Request for Applications
ASSISTANCE FOR HOMELESS YOUTH PROGRAM
AUTHORIZED BY THE HURRICANE EDUCATION RECOVERY ACT
SECTION 106
84.938B
Louisiana
2006-2007
Closing Date: June 9, 2006
Cecil J. Picard
State Superintendent of Education
LOUISIANA DEPARTMENT OF EDUCATION
1.877.453.2721
www.louisianaschools.net
State Board of Elementary
and Secondary Education
Ms. Linda Johnson
Mr. Walter Lee
President
8th BESE District
4th BESE District
Ms. Leslie Jacobs
Dr. James Stafford
Vice President
Member-at-Large
5th BESE District
Mr. Dale Bayard
Ms. Polly Broussard
Secretary-Treasurer
7th BESE District
6th BESE District
Ms. Penny Dastugue
Mr. Edgar Chase
1st BESE District
Member-at-Large
Ms. Louella Givens
Ms. Mary Washington
2nd BESE District
Member-at-Large
Ms. Glenny Lee Buquet
Ms. Weegie Peabody
3rd BESE District
Executive Director
For further information, contact:
Deidre Kibbe
Division of Educational Improvement and Assistance
Ancillary Rsources Section
Louisiana Department of Education
Ground Floor, Cube G-233G
1201 North 3rd Street
Baton Rouge, Louisiana 70802
225-342-1072
The Louisiana Department of Education (LDE) does not discriminate on the basis of sex
in any of the education programs or activities that it operates, including employment and
admission related to such programs and activities. The LDE is required by Title IX of the
Education Amendments of 1972 (Title IX) and its implementing regulations not to engage
in such discrimination. LDE’s Title IX Coord. is Patrick Weaver, Deputy Undersecretary,
LDE, Exec. Office of the Supt.; PO Box 94064, Baton Rouge, LA 70804-9064; 877-4532721 or customerservice@la.gov. All inquiries pertaining to LDE’s policy prohibiting
discrimination based on sex or to the requirements of Title IX and its implementing
regulations can be directed to Patrick Weaver or to the USDE, Asst. Sec. for Civil Rights.
This public document was printed at a cost of $61.50. Thirty copies (30) of this document were published in this
first printing for $61.50. The total cost of all printings of this document, including reprints, is $61.50. This
document was printed by the Louisiana Department of Education, Office of Student and School Performance,
Division of Educational Improvement and Assistance; Post Office Box 94064; Baton Rouge, LA 70804-9064 to
afford LEAs an opportunity to apply for Assistance for Homeless Youth funds to help serve displaced homeless
children and youth. This material was printed in accordance with the standards for printing by state agencies
established pursuant to R.S. 43:31.
2
Table of Contents
General Information…………………………………………………………………………………4
Intent to Participate………………………………………………………………………………..10
Application
Cover Page…………………………………………………………………………………….11
Schedule B – Expenditures for Students Displaced by Hurricanes Katrina
and/or Rita………………………………………………………………….12
Schedule C – Proposal Narrative………………………………………………………...15
Schedule D – Assistance for Homeless Youth Assurances………………………..16
Schedule E – McKinney-Vento Assurances……………………………………………17
Selection Criteria…………………………………………………………………………………….20
Appendix A…………………………………………………………………………………………….21
3
GENERAL INFORMATION
Under the Assistance for Homeless Youth program (Section 106 of the Hurricane Education Recovery Act,
Division B, Title IV of Pub. L 109-148—the Act), the Office of Elementary and Secondary Education
(OESE), U.S. Department of Education, has awarded grants to eligible state educational agencies (SEAs)
to enable them to provide financial assistance to local educational agencies (LEAs) serving homeless
children and youth displaced by Hurricanes Katrina or Rita in order to address the educational and
related needs of these students in a manner consistent with Section 723 of the McKinney-Vento
Homeless Assistance Act.
(http:www.ed.gov/legislation/FedRegister/announcements/2006-1/011206c.html)
What is the relationship between the Assistance for Homeless Youth Program and the
Emergency Impact Aid for Displaced Students program authorized under the Hurricane
Recovery Act?
The Assistance for Homeless Youth program is a new, temporary program that was authorized as part of
the Hurricane Education Recovery Act. It provides a separate, one-time source of funding to address the
needs of homeless students displaced by Hurricane Katrina and Hurricane Rita. OESE awarded funds
over and above those awarded through the Emergency Impact Aid for Displaced Students program to
eight states based on high numbers of children displaced by the hurricanes that SEAs reported in their
application for the Emergency Impact Aid (EIA) program. SEAs are required to disburse the Assistance
for Homeless Youth funds to LEAs based on demonstrated need.
Who may apply for these funds?
Any LEA that can document significant disbursement for meeting the needs of homeless students
displaced by Hurricanes Katrina and/or Rita and can project significant continuing need to provide
services for displaced students through the 2006-2007 school year.
Are the funds only for LEAs that currently have McKinney-Vento subgrants?
No. Both, LEAs with and without subgrants, are eligible to apply for funds.
What is the period of fund availability under the Assistance for Homeless Youth Program?
LEAs have until September 30, 2007 to expend funds received. The U.S. Department of Education
strongly encourages LEAs that receive assistance under this program to obligate funds in a timely fashion
to address the immediate needs of homeless students displaced by Hurricanes Katrina or Rita.
On what may funds be spent?
The Assistance for Homeless Youth program Hurricanes Katrina and Rita funds may be spent on any of
the authorized activities listed in Section 723 of the McKinney-Vento Act (See Authorized Activities in the
next section). The funds will also be used to reimburse LEAs submitting applications for documented
expenses incurred to date that fall within these authorized activities. The funds are provided to serve
primarily students who have been displaced by Hurricanes Katrina and Rita.
