1. FLORIDA DEPARTMENT OF EDUCATION
    2. 1) Application is received in DOE within the timeframe specified by the RFA
      1. TAPS Number
    3. Safe and Drug-Free Schools
      1. CERTIFICATION
      2. DOE USE ONLY
  1. Instructions for Completion of DOE 100A
      1. TAPS Number
      2. (1) FUNCTION
      3. (2) OBJECT
    1. (3) ACCOUNT TITLE AND NARRATIVE
    2. POSITION (5)
    3. AMOUNT
      1. B. (DOE USE ONLY) COLUMN 1
      2. COLUMN 2
      3. COLUMN 4 – MUST BE COMPLETED FOR ALL SALARIES AND OTHER PERSONAL SERVICES.
      4. COLUMN 5
    4. Fiscal Year: 2006-2007
    5.  
      1. 2. Modified Expulsions
      2. 3. Alternative Placements
    6. 4. Students With Disabilities
    7. SECTION II: LEA COMPLIANCE WITH GUN-FREE SCHOOLS ACT (GFSA)
    8. 1. School /Community Characteristics
      1. PER DISTRICT
      2. PER DISTRICT
      3. PER DISTRICT
      4. 2000 2002 2004 2006 2006
      5. SA* 2000 2002 2004 2006
      6. 2006 SA*
      7. District Goal #2:
      8. 1.1a.
      9. GUIDELINES
      10. GUIDELINES
      11. 2. Provide the following information for Promising Programs only
      12. 4. Prioritized Need(s)
      13. 5. Primary Target Group(s) to be served:
      14. 6. Targeted Changes (check all that apply):
      15. 7. Implementation Plan for this Program
      16. EXAMPLE UPLOADS HERE
      17. 8. Program Specific Objectives
      18. Florida Department of Education K-12 Division of Public Schools
      19. 2007-2008 REVISED PRELIMINARY
      20. Safe and Drug-Free Schools Entitlement Allocation
      21. District ALLOCATION
      22. TOTALS $12,261,007

FLORIDA DEPARTMENT OF EDUCATION
Request for Application (RFA Entitlement)
Bureau / Office
K-12 Public Schools/Bureau of Family and Community Outreach
Program Name
Safe and Drug-Free Schools (SDFS) Entitlement Project
Specific Funding Authority (ies)
CFDA #84.186, Federal Program, 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
$12,261,007
Budget Period
July 1, 2007 – June 30, 2008
Program Performance Period
July 1, 2007 – June 30, 2008
Target Population
Students, school staff, school administrators, parents, and community members as deemed appropriate
Eligible Applicant(s)
School Districts, Developmental Research Schools, and the Florida School for the Deaf and Blind
See attached allocation chart
1

Application Due Date
June 30, 2007
The due date refers to the date of receipt in Grants Management. For Federal programs, the project
effective date will be the date that the application is received within DOE meeting conditions for
acceptance, or the date of receipt of the Federal Award Notification, whichever is later. 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
Project Application Support: Office of Safe and Drug-Free Schools, Brooks Rumenik, Educational Program
Director, by phone at (850) 245-0416, Suncom 205-0416, or via email at Brooks.Rumenik@fldoe.org
Grants Management: Kinisha Murphy, Grants Specialist II, Office of Grants Management by phone at (850)
245-0731, Suncom 205-0731, or via email Kinisha.Murphy@fldoe.org
Technical Support with On-line Application: Safe and Drug-Free Program Staff at (850) 245-0416, Suncom
205-0416, or visit http://www.firn.edu/doe/besss/staff_assignments.html for regional managers.
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:
?
?
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;
?
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 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.fldoe.org/comptroller/gbook.asp
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.
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.
2

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.
NARRATIVE SECTION
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 programs). 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 to complete a program profile for each SDFS funded program planned for
implementation during the 2007-08 school year including type of program, target population(s), specific impact
objectives, implementation protocol, and methods for program evaluation.
Activities
Describe the major activities to be carried out by the LEA and how these activities will be aligned with the state
academic content standards, student academic standards, and state assessments. Please describe how these
activities will contribute to closing the achievement gap.
Coordination of Programs
1.
?
Describe how the services provided under the programs in this application are integrated with each other
and coordinated with other programs funded under NCLB (i.e., Title I, Part A; Title I, Part C; Title I, Part D;
Title I, Part F; Title II, Part D; Title III, Part A; Title IV, Part A; Title V, Part A; and/or Title VI, Part B,
Subpart 2.)
2.
?
Describe how these coordinated services will address the needs of each of the following groups:
a.
?
Students, including: migrant, homeless, English Language Learners (ELLs), neglected and
delinquent, youth at risk of dropping out, disabled, economically disadvantaged, early childhood, and
immigrant
b.
?
Staff, including teachers and paraprofessionals
c.
?
Parents
3.
?
Describe how information about this application will be disseminated to school staff and members of the
community. Description should include how the LEA will ensure that all school-to-home communication
will be in the parents’ home language, unless clearly not feasible.
3

4.
?
Describe how the LEA will provide ongoing consultation with school staff and members of the community
throughout the project period.
5.
?
Describe the methods and processes that will be used to report student and program outcomes to parents,
school staff, and members of the community. Description should include how LEA will ensure that all
school-to-home communications will be in the parents’ home language, unless clearly not feasible.
Collaborative Partners
Identify federal/state/local collaborative partners; briefly describe in a simple narrative, the type and benefit of
the collaborator(s) and the target group(s).
Support for Reading/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.
URL: http://www.fldoe.org/meetings/2005_01_18/StratPlanDetails.pdf
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.
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.
Reporting Outcomes
Districts are required to submit annual progress reports which provide data and an analysis of the district’s
measurable, outcome objectives.
For Federal Programs - General Education Provisions Act (GEPA)
Provide 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/fund/grant/apply/appforms/gepa427.pdf
Equitable Services for Private School Participation
In accordance with P.L. 107-110, Title IX, Part E Uniform Provisions, Subpart 1, Section 9501, the applicant
must provide a detailed plan of action for providing consultation for equitable services to private school
children, teachers, and parents within the local education agency(ies) service area. For details, refer to URL:
http://www.ed.gov/policy/elsec/leg/esea02/pg111.html.
Conditions for Acceptance
?
The requirements listed below must be met for applications to be considered for review:
?
1)
Application is received in DOE within the timeframe specified by the RFA
4

2)
Application includes required forms: DOE 100A - Project Application Form and DOE 101 -
Budget Narrative Form
3)
All required forms must have the assigned TAPS Number included on the form
4)
All required forms have original signatures by an authorized entity
5)
Application must be submitted to:
Office of Grants Management
?
Florida Department of Education
?
325 W. Gaines Street, Room 334
?
Tallahassee, Florida 32399-0400
?
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.
Method of Review
The on-line project application, including the 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.
5

FLORIDA DEPARTMENT OF EDUCATION
?
PROJECT APPLICATION
?
TAPS Number
Please return to:
Florida Department of Education
Office of Grants Management
Room 344 Turlington Building
325 West Gaines Street
Tallahassee, Florida 32399-0400
Telephone: (850) 245-0735
A
)
Program Name:
Safe and Drug-Free Schools
DOE USE ONLY
Date Received
B) Name and Address of Eligible Applicant:
Project Number (DOE Assigned)
D
)
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.
C
)
Total Funds Requested:
$
DOE USE ONLY
Total Approved Project:
$
E) ________________________________________________
Signature of Agency Head
DOE 100A
Jeanine Blomberg, Commissioner
Revised 03/07
6

Back to top


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.
DOE 100A
Jeanine Blomberg, Commissioner
Revised 03/07
7

A)
Name of Eligible Recipient:
B)
TAPS Number
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
Jeanine Blomberg, Commissioner
Revised 03/07
8

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
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:
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 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.
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.
9

__________________________________________________________________
GENERAL 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:
?
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;
 
