b'tj i .::i date started: saw specialist i trade mmsfield

Education Stablllzatlon Rellef Fl.Bid ll>Pllcallon ■ "'\. Return to.l>pplication Center iiUe I Website

~ ©) B 'tJ ~ School Corp: Mdlletuy CommU1lty Schools (2275) />pplication Year: 2021

Status: I Pending LEA Signature .::I Date Started: 5124/2021

Sections Help Saw Tasks Gtnarate Total J!jJocation: $2,909,351.83 PIF

Specialist I Trade Mmsfield ..:J

J!t)plication Sunmary

Summary I Madlrnants I Mllsages I ,-Funding Information

CurrenUy, ~u haw been allocated $2,909,351.83 by the United States Department of Education. If entering transfer funds, ~u must dick saw or mow to the ne>d section.

et.Tent Ekxlget

Current J!jlocation: $2,909,351.83

Maintenance of Effort $0.00

Equitable Share Transfer: I $0.ooj

Unrequested: $0.00

Une>q:>ended: $0.00

Unsent: $0.00

Reallocated Funds: $0.00

Total />uailable: $2,909,351.83

Total Approwd: Not Yet Appr011ed

--Application History

Evanl ,.,.., ..... a. ~ Status Change: Pending Director />pproval to Pending LEA Signature /ldietrich 6/24/2021 == Status Change: Specialist Re\1ew to Pending Director />ppro\81 Trade2017 6/17/2021 ~

/>pplication Submitted for Re\1ew JOSHUA? 6/16/2021 = Status Change: Specialist Re\1ew to LEA Edit Trade2017 6/10/2021 == ,t.pplication Submitted for Re\1ew JOSHUA? 619/2021 ;;; />pplication Started /ldietrich 5/24/2021 ~

! Approval Status /lpplication has not been approwd. I

- Location Information Eiit Contacts

Superintendert Pr0!1'am Mnimtrator Treasl.l'er JaneJlllen Joshua Yoder Lisa Stutsman 56853 Northridge Drive 56853 Northridge Drive 56853 Northridge Dr

Mddlebury, IN 46540 Mddlebury, IN 46540 Mddlebury, IN 46540 Phone:574-825-9425 Phone: 574-825-9425 Phone: 574-825-9425

Summer Phone: 574-825-9425 Summer Phone: 574-825-9425 Summer Phone: 57 4-825-9425 Fax: 574-825-9426 Fax: 574-825-9426 Fax: 574-825-9426 Email: allenj@ncsirH<12.org Email: ;[email protected] Email: stutsmarv@ncsirH<12.org Summer Email: [email protected] Summer Email: }[email protected] Summer Email: [email protected]

Machments may include other school program related documents. Do not indude school impro\elTient plans, schoolwide plans, parent policies, or student selection lists.

Current Attachments

!There are no attachments.

Current Messages

DIii PrlvallUNnWM ....... I 6/17120211 Trade2017 Update admin e~nses budget per PA call

6/1012021 r Trade2017 Thank }OU for submitting the application. Please complete the following edits: 1. 01 the A:lmin E>q:Jenses budget, please budget an amount in 14000/611 to align with the description in the Suppli, box 2. lrthe water bottle filling stations and automated soap stations are either to be permanent fi)l!ures or indi1,1duallyqualifyfor capitalization, please move the amount and description to Propert: Please move the Na1,1anc:e subscription amount and description to Supplies. 4. Please move amounts for all hand saniti2er and deaning products to 26000. 5. Please move the amounts and descriptions for all training to 22000/311 (Professional SeNc:es ). 6. For HVJIC renovations, please keep the labor portion in 40000/411 and move the equipment portion to 40000/710 and the description to Property. Equipment 7. 01 the Leaming Loss budge~ please pro1,1de additional details for summer school supplies. Please let me knowif}Ou have any questions. Thanks!

0 ~ Pre1,1ous Section Ne>4

Note: Clicking "Ne>d'' or "Pre1,1ous• will save this section before mo1,1ng on.

F.dncatlon Stablllzatlon Relief Fund lf>pllcatlon I I Return to /lpplication Center

f?'ti,, fr0. ~ ~ School Corp: Mdlleluy Qimnmity Schools (2275)

LLJ ~ ILJ LJ ~ Status:IPending LEASignature i] Sedions Help Saw Tasks Generate Total Pllocation: $2,909,351.83

P[F

District Information

This page will ask }OU some questions about }()Ur district. Pnswers on this page will help create an application specific to }Ollr district.

2 /Jfe there any non-public schools (lnduding those not seMd byCAAES) in }()Ur district?

Please add to the list below by 1}1)ing the name of the school School ~le School Niimi Numller

D002 Birdsong Echo

JI008 aay IVeadow Pmish

Pe17 Crystal Springs School

P800 Eight Square Pmish School

A909 Forest Gro-.e School

E203 Little Saints Child Care & Preschl

Pe12 Pine CreekPmish School

A905 Plain\lew Pmish School

A902 Pumpkin \Ane School

Pe18 Rolling /Jaes Sdiool

Pe76 Singing Hills School

Pe16 Spring Valley

B627 Triple Bend School

A903 VVest Edge School

Consullation Fomis must be signed by all non-public schools, regardless of participation.

Sec. 18006. A local educational agency, State, lnstitltion cl hi!ller education, or other entity that receives funds under "EdJcation Stabilization fmd", shall to the ~eatest extent practicable, continue to pay its empl(¥e5 and contractors cuing the period cl any disruptions or closi,es related to coronavirus.

.Application Year: 2021

Date Started: 5124/2021

Specialist I Tracie Mmsfield

Title I VVebsite

Does the LEAassure to still pay .All its emplo~s and contractors during the period of disruptions or dosures? YIN

If No, which emplo~s or contractors are not being paid and what is the justification for doing so?

Describe how funds will be used to comply, to the greatest eJCtent practicable, with CDC recommended mitigation strategies to reopen schools and maintain their safe operating status.

4 ESSER Ill budget includes funds for HVAC modifications for increased ventilation and funds for equipment related to our re-opening plan to

include equipment such as water bottle filling stations instead of water fountains and automated soap/hand sanitizing stations.

5

Describe how the LEA will target its e\idence-based inteMntions to students v..t.o are underser.ed or were most significantly affected byCCMD-19.

~ We will use ESSER Ill funds to target learning loss through two additional reading support positions and

extensive summer school offerings through the 2023-2024 school year targeting students who need extra

Pre\ious Section

Note: Clicking ''NelCI'' or "Pre1.1ous" will sa1.e this section before m01.1ng on.

NelCI

, Educ:allon Stablllzatlon Relief Fla'ld Appllcalion II Return to Ppplication Center

, ~~ School Corp: MdcletuyCornnulitySchools (2275)

~ © la LJ ~ Status: jPending LEASignature •]

Sections Help Save Tasks Generate Total ~location: $2,909,351 .83 PCF

District Wde Set-Asides

The funds will be budgeted on a district le\OSI budget

Seh"6ides

Dnc:rtpllan ClslrlctRINlwtlal'I

Administrative Expenses Budget all allowable e~nses here for the LEA $ 1,914,351.83

Leaming Loss and Accelerated Learning Leaming Loss and Jlcc.elerated Leaming 20% Set/lside $ 995,000.00

0 Pre-.1ous Section

,topplication Year: 2021


liUe I Wlbsite

Specialist I Tracie l'vtmsfield 3

Nan-PIM: E:q.llal:ilest... Teal

$ 0.00 $ 1,914,351.83

$ 0.00 $ 995,000.00

Note: Clicking "Ne>d'' or "Pre-.1ous· will sa..e this section before mo-.1ng on.

I

4 Ne>d

Education Stablllzatlon Relief Finl Appllcalon II Return to .Application Center

f"l'b. ~ ~ ~~ ,q School Corp: r.tdcletuyConvnUlltySchools (2275)

LLJ ~ ILJ LJ ~ Status: jPendingLEASignature .iJ Secllona Help Saw Tasks Ganerate Total l<llocation: $2,909,351.83

pa:

District Adninistrative Expenses J\llocation for ,Administrative Elq:)enses: $1,914,351.83

Staffing I ~ I If any staff are being budgeted on the Pdministrative Elcpenses page please add the staff/position on this page.

Curre nt Positions ........ TBD

TBD

TBD

: .. Polllon

BementarySchool Counselor 1

Bementary School Counselor2

Bementary School Counselor 3

~ FIE llpend7 I

Certified No

Certified No

Certified No

Mdlllcnl l'unclng lclUlw lplllfundld? (Hald~ llrnulple Hleclone)

No k. Title 11, A ... B: Title 111,A C: Stale/Local/General D: CXher Federal .

No k. Title II, A ... B:lille 111,A _j C: State/Local/General D: CXher Federal .

No k. Title 11, A ... -B: Title 111,A C: Stale/Local/General D: CXher Federal .

TBD School Counselor 4 Certified 0.50 No No k. Title II, A ... B:Titlelll,A C: State/local/General D: CXher Federal •

11 1T a.,..c--= a.,..eo-: a.,..eo-: --11'-MI 21ta ClilllleedN: MW. a.,. Colla: <11141

OIMr ~PnlllNlonllllld PlnlllNd Pnlplrty 111d PunllaNd Accoln......, ........ ANounl ...., ....... 'WlnlaltlervloN latrtlervloN .......

