ࡱ> e V bjbj:: Xme\Xme\%%l&l&l&0'0'0'@p(+,0'V013F`3`3`3`F`F`Fj l&2GE|`F2G2G%%`3`3LLL2G%R`3l&`3L2GLLէJ&"`3r"-!&H*`0PIl& `F0F"LFFd`F`F`FJ`F`F`F2G2G2G2G`F`F`F`F`F`F`F`F`F> $:  FLORIDA DEPARTMENT OF EDUCATION 2018-2019 Request for Application (RFA Discretionary) REVISED TAPS Number 4/13/18 Bureau / Office Division of Career and Adult Education Program Name Carl D. Perkins, State Leadership, Career and Technical Student Organization (CTSO) Specific Funding Authority (ies) Carl D. Perkins Career and Technical Education Act of 2006 (Perkins IV), Title I; Workforce Investment Act, Section 503, CFDA #84.048 Floridas Perkins IV State Plan will be extended through fiscal year (2018-2019) under the existing federal authorization, pending reauthorization. Funding Purpose/Priorities The purpose is to develop more fully the academic and career and technical skills of secondary education students who elect to enroll in career and technical education programs. For more information, see the Perkins IV Implementation Guide (2018-2019 Edition) on the website:  HYPERLINK "http://www.fldoe.org/academics/career-adult-edu/funding-opportunities/carl-d-perkins-resources.stml" http://www.fldoe.org/academics/career-adult-edu/funding-opportunities/carl-d-perkins-resources.stml Type of Award Discretionary Non-Competitive Total Funding Amount $350,000 (Allocation is contingent on Floridas 2018 Federal Award) See the Allocation Chart in the Attachments section Note: The Florida Department of Education is posting this Request for Application (RFA) before the passage of the U.S. Department of Educations (USDOE) Fiscal Year (FY) 2018 appropriation in anticipation of the appropriation of funds for Program Year (PY) 2018 Carl D. Perkins grants, but we will not obligate any funds for PY 2018 grants until federal funds are appropriated and the Florida Department of Education has received its federal award notification from USDOE. The allocations posted in this RFA are subject to change, based on Floridas federal award notification. The Commissioner may recommend an amount greater or less than the amount requested in the application. Budget Period / Program Performance Period July 1, 2018 to June 30, 2019 Applications received after June 30, 2018, will be effective on the date of receipt in Grants Management or award of federal funds, whichever is later. Target Population Identified Career and Technical Student Organizations Eligible Applicant(s) CTSOs identified on the Allocation Chart in the Attachments section Application Due Date Due on or before June 15, 2018 The due date refers to the date of receipt in Grants Management. For Federal programs, the project effective date will be the date that the application is received within DOE meeting conditions for acceptance, or the date of receipt of the Federal Award Notification, whichever is later. Matching Requirement None Contact Persons Program Administrator: Eric Owens, 850-245-9020,  HYPERLINK "mailto:Eric.Owens@fldoe.org" Eric.Owens@fldoe.org Grants Manager: Phyllis White, 850-245-0715,  HYPERLINK "mailto:Phyllis.White@fldoe.org" Phyllis.White@fldoe.org Assurances The Florida Department of Education (FDOE) has developed and implemented a document entitled, General Terms, Assurances and Conditions for Participation in Federal and State Programs, to comply with: 2 C.F.R. 200, Uniform Grant Guidance (UGG) requiring agencies to submit a common assurance for participation in federal programs funded by the United States Education Department (USED); Applicable regulations of other Federal agencies; and State regulations and laws pertaining to the expenditure of state funds. In order to receive funding, applicants must have on file with the Florida Department of Education, Office of the Comptroller, a signed statement by the agency head certifying applicant adherence to these General Assurances for Participation in State and Federal Programs. The complete text may be found in Section D of the Green Book. Note: The UGG combines and codifies the requirements of eight Office of Management and Budget (OMB) Circulars: A-89, A-102 (former 34 CFR part 80), A-110 (former 34 CFR part 74), A-21, A-87, A-122, A-133, A-50. For the FDOE this means that the requirements in EDGAR Parts 74 and 80 have also been subsumed under the UGG. The final rule implementing the UGG was published in the Federal Register on December 19, 2014, and became effective for new and continuation awards issued on or after December 26, 2014. Technical assistance documents and other materials related to the UGG, including frequently asked questions and webinar recordings, are available at The Chief Financial Officers Council web site:  HYPERLINK "https://cfo.gov/cofar" https://cfo.gov/cofar. School Districts, Community Colleges, Universities, and State Agencies The certification of adherence, currently on file with the FDOE Comptrollers Office, shall remain in effect indefinitely. The certification does not need to be resubmitted with this application, unless a change occurs in federal or state law, or there are other changes in circumstances affecting a term, assurance or condition. Private Colleges, Community-Based Organizations and Other Agencies In order to complete requirements for funding, applicants of this type must certify adherence to the General Terms, Assurances and Conditions for Participation in Federal and State Programs by submitting the certification of adherence page, signed by the agency head. Risk Analysis Every agency must complete a Risk Analysis form. The appropriate DOE 610 or DOE 620 form will be required prior to a project award being issued. School Districts, State Colleges, and State Universities, and State Agencies must use the DOE 610 form. Once submitted and approved, the risk analysis will remain in effect unless changes are required by changes in federal or state law, changes in the circumstances affecting the financial and administrative capabilities of the agency or requested by the Department. A change in the agency head or the agencys head of financial management requires an amendment to the form. The DOE 610 form may be found at  HYPERLINK "http://www.fldoe.org/core/fileparse.php/5625/urlt/doe610.xls" http://www.fldoe.org/core/fileparse.php/5625/urlt/doe610.xls Governmental and Non-Governmental Entities must use the DOE 620 form. The DOE 620 form is required to be submitted each state fiscal year (July 1-June 30) prior to a Project Award being issued for that agency. An amendment is required if significant changes in circumstances in the management and operation of the agency occurs during the state fiscal year after the form has been submitted. The appropriate Risk Analysis form may be found at  HYPERLINK "http://www.fldoe.org/core/fileparse.php/5625/urlt/doe620.xls" http://www.fldoe.org/core/fileparse.php/5625/urlt/doe620.xls The Grants Fiscal Management Training and Assessment must be completed annually by the agency head and/or the agencys financial manager (CFO) within 60 days of the date of execution (Block 13) on the DOE 200, Project Award Notification. Training and assessment can be found here at  HYPERLINK "https://app1.fldoe.org/grants/trainingAssessment/login.aspx" https://app1.fldoe.org/grants/trainingAssessment/login.aspx. Enter in your email address and follow the steps. Non-participation in the training program may result in termination of payment(s) until training is completed. Funding Method All applicants are advised that grantees will be funded according to the projected goals in their applications. In the event that performances do not meet projected goals and result in overpayment, the overpayment must be returned to the Florida Department of Education by August 20, 2019, along with the final DOE 399 form. Monitoring and performance reports will assist grantees in achieving their performance goals and avoiding overpayment. Reimbursement with Performance Payment made upon submission of documented allowable expenditures, plus documentation of completion of specified performance objectives. Requests for reimbursement with the appropriate back-up documentation should be submitted in accordance with applicable program requirements and instructions on the DOE 200, Project Award Notification. See Invoicing Procedures section. Supporting documentation for expenditures is required for all funding