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0 obj << /K 1177 0 R /P 1147 0 R /S /Div >> endobj 1177 0 obj << /E (Appendix I: Negotiation and Amendments ) /K 5 /P 1156 0 R /Pg 391 0 R /S /P >> endobj 1157 0 obj << /K 1178 0 R /P 1147 0 R /S /Div >> endobj 1178 0 obj << /E ( Leave this section blank when completing the initial application for funding.\rAn amendment must be submitted when the program plan or budget is altered for the reasons described in the "When to Amend the Application" document posted on the Administering a Grant page of the website and may be mailed OR faxed \(not both\). To fax: one copy of all sections pertinent to the amendment \(including budget attachments\), along with a completed and signed page 1, to either \(512\) 463-9811 or \(512\) 463-9564. To mail: three copies of all sections pertinent to the amendment \(including budget attachments\), along with a completed and signed page 1, to the address on page 1. More detailed amendment instructions can be found on the last page of the budget template. \rYou may duplicate this page.) /K 6 /P 1157 0 R /Pg 391 0 R /S /P >> endobj 1158 0 obj << /K 1179 0 R /P 1147 0 R /S /Div >> endobj 1179 0 obj << /E (For amendments, choose the section you wish to amend from the drop down menu on the left. In the text box on the right, describe the changes you are making and the reason for them. \rAlways work with the most recent negotiated or amended application. 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The vendor ID is the organizations state taxpayer identification number on file\rwith the state comptrollers office. 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enter N/A when completing this form to apply for grant funds\): ) /Type /Annot /V (NA) >> endobj 32 0 obj << /AP << /D << /1 85 0 R /Off 86 0 R >> /N << /1 87 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 5 0 R /Parent 49 0 R /Rect [ 26.513 164.063 36.513 174.063 ] /StructParent 19 /Subtype /Widget /T (AppSpec[0]) /TU (You are required to check this box to indicate your acceptance of the requirements conveyed in the Debarment and Suspension Certification.) /Type /Annot /V /1 >> endobj 38 0 obj << /AP << /N 99 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 391.055 140.604 591.165 160.423 ] /StructParent 25 /Subtype /Widget /T (AuthOffEmail[0]) /TU (Enter the authorized official's direct email address.) /Type /Annot /V (JBUNTING@BRCSCHARTER.COM) >> endobj 36 0 obj << /AP << /N 97 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 145.686 140.44 249.21 160.259 ] /StructParent 23 /Subtype /Widget /T (AuthOffName[0]) /TU (Enter the name and title of the organization official authorized to obligate the organization in a legally binding contractual agreement.) /Type /Annot /V (JASON BUNTING) >> endobj 39 0 obj << /AP << /N 100 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 54.07 118.182 129.588 138.001 ] /StructParent 26 /Subtype /Widget /T (AuthOffPhone[0]) /TU (Enter the authorized official's direct phone number.) /Type /Annot /V (2548989226) >> endobj 40 0 obj << /AP << /N 101 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Sig /MK << >> /P 5 0 R /Parent 49 0 R /Rect [ 187.053 118.151 489.574 138.001 ] /StructParent 27 /Subtype /Widget /T (AuthOffSig[0]) /TU (Enter the authorized official's digital ID. ) /Type /Annot >> endobj 37 0 obj << /AP << /N 98 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 275.872 140.604 353.877 160.423 ] /StructParent 24 /Subtype /Widget /T (AuthOffTitle[0]) /TU (Enter the authorized official's direct email address.) /Type /Annot /V (CEO) >> endobj 16 0 obj << /AP << /N 66 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 273.086 395.688 316.842 415.507 ] /StructParent 3 /Subtype /Widget /T (CDN[0]) /TU (Enter the organization's county-district number.) /Type /Annot /V (213801) >> endobj 21 0 obj << /AP << /N 70 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 308.491 371.84 395.204 391.659 ] /StructParent 8 /Subtype /Widget /T (City[0]) /TU (Enter the city in which the organization is located.) /Type /Annot /V (Nemo) >> endobj 19 0 obj << /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 519.064 395.093 590.507 414.912 ] /StructParent 6 /Subtype /Widget /T (DUNS[0]) /TU (For federal grants, enter the applicant organization's DUNS number. Visit https://fedgov.dnb.com/webform to apply for a DUNS number. For state-funded grants, enter N/A.) /Type /Annot >> endobj 46 0 obj << /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 522.712 118.159 591.165 138.001 ] /StructParent 33 /Subtype /Widget /T (DateField1[0]) /TU (Date) /Type /Annot >> endobj 47 0 obj << /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 522.712 96.151 591.165 115.993 ] /StructParent 34 /Subtype /Widget /T (DateField1[1]) /TU (Date) /Type /Annot >> endobj 33 0 obj << /AP << /D << /1 88 0 R /Off 89 0 R >> /N << /1 90 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 5 0 R /Parent 49 0 R /Rect [ 310.153 192.279 320.153 202.279 ] /StructParent 20 /Subtype /Widget /T (Debarment[0]) /TU (You are required to check this box to indicate your acceptance of the requirements conveyed in the Lobbying Certification.) /Type /Annot /V /1 >> endobj 18 0 obj << /AP << /N 68 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 470.1 395.093 490.232 414.912 ] /StructParent 5 /Subtype /Widget /T (ESC[0]) /TU (Enter the ESC region in which the applicant is located. Refer to /regional_services/esc/ for an ESC region map.) /Type /Annot /V (XI) >> endobj 35 0 obj << /AP << /D << /1 94 0 R /Off 95 0 R >> /N << /1 96 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 5 0 R /Parent 49 0 R /Rect [ 309.972 162.258 319.972 172.258 ] /StructParent 22 /Subtype /Widget /T (ESSA[0]) /TU (You are required to check this box to indicate your acceptance of the LOI process, when applicable.) /Type /Annot /V /1 >> endobj 30 0 obj << /AP << /D << /1 79 0 R /Off 80 0 R >> /N << /1 81 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 5 0 R /Parent 49 0 R /Rect [ 26.513 192.208 36.513 202.208 ] /StructParent 17 /Subtype /Widget /T (GrantApp[0]) /TU (You are required to check this box to indicate your acceptance of application and grant requirements detailed in the grant application, grant guidelines \(General and Fiscal as well as program guidelines\), and instructions provided for completing the application.) /Type /Annot /V /1 >> endobj 41 0 obj << /AP << /N 102 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 115.638 96.174 226.244 115.993 ] /StructParent 28 /Subtype /Widget /T (GrantWrName[0]) /TU (Enter the name of the person with primary responsibility for writing the grant application.) /Type /Annot /V (ELIZABETH ROOK) >> endobj 42 0 obj << /AP << /N 103 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Sig /MK << >> /P 5 0 R /Parent 49 0 R /Rect [ 284.286 96.143 490.124 115.993 ] /StructParent 29 /Subtype /Widget /T (GrantWrSig[0]) /TU (The grant writer's signature must be present on all three copies of the application. An original signature is not required.) /Type /Annot >> endobj 34 0 obj << /AP << /D << /1 91 0 R /Off 92 0 R >> /N << /1 93 0 R >> >> /AS /Off /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 5 0 R /Parent 49 0 R /Rect [ 310.153 177.879 320.153 187.879 ] /StructParent 21 /Subtype /Widget /T (Lobbying[0]) /TU (You are required to check this box to indicate your acceptance of the LOI process, when applicable.) /Type /Annot >> endobj 15 0 obj << /AP << /N 65 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 131.862 417.331 590.507 437.15 ] /StructParent 2 /Subtype /Widget /T (OrgName[0]) /TU (Enter the name of the organization applying for the grant.) /Type /Annot /V (BRAZOS RIVER CHARTER SCHOOL) >> endobj 45 0 obj << /AP << /N 110 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 96.53 395.688 245.423 415.507 ] /StructParent 32 /Subtype /Widget /T (OrgName[1]) /TU (Enter the name of the organization applying for the grant.) /Type /Annot /V (BRAZOS RIVER CHARTER) >> endobj 23 0 obj << /AP << /N 72 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 514.995 371.84 590.508 391.659 ] /StructParent 10 /Subtype /Widget /T (OrgPhone[0]) /TU (Enter the applicant organization's main phone number.) /Type /Annot /V (2548989226) >> endobj 26 0 obj << /AP << /N 75 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 514.995 348.914 590.508 368.733 ] /StructParent 13 /Subtype /Widget /T (PrimConPhone[0]) /TU (Enter the primary contact's direct phone number.) /Type /Annot /V (2548989226) >> endobj 25 0 obj << /AP << /N 74 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 276.226 348.537 476.336 368.356 ] /StructParent 12 /Subtype /Widget /T (PrimContEmail[0]) /TU (Enter the primary contact's direct email address.) /Type /Annot /V (JBUNTING@BRCSCHARTER.COM) >> endobj 24 0 obj << /AP << /N 73 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 101.24 348.914 239.198 368.733 ] /StructParent 11 /Subtype /Widget /T (PrimContact[0]) /TU (Enter the name of the person should contact first with questions or information regarding the application.) /Type /Annot /V (JASON BUNTING) >> endobj 31 0 obj << /AP << /D << /1 82 0 R /Off 83 0 R >> /N << /1 84 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 5 0 R /Parent 49 0 R /Rect [ 26.513 178.171 36.513 188.171 ] /StructParent 18 /Subtype /Widget /T (ProvAssur[0]) /TU (You are required to check this box to indicate your acceptance of all provisions and assurances \(the General Provisions and Assurances and any provisions and assurances specific to the grant, as listed in the program guidelines\).) /Type /Annot /V /1 >> endobj 50 0 obj << /DA (/ZaDb 8.00 Tf 0 g) /FT /Btn /Ff 49152 /Kids [ 44 0 R 43 0 R ] /Opt [ (1) (2) ] /Parent 49 0 R /T (RadioButtonList[0]) /TU (RadioButtonList) /V /0 >> endobj 44 0 obj << /AP << /D << /1 107 0 R /Off 108 0 R >> /N << /1 109 0 R >> >> /AS /Off /DA (/ZaDb 8.00 Tf 0 g) /F 4 /MK << /CA (l) >> /NM (form1[0].Page1[0].RadioButtonList[0].#field[1]) /P 5 0 R /Parent 50 0 R /Rect [ 305.819 82.684 315.819 92.684 ] /StructParent 31 /Subtype /Widget /Type /Annot >> endobj 43 0 obj << /AP << /D << /0 104 0 R /Off 105 0 R >> /N << /0 106 0 R >> >> /AS /0 /F 4 /MK << /CA (l) >> /NM (form1[0].Page1[0].RadioButtonList[0].#field[0]) /P 5 0 R /Parent 50 0 R /Rect [ 22.02 82.684 32.02 92.684 ] /StructParent 30 /Subtype /Widget /Type /Annot >> endobj 28 0 obj << /AP << /N 77 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 276.226 326.407 475.667 346.226 ] /StructParent 15 /Subtype /Widget /T (SecContactEmail[0]) /TU (Enter the secondary contact's direct email address.) /Type /Annot /V (TDAMON@BRCSCHARTER.COM) >> endobj 29 0 obj << /AP << /N 78 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 514.995 326.407 590.508 346.226 ] /StructParent 16 /Subtype /Widget /T (SecContactPhone[0]) /TU (Enter the secondary contact's direct phone number.) /Type /Annot /V (2548989226) >> endobj 27 0 obj << /AP << /N 76 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 116.75 326.407 239.232 346.226 ] /StructParent 14 /Subtype /Widget /T (SecContact[0]) /TU (Enter the name of the person should contact second with questions or information regarding the application.) /Type /Annot /V (THEA DAMON) >> endobj 17 0 obj << /AP << /N 67 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 