Download - EANS I Program Application Form - NC
EANS I Program Application Form
Application for non-public schools to receive services or assistance through the Emergency Assistance to Non-Public Schools (EANS) program under the Coronavirus Response and Relief Supplemental Appropriations Act, 2021 (CRRSA Act).
Paperwork Burden Statement: According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is 1810-0751. The time required to complete this information collection is estimated to average 2 hours per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this collection, please write to: U.S. Department of Education, Washington, DC 20202-4537.
* Required
PART A: Cover Sheet
Include articles such as "A", "An", and "The" in the school name. Example: If the school name is "The Academy" the school begins with the letter T.
What is the First Letter of the Name of the School? * 1.
A - C
D - G
H - L
M - O
P - R
S - T
U - Z
3/24/2021
Name of School (A - C) * 2.
ABC of NC Child Develop. Ctr
Abundant Life Christian Academy (Onslow)
Abundant Life Christian Academy (Union)
Academy at New Life
Academy at SOAR
Academy of Coastal Carolina
Academy of Excellence
Academy of Hope
Accelerator School LLC
Adventist Christian Academy
Agape International Christian Academy
AHOP Christian Leadership Academy Inc.
Ahoskie Christian School
Alamance Christian School
Albemarle School
ALC Mosaic
Alex. Youth Net. Struc Day Sch
Alexander Children's Center
Alexander Christian Academy
Alexander Christian Academy at Hiddenite
Alexander Christian High School
Alexander Youth Network School
Al-Huda Academy
Al-Iman School
Anami Montessori School
Anchor Baptist Academy
Anderson Academy
An-Noor School
Annunciation Catholic School
Antioch Christian Academy
Arborbrook Christian Academy
Arden Christian School
Arendell Parrott Academy
Arthur Morgan School
Asheboro Hybrid Academy
Asherivan Entreleader Academy
Asheville Academy for Girls
Asheville Catholic School
Asheville Christian Academy
Asheville School
Asheville Waldorf School
Asheville-Pisgah Christian School
Assembly of Faith Chr. Sch.
Atlas International School
Auldern Academy
Back Creek Christian Academy
Bailey's Grove Baptist School
Bal Perazim Christian Academy
Berean Baptist Academy
Berean Christian School
Berean Junior Academy
Bethany Christian School (Davidson)3/24/2021
Bethany Christian School (Transylvania)
Bethel Assembly Christian Academy
Bethel Christian Academy (Avery)
Bethel Christian Academy (Haywood)
Bethel Christian Academy (Lenoir)
Bethesda Christian Academy
Bible Wesleyan Chr. Sch.
Bishop McGuinness Catholic H. S.
Black Mountain Academy
Black Mountain Montesorri
Blessed Sacrament Catholic School
Blue Ridge Adventist Christian School
Blue Ridge Christian School
B'nai Shalom Day School
Bonner Academy
Born Again Christian Academy
Bradford Academy
Bright Young Minds University
Brisbane Academy
British International Sch. of Charlotte
Brittain Academy
Brookhaven SDA School
Brookstone Schools
Building Blocks Montessori School
Burlington Christian Academy
C3 Concord Christian School
Caldwell Academy
Calvary Academy
Calvary Baptist Church School
Calvary Baptist Mission Academy
Calvary Chapel Academy
Calvary Christian Academy
Calvary Christian School (Franklin)
Calvary Christian School (Moore)
Calvary Christian School (New Hanover)
Calvary Christian School (Stokes)
Calvary Day School
Calvary Education Center
Camelot Academy
Cameron Boys Camp School
Cannon School
Canongate Catholic High School
Canterbury Classical School
Canterbury School
Canyon Hills Treatment Facility Academy
Cape Fear Academy
Cape Fear Christian Academy
Captain Gilmer Christian School
Cardinal Gibbons High School
Carmel Christian School
Carolina Adventist Academy
Carolina Baptist Academy
Carolina Christian Academy (Clay)
Carolina Christian Academy (Davidson)3/24/2021
Carolina Christian Academy (Lee)
Carolina Christian School
Carolina Day School
Carolina Dunes Academy
Carolina Friends School
Carolina Preparatory Academy
Cary Academy
Cary Christian School
Cathedral School
Cedar Forest Christian School
Cedar Fork Mennonite School
Cedarwood Academy
Champion Educational Center
Changing Hearts Boarding Sch.
