SCHOOL REPAIR AND RENOVATION GRANTS. (Forms)

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1 SCHOOL REPAIR AND RENOVATION GRANTS (Forms)

2 SCHOOL RENOVATION, IDEA, AND TECHNOLOGY GRANTS APPLICATION LEA COVER PAGE LEA Name LEA Number Address Superintendent Proposal Coordinator Title Telephone ( ) Extension Fax ( ) (The Proposal Coordinator must have a valid address, be able to communicate via , and be able to download information from the Internet. ) Grant Category (check one only): School Renovation Technology Idea: Area One Area Two Area Three Area Four School(s) Targeted Requested Grant Amount $ Required signatures/dates: Name of LEA Superintendent School Board Chair Date Date

3 SCHOOL RENOVATION, IDEA, and TECHNOLOGY GRANTS PROJECT NARRATIVE In clearly describing the project(s) proposed in this application, the applicant must address each of the components in the Project Narrative and Judging Criteria. This project narrative should be no more than seven (7) pages (one side) in length, excluding any design drawings, schematics, and budget information and narrative. (See Formatting Requirements under Application Procedures.)

4 Use these work sheets to provide a breakdown of your budget. Use the left column to detail the computations used to arrive at each amount requested. This information should include a detailed description of costs shown sufficient to document the necessity and reasonableness of the costs and a clear and concise description of the computations used to arrive at the total amounts indicated. This page may be reproduced as needed. Emergency Repair and Renovation Use the section below to provide a detailed description of the planned use of funds for emergency repair and/or renovation projects to ensure the health and safety of students and staff. Total for Emergency Repair/Renovation: $

5 Use these work sheets to provide a breakdown of your budget. Use the left column to detail the computations used to arrive at each amount requested. This information should include a detailed description of costs shown sufficient to document the necessity and reasonableness of the costs and a clear and concise description of the computations used to arrive at the total amounts indicated. This page may be reproduced as needed. ADA Modifications Use the section below to provide a detailed description of the planned use of funds for modifications necessary to render school facilities accessible in order to comply with the Americans with Disabilities Act (ADA) of Total for ADA Modifications: $

6 Use these work sheets to provide a breakdown of your budget. Use the left column to detail the computations used to arrive at each amount requested. This information should include a detailed description of costs shown sufficient to document the necessity and reasonableness of the costs and a clear and concise description of the computations used to arrive at the total amounts indicated. This page may be reproduced as needed. Section 504 Modifications Use the section below to provide a detailed description of the planned use of funds for modifications necessary to render school facilities accessible in order to comply with Section 504 of the Rehabilitation Act of 1973 Total for Section 504 Modifications: $

7 Use these work sheets to provide a breakdown of your budget. Use the left column to detail the computations used to arrive at each amount requested. This information should include a detailed description of costs shown sufficient to document the necessity and reasonableness of the costs and a clear and concise description of the computations used to arrive at the total amounts indicated. This page may be reproduced as needed. Asbestos Abatement or Removal Use the section below to provide a detailed description of the planned use of funds for the purpose of asbestos abatement or removal from school facilities. Total for Asbestos Abatement or Removal: $

8 Use this work sheet to provide a summary of your budget requests. Use the right column to summarize the total amounts requested for each category. This page may be reproduced as needed. Charter School Name Acquisition Needs of Charter Schools (CHARTER SCHOOLS ONLY) Use the section below to provide a detailed description of the planned use of funds for acquiring additional facilities for use by charter schools. (Do not use this form for repair/renovation needs.) Total for Acquisition Needs of Charter Schools: $

9 BUDGET NARRATIVE SUMMARY SHEET Use the table below to provide a summary breakdown of your budget. This page may be reproduced as needed. Expenditures Expenditures must be thoroughly explained in Budget Narrative Total Emergency Repairs and Renovations: Amount Requested Total ADA Modifications: Total Section 504 Modifications: Total Asbestos Abatement: Total Acquisition Needs (charter schools only): Administrative: Total : $ Required Signatures Superintendent Date Facilities Coordinator Date School Finance Officer Date

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