371.353 395.688 441.924 415.507 ] /StructParent 4 /Subtype /Widget /T (VendorID[0]) /TU (Enter the organization's vendor ID. The vendor ID is the organizations state taxpayer identification number on file\rwith the state comptrollers office. Applicants that do not have a vendor ID can find the form online at https://comptroller.texas.gov/taxes/franchise/forms/.) /Type /Annot /V (1752855334) >> endobj 22 0 obj << /AP << /N 71 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 5 0 R /Parent 49 0 R /Q 0 /Rect [ 423.784 371.84 476.903 391.659 ] /StructParent 9 /Subtype /Widget /T (ZIP[0]) /TU (Enter the organization's ZIP code.) /Type /Annot /V (76070) >> endobj 52 0 obj << /Kids [ 111 0 R 112 0 R 113 0 R 114 0 R 115 0 R 116 0 R ] /Parent 51 0 R /T (Page2[0]) >> endobj 111 0 obj << /AP << /N 117 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 118 0 R /Parent 52 0 R /Q 0 /Rect [ 567.209 750.989 591.165 770.808 ] /StructParent 36 /Subtype /Widget /T (AmendmentNo[0]) /TU (Enter the organization's county-district number \(ISDs, charters, and ESCs\) or vendor ID. The vendor ID is the organizations state taxpayer identification number on file\rwith the state comptrollers office. Applicants that do not have a vendor ID can find the form online at https://comptroller.texas.gov/taxes/franchise/forms/.) /Type /Annot /V (NA) >> endobj 113 0 obj << /AP << /N 120 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 118 0 R /Parent 52 0 R /Q 0 /Rect [ 47.336 751.346 94.11 771.165 ] /StructParent 38 /Subtype /Widget /T (CDN[0]) /TU (Enter the organization's county-district number.) /Type /Annot /V (213801) >> endobj 115 0 obj << /AP << /N 122 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 118 0 R /Parent 52 0 R /Q 0 /Rect [ 20.835 65.863 590.626 178.526 ] /StructParent 40 /Subtype /Widget /T (FirstBenchTxt[0]) /TU (Describe the method you will use to objectively measure your first-quarter progress toward the summative goal identified above. Your benchmarks should be designed to assess the processes you have in place as well as the measurable results of the program you implement.) /Type /Annot /V (stakeholder survey, accounting documentation per event) >> endobj 114 0 obj << /AP << /N 121 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 118 0 R /Parent 52 0 R /Q 0 /Rect [ 20.835 239.236 590.74 354.677 ] /StructParent 39 /Subtype /Widget /T (SMARTGoalTxt[0]) /TU (Describe the summative SMART goal you have identified for this program \(a goal that is Specific, Measurable, Achievable, Relevant, and Timely\), either related to student outcome or consistent with the purpose of the grant. ) /Type /Annot /V (3 on-campus events per year which allow students, staff, and community to engage outside of the traditional classroom to provide a more support learning environment. The goal is to increase a sense of community and belonging to support academic and non-academic student needs. This will be measured in the planning and execution of each event with stakeholder inclusion with surveys and meeting agendas.) >> endobj 116 0 obj << /Kids [ 123 0 R 124 0 R 125 0 R ] /Parent 52 0 R /T (Table2[0]) >> endobj 123 0 obj << /Kids [ 126 0 R 127 0 R ] /Parent 116 0 R /T (Row1[0]) >> endobj 126 0 obj << /AP << /N 128 0 R >> /DA (/MyriadPro-Regular 10.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 118 0 R /Parent 123 0 R /Q 0 /Rect [ 19.417 525.339 248.219 584.317 ] /StructParent 41 /Subtype /Widget /T (Cell1[0]) /TU (Cell1) /Type /Annot /V (Increased opportunities for student engagement in the learning process outside of the traditional classroom setting) >> endobj 127 0 obj << /AP << /N 132 0 R >> /DA (/MyriadPro-Regular 10.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 118 0 R /Parent 123 0 R /Q 0 /Rect [ 251.053 525.339 593.292 584.317 ] /StructParent 42 /Subtype /Widget /T (Cell2[0]) /TU (Cell2) /Type /Annot /V (Offering 3 new on-campus events throughout the school year, designed to engage all stakeholders \(students/parents/staff/community\)in the learning process) >> endobj 124 0 obj << /Kids [ 133 0 R 134 0 R ] /Parent 116 0 R /T (Row2[0]) >> endobj 133 0 obj << /DA (/MyriadPro-Regular 10.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 118 0 R /Parent 124 0 R /Q 0 /Rect [ 19.417 465.579 248.219 522.505 ] /StructParent 43 /Subtype /Widget /T (Cell1[0]) /TU (Cell1) /Type /Annot >> endobj 134 0 obj << /DA (/MyriadPro-Regular 10.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 118 0 R /Parent 124 0 R /Q 0 /Rect [ 251.053 465.579 593.292 522.505 ] /StructParent 44 /Subtype /Widget /T (Cell2[0]) /TU (Cell2) /Type /Annot >> endobj 125 0 obj << /Kids [ 135 0 R 136 0 R ] /Parent 116 0 R /T (Row3[0]) >> endobj 135 0 obj << /DA (/MyriadPro-Regular 10.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 118 0 R /Parent 125 0 R /Q 0 /Rect [ 19.417 403.254 248.219 462.745 ] /StructParent 45 /Subtype /Widget /T (Cell1[0]) /TU (Cell1) /Type /Annot >> endobj 136 0 obj << /DA (/MyriadPro-Regular 10.