Docstoc

Federal Grant Requirements

Document Sample
Federal Grant Requirements Powered By Docstoc
					                                        MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION
                                           STANDARD CONTRACT FORM AND APPLICATION FOR PROGRAM GRANTS
PART I - GENERAL
                                        ORGANIZATION NAME
A. APPLICANT         District Name:                                     1         District Code:       ORGA
District Contact First Name:                                  Last Name:                      Email:
Address:                                   ADDRESS LINE 1
                                           ADDRESS LINE 2
                                           CITY/TOWN                                    MA    ZIP CODE
Contact Tel:                               Summer #:

Person Completing the application:

First Name:                                                   Last Name:                      Email:
Address:

City/State/Zip:
Contact Tel:                               Summer #:                                                        Submission date:

B. APPLICATION FOR PROGRAM FUNDING
           Fund Code                              Program Name                             PROJECT DURATION
                                                                                                                                               Allocation
                                                                                     FROM                        TO
                                             SECONDARY SCHOOL
                  267-C                          READING                       Upon approval                8/31/2010
                                           IMPLEMENTATION GRANT

         FEDERAL- CONTINUATION GRANT
               administered by the
     OFFICE OF READING and LANGUAGE ARTS
                                                                                               TOTAL AMOUNT REQUESTED:

 C. I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS CORRECT AND COMPLETE; THAT THE APPLICANT AGENCY HAS AUTHORIZED
 ME, AS ITS REPRESENTATIVE, TO FILE THIS APPLICATION; AND THAT I UNDERSTAND THAT FOR ANY FUNDS RECEIVED THROUGH THIS APPLICATION THE
 AGENCY AGREES TO COMPLY WITH ALL APPLICATION STATE AND FEDERAL GRANT REQUIREMENTS COVERING BOTH THE PROGRAMMATIC AND FISCAL
                                                      ADMINISTRATION OF GRANT FUNDS


AUTHORIZED SIGNATORY:                                                                         TITLE:

TYPED NAME:                                                                                   DATE:


                                                           REQUESTED SUBMISSION DUE: August 21, 2009
                          Mail one (1) copy of this cover sheet each with an original signature of the Superintendent/Executive Director to:
                                                                            Alexia Cribbs
                                                                          Office of Reading
                                                       MA Department of Elementary and Secondary Education
                                                                 75 Pleasant Street, Malden MA 02148
                                                       DO NOT WRITE BELOW THIS LINE
                                  MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION USE ONLY

                                                                      GRANTS MANAGEMENT
For the Department Authorized Signatory:                                 _________________________               Date:
PART II - PROJECT EXPENDITURES - DETAIL INFORMATION                                                                                A.
B. APPLICANT AGENCY: ORGANIZATION NAME                                                                 District Code:ORGA               Email address:
Contact Person:                                                           Address: ADDRESS LINE 1
Funding Source:            267-C                                                   CITY/TOWN                                            Telephone and extension:
Submission date:                                                                   MA,           ZIP CODE
                                                                                                                                        Summer number and extension
PLEASE PROVIDE ALL OF THE INFORMATION REQUESTED ABOVE AND SUBMIT ALL PAGES OF THE BUDGET DETAIL.
C. ASSIGNMENT THROUGH SCHEDULE A
Check this box ONLY if this project will be using funds assigned by more than one agency. A completed Schedule A, with signatures and
the amount of funds assigned by each participating agency, must be attached to this Budget Detail.
                                                                   E.          F.            G.              H.                I.                                     K.
                                                                  # OF        FTE          MTRS*          AMOUNT           TOTAL
 D.               STAFFING CATEGORIES                                                                                                                       BUDGET NARRATIVE
                                                                STAFF


1. ADMINISTRATORS:

     Supervisor/Director

     Project Coordinator




     Stipends




     SUB-TOTAL
                                                               E.            F.            G.                H.              I.                                    K.
D.                 STAFFING CATEGORIES                        # OF          FTE           MTRS*            AMOUNT          TOTAL                            BUDGET NARRATIVE
                                                             STAFF
    INSTRUCTIONAL/
 2. PROFESSIONAL STAFF:



     Stipends



     SUB-TOTAL
 3. SUPPORT STAFF

     Aides/Paraprofessionals

     Secretary/Bookkeeper

     Other



     SUB-TOTAL


         SECONDARY SCHOOL READING IMPLEMENTATION GRANT                                            Page 2                                                                   11/14/2010 11:56 AM
B. APPLICANT AGENCY: ORGANIZATION NAME                                                                           District Code:ORGA         Email address:
* Check the MTRS box if the identified employee(s) is/are a member of the MA Teachers' Retirement System.                                                           K.
 This requirement only applies to federally funded grant programs
                                                                                                                                                             BUDGET NARRATIVE

 4. FRINGE BENEFITS:                                                                                                   AMOUNT   LINE ITEM
                                                                                                                                SUB-TOTAL

4-a MA TEACHERS' RETIREMENT SYSTEM (Federally funded grants only)

4-b OTHER FRINGE BENEFITS (Other retirement systems, health insurance, FICA)



    SUB-TOTAL
 5. CONTRACTUAL SERVICES: Indicate the services to be provided and the rate to be paid per hour or per day,              H.         I.                              K.
    whichever is applicable.                                                                                           AMOUNT   LINE ITEM                    BUDGET NARRATIVE
                                                                                 Rate($)         Hour/Day                       SUB-TOTAL
    Consultants




    Specialists

    Instructors

    Speakers

    Substitutes

    Other



    SUB-TOTAL
 6. SUPPLIES AND MATERIALS: Items costing less than                                                                      H.           I.
    $5,000 per unit or having a useful life of less than one year.                                                     AMOUNT   LINE ITEM
                                                                                                                                SUB-TOTAL
    Textbooks and Instructional Materials

    Assessments

    Instructional Technology including Software

    Non-Instructional Supplies

    SUB-TOTAL




          SECONDARY SCHOOL READING IMPLEMENTATION GRANT                                                       Page 3                                                     11/14/2010 11:56 AM
B. APPLICANT AGENCY: ORGANIZATION NAME                                                                           District Code:ORGA        Email address:
                                                                                                                        H.         I.
 7. TRAVEL: Mileage, conference registration, hotel, and meals                                                        AMOUNT   LINE ITEM                           K.
                                                                                                                               SUB-TOTAL                    BUDGET NARRATIVE
    Supervisory Staff

    Instructional Staff

    Other



     SUB-TOTAL
                                                                                                                        H.            I.                           K.
 8. OTHER COSTS: Please indicate the amount requested in each category                                                AMOUNT   LINE ITEM
                                                                                                                                                            BUDGET NARRATIVE
                                                                                                                               SUB-TOTAL
Transportation of Students

Memberships/Subscriptions

Advertising

Printing/Reproduction

Maintenance/Repairs

Rental of Space

Rental of Equipment

Telephone/Utilities

     SUB-TOTAL
 9. INDIRECT COSTS                                                       Approved Rate:
10. EQUIPMENT: Provide a statement of need and cost of each item in the Purpose/Improvement Initiative column.          H.         I.
    Items costing $5,000 or more per unit and having a useful life of more than one year.                             AMOUNT   LINE ITEM                           K.
                                                                                                                               SUB-TOTAL                    BUDGET NARRATIVE
    Instructional Equipment

    Non-Instructional Equipment

     SUB-TOTAL

     TOTAL FUNDS REQUESTED




          SECONDARY SCHOOL READING IMPLEMENTATION GRANT                                                      Page 4                                                     11/14/2010 11:56 AM
SECONDARY SCHOOL READING IMPLEMENTATION GRANT
Program Components
  DISTRICT NAME:                             ORGANIZATION NAME                                                        ORGA


A. Participating Schools
  Complete the grant and contact information for each school listed in the table below.


                                                                           Reading Leadership Team
                   School                        Grant Amount                                            First Name      Last Name   Phone    Email
                                                                           Coordinator/Coach

                                                                           RLT Coordinator:

                                                                           Literacy Coach:

                                                                           RLT Coordinator:

                                                                           Literacy Coach:

                                                                           RLT Coordinator:

                                                                           Literacy Coach:

                                                                           RLT Coordinator:

                                                                           Literacy Coach:

                                                                           RLT Coordinator:

                                                                           Literacy Coach:

                                                                           RLT Coordinator:

                                                                           Literacy Coach:

                                                                           RLT Coordinator:

                                                                           Literacy Coach:

                                                                           RLT Coordinator:

                                                                           Literacy Coach:

                                                                           RLT Coordinator:

                                                                           Literacy Coach:

                                                                           RLT Coordinator:

                                                                           Literacy Coach:

                                                                           RLT Coordinator:

                                                                           Literacy Coach:

  District Total                                          0




                                                                                               Page 5 of 7                                   Participating Schl Info
                 MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION
                      STANDARD APPLICATION FOR COORDINATED PROGRAM GRANTS

                                                FORM AM 1
                                         (AMENDMENT REQUEST FORM)

 PART 1:
 A.   Amend line item expenditures by changing $ amounts on the preceding budget worksheet (click on the
      grey tab at the bottom of the screen labeled 267-C to return to the budget worksheet). Changes in line item
      amounts will automatically appear in Column C below. I
 B.   On this page, complete the three yellow highlighted sections only.
 D.   Mail this AM1 form with an original signature of a district authorized representative to: Alexia Cribbs, MA
      Department of Elementary and Secondary Education, 5th Floor, 75 Pleasant Street, Malden MA 02148.

 E.   Submit the amendment request at least 30 days prior to the proposed change and no later than 30 days
      prior to the termination date of the project. Amendment requests must be approved in writing by an
      authorized representative of the Department of Elementary and Secondary Education prior to
      implementation.

 F.   Grant Recipient:                    ORGANIZATION NAME                              ORGA
      (Legal Name of Agency
 G.   Address:                            ADDRESS LINE 1                         ADDRESS LINE 2
      (Street,City/Town/Zip Code)         CITY/TOWN                              MA           ZIP CODE
 H.   Project Number:                     267-C                                                              FY10
 I.   Name of grant program/
                                          Secondary School Reading Implementation Grant
      Source of funds
 J.   Name of person                      Name:
      Completing this report:             Title:
      (Print or Type)                     Phone Number:

 PART II

 Justification: Provide a detailed explanation and justification of why the proposed amendment should be
 implemented. Describe how this change will affect the original program plan. Attach additional sheets if the
 space provided is insufficient.




267-C_Am                                                                                                11/14/2010
 PART III: This section will be automated and data SHOULD NOT be entered by school district
 personnel.
 A.   Column A will be filled in by the Department of Elementary and Secondary Education.
      Column B will be filled in by the Department of Elementary and Secondary Education as each amendment is
 B.
      approved.
 C.   Column C will fill in automatically as changes are made to the preceding budget sheets.
 D.   Column D will update automatically according to the changes in Column C.

                                                 Column A           Column B          Column C        Column D

                                                 BUDGET            APPROVED
               LINE ITEM                        APPROVED            AMENDED          AMENDMENT         REVISED
                                                ORIGINALLY            BUDGET          REQUEST          BUDGET
                                                                   (If applicable)

 1.   Administrators

 2.   Instructional/Direct Service Staff

 3.   Support Staff

 4.   Fringe                   MTRS

      Benefits                 Other

 5.   Contractual Services

 6.   Supplies

 7.   Travel

 8.   Other

 9.   Indirect Costs
 10. Equipment

 11. Total

 I CERTIFY THAT THE INFORMATION CONTAINED IN THIS AMENDMENT REQUEST IS CORRECT AND COMPLETE; THAT THE APPLICANT
 AGENCY HAS AUTHORIZED ME, AS ITS REPRESENTATIVE, TO FILE THIS APPLICATION; AND I UNDERSTAND THAT FOR ANY FUNDS
 RECEIVED THROUGH THIS AMENDMENT REQUEST THE AGENCY AGREES TO COMPLY WITH ALL APPLICABLE STATE AND FEDERAL
 GRANT REQUIREMENTS COVERING BOTH THE PROGRAMMATIC AND FISCAL ADMINISTRATION OF GRANT FUNDS.

 1.   Signature of Authorized Representative:                  X
 2.   Typed or Printed Name:
 3.   Title:
 4.   Date Report Submitted:

 PART IV (To be completed by the Department of Elementary and Secondary Education) - ACTION TAKEN
 A.   APPROVED                              EFFECTIVE DATE OF APPROVAL:
 B.   DISAPPROVED                           REASON FOR DISAPPROVAL:


 1.   Signature of Authorized ESE Representative:              X
 2.   Typed or Printed Name:
 3.   Title:
 4.   Date:
      AM 1                                 Revised 3/30/07 Adapted for Secondary School Reading Implementation Grant




267-C_Am                                                                                                 11/14/2010

				
DOCUMENT INFO
Description: Federal Grant Requirements document sample