U.S. Department of Education Washington, D.C. 20202-5335 • ' APPLICATION FOR GRANTS UNDER THE NATIONAL PROFESSIONAL DEVELOPMENT PROGRAM CFDA # 84.36SZ PR/Award # T36SZ170138 Gramts.gov Trackiug#: GRANT12392037 0MB No. , Expiratiou Date: PR/ A ward # T36SZ 170 J38 **Table of Contents** Form Page 1. Application for Federal Assistance SF-424 e3 2. Standard Budget Sheet (ED 524) e6 3. Assurances Non-Construction Programs (SF 424B) e8 4. Disclosure Of Lobbying Activities (SF-LLL) e10 5. ED GEPA427 Form e1 1 6. Grants.gov Lobbying Form e12 7. Dept of Education Supplemental Information for SF-424 e13 8. ED Abstract Narrative Form e14 Attachment· 1 (1236-LesleyAbstract84.365) e15 9. Project Narrative Form e16 Attachment - 1 (1235-LesleyApp/Narr84.365) e17 10. Other Narrative Form e61 Attachment - 1 (1237-BrocktonLesleyLOS84.365) e62 Attachment - 2 (1238-lndlrect Rate Agmnt FY15-FY18) e63 11. Budget Narrative Form e68 Attachment- 1 (1234-LesleyBudgNarr84.365) e69 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 a-Application's PDF functionality. Page numbers created by the a-Application PDF functionality will be preceded by the letter e (for example, et , e2, e3, etc.). Page e2 0MB Number: 4040-0004 Expiration Date: 10/31/2019 Application for Federal Assistance SF-424 • 1. Type of Submission: • 2. Type of Application: • If Revision, select appropriate letter(s): 0 Preapplication ~New I I ~ Application D Continuation • Other (Specify): 0 Changed/Corrected Application D Revision I I • 3. Date Received: 4. Applicant Identifier: 104/24/2017 I I I 5a. Federal Entity Identifier: 5b. Federal Award Identifier: I I I I State Use Only: 6. Date Received by State: I I 17. State Application Identifier: I I 8. APPLICANT INFORMATION: • a. Legal Name: !Lesley University I • b. Employer/Taxpayer Identification Number (EIN/TIN): • c. Organizational DUNS: 1042 103589 I 1001 7689100000 I d. Address: • Street1: 129 Everett Street I Street2: I I • City: lcambridge I County/Parish: I I • State: I MA : Massachusetts I Province: I I • Country: I USA : UNITED STATES I * Zip / Postal Code: 102138-2702 I e. Organizational Unit: Department Name: Division Name: !Graduate School of Educati on I I I f. Name and contact information of person to be contacted on matters involving this application: Prefix: I I • First Name: lcharles I Middle Name: I I • Last Name: !Eaton I Suffix: I I Title: !senior Grants Officer I Organizational Affiliation: !Lesley Univer sity I • Telephone Number: 1617-349- 8964 I Fax Number: 1617-349-8197 I • Email: lceaton@lesley . edu I PR/Award# T365Z170138 Page e3 Tracking Number:GRANT12392037 Funding Opportunity Number:ED-GRANTS-022117-001 Received Date:Apr 24,2017 12:23:23 PM EDT Application for Federal Assistance SF-424 * 9. Type of Applicant 1: Select Applicant Type: 0 : Private Institution of Higher Education I Type of Applicant 2: Select Applicant Type: I Type of Applicant 3: Select Applicant Type: I * Other (specify): I * 10. Name of Federal Agency: !Department o f Educati on I 11 . Catalog of Federal Domestic Assistance Number: 184 . 365 I CFDA Title: English Language Acquisition State Grants * 12. Funding Opportunity Number: IED - GRANTS - 022117- 001 I * Title: Office o f English Language Acquisition (OELA) : National Prof essional Development (NPD) Program CFDA Number 8 4 . 365Z 13. Competition Identification Number: I84- 365Z2017- 2 I Title: NATIONAL PROFESSIONAL DEVELOPMENT PROGRAM 14. Areas Affected by Project (Cities, Counties, States, etc.): Add Attachment Delete Attachment View Attachment I I 11 1 1 I * 15. Descriptive Title of Applicant's Project: English Language Parent/Teacher Training Certif icate Pr o j ect Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments 11 View Attachments I II I PR/Award# T365Z170138 Page e4 Tracking Number:GRANT12392037 Funding Opportunity Number:ED-GRANTS-022117-001 Received Date:Apr 24,2017 12:23:23 PM EDT Application for Federal Assistance SF-424 16. Congressional Districts Of: • a. Applicant 15th I • b. Program/Project 18th I Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Al1achrnent I I I 11 1 1 I 17. Proposed Project: • a. Start Date: !1010112017 I • b. End Date: 109130;2022 I 18. Estimated Funding ($): • a. Federal 2, 732, 410 . 