4
Can the funds be used to reimburse expenses for hurricane-displaced students incurred
prior to the date of the application?
Yes. The SEA will reimburse the awarded LEAs for expenses incurred from September 1, 2005, to the
date of the application for expenses that (1) addressed the needs of students displaced by Hurricanes
Katrina and Rita, (2) fit the activities authorized in Section 723 of the McKinney-Vento Act, and (3) are
clearly documented.
Will reimbursements be available to non-homeless programs that have provided funds to
serve students displaced by Hurricanes Katrina and Rita?
Yes. Many LEAs have drawn funds from programs and activities other than those that typically serve
homeless students to meet the needs of the hurricane-displaced students. LEAs that can document that
they have drawn from other programs to cover expenses for hurricane-displaced students may include
these expenses for reimbursement.
Can these funds be combined with other district or McKinney-Vento subgrant funds?
No.These funds must be kept separate from other accounts. They will be monitored and audited
separately.
On what basis will the awards be made?
To ensure that all districts have access to these funds, LEAs that enrolled displaced students will be
reimbursed at a base rate of $2500.00 plus an additional $24.00 per student upon verification of the
following:
 Documentation of subgrant and/or district funds expended on authorized activities consistent with
Section 723 of the McKinney-Vento Homeless Assistance Act since September 2005 that served
hurricane-displaced students.
 Documentation of projected need based on:
 Number of students displaced by Hurricanes Katrina or Rita currently served and projected
to serve through September 30, 2007
 Quality of the plan for meeting the needs of the displaced students
 Degree to which the activities described comply with the authorized activities listed in
Section 723 of the McKinney-Vento Act
 Quality of program and budget oversight and accountability plans
 Quality of the documentation for expenses up to the date of the application for
reimbursement requests and expenses for proposed activities
If incurred expenses do not exceed the projected reimbursement amount ($2500.00 plus an additional
$24.00 per displaced student), remaining funds will only be awarded if projected need is evident. If
projected need is not evident, the remaining funds will be rolled back into the total award to be
redistributed to a district that has evidence of projected need.
What level of fiscal accountability is needed?
The Assistance for Homeless Youth program Hurricanes Katrina and Rita supplement will be closely
monitored and audited. LEAs must account for these funds separately and maintain separate fiscal
control. All expenses for hurricane-displaced students, both for reimbursements up to the date of the
5
application and for expenditures through September 30, 2007, must be documented clearly and records
made quickly and easily accessible upon request.
What documentation for reimbursement and reporting is needed?
For reimbursement, LEAs must provide documentation that shows (1) the expenses were incurred and
(2) the expenses served hurricane-displaced students. Zeroed-out line items on LEA expense forms,
copies of paid invoices, or cancelled checks are examples of documentation that would show that the
expense occurred. To show that expenses targeted services to hurricane-displaced students, LEAs may
use documentation such as student rosters for participation in activities such as tutoring or student
transportation lists that documents which students were hurricane-displaced students.
Similar kinds of documentation will be required for reporting and monitoring purposes for all funds
expended through this award.
What is the process for applying for these funds?
The HERA Homeless Education application packet includes instructions and schedules for both
reimbursements for appropriate expenses incurred and for expenses to be incurred from meeting current
and projected needs for hurricane-displaced students through September 30, 2007. Applications will be
evaluated on demonstrated need (past, current, and projected), quality and appropriateness of proposed
activities, quality of systems for program and budget oversight, and quality of the budget.
Who is eligible?
Any public school system in the state of Louisiana is eligible. Individual school campuses may not apply
for funding; an individual campus may be served through a school district’s program. Homeless shelters
may not apply for funding, but they may receive services from the grant funds if they are serving
displaced homeless students.
What are the requirements?
Projects must be operated in compliance with the federal McKinney-Vento Statute and with policies and
procedures issued by the McKinney-Vento Program State Plan. All projects must address the critical
components as enumerated in the McKinney law and must pay special attention to the needs of
homeless students displaced by Hurricanes Katrina and Rita. These funds must stand alone and
cannot be incorporated into any other existing program/funding source. Special attention must be taken
to track these funds as they relate to the services provided to displaced homeless students.
What is the duration of the project?
The funds are available for expenses incurred through September 30, 2007.
6
INSTRUCTIONS:
The proposal should be typed and double-spaced, with at least one-inch margins in a font no
smaller than 12 point. The following format should be used to ensure that reviewers can
determine if all specifications have been met.
The proposal must be received by 4:00 p.m. on June 9, 2006.
Mail an original and 3 copies to:
Division of Educational Improvement and Assistance
Ancillary Resources Section
Ground Floor-Room 223G
P.O. Box 94064
Baton Rouge, LA 70804
Questions regarding proposal development may be directed to:
Name: Deidre Kibbe or Alphonse Noel
Phone: 225-342-9969
Email: Deidre.Kibbe@la.gov or Alphonse.Noel@la.gov
7
PROPOSAL FORMAT:
Intent to Participate
1. If you intend to participate, include the “Intent to Participate” form with your application.
2. If you do not intend to participate, fax “Intent to Participate” form to 225-342-0178 to
the attention of Deidre Kibbe by June 2, 2006.
Part I
1.
2.
Application Cover Page (Schedule A)
LEA Information on Numbers of Students Displaced by Hurricanes Katrina and Rita
and Expenses Incurred (Schedule B)
Assistance for Homeless Youth Program Assurances (Schedule D)
Appropriate Budget Forms to Match Reimbursement Amount – Complete the
appropriate budget forms enclosed (Appendix A). The budget forms can be
downloaded by visiting: http://www.louisianaschools.net/lde/eia/1315.html.
