New Mexico PreK Program Program Options: Basic … to develop and implement a voluntary...

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State Of New Mexico Children, Youth and Families Department New Mexico PreK Program Program Options: Basic Services Extended Day (Pilot) Early Pre K Basic (Pilot) Early PreK Extended Day No. 2015-001 Application Due on April 21, 2015 Monique Jacobson, Secretary New Mexico Children, Youth and Families Department New Mexico PreK and Early PreK Programs (Old) PERA Building 1120 Paseo de Peralta Santa Fe, NM 87501

Transcript of New Mexico PreK Program Program Options: Basic … to develop and implement a voluntary...

State Of New Mexico

Children, Youth and Families Department

New Mexico PreK Program

Program Options:

Basic Services

Extended Day

(Pilot) Early Pre K Basic

(Pilot) Early PreK Extended Day

No. 2015-001

Application Due on April 21, 2015

Monique Jacobson, Secretary

New Mexico Children, Youth and Families Department

New Mexico PreK and Early PreK Programs (Old) PERA Building

1120 Paseo de Peralta

Santa Fe, NM 87501

CYFD NM PreK/Early PreK Programs #2015-001 Page 2

Background Information During the 2005 legislative session, the New Mexico legislature passed the New Mexico Pre-

Kindergarten Act (Children’s Code, Article 23, Sections 32A-23-18 NMSA 1978) and provided

funding to develop and implement a voluntary pre-kindergarten program for 4-year-old children

throughout New Mexico. The Public Education Department (PED) and the Children, Youth and

Families Department (CYFD) have joint responsibility for the implementation of NM PreK.

The 2015 legislature expanded the NM PreK Program by providing funding for three-year-old

children. CYFD is referring to pre-kindergarten services to three-year-olds as Early PreK.

The purpose of New Mexico PreK and Pilot Early PreK is to: 1) increase statewide access to voluntary

high quality early childhood education programs; 2) provide developmentally appropriate early

learning activities for New Mexico children that focus on school readiness; 3) expand early childhood

community capacity; 4) provide high quality early childhood education programs based on the

comprehensive framework as described in the New Mexico PreK and Early PreK Program Standards.

CYFD is seeking applicants to provide the following NM PreK and Early PreK Program Options:

New Mexico PreK Basic Services: 450 Instructional hours and (90 hours of family engagement

activities per program per year) for children who turn four years of age before 12:01 a.m.,

September 1st and are not age-eligible for kindergarten. Group size 20 children with a 1:10 ratio.

New Mexico PreK Extended Day Services: 900 Instructional hours and (90 hours of family

engagement activities per program per year) for children who turn four years of age before

12:01 a.m., September 1st and are not age-eligible for kindergarten. Group size 20 children with

a 1:10 ratio.

New Mexico Early PreK Basic Services: 450 Instructional hours and (90 hours of family

engagement activities per program per year) for children who turn three years of age before

12:01 a.m., September 1st and are not age-eligible for Pre-kindergarten. Group size for single

session 16 children with a 1:8 ratio, and group size for double session 14 children with a 1:7

ratio.

New Mexico Early PreK Extended Day Services: 900 Instructional hours and (90 hours of

family engagement activities per program per year) for children who turn three years of age

before 12:01 a.m., September 1st and are not age-eligible for Pre-kindergarten. Group size for

single session 16 children with a 1:8 ratio.

Eligibility Eligible applicants are:

Early childhood education programs that are licensed by CYFD and in good standing and do

not operate under the auspices of the New Mexico Public Education Department.

Tribal early childhood education programs.

BIE schools, and BIE contract (and grant) schools with early childhood education programs.

Programs currently funded or previously funded by CYFD for NM PreK must be (or must have

been) in satisfactory contract compliance.

CYFD NM PreK/Early PreK Programs #2015-001 Page 3

New Mexico PreK provides voluntary, state-funded early childhood education programs for children

who turn four years of age before 12:01 a.m., September 1st and are not age-eligible for kindergarten.

The Prekindergarten Act specifies that for funding purposes, applications shall be evaluated and priority

given to programs within the attendance boundaries of public elementary schools that are designated as

Title 1 schools and that have at least sixty-six percent of the children served living within the attendance

zone of a Title 1 elementary school. (See current list of Title I schools at www.newmexicoprek.org).

