APPLICATION FOR GRANTS UNDER THE

U.S. Department of Education

Washington, D.C. 20202-5335

APPLICATION FOR GRANTS UNDER THE

Expanding Opportunity Through Quality Charter Schools Program Grants to State Entities FY19 CFDA # 84.282A

PR/Award # U282A190001 Tracking#: GRANT12788761

PR/Award # U282A190001

OMB No. , Expiration Date: Closing Date: Feb 12, 2019

**Table of Contents**

Form 1. Application for Federal Assistance SF-424 2. Standard Budget Sheet (ED 524) 3. Assurances Non-Construction Programs (SF 424B) 4. Disclosure Of Lobbying Activities (SF-LLL) 5. ED GEPA427 Form

Attachment - 1 (1239-NH GEPA2019) 6. Lobbying Form 7. Dept of Education Supplemental Information for SF-424 8. ED Abstract Narrative Form

Attachment - 1 (1235-CSP ABSTRACT NHDOE 2_8_2019) 9. Project Narrative Form

Attachment - 1 (1234-CSP Grant Narrative NHDOE 020819 ) 10. Other Narrative Form

Attachment - 1 (1236-Appendices A-C NH DOE) Attachment - 2 (1237-Appendix F_Additional Information NH DOE) 11. Budget Narrative Form Attachment - 1 (1238-CSP Budget Narrative NHDOE 020819)

Page e3 e6 e8 e10 e11 e12 e15 e16 e17 e18 e19 e20 e81 e82 e92

e178 e179

This application was generated using the PDF functionality. The PDF functionality automatically numbers the pages in this application. Some pages/sections of this application may contain 2 sets of page numbers, one set created by the applicant and the other set created by e-Application's PDF functionality. Page numbers created by the e-Application PDF functionality will be preceded by the letter e (for example, e1, e2, e3, etc.).

Page e2

Application for Federal Assistance SF-424

* 1. Type of Submission: Preapplication

* 2. Type of Application: New

Application

Continuation

Changed/Corrected Application

Revision

* 3. Date Received:

02/08/2019

4. Applicant Identifier:

* If Revision, select appropriate letter(s): * Other (Specify):

5a. Federal Entity Identifier:

5b. Federal Award Identifier:

OMB Number: 4040-0004 Expiration Date: 12/31/2019

State Use Only:

6. Date Received by State:

7. State Application Identifier:

8. APPLICANT INFORMATION:

* a. Legal Name: The New Hampshire Department of Education

* b. Employer/Taxpayer Identification Number (EIN/TIN):

* c. Organizational DUNS:

d. Address:

* Street1:

101 Pleasant Street

Street2:

* City:

Concord

County/Parish:

* State:

Province:

* Country:

* Zip / Postal Code: 03301-3860

NH: New Hampshire USA: UNITED STATES

e. Organizational Unit: Department Name: NH Department of Education

Division Name: Ed., Analytics & Resources

f. Name and contact information of person to be contacted on matters involving this application:

Prefix:

Mr.

Middle Name:

* Last Name: Suffix:

Edelblut

* First Name: Frank

Title: Commissioner

Organizational Affiliation:

* Telephone Number: * Email:

Tracking Number:GRANT12788761

Fax Number:

PR/Award # U282A190001 Page e3

Funding Opportunity Number:ED-GRANTS-122818-001 Received Date:Feb 08, 2019 07:03:15 PM EST

Application for Federal Assistance SF-424

* 9. Type of Applicant 1: Select Applicant Type: A: State Government Type of Applicant 2: Select Applicant Type:

Type of Applicant 3: Select Applicant Type:

* Other (specify):

* 10. Name of Federal Agency: Department of Education 11. Catalog of Federal Domestic Assistance Number: 84.282 CFDA Title: Charter Schools

* 12. Funding Opportunity Number: ED-GRANTS-122818-001 * Title: Office of Innovation and Improvement (OII): Charter Schools Program (CSP): Grants to State Entities CFDA Number 84.282A

13. Competition Identification Number: 84-282A2019-1 Title: Expanding Opportunity Through Quality Charter Schools Program Grants to State Entities FY19

14. Areas Affected by Project (Cities, Counties, States, etc.): Add Attachment

* 15. Descriptive Title of Applicant's Project: NH 2019 Charter Schools Program Grant Application

Delete Attachment

View Attachment

Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments

Tracking Number:GRANT12788761

PR/Award # U282A190001 Page e4

Funding Opportunity Number:ED-GRANTS-122818-001 Received Date:Feb 08, 2019 07:03:15 PM EST

Application for Federal Assistance SF-424

16. Congressional Districts Of:

* a. Applicant

NH-002

Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment

* b. Program/Project ALL

Delete Attachment

View Attachment

17. Proposed Project: * a. Start Date: 10/01/2019

* b. End Date: 09/30/2024

18. Estimated Funding ($):

* a. Federal * b. Applicant * c. State * d. Local * e. Other * f. Program Income * g. TOTAL

0.00 0.00 0.00 0.00 0.00

* 19. Is Application Subject to Review By State Under Executive Order 12372 Process?

a. This application was made available to the State under the Executive Order 12372 Process for review on

.

b. Program is subject to E.O. 12372 but has not been selected by the State for review.

c. Program is not covered by E.O. 12372.

* 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.)

Yes

No

If "Yes", provide explanation and attach

Add Attachment

Delete Attachment

View Attachment

21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)

** I AGREE

** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions.

Authorized Representative:

Prefix:

Mr.

Middle Name:

* Last Name: Edelblut

Suffix:

* First Name: Frank

* Title:

Commissioner of Education

* Telephone Number:

Fax Number:

* Email:

* Signature of Authorized Representative:

* Date Signed: 02/08/2019

Tracking Number:GRANT12788761

PR/Award # U282A190001 Page e5

Funding Opportunity Number:ED-GRANTS-122818-001 Received Date:Feb 08, 2019 07:03:15 PM EST

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