Microsoft Word - Gov Summer Program CALL for APPS 2007

K12: 2006-111
SUBJECT: GOVERNOR’S SUMMER PROGRAM - CALL FOR APPLICATIONS, SUMMER 2007

Guidelines for Application for the Governor’s Summer Program
Instructions for Completion of DOE 100A

FLORIDA DEPARTMENT OF EDUCATION

STATE BOARD OF EDUCATION

John L. Winn

Commissioner of Education

F. PHILIP HANDY,

Chairman

T. WILLARD FAIR,

Vice Chairman

Members

DONNA G. CALLAWAY

ROBERTO MARTÍNEZ

PHOEBE RAULERSON

KATHLEEN SHANAHAN

LINDA K. TAYLOR

Contact Information:

MEMORANDUM

Donnajo Smith

(850) 245-0478

TO:

Presidents,

State

Universities

Donnajo.Smith@fldoe.org

Presidents,

Community

Colleges

Presidents, Private Universities and Colleges

K12: 2006-111

FROM:

Bambi J. Lockman

DATE:

August 7, 2006

SUBJECT:

GOVERNOR’S SUMMER PROGRAM - CALL FOR APPLICATIONS,

SUMMER 2007

We are pleased to advise you that the 2006 Florida Legislature included the Governor’s Summer

Program in the specific appropriation for exceptional student education (ESE) to coordinate

efforts to promote higher student learning. The Department of Education (DOE) has allocated

$215,575 to continue this program for outstanding secondary gifted or high-achieving students,

enabling them to participate in programs and use the resources of the universities and colleges in

the state of Florida. You are invited to submit an application on behalf of your institution. We

appreciate your interest in this program and look forward to the implementation of outstanding

summer programs for Florida’s gifted and high-achieving students.

BJL/dsm

Attachments

cc:

District School Superintendents

Assistant

Superintendents for Instruction

Administrators, Exceptional Student Education

Contact Persons, Programs for the Gifted

Chancellor, Division of Community Colleges

Chancellor,

State

Universities

BAMBI J. LOCKMAN

Chief

Bureau of Exceptional Education and Student Services

325 W. GAINES STREET • SUITE 614 • TALLAHASSEE, FL 32399-0400 • (850) 245-0475 • www.fldoe.org

Guidelines for Application for the Governor’s Summer Program

The amount of funding awarded to each project will be based on the estimated costs of the

proposed program; however, a maximum of $25,000 will be awarded to any one project.

Institutions may submit separate applications for more than one program, but should note that

one of the considerations in funding is that of geographical distribution of programs across the

state.

Please note that there is a requirement that applicants secure a minimum of $5,000 in

matching funds for support of this program. Universities and colleges are encouraged to use

existing resources and to collaborate with school districts, agencies, businesses, industries,

foundations, or other groups for support of this activity.

Consideration for funding will be given to those programs in the areas of mathematics, science,

humanities, the arts, or social studies, which integrate the following curriculum design

modifications:

•

engagement in authentic tasks

•

use of authentic environments

•

multidisciplinary approaches

•

use of technology

•

integration of process skills

•

encouragement of student reflections/metacognition

•

meaningful demonstrations of learning

Each program must be designed for students entering grades eight through twelve for the 2007-

08 school year.

A program may serve students across all of these grades or may focus on

students in a narrower range of grades who have common instructional needs.

Applications should be prepared in a narrative using the attached Governor’s Summer Program

Application Instructions. These instructions are also available on the Bureau’s Web site at

http://www.myfloridaeducation.com/commhome/. The original and four copies must be received

by close of business on October 27, 2006, to:

Bureau of Grants Management/Governor’s Summer Program

Florida Department of Education

Turlington

Building

325 West Gaines Street, Room 325

Tallahassee, Florida 32399-0400

Please note that applicants may provide an Intent to Apply which will provide access to answers

to frequently asked questions and competition updates.

FLORIDA DEPARTMENT OF EDUCATION

Request for Proposal (RFP) for Competitive Projects

Bureau / Office

K-12 Education, Bureau of Exceptional Education and Student Services (BEESS)

Program Name

Governor’s Summer Program

Specific Funding Authority (ies)

State Appropriations: 2006 Appropriations Act, Line Item # 117.

Funding Purpose / Priorities

The purpose of this project is to provide an opportunity for outstanding middle school and high school

gifted and high-achieving students to participate in and use the resources of the universities and

colleges in the state of Florida to expand choices and options for quality education.

The program supports Strategic Imperative 8 to coordinate efforts to improve higher student learning.

•

Proposals should be submitted in the following areas: mathematics, science, humanities, the arts, or

social studies that integrate the following curriculum design modifications: engagement in authentic

tasks, use of authentic environments, multidisciplinary approaches, use of technology, integration of

process skills, student reflections/metacognition, and meaningful demonstrations of learning.

•

Strategies should ensure participation of students from small and rural districts and from groups that

are traditionally underrepresented in programs for gifted and high-achieving students.

•

At least one new, not previously funded program will be recommended.

Target Population(s)

(24) Gifted; 6 (middle); 7 (High); Other – High achieving

Institutions of higher education, public or private, may submit proposals to provide day or residential

summer programs for students who have been identified as gifted or high-achieving students. Each

program must be designed for students entering grades 8-12 for the 2007-08 school year. A program

may serve students across all of these grades or may focus on a narrow range of grades that have

common instructional needs.

Eligible Applicant(s)

9 (Community College); 11 (College/University)

Public or private institutions of higher education in Florida.

Application Due Date

October 27, 2006. The due date refers to the date of receipt in Grants Management.

Facsimile and email submissions are not acceptable.

Total Funding Amount / Approximate Number of Awards

DOE 905

Rev. 01/06

$215,575.00

No more than $25,000.00 awarded per project.

It is estimated that nine awards will be presented.

Matching Requirement

Institutions are required to show a minimum $5,000.00 in matching funds. These funds may be from the

sponsoring institutions, foundations, and/or businesses. In-kind contributions may be used to meet the

matching requirements.

Budget / Performance Period

Budget Period: July 1, 2006 through June 30, 2007

Performance Period: April 1, 2007 through September 30, 2007

For State programs, the project effective date will be no earlier than the effective date of the

legislative appropriation, usually July 1. The ending date can be no later than June 30 of the fiscal

year, unless otherwise specified in statute or proviso.

Contact Persons

BEESS

: Donnajo Smith, 850/245-0478; Suncom: 205-0478; E-mail: Donnajo.Smith@fldoe.org

Grants Management:

Michael Binitie, 850/245-0720; Suncom: 205-0720; E-mail:

Michael.Binitie@fldoe.org.

Assurances

The Florida 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:

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 (USDOE);

Applicable regulations of other Federal agencies; and

State regulations and laws pertaining to the expenditure of state funds.

In order to receive funding, applicants must have on file with the Florida 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.

Private Colleges, Community-based Organizations, and Other Agencies

DOE 905

Rev. 01/06

In order to complete requirements for funding, applicants must submit the certification page,

signed by the agency head, certifying applicant adherence to the General Terms, Assurances,

and Conditions.

Please note that private colleges, community-based organizations, and other non-public

agencies must also submit copies of the organization’s current budget, a list of its board of

directors, and if available, a copy of its most recent annual audit report prepared by an

independent certified public accountant licensed in this state. These items must be submitted

prior to the issuance of a project award.

Narrative Components

Scoring Criteria

The standard scoring criteria are based on a 100 point scale, with a minimum score of 70 points

necessary for an application to be considered for funding.

The instructions follow each narrative component. The bulleted statements are the criteria that

will be used by proposal reviewers to score each component.

Project Abstract or Summary

N/A

points

Provide a brief summary of the project.

•

The project is described in a brief summary of no more than 100 words. Specify the

program title, whether this is a day or residential program, number of students to be

served and grade level(s) targeted, beginning and ending dates for the program,

project highlights, student costs, and options for dual enrollment or college credit.

2. Project

Need

points

Describe the need for the project and provide supporting data as evidence.

•

The need is evident, compelling, and clearly linked to the outcome(s) of the project.

•

The need for the project is strongly justified through supportive data.

•

The particular needs of gifted and high-achieving students are clearly addressed

including a description of the target population, limited to students entering grades 8-

12 who have not graduated from high school. Students must have demonstrated

outstanding academic achievement or be identified as gifted in accordance with Rule

6A-6.03019, FAC.

Project Design and Implementation

points

Describe the measurable objectives, activities, and timeline for the project.

•

The objectives are measurable, qualitative, challenging, yet achievable, and address

all outcomes of the project. The intent of the project is clearly stated and identifies the

particular academic strengths and unique resources of the sponsoring institution.

The curriculum content to be addressed is appropriate for gifted and high-achieving

students in mathematics, science, humanities, arts, or social science. References to

Sunshine State Standards may be used to justify curriculum.

DOE 905

Rev. 01/06

•

It is evident that activities/methods are comprehensive and likely to result in

achievement of objectives. Instructional strategies reflect curriculum design

modifications and could incorporate authentic tasks, authentic environments,

multidisciplinary approaches, use of technology, process skills, student

reflection/metacognition, and/or student products.

•

Transportation plan is described to ensure access to the program for students from

rural areas.

•

Provisions for housing, if applicable, are included.

•

A minimum of three items must be used to select students for program participation.

Items such as verification of meeting state criteria for gifted, scores on nationally

normed achievement tests, grades, courses completed, teacher or school

recommendations, interviews, essays, past awards or accomplishments appropriate to

the program offered.

•

Program personnel are clearly described regardless of the source of funding for

salaries or contracts. Program responsibility should be clearly stated, citing highest

degree earned, current position held, current employer, and prior experience working

with gifted and high-achieving students.

•

The timelines are specific, realistic, and consistent with measurable objectives and

outcomes. The instructional outline and schedule of the program is described in

detail, including when students will arrive and leave, number of program days and

hours per day. Attaching an outline of the planned instructional time in a daily plan,

calendar, timeline, or syllabus will meet this requirement.

•

Describe the way the program offers an innovative approach that appears to offer

gifted and high achieving students a highly effective quality program.

•

Recruitment strategies are clearly identified to reach target populations, including

students from traditionally underrepresented populations. Contacts might include

school district administrators, gifted coordinators for school districts, curriculum

coordinators, and superintendents.

Evaluation

points

Describe the instruments and method(s) for evaluating the project. Describe plans for

follow-up during the 2007-08 school year to determine if the goals of the program have

made an impact on students and any revisions for future programs. Include plans for

sharing evaluation requirements, including having each student complete the Student

Evaluation Form at the end of the program (See Attachments), and a summary of the

students’ forms to be submitted to the DOE by the sponsoring institution.

•

The evaluation instruments are appropriate to effectively measure program success

both qualitatively and quantitatively as well as accomplishment of program goals and

objectives.

•

The evaluation methods are comprehensive, likely to result in a successful project,

and include an effective approach for using evaluation results to guide necessary

adjustments to the project.

Support for Strategic Imperatives

points

DOE 905

Rev. 01/06

Describe how the proposed project will address the reading initiative. Incorporate one or

more of the Florida State Board of Education (SBE) Strategic Imperatives.

URL: http://www.fldoe.org/meetings/2005_01_18/StratPlanDetails.pdf.

•

The project utilizes a comprehensive plan for integrating pertinent aspects of the Just Read,

Florida! initiative.

•

The applicant has included effective methods for incorporating one or more of the SBE

Strategic Imperatives.

Dissemination Plan

points

Describe the methods /strategies to disseminate and market information about the

project to appropriate populations.

•

The applicant’s dissemination plan will use effective and realistic means to reach the

appropriate target populations.

•

The methods/strategies used to share services provided by the project are innovative and will

clearly benefit the target population.

Budget

points

Present a budget that reflects objectives and proposed costs of the

project.

•

The project budget presents expenses that are realistic, accurate, clearly relate to and reflect

project activities, objectives, and outcomes.

•

The justifications for expenditures are reasonable and clearly explained.

•

The required personnel, professional and technical services, and/or travel for the project are

clearly and adequately explained.

•

Specify student costs including tuition, room and board, and other costs. Describe the

number of scholarships to be provided, the approximate amount of each scholarship, and the

basis for awarding scholarships. Programs offering dual enrollment credit may not charge

any costs to students.

•

Budgets should include descriptions of all personnel funded through the project.

These

should be listed by position, amount of salary, and number of FTE (full time equivalent). This

may be accomplished on the budget narrative form (DOE 101) or as a separate attachment.

APPENDIX

– An optional appendix may be added at the back of the application to include

verification of assertions made in the proposal, explanatory maps, photographs, and illustrations.

Note: If this program has been previously funded in the last three years, please attach copies of

the most recent Basic Program Data forms and the Student Program Evaluation summary in the

Appendix.

Funding Method

Quarterly Advance to Public Entity

For quarterly advances of non-federal funding to state agencies and local education agencies

(LEAs) made in accordance within the authority of the General Appropriations Act.

Disbursements must be documented and reported to FDOE at the end of the project period. The

recipient must have detailed documentation supporting all requests for advances and

disbursements that are reported on the final FDOE financial report.

DOE 905

Rev. 01/06

Advance Payment (State Grants Only-

private institutions

)

Upon receipt of the Project Award Notification, up to 25% of the total award may be advanced for

the first payment period. To receive subsequent payments, at least 90% of amount advanced

must be reported on the DOE 399 and supported by appropriate documents, including copies of

invoices, timesheets, receipts, etc.

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.

Note that institutions are required to show a minimum of $5,000 in matching funds.

These funds

may be from the sponsoring institutions, foundations, and/or businesses. In-kind contributions may be

used to meet the matching requirements.

•

Tuition paid by students may not be considered as part of the matching fund

requirements.

Attach letters of support verifying intent to make the contributions available for

support of the program. Specifics for grantee match are the same as for the granted funds.

•

The Governor’s Summer Program funds are to be used for provision of instruction and special

services only. No expenditures are allowed for food, social or promotional activities, or materials

such as T-shirts, certificates, social events, group photographs, refreshments, plaques, and with

certain exceptions for residential programs, meals.

•

Student application or audition fees are not allowed.

•

Indirect costs may not be charged to the Governor’s Summer Program budget.

•

Due to the timing of the project, FDOE grant recipients should plan to attend the most available

Grant Fiscal Management Training, offered by the Department.

Project Performance Accountability and Reporting Requirements

The Department’s program managers will track each project’s performance based on the

information provided in the Performance Expectation section, pages 17-28.

Complete those pages

that specifically apply to the intent of the proposed project. An outside evaluation is not required.

Grantee must send at least one person to a

meeting to review the expectations for evaluation and

dissemination.

It will be beneficial to send the person responsible for compiling the narrative and

arranging for dissemination. Grant funds may be directed to cover the cost of travel and housing for one

contact person to attend the mandatory one-day state meeting to review project evaluation guidelines as

described in the application packet. Failure to have a representative attend may impact future

Governor’s Summer program funding to the institution.

Notice of Intent-to-Apply

The due date to notify the program contact person Donnajo Smith of Intent-to-Apply is

October 13, 2006. This notification can be sent as an e-mail (Donnajo.Smith@fldoe.org) or fax

(850-245-0955) message and should include a return e-mail address. Providing the Intent-to-

Apply is not required for an application to be considered but assists the applicant by assuring

receipt of answers to frequently asked questions and competition updates. Conversely, eligible

organizations which file Intent-to-Apply are not required to apply.

DOE 905

Rev. 01/06

Method of Answering Frequently Asked Questions or Providing Changes

The last date that questions will be answered is October 20, 2006. Any questions, changes in

dates, clarifications, or addenda to the Request for Proposals will be addressed via e-mail

contact to all who file an intent-to-apply.

Method of Review

Proposals will be subject to technical review by the Department of Education and content review

by a committee representing district programs, university personnel, and personnel familiar with

the special needs of gifted and high achieving students.

Program proposals will be evaluated and recommended for funding based on

•

the criteria cited under Narrative Components;

•

the geographic distribution of programs across the State;

•

the accessibility to students from small/rural districts;

•

the inclusion of strategies to recruit students who are traditionally underrepresented in gifted and

high-achieving programs;

•

first-time submission of at least one new program to be funded regardless of region; and

•

the timely receipt of evaluation data from previously funded Governor’s Summer programs.

