1. Request for Application (RFA)
    1. Specific Funding Authority (ies):
    2. Total Funding Amount
    3. Program Performance Period
    4. Target Population
    5. Eligible Applicant(s)
    6. NARRATIVE SECTION
    7. Dissemination/Marketing
    8. Reporting Outcomes
    9. SPREADSHEET
    10. Reimbursement Options
  2. TOTAL
      1. Applicant Contact Information
      2. CERTIFICATION
  3. Section I
  4. Needs Assessment - Student Behavior Data:
  5. Section II
  6. Needs Assessment - Prioritized Needs:
  7. Section III
  8. Section IV
  9. Collaboration:
  10. Section V
  11. SDFS Program Activity Profile:
  12. Section VI
  13. Program Expenses: _____________________ (program name)
  14. Section VII
  15. SDFS Project Administration Expenses
      1. COLUMN 3 – MUST BE COMPLETED FOR ALL SALARIES AND OTHER PERSONAL SERVICES.
      2.  
  16. Budget Narrative Form

FLORIDA DEPARTMENT OF EDUCATION
Request for Application (RFA)
Bureau / Office
:
?
K-12 Schools/Bureau of Student Assistance/Office of Safe and Healthy Schools
?
Program Name
:
?
Title IV, Safe and Drug-Free Schools (SDFS) Entitlement Project
?
Specific Funding Authority (ies):
CFDA #84.186, Public Law 107-110, Title IV, section 4002, No Child Left Behind Act of 2001. – Safe and Drug-
Free Schools
Funding Purpose / Priorities:
Section 4002, NCLB states that the purpose of this grant is: “to support programs that prevent violence in and
around schools; that prevent the illegal use of alcohol, tobacco, and drugs; that involve parents and
communities; and that are coordinated with related Federal, State, school, and community efforts and
resources to foster a safe and drug-free learning environment that supports student academic achievement…”
Type of Award:
Entitlement
Total Funding Amount
Preliminary:
$15,567,691 (Preliminary Allocation for each school district is included as attachment to this
Request for Application)
Budget Period
July 1, 2005 – June 30, 2006
Program Performance Period
July 1, 2005 – June 30, 2006
Target Population
Students, school staff, school administrators, parents, and community members as deemed appropriate
1

Eligible Applicant(s)
School Districts, Developmental Research Schools and the Florida School for the Deaf and Blind
Application Due Date
?
The due date refers to the date of receipt in Grants Management by the close of business on June 30,
?
2005. Facsimile and email submissions will not be accepted.
?
Complete applications must be submitted via web-based reporting system
received by the close of
business on
June 30, 2005
.
Project Application (DOE 100A) with original signature of the
Superintendent must be submitted by this same date in order for the application to be considered
received. Facsimile and email submissions of the DOE 100A will not be accepted.
The effective date of
the application will be determined by the date the DOE 100A, with original signature is received by the Office of
Grants Management.
Contact Persons
Technical Support with On-line Application: Felicia Elliott, Program Specialist, Bureau of Student Assistance by
phone at (850) 245-0672, or via email at felicia.elliott@fldoe.org
Project Application Support: Office of Safe and Healthy Schools, Lorraine Allen, Program Director, by phone at
850-245-0416, or via email at lorraine.allen@fldoe.org;
Safe, Disciplined, and Drug-Free Schools Technical Assistance Project, University of North Florida, Florida
Institute of Education, Tonya Milton, Acting Director, 850-414-9976, milton_t@popmail.firn.edu
Grants Management: Rick Weinstein, Senior Educational Program Director, Office of Grants Management by
phone at (850) 245-0497, Suncom 205-0497, or via email at Rick.Weinstein@fldoe.org
Assurances
The Department of Education has developed and implemented a document entitled,
General Terms,
Assurances and Conditions for Participation in Federal and State Programs
, to comply with:
ƒ
 
