Home
Webinars
Grant Applicant FAQs
Family FAQs
News
Apply for Funding
School-Selected Curriculum Application
School-Selected Curriculum Application
Step
1
of
11
9%
I. BASIC INFORMATION
1. In which county is your school located?
(Required)
Macomb
Oakland
Wayne
2. School Name
(Required)
School Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Name of School Leader (during the school year, i.e. building principal or similar)
(Required)
First
Last
Title of School Leader
(Required)
Email of School Leader
(Required)
3. Are you completing this application for a:
(Required)
Charter School
Traditional Public School
4. Your Legal Entity (District or CMO, if applicable)
5. Will summer programming take place at the address provided above?
(Required)
Yes
No
6. Site Name
(Required)
Site Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
7. The person completing the grant application:
Your Name
(Required)
First
Last
Your Title / Role
(Required)
Your Email
(Required)
Your Phone Number
(Required)
Phone Type
(Required)
Mobile
Work
Other
8. The person who will serve as the director (or main point person) for the summer program:
Name
(Required)
First
Last
Title / Role:
(Required)
Email
(Required)
Phone Number
(Required)
Phone Type
(Required)
Mobile
Work
Other
9. All schools must roster students for pre- and post-assessments. The person who will manage the summer school assessment rostering process this summer (manually or through integration):
Is this the same person as your summer program director listed above?
Yes
No
Name
(Required)
First
Last
Title / Role
(Required)
Email
(Required)
Phone
(Required)
Phone Type
(Required)
Mobile
Work
Other
10. The person who will make financial decisions regarding the summer program / The person who made the school's budget for the application:
Is this the same person as your summer program director listed above?
(Required)
Yes
No
Name
(Required)
First
Last
Title / Role
(Required)
Email
(Required)
Phone
(Required)
Phone Type
(Required)
Mobile
Work
Other
11. Did you or someone on your team attend an informational webinar related to this program?
(Required)
Yes
No
Not Sure
12. Please provide a 2-3 sentence description of your school’s mission and model.
(Required)
13. Please provide a 2-3 sentence description of the summer programming you will offer to families.
(Required)
14. Which of the following best describes your summer planning prior to Summer Discovery?
(Required)
We were not planning a summer program but are now pursuing summer programming due to Summer Discovery funding.
We were already planning a summer program and Summer Discovery is helping us enhance that program beyond our original plans.
We were already planning a summer program and Summer Discovery is helping us fund that summer program.
15. Total students served during the 23-24 school year:
(Required)
16. Percentage of students attending my school during the school year who qualify for Free Lunch:
(Required)
Please note that eligible schools serve
at least 50%
free lunch population.
17. Are you planning to collaborate with another school or Community-Based Organization (CBO) to provide summer programming?
(Required)
NOTE: The school listed in the Basic Information section of this application will be considered the primary grant applicant and shall assume full responsibility for the management of grant funds and compliance with the grant agreement if selected as a grantee.
Yes, I plan to partner with another school
Yes, I plan to partner with a Community-Based Organization
Yes, I plan to partner with another school AND a Community-Based Organization
No, I’ll just complete the application on behalf of the school I represent.
18. Individual schools that are a part of a larger district or CMO may require district-level/CMO-level support for program components such as building use, teacher and staff payroll, transportation, etc. Has your district or CMO confirmed use of these centralized services to support your program?
(Required)
Yes
No
I am an individual school not part of a CMO or larger district.
19. Please provide the district or CMO leadership point of contact below:
Title of District/CMO Leader
(Required)
Email of District/CMO Leader
(Required)
20. Upload letter of support and recommendation from the district/CMO leadership.
(Required)
A letter of support must be submitted for any school that sits under a legal entity that has the authority to sign a grant agreement and receive funds on behalf of an individual school. District or CMO leaders can use
this provided letter template
.
Max. file size: 300 MB.
II.A. SCHOOL PARTNER INFORMATION
NOTE: If applicants are planning to partner with another school to provide summer programming, only ONE application should be submitted. The school listed in the Basic Information section of this application will be considered the primary grant applicant and shall assume full responsibility for the management of grant funds and compliance with the grant agreement if selected as a grantee.