methods. Examples of such documentation include: invoices with check numbers verifying payment, and/or bank statements; all or any of which must be available upon request. Fiscal Requirements All applicants must submit a completed DOE 101S, Budget Narrative form. For fiscal requirements refer to the Narrative Section. All funded projects and any amendments are subject to the procedures outlined in the Project Application and Amendment Procedures for Federal and State Programs (Green Book) and the General Assurances for Participation in Federal and State Programs, which may be accessed online at  HYPERLINK "http://www.fldoe.org/grants/greenbook/" www.fldoe.org/grants/greenbook/. Charges to federal projects for personnel costs, whether treated as direct or indirect costs, will be based on payrolls documented in accordance with generally accepted accounting principles implemented by the fiscal agent and approved by responsible official(s) of the agent. Per the DOE Green Book (Page C-5), for Non-government recipients, the DOE 399 is a monthly project disbursement form that is completed after each months expenditures are incurred. All quarterly invoices should therefore each include three (3) DOE 399 forms, one for each month in the quarter. All awarded Perkins projects must submit a final DOE 399, Project Disbursement Report and the Projected Equipment Purchases Form to the Florida Department of Education, Comptrollers Office, by August 20, 2019. Supporting documentation for expenditures is required for all funding methods. Examples of such documentation include but are not limited to: invoices with check numbers verifying payment, and/or bank statements; time and effort logs for staff, salary/benefits schedules for staff. All or any documentation must be available upon request. All accounts, records, and other supporting documentation pertaining to all costs incurred shall be maintained for five years. Financial Consequences The project manager shall periodically review the progress made on the activities and deliverables listed on the Scope of Work and Grant Activities form. If the subrecipient fails to meet and comply with the activities/deliverables established in the project or to make appropriate progress on the activities and/or towards the deliverables, will result in a partial payment and/or nonpayment, as appropriate. Allowable Expenses: Project funds must be used solely for activities that directly support the accomplishment of the project purpose, priorities, and expected outcomes during the program period. All expenditures must be consistent with the approved application, as well as applicable state and federal laws, regulations, and guidance. Unallowable Expenses: Costs for items or services already covered by indirect costs allocation Costs not allowable for federal programs per the U.S. Education Department General Administrative Regulations (EDGAR), which may be found at  HYPERLINK "http://www.ed.gov/policy/fund/reg/edgarReg/edgar.html" www.ed.gov/policy/fund/reg/edgarReg/edgar.html and the Reference Guide for State Expenditures, which may be found at  HYPERLINK "http://www.myfloridacfo.com/aadir/reference_guide/" www.myfloridacfo.com/aadir/reference_guide/. The Uniform Grant Guidance (UGG) may be found at  HYPERLINK "https://www.federalregister.gov/articles/2013/12/26/2013-30465/uniform-administrative-requirements-cost-principles-and-audit-requirements-for-federal-awards" https://www.federalregister.gov/articles/2013/12/26/2013-30465/uniform-administrative-requirements-cost-principles-and-audit-requirements-for-federal-awards. This is not an all-inclusive list of unallowable items. Subrecipients should consult the FDOE program office with questions regarding allowable costs. Federal: Carl D. Perkins Act 2006: Funding Shall Supplement, Not Supplant Section 311 (a) of the Act states that the funds made available for Career and Technical Education activities shall supplement and not supplant non-federal funds expended for Career and Technical Education programs. Administrative Costs including Indirect Costs Federal: Carl D. Perkins Act 2006: Local Administrative Cost Section 3 (1) of the Act states that the term administration, when used with respect to an eligible agency or eligible recipient, means activities necessary for the proper and efficient performance of the eligible agency or eligible recipients duties under this Act, including the supervision of such activities. Such term does not include curriculum development activities, personnel development, or research activities. Section 135(d), of the Act states that each eligible recipient receiving funds under this part shall not use more than five percent of the funds for administrative costs associated with the administration of activities assisted for the proposed project. Positions such as project coordinator, accountant, clerical staff, or other positions not directly serving students are considered administrative. Indirect costs are considered administrative costs. Executive Order 11-116 The employment of unauthorized aliens by any contractor is considered a violation of section 274A(e) of the Immigration and Nationality Act. If the contractor knowingly employs unauthorized aliens, such violation shall be cause for unilateral cancellation of the contract. In addition, pursuant to Executive Order 11-116, for all contracts providing goods or services to the state in excess of nominal value; (a) the Contractor will utilize the E-verify system established by the U.S. Department of Homeland Security to verify the employment eligibility of all new employees hired by the contractor during the Contract term, (b) require that Contractors include in such subcontracts the requirement that subcontractors performing work or providing services pursuant to the state contract utilize the E-Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the contract term. Executive Order 11-116 may be viewed at  HYPERLINK "http://www.flgov.com/wp-content/uploads/orders/2011/11-116-suspend.pdf" http://www.flgov.com/wp-content/uploads/orders/2011/11-116-suspend.pdf. For Federal Programs - General Education Provisions Act (GEPA) Applicants must provide a concise description of the process to ensure equitable access to, and participation of students, teachers, and other program beneficiaries with special needs. A current fiscal year General Education Provisions Act (GEPA) plan is required. The applicant must submit, with this application, a one page summary description of the plan proposed by the District or other entity to ensure equitable access to, and participation of students, teachers, and other program beneficiaries with special needs. For details, refer to  HYPERLINK "http://www.ed.gov/fund/grant/apply/appforms/gepa427.pdf" http://www.ed.gov/fund/grant/apply/appforms/gepa427.pdf Records Retention It is the responsibility of the fiscal agency to retain records for financial transactions and supporting documentation for auditing purposes. If records are requested by the Florida Department of Education or the State of Florida Division of Financial Services, all records must be provided. Records should be maintained for five years from the last day of the program or longer if there is an ongoing investigation or audit. Intellectual Property The awarded agency is subject to following additional provisions: A. Anything by whatsoever designation it may be known, that is produced by, or developed in connection with this Grant/Contract shall become the exclusive property of the State of Florida and may be copyrighted, patented, or otherwise restricted as provided by Florida or federal law. Neither the Grantee/Contractor nor any individual employed under this Grant/Contract shall have any proprietary interest in the product. B. With respect to each Deliverable that constitutes a work of authorship within the subject matter and scope of U.S. Copyright Law, 17 U.S.C. Sections 102-105, such work shall be a "work for hire" as defined in 17 U.S.C. Section 101 and all copyrights subsisting in such work for hire shall be owned exclusively by the Department pursuant to s. 1006.39, F.S., on behalf of the State of Florida. C. In the event it is determined as a matter of law that any such work is not a "work for hire," grantee shall immediately assign to the Department all copyrights subsisting therein