Raymond Simon, Director
#4 State Capitol Mall, Suite 304-A
Little Rock, Arkansas 72201-1071
70 Percent Base Grant Application
Federal Funded Program
Under The Safe and Drug-Free Schools and Communities
Act of 1994
(P.L. 103-382)
Federal Activities Grants Program
CFDA Number: 84.186A
FEDERAL GRANT YEAR: October 1, 2000 - September 30, 2001
Please Submit The Original And One Copy Of The Grant Application To:
Dorothy Reynolds, Program Advisor Office of Comprehensive School Health
Safe and Drug-Free Schools
Executive Building
2020 West Third, Suite 300
Little Rock, Arkansas 72205
Dated Materials - Open Immediately
Closing Date: February 9, 2001
Please Read Instructions Before Completing The Application.
No Faxes Will Be Accepted.
2000-2001 - 70% Base Grant
CHECKLIST
School District: LEA No.
Please check this list of items before submitting the 2000-2001, 70% Base Grant Application. This sheet is to be completed and sent back with the grant application. A check mark should be placed on all blanks for completed items.
An original and one copy of the application and a Table of Contents are enclosed.
A copy of the grant is kept for my files.
All questions have been answered.
Budget forms have been checked for correct calculations.
A 1999-2000 actual expense ledger is enclosed.
Time sheets on employees are included.
Invoices on equipment are enclosed with the grant.
The Program Service/Activity Sheet has been completed.
Justification for equipment, t-shirts, incentives, awards is included. (FY 2000-2001BSubmit only if form has been completed. Refer to form section of the grant application.)
Justification for out-of-state travel has been included. (FY 2000-2001BSubmit only if form has been completed. Refer to form section of the grant application.)
Information is included on the conferences and training provided for teachers, students and other LEA employees.
Request for contract/consultant forms are completed. (FY 2000-2001BSubmit forms only if completed. Refer to form section of the grant application.)
All columns under the Progress Report and Comprehensive Local Drug and Violence Program have
been completed.
Copies of the Advisory Board Council Roster and Advisory Board Minutes are included.
Questions regarding the Safe and Drug-Free Schools and Communities Act, Title IV, Part A, Section 4116, as amended have been answered?
Assurances have been signed by the Superintendent.
Only 20 percent is allocated for security hardware and personnel.
A survey of results has been summarized to make the Comprehensive Plan.
Justification letter for the 25 percent carryover is included, if applicable.
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Safe and Drug-Free Schools and Communities Act of 1994
Federal Application
Budget Code: Federal CFDA 84.186A
Federal Source of Funds: 6781 Revenue Classification:45971
FY 2000-2001 - 70% Base Grant
COVER SHEET
Item 1. School District LEA No.
Address County
City State Zip Code
Telephone No. ( ) Fax No. ( )
Superintendent=s Name
Program Director's Name
Item 2. Fiscal Agent
Item 3. 2000-2001 Federal Funds Allocated $
1999-2000 Carryover $
Item 4. Number of Alcohol and Drug Positions Paid by These Funds:
Full-Time
Part-Time
Estimated Number to Be Trained with the Funds Allocated by This Program:
Students (K-12) Administrators
Parents Others (Specify)
Teachers
Prepared in Accordance to 20 U.S.C. 5962 (P.L.103-382) INS-07-04-002R ADE Form No. 7/92
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Safe and Drug-Free Schools and Communities Act of 1994
FY 2000-2001 - 70% Base Grant
NARRATIVE
The narrative section of the application must be preceded by single-spaced pages with a 12 point type/font. The narrative should be a description of the program/project and should tell: who, what, when, where, how, and why about the program/project. It should clearly describe how the different parts of the application fit together to comprise the program/project from the thorough assessment of the nature and extent of the youth drug use and violence problems that you have done.
It should also include the answers to the following questions:
1. Has the applicant organization received other funding from another source to support the
Drug Education Program? Yes No
If yes, please give the name of the grant, amount of funds and the year.
- How many years have you received SDFSCA funding? Please specify the number of years and the dates.
