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II. FEDERAL REQUIREMENTS
There are no federal requirements that must be addressed by this proposal.
III. STATE REQUIREMENTS
A. Required Assurances
This request for application is issued pursuant to s. 561.025, F. S., Alcoholic Beverage and Tobacco Trust
Fund, which stipulates that ten percent of the revenues derived from retail tobacco products dealer permit fees
collected under s. 569.003 shall be transferred to the Florida Department of Education (DOE) to provide for
teacher training and for research and evaluation to reduce and prevent the use of tobacco products by children.
In order to receive funding, applicants must have on file with the DOE, Office of the Comptroller, a signed
statement by the agency head certifying adherence to general terms, assurances, and conditions for
participation in federal and state programs. The DOE has developed and implemented a form,
General
Application of Assurance for Federal and State Programs
, that addresses compliance with the following:
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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;
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applicable regulations of other federal agencies; and
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state regulations and laws pertaining to the expenditure of state funds.
This form is located in Section G of the
Project Application Amendment Procedures for Federal and State
Grant Programs
(Green Book), and at the following website: http://www.firn.edu/doe/bin00007/gbook.htm.
A hard copy is available upon request.
The certification of adherence filed by school districts, community colleges, universities and state agencies
with the DOE 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.
B.
Florida Assistance Plus Program
Projects supported by federal and/or state funds must prioritize services provided, as appropriate, to lower
performing Florida public schools as identified in the Florida Assistance Plus program. The project
application must address how services will target these schools.
C.
Introduction
According to the
CDC Guidelines for School Health Programs: Preventing Tobacco Use and Addiction
, well-
designed, well-implemented school programs to prevent tobacco use and addiction
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provide effective strategies for preventing tobacco use;
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provide prevention education during the years when the risk of becoming addicted to tobacco is greatest;
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provide a tobacco-free environment that establishes nonuse of tobacco as a norm and offers opportunities
for positive role modeling; and
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can help prevent the use of other drugs, especially if the program addresses the use of these substances.
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School programs to prevent tobacco use and addiction will be most effective if they
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provide developmentally appropriate instruction in grades K-12 that addresses the social and
psychological causes of tobacco use;
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are part of a coordinated school health program through which teachers, students, families, administrators,
and community leaders deliver consistent messages about tobacco use;
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prohibit tobacco use at all school facilities and events;
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encourage and help students and staff to quit smoking; and
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are reinforced by community-wide efforts to prevent tobacco use and addiction.
D. Grant Priorities
Funds from the Tobacco Prevention and Intervention Teacher Training Project must be used specifically for
teacher training to reduce and prevent tobacco use by children. Projects must address the following priority
areas.
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Training is delivered to teachers and other school personnel who work with a targeted group of students.
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The project describes the need to target this specific group of students and how the training will impact
them.
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The project uses community expertise and resources including, but not limited to, local Tobacco-Free
Community Partnerships, county health department personnel, and local and regional offices of health
agencies such as the American Cancer Society, the American Heart Association, and the American Lung
Association.
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The project includes an evaluation plan.
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The project assists teachers in meeting Florida’s Sunshine State Standards.
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The project can easily be replicated and is cost-effective.
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The training targets teachers and other school personnel who have not recently received tobacco
prevention and intervention training.
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The project reflects best practices in tobacco prevention and intervention.
IV. PROJECT APPLICATION
The project application must consist of the signed DOE 100A Project Application form, the DOE 103 Budget
Description form, the Assurances statement, and the narrative description as explained below. The required
forms DOE 100A and DOE 103 can also be found in electronic format at the website,
http://www.firn.edu/doe/commhome/granhome.htm.
The project narrative should be prepared using a 12-
point font size, 1” margins, and single sided typed 8.5 x 11-inch sized pages. Project narratives must not
exceed five pages. Letters of commitment from community partners are not included in this page limit.
Applications should be assembled in the same order as described in this section.
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Project Application Form
(DOE 100A) – This form should be the cover or first page of your project
application, identifying the project by the fund source and with the correct DOE tracking number. (Page
8)
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Budget Description Form (DOE 103) –
Budget forms should be completed and assembled next. Each
budget page must be labeled with the project title, name of the appropriate fund source, and the DOE
tracking number at the top of the page and a subtotal or Grand Total at the bottom of the budget pages.