11000 lmtrudion -~ ar Progrcwns 0 0 0 0 0

ii &D-Tolal $8115.000.00 $315,000.00 $540,000.00 S0.00 $0.00

,Application Year: 2021


Specialist I Tracie 11/ansfield

Title I \Nebsite

BementarySchool Counselor for York Elementary. York currently shares , oounselorwith Jefferson Elementary. ,Adding this counselor allows both schools to ha1.e full-time school counselors for the ne)(! three }ears. .allocations of $195,000 salary and $83,250 benefits to oowr this position 2021-22, 2022-23, and 2023--24 school }ears.

Bementary School Counselor for Mddlebury Bementary. Mddlebury Bernentarycurrently shares a counselor with Q-chard \Aew Bementary. Pdding this counselor allows both schools to ha-.e full-time school coons« for the nelll three ;ears. PHocations of $195,000 salary and $83,250 benefi rover this position for 2021-22, 2022-23, and 2023--24 school }ears.

Pdditional elementary school counselor to serve Heritage Elementaryfort ne)(! three }ears. This position will allow us to be compliant with current sc oounselor to student ratio recommendations. J\llocations of $195,000 sal, and $83,250 benefits to 001.er this position for 2021-22, 2022-23, and 202 school }ears.

Mmtal health counselor position for nel4 three }ears to ser1.e K-12 studen utili2ing sen.ices at our Stable Grounds facility. />llocations of$100,000 sa and $65,250 benefits to ooverthis position for 2021-22, 2022-23, and 202 school }ears.

a.,..c--= .. ~ ClillllColla: a.,..c... Cl!IIIIOIIIIII ..... ... -ca.--, ....... ~ QI-, ,..... ..........

40000 0 0 0 $40,000.00

$124,351.83 S2S>,OOO.OO $0.00 IQ.00 $1,IM,35-,.;j

12000 lnsrudion - Special Programs 0 0 0 0 0 0 0 0 0 $0.00

13000 lnruuction -AduVContinuing 0 0 0 0 Ed Programs

0 0 0 0 0 $0.00

14000 lnsrudion - Surrmer School 0 0 0 0 Programs

0 0 0 0 0 $0.00

15000 ln!trudion - Enrichment 0 0 0 0 0 0 0 0 0 $0.00 Programs

16000 ln!trudion - ~ mediation 0 0 0 0 Programs

0 0 0 0 0 $0.00

17000 -18000 lnsrudion - Pa)1Tlents to 0 Other Government l.hits

0 0 0 0 0 0 0 0 $0.00

21000 Support Services- Student 685000 315000 0 0 0 80000 0 0 0 $1 ,080,000.(

22000 Support Services- ln!trudion 0 0 315000 0 0 0 0 0 0 $315,000,()(

23000 (23150 or Support Services- General 0 0 0 0 0 0 0 0 0 $0.00 23290CN..Y) Admin

25191 Rafund of Revenue 0 0 0 0 0 0 0 0 0 $0.00

26000 Operation and Maintenance 0 0 0 0 0 4351.83 0 0 0 $4,351.83

27000 Student Trampatation 0 0 0 0 0 0 0 0 0 $0.00

33000 Community Service 0 0 0 0 Operations

0 0 0 0 0 $0.00

40000 Facilities Acquis tion and 0 0 225000 0 0 0 250000 0 0 $475,000.0< Corntruction

60000 flbn.Programmed Olarges 0 0 0 0 0 0 0 0 0 $0.00

Sub-Tolal $685,000.CO $315,000.CO $540,000.CO so.co so.co $124,351.83 $250,000.CO so.co so.co $1,tM,351

Please provide an explanation as to how you will use the funds that have been allocated on the budget.

I

11000 - $40,000 for LU (Leveled Literacy Intervention) kits for targeted

reading instruction. $10,000 per elementary.

21000- Naviance subscri ption through 2023-24 school year. Naviance is

software that helps students with college and career readiness skills and

preparation. It allows counselors to evaluate student readiness, share

Using 400 of 400 characters

1 ~

Supplies continued: 40000 - $4,351.83 for cleaning and sanitation supplies

Using 74 of 400 characters I

40000 - $25,000 for equipment such as water bottle filling stations and

automated soap/hand sanitizer stations

40000 - HVAC renovations at Northridge Middle School. Installing

automated switches on air handling units for better airflow/ventilation control.

$25,000 per unitX 18 classrooms. $225,000 for Equipment


Transfer

Pre1.1ous Section

Prof Services continued: 40000 - HVAC renovations at Northridge Middle

School. Installing automated switches on air handling units for better

airflow/ventilation control. $25,000 per unit X 18 classrooms. $225,000 for

Labor.


Professional Services

22000 - $10,000 LLI (Leveled Literacy Intervention) Training for classroom

teachers.

22000 - School counselor training services through Horizon Education

Alliance. ($15,000 per year for three years)

22000 - $260,000 to conduct needs assessment, training, and

Note: Clid<ing "Neid." or "Pre1.1ous" v,;11 sa-.e this section before mo1.1ng on.

J .:J

Education Stablllzatlon Relief Fl.RI Appllcallon II Return lo.Application Center

, School Corp: Mdcletuy Cormulity Schools (2275)

(tJ @B !J ~ Status: j PendingLEASignature ~ Sections Help Saw Tasks Generate Total /lllocation: $2,909,351.83

PIF

Learning Loss and Accelerated Leaming Jlllocation for this program:$995,000.00

Staffing I Budget I Current Posit ions

IIIIIJNlml ............ IBD Summer School Teachers

IBD Reading Support Teacher

IBD Reading Support Teacher

~

Certified

Certified

Certified

FIE Slpend?

NIA Yes

1 No

1 No

Mllcnl FtnlngScuce Spilt FUrmd? jHold QI far mulllple Hlecfbw)

No A liUe 11, A • B:liUelll,A C: StateA..ocal/General D: Clher Federal ...

No AliUell,A • B:litle lll,A -C: State/Local/General D: Clher Federal ...

No Alitlell,A . B:litlelll,A C: StateA..ocal/GeneraJ D: Oher Federal ...

~ication Year: 2021


Trne I VVebsile

Specialist: j Tracie 11,tmsfield~

DNcrlpllon l VVe plan lo employ appro,iimalely 50 summer school teachers during the summer of 2021, 2022, and 2023 in grades K-12. Summer programs foa on remediation, credit reco-.ery and ear1y high school credits for 8th gradet entering high school. Pllocations for summer school are $488,262.00 sah and $81,738.00 benefits.

Reading support teacher to target reading instruction for primary grade students who needs extra reading support. 0-chard view Bementary. Pllocations of $140,000 for salaries and $70,000 for benefits are to 001.er

reading support position for 2021-22, 2022-23, and 2023-24 school >Elars

Reading support teacher to target reading instruction for primary grade students who needs e>dra reading support Mddlebury Bementary. Pl locations of $140,000 for salaries and $70,000 for benefits are to co-.er reading support position for 2021-22, 2022-23, and 2023-24 school >Elars

If money is being set aside for learning loss and accelerated learning at the district le\el please budget the amount on this page and desaibe the funds in the area at the bottom of this page.

OlljectCodel: Object Codee: Object Codee: Object Codee: 11.al 11 ..... ObjectCodll: ObjectCodN: 110-140 21WID Object CodM: 311-352 Object Codll: 41141 710,7. ... CllllaltCINII: ..

°"" ,_,__..,...,... ... ,___.Pnlplrtyand PwdaNd a.-.1 AccaunlNunfler Expendltin Accaunl Sala,y Blnlflta 'IKllnlcal lervlcN Ullltr lervlcN S.Vlc:N luppllN ~ Oller ......... Llnl'Mlla

11000 lmtructlon - ~uar ProglMlS 0 0 0 0 0 0 0 0 0 $0.00

12000 lmtruction - Special Progams 0 0 0 0 0 0 0 0 0 $0.00

13000 lrntruction -AduVContinulng Ed Programs

0 0 0 0 0 0 0 0 0 $0.00

14000 ln!truction - Summer School 488262 Programs

81738 0 0 0 5000 0 0 0 $575,000.(

&b-Tolal $788,262.00 $221,738.00 $0.00 $0.00 $0.00 $5,000.00 $0.00 $0.00 $0.00 -.ooo.

15000 lnsruction - Enric:tvnent 0 0 0 0 0 Programs

16000 lmtrudion - Remediation 280000 140000 0 0 0 Programs

17000 - 18000 lnroudion - Payments to Qhef Go-,emment Lhits

0 0 0 0 0

21000 Support SeNices- Student 0 0 0 0 0

22000 Support Selllices- lnsrudion 0 0 0 0 0

23000 (23150 or Support SeNices-General 0 0 0 0 0 232900N..Y) Admin

25191 Refund or Revenue 0 0 0 0 0

26000 Operation and Maintenance 0 0 0 0 0

27000 Student Trarnportation 0 0 0 0 0

33000 Coormu,ity SeNice Clperatlons

0 0 0 0 0

40000 FadlltiesAaluilition and Qinruudion

0 0 0 0 0

60000 i'b,..Programmed Olalg8S 0 0 0 0 0

&b-TOIII $788,282.00 $221,738.00 $0.00 $0,00 $0.00

Please provide an explanation as to how you will use the funds that have been allocated on the budget.

14000 - Supplies for summer school program; consumable items such as

paper, glue, crayons, etc. to be used by students in the classrooms.


~


0 0 0 0 $0.00

0 0 0 0 $420,000.(

0 0 0 0 $0.00

0 0 0 0 $0.00

0 0 0 0 $0.00

0 0 0 0 $0.00

0 0 0 0 $0.00

0 0 0 0 $0.00

0 0 0 0 $0.00

0 0 0 0 $0.00

0 0 0 0 $0.00

0 0 0 0 $0.00

$5,000.00 $0.00 $0.00 $0.00 -.000.