- What was the purpose of the funded program? Give a brief description.
- What were the targeted grades/population?
- What changes were you able to achieve with these funds?
- What is the current status of the federally funded program?
- What changes did you plan to measure in the target population? Give a brief summary.
8. Describe how the plan will be coordinated with programs under this Act, the Goals 2000:
Educate America Act, and other Acts* as appropriate?
9. Describe how such agency will assess and publicly report progress toward obtaining these measurable goals for drug and violence prevention?
- Describe how the local educational agency will use its distribution funding under this subpart?
- Describe how the local educational agency will coordinate such agency=s programs and projects with community-wide efforts to achieve such agency=s goals for drug and violence prevention?
12. Describe how the local educational agency will coordinate such agency=s programs and projects
with other federal, state, and local programs for drug abuse prevention, including health programs?
*Such as Title I, Migrant Education, Indian Education, Title IV, Bilingual Education, Equity Education, Homeless Education, Early Childhood Program, etc.
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Safe and Drug-Free Schools and Communities Act of 1994
FY 2000-2001 - 70% Base Grant
Federal Source of Funds: 6781 Revenue Classification: 45971
FINAL EXPENDITURE REPORT
FY 1999-2000
School District LEA No.
(1) GRANTEE:/ (2) CARRYOVER FY 1998-99 $ (3) ALLOCATION FY 1999-2000 $
TOTAL ITEMS 2 & 3 $
BUDGET CATEGORIES
(Amount you want to spend) / EXPENDITURES
(Amount Spent) / BALANCE
= (Difference)
Item 1 Object 100 Employee Salaries*
$ Regular Certified Employees*
$ Regular Non-Certified Employees
$ Substitute Teacher=s Pay
$ Workshop Stipend
Administration Cost
$ Telephone Services (Calls)
$ Materials, Supplies, Postage
$ Maintenance & Operation
$ TOTAL (OBJECT 100)
SUBTOTAL:
Item 2 Object 200 Employee Benefits
$ Social Security Matching
$ Teacher Retirement Matching
$ State Employees Retirement Matching
$ Group Insurance Matching
$ Unemployment Compensation
$ TOTAL (OBJECT 200)
SUBTOTAL:
Item 3 Object 300 Purchased Services
$ Consultant Service
Conference Training
$ LEA Employees
$ Teachers
$ Students
$ Other (Specify)
Out-of-State-Travel
$ LEA Employee Travel, Food & Lodging
$ Teacher Travel, Food and Lodging
$ Student Travel, Food and Lodging
$ Other (Specify)
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Item 3 Object 300 (Continued)In-State Travel
$ LEA Employee Travel, Food & Lodging
$ Teacher Travel, Food & Lodging
$ Student Travel, Food & Lodging
$ Other (Specify)
$ TOTAL (OBJECT 300)
SUBTOTAL:
Item 4 Object 400 - Materials & Supplies
$ Library Books
$ Periodicals
$ Audiovisual Materials
$ Computer Software
$ Instructional Materials
$ Classroom Materials
$ Other (Specify)
$ TOTAL (OBJECT 400)
SUBTOTAL:
Item 5 Object 500 - Capital Outlay
$ Capital Outlay
$ TOTAL (OBJECT 500)
SUBTOTAL:
TOTAL ALL OBJECTS:
$ / TOTAL EXPENSES:
$ / TOTAL BUDGET MINUS EXPENSES=CARRYOVER
$
* Please send a copy of the time sheets for the months of December, February and April on any employee paid by the Safe and Drug-Free Schools funds that is not a full time employee.
* A copy of all equipment invoices must be included in the grant application.
* A copy of the general ledger purchases pertaining to Safe and Drug-Free Schools and Communities for 1999-2000 must be included in the grant. The ledgers must show the list of actual purchases.
* If you are over the 25 percent for the carryover, the school district must provide a letter of justification. A written approval must be received from this office in order to keep the funds. ******************************************************************************************
FOR ADE USE ONLY
Approved Disapproved Date ADE Official Signature
COMMENTS:
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Safe and Drug-Free Schools And Communities Act of 1994
FY 2000-2001 - 70% Base Grant
Federal Source of Funds: 6781 Revenue Classification: 45971
BUDGET SHEET FY 2000-2001
GRANTEE LEA NO.