for the consideration set forth in the Grant/Contract and with no additional compensation. D. The foregoing shall not apply to any pre-existing software, or other work of authorship used by Grantee/Contractor, to create a Deliverable but which exists as a work independent of the Deliverable, unless the pre-existing software or work was developed by Grantee pursuant to a previous Contract/Grant with the Department or a purchase by the Department under a State Term Contract. E. The Department shall have full and complete ownership of all software developed pursuant to the Grant/Contract including without limitation: 1. The written source code; 2. The source code files; 3. The executable code; 4. The executable code files; 5. The data dictionary; 6. The data flow diagram; 7. The work flow diagram; 8. The entity relationship diagram; and 9. All other documentation needed to enable the Department to support, recreate, revise, repair, or otherwise make use of the software. Amendment Procedures Project amendments may be proposed by the project recipient or by the DOE Program Manager. Program and budget amendments to approved project applications for all programs shall be prepared by project recipients on the Project Amendment Request Form (DOE 150) and the Budget Amendment Narrative Form (DOE 151) available in the HYPERLINK "http://www.fldoe.org/grants/greenbook/"  Green Book and on the Division of Career and Adult Education Grants website at:  HYPERLINK "http://www.fldoe.org/academics/career-adult-edu/funding-opportunities" http://www.fldoe.org/academics/career-adult-edu/funding-opportunities A project recipient may not begin to expend or obligate federal funds under a project amendment until the latter of the following two dates: (1) the date the Department receives the amendment in substantially approvable form or (2) the date approved by the Department Program Manager. Compliance Monitoring The state will evaluate the effectiveness of project activities based on established and approved performance goals. Department staff monitors recipients compliance with program and fiscal requirements according to applicable federal and state laws and regulations specified by: 2 C.F.R. 200 of the Uniform Guidance, Florida Department of Financial Services Reference Guide for State Expenditures and guidelines published in the Florida Department of Educations Green Book. The Division of Career and Adult Education, Quality Assurance Policies, Procedures and Protocols Manual is available at:  HYPERLINK "http://www.fldoe.org/academics/career-adult-edu/compliance" http://www.fldoe.org/academics/career-adult-edu/compliance Access and Equity The recipient will comply with all federal statutes relating to nondiscrimination. (These include but are not limited to Title VI of the Civil Rights Act of 1964 [P.L. 88-352], which prohibits discrimination on the basis of race, color, or national origin; Title IX of the Education Amendments of 1972, as amended [20 U.S.C. 1681-1683 and 1685-1686], which prohibits discrimination on the basis of sex; Section 504 of the Rehabilitation Act of 1973, as amended [29 U.S.C. 794], which prohibits discrimination on the basis of handicaps; the Age Discrimination Act of 1975, as amended [42 U.S.C. 6101-6107], which prohibits discrimination on the basis of age; Title II of the Genetic Information Nondiscrimination Act (GINA) of 2008 [P.L. 110-233], 29 CFR 635.10 (c)(1), which prohibits the use of genetic information in making employment decisions, restricts employers and other entities covered by Title II (employment agencies, labor organizations and joint labor-management training and apprenticeship programs - referred to as "covered entities") from requesting, requiring or purchasing genetic information, and strictly limits the disclosure of genetic information.) Invoicing Procedures Agencies that are paid by Reimbursement with Performance MUST invoice the Florida Department of Education on a quarterly basis as follows: Quarter #Period CoveredInvoice Due1July 1, 2018 September 30, 2018October 20, 20182October 1, 2018 December 31, 2018January 20, 20193January 1, 2019 March 31, 2019April 20, 20194April 1, 2019 June 30, 2019August 20, 2019 Agency may only invoice for each Minimum Level of Service Task completed and documentation of expenditures is submitted with the invoice requesting reimbursement for completed deliverable(s). Summary Activity Report MUST be submitted with each invoice. Failure to adhere to the required invoicing procedures may result in delay of payment and/or non-payment of completed deliverables. See instructions on the Project Award Notification, DOE 200, to determine reimbursement requirements for awarded project(s). REQUIRED INVOICE FORMS The following forms are required for agencies that invoice. These forms provide accountability for financial expenditures based on performance deliverables. Each time an invoice is submitted, all appropriate forms and backup documentation must be included in the invoice request for payment. Form #TitleSupporting Documentation Must accompany formsNAScope of Work and Grant Activity Report Form Return with application. NAState Leadership Invoice Form Return with each invoice. One invoice form submitted per quarterly invoice. NAMonthly/Quarterly Activity Report Return with each invoice. See Sample in Attachment sectionDOE 300For Non-Governmental Recipients Only, Detail of Salary Expenditures Form available at:  HYPERLINK "http://www.fldoe.org/finance/contracts-grants-procurement/grants-management/project-application-amendment-procedur.stml" Green Book  HYPERLINK "http://www.fldoe.org/academics/career-adult-edu/funding-opportunities/index.stml" http://www.fldoe.org/academics/career-adult-edu/funding-opportunities/index.stmlPayroll register TimesheetsDOE 301Detail of Monthly Transactions Form available at:  HYPERLINK "http://www.fldoe.org/finance/contracts-grants-procurement/grants-management/project-application-amendment-procedur.stml" Green BookA copy of all invoices/receipts must be attached to support this request. All invoices and receipts must include a legible itemized description of purchases.DOE 399Carl D. Perkins -- Interim and Final Form available at:  HYPERLINK "http://www.fldoe.org/finance/contracts-grants-procurement/grants-management/project-application-amendment-procedur.stml" Green BookThree (3) DOE 399 forms submitted for each quarterly invoice Each 399 reflecting monthly expenditures paid-out Submit invoices and all supporting documentation to: Division of Career and Adult Education Florida Department of Education 325 West Gaines Street, Room 730 Tallahassee, FL 32399-0400 Attention: Patricia Rushing PERKINS IV REQUIREMENTS The Florida Department of Education submitted a State Plan for 2008-2018 to the United States Department of Education (USDOE) in April of 2008. Submission of a new State Plan is required by the Carl D. Perkins Career and Technical Education Act of 2006, herein known as the Act. To view Floridas Perkins IV Five-Year State Plan, visit:  HYPERLINK "http://www.fldoe.org/academics/career-adult-edu/funding-opportunities/carl-d-perkins-resources.stml" http://www.fldoe.org/academics/career-adult-edu/funding-opportunities/carl-d-perkins-resources.stml Perkins IV eligible recipients will be extended through fiscal year 2018-2019, under the existing federal authorization, pending reauthorization. Application Narrative Section To receive funds under the Act, eligible recipients with five-year plans approved in 2008-2018 must complete the required information and forms. Any areas where there are no planned changes for the 2018-2019 funding year, the applicant must write NO PLANNED CHANGES in the space provided. Instructions for Completing the Narrative Information / Charts Before inserting any text or information into the Application Narrative Section, forms and charts, save the pages/charts/forms in Word on your computer. Use size 12-point font. Responses should be brief, clear and concise. Submit: One application with original signatures Three copies of the application Note: It is the submitting agencys responsibility to ensure that three complete copies of the application are included in the application package. Project Design-Narrative 1. Complete the Scope of Work and Project Deliverables Form located in the Attachments section. Note: Submission of timely invoices as listed and approved on this form and the required documentation for deliverables will provide the FDOE program manager with the necessary information to determine whether the recipient is meeting the approved performance measures for the project. 