ITCA Reporting Forms

Assessment Documents -   Congregate Meals / Respite / Home Delivered Meals / Socialization & Recreation / Personal Care / Housekeeping

Short Form Intake Document

 

Caregiver Reporting Forms

Non-Registered Form

Registered Form

 

Long Term Care / Ombudsman

Monthly Ombudsman Data Collection Form

Time Sheet for Staff and Volunteers(NEW)

Case Complaint Form

 

Public Benefit Outreach Project Form

Client Contact Form

State Health Insurance Program Public and Media Activity Form

Senior Medicare Patrol Outreach Event Tracking Form updated form

 

Enhance Fitness

 

Transportation

 

2015 Tribal Operator of the Year Award

2015 Operator of the Year Announcement

2015 Operator of the Year Nomination Form

The National Tribal Water & Wastewater Operator Certification Program, brought to you by the Inter Tribal Council of Arizona (ITCA), is seeking nominations for the 2015 “Tribal Operator of the Year” Award. The purpose of this award is to formally recognize an outstanding and well-deserving water/wastewater system operator, whose commitment and dedication to providing safe drinking water or adequate sanitation to Tribal communities has directly lead to the protection of public health and the environment.

The selection will be made by the ITCA Program’s Advisory Committee based on a review of each nomination description provided on the nomination form. Each nominee will be notified by ITCA and encouraged to attend the Tribal Operator Workgroup Meeting on August 26, 2015. Travel expense reimbursements will be available to eligible Tribal personnel for attending the Workgroup Meeting.

ITCA will acknowledge each nominee and present the award at the Tribal Operator Workgroup Meeting, which is scheduled for August 26, 2015, in Phoenix, Arizona.

If you would like to nominate an operator for this award, please complete the nomination form and return by mail, email or fax to ITCA as soon as possible, but no later than close of business on July 31st, 2015.

If you have any questions, please contact any member of the Tribal Water Systems Program by phone at (602) 258-4822.

Tribal Operator Advisory Committee Meeting, August 25, 2015, Phoenix, AZ

Coming Soon: Announcement and Registration

Tribal Operator Advisory Committee Meeting

August 25, 2015
North Phoenix Campus of Northern Arizona University (NAU)
15451 North 28th Avenue
Phoenix, Arizona 85053

The National Tribal Water & Wastewater Operator Certification Program of the Inter Tribal Council of Arizona, Inc. (the “ITCA Program”) was created to meet the needs of Tribal communities and is maintained “by tribes and for tribes” through oversight from the Tribal communities it serves. The purpose of the ITCA Program’s Advisory Committee (the “Advisory Committee”) is to have direct involvement by Tribal water and wastewater utility managers and system operators in the advisement and planning of the certification program’s continuation and growth.  Your participation is critical for the continued success of the program.

Tribal Operator Workgroup Meeting, August 26, 2015, Phoenix, AZ

Coming Soon: Announcement and Registration

Tribal Operator Workgroup Meeting

August 26, 2015
North Phoenix Campus of Northern Arizona University (NAU)
15451 North 28th Avenue
Phoenix, Arizona 85053

Since 1983, the National Tribal Water & Wastewater Operator Workgroup Meetings have been a forum for Tribal water and wastewater system operators to share ideas and concerns with peers, attend short training sessions, and contribute directly to the continuing development and planning of the certification and technical assistance services provided by the Inter Tribal Council of Arizona, Inc. (ITCA).  As professional Tribal water/wastewater utility and environmental staff, your feedback is vital to maintaining the quality and effectiveness of the Tribal Water Systems Program at ITCA.  You are encouraged to participate in the roundtable sharing session and bring ideas or suggestions to the meeting.  The ITCA Tribal Water Systems Program is your program and all input and suggestions are welcomed.  The Tribal Operator Workgroup Meetings help ensure that these services are genuinely “by tribes and for tribes.”