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 118 0 R /Parent 125 0 R /Q 0 /Rect [ 251.053 403.254 593.292 462.745 ] /StructParent 46 /Subtype /Widget /T (Cell2[0]) /TU (Cell2) /Type /Annot >> endobj 112 0 obj << /AP << /N 119 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 118 0 R /Parent 52 0 R /Q 0 /Rect [ 153.248 751.346 238.858 771.165 ] /StructParent 37 /Subtype /Widget /T (VendorID[0]) /TU (Enter the organization's vendor ID. ) /Type /Annot /V (1752855334) >> endobj 53 0 obj << /Kids [ 137 0 R 138 0 R 139 0 R 140 0 R 141 0 R 142 0 R ] /Parent 51 0 R /T (Page3[0]) >> endobj 140 0 obj << /AP << /N 147 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 144 0 R /Parent 53 0 R /Q 0 /Rect [ 567.209 750.138 591.165 769.957 ] /StructParent 51 /Subtype /Widget /T (AmendmentNo[0]) /TU (Enter the organization's county-district number \(ISDs, charters, and ESCs\) or vendor ID. The vendor ID is the organizations state taxpayer identification number on file\rwith the state comptrollers office. Applicants that do not have a vendor ID can find the form online at https://comptroller.texas.gov/taxes/franchise/forms/.) /Type /Annot /V (NA) >> endobj 142 0 obj << /AP << /N 149 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 144 0 R /Parent 53 0 R /Q 0 /Rect [ 47.336 750.496 94.11 770.315 ] /StructParent 53 /Subtype /Widget /T (CDN[0]) /TU (Enter the organization's county-district number.) /Type /Annot /V (213801) >> endobj 139 0 obj << /AP << /N 146 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 144 0 R /Parent 53 0 R /Q 0 /Rect [ 20.855 65.228 591.137 367.918 ] /StructParent 50 /Subtype /Widget /T (ProjEvalMod[1]) /TU (Describe how you will use project evaluation data to determine when and how to modify your program. If your benchmarks or summative SMART goals do not show progress, describe how you will use evaluation data to modify your program for sustainability.) /Type /Annot /V (Project evaluation will incorporate stakeholder input with regard to school-hosted events. Students, families, and staff will propose ideas on what each event will focus on and how it will support students both academically and non-academically. Program sustainability will rely on all participant input and will steer subsequent campus events.) >> endobj 137 0 obj << /AP << /N 143 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 144 0 R /Parent 53 0 R /Q 0 /Rect [ 20.991 584.278 590.95 714.05 ] /StructParent 48 /Subtype /Widget /T (SecondBenchTxt[0]) /TU (Describe the method you will use to objectively measure your second-quarter progress toward the summative goal identified above. Your benchmarks should be designed to assess the processes you have in place as well as the measurable results of the program you implement.) /Type /Annot /V (stakeholder survey, accounting documentation per event ) >> endobj 138 0 obj << /AP << /N 145 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 144 0 R /Parent 53 0 R /Q 0 /Rect [ 20.991 435.742 590.196 565.514 ] /StructParent 49 /Subtype /Widget /T (ThirdBenchTxt[0]) /TU (Describe the method you will use to objectively measure your third-quarter progress toward the summative goal identified above. Your benchmarks should be designed to assess the processes you have in place as well as the measurable results of the program you implement.) /Type /Annot /V (stakeholder survey, accounting documentation per event) >> endobj 141 0 obj << /AP << /N 148 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 144 0 R /Parent 53 0 R /Q 0 /Rect [ 153.248 750.496 238.858 770.315 ] /StructParent 52 /Subtype /Widget /T (VendorID[0]) /TU (Enter the organization's vendor ID. ) /Type /Annot /V (1752855334) >> endobj 54 0 obj << /Kids [ 150 0 R 151 0 R 152 0 R 153 0 R 154 0 R 155 0 R 156 0 R 157 0 R 158 0 R 159 0 R 160 0 R 161 0 R 162 0 R 163 0 R 164 0 R 165 0 R 166 0 R ] /Parent 51 0 R /T (Page4[0]) >> endobj 152 0 obj << /AP << /N 174 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 170 0 R /Parent 54 0 R /Q 0 /Rect [ 567.209 750.609 591.165 770.428 ] /StructParent 57 /Subtype /Widget /T (AmendmentNo[0]) /TU (Enter the organization's county-district number \(ISDs, charters, and ESCs\) or vendor ID. The vendor ID is the organizations state taxpayer identification number on file\rwith the state comptrollers office. Applicants that do not have a vendor ID can find the form online at https://comptroller.texas.gov/taxes/franchise/forms/.) /Type /Annot /V (NA) >> endobj 154 0 obj << /AP << /N 176 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 170 0 R /Parent 54 0 R /Q 0 /Rect [ 47.336 750.609 94.11 770.428 ] /StructParent 59 /Subtype /Widget /T (CDN[0]) /TU (Enter the organization's county-district number.) /Type /Annot /V (213801) >> endobj 150 0 obj << /AP << /D << /1 167 0 R /Off 168 0 R >> /N << /1 169 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 170 0 R /Parent 54 0 R /Rect [ 20.835 643.266 30.835 653.266 ] /StructParent 55 /Subtype /Widget /T (CheckBox1[0]) /TU (The applicant provides assurance that program funds will supplement \(increase the level of service\), and not supplant \(replace\) state mandates, State Board of Education rules, and activities previously conducted with state or local funds. The applicant provides assurance that state or local funds may not be decreased or diverted for other purposes merely because of the availability of these funds. The applicant provides assurance that program services and activities to be funded from this grant will be supplementary to existing services and activities and will not be used for any services or activities required by state law, State Board of Education rules, or local policy.) /Type /Annot /V /1 >> endobj 163 0 obj << /AP << /D << /1 201 0 R /Off 202 0 R >> /N << /1 203 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 170 0 R /Parent 54 0 R /Rect [ 20.835 130.798 30.835 140.798 ] /StructParent 68 /Subtype /Widget /T (CheckBox1[10]) /TU (13. The applicant will implement the data collection and reporting system developed by the Texas Center for Student Supports to gather and analyze data to monitor efficacy of the implementation of the Student Support Program, including student support team structure, quality of support leading to positive outcomes, and data related to increases in desired outcomes \(e.g. increase in student support team referrals for nonacademic needs, increase in effective supports received by students, reduction in disciplinary incidents, reduction in bullying and harassment, increase in referrals for mental health services, reduction in removals from class, etc.