3.
4.
Part II
1.
Schedule C – Proposal Narrative
Evidence of Need (1 page maximum)
i. Discuss how your district was impacted by Hurricanes Katrina and Rita.
ii. Discuss the needs related to hurricane-displaced students you are currently
serving and plan to address from the date of the application through
September 30, 2007.
Program Detail (1 page maximum)
i. Describe the activities planned to address the needs of displaced students.
ii. Describe a plan for managing and overseeing the activities.
iii. Describe your system for program accountability and documentation.
C. Proposed Budget
i. Complete the appropriate budget forms enclosed. The budget forms can be
downloaded by visiting: http://www.louisianaschools.net/lde/eia/1315.html.
ii. Describe your system for fiscal accountability and documentation.
2.
McKinney-Vento Assurances (Schedule E)
8
CRITERIA FOR REVIEW:
Proposals will be reviewed as follows:
I. Reimbursement for Expenses Incurred
Schedule A, B, & D – Application Cover Page, Expenditures & Assurances
All applications will be accepted and ranked according to the following:



Number of displaced students enrolled.
Total amount of money spent on authorized activities consistent with Section 723
of the McKinney-Vento Homeless Assistance Act.
LEAs will be reimbursed for expenses incurred at a base rate of $2500.00 plus an
additional $24.00 per pupil.
If incurred expenses do not exceed projected reimbursement amounts ($2500 plus an additional
$24.00 per displaced student), remaining funds will only be awarded if projected need is
evident. If projected need is not evident, the remaining funds will be rolled back into the total
award to be redistributed to a district that has evidence of projected need.
II. Projected Need
Schedule C & E – Proposal Narrative, McKinney-Vento Assurances
The following are indicators for future funding:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Needs (prior, current, and projected) are systematically identified and clearly
articulated.
Proposed activities are clearly described.
Proposed activities align with identified needs.
Proposed activities align with Section 723 of the McKinney-Vento Act.
Proposed activities are based on effective practice.
Appropriate systems exist for documenting activities for program oversight.
Appropriate systems exist for documenting expenditures for fiscal accountability.
The proposed budget is adequate and appropriate, aligns with activities proposed,
and is for allowable expenses.
Program and fiscal accountability and documentation plans will facilitate ease in
monitoring and auditing.
Program funds and expenditures will be kept in a separate budget from other funds.
9
Louisiana Department of Education
Division of Educational Improvement and Assistance
ASSISTANCE FOR HOMELESS YOUTH PROGRAM
SECTION 106, HURRICANE EDUCATION RECOVERY ACT 84.938B
FY 2005-2006
Intent to Participate
Name of District:
____________
Superintendent/Coordinator Submitting Information:
Telephone Number:
_______
E-mail Address:
Fax Number:
__
_________
This document confirms the intent of your district to participate in the Department of Education Assistance for Homeless
Youth Program, Section 106, Hurricane Education Recovery Act 84.938B.
 The purpose of this program is to ensure the use of hurricane recovery funds for allowable costs and services for
displaced, homeless youth.
 The federal award will be distributed based on the number of displaced homeless students in each district pending
SBESE’s approval.
LEAs will be reimbursed at a base rate of $2500.00, plus an additional $24.00 per student upon verification of the
following:
 Documentation of subgrant and/or district funds expended on authorized activities consistent with Section 723 of the
McKinney-Vento Homeless Assistance Act since September 2005 that served hurricane-displaced students.
 Documentation of projected need based on:
 Number of students displaced by Hurricanes Katrina or Rita currently served and projected to serve
through September 30, 2007.
 Quality of the plan for meeting the needs of the displaced students.
 Degree to which the activities described comply with the authorized activities listed in Section 723 of the
McKinney-Vento Act.
 Quality of program and budget oversight and accountability plans.
 Quality of the documentation for expenses up to the date of the application for reimbursement requests
and expenses for proposed activities.
 If incurred expenses do not exceed projected reimbursement amount ($2500.00 plus an additional $24.00 per
displaced student), remaining funds will only be awarded if projected need is evident. If projected need is not
evident, the remaining funds will be rolled back into the total award to be redistributed to a district that has evidence
of projected need.
 Applications are due on or before June 9, 2006.
Agency Intention: (Please check one)
This agency intends to participate in the Assistance for Homeless Youth Program, Section 106,
Hurricane Education Recovery Act 84.938B for
Reimbursement
Projected Need
Both,
and understands that if the reimbursement and/or projected need does not exceed the projected
reimbursement amount, remaining funds will be released and reallocated to other eligible
participating districts. (If this box is checked please include this form in the application packet).
This agency does not intend to participate and understands that its allocation will be released
and reallocated to other eligible participating districts. (If this box is checked, please fax this
form to 225-342-0178, attention Deidre Kibbe by June 2, 2006).
Signature of Superintendent
Date
10
Schedule A
Louisiana Department of Education
HURRICANE EDUCATION RECOVERY ACT
Elementary and Secondary Education Hurricane Relief
Assistance for Homeless Youth
CFDA # 84.938B
LOCAL EDUCATIONAL AGENCY APPLICATION
COVER PAGE
NAME OF LEA :
STREET/P.O. BOX :
CITY :
PARISH :
STATE & ZIP :
CONTACT PERSON NAME :
TITLE :
PHONE :
FAX :
E-MAIL :
I certify that I have read Section 106 of the Hurricane Education Recovery Act and will comply with all the
provisions.
I certify that all displaced students enrolled between August 29, 2005 and December 1, 2005 have been
properly identified in the LDE Student Information System, and to the best of my knowledge and belief,
is true, complete and correct.
