Notice of Grant Opportunity by v7166R

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									     Notice of Grant Opportunity

Drug Abuse Education Fund Grant Program (DAEF)
                    (Year 3 of 3)


              William L. Librera, Ed.D.
             Commissioner of Education

                    Isaac Bryant
              Assistant Commissioner
             Division of Student Services


                    Susan B. Martz
                       Director
         Office of Program Support Services
             Division of Student Services


                      May 2004



         Application Due Date: July 16, 2004




    NEW JERSEY DEPARTMENT OF EDUCATION
                  P.O. Box 500
             Trenton, NJ 08625-0500

           http://www.state.nj.us/education
                           STATE BOARD OF EDUCATION


ARNOLD G. HYNDMAN …………………………………………                                               Belvidere
    President

DEBRA CASHA……………………………………………………                                                  Kinnelon
    Vice President

MARGARET F. BARTLETT………………………………………                                              Pine Beach

RONALD K. BUTCHER …………………………………………..                                             Pitman

MAUD DAHME …………………………………………………...                                                Flemington

KATHLEEN A. DIETZ……………………………………….……                                              Hillsborough

ANNE S. DILLMAN ………………………………………………                                               Perth Amboy

ORLANDO EDREIRA …………………………………………….                                               Elizabeth

JOHN A. GRIFFITH ………………………………………………                                              Montclair

THELMA NAPOLEON-SMITH …………………………………..                                            Trenton

SAMUEL J. PODIETZ …………………………………………….                                             Lumberton

EDWARD M. TAYLOR……………………………………………                                                Somerdale

ROBERTA VAN ANDA……………………………………………                                                Rumson


                        William L. Librera, Ed.D., Commissioner
                          Secretary, State Board of Education

It is a policy of the New Jersey State Board of Education and the State Department of Education
that no person, on the basis of race, color, creed, national origin, age, sex, handicap or marital
status, shall be subjected to discrimination in employment or be excluded from or denied benefits
of any activity, program or service for which the department has responsibility. The department
will comply with all state and federal laws and regulations concerning nondiscrimination.
                                  TABLE OF CONTENTS



    When responding to this Notice of Grant Opportunity (NGO), applicants must also
    access the "Discretionary Grant Application (DGA)" for additional information
    governing the grant program. See www.nj.gov/njded/grants/ or call the Application
    Control Center (ACC) at 609-633-6974.



                                                                                PAGE

SECTION 1:        GRANT PROGRAM INFORMATION
                  1.1 Description of the Grant Program                             3
                  1.2 Eligibility to Apply                                         4
                  1.3 Statutory/Regulatory Source and Funding                      4
                  1.4 Dissemination of This Notice                                 4
                  1.5 Technical Assistance                                         5
                  1.6 Application Submission                                       5
                  1.7 Reporting Requirements                                       6
                  1.8 Assessment of Statewide Program Results                      8


SECTION 2:        PROJECT GUIDELINES

                  2.1   Project Requirements                                       9
                  2.2   Budget Requirements                                        11


SECTION 3:        COMPLETING THE APPLICATION

                  3.1   General Instructions for Applying                          14
                  3.2   Review of Continuation Application                         14
                  3.3   Application Component Checklist                            15


APPENDIX A: CERTIFICATION OF ELIGIBILITY                                           16




1
SECTION 1: GRANT PROGRAM INFORMATION



1.1      DESCRIPTION OF THE GRANT PROGRAM

This Notice of Grant Opportunity for the Drug Abuse Education Fund (DAEF) Grant Program is
for year three of a three-year grant project designed to provide drug abuse prevention education
on a statewide basis to public and nonpublic school students in all grades from kindergarten
through grade 12, using law enforcement personnel. The multi-year design is outlined in the
originating NGO. Year three is a continuation of year two project activities. The goal of the
grant program is described below:

