Adding Additional Time

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1 PART III REQUIRED PROGRAM INFORMATION A. District/Program Information District/Entity: Program Coordinator: Address: Sites included in this Site #1 Site #2 (If applicable) application Programs must offer a daily nutritious snack; breakfast (if applicable) and lunch Yes No that meets the requirement of the United States Department of Agriculture (USDA) National School Lunch Program. Confirm that these will be provided. Please Note: Only complete the funding chart below if you are applying for two (2) sites. If applying for one (1) site, only complete the funding chart under the site specific information on page 2. Base amount of enhancement funds requested Up to 20,000/site (If applicable) Additional Funding Opportunity - Total Requested (Up to 5,000/site for development of PBL or SL Curriculum; or up to 2,000 (500/staff) to pilot one of the SL Curriculum. Total FY16 21 st CCLC grant funds to be used to support the enhanced summer program. Total Value of In-Kind Services Total other funding sources (non-21 st CCLC) Total Program Cost 1. Describe the current district vision and goals for summer programming and how it connects to and supports the program described in this application. 2. Describe the planning process and the resources and/or expertise utilized. Address each of the following in your response: Identify the needs and priorities that this grant will impact (e.g., academic, social-emotional learning, wellness, etc.). If applicable, include the reason(s) for prioritizing the chosen site(s) proposed to be enhanced. Describe how the enhanced summer program will collaborate with other district/school summer initiatives in order to align and leverage resources, improve program quality, and develop shared outcomes for success. Describe the actual investments of the lead organization, and other funding sources that will be leveraged to supplement the grant award and to support services. Please Note: Use of space for the school site in which the program is held is not considered in-kind. However, use of space or facilities in the community can be listed. 1

2 B. Site Specific Information Instructions: Please address each of the following questions within the indicated word/page limits for each site. Responses should be provided within this document, without changing the format or font size, and leaving the questions above each response. Site Name: Site Type OST ELT Site Coordinator: Please select from the following options hours originally planned for Adding Additional Time Address: Increasing the number of students served by 25 percent Number of unduplicated students served during the summer of 2015 Number of unduplicated students expected to be served during the summer of 2016 Recipients of a FY16 FC 647-B1 Grant - Complete the Information Below weeks originally planned for the hours to be offered with enhancement funds in summer 2016 weeks to be offered with enhancement in Percentage increase of program hours hours offered in summer 2015 Recipients of a FY16 FC 647-A or 647-B2 Grant - Complete the Information Below weeks offered in summer 2015 hours to be offered in weeks to be offered in summer 2016 Percentage increase of program hours from summer 2015 to 2016 (If applicable) Additional Funding Opportunity (place an X in the appropriate box) Project-Based Learning Curriculum Development Service-Learning Curriculum Development Base amount of enhancement funds requested Up to 20,000 (If applicable) Additional Funding Opportunity - Total Requested (Up to 5,000/site for development of PBL or SL Curriculum; or up to 2,000 (500/staff) to pilot one of the SL Curriculum Total amount of FY16 21 st CCLC grant funds to be used Total value of in-kind services Total of other funding sources (non 21 st CCLC) Total program cost (sum of the above five boxes) Projected cost per pupil served (Projected students to be served / Total program cost) Pilot Service-Learning Curriculum 2