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 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.fldoe.org/comptroller/gbook.asp
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.
No Child Left Behind Assurances (Applicable to All Funded Programs)
By my signature on this application, I hereby certify that the ____
___ District will comply with the following requirements of
the No Child Left Behind Act of 2001:
The LEA assures that, under Sec. 9528, it will comply with a request by a military recruiter or an institution of higher education for
secondary students' names, addresses, and telephone numbers, unless a parent has "opted out" of providing such information.
The LEA assures that, under Sec. 9528, it will provide military recruiters the same access to secondary school students as it generally
provides to postsecondary institutions or prospective employers.
The LEA hereby certifies that, under Sec. 9524, it has no policy that prevents, or otherwise denies participation in, constitutionally
protected prayer in public schools. The LEA further certifies that ``[a]mong other things, students may read their Bibles or other
scriptures, say grace before meals, and pray or study religious materials with fellow students during recess, the lunch hour, or other
noninstructional time to the same extent that they may engage in nonreligious activities.'' The LEA certifies that its public schools will
not be hostile to the religious rights of their students and their families.
The LEA hereby assures that, under Sec. 9532, if the State of Florida identifies any school within the LEA as “persistently dangerous,” it
will offer students attending that school, as well as students who are victims of a violent criminal offense while on school property, the
opportunity to transfer to a safe school.
The LEA hereby certifies that, under Sec. 4141, it will expel from school for a period of not less than one year a student who is
determined to have brought a weapon to school.
The LEA hereby certifies that, under Sec. 4141, it has a policy requiring referral to the criminal justice or juvenile delinquency system of
any student who brings a firearm to a school under the control and supervision of the LEA.
10

PROGRAM SPECIFIC ASSURANCES
?
The LEA assures that the public agency, nonprofit private agency, institution, or organization, or Indian tribe will administer the funds
and property of each selected program to the extent required by the authorizing statutes [Section 9304(a)(2)(B)].
The LEA assures that the use of proper methods of administering each selected program includes the enforcement of any obligations
imposed by law on agencies, institutions, organizations, and other recipients responsible for carrying out each program; and the
correction of deficiencies in program operations that are identified through audits, monitoring, or evaluation [Section 9304(a)(3)(A-C) &
9306(a)93)(B)].
The LEA assures full cooperation in carrying out any evaluation of each selected program conducted by or for the state educational
agency, the Secretary, or other federal officials [Section 9304(a)(4)].
The LEA assures that before this application was submitted, the applicant afforded a reasonable opportunity for public comment on the
application and considered such comment [Section 9304(a)(7)].
The LEA assures that funds will be used to increase the level of state, local, and other non-federal funds that would, in the absence of
funds under this subpart, be made available for programs and activities authorized under this subpart, and in no case supplant such
State, local, and other non-Federal funds [P.L. 107.110 applicable programs].
*These assurances are in addition to those previously signed by the Local Education Agency (LEA) maintained on file in the Florida
Department of Education’s Comptroller’s Office.
Title IV, Part A – Safe and Drug Free Schools
2% Cap on Administrative Costs: The district will not use more than 2 percent of its allocation for the administrative costs (which include
indirect costs) as defined by section 80.3 of EDGAR, in carrying out its responsibilities under this project [NCLB 4114(a)(2)].
Program Development
:
A.
?
Timely and Meaningful Consultation - The district has developed its application through timely and meaningful consultation with
State and local government representatives, representatives of schools to be served (including private, non-profit schools,
teachers and other staff, parents, students, community-based organizations, and others with relevant and demonstrated
expertise in drug and violence prevention activities (such as medical, mental health, and law enforcement professionals).
B.
?
Continued Consultation - The district will, on an ongoing basis, consult with above mentioned representatives and organizations
in order to seek advice regarding how best to coordinate activities with other related strategies, programs, and activities being
conducted in the community.
C.
?
Design and Development - To ensure timely and meaningful consultation, the district at the initial stages of design and
development of a program or activity shall consult with appropriate entities and persons on issues regarding the design and
development of the program or activity, including efforts to meet the Principles of Effectiveness [NCLB 4114(c].
Principles of Effectiveness
:
The activities or programs in this project comply with the Principles of Effectiveness (POE) described in subsection 4115(a) of NCLB
and foster a safe and drug-free learning environment that supports academic achievement [NCLB 4114(d)(1) and 4115(a)]. To comply
with the standards set by the POE, programs and activities shall:
A.
?
Be based on an assessment of objective data about the drug and violence problems in the schools and communities to be
served, including an objective analysis of the current conditions and consequences regarding said drug and violence problems
that is based on ongoing local assessment or evaluation activities;
B.
?
Be based on performance measures aimed at ensuring that these schools and communities to be served have a safe, orderly,
and drug-free learning environment;
C.
?
Be based on scientifically based research that provides evidence that the program to be used will reduce violence and illegal
drug use;
D.
?
Be based on an analysis of the prevalence of risk factors, protective factors, buffers, assets; or other variables in schools and
communities in the State identified through scientifically based research;
E.
?
Include meaningful and ongoing consultation with and input from parents in the development of the application and
administration of the program or activity;
11