Project Goal

     Supplement and reinforce the following instructional objectives for drug abuse prevention
      education and related life skills education adopted by the State Board of Education under the
      Comprehensive Health and Physical Education (CHPE) Standards of the Core Curriculum
      Content Standards (CCCS) and the Cross-Content Workplace Readiness Standards
      (CCWRS):

 CHPE CCCS Standard 2.3 – All students will learn the physical, mental, emotional and
  social effects of the use and abuse of alcohol, tobacco and other drugs;

 CHPE CCCS Standard 2.2 – All students will learn health-enhancing personal, interpersonal
  and life skills;

 CHPE CCCS Standard 2.1 – All students will learn health promotion and disease prevention
  concepts and health-enhancing behaviors; and

 CCWRS Standard 4 – All students will demonstrate self-management skills.

Under the grant, law enforcement personnel delivering the instructional program are to continue
to be provided with training and on-going technical support in a research-based drug abuse
prevention education curriculum. These trained law enforcement personnel will continue to
implement a student-focused program of instruction for students in grades K-12 on a statewide
basis.

As a result of the implementation of this program, the NJDOE expects evidence of achievement
of one or more of the following outcomes:

     A measurable reduction in factors that place students at risk for substance abuse;

     A measurable increase in positive attitudes, on the part of the student, toward the prevention
      of substance abuse; or


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     A measurable reduction in the rate of student drug and alcohol use.


1.2      ELIGIBILITY TO APPLY

Eligibility for the continuation of this multi-year grant is limited to D.A.R.E. New Jersey, Inc.,
the agency that has received an award through the competitive process under the originating
NGO. The applicant must complete and sign the Certification of Eligibility form (Appendix A)
to certify that it currently has a formal working relationship with law enforcement officers in the
provision of drug abuse education and will continue that relationship for the purposes of this
grant.


1.3      STATUTORY/REGULATORY SOURCE AND FUNDING

The applicant’s project must be designed and implemented in conformance with all applicable
state and federal regulations. The DAEF Program is 100% state funded under N.J.S.C. 2C:43-
3.5 and N.J.S.C. 54A:9-25.12 et seq. A Drug Abuse Education Fund (DAEF) has been
established comprising portions of taxpayer-designated refunds and penalties assessed against
individuals adjudicated or convicted of certain crimes. The resources accumulated in the DAEF
are appropriated annually to NJDOE for distribution to nongovernmental entities for utilization
by law enforcement personnel in the provision of drug abuse education programs on a statewide
basis.

A total of $250,000 is available in year three of the grant program, as described in the originating
NGO. The third-year grant period is from October 1, 2004 to September 30, 2005. The final
award is subject to the availability of DAEF funds.


1.4      DISSEMINATION OF THIS NOTICE

The Office of Program Support Services will make this notice available to D.A.R.E. New
Jersey, Inc., as described in Section 1.2, Eligibility to Apply, to the regional assistant
commissioners and to the county superintendent, Middlesex County Office of Education.

Important: This NGO does not constitute the complete application package. The applicant
must use this NGO in combination with the Discretionary Grant Application (DGA), which
contains required guidance, application forms and instructions, necessary to prepare a complete
application.

The DGA is available on the NJDOE web site at:
http://www.nj.gov/njded/grants/discretionary/apps/ or by contacting the Application Control
Center at the New Jersey Department of Education, River View Executive Plaza, Building 100,
Route 29, P.O. Box 500, Trenton, NJ 08625-0500; telephone (609) 633-6974; fax (609) 777-
1051.



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Additional copies of the NGO are also available on the NJDOE web site (above) or by contacting
the Office of Program Support Services at the New Jersey Department of Education, River View
Executive Plaza, Building 100, Route 29, P.O. Box 500, Trenton, NJ 08625-0500; telephone
(609) 292-5935; fax (609) 633-9655.


1.5      TECHNICAL ASSISTANCE

Technical assistance is available upon request by the applicant.


1.6      APPLICATION SUBMISSION

The Department of Education operates discretionary grant programs in strict conformance with
procedures designed to ensure accountability and integrity in the use of public funds and,
therefore, will not accept a late application.

