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Completing Federal Grant Applications
Author
Indiana Department of Education, Division of Exceptional Learners

Part B Application Form

INSTRUCTIONAL EVENT:

Throughout this application you will find tiny blue arrows (all clickable). When these arrows
are clicked, they will take you to a detailed explanation about the section and often provide
examples of how the form is to be filled out. Additionally for your convenience, the section title
will also be clickable.

DUE AUGUST 15, 2007

INDIANA DEPARTMENT OF EDUCATION

DIVISION OF EXCEPTIONAL LEARNERS

FEDERAL ASSISTANCE FOR THE EDUCATION OF STUDENTS WITH DISABILITIES

PART B OF P.L. 108-446, INDIVIDUALS WITH DISABILITIES EDUCATION IMPROVEMENT ACT

H027A070084 / CFDA #84.027A

FISCAL YEAR 2008

JULY 1, 2007 THROUGH SEPTEMBER 30, 2008

P.L. 108-446 PART B, IDEA PASS-THROUGH APPLICATION

Application Type:

FY 2008 PART B PASS-THROUGH

Application Amendment Type:

Report Type:

Report Amendment Type:

PART I -- PROJECT APPROVAL AND STATISTICAL INFORMATION

STATE PROJECT NUMBER:

GRANT AWARD:

APPROVAL DATE: (completed by DOE)

1). APPLICANT AGENCY INFORMATION:

CHIEF ADMINISTRATIVE OFFICER:

SCHOOL CORPORATION/AGENCY NAME:

STREET ADDRESS:

CITY, STATE, ZIP:

TELEPHONE NUMBER:

2). PROJECT DIRECTOR INFORMATION:

PROJECT DIRECTOR NAME:

PLANNING DISTRICT NAME:

STREET ADDRESS:

CITY, STATE, ZIP:

TELEPHONE NUMBER:

EMAIL ADDRESS:

3). MAINTENANCE OF FISCAL EFFORT: Report the total amount of state/local funds expended

on special education and related services. DO NOT INCLUDE FEDERAL EXPENDITURES.

1st Preceding Fiscal Year (06-07):

2nd Preceding Fiscal Year (05-06):

4). SIGNATURE OF AUTHORIZED INDIANA DEPARTMENT OF EDUCATION OFFICIAL

^{Robert A. Marra, Associate Superintendent, Indiana Department of Education}

^{Date Signed}

PART B OF P.L. 108-446, IDEA

5.) PROJECT PARTICIPANTS

A.) CHILDREN RECEIVING DIRECT SERVICES (INCLUDE ONLY THOSE STUDENTS WHO ARE

RECEIVING DIRECT SERVICES FROM PERSONNEL EMPLOYED UNDER THIS FEDERAL GRANT)

Disability Category

Ages 0-2

Ages 3-5

Ages 6-17

Ages 18-21

Total

Severe Disabilities:

Mild/Moderate Disabilities:

Communication Disordered/Homebound:

Totals

B.) PROJECT PERSONNEL PAID FROM THESE FEDERAL FUNDS (DO NOT INCLUDE
CONTRACTED SERVICES PERSONNEL IN THIS SECTION)
Disability Category	Teachers	Aides	Other	Total
Severe Disabilities:
Mild/Moderate Disabilities:
Communication Disordered/Homebound:
Totals

C.) PERSONNEL RECEIVING TRAINING FROM THESE FEDERAL PROJECT FUNDS.
# OF TEACHERS	# OF AIDES		# OF OTHER PERSONNEL	TOTAL PERSONNEL

NON-SUPPLANTING ASSURANCE
THIS FORM MUST BE COMPLETED AND SUBMITTED WITH THE FY 2008 PART B APPLICATION

In an effort to expedite processing the FY 2008 Part B, IDEA application, the applicant agency must
provide information regarding additional services which are being added to this project. In addition,
assurances must be provided which indicate that the positions/services which are being added to the
grant are NEWLY CREATED POSITIONS/SERVICES and have never been paid with state/local funds in
the past. (Reference Item #4, Part III, Statement of Assurances).

Please list below positions/services which are being added to the FY 2007 Part B, IDEA grant application
which were not included on the FY 2007 first year application.

FTE BEING ADDED		DESCRIPTION OF POSITIONS/ADDITIONAL SERVICES

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