  
 
  
 
 
F.
?
Be evaluated periodically to assess its progress toward reducing violence and illegal drug use in schools to be served based on
locally established performance measures; results shall be used:
i.
to refine, improve, and strengthen the
ii.
to refine the performance measures, and
iii.
shall also be made available to the public upon request, with public notice of such availability provided.
Public Review
: The project application includes a request for a waiver of the requirement that programs or activities be based on
scientifically-based research that provides evidence that the program will reduce violence and illegal drug use. The waiver process is
found in Section V of this application and will be available for public review after submission of the application.
Wrong and Harmful
: The drug and violence prevention programs supported under this project convey a clear and consistent message
that acts of violence and the illegal use of drugs are wrong and harmful [NCLB 4114(d)(6)].
Comprehensive Plan
: The district has, or the schools to be served have, a plan for keeping schools safe and drug-free that includes:
A.
?
Discipline policies - Appropriate and effective school discipline policies that prohibit disorderly conduct, the illegal possession of
weapons, and the illegal use, possession, distribution and sale of tobacco, alcohol, and other drugs by students
B.
?
Security procedures - Security procedures at school and while students are on the way to and from school
C.
?
Prevention activities - Prevention activities that are designed to create and maintain safe, disciplined, and drug-free
environments
D.
?
Crisis management plan - A crisis management plan for responding to violent or traumatic incidents on school grounds; and
E.
?
Code of Conduct Policy - A code of conduct policy for all students that clearly states the responsibilities of students, teachers,
and administrators in maintaining a classroom environment that —
i.
allows a teacher to communicate effectively with all students in the class;
ii.
allows all students in the class to learn;
iii.
has consequences that are fair, and developmentally appropriate;
iv.
considers the student and the circumstances of the situation; and
v. is enforced accordingly. [NCLB 4114(d)(7)]
Gun-Free Schools Ac
t: The district is in compliance with section 1006.13(2), Florida Statutes, the State law required by subsection
4141(b)(1) of the federal Gun-Free Schools Act, which requires district school boards to adopt a zero tolerance policy requiring students
found to have brought a firearm or weapon, as defined in chapter 790, Florida Statutes, to school, to any school function, or onto any
school-sponsored transportation or possessing a firearm at school to be expelled, with or without continuing educational services, from
the student’s regular school for a period of not less than 1 full year, and to be referred to the criminal justice or juvenile justice system.
[NCLB 4141(d) and 1006.13(2)(a), Florida Statutes]
Parent Input
: Parents were included in the development of this project application and programs and/or activities conducted under this
project will include meaningful and ongoing consultation with, and input from, parents in the administration of the programs and/or
activities. [NCLB 4116(b)(1) and 4115(a)(1)(E)]
Required Reports
: The district will submit to the Florida Department of Education such information, and at such intervals, that the
Department requires to complete the State Report required by the United States Secretary of Education including information on the
prevalence of drug use and violence by youth in the schools and the community. Such information shall be made readily available to
the public. [NCLB 4116(b)(1)]
To facilitate the prompt reporting of data, the District will assign a school-level staff member to complete all required forms
(implementation checklist, report form, or other monitoring instrument) to be used to access accountability of program implementation at
the classroom level.
To facilitate the prompt reporting of data, the District will complete and file the school-wide tracking form(s) with the Safe and Drug-Free
Schools Coordinator by 8/30/07.
Smoking within Indoor Facility
: No person permits smoking within any indoor facility owned or leased or contracted for, and utilized
by, such person for provision of routine or regular kindergarten, elementary, or secondary education or library services to children or of
regular or routine health care or day care or early childhood development (Head Start ) services. [NCLB 4303(a) and (b)(1)]
Supplement not Supplant
: SDFS funds are used to increase the level of State, local, and other non-Federal funds that would, in the
absence of funds under SDFS, be made available for programs and activities authorized under SDFS, and are in no case used to
supplant such State, local, and other non-Federal funds. [NCLB 4114(d)(4)]
12