Charity Christian School
Charlotte Catholic High School
Charlotte Christian School
Charlotte Country Day School
Charlotte Islamic Academy
Charlotte Jewish Day School
Charlotte Latin School
Charlotte Leadership Academy
Charlotte Preparatory School
Chesterbrook Academy of Cary
Chesterbrook Academy of Raleigh
Children's Discovery Center
Children's House Montessori Sch
Children's Schoolhouse
Chosen Generation Christ. Acad
Chowan Multi-Purpose Juvenile Sch
Christ Classical Academy
Christ Covenant School
Christ School
Christ the Cornerstone Academy
Christ the King Catholic High School
Christ the King Christian Academy
Christian Faith Center Academy
Christian Family Academy
Christian Life Academy
Christian Montessori School
Coastal Christian High School
Coastline Christian Academy
Columbus Christian Academy
Combine Academy
Commission Leadership Academy
Community Baptist Academy
Community Baptist School
Community Christian Academy
Community Christian School
Concord Academy
Concordia Christian Day School
Cornerstone Adventist Academy
Cornerstone Christian Academy (Catawba)
Cornerstone Christian Academy (Cumberland)3/24/2021
Cornerstone Christian Academy (Iredell)
Cornerstone Christian School
Cornerstone Treatment Facility
Covenant Classical School
Covenant Day School
Covenant Preparatory School
Cresset Christian Academy
Crossroads Christian School
Crossway Academy
Cumberland Co. Christian Sch.
Cyzner Institute
3/24/2021
Name of School (D - G) * 3.
Daniel Academy
Davidson Center for Learning
Davidson Day School
Davidson Green School
Del Mar Day Academy
Denver Christian Academy
Destiny Now Academy
Discovery Child Development Center
Dream Children School
Duke School
Durham Academy
Durham Nativity School
Dynamic Opportunities
Eagles Refuge Academy
Eliada Academy
Elizabethtown Christian Academy
Emerald School of Excellence
Emerson Waldorf School
Emmanuel Lutheran School
Empowered Minds Academy
Ephesus Junior Academy
Epiphany School of Charlotte
Epiphany School of Global Studies
Episcopal Day School
Evelyn Smith Wray Village School
F.A.C.T. Day Treatment School
Faith Academy
Faith Academy Christian School
Faith Assembly Christian Academy
Faith Baptist Christian School
Faith Christian Academy (Cabarrus)
Faith Christian Academy (Columbus)
Faith Christian Academy (Guilford)
Faith Christian Academy (Wayne)
Faith Christian School (Nash)
Faith Christian School (Randolph)
Faith Education Academy
Faith Fellowship School
Faith-Covenant Christian Academy
Falcon Christian Academy
Family Worship Minist. Chr. Academy
Father Capodanno School HS
Fayetteville Academy
Fayetteville Christian School
Fayetteville Street Christian School
Fellowship Baptist Academy
Fellowship Christian Academy (Moore)
Fellowship Christian Academy (Onslow)
Fellowship Christian School
First Assembly Christian School
First Impressions Academy
First United Methodist Kindergarten3/24/2021
First Wesleyan Christian School
Five Oaks SDA School
Five Points Education Training Cntr
Flaming Sword Christian Academy
Fletcher Academy (Henderson)
Fletcher Academy (Wake)
Fletcher School
Focus Academy at Overhills
Follow the Child Montessori School
Foreshadow Academy
Forsyth Country Day School
Foundations Christian Academy
Fox Flower Montessori School
Franciscan Catholic School
Freedom Academy
Freedom Christian Academy
French Broad River Academy - Boys
French Broad River Academy - Girls
Friends School
Friendship Christian School
Friendship Day Sch. for Sci. & the Arts
Fusion Academy and Learning Center - Charlotte
G.W. Taylor Instit. of Coll. & Car. Read
Galilee Christian Academy
Garnett Christian Academy
Gaston Christian School
Gaston Day School
Gateway Christian School
Genesis Academy