The responsibility for a timely submission resides with the applicant. The Application Control
Center (ACC) must receive an original and four copies of the complete application NO LATER
THAN 4:00 P.M. ON July 16, 2004. Without exception, the ACC will not accept, and the
Office of Grants Management cannot evaluate for funding consideration, an application received
after this deadline. The applicant agency will lose the opportunity to be considered eligible for
an award if the application is received after the due date.

The original and four (4) copies of the application must be mailed or delivered to:

                                    Application Control Center
                                New Jersey Department of Education
                              River View Executive Plaza, Building 100
                                           P.O. Box 500
                                      Trenton, NJ 08625-0500

The applicant is encouraged either to:

     hand deliver the application to the address above which is located next to Mercer County
      Waterfront Park on Route 29 in Trenton, between the hours of 8:30 a.m. and 4:00 p.m.,
      Monday through Friday (excluding state holidays) and obtain a dated receipt; or

     send the application by Certified Mail, Return Receipt Requested; or

     arrange for delivery by an overnight delivery service to ensure timely delivery and receipt of
      the application.

Postmarks are not acceptable evidence of timely submission. Receipt by the due date and time is
required. The applicant is encouraged to obtain a receipt or to sign upon delivery to verify


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NJDOE receipt. Complete applications are those that include all elements listed in Section 3.3,
Application Component Checklist of this notice. The application received by the due date and
time will be screened to determine whether it is, in fact, eligible for evaluation. The NJDOE
reserves the right to reject any application not in conformance with the requirements of this
NGO.

Applications submitted by fax can not be accepted in any circumstances.


1.7      REPORTING REQUIREMENTS

Grant recipients are required to submit periodic project and fiscal progress reports. (For
additional information about post award requirements see the Grant Recipient’s Manual for
Discretionary Grants at http://www.nj.gov/njded/grants/discretionary/management. Reports for
this program will be due as follows:

Report                  Reporting Period                      Due Date
1st Interim             10/01/04 – 12/31/04                   1/14/05
2nd Interim             10/01/04 – 3/31/05                    4/15/05
3rd Interim             10/01/04 – 6/30/05                    7/15/05
Final                   10/01/04 – 9/30/05                    10/28/05

Interim reports must be based on each activity described in the grantee’s approved activity plan
for each reporting period. For each activity that has not been completed during the relevant
reporting period, a narrative must be provided containing, at a minimum, the following
information:

     A comparison of the actual accomplishments to the objectives established for the reporting
      period;

     The reasons for variance if the established objectives were not met, including a discussion of
      the impact, if any, that such variance may have on the continued program delivery for the
      subsequent contract period;

     A plan for completing any objectives not accomplished during the reporting period.

Each interim report also must include a list of information on schools that participated or that are
currently participating in the K-12 instructional program funded under the grant. The list must
include, at a minimum, the following information:

     The name of each school district and school, nonpublic school and/or charter school;

     The address of each school;

     The name, title and phone number of the contact person for each school; and



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   The dates and times the program was delivered at each site.

In addition, each interim report must include the following information and materials:

   Logs of site observations conducted by the grantee of law enforcement personnel delivering
    the K-12 instructional program;

   Logs of technical assistance contacts made by the grantee to law enforcement personnel
    delivering the K-12 instructional program;

   A list of law enforcement officers receiving the professional development program, as
    appropriate; and

   A copy of all subgrant/consultant agreements for the third grant year.

The first interim report must also include the following information:

   A list of schools projected to receive the instructional program and a projected schedule for
    delivering the program to these schools in the last three quarters of the grant.

The second and third interim reports must also include the following information:

   An updated list of schools projected to receive the instructional program and a projected
    schedule for delivering the program to these schools in the remaining quarters of the grant, as
    appropriate.