New Mexico Pilot Early PreK provides voluntary, state-funded early childhood education programs

for children who turn three years of age before 12:01am, September 1st and are not age-eligible for New

Mexico PreK. For funding purposes, applications shall be evaluated and priority given to programs

within the attendance boundaries of public elementary schools that are designated as Title 1 schools and

that have at least sixty-six percent of the children served living within the attendance zone of a Title 1

elementary school. (See current list of Title I schools at www.newmexicoprek.org).

New Mexico PreK and Pilot Early PreK Programs must apply to participate in the FOCUS (New

Mexico Tiered Quality Rating and Improvement System) within one year of award, as stated in the

New Mexico PreK and Pilot Early PreK Program Standards.

Although all eligible early childhood education programs statewide are encouraged to apply, CYFD will

prioritize the funding of New Mexico PreK and Pilot Early PreK programs located within (and serving the

children living within) the boundaries of Early Childhood Investment Zones.

New Mexico’s Early Childhood Investment Zones

Dexter, Tatum, Lovington, Hobbs, Eunice and Jal School Districts

Logan, San Jon, Tucumcari, House, Vaughn and Santa Rosa School Districts

Estancia and Mountainair School Districts

Gallup-McKinley, Zuni, and Grants-Cibola School Districts

Cuba, Dulce, Jemez Mountain, Chama Valley, Mesa Vista and Espanola School Districts

Mosquero, Roy, Cimarron, Raton, Maxwell and Springer School Districts

Rio Grande Cluster of the Albuquerque Public Schools

Magdalena, Deming, Hatch, Gadsden and Truth or Consequences School Districts

Questions regarding the Application Process All questions must be submitted in writing through email to Michelle Montoya of the Early Childhood

Services Division at [email protected] no later than April 10, 2015.

Written responses will be posted on http://cyfd.org/for-providers/rfp for everyone’s benefit on April 14,

2015.

Letter of Interest A non-binding letter of interest may be emailed to Michelle Montoya at:

[email protected] by April 7, 2015. This will ensure that all prospective applicants

receive notice of any changes that might be made to this Application. The letter of interest is a simple

note indicating that you intend to apply for funding, and an estimate of the number of slots you will be

requesting along with your contact information.

CYFD NM PreK/Early PreK Programs #2015-001 Page 4

Pre-Application Meeting

All interested Applicants may attend the pre-application meeting so that they understand the application

process and requirements for funding. A pre-application meeting for:

New Mexico PreK Basic Services;

New Mexico PreK Extended Day Services;

New Mexico Pilot Early PreK Basic Services; and

New Mexico Pilot Early PreK Extended Day Services.

will be held on, April 7, 2015 from 10:00 am to 12:00 pm at the following location:

New Mexico Children, Youth and Families Department

(Old) PERA Building – 2nd

Floor Auditorium/Apodaca Hall

1120 Paseo de Peralta

Santa Fe, NM 87501

Application Submission Complete and signed Applications are due to CYFD no later than 3:00 p.m. Mountain Daylight

Savings Time on April 21, 2015. Applications will be date and time stamped when received.

Applications must be submitted and delivered to the physical address identified below:

New Mexico Children, Youth and Families Department

Early Childhood Services Division

ECS Director’s Office

Attention: Michelle Montoya

(Old) PERA Building, 2nd

Floor, Room 205

1120 Paseo de Peralta

Santa Fe, NM 87501

Applications must be submitted through express delivery (i.e. Fed Ex/UPS, etc.) or in person.

Late submittals will not be accepted.

(Note: The US Post Office does not deliver to the physical address; therefore, submissions must be

made in person or via express delivery service).

Application Format Applicants must provide one (1) original and four (4) identical copies of their application.

All forms in the original copy must have the handwritten signature of the person authorized to obligate

the program (owner/director, chair of the board, etc.). All applications must be:

Bound & Tabbed

Typed using a 12-point size of readable font

Double-spaced

One sided on 8 ½” x 11” un-ruled white paper

The Narrative is limited to ten (10) pages for each site and/or program option you are applying

for:

CYFD NM PreK/Early PreK Programs #2015-001 Page 5

o PreK Basic Services Narrative (does not include Narrative for Transportation or Start up

and Safety).

o PreK Extended Day Services Narrative (does not include Narrative for Transportation or

Start up and Safety).

o Pilot Early PreK Basic Services Narrative (does not include Narrative for Transportation

or Start up and Safety).

o Pilot Early PreK Extended Day Services Narrative (does not include Narrative for

Transportation or Start up and Safety).