2. Support for Reading/Strategic Imperatives Describe how the project will incorporate one or more of the Goals included in the State Board of Educations K-20 Strategic Plan. URL:  HYPERLINK "http://www.fldoe.org/policy/state-board-of-edu/strategic-plan.stml" http://www.fldoe.org/policy/state-board-of-edu/strategic-plan.stml. 3. Federal Programs - General Education Provisions Act (GEPA) For the fiscal years 2018-2019, provide a concise, one page description of the process to ensure equitable access to, and participation of students, teachers, and other program beneficiaries with special needs. For details refer to URL:  HYPERLINK "https://www2.ed.gov/fund/grant/apply/appforms/gepa427.pdf" https://www2.ed.gov/fund/grant/apply/appforms/gepa427.pdf. Budget Narrative Form, DOE 101S When completing the Budget Narrative form, under Column (3), Account Title and Narrative, specify the Performance Measure(s) by number as listed on the Scope of Work and Grant Activity Report (see Attachments section). In addition, specify the Required Use of Funds or Permissive Use of Funds by number as listed on the Required and Permissive Use of Funds chart (see Attachments section) for budgetary expenditures such as salaries, equipment and supplies. Expenditures must focus on continuous performance improvement. Note: The budget form is an Excel document titled Budget Narrative Form, DOE 101S. Please visit our website at  HYPERLINK "http://www.fldoe.org/academics/career-adult-edu/funding-opportunities/index.stml" http://www.fldoe.org/academics/career-adult-edu/funding-opportunities/index.stml and see the Program Management Resources section to access the budget form and the instructions for completing the form. Agency Chart of Accounts must accompany the Budget Narrative Form. Contractual Service Agreements must be in compliance with Florida Statutes, Sections 215.422, 215.971, 216.347, 216.3475, 287.058, and 287.133; Rule 60A-1.017, Florida Administrative Code. Applicants proposing fiscal/programmatic agreements should carefully review and follow the guidance of the State of Florida Contract and Grant User Guide, Chapter 3, Agreements at URL:  HYPERLINK "http://www.myfloridacfo.com/aadir/docs/ContractandGrantManagementUserGuide.pdf" http://www.myfloridacfo.com/aadir/docs/ContractandGrantManagementUserGuide.pdf. All proposed contractual expenditures between the fiscal agent and subcontractors shall be accompanied by a formal, properly executed (agency head or designees signature, and subcontractor signature), clear and comprehensive agreement which provides the legal basis for enforcement before rendering any contractual services. Because the success of a project can be directly linked to the quality of the agreement, issuing a formal agreement including a detailed scope of work is critical. Conditions for Acceptance The requirements listed below must be met for applications to be considered for review: Application is received in DOE within the timeframe specified by the RFA Application includes required forms: DOE 100A Project Application DOE 101S - Budget Narrative All required forms must have the assigned TAPS Number included on the form All required forms have original signatures by an authorized entity NOTE: Applications signed by officials other than the appropriate agency head identified above must have a letter signed by the agency head, or documentation citing action of the governing body delegating authority to the person to sign on behalf of said official. Attach the letter or documentation to the DOE 100A when the application is submitted. Application must be submitted to: Office of Grants Management Florida Department of Education 325 W. Gaines Street, Room 332 Tallahassee, Florida 32399-0400 Method of Review All eligible recipients applications will be reviewed for approval by FLDOE staff using the criteria specified in the Perkins IV Act, Floridas Perkins IV State Plan (2008-2018) and Perkins IV Implementation Guide (2018-2019 Edition). Eligible recipients may be asked to revise and/or change content stated in their application in order to be approved for funding. In addition, fiscal information will be reviewed by the Bureau of Contracts, Grants and Procurement, and Office of Grants Management staff. The Application Review Criteria and Checklist found in the Attachments section will also be used by FLDOE staff to review applications. Attachments State Leadership Required and Permissive Use of Funds Allocation Chart CTSO Scope of Work and Grant Activity Report Self-Evaluation Form State Leadership Project Invoice Form Monthly/Quarterly Activity Report Sample DOE 100 A, Project Application Form DOE 101S, Example Budget Narrative Form Application Review Criteria and Checklist Required and Permissive Use of Funds SEC. 124. STATE LEADERSHIP ACTIVITIES The 9 Required Uses of Funds in Section 135(b) of the Act do not need to be exclusively satisfied through the use of Perkins funds. Local eligible recipients may use other funding sources (federal, state, local) to meet the requirements of Section 135(b), but must provide sufficient documentation to demonstrate that the requirements have been met before Basic Grant funds are expended on permissive activities. STATE LEADERSHIP REQUIRED Use of Funds STATE LEADERSHIP PERMISSIVE Use of Funds (b) The State leadership activities described in subsection (a) shall include (1) an assessment of the career and technical education programs carried out with funds under this title, including an assessment of how the needs of special populations are being met and how the career and technical education programs are designed to enable special populations to meet State adjusted levels of performance and prepare the special populations for further education, further training, or for high skill, high wage, or high demand occupations; (2) developing, improving, or expanding the use of technology in career and technical education that may include (A) training of career and technical education teachers, faculty, career guidance and academic counselors, and administrators to use technology, including distance learning; (B) providing career and technical education students with the academic and career and technical skills (including the mathematics and science knowledge that provides a strong basis for such skills) that lead to entry into technology fields, including non-traditional fields; or (C) encouraging schools to collaborate with technology industries to offer voluntary internships and mentoring programs; (3) professional development programs, including providing comprehensive professional development (including initial teacher preparation) for career and technical education teachers, faculty, administrators, and career guidance and academic counselors at the secondary and postsecondary levels, that support activities described in section 122 and (A) provide in-service and pre-service training in career and technical education programs (i) on effective integration and use of challenging academic and career and technical education provided jointly with academic teachers to the extent practicable; (ii) on effective teaching skills based on research that includes promising practices; (iii) on effective practices to improve parental and community involvement; and (iv) on effective use of scientifically based research and data to improve instruction; (B) are high quality, sustained, intensive, and class-room-focused in order to have a positive and lasting impact on classroom instruction and the teachers performance in the classroom, and are not 1-day or short-term workshops or conferences; (C) will help teachers and personnel to improve student achievement in order to meet the State adjusted levels of performance established under section 113; (D) will support education programs for teachers of career and technical education in public schools and other public school personnel who are involved in the direct delivery of educational services to career and technical education students to ensure that teachers and personnel (i) stay current