Invitation for Public Comment on WIC

ITCA is holding its annual public comment period for WIC from June 11, 2015 to July 10, 2015. You are invited to comment on the program and to assist in identifying opportunities to improve services.
Invitation for Public Comment

26th Annual Arizona Indian Council on Aging Conference

Wild Horse Pass Hotel & Casino

September 15 & 16 2015

ABOUT THE CONFERENCE

The purpose of the 26th Annual AICOA Conference is to promote healthy practices and socialization as a means to advancing the well-being of American Indian elders, individuals with disabilities, and caregivers.

Conference Theme: Native Elders Aging with Dignity through Better Health

26th Annual AICOA Registration Packet

26th Annual Elder Nomination Form

26th Annual Recognition Nomination Process

26th Annual Senior Prom Nomination Form

26th Annual Vendor/Exhibitor Application Form

Gila River Indian Community Business Application

Begaye-Nez Administration Announce New Cabinet Appointments

Two more individuals have joined the awakening of a new dawn. Today, Navajo Nation President Russell Begaye announced the appointment of Jesse Delmar as the executive director of the Division of Public Safety.

Read more…

ITCA Convenes 8th Annual Arizona American Indian Youth Conference

FOR IMMEDIATE RELEASE

Contact: Glenda Tovar
Phone: (602) 258-4822

ITCA Convenes 8th Annual Arizona American Indian Youth Conference
This year’s theme will discuss connections between health and the environment

PHOENIX, May 13 –The Inter Tribal Council of Arizona, Inc., (ITCA) announced plans to hold the 8th Annual Arizona American Indian Youth Conference, which will be held on June 22 – 24, 2015, at the Marriott University Park Hotel in Tucson, Arizona.

This year’s conference theme is: “Road to a Healthy You and Your Environment.” The conference is designed for American Indian youth ages 12 to 19 years and offers meaningful outcome objectives including: 1) Learning about health promotion and making healthy choices during fun and interactive workshops; 2) Creating awareness regarding how health and well-being are directly connected to how we treat the land, air and water; and 3) Preparing for higher education with an orientation to The University of Arizona. The conference is funded by the Arizona Department of Health Service Teen Pregnancy Prevention Program and collaborators include The University of Arizona and the ITCA Environmental Quality Programs.

“We are very pleased to have such a unique forum for youth to learn and discuss issues that affect health and the environment,” says Maria Dadgar, Executive Director, ITCA. “As future leaders, we hope attendees will benefit from this interactive learning experience and further their goals for promoting health and improving the environment.”

Day one will begin with a Welcome, Kick-Off Luncheon, Opening Session, conference workshops and a Keynote Speaker. The second day will offer an orientation to The University of Arizona, Health Fair, and several workshop sessions.

About ITCA
The Inter Tribal Council of Arizona was established in 1952, to provide a united voice for tribal governments located in the State of Arizona to address common issues of concern. In 1975, the council established a private, non-profit corporation, the Inter Tribal Council of Arizona, Inc., (ITCA) under the laws of the State of Arizona to promote Indian self-reliance through public policy development. The members of ITCA are the highest elected tribal officials: tribal chairpersons, presidents and governors. The work of ITCA staff and consultants is carried out under the direction and supervision of Maria Dadgar, Executive Director.

If you would like more information, please contact Glenda Tovar at (602) 258-4822, or at: glenda.tovar@itcaonline.com. Conference registration packets are now available and may be downloaded at the ITCA website: www.itcaonline.com.

# # #

WIC Staff Training RFP

Staff Training Request for Proposals

ITCA is seeking proposals from qualified bidders to modify an existing training program or create a new training program for WIC paraprofessional staff.

ITCA RFP WIC 15-03

Responses to Bidder Questions

Amendment#1
 

8th Annual Arizona American Indian Youth Conference on Health and the Environment

“Road to a Healthy You and Your Environment”
June 22 – 24, 2015
Marriott University Park Hotel
Tucson, Arizona

Purpose

The Eighth Annual Arizona American Indian Youth Conference on Health and the Environment will provide information to motivate and encourage youth to take responsibility for their overall health and become better stewards of their environment.

