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					                                                         COMPLEX AREA LEVEL
Rcv date:   3/15/2011                          FISCAL REQUIREMENTS FOR ARRA TITLE I SIG                                                         Appr date:       4/15/2010
CAS Signature:                                            FY 2010-2012  PSP: America's Choice                                                   Approved by:

       School: Hilo Intermediate                           Org ID:                      Contact: Valerie Takata                          Phone: (808) 9746600

       FUNDS AVAILABLE                                                                  NCLB Status:          (Circle one.) Unc Pnd       NI1    NI2     CA      PFR          R

Line   Description                                   FY2010-2012 FY2011-2012                Total Alloc             Funds Available
 1     Allocation, (Prog ID 18602_______)                                  $ 699,597    $       699,597                Column A
 2     Carryover FY 2010-2011                                              $       -    $               -              Column B
 3     Prog ID 18907 (Restruct.)                                           $ 272,756    $       272,756                Column C
 4     Prog ID 18907 (Regular Alloc.)                                      $ 104,172    $       104,172                Column D
 5     TOTAL FUNDS AVAILABLE                          $               - $ 1,076,525     $     1,076,525                Column E
       Additional Allocation(s)
       Yellow = Formulas
       BUDGET PLAN                                                         FY 2011-2012
                                                                              SIG           Fringe        Complex       SIG           Fringe      Complex             Total
                                                                                                           Area/                                 Area/Other
                                                                                                           Others                                  Funds
       Description                                                                                         Funds

       INSTRUCTIONAL PROGRAM
       Personal Services ("A")           [Fringe: Regular 38.84%]
 6a       Teacher SY2010 - 2, SY2011-3         No.     2.0 FTE                                  -                      $123,000        47,773                       170,773.00
 6b        Summer Pay                          No.         FTE                                  -              -                          -                                -
 7        Other (CAO)                          No.     1.0 FTE      1.00                        -              -        75,500         29,324                       104,824.00
       Personal Services ("A1") [Fringes "A" 38.84%)]
 8       Fringe for "A"                        No.         FTE      0.00                        -                                         -                                   -
       Supplies/Other Expenses ("B")
 11       Supplies/Other Expenses                                                                                                                      20,000         20,000.00
 12       Contract Services. Attach description.                                                                                                                              -
       Equipment ("C")        [e.g., computers, software, etc.]
 13       Attach itemized list/quantity/description.                                                                    85,000                                       85,000.00
          INSTRUCTIONAL PROGRAM SUB-TOTAL                                           -           -              -       283,500         77,097          20,000       380,597.00
       PROFESSIONAL DEVELOPMENT
       Personal Services ("A")           [Fringe: Regular 38.84%]
 14       Teacher                              No.         FTE                                  -                                         -                                   -
       Personal Services ("A1")
 15       Substitute Teacher                   Days Fringe: 9.06%                               -                                         -            54,385         54,385.00
 16       Stipends                             Days Fringe: 2.86%                               -                                         -       25,643.00           25,643.00
 17       Temp. Contract Employee (TCE)              Fringe: 2.86\%                             -                                         -                                   -
       Supplies/Other Expenses ("B")
 18       Supplies/Other Expenses                                                                                                                                             -
 19       Contract Services. Attach description.                                                                       312,000                      256,900         568,900.00
 20       Out-of-State Travel. Attach purpose/location.                                                                 27,000                                        27,000.00
       Equipment ("C")
 21       Attach itemized list/quantity/description.                                                                                                                       -
          PROFESSIONAL DEVELOPMENT (PD) SUB-TOTAL                                   -           -              -       339,000            -         336,928         675,928.00
       OTHER EXPENDITURES
       Supplies/Other Expenses ("B")
 25       Contract Services. Attach description.                                                                                                       20,000         20,000.00
       OTHER EXPENDITURES                                                           -           -              -              -           -            20,000         20,000.00
       INCENTIVES/BONUSES (WHEN NEGOTIATED)
       Personal ('A")
 26    Personnel                               No.         FTE                                  -                                         -                                   -

       INCENTIVES/BONUSES (WHEN NEGOTIATED)                                         -           -              -              -           -                  -                -

 28    TOTAL PROGRAM BUDGET                                                         -           -              -       622,500         77,097       376,928      1,076,525.00
 29 PLANNED CARRYOVER FROM FY 10-11 TO NEXT YR.                                                                                                                               -
 30 TOTAL BUDGET PLAN (Line 30 must equal Line 5.)                                  -                0         -       622,500         77,097       376,928      1,076,525.00
       Submit via Lotus Notes to Geri Ann Hong, Educational Specialist for School Improvement Team




                                                                                                         8a4e55f8-246a-4c3c-a8db-72375f81db26.xlsx 1/2
                     Attachment to Fiscal Requirement Form:

11                   Supplies/Other Expenses                               Amount         Detailed Description
                                                                       1        $20,000 Supplemental Intervention materials for math - Navigation
INSTRUCTIONAL




                                                  $20,000              2
                                                                       3
                                                                       4
                                                                       5
12                   Contract Services.          Attach description.       Amount         Name of Contractor                Description of Service(s) ; # of Days
                        Attach description.                            1
INSTRUCTIONAL




                                                                       2
                                                          $0           3
                                                                       4
                                                                       5
13                   Equipment ("C")                                       Amount         Quantity     Description of Equipment
                     Attach itemized list/quantity/description.        1         $5,000              4 Access Point
INSTRUCTIONAL




                                                                       2        $80,000              4 Mobile Laboratories for software interventions in reading and math
                                                                       3
                                                  $85,000              4
                                                                       5
                                                                       6
18                   Supplies/Other Expenses ("B")                         Amount         Detailed Description
                        Supplies/Other Expenses                        1
PROF DEV




                                                                       2
                                                          $0           3
                                                                       4
                                                                       5
19                   Contract Services.                                    Amount         Name of Contractor                Description of Service(s) ; # of Days
                        Attach description.                            1
PROF DEV




                                                   $568,900            2       $568,900 Undecided PSP Provider              Intensive Services 2011-12
                                                                       3
                                                                       4
                                                                       5
20                   Out-of-State Travel.                                  Amount         Date(s)      Conference Title            Conference Location        # of Travelers
                        Attach purpose/other specifics                 1        $27,000 SY2011-12 Middle School Conference                                            10
PROF DEV




                        e.g., Conference title, dates, location.       2
                                                                       3
                                                  $27,000              4
                                                                       5
21                   Equipment ("C")                                       Amount         Quantity     Description of Equipment
                       Attach itemized list/quantity/description.      1
PROF DEV




                                                                       2
                                                          $0           3
                                                                       4
                                                                       5
25                   Other Expenditures                                    Amount         Name of Contractor                Description of Service(s) ; # of Days
                        Contract Services. Attach description.         1 $20000 per yr    Data Analyse Group                Assist with the analysis of data and crunching
Other Expenditures




                                                                       2                                                    of data for the school to determine program
                                                  $20,000              3                                                    effectiveness
                                                                       4
                                                                       5
27                   Incentives/Bonuses (When Negotiated)                  Amount         Detailed Description
                                                                       1
Inventives/Bonuses




                                                                       2
                                                          $0           3
                                                                       4
                                                                       5




                                                                                                        8a4e55f8-246a-4c3c-a8db-72375f81db26.xlsx 2/2

				
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