3 1. PROGRAM DEVELOPMENT AND IMPLEMENTATION (6 page maximum) Provide the following information about the program and services that will be delivered. a. Project Narrative: Provide a brief narrative in 300 words or less of what a typical day will look like in the proposed summer program. b. If applicable, describe the plan for adding the additional hours and the rationale for the selection. c. Use the chart below to provide the proposed daily hours of operation for the proposed site. Program Dates Program Times Days of week Start Date: From: Mon Tues Wed Thurs Fri End Date: To: d. Student Outreach: Describe planned strategies for student outreach and sustained attendance levels that will ensure that the target population (students in high need groups and those in need of additional supports) will be served and meet the required average minimum of 80 percent of total attendance hours. Reminder: students must enroll and participate for the entire length of the summer program. If you selected the Increasing numbers of students served by 25 percent option provide the rationale for this selection. e. Program Design: Describe in detail how the program will build on the success of both the summer of 2015 (if applicable) and the FY16 school year program. Include the primary focus (foci) of the summer program [e.g., SL, Science, Technology, Engineering & Mathematics (STEM), 3rd grade reading, literacy, school transition support, college and career awareness, etc.]. Use the Planned Activities chart found on page 5 to describe plans to provide innovative academic enrichment (cohesive blending of academic learning and enrichment activities. f. Additional Funding Opportunity #1 Project Based Learning (PBL) Curriculum Development Applicants ONLY Applicants selecting this option will develop, pilot, and document PBL curricula that is project-based and supports either ELA or mathematics. Provide a short, but clear, description of the proposed idea for development of curriculum to be implemented during the enhanced summer program. Include the number of staff involved, their backgrounds and expertise. (Please note these should be the same teachers that will be involved in implementing the curriculum.) Provide a timeline for curriculum planning and development. Please note that a minimum of 24 hours over 4 weeks should be dedicated to implementing the developed PBL curriculum. g. Additional Funding Opportunity #2 - SL Curriculum Development Applicants ONLY Applicants selecting the SL option will work with the Department to develop, pilot, and document an SL Curricula that incorporates strong academic rigor, student ownership, and community partnerships. The specifics related to topics students will explore and projects they will implement will be developed as part of this process. (See the Additional Funding Options section of the Funding Opportunity RFP for required PD schedule.) List the 3-5 team members who will attend or have attended professional development/coaching sessions. NOTE: Teachers who will be involved in delivering services to students during the summer program should be included on this team. Describe how the district/lead applicant will support/provide planning time prior to the summer program for staff to integrate information from the PD/training/TA provided, and to develop plans to implement the SL component. (Grant funds may be requested to cover these costs.) Please note that a minimum of 24 hours over 4 weeks should be dedicated to implementing the developed SL curriculum. Provide a timeline for curriculum planning and development. 3

4 Additional Funding Opportunity 3 Pilot Service Learning (SL) Curriculum Applicants ONLY Applicants selecting this option will implement and provide feedback on SL Curriculum developed as part of the FY15 21 st CCLC Summer Enhancement Grant and FY14 and FY15 After-School and Out-of School Time Quality Enhancement Grant (ASOST-Q). Staff who agree to pilot one of the SL curriculum will be required to participate in a training webinar on how to use the curriculum, and also to provide feedback during and after implementation using a template that will be provided. It is encouraged that staff piloting the SL curricula have participated in a 2-day or a 4-day SL training. Please indicate how many staff plan to pilot each curriculum. (NOTE: Multiple staff people may pilot the same curriculum, however each person is required to provide individual feedback.) Curriculum Title Click here for descriptions of the SL curriculum; including the estimated amount of time needed to implement*. # of staff who will pilot # of these staff who have attended a 2-day or 4- day SL training GenoExplorers Healthy Food + Healthy Ecosystems = Healthy Communities Healthy Harbors Heat Islands Human Use of Natural Resources Hunger in Our Community Kids Care: Cancer Misconceptions Taking on Cyberbullying Urban Adventures Pollinators Urban Adventures Urban Waters Watershed Ecosystem Wetlands Stewardship at East Pond Youth Ambassadors for Biodiversity * If you would like additional information on any of the above curriculum please contact Kristen McKinnon or Selection is not binding; you may change your curriculum choice at a later date. If you have staff who have not yet attended a 2-day SL Planning and Implementation training, would they be interested in attending one? If Yes, please indicate how many staff would attend. 4

5 Planned Activities Use the chart below to describe creative and innovative practices that will be enhanced or added as a result of this funding. Academic Enrichment and Engaging Instructional Practices: These practices should be thoughtfully planned so as to deepen student engagement, integrate academics though cross curricular programming, support social emotional learning, and build 21 st Century skills. Please consider this when formulating your response. Note: Applicants choosing Option 2 SL Curriculum Development or Option 3 Pilot SL Curriculum do not need to include information about the SL curriculum to be developed or piloted; please only include information about other planned academic enrichment activities that will be offered during the program. Provide brief descriptions/examples of planned, enhanced, or new academic enrichment opportunities that will be offered during the summer of 2016 (add rows as needed). For each opportunity, please include a description of: The engaging instructional strategies to be used. How the offering meets an identified need/gap in services. Specific examples of ways in which the learning and developmental needs of the participants will be supported. Content Area(s) Addressed Indicate whether offering is: Existing Enhanced New 5

