ÐÏà¡±á>þÿ <>þÿÿÿ;ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Á%` ð¿¿bjbj"x"x .*@@¿ÿÿÿÿÿÿ¤"&&&&B"üjjjjjEEEƒƒƒƒƒƒ$þhf¦§ÄEEÄÄ§jjÛ¼¾¾¾Ä jj¾Ä¾¾VÑ@)j^ Ãœ°»Ê&ÎuÒ0äÐ))LE år¾W\³EEE§§´ EEEÄÄÄÄ""" &"""&"""ÿÿÿÿNEW YORK STATE EDUCATION DEPARTMENT Office of Facilities Planning Qualified Zone Academy Application 2010 Allocations School District School Site (If Applicable) Address City, State Zip Code Qualified Zone Academy Address City, State Zip Code Superintendent: (Please Print) In accordance with the provisions of federal laws and regulations governing Qualified Zone Academy Bonds (QZAB) 26 USC Section 1397E, and the Regulations of the Commissioner, 155.22, a request is hereby made for an allocation of such QZAB in the amount of $ , to be assigned to our investor in lieu of interest payments. The bond term will be years and the total cost of the project will be $ . Definitions: “Qualified Zone Academy” means any public school or academic program within a public school which is established by and operated under the supervision of an eligible local education agency to provide education or training below the post secondary level if such school or program is designed in cooperation with business to enhance the academic curriculum, increase graduation and employment rates, and better prepare students for the rigors of college and the increasingly complex work force; students in such public school or program will be subject to the same academic standards and assessments as other students educated by the Local Education Agency (LEA); the comprehensive education plan of such school or program is approved by the LEA; and the school is located in an empowerment zone or enterprise community or there is a reasonable expectation that at least 35% of the students attending the school or program will be eligible for free or reduced price lunches under the National School Lunch Program. “Qualified contribution” means any contribution of a type and quality acceptable to the eligible LEA of equipment to be used in the qualified zone academy; technical assistance in developing curriculum or in training teachers in order to promote appropriate market driven technology in the classroom; services of employees as volunteer mentors; internships, field trips, or other education opportunities outside the academy for students; or any other property or service specified by the eligible LEA. “Qualified purpose” means rehabilitating or repairing the public school facility in which the academy is established, providing equipment for use at such academy, developing course materials for education to be provided at such academy, and training teachers and other school personnel in such academy. Page 1 NEW YORK STATE EDUCATION DEPARTMENT Office of Facilities Planning Statement of Assurances by the Superintendent: This public school or program is located in an empowerment zone or enterprise community OR 35 percent of the students (or participants in the program) are eligible for free or reduced price lunches under the National School Lunch Program. This school has entered into public/private partnership. The academic program of the school has been designed in cooperation with business to enhance the academic curriculum, increase graduation and employment rates, and better prepare students for the rigors of college and the increasingly complex work force. The school has commitments for substantial business support and qualified contributions of at least 10 percent of the capital. Documentation of commitments from the business community is attached to this QZAB application along with an affidavit stating that the value of the 10% match is of fair market value offered by any entity providing similar products or services. Ninety-eight percent (98 percent) of the proceeds of this bond will be used for a qualified purpose, and 2% of proceeds are allowed for Issuance costs as per Section 54A(e)(4)(A)(ii) of the American Recovery and Reinvestment Act. A written spending plan including commitment to use 10% of funds within 6 months and 100% within 3 years of the issue of QZA Bonds is included. I hereby certify that this application is complete and accurate to the best of my knowledge. ______________________________ _ Superintendent’s Signature Date President, Board of Education Date NOTICE: All sections of this application must be fully completed in order for this application to be considered for Qualified Zone Academy status. Please submit the original application and one (1) copy. 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DeDeoCurt Millerþÿà…ŸòùOh«‘+'³Ù0œ˜ÈÔìø , LXd p|„Œ”ä(NEW YORK STATE DEPARTMENT OF EDUCATIONJoan M. 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