with the needs, expectations, and methods of industry; (ii) can effectively develop rigorous and challenging, integrated academic and career and technical education curricula jointly with academic teachers, to the extent practicable; (iii) develop a higher level of academic and industry knowledge and skills in career and technical education; and (iv) effectively use applied learning that contributes to the academic and career and technical knowledge of the student; and (E) are coordinated with the teacher certification or licensing and professional development activities that the State carries out under title II of the Elementary and Secondary Education Act of 1965 and title II of the Higher Education Act of 1965; (4) supporting career and technical education programs that improve the academic and career and technical skills of students participating in career and technical education programs by strengthening the academic and career and technical components of such career and technical education programs, through the integration of coherent and relevant content aligned with challenging academic standards and relevant career and technical education, to ensure achievement in (A) the core academic subjects (as defined in section 9101 of the Elementary and Secondary Education Act of 1965); and (B) career and technical education subjects; (5) providing preparation for non-traditional fields in current and emerging professions, and other activities that expose students, including special populations, to high skill, high wage occupations; (6) supporting partnerships among local educational agencies, institutions of higher education, adult education providers, and, as appropriate, other entities, such as employers, labor organizations, intermediaries, parents, and local partnerships, to enable students to achieve State academic standards, and career and technical skills, or complete career and technical programs of study, as described in section 122(c)(1)(A); (7) serving individuals in State institutions, such as State correctional institutions and institutions that serve individuals with disabilities; (8) support for programs for special populations that lead to high skill, high wage, or high demand occupations; and (9) technical assistance for eligible recipients. (c) The leadership activities described in subsection (a) may include (1) improvement of career guidance and academic counseling programs that assist students in making informed academic and career and technical education decisions, including (A) encouraging secondary and postsecondary students to graduate with a diploma or degree; and (B) exposing students to high skill, high wage occupations and non-traditional fields; (2) establishment of agreements, including articulation agreements, between secondary school and postsecondary career and technical education programs in order to provide postsecondary education and training opportunities for students participating in such career and technical education programs, such as tech prep programs; (3) support for initiatives to facilitate the transition of sub-baccalaureate career and technical education students into baccalaureate degree programs, including (A) statewide articulation agreements between associate degree granting career and technical postsecondary educational institutions and baccalaureate degree granting postsecondary educational institutions; (B) postsecondary dual and concurrent enrollment programs; (C) academic and financial aid counseling; and (D) other initiatives (i) to encourage the pursuit of a baccalaureate degree; and (ii) to overcome barriers to participation in baccalaureate degree programs, including geographic and other barriers affecting rural students and special populations; (4) support for career and technical student organizations, especially with respect to efforts to increase the participation of students who are members of special populations; (5) support for public charter schools operating career and technical education programs; (6) support for career and technical education programs that offer experience in, and understanding of, all aspects of an industry for which students are preparing to enter; (7) support for family and consumer sciences programs; (8) support for partnerships between education and business or business intermediaries, including cooperative education and adjunct faculty arrangements at the secondary and postsecondary levels; (9) support to improve or develop new career and technical education courses and initiatives, including career clusters, career academies, and distance education, that prepare individuals academically and technically for high skill, high wage, or high demand occupations; (10) awarding incentive grants to eligible recipients (A) for exemplary performance in carrying out programs under this Act, which awards shall be based on (i) eligible recipients exceeding the local adjusted levels of performance established under section 113(b) in a manner that reflects sustained or significant improvement; (ii) eligible recipients effectively developing connections between secondary education and postsecondary education and training; (iii) the adoption and integration of coherent and rigorous content aligned with challenging academic standards and technical coursework; (iv) eligible recipients progress in having special populations who participate in career and technical education programs meet local adjusted levels of performance; or (v) other factors relating to the performance of eligible recipients under this Act as the eligible agency determines are appropriate; or (B) if an eligible recipient elects to use funds as permitted under section 135(c)(19); (11) providing for activities to support entrepreneurship education and training; (12) providing career and technical education programs for adults and school dropouts to complete their secondary school education, in coordination, to the extent practicable, with activities authorized under the Adult Education and Family Literacy Act; (13) providing assistance to individuals, who have participated in services and activities under this title, in continuing the individuals education or training or finding appropriate jobs, such as through referral to the system established under section 121 of Public Law 105220; (14) developing valid and reliable assessments of technical skills; (15) developing and enhancing data systems to collect and analyze data on secondary and postsecondary academic and employment outcomes; (16) improving (A) the recruitment and retention of career and technical education teachers, faculty, administrators, and career guidance and academic counselors, including individuals in groups underrepresented in the teaching profession; and (B) the transition to teaching from business and industry, including small business; and (17) support for occupational and employment information resources, such as those described in section 118.  CTSO Allocation Chart 2018-2019 AGENCY NAME 2018-2019 Allocated Amount Business Professional of America (BPA)$21,771Florida DECA, Inc. (DECA)$29,509Delta Epsilon, Inc. (DEX)$15,590Florida FBLA-PBL Association, Inc. (FBLA/PBL)$45,561Florida Family Career and Community Leaders of America (FCCLA)$25,014FFAA Association, Inc. (FFAA)$52,772Florida Public Service Association, Inc. (FPSA)$16,823Florida Health Occupations Student of America (HOSA)$42,395SkillsUSA$49,261Florida Technology Student Association Foundation, Inc. (TSA)$51,304TOTALS$350,000 This allocation chart is calculated on a $12,500 base-level for each Career and Technical Student Organization (CTSO) with additional funds calculated equally on the number of members, chapters and state level competitive events (1/3 on members,1/3 on chapters and 1/3 based on competitive events at the state level for both secondary and postsecondary students). SCOPE OF WORK AND GRANT ACTIVITY REPORT Instructions: In Column 2, fill in any blanks as accurately as possible. Column 3 reflects the invoicing quarter associated with the completion of each task. In Column 4, enter the calculated percentage (%) dollar amount for the associated activity based on the maximum percentage of the total allocation allowed. Total dollar amounts cannot exceed the total award amount. The calculated amount in Column 4 cannot exceed the predetermined