Using 0 of 400 characters Using 0 of 400 characters

~

Pre>.1ous Section

Note: Qicking "Nel¢" or "Pre>.1ous" will sa-.e this section before mo>.1ng on.

Education Stablizallon Relief Fanl Appllcallon ■ Return to Application Center

~ ~ ~ ~~ School Corp: r.tdlleluyCamulity Schools (2275)

LLJ ~ D LJ ~ Status:IPendingLEASignature ~ Sedlons Help Saw Tasks Generate Total /illocation: $2,909,351.83

PCF

Non-Public School Programs

Application Year: 2021


liUe I Website

Specialist:ITracie f\lansfield -:::]

School lnformation------------------------------------------------------------

Current School:! Pine Creek />mish School • I Pdd/Remo-.e School Number: A912

WII this school participate in the program's Sel'\1ces:r Yesr-No

This school is not participating in this grants sel'\1ces. Please attach a copy of the signed LEAN!irmation of Consultation with Private School alicials so that this school is aware of this.

Total Budget I illadYnentl I Summary of Funding set aside by the School Corporation for all Non-Public Schools.

OIIJealCoda: Ollject Coda: 011Jea1Coda: OIIJectCodll: 111-al OlljectCoda: ai,.c.. 11Ma 211.aD OlllectCoda:31WII OlllectCoda:411-a ... .,.. ..... CllitlllC.-N

,_.__ .............. Pun:1.-dP...-,ty..i OlblrPIINltaMd Oenelal LIM

Memlllt ..... !xpendlluraMCOWlt Maly 8111111111 'Alctlnlcallerva. ...,...,, .. ...,,_. ....... Prapll1J Ohr .......... 11000 lnsruction - ReglAar Programs 0 0 0 0 0 0 0 0 0 $0.0

12000 lmtrudion - Special Programs 0 0 0 0 0 0 0 0 0 $0.0

13000 ln!truction -1\dlAVContinuing 0 0 0 0 0 0 0 0 0 $0.0 Ed Programs

14000 ln!t,udion - Surrmer School 0 0 0 0 0 0 0 0 0 $0.0 Programs

15000 ln!tllJction - Enrichment 0 0 0 0 0 0 0 0 0 $0.0

Programs

16000 ln!tnJction - Remediation 0 0 0 0 0 0 0 0 0 $0.0 Programs

17000 - 18000 lnsrudion - Payments to Qher 0 0 0 0 0 0 0 0 0 $0.0 GoYernment Units

21000 Support Setvioes- Student 0 0 0 0 0 0 0 0 0 $0.0

22000 Support Services- ln!trudion 0 0 0 0 0 0 0 0 0 $0.0

23000 (23150 0< Support Services-General 0 0 0 0 0 0 0 0 0 $0.0 23290 CN..Y) Admin

~Tolal $0.00 $0.00 $0.00 $0.00 so.oo $0.00 so.oo $0.00 so.oo so.

25191 ~fi.nd of Pe.<enue 0 0 0 0

26000 Q:)eratlon and Maintenance 0 0 0 0

27000 Student Tramportatiai 0 0 0 0

33000 Comrunity SelVice Q:)erations 0 0 0 0

40000 FadlitiesAaJuistion and 0 0 0 0 Consrudiai

60000 !Ibo-Programmed Olarges 0 0 0 0

Slb-Tolal $0.00 $0.00 $0.00 $0.00

Wien ~u oonsult with the non-public school and ha1.e the signature page required by this grant please add it as an attachment

Machments mayindude other school program related dOCl.lments. Do not include school impro1.ement plans, schoolwide plans, parent policies, or student selection lists.

Current Attachments


Pre\10US Section

0

0

0

0

0

0

$0.00

Note: aid<ing "NelCI" or "Pre1,1ous· will sa1.e this section before mo"1ng on.

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

$0.00 $0.00 $0.00 so.

NelCI

Education Stablllzatlon Relief Fant lf>pllcallon Ill Return to ,t,pplication Center

f"i"b. ~ ~ ~ Scnool Corp: Pttiletuy Comnu1ity Schools (2275)

LLJ ~ LJ LJ Sta1us: I Pending LEA Signature _.:I Sections Help SaY8 Tasks Generate Total Pllocation: $2,909,351.83

P(F


Ppplication Year: 2021

Date Started: 512412021

Specialist r Tracie 11/ensfield

Title I Website


CurrentSchool:jRollingPaes Scnool ~ .Add/Remo1.e School Number.A918

'MIi this school participate in the program's Ser\ices:r Yesr-No

This school is not participating in this grants ser\ices. A ease attach a copy of the signed LEAMrmation of Consultation with Private School Officials so that this school is aware of this.

Total Budget I Jladvnenll I Summary of Funding set aside by the School Corporation for all Non-Public Schools.

CIIIIIICodel: OIIIICIICINIII: Olll.cCodll: CIIIIIICollll: ett-a a.,.CINIII: CIIIIIICINIII: 1 ..... :zttsao Olli.c Codll: 111411 CIIIIII Collll: 4'!1.- ... nN4I ... CIIIIIIC..tlt

Pun:laHd Prallalanal and PU'ctlNed,,._.llld Ohr PU'ctlNed o.-1 1.1111 Accalllll......, Expencl1in Accalllll ...., ...... 'lllchnlcal lefvlcN lallrlervlcH ..,, ... lupplN Pnlpll1J oe. ....... 11000 lnsruction - Reg.far Programs 0 0 0 0 0 0 0 0 0 $0.0

12000 lnsruction - Special Programs 0 0 0 0 0 0 0 0 0 $0.0

13000 lnsruction -AdLAVContinuing 0 0 0 0 0 0 0 0 0 so.o Ed Programs

14000 lnruuctlon - Summer Sch:>of Programs

0 0 0 0 0 0 0 0 0 $0.0

15000 lnsruction - Enridvnent Programs

0 0 0 0 0 0 0 0 0 $0.0

16000 ln!ll\Jctlon - FEmediation 0 0 0 0 0 0 0 0 0 $0.0 Programs

17000- 18000 lnruuctlon - Payments to Other 0 0 0 0 0 0 0 0 0 $0.0 Go\oemment Uilts

21000 Support Services- Student 0 0 0 0 0 0 0 0 0 $0.0

22000 Support SeNic:es- lnsruction 0 0 0 0 0 0 0 0 0 $0.0

23000 (23150 or Support SeNi res- General 0 0 0 0 0 0 0 0 0 $0.0 23290CN.Y) Adrnn

&b-Tolal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.

25191 Rafund of ~venue 0 0 0 0

26000 Operation and Maintenance 0 0 0 0

27000 Student Tramportation 0 0 0 0

33000 Community Selvice Operations 0 0 0 0

40000 Facilitiesh:Quistion and 0 0 0 0 Comtrudion

60000 l\bn-Prograrrmed Olarges 0 0 0 0

Sib-Total $0.00 $0.00 $0.00 $0.00

\Mien y0u consult INith the non-public school and have the signature page required bythis grant please add it as an attachment

Attachments mayindude other school program related documents. Do not include school improvement plans, school\Nide plans, parent policies, or student selection l ists.

Current Attachments

jThere are no attachments.

Pre1.1ous Section

0

0

0

0

0

0

$0.00

Note: Qicking "Ne>f' or "Pre1.1ous· \Nill save this section before mo1.1ng on.

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

$0.00 $0.00 $0.00 $0.00 IQ;

Education Stablllzatlon Relief Fll1d ll)pllcatlon DI Return to Ppplication Center

~ r;::::::,. ~ ~ ,Q School Corp: MddletuyQinmmitySchools (2275)

LLJ {); LI LJ Id Status:IPending LEASignature •J Sections Help Saw Tasks Ganerate Total /lllocation: $2,909,351.83

pa:


Jlpplication Year: 2021


Specialist I Tracie Mlnsfield

Title I VVebsite


Current School:JPlaimiewPmish School .- .Add/Remove School Number:A905

\MIi this school participate in the program's Se1"1oes:i Yesr-No

This school is not participating in this grants sel'.1oes. Please attach a copy of the signed LEAMirmation of Consultation with Private School aficials so that this school is aware of this.

Total Budget

Summary of Funding set aside by the School Corporation for all Non-Public Schools.

aii-tc:odll: Ollledc:odll: Oblectc:odll: Clllfeatc:odll: 111.at OllledCodll: ClllfNt Codll: , .... 211-al Ollled Codie: 111412 CJllleclCodll:41~ ..... ~ .... ClfllllC.. ..

PurchnedPnlllularllland l'lnmNdPlapll'tJand Ohrl'lnmNd a....i u. Account ....... EJqlllllltln Account ...., ....... 'IIN:hnlcllll llel'YlcN U.,lerYlcN ..,,,._ ........ ....,., Ohr ........ 11000 lnruuction - ~u ar Programs 0 0 0 0 0 0 0 0 0 $0.0

12000 lnsruction - Special Programs 0 0 0 0 0 0 0 0 0 $0.0

13000 lnruvction -AduVContinuing 0 0 0 0 0 0 0 0 0 $0.0 Ed Programs

14000 lnsruc:t.ion - SUnmer School 0 0 0 0 0 0 0 0 0 $0.0 Programs

15000 lnsruction - Enrichment 0 0 0 0 0 0 0 0 0 $0.0 Programs

16000 lnsruction - Remediation 0 0 0 0 0 0 0 0 0 $0.0 Programs

17000 - 18000 lnsruction - Payments to Other 0 0 0 0 0 0 0 0 0 $0.0 GoYemment Lhits

21000 Support Sef\lices- Student 0 0 0 0 0 0 0 0 0 $0.0

22000 Support SeMces- lnsruction 0 0 0 0 0 0 0 0 0 $0.0

23000 (23150 or Support SeMces- General 0 0 0 0 0 0 0 0 0 $0.0 23290 00..Y) Adrrin

&b-Total so.oo so.oo S0.00 so.oo so.oo S0.00 so.oo so.oo SO.OD so.

