E-Rate Technology Plan
E-rate Technology Plan Certifications*
For E-rate Technology Plan Updates
Funding Year 2004-2005
District Name: / Contact Name:Billed Entity #:
(As assigned by the Schools & Libraries Division) / Contact Title:
Regional Education Cooperative: / Contact Phone:
Contact Email:
Please read the following three statements & check the one that applies to your district: Please note that all districts already have an Arkansas approved technology plan on file. The following statements are regarding adding an update or addendum to the original technology plan to comply with the SLD criteria that technology plans include all Form 470 items (except for basic phone service). Please check only one box.
Our district will not submit an E-rate application for Funding Year 2004-2005, thus is not required to complete or submit the E-rate Technology Plan Update for Funding Year 2004-2005.
Our district is filing only for basic Telecommunication services (basic local/long distance only, not including voice mail, Centrex, etc.) for Funding Year 2004-2005, thus is not required to complete or submit the E-rate Technology Plan Update.
Our district is filing for more than basic Telecommunications for Funding Year 2004-2005; therefore, the E-rate Technology Plan Addendum has been completed and attached to this certification page (only if our original technology plan did not include all items listed on our Funding Year 2004-2005 Form 470). Our district also certifies to the following conditions:
- Forms 470 submitted for Funding Year 2004-2005 are based on the District Technology Plan; and all Form 470 items (besides basic telecommunications) can be found in the technology plan and/or addendum.
- Although the basic structure of our technology plan has been approved, we understand that E-rate rules require a level of consistency between technology plans and E-rate funding requests that were not subject to review under the Arkansas Technology Plan approval process. Therefore, we agree to be held responsible if our technology plan is found to be inconsistent with our Forms 470 and/or 471 for Funding Year 2004-2005.
Superintendent Signature