 
FEDERAL GUN-FREE SCHOOLS ACT LOCAL EDUCATION AGENCY ACTIVITIES
?
SURVEY
Fiscal Year: 2006-2007
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
1. School Incidents
Directions:
You must complete this form for each school in which a student has been found to have
brought a firearm to school or possessed a firearm as defined by Chapter 790, Florida Statutes at school
during the 2006-2007 school year.
1a. 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?
Provide an explanation for each incident reported in 1b.
__________________________________________________
Note:
Any student found to have brought a firearm (as defined by Chapter 790, Florida Statutes) 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.
13

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 under the case-by-case modification provisions of Section 1006.13(2) flush left, Florida
Statutes?
________________
2a.
Num
ber of Modified Expulsions
________________
2b.
Number of Expulsions Not Modified
________________
2c.
Number of Non-Expulsions
________________
-
EXPLAIN (required)
_________________________________________________________
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 for disabled students
________________
4b.
?
Number of Modifications for students who are not disabled
________________
Note:
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
14

SECTION II: LEA COMPLIANCE WITH GUN-FREE SCHOOLS ACT (GFSA)
1
. This is to assure that
__________
County School District is in compliance with Section 1006.13(2)(a), Florida
Statutes, that requires that a student who brings a firearm to school, or possesses a firearm at school, be expelled for no
less than a year.
Is your district in compliance with Section 1006.13(2)(a), Florida Statutes?
Yes
No
2.
?
This is to assure that __________County School District is in compliance with the requirement in
Section1006.13(2)(a), Florida Statutes, that a district have in place a policy requiring a 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.
Is
your district in compliance with Section 1006.13(2), Florida Statutes?
Yes
No
15

 
 
DISTRICT SAFE AND DRUG-FREE SCHOOLS PROJECT COMPREHENSIVE
?
PLAN
SECTION I: NEEDS ASSESSMENT
Programs funded by Title IV, Part A, 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
programs).
1.
School /Community Characteristics
Identify several community characteristics and/or unique community features that impact student ATOD
use and violence behavior
. As appropriate, include community demographics (economic indicators, income
levels, rural/urban settings, race/ethnicity…).
EXAMPLE
2.
County-/State-level Student Behavior Trend Data
To help identify prevention needs, provide county level FYSAS and SESIR district-level data below.
PER DISTRICT
Grades 6-8
Grades 9-12
30 DAY PREVALENCE RATES (%) FOR:
2000
2002
2004
2006
2006
SA*
2000
2002
2004
2006
2006
SA*
ALCOHOL
BINGE DRINKING
CIGARETTES
SMOKELESS TOBACCO
MARIJUANA
ANY ILLICIT DRUG OTHER
THAN MARIJUANA
*State Average
PER DISTRICT
2000
2002
2004
2006
2006 SA*
MEAN AGE AT FIRST USE FOR:
8th
12th
8th
12th
8th
12th
8th
12th
8th
12th
MORE THAN A SIP OF ALCOHOL
DRINKING AT LEAST ONCE A
MONTH
CIGARETTES
MARIJUANA
*State Average
16