Applicants funded in prior years must have met the terms and conditions of prior grants to be

recommended for funding for the 2006 Governor’s Summer Program.

It is anticipated that applicants will be notified of the review outcomes before or during March 2007.

Conditions for Acceptance

The requirements listed below must be met for applications to be considered for review:

•

Application is received within the FDOE by the close of business on the due date.

•

Application includes required forms:

o

DOE 100A Application Form bearing the original signature of the Superintendent for

the school district or the agency head for other agencies.

This form should be the

cover or first page of the proposal.

o

DOE 101-Budget Narrative.

Each budget page should be labeled with the project title,

name of the appropriate fund source, and a subtotal or grand total at the bottom of the

budget pages for each fund source. Provide a specific description for each type of

expenditure and the budget amount requested for each line item.

NOTE: Applications signed by officials other than the appropriate agency head 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.

o

Signed certification signifying compliance with the “General Assurances for

Participation in Federal and State Programs,” (if not already on file in the FDOE

Comptroller’s Office).

Other Requirements

o

Additional Assurances – All Projects – This page specifies the applicant’s

adherence to additional project requirements. These assurances must be submitted

without modification as part of the completed proposal document. Proposals

submitted without this page will not be recommended for funding. Adherence to

assurances is subject to monitoring by the DOE/BEESS.

o

Project Performance Accountability Information

o

Project Narrative

•

Project Abstract or Summary (two pages)

•

Project Need (maximum five pages)

DOE 905

Rev. 01/06

•

Project Design and Implementation (maximum fifteen pages)

•

Evaluation (maximum five pages)

•

Support for Strategic Imperatives (maximum one page)

•

Dissemination Plan (maximum three pages)

•

Budget (maximum five pages)

Applicants must submit four copies of the completed proposal. One of the four copies submitted must

bear an original signature on the DOE 100A form Project Application Form. The original and copies

may be stapled, but no other binding will be acceptable. Do not submit proposals in notebooks or

binders. Pages should be numbered. Appendices must be limited to documents that specifically

relate to the required information. Faxed proposals will not be accepted.

Grants forms DOE 100A and DOE 101 may be accessed in PDF format at the following URL:

http://www.firn.edu/doe/commhome/granhome.htm.

•

The project application, budget pages, and all required narratives should be prepared using a 12-

point font size.

•

Narrative pages should be prepared on 8.5 x 11-inch plain sheets of paper identifying the

district/agency name in the upper right hand corner of the page. Narrative pages should be labeled

appropriately by subject area that is being addressed. It’s recommended that applicants number the

pages of the application packet, for example, “Page 1 of 25, Page 2 of 25.”

•

Attachments

Project Application Form (DOE 100A)

Budget Narrative Form (DOE 101)

Additional Assurances – All Projects

Basic Program Data

Student Program Evaluation

Project Performance Accountability Information, Instructions, and Forms

•

For State Programs

Local school districts or other eligible applicants that apply to the FDOE for non-federal

program funding need to provide this description of the steps proposed by the District or

other entity to ensure equitable access to, and participation of students, teachers, and other

program beneficiaries with special needs in their applications. A sufficient section

427 statement is described in OMB Control No. 1890-0007 (Exp. 11/30/2007).

See: http://www.ed.gov/fund/grant/apply/appforms/gepa427.pdf.

Application must be submitted to:

Office of Grants Management

Florida Department of Education

325 W. Gaines Street, Room 325

Tallahassee, Florida 32399-0400

TAPS Number

DOE 905

Rev. 01/06

FLORIDA DEPARTMENT OF EDUCATION

Project Application

Please return to:

Florida Department of Education

Bureau of Grants Management

Room 325, Turlington Building

325 West Gaines Street

Tallahassee, Florida 32399-0400

Telephone: (850) 245-0498

Suncom: 205-0498

)

Program Name:

Governor’s Summer Program

Title:

DOE USE ONLY

Date Received

B) Name and Address of Eligible Applicant:

Project Number (DOE Assigned)

)

Total Funds Requested:

DOE USE ONLY

Total Approved Project:

)

Applicant Contact Information

Contact Name:

Mailing Address:

Telephone Number:

SunCom Number:

Fax Number:

E-mail Address:

CERTIFICATION

I, ______________________________________________, (Please Type Name) do hereby certify that all facts, 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 and federal staff. 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.

Signature of Agency Head

________________________________________________

DOE 100A

Revised 08/04

John L. Winn, Commissioner

Instructions for Completion of DOE 100A

If not pre-printed, enter name of the program for which funds are requested.

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.

Enter the total amount of funds requested for this project.

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.

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.

DOE 100A

Revised 08/04

John L. Winn, Commissioner

TAPS Number

Name of Eligible Recipient:

Project Number:

(DOE USE ONLY)

Florida Department of Education

Budget Narrative Form

(1)

FUNCTION

(2)

OBJECT

(3)

ACCOUNT TITLE AND NARRATIVE

(4)

FTE

POSITION

(5)

AMOUNT

C) TOTAL

DOE 101

Rev.

01/05 John

Winn,

Commissioner

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).

Enter Name of Eligible Recipient.

(DOE USE ONLY)

COLUMN 1

FUNCTION:

SCHOOL DISTRICTS ONLY:

Use the four digit function codes as required in the Financial and Program Cost Accounting and Reporting for Florida Schools Manual.

