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FY 2021 – 2025 North Carolina Adult EducationCOMPETITIVE GRANT APPLICATIONCover PageEligible Provider:Program Director:Email address: Phone No.:Local Workforce Development Board Region:County(s) Served (select all that apply) Alamance Alexander Alleghany Anson Ashe Avery Beaufort Bertie Bladen Brunswick Buncombe Burke Cabarrus Caldwell Camden Carteret Caswell Catawba Chatham Cherokee Chowan Clay Cleveland Columbus Craven Cumberland Currituck Dare Davidson Davie Duplin Durham Edgecombe Forsyth Franklin Gaston Gates Graham Granville GreeneEligible Provider (select one) Guilford Halifax Harnett Haywood Henderson Hertford Hoke Hyde Iredell Jackson Johnston Jones Lee Lenoir Lincoln McDowell Macon Madison Martin Mecklenburg Mitchell Montgomery Moore Nash New Hanover Northampton Onslow Orange Pamlico Pasquotank Pender Perquimans Person Pitt Polk Randolph Richmond Robeson Rockingham Rowan Rutherford Sampson Scotland Stanly Stokes Surry Swain Transylvania Tyrrell Union Vance Wake Warren Washington Watauga Wayne Wilkes Wilson Yadkin YanceyOtherOther:Note: This public body does not discriminate against faith-based organizations or against an applicantbecause of race, religion, color, sex, national origin, age, disability, or any other basis prohibited by State lawrelating to discrimination in employment.9

Demonstrated EffectivenessThe only organizations that are defined as "eligible" to apply for Title II AEFLA funds through the competitive grantapplication process are those that have "demonstrated effectiveness" in providing adult education and literacy activities.These organizations may include but are not limited to a) local education agency; b) community-based or faith-basedorganization; c) volunteer literacy organization; d) institution of higher education; e) public or private nonprofit agency; f)library; g) public housing authority; h) nonprofit institution that is not described in any of the subparagraphs (A) though(G) and has the ability to provide adult education and literacy activities to eligible individuals; (I) a consortium or coalitionof the agencies, organizations, institutions, libraries, or described in any of subparagraphs (A) through (H); and j) apartnership between an employer and an entity described in any of the subparagraphs (A) through (I). Section 463.24 ofTitle II further permits other organization types, even if not specifically listed, to apply if they meet the demonstratedeffectiveness requirement. The intent of applying a demonstrated effectiveness measure is to ensure that organizationsreceiving AEFLA funds have proven they can provide activities to individuals in an effective manner and produce goodoutcomes.Per 34 CFR § 463.23, NCCCS Office of College and Career Readiness CAN ONLY review applications for eligibleorganizations with a completed demonstrated effectiveness table. Demonstrated effectiveness is a federal requirement forscoring adult education and literacy activity applications.Section 463.24 of Title 34 of the Code of Federal Regulations addresses how an applicant “demonstrateseffectiveness.”“§ 463.24 How must an eligible provider establish that it has demonstrated effectiveness?a. For the purposes of this section, an eligible provider must demonstrate past effectiveness by providingperformance data on its record of improving the skills of eligible individuals, particularly eligible individualswho have low levels of literacy, in the content domains of reading, writing, mathematics, English languageacquisition, and other subject areas relevant to the services contained in the State's application for funds. Aneligible provider must also provide information regarding its outcomes for participants related to employment,attainment of secondary school diploma or its recognized equivalent, and transition to postsecondaryeducation and training.The Adult Education and Family Literacy Act (AEFLA), Title II of the Workforce Innovation and Opportunity Act (WIOA), P.L.113-128, requires State eligible agencies to award multiyear grants or contracts to eligible providers within the State. 29USC 3321, P.L. 113-128 § 231 34 CFR 463.20(a). The grants are awarded using a competitive process. To be eligible for anaward, an applicant must be an “eligible provider” that has “demonstrated effectiveness” in providing adult educationand literacy services. 29 USC 3272(5), P.L. 113-128 § 203(5).Before an application is fully evaluated in the competitive process, the application is reviewed to determine ifthe applicant is an “eligible provider” that has “demonstrated effectiveness.”Section 203(5) of WIOA, 29 USC 3172(5), provides that “[t]he term “eligible provider” means an organization that hasdemonstrated effectiveness in providing adult education and literacy activities that may include—A. a local educational agency;B. a community-based organization or faith-based organization;C. volunteer literacy organization;D. an institution of higher education;E. a public or private nonprofit agency;a library;F. a public housing authority;G. a nonprofit institution that is not described in (A) through (G) and has the ability to provide adulteducation and literacy activities to eligible individuals;H. a consortium or coalition of the agencies, organizations, institutions, libraries, or authorities described inany of subparagraphs (A) through (H); andI. a partnership between an employer and an entity described in any of subparagraphs (A) through (I).10

