Laserfiche WebLink
Attachment A <br />Proposer Application <br />Proposer Application <br />Agency Legal Name Taller San Jose <br />Agency DBA (if applicable) N/A <br />Program Name Workforce Training for At -Risk Youth <br />Agency Address 810 N. Poinsettia, Santa Ana CA 92701 <br />Contact Person Shawna Smith Title CEO/ Executive Director <br />Telephone # 714.543.5105 Xt.109 FAX # 714. 543.5032 E -Mail ssmith@tallersaniose.org <br />Federal I.D. Number 59-3816355 <br />Agency Status <br />Public Non -Profit X Corporation Private Non -Profit Other <br />Private for Profit Government Years in Operation 15 <br />Primary Funding Sources <br />Funding <br />Source <br />Weingart <br />Foundation <br />Sisters of St. <br />Joseph <br />Cedar <br />Foundation <br />Gary and Mary <br />West Fdn. <br />Bank of America <br />Amount <br />$150,000 <br />$282,936 <br />$225,000 <br />$175,000 <br />$100,000 <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 />8:30AM- <br />5PM <br />8:30AM- <br />SPM <br />8:30AM-5PM <br />8:30AM-SPM <br />8:30AM- <br />SPM <br />Adult Mentoring for the period of participation and a subsequent period, not less than 12 <br />months <br />X <br />My organization will offer the following WIA elements for youth: <br />Tutoring, study skills, training, and instruction, leading to completion of secondary <br />school, including dropout prevention strategies <br />Alternative secondary school services, as appropriate <br />Summer employment opportunities that are directly linked to academic and <br />occupational 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 <br />centered activities encouraging responsibilities and other positive social behaviors <br />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 <br />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 />Target Population <br />Older Youth x - Younger Youth Out -of -School x In -School <br />Number of youth to be served 2011/2012 22 participants <br />Total WIA Funds Requested $165,270 <br />In compliance with the RFP noted above, and subject to the conditions thereof, the undersigned offers to furnish the <br />services stipulated and certifies he has read, understands, and agrees to all terms, conditions, and requirements of this <br />RFP and is authorized to contract on behalf of the agency named above. <br />Signature: Title: CEO/ Executive Director Date: 3/29/11 <br />Exhibit A <br />