COLUMN 2

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 3

ALL APPLICANTS:

ACCOUNT TITLE:

Use the account title that applies to the object code listed in accordance with the agency's accounting system.

NARRATIVE:

Prov

ide 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 4 – MUST BE COMPLETED FOR ALL SALARIES AND OTHER PERSONAL SERVICES.

FTE

- Indicate the Full Time Equivalent (FTE based on the standard workweek for the type of position) number of positions to be funded. Determine

FTE by dividing the standard number of weekly hours (e.g., 35 hours) for the type of position (e.g., teacher aide) into the actual work hours to be

funded by the project.

COLUMN 5

AMOUNT -

Provide the budget amount requested for each object code.

TOTAL -

Provide the total for Column (4) on the last page

Must be the same amount as requested on the DOE-100A or B.

DOE 101

Rev.

01/05

John

Winn,

Commissioner

ADDITIONAL ASSURANCES – ALL PROJECTS

Fiscal Agent:

Submission of this application hereby assures that the applicant and all participating districts

will implement the project consistent with the following requirements:

•

Assurance is hereby provided that project funds will not be used to purchase furniture or

equipment without prior written approval from the DOE/BEESS. Upon termination of the

project, at the option of the DOE/BEESS, all equipment purchased with project funds will

be transferred to the location(s) specified by the DOE/BEESS, and all necessary property

records actions will be taken to transfer ownership to the DOE or its designee.

•

Assurance is hereby provided that the fiscal agent for this project accepts responsibility

for implementing all project activities as specified in this application or subsequent

amendments, specifically including those of a regional or statewide nature. The fiscal

agent will ensure that activities essential to project effectiveness including, but not limited

to, reimbursement of travel expenses for persons from other districts/agencies,

employment of substitutes for teachers in other school districts, or payment of consulting

fees for persons to provide services to other school districts will be implemented in an

efficient and timely manner.

•

Assurance is hereby provided that the project agrees to collaborate with other entities

(i.e., other agencies, districts, organizations, and other projects) during the project year

under the direction of DOE/BEESS staff.

•

Assurance is hereby provided that products developed for statewide dissemination will be

submitted to content and policy review by the DOE/BEESS prior to any distribution for

other than awareness, field-test, or validation purposes. This fiscal agent will ensure that

product developers adhere to policies and procedures set forth in “Guidelines for Project

Publications,” available from the BEESS Clearinghouse Information Center. The

applicant will allow a minimum of four weeks for the BEESS to complete the content and

policy review of any product, and will also allow sufficient time to make required revisions,

have the revisions verified by the BEESS, and have the final document reproduced.

•

Assurance is hereby provided that any products produced by or developed in connection

with these projects remain the exclusive property of the State of Florida, unless ownership

has been explicitly waived. Products include all print, audio-visual, computer programs,

and internet websites fully or partially developed with project resources (fiscal and

personnel resources).

Such products must be pre-approved by the designated contact

person and must contain a funding statement acknowledging the use of federal funds for

development and dissemination. Questions regarding product development, ownership,

or funding statements should be directed to Kathy Dejoie, Supervisor, Clearinghouse

Information Center at 850/ 245-0477; or E-mail: Kathy.Dejoie@fldoe.org.

•

Assurance is hereby provided that fees will not be charged for any service provided under

the auspices of the project without prior written approval of the DOE/BEESS.

DOE 905

REVISED Jan. 2006

FLORIDA OF EDUCATION

K-12 EDUCATION

BUREAU OF EXCEPTIONAL EDUCATION AND STUDENT SERVICES

Governor’s Summer Program - 2007

Basic Program Data

Program Administration

Name of Program: _____________________________________________________

Dates of Program:

____________________ Amount of Funding: ________________

Institution & Address:

______________________________________________________

Contact Person:

______________________________________________________

Phone & e-mail:

______________________________________________________

Student Information

_____ 1.

Number of students initially targeted in proposal.

_____ 2.

Total number of students enrolled in program. If fewer students enrolled than

were targeted, explain why.

_____ 3.

Number of applicants who were not accepted.

Major reason for not admitting

applicants:

_____ 4.

Number of residential students (students who were housed on campus during

the

program).

_____ 5.

Number of day students.

_____ 6.

Number of male students.

_____ 7.

Number of female students.

_____ 8.

Number of students from rural areas.

_____ 9.

Number of participants entering:

_____ 8th grade

_____ 11th grade

_____ 9th grade

_____ 12th grade

DOE 905

REVISED Jan. 2006

_____ 10th grade

_____

10.

Total number of students.

11.

Racial/Ethnic Composition

Number

Students

White/non-Hispanic

__________

Black/non-Hispanic

__________

Hispanic

__________

Multiracial

__________

Asian-Pacific

Islander

__________

American

Indian/Alaskan

Native

__________

_____ 12.

Number of students who have been identified as gifted according to

State Board of Education Rule 6A-6.03019, FAC.

13. What method was used to verify eligibility of gifted students included in #12?

_____

14.

Number of students who received scholarships.

_____

15.

Amount of tuition, fees, and other program expenses charged to each student.

(Please

explain.)

16.

List counties represented by participating students.

County

Number

Students

_______________

__________

_______________

__________

_______________

__________

_______________

__________

_______________

__________

This is to verify that the above information is accurate and true.