IF you are applying for Start-Up and Safety and/or Transportation funding:

o No more than one (1) page of Start-Up and Safety Narrative

o No more than one (1) page of Transportation Narrative

Applicants shall submit only one (1) application.

Applicants proposing to operate more than one site and/or more than one program option (PreK Basic,

PreK Extended Day, Pilot Early PreK Basic, and Pilot Early PreK Extended Day) must organize their

application in a clear and concise manner so that the reader is able to understand the organization’s

plans for each site and/or each program option. Each site and/or program option is limited to a ten (10)

page narrative. (E.g. If a provider proposes two program options, the provider is limited to a 10-page

narrative for each program for a total of 20-pages). Each program option will be evaluated

separately.

The Application must be bound, organized and tabbed in the following order.

A. Completed and signed New Mexico PreK Program Application Cover Sheet

B. Narrative for each program option being proposed must be separate for evaluation purposes:

o New Mexico PreK Basic Services Narrative

o New Mexico PreK Extended Day Services Narrative

o New Mexico Pilot Early PreK Basic Services Narrative

o New Mexico Pilot Early PreK Extended Day Services Narrative

C. Budget Request and Budget Narrative for each program option being proposed:

o New Mexico PreK Basic Services Budget Request and Budget Narrative

o New Mexico PreK Extended Day Budget Request and Budget Narrative

o New Mexico Pilot Early PreK Basic Services Budget Request and Budget

Narrative

o New Mexico Pilot Early PreK Extended Day Budget Request and Budget

Narrative

D. Transportation Narrative and Budget Request (if applying)

E. Start Up and Safety Narrative and Budget Request (if applying)

F. Attached Documents:

o See XII. (License, most current Licensing Survey, Classroom Diagram, Yearly Calendar,

Sample Daily Schedule, Sample Weekly Lesson Plan).

o Evidence of Community Collaboration Attachments.

CYFD NM PreK/Early PreK Programs #2015-001 Page 6

o Letters of reference or any other material they believe will improve the quality of their

application. These Attachments will be read and scored if referenced in the Narrative(s)

o Completed and signed DFA Substitute W-9 Form, if applicable (new programs to the

State of NM only).

Any application that does not adhere to these requirements may be deemed non-responsive and

rejected on that basis.

Funding/Awards Awards will be based on demonstration of unmet need at the time of award, and scoring of the

Application. The unmet need within a community is subject to change due to the possibility of funding

from the Public Education Department for PreK services as well as Head Start or other funding for

preschool services. "Unmet need is defined as the lack of quality preschool services available in the

community to serve three and four year olds. This includes but is not limited to: lack or limited access

to Five STAR early childhood programs, lack or limited access to a local Head Start program, lack or

limited access to a Title I program serving three and/or four year olds, and/or lack or limited access

to other PreK funded by wither PED or CYFD".

The current per-child reimbursement rate is posted in the New Mexico PreK website,

www.newmexicoprek.org. Depending on available funding, this rate may be adjusted in future years

and will be implemented through a Contract Amendment as needed.

If funds are available, a limited amount of funding will be set aside and made available for:

Transportation - where there is no other way for children to access the PreK/Pilot Early PreK

program and/or for

Start Up and Safety – when a program is unable to equip a new PreK and/or Pilot Early PreK

classroom.

Start Up and Safety funds may only be applied for to support a newly funded classroom. Transportation

funds may be applied for to support existing NM PreK services. Transportation funds may be applied

for without having to apply for PreK or Pilot Early PreK services.

Currently funded NM PreK programs, as well as new programs, are encouraged to respond to this

Application. Currently funded programs may respond to expand or change the composition of their

existing program and/or add Transportation services. If an award under this Application is made to a

currently funded CYFD PreK Contractor, such Contractor understands that their current contract and

any pending contract amendment may be incorporated into the new Agreement, which will then reflect

all previously awarded funds as well as newly awarded funds under this Application.

Applicants located within an Early Childhood Investment Zone who propose to serve children who live

within the Investment Zone will automatically receive an additional 20 points.