1. Partner School Name
(Required)
Partner School Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Partner School County
(Required)
Title of Partner School Leader
(Required)
Name of Partner School Leader (during the school year (i.e. building principal or similar)
(Required)
First
Last
Email of Partner School Leader
(Required)
2. In a few sentences, please describe your plan for partnership and what your partner will provide to your program.
(Required)
3. Do you need additional fields to list another school partner?
(Required)
Yes
No
Additional Partner School Name
(Required)
Additional Partner School Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Name of Additional Partner School Leader (during the school year (i.e. building principal or similar)
(Required)
First
Last
Title of Additional Partner School Leader
(Required)
Email of Additional Partner School Leader
(Required)
II.B. CBO PARTNER INFORMATION
NOTES:
If applicants are planning to partner with an organization to provide summer programming, only ONE application should be submitted.
If you have not yet selected a CBO partner at the time of application completion, please mark “pending selection” in each of the fields below. When prompted to upload a file, please upload a very brief explanation about your process and timeline for identifying and securing a CBO partner. Please note that the strongest applicants will have plans for a CBO partnership secured before completing an application. However, schools who wish to partner with a CBO but have not selected a partner at the time of their application should plan to submit contact information for their CBO partner by May 15.
The school listed in the Basic Information section of this application will be considered the primary grant applicant and shall assume full responsibility for the management of grant funds and compliance with the grant agreement if selected as a grantee.
1. CBO Name
(Required)
CBO Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
CBO County
(Required)
Name of CBO Leader
(Required)
First
Last
Title of CBO Leader
(Required)
Email of CBO Leader
(Required)
2. In a few sentences, please describe your plan for partnership and what your partner will provide to your program.
(Required)
3. Do you need additional fields to list another CBO partner?
(Required)
Yes
No
Additional CBO Name
(Required)
Additional CBO Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Additional CBO County
(Required)
Name of Additional CBO Leader
(Required)
First
Last
Title of Additional CBO Leader
(Required)
Email of Additional CBO Leader
(Required)
4. Please upload documentation of engagement with CBO/s.
(Required)
NOTE: Acceptable documentation may include a copy of the Memorandum of Understanding(MOU), Contract for Service, Letter of Support, or Letter of Intent from the CBO, so long as it outlines the following:
the name and organization information of the CBO (including address and EIN)
the service deliverables
the timeline or period of engagement
the cost structure and payment terms
If uploading multiple documents, please scan and upload as one file. If helpful, here is a
letter of intent template
.
Max. file size: 300 MB.
III. PROGRAM GOALS & STUDENT ENROLLMENT
1. What are the goals of your summer programming? What are the key student needs you aim to address with the goals outlined for your summer programming?
(Required)
2. How do you plan to select students to participate in summer programming based on the needs you have identified above?
(Required)
3. How many students do you aim to serve at each grade level during Summer Discovery?
Rising 1st Grade (Students who will have just completed kindergarten)
(Required)
Enter 0 if your school site(s) will not serve this grade.
Rising 2nd Grade (Students who will have just completed 1st grade)
(Required)
Enter 0 if your school site(s) will not serve this grade.
Rising 3rd Grade (Students who will have just completed 2nd grade)
(Required)
Enter 0 if your school site(s) will not serve this grade.
Rising 4th Grade (Students who will have just completed 3rd grade)
(Required)
Enter 0 if your school site(s) will not serve this grade.
Rising 5th Grade (Students who will have just completed 4th grade)
(Required)
Enter 0 if your school site(s) will not serve this grade.
Rising 6th Grade (Students who will have just completed 5th grade)
(Required)
Enter 0 if your school site(s) will not serve this grade.
Rising 7th Grade (Students who will have just completed 6th grade)
(Required)
Enter 0 if your school site(s) will not serve this grade.
Rising 8th Grade (Students who will have just completed 7th grade)
(Required)
Enter 0 if your school site(s) will not serve this grade.
