ࡱ> a >bjbj  fF\F\""(0(0(0(0(0000144$0T =>???@@@ӻջջջջջջ$*(0ٱ@@ٱٱ(0(0??ٱ(0?(0?ӻٱӻݯ?<J6)f$0TNPKݯݯ(0$ @`B\MD\EL@@@2L*@@@TDIDIDIDI@@@@@@@@@"> .:  Notice of Grant Opportunity New Jersey School Improvement Grant (SIG) COHORT 3 - Year 3 of 3 17-SG09-G02 David C. Hespe Commissioner of Education Susan Martz Assistant Commissioner Division of Learning Supports and Specialized Services Paula White Executive Director Office of Regional Achievement Centers Katherine Gallagher Director Office of Regional Achievement Centers April 2016 CFDA #84.377A Application Due Date: June 23, 2016 NEW JERSEY DEPARTMENT OF EDUCATION P.O. Box 500 Trenton, NJ 08625-0500  HYPERLINK "http://www.state.nj.us/education" http://www.state.nj.us/education STATE BOARD OF EDUCATION MARK W. BIEDRON . Hunterdon President JOSEPH FISICARO. Burlington Vice President ARCELIO APONTE.............................................................................. Middlesex RONALD K. BUTCHER .. Gloucester CLAIRE CHAMBERLAIN .. Somerset JACK FORNARO..... Warren EDITHE FULTON . Ocean ERNEST P. LEPORE .... Hudson ANDREW J. MULVIHILL Sussex J. PETER SIMON . Morris DOROTHY S. STRICKLAND .. Essex Dave C. Hespe, 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 PAGE SECTION 1: GRANT PROGRAM INFORMATION 1.1 Description of the Grant Program 4 1.2 Eligibility to Apply 4 1.3 Federal Compliance Requirements (DUNS, SAM) 4 1.4 Statutory/Regulatory Source and Funding 5 1.5 Dissemination of This Notice 5 1.6 Technical Assistance 6 1.7 Application Submission 6 1.8 Reporting Requirements 7 1.9 Assessment of Statewide Program Results 7 1.10 Reimbursement Requests 8 SECTION 2: PROJECT GUIDELINES Project Design Considerations 9 Project Requirements 10 Budget Design Considerations 11 Budget Requirements 11 SECTION 3: COMPLETING THE APPLICATION 3.1 General Instructions for Applying 13 Review of Applications 13 Application Component Checklist 14 SECTION 4: APPENDICES Appendix A LEA Section: Instructions and Application 16 Appendix B School Section: Instructions and Application 36 Appendix C Budget Instructions 51 SECTION 1: GRANT PROGRAM INFORMATION 1.1 DESCRIPTION OF THE GRANT PROGRAM The School Improvement Grant (SIG) program provides grants to support rigorous interventions aimed at turning around the State's persistently lowest-achieving schools. In general, state educational agencies (SEAs) that receive funds under the SIG program make competitive subgrants to local education agencies (LEAs) to implement one of several intervention models. In awarding SIG funds, the SEA must give priority to LEAs with the lowest-achieving schools that demonstrate (1) the greatest need for the funds and (2) the strongest commitment to ensuring that the funds are used to provide adequate resources to enable the lowest-achieving schools to meet their goals for substantially raising the achievement of their students. The Year 3 program period is September 1, 2016 August 31, 2017. 1.2 ELIGIBILITY TO APPLY Eligibility for this grant program is limited to the following LEAs with schools that received SIG funds in the 2015-16 school year: LEASCHOOLSCHOOL CODEIrvingtonUniversity Middle School13-2330-135Jersey CityEzra Nolan Middle School #4017-2390-345PatersonNew Roberto Clemente Middle School31-4010-316PatersonSchool #631-4010-100 1.3 FEDERAL COMPLIANCE REQUIREMENTS (DUNS, SAM) In accordance with the Federal Fiscal Accountability Transparency Act (FFATA), all grant recipients must have a valid DUNS number and must also be registered with the System for Awarded Management (SAM) which is the successor to the Central Contractor Registration (CCR) database. DUNS numbers are issued by Dun and Bradstreet and are available free of cost to all entities required to register under FFATA. To obtain a DUNS number, go to  HYPERLINK "http://fedgov.dnb.com/webform/" http://fedgov.dnb.com/webform/ To register with the SAM database, go to  HYPERLINK "http://www.sam.gov" www.sam.gov Applicants are required to complete and submit the Documentation of Federal Compliance (DUNS/SAM) form found in the NGO. This form (L-3 and S-2) must be submitted with the grant application. Applicants must also print the Entity Overview page from their  HYPERLINK "http://www.sam.gov" www.sam.gov profile (which displays their DUNS number and street address with ZIP+4 code), and include a hard copy of the page in both the LEA and school applications. FFATA Executive compensation disclosure criteria In the preceding fiscal year, if an applicant: Received at least $25,000,000 in annual gross revenues from federal awards; and, If at least eighty (80) percent of the applicants annual gross revenues came from federal awards; the applicant is required to disclose the name and total compensation of the five (5) most highly compensated officers of the applicant as part of the grant application. This information is to be entered using the appropriate EWEG tab (contacts). The term federal award includes federal contracts, sub-contracts, grants, and sub-grants. No award will be made to an applicant not in compliance with FFATA. 1.4 STATUTORY/REGULATORY SOURCE AND FUNDING The applicants project must be designed and implemented in conformance with all applicable state and federal regulations. The School Improvement Grant is 100 percent funded from Title I, 1003(g) funds (CFDA # 84.377A). Final awards are subject to the availability of Title I, 1003(g) funds. Total funds for the Cohort 3 Year 3 School Improvement Grant are $4,947,589. Maximum allocations for eligible LEAs are as follow: LEASCHOOLSCHOOL CODEYEAR 3 ALLOCATIONIrvingtonUniversity Middle School13-2330-135$999,991Jersey CityEzra Nolan Middle School #4017-2390-345$821,647PatersonNew Roberto Clemente Middle School31-4010-316$1,563,517PatersonSchool 631-4010-100$1,562,434 The grantee is expected to complete the goal(s) and objectives outlined in the approved grant application, complete implementation activities established in its grant agreement, and make satisfactory progress toward the completion of its approved action plan. Failure to do so may result in the withdrawal by the New Jersey Department of Education (NJDOE) of the grantees eligibility for the continuation of grant funding. The Department of Education will remove ineligible, inappropriate or undocumented costs from funding consideration. Final awards are subject to the availability of Title I, 1003(g) funds. 1.5 DISSEMINATION OF THIS NOTICE The Office of Regional Achievement Centers (RAC) will make this notice available to eligible applicants listed in section 1.2 based upon the eligibility statement and to the executive county superintendents of the counties in which the eligible agencies are located. Additional copies of the NGO are also available on the NJDOE web site ( HYPERLINK "http://www.nj.gov/njded/grants/discretionary/" http://www.nj.gov/njded/grants/discretionary/) or by contacting the SIG Program Office 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) 292-6874; fax (609) 633-3707 1.6 TECHNICAL ASSISTANCE Technical assistance will be provided on an as-needed basis. Please contact the SIG program office or your RAC School Turnaround Coach for assistance. 1.7 APPLICATION SUBMISSION The NJDOE administers 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 late applications. The responsibility for a timely submission resides with the applicant. The Application Control Center (ACC) must receive the original and five copies of the complete application no later than 4:00 P.M. on Thursday, June 23, 2016 at the following mailing or courier service addresses listed below. Mailing AddressCourier Service AddressApplication Control Center New Jersey Department of Education 100 River View Plaza P.O. Box 500 Trenton, NJ 08625-0500Application Control Center New Jersey Department of Education 100 River View Plaza Trenton, NJ 08625 Without exception, the ACC will not accept, and the Office of Grants Management cannot evaluate for funding consideration, an application after this deadline. Complete applications are those that include all elements listed in Section 3.3, Application Component Checklist of this notice. Applications received by the due date and time will be screened to determine whether they are, in fact, eligible for consideration. The Department of Education reserves the right to reject any application not in conformance with the requirements of this NGO. Applications submitted by FAX cannot be accepted under any circumstances. 1.8 REPORTING REQUIREMENTS Grant recipients are required to submit periodic fiscal and project progress reports. All fiscal reports will be submitted through the EWEG system. Fiscal reports for this program will be due as follows: ReportQuarterly Reporting Period*Due Date1st InterimSeptember 1, 2016 November 30, 2016December 30, 20162nd InterimSeptember 1, 2016 February 28, 2017March 31, 20173rd InterimSeptember 1, 2016 May 31, 2017June 30, 2017FinalSeptember 1, 2016 August 31, 2017October 31, 2017* Reporting is cumulative from the beginning of the project period. Project progress reports will be submitted through the School Improvement Plan Management System (SIP-MS) as directed by the Regional Achievement Centers. SIG program officers will monitor project implementation via the SIP MS and may request supplemental information, as warranted, throughout the project period. (For additional information about post award requirements see the Grant Recipients Manual for Discretionary Grants at  HYPERLINK "http://www.state.nj.us/education/grants/discretionary" www.state.nj.us/education/grants/discretionary ). 1.9 ASSESSMENT OF STATEWIDE PROGRAM RESULTS In addition to the review of periodic fiscal and project progress reports, the NJDOE assesses statewide outcomes by analyzing data gathered during on-site visits and through reports from the schools State Turnaround Coach. On-Site Visits The NJDOE conducts biannual on-site visits to each school receiving a SIG grant. On-site visits are conducted to review SIG budget expenditures in conjunction with the approved School Improvement Plan (SIP) to ensure funds are expended in a timely fashion and to ensure that SIG schools are on track for implementing the SIP with fidelity. The visit addresses potential barriers to implementation and makes subsequent recommendations to ensure the success of the project. State Turnaround Coach The State Turnaround Coach (STC) is assigned by the NJDOE and plays a critical role in supporting the LEAs efforts in turning around struggling schools. As a facilitator of reform, the STC is responsible for assisting the LEA and school leadership in initiating improvements in classroom instruction and student outcomes. In collaboration with the school principal and LEA, the STC helps set a clear pathway toward distributed leadership within the schools, working with a highly-capable team to build a cohesive, professional teaching culture. The STC also mentors and coaches the principal in developing turnaround management skills. The STC is a member of the Internal District Team (CSA or designee, special education director, Title I director, supervisor of curriculum, SIG principal) who will meet at least once per unit (unit refers to a formative assessment cycle, of which there are 5 per year) to discuss student achievement, walkthrough trends, attendance, discipline and SIG implementation. As an evaluator, the STC monitors the schools adherence to the intervention activity plan and tracks performance metrics, including academic achievement, against the plan goals. Additionally, he/she assists the NJDOE in making decisions about the annual renewal of the SIG grant. 