25191 R<lfund of Revenue 0 0 0 0

26000 OperaUon and Maintenance 0 0 0 0


33000 Corrurunity SeMce Operations 0 0 0 0

40000 FadlltiesAa:Juistlon and Comtruction

0 0 0 0

60000 llbn-Programmed Olarges 0 0 0 0

Sub-Tolal $0.00 S0.00 $0.00

Wien ~u consult with the non-public school and ha-..e the signature page required by this grant please add it as an attachment

.Attachments mayindude other school program related documents. Do not indude school impro-..ement plans, schoolwide plans, parent policies, or student selection lists.

Current Attachments


0 Pre-..;ous Section

0

0

0

0

0

0

$0.00

Note: Clicking "Ne>f' or "Pre1.1ous· will sa-..e this section before mo-..;ng on.

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

$0.00 $0.00 $0.00 $0.00

Education Stablllzallon Relief Fund ltJpllcatlon IH Return to /.>pplication Center

fTu,, ~ r.:Qllii ~~ School Corp: r.tdllet:uyCommmitySchools (2275)

LLJ QJ IC] LJ ~ Status:IPendingLEASignature .i] Sections Help Saw Tasks Ganerate Total Pllocation: $2,909,351.83

pa:


/lpplication Year: 2021


liUe 11.Mlbsite

Specialist I Tracie l'vbnsfield ~

School lnformation--------- ---------------------------------------------------

Current School:! Eight Square .Amish School • /!dd/Remo-.e School Number: A900

WII this sctiool participate in the program's SeNces:r Yesr-No

This sctiool is not participating in this grants seNces. Please attacti a copy of the signed LEANlirrnation of Consultation with Private School Oficials so that this sctiool is aware of this.

Total Budget I Jlac:hmenls I Summary of Funding set aside by the School Corporation for all Non-Public Schools.

~Codl9: ~Coda: ~Coda: OIIIIIICoda: 11-MII a.t-Coda: OIIIIIICOIIII: 110-140 211-ao 0111111 Codl9: 111-az 0111111 Coda: 41141 11..a ~ 11 ... OIIIIIIC..tll

PurcMNd Prollulonll and PurclaNd '""""'and OIMrPun:MNd 0.111111 Line Ac-.nl......, Expencftn Ac-.nl ....., ....... "INtricllllervlcN uatySertloN lervlON ....... ....,., Ohr ........ 11000 lnsructlon - Regular Programs 0 0 0 0 0 0 0 0 0 $0.0

12000 IMnJdion - Specia Programs 0 0 0 0 0 0 0 0 0 $0.0

13000 lnsructlon -AdulUConlinuing Ed Programs

0 0 0 0 0 0 0 0 0 $0.0

14000 lnsruction - Summer School Programs

0 0 0 0 0 0 0 0 0 $0.0

15000 lnsrudlon - Enric:IYnent Programs

0 0 0 0 0 0 0 0 0 $0.0

16000 lnsruclion - Remediation Programs

0 0 0 0 0 0 0 0 0 $0.0

17000-18000 lnsrudlon - Pa~ntsto Other Gowrrvnent Ullls

0 0 0 0 0 0 0 0 0 $0.0


22000 Support Services- lnsrudion 0 0 0 0 0 0 0 0 0 $0.0

23000 (23150 or Support Services - General 23290 Ol\l..Y) Admin

0 0 0 0 0 0 0 0 0 $0.0

&b-Tolal $0.00 $0.00 $0.00 $0.00 S0.00 so.oo so.oo S0.00 so.a

25191 Refund ol Revenue 0 0 0 0

26000 ~tion and Maintenanoe 0 0 0 0


33000 Convrunity Service ~tions 0 0 0 0

40000 FadlitiesAcquistion and 0 0 0 Q Construction

60000 l'.bo-Progarrmed (),arges 0 0 0 0

Sib-Total $0.00 $0.00 $0.00 $0.00

V\tlen }OU consult with the non-public school and ha-.e the signature page required by this grant please add it as an attachment

Machments mayindude other school program related documents. Do not indude school impro-.ement plans, schoolwide plans, parent policies, or student selection lists.

Current Attachments


0 Pre-.ious Section

0

0

0

0

0

0

$0.00

Note: Clicking ''NeJCI'' or "Pre-.ious" will sa-.e this section before mo-.ing on.

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

$0.00 $0.00 S0.00 $0.00 so.a

NeJCI

Edlatlon Stablllzatlon Relief Fund~■ Return to .Application Center

~ ~ f.Qii ~ SchoolCorp: r.tdllabu'yQirnmintySchods(2275)

LLJ ~ ILJ LJ ~ Status:IPending LEASignature .:.J Sections Hlllp Saw Tasks Gerwrate Total f,llocation: $2,909,351.83

P[F




lifle I Website

Specialist frracie 11/ansfi_e_ld--~~


Current School:! Pumpkin \Ane School • kid/Remove School Number. A902

WII this school participate in the program's SeNces:r Yesr-No

This school is not participating in this grants seNces. Please attach a copy of the signed LEAMirrnation of Consultation with Private School aficials so that this school is aware of this.

Total Budget I MachTw1II I Summary of Funding set aside by the School Corporation for all Non-Public Schools.

CllleclCodll:

CllleclCoclla: CllleclCoclla: 0lllecl Codie 11MII ClljeclCodlc Clllfellleadla: ttMe llf./11111 0111ec1 Codie S'IWII Olafeat Codll:4114t ~ T1N4I .... ai,.c:..•

PIRMNd ............ and PurcMNCIPraplrt,and OllaPurclmed GIMrll Uni

Accountfunber lllpandlueAccount ...., ...... 1llctllllcllleff1Ne tJarS-lcN ....... ........ Plapq c,a_. ........ 11000 lnsrudion - Reg!Jar Programs 0 0 0 0 0 0 0 0 0 $0.0

12000 lnsruction. Special Progams 0 0 0 0 0 0 0 0 0 $0.0

13000 ln&rudion -.AdiJVContirung 0 0 0 0 0 0 0 0 0 $0.0

EdProgams

14000 lnsruction • Surrmer School 0 0 0 0 0 0 0 0 0 $0.0

Programs

15000 lnsruction - Enrichment 0 0 0 0 0 0 0 0 0 $0.0

Programs

16000 lnsrucllon • Remediation 0 0 0 0 0 0 0 0 0 $0.0

Programs

17000 - 18000 lnsruction • Pa~nts to Qher 0 0 0 0 0 0 0 0 0 $0.0

Government Units

21000 Support Seivices- Student 0 0 0 0 0 0 0 0 0 $0.0

22000 Support Services- lnsruction 0 0 0 0 0 0 0 0 0 $0.0

23000 (23150 or Support SeNices-General 0 0 0 0 0 0 0 0 0 $0.0

232900N..Y) .Admin

ab-Total $0.00 $0.00 so.oo $0.00 $0.00 so.oo so.oo so.

25191 Pefund of Revenue 0 0 0 0


27000 Student Trampatation 0 0 0 0

33000 Oimrrunity Selvice Operations 0 0 0 0

40000 Facilities,11;;:qui!ition and 0 0 0 0 Consrudion

60000 tlklM'rograrrmed Olarges 0 0 0 0

Sub-Total S0.00 so.oo S0.00 S0.00

IAflen ~u consult with the non-public school and ha-.e the signature page required by this grant please add it as an attachment

Pttachments may indude other school program related documents. Do not indude school impro-.ement plans, schoolwide plans, parent policies, or student selection lists.

Current Attachments

jlhere are no attachments.

0 Pre\40US Section

0

0

0

0

0

0

S0.00

Note: Clicking ''Nel<I" or "Pre'4ous" will sa-.e this section before mo'4ng on.

0 0 0 0 $0.0

0 0 0 0 so.a

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

S0.00 S0.00 so.oo so.oo so.a

Education Stablllzatlon Relief Finl lf>pllcatlon Ill Return to ,llpplication Center

~ ~ ~ - A School Corp: PtlddletuyComm.ntySchools (221s1

lLJ ~ LI ld Status:IPendingLEASignature •]

Sedlons Help Saw Tasks Generate Total J!llocation: $2,909,351.83 P[F


,llpplication Year. 2021


liHe I v\ebsite

Specialist I Tracie Mmsfield 7


Current School:! Forest Gro-.e School ... j .lldd/Remo-.e School Number. A909

WII this school participate in the program's Se™ces:r Yesr- No

This school is not participating in this grants se™ces. Please attach a copy of the signed LEA.Affirmation of Consultation with Private School Officials so that this school is aware of this.

Total Budget I .tladvnenta I Summary of Funding set aside by the School Corporation for all Non-Public Schools.

