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					                             Illinois Board of Higher Education
                                                 Pat Quinn, Governor
                        Carrie J. Hightman, Chairwoman  Donald Sevener, Interim Executive Director


                                       MEMORANDUM

   TO:             The Illinois Higher Education Community

   FROM:           Donald Sevener, Interim Executive Director

   DATE:           September 22, 2010

   RE:             Request for Proposals (RFP): Fiscal Year 2011 Grants
                   Illinois Cooperative Work Study Program


Accompanying this memorandum is a Request for Proposals (RFP) for the fiscal year 2011 Illinois
Cooperative Work Study Program (ICWS). The ICWS program supports the goals of the Public Agenda by
reducing reliance on student loans and encouraging students to seek permanent employment in Illinois.
Proposals submitted in response to this RFP must be submitted by Monday, November 8, 2010. Since this
is a competitive process, I want to emphasize how important it is to provide clear and detailed information
when filling out the attachments to this RFP. The IBHE is releasing the RFP earlier this year as was done
last year to allow more time for you to complete the RFP. We still expect major delays with vouchers paid
through the Comptroller’s office in FY2011 due to the state’s cash flow problems.

As in FY2010, when the ICWS program suffered a 41 percent decline in funding along with other IBHE
grant programs, the IBHE anticipates awarding approximately $1,231,000 for ICWS grant projects in
FY2011, subject to budget reserves. As a result of the reduced funding, and because of the increasing
number of proposals submitted each year, the maximum request amount from each institution in FY2011 will
be limited to $50,000.

The ICWS program requires that participating institutions place students with reputable employers who will
provide students with opportunities to put into practice what they are learning in their academic programs.
The program also encourages work opportunities that may lead students to seek employment in Illinois. In
order to maximize these objectives, applicant institutions are asked to describe how work opportunities are
linked to academic programs. For example, an institution may list Regency Health Care as an employer
because it has students seeking an LPN title in the nursing field, or it may list McDonalds as an employer
because three interns want to link their Restaurant/Food Services Management academic program to real
foodservice management experience.

Finally, since one of the goals of the ICWS program is to strengthen cooperation between higher education,
business, industry, and government, please be reminded that students cannot work in a department on your
campus and be reimbursed with ICWS funds.




                                                    1
                                       General Information

Eligible Applicants: Applicants eligible to receive grants are approved public and private, associate- and
baccalaureate-degree granting Illinois colleges and universities.

Grant Period: It is anticipated that grant decisions will be made at the February 2011 IBHE board meeting.
The grant period will begin no sooner than the date of the February 2011 IBHE meeting and will extend
through June 30, 2012.

Application Deadline: Only one proposal per institution may be submitted for this program. The
application materials for FY2011 must be submitted online. The online system can be accessed from the
IBHE website at: http://www.ibhe.org/Grants/default.htm. Proposals must be entered by 5:00 p.m. CST
Monday, November 8, 2010. In addition to submitting an online application, please mail three (3) originals
of the cover page postmarked by Monday, November 8, 2010, 5:00 p.m. CST, signed by the President/CEO
to:

                       FY2011 Illinois Cooperative Work Study Grants
                       Attention: Trish Fenton, Secretary, Grant Administration
                       Illinois Board of Higher Education
                       431 East Adams Street, Second Floor
                       Springfield, Illinois 62701-1404


Contact Person: For more information on this RFP, contact Rich Jachino, Associate Director, Grant
Administration, at 217.557.7339 or e-mail grants staff at Grants@ibhe.org.




                                                    2
                           Background and Program Specifications
The Illinois Cooperative Work Study Program was established in 1991 to support student cooperative work
study programs. The Board of Higher Education administers the program and makes grants to public and
nonpublic institutions of higher education.

Grants will be awarded for proposals submitted based on evaluation criteria included in the administrative
rules. Proposals are requested for projects that will:

               benefit students academically and financially,
               reduce reliance on student loans,
               enhance public-private sector partnerships, and
               encourage students to seek permanent employment in Illinois.


                                         Program Objectives:
Grants shall be made for projects that support Illinois resident undergraduate students. In addition, the Board
shall consider whether the projects:

    1. Expand opportunities for students to pursue internships, clinical placement, cooperative programs
       with business and industry, and other work opportunities linked to a student’s academic program;
    2. Strengthen cooperation between higher education, business, industry, and government;
    3. Encourage social and community service;
    4. Maximize the use of matching contributions from business and industry, and governmental and
       social agencies;
    5. Create new opportunities for public/private partnerships;
    6. Integrate other components of student financial aid to reduce reliance on student loans; and
    7. Encourage students to seek permanent employment in Illinois.

Within the project narrative and goals and objectives, institutions must demonstrate how these objectives will
be achieved.


                                          Fiscal Information
In fiscal year 2011, the Illinois Board of Higher Education anticipates awarding approximately $1,231,000
for Illinois Cooperative Work Study Grant projects, subject to budget reserves.

Grant funds must be used for student wages and salaries. The cost of the grant audit also is an allowable
expenditure of grant funds. No grant funds shall be used for administrative costs.




                                                       3
                                          Proposal Format
Each proposal must be submitted in the format outlined below. Please use the following as a checklist in
assembling your completed proposal.

    1. Cover Page (Attachment 1): This form must be completed, dated, signed by the President/CEO of
       the applicant institution and mailed to the IBHE.

