Laserfiche WebLink
wttacnmentw <br />Proposer Application <br />Agency Legal Name Orange County Children's Therapeutic Arts Center <br />Agency DBA (if applicable) N/A <br />Program Name OCCTAC Arts & Learning Academy for Youth at -risk and with Disabilities <br />Agency Address 2215 North Broadway, Santa Ana, CA92706 <br />Contact Person Dr. Ana Jimenez Title Executive Director <br />Telephone # (714)547-5468. ext. 307 FAX # (714)564-9690 E -Mail ana@occtac.org <br />Federal I.D. Number 33-0930891 <br />Agency Status <br />Public Non -Profit _X_ Corporation Private Non -Profit Other <br />Private for Profit Government Years in Operation <br />Primary Funding Sources <br />Funding Source <br />Donations <br />Fundraising <br />Grants Tuition <br />Contracts <br />Amount <br />$830,000 <br />$175,000 <br />$70,000 <br />$200,000 $125,000 <br />$260,000 <br />Hours of Operation and Days <br />Days <br />Monday Tuesday <br />Wednesday <br />Thursday <br />Friday <br />I Saturday Sunday <br />Hours <br />8:30-8:30 8:30-8:30 <br />8:30-8:30 <br />8:30-8:30 <br />8:30-8:30 <br />8:30-5:00 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 <br />X <br />Alternative secondary school services, as appropriate <br />Summer employment opportunities that are directly linked to academic and occupational <br />learning <br />X <br />Paid and unpaid work experience, including internships and job shadowing <br />X <br />Occupational skill training, as appropriate, or paid OJT <br />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 <br />X <br />Supportive Services <br />X <br />Adult Mentoring for the period of participation and a subsequent period, not less than 12 months <br />X <br />Follow-up services for minimum of 12 months after the completion of participation <br />X <br />Comprehensive guidance and counseling, may include drug/alcohol abuse counseling <br />X <br />Older Youth X Younger Youth Out -of -School X_ In -School <br />Number of youth to be served 2011/2012_20 <br />Total WIA Funds Requested LIZ9 000 <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 this RFP and is authorized to contract on behalf of the agency named <br />above. <br />Signature: Title: Executive Director Date: 3-30-2011 <br />v <br />