34 CFR 76.301 of the Education Department General Administration Regulations (EDGAR) which
requires local educational agencies to submit a common assurance for participation in federal
programs funded by the U.S. Department of Education;
ƒ
 
applicable regulations of other Federal agencies; and
ƒ
 
State regulations and laws pertaining to the expenditure of state funds.
In order to receive funding, applicants must have on file with the Department of Education, Office of
the Comptroller, a signed statement by the agency head certifying applicant adherence to these
General Assurances for Participation in State or Federal Programs. The complete text may be found at
http://www.firn.edu/doe/comptroller/gbook.htm
School Districts, Community Colleges, Universities, and State Agencies
The certification of adherence filed with the Department of Education Comptroller’s Office shall remain
in effect indefinitely unless a change occurs in federal or state law, or there are other changes in
circumstances affecting a term, assurance, or condition; and does not need to be resubmitted with this
application.
NARRATIVE SECTION
General Education Provisions Act
?
In accordance with the requirements of Section 427 of the General Education Provisions Act (GEPA)
?
Public Law 103-382, request that each applicant for Federal funding provide a concise description of
?
2
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the steps proposed to ensure equitable access to, and participation of students, teachers, and other
program beneficiaries with special needs.
Please Note: Due to the fact that this is an on-line application, applicants are required to maintain
documentation at the local level which supports compliance with the requirements of the General
Education Provisions Act.
Documentation must include a concise description of the process to ensure
equitable access to, and participation of students, teachers, and other program beneficiaries with special
needs
.
For details refer to URL: http://www.ed.gov/policy/fund/guid/gposbul/gpos10.html
.
NOTE: Upon
completion of the on-line application, each applicant will be required to submit confirmation of compliance with
this requirement. Assurances, including GEPA requirements are part of the “Print Application” function of the
on-line application.
Project Design - Narrative
Section 4002 of the No Child Left Behind Act states that the purpose of this grant is: “to support programs that
prevent violence in and around schools; that prevent the illegal use of alcohol, tobacco, and drugs; that involve
parents and communities; and that are coordinated with related Federal, State, school, and community efforts
and resources to foster a safe and drug-free learning environment that supports student academic
achievement.”
Programs funded must be based on an assessment of objective data regarding the incidence of violence and
illegal drug use in the schools served. Analysis of the conditions and consequences must include delinquency
and serious discipline problems among students who attend such schools (including private school students
who participate in the drug and/or violence prevention program). Needs must be prioritized and five year goals
set to address these prioritized needs. In order to supplement the Prioritized Needs not being addressed,
applicants must seek the assistance of outside professionals to provide additional programming or funding.
Applicants are required complete a program activity profile for each SDFS funded program planned for
implementation during the 2005-2006 year including type of program, target population(s), specific impact
objectives, implementation protocol, and methods for program evaluation.
Support for Reading Initiative/Strategic Imperatives:
Describe how the proposed project will incorporate reading initiatives and one or more of the Florida
?
State Board of Education (SBE) strategic imperatives.
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URL: http://www.fldoe.org/meetings/2005_01_18/StratPlanDetails.pdf
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The Safe and Drug-Free Schools project supports the Florida Reading Initiative by providing a safe, violence-
free, and drug-free environment that allows all students an opportunity to learn.
Dissemination/Marketing
Describe methods /strategies you will use to disseminate and market information about the project to
appropriate populations.
The Safe and Drug-Free Schools project supports the Florida Reading Initiative by providing a safe, violence-
free, and drug-free environment that allows all students an opportunity to learn.
Districts are required to submit annual progress reports which provide data and an analysis of the district’s
measurable, outcome objectives.
Districts are required to regularly report on project needs assessments, planning initiatives, program activities,