    2. Project Synopsis (Attachment 2): Limit to one page, double-spaced. Briefly describe the goals
       and objectives of the program. Since this synopsis may be used in public information documents,
       please refrain from using technical language not readily understood by the general public.

        After your project synopsis is prepared, you may copy and paste this material in a required format
        to the online system. Please note this attachment need not be uploaded to our system.

    3. Project Narrative (Attachment 3): Limit to five double-spaced pages. Please provide a
       comprehensive description of the goals, objectives, and the activities proposed to accomplish each
       objective of the project; the participants to be served; timelines; and personnel responsible for
       completing the activities. The following specific information must be provided:

          How the Cooperative Work Study (CWS) program will be coordinated with existing work-study
           programs at the institution;
          How the CWS program will be coordinated with financial aid programs serving students at the
           institution;
          The institution’s planned procedures for student selection and criteria for program participants;
          The anticipated academic benefits resulting from the work experience; i.e., the match between
           and enhancement of theoretical and applied learning;
          The planned relationship between students, faculty and employers, how students will be
           supervised, how goals are set, student employee evaluations, and expected results; and
          How the institution will provide information on the subsequent employment of graduates who
           participate in the program.

    4. Budget (Attachment 4): Provide a completed budget request form. Cooperative Work Study
       funds are to be used only for student wages and salaries, and the cost of the grant audit. Grant funds
       may not be used for any administrative costs.

       This information is entered directly into the online system.

    5. Institutional Contributions (Attachment 5): Indicate in a general budget format the amount your
       institution contributes with in-kind and institutional contributions to the Illinois Cooperative Work
       Study program. An in-kind contribution is a non-cash input which can be given a cash value.
       Examples of in-kind contributions may include program director’s salary and fringe benefits
       associated with running the program. Contributions directly from the institution used to pay for
       student salaries, fringe benefits, etc. are considered institutional contributions.

    6. List of Participating Employers (Attachment 6). Please list all participating employers who have
       submitted letters of intent to participate in the program.




                                                      4
7. Linkage to Student’s Academic Program Summary (Attachment 7). Please briefly describe
   how the work opportunity is linked to a student’s academic program for each employers listed in
   Attachment 6.

8. Employer’s letters (Attachment 8). Please scan and upload all employers’ letters via the online
   system.

9. Interim Evaluation Report (Attachment 9). Projects that received fiscal year 2010 Illinois
   Cooperative Work Study grants must submit an interim evaluation report of results achieved
   through September 30, 2010. See Attachment 9 for required information.

10. Evaluation Plan (Attachment 10): Describe an evaluation plan that details how the project’s
    effectiveness will be assessed in relationship to the stated objectives of the project.

11. Terms of the Grant (Attachment 11): The Terms of the Grant shall be certified by the applicant’s
    President or Chief Executive Officer.

12. Quarterly Expenditure Report: Public Act 96-0795 requires quarterly reports to be submitted
    describing the progress of the project and the expenditure of grant funds. Submit quarterly online
    at: http://www.ibhe.org/OGA/quarterlyRpt/login.asp

13. Certifications (Appendices A and B): Illinois Board of Higher Education Certifications and
    Compliance (Appendix A) and State of Illinois Required Certifications (Appendix B) must be
    attached as incorporated in the Terms of the Grant.

14. Online System Instructions (Appendix C): Instructions for using the online system.

15. Compiled Statues and Program Rules.




                                               5
                              Criteria for Review and Approval
Proposals will be reviewed and rated by a review team chosen by the Illinois Board of Higher Education
staff. The following criteria will be used to rate the proposals. (100 total possible points)

   1. Addresses policy issues related to workforce and economic development. The proposal provides
      clear evidence of addressing issues relative to workforce and economic development, including
      strengthening cooperation between higher education institutions, K-12 education, business, industry
      and government; creating new opportunities for public/private partnerships; and encouraging students
      to seek permanent employment in Illinois. (20 points)

   2. Leveraging Resources. The proposal provides clear evidence of integrating other components of
      student financial aid to reduce reliance on student loans; maximizes the use of matching
      contributions from business, industry and government; and shows alignment between the
      Cooperative Work Study Program and other campus work study programs. (25 points)

   3. Enhancing Academic, Employment, and Community Relationships. The proposal provides for
      expansion of student internships linked to a student’s academic field and encourages social and
      community service. (15 points)

   4. Program Articulation. The proposal clearly articulates the student selection process; the
      relationships between students, faculty and employers; and defines responsibilities for student
      supervision and evaluation. Employer letters of intent to participate in the program clearly define the
      commitment including number and length of positions and employer share of wage or salary.
       (25 points)

   5. Program Evaluation. The proposed evaluation process is designed to assess the effectiveness of the
      activities in relation to the goals and objectives. It includes clearly stated performance measures and
      tracking information for follow up of student permanent employment in Illinois. Interim evaluation
      is provided, if applicable.
      (10 points)

   6. Budget. The proposed budget is cost-effective and is consistent with the scope of the proposed
      objectives and activities. The budget reflects maximized use of matching contributions. (5 points)




                                                     6
                                                                                                        ATTACHMENT 1
                                         STATE OF ILLINOIS
                                    BOARD OF HIGHER EDUCATION
                            ILLINOIS COOPERATIVE WORK STUDY PROGRAM
                                          FISCAL YEAR 2011
                                                      COVER PAGE

Proposal Title    ___________________________________________________________________________________


                                                                                        (For BHE Use Only)
Total Grant Funds Requested:      $____________________            Total Grant Funds Awarded: ______________________

The undersigned institution understands that this grant proposal represents an offer, which if accepted by the Illinois Board of
Higher Education in writing, will become part of a grant agreement subject to the Illinois Grant Funds Recovery Act and all
other applicable laws governing contracts and agreements in the State of Illinois.