1.10 REIMBURSEMENT REQUESTS Payment of grant funds is made through a reimbursement system. Reimbursement requests for any grant funds the local project has expended are made through the Electronic Web-Enabled Grant (EWEG) system. Only one (1) request may be submitted per month. Grantees must submit their request no later than the 15th of the month. The requests may include funds that will be expended through the last calendar day of the month in which reimbursement is requested. If the grantees request is approved by the NJDOE program officer, the grantee should receive payment around the 8th-10th of the following month. SECTION 2: PROJECT GUIDELINES The intent of this section is to provide the applicant with the program framework within which it continues the proposed project to meet the purpose of this grant program. Eligible applicants are advised to review the USDE Guidance for SIG programs at  HYPERLINK "http://www2.ed.gov/programs/sif/index.html" http://www2.ed.gov/programs/sif/index.html prior to completing the SIG Cohort 3-Year 3 continuation application. 2.1 PROJECT DESIGN CONSIDERATIONS Effective and sustained school turnaround begins with the LEA possessing the commitment and capacity to support and monitor SIG school(s) in implementing rigorous interventions. Specifically, the LEA must demonstrate that it will continue to: Implement interventions consistent with the final requirement; Recruit, screen and select external providers to ensure their quality; Align non-SIG resources with the interventions; Modify practices and policies to enable full and effective implementation of interventions; Give the school sufficient operational flexibility and ongoing support; and Sustain effective practices after the funding period ends. In Cohort 3s initial year of implementation, school year (SY) 2014-15, each LEA selected the Transformation model as the most appropriate multi-year intervention to facilitate school turnaround. During the third year of implementation (SY 2016-17), LEAs must continue to support and monitor the implementation of the following required components of the Transformation model in Cohort 3 schools: Use rigorous, transparent and equitable evaluation systems for teachers and principals that (a) take into account data on student growth as a significant factor, as well as other factors, such as multiple observation-based assessments of performance and ongoing collections of professional practice reflective of student achievement and increased high school graduation rates; and (b) are designed and developed with teacher and principal involvement. Identify and reward school leaders, teachers and other staff who, in implementing this model, have increased student achievement and high school graduation rates, and identify and remove those who have not improved their professional practice after having been afforded ample opportunity to do so. Provide staff on-going, high quality, job-embedded professional development that is aligned with the schools comprehensive instructional program and designed with school staff to ensure they are equipped to facilitate effective teaching and learning and have the capacity to successfully implement school reform strategies. Implement strategies that are designed to recruit, place and retain staff with the skills necessary to meet the needs of the students in a transformation model. The LEA must (a) use data to identify and implement an instructional program that is research-based and vertically aligned from one grade to the next, as well as aligned with state academic standards; and (b) promote the continuous use of student data (such as from formative, interim, classroom and summative assessments) to inform and differentiate instruction in order to meet the academic needs of individual students. The LEA must (a) establish schedules and strategies that provide increased learning time for all students and (b) provide ongoing mechanisms for family and community engagement. The LEA must (a) give the school sufficient operational flexibility (such as staffing, scheduling and budgeting) to fully implement a comprehensive approach to substantially improve student achievement outcomes and increase high school graduation rates; and (b) ensure that the school receives ongoing, intensive technical assistance and support from the LEA, the SEA, or a designated external lead partner organization (such as a school turnaround organization or an EMO). To ensure that Year 3 implementation builds on Year 2 successes and addresses Year 2 challenges, the LEA must work collaboratively with the school to determine the adequacy and effectiveness of the Year 2 activities implemented to address the factors that contributed to low student achievement. The Year 3 plan must reflect the results of this analysis, and propose remedies for any obstacles to Year 2 implementation. 2.2 PROJECT REQUIREMENTS The SIG application is comprised of three required components; the LEA application, the school application including the School Improvement Plan (SIP), and the SIG budget. Each section must be completed as instructed. Information contained in the application will be used, in part, as the basis for making renewal determinations. LEA Application LEA support and monitoring is crucial to the successful implementation of school-level SIG interventions. Hence, this section of the application gives the LEA the opportunity to describe its role in facilitating Year 3 activities. The LEA application should be completed once, regardless of the number of SIG-funded schools within the LEA. LEA leadership must review and, if necessary, update its mission, vision and project summary. Additionally, the LEA must review how it demonstrated its commitment and capacity to implement SIG interventions during Year 2, as delineated in the implementation indicators. If necessary, brief narratives must be included describing Year 2 challenges and how they were or will be addressed. Also describe any revisions to the LEAs approach to addressing the implementation indicators during Year 3. Lastly, as schools begin their last year of full implementation of SIG interventions, a new component of the application gives the LEA the opportunity to describe the data that have been examined to determine which practices are likely to be continued beyond Year 3 SIG implementation. School Application The LEA, in collaboration with school leadership, must complete a school application for each SIG-funded school. The application includes a review of the schools mission, vision and project summary and the option to revise any area that is not consistent with the Year 3 focus. Additionally, the LEA is expected to document the schools progress in attaining increasingly positive outcomes of selected leading indicators. The Educational Field Trip Request form shall be completed if SIG funds are being requested for this purpose. The SIG Required Activity Checklist ensures that all elements of the Transformation model are adequately addressed in the application. Lastly, the RAC SIP Template, provided on the SIP Management System, shall delineate the steps for continuing SIG implementation in Year 3. Budget The SIG budget, included in the Excel workbook posted on the same website as this NGO, should only include expenses associated with implementing the required activities outlined in the SIP. The total cannot exceed the amount indicated in section 1.4 of this NGO. 2.3 BUDGET DESIGN CONSIDERATIONS Once the objectives that will guide the work in the implementation phase of the grant have been prioritized, begin to develop the details of the budget that will be necessary to carry out each activity. School Improvement Grants are provided for the purpose of developing and implementing relevant services for the implementation of the selected intervention model. The applicants budget must be well-considered, necessary for the implementation of the project, remain within the funding parameters contained in this handout, and demonstrate prudent use of resources. The budget will be reviewed to ensure that costs are customary and reasonable for implementation of each project activity. The applicant must provide a direct link for each cost to the goal, objectives and activities in the School Improvement Plan that provides programmatic support for the proposed cost. In addition, the applicant must provide documentation and details sufficient to support each proposed cost. Guidance on constructing a grant budget may be found in the Pre-award Manual for Discretionary Grants, which can be accessed at  HYPERLINK "http://www.state.nj.us/education/grants/discretionary" www.state.nj.us/education/grants/discretionary/apps/. The budget submitted as part of the application is for the current grant period only. The Department of Education will remove from consideration all ineligible costs, as well as costs not supported by the School Improvement Plan. The actual amount awarded will be contingent upon the applicants ability to provide support for its proposed budget upon application and ultimately will be determined by the Department of Education through the pre-award revision process. The applicants opportunity to make pre-award revisions will be limited by the Department of Education which is not responsible either to provide repeated opportunities for revisions or to permit reallocation of the funds previously requested for costs that have not been approved or have been disallowed. 2.4 BUDGET REQUIREMENTS Budget requests should be linked to specific project activities and objectives of the School Improvement Grant. The provisions of N.J.A.C. 6A:23A-7 contain additional requirements concerning prior approvals, as well as expenditures related to travel. It is strongly recommended that the applicant work with their business administrator when constructing the budget. The NJDOE applies these restrictions uniformly to all grantees. Unless otherwise specified, the following restrictions apply to all grant programs: No reimbursement for in-state overnight travel (meals and/or lodging) No reimbursement for meals on in-state travel Mileage reimbursement is capped at $.31/mile Eligible costs may include Resources to enhance teacher instructional capacity (e.g. job-embedded professional development, instructional coaches, etc.) Compensation to teachers (not to exceed customary contract rates) to implement SIG activities beyond the regular school day (e.g. extended learning time, professional learning communities, etc.). Nominal incentives and resources to enhance parent involvement (e.g. light refreshments, child care, etc.) Ineligible costs - Funds may not be used for the following: Entertainment; Rental space; Items that have a personal value; Capital renovations or construction; and/or Costs that significantly deviate from established practices and policies regarding the incurrence of costs, which may unjustifiably increase the Federal award's cost. [Uniform Grant Guidance 200.404(e)] Supplement not Supplant Federal funds cannot be used to pay for anything that a school district would normally be required to pay for with either local funds or state aid. This requirement also covers job services previously provided by a different person or job title. The exceptions are for activities and services that are not currently provided or statutorily required, and for component(s) of a job that represent an expansion or enhancement of normally provided services. The grant will not fund direct services that local school districts must provide as mandated by statute, regulation, or students IEPs. SECTION 3: COMPLETING THE CONTINUATION APPLICATION 3.1 GENERAL INSTRUCTIONS FOR APPLYING To apply for a grant under this NGO, applicants must prepare and submit a complete application. The application must be a response to the States vision as articulated in Section 1: Grant Program Information of this NGO. It must be planned, designed and developed in accordance with the program framework articulated in Section 2: Project Guidelines of this NGO. The applicant may wish to consult additional guidance found in the Pre-award Manual for Discretionary Grants, found at  HYPERLINK "http://www.state.nj.us/education/grants/discretionary" www.state.nj.us/education/grants/discretionary/apps/. In addition to the forms included in this NGO, applicants must also complete and print out the FY-17 SIP (contained on the SIP-MS system) and Budget Excel Workbook (found on the same web page as the NGO) as part of each school application. REVIEW OF APPLICATIONS Department staff will review each 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. Applications will also be reviewed for completeness, accuracy and appropriateness of response to each of the items identified in Section 2. Please be advised that in accordance with the Open Public Records Act P.L. 2001, c. 404, all applications for discretionary grant funds received September 1, 2003 or later, as well as the evaluation results associated with these applications, and other information regarding the competitive grants process will become matters of public record upon the completion of the evaluation process and will be available to members of the public upon request. 