If participating in a please indicate the fiscal agent: LEA Consortium, consortium’s If participating in a please list the participating members and corresponding corporation numbers: LEA Consortium, Important Grant Information ALL LEAs may apply individually. LEAs may apply as a consortium for Title IV funding. Please submit one application and identify the fiscal agent for the consortium LEAs that will receive $30,000 or more must spend 20% of allocation on Focus Area A and B and must spend portion of allocation on Focus Area C LEAs must spend no more than 15% on technology or technology infrastructure LEAs must provide equitable services to nonpublic schools within their geographic area through timely and meaningful consultation Consortium Participant Agreement (NOTE: this section is only required for LEAs entering into a consortium for Title IV, Part A funding. By signing this form, the LEA agrees to participate in a consortium application for Title IV funds for the 2018-2019 school year and to meet all of the assurances and program requirements as outlined in the Title IV grant application. Signed and dated copies for each member of the consortium should be submitted by the fiscal agent with the final Title IV application. School Corporation Corp # Superintendent Name Signature of Date Superintendent Title IV Administrator Name Signature of Date
If participating in a LEA Consortium, please indicate the consortium’s fiscal agent: If participating in a LEA Consortium, please list the participating members and corresponding corporation numbers: Important Grant Information ALL LEAs may apply individually. LEAs may apply as a consortium for Title IV funding. Please submit one application and identify the fiscal agent for the consortium LEAs that will receive $30,000 or more must spend 20% of allocation on Focus Area A and B and must spend portion of allocation on Focus Area C LEAs must spend no more than 15% on technology or technology infrastructure LEAs must provide equitable services to nonpublic schools within their geographic area through timely and meaningful consultation Consortium Participant Agreement (NOTE: this section is only required for LEAs entering into a consortium for Title IV, Part A funding. By signing this form, the LEA agrees to participate in a consortium application for Title IV funds for the 2018-2019 school year and to meet all of the assurances and program requirements as outlined in the Title IV grant application. Signed and dated copies for each member of the consortium should be submitted by the fiscal agent with the final Title IV application. School Corporation Corp # Superintendent Name Signature of Superintendent Date Title IV Administrator Name Signature of Date
fy-18-title-iv-application-2.docx