Note that the allocation amounts identified for each METS region (i.e., program, center) are based on current data. Please use the funding levels listed below for the application submission and first year (9/1/18-8/31/19) Budget and Budget Narrative. The actual funding amount for each METS region will be determined annually based on the two factors listed above, subject to the State Education Department’s (SED) approval. One award will be made for each METS region (i.e., program, center). An applicant must serve a METS region in its entirety without exceptions. The counties included in each METS region are: METS Region Year 1 Funding* Counties Number of Students** 1 Northwest $697,430 1. Monroe 2. Niagara 3. Orleans K-12: 210 PreK: 64 OSY: 206 2 Southwest $848,986 1. Allegany 2. Cattaraugus 3. Chautauqua 4. Erie 5. Genesee 6. Livingston 7. Ontario 8. Seneca 9. Steuben 10. Wyoming 11. Yates K-12: 208 PreK: 66 OSY: 381 3 North-Central $847,762 1. Jefferson 2. Lewis 3. Oswego 4. Wayne K-12: 242 PreK: 97 OSY: 300 4 South-Central $752,071 1. Broome 2. Cayuga 3. Chemung 4. Chenango 5. Cortland 6. Delaware 7. Onondaga 8. Otsego 9. Schoharie 10. Schuyler 11. Tompkins 12. Tioga K-12: 231 PreK: 70 OSY: 272
5 Northeast $1,031,397 1. Clinton 2. Essex 3. Franklin 4. St. Lawrence K-12: 438 PreK: 197 OSY: 151 6 Eastern $880,384 1. Albany 2. Columbia 3. Fulton 4. Greene 5. Hamilton 6. Herkimer 7. Madison 8. Montgomery 9. Oneida 10. Rensselaer 11. Saratoga 12. Schenectady 13. Warren 14. Washington K-12: 314 PreK: 108 OSY: 203 7 Southeast $1,031,940 1. Dutchess 2. Orange 3. Putnam 4. Rockland 5. Sullivan 6. Ulster 7. Westchester K-12: 414 PreK: 125 OSY: 264 8 Long $610,030 1. Nassau 2. Suffolk AND Five Boroughs of New York City: Brooklyn Bronx Queens Manhattan Staten Island K-12: 225 PreK: 44 OSY: 137 * Subject to the availability of funds and level of funding from the U.S. Department of Education (ED) for the period. ** student counts are based on the approved 2016-17 CSPR data submissions. Please refer to Attachment B, “New York State Map and METS Regions,” for visual assistance. Background on METS Regions Metro
M/WBE Documents Package (original signatures required) Full Participation Request Partial Waiver Request Waiver Forms Required Type of Form Full Participation Request Partial Waiver Request Total Waiver Calculation of M/WBE Goal Amount M/WBE Cover Letter M/WBE 100 Utilization Plan N/A M/WBE 102 Notice of Intent to Participate N/A M/WBE 105 Contractor’s Good Faith Efforts N/A M/WBE 101 Request for Waiver Form and Instructions N/A EE0 100 Staffing Plan and Instructions SED Comments: Has the applicant complied with the application instructions? Yes No SED Reviewer: ____________________________________ Date: _____________
NAME OF GRANT PROGRAM: ___________________________________________ NAME OF APPLICANT___________________________________________________ In accordance with the provisions of Article 15-A of the NYS Executive Law, 5 Parts 140-145, Section 163 (6) of the NYS Finance Law and Executive Order #8 and in fulfillment of the New York State Education Department (NYSED) policies governing Equal Employment Opportunity and Minority and Women-Owned Business Enterprise (M/WBE) participation, it is the intention of the New York State Education Department to provide real and substantial opportunities for certified Minority and Women-Owned Business Enterprises on all State contracts. It is with this intention the NYSED has assigned M/WBE participation goals to this contract. In an effort to promote and assist in the participation of certified M/WBEs as subcontractors and suppliers on this project for the provision of services and materials, the bidder is required to comply with NYSED’s participation goals through one of the three methods below. Please indicate which one of the following is included with the M/WBE Documents Submission: Full Participation – No Request for Waiver (PREFERRED) Partial Participation – Partial Request for Waiver No Participation – Request for Complete Waiver By my signature on this Letter, I certify that I am authorized to bind the Bidder’s firm contractually. Typed or Printed Name of Authorized Representative of the Firm Typed or Printed Title/Position of Authorized Representative of the Firm Signature/Date
EQUAL EMPLOYMENT OPPORTUNITY - STAFFING PLAN (Instructions on Page 2) Applicant Name: Telephone: Address: Federal ID No.: City, State, ZIP: Project No: Report includes: Work to be utilized on this contract OR Applicant’s total work force the total number of employees in each classification in each of the EEO-Job Categories identified. EEO - Job Categories Total Work Force Race/Ethnicity - report employees in only one category Hispanic or Latino Not-Hispanic or Latino Male Female Male Female White African-American or Black Native Hawaiian or Pacific Islander Asian American Indian or Alaska Native Two or More Races Disabled Veteran African-American Native Hawaiian or Pacific Islander Asian American Indian or Alaska Native Two or More Disabled Veteran Executive/Senior Officials and Managers First/Mid-Level Officials and Managers Professionals Technicians Sales Workers Administrative Support Workers Craft Workers Operatives Laborers and Helpers Service Workers TOTAL PREPARED BY (Signature): DATE: NAME AND TITLE OF PREPARER: TELEPHONE/EMAIL: