ARKANSAS DEPARTMENT OF EDUCATION



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|Arkansas Department of Education |

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|McKinney-Vento Homeless Assistance Act, Subtitle VII-B |

|Reauthorized December 10, 2015, by Title IX, Part A of the |

|Every Student Succeeds Act |

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|Application PACKET |

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|2019-2022 Projects |

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|Deadline: April 12, 2019 |

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|Dana Davis, State Homeless Coordinator |

|Arkansas Department of Education |

|Four Capitol Mall, Mail Slot 26 |

|Little Rock, AR 72201 |

|501-683-5428 |

|dana.davis@ |

Arkansas Department of Education

McKinney-Vento Education for Homeless

Children and Youth Grant

McKinney-Vento Homeless Assistance Act, Subtitle VII-B

Reauthorized December 10, 2015 by Title IX, Part A of the

Every Student Succeeds Act

Grant Guidelines

The following are required elements in order for the application to be eligible for the review process:

• One application in Microsoft Word format without signatures and one copy of the complete grant application in PDF format with all required signatures in blue ink; e-mailed to dana.davis@.

• Use the provided forms, complete all information, and supply proper signatures.

• Incomplete, faxed, or late applications will not be reviewed.

• Application must be typewritten, double-spaced, using 12-point font, with one inch margins.

• Place the “name of the program” and “FY 2019-2022” at the bottom of each page.

• Number all pages.

• Complete the “Table of Contents” to direct the reviewers to the proper sections.

• Complete and label each section as outlined in the RFP.

• Any incomplete section will result in minimum point scoring. Proper grammar, spelling, and punctuation will impact a positive review.

• Grant applications and attachments become property of the Arkansas Department of Education (ADE) and will not be returned.

• The ADE is not responsible for late delivery from any delivery service.

• Proposals must be received by 4:30 p.m. on April 12, 2019.

PLEASE NOTE: All grant awards are contingent upon availability and receipt of funding from the U. S. Department of Education. Should funding from the Federal government be available, grants awarded under this Request for Proposal will be for three years, contingent upon the applicant’s satisfactory completion of program objectives and compliance with fiscal requirements. Should any new legislation necessitate changes to this application, subgrantees agree to adhere to such requirements.

Arkansas Department of Education

McKinney-Vento Education for Homeless

Children and Youth Grant

McKinney-Vento Homeless Assistance Act, Subtitle VII-B

Reauthorized December 10, 2015 by Title IX, Part A of the

Every Student Succeeds Act

2019-2022 Projects

|APPLICATION INFORMATION |

|Amount Requested: $ | Applicant Federal ID # |

|School District / Fiscal Agent: |

|LEA # |

|Mailing Address: |

|City, State, Zip: |

|County: |

|Education Service Cooperative: |

|PROJECT INFORMATION |

|Title of the Project: |

|Name & Title of Contact for Grant(Liaison): |

|Mailing Address: |

|City, State, Zip: |

|E-mail Address: |

|Phone: |

|Fax: |

|Name & Title of Grant Writer: |

|LEA Homeless Liaison: |

|Mailing Address: |

|City, State, Zip: |

|E-mail Address: |

|Phone: |

|Fax: |

|Proposed Project Dates: (start date): (end date): |

|Estimated Funds Set-Aside for the use with |

|Homeless Children & Youth |

|Requested McKinney-Vento Funds: |

|Federal Title I Funds: |

|Emergency Youth Shelter Educ. Service Funds: |

|State Funds: |

|Local Community Funds: |

|Applicant (LEA) Funds: |

|Other _____________ Funds: |

| TOTAL FUNDS: $ |

AUTHORIZED REPRESENTATIVE

To the best of my knowledge and belief, all data in this application is true and correct. The document has been duly authorized by the governing body of the applicant and the applicant will comply with the attached assurances and certifications if the assistance is awarded.

______________________________________________________________________________

LEA Superintendent (Printed) Date LEA Homeless Liaison Contact Person (Printed)

___________________________________________________________________________________________________

LEA Superintendent (Signature) Date LEA Homeless Liaison Contact Person (Signature)

|McKinney-Vento Education for Homeless Children |

|and Youth Project |

|PROJECT INFORMATION |

|SCHOOL DISTRICT / (FISCAL AGENT): |PROJECT TITLE: |

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|________ Number of homeless children and identified in APSCN for the 2017-2018 school year. |

|GRADE / AGE |# Living in |# Living Doubled|# Living |# Living in |# |Approximate # |

| |Shelters |Up |Unsheltered |Hotels or |UHY |Number to be |

|Homeless Children & Youth |(Shelters, |(e.g. living |(e.g. cars, parks,|Motels | |Served by Project |

|FY 2017-18 |transitional |with another |campgrounds, | | |FY 2019-2020 |

| |housing) |family) |temporary trailer,| | | |

| | | |or abandoned | | | |

| | | |buildings) | | | |

|ELEMENTARY (K-5th) | | | | | | |

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|MIDDLE/JUNIOR HIGH (6th-8th) | | | | | | |

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|HIGH SCHOOL (9th-12th) | | | | | | |

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|TOTALS: | | | | | | |

|*NEEDS ASSESSMENT |

|Describe who were surveyed regarding the needs of homeless children & youth for the homeless project: (Check all that apply) |

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|PK-8 PK-8 Administrators PK-8 Parents Shelters |

|9-12 Teachers 9-12 Building Administrators 9-12 Parents ___________ |

|Homeless Students District-Level School Admin. Advocacy Groups |

|Business Rep. School Board Members ______________ |

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|Local input, as to the needs of homeless children & youth for homeless project, was gathered by the following methods: (Check all that apply) |

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|Interviews Surveys/Questionnaires Focus Groups/Discussions |

|District Data Analysis District Data Reports _____________________ |

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|The following needs for homeless children & youth and families have been identified: (Check all that apply) |

|Additional academic instruction School materials & supplies Homeless coord./advocates |

|Age-appropriate social skills Preschool experiences Medical, dental, mental needs |

|Parenting education Excess transportation cost Professional development |

|Other: ____________________ Other: __________________ Other:___________________ |

|COORDINATION OF SERVICES |

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|The Homeless Children & Youth Project will coordinate with the following: (Check all that apply) |

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|_____ Title I (district and building levels) |

|_____ Title II (Professional Development) |

|_____ Title V |

|_____ Pupil Transportation |

|_____ Shelters |

|_____ Community Agencies |

|_____ Division of Human Services (DHS) |

|_____ Head Start Program |

|_____ Arkansas Better Chance (ABC) |

|_____ Workforce Education |

|_____ Medical, Dental, Mental Health |

|_____ Title IV (SDFSC) |

|_____ District Funds |

|_____ Other State Funds |

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MCKINNEY-VENTO HOMELESS EDUCATION GRANT ASSURANCES

The local school district receiving McKinney-Vento funds agrees to:

1. ____Each such program will be administered in accordance with all applicable statutes,

regulations, program plans, and applications.

2. ____The LEA will comply with all applicable supplement not supplant and maintenance of

effort requirements. (a) The control of funds provided under each program and title to property acquired with program funds will be in a public agency, a non-profit private agency, institution, organization, or Indian tribe, if the law authorizing the program provides for assistance to those entities; (b) The public agency, non-profit private agency, institution or organization, or Indian tribe will administer the funds and property to the extent required by the authorizing law.

3. ____The LEA will adopt and use proper methods of administering each such program,

Including (a) the enforcement of any obligations imposed by law on agencies, institutions, organizations, and other recipients responsible for carrying out each program; and (b) the correction of deficiencies in program operations that are identified through audits, monitoring, or evaluation.

4. ____The LEA will cooperate in carrying out any evaluation of each such program conducted by, or for, the State educational agency, the Secretary, or other Federal officials.

5. ____The LEA will use such fiscal control and fund accounting procedures as will ensure proper disbursement of, and accounting for, Federal funds paid to the applicant under

each such program.

6. ____The LEA will: (a) submit such reports to the State educational agency (which shall make the reports available to the Governor) and the Secretary as the State educational agency and Secretary may require to enable the State educational agency and Secretary

to perform their duties under each such program; and (b) maintain such records, provide such information and afford such access to the records as the State educational agency (after consultation with the Governor) or the Secretary may reasonably require to carry out the State educational agency’s or the Secretary’s duties.

7. ____The LEA has consulted with teachers, school administrators, parents, and others in the

development of the local consolidated application/LEA Plan to the extent required under

Federal law governing each program included in the consolidated application/LEA Plan.

8. ____Before the application was submitted; the LEA afforded a reasonable opportunity for public comment on the application and considered such comment.