I certify that I am authorized to make the representations and commitments in this application, for and on
behalf of the applicant, and otherwise to act as the applicant’s authorized representative in submitting
this application for funding.
NAME AND TITLE OF AUTHORIZED
REPRESENTATIVE
SIGNATURE
DATE
11
Assistance for Homeless Youth Program
Katrina-Rita Homeless Program
Authorized by the Hurricane Recovery Act
Schedule B
Number of displaced students served between August 29, 2005 and December 1, 2005: ______
Number of displaced students currently enrolled (as of date of application):______
Expenditures for Students Displaced by Hurricane Katrina and Hurricane Rita
Incurred from September 30, 2005-Date of Application
Authorized
ActivitiesMcKinney-Vento
√
Activities Conducted
McKinneyVento
Subgrant
Expenses
District
Expenses
List Program
(if district)
Type of
Verification of
Expenses to Serve
HurricaneDisplaced
Students
Documentation
is Easily
Accessible—
Yes or No
(1) Tutoring,
supplemental
instruction, and
enriched educational
services
(2) Expedited
evaluations
(3) Professional
development for
educators and pupil
services personnel
(4) Referral services
for medical, dental,
mental, and other
health services
(5) Assistance to
defray the excess
cost of
transportation
12
Authorized
ActivitiesMcKinney-Vento
√
Activities Conducted
McKinneyVento
Subgrant
Expenses
District
Expenses
List Program
(if district)
Type of
Verification of
Expenses to Serve
HurricaneDisplaced
Students
Documentation
is Easily
Accessible—
Yes or No
(6) Developmentally
appropriate early
childhood education
programs
(7) Services and
assistance to attract,
engage, and retain
homeless children
and youth in public
school programs and
services
(8)Before and afterschool, mentoring,
and summer
programs
(9) Payment of fees
and other costs
associated with
tracking, obtaining,
and transferring
records
(10) Education and
training to parents
of homeless children
and youth about
rights and resources
(11) Development
and coordination
between schools and
agencies providing
services to homeless
children and youth
13
Authorized
ActivitiesMcKinney-Vento
√
Activities Conducted
McKinneyVento
Subgrant
Expenses
District
Expenses
List Program
(if district)
Type of
Verification of
Expenses to Serve
HurricaneDisplaced
Students
Documentation
is Easily
Accessible—
Yes or No
(12) The provision of
pupil services and
referral for services
(13) Activities to
address the
particular needs of
homeless children
and youth that may
arise from domestic
violence
(14) Adaptation of
space and purchase
of supplies for any
nonschool facilities
(15) School supplies
(16) Extraordinary
and emergency
assistance to enable
homeless children to
attend school
Total Funds
Requested for
Reimbursement:
14
Assistance for Homeless Youth Program
Proposal Narrative
Schedule C
Proposal Narrative must address the following:
A. Evidence of Need (1 page maximum)
i. Discuss how your district was impacted by Hurricanes Katrina and Rita.
1. Was your district impacted directly by Hurricanes Katrina/Rita?
2. Was your district impacted by the number of displaced students enrolled after
Hurricanes Katrina/Rita?
ii. Discuss the needs related to hurricane-displaced students you are currently serving and
plan to address from the date of the application through September 30, 2007.
B. Program Detail (1 page maximum)
i. Describe the activities planned to address the needs of displaced students.
ii. Describe a plan for managing and overseeing the activities.
iii. Describe your system for program accountability and documentation.
C. Proposed Budget
iii. Complete the appropriate budget forms enclosed (See Appendix A). The budget forms
can be downloaded by visiting: http://www.louisianaschools.net/lde/eia/1315.html.
iv. Describe your system for fiscal accountability and documentation.
Schedule D
Assistance for Homeless Youth Program
Katrina-Rita Homeless Program
Authorized by the Hurricane Recovery Act
Assurances
1.
The reimbursement request is for activities authorized in Section 723 of the McKinney-Vento
Act.
2.
Reimbursement amounts are clearly documented and documentation is easily accessible.
3.
LEAs needs articulated in this proposal are based on documentation and verifiable.
4.
Proposed activities will serve primarily students displaced by Hurricanes Katrina and Rita.
5.
Proposed activities are those authorized in Section 723 of the McKinney-Vento Act.
6.
Fiscal accountability will be kept separate from that of other programs.
7.
Documentation for activities and expenses will be carefully maintained and provided
expediently upon request for monitoring and auditing.
Name:
Title:
Signature:
Date:
16
Schedule E
MCKINNEY-VENTO ASSURANCES
SEC. 722. GRANTS FOR STATE AND LOCAL ACTIVITIES FOR THE EDUCATION OF HOMELESS CHILDREN AND
YOUTHS
(3) LOCAL EDUCATIONAL AGENCY REQUIREMENTS(A) IN GENERAL- The local educational agency serving each child or youth to be assisted under
this subtitle shall, according to the child's or youth's best interest —
(i) continue the child's or youth's education in the school of origin for the duration of
homelessness —
(I) in any case in which a family becomes homeless between academic years or
during an academic year; or
(II) for the remainder of the academic year, if the child or youth becomes
permanently housed during an academic year; or
(ii) enroll the child or youth in any public school that nonhomeless students who live in the
attendance area in which the child or youth is actually living are eligible to attend.