Gethsemane Christian Academy
Gethsemane Christian SDA Jr. Academy
Gift of Knowledge Academy
Glenwood Christian Academy
Global Montessori Academy
Goddard School
God's Heritage Christian Academy
Gorman Christian Academy
Gospel Light Christian School
Grace Academy (Union)
Grace Academy (Watuga)
Grace Baptist School
Grace Christian Academy (Alamance)
Grace Christian Academy (Cleveland)
Grace Christian Academy (Swain)
Grace Christian College Prep Acad
Grace Christian School (Lee)
Grace Christian School (Wake)
Grace Classical School
Grace Covenant Academy
Grace House Treatment Center
Grace Montessori Academy Incorporated
Grace Point Christian Academy
Gramercy Christian School
Great Accomplishments Academy3/24/2021
Greater Fayetteville Adventist Academy
Greater Vision Academy
Greenfield School
Greensboro Day School
Greensboro Islamic Academy
Greensboro Montessori School
Greenville Christian Academy
Greenville Learning Center
Greenville Montessori School
Greyfriars Classical Academy
Grove School of Cary
Guiding Light Academy
Guy Schools
3/24/2021
Name of School (H - L) * 4.
Halifax Academy
Hanger Hall School for Girls
Harrells Christian Academy
Harvest Preparatory Academy
Harvest Time Christian Academy
Haw River Christian Academy
Hawthorn Montessori School
Haywood Christian Academy
Hayworth Christian School
Heritage Christian Academy (Jackson)
Heritage Christian Academy (Wake)
Heritage Christian School
Heritage Hall International School
Heritage Leadership Academy
Heritage Leadership Academy - Durham
Heron Pond Montessori School
Hertford Multi-Purpose Juvenile Sch
Hickory Christian Academy
Hickory Day School
Hickory Grove Christian School
High Point Christian Academy
High Point Friends School
Highland Christian Academy
Highlander Academy
Hill Learning Center
Hill School of Wilmington
Hillsborough Christian Academy
Hilltop Christian School
Hobgood Academy
Holden Beach Christian Academy
Holy Trinity Catholic Middle School
Holy Youth Christian Academy
Hope Academy (Cabarrus)
Hope Academy (Guilford)
Hope Baptist Christian Academy
Hope Christian Academy
Hope Collegiate Academy
Hope Creek Academy
Hope Gardens Treatment Center
Hope Mennonite School
Hope Preparatory School
Imago Dei Classical Academy
Immaculata Catholic School (Durham)
Immaculata Catholic School (Henderson)
Immaculate Heart of Mary Cath Sch
Impact Journey School
Increase Learning Center
Independence Day Academy
Independence Montessori Academy
Infant of Prague Catholic School
Innovative Academy
Insight Colearning Center3/24/2021
Intellicor International Academy
International Montessori School
Iron Academy
Jackson Springs Treatment Facility
Jacksonville Christian Academy
Jarvisburg Christian Academy
Jefferson Day School
Johnathan's House Christian Acad
Jordan Lake School of the Arts
Ken Wheat Career Academy of Greensboro
Kent Academy
Kerr-Vance Academy
Kiddie Academy of Charlotte
Kids R Kids School
Kids R Kids School - Clayton
King Family Ministries Sch.
King's Academy
Knowledge Beginnings School
Knowledge Beginnings School - Raleigh
Knowledge is Power Early Lrng Prog
L & L Montessori School
Lake House Academy
Lake Norman Christian School
Laurinburg Institute
Lawrence Academy
Learn with the Best School
Learning Community Sch
Lee Christian School
Lee Park Preparatory School
Lerner School
Level Cross Christian School
Liberty Christian Academy (Cumberland)
Liberty Christian Academy (Onslow)
Liberty Christian School
Liberty Preparatory Christian Academy
LifeSpring Academy
Lionheart Academy of the Triad
Little Ivy Baptist Academy
Living Water Christian School
Living Word Christian Academy
Long Hill Christian School
Long Shoals Wesleyan Academy
Lucy Daniels Center
3/24/2021
Name of School (M - O) * 5.