How demonstrated effectiveness is established:1. An eligible provider must demonstrateeffectiveness by providing performance data onits record of improving the skills of eligibleindividuals, particularly eligible individuals whohave low levels of literacy, in the contentdomains of: reading; writing; mathematics;English language acquisition: and other subjectareas relevant to the services contained in thestate's application for funds.2. An eligible provider must also provideinformation regarding its outcomes forparticipants related to: employment; attainmentof secondary school diploma or its recognizedequivalent; and transition to postsecondaryeducation and training.Two ways to demonstrate effectiveness :1. An eligible provider that has been funded underAEFLA as authorized by WIOA must provideperformance data required under section 116 todemonstrate effectiveness. This data is reportedannually through the National Reporting Systemand is collected via Colleague, Benchmark, andany other system furnished by the North CarolinaCommunity College System to funded providers.2. An eligible provider that has not been previouslyfunded under AEFLA as authorized by WIOAmust provide performance data to demonstrate itspast effectiveness in serving basic skills deficienteligible individuals, including evidence of itssuccess in achieving the two types of outcomeslisted above under the heading "Howdemonstrated effectiveness is established."11

Tittle II Adult Education Grant ApplicationDemonstrated Effectiveness TableReporting Period: 7/1/18 to 6/30/19Applicant Name:DemonstratedEffectiveness AreaImproving the skills ofeligible individuals whohave low levels of literacyin reading, writing,mathematics, Englishlanguage acquisition, andother subject areasrelevant to the servicescontained in theapplication.Performance Indicator# of Students Served% of StudentsDemonstrating Progress# of Unemployed atProgram Entry% of UnemployedStudents GainingEmploymentReadingWritingMathEnglish Language AcquisitionEmploymentOutcomes for participantsrelated to employment,attainment of secondaryschool diploma or itsrecognized equivalent, and Attainment of Secondary SchoolDiploma or Equivalenttransition to postsecondaryeducation and training.Transition to SecondaryEducation and Training# of Students Seeking% of Students Earning aHigh School Equivalency High School Equivalency# of Students Served% of Students Enrollingin PostsecondaryEducation and TrainingInstructionsPer 34 CFR § 463.24, applicants must demonstrate effectiveness in providing adult education and literacyactivities to individuals with low levels of literacy or English language learners. Prior to completing theapplication, each applicant must upload the Demonstrated Effectiveness Table by providing valid and reliabledata on its record of improving the skills of eligible individuals, particularly eligible individuals who have lowlevels of literacy in the following content domains: Reading, Writing, Mathematics, English language acquisition (if the applicant will offer an Englishlanguage acquisition program), and Other subject areas relevant to the services contained in the State'sapplication for funds.An applicant must also provide information regarding its outcomes for participants related to: Employment Attainment of secondary school diploma or its recognized equivalent, and Transition to postsecondary education and training.12