The second interim and final reports must also include the following evaluation information and
materials:

   An assessment of the degree and quality of the training and the ongoing technical assistance
    provided to law enforcement officers delivering the curriculum, including copies of law
    enforcement officers’ evaluations of the professional development program;

   An assessment of law enforcement officers’ fidelity in the delivery of the approved
    instructional program, as determined through on-site observations, surveys or other
    comparable measurement techniques or tools;

   Effect of program variables, such as student grade levels, on student learning;

   Feedback from adults in charge of the program sites (e.g., school administrators, school
    coordinators, program directors) on the effectiveness of program implementation and on
    student outcomes as a result of their participation in the instructional program;

   Feedback from program instructors on all aspects of program implementation;




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     A status update of the grantee’s fulfillment of the required activities, including achievement
      of the objectives, student outcomes, activities/tasks, timelines and a description of problems
      and suggested responses;

     A summary of the results of the program, including a report of evaluation methods and
      findings;

     Copies of all products prepared and used under the DAEF program; and

     Recommendations to NJDOE regarding the effective and efficient organization and delivery
      of drug prevention education to achieve the goals of the DAEF program.


1.8      ASSESSMENT OF STATEWIDE PROGRAM RESULTS

The grantee must analyze and submit reports of ongoing program evaluation findings, including
an assessment of student outcomes and written recommendations to the NJDOE for
improvements of program delivery in the remaining contract period.

The NJDOE will review and analyze the grantee’s reports and evaluation data and other
information for the purpose of assessing the grantee’s achievement of one or more of the
following grant program outcomes:

     A measurable reduction in factors that place students at risk for substance abuse;

     A measurable increase in positive attitude, on the part of students, toward the prevention of
      substance abuse; or

     A measurable reduction in the rate of student drug and alcohol use.

The Office of Program Support Services will determine grant program success and will make
recommendations regarding continued funding based on the information provided by the grantee,
technical assistance offered by the NJDOE, meetings held between the grantee and NJDOE staff
and other relevant program information. Grant program information will be used to complete
reports required by the United States Department of Education and other reports as required by
the New Jersey Department of Education.




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SECTION 2: PROJECT GUIDELINES



The intent of this section is to provide the applicant with the program framework within which it
will plan, design and develop its proposed project to meet the purpose of this grant program.
Before preparing applications, the potential applicant is advised to review Section 1.1,
Description of the Grant Program, of this NGO to ensure a full understanding of the state’s
vision and purpose for offering the program. Additionally, the information contained in Section 2
will complete the applicant’s understanding of the specific considerations and requirements that
are to be considered and/or addressed in the project.

When developing an application, the agency must use the Discretionary Grant Application
(DGA). The DGA contains the requirements, forms and instructions applicable to all grant
programs. The application selection process is based upon conformance with the application
requirements contained in the DGA and the project specific information contained in Sections 2
and 3 of this NGO.


2.1      PROJECT REQUIREMENTS

In year three of the DAEF grant program, the applicant must continue to build upon key
elements from year one and year two:

     Services must be provided in public and nonpublic elementary, middle and high schools and
      charter schools in each region (north, central and south) of the state and must include schools
      in urban, suburban and rural areas of the state.

     The instructional programs must address substance abuse and related risk factors.

     Relationships with public school districts, nonpublic schools and charter schools must be
      established to create awareness of the instructional program and to ensure effective
      implementation of the program in school settings throughout the state.

The drug abuse instructional program must continue to be delivered by highly trained New
Jersey uniformed law enforcement personnel to K-12 students in public and nonpublic
elementary schools, middle schools and high schools and charter schools throughout the state.
The drug abuse instructional program must continue to supplement and reinforce the following
instructional objectives for drug abuse education under the CCCS for CHPE and CCWRS and
include K-12 elementary, middle school and high school students:

     CHPE CCCS Standard 2.3 – All students will learn the physical, mental, emotional and
      social effects of the use and abuse of alcohol, tobacco and other drugs;




8
   CHPE CCCS Standard 2.2 – All students will learn health-enhancing personal, interpersonal
    and life skills;

   CHPE CCCS Standard 2.1 – All students will learn health promotion and disease prevention
    concepts and health-enhancing behaviors; and

   CCWRS Standard 4 – All students will demonstrate self-management skills.

