RFA-17: SIG Cohort 4 Renewal Application (CA Dept of ...



School Improvement Grant

Cohort 4, Planning Year

2017–18

Renewal Application

Renewal Applications must be received by the

California Department of Education

no later than 4 p.m. on May 26, 2017

School Turnaround Office

Improvement and Accountability Division

California Department of Education

1430 N Street, Suite 6208

Sacramento, CA 95814-5901

916-319-0833



April 2017

[pic]

Table of Contents

Timeline iii

School Improvement Grant Renewal Application Process iv

Renewal Application Cover Sheet 1

Signatures and Approvals 2

Grant Contact Information 3

School Improvement Grant Implementation Readiness Self-assessment 4

Revised Annual Student Performance and Progress Goals 9

Revised SIG Form 2––Implementation Chart(s) 12

Revised SIG Form 3––Local Educational Agency and School Budget(s) 13

Related Documents 14

School Improvement Grant Renewal Application Checklist 15

Appendix A—General Assurances 16

Appendix B—General Assurances, Sub-grant Conditions and Assurances, and Certifications 17

Timeline

| | |

|Important Events |Date |

|2017–18 Renewal Application posted to the California Department of Education (CDE) School Improvement |April 17, 2017 |

|Grant (SIG) Web page | |

|2017–18 Renewal Applications from local educational agencies (LEAs) due to the CDE by mail and e-mail |May 26, 2017 |

|2017–18 Renewal Applications reviewed by the CDE |May 30, 2017 to June 2, 2017 |

|LEA Notification of Renewal Status |After July 1, 2017 |

Reminders:

1. Check the name of the school district superintendent for the LEA using the database on the CDE California School Directory Web page at and update if there are changes.

2. To obtain the National Council on Education Statistics Identification Number, the LEA can search for a school by using the following link at .

School Improvement Grant Renewal Application Process

Renewal of Funding

The CDE will consider all of the following factors in determining whether or not the LEA’s SIG sub-grant will be renewed for the first year of full implementation in Cohort 4:

• Progress on planning and pre-implementation activities

• Analysis of current functioning related to structural supports necessary to successfully and fully implement the chosen intervention model

• Results of planning and pre-implementation activities including any needs identified, the formation of new performance and progress goals, and focus areas for the next year

Renewal Application Submission

The 2017–18 Renewal Application is due on or before May 26, 2017.

Applicants must submit:

• One printed original application; and

• One electronic copy of the application in Microsoft Word 2013 or later

Both the printed and electronic copies should be single-spaced in 12 point Arial font using one inch margins. Implementation charts and budgets must be formatted in Microsoft Excel 2013 or later. Both the printed original and the electronic copy must be received by the School Turnaround Office on or before (not postmarked by) 4 p.m., May 26, 2017. Applicants must submit the electronic copy to STO@cde.. Mailed documents should be sent to the following address:

School Turnaround Office

Improvement and Accountability Division

California Department of Education

1430 N Street, Suite 6208

Sacramento, CA 95814-5901

To comply with federal Americans with Disabilities Act regulations, please adhere to the following guidelines:

• Submit text-based documents only (no scanned images).

• If images are included, also include alternative text for that image.

• Do not use color to convey information.

• Do not include images of handwritten signatures for privacy reasons.

Grant Awards and Payments

Under the provisions of the SIG authorized under Section 1003(g) of Title I of the Elementary and Secondary Education Act of 1965, as amended (Federal Register, volume 80, p. 7248, February 9, 2015), the SIG program is a five-year grant awarded in five one-year increments. For fiscal year (FY) 2017–18 grant award renewals that are approved by the CDE, the grant period is July 1, 2017, through September 30, 2018.

Grant payments are subject to fulfillment of all reporting requirements.

Additional program and fiscal information related to the SIG program can be found on the CDE SIG Web page at .