Initial Budget Revised Budget Date
2000-2001 ALLOCATION $ 1999-2000 CARRYOVER $
Item 1 Object 100 Employee Salaries$ Regular Certified Employees
$ Regular Non-Certified Employees
$ Substitute Teacher=s Pay
$ Workshop Stipends
Administration Cost
$ Telephone Services (Calls)
$ Materials & Supplies
$ Maintenance & Operations
$ TOTAL (OBJECT 100) / Item 1 Object 100 Employee Salaries
$ Regular Certified Employees
$ Regular Non-Certified Employees
$ Substitute Teacher=s Pay
$ Workshop Stipends
Administration Cost
$ Telephone Services (Calls)
$ Materials & Supplies
$ Maintenance & Operations
$ TOTAL (OBJECT 100)
Item 2 Object 200 Employee Benefits
$ Social Security Matching
$ Teacher Retirement Matching
$ State Employees Retirement Matching
$ Group Insurance Matching
$ Unemployment Compensation
$ TOTAL (OBJECT 200) / Item 2 Object 200 Employee Benefits
$ Social Security Matching
$ Teacher Retirement Matching
$ State Employees Retirement Matching
$ Group Insurance Matching
$ Unemployment Compensation
$ TOTAL (OBJECT 200)
Item 3 Object 300 Purchase Services
$ Consultant Service (See page 25, Form Section.)
$ TOTAL OBJECT 300 / Item 3 Object 300 Purchase Services
$ Consultant Service (See page 25, Form Section.)
$ TOTAL OBJECT 300
Item 4 OBJECT 500
Conference Training/Fees/Registration $ LEA Employees* (Coordinator of SDFSC Program)
$ Teachers
$ Students
$ Other (Specify)
Out-of-State Travel (See page 26, Form Section.)
$ LEA Employee Travel, Food & Lodging
$ Teacher Travel, Food & Lodging
$ Student Travel, Food & Lodging
$ Other (Specify)
In-State Travel
$ LEA Employee Travel, Food & Lodging
$ Teacher Travel, Food & Lodging
$ Student Travel, Food & Lodging
$ Other (Specify)
$ TOTAL (OBJECT 500) / Item 4 OBJECT 500
Conference Training/Fees/Registration
$ LEA Employees* (Coordinator of SDFSC Program)
$ Teachers
$ Students
$ Other (Specify)
Out-of-State Travel (See page 26, Form Section.)
$ LEA Employee Travel, Food & Lodging
$ Teacher Travel, Food & Lodging
$ Student Travel, Food & Lodging
$ Other (Specify)
In-State Travel
$ LEA Employee Travel, Food & Lodging
$ Teacher Travel, Food & Lodging
$ Student Travel, Food & Lodging
$ Other (Specify)
$ TOTAL (OBJECT 500)
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Item 5 Object 600 Purchased Property$ Library Books
$ Periodicals
$ Audiovisual Materials
$ Computer Software
$ Instructional/Classroom Materials
$ Other (Specify)
$ TOTAL (OBJECT 600) / Item 5 Object 600 Purchased Property
$ Library Books
$ Periodicals
$ Audiovisual Materials
$ Computer Software
$ Instructional/Classroom Materials
$ Other (Specify)
$ TOTAL (OBJECT 600)
Item 6 Object 700 Other Purchased Services
$ Capital Outlay (See pages 22 & 23, Form Section.)
$ TOTAL (OBJECT 700) / Item 6 Object 700 Other Purchased Services
$ Capital Outlay (See pages 22 & 23, Form Section.)
$ TOTAL (OBJECT 700)
$ TOTAL ALL OBJECTS
(Excluding Carryover)
$ Carryover
$ GRAND TOTAL
*LEA Employee represents the Coordinator of the Safe and Drug-Free Schools grant. / $ TOTAL CARRYOVER BUDGETED
$ *25% of the 1999-2000 Allocation does not include the 1998-99 carryover.
