U.S. Department of Education Washington, D.C. 20202-5335 APPLICATION FOR GRANTS UNDER THE FY20 CSP Grants to Developers for the Replication & Expansion of New Charter Schools CFDA # 84.282E PR/Award # S282E200005 Gramts.gov Tracking#: GRANT13148594 OMB No. 1894-0006, Expiration Date: 01/31/2021 Closing Date: Jun 19, 2020 PR/Award # S282E200005 **Table of Contents** Form Page 1. Application for Federal Assistance SF-424 e3 2. Standard Budget Sheet (ED 524) e6 3. ED GEPA427 Form e8 Attachment - 1 (1235-GEPA Statement) e9 4. Grants.gov Lobbying Form e10 5. Dept of Education Supplemental Information for SF-424 e11 6. ED Abstract Narrative Form e12 Attachment - 1 (1234-Part 3_ ED Abstract Form) e13 7. Project Narrative Form e15 Attachment - 1 (1245-Project Narrative) e16 Attachment - 2 (1246-Competitive Preference Priority 2 Evidence) e52 Attachment - 3 (1247-Native Hawaiian Support Letters) e54 Attachment - 4 (1248-Charter School Contract) e56 Attachment - 5 (1249-Charter Narrative) e130 Attachment - 6 (1250-Compliant + Epicenter Compliance Tasks) e240 Attachment - 7 (1251- Admission Policy (SY20-21)) e254 Attachment - 8 (1252-Lottery policy ) e259 Attachment - 9 (1253-3rd QTR Financial Statements) e264 Attachment - 10 (1254-DreamHouse Notification Letter 7.19.17) e267 Attachment - 11 (1255-Average Daily Attendance Summary) e268 8. Other Narrative Form e269 Attachment - 1 (1236-DreamHouse Resumes) e270 Attachment - 2 (1237-GG_LobbyingForm-V1.1) e303 Attachment - 3 (1238-Assurances SF424B) e304 Attachment - 4 (1239-DreamHouse IRS Letter of Determination) e306 Attachment - 5 (1240-Budget & Financials) e307 Attachment - 6 (1241-PART 6_Student Academic Achievement) e308 Attachment - 7 (1242-CSP Assurances) e310 Attachment - 8 (1243-Letters of Support 2020) e311 9. Budget Narrative Form e321 Attachment - 1 (1244-Part 5_DHEB Budget Narrative) e322 10. Project Objectives and Performance Measures Information e334 11. Form SFLLL_2_0-V2.0.pdf e338 Attachment - 1240-Budget And Financials.pdf e339 Page e2 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 e3 OMB Number: 4040-0004 Expiration Date: 12/31/2022 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: 06/19/2020 5a. Federal Entity Identifier: 5b. Federal Award Identifier: 117547428 State Use Only: 6. Date Received by State: 7. State Application Identifier: 8. APPLICANT INFORMATION: * a. Legal Name: DreamHouse Ewa Beach Public Charter School * b. Employer/Taxpayer Identification Number (EIN/TIN): * c. Organizational DUNS: d. Address: * Street1: 91-1245 Franklin D Roosevelt Ave. Street2: * City: Kapolei County/Parish: * State: HI: Hawaii Province: * Country: USA: UNITED STATES * Zip / Postal Code: 96707-2120 e. Organizational Unit: Department Name: Division Name: f. Name and contact information of person to be contacted on matters involving this application: Prefix: * First Name: Alex Middle Name: * Last Name: Teece Suffix: Title: Chief Education Officer & School Leader Organizational Affiliation: * Telephone Number: Fax Number: * Email: PR/Award # S282E200005 Page e4 Tracking Number:GRANT13148594 Funding Opportunity Number:ED-GRANTS-052220-002 Received Date:Jun 19, 2020 01:48:29 AM EDT Application for Federal Assistance SF-424 * 9. Type of Applicant 1: Select Applicant Type: A: State Government Type of Applicant 2: Select Applicant Type: Type of Applicant 3: Select Applicant Type: * Other (specify): * 10. Name of Federal Agency: Department of Education 11. Catalog of Federal Domestic Assistance Number: 84.282 CFDA Title: Charter Schools * 12. Funding Opportunity Number: ED-GRANTS-052220-002 * Title: Office of Elementary and Secondary Education (OESE): Expanding Opportunity Through Quality Charter Schools Program (CSP): Grants to Charter School Developers for the Replication and expansion of High-Quality Charter Schools CFDA Number 84.282E 13. Competition Identification Number: 84-282E2020-1 Title: 84.282E - CSP Grants to Developers for Replication & Expansion of High-Quality Charter Schools FY20 14. Areas Affected by Project (Cities, Counties, States, etc.): Add Attachment Delete Attachment View Attachment * 15. Descriptive Title of Applicant's Project: Expansion of High-Quality Charter School Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments PR/Award # S282E200005 Page e5 Tracking Number:GRANT13148594 Funding Opportunity Number:ED-GRANTS-052220-002 Received Date:Jun 19, 2020 01:48:29 AM EDT Application for Federal Assistance SF-424 16. Congressional Districts Of: * a. Applicant HI-002 * b. Program/Project HI-002 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17. Proposed Project: * a. Start Date: 10/01/2020 * b. End Date: 09/30/2025 18. Estimated Funding ($): * 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: * First Name: Alex Middle Name: * Last Name: Teece Suffix: * Title: Chief Education Officer & School Leader * Telephone Number: Fax Number: * Email: * Signature of Authorized Representative: * Date Signed: 06/19/2020 PR/Award # S282E200005 Page e6 Tracking Number:GRANT13148594 Funding Opportunity Number:ED-GRANTS-052220-002 Received Date:Jun 19, 2020 01:48:29 AM EDT U.S. DEPARTMENT OF EDUCATION OMB Number: 1894-0008 BUDGET INFORMATION Expiration Date: 08/31/2020 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 DreamHouse Ewa Beach Public Charter School applicable columns. Please read all instructions before completing form. SECTION A - BUDGET SUMMARY U.S. DEPARTMENT OF EDUCATION FUNDS *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 Agreement approved by the Federal government? Yes No (2) If yes, please provide the following information: Period Covered by the Indirect Cost Rate Agreement: From: To: (mm/dd/yyyy) Approving Federal agency: ED Other (please specify): The Indirect Cost Rate is %. (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 minimis rate of 10% of MTDC? Yes No If yes, you must comply with the requirements of 2 CFR § 200.414(f). (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? Yes 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. (5) For Restricted Rate Programs (check one) -- Are you using a restricted indirect cost rate that: Is included in your approved Indirect Cost Rate Agreement? Or, Complies with 34 CFR 76.564(c)(2)? The Restricted Indirect Cost Rate is %. PR/Award # S282E200005 ED 524 Page e7 Tracking Number:GRANT13148594 Funding Opportunity Number:ED-GRANTS-052220-002 Received Date:Jun 19, 2020 01:48:29 AM EDT Name of Institution/Organization Applicants requesting funding for only one year should complete the column under "Project Year DreamHouse Ewa Beach Public Charter School 1." Applicants requesting funding for multi-year grants should complete all applicable columns. Please read all instructions before completing form. SECTION B - BUDGET SUMMARY NON-FEDERAL FUNDS SECTION C - BUDGET NARRATIVE (see instructions) ED 524 PR/Award # S282E200005 Page e8 Tracking Number:GRANT13148594 Funding Opportunity Number:ED-GRANTS-052220-002