Macon County Juvenile School
Male Leadership Academy of Charlotte
Mallard Creek Creativity Center
Manus Academy
Mariposa School
Marvin Academy
Matthews Christian Academy
Melmark Carolinas
Metrolina Christian Academy
Milestones Academy
Miller Creek Mennonite
Millers Creek Christian School
Millersville Christian Academy
Mills River Seventh-day Adventist
Mind and Soul School
Mintz Christian Academy
Miracle Tabernacle Academy
Miracle Tabernacle Christian Sch
Miss Charlie's Child Develop. Center
Mitchener University Academy
Montessori at Sandy Ford School
Montessori Children's School
Montessori Community School
Montessori Day School
Montessori Farm School
Montessori School of Durham
Montessori School of Raleigh
Montessori School of Winston-Salem
Morganton Day School
Mount Calvary Christian Academy
Mount Calvary Christian School
Mount Pisgah Academy
Mount Sheba Baptist Academy
Mount Zion Christian Academy (Durham)
Mount Zion Christian Academy (Robeson)
Mountain Pathways School
Mountain Sun Community School
Mud Creek Christian School
Murphy Adventist Christian School
My Dynamic Academy
Myrtle Grove Christian School
National Child Care Institute
Naturally Grown School
NC Boys Academy
NDC Academy
Nebo Crossing Academy
Nehemiah Enrichment Academy
Neuse Christian Academy
New Beginnings Christian School
New Bern Christian Academy
New City Christian School
New Classical Academy3/24/2021
New Garden Friends School
New Hope Christian Academy (Davidson)
New Hope Christian Academy (Duplin)
New Horizons Elem. School
New Independence Academy
New Kituwah Academy
New Life Academy
New Life Christian Acad & Prep Sch
New Life Christian Academy (Cabarrus)
New Life Christian Academy (Mecklenburg)
New Life Christian Academy (Nash)
New Life Christian Academy (Sampson)
New Manna Christian School
New School Montessori Center
New Vision Christian Academy
Newport Christian Academy
Next Generation Educ. Behav Ctr
Noble Academy
Norlina Christian School
North Hills Christian School
North Kannapolis Christian Acad
North Raleigh Christian Academy
North Shore Academy
Northeast Academy
Northside Christian Academy
Northview Baptist Academy
Northwood Temple Academy
Oak City Academy
Oak Level Baptist Academy
Oak Ridge Military Academy
Oakwood School
Oasis Performing Arts School
Odyssey Community School
Omega Academy
Omni Montessori School
One World Montessori LLC
O'Neal School
Onslow Christian Academy
Open Door School
Our Lady of Assumption Catholic School
Our Lady of Grace Catholic School
Our Lady of Lourdes Catholic School
Our Lady of Mercy Catholic School
Our Lady Perpetual Help Catholic School
Our Playhouse Preschool & Kindergarten
Outreach Academy
Outreach Christian Academy
3/24/2021
Name of School (P - R) * 6.
Palisades Episcopal School
Pamlico Christian Academy
Park Ridge Christian School
Parkway Christian School
Pathway Christian Academy
Pathways Mid. & Hgh. School
Paw Creek Christian Academy
Peace Montessori School
Peace Rose Montessori School
Peletah Academic Center for Excellence
Penderlea Christian Academy
Philips Academy
Phoenix Montessori Academy
Piedmont School
Pine Ridge Mennonite School
Pine Valley Wee Care Kindergarten
Pinewoods Montessori School
Point Institute
Pope John Paul II Catholic H. S.
