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Carefully read and follow the directions to complete the form and generate a PDF version that can be attached to the final application. All narrative responses and PDF appendices must be submitted as one application.

Directions: For each school counselor residency program component listed in the narrative descriptions of this appendix, please indicate the number of intended School Counselor Residency Implementation Grant Program residents to be supported by that component, and whether the activity will be funded through grant funds and/or local matching funds, as applicable to each component. Use the blank spaces in the table below to add any additional components or services not listed. All categories of planned grant funds expenditures must also be detailed in the budget narrative.

Information regarding Indirect Costs: Applicants may claim indirect costs as part of their matching funds, but not as part of the use of grant funds. Indirect costs may be claimed at the district negotiated indirect cost rate per the California Department of Education. IHEs that may be partnering with the LEA for the School Counselor Residency Implementation Grant will need to discuss their indirect cost matching funds allocations with their LEA partner(s).

Reminders and Definitions:

  1. Applicants may select from any combination of program components listed. When completing the online form, leave blank any options not being selected. Do not type “n/a.”
  2. The budget submitted on this form must not exceed $40,000 per resident.
  3. A minimum of $20,000 per resident must be allocated in the Salary/Stipend for Residents component.
  4. Per authorizing legislation, the grant funds must be matched by the grantee LEA or consortium on a $0.80 per every one grant dollar basis for the first $25,000 of the grant amount received per resident. Matching funds may be actual dollars or in-kind. Matching funds may be actual funds and/or in-kind match. Grantees may claim indirect costs as part of their matching funds, but not as part of the use of grant funds.
    1. Actual Matching Funds are payments (stipends, release time) or reimbursements made directly from the LEA’s accounts.
    2. In-Kind Matching Funds are costs or portions of costs of services, materials, labor (personnel), equipment, etc. that are provided instead of cash disbursements to a recipient or program.
  5. Residents are also eligible for other forms of federal, state, and LEA financial assistance to support the cost of their preparation.
  6. Per authorizing legislation, grant funds in the School Counselor Preparation Costs (Tuition, Fees, Books, etc.), and possibly the “other” category must be paid back to the grant if a resident exits early from the residency program or does not complete their four-year service requirement.

Grant Funds

1. Mentor School Counselor Professional Development/ Training
 * 
 * 
 * 
2. Mentor School Counselor Stipend (this may include housing stipends)
 * 
 * 
 * 
3. School Counselor Preparation Costs (e.g., Tuition, Fees, Books, etc.)
 * 
 * 
 * 
4. Salary/Stipend for Residents (This may include living stipends, wages, housing stipends, and benefits commonly included in compensation packages, with a minimum of $20,000.)
 * 
 * 
 * 
5. IHE Faculty Stipends
 * 
 * 
 * 
6. IHE Faculty Release Time
 * 
 * 
 * 
7. Residency program staff costs
 * 
 * 
 * 
8. Program Administration (five percent (5%) cap on grant funds used for this purpose; no limit on matching funds used for this purpose)
 * 
 * 
 * 
9. Other (describe below)
 * 
 * 
 * 
DO NOT USE *** as this will become a new line.

Totals

 * 
 * 
Grantees are eligible to receive up to four years of funding. Provide the number of years of funding being requested in this application

Budget narrative - Grant Funds

For each budget category with requested grant funds indicated above, please provide a description of each program component, including cost breakdown (i.e., how the amount of grant funds requested were calculated). For example, if $45,000 is requested for Mentor School Counselor Stipends, provide a justification for why that amount is appropriate. A grantee could write, “Ten mentor school counselors will each receive a $4,500 stipend to support ten school counselor residents.”
DO NOT USE *** as this will become a new line.









Please enter in the following format with each component on a new line: Component Name - Narrative

Matching Funds

1. Mentor School Counselor Professional Development/ Training
 * 
 * 
 * 
2. Mentor School Counselor Stipend (this may include housing stipends)
 * 
 * 
 * 
3. School Counselor Preparation Costs (e.g., Tuition, Fees, Books, etc.)
 * 
 * 
 * 
4. Salary/Stipend for Residents (This may include living stipends, wages, housing stipends, and benefits commonly included in compensation packages, with a minimum of $20,000.)
 * 
 * 
 * 
5. IHE Faculty Stipends
 * 
 * 
 * 
6. IHE Faculty Release Time
 * 
 * 
 * 
7. Residency program staff costs
 * 
 * 
 * 
8. Program Administration (five percent (5%) cap on grant funds used for this purpose; no limit on matching funds used for this purpose)
 * 
 * 
 * 
9. Other (describe below)
 * 
 * 
 * 
DO NOT USE *** as this will become a new line.

Totals

 * 
 * 
 * 

Budget narrative - Matching Funds

For each budget category with matching funds indicated above, please provide a description of each program component, including cost breakdown (i.e., how the amount of matching funds requested was calculated). For example, if $5,000 in matching funds is being allocated for Mentor School Counselor Stipends, provide a justification for why that amount is appropriate. A grantee could write, “Ten mentor school counselors will each receive a grant funded stipend of $4,500 each. The grantee LEA will allocate an additional $500 each in matching funds to make the total stipend $5,000 per mentor school counselor.”
DO NOT USE *** as this will become a new line.









Please enter in the following format with each component on a new line: Component Name - Narrative
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