Federal Tax ID:
Unique Entity ID (SAM) (formerly DUNS#) New entities can get their Unique Entity ID at SAM.gov:
Organization Name:
Organization’s mailing address (headquarters, phone, URL):
Is your organization a registered 501c3 with the Georgia Secretary of State?:
Describe the purpose of your agency and the services that your agency provides:
Contact Information
Name:
Title:
Telephone Number:
Email:
ARPA Summer Youth Job Training Priority(ies) and Performance Measure(s) to be addressed:
Select the Performance Measure(s) that will be addressed:
Description of ARPA Summer Youth Job Training activities
Provide a description of your organization’s Summer Youth Job Training program:
Describe the specific activities and services that your summer youth job training program will provide to respond to a need(s) that arose because of the COVID-19 pandemic:
State the total number of Fulton County youth ages 16-24 projected to be served with ARPA funding during the contract period May 1, 2022 – August 31, 2022.:
Define the population to be served, and geographic location. (Programs and services targeting “high risk” area(s) within Fulton County will receive priority points):
State the amount of ARPA funding that your agency is requesting to support the summer youth job training program (May 1, 2022- August 31, 2022).:
Administrative (5% Admin max of funds awarded.)
Funds that are spent on Executive/Management Staff and Administrative Support Staff salaries, salary
fringe and benefits ONLY. (Note: Not more than 5% of grant award can be used for administrative
costs. Includes direct and indirect charges for administration of the grant)
AMOUNT OF APRA FUNDING REQUEST BY ADMINISTRATIVE COST CATEGORY:
Direct Services
Funds utilized to provide services directly to agency/program participants such as payments made on
behalf of participants for Job Training, Stipends, transportation (gas, parking, participant’s public
transportation costs, etc.) scholarships and day care vouchers, salaries and fringe benefits for direct
service personnel (Case Managers, Educators, Subcontractors, etc.), program supplies
(educational/instructional materials, paper, pencils, markers, etc.) directly consumed by participants.
AMOUNT OF APRA FUNDING REQUEST BY DIRECT SERVICES COST CATEGORY:
Total:
Provide additional details on how you plan to spend the requested ARPA funding in the Administrative, Operational, and Direct Services cost categories.: