HomeMy WebLinkAbout890509.tiff 4O mEmORAnDUm
C. W. Kirby, Chairman
To Board of County Commissioners _ Date June 191989
COLORADO From Walter J. Speckman , Executive Director, Human Resources ._iwL
subject: 1989 Head Start Supplemental Grant Application
Enclosed for Board approval is the PY '89 Head Start Supplemental Grant
application.
The Weld County Division of Human Resources ' Head Start Program has been
notified by the Department of Health and Human Services that it has been
awarded $838.43 to be spent on curriculum enrichment material and travel
for fire safety training for Head Start children.
This supplemental grant will coincide with the Head Start Basic Grant
period, which is from January 1 , 1989 through December 31 , 1989.
If you have any questions , please telephone me at 353-3816.
�<_,I `,-
89059
OMB Approval No.0348-0006
2. APPU-S a.NUMBER 3. S a.NUMBER
FEDERAL ASSISTANCE
1. TYPE CATION 08CH0019/16 1 EN11-
OF O NOTICE OF pYTENT(OPTIONAL) I FIER FIER
b.DATE NOTE TO BE b. DATE
SUBMISSION a PREAPPUCATION Year month day ASSIGNED ASSIGNED Year nwtN day
(Mark ap. r,yY.,,
p„.0IJ APPLICATION 19 89 06 12 "5"m 19
lox)
Law
Blank
4. LEGAL APPLICANT/RECIPIENT 5. EMPLOYER IDENTIFICATION NUMBER(EN)
t Applicant Name . Weld County Division of Human Resources 84-6000813
b.Organization Unit Weld County Head Start Program 6.
c.SbeeUP.O.Boa • P.O. Box 1805 PRGO- t NUMBER 11 1 3 1 . 1 610 I J
Gan Greeley e n^ Weld
f.State Colorado 9.ZIP Code. 8O632 (From CFDA) MULTIPLE ❑
h.Contact Person(Name Mr. Walter J. Speckman, Executive Director b. TITLE Child Development
drelephone Na) (303) 353-3816 Head Start
$ 7. TITLE OF APPLICANT'S PROJECT (Use secant IV of this form to provide a summery desaipfon of the 8. TYPEy ewer OF APPLICANT/RECIPIENT
prd
o ecL) arm
a-bemire n-<c�.�..w Ac Aq �
rr c�a.rr •.rl.E.he+sr.+,..�
W -.- o....W J i, n Tm.
0—Caine, - a—oa.e(Sy.dy):
w 1989 Head Start Supplemental Grant for E—or
a F—Schaal Olt!fire safety training Enter appropriate tester D
9. AREA OF PROJECT IMPACT(Nana,Ofc(Net maatia stet etc) 10.ESTIMATED NUMBER 11. TYPE OF ASSISTANCE
OF PERSONS BENEFITING O.0
1 Weld County 265 "'" p lid 8___
4411 12. PROPOSED FUNDING 13. CONGRESSIONAL DISTRICTS OF: 14. TYPE OF APPLICATION
•-N.. c-n..un, E-wy..w..
a. APPLICANT b. PROJECT a-an.s o-Ca Bo!
a.FEDERAL s 838.43 .rb EMeeaAm,-ale knee L_l
b.APPLICANT 209 En -CDC D.County-Wide 17. TYPE OF CHANGE(Fa.l4 a 1N)
A-*.o...e Dolan f-(b.er aPaiM:
c.STATE -00 15. PROJECT START 16. PROJECT c_a-��
DATE arSon
Year month day DURATION o.n allen
O.LOCAL .00 E-cause.1€89 01 0 1 12 Months avti swim [T]
18. DATE DUE TO Year month day
)
RAL
I. Total $i .00 042 03 l FEDE AGENCY► 19
19. FEDERAL AGENCY TO RECEIVE REQUEST Health & Human Services 20-EXISTING FEDERAL GRANT
-, IDENTIFICATION NUMBER
a. ORGANIZATIONAL UNIT(IF APPROPRIATE) b.ADMINISTRATIVE CONTACT(IF KNOWN) 08CH0019/16
Office of Human Development Services
C. 1C. lic6IfIl 8, Federal Building 21. REMARKS ADDEO
1961 Stout Street
Denver, CO 80294 I1 Yes IX No
yl To the best of my knowledge and belief, a. YES.THIS NOTICE OF INTENT/PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE
0 THE data in this preapp cation/applicalbn EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON:
I APPLICANT We true and correct the documenthas
CERTIFIES been duty autwraed by the 1lovetrang DATE
THAT P- body of the applicant and the applicant ,,VV,�
cc Y will comply with the enacted assurances b. NO,PROGRAM IS NOT COVERED BY ED. 12372 CJ
if the assistance.3 approved. OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW ❑
6 !J. a. TY NAME AND TITLE b. SIGNATURE
C.W.0 t CERTIFYING Kirby, Chairman .