Objectives and Activities

During the conference, youth will:

  • Learn about health promotion and making healthy choices through fun and interactive workshops;
  • Bring awareness that people’s health and well-being are directly connected to how we all treat the land, air and water;
  • Prepare for higher education and become oriented to the University of Arizona

Target Audience

The conference is designed for American Indian youth ages 12 to 19 years old.

Location

The conference will be held at the Marriott University Park Hotel located at 880 E. Second Street, Tucson, Arizona 85719.

For more information about the conference location, visit the website at:

http://www.marriott.com/hotels/travel/tusup-tucson-marriott-university-park

Registration

The conference is open to the first 100 youth with paid registrations. Complete the following required forms (MSWord or PDF) and return to the Inter Tribal Council of Arizona, Inc. (ITCA), along with payment:

  • Group Registration (Chaperones must include their names on the registration form)
  • Youth and Parent/Guardian Release Form (Must be signed by youth and parent/guardian)
  • Emergency Contact Information Form (Must be signed by parent/guardian)
  • Chaperone Release Form (Must be signed by chaperone)

All registration forms are due by Friday, May 29, 2015, to ITCA

Soy Based Infant Formula Request for Proposal

The NASPO ValuePoint for WIC Soy Based Infant Formula RFP has been released by the State of Washington. The purpose of this Washington Request For Proposal is to establish NASPO ValuePoint Master Agreement(s) with qualified suppliers for soy based infant formula. ITCA is a participant in this RFP.

The Solicitation is now available to download online at: https://fortress.wa.gov/ga/webs/bidcalendar.aspx

Click on the Goods and Services link and then search under Enterprise Services (DES) for the solicitation titled SOY based infant formula.

 

Computer-Based Testing Period #3, July 1, 2015, through September 4, 2015

Click Here: Announcement and Registration

Click Here: Application for Water Operator Certification

Click Here: Application for Wastewater Operator Certification

Click Here: Application for Tribal Utility Management Certification

Computer-Based Testing Period #3

July 1, 2015, through September 4, 2015
200 Regional Testing Centers Nationwide

In an effort to provide improved pathways for Tribal water and wastewater personnel to achieve professional certification, ITCA is offering a year-round opportunity for eligible tribal personnel to take professional certification exams through Computer-Based Testing.  Advantages of Computer-Based Testing include scheduling a convenient testing date at a regional testing center at over 200 locations throughout the country, as well as immediately receiving your exam score.  The Computer-Based Testing Period is a window of time in which Tribal water and wastewater utility personnel may apply and test for the following professional certifications through ITCA, independent of attending ITCA training courses.  This is the third of four periods for Computer-Based Testing during the 2015 calendar year.

Wastewater Treatment – Level 2 Training and Exam, July 13-17, 2015, Maricopa, Arizona

Click Here: Announcement and Registration

Click Here: Application for Wastewater Operator Certification

Wastewater Treatment – Level 2 Training and Exam

July 13-17, 2015
Ak-Chin Water Reclamation (Wastewater Treatment) Facility
42600 W. Ralph Street
Maricopa, Arizona 85138

Hosted by the Ak-Chin Indian Community Water Operations

The Wastewater Treatment – Level 2 training course is designed to enhance the skills and knowledge of Tribal wastewater system operators. Subjects covered in this training course will include: wastewater treatment processes overview (including BOD, suspended solids, industrial wastewater, coliform bacteria, NPDES regulations, wastewater treatment bacteria and biological activity, flow fluctuations, and the carbon and nitrogen cycles); plant pretreatment (including bar screens, comminutors and grinder pumps, barminutors, grit chambers, flow measurement, equalization basins); primary treatment (including clarifiers and sludge pumping); lagoons and stabilization ponds (including types and system design, biology and chemistry of lagoons, loading and detention times, maintenance, odor control, observations and operational testing); secondary treatment—fixed media processes (including trickling filters and operation, zoogleal film, rotating biological contactors); secondary treatment—activated sludge (including processes, contact stabilization, extended aeration, oxidation ditches, sequenced batch reactors, biological growth rate, influent flow patterns, process control, activated sludge microorganisms, sludge problems, aeration tank foam); sludge thickening; digestion (including anaerobic digestion, Imhoff tanks, gas handling systems, sludge feed and removal, drying beds, upsets, aerobic digesters); pumps and motors; mechanical system operations & maintenance; sampling and laboratory testing; wastewater disinfection and requirements; safety; and management. A training and reference booklet will be provided for this class. This course is intense and requires participants to study outside the classroom.  ITCA does NOT “teach to the certification exams.”  ITCA staff will be available to proctor the Association of Boards of Certification (ABC) standardized 100-question paper-booklet exam, following the training course (at the same location), to eligible Tribal personnel seeking Wastewater Treatment – Level 2 operator certification.