and program evaluations to advisory councils, school improvement teams, and the school board. Districts are
required to include parents in the development and administration of the district SDFS project.
3
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Reporting Outcomes
Districts are required to submit annual progress reports which provide data and an analysis of the district’s
measurable, outcome objectives.
Funding Method
Federal Cash Advance
–On-Line Reporting required monthly to record expenditures.
Federal cash advances will be made by state warrant or electronic funds transfer (EFT) to a recipient
for disbursements. For federally funded projects, requests for federal cash advance must be made on
the Electronic Federal Cash Advance Request System. If at times it is determined that disbursements
are going to exceed the amount of cash on hand plus cash in transit, an on-line amendment can be
made prior to the due date of the next Federal Cash Advance distribution on the Electronic Federal
Cash Advance Request System.
FISCAL REQUIREMENTS
Supporting documentation for expenditures is required for all funding methods. Examples of such
documentation include: invoices with check numbers verifying payment, and/or bank statements; all or
any of which must be available upon request.
School districts receiving funds under Title IV, No Child Left Behind may use not more than two percent (2%)
of such funds for the cost of administering this program.
Conditions for Acceptance
The completed application must be submitted via the 2005-06 Title IV, Part A, Online Application.
LEAs must
also submit the Project Application Form (DOE 100A) with original signature of the district
superintendent (preferably in blue ink) to Office of Grants Management:
Office of Grants Management
Florida Department of Education
325 W. Gaines Street, Room 344
Tallahassee, Florida 32399-0400.
The on-line application requires all LEAs to complete all sections of the application. LEAs must press the final
submit button in order for completed application to be sent to FDOE. The system will provide applicant will an
electronic confirmation if application is submitted in accordance with instructions.
Funds shall be obligated no earlier than the date the Project Application Form (DOE 100A) with original
signature is received by the Office of Grants Management or the effective date of the federal grant award,
whichever is later. An application is considered to be in substantially approvable form when the DOE 100A,
with original signature is received and the complete on-line project application is successfully submitted to the
Florida Department of Education.
NOTE: Project Application Form (DOE 100A) signed by officials other than the appropriate agency
head identified above must have a letter signed by the agency head, or documentation citing action of
the governing body delegating authority to the person to sign on behalf of said official. Attach the
letter or documentation to the DOE 100A when the application is submitted.
Method of Review
The on-line project application, including budget narrative shall be reviewed by FDOE staff in accordance with
established project application review checklists and requirements set-forth in the No Child Left Behind Act of
2001; applicable non-regulatory guidance and other applicable federal regulations and guidelines.
4
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Instructions for Completion of DOE 100A
A.
?
If not pre-printed, enter name of the program for which funds are requested.
B.
?
Enter name and mailing address of eligible applicant. The applicant is the public or non-public entity
receiving funds to carry out the purpose of the project.
C.
?
Enter the total amount of funds requested for this project.
D.
?
Enter requested information for the applicant’s contact person. This is the person responsible for
responding to all questions regarding information included in this application.
E.
?
The original signature of the appropriate agency head is required.
The agency head is the school
district superintendent, university or community college president, state agency commissioner or
secretary, or the president/chairman of the Board for other eligible applicants.
Note:
Applications signed by officials other than the appropriate agency head identified above must
have a letter signed by the agency head, or documentation citing action of the governing body delegating
authority to the person to sign on behalf of said official. Attach the letter or documentation to the DOE
100A when the application is submitted.
5
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#
Agency
See attached Spreadsheet for the 2005-06 Title IV Allocation
Allocations Schedule
Agency Name
Allocation
Reimb.
Amount
Option
s
SEE ATTACHED
SPREADSHEET
Reimbursement Options
Key: C
?
Federal Cash
Advance
Q Advance Payment
S
?
Quarterly Advance
to Public Entity
R
?
Reimbursement of
Expenditure
P Reimbursement
with Performance