 Project Director        _____________________________________________________________________________
                                                      (print or type)

        Title/Dept.      _____________________________________________________________________________

        Address          _____________________________________________________________________________

                         _____________________________________________________________________________

        Telephone        __________________________        FAX___________________

        E-mail           _____________________________________________________________________________

 APPLICANT
 INSTITUTION/ ________________________________________________________________________________________

 Address          __________________________________________________________________________________________

                  __________________________________________________________________________________________

 Signature        ___________________________________________                         Date: _________________________

 TYPE NAME AND TITLE OF SIGNATORY: _______________________________________________________________


 Effective this 15th day of February, 2011.

 GRANTOR:
 ILLINOIS BOARD OF HIGHER EDUCATION

 By:    __________________________________                                  Date: ___________________________________
                     Donald Sevener
               Interim Executive Director




                                                              7
                                                      ATTACHMENT 2

                 ILLINOIS COOPERATIVE WORK STUDY PROGRAM
                           FY2011 PROJECT SYNOPSIS

See description under proposal format page 4.




                                                8
                                                      ATTACHMENT 3

                 ILLINOIS COOPERATIVE WORK STUDY PROGRAM
                           FY2011 PROJECT NARRATIVE

See description under proposal format page 4.




                                                9
                                                                                               ATTACHMENT 4


                                            STATE OF ILLINOIS
                                        BOARD OF HIGHER EDUCATION

                           ILLINOIS COOPERATIVE WORK STUDY PROGRAM
                                        FISCAL YEAR 2011

                                     PROPOSED BUDGET
Institution: _______________________________________________________________________

Project Director: ___________________________________________________________________

Estimated number of student participants by academic program:
      Please supply best estimates since funding decisions are partially made on student participants.

         Education:     _____________                 Nursing:              ____________
         Engineering: _____________                   Health:               ____________
         Mathematics: _____________                   Computer/Information: ____________
         Phy Sciences: _____________                  Unknown:             ____________
         Business, Management                         All Other:            ____________
         And Marketing: _____________

         Total of all student participants:           _____________

Grant Amount(s) Requested:
      Student Salaries/Fringe Benefits1                 $___________
      Audit2                                            $___________
          Total Amount Requested:                       $___________

The amount(s) and source(s) of matching contributions earmarked for the project:

         In-kind institutional contribution3             $_________
         Non in-kind institutional contribution4         $_________
             Total Institutional Contribution:           $_________       (Total from attachment 5)

Total Matching External Contributions5                   $_________ Total # of External Sources: ____
(Totals from attachment 6)
1
    Funds provided to employers for student salaries and benefits.

2
 The independent examination verifying grant expenditures and compliance with the terms of the grant agreement
and applicable statutes and rules.
3
 An in-kind contribution is a non-cash input which can be given a cash value. Examples of in-kind contributions may
include: program director’s salary and fringe benefits associated with running the program
4
 Non in-kind contributions are funds directly from the institution used to pay for student salaries, student fringe
benefits, etc.
5
  Please indicate the amount external organizations such as business, industry, and government contributes to
student salaries and fringe benefits on this line.

                                                             10
                                                                                    ATTACHMENT 5

                   ILLINOIS COOPERATIVE WORK STUDY PROGRAM
                       FY2011 INSTITUTIONAL CONTRIBUTIONS

Indicate in a general budget format the amount your institution contributes with in-kind and institutional
contributions to the Illinois Cooperative Work Study program. An in-kind contribution is a non-cash
input which can be given a cash value. Examples of in-kind contributions may include: program
director’s salary and fringe benefits associated with running the program. Contributions directly from the
institution used to pay for student salaries, student fringe benefits, etc. are considered institutional
contributions. Listed below is a general format with budget lines, add other budget lines as needed.

In-Kind Contributions

                1. ____________________________                          $______________

                2. ____________________________                          $______________

                3. ____________________________                          $______________


                        Total In-Kind Contributions                      $______________


Institutional Contributions

                1. ____________________________                          $______________

                2. ____________________________                          $______________

                3. ____________________________                          $______________


                        Total Institutional Contributions                $______________


                                Total All Contributions                  $______________




                                                    11
                                                                                      ATTACHMENT 6

                   ILLINOIS COOPERATIVE WORK STUDY PROGRAM
                    FY2011 PARTICIPATING EXTERNAL EMPLOYERS


Please list the name of all cooperating external employers with their matching contribution in this project.


                  External Employer Name                                  Matching Contribution

1. ___________________________________________________                          $_________


2. ___________________________________________________                          $_________


3. ___________________________________________________                          $_________


4. ___________________________________________________                          $_________


5. ___________________________________________________                          $_________


6. ___________________________________________________                          $_________


7. ___________________________________________________                          $_________


8. ___________________________________________________                          $_________


9. ___________________________________________________                          $_________


10. ___________________________________________________                         $_________


    Total Contributions from External Employers:                                $_________




                                                     12
                                                                                   ATTACHMENT 7

                  ILLINOIS COOPERATIVE WORK STUDY PROGRAM
                  FY2011 Linkage to Student’s Academic Program Summary

Please briefly describe how the work opportunity is linked to a student’s academic program for each
employer listed in Attachment 6.