  
PER DISTRICT
Grades 6-8
Grades 9-12
2000
2002
2004
2006
2006
SA*
2000
2002
2004
2006
2006
SA*
ATTACKING SOMEONE WITH
INTENT TO HARM
*
State average
3.
School-level Student Behavior Data Sources
Provide the names of any local-level objective data sources that can be used to identify SDFS prevention
needs in your district.
For each source listed, provide a brief explanation of what the data source
measures.
EXAMPLE
4.
Prioritized List of Needs
List 3-7 needs in order of priority
. In the narrative below justify the identified need by including: (a) the
data indicator(s) used; (b) name and year(s) of data source(s); and (c) a trend and/or comparison
analysis. Begin with school-level data whenever possible. List needs in terms of student behavior,
direction of change, and specific target population.
If a need is not justified by the data, provide a rationale for its priority.
GUIDELINES
EXAMPLE
PRIORITY
STUDENT BEHAVIOR
DIRECTION
OF
CHANGE
TARGET
POPULATION
Need #1
Narrative
(200 word limit)
17

SECTION II: DISTRICT-DEVELOPED GOALS
?
Programs funded by Title IV, Part A funds must be based on performance measures aimed at ensuring
that recipient schools and communities have a safe, orderly, and drug-free learning environment.
Performance measures, thus, must include goals that relate to reducing violence or drug use. Recipients
may also adopt goals related to changing attitudes that are predictors of or precursors to youth drug use
or violent behavior or goals related to the quality of program implementation.
Six year district goals (terminating June 30, 2012) were established in the 2006-07 Title IV Project
Application. Place those established goals in the chart below. Additional goals may be established based on
review of current data and identified needs.
EXAMPLE
District Goal #1:
Date:
June
30,
2012
Target Population:
Proposed Change:
Amount of Change:
Data Element:
Year/Data Source:
Baseline Statistic:
District Goal #2:
Date:
June
30,
2012
Target Population:
Proposed Change:
Amount of Change:
Data Element:
Year/Data Source:
Baseline Statistic:
18

_____________________
____________________________
_____________________________
SECTION III: COLLABORATIONS
?
Provide the following information regarding collaborations in the district. A collaboration is a joint effort between
the local school district and another funding source/agency; no SDFS funds are used in implementing these
collaborations.
Identify at least 3 and a maximum of 5 collaborations. Complete this form for each
collaboration to be implemented in the 2007-08 school year.
1.
Agency Name:
2.
Program Title (explain acronyms):
3.
Type of Collaborator:
Federal State Local
…
Title
I
…
Dropout
Prevention
…
  
Community Coalition (identify by
name):______________________
…
Title
II
…
  
Department of Juvenile Justice
…
Law
Enforcement
…
 
Title IV (21
st
Century)
…
Coordinated
School
Health
…
County
Government
Program
…
Title
V
…
Department of Health Grantee
…
  
County Health Department
…
School-to-Work
…
Department of Children and
…
Community-Based
Organization
…
CSAP
Families Prevention Partnership
Grantee
…
 
Service Clubs: identify by
name:_____________________
…
 
Safe Drug Free
Community (SDFC)
…
Other
(Describe)
…
  
Other District Program
(Describe)
…
Other (Describe)
4. Type of program
ATOD Prevention
Violence Prevention
Parent Involvement
School-wide Climate
Student Discipline
Other, If other please specify_______
5. Specify the prioritized need(s) identified in Section I that are addressed through this program.
6. Primary Target Group(s) to Be Served:
?
(List specific grade levels)
Elementary Middle High
Students
_________ _________ _________
School Staff
_________ _________ _________
Parents _________ _________ _________
Private, Non-Profit
_________ ______
___ _________
Other _____________
_________ ______
___ _________
Total schools served
_________
__________
__________
7. Describe the program activities/strategies implemented through this collaboration.
EXAMPLE
19