Transportation and Start Up and Safety Narrative and Budget sections will be scored and awarded

separately.

CYFD NM PreK/Early PreK Programs #2015-001 Page 7

Applicants proposing to serve specific program options will be evaluated, scored and ranked against

other Applicants proposing the same program options. Each program option will be evaluated

separately.

Protest

Any Applicant who is aggrieved in connection with this Application may protest to CYFD, within

fifteen (15) calendar days after the issuance of the Application. Any Applicant who is aggrieved in

connection with the award of an Agreement may protest to CYFD, within fifteen (15) calendar days

after the final execution of Agreements. Protests must adhere to the requirements of the process

available at the following link: http://cyfd.org/for-providers/rfp; www.newmexicoprek.org

APPLICATION AND EVALUATION FACTORS

I. COVER SHEET

The Application MUST accompany the 2-page Cover Sheet. The form must be filled out

completely and must be signed by the person authorized to obligate the program (owner/director,

chair of the board, etc.).

II. PROGRAM SERVICES NARRATIVE (TOTAL NARRATIVE VALUE – 80 Points for each

site and/or program option):

Applicants shall organize their Narrative as outlined below. The Narrative, including required

supporting materials and Attachments will be evaluated and awarded points accordingly. Points

will be awarded based on how clearly, succinctly and compellingly each section is completed.

Applicants proposing more than one site and/or program option MUST provide a separate narrative

for each site and/or program being proposed. Each program option will be evaluated separately.

A. Statement of Need (VALUE – 40 Points):

This section is divided into two parts: Targeted Community and Need for a PreK Program

and/or an Early PreK Program. Applicants proposing to operate more than one PreK site or

more than one program option must organize this section in a clear and concise manner so that

the reader is able to understand the organization’s capacity as well as the Plan of Operation for

each site and/or program option. Using a narrative format, provide the following information:

1. Targeted Community (VALUE – 20 points):

Describe the community from which PreK and/or Early PreK children will be served in as

much detail as possible and include as much supporting data as is available. Provide

demographic of the general population and families of the children information and

examples to support the need for services in the targeted service area.

2. Need for Services (VALUE – 20 points):

a. Describe the unmet need for quality early care and education services in the

community.

i. PreK: How many four-year-olds live in the targeted community? (The

number of children enrolled in kindergarten will give you a good idea.) Is

CYFD NM PreK/Early PreK Programs #2015-001 Page 8

there a Head Start Program? Is there a New Mexico PreK Program in the

public school? If so, how many four-year-olds will they serve? Are there

any 5-Star early childhood program in the community? If so, how many

four-year-olds will they serve? How many four-year-old children are being

served in the public school’s Developmentally Delayed (DD) Preschool

Program? Are you proposing to target an area within the attendance

boundaries of public elementary schools that are designated as Title I, if so,

which Title I area are you planning to target?

ii. Pilot Early PreK: Estimate how many three-year-olds live in the targeted

community? (The number of children enrolled in kindergarten will give you

a good idea, if you use other sources of information, please indicate). Is

there an Early Head Start, Department of Health (DOH) Family Infant

Toddler (FIT) Early Intervention, Home Visiting (for transition purposed),

or Head Start Program? Are there any 5-Star early childhood program in the

community? If so, how many three-year-olds will they serve? How many

three -year-old children are being served in the public school’s (DD)

Preschool Program? Are you proposing to target an area within the

attendance boundaries of public elementary schools that are designated as

Title I, if so, which Title I area are you planning to target?

b. Based on all the above information, how many three and/or four-year-old children

are currently not being served, and how many do you propose to serve?

c. Describe collaboration efforts with other local providers including Early Head Start,

DOH FIT Early Intervention, Home Visiting (for transition purposes), Head Start,

PED, and other CYFD NM PreK programs to provide unduplicated services.

d. Provide evidence that you have worked with other early childhood providers in your

targeted community to ensure coordination of services and non-duplication. A letter

from each entity serving three year olds stating collaboration and coordination for

recruitment and enrollment is required to support this section.

B. Organizational Capacity and Plan of Operation (VALUE – 40 Points for each site and/or

program option)

This section is divided into two parts: Organizational Capacity and Plan of Action.