General Module Training and Very Small Water System Exam, July 20-24, 2015, Portland, Oregon

Click Here: Announcement and Registration

Click Here: Training Course Agenda

Click Here: Application for Water Operator Certification

General Module Training and Very Small Water System Exam

July 20-24, 2015
Backflow Management Inc.
17752 NE San Rafael St.
Portland, Oregon 97230

Hosted by Backflow Management Inc.

The General Module training course is designed to enhance the skills and knowledge of Tribal personnel entering into the career path of water and wastewater system operations for the first time. The General Module provides a solid foundation of understanding of the principles of electricity, hydraulics, water and wastewater systems, basic math, and federal regulations. This popular training additionally focuses on water treatment and distribution for small drinking water systems. This expanded General Module training course helps prepare water operators for the Very Small Water System operator certification exam.

The Very Small Water System (VSWS) Operator Certification serves as a stepping stone for entry-level water operators that are embarking on their career path of earning Level 1 (or higher) water operator certification. Pursuant to the Tribal Drinking Water Operator Certification Program Final Guidelines (U.S. EPA, 2005), Tribal operators of less complex systems serving 500 or less people may earn the Very Small Water System (VSWS) Operator Certification as a single certification that jointly satisfies the Level 1 water treatment and Level 1 water distribution certification requirements.

Water Treatment – Level 3 Training and Exam, July 20-24, 2015, Show Low, Arizona

Click Here: Announcement and Registration

Click Here: Application for Water Operator Certification

Water Treatment – Level 3 Training and Exam

July 20-24, 2015
Northland Pioneer College
White Mountain Campus
1001 W. Deuce of Clubs
Show Low, Arizona 85901

Hosted by Northland Pioneer College – White Mountain Campus

The Water Treatment – Level 3 training course is designed to enhance the skills and knowledge of Tribal drinking water system operators. Subjects covered in this training course will include: drinking water regulations, surface water and groundwater sources and intakes, principles of equipment operation, wells, pump maintenance, coagulation and flocculation, sedimentation, filtration, corrosion control, disinfection, taste and odor control, iron and manganese control, fluoridation, softening, demineralization, sludge disposal, instrumentation, math overview, worker safety, and management. The course will cover an introduction to more advanced treatment processes that may be required to meet the Safe Drinking Water Act standards for chemicals like arsenic, lead and copper, and disinfection by-products. In addition, plans are underway for a tour of the White Mountain Apache Tribal Utility Authority surface water treatment facility. A training and reference booklet will be provided for this course. This course is intense and requires participants to study outside the classroom.  ITCA does NOT “teach to the certification exams.”  ITCA staff will be available to proctor the Association of Boards of Certification (ABC) standardized 100-question paper-booklet exam, following the training course (at the same location), to eligible Tribal personnel seeking Water Treatment – Level 3 operator certification.

Paper-Booklet Testing Session No. 2, July 31, 2015, Phoenix, Arizona

Click Here: Announcement and Registration

Click Here: Application for Water Operator Certification

Click Here: Application for Wastewater Operator Certification

Click Here: Application for Tribal Utility Management Certification

Paper-Booklet Testing Session No. 2

July 31, 2015
Phoenix North Valley Campus of Northern Arizona University (NAU)
15451 North 28th Avenue
Phoenix, Arizona 85053

In an effort to provide improved pathways for Tribal water and wastewater system operators to achieve professional certification, ITCA is offering its last Paper-Booklet Testing Session of 2015.  A Paper-Booklet Testing Session provides Tribal water and wastewater utility personnel the opportunity to apply and test for professional certifications through ITCA, independent of attending ITCA training courses.

Water Distribution – Level 3 Training and Exam, August 3-7, Camp Verde, Arizona

Click Here: Announcement and Registration

Click Here: Application for Water Operator Certification

Water Distribution – Level 3 Training and Exam

August 3-7, 2015
Yavapai Apache Housing Building
1500 East Cherry Creek Road
Camp Verde, Arizona 86322

Hosted by the Yavapai Apache Nation Utility Department

The Water Distribution – Level 3 training course is designed to enhance the skills and knowledge of Tribal drinking water system operators. Subjects covered in the training course will include: water demand and usage, water chemistry, drinking water standards, Safe Drinking Water Act and drinking water distribution system regulations, disinfection, sampling, distribution system components, hydraulics, piping and storage systems, control valves, hydrants, water line installation, corrosion, pumps, mechanical maintenance, instrumentation, meters, distribution system management and cross connection control, and worker safety. A training and reference booklet will be provided for this course. This course is intense and requires participants to study outside the classroom.  ITCA does NOT “teach to the certification exams.”  ITCA staff will be available to proctor the Association of Boards of Certification (ABC) standardized 100-question paper-booklet exam, following the training course (at the same location), to eligible Tribal personnel seeking Water Distribution – Level 3 operator certification.

 

Wastewater Treatment – Level 1 Training and Exam, RESCHEDULED TO: August 10-14, 2015, Flagstaff, Arizona

Click Here: Rescheduled Announcement and Registration

Click Here: Application for Wastewater Operator Certification

Wastewater Treatment – Level 1 Training and Exam

RESCHEDULED TO: August 10-14, 2015
Northern Arizona University (NAU) Main Campus
Native American Cultural Center
318 W. McCreary Drive
Flagstaff, Arizona 86011

Hosted by the Hopi Tribe Water Resources Program

Yogurt and Whole Wheat Pasta, Fresh Fruit and Veggies for Infants, now available on WIC!

Effective April 1, 2015, ITCA WIC added yogurt and whole wheat pasta to the foods available on WIC! Women and children participating in WIC will be able to purchase a 32 ounce container of a variety of plain or flavored yogurt. Loaded with calcium, vitamin D and protein, yogurt can be used for parfaits with fruit and cereal, as a dip for fruit or as a topping to tacos. Whole wheat pasta will be allowed as an option in addition to the whole wheat bread or tortillas, corn tortillas or brown rice currently offered. Whole wheat pasta is loaded with fiber and is so versatile- it can be used in soups, macaroni salads or pasta dishes.

Parents will be happy to hear that babies 9 months and older will have the option to receive a check for up to $8 in fresh fruit and veggies if their child is developmentally ready for finger foods! This allows parents to provide appropriate foods for their baby’s age.
Whole Wheat Pasta with Vegetables and CheeseYogurt parfait

Competing for Federal Grants Training

The Inter Tribal Council of Arizona, Inc. is pleased to welcome the “Competing for Federal Grants” training to Phoenix, Arizona. We would like to invite you to participate in this one-of-a-kind workshop. The training will be held March 23-27, 2015, at 2214 North Central Avenue, Phoenix, Arizona.

The Grantsmanship Center introduced the first grants training ever for nonprofit organizations and government agencies in 1972, and continues to lead the field. The Grantsmanship Center’s programs have been described as the “gold standard” of grants training. To date, the Center has trained more than 115,000 program planners, grant proposal writers, and decision-makers in nonprofit organizations, academia, and government agencies nationwide and abroad.

“Competing for Federal Grants” will equip you with the skills you need to develop proposals that will be competitive at the national level. The trainer uses recent application guidelines and funded proposals for presentations, classroom discussion, and hands-on activities. During the training, you’ll develop a workplan for proposal development, write key proposal sections, review proposals drafted by your peers, and have your own work reviewed by others.