                 Description of linkage to student’s academic program by employer


1. _________________________________________________________________________________
   _________________________________________________________________________________

2. _________________________________________________________________________________
   _________________________________________________________________________________

3. _________________________________________________________________________________
   _________________________________________________________________________________

4. _________________________________________________________________________________
   _________________________________________________________________________________

5. _________________________________________________________________________________
   _________________________________________________________________________________

6. _________________________________________________________________________________
   _________________________________________________________________________________

7. _________________________________________________________________________________
   _________________________________________________________________________________

8. _________________________________________________________________________________
   _________________________________________________________________________________

9. _________________________________________________________________________________
   _________________________________________________________________________________

10. _________________________________________________________________________________
    _________________________________________________________________________________




                                                   13
                                                                       ATTACHMENT 8

          ILLINOIS COOPERATIVE WORK STUDY PROGRAM
              FY2011 EMPLOYER’S LETTERS OF INTENT


Please scan and upload all employers’ letters via the online system.




                                           14
                                                                                   ATTACHMENT 9

                  ILLINOIS COOPERATIVE WORK STUDY PROGRAM
                       FY2011 INTERIM EVALUATION REPORT


Projects that received fiscal year 2010 Illinois Cooperative Work Study grants must submit an
interim evaluation report of results achieved through September 30, 2010. Information in the interim
evaluation should include the following:


     Number of students served through September 30, 2010;

     Total number of students projected to be served for the complete duration of the program;

     Number of participating employers through September 30, 2010;

     Total number of participating employers for the complete duration of the program;

     Amount of funding expended to date;

     Types of jobs where students have been placed and their tasks;

     Average number of hours worked per student;

     Average hourly student wage; and

     Comments from employers regarding student performance.

If you received funding for your project in FY2009, please supply the following:


       Supply the number of students participating in the work study program that were seeking
        permanent employment in Illinois for the school year 2008-2009.

       Supply the number of students who participating in the work study program that were seeking
        permanent employment in Illinois that were hired for permanent employment in Illinois for the
        school year 2008-2009.




                                                   15
                                                                       ATTACHMENT 10

             ILLINOIS COOPERATIVE WORK STUDY PROGRAM
                       FY2011 EVALUATION PLAN

Describe an evaluation plan that details how the project’s effectiveness will be assessed in
relationship to the stated objectives of the project.




                                           16
                                                                                     ATTACHMENT 11

                   ILLINOIS COOPERATIVE WORK STUDY PROGRAM
                              FY2011 - Terms of the Grant

1.   Scope of Proposal. Funds granted for the operation of the project must be used exclusively for the
     purpose stated in the approved proposal and must be expended in accordance with the approved
     budget and the Grantee’s policies and procedures related to such expenditures. Funds may only be
     expended for activities occurring during the grant period.

2.   Time of Completion/Refunds. The anticipated grant period is from February 15, 2011, through
     June 30, 2012. Obligated grant funds shall be expended by the Grantee by September 30, 2012.

                              Activity                                   Date(s)
          Grant Period                                     February 15, 2011 – June 30, 2012
          Last date to liquidate all obligations including September 30, 2012
          fees for the audit and evaluation
          Last date to return unspent grant funds          November 15, 2012

3.   Payments. A voucher will be submitted to the Comptroller’s office upon the execution of the
     agreement. Timing of distribution is subject to state cash flow limitations. Grant funds shall be
     expended by Grantee in accordance with the budget that has been incorporated into this agreement.
     Budget amendments should be approved prior to obligation of funds and must be received by the
     Grantor no later than 15 calendar days prior to the ending date of the grant period.

4.   Quarterly Reports. Quarterly expenditure reports describing the progress of the project and the
     expenditure of grant funds shall be submitted online by the Grantee according to the schedule listed
     below. The Grantor may withhold or suspend the distribution of any further grant funds for failure
     to file quarterly reports (30 ILCS 705/4.1). Any quarterly report due date falling on a weekend or
     holiday can be submitted the next business day.

                             Quarter                                           Due Date
     Quarter #1 Feb 15, 2011 – March 31, 2011                                  April 30, 2011
     Quarter #2 April 1, 2011 – June 30, 2011                                  July 31, 2011
     Quarter #3 July 1, 2011 – September 30, 2011                              October 31, 2011
     Quarter #4 October 1, 2011 – December 31, 2011                            January 31, 2012
     Quarter #5 January 1, 2012 – March 31, 2012                               April 30, 2012
     Quarter #6 April 1, 2012 – June 30, 2012                                  July 31, 2012

5.   Availability of Appropriation: Obligations of the state shall cease immediately without penalty or
     further payment being required if, in any fiscal year, the Illinois General Assembly or the Governor
     fail to appropriate or otherwise make available sufficient funds for this agreement.

