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PROPOSER APPLICATION <br />Agency Legal Name <br />Fortuna Education LLC <br />Agency DBA <br />Career College of California <br />Program Name <br />Career College of California <br />Program Address <br />201 E. 4`h Street #201, Santa Ana, CA 92701 <br />Corporate Office Address <br />201 E. 4`h Street #201, Santa Ana, CA 92701 <br />Contact Person & Title <br />Nilco Everett, President <br />Email <br />nilc o(@careercollegeofeducation.edu <br />Telephone # <br />714 - 795 -7270 <br />Fax # <br />714- 243 -8613 <br />Federal ID Number <br />27- 1972753 <br />AGENCYSTATUS <br />Public Non. Profit Cor oration Private Non -Profit <br />Private for Profit x I Government I I Other <br />PRIMARY 1:1 11 cnl IRri:c <br />Years in 0 <br />Funding Source <br />Tuition <br />Government Contracts <br />Amount <br />2,000,000 <br />400,000 <br />HOURS OF OPERATION AND DAYS <br />Days Monday Tuesday Wednesday I Thursday I Friday Saturday Sunday <br />Hours 8am -10pm 8am -10pm 8am -10pm 8am -10pm 8am-Sum <br />TARGET POPULATION <br />Older Youth X Younger Youth Out -of- School X In- School <br /># of Youth to be Served in 2013 -2014 15 Total WIA Funds Requested $79,920 <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 />Chief Executive Officer <br />Title <br />2WL35 <br />Date <br />2 <br />