percentage listed for each associated activity. CTSO Name:Prepared by (name and title):Email Address:Phone:Date:Total Award Amount: $Signature of Preparer: Financial Consequences: The applicant must complete the information related to the required tasks to be performed and timelines/due dates for the respective tasks/deliverables consistent with the provided instructions. Per Chapter 215.971 F.S. financial consequences will be applied if the subrecipient fails to perform the minimum level of services required by the agreement. GOVERNANCE DELIVERABLESTask IdentifierMinimum Level of Service TaskCompletion QuarterCalculated $ AmountMaximum % AllowedEvidence of Acceptable Documentation (Deliverables)Plan, implement, and document board meetings.4%Documentation of state directors role in planning, coordinating, and implementing board meetings. Include: Documents that demonstrate state directors involvement in planning, coordinating, and implementing board meetings. Emails to board members (with sender/recipient listed) showing that board members were notified of board meetings in a timely manner. Board meeting agenda Detailed meeting minutesPrepare CTSO operating budget for the program year for approval by governing body.2%Submit verification that operating budget was approved by Board of Directors. Include: A copy of the approved operating budget AND A copy of the meeting agenda when the Board discussed and voted on the budget AND A detailed copy of the minutes from the meeting.Develop and disseminate a calendar of events, activities, and deadlines to each member, school/chapter, appropriate district personnel, and other stakeholders for the program period of July 1st through June 30th. 2%Provide a copy of state CTSO calendar for the entire year.Prepare and disseminate a newsletter (print or digital format) to stakeholders and publish the newsletter to the CTSOs website.4%Include: A copy of newsletter (dated). Distribution list. Provide technical assistance and leadership to stakeholders regarding competitive events, operational issues, legislative activities, requests for assistance.2%Documentation reflecting technical assistance and/or leadership to stakeholders for events and other issues. Include: Information about district, state, and national events (competitive and non-competitive). Copies of emails, printed materials, digitally maintained/distributed information and documents (e.g., FAQ page, instructional guides). If submitting materials printed from the state-level website, include the URL and date of printing. Do not include materials disseminated by the national organization. LEADERSHIP DELIVERABLESTask IdentifierMinimum Level of Service TaskCompletion QuarterCalculated $ AmountMaximum % AllowedEvidence of Acceptable Documentation (Deliverables)Plan, coordinate, and conduct leadership activities for general membership.10%Documentation of the number and type of leadership activities for general membership. Include: Include proof of event planning (e.g., reservations, agendas, speakers). Evidence of communication with stakeholders and attendees (e.g., emails, rosters, copies of presentations). Types of Activities: State-level leadership conference for the general membership. Leadership activities that help students develop technical skills, human relations skills, and decision-making abilities. Citizenship activities; social/community outreach activities; volunteer opportunities.Coordinate activities of state officers. 4%Documentation of state officer activities. Include: Documentation of state officers attendance at meetings. Evidence of travel planning and coordination with state officers and their advisers. Evidence of state officers participation in opening/closing ceremonies at scheduled events (e.g., copy of script/speech, photos from the event, agenda). Work plan for state officers at conferences. Other evidence of state officers participation in chapter-level and state-level activities.Plan, coordinate, and conduct a leadership training workshop for state officers during the first quarter of their term of office within the program year.10%Documentation reflecting training of new officers. Include: Workshop agenda including date(s) and location of training. Emails demonstrating planning and collaboration with advisers and/or state officers. Invitations sent to speakers/presenters (include contact information). Copies of presentations or handouts. Coordination with travel agents, hotel representatives, caterers, and/or advisers. Registration information (if required).Conduct planning activities related to election of state officers.2%Include: Proof of election planning activities (e.g., emails exhibiting collaboration, revised documents). Provide a copy of election guidelines disseminated to advisers and candidates.Facilitate election of state officers.2%Include: Copies of completed applications. An outline of election procedures, including date(s) and location(s) of voting.Disseminate list of newly elected state officers to stakeholders.1%Provide stakeholders a list of winning candidates; include the name, state officer position, and term of office. MEMBERSHIP DELIVERABLESTask IdentifierMinimum Level of Service TaskCompletion QuarterCalculated $ AmountMaximum % AllowedEvidence of Acceptable Documentation (Deliverables)Increase previous years membership by ____ members through recruitment activities performed in coordination with chapter advisors. 3%Documentation of student recruitment activities Include: Official membership reports from current and previous years. Evidence of state directors involvement in recruiting activities (e.g., emails, handouts, pictures). Narrative outlining student recruitment goals, including strategies for targeting Special Populations identified by the Perkins Act.Collect membership dues, make deposits into CTSO bank account, and issue receipts to members for ___________ members.6%Documentation of dues collected and deposited. Include: Bank statements with deposited dues highlighted. National Dues Collection: If dues are collected by the national organization, include evidence that dues were distributed to state organization; highlight this information on bank statements. Membership list from the national organization identifying dues paid.Distribute membership items to ____________ members. 1%Documentation of the type and number of membership items distributed to state members. Include: A copy or sample of membership item (e.g., member ID card, pin, emails and print communication). Evidence that membership items were distributed. PARTNERSHIP DELIVERABLESTask IdentifierMinimum Level of Service TaskCompletion QuarterCalculated $ AmountMaximum % AllowedEvidence of Acceptable Documentation (Deliverables)Contact current business and/or education partners to elicit continued support of CTSO activities. Number of Existing Partners ______ 2%Documentation of continued partnerships. Include: A list of existing business or education partners. Copies of emails or letters demonstrating outreach to existing partners/sponsors; include the recipients email and/or physical address and contact information. Brochures or fliers that accompany outreach emails/letters.Actively seek _______ new business and/or education partnerships in support of CTSO activities.2%Documentation of outreach to potential partners. Include: Copies of emails or letters demonstrating outreach to each new partner or sponsor; include recipients email and/or physical address and contact information. Brochures or fliers that accompany outreach emails/letters.Maintain the collection and distribution of scholarship funds in an account separate from the CTSOs general bank account. Florida Collegiate DECA Only: Maintain documentation of awards and recognition granted to members for demonstration of outstanding marketing, merchandising, and management skills.3%Documentation of scholarship funds maintained and distributed to student-members. Include: List of available scholarships including requirements to obtain, deadlines, and amount available (total and per award). Bank account statements indicating collection and distribution of funds from scholarship account. List of scholarship winners including name, school, city, and advisers name for each; identify the scholarship and amount awarded. Florida Collegiate DECA Only: Include