CIIIIIIIICodll: CIIIIIIIICodll: CIIIIIIIICodll: CIIIIIIIICodll: 111.- ClljatCodll: CIIIIIIIICodll: ,..,. 211-a C11111111 Codll: 111412 CIIIIIIII Codll: 411.- 11 ... 7tN4I .... CIIIIIIIIC..N

Plnlmedl'nlllNlonaland PurcMNd Proplrtyand OIMrPurdaled Genlrll Uni

Al:CGIIIIIUnller li!Jlpenlftft Al:CGIIII ...., ...... 1llctriclll lervloN ...,...,,loN lervlces ...... l'nlPN1r oa... ........ 11000 lrl9Jl.ldion - Reg,Jar Programs 0 0 0 0 0 0 0 0 0 $0.0

12000 lmtruction - Special Programs 0 0 0 0 0 0 0 0 0 $0.0

13000 ln9.1Uction -AdiJVContinui ng Ed Programs

0 0 0 0 0 0 0 0 0 $0.0

14000 lnsruction - Summer School 0 0 0 0 0 0 0 0 0 $0.0 Programs

15000 ln!Ullction - Enrichment 0 0 0 0 0 0 0 0 0 $0.0 Programs

16000 lnsruction - Remediation Programs

0 0 0 0 0 0 0 0 0 $0.0

17000- 18000 lnsruction • Pa>fllenls to Other Government t.nts

0 0 0 0 0 0 0 0 0 $0.0

21000 Support Ser,;ces- Student 0 0 0 0 0 0 0 0 0 $0.0


23000 (23150 or Support Services- General 0 0 0 0 0 0 0 0 0 $0.0 232900N..Y) Admin

Sub-Tollll so.oo so.oo $0.00 $0.00 so.oo so.oo I0.00 $0.00 S0.00 so.

25191 Refund of Revenue 0 0 0 0

26000 Operatlon and Mai ntenanoe 0 0 0 0

27000 Student Tran!;pO!tation 0 0 0 0

33000 Corrmunity Servioe Operations 0 0 0 0

40000 FacilitiesAcquistion and 0 0 0 0 ConsructJon

60000 l'-bn-Progranmed Olarges 0 0 0 0

Sub-Total $0.00 $0.00 $0.00 $0.00

\Mien )OU consult with the non-publ ic school and ha-.e the signature page required by this grant please add it as an attad1ment

i'ttad1ments mayindude other school program related documents. Do not include school impro..ement plans, schoolwide plans, parent policies, or student selection lists.

Curre nt Attachments

!There are no attad1ments.

0 Pre\10US Section

0

0

0

0

0

0

$0.00

Note: aicking "Neid" or "Pre1.1ous" will sa-.e this section before mo\1ng on.

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

$0.00 so.oo S0.00 so.oo so.

EdllClltlon Stabllzallon Rallef Food Appllcatlon II Return to /!pplication Center

ri"t:.. ~ ~ ~~ School Corp: Ptldcletuy Commmlty Schods (2275)

lLJ {J; ILJ LJ ~ Status:jPending LEASignature •J Sections Help Saw Tasks Generate Total J!llocation: $2,909,351.83

PDF


,Application Year: 2021


litte I VVebsite

Specialist [n"acie M:lns- fi-el_d __ iJ.....,•

School lnformation------------------ ------------------------------------------

Current School:j Cl)6tal Springs School •J A:ld/Remo-.e School Number:A917

W II this school participate in the program's Ser.1ces:r Yesr- No

This school is not participating in this grants ser'lices. Aease attach a oopyofthe signed LEANfirrnation of Consultation with Private School Officials so that this school is aware of this.

Total Budget I i'lad1lnenls I Summary of Funding set aside by the School Corporation for all Non-Public Schools.

Clll.eCodll: C111.ec:oci.: Clll.e c:oci.: Cllllllc:oci.: ttMII OIIJealCodll: Clll.e Codll:

t1M40 2114111 ~Codie: 3114G C111.e Coda: 411 .. l1oa TtN• ... CllflllC..ttl

Pun:haucl ............. Pun:MNd Prape,tyllld ObrPun:lwNd Gllwlll Uni

Acoaunl Nurilar ElqllnllueMOCIUl'II lalary ....... 'INhnlcallelvlcN ..,..,.,._ ..,,._ ..__ ........ Olwr ....... 11000 lnsruction - Regular Programs 0 0 0 0 0 0 0 0 0 $0.0

12000 lnsruclion - Special Programs 0 0 0 0 0 0 0 0 0 $0.0

13000 lnstl\Jdlon -Adul UCon1i nuing 0 0 0 0 0 0 0 0 0 $0.0

Ed Programs

14000 lnsrudion - SUrm,er School 0 0 0 0 0 0 0 0 0 $0.0

Programs

15000 Instruction - Enrichment 0 0 0 0 0 0 0 0 0 $0.0

Programs

16000 lmtl\Jdlon - Remediation 0 0 0 0 0 0 0 0 0 $0.0

Programs

17000 - 18000 lnsrudion - Payments to Other 0 0 0 0 0 0 0 0 0 $0.0

Government Units

21000 SUpport Services- Student 0 0 0 0 0 0 0 0 0 $0.0

22000 Support Services- lmtruction 0 0 0 0 0 0 0 0 0 $0.0

23000 (23150 or SUpport Services- General 0 0 0 0 0 0 0 0 0 $0.0

23290 CN.Y) Adrnn

&b-Tolal $0.00 $0.00 SO.OD $0.00 $0.00 SO.OD



27000 Student Traruportation 0 0 0 0

33000 O:lrrm.Jnity Ser,; ce Operations 0 0 0 0

40000 FadlitiesAcquistlon and Qimtrudion

0 0 0 0

60000 t-t>n--Prog,arrrned Olarges 0 0 0 0

&b-Tolll S0.00 S0.00 S0.00 S0.00

Wien }OU CXll"lsult with the non-public school and ha.e the signature page required by this grant please add it as an attachment

.Attachments may indude other school program related documents. Do not indude school impro.ement plans, schoolwide plans, parent policies, or student selection lists.

Current Attachments


0 Pre\ious Section

0

0

0

0

0

0

S0.00

Note: Clicking "NeJlf' or "Pre\ious" will sa-..e this section before mo\ing on.

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

S0.00 S0.00 S0.00 so.oo so.a

Education Stablllzatlon Relief FIRI IIJpllcatlon Ill Return to ,t,pplication Center

~ , ~~ School Corp: MdlletuyComnuity Schools (2275)

LLJ @ [a LJ ~ Status:!Pending LEASignature ~ Sections Help Saw Tasks Ganerate Total Jlllocation: $2,909,351.83

Pa=

Non-Public School Program.

,t,pplication Year. 2021


Specialist [Tracie rv'ensfield

Title I VVebsite

iJ

School lnformation------------------------------------- -----------------------

Current School:r Qay l'vtladow .Amish ~ Pdd/Remo-.e School Number.A908

\MIi this school participate in the program's Ser\ices:r Yesr-No

This school is not participating in this grants ser\ices. Please attach a oopyofthe signed LEAJ\lfirrnation of Consultation with Private School Officials so that this school is aware of this .

Total Budget I Mlc:hmenls I Summary of Funding set aside by the School Corporation for all Non-Public Schools.

OllfeclCoclll: Olljellt Coda: Ollfecl Coda: QliflllCocla: 111-a CIIJllltCoda: OlljelltC:.-1-.- 211-ao CllflllCodla:ltWIZ Ollfecl Coda: 411 .. .... ~ .... OlljelltC.. ..

Plnt.Ndl'nllllslonll..i ~Pnlplltyand Ollllrl'ureMNCI Genlrll Uni Ac--a....., ExpencftnAl:--a ....., ........ 'IMhnlcallerv'- _.,..,,._ ..,, ... luppllN PNlpq (JI-, ........ 11000 ln&ruclion - Peguar Progams 0 0 0 0 0 0 0 0 0 $0.0


13000 lmtruction -AduVContirung 0 0 0 0 0 0 0 0 0 $0.0 Ed Programs

14000 lnsrudion - Summer School 0 0 0 0 0 0 0 0 0 $0.0 Programs

15000 lnsructlon - Enrichment 0 0 0 0 0 0 0 0 0 $0.0 Programs

16000 lmtruction - Remediation 0 0 0 0 0 0 0 0 0 $0.0 Programs

17000 - 18000 ln91Udlon - Payments to Other 0 0 0 0 0 0 0 0 0 $0.0 Goverrvnent Ltllts

21000 Support Services-Student 0 0 0 0 0 0 0 0 0 $0.0

22000 Support SeNices- I mtrudion 0 0 0 0 0 0 0 0 0 $0.0

23000 (23150 or Support SeNioes- General 0 0 0 0 0 0 0 0 0 $0.0 23290 CN.Y) Adrnn

&b-Tolll $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 S0.00 $0.00 so.

25191 Rafiro ot R'lvenue 0 0 0 0



33000 Comrrunity Service Operations 0 0 0 0

40000 FadlitiesAcquistion and Coruitruc:tion

0 0 0 0

60000 Non-Programmed Olarges 0 0 0 0

&ii-Total SO.OD S0.00 S0.00 so.oo

Wien ~u consult with the non-public school and ha-.e the signature page required by this grant please add it as an attachment

Ntachments may include other school program related documents. Do not include school impro-..ement plans, schoolwide plans, parent policies, or student selection lists.

Current Attachments


Pre1.1ous Section

0

0

0

0

0

0

SO.OD

Note: Clicking "NeJ<t" or "Pre1.1ous• will sa-.e this section before mo1.1ng on.

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

S0.00 SO.OD so.oo so.oo so.a

Education Stablllzatlon Rallef Fund lf)pllcallon Ill Return to ,Application Center

, School Corp: MddleluyComrnlntySchools (2275)

~ ©) [a 'tJ ~ Status: IPendingLEASignature .:J Sedlons Help Saw Tasks Gtnerate Total Jlllocation: $2,909,351.83

PCF


Ppplication Year. 2021


Specialist frracie Mmsfield

litle I VVebsite

i.l


Current School:! Spring Valley .:J Pdd/Remo-.e School Number. A916

WII this school participate in the program's Ser\ices:r Yesr-No

This school is not participating in this grants ser\ices. Please attach a copy of the signed LEAMirmation of Consultation \Nith Priwte School a!icials so that this school is aware of this.