Rising 9th Grade (Students who will have just completed 8th grade)
(Required)
Enter 0 if your school site(s) will not serve this grade.
What is the total number of students you aim to serve this summer? (Calculated)
This is the sum of the previous answers for each grade level.
4. How will you support students with exceptional needs (Special Education, multilingual, English Language Learners or any other population of students) you plan to enroll in summer programming?
(Required)
Please outline your plans for staffing, curriculum differentiation, learning accommodations, learning environment, and additional supportive factors.
IV. STUDENT RECRUITMENT & ATTENDANCE
1. Please describe your plans for recruiting students and families to participate in summer programming.
(Required)
Include any requirements you will put in place, incentives, and/or any other relevant information aimed at ensuring students enroll in the program.
2. Please describe your plans for encouraging strong attendance throughout the summer.
(Required)
Include any requirements you will put in place, incentives, and any other relevant information aimed at ensuring enrolled students attend consistently. Note: meeting an attendance threshold is a grant requirement.
V. PROGRAM-TO-HOME COMMUNICATION & ENGAGEMENT
1. Please describe your plans for communicating to families who participate in summer programming about key program updates and students’ progress.
(Required)
Include any communication structures you will put in place and any other relevant information aimed at consistent and up-to-date communication with families.
Please describe your plans to engage with families who participate in summer programming throughout the program.
(Required)
Include any family engagement events you will host, and any other relevant information aimed at ensuring parents are engaged throughout summer programming.
VI. SUMMER PROGRAMMING DETAILS – SCHOOL SELECTED CURRICULUM APPLICANTS ONLY
1. Please enter the start and end dates for your summer program using the fields below.
Program Start Date
(Required)
MM slash DD slash YYYY
Program End Date
(Required)
MM slash DD slash YYYY
2. How many TOTAL days of programming will you provide?
(Required)
NOTE: Providing at least 20 days of instruction excluding assessment-only or enrichment-only days is a requirement of the grant, but as long as the 20 days of instruction is met, grantees are still eligble to receive funding for enrichment or field trip days up to 25 days. Holidays do not count as instructional days.*
3. What do you anticipate will be the daily hours of operation for your summer program?
Start Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
End Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
4. Please outline a sample schedule of your program day.
(Required)
Remember: programs must provide an average of three hours of high-quality English language arts (ELA) and math instruction over at least 20 days and provide care for students for 8+ hours/day (may include before- and/or after- care), including academics time, enrichment time, meal and snack time. See suggested Lavinia RISE schedules under the “Curriculum & Instructional Resources” section of the Lavinia website
here
.
Max. file size: 300 MB.
5. Describe your curriculum. What is it? Why did you select it? Why do you believe it will lead to measurable outcomes for your students?
(Required)
Note: Applicants that require more space than the allotted number of characters should email an addendum to
[email protected]
.
6. Do you anticipate covering all Summer Discovery prioritized standards or focusing on a select group of standards? If you narrow your focus, describe the process you used to identify and prioritize standards for targeted student growth.
(Required)
The priority standards, which will be assessed on the pre- and post-assessments, can be viewed on the Lavinia website
here
.
7. Enrichment is a required component of Summer Discovery. Please select the answer that best describes your plans for Enrichment for summer programming.
(Required)
We will staff our own enrichment activities using our teaching team during summer programming.
We have an established relationship with an enrichment provider and will work with them to provide enrichment activities during summer programming.
We want to partner with an enrichment provider and are currently exploring options.
Note: Please note that the strongest applicants will have plans for a CBO partnership secured before completing an application. However, schools who wish to partner with a CBO but have not selected a partner at the time of their application should plan to submit contact information for their CBO partner by May 15.
8. What goals are you attempting to achieve with the inclusion of enrichment activities?
(Required)
9. What enrichment activities will you provide to achieve the goals named above? Select all that apply.
(Required)
STEAM
Digital Literacy
Sports & Recreation
Wellness/Social-Emotional Learning
Activism-Related
Community Service
Drama/Arts/Music
Hobby or Interest Related
Employment or Career-Related
Educational/Academic Clubs
Diversity & Culture
Other
10. What are the targeted age ranges for the enrichment activities you plan to provide?
(Required)
Please include an age range for each of the enrichment activities selected above.