Applicants proposing to operate more than one PreK and/or Early PreK site must organize this

section in a clear and concise manner so that the reader is able to understand the organization’s

capacity, as well as the Plan of Operation for each site. Using a narrative format, provide the

following information:

1. Organizational Capacity (VALUE – 20 points):

a. Describe your organization’s commitment and ability to provide a quality PreK

and/or Early PreK program, manage the finances of the PreK and/or Early PreK

program and submit the data reports that are required. An annotated organization

chart may also be included.

b. How will the PreK and/or Early PreK program relate to the vision and mission of

the organization?

CYFD NM PreK/Early PreK Programs #2015-001 Page 9

c. Describe plans for the administration and implementation of the PreK and/or Early

PreK program by providing a detailed description of the following and who is

responsible for:

Overall administration of the grant;

Completion of administrative requirements such as reports to the state;

Keeping the database current;

Financial Management;

Management of the day-to-day operations of the PreK and/or Early PreK

program; and

Ensuring compliance with program requirements for the program option you

are applying for.

d. Describe your facilities, the location and layout of the proposed PreK and/or Early

PreK classroom(s) within the school building; bathroom facilities (does it have a

bathroom and sink), playground, or other such facilities. Attach a copy of your

Child Care License for each proposed PreK site as well as a copy of the most

recent annual licensing survey completed by CYFD (or other appropriate entity) for

each proposed site.

e. You must disclose if your program has been subject to Conditions of Operation

and/or monetary sanctions under Child Care Licensing Regulations within the past

two years. Failure to do so will automatically disqualify application from

consideration.

f. For current PreK Programs: Describe if you have current programmatic findings of

non-compliance and program deficiencies on current CYFD contracts/agreements

including serious audit exceptions relating to fiscal procedures, indicate if your

program is on a current PreK corrective action plan.

2. Plan of Operation (VALUE – 20 points):

Describe your plan to implement the PreK and/or Early PreK program. This description

must, at a minimum, include the following:

a. Your plan to participate in the FOCUS Tiered Quality Rating and Improvement

System within one year of award.

b. Provide the program calendar indicating when PreK and/or Early PreK services will

be provided during the school year.

c. If the PreK/Early PreK Basic Services program will be embedded within a full-day

program, specify the hours that will be designated as PreK/Early PreK.

d. For PreK/Early PreK Extended program(s) - specify the hours of operation and

when services will be provided during the year.

e. Provision of on-site support to the teaching staff

f. Describe how you will ensure implementation of the required child observational

assessment and documentation process.

g. Describe the program’s current curriculum and your plans to implement use of New

Mexico Early Learning Guidelines and the NM PreK Curriculum Policy Brief (New

CYFD NM PreK/Early PreK Programs #2015-001 Page 10

Mexico’s Authentic Observation, Documentation Curriculum Planning Process).

These are available at www.newmexicoprek.org .

h. Include as attachments a sample daily schedule, a sample weekly lesson plan and a

sketch or diagram of each classroom that shows the location of the various learning

centers for each program option being applied for.

III. BUDGET for EACH PROPOSED OPTION (VALUE – 20 Points for each program option

and/or site)

Applicants must complete the Program Budget Request Form that includes projected

expenditures, number of full time employees (FTE’s) funded by the PreK/ Early PreK funds for

each option being applied for. Applicants must provide a detailed budget for costs. All costs

should be reasonable and well justified and must relate to the proposed project.

Examples of allowable costs include

salaries and benefits;

professional development;

general supplies and materials;

inventory-exempt items ($5,000 or less per item);

up to 7% of the award amount for program services may be used for other administrative

costs such as data collection and entry;

transportation;

Gross Receipt taxes; and

Cost of required meal above what CACFP will reimburse

Examples of unallowable costs include

constructing, renovating or acquiring real property;

capital outlay items ($5,000 or more per item)

organized fundraising;

out-of-state travel; and

vehicles (purchase and/or lease)

Note: T.E.A.C.H. scholarships are available to NM PreK and/or Early PreK staff members who

require coursework in early childhood education. These scholarships require financial and other

commitments from both the PreK and/or Early PreK program and the scholarship recipient. The

program’s costs for these scholarships should be reflected in the budget.

Acquisition and use of Inventory-Exempt Items

Acquisition of Inventory Exempt items through the PreK and/or Early PreK program, such as

playground equipment, classroom furniture, computers to enter NM PreK data, etc., shall only be

used for PreK and/or Early PreK or other early childhood programs.