6.   Interest. Pursuant to Section 10 of the Illinois Grant Funds Recovery Act, for grants of less than
     $250,000, interest earned by the Grantee may be retained by the Grantee since the cost of accounting
     for the interest or allocating the interest to principal is deemed significant in terms of the amount of
     interest to be received. However, any interest earned on grant funds for which the Grantee is
     subsequently determined not to be eligible or which are held after the expenditure deadline shall be
     returned to the Grantor.

7.   Documentation of Project Costs. All costs charged to the approved project shall be supported by
     properly executed payrolls, time records, invoices, contracts and vouchers evidencing, in proper
                                                     17
      detail, the nature and propriety of the charges. Such records together with supporting documents
      shall be kept separately from other documents and records and maintained in accordance with
      Paragraph 11 (Audit/Retention of Records) of this agreement.

8.    Documents and Other Assets. The Grantee shall allow the Grantor, and any other organizations
      designated by the Grantor, full access without charge to all documents (including reports,
      memoranda and other work product) covered by this agreement. In the event any property (real,
      personal or mixed) is purchased with grant funds for use in the cooperative effort described above
      and in the further event that such cooperative effort subsequently is terminated, such property shall
      become the property of the Grantor.

9.    Termination. This agreement can be terminated by the Grantor upon notice in writing.
      Expenditures and obligations incurred by the Grantee up to the time the notice is received shall be
      authorized expenses under this agreement. Unexpended funds shall be returned to the Grantor.

10. The Evaluation. The Grantee shall provide the Grantor with a final evaluation of the project by
    September 30, 2012. The evaluation may be completed by the project director or by an independent
    evaluator and shall include descriptions of project objectives and activities; clientele served;
    processes used to evaluate whether the project achieved its intended outcomes, both immediate and
    long-term; and project results.

11. Audit Reports. A program-specific audit of grant expenditures including a comparison of budgeted
    and actual grant expenditures is required. This audit must be conducted by an external auditor who
    is registered as a public accountant by the Illinois Department of Financial and Professional
    Regulation, and the audit report must be submitted to the Grantor by September 30, 2012.

12.   Audit/Retention of Records (30 ILCS 500/20/65). Each Grantee shall maintain proper, complete,
      and accurate accounting records relating to the performance of the agreement and necessary to
      support amounts charged to the State under this agreement. The books and records shall be
      maintained by the Grantee for a period of three years from the later of the date of final payment
      under the agreement or completion of the agreement. However, the three-year period shall be
      extended for the duration of any audit in progress at the time of that period’s expiration. Books,
      records, and papers related to this project or use for which grant funds were expended, shall be
      available for review and audit by the Auditor General, the Attorney General, and the Grantor. The
      Grantee shall cooperate fully with any such audit. Failure to maintain the books and records
      required by this section shall establish a presumption in favor of the State for the recovery of any
      funds paid by the State under this agreement for which required books and records are not available.

13. Amount of Grant. All grant funds approved by the Grantor for this project and paid to the Grantee
    are to comply with the state regulations that are applicable to the Illinois Cooperative Work Study
    Program.
14. Certifications. The Grantee makes the certifications listed in Appendices A and B and agrees to
    comply with the certifications listed in Appendices A and B during the grant period, certifies that
    such certifications are true and correct, and acknowledges that such certifications are a condition of
    this agreement.
15. Intellectual Property. Any work product developed or acquired as a result of this grant shall be
    considered as a work for hire. Such work product will become the property of the State of Illinois
    and will be in the public domain.

16. Oath. Grantee certifies under oath that all information in the grant agreement is true and correct to
    the best of the Grantee’s knowledge, information, and belief; that the funds shall be used only for the
    purposes described in the grant agreement, and that the award of grant funds is conditioned upon
    such certification (30 ILCS 705/4).

                                                    18
                                                                                        APPENDIX A

                              BOARD OF HIGHER EDUCATION
                            CERTIFICATIONS AND COMPLIANCE

The Grantee hereby certifies and represents that:

    1. The Grantee is an Illinois public or nonpublic institution of higher education as defined in the
       Act;
    2. Projects funded by this grant will support only Illinois resident undergraduate students;
    3. Projects funded by this grant do not serve a sectarian purpose;
    4. Projects funded by this grant do not support partisan political activity; however, legislative and
       public policy internships may be included;
    5. Projects funded by this grant are either new initiatives or supplements to existing initiatives
       and that such projects do not supplant existing university initiatives; and
    6. The Grantee will comply with applicable state and federal laws and administrative rules.
    7. Implementation of any project funded under this grant shall not commence prior to the date
       specified in the Terms of the Grant.
    8. The Grantee hereby attests to the accuracy of the information reported in this proposal, knowing
       that this information is the basis for determining the award of an Illinois Cooperative Work Study
       Program grant.




                                                    19
                                                                                  APPENDIX B


                                  STATE OF ILLINOIS
                               REQUIRED CERTIFICATIONS


The Grantee makes the certifications as a condition of this agreement. These certifications
are in addition to any other certification contained in this Agreement. The Grantee’s
execution of this agreement shall serve as its attestation that the certifications made herein
are true and correct.


1.   Applicable Law. The Grantee agrees to comply with all applicable provisions of federal,
     state, and local law in the performance of its obligations pursuant to this agreement.


2.   Drug Free Workplace Act. The Grantee certifies that it is in compliance with the
     applicable provisions of the Drug Free Workplace Act (30 ILCS 580/1 et seq.) with respect
     to providing a drug free workplace.


3.   Non-Discrimination. The Grantee certifies that it is in compliance with the applicable
     provisions of the U. S. Civil Rights Act, Section 504 of the Federal Rehabilitation Act, the
     Americans with Disabilities Act (42 U.S.C. 12101 et seq.) and applicable rules in
     performance under this agreement.


4.   Discriminatory Club Dues. The Grantee certifies that it is not barred from receiving any
     contract from the State of Illinois because it pays dues or fees on behalf of its employees or
     agents or subsidizes or otherwise reimburses them for payment of dues or fees to any club
     which unlawfully discriminates (775 ILCS 25/0.01 et seq.).


5.   Equal Employment Opportunities—Affirmative Action/Sexual Harassment. The
     Grantee certifies that it is in compliance with the Illinois Department of Human Rights Act
     (775 ILCS 5/2-105 (A)) and rules applicable to public contracts, including equal
     employment opportunity and affirmative action, refraining from unlawful discrimination,
     and having written sexual harassment policies.




                                                20
                                    Taxpayer Identification Number

I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting
   for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding,
   or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to
   backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS
   has notified me that I am no longer subject to backup withholding, and
3. I am a U.S. person (including a U.S. resident alien).

    Company Name:

    Taxpayer Identification Number:

                  Social Security Number
                          or
                  Employer Identification Number

    (If you are an individual, enter your name and SSN as it appears on your Social Security
    Card. If completing this certification for a sole proprietorship, enter the owner’s name
    followed by the name of the business and the owner’s SSN or EIN. For all other entities,
    enter the name of the entity as used to apply for the entity’s EIN and the EIN.)

    Legal Status (check one):

        Individual                                          Governmental
        Sole Proprietor                                     Nonresident alien
        Partnership/Legal Corporation                       Estate or trust
        Tax-exempt                                          Pharmacy (Non-Corp.)
        Corporation providing or billing                    Pharmacy/Funeral Home/Cemetery
        medical and/or health care services                     (Corp.)
        Corporation NOT providing or billing                Limited Liability Company (select
        medical and/or health care services                 applicable tax classification)
                                                                     D = disregarded entity
        Other:                                                       C = corporation
                                                                     P = partnership




                                               21
                                                                                         APPENDIX C
                       FY2011 Illinois Cooperative Work Study Program
                               Online Application Submission Instructions

                                               Overview

Online application materials are available on the IBHE website at http://www.ibhe.org/. Note: Original
signatures must be obtained on the cover page, (Attachment 1) and must be mailed to the IBHE. Please
refer to general information cover page on the RFP for details.

Please review these instructions before initiating the online application process. Since this application
consists of several attachments in Microsoft Word, the system has been designed so that each attachment
is submitted as an individual document.

There are two processes for entering an online application: (1) register and receive an application number
assigned by the system and, (2) enter and submit the actual information that makes up the various
attachments to the application. You will not need to enter all application information at one time. You
may log in and log out of the system as time permits. To enter an online work study application, please
follow these steps:

                                          Registration Process

Step 1 Applicants must register with the system by entering contact information (name, address, etc.).

Step 2 After the contact information is entered, you will receive an e-mail with your login ID, password,
and application number. Be sure to print and save your login ID, password, and application number.
After registering, download each blank attachment from the online system onto your computer and
complete it.

                                          Application Process

Step 1 Log in to the system with assigned login ID, password, and application number. Enter: (1) a
project synopsis, (2) contact information for the project director, and (3) budget information. This
information can be copied and pasted from other electronic documents.

Step 2 Complete all the attachments. After completion, the attachments may be uploaded to the online
system.

In the status column of the attachment checklist screen, an “X” indicates that the attachment has not yet
been uploaded. A check mark indicates that the particular attachment has been uploaded.

After each attachment has been uploaded, the system will proceed to step 3.

Step 3 In this final step the information is verified for accuracy and you are allowed to submit the
application to the IBHE (you must click on the “Submit” button). After the application is submitted,
you will receive an e-mail confirming that your application has been successfully submitted. You can
now print cover pages to sign.

If you experience problems or have questions about the use of this system, please contact Rich Jachino,
Associate Director, at 217.557.7339 or send an e-mail note to: grants@ibhe.org.



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                                     Illinois Compiled Statutes
                                          Higher Education
                           Illinois Cooperative Work Study Program Act
                                           110 ILCS 225/
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(110 ILCS 225/)


    (110 ILCS 225/1)
    Sec. 1. Short title.          This Act may be cited as the Illinois Cooperative
Work Study Program Act.
(Source: P.A. 87-513.)

    (110 ILCS 225/2)
    Sec. 2. Definitions. In this Act:
    "Board" means the Illinois Board of Higher Education.
    "Nonpublic institution of higher education" means an educational
organization, other than a public institution of higher education, that
provides a minimum of an organized 2 year program at the private junior
college level or higher and that operates in conformity with standards
substantially equivalent to those of the public institutions of higher
education.
    "Public institution of higher education" means the University of Illinois,
Southern Illinois University, Chicago State University, Eastern Illinois
University,    Governors   State   University,  Illinois   State   University,
Northeastern Illinois University, Northern Illinois University, Western
Illinois University, the public community colleges of this State, and any
other public universities, colleges and community colleges now or hereafter
established or authorized by the General Assembly.
    "Cooperative work study" means an academically related work and study
experience with business, industry, government or other agencies and
organizations.    Cooperative work study may include, but is not limited to,
summer internships, clinical placements, internships and work experiences
during the academic year.
(Source: P.A. 89-4, eff. 1-1-96.)