Positive Day School
Precious Haven Learning Academy
Premier Service of Carolina Incorporated
Primrose School of Lake Norman
Primrose School of New Irving Park
Progressive Learning Academy
Prosperity Guidepost Montessori
Providence Day School
Providence Preparatory Academy
Providence: A Christ. Mon. Co
Pungo Christian Academy
Quality Education Institute
Quest Excellence Achieve. Acad
R. C. Smith Christian Academy
Rainbow Child Care Center
Rainbow Christian Academy
Rainbow Community School
Raleigh Christian Academy
Raleigh School
Raleigh SDA School
Ravenscroft School
Redeemer Preparatory Academy
Redeemer School
Reedy Fork Early Learning Academy
Reflections of Christ Christian Academy
Reimage Child Development Center
Renaissance Classical Academy
Renaissance Montessori Sch. of Cary
Resurrection Lutheran School
Reynolds Mountain Christ. Academy
Rhema Christian Academy
Ridgecroft School
Rise Academy Street School3/24/2021
Rising Stars Private School
Riverside Christian Academy (Cumberland)
Riverside Christian Academy (Robeson)
Robeson Multi-Purpose Juvenile Sch
Rockfish Christian Academy
Rockwell Christian School
Rocky Mount Academy
Rod of God Christian Academy
Roxboro Christian Academy
Royal Oak Cottage School
3/24/2021
Name of School (S - T) * 7.
Sacred Heart Catholic School
Saint Mary's School (Wake)
Salem Academy
Salem Baptist Christian School
Salem Christian Academy
Salisbury Academy
Salisbury Adventist School
Salisbury Christian School
Sandhills Classical Christian Sch.
School at Thompson
Scotland Christian Academy
Second Baptist Christian Academy
Sedgefield School
Severn Mennonite School
Shands School
Sheets Memorial Christian School
Shepherd Academy
Shiloh Institute of Learning
Shining Light Academy
Shining Light Baptist Academy
Shining Stars Academy
Silver Creek SDA School
South Charlotte Baptist Academy
Southeastern Autism Academy
Southeastern Christian Academy
Southlake Christian Academy
Southpoint Academy
Southport Christian School
Southside Christian School
Southview Christian School
Spirit of Life Christian Academy
Springs Academy
Spruce Pine Montessori School
St. Andrew's Episcopal School
St. Ann Catholic School (Cumberland)
St. Ann Catholic School (Mecklenburg)
St. Anne's Parish Day School
St. Catherine of Siena Cath Sch
St. David's School
St. Egbert Catholic School
St. Gabriel Catholic School
St. Gerard House
St. James Day School
St. John Paul II Catholic School
St. John's Lutheran Day Sch.
St. Joseph Academy
St. Leo Catholic School
St. Mark Catholic School (Mecklenburg)
St. Mark Catholic School (New Hanover)
St. Mary Catholic School (New Hanover)
St. Mary Catholic School (Wayne)
St. Mary Magdalene Catholic School3/24/2021
St. Mary's Christian Academy
St. Matthew Catholic School
St. Michael the Archangel Cath School
St. Michael's Catholic School
St. Patrick Catholic School (Cumberland)
St. Patrick Catholic School (Mecklenburg)
St. Paul Catholic Education Ctr
St. Peter's Catholic School
St. Pius X Catholic School
St. Raphael's Catholic School
St. Stephen's Lutheran School
St. SYA Academy II
St. Thomas More Academy
St. Thomas More Catholic School
St. Timothy's School
Star Christian Academy
Starboard Christian Academy
Statesville Christian School
Statesville Montessori School
Strait Path Academy
Straitway Baptist School
Strategic Academy (Mecklenburg)
Strategic Academy (Wake)
Summit School
Sure Promise Christian Academy
Swift Creek Mennonite School
T.A.P.S. Preparatory Academy
Tabernacle Christian School (Catawba)
Tabernacle Christian School (Union)
Teaching Achieving Students Academy
Temple Baptist School
Temple Christian School
Terra Ceia Christian School
Thales Academy
Thales Academy - Knightdale
Thales Academy Holly Springs PK5
Thales Academy JH/HS Apex
Thales Academy JHHS Rolesville
Thales Academy of Apex
Thales Academy of Raleigh
Thales Academy of Wake Forest
The Burlington School
The Covenant School
The Goodale School
The Halton School
The John Crosland School
The Master's Academy
The Nest Academy
The Point Christian Academy
The School of Hope
The Way Christian Academy
Third Street Academy
Tillery Christian Academy
Timbersong Academy3/24/2021
Timbersong Academy - Bat Cave
Topsail Montessori School
Treasures of Joy Christian Academy
Triad Baptist Christian Academy
Triangle Day School
Triangle Montessori Academy
Tri-City Christian Academy
Tri-City Christian School
Tri-County Academy
Tri-County Christian School
Trilogy School
Trimont Christian Academy
Trinity Academy of Raleigh
Trinity Baptist Academy
Trinity Christian Academy
Trinity Christian Preparatory School
Trinity Christian School (Pitt)
Trinity Christian School (Randolph)
Trinity Christian School (Rutherford)
Trinity Christian School of Fayetteville, Inc.
