For SED use only The State Education Department | Albany, NY 12234 Applicant: Reviewer Checklist: SED Use Only Perkins Title I Adult Program in Secondary Agency Formula Application Application Last Updated (Right-click on this date and Update Field to refresh): 5/17/2018 Application Review YES/NO NA Comments or Missing Information Transmittal letter is enclosed Cover page is signed. (If no signature have Kathy contact agency) Verify contact info Note any new info for Kathy. Applic. Items 1-3 are addressed Current Codes Used: pertaining to Local Advisory Comm./Council Form A 8-12) are completed and signed Recommendations are (If no signature have Kathy contact agency) appropriate Changes to Local Plan are noted Forms L,M are complete Form G is signed Certifications and Assurances are signed. (If no signature have Kathy contact agency) FS-10 submitted with original signature. Effort(s) Total of Funds # of Students being Used to Year of M.E. Objective being Impacted by Comments/Notes support this this M.E. M.E. 1. 0 0 2. 0 0 3. 0 0 4. 0 0 Applicant: For SED use only Budget Related Y/N or Follow Up or Comments subtotal amount Budget cover page info complete with correct dates Code 15 (Salaries of professional 0 staff- employees of fiscal agent only) Code 16 (Salaries of Support Staff- 0 employees of fiscal agent only) Code 40 (Purchase Services- 0 generally outside vendors, contracts)
For SED use only The State Education Department | Albany, NY 12234 Applicant: Reviewer Checklist: SED Use Only Perkins Title I Adult Program in Secondary Agency Formula Application Application Last Updated (Right-click on this date and Update Field to refresh): 5/17/2018 Application Review YES/NO NA Comments or Missing Information Transmittal letter is enclosed Cover page is signed. Verify contact info Note any new info for Kathy. (If no signature have Kathy contact agency) Applic. Items 1-3 are addressed pertaining to Local Advisory Comm./Council Current Codes Used: Form A 8-12) are completed and signed Recommendations are appropriate Changes to Local Plan are noted (If no signature have Kathy contact agency) Forms L,M are complete Form G is signed Certifications and Assurances are signed. FS-10 submitted with original signature. (If no signature have Kathy contact agency) Effort(s) Year of M.E. Objective Total of Funds being Used to support this M.E. # of Students being Impacted by this M.E. Comments/Notes 1. 0 0 2. 0 0 3. 0 0 4. 0 0 Applicant: For SED use only Budget Related Y/N or subtotal amount Follow Up or Comments Budget cover page info complete with correct dates Code 15 (Salaries of professional staff- employees of fiscal agent only) 0 Code 16 (Salaries of Support Staff- employees of fiscal agent only) 0 Code 40 (Purchase Services- generally outside vendors, contracts) 0
2018-19AdultPerkinsApp.docx