11. How frequently do you plan to offer enrichment activities?
(Required)
12. What will be the student-to-teacher ratio during enrichment activities?
(Required)
13. If you will partner with an organization to provide enrichment, please share the plans for partnership.
(Required)
VII. STAFFING: RECRUITMENT & TRAINING: SCHOOL SELECTED CURRICULUM APPLICANTS ONLY
For Summer Discovery, schools must hire teachers who provide the ELA and math academic instruction who are qualified to provide academic instruction during the school year. Please answer the questions below about your plans for staff recruitment and training.
1. How do you plan to recruit, incentivize, and select the best fit staff for your summer program?
(Required)
2. What instructional/curricular training and support will be implemented for your staff? Please describe both pre-program training and ongoing program support.
(Required)
3. Are you committed to ensuring a maximum student-to-teacher ratio of 25:1 (a requirement of the grant)
(Required)
Yes
No
4. Are you confident you can recruit teachers to meet this ratio?
(Required)
Yes
No
5. How will you ensure there is robust leadership capacity dedicated to the summer program, and how will you ensure sufficient time to plan for the summer as you finish out the school year?
(Required)
VIII. INCREASING ACCESSIBILITY: TRANSPORTATION & BEFORE/AFTER CARE
1. What are your plans for student transportation this summer? Please be sure to include transportation providers and the varying transportation options
(Required)
(please consider travel to/from the program, travel to an enrichment partner, travel for field trips). NOTE: Schools are responsible to design transportation plans that will meet the needs of their students, and the per student funding amount has been designed to factor in these costs.
2. Do you plan to provide before and/or after programming care?
(Required)
Yes, we’ll provide before and after care
Yes, we’ll provide before care
Yes, we’ll provide after care
No, we will not provide before or after care
3. If providing before and/or after care, what is your plan to provide extended day care? Be sure to include any partnerships or staffing arrangements.
4. Will meals and snacks be provided during your summer programming?
Yes
No
5. What is the plan to provide meals or snacks during the extended day program?
IX. OTHER
Is there anything else about this program you would like to share (challenges you anticipate, additional program components, additional support you might need, etc.)?
X. ASSESSMENTS
1. All approved sites are required to use the provided pre- and post-assessment to measure student growth. Is your school/network willing to deliver the required assessment? Please note that this is a grant requirement.
(Required)
Yes
No
2. While the pre- and post-assessments can be completed using paper and pencil, we will provide a web-based version of the assessment. Do you have devices to assess all students using a computer-based assessment?
(Required)
Your answer will not impact our funding recommendation but will help us ensure you have the support needed to administer the assessments.
Yes, we will use our devices to complete the assessments.
No; we will complete paper assessments and have our teachers enter scores in the online portal.
3. Teachers will also need to use computers for access to the Lavinia RISE curriculum (if applicable), participation in Lavinia training (if applicable), and assessment score upload. Do you have devices for teachers?
(Required)
Your answer will not impact our funding recommendation but will help us ensure you have the support needed to administer the assessments.
Yes
No
4. What is your team’s preferred rostering solution or how do you typically share rosters with your educational applications (e.g. Clever, ClassLink, etc.)?
Google Classroom
Clever
ClassLink
Aeries
Canvas
Schoology
CSV upload
Other
Other
You selected “Other” in the question above. Please explain.
5. Is that any different in the summer than the school year? If so, how?
6. What is the typical Single Sign On (SSO) pathway for students and teachers during the year?
Google
Clever
ClassLink
Microsoft
Okta
Other
N/A
Other
You selected “Other” in the question above. Please explain.
