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Application for Grants Under The U282M110015 0015 U.S. Department of Education Washington, D.C. 20202-5335 APPLICATION FOR GRANTS UNDER THE 84.282M CSP Grants for Replication and Expansion CFDA # 84.282M PR/Award # U282M110015 Gramts.gov Tracking#: GRANT10945152 OMB No. , Expiration Date: Closing Date: Aug 11, 2011 PR/Award # U282M110015 U282M110015 0015 **Table of Contents** Form Page 1. Application for Federal Assistance SF-424 e3 Attachment - 1 (1245-Alliance501c3Letter) e6 Attachment - 2 (1236-AreasAffectedbyProject) e7 Attachment - 3 (1237-AllianceCongressionalDistricts) e8 2. Standard Budget Sheet (ED 524) e9 3. Assurances Non-Construction Programs (SF 424B) e11 4. Disclosure Of Lobbying Activities (SF-LLL) e13 5. ED GEPA427 Form e14 Attachment - 1 (1235-AllianceGEPAProvisions) e15 6. Grants.gov Lobbying Form e16 7. Dept of Education Supplemental Information for SF-424 e17 8. ED Abstract Narrative Form e18 Attachment - 1 (1234-AllianceCSPAbstract) e19 9. Project Narrative Form e20 Attachment - 1 (1244-CSPNarrative82011) e21 10. Other Narrative Form e81 Attachment - 1 (1240-AllianceSupportLetters) e82 Attachment - 2 (1241-AllianceResumes) e96 Attachment - 3 (1242-SchoolsOperatedbyAlliance82011) e135 Attachment - 4 (1243-StudentAcademicAchievement) e138 11. Budget Narrative Form e149 Attachment - 1 (1238-CSPBudgetNarrative2011) e150 Attachment - 2 (1239-Alliance2010BusinessPlan) e159 12. Form FaithBased_SurveyOnEEO-V1.2.pdf e202 This application was generated using the PDF functionality. The PDF functionality automatically numbers the pages in this application. Some pages/sections of this application may contain 2 sets of page numbers, one set created by the applicant and the other set created by e-Application's PDF functionality. Page numbers created by the e-Application PDF functionality will be preceded by the letter e (for example, e1, e2, e3, etc.). Page e2 U282M110015 0015 OMB Number: 4040-0004 Expiration Date: 03/31/2012 Application for Federal Assistance SF-424 * 1. Type of Submission: * 2. Type of Application: * If Revision, select appropriate letter(s): Preapplication New Application Continuation * Other (Specify): Changed/Corrected Application Revision * 3. Date Received: 4. Applicant Identifier: 08/11/2011 5a. Federal Entity Identifier: 5b. Federal Award Identifier: State Use Only: 6. Date Received by State: 7. State Application Identifier: 8. APPLICANT INFORMATION: * a. Legal Name: Alliance College-Ready Public Schools * b. Employer/Taxpayer Identification Number (EIN/TIN): * c. Organizational DUNS: 954779029 8763675200000 d. Address: * Street1: 1940 South Figueroa Boulevard Street2: * City: Los Angeles County/Parish: Los Angeles * State: CA: California Province: * Country: USA: UNITED STATES * Zip / Postal Code: 90007-1337 e. Organizational Unit: Department Name: Division Name: Development Development f. Name and contact information of person to be contacted on matters involving this application: Prefix: Ms. * First Name: Judy Middle Name: Ivie * Last Name: Burton Suffix: Title: President and Chief Executive Officer Organizational Affiliation: Alliance College-Ready Public Schools * Telephone Number: 213.943.4930 Fax Number: 213.943.4931 * Email: [email protected] PR/Award # U282M110015 Page e3 ! "#$%$# U282M110015 0015 Application for Federal Assistance SF-424 * 9. Type of Applicant 1: Select Applicant Type: M: Nonprofit with 501C3 IRS Status (Other than Institution of Higher Education) Type of Applicant 2: Select Applicant Type: Type of Applicant 3: Select Applicant Type: * Other (specify): * 10. Name of Federal Agency: U.S. Department of Education 11. Catalog of Federal Domestic Assistance Number: 84.282 CFDA Title: Charter Schools * 12. Funding Opportunity Number: ED-GRANTS-071211-001 * Title: Charter Schools Program (CSP) Grants for Replication and Expansion of High-Quality Charter Schools - CFDA 84.282M 13. Competition Identification Number: 84-282M2011-1 Title: 14. Areas Affected by Project (Cities, Counties, States, etc.): AreasAffectedbyProject.pdf Add Attachment Delete Attachment View Attachment * 15. Descriptive Title of Applicant's Project: The Alliance Replication Project Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments PR/Award # U282M110015 Page e4 ! "#$%$# U282M110015 0015 Application for Federal Assistance SF-424 16. Congressional Districts Of: * a. Applicant CA031 b. Program/Project CA031 Attach an additional list of Program/Project Congressional Districts if needed. AllianceCongressionalDistricts.pdf Add Attachment Delete Attachment View Attachment 17. Proposed Project: * a. Start Date: 08/18/2011 * b. End Date: 10/01/2016 18. Estimated Funding ($): * a. Federal 8,000,000.00 * b. Applicant 0.00 * c. State 29,122,540.00 * d. Local 5,768,951.00 * e. Other 7,935,779.00 * f. Program Income 0.00 * g. TOTAL 50,827,270.00 * 19. Is Application Subject to Review By State Under Executive Order 12372 Process? a. This application was made available to the State under the Executive Order 12372 Process for review on . b. Program is subject to E.O. 12372 but has not been selected by the State for review. c. Program is not covered by E.O. 12372. * 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.) Yes No If "Yes", provide explanation and attach Add Attachment Delete Attachment View Attachment 21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) ** I AGREE ** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Ms. * First Name: Judy Middle Name: Ivie * Last Name: Burton Suffix: * Title: President/CEO * Telephone Number: 213-943-4933 Fax Number: 213-943-4931 * Email: [email protected] * Signature of Authorized Representative: Irene Camarena * Date Signed: 08/11/2011 PR/Award # U282M110015 Page e5 ! "#$%$# U282M110015 0015 PR/Award # U282M110015 Page e6 U282M110015 0015 Areas Affected by Project City: Los Angeles County: Los Angeles State: California PR/Award # U282M110015 Page e7 U282M110015 0015 Alliance-College Ready Public Schools- Operating Schools Members of Congress (as of 8/9/11) ALLIANCE HIGH SCHOOLS High School Name and Address Member of Congress Alliance Dr. Olga Mohan HS: 644 W. 17th Street, Los Angeles, CA 90015 Hon. Xavier Becerra, D-31 Alliance College-Ready Academy High School #5: 1729 W. Martin Luther King, Jr. Boulevard, Los Angeles, CA 90062 Hon. Karen Bass D-33 Alliance College-Ready Academy High School #7: 2941 West 70th Street, Los Angeles, CA 90043 Hon. Karen Bass D-33 Alliance Gertz-Ressler High School: 2023 S. Union Avenue, Los Angeles, CA 90007-1326 Hon. Xavier Becerra, D-31 AllianceEnvironmental Science and Technology HS: 2930 Fletcher Drive, Los Angeles, CA 90065 Hon. Xavier Becerra, D-31 Alliance Health Services Academy HS: 12226 S Western Avenue, Los Angeles, CA 90047 Hon. Maxine Waters, D-35 Alliance Heritage College-Ready Academy HS:10101 S. Broadway Street, Los Angeles, CA 90003 Hon. Maxine Waters, D-35 Alliance Huntington Park College-Ready Academy HS: 2071 Saturn Avenue, Huntington Park, CA 90255-3635 Hon. Lucille Roybal-Allard, D-34 Alliance William and Carol Ouchi High School: 5356 S. 5th Avenue, Los Angeles, CA 90043 Hon. Karen Bass D-33 Alliance Marc and Eva Stern Math and Science School: 5151 State University Drive, CSULA, Los Angeles, CA 90032 Hon. Judy Chu, D-32 Alliance Media Arts and Entertainment HS: 5156 Whittier Boulevard, Los Angeles, CA 90022 Hon. Grace Napolitano, D-38 Alliance College-Ready Academy High School #11: 10720 Wilmington Avenue, Los Angeles, CA 90059 Hon. Linda T. Sanchez, D-39 Alliance College-Ready Academy High School #16: 1575 W. 2nd Street, Los Angeles, CA 90026 Hon. Lucille Roybal-Allard, D-34 Alliance Technology and Math Science High School: 2050 N. San Fernando Road, Los Angeles, CA 90065 Hon. Xavier Becerra, D-31 ALLIANCE MIDDLE SCHOOLS Middle School Name and Address Member of Congress Alliance Christine O’Donovan Middle Academy: 5355 S. 4th Avenue, Los Angeles, CA 90043 Hon. Karen Bass D-33 Alliance College-Ready Middle Academy #4: 9717 S. Main Street, Los Angeles, CA 90003 Hon. Maxine Waters, D-35 Alliance College-Ready Middle Academy #5: 2635 Pasadena Avenue, Los Angeles, CA 90031 Hon. Xavier Becerra, D-31 Alliance Richard Merkin Middle School: 2023 S. Union Avenue, Los Angeles, CA 90007-1326 Hon. Xavier Becerra, D-31 Alliance Jack H. Skirball Middle School: 603 E. 115th Street, Los Angeles, CA 90059-2322 Hon. Laura Richardson, D-37 Alliance College-Ready Middle Academy #7: 2941 W. 70th Street, Los Angeles, CA 90043 Hon. Karen Bass D-33 PR/Award # U282M110015 Page e8 U282M110015 0015 U.S. DEPARTMENT OF EDUCATION OMB Control Number: 1890-0018 BUDGET INFORMATION NON-CONSTRUCTION PROGRAMS Expiration Date: 02/28/2011 * Name of Institution/Organization Applicants requesting funding for only one year should complete the column under "Project Year 1." Applicants requesting funding for multi-year grants should complete all Alliance College-Ready Public Schools applicable columns. Please read all instructions before completing form. SECTION A - BUDGET SUMMARY U.S. DEPARTMENT OF EDUCATION FUNDS Budget Project Year 1 Project Year 2 Project Year 3 Project Year 4 Project Year 5 Total Categories (a) (b) (c) (d) (e) (f) 1. Personnel 491,240.00 491,240.00 491,240.00 491,240.00 491,240.00 2,456,200.00 2. Fringe Benefits 115,341.00 115,341.00 115,341.00 115,341.00 115,341.00 576,705.00 3,000.00 3,000.00 3,000.00 3,000.00 3,000.00 15,000.00 3. Travel 4. Equipment 192,600.00 192,600.00 192,600.00 192,600.00 192,600.00 963,000.00 5. Supplies 307,433.00 307,433.00 307,433.00 307,433.00 307,433.00 1,537,165.00 6.
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