IV. PRIORITY POINTS

A. Priority Communities (VALUE – 20 Points)

CYFD NM PreK/Early PreK Programs #2015-001 Page 11

i. Early Childhood Investment Zones (VALUE - 10 Points for each program

option). The applicant will automatically receive 10 priority points for programs

located within, and serving the children living within the boundaries of Early

Childhood Investment Zones.

ii. Title I Schools (VALUE 10 Points for each program option) The applicant will

automatically receive 10 priority points for programs within the attendance

boundaries of public elementary schools that are designated as Title I.

V. ADDITIONAL POINTS

A. Evidence of Community Collaboration (VALUE – 5 points for each program option)

Describe collaboration efforts with other local early childhood providers including but not

limited to: Child Care, Early Head Start, DOH FIT Early Intervention, Home Visiting (for

transition purposes). Head Start, PED Programs, Other NM PreK, etc. for coordination and

alignment of services. Provide evidence that you have worked with other early childhood

providers in your targeted community to ensure coordination of services and non-duplication.

Evidence may include documentation similar to the sample community collaboration form**,

minutes of meeting(s) with signatures and titles of attendees; name of program(s) and dates of

the meeting(s).

**available on the NM PreK website (Administrator’s Materials section) www.newmexicoprek.org

VI. APPLICATION SCORE SUMMARY

Section Number of Points Possible per model

PreK Basic PreK

Extended

Early PreK

Basic

Early PreK

Extended

NARRATIVE SECTION

Targeted Community 20 20 20 20

Need for Services 20 20 20 20

Organizational Capacity 20 20 20 20

Plan of Operation 20 20 20 20

Budget 20 20 20 20

Total 100 100 100 100

PRIORITY POINTS

Program Located within an identified

Early Childhood Investment Zone

(automatically awarded)

20

20

20

20

ADDITIONAL POINTS

Evidence of Community

Collaboration (attachments)

5 5 5 5

Optional

Transportation 20 20 20 20

Start Up and Safety 20 20 20 20

VII. OPTIONAL

The optional section will not affect or add to the scoring for PreK and/or Early PreK services above.

CYFD NM PreK/Early PreK Programs #2015-001 Page 12

This section will only be scored and compared against other programs requesting Transportation

and/or Start Up and Safety funds. Your score and ranking for PreK and/or Early PreK services will

not be adversely affected if you do not request these Optional funds.

A. Request for Transportation Funds (VALUE – 20 Points for each site and/or program

option). Provide a one (1) page description of need that is separate from the ten (10) page

narrative.

A limited amount of NM PreK and/or Early PreK funding is available for transportation of

children in cases where it is essential for the provision of a program. These funds are not

intended to take the place of existing resources that are or could be used for transportation.

1. Applicants must describe the need for NM PreK and/or Early PreK Transportation

funding and the number of four year-old and/or three year old children it will benefit.

2. Assurance must be provided that no other funds are available for transportation.

3. If collaboration with other community resources for provision of transportation services

is planned, applicant must describe how that collaboration will occur.

4. Complete Transportation budget with justification.

B. Request for Start Up and Safety Funds (VALUE – 20 Points for each site and/or program

option). Provide a one (1) page description of need that is separate from the ten (10) page

narrative.

For the first year only, funds up to $15,000 / per classroom are available for new or expanded

NM PreK and/or Early PreK programs with the greatest need. These one-time Start Up and

Safety Improvement Funds are to be used to ensure the safety of the classroom and playground,

equip the classroom and/or playground, and purchase a computer for required program data

entry. This funding is not intended to take the place of any other funding previously used to

support a PreK and/or Early PreK program.

1. Applicant must describe the need for NM PreK and/or Early PreK Start Up & Safety

Improvements funding.