Trinity Episcopal School
Trinity of Fairview Academy
Trinity School of Durham & CH
True Abalities Lrng. Academy LLC
True Light Shines Academy
Tryon SDA School
Tutor All School
Tutorial -1/2 Christian Schools
TYCC Educational School
3/24/2021
Name of School (U - Z) * 8.
Union Grove Christian School
United Faith Christian Academy
Unity Christian Academy
University Christian High School
Upward Adventist School
Uwharrie Learning Center
Vandalia Christian School
Veritas Christian Academy
Veritas Collaborative School
Victory Baptist Church School
Victory Christian Academy (Columbus)
Victory Christian Academy (Gaston)
Victory Christian Academy (Rockingham)
Victory Christian Center School
Victory Christian School (Jackson)
Victory Christian School (Pasquotank)
Village Academy
Village Christian Academy (Cabarrus)
Village Christian Academy (Cumberland)
Wake Christian Academy
Wake Forest Montessori School
Wake-Up Learning Academy
Walters Grove Baptist Academy
Walton Academy
Wanchese Christian Academy
Waterview Learning Academy
Wayne Christian School
Wayne Country Day School
Wayne Montessori School
Wayne Multi-Purpose Juvenile Sch.
Weddington Christian Academy
Wescare Christian Academy
Wesleyan Christian Academy
West Christian Academy
West Duplin Christian Academy
WestCare N. Carolina Girls Sch.
Westchester Country Day School
WH Johnston SDA School
Whispering Pines Chr. Day Sch.
White Plains Christian School
Wilmington Academy of Arts & Sci
Wilmington Christian Academy
Wilmington SDA School
Wilson Christian Academy
Winston Salem Christian School
Winston-Salem Street School
Wolf Creek Academy
Woodland Baptist Chr. Sch.
Woodlawn School
Woodson Branch Nature School
Word of Faith Christian Sch.
Word of God Christian Academy3/24/2021
Yadkin Path Montessori
Yadkin Valley Community School
Yancey County Chr. School
Zelophehad's Daughters Christian Academy
To access funds, a non-public school must obtain a DUNS number at https://fedgov.dnb.com/webform/ (https://fedgov.dnb.com/webform/) and register with the System for Award Management (SAM) https://www.sam.gov/SAM/pages/public/generalinfo/aboutSAM.jsf (https://www.sam.gov/SAM/pages/public/generalinfo/aboutSAM.jsf) . A DUNS number will be required.
Does the School Have a DUNS Bradstreet Number? * 9.
Yes
No
The value must be a number
DUNS Bradstreet Number for School * 10.
(Street Number and Name, City, State, Zip Code)
Mailing Address of School * 11.
Full Name of Authorized Representative of the School * 12.
Email Address of Authorized Representative of the School * 13.
Please enter the telephone number using the format of (123) 456-7890
Telephone Number of Authorized Representative of the School * 14.
Full Name of a Secondary Authorized Representative of the School * 15.
Email Address of a Secondary Authorized Representative of the School * 16.
Please enter the telephone number using the format of (123) 456-7890
Telephone Number of a Secondary Authorized Representative of the School * 17.
3/24/2021
PART B: Non-Public School EligibilityAt its discretion, NCDPI may require a non-public school application to submit reasonable and appropriate documentation to substantiate one or more of these assurances.
NOTE: If a non-public school applies for a PPP loan on or after December 27, 2020, but does not receive funds under the PPP, the school may apply for services or assistance under the EANS program, as long as the non-public school meets the requirements and deadlines of this application. If a non-public school applied for or received a PPP loan prior to December 27, 2020, it remains eligible for the EANS program. Similarly, if a non-public school applies for but does not receive services or assistance through EANS, nothing in the Education Stabilization Fund would preclude the non-public school from applying for and receiving a PPP loan on or after December 27, 2020.