Along with the form DOE 103, provide a narrative description for each budget item. For each item,
include the unit cost, justification of the expense, and the supplier. (Page 10)
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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
application document. Applications submitted without this page will not be recommended for funding.
Adherence to assurances is subject to monitoring by the DOE/BISCS. (Page 11)
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Project Design
– Describe the need for the project, how the project will assist your district in meeting
those needs, and what you hope to achieve through the project. Describe how this project will help your
district meet Florida’s Sunshine State Standards.
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Target Population
: – Describe the teachers or other school personnel who will receive training; include
the number of teachers you expect to train. Describe the students you have determined will receive the
tobacco education, including grade level(s). if appropriate, list subject area(s) in which the program will
be implemented.
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Objectives, Activities, and Evaluation
: Describe how you will reach your goal by detailing specific
objectives and activities you will implement. Objectives must be specific, realistic, and measurable.
Incorporate your evaluation plan into the activities for each objective. Additional quantitative and
qualitative measures may be included in your plan if your district has a need for such information.
Projects must include, at a minimum, the following evaluation components:
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The number of teachers and other personnel who received training
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The number of students who were reached through program implementation
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The extent to which teacher knowledge was increased
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Feedback from recipients on their satisfaction with training
The following is an EXAMPLE of how you might format this section:
Objective
Activities
Evaluation Plan
1.
By April 2003, all 7
th
grade health teachers will
be trained to implement
Project TNT
in their
curricula.
1.
By January 2003, a
Project
TNT
trainer will be scheduled
to provide a two-day training.
2.
By March 2003, all 7
th
grade
health teachers will attend the
Project TNT
training.
?
Number of teachers who
attend training
?
Reflective survey of
participants during training
?
Pre- and Post-tests
administered during training
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Post-training survey to assess
Project TNT
implementation.
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Community Collaboration/Partnerships
: Identify each partner and describe their roles and
responsibilities with the project. A letter of commitment from each partner that confirms their role must
be included with the application.
V. APPLICATION REVIEW CRITERIA
Proposals will be evaluated by a committee of representatives from the Florida Department of Education, the
Florida Department of Health, and voluntary health organizations based on the criteria outlined on pages 12-
14. The review panel is instructed to treat every proposal equally. Projects that focus on project priorities and
demonstrate “best practices” in tobacco prevention will have preference. Final recommendations for funding
will be made by review committee consensus and forwarded to the Commissioner of Education for final
approval. Successful applicants will receive an approved Project Award Notification.
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VI. FISCAL REQUIREMENTS
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Allowable Expenses
: Project funds must be used for activities that directly support the preparation,
training, and engagement in public school tobacco education in grades K-12. Allowable expenditures
include professional training fees, training supplies and materials, teacher stipends, substitute teachers,
tobacco curricula, evaluation and report preparation, and audiovisual and room rentals.
Note
: Funds may
be used for substitute teachers only when classroom teachers attend training during normal working
hours.
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Unallowable Expenses:
Project funds may not be used for salaries of regular or temporary school
district employees, creation of positions or supplanting of existing programs and funding, nonexpendable
equipment or consumables such as computers, DVD players, TVs, VCRs or other electronic or
telecommunications equipment, indirect administrative costs, student training or transportation of
students, food and beverages, financial incentives for staff and students, noneducational products or gifts,
such as t-shirts, and materials not directly related to tobacco prevention and intervention. Indirect costs
cannot be applied to state funded projects.
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Appropriate time distribution records must be kept that substantiate an equitable distribution of time and
effort by fund source.
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Project recipients are required to submit monthly expenditure reports and final project disbursement
reports using the On-line Disbursement Reporting System.
VII.
APPLICATION PROCEDURES
What to Submit
Applicants must submit four copies of the completed application. One of the four copies submitted must bear
an original signature. It is recommended that the signature be made in an ink color other than black to help
reviewers determine which is the original signature copy. The original and copy may be stapled, but no other
binding will be acceptable. Faxed applications will not be accepted. It is recommended that applications be
submitted via certified mail or another method that provides package tracking.