\).) /Type /Annot /V /1 >> endobj 164 0 obj << /AP << /D << /1 204 0 R /Off 205 0 R >> /N << /1 206 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 170 0 R /Parent 54 0 R /Rect [ 20.835 72.822 30.835 82.822 ] /StructParent 69 /Subtype /Widget /T (CheckBox1[11]) /TU (The applicant provides assurance that the application does not contain any information that would be protected by the Family Educational Rights and Privacy Act \(FERPA\) from general release to the public.) /Type /Annot /V /1 >> endobj 165 0 obj << /AP << /D << /1 207 0 R /Off 208 0 R >> /N << /1 209 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 170 0 R /Parent 54 0 R /Rect [ 20.835 252.629 30.835 262.629 ] /StructParent 70 /Subtype /Widget /T (CheckBox1[12]) /TU (The applicant provides assurance that the application does not contain any information that would be protected by the Family Educational Rights and Privacy Act \(FERPA\) from general release to the public.) /Type /Annot /V /1 >> endobj 166 0 obj << /AP << /D << /1 210 0 R /Off 211 0 R >> /N << /1 212 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 170 0 R /Parent 54 0 R /Rect [ 20.835 284.493 30.835 294.493 ] /StructParent 71 /Subtype /Widget /T (CheckBox1[13]) /TU (The applicant provides assurance that the application does not contain any information that would be protected by the Family Educational Rights and Privacy Act \(FERPA\) from general release to the public.) /Type /Annot /V /1 >> endobj 151 0 obj << /AP << /D << /1 171 0 R /Off 172 0 R >> /N << /1 173 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 170 0 R /Parent 54 0 R /Rect [ 20.835 589.854 30.835 599.854 ] /StructParent 56 /Subtype /Widget /T (CheckBox1[1]) /TU (The applicant provides assurance that the application does not contain any information that would be protected by the Family Educational Rights and Privacy Act \(FERPA\) from general release to the public.) /Type /Annot /V /1 >> endobj 155 0 obj << /AP << /D << /1 177 0 R /Off 178 0 R >> /N << /1 179 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 170 0 R /Parent 54 0 R /Rect [ 20.835 555.695 30.835 565.695 ] /StructParent 60 /Subtype /Widget /T (CheckBox1[2]) /TU (The applicant provides assurance that the application does not contain any information that would be protected by the Family Educational Rights and Privacy Act \(FERPA\) from general release to the public.) /Type /Annot /V /1 >> endobj 156 0 obj << /AP << /D << /1 180 0 R /Off 181 0 R >> /N << /1 182 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 170 0 R /Parent 54 0 R /Rect [ 20.835 499.859 30.835 509.859 ] /StructParent 61 /Subtype /Widget /T (CheckBox1[3]) /TU (The applicant provides assurance that the application does not contain any information that would be protected by the Family Educational Rights and Privacy Act \(FERPA\) from general release to the public.) /Type /Annot /V /1 >> endobj 157 0 obj << /AP << /D << /1 183 0 R /Off 184 0 R >> /N << /1 185 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 170 0 R /Parent 54 0 R /Rect [ 20.835 314.948 30.835 324.948 ] /StructParent 62 /Subtype /Widget /T (CheckBox1[4]) /TU (The applicant provides assurance that the application does not contain any information that would be protected by the Family Educational Rights and Privacy Act \(FERPA\) from general release to the public.) /Type /Annot /V /1 >> endobj 158 0 obj << /AP << /D << /1 186 0 R /Off 187 0 R >> /N << /1 188 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 170 0 R /Parent 54 0 R /Rect [ 20.835 218.026 30.835 228.026 ] /StructParent 63 /Subtype /Widget /T (CheckBox1[5]) /TU (The applicant provides assurance that the application does not contain any information that would be protected by the Family Educational Rights and Privacy Act \(FERPA\) from general release to the public.) /Type /Annot /V /1 >> endobj 159 0 obj << /AP << /D << /1 189 0 R /Off 190 0 R >> /N << /1 191 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 170 0 R /Parent 54 0 R /Rect [ 20.835 440.897 30.835 450.897 ] /StructParent 64 /Subtype /Widget /T (CheckBox1[6]) /TU (The applicant provides assurance that the application does not contain any information that would be protected by the Family Educational Rights and Privacy Act \(FERPA\) from general release to the public.) /Type /Annot /V /1 >> endobj 160 0 obj << /AP << /D << /1 192 0 R /Off 193 0 R >> /N << /1 194 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 170 0 R /Parent 54 0 R /Rect [ 20.835 392.277 30.835 402.277 ] /StructParent 65 /Subtype /Widget /T (CheckBox1[7]) /TU (The applicant provides assurance that the application does not contain any information that would be protected by the Family Educational Rights and Privacy Act \(FERPA\) from general release to the public.) /Type /Annot /V /1 >> endobj 161 0 obj << /AP << /D << /1 195 0 R /Off 196 0 R >> /N << /1 197 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 170 0 R /Parent 54 0 R /Rect [ 20.835 345.435 30.835 355.435 ] /StructParent 66 /Subtype /Widget /T (CheckBox1[8]) /TU (The applicant provides assurance that the application does not contain any information that would be protected by the Family Educational Rights and Privacy Act \(FERPA\) from general release to the public.) /Type /Annot /V /1 >> endobj 162 0 obj << /AP << /D << /1 198 0 R /Off 199 0 R >> /N << /1 200 0 R >> >> /AS /1 /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 