documentation of awards and recognition granted to members for demonstration of outstanding marketing, merchandising, and management skills. COMPETITIVE EVENT DELIVERABLESTask IdentifierMinimum Level of Service TaskCompletion QuarterCalculated $ AmountMaximum % AllowedEvidence of Acceptable Documentation (Deliverables)Plan district or regional-level competitive events.6%Documentation of development of district/chapter competitive events. Include: Documentation of state directors role in planning of district/chapter competitive events. Evidence of collaboration with advisers and other district-level stakeholders. Copies of materials used to prepare for competitive events. Information sent to districts, advisers, students and other stakeholders regarding each district-level competitive event. Agenda and minutes from planning meetings, if applicable.Plan and conduct a state competitive event conference.20%Evidence of state-level competition and conference planning. Include: Meeting minutes or notes related to planning stages of event. Evidence of coordination with stakeholders (e.g., advisers, state officer team members, board members, speakers/presenters, travel agents, hotel representatives, caterers, production crews). Conference program booklet and any other handouts distributed to attendees by state organization. Documentation of (a) the number of students registered, (b) the amount of registration fees collected (total and per registrant), and (c) the deposits into CTSO bank account.Plan, coordinate, and participate in the national competitive event and conference. Florida Public Service Association Only: By the established deadline, extend invitations to members to participate in at least three national organization leadership conferences.14%Include: Information sent from the state director to members, advisers, and other stakeholders regarding the national-level competitive event. Distribution list of appropriate stakeholders. Evidence of state directors participation in planning meetings prior to the event. List of state-level competition winners who will be participating in the national competition; include the name, school, advisers name, and specific competitive event(s) for each winner. Results of the competition. Florida Public Service Association Only: Include documentation of correspondence with national organizations and FPSA members. Self-Evaluation Form Carl D. Perkins Career and Technical Education State Leadership, CTSO Projects recommended for FY 2018-2019 continuation funding must show successful performance accomplishments during the 2017-2018 project year. Any shortfalls or negative answers must be explained. Eligible Recipient name: ______________________________________________________________________________________ Grant Project # for 2017-2018:_______________________ Form prepared by (name and title):_________________________________ Perkins Grant Lead Contact (name and title): _____________________________________ Email: _____________________________ Cells will expand when text is typed. Evaluation of FY 2017-18 Project YES NOIf NO, recipient must adequately explain any changes. Use 12-point font and single spacing.Are grant expenditures directly related to and proportionate with performance outcomes achieved in 2017-2018?Is the eligible recipient familiar with the Quality Assurance and Compliance Policies, Procedures and Protocols developed by the Division of Career and Adult Education? Have invoices and documentation been submitted according to the Performance-Based Schedule of Payments approved for this funding? Address the following: Cells will expand when text is typed. What was the total amount of your agencys Perkins 2017-2018 funding allocation for this project?$How much has been spent to date?$What amount will be spent and/encumbered by June 30, 2018?$If 100% of the total allocation will not be spent and/or encumbered by June 30, 2018, explain why:  Any performance shortfalls must be explained by including corrective measures put into place to prevent future shortfalls. Please respond here and use as much room as necessary to adequately address: Do you need technical assistance? Yes _____ No _____ If yes, to facilitate service, please state your need(s) and your program manager will contact you. Please respond here: State Leadership Project Invoice Form Return with each invoice. Invoice #:Dates of Service for Invoice:Project Title: Project #: Name: Award Amount: E-mail: Phone: Address: Zip: City: County:  ABCDEFPerformance Measures / CriteriaEvidence/ DeliverablesEvidence/ Deliverable Amount AuthorizedEvidence/ Deliverable Amount Previously EarnedAmount Difference$ Amount RequestedTotals $$$$ Amounts will be paid on the lesser of expenditures or deliverables as reported on the DOE 399 form and Column F on the chart above. Applicant must request any carryover on a future invoice. Attach to each invoice submitted: Updated DOE 399 Proof of documented allowable expenses for the performance measure(s) achieved that support the listed deliverable(s) and mail to: Division of Career and Adult Education Florida Department of Education 325 West Gaines Street, Room 730 Tallahassee, FL 32399-0400 Attention: Patricia Rushing Print Name of Agencys Invoice Preparer: Signature of Agencys Invoice Preparer:Date: FDOE USE ONLY FDOE Program Manager:Date: SAMPLE State Leadership Monthly/Quarterly Activity Report Project # ________________ Agency NameAgency ContactTAPS #Billing Period Scope of WorkNarrative reportCoordinate and distribute current membership information to prospective members. Include specific items such as: -what membership information was distributed -who it was distributed to -dates distributed -how many were distributedCollect dues, make deposits into CTSO account, and issue receipts for members. Include specific items such as: -what dues were collected and from who -when the dues were collected -from how many agencies -when deposits were made -who receipts were issued to -dates for when all instances occurredProcess membership affiliations and distribute membership items to membersInclude specific items such as: -how many membership affiliations processed -who were they processed for -what membership items were distributed -when were they distributedFiscal accounts management for accounting procedures that ensure proper disbursement of CTSO fundsInclude specific items such as: -what reports were completed -what dates they were completed Partnerships of continuing new partnersInclude specific items such as: -what was developed and disseminated -who were the items disseminated to -when were they developed and disseminated EXAMPLE Scope of WorkNarrative reportCoordinate and distribute current membership information to prospective members. On November 1, 2017, a total of thirty two membership packages were distributed middle schools in the Leon County district providing current information for prospective members. Collect dues, make deposits into CTSO account, and issue receipts for members. During the month of November 1, 2017, (Name of agency) collected dues for _____ from ____ members. The dues collected were deposited on (date) and receipts were issued to members.  