3.3 APPLICATION COMPONENT CHECKLIST The following components are required (see Required ( Column) to be included as part of the application. Failure to include a required component may result in the application being removed from consideration for funding. Use the checklist (see Included ( Column) to ensure that all required components have been completed in the application. Required(()LocationLEA and School Checklist Included (()LEA Section (one for each LEA)(NGOL-1: Cover Page and Board Resolution to Apply (NGOL-2: General Assurances (NGOL-3: Documentation of Federal Compliance (DUNS/SAM) Form and Entity Overview page from applicants  HYPERLINK "http://www.sam.gov" www.sam.gov profile(NGOL-4: Review of LEA Mission, Vision and Project Summary(NGOL-5: LEA Commitment and Capacity Update(NGOL-6: Plan for Sustaining Effective PracticesSchool Section (one for each school)(NGOS-1: Cover Page and Statement of Assurances (NGOS-2: Documentation of Federal Compliance (DUNS/SAM) Form and Entity Overview page from applicants  HYPERLINK "http://www.sam.gov" www.sam.gov profile(NGOS-3: Stakeholder Participation (NGOS-4: Review of Schools Mission, Vision and Project Summary(NGOS-5: Status of Leading Indicators NGOS-6: Educational Field Trip Request (NGOS-7: SIG Required Activity Checklist(SIP-MSSchool Improvement Plan (SIP) Applicants must print and submit the completed plan from the SIP-Management System (MS). Budget Section (one for each school)(ExcelBudget Narrative(ExcelBudget Detail Form A Personal Services - Salaries(ExcelBudget Detail Form B Personal Services - Employee Benefits(ExcelBudget Detail Form C -- Purchased Professional and Technical Services(ExcelBudget Detail Form D Supplies and Materials(ExcelBudget Detail Form E -- Equipment(ExcelBudget Detail Form F Other Purchased Services(ExcelBudget Detail Form G LEA Administrative Costs(ExcelApplication for Funds Budget Summary SECTION 4: APPENDICES LEA Instructions and Application School Instructions and Application Budget Instructions APPENDIX A LEA Section LEA Application InstructionsL-1: Cover Page & Board ResolutionL-2: General AssurancesL-3: Documentation of Federal Compliance (DUNS/SAM) Form (including the applicants Entity Overview page from their  HYPERLINK "http://www.sam.gov" www.sam.gov profile.L-4: Review of LEA Mission, Vision and Project SummaryL-5: LEA Commitment and Capacity UpdateL-6: Plan for Sustaining Effective Practices LEA APPLICATION INSTRUCTIONS The LEA application must be completed only once; regardless of the number of school applications. L-1: Cover Page and Board Resolution to Apply Provide all requested information. Ensure that the Chief School Administrators signature is included at the bottom of the page. Indicate the Boards approval for submission of the application by completing the attached form or by submitting a copy of the approved Board resolution. If the Board meeting is scheduled to occur after the due date of the application, indicate the date of the Board meeting and forward the board resolution as soon as it is available. L-2: General Assurances Review each assurance. The Chief School Administrator shall sign the bottom of the page indicating the LEAs commitment to adhere to the terms outlined therein. L-3: Documentation of Federal Compliance Insert all requested information. The Chief School Administrator shall sign the bottom of the page indicating the accuracy of the information reported and the assurance that SAM registration will remain current throughout the grant period. The applicant must include a copy of their Entity Overview page from their  HYPERLINK "http://www.sam.gov" www.sam.gov profile. L-4: Review of Mission, Vision and Project Summary Review the LEAs current mission, vision and project implementation summary. Place an X next to the appropriate statement. If any component requires modification, in the space provided note the revised mission, vision and/or project implementation summary. L-5: LEA Commitment and Capacity Update The LEA must demonstrate that it continues to have the commitment and capacity to support its SIG schools. Review the LEAs current (Year 2) project description for each commitment and capacity activity in the approved FY-16 SIG application. Evaluate the LEAs effectiveness and efficiency in addressing each activity based on the extent to which the LEA met the expectations described in each implementation indicator. Based on this review, place an X next to the appropriate statement. Additionally, if necessary, provide narrative information regarding Year 2 challenges and FY-17 revisions. L-6: Plan for Sustaining Effective Practices SIG funds are intended to serve as seed money to introduce effective, sustainable school improvement practices in Priority and Focus schools. Though program effectiveness is measured, in part, on gains realized during SIG implementation; true success is manifested in sustained implementation of effective practices that lead to continued improvement once SIG funding is no longer available. Effective sustainability planning begins during the initial application for SIG funds and continues throughout implementation. This section gives LEAs the opportunity to share its analysis of the strategies that have been implemented and their likelihood of being sustained once SIG funds are no longer available. This section is comprised of three components Impact of Major Initiatives, Documentation of Favorable Impact and LEA Sustainability Plan. Each section must be completed in the following manner: Impact of Major Initiatives List the major initiatives that have been implemented to spur sustained school improvement. This list should not be a simple recitation of programs but should instead focus on practices. For example, rather than list extended learning program, focus on the practices that took place during that time (e.g. additional instructional time in ELA and Math which included full implementation of tailored interventions for struggling students). Indicate whether or not each practice had a positive impact on the schools goals. Documentation of Favorable Impact Following the listing of the major initiatives, provide data (preferably quantitative) for each practice that has been deemed as having a positive impact on the schools improvement goals. LEA Sustainability Plan List the practices in descending order of importance. Describe the LEAs plans for sustaining these practices at the end of the Year 3 funding period. Form L-1 NEW JERSEY DEPARTMENT OF EDUCATION NOTICE OF GRANT OPPORTUNITY - TITLE PAGE- LEA SECTION I: FY NGO# WKL 17 SG09 G02 TITLE OF NGO: School Improvement Grant Program (SIG) (Cohort 3 - Year 3 of 3) DIVISION: Learning Supports and Specialized Services OFFICE: Regional Achievement Centers SECTION II: COUNTY:  FORMCHECKBOX  FORMCHECKBOX  LEA/OTHER:  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  SCHOOL:  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  COUNTY NAME:_____________________________ APPLICANT AGENCY AGENCY ADDRESS CITY STATE ZIP ( ) ( ) AGENCY TELEPHONE NUMBER AGENCY FAX PROJECT DIRECTOR (Please print or type name): _________________________________________________________________ TELEPHONE NUMBER: (____)___________________ FAX#: (____)__________________ E-MAIL_______________________________ BUSINESS MANAGER: ________________________________ PHONE#: (____)___________ E-MAIL_____________________________ DURATION OF PROJECT: FROM: 9/1/2016 TO 8/31/2017 YEAR 3 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 LEA & SCHOOL APPLICATIONS* BUDGET SUMMARY AND BUDGET DETAIL FORMS* ORIGINAL AND FIVE COPIES OF THE COMPLETE APPLICATION PACKAGE ___________________________________________________ _________________________________________ ________________ SIGNATURE OF CHIEF SCHOOL ADMINISTRATOR TITLE DATE ___________________________________________________ (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 6/23/2016 RIVER VIEW EXECUTIVE PLAZA BLDG. 100, ROUTE 29 PO Box 500 TRENTON, NJ 08625-0500 Form L-1 BOARD RESOLUTION TO APPLY  FY NGO# WKL The _________________________________ Board hereby certifies that permission has been granted to apply for the discretionary grant program entitled: School Improvement Grant for the purposes described in the application, in the amount of, $___________.00, starting on _______________, and ending on _______________. The filing of this application was authorized at the Board meeting held on, _____________________________, 20__ ______________________________ Secretary of the Board __________________________20__ Date Form L-2 GENERAL ASSURANCES The certifications listed below shall be treated as a material representation of fact by the applicant upon which the New Jersey Department of Education (NJDOE) will place reliance in making a grant award. The NJDOE is hereby assured by the applicant that the applicant: Legal authority Has the legal authority to apply for funds made available under the requirements for this grant program application, and has the institutional, managerial and financial capacity (including funds sufficient to pay the federal/state/local share of project costs, as appropriate) to ensure proper planning, management and completion of the project described in this grant application. Access to records Gives the New Jersey Department of Education (NJDOE), or its authorized representatives, access to, and the right to examine all records, books, or discounts related to the award; and will establish a proper accounting system in accordance with Generally Accepted Accounting Principles (GAAP) and the Uniform Grant Guidance (UGG) at 2 CFR Part 200. Conflict of Interest Shall establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest or personal gain in accordance with 200.112 of the Uniform Grant Guidance (UGG). Non-discrimination Shall comply with all federal and state statutes and regulations