MASSACHUSETTS DEPARTMENT OF ELEMENTARY & SECONDARY EDUCATION STANDARD CONTRACT FORM AND APPLICATION FOR PROGRAM GRANTS PART I - GENERAL A. APPLICANT District Name: ORGANIZATION NAME 1 District Code: ORGA Contact Name Contact email Address: ADDRESS LINE 1 ADDRESS LINE 2 CITY/TOWN ZIP CODE Contact Telephone: B. APPLICATION FOR PROGRAM FUNDING Fund Code Program Name PROJECT DURATION FY11 FROM TO Entitlement Amount American Recovery and Reinvestment Act - Upon 760 IDEA Approval 6/30/2011 TOTAL AMOUNT REQUESTED: #REF! 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: Mail two (2) copies of this cover sheet each with an original signature of the Superintendent/Executive Director to: Grace Willis Special Education Planning and Policy Development Office MA Department of Elementary & Secondary Education 75 Pleasant Street Malden, MA 02148-5023 Upload the entire Budget Workbook to the Security Portal DO NOT WRITE BELOW THIS LINE MASSACHUSETTS DEPARTMENT OF ELEMENTARY & SECONDARY EDUCATION USE ONLY GRANTS MANAGEMENT For the Department Authorized Signatory: Date: Name of Grant Program: The American Recovery and Reinvestment Act: Saving and Creating Jobs and Reforming Education (ARRA) - IDEA Fund Code: 760 ARRA Purpose: The overall purposes of the ARRA federal grant programs are to fund activities that will advance ARRA’s short- term economic goals by investing quickly to save and create jobs, and to fund activities that support ARRA’s long-term economic goals by investing wisely, funding activities designed to strengthen education, drive reforms, and improve results for students. ARRA - IDEA Purpose: Activities funded through the ARRA - IDEA grant must be designed to help to ensure that students with disabilities have access to a free and appropriate education (FAPE) to meet each student’s unique needs and to prepare each student for further education, employment, and independent living. Recovery Under this priority, districts may consider using funds to advance ARRA’s short-term economic goals by investing quickly to save jobs and improve student achievement. REQUIRED PROGRAM INFORMATION - NARRATIVE COMPONENT Listed below are the required components in the order that they must appear in the proposal. Each application must include information on the following items. Recovery Activity I - Save Jobs and Improve Student Achievement A. Describe the identified recovery activities. Provide a timeline for the fund use. B. Describe the types of services and programmatic components that will benefit from the identified fund use. C. Indicate how many jobs will be saved as a result of these funds. Name of Grant Program: The American Recovery and Reinvestment Act: Saving and Creating Jobs and Reforming Education (ARRA) - IDEA Fund Code: 760 Recovery Activity II - Other A. Describe the identified recovery activities. Provide a timeline for the fund use. B. Describe the types of services and programmatic components that will benefit from the identified fund use. A. Amount of Federal Special Education ARRA funds. $ - Districts are encouraged to use their ARRA - IDEA funds on strategic investments that will help further progress and that will provide ongoing benefits and/or cost savings beyond the expiration of the ARRA → funding. As a guide, it is suggested that districts use no more than 50% of the funds for recovery activities. SEE 50% AMOUNT TO THE RIGHT $ - B. Indicate the TOTAL FEDERAL SPECIAL EDUCATION ARRA FUNDS THAT WILL BE USED FOR RECOVERY. The amount entered in Line B CANNOT be greater than Line A. ll. ALLOCATION OF FUNDS # of staff FTE MTRS Amount 1 Administrators: Supervisor/Director Project Coordinator Stipends 2 Instructional/Professional Staff: stipends 3 Support Staff Aides/Paraprofessionals Secretary/Bookkeeper Other Stipends 4 Fringe Benefits: Other Fringe Benefits to be completed on budget pages 4-a MTRS $ - 4-b OTHER FRINGE BENEFITS (Other retirement systems, health insurance, FICA) 5 Contractual Services Rate ($) Hour/Day Consultants Specialists Instructors Speakers Substitutes Supplemental Services - Contracted Provider Other Name of Grant Program: The American Recovery and Reinvestment Act: Saving and Creating Jobs and Reforming Education (ARRA) - IDEA Fund Code: 760 6 Supplies and Materials Amount Textbooks and Instructional Materials Instructional Technology including Software Non-instructional Supplies 7 Travel: Mileage, conference registration, hotel and meals Supervisory Staff Instructional Staff Other 8 Other Costs Advertising Maintenance/Repairs Rental of Space Rental of Equipment Transportation of Students Telephone/Utilities Memberships/Subscriptions Printing/Reproduction 9 INDIRECT COSTS - to be entered on budget pages 10 EQUIPMENT: Instructional Equipment Non-instructional Equipment Click here to add another RECOVERY sheet Indirect Cost Calculation Worksheet The following worksheet will automatically calculate the amount of funds that can be used by a school district for indirect costs. You will need to insert your school district's approved allowable rate and total funds requested in the yellow boxes. You will need to input the rate in either percentage (A) or decimal form (B). The "amount that can be used for indirect" is the maximum amount that your school districts can put in for indirect costs in line item 9. This worksheet assumes no capital expenditures. See other important notes below. Indirect Cost Calculation (A) Input Your Note: if percentage format used Grant Information Example Below Total Funds Requested $100,000 Indirect Cost Percentage: If percentage used (2.18%) 2.18% Total Funds/(1+Percentage) $97,867 $0 Maximum Amount that can be used for Indirect: $2,133 $0 Indirect Cost Calculation (B) Input Your Note: if decimal format used Grant Information Example Below Total Funds Requested $100,000 Indirect Cost Percentage: If decimals used (.0218) 0.0218 Total Funds/(1+Percentage) $97,867 $0 Maximum Amount that can be used for Indirect: $2,133 $0 Important Notes regarding Indirect Costs: For all school districts in Massachusetts, costs must be consistent with the rate established by the Department's Office of School Finance. For other than school systems, applicant agencies must comply with provisions of CFR 34 S.76.561. (Please note that indirect costs are not allowable under certain grant programs. If you have any questions regarding this issue, contact the appropriate representative of the Department.) Districts are allowed to take less than the maximum, but not more than the maximum allowable for indirect costs. In calculating the indirect cost allowable for a particular grant, note that indirect costs cannot be charged on either capital expenditures or on indirect costs themselves. To arrive at the allowable amount one cannot simply multiply a total entitlement by the indirect rate. The decision to recover indirect costs using these established rates is a local option. The rates are developed for school districts as the maximum allowable rate for a given fiscal year. If indirect costs are recovered, they shall be returned to the general fund of the city or town in accordance with G.L. Chapter 44, Section 53. In the case of regional schools, indirect costs shall be returned to the regional school general fund.
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