2. What they intend to purchase.

3. The number of 3 and 4 year-old children the purchases will benefit.

4. Complete Start Up and Safety Budget with justification.

CYFD NM PreK/Early PreK Programs #2015-001 Page 13

VIII. Cover Sheet – A and B

New Mexico PreK and Pilot Early PreK Program

Application # 2015-001

Cover Sheet A

A. Name of Program: N.M. Tax I.D. Number#

B. Mailing and street address: DFA Vendor Code (if any):

C. Telephone number: Email address:

Applying For: (select all that apply)

PreK Basic Services (450 Hours)

(Complete Section D)

PreK Extended Day Services (900 Hours) (Complete Section E)

Early PreK Basic Services (450 Hours) (Complete Section F)

Early PreK Extended Day Services (900 Hours)

(Complete Section G)

D. Please list the following

information for PreK Basic Services

Current number of children

served:

______________

Total amount requested:

($current rate x number of

total child slots)

______________

Total Funds Requested in

this category:

______________

E. Please list the following

information for PreK Extended Day Services

Number of children

proposed to served:

______________

Total amount requested:

($current rate x number of

total child slots)

______________

Total Funds Requested in

this category:

______________

F. Please list the following

information for Early PreK Basic Services

Number of children

proposed to served:

______________

Total amount requested:

($current rate x number of

total child slots)

______________

Total Funds Requested in

this category:

______________

G. Please list the following

information for Early PreK Extended Day Services

Number of children

proposed to served:

______________

Total amount requested:

($current rate x number of

total child slots)

______________

Total Funds Requested in

this category:

______________

Total Funding requested for PreK/Early PreK Services

$

H. Contact person regarding application (person who will have oversight of the program):

Name: Title:

Telephone: Email Address:

Signature of Applicant: I hereby certify that I am authorized to sign this application, that all information contained in this application contains no willful misrepresentation and that the information is true and complete to the best of my knowledge.

Authorized Signature: _______________________________________ Date_______________________

Name (print): ______________________________________________ Title: _______________________

The information on this form must be completely filled out including signature.

CYFD NM PreK/Early PreK Programs #2015-001 Page 14

New Mexico PreK and Early PreK Program Application Cover Sheet B

I. Please complete the table below for each site and/or program option

Name of early

childhood

education

program

# of

Class-

rooms

# of

Children

Full

Day

Half

Day

Session

Start

Time

Session

End

Time

# of

Hours

per

Session

per Day

# of Days

per week

# of Days

per Year

Total # of

Hours Per

Year

PreK First

Day of

School

PreK Last

Day of

School

AM

PM

AM

PM

AM

PM

AM

PM

AM

PM

AM

PM

AM

PM

AM

PM

AM

PM

AM

PM

AM

PM

AM

PM

Signature of Applicant: I hereby certify that I am authorized to sign this application, that all information contained in

this application contains no willful misrepresentation and that the information is true and complete to the best of my

knowledge.

Authorized Signature: ______________________________________ Date: _______________________

Name (print): _____________________________________________ Date: _______________________

If future appropriations from the New Mexico Legislature and other funding sources become available

I would like to expand my capacity and be considered for additional funding.

YES NO

The information on this form must be completely filled out including handwritten signature.