/
w REPRE- Weld County Board of Commissioners mac,
SENTATIVE
24. APPLICA- Year month day 25. FEDERAL APPLICATION IDENTIFICATION NUMBER 26. F DERAL GRANT IDENTIFICATION
TION
RECEIVED 19 --
27. ACTION TAKEN 128. FUNDING Year month day 30. Year month dote
STARTING
e O a. AWARDED 29. ACTION DATE.- 19 (DATE 19
h;6 0 b. REJECTED a. FEDERAL $ .00 31. CONTACT FOR ADDITIONAL INFORMA. 32. Year month date
4 t C. RETURNED FOR TION(Name and telephone number) ENDING
I < AMENDMENT b. APPLICANT .00 DATE 19
_ O d. RETURNED FOR —
c STATE 00 33. REMARKS ADDED
6 o E.O. 12372 SUBMISSION
< BY APPLICANT TO d. LOCAL .00
w STATE
❑ e. DEFERRED e. OTHER .00
❑ f. WITHDRAWN L TOTAL S .00 Li Yes No
1i
NSN 7540-01-008-8162 424-103 89®Sh.11,9 STANDARD FORM 424 PAGE 1 (Rev. 4-84)
PREVIOUS EDITION a7 a1 a7 Pretrdbed by OMB Circular A-102
.c um 1ICARI C
PAS NO.03411,0001
PART IN•BUDGET INFORMATION
SECTION A-BUDGET SUMMARY
Grant Program. Federal _ Estimated Unobligated Funds New or Revised Budget
Fnctionor Activity Catalog No. Federal Non-Federal Federal Non-Federal Total
(a) (b) (c) (CO (e) (f) _ (g)
t' PA 22 136(1[) $ $ $ 838.43 $ 209.6() $ 1,048.03
2.
3. ---
4.
5. TOTALS $ ` $ $ 838.43 $ 209.60 $ 1,048.03
SECTION B-BUDGET CATEGORIES
-Grant Program. Function or Activity I
6. Object Class Categories Total
(t) PA 22 (2) (3) (4) (5)
a. Personnel $ $ $ $ $
b. Fringe Benefits
c. Travel 22.50
22.50 - - -- -
d. Equipment
e. Supplies — — --- ------...___—.
f. Contractual ---- _~---- ---
g. Construction
h. Other 815.93 815.93
i. Total Direct Charges 1.048.03 1 ,ndR n1
j. Indirect Charges
k. TOTALS $ 1.048.03 $ $ $ - 3 1,048 03
7. Program Income $ $ $ $ $
8905 .9
Supplemental Grant Application
Narrative
The Weld County Division of Human Resources' Head Start Program
is applying for $815.93 for materials and $22.50 for travel
for the special fire safety training activities being made
available to grantees of Region VIII.
8905c9
•
PART II OMB NO.0348-0006
PROJECT APPROVAL INFORMATION
Item 1.
Does this assistance request require Name of Governing Body
State, local regional, or other priority rating? Priority Rating _
Yes X No
Item 2.
Does this assistance request require State, or local Name of Agency or
advisory, educational or health clearances? Board
Yes No (Attach Documentation)
Item 3.
Does this assistance request require State, local, Name f�f Approving Agency ( t" flM4
regional or other planning approval? Date_`/L. A /' 1097
Yes No /�
Item 4. — _—_ —
Is the proposed project covered by an approved compre- Check one: State ❑
hensive plan? Local ❑
Regional ❑
Yes_`_No Location of Plan
Item 5.
Will the assistance requested serve a Federal Name of Federal Installation
installation? -Yes X No Federal Population benefiting from Project
Item 6.
Will the assistance requested be on Federal land or Name of Federal Installation
installation? Location of Federal Land
Yes X No Percent of Project
Item 7.
Will the assistance requested have an impact or effect See instructions for additional information to be
on the environment provided.
Yes X No
Item 8. Number of:
Will the assistance recuested cause the displacement Individuals
of individuals, families, businesses, or farms? Families
Businesses_
Yes X No Farms
Item 9.Is there other related assistance on this project previous, See instructions for additional information to be
pending, or anticipated provided.
Yes X No
8905"
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