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Attachment A (Cover Page) <br />PROPOSER APPLICATION <br />Agency Legal Name City of Santa Ana Parks, Recreation & Community Services <br />Agency DBA Santa Ana Public Ubrary <br />Program Name Seeds To Trees Digital Media Technology Academy <br />Agency Address 26 Civic Center Plaza, M-75, Santa Ana, Ca 92702 <br />Contact Person & Title Cheryl A. Eberly, Principal Librarian <br />Email ceberly@santa-ana.org <br />Telephone # 714-647-5288 <br />Fax # 714-647-6913 <br />Federal ID Number 95-6000785 <br />AGENCY STATUS <br />Public Non-Profit Co ration Private Non-Profit 100+ <br />Private for Profit Government X Other Years in Operation? <br />PRIMARY FUNDING SOURCES <br />Funding Source WIA Santa Ana <br />General Fund CDBG Laura Bush <br />Grant Time Warner <br />Franchise <br />Amount $160,000.00 $145,470.00 $20,767.00 $71,435.00 $25,132.00 <br />HOURS OF OPERATION AND DAYS <br />Days Monday Tuesday Wednesday Thursday Friday Saturday Sunday <br />Hours 10 am-9 pm 10 am-9pm 10 am-9 pm 10 am-9pm 10 am-6pm 10 am-6pm <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 x <br />Alternative secondary school services, as appropriate <br />Summer employment opportunities that are directly linked to academic and occupational learning <br />Paid and unpaid work experience, including internships and job shadowing X <br />Occupational skill training, as appropriate, or paid OJT 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 X <br />Supportive Services X <br />Adult Mentoring for the period of participation and a subsequent period, not less than 12 months X <br />Follow-up services for minimum of 12 months after the completion of participation X <br />Comprehensive guidance and counseling, may include druglalcohol abuse counseling X <br />TARGET POPULATION <br />Older Youth 20 Younger Youth Out-of-School 8 in-School 12 <br /># of Youth to be Served in 2012/2013 20 Total WIA Funds Requested $160,000.00 <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 <br />Director Parks and <br />Title Recreation Services <br />Date 3/5/2012 <br />Exhibit A <br />25B-19