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Description of Services Ordered and Certification Form 471 FCC Form

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Description of Services Ordered and Certification Form 471 FCC Form OMB 3060-0806 Approval by OMB FCC Form 471 November 2015 Description of Services Ordered and Certification Form 471 FCC Form 471 Application Information Nickname 471 CLIU Con I PTD YR 21 2017 to 2022 Application Number 181019646 Funding Year 2018 Category of Service Category 1 Billed Entity Contact Information Carbon Lehigh Intermediate Unit #21 Consortium Philip Fiore 4210 Independence Dr. Schnecksville PA 18080 - 2 610-769-1010 580 [email protected] 610-769-1010 x 2 [email protected] Billed Entity Number 17000227 FCC Registration Number 0011630480 Applicant Type Consortium Consulting Firms Name Consultant City State Zip Phone Email Registration Code Number Number CLIU #21 Consortium CRN 17003585 Schnecksville PA 18078 610-769-1010 [email protected] Entity Information Consortium Entities School Entity - Details BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 19171 LEHIGH CAREER & Urban 1213 000005338 None Public School None TECHNICAL INSTITUTE 93007 19258 CARBON CAREER AND Rural None Public School None TECHNICAL INSTITUTE 125932 CARBON LEHIGH Urban None ESA School District None INTERMEDIATE UNIT 21 with no Schools; Public School School Entity - Discount Rate Calculation Details BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 19171 LEHIGH CAREER & TECHNICAL INSTITUTE Urban 2898 No 19258 CARBON CAREER AND TECHNICAL INSTITUTE Rural 335 No Page 1 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 Urban 60021 No Related School District Entity - Details BEN Name Urban/ State State NCES School District Endowment Rural LEA ID School Code Attributes ID 125907 CATASAUQUA AREA SCHOOL Urban Public School District None DIST 125908 SOUTHERN LEHIGH SCHOOL Urban Public School District None DIST 125920 WHITEHALL-COPLAY SCHOOL Urban Public School District None DIST 125924 NORTHWESTERN LEHIGH Rural Public School District None SCHOOL DISTRICT 125934 NORTHERN LEHIGH SCHOOL Urban 1213 0000 Public School District None DISTRICT 94503 125936 SALISBURY TWP SCHOOL Urban Public School District None DISTRICT 125939 ALLENTOWN SCHOOL DISTRICT Urban 1213 Public School District None 90302 125940 EAST PENN SCHOOL DISTRICT Urban 1213 Public School District None 92303 125943 JIM THORPE AREA SCHOOL DIST Rural 1211 Public School District None 35003 125946 PANTHER VALLEY SCHOOL Rural Public School District None DISTRICT 125951 WEATHERLY AREA SCHOOL Rural Public School District None DISTRICT 151383 PARKLAND SCHOOL DISTRICT Urban Public School District None 168206 LEHIGHTON AREA SCHOOL Urban Public School District None DISTRICT Related Entity Information Consortium Related Entities Related School NIFs School BEN School Name NIF BEN NIF Name 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 19172 CARBON LEARNING & ACHIEVEMENT SCHOOL 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 231689 YOUTH FORESTRY CAMP #2 CAWLEY LEARNING CENTER 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 16050234 ALLENTOWN LEARNING AND ACHIEVEMENT SCHOOL 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 16061206 CLIU Palmerton Enhanced Autism 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 16061249 LEIHIGHTON EARLY CHILDHOOD CENTER 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 16061250 DELAWARE AVENUE EARLY CHILDHOOD CENTER 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 16071547 CLIU 21 EMOTIONAL SUPPORT 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 16071762 LEHIGH LEARNING ACHIEVEMENT SCHOOL 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 16071773 COPLAY LEARNING CENTER 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 16071784 CLIU EI JORDAN 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 16071943 HOLY SPIRIT EARLY INTERVENTION Page 2 School BEN School Name NIF BEN NIF Name 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 16080111 CLIU LEHIGH ENHANCED AUTISM 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 17001354 CLIU VIP Program 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 17001724 Carbon Lehigh Intermediate Unit #21 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 17002005 Carbon Lehigh Intermediate Unit # 21 Transportation Building 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 17003282 CLIU South Mountain 125932 CARBON LEHIGH INTERMEDIATE UNIT 21 17003283 CLIU N. Broad Related Child School Entity - Details BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 19077 CATASAUQUA SR HIGH Urban 2798 None Public School None SCHOOL 19078 FRANCIS H SHECKLER Urban 6593 None Public School None ELEM SCHOOL 19079 CATASAUQUA MIDDLE Urban 2797 None Public School None SCHOOL 19080 SOUTHERN LEHIGH SR