REMEMBER:
1) Expenditures are not allowable if not in the approved budget.
2) Capital outlay cannot be purchased without prior written approval from this office.
3) Out-of-State Travel must have written approval from this office prior to the trip.
4) Consultant Services must have written approval from this office before entering into a contract.
Every local recipient funded under this Title shall, in any publication or public announcement, clearly identify any program assisted under this as federal programs funded under the Safe and Drug-Free Schools and Communities Act of 1994.
Any employee paid by SDFSC funds that is not a full time employee must keep a comprehensive time sheet.
*If you are over the 25 percent for the carryover, the school district must provide a letter of justification. A written approval must be received from this office in order to keep the funds.
If a Budget Amendment Form is used, a revised Budget Summary Report must accompany the Budget Amendment Form.
******************************************************************************************
FOR ADE USE ONLY
Approved Disapproved Date ADE Official Signature
COMMENTS:
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Safe and Drug-Free Schools And Communities Act of 1994
Federal Source of Funds: 6781 Revenue Classification: 45971
FY 2000-2001 - 70% Base Grant
BUDGET DESCRIPTION SHEET FY 2000-2001
GRANTEE LEA NO.
Initial Budget Revised Budget Date
2000-2001 ALLOCATION $ 1999-2000 CARRYOVER $
NOTE: Please provide information that will describe how the current allocation and the carryover funds will be expended in 2000-
2001. Due to the unallowable expenditures, the LEA needs to indicate all items that will be spent under each category. The expenditures must add up to the amount on the line beside each item. Do not put an amount of funds on a line without a justification or a rationale for spending. For example: If you do not have the proper paper work or forms completed for Contracted/Consultant Services, Out-of-State Travel and Capital Outlay, do not indicate an expenditure. All Budget Amendments should be made before May 31, 2001. Do not pay for services prior to completion or delivery of services.
Category Rationale
Item 1 Object 100 Employee Salaries$ Regular Certified Employees
$ Regular Non-Certified Employees
$ Substitute Teacher=s Pay
$ Workshop Stipends
Administration Cost
$ Telephone Services (Calls)
$ Materials & Supplies
$ Maintenance & Operations
$ TOTAL (OBJECT 100) / Example:
One non-certified person X - F.T.E. X $8.00/hr.
Example:
Telephone calls: $25.00 X 9 months
Supplies: paper, pencils, paperclips, $20.00 X 9 months
Maintenance & Operations: Copier lease for 12 months X $50.00 or based on number of copies.
Item 2 Object 200 Employee Benefits
$ Social Security Matching
$ Teacher Retirement Matching
$ State Employees Retirement Matching
$ Group Insurance Matching
$ Unemployment Compensation
$ TOTAL (OBJECT 200) / Example:
One non-certified person X - F.T.E. X $8.00/hr. X 30%
Item 3 Object 300 Purchase Services
$ Consultant Service (See page 25, Form Section.)
$ TOTAL OBJECT 300 / Example: Consultant Service must have prior approval before entering into a contract. (See page 25, Form Section) There is a cap of $2,000.00 for Contracted/Consultant Services.
Item 4 Object 500
Conference Training/Fees/Registration $ LEA Employees* (Coordinator of SDFSC Program)
$ Teachers
$ Students
$ Other (Specify)
Out-of-State Travel (See page 26, Form Section.)
$ LEA Employee Travel, Food & Lodging
$ Teacher Travel, Food & Lodging
$ Student Travel, Food & Lodging
$ Other (Specify)
In-State Travel
$ LEA Employee Travel, Food & Lodging
$ Teacher Travel, Food & Lodging
$ Student Travel, Food & Lodging
$ Other (Specify)
$ TOTAL (OBJECT 500) / Example:
100 students X $20.00 registration fee.
Out-of-state travel must have prior approval before traveling out-of-state. (See page 26, Form Section.)
20 teachers X 20 miles X $.29 =
20 teachers X $23/day/food =
20 teachers X $55/day/lodging =
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