7. Is that any different in the summer than the school year? If so, how?
XI. BUDGET & FINANCIALS
Please complete the
Summer Discovery budget worksheet
to prepare your program budget using the instructions in the worksheet as a guide for preparing your budget request. Note: Schools that have not yet selected a CBO partner at the time of application should use an estimated cost to determine CBO fees. There will be an opportunity to adjust budgets, if necessary, once a CBO partner is selected.
Legal Entity Information
Legal Entity (District / CMO / LEA)
(Required)
Legal Entity's EIN
(Required)
1. Please complete the Budget Calculator and Budget Worksheet below.
Budget Calculator
Estimated Student Enrollment in Summer Discovery Program (Copied from Section III)
This estimated enrollment figure was copied from a previous section of your application. Please edit your entries in Section III. Program Goals & Student Enrollment to update this figure.
Number of Days of Student Discovery Programming
(Required)
This number should match what you answered in Section VI, Question 2 of your application. However, if your program length is longer than 25 days, this number will be different. Please enter “25” if your program length exceeds 25.
Please enter a number from
20
to
25
.
Per Student Rate (Calculated)
Maximum Grant Request (Calculated)
Budget Worksheet
Please enter the dollar amount being allocated to each expense category in the small boxes.
Personnel
(Required)
Expense Category Description: Personnel salary for any of the individual personnel working on the program. This includes temporary services for the personnel positions but not temporary services for consultants (those costs should be entered in the “Contracts/Consulting” line below). Expenditures should be based upon full time headcount (therefore if someone is working 25% on this program, the expenditure would represent 25% of their salary for the duration of the program). Ensure this budget line covers a student to teacher ratio of no more than 25:1.
What dollar amount is allocated to Personnel?
Describe how the Personnel funds will be used and any assumptions you made when developing your request.
(Required)
Fringe Benefits
(Required)
Expense Category Description: Fringe Benefits in relation to any of the individuals included in the Budget Line Item Personnel. This includes mandatory employer payments as well as expenditures for non-mandatory benefits offered employees. Use the fringe benefit rate applicable to your organization, however, this is typically between 25% – 33%.
What dollar amount is allocated to Fringe Benefits?
Describe how the Fringe Benefits funds will be used and any assumptions you made when developing your request.
(Required)
Contracts/Consulting
(Required)
Expense Category Description: Contracts given to individuals or companies that can be for professional or temporary consulting services or contracts of other nature. Contracts/Agreements related to enrichment services please use the enrichment services line below.
What dollar amount is allocated to Contracts/Consulting?
Describe how the Contracts/Consulting funds will be used and any assumptions you made when developing your request.
(Required)
Advertising/Media/Communications
(Required)
Expense Category Description: Media/Advertising including informational brochures, television, radio and/or internet campaigns. We encourage applicants to use current advertising infrastructure, however, please consider costs related to other direct outreach for this program.
What dollar amount is allocated to Advertising/Media/Communications?
Describe how the Advertising/Media/Communications funds will be used and any assumptions you made when developing your request.
(Required)
Supplies
(Required)
Expense Category Description: Non-curricular supplies & materials to support education and enrichment. NOTE: Gift cards for attendance incentives are not allowable expenses.
What dollar amount is allocated to Supplies?
Describe how the Supplies funds will be used and any assumptions you made when developing your request.
(Required)
Curricular Materials
(Required)
Expense Category Description: For Lavinia RISE, this will include materials such as student books and math manipulatives. See Budget Summary tab and FAQ for more information. For independent curriculum, this can include any purchased curriculum or personnel hours to prepare a high-quality curriculum. Any other relevant materials that relate to curriculum can be accounted for in this section.
What dollar amount is allocated to Curricular Materials?
Describe how the Curricular Materials funds will be used and any assumptions you made when developing your request.
(Required)
Equipment
(Required)
Expense Category Description: Purchase or rental of furniture and fixtures, computer hardware and software, printers, photocopy machines, scanners, etc.
What dollar amount is allocated to Equipment?
Describe how the Equiment funds will be used and any assumptions you made when developing your request.
(Required)
Enrichment Services
(Required)
Expense Category Description: Contracts/Agreements directly related to enrichment services.