All narratives must include specific information to include what actions have been taken, when the actions took place to include a specific date as appropriate, and who completed the actions. Florida Department of Education Project Application Please return to: Florida Department of Education Office of Grants Management Room 332 Turlington Building 325 West Gaines Street Tallahassee, Florida 32399-0400 Telephone: (850) 245-0496 Program Name: Carl D. Perkins, State Leadership CTSO Discretionary TAPS NUMBER: 19B014DOE USE ONLY Date Received B) Name and Address of Eligible Applicant: Project Number (DOE Assigned)  D) Applicant Contact & Business InformationContact Name: Fiscal Contact Name:  Telephone Numbers: Mailing Address: E-mail Addresses:  Physical/Facility Address: DUNS number: FEIN number:  CERTIFICATIONI, ______________________________________________, (Please Type Name) as the official who is authorized to legally bind the agency/organization, do hereby certify to the best of my knowledge and belief that all the information and attachments submitted in this application are true, complete and accurate, for the purposes, and objectives, set forth in the RFA or RFP and are consistent with the statement of general assurances and specific programmatic assurances for this project. I am aware that any false, fictitious or fraudulent information or the omission of any material fact may subject me to criminal, or administrative penalties for the false statement, false claims or otherwise. Furthermore, all applicable statutes, regulations, and procedures; administrative and programmatic requirements; and procedures for fiscal control and maintenance of records will be implemented to ensure proper accountability for the expenditure of funds on this project. All records necessary to substantiate these requirements will be available for review by appropriate state and federal staff. I further certify that all expenditures will be obligated on or after the effective date and prior to the termination date of the project. Disbursements will be reported only as appropriate to this project, and will not be used for matching funds on this or any special project, where prohibited. Further, I understand that it is the responsibility of the agency head to obtain from its governing body the authorization for the submission of this application.  Instructions for Completion of DOE 100A If not pre-populated, enter name and TAPS number of the program for which funds are requested. Enter name and mailing address of eligible applicant. The applicant is the public or non-public entity receiving funds to carry out the purpose of the project. Enter the total amount of funds requested for this project. Enter requested information for the applicants program and fiscal contact person(s). These individuals are the people responsible for responding to all questions, programmatic or budgetary regarding information included in this application. The Data Universal Numbering System (DUNS), or unique agency identifier number, requirements are explained on page A-2 of the Green Book. The Applicant name must match the name associated with their DUNS registration. The Physical/Facility address and Federal Employer Identification Number/Tax Identification Number (FEIN/FEID or TIN) (also known as) Employer Identification Number (EIN) are collected for department reporting. The original signature of the appropriate agency head is required. The agency head is the school district superintendent, university or community college president, state agency commissioner or secretary, or the chairperson of the Board for other eligible applicants. Note: Applications signed by officials other than the appropriate agency head identified above must have a letter signed by the agency head, or documentation citing action of the governing body delegating authority to the person to sign on behalf of said official. Attach the letter or documentation to the DOE 100A when the application is submitted.  EXAMPLE Budget Narrative Form (DOE 101S Form) Please visit our website at  HYPERLINK "http://www.fldoe.org/academics/career-adult-edu/funding-opportunities/index.stml" http://www.fldoe.org/academics/career-adult-edu/funding-opportunities/index.stml. See the Program Management Resources section to access the DOE 101S Budget Form and the instructions for completing the form. Show all amounts in whole dollars only. (1)(2)(3)(4)(5)(6)FUNCTIONOBJECTACCOUNT TITLE, NARRATIVE, AND EXPLANATIONFTE POSITIONAMOUNT% ALLOCATED to this PROJECT##########Salaries: Salary for one full time teacher aid for assessment and special student services supporting the Culinary Arts program. 1$13,000 100% ##########Salaries: Partial salary for one counselor to provide career guidance and academic counseling .50$20,00050%##########XYZ CTSO will contract with ABC Training Company* to provide intensive professional development for Leadership Strategies. Training will be conducted in the Fall of 2018. * Contractual Service Agreement is provided with the original application for FDOE approval. $1,500100%Total$34,500  NOTE: When completing the Budget Narrative Form located on the website, under Column (3), Account Title and Narrative, for each line item specify the budgetary expenditures such as salaries, equipment and supplies. Expenditures should focus on performance improvement, as noted in the application. Place TAPS number 19B014 on the Budget Narrative Form DOE 101S form. Carl D. Perkins, Secondary State Leadership, CTSO APPLICATION REVIEW CRITERIA AND CHECKLIST Place all items requested in the order indicated below. Include only the items requested. (Do not include Instructions pages). Place page numbers on every page consecutively, at the bottom, beginning with the DOE 100A as page 1. Page numbers written by hand are permissible if electronic numbering is a problem. Place a binder clip on the upper left corner of each application (no spiral bindings, notebooks or cover pages, please). Include this form in the application package. Placement OrderItemApplicantDOE Staff Check appropriate box belowIndicate Page Numbers BelowCompleteIncompleteFORMS1DOE 100A, Project Application with original signature2DOE 101S, Budget Narrative Form3Self-Evaluation Form4DOE 620 Risk Analysis Form NARRATIVE SECTION51. Attachment - Scope of Work and Project Deliverables Form2. Support for Reading/Strategic Imperatives3. Federal Programs - General Education Provisions Act (GEPA)OTHER REQUIRED DOCUMENTS must be included with application6General Terms, Assurances and Conditions for Participation in Federal and State Programs7Attachments if applicable8Application Review Criteria and Checklist  FILENAME \p \* MERGEFORMAT I:\RFA - RFP's\18-19\Perkins\Leadership\CTSO-18-19-RFA.doc 4/13/18     PAGE  PAGE 9 DOE 900D January 2017 PAGE 29 DOE 900D January 2017 DOE 100A Revised July 2015 Page 1 of 2 Pam Stewart, Commissioner  PAGE 33 DOE 100A Revised July 2015 Page 1 of 2 Pam Stewart, Commissioner DOE 100A Revised July 2015 Page 2 of 2 Pam Stewart, Commissioner DOE 101S Revised July 2015 Page 1 of 2 Pam Stewart, Commissioner C) Total Funds Requested: DOE USE ONLY Total Approved Project: $ E) ________________________________________________ _________________________________ ________ Signature of Agency Head Title Date !"+,8CDEHIVWX_öyiyiYyL7(hMhM5B*OJQJ^JaJphhT5OJQJ^JaJh)X<hB5OJQJ^JaJh)X<hO5OJQJ^JaJh)X<hk5OJQJ^JaJh)X<h15OJQJ^JaJh)X<h?"5OJQJ^JaJho5OJQJ^JaJh`5OJQJ^JaJ"hc9Bhc9B6OJQJ\^JaJ"h)X<h056OJQJ\^JaJh 3h05h jhzhHUmHnHu"Xtu  0 K L g   T U c !gdTqgdTq$a$gdTq$a$gdc9B$a$gd$1_stu   / IJ|jj[L?|hhOJQJ^Jh @h/DOJQJ^JaJhp@hUOJQJ^JaJ"hZ7hE5>*OJQJ^JaJhDhDOJQJ^JaJhOJQJ^JaJhZ7hUOJQJ^JaJhDgOJQJ^JaJ"hZ7h-5>*OJQJ^JaJ(hMh5&5B*OJQJ^JaJph(hMhM5B*OJQJ^JaJph"hM5B*OJQJ^JaJph/ 0 f ~  J K L [ f g ۹{kYG5G"hZ7h&5>*OJQJ^JaJ"hZ7h2%j5>*OJQJ^JaJ"hZ7hU5>*OJQJ^JaJhpB*OJQJ^JaJphh`B*OJQJ^JaJph%hH^hpB*OJQJ^JaJphhZ7hDOJQJ^JaJhpOJQJ^JaJhZ7hUOJQJ^JaJ%hPfmhUB*OJQJ^JaJph%hZ7hUB*OJQJ^JaJph"hZ7hw5>*OJQJ^JaJg    Y b | } R S T U c p t u ӿqeYMY>hZ7hyOJQJ^JaJh@:OJQJ^JaJhQ%OJQJ^JaJhOJQJ^JaJ"hZ7hk#5>*OJQJ^JaJ"hZ7hJAU5>*OJQJ^JaJh 3OJQJ^JjhvE0JOJQJU^JhkQ0JOJQJ^JhvEjhvEUh`OJQJ^JaJh5kh5kOJQJ^JaJ hDhDhUOJQJ^JhhUOJQJ^J    βΥ~mcVHVHV;h5,(5OJQJ\^Jh Eh`5OJQJ^Jh Eh`OJQJ^JheG%OJQJ^J!hZheG%B*OJQJ^Jph"h`5B*OJQJ^JaJph(hZheG%5B*OJQJ^JaJphheG%heG%OJQJ^Jh)h-L5OJQJ^Jh)h$5OJQJ^Jh)h`5OJQJ^J"hZ7h =5>*OJQJ^JaJ"hZ7h5>*OJQJ^JaJ    TDEZyz Z^`ZgdTq"gdTq  HgdTqgd  & FgdQTgdTq  =Y_ST涣saOa="hDhUv5>*OJQJ^JaJ"hDheh5>*OJQJ^JaJ"hDhk#5>*OJQJ^JaJh B*OJQJ^JaJphhTqB*OJQJ^JaJphhDB*OJQJ^JaJph%hUh5,(B*OJQJ^JaJphhUB*OJQJ^JaJphhB*OJQJ^JaJphh`B*OJQJ^JaJphh5,(B*OJQJ^JaJphh5,(OJQJ^J01(0;CοοοteVteFeFeh`hp5OJQJ^JaJh`hOJQJ^JaJh`hpOJQJ^JaJ"h`htd+5>*OJQJ^JaJhhOJQJ^JaJhDOJQJ^JaJh`hDgOJQJ^JaJh`hwgcOJQJ^JaJh`hyOJQJ^JaJh`h`OJQJ^JaJh`hu6OOJQJ^JaJ%hDh<B*OJQJ^JaJphCDEZkoprswxyz}~ӽnXI9*h`h.OJQJ^JaJh`h.6OJQJ^JaJhk}h.OJQJ^JaJ+hh5B*OJQJ\^JaJph%h;i65B*OJQJ\^JaJph+hk}h`5B*OJQJ\^JaJph%hbJ5B*OJQJ\^JaJph%h9)5B*OJQJ\^JaJph+hk}h#eV5B*OJQJ\^JaJph"hk}hS<5>*OJQJ^JaJhhOJQJ^JaJhOJQJ^JaJ()J³•saO@O."h`h5>*OJQJ^JaJh`hehOJQJ^JaJ"h`heh5>*OJQJ^JaJ"hk}heh5>*OJQJ^JaJ"hk}h;i65>*OJQJ^JaJhk}h $6OJQJ^JaJhk}hIOJQJ^JaJhk}hNOJQJ^JaJhk}hUvOJQJ^JaJhk}h.OJQJ^JaJh`hIOJQJ^JaJh`h.OJQJ^JaJh`h.>*OJQJ^JaJ9:   V ^gdTq gdTq7gdTq gdTq & F hh^hgdQTgdTq"#789:JW\]ceghӼӆwĆwfWh`h`OJQJ^JaJ h`hp0JOJQJ^JaJh`hpOJQJ^JaJh`hyOJQJ^JaJ#jhvE0JOJQJU^JaJ h`h`0JOJQJ^JaJhvEjhvEUh`hDNOJQJ^JaJh`h`OJQJ^JaJh`h/DOJQJ^JaJh`h @OJQJ^JaJp   VJóæÞwk_O@O@O@hUhehOJQJ^JaJhUheh5OJQJ^JaJh! 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