NS Grant Authorization of the RSVP 3 Year Renewal Application and Agreement (Retired & Senior Volunteer Program)

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T_ n~ .~ t1 DESCRL. .ON OF UTHER V OLUNTEER ACTIVITIES NOT REFLI/ .. ~ ED ON YROGRAMMIIV(T r:ux uvirac: r vn~r:~ rivr:a vv ~ Applicant Organization: Oranee Countv Retired & Senior Voluriteer Prosram Period Covered: Starting: 07/01/2002 EndinS: 06/30/2003 PROJECT PLANNING PROJECT REPORTING Column A: Col. $ Column C. Col. D • Volunteer •Activities Date Actual Performance Date Objective 4 0304 Description of Activities: MENTAL HEALTH Description of Activ[ties: ' MENTAL HEALTH 6 month _ volunteers served hours in: Board member-patient advocacy committee 1 volunteer will serve 20 hows in: Board member-patient advocacy committee 12month (John Umstead Hosp., Mental Health Assn.,) NOT ACTIVE AT THIS TIME (John Umstead Hosp., Mental Health Assn.,) Ir Y0405 ~ 04-OS Os-06 NOT ACTIVE, AT THIS TIME 03-04 04-OS OS-06 6 month -vols. served hrs. hrs. hrs. vol will serve 0 hrs. 0 hrs. 0 hrs. 12month _ vols. served hrs. hrs. hrs. vol will serve 0 hrs. 0 hrs. 0 hrs. FY0506 Number of Volunteers: Number of Stations: Number of Volunteers: Number of Stations: _ 6 month 3 Di it NSSC Cod s A licable: • 12month Objective 5 FY0304 Description of Activities: ' MENTAL RETARDATION 6 month Description of Activities: MENTAL HEALTH 2 volunteer will serve 120 hows in: Participate in programs & services for 12month _ volunteers served hows in: Board member-with ARC and with a sum mentally retarded/developmentally disabled in (non) ~ residential facilities or FY0405 mer camp for retarded children at Carol Woods Retirement Village advocacy (ARC -Association for Retarded Citizens, Carol Woods Summer 6 month Camp for retarded children) 03-04 04-OS OS-06 12month 03-04' 04-OS OS-06 • j 2 vol will serve 0 hrs. 0 hrs. 60 hrs. FY0506 _ vols. served hrs. hrs. hrs. 2 vol will serve 0 hrs. 0 hrs. 60 hrs. 6 month _ vols. served hrs. hrs. hrs. Number of Volunteers: ~ 2 Number of Stations: 2 12month ' 3 DI it NSSC Code s ~A licable: •' Number of Volunteers: Number of Stations: Objective 6 Description of Activities:': CONGREGATE MEALS FY0304 Description of Activities: CONGREGATE MEALS 75 volunteers will serve 4x00.0 hows in the area of nutrition to prevent the in- 6 month served hours: in the area of nutrition to prevent the institu- volunteers stitutionalization of persons by assisting older adults at congregate meal sites. 12month _ tionalization of persons by assisting older adults at congregate meal sites..j'repare Prepare and serve food, clean-up, plan menus, work as a cashier/record keeper FY0405 and serve food, clean-up, plan menus, work as a cashier/record keeper at cdngre- at congregate meal settings. (JOCCA Sites) 03-04 04-OS Os-06 6 month g~ meal settings. (JOCCA Site's) 03-04 04-OS 0 -0 ~~ 75 vols. will serve 3,000 hrs. 3,000 hrs. 2 000 hrs. " 12month vols. served hrs. hrs. hrs: ~ 75 vols. will serve 3 000 hrs. 3 OOp hrs. 2000 hrs. ' FY0506 vols. served hrs. hrs. hrs. ~ Number of Volunteers: ~ Number of Stations: 5_ 6 month _ Number of Volunteers: Number of Stations• 5 3 Di it NSSC Code s A licable: 12month _ objective 7 Description of Activities: SUBSTANCE ABUSE Description of Activities: SUBSTANCE ABUSE FY0304 volunteers served hows: Assist Director with clerical support.( Free- 2volunteers will serve 20 hows: Assist Director with clerical support.( Free- 6 month _ dom House) Prevention education and inforn~ation dissemination on prescription dom House) Prevention education and information dissemination on prescrip- 12month and over counter medication use, misuse, and abuse. (Freedom House (drug tion and over counter medication use, misuse, and abuse. (Freedom House FY0405 rehab) and RSVP-Brown Bag Yow Medicine-Medicine review)' (drug rehab) and RSVP-Brown Bag Yow Medicino-Medicine review) 6 month NOT ACTIVE AT THIS TIM E o3-oa 04-OS Os-06 NOT ACTIVE AT THIS TIME o3-04 o4-os os-o6~ - 12month - vols. served hrs. hrs. hrs. vol will serve 0 hrs. 0 hrs. 0 hrs. FY0506 _ ~ vols. served hrs. hrs. hrs. i vol will serve 0 hrs. 0 hrs. 0 hrs. 6 month 12month _ Number of Volunteers: Number of Stations: Number of Volunteers: _2 Number of Stations: _2_ 3 Dl it NSSC Code s A licable: a nKPLAN Note: Please reproduce or duplicate this template as needed to include all Volunteer Activities