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TOTAL
6

________________________________________________
FLORIDA DEPARTMENT OF EDUCATION
Project Application
TAPS Number
06A071
Telephone:
Suncom: 205-0498
A
)
Safe and Drug Free Schools
2005-2006 Project Application
DOE USE ONLY
Project Number (DOE Assigned)
D
)
Fax Number:
E-mail Address:
I, ______________________________________________, (
Please Type Name)
do hereby certify that all facts,
and federal staff.
C
)
$
E)
Please return to:
Florida Department of Education
Bureau of Grants Management
Room 325 Turlington Building
325 West Gaines Street
Tallahassee, Florida 32399-0400
(850) 245-0498
Program Name:
Date Received
B) Name and Address of Eligible Applicant:
Applicant Contact Information
Contact Name:
Mailing Address:
Telephone Number:
SunCom Number:
CERTIFICATION
figures, and representations made in this application are true, correct, and consistent with the statement of general
assurances and specific programmatic assurances for this project. Furthermore, all applicable statutes,
regulations, and procedures; administrative and programmatic requirements; and procedures for fiscal control and
maintenance of records will be implemented to ensure proper accountability for the expenditure of funds on this
project. All records necessary to substantiate these requirements will be available for review by appropriate state
I further certify that all expenditures will be obligated on or after the effective date and prior to
the termination date of the project. Disbursements will be reported only as appropriate to this project, and will
not be used for matching funds on this or any special project, where prohibited.
Further, I understand that it is the responsibility of the agency head to obtain from its governing body the
authorization for the submission of this application.
Total Funds Requested:
DOE USE ONLY
Total Approved Project:
Signature of Agency Head
DOE 100A
Revised 01/05
John L. Winn, Commissioner
7
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Federal Gun-Free Schools Act Local Education Agency Activities Survey
Fiscal Year: 2004-2005
Select this box if this was a Gun-Free School Year for the entire __________ County School District.
(If your school
district was Gun-Free this year, please complete Section II of this survey only)
Section I: School Level Data
Directions: You must complete this form for each school that a student has been found to have brought a firearm to
school or possessed a firearm as defined by 18 U.S.C. 921 at school during the 2004-2005 school year.
1a.
?
Please indicate the number of students who were found to have brought a firearm to school or possessed a firearm at
school. Include all infractions in your answer.
School Level
_____________________________________
(Elementary, Middle or High School)
Select a School
?
_____________________________________
Number of Students who brought/possessed a Handgun _____________________________________
(Enter “0” if there are no students or “MD” for missing data)
Type of Handgun
_____________________________________
(Enter NA for none, or “MD” for missing data)
Number of Students who brought/possessed a Rifle/Shotgun
_____________________________________
(Enter “0” if there are no students or “MD” for missing data)
Type of Rifle/Shotgun
_____________________________________
(Enter NA for none, or “MD” for missing data)
Number of Students who brought/possessed Other Firearm
_____________________________________
(Enter “0” if there are no students or “MD” for missing data)
Type of Firearm
_____________________________________
(Enter NA for none, or “MD” for missing data)
1b.
?
How many of the incidences reported in Item 1a were terminated before an expulsion disposition? ________________
Please provide an explanation for each incident reported in 1b.
Notes:
Any student found to have brought a firearm (meeting the definition at 18 U.S.C. 921) to school or possessed a firearm at school should be reported as an
infraction, even if the expulsion is shortened or no penalty is imposed. Any incidents in which a student covered by the provisions of IDEA brought a firearm to
school or possessed a firearm at school should also be included, even if it is determined that the incident is a manifestation of the student’s disability. Modifications
of the one-year expulsion requirement should also be reported in Question 2 of this report.
If a single student is found to have brought or possessed more than one firearm, report the student as a single incident. A note that explains the circumstances
surrounding the incident, including the types of firearms that were removed from the student should be described in the data caveat section of this report.
If the same student is involved in more than one incident that involves bringing or possessing a firearm, each incident would be counted as one incident. A
note explaining the circumstances surrounding the incident, including information about the disposition of that student, should be described in the data
caveat section of this report.
8
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2.
?
MODIFIED EXPULSIONS
How many of the incidences reported in Item 1a were shortened to a term of less than one year by the Superintendent of an
LEA under the case-by-case modification provisions of Section 4141(b)(1) of the GFSA?
________________
2a.
?
Number of Modified Expulsions
________________
2b.
?
Number of Expulsions Not Modified
________________
3.
?
ALTERNATIVE PLACEMENTS
How many of the incidences reported in Items 2a and Item 2b resulted in a referral of the student to an alternative school or
program for the school listed in 1a?
________________
3a.
?
Number of Alternative Placements among students with modified expulsions:
________________
3b.
?
Number of Alternative Placements among students with expulsions NOT MODIFIED
________________
4.
?
STUDENTS WITH DISABILITIES
How many of the modifications reported in Item 2a were for students with and without disabilities as defined in Section 602(a)(1)
of the IDEA (see below) for the school listed in 1a?
________________
Note: The total figure shown in the table below should EQUAL the total number of modified expulsions reported in Item 2a.
4a.
Number of Modifications were for disabled students
?
________________
4b.
Number of Modifications for students who are not disabled
?
________________
The GFSA explicitly states that the Act must be construed in a manner consistent with the Individuals with Disabilities Education Act (IDEA). Compliance with the
GFSA can be achieved consistent with the IDEA as long as discipline of such students is determined on a case-by-case basis under the GFSA provision that
permits modification of the expulsion requirement on a case-by-case basis. A student with a disability who brings a firearm to school, or possesses a firearm at
school, may be removed from school for ten school days or less, and in accordance with State law, placed in an interim alternative educational setting that is
determined by the student’s individualized education program team, for up to 45 calendar days. If the student’s parents initiate due process proceedings under the
IDEA, the student must remain in that interim alternative educational setting during authorized review proceedings, unless the parents and school district can
agree on a different placement. Before an expulsion can occur, the IDEA requires a determination by a group of persons knowledgeable about the student on
whether the bringing of a firearm to school, or the possession of a firearm at school, was a manifestation of the student’s disability. A student with a disability may
be expelled only if this group of persons determines that the bringing of a firearm to school, or the possession of a firearm at school, was not a manifestation of the
student’s disability, and the school follows applicable IDEA procedural safeguards before the expulsion occurs. Under IDEA, students with disabilities who are
expelled in accordance with these conditions must continue to receive educational services during the expulsion period. Under Section 602 (a)(1) of the IDEA, the
term “children with disabilities” is defined as:
children --
(i) with mental retardation, hearing impairments including deafness, speech or language impairments, visual impairments, including blindness, serious
emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments, or specific learning disabilities; and
(ii) who, by reason thereof, need special education and related services
SECTION II: LEA Compliance with Gun-Free Schools Act (GFSA)
1.
?
This is to assure that
__________
County School District is in compliance with GFSA Section 1006.13(2)(a), FS, that
requires that a student who brings a firearm to school, or possesses a firearm at school, be expelled for one year.
Yes
No
2.
?
This is to assure that __________County School District is in compliance with the requirement in Section 4141(h) that an LEA
receiving ESEA funds have in place a policy requiring referral to the criminal justice or juvenile delinquency system of any
student who brings a firearm to a school, or possesses a firearm at school.
Note: If your district is in compliance with Section 1006.13(2)(a), FS.
Yes
No
9