The instructional programs provided to K-12 students must be developmentally appropriate, life
skills-based, student-focused and consistent with the research literature.

The following is a list of required program elements that are integral to the design and
implementation of the applicant’s project. The applicant is required to include information in the
application addressing the program requirements described below for year three of the multi-year
grant program.

   Statewide Delivery Systems – Using the Project Description Form, describe how the
    applicant will continue to create an awareness of the program and continue to establish
    relationships statewide to support the development and implementation of a statewide
    delivery plan and a schedule for delivery of the program in New Jersey public and nonpublic
    schools in each region (i.e. north, central and south) of the state and in urban, suburban and
    rural areas.

   Program Evaluation – Please submit an evaluation plan, as an attachment to the application,
    for the DAEF program that will document all services provided and will determine the
    degree and quality of the instructional program as implemented, as well as the effect on
    student learning and behavioral change. The evaluation plan must be specifically designed to
    measure achievement of the approved program objectives and, at a minimum, one of the
    student outcomes described in Section 1.1, Description of the Grant Program. Linkages must
    be made to any and all existing evaluations of the program.

    The evaluation must also include feedback from adults in charge of the program sites (e.g.,
    school administrators, school coordinators, program directors) and program instructors on
    student changes and effective implementation of the program, per the requirements described
    in Section 1.7, Reporting Requirements, and must be designed to assess the following:

 The degree and quality of the training and the ongoing technical assistance provided to law
  enforcement officers delivering the curriculum;

 Fidelity of law enforcement officers’ delivery of the instructional program, as determined
  through on-site observations, surveys or other comparable measurement techniques or tools;

 The effect of program variables, such as student grade levels, on student learning; and

 The effectiveness of the program in achieving project objectives and the required student
  outcome(s).


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     Project Objectives – The applicant must provide measurable objectives for year three of the
      three-year project that are designed to achieve, at a minimum, one of the student outcomes
      described in Section 1.1, Description of the Grant Program. While the selection of only one
      outcome is required, the applicant is encouraged to select more than one of the student
      outcomes to strengthen research support for the program. The objectives must support the
      mandated program goals described in Section 1.1, Description of the Grant Program. The
      applicant’s activity plan must include all activities for the third year of the project.

     Training and Technical Assistance – Using the Project Description Form, the applicant must
      describe how law enforcement personnel will continue to be provided with high-quality
      training in the delivery of the instructional program to K-12 students and ongoing technical
      support in the continuous implementation of the program, including regularly scheduled on-
      site observations of officers delivering the curriculum and technical assistance contacts with
      officers delivering the curriculum.


2.2      BUDGET REQUIREMENTS

The applicant’s budget must be well-considered, be necessary for the implementation of the
project, remain within the funding parameters of this NGO and must demonstrate prudent use of
resources. The applicant must link each cost to the objectives and activities in the Project
Activity Plan that provide programmatic support for the proposed cost. The applicant must also
provide documentation and detail sufficient to support each proposed cost. All funds must
directly support the instructional program under this grant.

The NJDOE will remove from consideration all ineligible costs, as well as costs not supported by
the Project Activity Plan. The total amount awarded will be contingent upon the eligible
grantee’s ability to provide support for its proposed budget upon application, and ultimately will
be determined by the NJDOE through the pre-award revision process. The eligible grantee’s
opportunity to make pre-award revisions will be limited by the NJDOE, which is not responsible
either to provide repeated opportunities for revisions or to permit reallocation of the funds
previously requested for costs that have been disallowed.

