Alternative School/Program Proposal



Alternative Education School/Program Proposal(To be submitted for all alternative education schools/programs)Email complete proposals to renee.montogomery@ by Friday, June 14, 2013 General InformationSchool System: ________________________________________________________________ District Alternative Education Supervisor: _________________________________________Supervisor’s Email: ________________________________ Telephone: (____) ___________Name of School/Program: _______________________________________________________Address: ____________________________________________________________________Telephone: (____) ___________ Contact Person at site: _____________________________Email Address of Contact Person: ________________________________________________Identify all that apply: FORMCHECKBOX Public FORMCHECKBOX Non-Public FORMCHECKBOX Charter (Type ____) FORMCHECKBOX School: For the purposes of school accountability, alternative schools are those schools that have a separate site code and enroll some or all students for 45 or more days. Per Bulletin 111; §3501 Alternative Schools FORMCHECKBOX Program: For the purposes of school accountability, alternative programs are those programs that provide education to suspended and/or expelled student but do not enroll students and do not have a site code. Per Bulletin 111; §3501 Alternative SchoolsIdentify students served: FORMCHECKBOX Suspended FORMCHECKBOX Expelled FORMCHECKBOX Academically Behind FORMCHECKBOX Adjudicated YouthSection I – Mission and PurposeWhat is the specific purpose of this school/program? Section II – Leadership Identify leaderships with ability to enact policies: FORMCHECKBOX District Administrator FORMCHECKBOX Principal FORMCHECKBOX Other (list) _____________________________________________Section III – Safety and CounselingIs alternative setting located on school campus? FORMCHECKBOX Yes FORMCHECKBOX No (describe location) _____________________________________Identify support services provided: FORMCHECKBOX Special Education Teacher FORMCHECKBOX Job/Career Coach FORMCHECKBOX Guidance Counselor FORMCHECKBOX Social Worker FORMCHECKBOX Resource Officer FORMCHECKBOX Other (list)________________Enrollment capacity: Site__________ Teacher/Student Ratio ________ Section IV – Staffing and Professional DevelopmentDescribe the district’s professional development plan for school/program staff.Section V – Curriculum and InstructionDescribe the theory of action for providing instruction, methodology, and implementation of curriculum and how it differs from traditional procedures for academic achievement. Section VI – Student Assessment How is students’ progress measured? FORMCHECKBOX Diagnostic assessments FORMCHECKBOX Progress monitoring FORMCHECKBOX Standardized tests FORMCHECKBOX Teacher based assessment FORMCHECKBOX Behavioral referrals FORMCHECKBOX Other (list) _______________________________________________________________Section VII – Transitional Planning and SupportIs a plan in place for transitioning? FORMCHECKBOX Yes (provide a copy) FORMCHECKBOX NoSection VIII – Parent/Guardian InvolvementIs a plan in place for actively involving parents/guardians beyond parent/guardian-teacher meetings? FORMCHECKBOX Yes (provide a copy) FORMCHECKBOX NoSection IX – CollaborationIs a plan in place for partnerships with community resources that help the alternative education program achieve the goals as outlined in their mission and purpose? FORMCHECKBOX Yes (provide a copy) FORMCHECKBOX NoSection X – EvaluationDescribe the data collection used to assess quality and define the course for improvement to direct future activities. Signature of Principal __________________________________________Date____________Signature of Supervisor _________________________________________Date____________Signature of Superintendent _____________________________________Date____________ ................
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