____ ____ ____
____ ____ ____
____
____
____
____
____
____
____
____
____
____
SDFS 2005-2006 FORWARD ACTION PLAN
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Section I

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Needs Assessment - Student Behavior Data:
Programs funded by Title IV must be based on an assessment of objective data regarding the incidence of violence and
illegal drug use in the schools served. Analysis of the conditions and consequences must include delinquency and serious
discipline problems among students who attend such schools (including private school students who participate in the
drug and/or violence prevention program).
In this section you will provide the most current needs assessment data available to determine the prioritized needs in the
next section. Previous year’s county-level and State Average (SA) data where available will be pre-populated for
comparison purposes.
FYSAS (or similar data from: ___________________)Grades 6-8 Grades 9-12
30 day prevalence rates (%) for:
2000
2002
2004
SA 2004
2000
2002
2004
SA 2004
Alcohol
____
____
Binge drinking
____ ____ ____
____ ____ ____
Cigarette
____ ____ ____
____ ____ ____
Smokeless tobacco
____ ____ ____
____ ____ ____
Marijuana
____ ____ ____
____ ____ ____
Any illicit drug other
than marijuana
____ ____ ____
____ ____ ____
10

____ ____ ____
____ ____ ____
____ ____ ____
____ ____
____ ____
____
____
____
____
SESIR Data
Selected Incidents of Viol/Harass (per 1000)
NO breakdown by grade is available, use county aggregate.
’00-’01 ’01-‘02 ’02-’03 ’03-’04
SA ’03-‘04
Fighting
____
____
Battery
____
____
Sexual Battery
____
____
Threat/Intimidation
____
Sexual Harassment
____ ____ ____
Weapons Possession
____ ____ ____
Discipline (per 1000)
Grades 1-5
Grades 6-8
Grades 9-12
’01-‘02 ’02-’03 ’03-’04 ’04 SA ’01-‘02 ’02-’03 ’03-’04 ’04 SA ’01-‘02 ’02-’03 ’03-’04 ’04 SA
In-School suspensions ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
Out-of-school suspensions ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
(Optional) Using referral data, indicate any other significant behavioral problems at the local level that may be addressed by programming efforts.
1. __________________________________________________________________________ (provide description and relevant data)
2. __________________________________________________________________________
11

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Section II

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Needs Assessment - Prioritized Needs:
In a prioritized list, provide the variables identified from the previous section or other
variables you feel should be included. If a prioritized variable is not justified by the data,
provide a rationale for placement above a variable with a higher demonstrated need.
The following is a list of things you will want to think about when prioritizing your list. Aside from
(A), these are not in any order of importance:
A. Do you have any ‘F’ schools in your district? If so, what are the major areas of
concern in these schools? (
link to list of ‘f’ schools
)
B. Use trends over the past 2-5 years on data prevalence points.
C. Compare your current data to the state average and if applicable/available, compare local
school(s) to district average.
D. Administration/political needs.
E. Available monies versus programming costs.
F. Current programming successes/failures.