Eligible Costs

Grant funds may be used only for the following project-related functions:

     Salaries and benefits for law enforcement personnel to deliver the instructional program;

     Consultant fees and expenses and other purchased services in support of the NGO;

     Salaries and benefits to support project administration, which must be justified by the
      activities in the approved Project Activity Plan and must directly support the delivery of the
      instructional program and the administration of this grant. These salaries and benefits must
      be prorated according to grant-related and non-grant-related functions, as appropriate;


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    Purchase of curricula;

    Purchase of materials and supplies that are required components of the approved curriculum;

    Professional development and training for law enforcement personnel in support of grant-
     funded projects and services;

    Planning for grant-funded projects and services;

    Project evaluation; and

    Other approved direct costs and operating expenses (i.e., printing, telephones, postage, travel,
     rent) that are necessary to perform grant functions. All travel expenses must relate directly to
     project activities and be well justified. Grant funds may be used to pay necessary travel
     expenses only for personnel directly involved in this grant program. Travel expenses are
     limited to the agency-approved rate per mile.

Ineligible Costs

Grant funds may not be used for the following purposes:

    Those portions of salaries and benefits to support project administration that apply to non-
     grant-related functions or that can not be justified by the activity plan;

    Supplanting local, state or federal funds already designated for grant-related activities;

    Indirect costs;

    Entertainment;

    Fund raising activities;

    Purchase or maintenance of vehicles;

    Purchase of office furniture;

    Purchase of equipment;

    Capital construction or renovation, except minor remodeling needed to accomplish the
     purposes of the grant project;

    Medical services, drug treatment or rehabilitation;

    Memberships to associations and organizations; and



11
    Costs that are not directly related to the delivery of the instructional program and that are not
     supported by this NGO.




12
SECTION 3: COMPLETING THE APPLICATION



3.1   GENERAL INSTRUCTIONS FOR APPLYING

To apply for a grant under this NGO, you must prepare and submit a complete application. Your
application will be a response to the state’s vision as articulated in Section 1: Grant Program
Information of this NGO. It will be planned, designed and developed in accordance with the
program framework articulated in Section 2: Project Guidelines of this NGO. Your application
package must also be constructed in accordance with the guidance, instructions and forms found
only in the DGA. You must use the DGA in combination with this NGO to prepare a complete
application.


3.2   REVIEW OF CONTINUATION APPLICATION

Department staff will review the continuation grant application on the basis of quality and
comprehensiveness, including consistency with the comprehensive project plan selected and
approved in the application under the initiating multi-year NGO. The application also will be
reviewed for completeness, accuracy and appropriateness of response to each of the items
identified in Section 2 and the DGA.




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3.3   APPLICATION COMPONENT CHECKLIST

The following forms are required (see Required  Column) to be included as part of your
application. Failure to include a required form may result in your application being removed
from consideration for funding. Use the checklist (see Included  Column) to ensure that all
required forms are included in your application.

Note: The Application Title Page and all special forms are attached to the NGO. All other forms
are part of the Discretionary Grant Application (DGA) and can be downloaded from the Internet
at http://www.nj.gov/njded/grants/discretionary/apps/.


 Required    Location                                                                   Included
 ()                     Form                                                           ()
            NGO         Application Title Page
            NGO         Certification of Eligibility
            DGA         Board Resolution to Apply
            DGA         Statement of Assurances
            DGA         Project Description
            NGO         Evaluation Narrative
            DGA         Goals, Objectives and Indicators
            DGA         Project Activity Plan
            DGA*        Budget Form A: Full-Time and Part-Time Salaries
            DGA*        Budget Form B: Personal Services – Employee Benefits
            DGA*        Budget Form C: Purchased Professional and Technical Services
            DGA*        Budget Form D: Supplies and Materials
            DGA*        Budget Form F: Other Costs
            DGA*        Subgrant Budget Summary
            DGA         Application for Funds – Budget Summary

*These budget forms are required only when applicable costs are requested.




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                                           Appendix A

                         Drug Abuse Education Fund Grant Program
                                 Certification of Eligibility

This document is to be signed and submitted with the application as certification of the
applicant’s ability to utilize law enforcement personnel in providing drug abuse education
programs on a statewide basis, in accordance with the provisions on this NGO. The applicant
certifies that it has a formal working relationship with law enforcement officers in the provision
of drug abuse education and will continue that relationship for the purposes of this grant or that
the applicant will enter into formal working relationships with law enforcement officers for the
provision of drug abuse education under this grant.