(B) BEST INTEREST- In determining the best interest of the child or youth under subparagraph
(A), the local educational agency shall —
(i) to the extent feasible, keep a homeless child or youth in the school of origin, except
when doing so is contrary to the wishes of the child's or youth's parent or guardian;
(ii) provide a written explanation, including a statement regarding the right to appeal
under subparagraph (E), to the homeless child's or youth's parent or guardian, if the local
educational agency sends such child or youth to a school other than the school of origin or
a school requested by the parent or guardian; and
(iii) in the case of an unaccompanied youth, ensure that the homeless liaison designated
under paragraph (1)(J)(ii) assists in placement or enrollment decisions under this
subparagraph, considers the views of such unaccompanied youth, and provides notice to
such youth of the right to appeal under subparagraph (E).
(C) ENROLLMENT- (i) The school selected in accordance with this paragraph shall immediately
enroll the homeless child or youth, even if the child or youth is unable to produce records
normally required for enrollment, such as previous academic records, medical records, proof of
residency, or other documentation.
(ii) The enrolling school shall immediately contact the school last attended by the child or
youth to obtain relevant academic and other records.
(iii) If the child or youth needs to obtain immunizations, or immunization or medical
records, the enrolling school shall immediately refer the parent or guardian of the child or
youth to the local educational agency liaison designated under paragraph (1)(J)(ii), who
shall assist in obtaining necessary immunizations, or immunization or medical records, in
accordance with subparagraph (D).
(D) RECORDS- Any record ordinarily kept by the school, including immunization or medical
records, academic records, birth certificates, guardianship records, and evaluations for special
services or programs, regarding each homeless child or youth shall be maintained —
(i) so that the records are available, in a timely fashion, when a child or youth enters a
new school or school district; and
(ii) in a manner consistent with section 444 of the General Education Provisions Act (20
U.S.C. 1232g).
(E) ENROLLMENT DISPUTES- If a dispute arises over school selection or enrollment in a school
(i) the child or youth shall be immediately admitted to the school in which enrollment is
sought, pending resolution of the dispute;
17
(ii) the parent or guardian of the child or youth shall be provided with a written
explanation of the school's decision regarding school selection or enrollment, including the
rights of the parent, guardian, or youth to appeal the decision;
(iii) the child, youth, parent, or guardian shall be referred to the local educational agency
liaison designated under paragraph (1)(J)(ii), who shall carry out the dispute resolution
process as described in paragraph (1)(C) as expeditiously as possible after receiving notice
of the dispute; and
(iv) in the case of an unaccompanied youth, the homeless liaison shall ensure that the
youth is immediately enrolled in school pending resolution of the dispute.
(F) PLACEMENT CHOICE- The choice regarding placement shall be made regardless of whether
the child or youth lives with the homeless parents or has been temporarily placed elsewhere.
(G) SCHOOL OF ORIGIN DEFINED- In this paragraph, the term school of origin' means the
school that the child or youth attended when permanently housed or the school in which the
child or youth was last enrolled.
(H) CONTACT INFORMATION- Nothing in this subtitle shall prohibit a local educational agency
from requiring a parent or guardian of a homeless child to submit contact information.
(4) COMPARABLE SERVICES- Each homeless child or youth to be assisted under this subtitle shall be
provided services comparable to services offered to other students in the school selected under
paragraph (3), including the following:
(A) Transportation services.
(B) Educational services for which the child or youth meets the eligibility criteria, such as
services provided under title I of the Elementary and Secondary Education Act of 1965 or
similar State or local programs, educational programs for children with disabilities, and
educational programs for students with limited English proficiency.
(C) Programs in vocational and technical education.
(D) Programs for gifted and talented students.
(E) School nutrition programs.
(5) COORDINATION(A) IN GENERAL- Each local educational agency serving homeless children and youths that
receives assistance under this subtitle shall coordinate —
(i) the provision of services under this subtitle with local social services agencies and other
agencies or programs providing services to homeless children and youths and their
families, including services and programs funded under the Runaway and Homeless Youth
Act (42 U.S.C. 5701 et seq.); and
(ii) with other local educational agencies on interdistrict issues, such as transportation or
transfer of school records.
(B) HOUSING ASSISTANCE- If applicable, each State educational agency and local educational
agency that receives assistance under this subtitle shall coordinate with State and local housing
agencies responsible for developing the comprehensive housing affordability strategy described
in section 105 of the Cranston-Gonzalez National Affordable Housing Act (42 U.S.C. 12705) to
minimize educational disruption for children and youths who become homeless.
(C) COORDINATION PURPOSE- The coordination required under subparagraphs (A) and (B)
shall be designed to —
(i) ensure that homeless children and youths have access and reasonable proximity to
available education and related support services; and
(ii) raise the awareness of school personnel and service providers of the effects of shortterm stays in a shelter and other challenges associated with homelessness.
(6) LOCAL EDUCATIONAL AGENCY LIAISON(A) DUTIES- Each local educational agency liaison for homeless children and youths, designated
under paragraph (1)(J)(ii), shall ensure that —
(i) homeless children and youths are identified by school personnel and through
coordination activities with other entities and agencies;
(ii) homeless children and youths enroll in, and have a full and equal opportunity to
succeed in, schools of that local educational agency;
18
(iii) homeless families, children, and youths receive educational services for which such
families, children, and youths are eligible, including Head Start and Even Start programs
and preschool programs administered by the local educational agency, and referrals to
health care services, dental services, mental health services, and other appropriate
services;
(iv) the parents or guardians of homeless children and youths are informed of the
educational and related opportunities available to their children and are provided with
meaningful opportunities to participate in the education of their children;
(v) public notice of the educational rights of homeless children and youths is disseminated
where such children and youths receive services under this Act, such as schools, family
shelters, and soup kitchens;
(vi) enrollment disputes are mediated in accordance with paragraph (3)(E); and
(vii) the parent or guardian of a homeless child or youth, and any unaccompanied youth,
is fully informed of all transportation services, including transportation to the school of
origin, as described in paragraph (1)(J)(iii), and is assisted in accessing transportation to
the school that is selected under paragraph (3)(A).