Total Budget 1 .,taadms1III 1 Summary of Funding set aside by the School Corporation for all Non-Public Schools.

CIIIJNICodll:

OlljeatCodll: Olljeateodla: Olljeatc:odll: ltMII Ollleat Codll: ai,IIIC.. 1 ..... 211-a Ollleat Coda: 11WII Olljeat Coda: 411-a -- 7INa .... ai,IIICNl:N

PurchaNcl Pnlllulanal and PurchaNcl Pnlplt1y and ot..PlnlaMd ....... Line

Acomn ....... ExpencftnAocan lala,y ...... 'lllchnlcallef¥klN ...,..,,, ... ..,,,.._ ........ ........ Olw ....... 11000 lnsrudion • ~ular Programs 0 0 0 0 0 0 0 0 0 $0.0

12000 lnS11Jction • Special Programs 0 0 0 0 0 0 0 0 0 $0.0

13000 lnsruction • .AduVContinuing 0 0 0 0 0 0 0 0 0 $0.0 Ed Programs

14000 ln&ruction • Surm,er School 0 0 0 0 0 0 0 0 0 $0.0 Programs

15000 ln&ruction • Enrictvnent 0 0 0 0 0 0 0 0 0 $0.0 Programs

16000 ln&rudion • ~ iation 0 0 0 0 0 0 0 0 0 $0.0 Programs

17000 - 18000 ln&rudion - Pa\llllElnts to Qher 0 0 0 0 0 0 0 0 0 $0.0 Government lklits

21000 Support Ser,kes- Student 0 0 0 0 0 0 0 0 0 $0.0

22000 Support Soo,ires- lnsruction 0 0 0 0 0 0 0 0 0 $0.0

23000 (23150 or Support Servires-General 0 0 0 0 0 0 0 0 0 $0.0 23290<:N.Y) Admin

&b-Tolal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.Q

25191 Refund of Rewnue 0 0 0 0



33000 Commmity Service Operations 0 0 0 0

40000 FacilitiesAcquistion and Conruudion

0 0 0 0

60000 llbn-Prograrrmed Olarges 0 0 0 0

&b-Tolal S0.00 $0.00 so.oo S0.00

1/1,rnm ~ u consult with the non-public school and ha-.e the signature page required bythis grant please add it as an attachment

Machments may include other school program related documents. Do not indude school impro-.ement plans, schoolwide plans, parent policies, or student selection lists.

Current Attachments


Pre'l.1ous Section

0

0

0

0

0

0

Note: Clicking ''NeJ<t'' or "Pre\ious• will sa-.e this section before mo'Ang on.

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

S0.00 so.oo S0.00 so.

Educallon Stablllzallon Rellef Fl81d Jw>pllcatlon I I Return to Pppl ic:ation Center

l7'tl,. ~ r::Qii ~ .Q School Corp: r.tddlaluyCommntySchools (2275) LLJ ~ D LJ [d Status:IPendingLEASignature ::)

Sections Help Saw Tasks Ganerate Total Jllloc:ation: $2,909,351.83 PCF

Non-Public School Program.

Ppplic:ation Year: 2021


1iUe I VVebsite

Specialist f Tracie Mansfield 3


Current School:fwest Edge School :J .Add/Remo1.e School Number: A903

WII this school participate in the program's Ser.Aces:r Yesr♦ No

This school is not participating in this grants ser.Aces. Please attach a copy of the signed LEAMrmation of Consultation with Private School Officials so that this school is aware of this.

Total Budget I Mac:tmenla I Summary of Funding set aside by the School Corporation for all Non-Public Schools.

Olljecteodla: Object Coda: Object Coda: Olljectc:odll: 111• OllledCoda: OIIIIIIIC.. 11M40 21,... Object Coda: 311.-Z Object Codla: ,111.- .... 'NN4I .... Clflltc:odll:tll

PlntaNclPrallnknlland ,_,..... PnlpartJand Olwrl'llldmed General u.. Alloount ........ l!llpandture Alloount Salary ...... "llldlnlcal ...,, .. lJllllrlervlcea ...,, .. ...... ....... Olwr ....... ~ 11000 lnsrudion - Regular Programs 0 0 0 0 0 0 0 0 0 $0.0

12000 Instruction - Special Programs 0 0 0 0 0 0 0 0 0 $0.0

13000 ln!truction - MAVContinuing Ed Programs

0 0 0 0 0 0 0 0 0 $0.0

14000 Instruction - Surrmer School Programs

0 0 0 0 0 0 0 0 0 $0.0

15000 ln!truction - Enr1c:tvnent Programs

0 0 0 0 0 0 0 0 0 $0.0

16000 Instruction - Remediation 0 0 0 0 0 0 0 0 0 $0.0 Programs

17000 - 18000 Instruction - Pa~nts to Qher Government Uni ts

0 0 0 0 0 0 0 0 0 $0.0

21000 Support SeNices- Student 0 0 0 0 0 0 0 0 0 $0.0

22000 Support Services- lnsruction 0 0 0 0 0 0 0 0 0 $0.0

23000 (23150 or Support SeNices- General 0 0 0 0 23290 CN..Y) Admin

0 0 0 0 0 $0.0

Stb-TOCII $0.00 $0.00 $0.00 $0.00 $0.00 so.oo S0.00 $0.00

25191 Rilfund of Riivenue 0 0 0 0


27000 Student Tramportalion 0 0 0 0

33000 Con-mmity Service ~tioos 0 0 0 0

40000 FadlitiesA.cquistion and 0 0 0 0 Construction

60000 flbn..Prograrrmed Owges 0 0 0 0

&b-Tolll $0.00 $0.00 $0.00 $0.00

Wien }OU consult with the non-public school and ha-..e the signature page required bythis grant please add it as an attachment

lttachments may include other school program related documents. Do not include school impro-..ement plans, schoolwide plans, parent policies, or student selection lists.

Current Attachments


Previous Section

0

0

0

0

0

0

$0.00

Note: Oicking "Next'' or "Previous" will sa-..e this section before moving on.

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0,0

$0.00 $0.00 $0.0

Next

Educallon Stablllzallon Relief Fund Appllcallon Ill Return to Ppplication Center

ffu ~ r:Qlli ~~ School Corp: MdlletuyCornnullty Schools (2275) Lt...J ~ 1LJ LJ ~ Slab.Js:!PendingLEASignature •I

Sections Help Saw Tasks Generate Total J!lloc:ation: $2,909,351.83 pa:




Specialist I Tracie M:lnsfield

1iUe I VVebsite

ii


Current School:! Singing Hills School _:.I A'.ld/Remme School Number.A976

V\111 this school participate in the program's Ser,k.es:r Yesr. No

This school is not participating in this grants services. Please attach a copy of the signed LEA.Affirmation of Consultation with Private School Officials so that this school is aware of this .

Total Budget I Madvnanlll I Summary of Funding set aside by the School Corporation for all Non-Public Schools.

Glll.aeodla: Glll.ac:odls GIii.a Cods Glll.aCedll: ltMII CllllldCedll: CllllldC.-1~ 2'11-81 GIii.a Codla: :nt-m GIii.a Coda: 411 .. -- 111-M ... Glll.aC..tlt

PwclMN ...... lorlll ... PunNNdPnlplrtrand 01h11' Plnllned Glnlral Line

~Ltunblr lbpendllin ~ ....,, ........ 'lllchnlcallelvlcN a._a.,,,1ces ...... ..... ,,.... Olar ....... 11000 lnruuction - RegJ ar Programs 0 0 0 0 0 0 0 0 0 $0.0

12000 lmtrudion - Special Programs 0 0 0 0 0 0 0 0 0 $0.0

13000 lmtruction - AdutVContlnuing 0 0 0 0 0 0 0 0 0 $0.0 Ed Programs

14000 lmtruction - Surmier School 0 0 0 0 0 0 0 0 0 $0.0

Programs

15000 lrutruction - Enrichment 0 0 0 0 0 0 0 0 0 $0.0 Programs

16000 ln&ruction - Remediation 0 0 0 0 0 0 0 0 0 $0.0 Programs

17000 - 18000 ln&ruction - Payments to Other 0 0 0 0 0 0 0 0 0 $0.0 Government U,its


22000 Support Services- lnsruclion 0 0 0 0 0 0 0 0 0 $0.0

23000 (23150 or Support Services- General 0 0 0 0 0 0 0 0 0 $0.0

23290CN..Y} J\dmin

&Jb.Tolal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.


26000 Operation and Malntenanoo 0 0 0 0

27000 Student Tran~rtation 0 0 0 0

33000 ComITTJnity SeMce Operations 0 0 0 0

40000 FadlitiesAcquistion and Construction

0 0 0 0

60000 N:>n-Prograrnned Olarges 0 0 0 0

&.b-Tolal $0.00 $0.00 SO.OD SO.OD

'Mien }OU consult with the non-public school and haw the signature page required by this grant please add it as an attachment

Pltachments may indude other school program related documents. Do not indude school improwment plans, schoolwide plans, parent policies, or student selection lists.

Current Attachments


PrelAOUS Section

0

0

0

0

0

0

so.oo

Note: Clicking "Ne)(l" or "Pre1Aous" will saw this section before mo1Ang on.

