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Salem Keizer Race to the Top 2012 Application

Salem Keizer Race to the Top 2012 Application

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Published by Statesman Journal

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Published by: Statesman Journal on Oct 27, 2012
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05/07/2014

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Race to the Top - DistrictApplication for Funding
CFDA Number: 84.416
U.S. Department of EducationWashington, D.C. 20202OMB Number: 1894-0014Expiration Date: February 28, 2013Paperwork Burden StatementAccording to the Paperwork Reduction Act of 1995, no persons are required to respond to acollection of information unless such collection displays a valid OMB control number. Publicreporting burden for this collection of information is estimated to average 238 hours per response,including time for reviewing instructions, searching existing data sources, gathering andmaintaining the data needed, and completing and reviewing the collection of information. Theobligation to respond to this collection is required to obtain or retain benefit (Title III of Division Fof P.L. 112-74, the "Consolidated Appropriations Act, 2012", Dec. 23, 2011). Send commentsregarding the burden estimate or any other aspect of this collection of information, includingsuggestions for reducing this burden, to the U.S. Department of Education, 400 Maryland Ave.,SW, Washington, DC 20210-4537 or email ICDocketMgr@ed.gov and reference the OMB ControlNumber 1894-0014. Note: Please do not return the completed Race to the Top-District applicationto this address.
 
 1
SALEM-KEIZERPUBLIC SCHOOLS
 RACE TO THE TOP
 – 
DISTRICT  APPLICATION FOR FUNDING
OCTOBER 2012
Salem-Keizer Public Schools | 2450 Lancaster Drive NE | Salem, OR 97305 | 503-399-3002
 
 2
IV. APPLICATION ASSURANCES(CFDA No. 84.416)
Legal Name of Applicant
1
:
Salem-Keizer School District 24J
Applicant‘s NCES District ID
2
:
4110820
Applicant‘s Mailing Address:
 
P.O. Box 12024, Salem, OR, 97309-0024
Employer Identification Number:
93-6000763
Organizational DUNS Number:
07-073-1690
Race to the Top
 – 
District Contact Name:(Single point of contact for communication)
Salam A. Noor
Contact Position and Office:
Assistant Superintendent
Contact Telephone:
503-399-3002
Contact E-mail Address:
noor_salam@salkeiz.k12.or.us
Required applicant Signatures:To the best of my knowledge and belief, all of the information and data in this applicationare true and correct.I further certify that I have read the application, am fully committed to it, and will support itsimplementation.I am aware that any false, fictitious, or fraudulent statements or claims may subject me tocriminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)Superintendent or CEO of individual LEA or Lead LEA, or LegalRepresentative of Eligible Legal Entity (Printed Name):
Sandy Husk
Telephone:
503-399-3001
Signature of Superintendent or CEO of individual LEA or Lead LEA, orLegal Representative of Eligible Legal Entity:Date:Local School Board President (Printed Name):
Nancy MacMorris-Adix
Telephone:
503-371-9471
Signature of Local School Board President: Date:President of the
Local Teacher‘
s Union or Association, if applicable(Printed Name):
Kathleen Sundell
Telephone:
503-364-3397
Signature of the
President of the Local Teacher‘
s Union or Association: Date:
1
Individual LEA, Lead LEA for the consortium, or eligible legal entity
2
Consortium applicants must provide the NCES District ID for each LEA in the consortium, on a separate page andinclude in the Appendix. Applicants may obtain their NCES District ID at http://nces.ed.gov/ccd/districtsearch. 

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