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Attachment A <br />Proposer Application <br />Agency Legal Name Santa Ana Public Library <br />Agency DBA (if applicable) <br />Program Name Seeds to Trees Digital Media Technology Academy <br />Agency Address 26 Civic Center Plaza, M-75, Santa Ana, Ca 92702 <br />Contact Person Cheryl A. Eberly Title Senior Librarian <br />Telephone # 714-647-5288 FAX # 714-647-6913_ E-Mail ceberly@santa-ana.ore <br />Federal I.D. Number 95-6000785 <br />Agency Status <br />Public Non-Profit Corporation Private Non-Profit Other <br />Private for Profit Government X Years in Operation 100 + <br />Primary Funding Sources <br /> Santa Ana Laura Bush Time Warner <br />Funding Source WIA CDBG <br /> General Fund Grant Franchise <br />Amount $150,000.00 $162,184.48 $22,376.00 $75,310.00 $45,955.00 <br />Hours of Operation and Days <br />Days Monday Tuesday Wednesday Thursday Friday Saturday Sunday <br />Hours 10 am-9 pm 10 am-9pm 10 am-9pm 10 am-9pm 10 am-6pm 10 am-6pm Closed <br />My organization will offer the following WIA elements for youth: <br />Tutoring, study skills, training, and instruction, leading to completion of secondary school, <br />including dropout prevention strategies X <br />Alternative secondary school services, as appropriate <br />Summer employment opportunities that are directly linked to academic and occupational learning x <br />Paid and unpaid work experience, including internships and job shadowing X <br />Occupational skill training, as appropriate, or paid OJT X <br />Leadership development opportunities, which may include community service and peer centered <br />activities encouraging responsibilities and other positive social behaviors during non-school hours X <br />Supportive Services X <br />Adult Mentoring for the period of participation and a subsequent period, not less than 12 months X <br />Follow-up services for minimum of 12 months after the completion of participation X <br />Comprehensive guidance and counseling, may include drug/alcohol abuse counseling <br />Target Population <br />Older Youth 20 Younger Youth Out-of-School 8 In-School 12 <br />Number of youth to be served 2011/2012 20 <br />Total WIA Funds Requested $ $150,000.00 <br />In compliance with the RFP noted above, and subject to the conditions thereof, the undersigned offers <br />to furnish the services stipulated and certifies he has read, understands, and agrees to all terms, <br />conditions, and requirements of thaT ' authorized to contract on behalf of the agency named <br />above. <br />Signature: itle: A Pc Ic c1 r "Ot; ate: <br />Exhibit A