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Attachment A (Cover Page) <br />PROPOSER APPLICATION <br />Agency Legal Name <br />City of Santa Ana Parks, Recreation & Community Services <br />Agency DBA <br />Santa Ana Public Library <br />Program Name <br />Seeds To Trees Digital Media Technology Academy <br />Agency Address <br />26 Civic Center Plaza, M-75, Santa Ana, Ca 92702 <br />Contact Person & Title <br />Cheryl A. Eberly, Principal Librarian <br />Email <br />ceberly@santa-ana.org <br />Telephone # <br />714-647-5288 <br />Fax # <br />714-647-6913 <br />Federal ID Number <br />95-6000785 <br />AGENCYSTATUS <br />Public Non -Profit <br />Corporation I <br />I Private Non -Profit <br />Years in Operation? <br />100+ <br />Private for Profit <br />Government I <br />X <br />I Other <br />PRIMARY FUNDING SOURCES <br />Funding Source <br />WIA <br />Santa Ana <br />General Fund <br />CDBG <br />Laura Bush <br />Grant <br />Time Warner <br />Franchise <br />Amount <br />$160,000.00 <br />$145,470.00 <br />$20,767.00 <br />$71,435.00 <br />$25,132.00 <br />HOURS OF OPERATION AND DAYS <br />Days <br />Monday <br />Tuesday <br />Wednesday <br />Thursday <br />Friday <br />Saturday <br />Sunday <br />Hours <br />10 am-9 pm <br />10 am-9pm <br />10 am-9 pm <br />10 am-9pm <br />10 am-6pm <br />10 am-6pm <br />MY ORGANIZATION WILL OFFER THE FOLLOWING WIA ELEMENTS FOR YOUTH: <br />Tutoring, study skills, training, and instruction, leading to completion of secondary school, including dropout <br />prevention strategies <br />X <br />Alternative secondary school services, as appropriate <br />Summer employment opportunities that are directly linked to academic and occupational learning <br />Paid and unpaid work experience, including internships and job shadowing <br />X <br />Occupational skill training, as appropriate, or paid OJT <br />X <br />Leadership development opportunities, which may include community service and peer centered activities <br />encouraging responsibilities and other positive social behaviors during non -school hours <br />X <br />Supportive Services <br />X <br />Adult Mentoring for the period of participation and a subsequent period, not less than 12 months <br />X <br />Follow-up services for minimum of 12 months after the completion of participation <br />X <br />Comprehensive guidance and counseling, may include drug/alcohol abuse counseling <br />X <br />TARGET POPULATION <br />Older Youth 20 Younger Youth I I Out -of -School 8 In -School 12 <br /># of Youth to be Served in 2012/2013 120 Total WIA Funds Requested 1 $160,000.00 <br />In compliance with the RFP noted above, and subject to the conditions thereof, the undersigned offers to furnish <br />the services stipulated and certifies he has read, understands, and agrees to all terms, conditions, and <br />requirements of this RFP and is authorized to contract on behalf of the agency named above. <br />Signature <br />Director Parks and <br />Title Recreation Services <br />Date 3/5/2012 <br />Exhibit A <br />