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Subgrants for Non-Profit or Community-Based Student Learning

and Remote Education Partners – Application Forms

Released on Dec. 7, 2020

| Subgrants for Non-Profit and Community-Based Partners | December 2020

Table of ContentsAPPLICATION INFORMATION:.....................................................................................................................3

Applicant/organization:...........................................................................................................................3

Application Contact:................................................................................................................................3

Grant Manager:.......................................................................................................................................3

NONPROFIT ORGANIZATION:......................................................................................................................3PARTNERSHIP:.............................................................................................................................................3COMPETITIVE PRIORITIES:...........................................................................................................................4CO-DESIGNED PLAN:....................................................................................................................................4

1. Justification of the Competitive Priority...........................................................................................4

2. Partnership Capacity........................................................................................................................5

3. Co-designed Plan..............................................................................................................................5

4. Additional Information.....................................................................................................................5

PROJECT TIMELINE:.....................................................................................................................................6BUDGET NARRATIVE:...................................................................................................................................7BUDGET WORKSHEET:.................................................................................................................................8GRANT ASSURANCES:..................................................................................................................................9PROOF OF PARTNERSHIP:..........................................................................................................................10SUBMISSION:.............................................................................................................................................10

Applicant/organization:...........................................................................................................................3

Application Contact:................................................................................................................................3

Grant Manager:.......................................................................................................................................3


Application Information:Applicant/organization: Click or tap here to enter text.

Mailing Address: Click or tap here to enter text. City: Click or tap here to enter text. State: Click or tap here to enter text. Zip code: Click or tap here to enter text.

Application Contact: Click or tap here to enter text. Position: Click or tap here to enter text.Phone number: Click or tap here to enter text. Email address: Click or tap here to enter text.

Grant Manager: Click or tap here to enter text.Phone number: Click or tap here to enter text. Email address: Click or tap here to enter text.

Nonprofit Organization: (Check all that apply)

☐ Non-profit organizations focused on education or student success ☐ Community-based, non-profit organizations that offer student wellness supports ☐ Innovative, field-initiated student learning and remote education partners☐ Children services and behavioral and mental health partners ☐ Non-profit organizations that represent the voices of key stakeholders ☐ Business-related organizations ☐ Institutions of higher education

Partnership: (A signed partnership agreement must be submitted with the application for each partner school/district organization)

School/district: Click or tap here to enter text.




Other organization: Click or tap here to enter text.




Competitive Priorities:Applications should clearly make the case for and present a codesigned plan explaining how they will support a school, a district or a consortium of schools or districts in one or more of the following five competitive priorities. Please select the priority(s) that the codesigned plan will address.

☐ Identifying, creating and implementing high-quality instruction ☐Applying principles of sound instructional practices ☐Implementing personalized, competency-based learning ☐Integrating social-emotional learning☐Gauging effectiveness of learning ☐Providing technical assistance for data analysis

☐ Supporting student wellness, participation and engagement ☐Locating and supporting students ☐Supporting student safety ☐Building community partnerships

☐ Supporting professional learning for school leaders and educators ☐Developing and deploying high-quality, job-embedded professional learning ☐Maximizing use of student support team members ☐Coaching in trauma-informed practices

☐ Supporting learning management systems and interoperable platforms ☐Designing and implementing interoperable learning platforms ☐Ensuring cyber security and safety

☐ Capturing and sharing lessons learned from two decades of e-learning

Co-designed Plan:Please respond to the following statements as part of the project overview:

1. Justification of the Competitive PriorityProvide a justification for how the competitive priority or priorities will address a specific remote, hybrid or blended education need. Provide your response below.

2. Partnership CapacityExplain how the partnership (among the eligible applicant, school or district and other relevant partners) has the capacity to meet objectives identified in the co-designed plan. Provide your response below.


3. Co-designed PlanClearly describe the co-designed plan, including the identification and explanation of plan objectives and activities necessary to address the competitive priority or priorities and support underserved students in remote, hybrid or blended education opportunities. Also, explain how the plan defines underserved students. Provide your response below.

4. Additional InformationShare other information that might offer additional insight into the proposed plan. Provide your response below.