Signature:

____________________________________ Date:

_______________

Title: ______________________________________________________________________

Note: Each program participating in the Governor’s Summer Program 2007 must submit the individual

student forms and complete this form. The sponsoring institution must submit forms and a summary of

this data to the Florida Department of Education by

September 30, 2007

DOE 905

REVISED Jan. 2006

FLORIDA DEPARTMENT OF EDUCATION

K-12 EDUCATION

BUREAU OF EXCEPTIONAL EDUCATION AND STUDENT SERVICES

Governor’s Summer Program - 2007

Student Program Evaluation

Instructions to students: Place an X on the appropriate line to indicate the degree to which

you agree or disagree with each statement.

SA -

Strongly Agree

MA -

Mildly Agree

N -

Neither Agree or Disagree

MD -

Mildly Disagree

SD -

Strongly Disagree

The instruction provided through this program was far more advanced, accelerated

and/or complex than the instruction currently available in my school.

___ SA

___ MA

___ N

___ MD

___ SD

The topics of study, types of learning experiences, and resources available to me were

different from those offered in my school.

___ SA

___ MA

___ N

___ MD

___ SD

The academic experiences were a good match for my interests and a challenge to my

abilities.

___ SA

___ MA

___ N

___ MD

___ SD

The opportunity to interact with students of similar interests and abilities in both

academic and non-academic settings contributed to the value of this program for me.

___ SA

___ MA

___ N

___ MD

___ SD

I would recommend that a student similar to myself participate in this program if it is

offered again.

___ SA

___ MA

___ N

___ MD

___ SD

Note: Each student participating in the Governor’s Summer Program 2007 must complete this

form. The sponsoring institution must

submit this form and a summary of this data

to the

Florida Department of Education by

September 30, 2007

DOE 905

REVISED Jan. 2006

APPLICANT INSTRUCTIONS: PERFORMANCE ACCOUNTABILITY

Project Performance Accountability

The Florida Department of Education has developed a standardized format for applicants to use in preparing their proposals /

applications for discretionary funds. The intent of this process is to assure proper accountability for the use of federal and state

funds. The Department has implemented a web-based Grants Management System and the information provided about each

funded project will be entered into this system. The Department’s program managers will track each project’s performance based on

the information provided in this section of the approved project.

This information will:

Provide a centralized capability for retrieving information about various discretionary projects awarded by the Department.

Assist policy-makers and managers in monitoring discretionary funds and the impact they are having.

Provide baseline information that can be used in assessing the alignment of funding to goals and strategic imperatives and in

allocating available funding to priority needs.

Facilitate effective project monitoring.

Types of project performance have been organized into four categories. These are:

Deliverables:

Category Includes: Documents such as manuals, reports, videos, CD ROMs, training materials, brochures, and

any other tangible product to be developed by the project.

Training, Technical Assistance, and Dissemination:

Category Includes: All training and technical assistance (TA) activities

whether provided onsite, through distance learning media, conferences, workshops, or other delivery strategies.

Student Performance:

Category Includes: Any measure that is specific to student performance (e.g., test scores, attendance,

behavior, award of diplomas, certificates, etc. “Students” may include pre-k, K-12, and adult learners as well as parents.

Service Delivery:

Category Includes: Delivery of intended services to target population (e.g., adult literacy services, child find

services, student evaluation services, etc.)

For each type of performance for which a project will be held accountable, the applicant must complete the information specified in

the attached forms. Use only those forms and types of performance applicable to the project. Instructions are provided for the

completion of each form.

Selected projects are required to obtain independent, formal, third-party evaluations. Other projects elect to obtain such evaluations.

If the proposal or application includes a required or optional third-party evaluation, a form and instructions for describing the proposal

evaluation are provided.

DOE 905

Jan. 2006

DELIVERABLES FORM

Deliverables: Manuals, reports, videos, CD ROMs, training materials, brochures, and any other tangible product to be developed by the

project

(1) Name of Deliverable and Brief Description

(2) Standard(s) for Acceptance

(3) Due Date(s)

DOE 905

Jan. 2006

APPLICANT INSTRUCTIONS: DELIVERABLES FORM

Deliverables: Manuals, reports, videos, CD ROMs, training materials, brochures, and any other tangible product to be developed by the

project

(1) For each deliverable to be completed by the project, enter in Column (1), the name of the deliverable and provide a brief description. The

name should be identified from the following list. The description should indicate the purpose of the deliverable, including the target audience

and should indicate the type of content to be provided in the deliverable. For example, “Brochure for parents of retained students explaining

options for assistance.” Any required reports should also be included in this section.

Announcement

Brochure

CD Rom

Curriculum

Database

Database Analysis

Display

DVD

Evaluation Instrument

Guidelines

Instructional Materials

Lesson Plans

Manual

Needs Assessment

Newsletter

Policy Paper

Poster

Public Service Announcement

Report

Report Format

Screening Device

Software

Survey

Teacher’s Guides

Technical Assistance Paper

Training Materials – Handout

Training Materials – Presentation

PowerPoint)

Training Modules - Online

Video

Website

Workbook

Other

(2) For each deliverable identified in Column (1), specify all of the proposed standards that should be used to determine whether the deliverable

meets the expectations for the project. The standards should be selected from the following list and any additional detail appropriate to each

standard should be provided. For example, if one of the standards is “Meets technical specifications,” the descriptions should outline the

proposed technical standards.

ADA Compliant

Appropriate for Duplication

Appropriately Organized

Attractive

Content Accurate

Content Complete

Design and Content Appropriate to

Intended Audience

Format Consistent with Content and

Intended Audience

Grammatically Correct

Includes Copyright and Funding Information

Meets technical specifications

Peer Review

Readability Level is Appropriate to

Audience

Review by DOE Staff

Review by Other Entity

Sufficient Copies Provided

Translated into Appropriate Languages

User-Friendly

Other

Provide in Column (3), the date when the deliverable will be complete. Interim dates for drafts, review, etc., should also be provided as

applicable.