CYFD NM PreK/Early PreK Programs #2015-001 Page 15

IX. PROPOSED NM PRE-K /EARLY PREK BUDGET REQUEST

Submit one Budget Request for each Program Option

LINE ITEM BUDGET & JUSTIFICATION PERSONNEL SERVICES AND EMPLOYEE BENEFITS

LINE ITEM NAME BUDGET AMOUNT BUDGET JUSTIFICATION

PERMANENT POSITION-FULL/PART TIME

TEMPORARY POSITION- FULL/PART TIME

EMPLOYEE BENEFITS

TOTAL

CONTRACTUAL SERVICES

LINE ITEM NAME BUDGET AMOUNT BUDGET JUSTIFICATION

REPORTABLE PROFESSIONAL SERVICES

TOTAL

EMPLOYEE TRAVEL

LINE ITEM NAME BUDGET AMOUNT BUDGET JUSTIFICATION

EMPLOYEE IN-STATE MILEAGE AND FARES

EMPLOYEE IN-STATE MEALS AND LODGING

TOTAL

MAINTENANCE

LINE ITEM NAME BUDGET AMOUNT BUDGET JUSTIFICATION

MAINTENANCE—FURNITURE & EQUIP

MAINTENANCE—BLDGS. AND STRUCTURES

MAINTENANCE—PROPERTY INSURANCE

REPORTABLE OTHER MAINTENANCE

TOTAL

CONTRACTUAL SERVICES

LINE ITEM NAME BUDGET AMOUNT BUDGET JUSTIFICATION

SUPPLIES—OFFICE SUPPLIES

SUPPLIES—EDUCATION/RECREATIONAL

SUPPLIES—INVENTORY EXEMPT

TOTAL

OTHER OPERATING COSTS

LINE ITEM NAME BUDGET AMOUNT BUDGET JUSTIFICATION

PRINTING & PHOTOGRAPHIC

POSTAGE & MAIL

UTILITIES

RENT OF LAND & BUILDINGS

RENT OF EQUIPMENT

TELECOMMUNICATIONS

SUBSCRIPTIONS & DUES

EMPLOYEE TRAINING

CYFD NM PreK/Early PreK Programs #2015-001 Page 16

ADVERTISING

TOTAL

OTHER COSTS CATEGORY

LINE ITEM NAME BUDGET AMOUNT BUDGET JUSTIFICATION

ADMINISTRATIVE OVERHEAD (limited to 7% of Program Services

MISCELLANEOUS OTHER EXPENSES

TOTAL

GRAND TOTAL

X. TRANSPORTATION

Narrative (one page maximum for each program option):

A. Applicant must describe the need for NM PreK and/or Early PreK Transportation funding and

the number of 3-year-old and/or 4-year-old children it will benefit.

B. Assurance must be provided that no other funds are available for transportation.

C. If collaboration with other community resources for provision of transportation services is

planned, applicant must describe how that collaboration will occur.

D. Complete the Child Transportation Budget and Justification.

E. Transportation narrative is limited to one page.

PROPOSED CHILD TRANSPORTATION BUDGET

LINE ITEM NAME BUDGET AMOUNT BUDGET JUSTIFICATION

TRANSPORTATION—FUEL & OIL

TRANSPORTATION—PARTS & SUPPLIES

TRANSPORTATION--INSURANCE

TRANSPORTATION—OTHER TRAVEL

TOTAL

XI. START-UP AND SAFETY FUNDS

Narrative (one page maximum for each program option):

A. Applicant must describe the need for NM PreK and/or Early PreK Start Up & Safety

Improvements funding.

B. Describe the number of 3-year-old and/or 4-year-old children it will benefit.

C. How many classrooms and/or sites require Start Up and Safety Funds?

D. Complete the Start Up and Safety Budget and justification.

E. Start Up and Safety narrative is limited to one page.

PROPOSED START UP AND SAFETY BUDGET

Individual items purchased may not exceed $5000.00

LINE ITEM NAME BUDGET AMOUNT BUDGET JUSTIFICATION

FURNITURE & FIXTURES

INFORMATION TECHNOLOGY EQUIPMENT

OTHER EQUIPMENT

CYFD NM PreK/Early PreK Programs #2015-001 Page 17

TOTAL

XII. REQUIRED ATTACHMENTS

1. Copy of current license

2. Most recent licensing survey and follow-up reports, if applicable

Applicant must disclose if program applying has been subject to Conditions of Operation under

Child Care Licensing Regulations or monetary sanctions within the past two years. Failure to

do so will automatically disqualify application from consideration.

3. Sample daily schedule

4. Yearly Calendar

5. Sample weekly lesson plan per site

6. Diagram of each proposed classroom(s), including various centers, location of bathroom, etc.

7. A letter from each entity serving three year olds (Pilot Early PreK) and/or four year olds (PreK)

stating collaboration and coordination for recruitment and enrollment with the intent to avoid

saturation and duplication of services.

XIII. APPLICATION SEQUENCE OF EVENTS

Action Responsible Party Due Date

Issuance of Application CYFD March 30, 2015

Pre-Application Meeting CYFD and Applicant April 7, 2015

Letter of Interest Applicant April 7, 2015

Deadline to submit written questions Applicant April 10, 2015

Response to written questions CYFD April 14, 2015

Submission of Application Applicant April 21, 2015

Application Evaluation CYFD April 22, 2015

Finalize Agreements CYFD July 1, 2015

Document Library

The following documents listed below may be located utilizing the following links:

www.newmexicoprek.org or http://cyfd.org/for-providers/rfp

Title I Elementary School

Rate Schedule

Protest Process

W-9 Vendor Form

New Mexico PreK Program Standards

New Mexico Early PreK Program Standards

Map of Priority Areas

New Mexico Early Learning Guidelines and the NM PreK Curriculum Policy Brief (New

Mexico’s Authentic Observation, Documentation Curriculum Planning Process)