170 0 R /Parent 54 0 R /Rect [ 20.835 187.071 30.835 197.071 ] /StructParent 67 /Subtype /Widget /T (CheckBox1[9]) /TU (The applicant provides assurance that the application does not contain any information that would be protected by the Family Educational Rights and Privacy Act \(FERPA\) from general release to the public.) /Type /Annot /V /1 >> endobj 153 0 obj << /AP << /N 175 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 170 0 R /Parent 54 0 R /Q 0 /Rect [ 153.248 750.609 238.858 770.428 ] /StructParent 58 /Subtype /Widget /T (VendorID[0]) /TU (Enter the organization's vendor ID. ) /Type /Annot /V (1752855334) >> endobj 55 0 obj << /Kids [ 213 0 R 214 0 R 215 0 R 216 0 R 217 0 R ] /Parent 51 0 R /T (Page5[0]) >> endobj 214 0 obj << /AP << /N 220 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 219 0 R /Parent 55 0 R /Q 0 /Rect [ 567.209 751.241 591.165 771.06 ] /StructParent 74 /Subtype /Widget /T (AmendmentNo[0]) /TU (Enter the organization's county-district number \(ISDs, charters, and ESCs\) or vendor ID. The vendor ID is the organizations state taxpayer identification number on file\rwith the state comptrollers office. Applicants that do not have a vendor ID can find the form online at https://comptroller.texas.gov/taxes/franchise/forms/.) /Type /Annot /V (NA) >> endobj 216 0 obj << /AP << /N 222 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 219 0 R /Parent 55 0 R /Q 0 /Rect [ 47.336 751.241 94.11 771.06 ] /StructParent 76 /Subtype /Widget /T (CDN[0]) /TU (Enter the organization's county-district number.) /Type /Annot /V (213801) >> endobj 213 0 obj << /AP << /N 218 0 R >> /DA (/MyriadPro-Regular 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 219 0 R /Parent 55 0 R /Q 0 /Rect [ 21.26 397.075 591.165 682.969 ] /StructParent 73 /Subtype /Widget /T (StatProgReq1Txt[0]) /TU (1. Describe how the LEA will identify the campuses that will participate in the establishment of the Student Support Program described in the program description? Include the criteria or considerations that will influence the determination by the LEA.) /Type /Annot /V (We are a one-campus charter school.) >> endobj 217 0 obj << /AP << /N 223 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 219 0 R /Parent 55 0 R /Q 0 /Rect [ 20.835 65.812 589.597 364.742 ] /StructParent 77 /Subtype /Widget /T (StatProgReq2Txt[0]) /TU (2.Describe how the LEA will ensure that campus leaders and staff are committed to the success of the Student Support Program.) /Type /Annot /V (Chief Education Officer, Principal, and staff will be responsible for implementing student support programming with the input of students and families.) >> endobj 215 0 obj << /AP << /N 221 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 219 0 R /Parent 55 0 R /Q 0 /Rect [ 153.248 751.241 238.858 771.06 ] /StructParent 75 /Subtype /Widget /T (VendorID[0]) /TU (Enter the organization's vendor ID. ) /Type /Annot /V (1752855334) >> endobj 56 0 obj << /Kids [ 224 0 R 225 0 R 226 0 R 227 0 R 228 0 R ] /Parent 51 0 R /T (Page6[0]) >> endobj 224 0 obj << /AP << /N 229 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 230 0 R /Parent 56 0 R /Q 0 /Rect [ 567.209 751.235 591.165 771.054 ] /StructParent 79 /Subtype /Widget /T (AmendmentNo[0]) /TU (Enter the organization's county-district number \(ISDs, charters, and ESCs\) or vendor ID. The vendor ID is the organizations state taxpayer identification number on file\rwith the state comptrollers office. Applicants that do not have a vendor ID can find the form online at https://comptroller.texas.gov/taxes/franchise/forms/.) /Type /Annot /V (NA) >> endobj 226 0 obj << /AP << /N 232 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 230 0 R /Parent 56 0 R /Q 0 /Rect [ 47.336 751.346 94.11 771.165 ] /StructParent 81 /Subtype /Widget /T (CDN[0]) /TU (Enter the organization's county-district number.) /Type /Annot /V (213801) >> endobj 227 0 obj << /AP << /N 233 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 230 0 R /Parent 56 0 R /Q 0 /Rect [ 22.028 401.5 591.165 709.524 ] /StructParent 82 /Subtype /Widget /T (StatProgReq3Txt[0]) /TU (This requirement is either stated in the statute that authorizes this program or is defined by . Describe you plan to address the requirement.) /Type /Annot /V (BRCS has an existing family engagement plan involving all stakeholders including parents, students and staff. This grant opportunity will increase this engagement three additional times per year in order to further develop the sense of community and support for our student body.) >> endobj 228 0 obj << /AP << /N 234 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 230 0 R /Parent 56 0 R /Q 0 /Rect [ 20.835 65.812 589.972 368.474 ] /StructParent 83 /Subtype /Widget /T (StatProgReq4Txt[0]) /TU (4. Describe how the LEA will ensure that there is adequate staff to support the establishment and implementation of the Student Support Program.) /Type /Annot /V (All staff will participate in the three events offered by this grant program, as it impacts our entire student body.) >> endobj 225 0 obj << /AP << /N 231 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 230 0 R /Parent 56 0 R /Q 0 /Rect [ 153.248 751.346 238.858 771.165 ] /StructParent 80 /Subtype /Widget /T (VendorID[0]) /TU (Enter the organization's vendor ID. ) /Type /Annot /V (1752855334) >> endobj 57 0 obj << /Kids [ 235 0 R 236 0 R 237 0 R 238 0 R 239 0 R ] /Parent 51 0 R /T (Page7[0]) >> endobj 235 0 obj << /AP << /N 240 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 241 0 R /Parent 57 0 R /Q 0 /Rect [ 567.209 751.133 591.165 770.952 ] /StructParent 85 /Subtype /Widget /T (AmendmentNo[0]) /TU (Enter the organization's county-district number \(ISDs, charters, and ESCs\) or vendor ID. The vendor ID is the organizations state taxpayer identification number on file\rwith the state comptrollers office. Applicants that do not have a vendor ID can find the form online at https://comptroller.texas.gov/taxes/franchise/forms/.) /Type /Annot /V (NA) >> endobj 237 0 obj << /AP << /N 243 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 241 0 R /Parent 57 0 R /Q 0 /Rect [ 47.336 751.346 94.11 771.165 ] /StructParent 87 /Subtype /Widget /T (CDN[0]) /TU (Enter the organization's county-district number.) /Type /Annot /V (213801) >> endobj 238 0 obj << /AP << /N 244 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 241 0 R /Parent 57 0 R /Q 0 /Rect [ 22.028 389.382 591.165 686.446 ] /StructParent 88 /Subtype /Widget /T (StatProgReq3Txt[0]) /TU (This requirement is either stated in the statute that authorizes this program or is defined by . Describe you plan to address the requirement.) /Type /Annot /V (The LEA has implemented the CHAMPS program that establishes positive behavior support schoolwide. Staff encourages academic engagement, establishes clear behavior expectations, and are quick to modify classroom management as needed to support student achievement. Supporting positive student behavior has lowered the instances of misbehavior and helped to create a positive atmosphere throughout the school. This will extend to the grant-supported student events outside of the traditional classroom.) >> endobj 239 0 obj << /AP << /N 245 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 241 0 R /Parent 57 0 R /Q 0 /Rect [ 20.835 63.071 589.972 351.668 ] /StructParent 89 /Subtype /Widget /T (StatProgReq4Txt[0]) /TU (6. Describe how the LEA currently identifies student support needs and how it identifies and establishes partnerships with external mental health and behavioral health providers to meet student needs.) /Type /Annot /V (The LEA identifies student support needs through regular communication with students/families via phone and email, as well as in-person meetings where written surveys are also made available for feedback from stakeholders. Brazos River Charter School has existing relationships with mental and behavioral health providers in our community, should students or families need those services.) >> endobj 236 0 obj << /AP << /N 242 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 241 0 R /Parent 57 0 R /Q 0 /Rect [ 153.248 751.346 238.858 771.165 ] /StructParent 86 /Subtype /Widget /T (VendorID[0]) /TU (Enter the organization's vendor ID. ) /Type /Annot /V (1752855334) >> endobj 58 0 obj << /Kids [ 246 0 R 247 0 R 248 0 R 249 0 R 250 0 R 251 0 R 252 0 R ] /Parent 51 0 R /T (Page8[0]) >> endobj 246 0 obj << /AP << /N 253 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 254 0 R /Parent 58 0 R /Q 0 /Rect [ 567.209 750.428 591.165 770.247 ] /StructParent 91 /Subtype /Widget /T (AmendmentNo[0]) /TU (Enter the organization's county-district number \(ISDs, charters, and ESCs\) or vendor ID. The vendor ID is the organizations state taxpayer identification number on file\rwith the state comptrollers office. Applicants that do not have a vendor ID can find the form online at https://comptroller.texas.gov/taxes/franchise/forms/.) /Type /Annot /V (NA) >> endobj 248 0 obj << /AP << /N 256 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 254 0 R /Parent 58 0 R /Q 0 /Rect [ 47.336 750.64 94.11 770.459 ] /StructParent 93 /Subtype /Widget /T (CDN[0]) /TU (Enter the organization's county-district number.) /Type /Annot /V (213801) >> endobj 251 0 obj << /AP << /N 259 0 R >> /DA (/MyriadPro-Regular 10.00 Tf 0 g) /F 4 /FT /Tx /MK << >> /P 254 0 R /Parent 58 0 R /Q 1 /Rect [ 197.601 91.151 250.616 110.993 ] /StructParent 96 /Subtype /Widget /T (NumericField1[0]) /TU (9. Enter the LEA Total Enrollment:) /Type /Annot /V (132) >> endobj 252 0 obj << /AP << /N 260 0 R >> /DA (/MyriadPro-Regular 10.00 Tf 0 g) /F 4 /FT /Tx /MK << >> /P 254 0 R /Parent 58 0 R /Q 0 /Rect [ 359.648 64.491 421.888 84.333 ] /StructParent 97 /Subtype /Widget /T (NumericField2[0]) /TU (10. Enter the Regional Educational Service Center that serves the LEA:) /Type /Annot /V (11) >> endobj 249 0 obj << /AP << /N 257 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 254 0 R /Parent 58 0 R /Q 0 /Rect [ 21.524 408.07 590.661 696.85 ] /StructParent 94 /Subtype /Widget /T (StatProgReq4Txt[0]) /TU (7. Describe how the LEA currently partners with the regional ESC to support improvement in student mental health, behavioral and emotional health, physical health and wellbeing, and improving academic outcomes for students.) /Type /Annot /V (The LEA currently partners with ESC 11 via contracted services and professional development in several academic and behavioral areas including CHAMPS \(as described earlier\) and instructional solutions and support.) >> endobj 250 0 obj << /AP << /N 258 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8392704 /MK << >> /P 254 0 R /Parent 58 0 R /Q 0 /Rect [ 20.835 118.276 589.972 373.31 ] /StructParent 95 /Subtype /Widget /T (StatProgReq4Txt[1]) /TU (8. Describe how the LEA will use this grant program to supplement current work to improve services and supports for the mental health, behavioral and emotional health, and physical health and wellness of students.) /Type /Annot /V (The LEA will use this grant program to provide additional student-centered on-campus events, outside of the established events hosted annually by the LEA. The program will be designed to engage students in a non-traditional setting and allow relationship building among