FEDERAL STATEMENT OF ASSURANCES2021 – 2025The recipient hereby assures that:1. It will comply with Title VI of the Civil Rights Act of 1964 (42 USC §2000d - §2000d-4) and itsimplementing regulations (34 CFR Part 100), and in accordance therewith, no person shall, on the groundsof race, color, or national origin, be excluded from participation in, be denied the benefits of, or beotherwise subjected to discrimination under any program or activity for which the applicant receivedFederal assistance.2. It will comply with Section 504 of the Rehabilitation Act of 1973, as amended (29 USC § 794), and itsimplementing regulations (34 CFR Part 104), which prohibits discrimination based on disability inprograms and activities receiving Federal financial assistance.3. It will comply with Title II of the Americans with Disabilities Act, (42 USC §12134, et seq.), and itsimplementing regulations (28 CFR Part 35), which prohibit discrimination on the basis of disability topublic entities, or it will comply with Title III, (42 USC §12181 et seq.), and its implementing regulations(28 CFR Part 36), which prohibit discrimination on the basis of disability in public accommodations,whichever is applicable.4. It will comply with Title IX of the Education Amendments of 1972, as amended (20 USC §1681- §1683),and its implementing regulations (34 CFR Part 106), which prohibit discrimination on the basis of sex ineducation programs and activities receiving Federal assistance.5. It will comply with the Discrimination Act of 1975, as amended, (42 USC §6101, et seq.), and itsimplementing regulations (45 CFR Part 90), which prohibit discrimination on the basis of age inprograms or activities receiving Federal financial assistance.6. All contractors, subcontractors, sub-grantees or others with whom it arranges to provide services orbenefits to its students or employees in connection with its education programs or activities are notdiscriminating in violation of the above-cited statutes, regulations, guidelines and standards againstthose students or employees.7. It will administer each program in accordance with all statutes, regulations, program plans, policies andreapplications applicable to that program.8. It will adopt and use proper methods of administering each program, including (a) the enforcement ofanyobligations imposed by law on agencies, institutions, organizations, and other recipients responsibleforcarrying out each program, and (b) the correction of deficiencies in program operations that areidentified through audits, monitoring, or evaluation.9. It will cooperate in carrying out any evaluation of each program conducted by or for the NCCCS, theUnited States Department of Education or other Federal officials.10. It will retain all records relating to a program for which Federal funds are received for a period of five yearsafter the completion of the activity for which the funds are used or until such time greater than five years asall pending reviews or audits have been completed and resolved. The only exception to this rule is theindefinite maintenance of Adult High School (AHS) and High School Equivalency (HSE) records.11. It has adopted appropriate procedures to implement the terms of the Family Educational Rights andPrivacy Act of 1974, (20 USC §1232g) and its regulations (34 CFR Part 99).13

12. It shall repay all funds determined to be due to the Federal government because of a disallowancedecision in a manner deemed reasonable by the State or the Federal government.13. To the extent authorized by law, it shall indemnify, save, and hold harmless the State, its employees andagents, against any and all claims, damages, liability and court awards including costs, expenses andattorney’s fees incurred as a result of any act or omission by it, or its employees, agents, subcontractorsorassignees in its operation of the programs.14. It will maintain such records, including those pertaining to fiscal audit and program evaluation, andprovide access to records upon request to representatives of the NCCCS or the Unites StatesDepartment of Education.15. No smoking will occur within any indoor facility owned or leased or contracted for and utilized by it forprovision of routine or regular kindergarten, elementary, or secondary education, library services,health care or early childhood development services to children.16. It will make reports to the NCCCS or the United States Department of Education as may reasonably benecessary to enable those parties to perform their duties.17. It certifies, by submission of this assurance form and by incorporating this form by reference in each ofitsre-applications for Federal funds, that neither it nor its principles: Are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarilyexcluded from participation in any transaction by any Federal department or agency. Have within a three-year period preceding this re-application been convicted of or had a civiljudgment rendered against them for commission of fraud or a criminal offense in connection withobtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction orcontract under a public transaction; violation of Federal or State antitrust statutes or commission ofembezzlement theft, forgery, bribery, falsification or destruction of records, making falsestatements, or receiving stolen property. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity(Federal, State, or local) with commission of any of the offenses enumerated above; and Have not within a three-year period, preceding this re-application had any public transactions(Federal, State, or local) terminated for cause or default.18. No Federal appropriated funds have been paid or will be paid, by or on behalf of the recipient, to anyperson for influencing or attempting to influence an officer or employee of an agency, a member ofCongress, an officer or employee of Congress, or an employee of a member of Congress in connectionwith the making of any Federal grant, the entering into of any cooperative agreement, and theextension, continuation, renewal, amendment, or modification of any Federal grant or cooperat

AEFLA, TITLE II GRANT APPLICATION TIMELINE FY 2021-25 . Activity Date. RFP Release Date January 2021 RFP Guidance Release January 27, 2021 Grant applications due to NCCCS-CCR March 24, 2021 Demonstrated Effectiveness Screening and Application Completion Review March 31, 2021 Applications and evaluation rubric sent to LWDB April 7, 2021