relating to nondiscrimination. These include, but are not limited to, the following: Title VI of the Civil Rights Act of 1964 (P.L. 88-352; 34 CFR Part 100), which prohibits discrimination on the basis of race, color, or national origin; Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 1681-1683, and 1685-1686; 34 CFR Part 106), which prohibits discrimination on the basis of sex; Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794; 34 CFR Part 104), which prohibits discrimination on the basis of disability; Section 503 of the Rehabilitation Act of 1973, as amended (41 CFR Parts 61-741.5(a), as applicable, which requires affirmative action in employment; The Age Discrimination Act of 1975, as amended (42 U.S.C. 6101 et. seq.; 45 CFR Part 90), which prohibits discrimination on the basis of age; The Americans with Disabilities Act of 1990, as amended (P. L. 101-336), which prohibits discrimination on the basis of disability; The Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; Any other nondiscrimination provisions in the specific statute(s) under which the application for Federal assistance is being made; and The requirements of any other nondiscrimination statute(s), which may apply to the application. Hatch Act Shall comply, as applicable, with provisions of the Hatch Act (5 U.S.C 1501-1508 and 7324-7328), which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. Trafficking Victims Protection Act Shall comply with the requirements of 106(g) of the Trafficking Victims Act (TVPA) of 2000, as amended (22 U.S.C. 7104), which prohibits grant award recipients or a sub-recipient from: (1) Engaging in severe forms of trafficking in persons during the period of time that the award is in effect; (2) Procuring a commercial sex act during the period of time that the award is in effect; or (3) Using forced labor in the performance of the award or subawards under the award. Lobbying Shall comply, for all contracts in excess of $100,000, with the New Restrictions on Lobbying (34 CFR Part 82). This certification extends to all subawards at all tiers (including subgrants, contracts under grants and cooperative agreements, and subcontracts). Debarment and Suspension Shall certify that the applicant, as well as its principals (Board of Education, Superintendent, Business Administrator, or others in equivalent positions) and subcontractors, is not presently debarred, proposed for debarment, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction from receiving federal funds in accordance with Executive Orders 12549 and 12689 and 34 CFR Part 85 Drug Free Workplace Shall comply with the provisions of the Drug Free Workplace Act of 1988, as implemented at 34 CFR Part 84, Subpart A Purpose and Coverage and Subpart B Requirements for Recipients Other Than Individuals. Equal Employment Opportunity Shall comply with Executive Order 11246, Equal Employment Opportunity, dated September 24, 1965, as amended by Executive Order 11375, dated October 13, 1967, and as supplemented by the regulations at 41 CFR Part 60. General Educational Provisions Act (GEPA) Shall comply with the provisions of the General Education Provisions Act (GEPA) (20 U.S.C. 1221). Education Department General Administrative Regulations (EDGAR) Shall comply with the provisions of the Education Department General Administrative Regulations (EDGAR) Part 76, Part 81, Part 82 and Part 99. Stevens Amendment Shall ensure projects will be administered in conformity with The Stevens Amendment (P.L. 101-166, 511). Projects or programs funded in whole or in part with Federal grant funds must credit the Federal government for the Federal government's portion of the financial support. Federal Fiscal Accountability and Transparency Act (FFATA) Shall comply with the provisions of The Federal Fiscal Accountability and Transparency Act (FFATA) and has provided to the NJDOE a correct and valid Data Universal Numbering System (DUNS) number for the applicant organization, as well as any controlling parent organization. Shall establish and maintain a current and complete registration in the System for Award Management (SAM), located at  HYPERLINK "http://www.sam.gov" http://www.sam.gov prior to the submission of this grant application and shall maintain a current SAM registration throughout the period of the grant award. Administration Shall adopt and use proper methods of administering each program, including the enforcement of any obligations imposed by law on agencies, institutions, organizations and other recipients responsible for carrying out each program and the correction of deficiencies in program operations that are identified through audits, monitoring or evaluations. NJ Public School Contracts Law Shall comply with provisions of the Public School Contracts Law: N.J.S.A. 18A:18A-1 et. seq., and other relevant state laws and regulations whenever the program supported with these funds involves the procurement of goods or services from vendors or consultants, written contracts between the LEA and such vendors or consultants, and the award for such contracts. Board Resolution Local Educational Agency (LEA) applicants shall obtain and maintain on file a certified board resolution or board minutes verifying the District Board of Educations authorization for submission of this application or of any amendments that entail either programmatic or fiscal changes to the final NJDOE approved grant application. Non-LEA applicants shall obtain, and maintain on file, from officials authorized to bind the applicant, documentation verifying the applicants authorization for submission of this application or of any amendments that entail programmatic or fiscal changes to the final NJDOE approved grant application. Uniform Grant Guidance Shall comply with the provisions of the Uniform Grant Guidance, as applicable (2 CFR Part 200 including, but not limited to, the following: Key Personnel standards as outlined in 200.201 (b)(5) with regard to changes in the project director, other key personnel, or scope of effort, which require prior written approval of the NJDOE. Property standards as outlined in 200.310 through 200.316, with an emphasis on internal controls related to equipment in 200.313. Procurement standards as outlined in 200.318 through 200.326, as well as the provisions of the New Jersey Public Schools Contracts Law (N.J.S.A. 18A:18A-1 et. seq.) applicable to the grantee. Performance and Reporting standards as outlined in 200.327 through 200.329. Reports will be submitted in accordance with established procedures and timelines, and any addenda, to enable the NJDOE to meet its responsibilities under the program. Record Retention and Access standards as outlined in 200.333 through 200.337. Records which document the compliance with program requirements, relate to fiscal control, and/or the accounting of project funds, shall be maintained for three years after the submission of all required reports to the NJDOE. Remedies for Noncompliance as outlined in 200.338 including the imposition of additional conditions as outlined in 200.207. Closeout as outlined in 200.343. Cost Principles as outlined in Subpart E, 200.400 through 200.475. Audit requirements in accordance with Subpart F, 200.501 and New Jersey Treasury Circular 15-08-OMB. Student Records and Privacy Shall comply with the provisions of: 34 CFR Part 99, Family Educational Rights and Privacy Act; 45 CFR Parts 160, 162, and 164, Health Insurance Portability and Accountability Act of 1996 (HIPAA) [P.L. 104-191]. Safe and Drug Free Schools Shall comply with the provisions of: 42 CFR Part 2, Confidentiality of Drug and Alcohol Abuse Patient Records; 34 CFR Part 98, Protection of Pupil Rights Amendment; 20 U.S.C. 7151, Gun-Free Schools Act and N.J.S.A. 18A:37-7 through 12, Zero Tolerance for Guns Act; 20 U.S.C. 7171, Transfer of Student Disciplinary Records and N.J.S.A. 18A:36-19a, Record requests for newly enrolled students; and P.L. 102-321, Section 1926, Synar Amendment and N.J.S.A. 26:3D-17, Smoking Prohibitions in Educational Institutions. Shall maintain a policy requiring referral to the appropriate law enforcement agency of any student who brings a firearm or weapon to a school served by the LEA, pursuant to 20 U.S.C. 7151(h) and N.J.A.C. 6A:16-5.5(d)4 and 5.6(d)4. Shall maintain a description of the circumstances surrounding all student removals imposed under the one-year removal requirement for firearms offenses, pursuant to 20 U.S.C. 7151, Gun-Free Schools Act, N.J.S.A. 18A:37-7 through 12, Zero Tolerance for Guns Act and N.J.A.C. 6A:16-5.5, Removal of students for firearms offenses, which includes, at a minimum, the name of the school concerned, the number of students removed from the school, and the type of firearms concerned, as reported on the Electronic Violence and Vandalism Reporting system, pursuant to N.J.A.C. 6A:16-5.3. Additionally, pursuant to N.J.A.C. 6A:16-5.5(b)1 i, the chief school administrator will develop and maintain a written record of any case-by-case modifications of the one-year removal requirement made by the chief school administrator. In addition to the general NJDOE-required assurances specified above, we certify that the applicant, in complying with required US Department of Education SIG-specific assurances, will: Use its School Improvement Grant to implement fully and effectively an intervention in each Priority school that the LEA commits to serve consistent with the final requirements; Establish annual goals for student achievement on the States assessments in both reading/language arts and mathematics and measure progress on the leading indicators in section III of the final requirements in order to monitor each Priority school that it serves with school improvement funds; If it implements a restart model in a Priority school, include in its contract or agreement terms and provisions to hold the charter operator, charter management organization, or education management organization accountable for complying with the final requirements; Monitor and evaluate the actions a school takes, as outlined in the approved SIG application, to recruit, select and provide oversight to external providers to ensure their quality; Facilitate and monitor the actions a school takes, as outlined in the approved SIG application, to sustain the reforms after the funding period ends and provide technical assistance to schools on how they can sustain progress in the absence of SIG funding; and Report to the SEA the school-level data required under section III of the final requirements. ___________________________________ _______________________________________________ LEA Signature: Chief School Administrator ___________________________________ ________________________________________________ Date Print Name Form L-3 page 1 Documentation of Federal Compliance (DUNS/SAM) Form Note: this form must be completed and returned by the applicant prior to any award being made. Part I Applicant Organization Organizational Name of Applicant __________________________________ Address __________________________________ DUNS number __________________________________ Expiration Date of SAM registration __________________________________ Congressional District __________________________________ Part II Primary Place of Performance under this award City __________________________________ County __________________________________ Part III Parent Organization Is the applicant owned or controlled by another entity? __________ Yes _________ No. If yes, please provide the following: Parent organization name __________________________________ Parent organization DUNS number __________________________________ Form L-3, page 2 Part IV Executive Compensation Disclosure Criteria Please circle the appropriate response to the questions below: Question 1: In the preceding fiscal year, did the applicant receive at least $25 million in federal awards? (Yes/No) Question 2: In the preceding fiscal year, did the applicant receive at least eighty (80) percent of their gross annual revenues from federal awards? (Yes/No) If the applicant answered YES to both questions, in the space below, please provide the name and total compensation of the five (5) most highly compensated officers of the applicant organization. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ I certify that this information is complete and correct. Furthermore, the applicant certifies that it has completed its registration on the federal System for Award Management website, found at www.sam.gov and shall maintain a current registration throughout the grant period. _____________________________________________ Signature of Chief School Administrator or equivalent _____________________________________________ Name and Title PLEASE ATTACH A COPY OF THE APPLICANTS ENTITY OVERVIEW PAGE FROM THEIR  HYPERLINK "http://WWW.SAM.GOV" WWW.SAM.GOV PROFILE TO THIS FORM. FORM L-4 Review of LEA Mission, Vision and Project Summary LEA: _____________________________________________________________ Review the LEAs mission, vision and project implementation summary contained in the approved FY-15 SIG application. Place an X next to the appropriate statement below.  Our review of the mission, vision and project implementation summary reflected in the FY-15 approved SIG application indicates that it is still relevant and will be retained, without modification, through FY-17 SIG implementation.  Our review of the mission, vision and project implementation summary reflected in the FY-15 approved SIG application indicates that revisions are warranted. The revised mission, vision and/or project implementation summary is described below. Indicate the revised mission, vision and/or project implementation summary.  Form L-5 LEA COMMITMENT AND CAPACITY UPDATE LEA: _____________________________________________________________ Review the LEAs Year 2 project description for each commitment and capacity activity in the approved FY-16 SIG application. Place an X next to the appropriate statement and, if necessary, provide narrative information regarding Year 2 challenges and FY-17 revisions. LEA Commitment & Capacity Implementation Indicators: Activity #1 Management of External Providers The LEA has a process to recruit, screen and select quality external providers. The LEA follows federal and state statutes and regulations regarding bid and competitive contracting. The LEA executes and manages the contracts of external providers in a timely fashion. The LEA evaluates the quality of external providers. Our review of Year 2 implementation indicates there were not any challenges in the management of external providers. The Year 2 project description for each implementation indicator reflected in the FY-16 approved SIG will be retained, without modification, through FY-17.  Our review of Year 2 implementation indicates that revisions are necessary to ensure optimal effectiveness in FY-17. The revised project description for the relevant implementation indicator is described below. Describe challenges, if any, experienced during Year 2 implementation. If making revisions to the project description, list the relevant implementation indicator and the FY-17 revision(s).  Form L-5 LEA UPDATE OF COMMITMENT AND CAPACITY LEA Commitment & Capacity Implementation Indicators: Activity #2 Alignment of Resources There is clear alignment of resources to support implementation of interventions. The LEA aligns resources to support the implementation of standards-based curricula. The LEA ensures that funds are used to accomplish the activities in the application and to meet its targets, including where feasible, by coordinating, reallocating or repurposing education funds from other Federal, State and local sources.  Our review of Year 2 implementation indicates there were not any challenges in alignment of resources. The Year 2 project description for each implementation indicator reflected in the FY-16 approved SIG will be retained, without modification, through FY-17.   Our review of Year 2 implementation indicates that revisions are necessary to ensure optimal effectiveness in FY-17. The revised project description for the relevant implementation indicator is described below. Describe challenges, if any, experienced during Year 2 implementation. If making revisions to the project description, list the relevant implementation indicator and the FY-17 revision(s).  Form L-5 LEA COMMITMENT AND CAPACITY UPDATE LEA Commitment & Capacity Implementation Indicators: Activity #3 Modification of policies and practices, district support, stakeholder involvement, decision making, grant administration and oversight The LEA modified its practices and policies, as necessary, to enable it to fully and effectively implement the interventions. The LEA assigned district-level staff to monitor and support the implementation of the interventions. The LEA engages its stakeholders and has a process in place for making collaborative decisions. The LEA involves other critical stakeholders, such as State and local leaders (e.g., business, community, civil rights, and education association leaders); parent, student and community organizations (e.g., parent-teacher associations, nonprofit organizations, local education foundations, and community-based organizations) and institutions of higher education. The LEA provides effective and efficient operations and processes for implementing its SIG grants in such areas as grant administration and oversight, budget reporting and monitoring, performance measure tracking and reporting and fund disbursement to schools. Our review of Year 2 implementation indicates there were not any challenges in the modification of policies and practices, district support, stakeholder involvement, decision making or grant administration and oversight. The Year 2 project description for each implementation indicator reflected in the FY-16 approved SIG will be retained, without modification, through FY-17.  Our review of Year 2 implementation indicates that revisions are necessary to ensure optimal effectiveness in FY-17. The revised project description for the relevant implementation indicator is described below. Describe challenges, if any, experienced during Year 2 implementation If making revisions to the project description, list the relevant implementation indicator and the FY-17 revision(s).  Form L-5 LEA UPDATE OF COMMITMENT AND CAPACITY LEA Commitment & Capacity Implementation Indicators: Activity #4 Internal District Team support, development and use of data systems, classroom walkthroughs, association support and School Board support. The Internal District Team provides support to the school. LEA-level activities support implementation of the selected model. The LEA uses data systems to track school progress on various metrics including the SIG leading indicators. The LEA uses data as the basis for decision-making, planning and program modification at SIG schools. The LEA has a system to conduct classroom walkthroughs. The LEA has the support of the Teachers Union in implementing SIG activities. The LEA has the support of its School Board in implementing SIG activities. Our review of Year 2 implementation indicates there were not any challenges in stakeholder support, development and use of data systems or classroom walkthroughs. The Year 2 project description for each implementation indicator reflected in the FY-16 approved SIG will be retained, without modification, through FY-17.  Our review of Year 2 implementation indicates that revisions are necessary to ensure optimal effectiveness in FY-17. The revised project description for the relevant implementation indicator is described below. Describe challenges, if any, experienced during Year 2 implementation If making revisions to the project description, list the relevant implementation indicator and the FY-17 revision(s).  Form L-5 LEA UPDATE OF COMMITMENT AND CAPACITY LEA Commitment & Capacity Implementation Indicators: Activity #5 Operational flexibility and LEA support The LEA has given SIG principals greater autonomy in key areas such as selecting staff, scheduling and budgeting. The LEA has systems and processes for anticipating and addressing school staffing and instructional and operational needs in timely, efficient and effective ways. The LEA has given the SIG principals increased autonomy in the selection of professional development services and providers. In exchange for increased autonomy, the LEA has made the SIG principal more accountable for results. The LEA continuously reviews SIG schools progress towards meeting annual goals for effective instruction and student learning. Our review of Year 2 implementation indicates there were not any challenges in operational flexibility and LEA support. The Year 2 project description for each implementation indicator reflected in the FY-16 approved SIG will be retained, without modification, through FY-17.  Our review of Year 2 implementation indicates that revisions are necessary to ensure optimal effectiveness in FY-17. The revised project description for the relevant implementation indicator is described below. Describe challenges, if any, experienced during Year 2 implementation If making revisions to the project description, list the relevant implementation indicator and the FY-17 revision(s).  Form L-6 PLAN FOR SUSTAINING EFFECTIVE PRACTICES Impact of Major Initiatives: List the major initiatives implemented to address school improvement. Indicate whether or not they positively impacted goals. If necessary, insert additional rows.Initiative/StrategyDid it positively impact your school improvement goals? (Yes or No)Documentation of Favorable Impact: For each initiative that positively impacted school improvement goals, provide a brief description of the data that support your conclusion. LEA Sustainability Plan: Describe the LEAs plans for sustaining the practices that positively impacted student outcomes.  APPENDIX B School Section School Application InstructionsS-1: Cover Page and School Statement of Assurances S-2: Documentation of Federal Compliance (DUNS/SAM) Form (including the applicants Entity Overview page from their  HYPERLINK "http://www.sam.gov" www.sam.gov profile.S-3: Stakeholder Participation S-4: Review of Schools Mission, Vision and Project SummaryS-5: Status of Leading Indicators S-6: Educational Field Trip RequestS-7: SIG Required Activity ChecklistPlease note: The school section also requires the submission of the School Improvement Plan (SIP). It must be completed, printed and included with each school application.  