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

$0.00 $0.0

lzallon Rallef Fanl lf>pllcallon ■ Return to /lpplication Center

~ (r:),. [QI ~ School Corp: r.tdcletuy Cormu1lty Schools (2275)

LLJ if); D LJ ~ StabJs: j PendingLEASignature .iJ Sections Help Save Tasks Generate Total /lllocation: $2,909,351.83

PIF




liUe I ~bsite

Specialist I Tracie M:i-n-sfi-e-ld--.i]--,

School lnformation------- --------- ------- ------------ - -------- - --------- ------

Current School:! Birdsong Echo iJ Jldd/Remo-.e School Number: 0002

Wll lhis sdlool participate in the program's SeNces:<" Yesr. No

This school is not participating in this grants seNces. Please attach a copy of the signed LEAM!irrnation of Consultation with Pri1.0te School Officials so that this school is aware of this.

Total Budget I Jladmenls J


OllleclCodle: 011featCodle: ClllleatCodle: 011featc:odla: tti-al Ollleclc:odla: ClllleatC.-110-'le 211,ao Obi• Codie: 311412 0bleat Codie: 411-al ..... TtNa ... 011featCCNIII 111

PlnlaHclPrallMklnlland PurcMNd Prapenr and OlwrPun:haled Glnffll Uni

Accaln......, EllplnllllnAl:caln ...., ...... 1llchnlcall lervlces IJBrlervlces ........ ........ PnlplrtJ oe.r ........ 11000 lmtruction - Regular Programs 0 0 0 0 0 0 0 0 0 $0.0


13000 lnsruction - AduVContinuing 0 0 0 0 0 0 0 0 0 $0.0

Ed Programs

14000 lmtruction - Sunvner School 0 0 0 0 0 0 0 0 0 $0.0

Programs

15000 lmtruction - Enrichment 0 0 0 0 0 0 0 0 0 $0.0

Programs

16000 lnsrudion - Remediation 0 0 0 0 0 0 0 0 0 $0.0

Programs

17000 - 18000 lnsruction - Pa~ts to Qhef 0 0 0 0 0 0 0 0 0 $0.0

Government l.hits

21000 Support Ser.1oos- Student 0 0 0 0 0 0 0 0 0 $0.0


23000 (23150 or Support SeMoos - General 0 0 0 0 0 0 0 0 0 $0.0

232900ll.Y) Adnin

&lb-Tolal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00



27000 Student T ramportatlon 0 0 0 0

33000 Community Ser.Ace Operations 0 0 0 0

40000 FadlitiesAcquistion and 0 0 0 0 Comtrudion

60000 N:Jn.Prograrnned Olarges 0 0 0 0

Sib-Total S0.00 $0.00 $0.00 $0.00

Wien >OU consult 'Nith the non-public school and ha-.e the signature page required bythis grant please add it as an attachment

Machments mayindude other school program related documents. Do not include school impro-.ement plans, schoolwide plans, parent policies, or student selection lists.

Current Attachments

jniere are no attachments.

0 Pre1.1ous Section

0

0

0

0

0

0

$0.00

Note: Clicking "Nel<1" or "Pre1.1ous" will sa-.e this section before mo1Ang on.

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

$0.00 S0.00 $0.00 so.a

EdllCltiorl Stablllzallon Relief Fund Appllcallon ■ Return to Ppplication Center

~ ~ ~ ~ School Corp: MddlebuyCommUlltySchools (2275)

LLl {;;; 1LJ LJ ~ Slatus: j PendingLEASignab.Jre •J Sections Help Saw Tasks Generate Total Pllocation: $2,909,351.83

pa=

Non-Public School Program;

,t,pplication Year: 2021


TtUe I \Nebsite

Specialist !Tracie Mmsfield 3


Current School:!Triple Bend School ... Pdd/Remo-.e School Number: 8627

\/\Ill this school participate in the program's Sel'\1oesf'" Yesr- No

This school is not participating in this grants sel'\1oes. Please attach a copy of the signed LEAl>tlirmation of Consultation with Private School Olicials so that this school is aware of this.

Total Budget Machmenlll


CJlllllllCoda: Cllllllll Coda: Cllllllll c:o.- Cllllllll Coda: 111-a CJlllllllCoda: OIIINICCNIII:

11M40 2114'0 Olllalll Coda: 111.-i Cllllllll Coda: .-.1.- l1oal 711-141 ..... OIIINICNIIIIO

.................... PIIICMNd Pnlplrtyllld OllwPIIICllued a...! Uni

Aocaunl Numbll' EllplnlluaAocaunl ...., ....... 1Ntllllclll lenk:N lMllylenloN lenlcN luppllN ..,...,_ Olwr ........ ~ 11000 lnsrudion - Reg.A ar Programs 0 0 0 0 0 0 0 0 0 $0.0

12000 lnsrudion - Special Programs 0 0 0 0 0 0 0 0 0 $0.0

13000 lnsrudion. AdulVCOOtinuing 0 0 0 0 0 0 0 0 0 $0.0

Ed Programs

14000 lnsrudion - Sunvner School 0 0 0 0 0 0 0 0 0 $0.0

Programs

15000 lnsrudion - Enrichment 0 0 0 0 0 0 0 0 0 $0.0

Programs

16000 lmtruction - Remediation 0 0 0 0 0 0 0 0 0 $0.0

Programs

17000 -18000 lnsrudion - Payments to CXher 0 0 0 0 0 0 0 0 0 $0.0

Government Uiits

21000 Sl,W()lt SeNices- Student 0 0 0 0 0 0 0 0 0 $0,0

22000 Support SeMces- lnsrudion 0 0 0 0 0 0 0 0 0 $0.0

23000 (23150 or Support Ser.ices- General 0 0 0 0 0 0 0 0 0 $0.0

232900fll.Y) Adrrin

Sb-Tola so.oo S0.00 $0.00 so.oo so.oo $0.00 so.oo so.

25191 ~fund of Revenue 0 0 0 0

26000 Q:,eration and Mai ntenanoe 0 0 0 0


33000 Ommunity Service Operations 0 0 0 0

40000 FacilitiesAcqui!ition and 0 0 0 0 ConSJuction

60000 NJn~rarrmldOla,yes 0 0 0 0

&b-Total S0.00 S0.00 S0.00

W1en ~ consult with the non-public school and ha-.e the signature page required by this grant please add it as an attachment

Pttachments mayindude other school program related doruments. Do not indude school impro-.ement plans, schoolwide plans, parent policies, or student selection lists.

Current Attachments jThere are no attachments.

PrelAous Section

0

0

0

0

0

0

S0.00

Note: Clicking "Ne>d" or "PrelAous" will sa-.e this section before mo1.1ng on.

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

so.oo S0.00 S0.00 so.a

Education Stabllzatlan Relief Fund IAJllcallan ■ Return to Jlpplir.ation Center

f7'b,. ~ g ~~ School Corp: MdcletuyCanmmitySchools (2275)

LLJ ~ D LJ ~ Status: I Pending LEA Signature ~ Sections Hlllp Saw Tasks Generate Total ftllocation: $2,909,351.83

pa:


Jlpplir.ation Year: 2021


1iUe I Website

Specialist I Tracie l'v'ensfield 3


Current School:! Little Saints Child Care & Preschl • I Jlcld/Remo-.e School Number: E'203

V\111 this school participate in the program's Sen.ices:r Yesr. No

This school is not participating in this grants sen.ices. Please attach a copy of the signed LEANfirmation of Consultation with Private School a!icials so that this school is aware of this.

Total Budget I ~ I Summary of Funding set aside by the School Corporation for all Non-Public Schools.

OlljedCodla:

ClbfNtCodll: Olljedc:odla: ClblNt Codla: 11 ..... CIIIJallc:odla: 110-'MI 211-ao ClblNt Codes: tlt412 OlljedCodll: 41141 ..... 71N4I

.._...... ............. Pun:MNdPrapatfMII OIMrPun:NNd Genlrlll Accounl .... ~Accounl Salary BIMIIII 'lllchnlcal ServlcN Ullllr ..,, ... ..,, .... lupplN Plapll1f

11000 lnsructioo - Feguar Programs 0 0 0 0 0 0 0

12000 lnstl1.ldion - Special Programs 0 0 0 0 0 0 0

13000 lnsrudioo - AdtAVContinuing 0 0 0 0 0 0 0 Ed Programs

14000 lnstl1.ldion - Sumner School 0 0 0 0 0 0 0 Programs

15000 lnstructioo - Enrichment 0 0 0 0 0 0 0 Programs

16000 lmtruction - Remediation 0 0 0 0 0 0 0 Programs

17000 -18000 ln!lrudion - Payments to Qher 0 0 0 0 0 0 0 GoYemment Lliits

2 1000 Support SeMces- Student 0 0 0 0 0 0 0

22000 Support Se!vices- ln!lructioo 0 0 0 0 0 0 0

23000 (23150 or Support SeMces-General 0 0 0 0 0 0 0 232900II.Y) Adrrin

Sm-Tolll S0.00 $0.00 so.oo $0.00 so.oo

OIIIMC.. 11 .. Olljlll0..11t

..... OIMr ........

0 0 $0.0

0 0 $0.0

0 0 $0.0

0 0 $0.0

0 0 $0.0

0 0 $0.0

0 0 $0.0

0 0 $0.0

0 0 $0.0

0 0 $0.0

S0.00 $).00 '°·

25191 Refund o( ~ue 0 0 0 0

26000 Q)eration and Maintenance 0 0 0 0

27000 Student T~ation 0 0 0 0

33000 Comrrl.Jnity Service Operations 0 0 0 0

40000 FacilitiesAcqui!ition and Consruction

0 0 0 0

60000 l'-.bn-Progranvned Olarges 0 0 0 0

&b-Tolll SO.OD SO.OD SO.OD SO.OD

Wien ',OU CX>t1sult wilh !he non-public school and ha-..e !he signature page required bylhis grant please add it as an attachment

J\ttachments mayindude other school program related documents. Do not include school impro-..ement plans, schoolwide plans, parent policies, or student selection lists.