Conditions for Acceptance
To be accepted for further consideration, all applications submitted to the DOE must include a completed
form DOE 100A with the original signature of the superintendent. A letter of authorization to sign on behalf
of said official must accompany applications signed by an official other than the superintendent.
Where to Submit
Bureau of Grants Management
Florida Department of Education
Turlington Building, Room 325
325 West Gaines Street
Tallahassee, Florida 32399-0400
Due Date
October 21, 2002 by 5:00p.m.
The due date is absolute. Any application received after the identified date and time shall be deemed
disqualified and will not be reviewed.
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Attachments
Project Application Form (DOE 100A), Page 8
Budget Description Form (DOE 103), Page 10
Additional Assurances – All Projects, Page 11
Application Scoring Criteria, Pages 12-14
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Instructions for Completion of DOE 100A
A.
If not pre-printed, enter name of the program for which funds are requested.
B.
Enter name and mailing address of eligible applicant. The applicant is the public or non-
public entity receiving funds to carry out the purpose of the project.
C.
Enter the total amount of funds requested for this project.
D.
Enter requested information for the applicant’s contact person. This is the person responsible
for responding to all questions regarding information included in this application.
E.
The original signature of the appropriate agency head is required.
The agency head is
the school district superintendent, university or community college president, state agency
commissioner or secretary, or the president/chairman of the Board for other eligible
applicants.
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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.
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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) 488-6304
Suncom:278-6304
A
)
Program Name:
Tobacco Prevention and Intervention Teacher
Training Project
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.
DOE 100A
Revised 03/02
Charlie Crist, Commissioner
TAPS Number
3C054
C
)
Total Funds Requested:
$
DOE USE ONLY
Total Approved Project:
$
E) ________________________________________________
Signature of Agency Head
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Instructions
DOE 103 Budget Description Form
This form should be completed based on the required information as outlined in the Request for
Proposal (RFP) or Request for Application (RFA).
A.
Enter name of eligible recipient.
B
.
DOE use only.
COLUMN 1
SCHOOL DISTRICT APPLICANTS ONLY:
FUNCTION: Use the four digit function codes as described in the Financial and Program Cost Accounting
and Reporting for Florida Schools Manual.
COLUMN 2
OBJECT:
SCHOOL DISTRICT APPLICANTS:
Use the three digit object codes as described in the Financial and Program Cost Accounting
and Reporting for Florida Schools Manual.
COMMUNITY COLLEGE APPLICANTS:
Use the five digit object codes as described in the Accounting Manual for Florida’s Public
Community Colleges.
UNIVERSITY AND STATE AGENCY APPLICANTS:
Use the six digit object codes as described in the Florida Accounting Information Resource
System.
OTHER AGENCY APPLICANTS:
Use the object codes as described in the agency’s expenditure chart of accounts.
COLUMN 3
ALL APPLICANTS:
DESCRIPTION
:
Provide a specific expenditure description for each budget item.
COLUMN 4
ALL APPLICANTS:
AMOUNT: Provide the budget amount requested for funding each item in the project application.
C.
Provide the total of all budget items in Column (4). If there are multiple pages enter the total on the last page
only.
Page 12 of 14
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:
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Assurance is hereby provided that project funds will not be used to purchase furniture or equipment without
prior written approval from the DOE/BISCS. Upon termination of the project, at the option of the
DOE/BISCS, all equipment purchased with project funds will be transferred to the location(s) specified by
the DOE/BISCS, and all necessary property records actions will be taken to transfer ownership to the DOE
or its designee.
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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.
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Assurance is hereby provided that products developed for statewide dissemination will be submitted to
content and policy review by the DOE/BISCS 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 BISCS Clearinghouse
Information Center. The applicant will allow a minimum of four weeks for the BISCS 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 BISCS, and have the final document reproduced.
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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 and or
state funds for development and dissemination. Questions regarding product development, ownership, or
funding statements should be directed to Arlene Duncan, Supervisor, Clearinghouse Information Center at
850/488-1879; Suncom: 278-1879; Fax: 850/921-8246; or E-mail: Arlene.Duncan@fldoe.org.
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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/BISCS.