001 I • b. Applicant I o.ool * c. State o.ooi • d. Local o.ooi • e. Other o.ooi • f. Program Income o. ool 'g.TOTAL 2, 732, 410 . 001 * 19. Is Application Subject to Review By State Under Executive Order 12372 Process? D a. This application was made available to the State under the Executive Order 12372 Process for review on I I- D b. Program is subject to E.O. 12372 but has not been selected by the State for review. IZl c. Program is not covered by E.O. 12372. • 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.) o ves iZI No If "Yes", provide explanation and attach Add Attachment Delete Attachment 1 1 View Attachment I I I 11 I 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 acc,ept 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) iZI *' 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: IMr . I * First Name: lcharles I Middle Name: I I • Last Name: IEaton I Suffix: I I * Title: !seni or Gr ants Offi cer I ' Telephone Number: 1617- 349- 8964 I Fax Number: 1617 - 34 9- 8197 I • Email: lceaton@les ley . edu I • Signature of Authorized Representative: !Charles F Eaton I • Date Signed: 104/24/2017 I PR/Award # T365Z1 70138 Page e5 Tracking Number: GRANT12392037 Funding Opportunity Number:ED-GRANTS-022117-001 Received Date:Apr 24,2017 12:23:23 PM EDT U.S. DEPARTMENT OF EDUCATION 0MB Number: 1894-0008 BUDGET INFORMATION Expiration Date: 06/30/2017 NON-CONSTRUCTION PROGRAMS 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 University l1esl ey I 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 172 , ooo . ool I 172 , 000 . 001 172 , 000 . 001 1 n , ooo . oo l 1 72 , ooo . ool 860, ooo . oo l 2. Fringe Benefits 43 , ooo . ool 43 , ooo .ooj 43 , ooo . oo j 43, 000 .001 43 , ooo . ool 215, ooo . oo l 3. Travel 5, 000 . 001 5, ooo . ool 5, 000 .001 5, ooo . oo l s, ooo . ool 25, ooo . oo l 4. Equipment o. ool o. ooj o. oo l o. oo l o. ool o. oo l 5. Supplies 8, 000 . 001 s, ooo . ooj 8, 000 .001 I s, ooo . oo l 8, ooo . ool 40, ooo . oo l 6. Contractual 75 , ooo . ool 75, ooo . ool 75, ooo . oo l 75, ooo . oo l 75 , ooo . ool 375, ooo . oo l 7. Construction o. ool o. ooj o. oo j o. oo l o. ool o. oo l 8. Other 8, ooo . ool 8, ooo . ooj 8, ooo . oo l 8, ooo . oo l 8, ooo . ool 40, ooo . oo l 9. Total Direct Costs 311 , 000 . 001 311 , ooo . ooj 311 , ooo . oo j 311 , 000 .001 311, ooo . ool 1, 555, 000 .001 (lines 1-8) 10. Indirect Costs• 24 , 880 . 001 24 , 880 . ooj 24 , 880 . oo j 24 , 880 . oo l 24 , 880 . ool 124 , 400 .001 11. Training Stipends 210 , 602 . 001 210 , 602 . 001 210 , 602 . 001 210, 602 . oo l 210, 602 . ool 1, 053, 010.001 12. Total Costs 546 , 482 . 001 546, 482 . ool 546, 482 . oo j 546, 482 .001 546 , 482 . 001 2, 732 , 410 .001 /lines 9-11) *Indirect Cost Information (To Be Completed by Your Business Office): If you are requesting reimbursement for indirect costs on line 10, please answer the following questions: (1 ) Do you have an Indirect Cost Rate Ag reement approved by the Federal government? ~ Yes 0 No (2) If yes, please provide the following information: Period Covered by the Indirect Cost Rate Agreement: From: !0110112014 I To: 106/30/2018 I (mm/dd/yyyy) Approving Federal agency: D ED ~ Other (please specify): !Health and Human Services I The Indirect Cost Rate is I 39 .001%. (3) If this is your first Federal grant, and you do not have an approved indirect cost rate agreement, are not a State, Local government or Indian Tribe, and are not funded under a training rate program or a restricted rate program, do you want to use the de minimi s rate of 10% of MTDC? 0Yes 0No If yes, you must comply with the requirements of 2 CFR § 200.414(1). (4) If you do not have an approved indirect cost rate agreement, do you want to use the temporary rate of 10% of budgeted salaries and wages? 0 Yes 0 No If yes, you must submit a proposed indirect cost rate agreement within 90 days after the date your grant is awarded, as required by 34 CFR § 75.560.