I, ____________________________________ certify that I and/or appropriate representatives of
   (Type or Print Name of Executive Director)


_________________________________________have read and accepted the terms of the NGO.
   (Type or Print Name of Organization)


_________________________________________ ___________________________________
        (Organization Address)               (Organization Telephone)



_______________________________            ________________       _________________________
 (Signature of Executive Director)             (Date)              (Board Approval Date)




______________________________________________________________________________

Note: The Certification of Eligibility form must be completed and submitted with the
application.
_____________________________________________________________________________




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                                       NEW JERSEY DEPARTMENT OF EDUCATION
                                         NOTICE OF GRANT OPPORTUNITY - TITLE PAGE
SECTION I:                                                                                                                04 DW03 H05
                                                                                                                          FY    NGO#         WKL
TITLE OF NGO:                 Drug Abuse Education Fund Grant Program (DAEF)
DIVISION:                     Student Services
OFFICE:                       Program Support Services
SECTION II:                                                                                                     COUNTY:
                                                                                                                LEA/OTHER:

                                                                                            COUNTY NAME:_____________________________

APPLICANT AGENCY

ADDRESS

CITY                                                                   STATE                                                        ZIP
PREVIOUS FUNDING: Agency received funding from the NJ Department of Education within the last two years of submission of this application.
                                                          YES          NO

PROJECT DIRECTOR (Please print or type name): _________________________________________________________________

TELEPHONE NUMBER: (____)____________________ FAX#: (____)__________________ E-MAIL_______________________________

BUSINESS MANAGER: ________________________________ PHONE#: (____)___________ E-MAIL_____________________________

                    DURATION OF PROJECT: FROM:                  10/01/04              TO:    09/30/05

                    TOTAL AMOUNT OF FUNDS REQUESTED: $__________________________________________

APPLICATION CERTIFICATION:                        To the best of my knowledge and belief, the information contained in the application is true and
                                                  correct. The document has been duly authorized by the governing body of this agency and we will
                                                  comply with the attached assurances if funding is awarded. I further certify the following is
                                                  enclosed:
                                                             AGENCY TITLE PAGE
                                                             SIGNED STATEMENT OF ASSURANCES
                                                             BOARD RESOLUTION TO APPLY
                                                             APPLICATION NARRATIVE*
                                                             BUDGET SUMMARY AND BUDGET DETAIL FORMS*
                                                             ORIGINAL AND FOUR COPIES OF THE COMPLETE APPLICATION PACKAGE

___________________________________________________           _________________________________________          ________________
SIGNATURE OF CHIEF SCHOOL ADMINISTRATOR                        TITLE                                              DATE
OR EQUIVALENT OFFICER

___________________________________________________
(Please print or type name)

*FAILURE TO INCLUDE A REQUIRED APPLICATION COMPONENT CONSTITUTES A VIOLATION OF THE NGO AND WILL RESULT IN THE
                APPLICATION BEING ELIMINATED FROM CONSIDERATION (See NGO Section 3.3 for itemized list).
SECTION III:
SEND OR DELIVER APPLICATIONS TO:                                                            APPLICATIONS MUST BE RECEIVED BY:
          NEW JERSEY DEPARTMENT OF EDUCATION
          APPLICATION CONTROL CENTER                                                        4:00 P.M., ON         07/16/04
          RIVER VIEW EXECUTIVE PLAZA
          BLDG. 100, ROUTE 29 – PO Box 500
          TRENTON, NJ 08625-0500
NO FACSIMILE SUBMISSION WILL BE ACCEPTED.
NO LATE APPLICATIONS WILL BE ACCEPTED REGARDLESS OF THE DATE POSTMARKED.
NO ADDITIONAL MATERIALS CAN BE SUBMITTED AFTER RECEIPT OF THIS APPLICATION.

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