LA4 / NSECD Coordinated Funding Request Application
Seat Funding Request Process for the 2022-2023 School Year
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Title
*
Name of School / Center for which you are applying
*
Name of Charter Management Organization (CMO), if applicable
School / Center Site Code
*
School / Center Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
CMO Mailing Address, if applicable / different
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School / Center Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Direct Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Did you receive funding to support a PK4 program for the 2021-2022 school year? If yes, please indicate the source(s) of funding below.
LA4
NSECD
CCAP
Head Start
Private Philanthropy
I did not receive PK4 funding last year.
Other
Please select the funding source you are applying to receive for the 2022-2023 school year. As a reminder, LA4 is PK4 funding for public elementary schools. NSECD is PK4 funding for private elementary schools and child care centers.
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LA4
NSECD
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Please indicate the number of LA4 seats you received this year (21-22) and the number of seats you are requesting for next year (22-23). If you did not receive any LA4 seats last year, please indicate "0" in the 21-22 seat column.
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Please indicate the number of TUITION-based seats you received this year (21-22) and the number of seats you are requesting for next year (22-23). If you did not receive any tuition-based seats last year and/or are not requesting any for this year, please indicate "0" in the appropriate column(s).
*
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Next
Please indicate the number of NSECD seats you received this year (21-22) and the number of seats you are requesting for next year (22-23). If you did not receive any NSECD seats last year, please indicate "0" in the 21-22 seat column.
*
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Next
Please describe the supports, services, and systems you have in place for children from special populations, including special needs and ELL children.
*
Please select the option that best aligns with your transportation offerings for children enrolled in your PK4 program(s).
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Paid transportation is available for some students.
Paid transportation is available for all students.
Free transportation is available for some students.
Free transportation is available for all students.
Other
Does your school offer before- or after-care options for families? Please select the most appropriate option below.
*
Our school offers both before- and after-care options for enrolled families.
Our school offers before-care options for enrolled families.
Our school offers after-care options for enrolled families.
Our school offers one or both of these options upon request.
Our school does not offer extended care options.
Other
Are your before- and after-care options free for enrolled families? Please select the most appropriate option.
*
Before- and after-care is free for all enrolled families.
There is a fee associated with extended care options.
Extended care options are free up to a certain point, and fee-based after said point.
Our school does not offer extended care options.
Other
Does your school require a uniform for PK4 children?
*
Yes
No
Uniforms are optional.
Uniforms are sometimes required.
Please describe your program's approach to incorporating arts, music, outdoor play, and any other extracurricular instruction.
*
Please share anything else you believe would be beneficial in the evaluation of your application.
I understand LA4 / NSECD seats are to be provided free of charge to qualifying families, based on income and other eligibility factors, and are to be enrolled via the NOLAPS centralized enrollment process.
I understand LA4 / NSECD seats are subject to final approval by the Louisiana Department of Education and Board of Elementary and Secondary education, and that this application in no way guarantees receipt of funding.
The information I have provided is true and accurate to the best of my knowledge.
Submit
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