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PROPOSER APPLICATION <br />Agency Legal Name <br />Santa Ana Public Library <br />Agency DBA <br />I <br />Program Name <br />Seeds To Trees Academy: Digital Media and Information Technology <br />Institute <br />Program Address <br />26 Civic Center Plaza, M -75, Santa Ana, CA 92702 <br />Corporate Office 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 />ceberlYnn,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 />WIA <br />Corporation <br />I <br />I Private Non - Profit <br />Friday <br />Years in Operation. <br />$190,000 <br />Private for Profit <br />$20,019 <br />Government <br />I X <br />I Other <br />10 am- <br />6 m <br />PRIMARY FUNDING SOURCES <br />Funding Source <br />WIA <br />General Fund <br />CDBG <br />Thursday <br />Friday <br />Amount <br />$190,000 <br />$ 164,033 <br />$20,019 <br />10 am- <br />9pm <br />10 am -9 pm <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- <br />9pm <br />10 am -9 pm <br />10 am -9pm <br />10 am- <br />6 m <br />10 am- <br />6pm <br />TARGET POPULATION <br />Older Youth 25 Younger Youth 1 5 Out -of- School 15 In- School 15 <br /># of Youth to be Served in 2014 -2015 130 1 Total WIA Funds Requested $190,000 <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 />Executive Director <br />Title Date <br />EXHIBIT A <br />25A -304 <br />