Project Timeline:Please provide a timeline of anticipated activities/events designed to successfully address the competitive priorities:

Time period, Date Activity or event


Budget Narrative:Please provide a description of how the requested funds will be used in each of the categories listed in the table below. Provide an itemized list of expenditures that the project expects to incur throughout the duration of the funding period. Additionally, provide information on any matching or in-kind funds or services that will be provided in support of the program objectives.

Budget Category Explain how the requested funds will be used to meet the objectives identified in the co-designed plan.

Instruction

Support Services

Governance/Admin

Professional Development

Family/Community

Safety

Facilities

Transportation

Nonpublic

Matching or In-Kind funds


Budget Worksheet:Applicant Name:

Applicant IRN:

Applicants must submit the Budget Worksheet into the Comprehensive Continuous Improvement Plan that includes the total sum requested for the qualifying program that provides an itemized list of expenditures, with cost, that the program plans to incur using grant funds.

Proposed Budget (submitted with grant application)

Salaries100

Retirement Fringe Benefits200

Purchased Services400

Supplies500

Capital Outlay600

Other800 Total

Instruction $ -

Support Services $ -

Governance/Admin $ -

Prof Development $ -

Family/Community $ -

Safety $ -

Facilities $ -

Transportation $ -

Nonpublic $ -

Indirect Cost (Not permitted through this grant)

$ -

Total $ - $ - $ - $ - $ - $ - $ -


Grant Assurances:Statement of Grant Specific Assurances

The grantee assures, if awarded a grant, that:Subgrantees must abide by all requirements and assurances specified in the Elementary and Secondary School Emergency Relief (ESSER) Fund Certification and Agreement for Funding, under the Education Stabilization Program. Subgrantees must attest to these assurances when entering their budget into the Department’s e-grant applicant system, known as the CCIP. These assurances include the following:

The subgrantee shall, to the greatest extent practicable, continue to compensate its employees and contractors during the period of any disruptions or closures related to COVID-19 based on the unique financial circumstances of the entity. The subgrantee will ensure that every recipient and subrecipient of ESSER funds will cooperate with any examination of records with respect to such funds by making records available for inspection, production and examination, and authorized individuals available for interview and examination, upon the request of (i) the Department and/or its Inspector General; or (ii) any other federal agency, commission or department in the lawful exercise of its jurisdiction and authority. Any subgrantee receiving funding under this program will have on file with the Ohio Department Education a set of assurances that meets the requirements of section 442 of the General Education Provisions Act (GEPA) (20 U.S.C. 1232e). The subgrantee will ensure that it will comply with the requirements of section 427 of GEPA (20 U.S.C. 1228a). The subgrantee commits to maintaining and will produce upon request by the (i) the Department and/or its Inspector General; or (ii) any other federal agency, commission, or department in the lawful exercise of its jurisdiction and authority, a description of how the subgrantee complied with this requirement including putting in place steps to permit students, teachers and other program beneficiaries to overcome barriers (including barriers based on gender, race, color, national origin, disability and age) that might impede equal access to, or participation in, the program.

CERTIFICATION

I HEREBY CERTIFY that, to the best of my knowledge, the information in this application is correct.

The applicant designated below hereby applies for a RemotEDx Subgrant for the purpose of program from the RemotEDx Subgrant list and acknowledges to all Statement of Grant Specific Assurances.

Signature of Authorized Person: Date:

Printed Name of Authorized Person: ___________________________________

http://education.ohio.gov/getattachment/Topics/Finance-and-Funding/Grants-Administration/Sections/Managing-Your-Grant/Assurances_CCIP_Funding-Application.pdf.aspx?lang=en-US


Proof of Partnership: The grant applicant is required to demonstrate proof of partnership of an existing or newly established partnership with a school, a district or a consortium of schools or districts to help improve, enhance and enrich remote caring, teaching and learning opportunities for Ohio’s most underserved students.

Applicants must submit a signed letter of intent to participate in the co-designed project from each of its partner schools, districts or partner organizations. Signed agreements are to be attached to the application submission. Missing or unsigned agreements may result in the application being rejected.

Submission:Please follow the following steps when submitting the application:

1. Rename the file, (organization’s name)_Subgrant_for_Non-profit.docx2. Confirm all supporting files include organization’s name.3. Email the completed application form and any supporting documents to

[email protected]

mailto:[email protected]

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