    (110 ILCS 225/3)
    Sec. 3. Creation and implementation of program. A program of financial
assistance to support student cooperative work study programs in higher
education is established to benefit students academically and financially,
reduce reliance on loans, enhance public-private sector partnerships, and
encourage students to seek permanent employment in Illinois.
    The Board shall administer the program of financial assistance and shall
distribute the funds appropriated by the General Assembly for this purpose in
the form of grants to public or nonpublic institutions of higher education to
expand opportunities for students to pursue internships, clinical placement,
cooperative programs with business and industry, and other work opportunities
linked to a student's academic program.    In awarding grants under this Act,
the Board shall consider whether programs:
         (1)    strengthen cooperation between higher education, business,
industry, and government;
         (2) promote school/college partnerships;
         (3) encourage social and community service activities;



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          (4)   maximize the use of matching contributions from business and
industry, governmental and social agencies, and participating colleges and
universities to support student wages;
          (5) create new opportunities for partnerships between the public and
private sectors;
          (6)   integrate other components of student financial aid to reduce
reliance on student loans; and
          (7) meet other criteria that the Board determines are appropriate.
     The Board shall assure that a representative number of the grants support
cooperative work study programs that support work experiences for students in
academic programs of engineering, science, math, and education.
     No grant may be awarded under this Section for any program of sectarian
instruction or for any program designed to serve a sectarian purpose.
     As part of its administration of the Act, the Board may require
evaluations, audits or reports in relation to fiscal and academic aspects of
any program for which a grant is awarded under this Act.      The Board shall
annually    submit   to  the  Governor   and  General  Assembly   a   budgetary
recommendation for grants under this Act.
     The Board may adopt rules it deems necessary for administration of this
Act.
(Source: P.A. 87-513.)

    (110 ILCS 225/4)
    Sec. 4. Effective date.   This Act takes effect July 1, 1991.
(Source: P.A. 87-513.)


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                     TITLE 23: EDUCATION AND CULTURAL RESOURCES
                                 SUBTITLE A: EDUCATION
                        CHAPTER II: BOARD OF HIGHER EDUCATION

                                      PART 1015
                  ILLINOIS COOPERATIVE WORK STUDY PROGRAM - RULES

Section
1015.10        Purpose
1015.20        Definitions
1015.30        Eligible Applicants
1015.40        Selection of Projects for Grants
1015.50        Grant Application Procedures
1015.60        Grant Criteria
1015.70        Audit Requirements

AUTHORITY: Implementing and authorized by AN ACT to establish and implement a cooperative work study
program, (P.A. 87-513, adopted September 13, 1991, effective September 13, 1991).

SOURCE: Adopted at 16 Ill. Reg. 4496, effective March 9, 1992.

Section 1015.10 Purpose

The purpose of the Illinois Cooperative Work Study Program is to provide a program of financial assistance to
support student cooperative work study programs in higher education to benefit students academically and
financially, reduce reliance on loans, enhance public-private sector partnerships, and encourage students to
seek permanent employment in Illinois. (Section 3 of Public Act 87-513 (the Act), adopted September 13, 1991,
effective September 13, 1991)

Section 1015.20 Definitions

               "Administrative costs" means costs other than student wages and salaries, items that go into the
               hands of students, cost reimbursements to students, and the cost of audits.

               "Board" means the Illinois Board of Higher Education.

               "Cooperative work study" means an academically related work and study experience with
               business, industry, government or other agencies and organizations. Cooperative work study
               may include, but is not limited to, summer internships, clinical placements, internships and
               work experiences during the academic year.

               "Illinois resident student." To qualify as an Illinois resident student, one of the following two
               requirements must be met:

                       At least one parent, step-parent, or court-appointed guardian must reside in Illinois; or
                       The emancipated (self-supporting) student must have lived in Illinois, in some capacity
                       other than as a student at an Illinois public or nonpublic institution of higher education,
                       for a period of 12 consecutive months immediately prior to the enrollment.

               "Nonpublic institution of higher education" means an Illinois educational organization, other
               than a public institution of higher education, that provides a minimum of an organized two-year
               program at the private junior college level or higher and that operates in conformity with
               standards substantially equivalent to those of the public institutions of higher education.
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                "Public institution of higher education" means the University of Illinois, Southern Illinois
                University, the several universities and colleges under the governance of the Board of
                Governors of State Colleges and Universities, the several Regency Universities under the
                jurisdiction of the Board of Regents, the public community colleges of this State, and any other
                public universities, colleges and community colleges now or hereafter established or authorized
                by the General Assembly. (Section 2 of the Act)

Section 1015.30 Eligible Applicants

Eligible applicants are nonpublic and public institutions of higher education.