• The school requesting services or assistance is a non-profit school. • The school requesting services or assistance is accredited, licensed, or otherwise approved to operate in accordance with State law. • The school requesting services or assistance existed and operated prior to March 13, 2020. • The school requesting services or assistance did not and will not apply for and receive a loan under the Small Business Administration's Paycheck Protection Program (PPP) (15 U.S.C. 636(a)(37)) that is made on or after December 27, 2020. • None of the services or assistance for which I am requesting Support in Part D of this application have already been supported by a loan under the PPP.
By checking the box below, I affirm that the following statements are true and correct regarding my school * 18.
I affirm the above statements are true and correct regarding my school
3/24/2021
PART C: Non-Public School Data
Enrollment and Low-Income DataSection 312(d)(3)(C) requires NCDPI to prioritize services or assistance to non-public schools that enroll low-income students and are most impacted by COVID-19. Accordingly, the State requests that the school provide the data described below. Such data must not include personally-identifiable information about students or their families.
The NCDPI has discretion to identify the data source(s) it will accept when calculating the number of students enrolled in a non-public school in school year 2019-2020 who are from low-income families. NCDPI also has discretion in determining what it means for a family to have a low income (i.e., NCDPI sets a particular threshold, which could be a percentage of the Federal poverty level or another amount). NCDPI should make such information readily available and ensure that the definition of “low-income” it uses is the same for all non-public schools. NCDPI should select reliable source(s) of data that are least burdensome on non-public schools and families and may permit the use of multiple data sources.
To the extent non-public schools have the following readily available, possible data sources might include: • free or reduced-price lunch data, • scholarship or financial assistance data, • E-Rate data, or • other relevant data, such as data that the non-public school has provided to the State for purposes of State or local programs.
For non-public schools where such data are not readily available, and in order to avoid new or unnecessary data collections from non-public schools and families, the following are potential sources of estimates of the number of students from low-income families: • data imputing the number of students from low-income families based on the American Community Survey (ACS) or the Small Area Income and Poverty Estimates (SAIPE) program by the U.S. Census Bureau, or • proportionality data: the number of students enrolled in a non-public school who reside in a Title I school attendance area multiplied by the percentage of public school students in that same attendance area who are from low-income families. If the non-public school has students who reside in more than one Title I school attendance area, multiple calculations would be necessary.
Please enter a number greater than 0
Total student enrollment of the school in the 2019-2020 school year * 19.
Please enter a number greater than or equal to 0
Number or estimated number of students from low-income families enrolled in the school in the 2019-2020 school year * 20.
This number or estimated number is from the following data source(s) * 21.
Free or reduced-price lunch data
Scholarship or financial assistance data
E-Rate data
Other relevant data, such as data that the non-public school has provided to the State for purposes of State or local programs
Data imputing the number of students from low-income families based on the American Community Survey (ACS) or the Small Area Income and Poverty Estimates (SAIPE) program by the U.S. Census Bureau
Proportionality data: the number of students enrolled in a non-public school who reside in a Title I school attendance area multiplied by the percentage of public school students in that same attendance area who are fromlow-income families. If the non-public school has students who reside in more than one Title I school attendance area, multiple calculations would be necessary.
Unknown data
Other data sources (enter data source information below)
Other Data Source(s)22.
Number must be between 0 ~ 100
(i.e., Answer 14 divided by Answer 13)
Percentage or estimated percentage of total students in the school who are students from low-income families * 23.
3/24/2021
PART C: Non-Public School Data
Paycheck Protection Program (PPP)Section 312(d)(3)(C) requires NCDPI to prioritize services or assistance to non-public schools that enroll low-income students and are most impacted by COVID-19. Accordingly, the State requests that the school provide the data described below. Such data must not include personally-identifiable information about students or their families.
Did the school receive a loan guaranteed under the PPP before December 27, 2020? * 24.
Yes
No
Please enter a number greater than 0
What was the total amount of the PPP loan? * 25.
Do you certify that any funds received under the EANS program will be services or assistance not already funded by the PPP loan? * 26.