SECTION IV: PARENT INVOLVEMENT
?
Programs funded by Title IV, Part A, must include meaningful and ongoing consultation with and input
from parents in the development of the application and administration of programs and/or activities.
Provide a narrative for following questions
.
1.
1a.
Program
Planning
How will parents/families be made aware of opportunities to assist in the planning and implementation
for violence and drug prevention activities?
[text box]
1b.
What opportunities are available for parents/families to participate in the planning and implementation
for violence and drug prevention activities?
[text box]
GUIDELINES
2.
?
Program
Participation
2a.
?
How will parents/families be made aware of opportunities available to them in professional
development, trainings or workshops in the area of violence and drug prevention or child behavior
management?
[text box]
2b.
?
What opportunities are available for parents/families to participate in professional development,
trainings or workshops for them in the area of violence and drug prevention or child behavior
management?
[text box]
GUIDELINES
20
?

SECTION V:
?
PROGRAM ACTIVITY PROFILE
?
Programs funded by Title IV, Part A must be based on scientific research that provides evidence that the
program will reduce violence and illegal drug use. A LEA may apply to the State for a waiver to allow
innovative activities or programs that demonstrates substantial likelihood of success. This waiver process is
addressed in Item 2.
Complete one Program Profile for
each
SDFS funded program you plan on implementing during the 2007-2008
school year.
1. Program Name*:
________________________________________________
* If you are using a program on the Proven Programs Inventory, skip to Question #2C.
2. Provide the following information for Promising Programs only
2a.
Is this a district-developed or commercially-developed program?
District-Developed or
Commercially-Developed
2b
. Provide a brief program description, the rationale for using this program, and at least two primary
scientifically-based research strategies implemented in this program (e.g. social skills training, mentoring, peer
leaders, etc.). Include bibliographic citations from peer review articles published within the last 10 years for
each strategy listed. (If you are unsure of what strategies to list, contact your program developer.)
EXAMPLE
2c
. When was the last time this program was evaluated? Provide a summary of the most recent evaluation
results demonstrating measurable program outcomes or other data about program effectiveness. If this program
is being implemented for the first time, if it has never been formally evaluated, or if it has been more than 3
years since this program has been evaluated, then we strongly advise submitting an evaluation plan by August
30, 2007, to Attn: Evaluation, Safe and Drug-Free Schools Program Office, Florida Department of Education,
325 West Gaines Street, Room 554, Tallahassee FL 32399-0400.
3
.
Type of Program
:
(check all that apply)
ATOD Prevention
Violence Prevention
Parent Involvement
School-wide Climate
Student Discipline
Other, If other please specify_____
4. Prioritized Need(s)
Specify the prioritized need(s) identified in Section I that are addressed through this program. If the program
does not address any of your prioritized needs specifically, provide a rationale for this program choice.
EXAMPLE
21
?

5. Primary Target Group(s) to be served:
ELEMENTARY
MIDDLE
HIGH
K
1
2
3
4
5
6
7
8
9
10
11
12
STUDENTS
SCHOOL STAFF
PARENTS
PRIVATE, NON-
PROFIT
OTHER
IF OTHER, SPECIFY:
TOTAL SCHOOLS
SERVED
6. Targeted Changes (check all that apply):
Attitude
Behavior/Skills
Knowledge
Perceptions
7. Implementation Plan for this Program
7a.
In how many schools, in what grade(s) specifically, and during what time period or content area will the
program be implemented? Please explain details not provided through question #5.
EXAMPLE
7b.
Who will be responsible for delivering program activities and services directly to students?
EXAMPLE
7c.
How will personnel directly responsible for delivering program curriculum and activities be trained?
EXAMPLE
7d.
Has this program been implemented in your district in the past (regardless of funding source)? If so, provide
a brief history describing the number of years implemented, program expansion, program sustainability, etc.
EXAMPLE
7e.
If program was used in past years, identify any
challenges
with program implementation that schools
experienced, and identify any
strategies
that will be used to improve program implementation for the 2007-
2008 school year.
EXAMPLE
7f.
What tracking forms (implementation checklist, report form, or other monitoring instrument) will be used to
assess accountability of program implementation at the classroom level and school level? In the text below,
clearly provide the title of each form with an explanation of its purpose. Upload a copy of each relevant tracking
forms as a Word file or a PDF file.
EXAMPLE
UPLOADS HERE
7g.
Who at the school level will be responsible for filling out the above tracking form(s)?
EXAMPLE
*All program evaluation plans for the 2007-2008 school year will be due to Meena Harris, Program
Manager/Coordinator of Research by August 30, 2007.
22
?