Urban 2839 None Public School None HIGH SCH 19081 HOPEWELL Rural None Public School None ELEMENTARY SCHOOL 19082 SOUTHERN LEHIGH Urban None Public School None MIDDLE SCH 19083 LIBERTY BELL Urban None Public School None ELEMENTARY SCHOOL 16049264 SOUTHERN LEHIGH Urban None Public School None INTERMEDIATE SCHOOL 19116 WHITEHALL HIGH Urban 1213 2848 None SCHOOL 97803 19117 GOCKLEY ELEMENTARY Urban 1213 6983 None SCHOOL 97803 19118 STECKEL ELEMENTARY Urban 1213 6841 Public School None SCHOOL 97803 19119 WHITEHALL-COPLAY Urban 1213 5241 None MIDDLE SCHOOL 97803 16051504 ZEPHYR ELEMENTARY Urban 1213 8048 None Public School None 97803 19146 NORTHWESTERN Rural 7353 None Public School None LEHIGH MIDDLE SCH 19147 NORTHWESTERN ELEM Rural 6449 None Public School None SCHOOL 19148 NORTHWESTERN Rural 2821 None Public School None LEHIGH HIGH SCH 21042 WEISENBERG ELEM Rural 2819 None Public School None SCHOOL 19174 SLATINGTON Urban 6727 None Public School None ELEMENTARY SCHOOL 19175 NORTHERN LEHIGH Urban 6829 None Public School None MIDDLE SCHOOL 19176 NORTHERN LEHIGH Urban 2818 None Public School None HIGH SCHOOL 19177 PETERS ELEMENTARY Urban 2813 None Head Start; None SCHOOL Public School 19205 SALISBURY SR HIGH Urban 1213 2883 None Public School None SCHOOL 95603 Page 3 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 19210 WESTERN SALISBURY Urban 1213 2832 None Public School None SCHOOL 95603 19211 SALISBURY MIDDLE Urban 1213 5365 None Public School None SCHOOL 95603 19213 TRUMAN ELEMENTARY Urban 2832 121395603 None Public School None SCHOOL 19179 HARRISON-MORTON Urban 2791 Public School None MIDDLE SCHOOL 19180 TREXLER MIDDLE Urban 4929 Public School None SCHOOL 19182 WASHINGTON Urban 2786 Public School None ELEMENTARY SCHOOL 19185 SHERIDAN Urban 6448 Public School None ELEMENTARY SCHOOL 19188 MCKINLEY ELEMENTARY Urban 2777 Public School None SCHOOL 19189 CENTRAL ELEMENTARY Urban 2790 Public School None SCHOOL 19190 K-6 Newcomer Urban Public School None 19192 CLEVELAND Urban 7102 Public School None ELEMENTARY SCHOOL 19193 NEWCOMER ACADEMY Urban 8341 Public School None 19194 LOUIS E DIERUFF HIGH Urban 2795 Public School None SCHOOL 19196 RITTER ELEMENTARY Urban 2781 Public School None SCHOOL 19197 MOSSER ELEMENTARY Urban 2779 Public School None SCHOOL 19198 JEFFERSON Urban 2774 Public School None ELEMENTARY SCHOOL 19200 ROOSEVELT Urban 2782 Public School None ELEMENTARY SCHOOL 19208 SOUTH MOUNTAIN Urban 2793 Public School None MIDDLE SCHOOL 19215 DODD ELEMENTARY Urban 2768 Public School None SCHOOL 19221 MUHLENBERG Urban 2780 Public School None ELEMENTARY SCHOOL 19224 WILLIAM ALLEN HIGH Urban 2794 Public School None SCHOOL 19226 RAUB MIDDLE SCHOOL Urban 2792 Public School None 19227 UNION TERRACE ELEM Urban 2785 Public School None SCHOOL 16064313 LUIS RAMOS Urban 8140 Public School None ELEMENTARY SCHOOL 16067882 Jackson Early Childhood Urban Public School None Center 16081960 BUILDING 21 Urban 8341 Public School None ALLENTOWN 16075197 WILLIAM PENN BUILDING Urban Public School None 19204 LEHIGH PARKWAY Urban 2775 Public School None ELEMENTARY SCHOOL 19022 ALBURTIS ELEMENTARY Urban None Public School None SCHOOL 19111 LOWER MACUNGIE Urban None Public School None MIDDLE SCHOOL Page 4 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 19112 JEFFERSON Urban None Head Start; None ELEMENTARY SCHOOL Public School 19113 LINCOLN ELEMENTARY Urban None Public School None SCHOOL 19133 SHOEMAKER Urban None Public School None ELEMENTARY SCHOOL 19134 MACUNGIE Urban None Public School None ELEMENTARY SCHOOL 19135 HOWARD A. EYER Urban None Public School None MIDDLE SCHOOL 19231 WESCOSVILLE Urban None Public School None ELEMENTARY SCHOOL 175740 EMMAUS HIGH SCHOOL Urban None Public School None 16055935 WILLOW LANE Urban None Public School None ELEMENTARY 19256 LB MORRIS Rural 6965 None Public School None ELEMENTARY SCHOOL 19257 JIM THORPE AREA SR Rural 1307 None Public School None HIGH SCHOOL 235094 PENN-KIDDER SCHOOL Rural 7785 None Public School None 19260 PANTHER VALLEY Rural 8348 Public School None JUNIOR/SENIOR HIGH SCHOOL 19262 PANTHER VALLEY Rural 8349 Public School None INTERMEDIATE SCHOOL 19276 PANTHER VALLEY Rural 1322 Public School None ELEMENTARY SCHOOL 19285 WEATHERLY AREA HIGH Rural None Public School None SCHOOL 19286 WEATHERLY AREA Rural None Pre-K; Public School None ELEMENTARY SCH 19287 WEATHERLY AREA Rural None Public School None MIDDLE SCHOOL 19085 IRONTON ELEMENTARY Urban 2823 42 - 18510- None Public School None SCHOOL 2823 19158 KERNSVILLE Urban 6801 42 - 18510- None Public School None ELEMENTARY SCHOOL 6801 19173 SCHNECKSVILLE ELEM Urban 2825 42 - 18510- None Public School None SCHOOL 2825 19203 CETRONIA Urban 2824 42 - 18510- None Public School None ELEMENTARY SCHOOL 2824 19216 KRATZER ELEMENTARY Urban 2827 42 - 18510- None
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