Description of Services Ordered and Certification Form 471 FCC Form
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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 CM19-47102-MIBS Application Number 191020583 Funding Year 2019 Category of Service Category 2 Billed Entity Contact Information Cleveland Municipal School District Curtis Timmons 1111 SUPERIOR AVENUE, E SUITE 1800 CLEVE 216-838-0485 LAND OH 44114 [email protected] 216-574-8000 Billed Entity Number 129482 FCC Registration Number 0012671517 Applicant Type School District Dedra Ross, 216-838-0495, [email protected] Holiday/Summer Contact Information Consulting Firms Name Consultant City State Zip Phone Email Registration Code Number Number Funds for Learning 16024808 Edmond OK 73013 405-341-4140 jharrington@fundsforlearn ing.com Entity Information School District Entity - Details BEN Name Urban/ State State NCES School District Endowment Rural LEA ID School Code Attributes ID 129482 Cleveland Municipal School District Urban Public School District None Related Entity Information Related Child School Entity - Details BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 47671 MAX HAYES Urban Public School None Page 1 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 47673 MARION C. SELTZER Urban Public School None 47676 JOSEPH M. GALLAGHER Urban Public School None 47677 WAVERLY Urban Public School None 47682 H. BARBARA BOOKER Urban Public School None MONTESSORI 47683 CLARK Urban Public School None 47684 ALMIRA Urban Public School None 47687 CASE Urban Public School None 47691 WILLSON Urban Public School None 47695 WADE PARK Urban Public School None 47699 MARY B. MARTIN Urban Public School None 47703 ALFRED A. BENESCH Urban Public School None 47704 EAST TECHNICAL HIGH Urban Public School None SCHOOL 47705 Dike School of the Arts Urban Public School None 47710 HARVEY RICE Urban Public School None 47725 ANDREW J. RICKOFF Urban Public School None 47731 FULLERTON Urban Public School None 47736 MILES PARK Urban Public School None 47737 MILES PARK Urban Public School None 47740 DANIEL E. MORGAN Urban Public School None 47742 MARY M. BETHUNE Urban Public School None 47746 CLEVELAND SCHOOL OF Urban Public School None THE ARTS 47747 JOHN HAY CAMPUS Urban Public School None 47749 BOLTON Urban Public School None 47780 IOWA-MAPLE Urban Public School None 47783 GLENVILLE Urban Public School None 47785 PATRICK HENRY Urban Public School None 47787 FRANKLIN D. Urban Public School None ROOSEVELT 47789 MICHAEL R WHITE Urban Public School None 47796 LINCOLN-WEST Urban Public School None 47797 BUHRER ELEMENTARY Urban Public School None 47798 JONES HOME AKA Urban None Dormitory; None CHILDREN AID SOCIETY Public School 47800 DENISON Urban Public School None 47802 CHARLES A. MOONEY Urban Public School None 47806 BENJAMIN FRANKLIN Urban Public School None 47808 WILLIAM CULLEN Urban Public School None BRYANT 47813 GINN ACADEMY Urban Public School None 47816 COLLINWOOD Urban Public School None 47819 EAST CLARK Urban Public School None 47830 WILBUR WRIGHT Urban Public School None 47832 GARFIELD ELEMENTARY Urban Public School None 47836 CLEVELAND CHRISTIAN Urban None Charter School; None HOME Dormitory; Public School Page 2 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 47838 NEWTON D. BAKER Urban Public School None 47840 LOUIS AGASSIZ Urban Public School None 47844 KENNETH W. CLEMENT- Urban Public School None BOYS SCHOOL 47858 GARRETT MORGAN Urban Public School None 47862 ORCHARD STEM (K-8) Urban Public School None 47863 PAUL L. DUNBAR Urban Public School None 47864 TREMONT Urban Public School None 47868 WALTON Urban Public School None 47869 SCRANTON Urban Public School None 47870 LUIS MUNOZ MARIN Urban Public School None 47872 DESIGN LAB EARLY Urban Public School None COLLEGE SCHOOL 47875 MARION-STERLING Urban Public School None 47876 JANE ADDAMS Urban Public School None 47915 OLIVER H. PERRY Urban Public School None 47917 SUNBEAM Urban Public School None 47929 CHARLES DICKENS Urban Public School None 47963 ADLAI E. STEVENSON Urban Public School None 48009 WILLOW Urban Public School None 48014 WHITNEY YOUNG Urban Public School None 48018 JOHN F. KENNEDY Urban Public School None E3AGLE ACADEMY 48019 CHARLES W. ELIOT Urban Public School None 48097 CLARA E. WESTROPP Urban Public School None 48098 MEMORIAL Urban Public School None 48099 BARD HIGH SCHOOL Urban Public School None EARLY COLLEGE CLEVELAND 48104 ROBINSON G. JONES Urban Public School None 48105 VALLEY VIEW- BOYS Urban Public School None SCHOOL 48181 JAMES FORD RHODES Urban Public School None 203710 HANNAH GIBBONS-STEM Urban Public School None 223388 LOUISA MAY ALCOTT Urban Public School None 235043 DOWNTOWN Urban None Juvenile Justice; None EDUCATION CENTER Public School AKA JUVENILE DETENTION CENTER 16024156 RIVERSIDE Urban Public School None ELEMENTARY SCHOOL 16025372 WASHINGTON PARK- Urban Public School None ENVIRONMENTAL SCIENCES 16035684 JOHN ADAMS Urban Public School None 16035685 WARNER- GIRLS Urban Public School None SCHOOL 16035797 DOUGLAS MACARTHUR- Urban Public School None GIRLS SCHOOL 16043187 ARTEMUS WARD Urban Public School None Page 3 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 16060052 Campus International High Urban Public School None School 16060057 ANTON GRDINA Urban Public School None 16060067 EUCLID PARK NEW Urban Public School None 16060070 GEORGE WASHINGTON Urban Public School None CARVER 16060072 MOUND Urban Public School None 16060076 NATHAN HALE Urban Public School None 16060078 ROBERT H. JAMISON Urban Public School None 16060079 THOMAS JEFFERSON Urban Public School None INTERNATIONAL NEWCOMERS ACADEMY 16070874 MC2 STEM 11-12 AT Urban Public School None CLEVELAND STATE UNIV RHODES TOWER 16077035 CLEVELAND HIGH Urban Public School None SCHOOL FOR DIGITAL ARTS 16079097 John Marshall School Urban Public School None of Civic & Business Leadership 17008191 CAMPUS Urban None Public School None INTERNATIONAL 223393 MARTIN LUTHER KING Urban Public School None HIGH SCHOOL 17013515 Davis Aerospace & Urban None Public School None Maritime High School 223390 SCHOOL OF ONE Urban Public School None 17019917 NEW TECH WEST Urban Public School None 17019918 WILLIAM RAINEY Urban Public School None HARPER Related Child School Entity - Discount Rate Calculation Details BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 47671 MAX HAYES Urban 608 N/A 71.00% 47673 MARION C. SELTZER Urban 427 N/A 71.00% 47676 JOSEPH M. GALLAGHER Urban 704 N/A 71.00% 47677 WAVERLY Urban 223 N/A 71.00% 47682 H. BARBARA BOOKER MONTESSORI Urban 346 N/A 71.00% 47683 CLARK Urban 578 N/A 71.00% 47684 ALMIRA Urban 482 N/A 71.00% 47687 CASE Urban 227 N/A 71.00% 47691 WILLSON Urban 293 N/A 71.00% 47695 WADE PARK Urban 447 N/A 71.00% 47699 MARY B. MARTIN Urban 245 N/A 71.00% 47703 ALFRED A. BENESCH Urban 268 N/A 71.00% 47704 EAST TECHNICAL HIGH SCHOOL Urban 438 N/A 71.00% 47705 Dike School of the Arts Urban 360 N/A 71.00% 47710 HARVEY RICE Urban 443 N/A 71.00% Page 4 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 47725 ANDREW J. RICKOFF Urban 429 N/A 71.00% 47731 FULLERTON Urban 207 N/A 71.00% 47736 MILES PARK Urban 445 N/A 71.00% 47737 MILES PARK Urban 401 N/A 71.00% 47740 DANIEL E. MORGAN Urban 221 N/A 71.00% 47742 MARY M. BETHUNE Urban 281 N/A 71.00% 47746 CLEVELAND SCHOOL OF THE ARTS Urban 483 N/A 71.00% 47747 JOHN HAY CAMPUS Urban 1047 N/A 71.00% 47749 BOLTON Urban 269 N/A 71.00% 47780 IOWA-MAPLE Urban 190 N/A 71.00% 47783 GLENVILLE Urban 322 N/A 71.00% 47785 PATRICK HENRY Urban 272 N/A 71.00% 47787 FRANKLIN D. ROOSEVELT Urban 448 N/A 71.00% 47789 MICHAEL R WHITE Urban 154 N/A 71.00% 47796 LINCOLN-WEST Urban 583 N/A 71.00% 47797 BUHRER ELEMENTARY Urban 388 N/A 71.00% 47798 JONES HOME AKA CHILDREN AID SOCIETY Urban 18 N/A 47800 DENISON Urban 261 N/A 71.00% 47802 CHARLES A. MOONEY Urban 736 N/A 71.00% 47806 BENJAMIN FRANKLIN Urban 600 N/A 71.00% 47808 WILLIAM CULLEN BRYANT Urban 433 N/A 71.00% 47813 GINN ACADEMY Urban 370 N/A 71.00% 47816 COLLINWOOD Urban 244 N/A 71.00% 47819 EAST CLARK Urban 224 N/A 71.00% 47830 WILBUR WRIGHT Urban 510 N/A 71.00% 47832 GARFIELD ELEMENTARY Urban 516 N/A 71.00% 47836 CLEVELAND CHRISTIAN HOME Urban 51 N/A 47838 NEWTON D. BAKER Urban 481 N/A 71.00% 47840 LOUIS AGASSIZ Urban 241 N/A 71.00% 47844 KENNETH W. CLEMENT- BOYS SCHOOL Urban 155 N/A 71.00% 47858 GARRETT MORGAN Urban 260 N/A 71.00% 47862 ORCHARD STEM (K-8) Urban 456 N/A 71.00% 47863 PAUL L. DUNBAR Urban 330 N/A 71.00% 47864 TREMONT Urban 385 N/A 71.00% 47868 WALTON Urban 276 N/A 71.00% 47869 SCRANTON Urban 449 N/A 71.00% 47870 LUIS MUNOZ MARIN Urban 508 N/A 71.00% 47872 DESIGN LAB EARLY COLLEGE SCHOOL Urban 266 N/A 71.00% 47875 MARION-STERLING Urban 305 N/A 71.00% 47876 JANE ADDAMS Urban 231 N/A 71.00% 47915 OLIVER H. PERRY Urban 244 N/A 71.00% 47917 SUNBEAM Urban 406 N/A 71.00% 47929 CHARLES DICKENS Urban 353 N/A 71.00% 47963 ADLAI E. STEVENSON Urban 429 N/A 71.00% 48009 WILLOW Urban 220 N/A 71.00% Page 5 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 48014 WHITNEY YOUNG Urban 141 N/A 71.00% 48018 JOHN F.