What dollar amount is allocated to Enrichment Services?
Describe how the Enrichment Services funds will be used and any assumptions you made when developing your request.
(Required)
Transportation
(Required)
Expense Category Description: Operational costs associated with transporting students to and from the program and/or field trips or other enrichment activities. Please consider your unique transportation costs and number of days transportation is needed.
What dollar amount is allocated to Transportation?
Describe how the Transportation funds will be used and any assumptions you made when developing your request.
(Required)
Other Direct Operating Costs
(Required)
Expense Category Description: Program related expenses that are not included in any other Line Item above.
What dollar amount is allocated to Other Direct Operating Costs?
Describe how the Other Direct Operating Costs funds will be used and any assumptions you made when developing your request.
(Required)
Indirect Operating Costs
(Required)
Expense Category Description: Not directly related to the program, but still necessary for the overall operations. They are usually the general and administrative amounts or facility related costs. Should not amount to more than 15% of total grant amount.
What dollar amount is allocated to Indirect Operating Costs?
Describe how the Indirect Operating Costs funds will be used and any assumptions you made when developing your request.
(Required)
Total Allocated Budget (Calculated)
Total Remaining Budget (Calculated)
2. Your Total Funding Request Is (Calculated):
The Total Funding Request is less than or equal to the Maximum Grant Request and reflects spending allocations listed in your budget expense categories above.
Budget Narrative
(Required)
Please provide a brief budget narrative in the box below summarizing key drivers of the Total Amount Requested.
3. Please attach the following documents.
If your organization does not have one of these documents, please upload a brief explanation of why you do not have the documentation. PLEASE PAY CLOSE ATTENTION TO THE REQUIRED DOCUMENTS, AS YOUR APPLICATION WILL BE DELAYED IF THIS SECTION IS INCOMPLETE.
IRS Form 990 – two most recent years
(Required)
Max. file size: 300 MB.
IRS Determination Letter or Equivalent
(Required)
Max. file size: 300 MB.
Two Most Recent Audits
Please include full audited financial statements.
Audit #1
(Required)
Max. file size: 300 MB.
Audit #2
(Required)
Max. file size: 300 MB.
Most recent Statement of Financial Position (This is also known as a balance sheet.)
(Required)
The Statement of Financial Position should be for the current fiscal year to date.
Max. file size: 300 MB.
Most recent Income Statement (This is also known as the Profit and Loss Statement or Statement of Activities on an Audit Report.)
(Required)
The Income Statement should be for the current fiscal year to date.
Max. file size: 300 MB.
List of Current Officers and Board Members
(Required)
Please upload a complete board list and indicate which board members serve as officers.
Max. file size: 300 MB.
List of Current Leadership Team
(Required)
Please upload a school leadership team list (up to 5 executive leadership team members) and indicate the role of each leadership team member.
Max. file size: 300 MB.
Top 5 Philanthropic Donors and Amounts from 2022 to Present
(Required)
If you do not have recent philanthropic donors, please upload a document stating this.
Max. file size: 300 MB.
W-9
(Required)
Max. file size: 300 MB.
XII. ADDITIONAL INFORMATION
If your organization is approved for the grant, additional documentation will be required, which may include:
Narrative Report
Financial Report and supporting documentation as requested
End of Program Final Budget Template, including Final CBO Spend
Site Practices Survey
Summer Discovery Attendance Tracker
Upon successful submission of the grant application, are you willing to provide the above documentation and information?
(Required)
Yes
No
Ballmer Group is considering the possibility of collaborating with an independent researcher to help understand the impact of Summer Discovery on students, and to provide evidence of your best practices for OST. If this happens, there will be some additional requests of schools, including a signing a data sharing agreement. Data points requested may include individual-level student data such as Student ID #s, student names, demographic information (race/ethnicity, FRL status, campus), school-year attendance rates, and standardized assessment performance (state and/or NWEA/i-Ready). All participants in Summer Discovery would be expected to participate in order to maximize the impact of the program. Is your school willing to participate?
(Required)
Yes
No