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Section III
5 Year Goals to Address Prioritized Needs:
(Not to be completed until 2006-2007 Project Application)
Date:
(xx)
Target Population:
(xx)
Proposed Change:
(xx)
Data Element:
(xx)
Baseline Statistic:
(xx)
Baseline Data Source:
(xx)
Current Status: (2003-04)
(xx)
Current Data Source:
(xx)
Date:
(xx)
Target Population:
(xx)
Proposed Change:
(xx)
Data Element:
(xx)
Baseline Statistic:
(xx)
Baseline Data Source:
(xx)
Current Status: (2003-04)
(xx)
Current Data Source:
(xx)
Date:
(xx)
Target Population:
(xx)
Proposed Change:
(xx)
12

Data Element:
(xx)
Baseline Statistic:
(xx)
Baseline Data Source:
(xx)
Current Status: (2003-04)
(xx)
Current Data Source:
(xx)
Date:
(xx)
Target Population:
(xx)
Proposed Change:
(xx)
Data Element:
(xx)
Baseline Statistic:
(xx)
Baseline Data Source:
(xx)
Current Status: (2003-04)
(xx)
Current Data Source:
(xx)

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Section IV

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Collaboration:
In order to supplement the Prioritized Needs not being addressed by your programming, it is
encouraged you seek the assistance of outside professionals to provide additional programming or
funding. In the following section, identify up to three (3) organizations your district plans on working
with during the 2005-2006 SDFS funded year.
1. How will the school district coordinate their programs and projects with other federal, state,
and local programs for drug abuse and violence prevention, including health programs to
achieve the school district's goals for drug and violence prevention?
2. How will parents be involved in your district’s drug and violence prevention programs?
Additionally, regardless of the funding agency, indicate if there are any programs or
activities conducted specifically for parents or any for which parents are the major targets?
13
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Section V

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SDFS Program Activity Profile:
*Complete this section for
each
SDFS funded program you plan on implementing during the 2005-
2006 year.
1. Program Name*: ________________________________________________
* If you are using a program on the Proven Programs Matrix (MAKE A LINK), skip to Question #7.
2. Is this program ______ Proven or ______ Promising
2a. If this is a
Promising Program
you must provide the following information:
?
Rationale for why using promising versus proven?
?
Number of years used, date began?
o
?
If this is the 3
rd
of year of implementation, provide effectiveness data from the
evaluation.
3. Type of Program:
ATOD Use Violence Prevention Parent Involvement
School-wide Climate Other
4. Primary Target Population(s) to Be Served: (List specific grade levels)
?
Student _____________
Staff _____________
?
Parents _____________ Private Schools ___________
?
Total Schools Served: ________ Elementary ________ Middle ________ High
?
5. Targeted Changes (check all that apply):
____ Attitude ____ Behavior/Skills ____ Knowledge ____ Perceptions
?
6. Indicate the specific impact objective(s
)
for this program.
?
Date:
(xx)
Target Population:
(xx)
Proposed Change:
(xx)
Data Element:
(xx)
Baseline Statistic:
(xx)
14
?

Baseline Data Source:
(xx)
Current Status: (2003-04) (xx)
Current Data Source:
(xx)
7. Implementation Protocol for this program.
a. In how many schools, in what grade(s) and during what time period or content area will
the program be implemented and why is this the best fit?
b. Who will be implementing this program (e.g. 9
th
grade life management skills teachers,
guidance counselors)?
c. How have/will the implementers been trained?
d. What are the fidelity instruments/checklists you will use to track the implementation of the
program? Provide if possible.
e. Briefly describe your strategy for monitoring the quality of implementation?
f. If this program is a continuation from last year and it was formally evaluated, what
strategies will be used to improve the implementation gaps identified by the evaluation?
g. Should the unexpected occur that prohibits delivery of the program, what alternative
plan/program do you have in place?
8. Program Evaluation*
a. Are you going to evaluate this program? Yes No
b. What preparations for the evaluation have begun?
c. Are you going to use an outside evaluator? Yes No
* In the SDFS application, an assurance for the program evaluation will need to be signed.
Additionally, all program evaluation plans for the 2005-2006 school year will be due to Ravinder
Singh by July 29, 2005.
15
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Section VI