This training is designed for all who need to:

  • Understand federal funding programs
  • Read and interpret application guidelines
  • Assess, realistically, whether it makes sense to enter a particular competition
  • Assemble a workplan for proposal development
  • Develop effective, well-documented arguments
  • Assemble proposals that follow guidelines and respond to the funder’s requirements
  • Upon completion of the workshop, graduates receive a full year of free follow-up services through the Alumni Membership Program. These include professional proposal review and access to a comprehensive online database of foundation, corporate and government funding sources.

    The Inter Tribal Council of Arizona, Inc. is hosting this training to provide an opportunity to our tribal partners with the training needs and information to build program capacity and operate programs that comply with federal regulations and policies. As a non-profit organization, we know the funding challenges facing Arizona nonprofits and tribal communities. We believe that well-planned programs, like those that The Grantsmanship Center training emphasizes, are the key to increased grant support for organizations and communities like ours.
    Tuition for this premier training program is $1,195.00 ($1,095.00 for early registration). To qualify for the early registration discount, payment must be received 30 days prior to the start of the workshop.

    To ensure personalized attention, enrollment is limited to 25 participants. These workshops often fill to capacity, so we encourage you to enroll early. To register, call The Grantsmanship Center directly at (800) 421-9512 or (213) 482-9860. Or you may enroll online at www.tgci.com. For more information about the training site, contact Africa Dorame-Avalos at (602) 258-4822 or africa.dorame-avalos@itcaonline.com

    We hope you’ll be able to join us for this special training opportunity on March 23-27, 2015.

    More Information and On-Line Registration

    Registration Form

    2015 TWS Training and Exam Calendar

    Calendar

    The Tribal Water Systems Program is excited to offer another year full of training and professional certification.

    The 2015 Training & Exam Calendar is now complete and has been mailed to our Tribal contacts.  If you have not received one, please contact our office.

    Feel free to contact our office with general questions or for more information on a particular event.

    We may be reached at (602) 258-4822.

    We look forward to hearing from you!

    Download the calendar by clicking on the image to the right.

    Online Training for Professional Development Hour Credit, October 2014, through September 2015

    Online Training for Professional Development Hour Credit 
    October 2014, through September 2015

    The ITCA Program offers free access to online trainings that are ITCA-approved for non-specific PDH credits for certification renewal.  The goal of this endeavor is to make continuing professional development training more accessible to Tribal operators for certification renewal purposes, thus reducing the need for costly travel.  ITCA purchased a limited number of access licenses from an online training provider to offer non-specific PDH training courses during the 2015 fiscal year.  These licenses will provide a certified operator with access to the online courses for a specified time period.  Course durations (the number of PDHs) vary, depending on subject and skill level being covered.  Please note the training contact hours earned from these online training courses are non-specific and cannot be applied towards the certification-specific 10 PDH credits requirement that is explained in the announcement.  ITCA-certified Tribal operators that have access to the internet are encouraged to enroll in this online professional development training program.  If interested, please download and submit the Enrollment Application Form below or contact the TWS Program at (602) 258-4822.

    Click Here: Announcement and Enrollment Application Form

    AAA Brochures

    Area Agency on Aging (AAA), Region 8 Brochure

    Arizona Indian Council On Aging (AICOA)  Brochure

    Elder Abuse Brochure

    Nutrition Education

    Summer Health Brochure

    WIC: Strengthening Families for 40 Years

    2014-WIC-button-smallversion

    We are happy to celebrate the 40th Anniversary of WIC! WIC is one of our country’s most important public health programs, and it has enriched the lives of millions of families over the years. WIC improves birth outcomes, reduces infant mortality, and prepares kids for learning.

    We are excited to join with the National WIC Association in this celebration by sharing the video and print materials they created to celebrate the 40th Anniversary of WIC. They have developed short animated videos and print pieces to help illustrate what WIC does and how it helps strengthen families. Go to WICturns40.org to view these amazing materials.

    ITCA WIC 40th Anniversary Proclamation

     

    Senior Services Procedures and Manuals

    2009 Nutrition Education – Wellness Manuel

    Arizona DAAS Service Matrix

    Case Management Handbook

    DAAS Scope of Work – Tentative

    Short Form Intake Document_FY2015