6 2. STAFF QUALIFICATIONS (1 page maximum) a. Describe the staffing for the proposed program and services. Include the following: plans for quality personnel recruitment and retention; how the applicant will ensure that staff have the necessary qualifications to meet the diverse needs of the target population; student: staff ratios; and amount of planning time provided per hour of teaching. b. Complete the charts below detailing staff credentials. Type of staff that will be utilized (Check all that apply): School day full-time School day part-time Out-of-School Time Educators Other (please specify) Indicate the projected number of certified teachers in the following areas: Math ELA Science Art History/ Soc. Sci. Health/PE Other (List Licensure) 3. COMMUNITY PARTNERSHIPS/CONTRACTED PROVIDERS (1 page maximum) a. Describe the current partnerships as they relate to the implementation of the summer program. b. If, applicable describe plans to cultivate new or expand opportunities for building and strengthening partnerships. (Note: SL Curriculum Development applicants may have some ideas about new, expanded partnerships, but will develop these more fully as part of the curriculum development process.) c. If applicable, describe the criteria that was (or will be) used in the selection of contracted providers. d. Complete the chart below: Partner/Contractor Name Partners/Outside Contractors Area of Expertise/Role in Summer Program 6

7 4. PROFESSIONAL DEVELOPMENT (1 page maximum) The Department is dedicated to helping educators improve their practice through participation in High Quality Professional Development (HQPD). High Quality Professional Development is a set of coherent learning experiences that is systematic, purposeful, and structured over a sustained period of time with the goal of improving teacher practice and student outcomes. a. Describe the types of professional development that will be provided to staff, partners, and providers in order to improve practices. Note: Sites selecting Option 2 SL Curriculum Development do not need to respond to this question, unless they are offering PD opportunities other than those designed to support SL Curriculum Development. Include the following: hours of professional development to be provided; and The amount of planning time to be provided. Note if partners and contractors will be participating in common planning time with program staff. b. If applicable, describe how qualified volunteers will be used to support the proposed activities. 5. ACCOUNTABILITY AND EVALUATION (1 page maximum) Grantees are required to use the Survey of Academic Youth Outcomes (SAYO) evaluation instrument. Additionally, recipients will be required to participate in an evaluation that will look at the effects of summer learning on student achievement. a. Select the academic outcomes the program will be measuring. Learning skills is an additional required outcome. The district and school curricular priorities, school improvement plan, and students needs should guide the items selected. Academic Outcomes (Select one outcome) Mathematics English/Language Arts Intermediary Outcomes: During the summer months we will be asking enhancement sites to help pilot new Social and Emotional Learning (SEL) intermediary outcomes. b. Describe the process used in selecting the academic outcomes and how they support the district and school curricular priorities, school improvement plans, and students needs. 6. TIMELINES (1 page maximum) a. Include a brief timeline for continued program planning, program implementation and evaluation. 7. BUDGET/BUDGET NARRATIVE Use the Part II - Budget (II-A) and Budget Narrative (II-B) Excel Workbook provided in the Funding Opportunity RFP s Required Forms section. Program Expenditures In constructing the budget, please note that all costs must be reasonable and necessary to implement the program activities. Applicants must complete both a school year (upon approval June 30, 2016) and summer budget (July 1- August 31, 2016), and a budget narrative for each that demonstrates clear and specific links to the project activity plan. No more than 10 percent of the total budget may be used for materials and supplies. Please note: Materials and supplies that will be purchased for summer programming should be included in the School Year budget. Funds allocated under this federally funded grant program may be used only to supplement, not supplant, funds that local educational agencies, schools, and community-based organizations would otherwise expend for extended learning opportunities including summer. Rental of space, cash stipends to students to attend the program, cell phones, telephone and utilities, overhead costs and the purchase of materials that are used during the school day are not allowable expenses under this grant. Please Note: If you plan to use funds to hire contracted providers you must include a detailed budget and narrative for each contractor. 7

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