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Program Expenses: _____________________ (program name)
List all costs specifically related to the Program Activity Profiles* (e.g. materials, supplies, teacher
stipends).
* Complete one for each program detailed in Section 5.
Object
Code
Brief Description of Expense
(no mathematical breakdown required)
FTE
Position
(applicable to
salaried
positions)
Amount
TOTAL
16

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Section VII

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SDFS Project Administration Expenses
List all non-program-specific expenses (e.g. administrative salaries, needs assessment costs,
travel, wages for specialists).
Object
Code
Brief Description of Expense
(no mathematical breakdown required)
FTE
Position
(applicable to
salaried
positions)
Amount
TOTAL
Note: The totals of each program expenses page and the total of the program administration page
should equal the final amount shown on the DOE form 101.
17

Instructions
?
Budget Narrative Form
?
This form should be completed based on the instructions outlined below, unless instructed otherwise in the Request for
Proposal (RFP) or Request for Application (RFA).
A.
Enter Name of Eligible Recipient.
B.
(DOE USE ONLY)
?
COLUMN 1
?
OBJECT: SCHOOL DISTRICTS:
?
Use the three digit object codes as required in the Financial and Program Cost Accounting and Reporting for
Florida Schools Manual.
COMMUNITY COLLEGES:
Use the first three digits of the object codes listed in the Accounting Manual for Florida’s Public Community
Colleges.
UNIVERSITIES AND STATE AGENCIES:
Use the first three digits of the object codes listed in the Florida Accounting Information Resource Manual.
OTHER AGENCIES:
Use the object codes as required in the agency’s expenditure chart of accounts.
COLUMN 2
-
ALL APPLICANTS:
ACCOUNT TITLE:
Use the account title that applies to the object code listed in accordance with the agency's
accounting system.
NARRATIVE:
Provide a detailed narrative for each object code listed. For example:
?
SALARIES
- describe the type(s) of positions requested. Use a separate line to describe each type of position.
?
OTHER PERSONAL SERVICES
– describe the type of service(s) and an estimated number of hours for each type of
position. OPS is defined as compensation paid to persons, including substitute teachers not under contract, who are
employed to provide temporary services to the program.
?
PROFESSIONAL/TECHNICAL SERVICES
- describe services rendered by personnel, other than agency personnel
employees, who provide specialized skills and knowledge.
?
CONTRACTUAL SERVICES AND/OR INTER-AGENCY AGREEMENTS
- provide the agency name and description of the
service(s) to be rendered.
?
TRAVEL -
provide a description of each type of travel to be supported with project funds, such as conference(s), in
district or out of district, and out of state. Do not list individual names. List individual position(s) when travel funds are
being requested to perform necessary activities.
?
Capital Outlay - provide the type of items/equipment to be purchased with project funds.
?
INDIRECT COST -
provide the percentage rate being used. Use the current approved rate. (Reference the DOE Green
Book for additional guidance regarding indirect cost.)
COLUMN 3 – MUST BE COMPLETED FOR ALL SALARIES AND OTHER PERSONAL SERVICES.
FTE
- Indicate the Full Time Equivalent (FTE based on a 40 hour workweek) number of positions to be funded.
Determine FTE by dividing the standard number of weekly hours (40) for the position into the actual work hours to be
funded by the project.
COLUMN 4
AMOUNT -
Provide the budget amount requested for each object code.
C. TOTAL -
Provide the total for Column (4) on the last page
.
Must be the same amount as requested on the DOE-100A
or B.
18
?

A)
Name of Eligible Recipient:
B)
TAPS Number
06A071
Project Number:
(DOE USE ONLY)
FLORIDA DEPARTMENT OF EDUCATION

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Budget Narrative Form
(1)
OBJECT
(2)
ACCOUNT TITLE AND NARRATIVE
(3)
FTE
POSITION
(4)
AMOUNT
C)
TOTAL
$
DOE 101
Rev. 08/04
John L. Winn, Commissioner
19

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