EVERY GRANT APPLICANT MUST COMPLETE THIS FORM 2013-2014 MERA GRANT PARTICIPATION FORM SCHOOL NAME: _____________________________________________________________ SCHOOL ADDRESS: __________________________________________________________ REGION: ________ TEACHER NAME: _________________________________________ PLEASE place an “X” next to the categories your class will be participating in this school year. ____ CLASSROOM GRANTS (Must Complete Forms) ____ SCHOOL BASED ENTERPRISE (Indicate on Information Page) ____ OSHA CERTIFICATION (ARSC Card) (Must Complete Form) ____ CAREER DAY/CAREER FAIR (Must Complete Form, Packet will be Sent) ____ CUSTOMER SERVICE CERTIFICATION (Must Complete Form) ____ OTHER APPROVED IBC CERTIFICATIONS (Submit your requests and details) ____ WORKFORCE DEVELOPMENT LEARNSOMETHING ON-LINE COURSES (Must Complete Form) ____ COPING SKILLS (Indicate on Information Page) All Teachers must complete the Student Participation Report Louisiana Retailers Association through the Marketing Education Retail Alliance Corporation (MERA) has created a Professional Certification Program for high school seniors participating in the MERA Program. When any student passes the NRF Certification and then successfully completes the General Retail Courses through Learn Something he/she will receive: a Louisiana Retail Pro Certificate. All senior students who meet this criteria by the specified deadline will be eligible for a scholarship drawing. These scholarships can be used for any pursuit of higher education including Schools of Trade and Community Colleges. 1 EVERY GRANT APPLICANT MUST COMPLETE THIS FORM 2013-2014 MERA Grant Information Page All boxes/blanks must be filled in on this page School District Name State Planning Region # Name of School Class Name(s)—list those you teach Total Number of Students to Be Served (do not double count a student if you teach the student more than once this school year) Teacher’s Name School’s Phone w/AC School Street Address School City, State, ZIP School’s FAX w/AC Teacher’s Email Address Teacher’s Personal Email Address Teacher’s Cell # w/AC Teacher’s Cell Phone Provider (for text messages) Principal’s Full Name Principal’s Phone w/AC Principal’s Email Address School Bookkeeper’s Name School Bookkeeper’s Email Address School District’s Superintendent’s Name Superintendent’s Email Address Superintendent’s Street # and Street Name Superintendent’s City, State & ZIP Career/Tech. Supervisor’s Name Career Tech Supervisor’s Email Address CT Supervisor’s Phone w/AC CT Supervisor’s Street Address CT Supervisor’s City, State, ZIP Date of Last Day of School for this School Year Do You Operate a School-Based Business/Enterprise? Name of your School-Based Business? (SBE) What do you sell in your School-Based Business? How many students work in your SBE? Are you planning to teach Coping Skills? If so, do you need Coping Skills materials? 2 Classroom Grant Applicants Complete This Form 13-14 MERA GRANT AGREEMENT 1. The eligible recipient agrees to provide proper fiscal control and accounting procedures as required by MERA and the school system for fiscal audit and program evaluation. MERA requires that purchases be made via purchase orders and through the school district’s accounting system OR that a MERA account be set up at the individual school. All P.O.s must be signed by a principal or school board official and then be used to order items. If a credit card is used, it must be the school’s credit card. Actual itemized expenses must be reported (which includes equipment serial numbers). MERA grant funds are not to be used to pay sales tax. Please provide original receipts or copies of receipts proving expenditures as budgeted along with copies of purchase orders in addition to each receipt. 2. The eligible recipient agrees to inform MERA in writing if the program that made them eligible is discontinued from the school or school system where it is currently operating or if there is any change in teaching or school assignment. Equipment must be included in your school’s property accounting system and marked with “MERA Funds, 2013-14”. Follow your school’s current operating procedures regarding any equipment purchased with MERA funds. In the event that the program is discontinued, MERA would prefer that the equipment be used in a class that furthers the goal of enhancing marketing, entrepreneurship or workforce development. 3. FINAL REPORT--The eligible recipient agrees to provide a final report by March 14, 2014 on the forms provided. This report will become part of the evaluation and may be shared with other marketing programs and will be retained for review by the State Auditor by May 30, 2014. This report will include: A) Each goal along with the activities conducted, assessments, dates, locations, parish, region, number of student participants, names of student participants, number of teacher participants, names of teacher participants, if applicable and known, they should also include the number of employer participants and names of the companies. If any jobs were created, and if so, to provide the number of employment opportunities created, the name of the student(s) who received employment through this program, the name and address of the school they attend, the name of the employer, the student’s job title, the function of their new position, and a description of MERA’s involvement in connecting the student with the employer or job opportunity and results of the learning opportunity including what works/what did not. If a goal was not completed, a statement as to what percentage of completion should be made. B) Evaluation form completed by each student and each teacher for each goal. For employer events, employers should complete an evaluation form provided by MERA with the required questions, as appropriate. C) For OCLOs, an invoice, receipt, and a list of all students and teachers who attended must be submitted. D) Provide the name, version/type, quantity, and cost of any technology or equipment purchased, as well as, the serial number and/or key code of any software purchased through this agreement and any subsequent grants. 4. Final Reports not received will result in a letter being sent to the school’s principal and superintendent requesting a grant refund or partial refund for those expenses not proven. The school will not be eligible for any further grants. If your final report is not complete MERA may require an in person audit and/or future grants may be reduced or not offered. 5. The eligible recipient agrees to share or present grant ideas to other programs and interested parties and abide by the guidelines as outlined in the Grant Application. 6. The eligible recipient agrees to submit in writing on the form provided, any MINOR revisions to the goal or budget for approval by MERA using the “Goal, Implementation, & Cost Explanation Form” Major revisions will not be accepted. 7. March 3, 2014, is the deadline for expenditure of the total classroom grant award. If all grant funds are not spent by March 3, 2014, contact the MERA office for further instructions. We, the undersigned, understand that grant recipients failing to comply with the above provisions may be liable for return of the grant award and ineligible to reapply for future grant money. We certify that the teacher applying for this grant is teaching one of the approved courses. We understand that a site visitation by Paul Grethel, MERA Educational Consultant, will occur at any time during the implementation of this grant or within 1 year of the final reporting time. Print Teacher Teacher’s Date Name Signature School Name Principal’s Date Signature Classroom $ CTE Supervisor’s Date Grant Signature Amount Superintendent’s Date Signature 3 Refer to this map to determine your Louisiana State Planning Region. 4 2013-2014 MERA Grant Opportunities The mission of the Marketing Education Retail Alliance (MERA) is to foster entrepreneurship, innovative learning strategies and workforce development in Louisiana high schools by awarding classroom grants and providing training and certification opportunities for students and teachers. Contact Paul Grethel at pjgrethel@hotmail.com for additional information. To be eligible for any MERA grant opportunity the teacher must be teaching one or more of the following classes/programs. If you teach a class which you think might qualify for a grant opportunity, contact Paul Grethel (pjgrethel@hotmail.com or 504-301-7194) for a determination. Accounting I & II Advanced Finance Advertising & Sales Promotion Career & Technical Education Internship I & II** Clothing & Textile Occupation I & II Cooperative Marketing Education I & II Customer Service Entrepreneurship (Marketing) (General Career & Technical Education) Financial Planning Financial Services General Cooperative Education (GCE) I & II Horticulture I & II Hospitality Marketing Lodging Management I & II Managerial Accounting Marketing Education Elective I & II Marketing Management Marketing Research Meat Processing Principles of Accounting Principles of Finance Principles of Hospitality & Tourism Principles of Marketing I & II Retail Marketing Sports Entertainment & Event Management Sustainable Tourism Tourism Marketing Web Design I & II **Internship programs are allowed to participate in OSHA, Coping Skills, and Workforce Development Training. Classroom Grants (Materials, Supplies & Books/Technology & Equipment/Substitute Pay/OCLO/Other) MERA and the Louisiana Retailers Association offer an opportunity for programs to request financial assistance through a grant to improve and enhance training and development opportunities. Goals must be specific, measurable, and seek to expand, improve, and/or enhance the current course objectives. The total awards available: $1,500 for any roster totaling up to 15 students $100 per student for any roster totaling 16 or more students. Example: You have 20 students. 20 x $100 = $2,000 grant. *September 17th: first round of grant applications are due. *October 1st: second round of grant applications are due. 5 EVALUATION OF APPLICATION: A Grant Review Committee composed of retail and education volunteers will evaluate grant applications. Grants applications MUST contain goals that enhance and expand the classroom experience as it related to Marketing Education, Entrepreneurship, and Workforce Development. A grant may be approved in full or only portions may be approved depending on validity, quality of application, and availability of funds. Grants are awarded based upon the education and training merit of the learning opportunity relative to the cost of the items requested to accomplish the goal. ALLOWABLE EXPENDITURES: Expenditures must relate to the goals of the proposal. Multiple goals, focusing on different learning opportunities are encouraged. Expenditures may relate to any or all of the following: Classroom supplies, materials, current technology, and/or equipment to accomplish a goal of the proposal. Magazine subscriptions and gift cards are not allowed. For technology and equipment priced at over $200, you must submit 3 price quotes. (examples: computers, laptops, scanners, projectors, software packages, simulations, smartboards, etc.). If you do not choose the lowest quote, please provide documentation as to why you must choose the higher priced item. If three (3) quotes are unavailable, grant applicant must provide a reasonable explanation regarding unavailability. MERA reserves the right to require a school to purchase a less expensive item if available. OCLO from the approved list. Any Off-Campus Learning Opportunity (OCLO) not on the approved list MUST be submitted on the appropriate form (attached) and approved by the MERA office by the deadline provided. An amount for substitute pay can be included in your OCLO. Competitions, meetings, and conferences, including travel expenses from approved list Ipads or tablets are not allowed to be purchased with grant funds. School-Based Enterprises (businesses) are encouraged. Use MERA funds to purchase start-up equipment, fixtures, and inventory. MERA will need the following information submitted: receipts, serial number and/or key codes for any software purchased. *** Please contact Paul Grethel for software recommendations. OCLO TRAVEL GUIDELINES: The budget for travel will be no more than $300.00 per student and $400.00 per teacher for in-state travel AND only for pre-approved trips/OCLOs. This amount is to supplement (not pay in full) registration, lodging, transportation, food, tours, and other travel expenses. MERA expects students to participate in the school business (if one exists) or other fundraising activities in order to pay the entire cost of an OCLO. Example: 20 students at $300.00 each, you can request $6,000.00, but all 20 students must attend the trip or conference. A roster (or rooming list) for each OCLO listing each student and teacher who attended must be submitted in final report. 6 Please note trips must be open to all students participating in the approved class(es). Any trips other than those listed below MUST be approved by the MERA office using the form provided and sent in by the posted due dates prior to submission of the grant application. Trips for students to tour colleges are not eligible. The MERA Grant exists to afford ALL students an opportunity to train in areas of Marketing Education, Entrepreneurship, and Workforce Development and not for only a selected few students to have the privilege. At least 2 students must be involved in Off-Campus Learning Opportunities (OCLOs). Teacher travel reimbursement is allowed based on state travel guidelines. Travel expenses listed MUST include the approximate number of students, teachers, chaperones, the vendor, the proposed location, the proposed date and time, and the purpose of the event. The final report will require you to submit the actual number and names of students attending, the number and names of teachers, chaperones attending, the event that was attended, the vendor, the amount, the OCLO date and location, and the specific benefit of this OCLO. Preapproved trips/OCLO’s are: Louisiana DECA Fall Leadership Conference (Vendor: La. DECA) La. DECA Sports Marketing Conference (with N.O. Hornets) (Vendor: La. DECA)—your class is required to complete one of the lessons supplied by La. DECA and have a team participate in the marketing competition in order to utilize MERA Grant funds. These lessons and guidelines will be sent to you in October. You will be required to submit one student’s lesson for documentation purposes. La. DECA will submit a list to MERA of schools that participated in the marketing competition. Louisiana DECA State Conference (Vendor: La. DECA) Any OCLOs not listed must be pre-approved by MERA before you can put them in your grant. To obtain pre-approval, submit the form OCLO Approval by the deadline. Suggested locations for other marketing-related OCLOs to consider: McIlhenny Company (Tabasco) plant on Avery Island, Mardi Gras World in New Orleans, & Tony Chachere's Creole Seasoning Factory in Opelousas. An Employer Appreciation Banquet must be treated as an OCLO if the function is away from school and is limited to $500 in MERA grant funds. The final report will require you to submit the actual number and names of students attending, the number and names of teachers, chaperones attending, the number and names of business guests and company name, and names of other school guests, the event name, the names of vendor(s), the amount spent, the OCLO date and location, and the specific benefit of this OCLO. ITEMIZED receipts are required for OCLO’s. If you submit an OCLO in your application that was not preapproved, the OCLO will be denied and your grant will be lowered by that amount. 7 OSHA Training MERA offers a course in which the purpose is to reduce injuries by educating workers so that they will have a better understanding and knowledge of safety. The following topics meet generic level training. This means that the content covered is common to all employers; Personal Protective Equipment, Hearing Conservation, Electrical Safety for Unqualified Workers, Hazard Communication, Elevated Work, Scaffold Safety, Ladder Safety, Process Safety Management (PSM), Job Hazard Analysis, and Occupational Heat Stress. If you live within 35 miles of Baton Rouge, Gonzales or Addis, you will be required to go to the OSHA location. For those not in those areas, if your school or school system can get a minimum of 20 students to be trained and has a location to do this, we can set up a training for you. Contact the MERA office at 225-344-9481 if interested. Please fill out the appropriate form to request the OSHA Certification Class. Career Day/Career Fair (assistance & development) Career Day often refers to a day in school where students learn about different careers and vocations. A well planned and facilitated Career Day provides students with career opportunities whether they plan to enroll in college or enter the workforce before or after graduation. An effective high school “Career Day” gives students exposure to possible careers they may have considered as well as offering new career choices. You can plan a career day and use up to $500 in MERA funds for your event by completing a one-page application prior to the event and then completing a short report after the event. The career day event must be held on 1 day. It must involve a minimum of 10 or more business people. Funds can be used for planning purposes (mailings, supplies, duplicating, refreshments/ hospitality for guests, etc.). Funds cannot be used to buy gifts for speakers. MERA will allow one Career Day Application per school, and the event must be held prior to March 30, 2014. If there are multiple MERA teachers at the same school, we ask that you collaborate on the event. Customer Service Certification MERA offers teacher and student training materials for preparation of the National Retail Federations Foundation’s National Professional Certifications standards in Customer Service. Teachers train their students using the NRF’s Customer Service curriculum and give the certification exam. The industry-endorsed credentials that document students’ skills allow them to build an employment resume while in school and position them for success in the workforce. MERA will pay for the first test voucher ($55) for each student. Teachers who want to give their students a head start for career success should contact Paul Grethel via email. Benefits for Teachers: Incorporate national industry skill standards—what employers want and need Formally document students’ learning and achievement Supplement existing programs and can often provide verified credit for graduation Your high school can get 10 additional points on the school report card for students who pass the IBC. Benefits for Students: Demonstrate commitment to professional growth Apply for a high school diploma endorsement Build resume now—and for the future—with workplace value Enter workforce with increased knowledge, skills, and productivity Steps to Certification: School is set-up as an assessment site and proctors receive training Students complete the online assessment for certification in Customer Service, Sales, and/or Retail Management Once certified, students receive a certificate and letter of recognition 8 Other Approved IBC Certifications The following certifications are allowed: Adobe Certified Associate American Culinary Federation Certified Junior Culinarian (ACF/ACFEF) American Culinary Federation Secondary Certification/ACFF Certified Internet Webmaster (CIW) Foundations National exam/ ProSoft Learning Corp. Certified Nursery and Landscape Professional (CNLP)/ Louisiana Nursery & Landscape Assoc (LNLA) Cisco Certified Network Associate CompTIA/ Network + Certification National exam/ Computing Technology Industry Association Fashion Design for Costume in Film / American Association of Family and Consumer Sciences Horticulture License/ Louisiana Department of Agriculture and Forestry (LDAF) IC International exam/Certiport Intuit QuickBooks Certified User/ Real World Training Landscape Contractor/ Louisiana Department of Agriculture and Forestry (LDAF) Meat Processing/ Louisiana Meat Processors Association Microsoft Office Specialist (MOS) Versions 2003, 2007, or 2010 International Exam/ Microsoft and Certifport National Academy of Finance (NAF) National Exam by NAF Oracle Internet Academy National exam/ Oracle USA Pharmacy Technician/ Louisiana Pharmacy Board (LPB) ProStart I & II/ National Restaurant Association Educational Foundation (NRAEF) Alcohol and Tobacco - Responsible Vendor Training ServSafe/ National Restaurant Association Solutions *** If you would like to utilize these additional certifications, it is the responsibility of the teacher to submit the details and cost of the IBC certification for approval. MERA reserves the right to decline funding approval or to only partially fund the training depending on available funding. The teacher MUST turn in a certificate of completion for any student that completes one of the above IBC certifications. Your high school can get 10 additional points on the school report card for students who pass the IBC. Workforce Development Online Courses MERA offers a set of online courses called “Workforce Development” to enhance your students’ classroom experience and to prepare them for a job. Each of the online courses through LearnSomething.com (see list below) are independent of the other courses. Once a student completes a course, they can print out a certificate of completion. MERA requires that once a teacher allows a student to start any course that he/she follow-through to make sure the student finishes all sections. Online courses can be completed in the classroom or at home and take about 25 hours to complete. Each course costs about $200-$250/student and is funded by MERA. LearnSomething is the leading provider of custom eLearning solutions and consumer education for the food, drug and healthcare industries. They provide companies with flexible, Web-based information programs to meet the regulatory, operational, continuing education and internal systems training needs of their diverse, distributed workforces. Their content-rich category education developed for employees and consumers helps retailers increase basket size and enhance the overall customer experience. LearnSomething courses deliver content identified and vetted by industry experts. A student who completes these courses certainly has an advantage over others and has additional knowledge for his/her resume. Each student may select either the General Workforce Prep Course or the Pharmacy Technical Prep Course shown on the next page: General Workforce Preparation 1. Excel for Beginners (optional) or Excel Intermediate 2. Word for Beginners 3. Presentation (PowerPoint) 9 4. Outlook Tools 5. Prepare to Serve 6. The Power of Suggestive Selling 7. Introduction to Category Management Basics 8. Quick Reference to Retail Best Practices in Food Safety and Sanitation 9. OSHA-Practicing Basic Store Safety 10. OSHA-Bloodborne Pathogens 11. OSHA-First Aid 12. OSHA-Fire Safety 13. Customer Service and Consulting 14. Negotiation 15. Code of Conduct and Ethics 16. Handling Fraudulent Checks 17. Detecting Counterfeit Currency 18. Detecting Charge Card Fraud 19. Preventing Shoplifting 20. Preventing Employee Theft 21. Business Communication: Verbal, Non-verbal, Written, Target Communication 22. Time and Stress Management 23. Entrepreneurship Total Course Time: 24.8 hours Pharmacy Technical Preparation 1. Pharmacy Technicians in the Workplace 2. National Pharmacy Technician Basic Training 3. Medicare Part B: What You Need to Know About DMEPOS Accreditation 4. Bloodborne Pathogens in the Pharmacy 5. Quality and Patient Safety 6. Preventing Fraud, Waste & Abuse in Pharmacy Practice 7. DEA Audit-What a Pharmacist Needs to Know 8. MethGuard: Combat Methamphetamine Epidemic Act of 2005 9. HIPAA Security Basics Training Program for the Pharmacy Workforce 10. HIPAA Privacy Training for the Pharmacy Workplace 11. Family & Medical Leave Act Training 12. Code of Conduct & Ethics 13. Fair Labor Standards Act Training 14. Preventing Workplace Harassment 15. Leadership for Managers-Building a Foundation for Leadership 16. Leadership for Managers-Communication Effectively as a Leader 17. Product Solutions for Customers 18. Product Category Training: Store Brands-Enhancing Profitability 19. Responsible Vendor 20. Safety Basics Total Course Time: 24.6 hours OSHA A general online course is available. Total Course Time: 82 Minutes A teacher writing a classroom grant may use their own grant funds to purchase additional LearnSomething.com online courses. Coping Skills Coping Skills is a self-contained unit of instruction that you could use throughout the year, perhaps as bell-ringers. These will help students with “stinky-thinking.” It’s great for conflict resolution and in learning how to deal with complications which arise in a day to day workplace. It should also help with customer service skills and workplace behavior. MERA offers the Coping Skills binder of classroom materials and lessons. 10 EVERY GRANT APPLICANT MUST COMPLETE THIS FORM _____ 1st Semester Report _____ 2nd Semester Report STUDENT PARTICIPATION REPORT Business Operations and Training / Employment Information Teacher Name: ___________________ School Name: _____________________ Region #: __________ Poll all students to find out where they work. We know that co-op students have to work; however, other students work after school and on weekends or have their own business. Some work through Internships (paid and unpaid). List all students (no duplicates) who are involved in any MERA program. Next to each student's name, list their place of employment, and place an "X" by each program(s) the student is participating in. If a student does not work, leave the second and third columns blank. For students you teach in the 2nd semester, you MUST submit a new list with only new names (do not submit duplicate names from 1st Semester. This form is required. It is not optional. Mark an “X” on the programs the student is participating in. Student’s Name Total # Students: Student’s Place of Employment Total # Employed: Student’s Job Title Classroom Grant Total #: Customer Service Total #: Online Courses Total #: Coping Skills Total #: OSHA Total #: Other IBC Total #: SBE Total # Job Fair Total # 11 Classroom Grant Applicants Complete This Form 2013-14 GOAL, IMPLEMENTATION & COST EXPLANATION FORM (Copy this entire form for each goal) Instructions: Each goal should begin on a separate sheet and is single-spaced. Each goal should focus on a different learning opportunity and MUST be specific and measurable and expand, enhance, or improve your current objectives. The implementation plan is a description of activities that lead to the achievement of the listed goal. Describe what will be done, what activities will be used, how the goal will be evaluated and all other related information. The evaluation process must be clear and should describe how you will determine whether learning has occurred or a competency has been achieved. In a separate section below each goal and implementation, you must itemize all items that you need to purchase in order to accomplish this goal along with a quantity & current price including any shipping/handling charges. Include an itemized list for the supplies, materials, textbook title and quantity, equipment needed, and approximate cost. A goal may also be for travel (a field trip, conference, etc.) which is either on the list of preapproved OCLO destinations or which must be typed on the OCLO Approval form detailing the agenda and description of activities. Once you receive an approval, you can then add it to your grant application (include a copy of your approval from MERA to your grant application). In addition to this written portion, you must state how many students and how many teachers/chaperones will attend, the name of the event, the vendor (for state DECA events, the vendor is La. DECA.) and the amount. A total cost to accomplish each goal should be printed at the end of each “Goal, Implementation & Cost” page and then transferred to the “Goal & Implementation Budget Summary.” (NOTE: If items purchased for one goal are to be used in another goal as well, list them only once in your goals costs section and simply refer to them in the other goal(s).) YOU CAN ERASE THIS TEXT IF YOU NEED MORE SPACE ON YOUR PAGE. School’s Name Teacher’s Name Goal (# and goal statement)-to Class(es) to be Covered by this Goal (type name(s) of classes)REVISION: Insert “X” here ____ if this is a MINOR revision of this goal which was originally submitted. Type your revision below your original goal. Fax to 225-383-4145 for approval. DO NOT SPEND MONEY UNTIL YOU RECEIVE AN APPROVAL ON A REVISION. Implementation-(see instructions above) Description of ActivitiesHow Will Goal Be Evaluated(box will expand down as you hit enter key) GOAL ITEMIZED EXPENSES Description (include ISBN # if book, describe type of technology, supplies, equipment, OCLO-list cost per person & total # to attend, etc.) TOTAL FOR THIS GOAL (transfer amount to Summary) To Be Purchased from (name of store/ vendor/publisher) Amount (according to your current research-3 quotes needed on any item over $200) $ $ $ $ $ $ $ $ 12 Classroom Grant Applicants Complete This Form 2013-14 MERA GOAL & IMPLEMENTATION BUDGET SUMMARY School’s Name Teacher’s Name Grant Amount $ Type the goal statement in column #1 below and then the total amount to accomplish each goal in column #2 below. This should be the same amount as on the bottom of each Goal, Implementation and Cost Explanation page. (Office Use Only) GOALS PROJECTED COST Approved Goal #1-(type goal statement here) $ (type total cost of goal #1) Goal #2-(type goal statement here) $ Goal #3-(type goal statement here) $ Goal #4-(type goal statement here) $ Goal #5-(type goal statement here) $ Goal #6-(type goal statement here) $ Goal #7-(type goal statement here) $ Goal #8-(type goal statement here) $ TOTAL BUDGET REQUEST $ If this amount is less than the grant limit, this is what you will receive... 2013-2014 Total Budget Breakdowns Grant Amount $ Grant Materials, Breakdown Supplies & (total of each) Books $ Breakdown this amount into categories below Technology Substitute OCLOs & Equipment Pay $ $ $ Other $ 13 Classroom Grant / OCLO Applicants Complete This Form OCLO Approval Form due to MERA by September 9 (1st grant round) or September 13 (2nd grant round) INCOMPLETE FORMS WILL NOT BE ACCEPTED. Submit this form to Brandi Armand at the MERA office on or before September 9 (if applying for the first grant round) or by September 13 (if applying for the second grant round). Email brandi@laretail.org or fax (225-383-4145) DECA Conferences listed as approved in the grant do not require an OCLO Approval Form. MERA will notify you if your OCLO is approved or denied via email. If approved, you may add the OCLO to your grant application. Include the approval email with your grant. School’s Name School District Name Louisiana State Planning Region # Teacher’s Name Goal(s) and Objective(s) to be Covered Class(es) Involved in this OCLO Contact Person’s Name for each site visited Contact Person’s Phone # with area code Address of Location Being Visited Parish of Site Location Proposed Date of OCLO Number of Teachers Attending Number of Students What Amount of Money Do You Wish to Allocate for this OCLO? (Employer Appreciation Banquets are allowed up to $500.) Was this OCLO Offered to All Students in the Class? If it was Not Offered to All Students, Why Not? AGENDA: Type your OCLO agenda below (give dates, times, places, speakers, and what activities will be conducted). Be VERY specific and thorough with the agenda. 14 OSHA LA Training Applicants Compete This Form Louisiana Required OSHA Training OSHA CERTIFICATION CLASS Sponsored by MERA Teacher Name: ___________________ School Name: _____________________ Region # ________ School Address: _______________________________ _______________________________ The OSHA certification one-day class is available at the Alliance Safety Council’s 3 locations: Baton Rouge (begins at 7:30 a.m.)-10099 N. Reiger Rd., Baton Rouge, LA 70809 Gonzales (begins at 7:45 a.m.)-2612 South Ruby St., Gonzales, LA 70737 Addis (begins 8:00 a.m.)-7640 La. Highway 1 S., Addis, LA 70710 *Classes are taught Monday – Friday. Additional classes are held the 2nd Saturday of every month at the Baton Rouge location. The 4th Saturday of every month there is a class at the Addis location. *MERA will pay for the registration fee for the student to take the class; however, a student must be a senior. *When your students pass the test, they will get an ARSC card, which is a pocket size hard card with their picture on it and on the back it shows the classes they have taken. This card is required by the plants to enter their gates. The students are tested immediately following the class and cards are given the same day. When students check in on the day of class, they will need to bring in a state or federal picture ID such as a drivers’ license, a state picture ID, or a student ID and a social security card. (Note: On the form below, if a student does not have a driver’s license, they can submit their student ID but it must have 9 digits. If it does not, add zeros to it to make it 9 digits long.) Add rows as needed First Name Last Name Driver’s License # or Student ID # (must be 9 digits) Training Location Training Date 15 Career Day Applicants Complete This Form MERA Career Day Application (event must be held prior to March 30, 2014) Teacher in Charge School Name Louisiana State Planning Region # Planned Date of Career Day Approximate # of Students Involved Approximate # of Teachers Involved Where will the event be held (address if whole school is being used or room # is part of school) How many periods/time slots will students be given to visit with a speaker? Approximate time of each period/time slot Approximate # of Business People Involved Approximate # of Colleges Involved Give a brief description of your event. Will it be just speakers/presenters or will there be tables for businesses to set up and talk individually with students? Proposed Budget for Event (MERA grant limited to $500) Description of Expense Amount Budgeted $ $ $ $ $ $ TOTAL BUDGET $ Return this form at least 2 months prior to your event by email to brandi@laretail.org or fax to 225-383-4145 or mail to MERA, P.O. Box 44034, Baton Rouge, LA 70804. If not sent in 2 months prior to the event, you may not get your funding in time but will be reimbursed for your expenses. After your event, you must complete the packet of information(sent to you after we receive this application)and submit receipts for your expenses, a list of business participants (sign-in sheet), a list of any part-time employment opportunities which were created, and any forms you developed for your Career Day. Teacher’s Signature Date Principal’s Signature Date 16 Customer Service Training Applicants Complete This Form Customer Service Voucher Order Form Return this Form Via Email to pjgrethel@hotmail.com After students earn 80% or better, you must supply the names and screening test scores from the 100question test supplied in order to receive your vouchers. If you use another method to screen students, let us know when you order. DO NOT HOLD VOUCHERS! You must send in your test results within 30 days of testing. If vouchers expire while you are holding them, we may deduct the expense from your future grant money. Teacher School Testing Date Louisiana Region # # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Student’s First & Last Name Screening Test Score # 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 Student’s First & Last Name Screening Test Score 17 Workforce Development Online Training Applicants Complete This Form LearnSomething Registration Form Workforce Development Online Courses Teacher Name: ___________________ School Name: ____________________ School Address: ___________________ Region # ________ Location: Online ________________________________ Date: N/A Each student can choose Option 1 or Option 2. Please indicate whether the student wants Excel Beginner or Intermediate. You can also select a letter of one of the electives (optional). Option 3 can accompany Option 1 or Option 2. Information for Total Training Hours Colomn: Option 1 = 22.67 Hours – Option 2 = 24.6 Hours – Option 3 = 82 Minutes Option for Electives: A – Intermediate Excel * B – Word for Beginners * C – Presentation (Powerpoint) * D – Outlook (Tools) Student Name Total Training Hours Option 1 Beginner Option 1 Intermediate Option 1 Elective (Optional) Option 2 Pharmacy Tech Prep Option 3 Workforce General OSHA Training 18 LearnSomething.com Workforce Development Online Courses Excel for Beginners Excel for Beginners presents instruction for these commonly used tasks: Creating Charts, Creating Workbooks, Formatting Charts, Formulas and Functions, Introducing Excel, Lookup Functions, Move and Copy Data, Navigating Workbooks, Open and Save Workbooks, Page Breaks and Previewing, Page Setup Options, Printing, Proofing Tools, Relative and Absolute References, Screen Components, Using Functions and Working with Ranges. 420 minutes (7 hours) Excel-Intermediate Excel Intermediate presents instruction for these commonly used tasks: 3D Workbooks, Additional Formatting Features, Creating a Web Page, Custom and Conditional Formats, Customizing Toolbars, Formatting Data, Formatting Menu Options, Goal Seeker and Solver, Outlining, Pivot Tables, Pivot Tables on the Web, Sorting and Subtotals, Splitting, Freezing and Hiding, Working with Macros and Worksheets and E-mail. 390 minutes (6½ hours) Can be substituted for “Excel Beginner” or taken as an elective. Word for Beginners Word for Beginners presents instruction for these commonly used tasks: Autocorrect, Basic Text Formatting, Correction Signs, Creating Documents, Envelopes and Labels, Find and Replace, Introducing Word, Moving and Copying Text, Navigation Tools, Opening, Saving and Closing, Printing Documents, Proofing Tools, Screen Components, Smart Tags and Task Panes. 150 minute (2.5 hours) “Elective” (voluntary) Each student can choose only one (1) elective. Presentation (PowerPoint) Learn the basics of creating, opening, saving and closing presentations using Microsoft’s PowerPoint. Create information presentations and provide support materials such as transparencies, printed handouts and speaker notes. 390 minutes (6.5 hours) “Elective” (voluntary) Each student can choose only one (1) elective. Outlook—Tools This course introduces the learner to the range of tools offered in Outlook including: the navigation pane; signatures and delivery confirmations; using the calendar; creating, assigning and viewing tasks; and journal tracking. Customization using Outlook’s features and options, and stationery, template and theme tools are offered. 240 minutes) (4 hours) “Elective” (voluntary) Each student can choose only one (1) elective. Prepare to Serve This course recognizes that the customer service your employees provide may be the single most underused resource for increasing sales. This course is based on a simple but powerful equation: Greater customer satisfaction means increased customer loyalty and larger basket size. Using a format that maintains employees’ 19 interest through dramatic vignettes and skill-building lessons rendered in multimedia, will motivate your employees to exercise these new-found skills on your sales floor and to stay current on product knowledge and solution selling. 120 minutes (2 hours) Required The Power of Suggestive Selling Providing exceptional customer service builds brand loyalty and increases store revenue. These benefits are largely dependent on techniques used by store associates in aisles, behind counters, and at the register. Associates are “marketing directors” for the company every time they interact with customers. This course guides associates through the step-by-step techniques that will provide customers with a satisfying in-store experience and increase their basket size. 60 minutes Required Introduction to Category Management Basics Increasing your store’s “shopability” is a sure way to increase sales, and with this introduction to category management, your employees will become familiar with the purpose and methods of effectively planning a category layout. They will learn how to interpret a planogram and the basic concepts used to manage “the last two feet,” including product flow, blocking schemes and spacing. 40 minutes Required Quick Reference to Retail Best Practices in Food Safety and Sanitation This course was developed, based on the 2009 Food Code, to provide food service employees with the essentials of food safety and sanitation. Learners will acquire knowledge of the basics of food safety in food service establishments and will learn how to handle food safely to protect both themselves and customers. 60 minutes Required OSHA-Practicing Basic Store Safety Accidents and injuries in the workplace cost businesses more than $125 billion a year! Besides medical expenses, stores can incur human costs, legal expenses, and lasting damage to the company’s reputation. Eachand every employee who completes this course will be able to identify targets of proper safety practices and recall basic safety practices. 11 minutes Required OSHA-Blookborne Pathogens: Protecting Employees Workplace accidents can unknowingly expose your employees to HIV, hepatitis and other dangerous bloodborne pathogens. Studies suggest that more than half of those infected with these deadly diseases aren’t even aware of the danger their fluids present to others! Managers have a duty to ensure their workforce is aware of the risk of bloodborne pathogen exposure and knowledgeable about protecting themselves and others from transmission. 10 minutes Required 20 OSHA: First Aide: First Response to Workplace Injuries Give your employees a basic introduction to emergency first-aid procedures, personal protective equipment (PPE), and precautions to use when responding to accidents. This course prepares employees to take appropriate measures to assist accident victims, while protecting themselves from potential harm. 11 minutes Required OSHA: Fire Safety: Quick Response and Disaster Prevention This course is designed to teach your employees how to protect themselves, and your business, by reacting quickly and appropriately to any class of fire. Learners will be able to recognize the 4 fire classes and which fire extinguisher is appropriate for each class, as well as when to flee rather than fight a fire. 18 minutes Required Customer Service and Consulting This course builds the learner’s customer service skills and provides in depth explanations on precisely how Effective Communication can enrich a Customer’s experience. Some topics covered include: the Customer Complaint Process, Knowing Your Enemy, Determining a Need, and Improving Listening Skills. 120 minutes (2 hours) Required Workplace Communication This course teaches the learner how to efficiently conduct various forms of Workplace Communications. It consists of four Modules: Module 1: Non-Verbal Communication, Module 2: Written Communications, Module 3: Oral Communication and Module 4: Communication Targets. The course includes important topics such as using body language, describing the writing process, effective listening, and communicating with customers. 180 minutes (3 hours) Required Negotiation This course explains how, why, and when it is appropriate to negotiate in a particular business situation. It addresses Negotiating Yourself, Influence and Persuasion. A few topics covered include the concept of Self Talk, How to Research and Gather Information, and Building Rapport. 90 minutes Required Time and Stress Management This course teaches learners how to minimize stress and efficiently manage their time. It offers topics such as: balancing work and home demands, developing and abiding by your own Vision and Mission Statement, and the Characteristics of Success. 60 minutes Required Code of Conduct and Ethics Your employees can guarantee that your organization complies with all city, state, and federal laws and regulations by conducting company business with complete honesty and integrity. This course presents real-life scenarios that illustrate the possible consequences of decisions involving questionable ethics. Through these vignettes, your employees will learn how to respond in these types of situations and avoid making unethical decisions. 60 minutes Required Detecting Charge Card Fraud As the use of charge cards increases, so does the crime rate involving their fraudulent use. This course introduces methods of deterring charge card fraud. Employees learn to describe methods of charge card fraud, identify suspicious cards and transactions, and handle suspicious fraudulent activity appropriately. 20 minutes Required 21 Detecting Counterfeit Currency Loss prevention tactics go hand-in-hand with counterfeiting deterrents. With the clever misdeeds of scam artists it is necessary to be diligent, aware and extra thorough when receiving currency. In this course, earners review fundamental information on how to spot fake currency, and how to act when these instances occur. Learning objectives include: identifying the new security features found on U.S. currency, identifying the design features found on recently redesigned currency, describing the penalties for counterfeiting, describing methods used in detecting counterfeit bills; and handling suspicious bills appropriately. 20 minutes Required Handling Fraudulent Checks Fraudulent checks have a negative effect on your company, and your employees can help reduce those instances of fraud at the point of sale. In this course, learners are introduced to Check 21 and the ways that it impacts customers. Upon completion, your employees will be able to identify the comparison points used to verify identification cards, the codes used to indicate the proper financial institutions responsible for check processing, and the features useful in identifying fraudulent checks. 20 minutes Required Preventing Employee Theft One of the major causes of shrink in the retail industry is employee theft. This course introduces learners to the reasons for employee theft and what can be done to identify and prevent it. Employees will learn to explain the effects of shrinkage on the company bottom line, identify the reasons motivating theft of company goods, describe the methods used to steal, and describe what measures can be taken to reduce theft. 20 minutes Required Preventing Shoplifting Shoplifting is one of the main causes of lost profits in the retail industry, and your employees can help to prevent this crime. This course provides an overview of the effects of shoplifting on the company bottom line, the national statistics on shoplifting, and the types of items that are frequently stolen. Your employees will shoplifters and the methods they use to steal. l learn shoplifting prevention tips as they discover how to identify 20 minutes Required Total Hours 22.67 hours 22 Pharmacy Technician Preparation Operations Training for Technicians in the Community Pharmacy The Pharmacy Technician Preparation curriculum prepares individuals for entry level positions within a retail pharmacy. The program presents an overview of retail pharmacy operations and can be used as a launch point from which to pursue management roles. Credit Seat Time Hours COURSE LIST Hours: Minutes 1.50 Introduction Pharmacy Technicians in the Workplace Pharmacy.................... 