Yes
No
3/24/2021
PART C: Non-Public School Data
Coronavirus Relief Funds (CRF)Section 312(d)(3)(C) requires NCDPI to prioritize services or assistance to non-public schools that enroll low-income students and are most impacted by COVID-19. Accordingly, the State requests that the school provide the data described below. Such data must not include personally-identifiable information about students or their families.
Did the school receive Coronavirus Relief Funds (CRF)? * 27.
Yes
No
Please enter a number greater than 0
What was the total amount of the CRF funds received? * 28.
Do you certify that any funds received under the EANS program will be services or assistance not already funded by the CRF funds? * 29.
Yes
No
3/24/2021
PART C: Non-Public School Data
Impact of COVID-19Section 312(d)(3)(C) requires NCDPI to prioritize services or assistance to non-public schools that enroll low-income students and are most impacted by COVID-19. Accordingly, the State requests that the school provide the data described below. Such data must not include personally-identifiable information about students or their families.
Factors that NCDPI might consider in determining non-public schools that are most impacted by COVID-19 include but are not limited to: (1) loss of tuition revenue; (2) decrease in enrollment; (3) lack of capacity to provide remote learning due to insufficient technological support; and (4) data documenting the extent of learning loss attributable to the educational disruptions caused by COVID-19.
IMPORTANT: please limit response to 10,000 characters or less.
Describe and/or quantify the impact of COVID-19 on your school * 30.
3/24/2021
PART C: Non-Public School Data
Receipt of Equitable Services Under the CARES ActSection 312(d)(3)(C) requires NCDPI to prioritize services or assistance to non-public schools that enroll low-income students and are most impacted by COVID-19. Accordingly, the State requests that the school provide the data described below. Such data must not include personally-identifiable information about students or their families.
Did the school receive equitable services from an LEA under the CARES Act? * 31.
Yes
No
3/24/2021
This content is neither created nor endorsed by Microsoft. The data you submit will be sent to the form owner.
Microsoft Forms
PART D: Non Public School Services or Assistance RequestedReimbursement for the expenses of any services or assistance described below that a non-public incurred on or after March 13, 2020 may not include the following: • Improvements to ventilation systems (including windows), except for portable air purification systems, which may be reimbursed. • Staff training and professional development on sanitization, the use of PPE, and minimizing the spread of COVID-19. • Developing instructional plans, including curriculum development, for remote or hybrid learning or to address learning loss. • Initiating and maintaining education and support services or assistance for remote or hybrid learning or to address learning loss. • Any expenses reimbursed through a loan guaranteed under the PPP (15 U.S.C. 636(a)) prior to December 27, 2020.
For additional information on allowable services or assistance, please see the Frequently Asked Questions posted online at https://oese.ed.gov/offices/education-stabilization-fund/emergency-assistance-non-public-schools/ (https://oese.ed.gov/offices/education-stabilization-fund/emergency-assistance-non-public-schools/)
Select one or more items below to apply for services or assistance to address educational disruptions resulting from COVID-19 * 32.
Supplies to sanitize, disinfect, and clean school facilities
Personal Protective Equipment (PPE)
Improving ventilation systems, including windows or portable air purification systems
Training and professional development for staff on sanitization, the use of PPE, and minimizing the spread of infectious diseases
Physical barriers to facilitate social distancing
Other materials, supplies or equipment recommended by the CDC for reopening and operation of school facilities to effectively maintain health and safety
Expanding capacity to administer coronavirus testing to effectively monitor and suppress the virus
Educational technology
Redeveloping instructional plans for remote or hybrid learning or to address learning loss
Leasing sites or spaces to ensure social distancing
Reasonable transportation costs
Initiating and maintaining education and support services or assistance for remote or hybrid learning or to address learning loss
I certify to the best of my knowledge and belief, all of the information in this application is true and correct. I further understand that knowingly making a false statement or misrepresentation on this application may subject me to criminal or civil penalties under applicable State and Federal laws. *
33.
Yes
No
Would the non-public school like to request a consultation to discuss the usage of EANS funds? * 34.
Yes
No
3/24/2021