DOE 905

Jan. 2006

TRAINING, TECHNICAL ASSISTANCE, AND DISSEMINATION FORM

Training, Technical Assistance, and Dissemination: All training and technical assistance (TA) activities whether provided onsite,

through distance learning media, conferences, workshops, or other delivery strategies

(1) Name of Activity and Brief

Description

(2) Quantity and Quality

Standards for Acceptance

(3) Method of Documentation

(4) Critical

Timelines

DOE 905

Jan. 2006

APPLICANT INSTRUCTIONS: TRAINING, TECHNICAL ASSISTANCE, AND DISSEMINATION FORM

Training, Technical Assistance, and Dissemination: All training and technical assistance (TA) activities whether provided onsite,

through distance learning media, conferences, workshops, or other delivery strategies

(1) For each training, technical assistance or dissemination activity to be completed by the project, enter in Column (1), the name of the activity

and provide a brief description. The name should be identified from the following list. The description should indicate the purpose of the activity,

including the target audience and should indicate the type of content to be provided. For example, “Training for third grade teachers of reading in

use of multiple instructional strategies.”

Coaching

Distribution of Printed Material

On-Site Technical Assistance

Conference

Exhibits

Preservice Training

Coursework at Institutions of Higher

Follow-up to Training Activities

Seminars

Education

In-service Training

Telephone Technical Assistance

Dissemination though the Media

Mentoring

Workshop(s)

Dissemination Through Internet

One-On-One Training

Other

Distance Learning

Distribution of Media (Software, Videos, CD

ROMs,

etc.)

(2) For each activity identified in Column (1), specify all of the proposed standards that should be used to determine whether the activity meets

the expectations for the project. The standards should be selected from the following list and any additional detail appropriate to each standard

should be provided. For example, if one of the standards is “Participant Feedback Indicative of Usefulness,” the descriptions should outline how

participant feedback will be gathered and assessed.

Appropriately Organized

Design and Content Appropriate to

Grammatically Correct

Content Accurate

Intended Audience

Meets Technical Specifications

Content Complete

Use of Consultants

Participant Feedback Indicative of

Delivery Appropriate to Content and

Follow-up Data Indicative of Effectiveness

Usefulness

Audience

Format Consistent with Content and

Replicable

Intended Audience

User-Friendly

Other

(3) Provide in Column (3), the information/materials which will be provided (or otherwise available) to document the performance of the project.

Agreements

Analysis of Requests and Responses

Anecdotal Data

Contracts

Evaluation Summaries

List of Participants

NRS Report

Observation by DOE Staff

Participant Competency Evaluations

Participant Feedback Summaries

Peer Review

Purchase Orders

Self-Reporting

Sign-in Sheets

Travel Itineraries

Verification of Dissemination to Target

Audiences

Other

(4) Provide in Column (4), the critical timelines for completion of each activity taking into consideration announcements of training availability,

delivery of training, completion of follow-up, etc.

DOE 905

Jan. 2006

STUDENT PERFORMANCE FORM

Student Performance: Any measure that is specific to student performance; e.g., test scores, attendance, behavior, award of diplomas,

certificates, etc. Students may include pre-k, K-12, and adult learners

(1) Name of Performance and Brief

Description

(2) Method of Evaluating Performance

(3) Method of DOE Verification

(4) Timelines for

Data Collection

DOE 905

Jan. 2006

APPLICANT INSTRUCTIONS: STUDENT PERFORMANCE FORM

Student Performance: Any measure that is specific to student performance; e.g., test scores, attendance, behavior, award of diplomas,

certificates, etc. Students may include pre-k, K-12, and adult learners

(1) For each type of student performance to be impacted by the project, enter in Column (1), the name of the performance from the following list

and provide a brief description. The description should describe the student population and provide detail about the expected student

performance. For example, “Academic Achievement – Reading: Low-performing 3

grade students in Smith Elementary School will increase by

1 level on the FCAT .”

Academic Achievement – Language Arts

Diploma

Participation in Assessment

Academic Achievement – Math

Enrollments

Participation in Least Restrictive

Academic Achievement – Reading

GED

Environment (LRE)

Academic Achievement – Science

High School Credential

Placements, Retention, Completions

Academic Achievement – Social Studies

Job Placement

(postsecondary JOBS)

Academic Achievement – Writing

Job Retention

Postsecondary Education Placement

Achievement – Arts

Improvement in Behavior

Postsecondary Education Completion

Achievement – Other

Increased Self-Sufficiency Through Use of

Program Completion

Achievement – Vocational Education

Technology

Promotion to Next Grade

Attendance

Literacy Completion Points

Satisfactory Completion of Coursework

Award of Certificate

Non-Traditional Enrollments

Secondary Credential

Career Advancement Retention

Occupational Completion Points

State-Adopted Assessment

Decrease in Disciplinary Actions

Parental Involvement in Education of

Workplace Readiness Completion

Decrease in Drop-out Rate

Dependent Children

Other

Decrease in Suspensions/Expulsions

Parental Involvement in Literacy Activities

of Dependent Children

(2) For each student identified in Column (1), specify all of the proposed standards from the following list that should be used to determine

whether the performance meets the expectations for the project. Any additional detail appropriate to each standard should be provided. For

example, if one of the standards is “Graduation Data,” the description should outline how the data will be gathered and what level of graduation

rate is expected.