01:30 9.00 echnician Basic Training National Pharmacy Technician Training Program (7th edition) ..................................................................................09:00 National Pharmacy Technician Practice Exam (optional) 7.00 Pharmacy Regulatory Compliance Medicare Part B: What You Need to Know About DMEPOS Accreditation .......................... 00:30 Bloodborne Pathogens in the Pharmacy 2011 .....,,,,,,,,,,,,,,,,,,,.... 01:00 Quality and Patient Safety: A Training Program for Community Pharmacy ................................................................ 01:00 Preventing Fraud, Waste & Abuse in Pharmacy Practice – General ...................................................................... 00:30 DEA Audit - What a Pharmacist Needs to Know........................ 01:00 MethGuard™: Combat Methamphetamine Epidemic Act of 2005 ....................................................................................... 00:30 HIPAA Security Basics Training Program for the Pharmacy Workforce ................................................................. 01:00 HIPAA Privacy Training for the Pharmacy Workforce………. 01:30 1.90 Corporate Ethics Family & Medical Leave Act Training...................................... 00:10 Code of Conduct & Ethics.......................................................... 00:40 Fair Labor Standards Act Training............................................. 00:30 Preventing Workplace Harassment............................................. 00:30 2.20 Leadership & Communications Leadership for Managers - Building a Foundation for Leadership ............................................................................ 01:10 Leadership for Managers - Communicating Effectively as a Leader ................................................................................. 01:00 3.00 Product Knowledge & Customer Service Product Solutions for Customers.................................................02:00 Product Category Training: Store Brands - Enhancing Profitability..................................................................................00:30 Responsible Vendor....................................................................00:15 Safety Basics...............................................................................00:15 24.60 Total Course Seat Time 23 Course Descriptions: Leadership for Managers - Communicating Effectively as a Leader (LD-1007) ......................................................................................................................... 01:00 As you take on leadership roles, your influences may be greater than you realize. In this course learners will become familiar with the importance of establishing and protecting your personal brand; the five communication techniques that power efficiency and effectiveness; ways to identify and avoid four common communication pitfalls. Learners will also review how to frame a message to create consensus; and the power of knowing the goals and rewards you share with your audience. Medicare Part B: What You Need to Know About DMEPOS Accreditation (PH1011).................................................................................................................................. 00:30 This course will enhance the learner’s understanding of Medicare Part B and how the coverage functions for both beneficiary and provider. This course may also satisfy the DME accreditation training and competency requirements for accreditation for DMEPOS. MethGuard™: Combat Methamphetamine Epidemic Act of 2005 (PH-1058) ....................................................................................................................... 00:30 Developed by the U.S. Drug Enforcement Administration to support compliance with the Combat Methamphetamine Epidemic Act of 2005, this course provides learners with the policies and procedures for handling the sales restrictions of Scheduled Listed Chemical Products containing ephedrine, pseudoephedrine or phenylpropanolamine. National Pharmacy Technician Training Program (7th edition) (PH-1993) ...................................................................................................................... 09:00 This course prepares the learner with knowledge of the functions of a pharmacy technician and reviews the importance of confidentiality, along with an overview of federal and state regulations. Pharmacy Technicians in the Workplace (PH-1036)............................................... 01:30 Learn about the knowledge and skills a pharmacy technician must possess to effectively manage the work in a pharmacy, including: the federal and state laws that regulate pharmacy activities; the workflow process in a pharmacy; the different types of medications dispensed in a pharmacy; procedures for filling prescriptions, processing third-party prescriptions and managing inventory; and providing effective customer service. Preventing Fraud, Waste & Abuse in Pharmacy Practice - General 2012 (PH1987)............................................................................................................................. 00:30 Completers of this course acquire an understanding of Medicaid and Medicare fraud, waste and abuse regulations. All recently established related standards and recommendations are rolled into a single course so learners need only take this one course. Preventing Workplace Harassment (MC-1015)...................................................... 00:30 This course is designed to provide managers, and those in management roles, with a comprehensive understanding of harassment which disrupts the workplace. In addition, the course reviews the legal safeguards in place and presents options on addressing harassment to maintain trust and open communications between employees and management. Product Category Training: Store Brands - Enhancing Profitability (PT-1025) .................................................................................................................. 00:30 24 Store brands offer customers high-quality products at an attractive price, contributing to a retailer’s profitability. In this course, you’ll learn how to inform customers about store brand value and how to address customers’ concerns and motivations related to store brands. Complex key terms and concepts are explained, including phrases such as “comparable to national brands,” “current good manufacturing practices (cGMP),” and “FDA systems approach to ensuring quality.” Product Solutions for Customers (PT-1036) ...........................................................02:00 The customer service you provide may be the single most important strategy for increasing sales. This course is based on a simple but powerful equation: Greater customer satisfaction means increased customer loyalty and stronger sales. This presentation shows you how to engage with customers and build total solutions for their individual needs. You’ll learn how to operate confidently in the aisles and behind counters, so that both you and your customers complete interactions with a sense of achievement. Quality & Patient Safety: A Training Program for Community Pharmacy (PH-1031) ................................................................................................ 01:00 Developed in partnership with NACDS, this online course systematically shows pharmacy personnel how to establish a medication error prevention program and avoid liability. Upon completion of this ACPE-accredited course, learners will also be able to describe the methods and tools used to identify and prevent common pharmacy errors, and be prepared to respond to patients and customers in the event that an incident occurs. Responsible Vendor................................................................................................... 