Laserfiche WebLink
Attachment A (Cover Page) <br />PROPOSER APPLICATION <br />Agency Legal Name <br />Orange County Children's Therapeutic Arts Center <br />Agency DBA <br />Grants <br />Program Name <br />Career & Job Readiness Program for Youth with and without Disabilities <br />Agency Address <br />2215 North Broadway, Santa Ana, CA 92706 <br />Contact Person & Title <br />Dr. Ana Jimenez -Hami, Executive Director <br />Email <br />ana @occtac.org <br />Telephone # <br />(714) 547 -5468 <br />Fax # <br />(714) 564 -9690 <br />Federal ID Number <br />33- 0930891 <br />AGENCYSTATUS <br />Public Non - Profit <br />x <br />Corporation <br />Grants <br />Private Non - Profit <br />Contracts <br />Years in Operation? <br />65,000 <br />Private for Profit <br />300,000 <br />Government <br />260,000 <br />Other <br />H <br />PRIMARY FUNDING SOURCES <br />Funding Source <br />Donations <br />Fundraising <br />Grants <br />Tuition <br />Contracts <br />Amount <br />65,000 <br />50,000 <br />300,000 <br />125,000 <br />260,000 <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 />8:30pm <br />8:30am- <br />8:30pm <br />8:30am- <br />8:30pm <br />8:30am- <br />8:30pm <br />8:30am- <br />8:30pm <br />8:30am- <br />5:00pm <br />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, including dropout <br />prevention strategies <br />X <br />Alternative secondary school services, as appropriate <br />X <br />Summer employment opportunities that are directly linked to academic and 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 centered activities <br />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 />TARGET POPULATION <br />Older Youth Younger Youth Out -of- School X In- School <br /># of Youth to be Served in 2012/2013 125 Total WIA Funds Requested 1 $175,000 <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 Title Executive Director Date <br />r <br />Exhibit A <br />