Anecdotal Data

Graduation Data

Progress Monitoring

AYP Determination

Observation

Promotion Data

Disciplinary Referrals

Participation Records

School Grades

FCAT

Placement Data

Standardized Tests

GED Data

Portfolios

Suspension/Expulsion Data

Other

DOE 905

Jan. 2006

APPLICANT INSTRUCTIONS: STUDENT PERFORMANCE FORM

Student Performance (continued)

(3) Provide in Column 3, the information/materials which will be provided (or otherwise available) to document the performance of the project.

Agreements

Analysis of Requests and Responses

Anecdotal Data

Contracts

Evaluation Summaries

List of Participants

NRS Report

Observation by DOE Staff

Participant Competency Evaluations

Participant Feedback Summaries

Peer Review

Purchase Orders

Self-Reporting

Sign-in Sheets

Travel Itineraries

Verification of Dissemination to Target

Audiences

Other

(4) Provide in Column (4), the critical timelines for completion of each activity taking into consideration announcements of training availability,

delivery of training, completion of follow-up, etc.

DOE 905

Jan. 2006

SERVICE DELIVERY FORM

Service Delivery: Delivery of intended services to target population; e.g., adult literacy services, child find services, student evaluation

services, etc.

(1) Name of Service and Brief

Description

(2) Standard(s) for Acceptance

(3) Method of DOE Verification

(4) Timeline for

Service Delivery

DOE 905

Jan. 2006

APPLICANT INSTRUCTIONS: SERVICE DELIVERY FORM

Service Delivery: Delivery of intended services to target population; e.g., adult literacy services, child find services, student evaluation

services, etc.

(1) For each type of service to be delivered by the project, enter in Column (1), the name of the performance from the following list and provide a

brief description. The description should describe the service and provide detailed information about the nature of the service to be delivered.

For example, “Mentoring—The project will provide trained adult mentors to work at least once per week with elementary students who have

scored Level I or II on the FCAT in reading or math.”

Adult Literacy Activities

Career, Technical Education

Interagency Collaboration

Mentoring

Neighborhood Self-Sufficiency Through

Collaboration

Participation in Defined Program (e.g.,

After-School)

Referrals for Other Services

Statewide Leadership Activities

Student Evaluation/Assessment

Adult Literacy Activities

Career, Technical Education

Interagency Collaboration

Mentoring

Neighborhood Self-Sufficiency

Through

Collaboration

Participation in Defined Program (e.g.,

After-School)

Referrals for Other Services

Statewide Leadership Activities

Student Evaluation/Assessment

Other

(2) For each service identified in Column (1), specify from the following list all of the proposed standards that should be used to determine

whether the performance meets the expectations for the project. Any additional detail appropriate to each standard should be provided. For

example, if one of the standards is “Mentoring is appropriate to identified needs,” the description should specify of the identified needs and

indicate of how the project will determine that mentoring is appropriate.”

Mentoring Is Appropriate to Identified

Quantity of Evaluations/Assessments Meet

Specified Agencies Collaborate

Needs

Established Minimums Quantity of

Students Evaluations/Assessments Are

Participation Rate Meets Established

Mentoring Meets Established Minimums

Administered

Appropriately

Minimums

Quantity of Service Meets Established

Units of Service Meet Established

Quality of Service Meets Generally

Minimums

Accepted

Guidelines

Referrals Are Appropriate to Identified

Other

Needs

(3) Provide in Column (3), the information/materials which will be provided (or otherwise available) to document the performance of the project.

Agreements

Meeting Agendas

Purchase Orders

Anecdotal Data

Meeting Minutes

Sign-in Sheets

Attendance Records

NRS

State-Approved Assessments

Case Records

Observation by DOE Staff

Travel Itineraries

Contracts

Participant Feedback Summaries

Other

List of Participants

(4) Provide in Column (4), the critical timelines for service delivery including initiation and termination dates, for example.

DOE 905

Jan. 2006

FORMAL THIRD PARTY EVALUATION FORM

Formal Third-Party Evaluation: A formal evaluation conducted by a party not employed by the fiscal agent either under contract with

the project recipient or under the auspices of the FDOE

(3) Date(s) Evaluation

(1) Scope of Evaluation and Brief Description

(2) Type of Entity Conducting Evaluation

to Be Conducted

DOE 905

Jan. 2006

Formal Third-Party Evaluation: A formal evaluation conducted by a party not employed

by the fiscal agent either under contract with the project recipient or under the auspices

of the FDOE

If a formal third-party evaluation is required or proposed for this project the following information

must be provided.

(1) In column (1), specify the scope of the evaluation using one or more of the descriptors

provided below. Provide additional information regarding the nature of the evaluation. For

example, if the evaluation will cover only selected elements of the project, specify the elements

to be evaluated.

All Aspects of Project

Outcome Assessment

Selected Elements of

Compliance Review

Process Review

Project

Formative Evaluation

Summative Evaluation

(2) In column (2) indicate the type of entity from the following list which will be conducting the

third-party evaluation. Provide any additional information which may be available about the

entity to conduct the evaluation such as selection criteria or qualifications.

Board/Commission/Task Force

Governmental Agency

Institution of Higher

Consultant Firm

Independent Entity

Education

DOE Funded Project

Selected by Project

Selected Peer

Individual Consultant

Reviewers

Other

(3) Provide in Column (3), the date(s) when the evaluation will be conducted including the date

for completion of reports.