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|Superintendent Signature |Date |

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|School District: |

MCKINNEY-VENTO HOMELESS EDUCATION PROGRAM

1. The LEA will adopt policies and practices to ensure that homeless children and youths are not stigmatized or segregated on the basis of their status as homeless.

2. The LEA will designate an appropriate staff person as an LEA liaison for homeless children and youths, to carry out the duties described. 42 U.S.C. § 11432(g)(6)(A)

3. The LEA will adopt policies and practices to ensure that transportation is provided, at the request of the parent or guardian (or in the case of an unaccompanied youth, the liaison), to and from the school of origin in accordance with the provisions in Section 42 U.S.C. § 11432(g)(1)

4. The LEA will adopt policies and practices to ensure immediate enrollment of homeless children and youth in accordance with all applicable statutes, regulations, program plans and applications.

BOARD APPROVAL AND SUPERINTENDENT’S SIGNATURE

The School Board of _________________________________ approved and recorded in its minutes the

set of assurances stated above at a meeting held on ________________ .

Superintendent (Typed Name)

Superintendent Signature Date

Table of Contents for the McKinney-Vento Education Proposal

Complete the Table of Contents in alignment with the submitted proposal. Please submit proposal in the following order and insert page numbers to indicate where these sections are located. All of the following are required forms and must be returned with the proposal.

❑ Application Information cover page page ______

❑ Project Information page ______

❑ McKinney-Vento Assurances page ______

❑ Assurance Policies of the Local Educational Agency page ______

❑ Table of Contents page ______

❑ Program Abstract page ______

❑ Program Narrative page ______

Attachments

❑ LEA Policy & Practices (1) page ______

❑ Needs Assessment – copy & results (2) page ______

❑ LEA Program Staff Information (3) page ______

❑ McKinney-Vento Standards and Indicators of Quality (4) page ______

❑ Itemized Budget Form (5) page ______

❑ Budget Justification Summary (6) page ______

❑ Collaboration Documentation (7) page ______

❑ Title I Set-Aside Information (8) page ______

❑ Homeless Liaison Information (9) page______

McKinney-Vento Homeless Education Grant

2019-2022 Program Abstract

Program Narrative Guide

McKinney-Vento Education for Homeless Children and Youth 2019-2022

Label each section with the following headings, provide a brief narrative addressing the following topics, and complete the corresponding forms/attachments.

Section I: MEETING THE PURPOSE OF THE AUTHORIZING STATUTE

Provide evidence of how the local education agency (LEA) is currently and will accomplish meeting the required statutes of the McKinney-Vento Homeless Assistance Act.

A. LEA Requirements – (Brief Narrative and Attachment Forms)

Describe how the policies and procedures, consistent with Section 722(e)(1-3), have been reviewed, revised, and adopted by the LEA to be implemented ensuring educational stability to enhance students’ academic and social growth through actions carried out by the agency.

Complete the following matrix form and documentation to support the narrative description.

• LEA Policy and Practices – (Attachment 1)

B. Comparable Services – (Brief Narrative)

Describe how homeless children and youth will be provided services comparable to those received by other students. Services including but not excluding, transportation and educational programs for students who meet the eligibility criteria of such services provided under:

• Title I or similar state or local programs;

• programs for students with disabilities;

• programs for students with limited English proficiency;

• vocational or technical programs;

• gifted and talented programs;

• preschool programs;

• school nutrition programs.

Section II: EXTENT OF NEED FOR THE PROJECT

Demonstrate the determination of need for assistance, justify the need for the program, and explain the commitment to coordinate services to meet the needs.

A. Assessment of Educational and Related Needs – (Brief Narrative and

Attachment Form)

Provide a clear description of the process to assess the education and related needs of the homeless students.

Describe the results of the “Needs Assessment” utilized to gather information of the homeless children and youth issues, including but not excluding:

• identification of homeless children, youth, and families in the community;

• defining the type(s) of homelessness in the LEA service area;

• identification of the approximate number of homeless students (Pre-K to 12th grade) in LEA community and the approximate number to be served.

Complete the following matrix form and documentation to support the narrative description.

• Needs Assessment – (Attachment 2)

B. Program Description – (Brief Narrative)

Provide a clear description of the current and proposed LEA program(s) including the services and activities to address the needs identified in the needs assessment process.

Provide a description of the extent to which the LEA will provide case management or related services to unaccompanied youth.

Provide a clear description of the summer program including the collaborative partners, services, and activities to address the needs of the students as identified in the needs assessment process.