Current Attachments


0 PrelAOUS Section

0

0

0

0

0

0

SO.OD

Note: aicking "Ne~ or "Pre1Aous• will sa-..e this section before mo1Ang on.

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

0 0 0 0 $0.0

SO.OD SO.OD SO.OD SO.OD '°'

Edlic:atJon Stabllzatlon Relief Fund lf,pllcalion ■ Return to ,Application Center Title I 'Mlbsite

~ @ra n ~ School Corp: Mdlletuy Commulity Schocls (2275) Ppplication Year. 2021

Status: I Pending LEA Signature ~ Date Started: 5124/2021

Sections Help Save Tasks Generate Total Pllocation: $2,909,351.83 Specialist I Tracie Mmsfield 3 PDF

Total Program Budget a, this page ~ will find the 01.erall total program budget for ~ ur district

OllleclCodN: Olllecl CodN: OllleclCGdle: OllleclCadla: 111~ OllleclC-- OlliealC.. 110-140 2114111 Olllecl Cada: 3114112 Objeat Coct.: 41141 11NIS NN• 11 .. OlliealC..N

lvclaHd ............. "'"'-dl'nlpNt)<and Olwrl'lnMNcl Gel1lnll Al:colnl'unller ExpandllnAccolft lllary ........ "Alchnlcal ..,,,._ UllllflervlcN lervlcN ....... Pnlpertf Olwr ........ Uni

11000 lnsruction - Regular Programs 0 0 0 0 0 40000 0 0 0 $40,000

12000 lmtructlon - Special Programs 0 0 0 0 0 0 0 0 0 $0.00

13000 ln91Udion -AdulVContinuing 0 0 0 0 0 0 0 0 0 $0.00 Ed Programs

14000 Instruction - Summer School 488262 81738 0 0 0 5000 0 0 0 $575,00C Programs

15000 lnsruction - Enrichment 0 0 0 0 0 0 0 0 0 $0.00 Programs

16000 lmtrudion - Remediation 280000 140000 0 0 0 0 0 0 0 $420,00C Programs

17000 - 18000 ln!truction - Pa>1Tients to Qher 0 0 0 0 0 0 0 0 0 $0.00 Government lhits

21000 Support Services-Student 685000 315000 0 0 0 80000 0 0 0 $1 ,080,00

22000 Support Services- lrntruction 0 0 315000 0 0 0 0 0 0 $315,00(

23000 (23150 or Support Services- General 0 0 0 0 0 0 0 0 0 $0.00 23290CN.Y} Mmin

25191 Refund of Revenue 0 0 0 0 0 0 0 0 0 $0.00

26000 Operation and Maintenance 0 0 0 0 0 4351.83 0 0 0 $4,351.

27000 Student T~ rtation 0 0 0 0 0 0 0 0 0 $0.00

33000 Community Service Operations 0 0 0 0 0 0 0 0 0 $0.00

40000 FadlltiesAcqulstion and Con&ruction

0 0 225000 0 0 0 250000 0 0 $475,00C

&A>-Tolal $1 ,453,2162.00 $536,738.00 $540,000.00 $0.00 $0.00 $129,351.83 $250,000.00 I0.00 $0.00 $2,908

60000 ~ranvned Olarges

60600 - Indirect Cost

Current Indirect Cost as specified on the District Information section of this application:

0.00%

0 Pre\10US Section

0 0 0 0 0

$1,453,262.00 $6311, 738.00 $540,000.00 so.oo so.oo

Subtract the amount abo-.e 25,000 (per indi-.;dual oontraded ser-.;ce) from }Ollr total

budget

Total after deducting Property (710-748):

$2,659,351.83

Total .fwilable for Indirect Costs:

Qand Total Mer Indirect Cost

Pmount of

Indirect Cost lobe

used:

$0.00

$2,909,351.83

0

$129,351.83

$0.00

Note: a icking "Ne~" or "Pre-.;ous· will sa-.e this section before mo1.1ng on.

0 0 0 $0.00

$2!50,000.00 $0.00 111.00

$0.00

Educallon Stabllzatlon Rallef Flftl ltJpllcalion II Return toj\pplication Center

f'rn.. (N ~ ~ Q SchoolCorp: r.tdcletuyComnUlltySchocls(2275)

LLJ ~ LJ LJ ~ Status:!Pending LEASignature •I Sections Help Saw Tasks Gfflerate Total Pllocation: $2,909,351.83

P(J'

Application Subrrission - Final Check Ready for corporation signature

Jlpplication Year: 2021


liUe I VVebsite

Specialist ~ de Mins field '3

Wien an application is complete and has been re1Aewed, we ask ~u that }OU sign it to verify that all the information shown here is correct This gi-.es }OU a chance to re\Aew the dorument one last time.

Signing this application requires that }OU understand the following rules: Superintendent Signature----- --- --------- ---------------

• I CERllFY that the information in this application is, to the best of my knov.1eclge, true. The agency named here has aulhori:zed me, as its representati1.e, to file this application and all amendments, and as such action is recorded in the minutes of the agencys meeting dale.

• I also haw relAewed the assurances and the LEA understands and will oomplywith all applicable assurances for federal funds.

• The LEA certifies that it will participate in all ESSER Ill data reporting, monitoring, and e\01uation acli1Aties as requested or required by the United States Department of Education, the Indiana Department of Education (IDOE), and Indiana Code, which mayindude specific items related to ESSER Ill that requires pro1Ading a summary of the projects completed and the dollars e>q:>ended for each, on-site and desktop monitoring conducted bythe IDOE, required audits by the state board of aooounts, annual reports, and final e>q:>enditure reporting for the use of subgrant funds.

• The LEAcertifies by submitting this application that neither it nor its principals nor any of its subcontractors are presently debarred, suspended, proposed for debarmen~ declared ineligible or l.oluntarilye>duded by any federal agency or by any department, agency or political subdi1Asion oflhe State of Indiana. The term "principal" for purposes of this application means an officer, director, owner, partner, keyemplo}ee or other person with primary management or supeNsoryresponsibilities, or a person who has a aitical Influence on or substantiw control 01.erthe operations of the LEA

• The LEA certifies that ii has verified the stale and federal suspension and debarment status for all subcontractors recei\ing funds under the fund associated with this application and shall be solely responsible for any recoupmenl penalties or costs that might arise from use of a suspended or debarred subcontractor. The LEAshall immediately notifythe State if any subcontractor becomes debarred or suspended, and shall, at the State's requesl take all steps required by the Stale to terminate its contractual relationship with the subcontractor for work to be performed and supported byfunding from the application.

• The School Corporation/Charter School certifies that it is currenUyregistered in the Sy.;tem of A.vard I\Amagement (SAMhltps:/,w,w,,.sam.gov} database.

• The LEA certifies that it is in oompliance with Title IX, section 9524, and that it has no policy that prevents. or otherwise denies participation in, constitutionally protected pra~r in elementary and secondary public schools as set forth in the US()(x G.Jidance on Constitutionally Protected Pra~r in Public B ementaryand Secondary Schools, dated February 7, 2003. See http:/MIWIN2.ed.gol.f'policy'gen/guid/religionandschools/pra~r_guidance.html.

• The LEA certifies that it has received a single audit or program specific audit (2 CFR 200.501) if it has e>q:>ended $750,000 in federal funds within the preceding federal fiscal ~ar.

• To the eldenlthat the LEAcharges pre-award costs to the ESSER Ill Fund, the LEA will only use funds for allowable oosts incurred on or after M:lrch 13, 2020.

• The LEA certifies it will use ESSER Ill funds for acti\ities allowable under Section 2001 of the .American Rescue Plan Pd (.ARP). The Secretary may require additional reporting in the future, which mayindude: the methodologyLE/:6 will

use to pr01.ide s8r\ices or assistance to students and staff. the uses of funds by the LEAs or other entities and demonstration of their compliance with Section 2001 such as any use offunds addressing the digital dil.4de, induding seruring acx::ess to home-based connectil.4tyand remote-use de"4ces, related issues in supporting remote learning for all students, induding disadvantaged populations, imprmements related to infection disease risks and other health hazards, and academic remediation efforts.

• The LEA will, to the greatest eldent practicable, continue to compensate its emplo}ees and contractors during the period of any disruptions or dosures related to C0\,10-19. In addition, each entity that accepts funds will continue to payemplo}eeS and contractors to the greatest eldent practicable based on the unique financial drrumstances of the entity . .ARP ESSER Ill funds generally will not be used for bonuses, merit pay, or similar e)4'.)enditures, unless related to disruptions or dosures resulting from C0\,10-19.

• The LEA will post a plan to return to in-person instruction that induded public comment on its public website within lhirty{30) days of receipt of ESSER Ill funds. [Section 2001 (i)]

• The LEA will reser.e not less than 20% of its total ESSER Ill allocation for acti"4ties that address learning loss, induding academic and social-emotional supports for students, induding those student groups disproportionately impacted bythe CQ\,10-19 pandemic. [Section 2001{e)(1)]

• The LEAassures it will seek meaningful consultation of stakeholder groups including, but not limited to, students, staff, parents, and community partners in de-.elopmentoflhis application.

Sign and Submit Application I

b'tj i .::i date started: saw specialist i trade mmsfield

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