Section 1015.40 Selection of Projects for Grants

        a)      Grants shall be made for projects that support Illinois resident undergraduate students. In
                addition, the Board shall consider whether the projects:

                1)       expand opportunities for students to pursue internships, clinical placement, cooperative
                         programs with business and industry, and other work opportunities linked to a student's
                         academic program;
                2)       strengthen cooperation between higher education, business, industry, and government;
                3)       promote school/college partnerships;
                4)       encourage social and community service;
                5)       maximize the use of matching contributions from business and industry, governmental
                         and social agencies, and participating colleges and universities to support student
                         wages;
                6)       create new opportunities for partnerships between the public and private sectors;
                7)       integrate other components of student financial aid to reduce reliance on student loans;
                8)       support work experiences for students in academic programs of engineering, science,
                         math, and education;
                9)       encourage students to seek permanent employment in Illinois. (Section 3 of the Act)

        b)      In addition, projects shall:

                1)       not serve a sectarian purpose; (Section 3 of the Act)
                2)       not include partisan political activity;
                3)       either be new initiatives or projects that supplement, but not supplant, existing
                         initiatives; and
                4)       comply with applicable state and federal laws, including but not limited to, equal
                         employment opportunity, minimum wage, and occupational health and safety.

Section 1015.50 Grant Application Procedures

        a)      At any time that grant funds become available or that the Board has reason to believe that grant
                funds may become available, the Board shall notify in writing the chief executive officer of
                every public and nonpublic institution of higher education in the State of Illinois of the
                availability or projected availability of such funds. Such notice shall contain, at a minimum, the
                following information:


                1)       The deadline for the submission of applications, which deadline shall not be less than
                         45 days from the date of mailing of such notice; and

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               2)      The date which such grants will be made and the deadline for the completion of grant
                       projects, which deadline shall not be more than two years.

       b)      Grant project proposals shall contain, at a minimum:

               1)      Synopsis;
               2)      Statement of goals and specific objectives consistent with Section 1015.40;
               3)      Detailed description of the proposed project, including activities, completion schedule,
                       operating procedures and justification for funding;
               4)      The amount(s) and source(s) of matching contributions earmarked for the project;
               5)      Evaluation procedures to determine the effectiveness of the project; and
               6)      Proposed budget, including audit, which is an allowable expenditure of grant funds.
                       Administrative costs are not an allowable expenditure of grant funds.

       c)      The Board staff shall review application documents of all institutions for compliance with the
               application and eligibility requirements. The Board staff may request additional documents or a
               meeting between its staff and institutional representatives to discuss questions about application
               documents. In the event that material submitted by an applicant institution is incomplete or not
               of sufficient detail to provide an understanding of the proposed project or its justification, the
               Board staff will request additional information for clarification or substantiation.

       d)      The Board shall notify each applicant in writing concerning whether or not it received a grant.

       e)      Application information may be obtained from and shall be submitted to:

                                 Illinois Cooperative Work Study Program
                                 Illinois Board of Higher Education
                                 431 East Adams, Second Floor
                                 Springfield, Illinois 62701


Section 1015.60 Grant Criteria

       a)      Non-Discrimination. No recipient shall discriminate on the basis of race, creed, sex, handicap,
               color, or national origin in the employment, training, or promotion of personnel or in the
               implementation of the program funded by the grant.

       b)      Grant Period. Grants shall be for the period stated in the grant agreement but in no event for
               more than two years.

       c)      Unexpended Grant Funds. Any unexpended portion of the grant funds shall be refunded to the
               Board.

       d)      Record Keeping. All costs charged to the program shall be supported by properly executed
               documents. Such records shall be kept separately from other documents and maintained for a
               period of three years after receipt of final payment.

       e)      Evaluation. Within ninety days after the end of the grant period, the recipient shall submit to
               the Board an evaluation of the project. The evaluation of the project shall include systematic
               and objective procedures for appraising the project with respect to how closely the purposes
               were fulfilled and an explanation of any deviation therefrom.


                                                      27
       f)     Audit. Within ninety days after the end of the grant period the recipient shall submit an audit of
              expenditure of grant funds provided under this program prepared by an external auditor who is
              registered as a public accountant by the Illinois Department of Professional Regulation. Any
              recipient which fails to submit an audit shall refund the entire grant amount to the Board.
              Complete payment of grant funds for any continuing project shall be contingent upon
              submission of the evaluation and audit for the previous grant period.

       g)     Contracts. All grants awarded under this program shall be made through contractual
              agreements between the Board and the recipient. Such agreements shall comply with the
              provisions of the Grant Funds Recovery Act (Ill. Rev. Stat. 1989, ch. 127, pars. 2301 et seq.).

Section 1015.70 Audit Requirements

       a)     Institutions shall contract with an external auditor who is registered as a public accountant by
              the Illinois Department of Professional Regulation.

       b)     The auditor shall obtain copies of the following grant documents: the executed grant agreement
              and a copy of this Part.

       c)     The auditor shall verify the expenditure of grant funds as provided for in the grant agreement
              and this Part.

       d)     The auditors shall provide an audit including a description of the tests performed and the audit
              findings to the Board within 90 days after the termination of the grant period or within 90 days
              after the end of the institution's fiscal year for institutions electing to fulfill the audit
              requirements as part of their annual audit as provided by the Illinois Grant Funds Recovery Act
              (Ill. Rev. Stat. 1989, ch. 127, par. 2302).

       e)     Refunds shall be made to the State by institutions for the following reasons:

              1)      Grant funds not expended;
              2)      Grant funds expended for purposes not allowed under this Part or under the grant
                      agreement;
              3)      Grant funds received by the grantee for which the grantee is subsequently determined
                      not to be eligible.

       f)     The cost of an audit is an allowable use of grant funds.




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