peers and with staff to foster a supportive, inclusive learning environment. ) >> endobj 247 0 obj << /AP << /N 255 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 254 0 R /Parent 58 0 R /Q 0 /Rect [ 153.248 750.64 238.858 770.459 ] /StructParent 92 /Subtype /Widget /T (VendorID[0]) /TU (Enter the organization's vendor ID. ) /Type /Annot /V (1752855334) >> endobj 59 0 obj << /Kids [ 261 0 R 262 0 R 263 0 R 264 0 R 265 0 R 266 0 R 267 0 R 268 0 R 269 0 R 270 0 R 271 0 R 272 0 R 273 0 R 274 0 R 275 0 R 276 0 R 277 0 R 278 0 R 279 0 R 280 0 R 281 0 R 282 0 R 283 0 R 284 0 R ] /Parent 51 0 R /T (Page9[0]) >> endobj 273 0 obj << /AP << /D << /1 313 0 R /Off 314 0 R >> /N << /1 315 0 R >> >> /AS /Off /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 287 0 R /Parent 59 0 R /Rect [ 37.18 356.893 47.18 366.893 ] /StructParent 114 /Subtype /Widget /T (Affirmation[0]) /TU (The LEA assures the appropriate Affirmations of Consultation will be provided to 's PNP Ombudsman in the manner and time requested. ) /Type /Annot >> endobj 282 0 obj << /AP << /N 316 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 287 0 R /Parent 59 0 R /Q 0 /Rect [ 567.209 751.346 591.165 771.165 ] /StructParent 123 /Subtype /Widget /T (AmendmentNo[0]) /TU (Enter the organization's county-district number \(ISDs, charters, and ESCs\) or vendor ID. The vendor ID is the organizations state taxpayer identification number on file\rwith the state comptrollers office. Applicants that do not have a vendor ID can find the form online at https://comptroller.texas.gov/taxes/franchise/forms/.) /Type /Annot /V (NA) >> endobj 263 0 obj << /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 287 0 R /Parent 59 0 R /Q 0 /Rect [ 273.952 636.336 590.212 654.086 ] /StructParent 102 /Subtype /Widget /T (Barrier[0]) /TU (Name the barrier to equitable access and participation for this group.) /Type /Annot >> endobj 264 0 obj << /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 287 0 R /Parent 59 0 R /Q 0 /Rect [ 272.658 612.355 590.212 630.105 ] /StructParent 103 /Subtype /Widget /T (Barrier[1]) /TU (Name the barrier to equitable access and participation for this group.) /Type /Annot >> endobj 265 0 obj << /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 287 0 R /Parent 59 0 R /Q 0 /Rect [ 272.658 588.373 590.212 606.123 ] /StructParent 104 /Subtype /Widget /T (Barrier[2]) /TU (Name the barrier to equitable access and participation for this group.) /Type /Annot >> endobj 266 0 obj << /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 287 0 R /Parent 59 0 R /Q 0 /Rect [ 272.658 565.129 590.212 582.879 ] /StructParent 105 /Subtype /Widget /T (Barrier[3]) /TU (Name the barrier to equitable access and participation for this group.) /Type /Annot >> endobj 284 0 obj << /AP << /N 318 0 R >> /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 287 0 R /Parent 59 0 R /Q 0 /Rect [ 47.336 751.346 94.11 771.165 ] /StructParent 125 /Subtype /Widget /T (CDN[0]) /TU (Enter the organization's county-district number.) /Type /Annot /V (213801) >> endobj 272 0 obj << /AP << /D << /1 310 0 R /Off 311 0 R >> /N << /1 312 0 R >> >> /AS /Off /DA (/ZaDb 8.00 Tf 0 g) /F 4 /FT /Btn /MK << /CA (8) >> /P 287 0 R /Parent 59 0 R /Rect [ 37.18 385.596 47.18 395.596 ] /StructParent 113 /Subtype /Widget /T (Discussed[0]) /TU (The LEA assures that it discussed all consultation requirements as listed in Section 1117\(b\)\(1\) and/or\rSection 8501\(c\)\(1\), as applicable, with all eligible private nonprofit schools located within the LEA's boundaries.) /Type /Annot >> endobj 274 0 obj << /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /Ff 8388608 /MK << >> /P 287 0 R /Parent 59 0 R /Q 0 /Rect [ 526.156 312.012 590.207 329.762 ] /StructParent 115 /Subtype /Widget /T (ESCalc1[0]) /TU (Enter the number of students enrolled at the LEA.) /Type /Annot >> endobj 275 0 obj << /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /MK << >> /P 287 0 R /Parent 59 0 R /Q 0 /Rect [ 526.156 288.765 590.207 306.518 ] /StructParent 116 /Subtype /Widget /T (ESCalc2[0]) /TU (Enter the enrollment of private nonprofit schools participating in the grant.) /Type /Annot >> endobj 276 0 obj << /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /MK << >> /P 287 0 R /Parent 59 0 R /Q 0 /Rect [ 526.156 265.521 590.207 283.274 ] /StructParent 117 /Subtype /Widget /T (ESCalc3[0]) /TU (3. Total enrollment of LEA and all participating PNPs \(line 1 plus line 2\)) /Type /Annot >> endobj 277 0 obj << /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /MK << >> /P 287 0 R /Parent 59 0 R /Q 0 /Rect [ 526.156 242.277 590.207 260.03 ] /StructParent 118 /Subtype /Widget /T (ESCalc4[0]) /TU (Enter your current-year allocation for the ESSA title program that funds this grant.) /Type /Annot >> endobj 278 0 obj << /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /MK << >> /P 287 0 R /Parent 59 0 R /Q 0 /Rect [ 526.156 218.296 590.207 236.049 ] /StructParent 119 /Subtype /Widget /T (ESCalc5[0]) /TU (Enter the amount you have reserved for direct administrative costs.) /Type /Annot >> endobj 279 0 obj << /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /MK << >> /P 287 0 R /Parent 59 0 R /Q 0 /Rect [ 526.156 194.315 590.207 212.068 ] /StructParent 120 /Subtype /Widget /T (ESCalc6[0]) /TU (6. Total LEA amount for provision of ESSA PNP equitable services \(line 4 minus line 5\)) /Type /Annot >> endobj 280 0 obj << /DA (/ArialMT 11.00 Tf 0 g) /F 4 /FT /Tx /MK << >> /P 287 0 R /Parent 59 0 R /Q 0 /Rect [ 526.156 170.334 590.207 188.087 ] /StructParent 121 /Subtype /Widget /T (ESCalc7[0]) /TU (7. 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