1 General Information Required 2 Contact Information Required 3 Index to Application Required 6A Descriptive Information DO NOT SUBMIT 6B.1 Identification: Baseline and Projected Outcomes for Homeless Students Enrollment, Served by TEXSHEP, and Attendance Rates 6B.2 Identification: Baseline and Projected Outcomes for Homeless Student Proficiency In State Assessments 6B.3 Needs Identification: Stakeholder Input 6C Project Needs Identified Required 6D Project Activities Required 6E Collaboration/Coordination Required 6F Title I Services for Children and Youth in Homeless Situations Required 6G Project Evaluation Required 6H Capacity to Implement and Manage the Project Required 6I Project Summary Required 7 Budget Summary Required 7.1 Anticipated Annual Expenditures Required 7A Payroll 6100 7B Professional and Contracted Services 6200 7B.1 Contractor Information 7C Supplies and Materials 6300 7D Other Operating Costs 6400 7E Capital Outlay 6600 7F Adaptation of Space 8 INTENTIONALLY OMITTED—FOR SSAs ONLY N/A 9 Equitable Access and Participation Include only if changed 10 Policies and Procedures Implementation Include only if changed 11 Disclosure of Lobbying Activities Include only if changed The Requirements and provisions and assurances for this RFA are found in Schedules #12 and #13A-D. These schedules need not be submitted with the application; however, the authorized signature on Schedule #1 certifies that the applicant has read all provisions and assurances that apply to this application and agrees to adhere to those provisions and assurances as set forth in the respective schedules, which are posted on the THEO website.
SCHEDULE #6C: Project Needs Identified A. List the Project from the most recently approved 2015-16 application. At any one time, there can only be a maximum of five TEXSHEP program needs. Will any of Project Needs change for 2017-18? (Yes/No) For each Project Need that has changed, list the new Project Need for 2017-2018. Please indicate any Project Needs that have been eliminated. For each Project Need that has changed, list the number of the corresponding activity(ies) from Schedule #6D 1 2 3 4 5
SCHEDULE #6D: Project Activities Activity Description Table. Activity Number Activity Description (Briefly describe what the activity is, who will participate, approximately how often it will occur, and any other important information. Include at least one parental involvement activity on line 1 below. Additional parent activities may be added on subsequent lines. Be concise.) Estimated # to participate in activity General Location (do not include (Example: campuses, shelter, community site) Positions responsible for completing the activity (do not include names) Position responsible for collecting and providing documentary evidence (do not include names) Documentary evidence showing activity is ongoing or completed (such as sign-in sheets for training, supplies distribution rosters, activity logs, contact logs, referral logs, etc.) Related Need(s) (from Sched. #6C) 1 Parent Involvement Activity description (required): 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
02 Professional and Contracted Services 6200 03 Supplies and Materials 6300 04 Other Operating Costs 6400 05 Capital Outlay(Exclusive of 6619 and 6629) 6600 06 Adaptation of Space 6629 07 Total Direct Costs (Sum of lines 1-6) 08 Indirect Costs 09 Total Costs SCHEDULE #7A: Payroll Costs 6100 Line No. Description of Payroll Costs One Line Per Position1 Note: Fringe Benefits must be budgeted separately on Line 12 As Applicable: Related Activity or Schedule Number(s) FTE Equivalent Charged to This Subgrant Total Budgeted Expenditures 01 02 03 04 05 06 07 SUBTOTAL (Lines 01-06) $ 08 Substitutes for Public School Personnel (6112) Explain purpose: $ 09 Pay/Beyond Normal Work Hours (6119/6121) Explain purpose: $