(B) NOTICE- State coordinators established under subsection (d)(3) and local educational
agencies shall inform school personnel, service providers, and advocates working with homeless
families of the duties of the local educational agency liaisons.
(C) LOCAL AND STATE COORDINATION- Local educational agency liaisons for homeless
children and youths shall, as a part of their duties, coordinate and collaborate with State
coordinators and community and school personnel responsible for the provision of education
and related services to homeless children and youths.
(7) REVIEW AND REVISIONS(A) IN GENERAL- Each State educational agency and local educational agency that receives
assistance under this subtitle shall review and revise any policies that may act as barriers to the
enrollment of homeless children and youths in schools that are selected under paragraph (3).
(B) CONSIDERATION- In reviewing and revising such policies, consideration shall be given to
issues concerning transportation, immunization, residency, birth certificates, school records and
other documentation, and guardianship.
(C) SPECIAL ATTENTION- Special attention shall be given to ensuring the enrollment and
attendance of homeless children and youths who are not currently attending school.
I have reviewed the McKinney-Vento Assurances and understand the responsibilities of
__________________________in implementing the Assistance for Homeless Funds in
(LEA)
accordance with the McKinney-Vento Homeless Assistance Act.
_____________________________
Signature of Superintendent
____________
Date
19
SELECTION CRITERIA
LEA:______________________________
Reviewer:__________________________
The following are indicators for funding based on projected need:
1. Needs (prior, current, and
YES
OR
NO
projected) are systematically
identified and clearly articulated.
2. Proposed activities are clearly
YES
OR
NO
described.
COMMENTS:
COMMENTS:
3.
Proposed activities align with
identified needs.
YES
OR
NO
COMMENTS:
4.
Proposed activities align with
Section 723 of the McKinneyVento Act.
YES
OR
NO
COMMENTS:
5.
Proposed activities are based on
effective practice.
YES
OR
NO
COMMENTS:
6.
Appropriate systems exist for
documenting activities for
program oversight.
YES
OR
NO
COMMENTS:
Appropriate systems exist for
documenting expenditures for
fiscal accountability.
8. The proposed budget is adequate
and appropriate, aligns with
activities proposed, and is for
allowable expenses.
9. Program and fiscal accountability
and documentation plans will
facilitate ease in monitoring and
auditing.
10. Program funds and expenditures
will be kept in a separate budget
from other funds.
YES
OR
NO
COMMENTS:
YES
OR
NO
COMMENTS:
YES
OR
NO
COMMENTS:
YES
OR
NO
COMMENTS:
7.
20
APPENDIX A
Budget Forms
Forms can be downloaded by visiting http://www.louisianaschools.net/lde/eia/1315.html
21
Fiscal Assurances

The LEA assures that it has made application and has been approved to receive grant funding
for the Education for Homeless Children and Youth, CFDA #84.196A awarded by the U.S.
Department of Education.

The LEA has been informed of the requirements imposed by Federal laws, regulations, and
the provisions of contracts or grant agreements as well as any supplemental requirements
imposed by the Louisiana Department of Education.

The LEA has provided the TOTAL AMOUNT (________________________________ insert amount
here) of prior year expenditures of Federal Funds according to regulations issued by Office of
Management and Budget Circular A-133 from all sources (described as funds received as
direct or pass through funds).

The LEA assures that it has been advised that subrecipients expending $500,000 or more in
Federal awards (funds received as direct or pass thru funds) during the subrecipient’s fiscal
year receive a single audit or program specific audit for that year according to regulations
issued by Office of Management and Budget Circular A-133.

The LEA assures that it will permit the Louisiana Department of Education, the Legislative
Auditors, and all other required personnel to have access to the records and financial
statements as necessary.
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER
RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS
Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants
should also review the instructions for certification included in the regulations before completing this form. Signature of this form
provides for compliance with certification requirements under 34 CFR Part 82, "New Restrictions on Lobbying," and 34 CFR Part 85,
"Government-wide Debarment and Suspension (Nonprocurement) and Government-wide Requirements for Drug-Free Workplace
(Grants)." The certifications shall be treated as a material representation of fact upon which reliance will be placed when the
Department of Education determines to award the covered transaction, grant, or cooperative agreement.
1. LOBBYING
As required by Section 1352, Title 31 of the U.S. Code, and
implemented at 34 CFR Part 82, for persons entering into a grant
or cooperative agreement over $100,000, as defined at 34 CFR
Part 82, Sections 82.105 and 82.110, the applicant certifies that:
(a) No Federal appropriated funds have been paid or will be paid,
by or on behalf of the undersigned, to any person for influencing or
attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with the making
of any Federal grant, the entering into of any cooperative
agreement, and the extension, continuation, renewal, amendment,
or modification of any Federal grant or cooperative agreement;
(c) The undersigned shall require that the language of this
certification be included in the award documents for all subawards
at all tiers (including subgrants, contracts under grants and
cooperative agreements, and subcontracts) and that all
subrecipients shall certify and disclose accordingly.
2.
DEBARMENT,
SUSPENSION,
RESPONSIBILITY MATTERS
AND
OTHER
As required by Executive Order 12549, Debarment and
Suspension, and implemented at 34 CFR Part 85, for prospective
participants in primary covered transactions, as defined at 34 CFR
Part 85, Sections 85.105 and 85.110-A. The applicant certifies that it and its principals:
(b) If any funds other than Federal appropriated funds have been
paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of
a Member of Congress in connection with this Federal grant or
cooperative agreement, the undersigned shall complete and
submit Standard Form - LLL, "Disclosure Form to Report
Lobbying," in accordance with its instructions;
(a) Are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from
covered transactions by any Federal department or agency;
(b) Have not within a three-year period preceding this application
been convicted of or had a civil judgement rendered against them
for commission of fraud or a criminal offense in connection with
obtaining, attempting to obtain, or performing a public (Federal,
State, or local) transaction or contract under a public transaction;
22
violation of Federal or State antitrust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or destruction of
records, making false statements, or receiving stolen property;
(f) Taking one of the following actions, within 30 calendar days of
receiving notice under subparagraph (d)(2), with respect to any
employee who is so convicted:
(c) Are not presently indicted for or otherwise criminally or civilly
charged by a governmental entity (Federal, State, or local) with
commission of any of the offenses enumerated in paragraph (2)(b)
of this certification; and
(1) Taking appropriate personnel action against such an
employee, up to and including termination, consistent with the
requirements of the Rehabilitation Act of 1973, as amended; or
(d) Have not within a three-year period preceding this application
had one or more public transaction (Federal, State, or local)
terminated for cause or default; and
(2) Requiring such employee to participate satisfactorily in a drug
abuse assistance or rehabilitation program approved for such
purposes by a Federal, State, or local health, law enforcement, or
other appropriate agency;
B. Where the applicant is unable to certify to any of the
statements in this certification, he or she shall attach an
explanation to this application.
(g) Making a good faith effort to continue to maintain a
drug-free workplace through implementation of paragraphs
(a), (b), (c), (d), (e), and (f).
3. DRUG-FREE WORKPLACE
(GRANTEES OTHER THAN INDIVIDUALS)
B. The grantee may insert in the space provided below the site(s)
for the performance of work done in connection with the specific
grant:
As required by the Drug-Free Workplace Act of 1988, and
implemented at 34 CFR Part 85, Subpart F, for grantees, as
defined at 34 CFR Part 85, Sections 85.605 and 85.610 -
Place of Performance (Street address. city, county, state, zip
code)
A. The applicant certifies that it will or will continue to provide a
drug-free workplace by:
a) Publishing a statement notifying employees that the unlawful
manufacture, distribution, dispensing, possession, or use of a
controlled substance is prohibited in the grantee's workplace and
specifying the actions that will be taken against employees for
violation of such prohibition;
(b) Establishing an on-going drug-free awareness program to
inform employees about:
(1) The dangers of drug abuse in the workplace;
Check [ ] if there are workplaces on file that are not identified
here.
DRUG-FREE WORKPLACE
(GRANTEES WHO ARE INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and
implemented at 34 CFR Part 85, Subpart F, for grantees, as
defined at 34 CFR Part 85, Sections 85.605 and 85.610-
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee
assistance programs; and
(4) The penalties that may be imposed upon employees for drug
abuse violations occurring in the workplace;
(c) Making it a requirement that each employee to be engaged in
the performance of the grant be given a copy of the statement
required by paragraph (a);
(d) Notifying the employee in the statement required by paragraph
(a) that, as a condition of employment under the grant, the
employee will:
A. As a condition of the grant, I certify that I will not engage in the
unlawful manufacture, distribution, dispensing, possession, or use
of a controlled substance in conducting any activity with the grant;
and
B. If convicted of a criminal drug offense resulting from a violation
occurring during the conduct of any grant activity, I will report the
conviction, in writing, within 10 calendar days of the conviction, to:
Director, Grants Policy and Oversight Staff, Department of
Education, 400 Maryland Avenue, S.W. (Room 3652, GSA
Regional Office Building No. 3), Washington, DC 20202-4248.
Notice shall include the identification number(s) of each affected
grant.
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her conviction for a
violation of a criminal drug statute occurring in the workplace no
later than five calendar days after such conviction;
(e) Notifying the agency, in writing, within 10 calendar days after
receiving notice under subparagraph (d)(2) from an employee or
otherwise receiving actual notice of such conviction. Employers of
convicted employees must provide notice, including position title,
to: Director, Grants Policy and Oversight Staff, U.S. Department of
Education, 400 Maryland Avenue, S.W. (Room 3652, GSA
Regional Office Building No. 3), Washington, DC 20202-4248.
Notice shall include the identification number(s) of each affected
grant;
23
Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusion -- Lower Tier Covered Transactions
This certification is required by the Department of Education regulations implementing Executive Order 12549, Debarment and Suspension, 34 CFR Part
85, for all lower tier transactions meeting the threshold and tier requirements stated at Section 85.110.
Instructions for Certification
1. By signing and submitting this proposal, the prospective lower tier
participant is providing the certification set out below.
2. The certification in this clause is a material representation of fact
upon which reliance was placed when this transaction was entered
into. If it is later determined that the prospective lower tier participant
knowingly rendered an erroneous certification, in addition to other
remedies available to the Federal Government, the department or
agency with which this transaction originated may pursue available
remedies, including suspension and/or debarment.
3. The prospective lower tier participant shall provide immediate
written notice to the person to which this proposal is submitted if at any
time the prospective lower tier participant learns that its certification
was erroneous when submitted or has become erroneous by reason of
changed circumstances.
4.
The terms "covered transaction," "debarred," "suspended,"
"ineligible," "lower tier covered transaction," "participant," " person,"
"primary covered transaction," " principal," "proposal," and "voluntarily
excluded," as used in this clause, have the meanings set out in the
Definitions and Coverage sections of rules implementing Executive
Order 12549. You may contact the person to which this proposal is
submitted for assistance in obtaining a copy of those regulations.
5. The prospective lower tier participant agrees by submitting this
proposal that, should the proposed covered transaction be entered
into, it shall not knowingly enter into any lower tier covered transaction
with a person who is debarred, suspended, declared ineligible, or
voluntarily excluded from participation in this covered transaction,
unless authorized by the department or agency with which this
transaction originated.
6. The prospective lower tier participant further agrees by submitting
this proposal that it will include the clause titled Certification
Regarding Debarment, Suspension, Ineligibility, and Voluntary
Exclusion-Lower Tier Covered Transactions,without modification, in
all lower tier covered transactions and in all solicitations for lower tier
covered transactions.
7. A participant in a covered transaction may rely upon a certification
of a prospective participant in a lower tier covered transaction that it is
not debarred, suspended, ineligible, or voluntarily excluded from the
covered transaction, unless it knows that the certification is erroneous.
A participant may decide the method and frequency by which it
determines the eligibility of its principals. Each participant may but is
not required to, check the Nonprocurement List.
8. Nothing contained in the foregoing shall be construed to require
establishment of a system of records in order to render in good faith
the certification required by this clause.
The knowledge and
information of a participant is not required to exceed that which is
normally possessed by a prudent person in the ordinary course of
business dealings.
9. Except for transactions authorized under paragraph 5 of these
instructions, if a participant in a covered transaction knowingly enters
into a lower tier covered transaction with a person who is suspended,
debarred, ineligible, or voluntarily excluded from participation in this
transaction, in addition to other remedies available to the Federal
Government, the department or agency with which this transaction
originated may pursue available remedies, including suspension and/or
debarment.
Certification
(1)
The prospective lower tier participant certifies, by submission
of this proposal, that neither it nor its principals are presently
debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this
transaction by any Federal department or agency.
(2)
Where the prospective lower tier participant is unable to
certify to any of the statements in this certification, such
prospective participant shall attach an explanation to this
proposal.
ED 80-0014, 9/90 (Replaces GCS-009 (REV.12/88), which is obsolete)
24
ASSURANCES - NON-CONSTRUCTION PROGRAMS
OMB Approval No. 0348-0040
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0040), Washington, DC 20503
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND
BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
Note:
Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding
agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case,
you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1.
Has the legal authority to apply for Federal assistance, and
the institutional, managerial and financial capability
(including funds sufficient to pay the non-Federal share of
project cost) to ensure proper planning, management, and
completion of the project described in this application.
2.
Will give the awarding agency, the Comptroller General of
the United States, and if appropriate, the State, through any
authorized representative, access to and the right to examine
all records, books, papers, or documents related to the
award; and will establish a proper accounting system in
accordance with generally accepted accounting standards or
agency directives.
3.
Will establish safeguards to prohibit employees from using
their positions for a purpose that constitutes or presents the
appearance of personal or organizational conflict of interest,
or personal gain.
4.
Will initiate and complete the work within the applicable
time frame after receipt of approval of the awarding agency.
5.
Will comply with the Intergovernmental Personnel Act of
1970 (42 U.S.C. 4728-4763) relating to prescribed
standards for merit systems for programs funded under one
of the 19 statutes or regulations specified in Appendix A of
OPM's Standards for a Merit System of Personnel
Administration (5 C.F.R. 900, Subpart F).
6.
Will comply with all Federal statutes relating to
nondiscrimination. These include but are not limited to: (a)
Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which
prohibits discrimination on the basis of race, color or
national origin; (b) Title IX of the Education Amendments
of 1972, as amended (20 U.S.C. 1681-1683, and 16851686), which prohibits discrimination on the basis of sex;
(c) Section 504 of the Rehabilitation Act of 1973, as
amended (29 U.S.C. 794), which prohibits discrimination
on the basis of handicaps; (d) the Age Discrimination Act of
1975, as amended (42 U.S.C.  6101-6107), which
prohibits discrimination on the basis of age; (e) the Drug
Abuse Office and Treatment Act of 1972 (P.L. 92-255), as
amended, relating to nondiscrimination on the basis of drug
abuse; (f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation Act of
1970 (P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or
alcoholism; (g)  523 and 527 of the Public Health Service
Act of 1912 (42 U.S.C.  290 dd-3 and 290 ee 3), as
amended, relating to confidentiality of alcohol and drug
abuse patient records; (h) Title VIII of the Civil Rights Act
of 1968 (42 U.S.C.  3601 et seq.), as amended, relating to
nondiscrimination in the sale, rental or financing of housing;
(i) any other nondiscrimination provisions in the specific
statute(s) under which application for Federal assistance is
being made; and (j) the requirements of any other
nondiscrimination statute(s) which may apply to the
application.
7.
Will comply, or has already complied, with the requirements
of Titles II and III of the uniform Relocation Assistance and
Real Property Acquisition Policies Act of 1970 (P.L. 91646) which provide for fair and equitable treatment of
persons displaced or whose property is acquired as a result
of Federal or federally assisted programs. These
requirements apply to all interests in real property acquired
for project purposes regardless of Federal participation in
purchases.
8.
Will comply, as applicable, with the provisions of the Hatch
Act (5 U.S.C. 1501-1508 and 7324-7328) which limit the
political activities of employees whose principal
employment activities are funded in whole or in part with
Federal funds.
25
LEA APPLICATION FOR FEDERAL FUNDS
STATEMENT OF ASSURANCES
I,
, Superintendent/Administrator of
(Print Name)
,
(LEA)
hereby assure the Louisiana Department of Education that
(LEA)
is in compliance with all of the GENERAL and SPECIFIC ASSURANCES
enumerated on the preceding pages.
___________________________________________
Signature of Person Authorized to Receive Grant
26