8. Program Specific Objectives
Program performance measures should be directly related to the results of the program and linked to the
district’s established goals.
Provide at least one program outcome objective that measures a change in student behavior or attitude.
Program outcome objectives should include performance measures that relate to reduced violence or drug-use,
and changing attitudes that are predictors of or precursors to youth drug abuse or violent behavior.
EXAMPLE
Provide at least one program process (implementation) objective that measures fidelity of program
delivery.
(Duplicate as necessary) Program process objectives should include performance measures that relate
to the fidelity of program implementation.
EXAMPLE
Program Outcome Objective #1:
Program Process Objective #1:
Date:
Date:
Target Population:
Target Population:
Direction of Change:
Direction of Change:
Proposed Change:
Proposed Change:
Data Element:
Data Element:
Baseline Yr/Data Source:
Baseline Yr/Data Source:
Baseline Statistic:
Baseline Statistic:
23
?

GENERAL EDUCATION PROVISIONS ACT (GEPA)
?
In accordance with the requirements of Section 427 of the General Education Provisions Act (GEPA)
Public Law 103-382, each application must ensure equitable access to, and participation in, its program
for students, teachers, and other program beneficiaries with special needs. For details refer to URL:
http://www.ed.gov/fund/grant/apply/appforms/gepa427.pdf
24
?

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Florida Department of Education
K-12 Division of Public Schools
2007-2008 REVISED PRELIMINARY
Safe and Drug-Free Schools Entitlement Allocation
District
ALLOCATION
Alachua
$127,245
Baker
$18,266
Bay
$112,599
Bradford
$17,139
Brevard
$285,631
Broward
$1,244,678
Calhoun
$9,913
Charlotte
$63,152
Citrus
$70,165
Clay
$95,783
Collier
$154,254
Columbia
$48,552
Miami-Dade
$2,295,699
DeSoto
$28,275
Dixie
$11,557
Duval
$631,936
Escambia
$230,217
Flagler
$35,293
Franklin
$6,607
Gadsden
$39,815
Gilchrist
$12,188
Glades
$6,243
Gulf
$9,300
Hamilton
$11,537
Hardee
$28,554
Hendry
$38,123
Hernando
$91,907
Highlands
$59,047
Hillsborough
$902,640
Holmes
$16,501
Indian River
$62,406
Jackson
$31,859
Jefferson
$9,084
Lafayette
$5,319
Lake
$152,526
Lee
$297,762
District
ALLOCATION
37
Leon
$135,669
38
Levy
$29,774
39
Liberty
$5,525
40
Madison
$15,563
41
Manatee
$166,305
42
Marion
$213,323
43
Martin
$61,397
44
Monroe
$31,715
45
Nassau
$33,153
46
Okaloosa
$106,019
47
Okeechobee
$30,622
48
Orange
$781,424
49
Osceola
$201,141
50
Palm Beach
$737,091
51
Pasco
$260,150
52
Pinellas
$536,776
53
Polk
$428,554
54
Putnam
$66,981
55
St. Johns
$75,656
56
St. Lucie
$163,082
57
Santa Rosa
$83,026
58
Sarasota
$139,176
59
Seminole
$233,989
60
Sumter
$32,617
61
Suwannee
$28,787
62
Taylor
$15,033
63
Union
$8,452
64
Volusia
$293,720
65
Wakulla
$16,519
66
Walton
$31,949
67
Washington
$18,016
74
FAMU
$1,824
72
FAU Lab (A.D.)
$1,941
73
FSU Lab (both)
$6,562
75
UF School (P.K.)
$3,162
68
FSDB
$4,542
TOTALS
$12,261,007
25
?

Back to top