacy bag for each child. At the conclusion of the program, parents will have the knowledge and skills to help their children increase their literacy and school readiness skills naturally in their home setting with their parents.

*Weekly Instructional Hours Per Individual (Number)(15 character maximum) *Delivery of Instructio n • Blended model or distance learnin g • One-on-one instructio n Blended model or distance learnin g Small group *Assessment Methods (Paragraph)(1500 character maximum) preschool readiness checklist will be ad - ministered to each child at the beginning and end of the summer reading program either by the parent or the preschool teacher.

The checklist will take approximately fi ve min - utes to complete and will be given to each child participating in the program to provide a baseline of each child’s school readiness and literacy levels at the beginning.

This as - sessment is based on the NC Early Learning Inventory from the NC Department of Public Instruction and is an observation-based for - mative assessment that measures fi ve do - mains of learning and development: Lan - guage & Literacy, Cognitive/ Mathematic, Cognitive/ Approaches to Learning, Social- Emotional and Physical.

When the abbrevi - ated checklist is administered at the end of the six week summer reading program, we will measure the learning and development gains that have been made in the last fi ve weeks.

The information will be shared with the parents in a fi nal packet including ways to continue developing literacy and devel - opmental skills at home to ensure school *Measurable Results - De fi ning Success (Paragraph)(1500 character maximum) By the end of the six week Summer Reading Program each child will increase their over - all Early Learning Inventory Assessment score through the consistent, daily interac - tions while using the materials in the parent involvement literacy bags.

After fi ve weeks, the children participating in this program that have used all of the literacy bag materi - als will have a higher overall improvement over their original score by at least 10%. *Available Technology (Paragraph)(1000 character maximum) Our library has several laptops, large screen TV’s, desktop computers and tablets.

These items may be used for our Summer Reading programming purposes, although this is not something that we will incorporate in the assessment or instructional plan unless our guest speakers need to conduct their visit virtually or provide a special video to sup - plement their in-person programming. *Are you requesting technology with this If yes, how will it be used to advance the literacy program we would be funding?

(Paragraph)(1000 character maximum) • Please complete the Revenue and Budget Allocations section of this page speci fi c to the project you are requesting Dollar General Literacy Foundation funds to sup - • Funding from The Dollar General Literacy Foundation will not exceed $3,000 . • Only direct service expenses related to the literacy project outlined in this proposal will be considered.

Indirect service expenses or administrative expenses/fees will not • The budget should assume a grant disbursement schedule of 100% at project start. All funds should be spent within 6 months of being awarded.

*Budget Allocations - Summer Reading Books - DGLF Request $2000 Incentives - DGLF Request $50 0 Instructional Materials - DGLF Request $500 *DGLF Budget Narrative (Long Paragraph)(1500 character maximum) $500 in incentive money would be spent on performers and prizes for the participants of this program.

The incentives would help to create excitement and anticipation about coming to the library while also providing a reward for participation. The majority of the grant funding ($2000) would go toward pur - chasing educational books. Five books per child would be purchased, one for each week during the summer reading program cover - ing the fi ve educational domains included in the school readiness assessment.

Each week the participant is encouraged to review the contents of the parent involvement literacy bag every night with their parent and be - come familiar with the book and materials. Instructional materials ($500) will also be purchased for the parent involvement litera - cy bags. These materials will introduce con - cepts and developmental skills in a fun and engaging way to encourage mastery.

Some examples of instructional materials are dry erase sentence strips with dry erase markers for number, letter and word writing practice. social and emotional games, fl ash cards, word and number recognition card games, puzzles, crafts and fi tness games to strength - en fi ne and gross motor skills. *Audited Financial Statement (File Upload)File Upload; 10485760 byte > h4ps://www.

co. davidson. nc.

us/DocumentCen - > ter/View/5153/Davidson-County---2020-Finan - Approval of Board Chair or Executive Of fi cer *Executive Director / Of fi cer (Text)(500 character maximum) Sheila Killebrew (Text)(500 character maximum) Steve Shell James Shore, Thomasville Police Depart - Chris Elliot, S afety Professional, Rocking - Fred McClure, I ndependent Insurance Bro - Todd Yates, Yates Paving *I understand that all mailed correspon - dence, including payment of an awarded grant proposal, will be sent to the organiza - tion !

s address provided in the Organization Information section of this application .

*I understand if this proposal is selected for funding and the grant check is not cashed within ninety days of receipt of funding, the check will be null and void and the grant *I understand that if selected, my organiza - tion will be required to complete a report detailing program outcomes and budget in - USA Patriot Act Counter-terrorism Compliance In compliance with the spirit and intent of the USA Patriot Act and other counter-ter - rorism laws, the Dollar General Literacy Foundation requests that each funded agency/organization complete the following questionnaire.

* In this form, “material support and resources” means currency or monetary instru - ments or fi nancial securities, fi nancial services, lodging, training, expert advice or as - sistance, safe houses, false documentation or identi fi cation, communications equip - ment, facilities, weapons, lethal substances, personnel, transportation, and other phys - ical assets, except medicine or religious materials.

*AGENCY/ORGANIZATION NAME: (Text)(500 character maximum) Instructions: Check the appropriate box to indicate your compliance with each of the follow - *Patriot Act - Question 1 *Patriot Act - Question 2 *Patriot Act - Question 3 *Patriot Act - Question 4 Agree *Patriot Act - Question 5 *Patriot Act - Question 6 *I certify on behalf of the organization listed above that the foregoing is true .