SCHOOL APPLICATION INSTRUCTIONS S-1: Cover Page and School Statement of Assurances Insert all requested information. Ensure that the Chief School Administrators signature is included in both areas denoted on the cover page. Review each assurance. The Chief School Administrator and the school principal shall sign the bottom of the page indicating the LEAs and schools commitment to adhere to the terms outlined therein. S-2: Documentation of Federal Compliance Insert all requested information. The Chief School Administrator shall sign the bottom of the page indicating the accuracy of the information reported and the assurance that SAM registration will remain current throughout the grant period. The applicant will include a copy of their Entity Overview page from their  HYPERLINK "http://www.sam.gov" www.sam.gov profile. S-3: Stakeholder Participation Stakeholder collaboration is critical to the success of sustained school turnaround. Provide the following information to demonstrate that there is continuous engagement of various constituent groups throughout SIG implementation and re-application. Stakeholder Committee Membership and Participation: Provide the requested information regarding the Stakeholder Committee membership including the number of meetings that each member attended out of the total number of meetings convened. Stakeholder Committee Meetings: List the meetings that were convened to discuss the schools needs assessment and to prepare the SIG continuation application. Stakeholder Awareness and Involvement in Implementation: Describe how stakeholders are involved in SIG implementation on an on-going basis and how information is shared with the community. S-4: Review of Mission, Vision and Project Summary Review the schools mission, vision and project implementation summary contained in your approved FY-16 SIG application. Place an X next to the appropriate statement. If any component requires modification, in the space provided note the revised mission, vision and/or project implementation summary. S-5: Status of Leading Indicators Leading indicators are metrics used to gauge the schools trajectory towards improvement. When properly monitored, the data can be a valuable tool for identifying challenges and making appropriate course corrections. Each school shall provide data and analysis for the requested metrics in the following manner: Increased Learning Time As per the SIG federal guidance, increased learning time is defined as increasing the length of the school day, week, or year to significantly increase the total number of school hours so as to include additional time for (a) instruction in core academic subjects including English, reading or language arts, mathematics, science, foreign languages, civics and government, economics, arts, history, and geography; (b) instruction in other subjects and provision of enrichment activities that contribute to a well-rounded education, such as physical education, service learning, and experiential and work-based learning opportunities; and (c) teachers to collaborate, plan, and engage in professional development within and across grades and subjects. For each year noted on the chart, indicate the number of hours in increased learning time dedicated to core subjects, enrichment and teacher collaboration/professional development in FY-14 and 15; and anticipated by the end of FY-16 as well as the goal for FY-17. Indicate the sum of these subcategories in the cell titled total increased learning hours. Student Presence Student presence captures the extent to which the school meets state targets for average daily attendance and the proportion of students who miss 10 percent or more of class time (chronic absenteeism). It is commonly understood that establishing high level student presence is an essential precursor to addressing academic achievement. The school shall reflect its progress in addressing this area by indicating students average daily attendance rate and the rate of chronic absenteeism for FY-14 and FY-15. The rate for FY-16 should be based on the average rate as of April 30, 2016. Lastly, indicate the student presence goals for FY-17. Student Discipline Student discipline data provides insight on the extent to which the classroom environment is conducive to learning and the proportion of students who lose instructional time due to suspensions or office referrals. The school shall indicate its progress in addressing this area by documenting the number of office conduct referrals and suspension rates (in-school and out-of-school) for FY-14 and FY-15. The data for FY-16 should be based on documentation as of April 30, 2016. Lastly, indicate the student discipline goals for FY-17. Teacher Presence Given the abundance of data that attest to teachers prominent role in impacting student learning outcomes; its not surprising that researchers also find a correlation between teacher absence and lower student achievement. (Miller, 2012) Like student presence, teacher presence is an essential precursor for any successful school improvement effort. The school shall record its status in teacher presence by indicating the average teacher attendance rate for FY-14, FY-15 and FY-16 (as of April 30, 2016) and the goal for FY-17. Additionally, provide data on the number and percentage of instructional vacancies and leaves for FY-14, FY-15 and FY-16, as of October 1 of each year, as well as the goal for FY-17. Teacher Evaluation Teachers with partially effective or ineffective ratings receive more intensive support through a Corrective Action Plan (CAP). In order to ascertain the extent to which the school is making progress with teachers on CAPs, the school shall provide the total number of teachers who provide instruction to students and the total and percentage of teachers on CAPs in FY-14, 15 and 16. Additionally, indicate the goal for FY-17. Important Note: There is some overlap between the data available in the SIP MS and what is being requested on S-5. Hence the LEA should review the SIP MS to identify the metrics that are already provided and transfer the data, if relevant, to S-5.  Summary of Strategies Impact on Metrics Provide a brief description of the strategies that are currently being implemented to address ELA and Math outcomes during increased learning time, student presence, student discipline, teacher presence and teacher evaluation. Indicate any Year 3 modifications, if applicable. S-6: Educational Field Trip Request The Educational Field Trip Request form must be completed as part of the school application if there are any funds allocated for this purpose in the budget. SIG-funded field trips, though allowable, must be educationally related, address an identified need in the school, and be reasonable in cost. Requirements for field trips are: They must be integrated into lesson plans and other instructional activities, as appropriate, in order to impact the academic achievement of the most academically at-risk students in the school. They must address factors impacting student academic proficiency as identified in the root cause analysis. They must support the core content subject areas and classroom curriculum. They must be grade appropriate and foster students understanding of concepts/ideas related to core subject areas. S-7: SIG Required Activity Checklist The checklist must be completed to ensure that all elements of the Transformation model are addressed in the LEA or school sections of the application. Indicate where the LEA addresses activity #8 in the unrevised FY-16 application or in the revised FY-17 application. Additionally, list the SIP SMART goal(s) and action step(s) that address activity # 2 - 7 and 9. RAC School Improvement Plan (SIP) (Available On-Line at the NJDOE Homeroom) The School Improvement Plan and corresponding instructions are included on the SIP Management System which is accessible via the NJDOE Homeroom. It must be completed for each applicant school. School staff will receive support for completing the plan from the assigned State Turnaround Coach. Copies of the completed SIP must be included with the application. Form S-1 NEW JERSEY DEPARTMENT OF EDUCATION COVER PAGE **SIG: COHORT 3-YEAR 3 SCHOOL APPLICATION** SECTION I: NGO#:____-______-_____Title: School Improvement GrantSECTION II, PART A: School Name School Address School City, State, Zip Grade Span of SchoolInternal use only__ __ __ __ __ ____ __ __ School Code Type Region Sequence _________________________________________________ School Principal Name Phone # School Program Director Name _________________________________________________ School Program Director Telephone _________________________________________________ School Program Director Fax/email  Total amount of funds requested for school application: Year 3 $__________ Duration of the Year 3 project: 9/1/16 to 8/31/17 To the best of my knowledge and belief, the information contained in the application is true and correct. I further certify the school application information is complete. _______________________________________ ___________ Certification of Chief School Administrator Date SECTION II Part B The school application has been duly authorized by the governing body of the _____________________________ school district (county code __ __, District Code __ __ __ __, School Code _______). ________________________________________ ______________________________ ____________ Signature of Chief School Administrator Title Date Business Administrator: _____________________ Phone:______________________ Fax:__________  Form S-1 SCHOOL STATEMENT OF ASSURANCES On behalf of the LEA and the applicant school, the undersigned hereby assure the New Jersey Department of Education that under this School Improvement Grant program: The LEA will ensure that each schools principal and appropriate staff will participate in NJDOE-sponsored professional development including the Summer Leadership Academy and the Professional Learning Academy. Failure to ensure consistent and active attendance and participation of the principal and appropriate staff may result in forfeiture of the grant. The district and the school(s) will partner with the NJDOEs State Turnaround Coach assigned to the school to facilitate the implementation of the SIG program. Each school is fully committed to the implementation of the entire project activity plan as outlined in the approved grant application, to include fulfillment of all relevant SIG model requirements. ___________________________________ ___________________________________ Applicant LEA Signature: Chief School Administrator ___________________________________ ___________________________________ Applicant School Signature: Principal ___________________________________ Date Form S-2, page 1 Documentation of Federal Compliance (DUNS/SAM) Form (All Applicants) Note: this form must be completed and returned by the applicant school prior to any award being made. Part I Applicant Organization Organizational Name of Applicant __________________________________ Address __________________________________ DUNS number __________________________________ Expiration Date of SAM registration __________________________________ Congressional District __________________________________ Part II Primary Place of Performance under this award City __________________________________ County __________________________________ Part III Parent Organization Is the applicant owned or controlled by another entity? __________ Yes _________ No. If yes, please provide the following: Parent organization name __________________________________ Parent organization DUNS number __________________________________ Form S-2, page 2 Part IV Executive Compensation Disclosure Criteria Please circle the appropriate response to the questions below: Question 1: In the preceding fiscal year, did the applicant receive at least $25 million in federal awards? (Yes/No) Question 2: In the preceding fiscal year, did the applicant receive at least eighty (80) percent of their gross annual revenues from federal awards? (Yes/No) If the applicant answered YES to both questions, in the space below, please provide the name and total compensation of the five (5) most highly compensated officers of the applicant organization. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ I certify that this information is complete and correct. Furthermore, the applicant certifies that it has completed its registration on the federal System for Award Management website, found at www.sam.gov and shall maintain a current registration throughout the grant period. _____________________________________________ Signature of Chief School Administrator or equivalent _____________________________________________ Name and Title PLEASE ATTACH A COPY OF THE APPLICANTS ENTITY OVERVIEW PAGE FROM THEIR  HYPERLINK "http://WWW.SAM.GOV" WWW.SAM.GOV PROFILE TO THIS FORM Form S-3 STAKEHOLDER PARTICIPATION Include the following information regarding Stakeholder Committee membership and participation. Add additional rows as necessary. Stakeholder Committee Membership and ParticipationNamePosition# of Meetings Attended (# attended/total) Include the following information for Stakeholder Committee meetings in which the needs assessment and School Improvement Grant application were discussed. Stakeholder MeetingsDateLocationTopicNumber AttendingAgenda on FileMinutes on File Stakeholder Awareness and Involvement in SIG ImplementationDescribe how stakeholders are involved in model implementation on an on-going basis and the methods used to inform the school community about SIG initiatives (e.g. posting on website, parent meetings, community forums, etc.)  S-4 Review of Mission, Vision and Project Summary LEA: _________________________________________________ Name of School: ___________________________ Review the schools mission, vision and project implementation summary contained in the approved FY-15 SIG application. Place an X next to the appropriate statement.  Our review of the mission, vision and project implementation summary reflected in the FY-15 approved SIG application indicates that it is still relevant and will be retained, without modification, through FY-17 SIG implementation.  Our review of the mission, vision and project implementation summary reflected in the FY-15 approved SIG application indicates that revisions are warranted. The revised mission, vision and/or project implementation summary is described below. Indicate the revised mission, vision and/or project implementation summary.  Form S-5 Status of Leading Indicators LEA: _________________________________________________ Name of School: ______________________________________ Provide data for each of the areas listed below. Briefly describe the current strategies to address each metric and any anticipated Year 3 modifications. MetricBaseline 2013-14Year 1 2014-15Year 2 2015-16Year 3 Goal 2016-17Increased Learning Time (ILT)ILT Hours for Core SubjectsILT Hours for EnrichmentILT Hours for Teacher CollaborationTotal ILT HoursStudent PresenceStudent Attendance RateChronic AbsenteeismStudent Discipline DataOffice Conduct Referrals (OCRs)In School SuspensionsOut of School SuspensionsTeacher PresenceTeacher Attendance RateNumber of Instructional Vacancies or LeavesPercentage of Instructional Vacancies or LeavesTeacher Evaluation DataTotal Number of TeachersNumber of Teachers with Corrective Action Plans (CAPs)Percentage of Teachers with CAPs Summary of Strategies Impact on MetricsDescribe the increased learning program and its impact on ELA and Math outcomes. Describe any modifications to the program during Year 3. Describe student attendance strategies and their impact on maintaining or increasing student attendance to at least 96% and decreasing chronic absenteeism. Describe any modifications to these strategies during Year 3. Describe student discipline strategies and their impact on decreasing OCRs and suspensions. Describe any modifications to these strategies during Year 3. Describe teacher attendance strategies and their impact on maintaining or increasing teacher attendance to at least 96%. Describe any modifications to these strategies during Year 3. Describe the support provided to teachers with CAPs. Indicate the extent to which this support has improved instruction. Describe any modifications to these strategies during Year 3.  Form S-6 Educational Field Trip Request LEA: _____________________________________________ School: _________________________________________ An educational field trip request form must be completed for each individual excursion prior to making any purchase or reservation. Once approved, any request for modification must be submitted, in writing, to your SIG program officer. Educational Field Trip Plan and BudgetProposed Location (City, State): Trip Date: Description of Field Trip (include grade levels):Estimated number of student and staff participants: Educational Field Trip PlanDescribe the student learning objectives for this field trip (list relevant standards, if applicable). Describe how this experience serves as an instructional strategy to meet the specific academic content standard(s) identified in the schools root cause analysis. Describe how this experience is connected to assisting students in achieving proficiency in the Common Core State Standards and/or the New Jersey Core Curriculum Content Standards. Educational Field Trip BudgetItem Description (admission fee, transportation, etc)Unit CostQuantityTotal Form S-7 SIG Required Activity Checklist LEA: _____________________________________________ School: _________________________________________ Required Activity for Transformation ModelSMART Goal(s) and Action Step(s)Where Required Activity Is Addressed2Use rigorous, transparent, and equitable evaluation systems for teachers and principals that (a) take into account data on student growth as a significant factor, as well as other factors, such as multiple observation-based assessments of performance and ongoing collections of professional practice reflective of student achievement and increased high school graduation rates; and (b) are designed and developed with teacher and principal involvement.3Identify and reward school leaders, teachers, and other staff who, in implementing this model, have increased student achievement and high school graduation rates, and identify and remove those who have not improved their professional practice after having been afforded ample opportunity to do so. 4Provide staff ongoing, high-quality, job-embedded professional development (PD) that is aligned with the schools comprehensive instructional program and designed with school staff to ensure they are equipped to facilitate effective teaching and learning and have the capacity to successfully implement school reform strategies.5Implement strategies that are designed to recruit, place and retain staff with the skills necessary to meet the needs of the students in a transformation model.6Comprehensive instructional reform strategies. The LEA must (a) use data to identify and implement an instructional program that is research-based and vertically aligned from one grade to the next, as well as aligned with state academic standards; and (b) promote the continuous use of student data (such as from formative, interim, classroom, and summative assessments) to inform and differentiate instruction in order to meet the academic needs of individual students.7aIncreasing learning time and creating community-oriented schools. The LEA must (a) establish schedules and strategies that provide increased learning time for all students.7bIncreasing learning time and creating community-oriented schools. The LEA must (b) provide ongoing mechanisms for family and community engagement.8Providing operational flexibility and sustained support. The LEA must (a) give the school sufficient operational flexibility (such as staffing, calendars/ time, and budgeting) to implement fully a comprehensive approach to substantially improve student achievement outcomes and increase high school graduation rates; and (b) ensure that the school receives ongoing, intensive technical assistance and related support from the LEA, the SEA or a designated external lead partner organization (such as a school turnaround organization or an EMO).9Establish a system to collect data for the required leading indicators. APPENDIX C Budget Instructions Budget (Excel Workbook) Budget Narrative In the middle column, indicate the approved Year 3 allocation for the school as reflected in section 1.4 of the NGO. Do not include information in the shaded areas. In the last column, indicate the amount allocated for LEA expenses and the amount allocated to the school; the sum of these two figures should be reflected in the total request for Year 3 cell. Be sure that the total reflected in the budget narrative is consistent with the total reflected on the Budget Summary Form. Provide the following information in the budget narrative: Delineate how the budget is tied to the SMART goals, intervention strategies, and action steps. Provide a strong justification that costs of the program are reasonable and necessary Provide evidence to clearly show that the budget is sufficient to meet the program needs Show that SIG funds are spent exclusively on costs associated with implementing the selected intervention model Illustrate that the budget and budget justification are directly tied to the activity plan and clearly show how all aspects of the activity plan will be supported Directly relate all travel expenses to the SIG program activities and provide justification Indicate the costs associated with LEA-level activities designed to support implementation of the selected school intervention models in the LEAs priority schools. Budget Detail Forms The budget detail forms are designed to link project activities to requested costs and to provide the cost basis for each estimated cost. The clearer the link between the project and a proposed expenditure, the less likely it is that the proposed expenditure will be questioned or removed from the budget. Itemization and/or detail are required to ensure that the cost is eligible generally under the Federal Cost Principles, specifically under the NGO, and that it is budgeted in the appropriate line. General Instructions Complete all identifying information at the top of each budget detail form and complete all columns on each form. Show on the budget detail forms the cost basis for each proposed expenditure. The cost basis shows how you arrived at the estimate you have provided. In most cases it includes a calculation (e.g., 50 notebooks @ $1.00 = $50.00). If any cost is unusual, you may be asked to provide documentation or an explanation to support your estimate. Itemized List: Where the instructions here and/or on the budget detail form call for an itemized list, provide the following information for each item: Item name and/or description, if the name does not readily describe the purpose or use for the item Unit cost (the cost of one unit of the item, as packaged) Quantity of the item to be purchased Total Cost (unit cost x quantity) Grant request amount for this item. Check all calculations for accuracy. Show all entries in whole dollars only. Cents will be deleted if included; therefore, your approved budget may reflect money lost through rounding errors. Link each proposed expenditure to the SMART Goal(s) by entering in the SMART Goal/Strategy/Step column the codes for the SMART goal, strategy and step that provide direct programmatic support for each proposed expenditure. Form A: Personal Services Salaries 100-100: Full-Time & Part-Time Salaries Instruction 200-100: Full-Time & Part-Time Salaries Support Services Use Form A for the salaries of all employees whose duties include grant-related activities. List separately the title of each position and the name of the staff person who holds the position, or enter vacant after the position title if the position is unfilled at the time of application. If the duties of the position are not clear from the title, enter enough information to make the duties of the staff person clear and/or the reason for requesting the funds evident. Example: Teacher/Smith for curriculum development, or 4 substitutes for teachers attending professional development workshops. If a staff member serves in more than one capacity, enter that staff member in each applicable Function & Object Code. For example, if a staff member serves as a teacher and as a counselor, enter that staff member in two separate budget lines under the appropriate Function & Object Codes, i.e., 100-100 (SalariesInstruction) for Teacher/ Murphy, and 200-100 (Salaries Support Services) for Counselor/ Murphy. Show in the Cost Calculation column how the total cost for the position was determined. Example - Part-Time Salary: 2 teachers x $75/day x 5 days each = $750 Example - Full-Time Salary: 1 math teacher at $50,000/yr annual salary x 50% time on the grant = $25,000. Enter in the Grant Request Amount column the amount of grant funds being requested for this salary. If only a portion of the salary for this position is to be paid from grant funds, enter the amount to be paid from grant funds in the Grant Request Amount column. Form B: Personal Services Employee Benefits 200-200: Personal Services - Employee Benefits Use Form B for fringe benefits for all employees whose salaries will be wholly or partially funded by the grant. Ensure that all fringe benefits calculations are based on the correct corresponding grant -requested salaries. Ensure that the percentage of an individuals fringe benefits charged to the grant does not exceed the corresponding percentage of that individuals salary charged to the grant. Example: If 25% of a staff members salary is charged to the grant project, up to 25% of his/her fringe benefits can be charged to the grant project. Complete the heading on each column by filling in the appropriate % for each fringe benefit. NOTE: The standard FICA rate is already entered on the form. Enter in the Position/Name column the title and persons name (where known) for each position. Make certain that this entry matches the Budget Detail Form A entry for the same staff position/staff member. NOTE: If a staff member has been entered more than once on Budget Detail Form A, the staff member should be entered more than once on Budget Detail Form B. Enter in the Salary Grant Request Amount column the amount of the staff members salary that is being requested from the grant. Complete each column by multiplying the total salary requested from the grant for the position by the appropriate percentage of the fringe benefit. Example: For a staff member whose salary from the grant equals $15,000: to enter requested FICA amount, multiply $15,000 x 7.65% which equals $1,147.50. Add all the fringe benefits for the position entered in this line. Calculate the total percentage of fringe benefits by dividing the total fringe benefits by the grant-funded salary (Salary Grant Request Amount column). Enter this percentage in the Total % of Benefits column. NOTES: FICA/TPAF 7.65% has already been entered in the FICA column. This percentage includes both Social Security (6.20%) and Medicare (1.45%). For grant projects funded with federal funds, you must charge to the grant FICA and Teacher Pension and Annuity Fund (TPAF) benefits calculated on the base salary for any employee of a Local Education Agency (LEA) who holds a New Jersey teaching certificate, if grant funds are requested for the employees salary. Health Benefits Health benefits are frequently determined by the coverage chosen by the employee rather than by percentage of salary. Where this is the case, enter a phrase such as Varies or Employee Choice to provide an explanation for the costs. The percentage of such benefits requested from grant funds may not exceed the percentage of the employees salary charged to the grant. Health benefits are sometimes fixed (the coverage is the same for every employee). In this case enter Fixed and the fixed amount in the column heading. Example: If your agency pays $8,000 in health benefits for each employee, you would enter Fixed: $8,000" at top of the column. The percentage of such benefits requested from grant funds may not exceed the percentage of the employees salary charged to the grant. Form C: Purchased Professional and Technical Services 100-300: Purchased Professional and Technical Services (instructional) 200-300: Purchased Professional and Technical Services (noninstructional/support) Use Form C for purchased professional and technical services, i.e., consultant costs. Consultants are paid on an hourly, daily, or flat fee basis, and are not employees of the applicant (lead) agency. Group all costs in the same Function & Object Code together. Enter the Function & Object Codes sequentially, e.g., enter all costs for 100-300 before entering costs for 200-300. Provide a description of the type(s) of consultants to be engaged (an individual and/or company) and the purpose for which the consultant(s) will be hired. Identify, where possible, the services and/or products to be purchased. Identify the rate of compensation, e.g., $10/hour or $200/workshop or $300/day. NOTE: If a flat fee is used as the cost basis, you must identify the specific products or services to be provided for that fee and an approximate number of hours or days the consultant will spend on the project. Enter the time for which you are contracting with the consultant. The time should refer to the fee basis, e.g., if the fee shown in the Rate column is $10/hour, show the number of hours (e.g., 15 hours) in the Time Required column. Form D: Supplies and Materials 100-600 Instructional Supplies and Textbooks 200-600 Noninstructional Supplies and Materials Use Budget Detail Form D for classroom/instructional supplies and materials, noninstructional supplies and materials, and textbooks. Identify the specific supplies to be purchased, e.g., paper, notebooks, printer toner cartridges, envelopes, etc. NOTE: In some cases, it may be acceptable for you to identify only the types of supplies to be purchased, rather than provide an itemized list of the supplies. However, for all entries, you must provide as much detail as necessary for the DOE to accurately determine the necessity for the proposed expenditure. In the case of textbooks, workbooks, reference or library books, software programs, etc., it is not necessary to identify the specific titles of the books or software programs to be purchased. However, it is necessary to identify the course(s) or subjects for which the books or software programs will be purchased. Where itemization is required, enter in the Unit Cost column the cost for one item as the item is priced for purchase (i.e., by individual item, by the box, case, carton, etc.). Enter the number of items (i.e., individual items, boxes, cases, cartons, etc.) in the Quantity column for each particular supply to be purchased. Form E: Equipment 400-731: Instructional Equipment 400-732: Noninstructional Equipment Use Budget Detail Form E for instructional and noninstructional equipment. An item to be purchased is categorized as equipment if it meets ALL of the following criteria: 1. It retains its original shape, appearance and character with use; 2. It does not lose its identity through fabrication or incorporation into a different or more complex unit or substance; 3. It is nonexpendable; that is, if the item is damaged or some of its parts are lost or worn out, it is more feasible to repair the item than to replace it; 4. Under normal conditions of use, including reasonable care and maintenance, the item can be expected to serve its primary purpose for at least one year; 5. The unit cost is more than $2,000. Provide a clear description in the Item Description column of the item to be purchased (e.g., the number of desktop computers, along with any peripherals that are included). Include in the Item Description column information on how and by whom the equipment will be used (e.g., for student instructional use in computer lab). This will help the reviewer to assess the appropriateness of the funds requested. You may also include any additional information that will clarify the relevance to the grant project of the proposed costs that will help the reviewer determine whether the costs have been entered into the correct Function & Object Code. Identify the full package price where equipment is purchased from a single vendor as well as the package components (e.g., computer packaged with software, printer, etc.). Do not show the cost of the components separately if they are not purchased separately. Form F: Other Costs 100-500: Other Purchased Services 100-800: Other Objects 200-400: Purchased Property Services 200-500: Other Purchased Services 200-580: Travel 200-800: Other Objects Use Budget Detail Form F for all Function & Object Codes that are not properly entered on Budget Detail Forms A through E. When requesting mileage costs for staff travel, identify the staff member who will be traveling and the purpose for which the travel will be undertaken. Example: Project director round trip from Anytown to Trenton for meeting with DOE Program Officer, 100 miles round trip. Enter the description of the requested cost and the cost calculation. Both the description and the cost calculation must provide enough detail to clarify the relevance of the requested cost to the grant project and to enable the reviewer to assess the reasonableness of your request. Special Cost Considerations on Form F: Purchased Property Services For all rentals (property, vehicles, equipment) please be aware that you may be requested to provide a copy of a lease agreement or a written quote from the prospective leaser. However, it is not necessary to provide this documentation as part of your proposed budget. Form G LEA Administrative Costs The LEA may budget in each school application up to five percent (5%) for LEA administrative purposes. A separate Budget Detail form, as appropriate for these LEA costs, must be included as a part of the individual school application. These costs must also be reflected in the SIG ADMIN FUND column of the Budget Summary form. Budget Summary Form The Application for Funds - Budget Summary is prepared only after all appropriate school budget detail forms (A-G) have been completed. The purpose of the form is to provide a summary of all planned expenditures for the school. The Application for Funds Budget Summary shows the total of all grant funds requested. Required for All Applicants: Complete the School Name, LEA Name and NGO # lines at the top of the form(s). For Budget Detail forms A-F, enter a total for each Function & Object Code in the SIG FUNDS column. For Budget Detail form G, enter a total for each Function & Object Code in the SIG ADMIN FUND column. Verify all figures for accuracy. Ensure that funds requested are shown on the correct Function & Object Code line, and that the amounts and assignments (by Function & Object Code) are consistent with those shown on the corresponding set of budget detail forms. 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