Describe the level of involvement and training of the LEA personnel, educators and support staff in the program.

Describe how the parents or guardians of homeless students will participate meaningfully in the education of their child, i.e., face-to-face conferences, access to individual student records, facilitating with homework assignments, parent skills training, awareness of rights, etc.

C. Coordination with Existing Resources – (brief narrative)

Explain the extent to which the homeless students will be integrated within the regular education program including Title I; preschool; special services; and other local/state/federal programs offered in the community.

Describe the coordination and collaboration with the local social service agencies and other agencies or programs providing services for children, youth, and families.

Identify the types, intensity, and coordination of the services that will be provided.

Section III: PROJECT DESIGN

Description of the clear relationship between the need(s) identified, McKinney-Vento Homeless Education Act, activities, and the evaluation strategies.

A. School Plan – (Brief Narrative and Attachment Forms)

Identify and describe the duties of the designated McKinney-Vento Homeless

Liaison. (Years in position, full time or part time liaison, how many trainings have the person conducted in the district, how many state and national conferences attended, etc.)

Describe how the staffing design supports the indicators and measurable activities.

Describe the LEA program staff roles and the qualifications of the key positions providing services for homeless children and youth.

Complete the McKinney-Vento Standards and Indicators of Quality Plans with measurable activities, personnel responsible, timeline, projected number of participants, and evaluation as related directly to the needs of the homeless children, youth, and families.

Complete the following matrix forms/documentation to support the narrative description.

• LEA Program Staff Information – (Attachment 3)

• McKinney-Vento Standards and Indicators of Quality – (Attachment 4)

B. Evaluation – (Brief Narrative)

Describe the plan for a rigorous and objective evaluation to measure the progress toward achieving the program objectives, strategies to meet such objectives, and how they are consistent with the McKinney-Vento Standards and Indicators of Quality.

Describe the evaluation strategies with the specific measurable activities, instrumentation, plan of data collection, and designation of responsible personnel to conduct the evaluation.

Describe the evaluation strategies, with the specific measurable activities, instrumentation, plan of data collection, and designation of responsible personnel to conduct the evaluation, that will measure the effectiveness of the program and practices resulting in an increase of school enrollment, attendance, achievement of children and youth experiencing homelessness, and meeting the required statutes of the McKinney-Vento Homeless Assistance Act.

Section IV: REASONABLENESS OF BUDGET AND JUSTIFICATION

Presentation and justification of the reasonableness of the budgeted items as they relate to the proposed activities and services incorporated throughout the complete narrative. Include allowable costs for project of the target population. *No indirect cost, professional grant writer fee, cell phone or vehicle may be charged to this grant.

A. Project Budget – (Brief Narrative and Attachment 5)

Describe how the proposed use of funds will facilitate the enrollment, retention, and educational success of homeless students.

Identify other funding sources used to support services and programs for homeless children and youth.

Complete the following matrix form / documentation to support the narrative description.

Itemized Budget Form – (Attachment 5)

B. Budget Justification – (Brief Narrative and Attachment 6)

Provide justification and correlation of the budgeted items to the proposed activities and services.

Describe how the Title I Reservation of Funds set-aside will be utilized for the identified needs of homeless children and youth.

Complete the following matrix form and documentation to support the narrative description.

Budget Justification Summary – (Attachment 6)

Section V: Appendix (FORMS AND DOCUMENTATION)

• LEA Policy and Practices – Attachment 1

• Needs Assessment – Attachment 2

• LEA Program Staff Information – Attachment 3

• McKinney-Vento Standards and Indicators of Quality – Attachment 4

• Itemized Budget Form – Attachment 5

• Budget Justification Summary – Attachment 6

• Collaboration Forms – Attachment 7

• Title I and McKinney-Vento Coordination – Attachment 8

• Homeless Liaison Information – Attachment 9

Attachment #1

Insert a copy of the “LEA Policy and Practices” addressing barriers of homeless students in the district. This Policy should reflect specifics for the district and not be a “cookie cutter” policy. Specify when the district policy was last reviewed and updated.

Attachment #2

Insert a copy AND the results of the “Needs Assessment” document utilized to gather information and direct the proposed project to provide services for the homeless children, youth, and their families in your local area.

Attachment #3

LEA Program Staff Information Providing Services for Homeless Children and Youth

District Name_______________________________________________ LEA # ____________

PROGRAM STAFF

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|Full Name of Staff Members |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use |M-V students to be |How will the results of the activity be |

|indicator) | |month, date, year) |impacted |measured? |

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(Reproduce form as needed.)

McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 2: All Homeless students show academic progress.

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|Indicator |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use month, |M-V students to be |How will the results of the activity be |

|indicator) | |date, year) |impacted |measured? |

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(Reproduce form as needed.)

McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 3: The LEA identifies all homeless children and youth through outreach, including outreach to specific subgroups including preschool-aged children, unaccompanied homeless youth, out of school youth, and migratory children and youth.

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|Indicator |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use month, |M-V students to be |How will the results of the activity be |

|indicator) | |date, year) |impacted |measured? |

|Include the start/end date of each activity. | | | | |

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(Reproduce form as needed.)

McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 4: LEA removes barriers to enrollment for homeless students.

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|Indicator |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use month, |M-V students to be |How will the results of the activity be |

|indicator) | |date, year) |impacted |measured? |

|Include the start/end date of each activity. | | | | |

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(Reproduce form as needed.)

McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 5: The LEA maintains all homeless students in their school of origin when in their best interest.

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|Indicator |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use month, |M-V students to be |How will the results of the activity be |

|indicator) | |date, year) |impacted |measured? |

|Include the start/end date of each activity. | | | | |

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(Reproduce form as needed.)

McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 6: The LEA provides homeless students all educational services for which they are eligible.

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|Indicator |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use month, |M-V students to be |How will the results of the activity be |

|indicator) | |date, year) |impacted |measured? |

|Include the start/end date of each activity. | | | | |

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(Reproduce form as needed.)

McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 7: The LEA links homeless students and their families to community service.

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|Indicator |

|Measurable Activity(s) |Personnel Responsible |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each |(By title) |(Be specific – use month, |M-V students to be |How will the results of the activity be |

|indicator) | |date, year) |impacted |measured? |

|Include the start/end date of each activity. | | | | |

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(Reproduce form as needed.)

McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 8: The LEA informs all parents and guardians of homeless children and youth of the educational and related opportunities available to their children and of meaningful opportunities to participate in their children’s education.

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|Indicator |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use |M-V students to be |How will the results of the activity be |

|indicator) | |month, date, year) |impacted |measured? |

|Include the start/end date of each activity. | | | | |

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(Reproduce form as needed.)

McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 9: The LEA informs all unaccompanied homeless youth of the educational and related opportunities available to them.

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|Indicator |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use |M-V students to be |How will the results of the activity be |

|indicator) | |month, date, year) |impacted |measured? |

|Include the start/end date of each activity. | | | | |

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(Reproduce form as needed.)

McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 10: The LEA conducts awareness activities for educators and community service providers regarding the right and needs of homeless children and youth.

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|Indicator |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use |M-V students to be |How will the results of the activity be |

|indicator) | |month, date, year) |impacted |measured? |

|Include the start/end date of each activity. | | | | |

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(Reproduce form as needed.)

McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 11: LEAs coordinate and collaborate with programs within the LEA to increase identification of homeless students, plan support activities, align procedures and practices, and leverage resources.

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|Indicator |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use |M-V students to be |How will the results of the activity be |

|indicator) | |month, date, year) |impacted |measured? |

|Include the start/end date of each activity. | | | | |

| | | | | |

(Reproduce form as needed.)

McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 12: LEAs coordinate and collaborate with community agencies, organizations, and business partners to deliver comprehensive services in an efficient manner, expand or leverage resources, and participate in policy discussions.

|Indicator |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use |M-V students to be |How will the results of the activity be |

|indicator) | |month, date, year) |impacted |measured? |

|Include the start/end date of each activity. | | | | |

| | | | | |

(Reproduce form as needed.)

McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 13: The LEA local liaison has sufficient time, training, and support to carry out his or her duties.

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|Indicator |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use |M-V students to be |How will the results of the activity be |

|indicator) | |month, date, year) |impacted |measured? |

|Include the start/end date of each activity. | | | | |

| | | | | |

(Reproduce form as needed.)

McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 14: The LEA has policies and procedures that remove educational barriers for homeless children and youth.

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|Indicator |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use |M-V students to be |How will the results of the activity be |

|indicator) | |month, date, year) |impacted |measured? |

|Include the start/end date of each activity. | | | | |

| | | | | |

(Reproduce form as needed.)

McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 15: The LEA provides professional development and other support to school personnel serving homeless children and youth.

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|Indicator |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use |M-V students to be |How will the results of the activity be |

|indicator) | |month, date, year) |impacted |measured? |

|Include the start/end date of each activity. | | | | |

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McKinney-Vento Education for Homeless Children and Youth

Standards and Indicators of Quality

Standard 16: The LEA utilizes data for needs assessment and program planning.

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|Indicator |

|Measurable Activity(s) |Data Sources |Timeline |Number of |Evaluation |

|(Activity or sequence of activities to achieve each | |(Be specific – use |M-V students to be |How will the results of the activity be |

|indicator) | |month, date, year) |impacted |measured? |

|Include the start/end date of each activity. | | | | |

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(Reproduce form as needed.)

|Attachment # 5 |

|McKinney-Vento Education for Homeless Children and Youth |

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|School District: |  | |LEA # |  |

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|Budget Form |

|CODE / FUNCTIONS |OBJECTS |  |

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|Homeless Liaison |  |

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(Reproduce form as needed.)

Attachment #7 McKinney-Vento

Collaboration Form

This form must be submitted for every collaborator.

|Collaborator Name (Organization and Department Name): |

|Mailing Address: |

|City: |Zip: |

|Office Phone: |Cell Phone: |Fax: |E-mail: |

Type of collaboration (check one):

☐ In-District Collaboration (examples: Music Department, PTA, Special Education, Migrant Department, etc.)

☐ Other Organization/Agency Collaboration (examples: Girl Scouts, Boys and Girls Club, Baptist Church, Lion’s Club, YMCA Family Shelter, Safe Place Domestic Violence Shelter, etc.)

List the specific services and/or items this collaborator will provide to support the McKinney-Vento subgrant:

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|Collaborator’s Signature: | |

|Chief Executive Officer | |

|Title or Position: | |

|Date: | |

This document must be signed and included with the application as evidence of the collaboration between the applicant and the entity/entities with which the applicant has and will collaborate in the planning and implementation of the Education of Homeless Children and Youth Program described in the application. The statement must be signed by the chief executive officer of the agency or organization with which the applicant is collaborating.

Attachment #8

Title I, Part A and McKinney-Vento Coordination

Title I, Part A Funds Set-Aside for Homeless Children and Youth

Section 1113(c)(3) of the ESEA

| |Actual Dollar Amount |Total Amount of Set-Aside Spent |Activities |

| |Set-Aside on Title I Budget |for support of homeless | |

| |(refer to budget on Title I |education | |

| |application) |(refer to budget on Title I | |

| | |application) | |

|2016-2017 | | | |

|2017-2018 | | | |

|2018-2019 | | | |

1. What percentage of the 2017-2018 Title I Set-Aside funds was spent on activities for homeless children and youth? (If less than 100% explain.). Please confirm amount spent with district business official regarding Title I budget.

2. What was the process used to determine the amount of the Title I, Part A, Set-Aside for 2017-2018?

3. What mechanisms are in place to ensure ongoing coordination between the Title I, Part A, Set-Aside and McKinney-Vento programs?

Attachment #9

Homeless Liaison Information

|Name: |

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|Number of years in liaison position: |

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|Number of trainings attended in the last three years: |

|List the name and date of the training. |

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|Percentage of time as liaison: |

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|Other duties in the district: |

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Name of Program County

School District LEA #

LEA Homeless Liaison

Mailing Address

(Street)

(City) (State) (Zip)

Telephone ( ) FAX ( )

Email

Number of identified homeless students: _____________

Poverty rate for district: ______________

•

• Abstract Describing Program and Services

• Evidence/Data Supporting Success of the Project

Attachment #4[?]$&':~´µÓÔ

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hŽ«CJ^J[?]h¾pYhG9ÐCJ^J[?]$h¾pYh´;¥5?;?>*[pic]CJ,\?^J[?]aJ,$h¾pYhG9Ð5?;?>*[pic]CJ,\?^J[?]aJ,h¾pYhG9Ð^J[?]hƒhF-ÀhF-ÀCJOJQJhªThF-ÀCJaJhF-ÀCJOJQJ hG9Ð5?jhZ3¥5?U[pic]hG9ÐCJO- All 16 Standards

McKinney-Vento Standards and Indicators of Quality Forms

Indicators for McKinney-Vento Homeless Education can be found at



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