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Program Questions:

Downloading Questions: Title I, Policy & Program Guidance, e-mail: cdavis@cde.ca.gov, tel. 916-322-5140

Document Description
2014 Request for Applications (RFA)-LEAs Only
( DOC; Sep-2013)
Application to apply for approval by the California State Board of Education (SBE) as Supplemental Educational Services (SES) providers of specialized tutoring services for eligible students in Program Improvement (PI) Schools, year 2 and beyond. (FYs 2014-2016)
SES Provider Profile
(Updated Sep-2013)
The online submission of a SES Provider Profile is required for a complete application. The profile includes Part A Applicant Contact Information and Part B Service Areas and Program Design. Detailed instructions on how to submit this document is on the first page of the template.
Provider Status Verification Form
(DOC; Sep-2013)
Complete if a provider that has been terminated at any time in the preceding two fiscal years.
Template for Narrative Responses
(DOC; Sep-2013)
Download the Template for Narrative Responses to complete the full narrative required in your application.
Template for Quality Verification of Testing Instruments
(DOC; Sep-2013)
Download the Template for Quality Verification of Testing Instruments to provide the required analysis of each test instrument referenced in the application.

Certifications and Assurances

Document Description
SES Provider Assurances
(DOC; Sep-2013)
Certification required for SES Providers. (excerpt from RFA)

Drug-Free Workplace
CDE-100DF (May-2007)

Certification for state or federal grants. Download, complete, sign, and retain in your records. Do not submit with application.
Lobbying
ED 80-0013 (Revised Jun-2004)
Certification required for federally funded grants in excess of $100,000. Download, complete, sign, and retain in your records. Do not submit with application.

Debarment and Suspension
ED 80-0014 (Revised Sep-1990)

Certification required for federally funded grants. Download, complete, sign, and retain in your records. Do not submit with application.

General Education Provisions Act
OMB Control No. 1894-0005 (Exp. 31-Mar-2014)

Notice to applicants for federal funds to include in the application a description of the steps the applicant proposes to take to ensure equitable access to its federally assisted program for participants with special needs. Retain in your records. Do not submit with application.

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