00:15 Learners will enhance their knowledge of the state's responsible vendor requirements through interactive exercises. This program is designed for both managers and employees of off-premise establishments and reviews practices to reduce or prevent incidents that can lead to accidents, injuries and death due to intoxication, signs of intoxication and the effects of alcohol on human behavior, and the handling of underage customers and how to check ID for age verification. Safety Basics (MC-1023) ......................................................................................... 00:15 This course emphasizes OSHA’s basic safety guidelines. It discusses how everyone can contribute to the critical job of safety, and how to identify hazards and prevent accidents. 25 MERA GRANT TIMELINES September 9 September 17 September 13 October 1 November 18 March 3 March 14 April 26 Get OCLOs approved (send the proper completed form to Brandi Armand) no later than this date if applying for the 1st round of grants. The only OCLOs that do not require preapproval are those listed in the grant application. Employer Appreciation Banquets where the function is away from school are to be treated as an off-campus OCLO. Taking your students to another function (other than DECA) to compete in or take part in a marketing, entrepreneurship and workforce development related activity is also an OCLO which must be pre-approved. First round of grant applications are due. Postmark and mail (or deliver) your grant application to MERA, P.O. Box 44034, Baton Rouge, LA 70804. Also email a copy of all pages to brandi@laretail.org. Get OCLO approved; this deadline date is if you are applying for the 2nd round of grants. Also email a copy of all pages to brandi@laretail.org. Second round of grant applications are due. Postmark and mail (or deliver) your grant to MERA, P.O. Box 44034, Baton Rouge, LA 70804. If you need to drop off your grant, please contact Brandi at 225-344-9481 to set up a time to deliver. Last day for changes and/or corrections to be made to your grant. If it is not complete on this date, you will miss the opportunity to get funding. The deadline to spend all of your MERA funds; spend any excess remaining grant funds on items on the MERA pre-approved list which will be emailed to you by this date Final Grant Report including completed teacher, student, and employer evaluations is due to MERA office. MERA grant refunds due in MERA office if Final Report is not submitted. REMINDER: ALL DEADLINES WILL BE STRICTLY ENFORCED!! CHECKLIST FOR SUBMISSION OF MERA GRANT APPLICATION MUST INCLUDE in this order: _____ GRANT COVER PAGE (check programs you will be participating in) _____ MERA GRANT INFO PAGE _____ MERA GRANT AGREEMENT WITH ALL SIGNATURES _____ OFFICIAL ROSTER(S): student name & grade levels, the official class name used by the parish system, the period & semester, and each class roster MUST be signed by the teacher and principal. You cannot count a student twice if you teach the student in more than one class for the year. _____ GOAL, IMPLEMENTATION & COST EXPLANATION (one for each goal if you are receiving a classroom grant) _____ GOAL & IMPLEMENTATION BUDGET SUMMARY _____ TOTAL BUDGET BREAKDOWN _____ THREE PRICE QUOTES for any items of technology and equipment valued at over $200. Write the goal number for which the item is being purchased on the first page. If you are unable to get 3 quotes, please specify why. Postmark (use certified mail) or deliver to the MERA office. MERA PO Box 44034 Baton Rouge, LA 70804 If you plan to hand deliver your grant, contact the MERA office at 225-344-9481 to schedule delivery 26 PLANNING FOR YOUR FINAL REPORT (Your final report instructions and forms will be sent to you in January. You can also download the forms from the MERA website.) In your MERA Final Report you must type at least a paragraph describing each one of your goals. Each different goal requires a new paragraph. After you describe your goal, describe the following: (1) what activities you conducted (you can list them) to accomplish your goal, (2) what types of assessments/evaluations were made, (3) how did this goal improve, enhance, or enrich your class objectives? If you did not complete a goal entirely, please state what percentage you did complete and explain why. (4) attach Evaluation forms from each student, the teacher, and any business people involved for each goal. A teacher evaluation MUST also be completed and placed on top of the students’ evaluation. If you involve any business people in your goals, have them complete an evaluation and put these directly behind your evaluation and in front of your students’ evaluations. These forms will be provided by MERA. Complete the “Actual Itemized Expenses” form showing the original goal #, exactly what and where you spent your money, amount budgeted and amount spent, and then list the serial #s if equipment or the pass code if software. List vendors/stores used. You must also number each of your receipts (1, 2, 3, etc.) and then put the receipt number on your “Actual Itemized Expenses” form. ITEMIZED receipts are required instead of just a total. Submit either MERA Account printout (which shows only MERA deposits and disbursements) along with itemized receipts which are presented in the order they are shown on the printout. Do not edit, cut, or cover up any portion of your receipt OR if you didn’t have a special MERA account, then attach a copy of each official school district Purchase Order along with the accompanying receipt. A P.O. must be on official school district forms, listing the complete mailing address of the Vendor, signed by a district official, and then sent to the vendor. Attach samples of student work and any pictures of students doing the work. Identify the students in the photo and explain what they are doing. If you have a very good business plan written by a student, please include it. If your School-Based Enterprise (SBE) has been certified by National DECA, send MERA a copy of your report. Put all of the above in a flat folder (manila, project or multi-spiral) in the order listed and submit to MERA at P.O. Box 44034, Baton Rouge, LA 70804 by March 15. MERA WEBSITE Visit the MERA website for additional information on your grant. Go to: http://www.laretail.org/ Click on MERA on the left side USERNAME: mera PASSWORD: teacher (you may need to type the username/password more than one time to get in) 27 EVERY GRANT APPLICANT and PARTICIPANT MUST COMPLETE THIS FORM MERA Program Evaluation Please write/type an “X” in the box next to your classification: Student Teacher Employer Name of School Write/type an “X” in front of the activity you participated in that was supported by MERA. Complete a separate evaluation form for each activity: Customer Service Training LearnSomething Workforce Online Training OSHA Training DECA Conferences Career Day Classroom Grant I Employ MERA Students (Employers ONLY) Other______________________________ Write/type the number (1-5) in the gray box to the right which best describes your feelings on this statement. 5-Strongly Agree 4-Agree 3-Disagree 2-Strongly Disagree 1-Don’t Know FOR STUDENTS 1. The MERA training and assistance has better prepared me for the workforce. 2. I will continue using the knowledge and resources gained through this program in the future. 3. My overall experience as it relates to MERA programs has been positive and beneficial. Additional Comments FOR TEACHERS 1. I will continue utilizing MERA programs to create enhanced learning opportunities. 2. MERA programs provide knowledge and resources that my students will use in the future. 3. My overall experience as it relates to MERA programs has been positive and beneficial. Additional Comments FOR EMPLOYERS 1. I will hire additional students involved in the MERA program. Type/write “Y” for yes or “N” for no 2. Please rate your overall experience as it relates to MERA programs. Additional Comments 28