Renewal Application Cover Sheet

School Improvement Grant

2017–18 Renewal Application

RENEWAL APPLICATION RECEIPT DEADLINE

4 p.m. May 26, 2017

|Paper Submission: |

|School Turnaround Office |

|Improvement and Accountability Division |

|California Department of Education |

|1430 N Street, Suite 6208 |

|Sacramento, CA 95814-5901 |

| |

|Electronic Submission: |

|STO@cde. |

NOTE: Please print or type information.

|County Name |County/District Code |

|Local Educational Agency (LEA) Name |LEA National Council on Education Statistics Number |

|LEA Address |FY 2017–18 Grant Amount |

|City |Zip Code |

|Name of Primary Grant Contact |Grant Contact Title |

|Telephone Number |Fax Number |E-mail Address |

|CERTIFICATION/ASSURANCE SECTION: As the duly authorized representative of the applicant, I have read all assurances, certifications, terms, |

|and conditions associated with the federal School Improvement Grant (SIG) program; and I agree to comply with all requirements as a condition|

|of funding. |

| |

|I certify that all applicable state and federal rules and regulations will be observed and that, to the best of my knowledge, the information|

|contained in this application is correct and complete. |

|Name of Superintendent or Designee |Telephone Number |

|Superintendent or Designee Signature (Blue Ink) |Date |

Signatures and Approvals

|School District Approval: The superintendent, or designee, at each school district involved in the 2017–18 Renewal Application must sign. |

|School District Name |Name of Superintendent, or Designee |Signature of Superintendent, or Designee |

| | | |

| |

| |

|School Principal Approval: The principal of each school site involved in the 2017–18 Renewal Application must sign. |

|School Name |Intervention Model |Printed Name of Principal |Signature of Principal |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

Grant Contact Information

|Name of Primary Grant Contact | |

|Title | |

|Address | |

|City, State, Zip | |

|Phone Number | |

|Fax Number | |

|E-mail Address | |

| |

|Name of Fiscal Contact | |

|Title | |

|Address | |

|City, State, Zip | |

|Phone Number | |

|Fax Number | |

|E-mail Address | |

School Improvement Grant

Implementation Readiness Self-assessment

| |

|Instructions: A representative from the LEA, school, and other relevant stakeholders such as Lead Partner or Educational Management |

|Organization (EMO) should collaboratively determine the status of each of the following four elements (pp. 5–9), the successes and |

|challenges encountered, reasons for any delays and the completion timeline (if applicable). A separate SIG Implementation Readiness |

|Self-assessment must be completed for each SIG school. |

| |

|LEA:_______________________________________________________________ |

| |

|School:_____________________________________________________________ |

| |

|Name/title of persons contributing to the self-assessment: |

| |

|_____________________________ _________________________________ |

| |

|_____________________________ _________________________________ |

| |

|_____________________________ _________________________________ |

| |

|_____________________________ _________________________________ |

| |

|_____________________________ _________________________________ |

| |

|_____________________________ _________________________________ |

| |

|_____________________________ _________________________________ |

| |

|_____________________________ _________________________________ |

| |

|_____________________________ _________________________________ |

| |

|_____________________________ _________________________________ |

| |

|_____________________________ _________________________________ |

| |

|_____________________________ _________________________________ |

| |

|_____________________________ _________________________________ |

| |

School Improvement Grant

Implementation Readiness Self-assessment (Cont.)

|Element 1 |Create and implement systems of data collection and analysis at the school and LEA levels to identify trends that can |

| |be used to inform decisions regarding implementation, as well as student performance and progress. |

|Select the status that best describes the progress made on this element. |

| | | |

|[pic]Not Started |[pic]In Progress |[pic]Completed |

|Please describe any successes and challenges in the completion of this element. If this element is “Not Started” or “In Progress,” please |

|provide a timeline for completion and reason for the delay. Limit your response to 500 words or fewer. |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

School Improvement Grant

Implementation Readiness Self-assessment (Cont.)

|Element 2 |Complete all planning and pre-implementation activities that are identified in the SIG implementation chart (SIG Form |

| |2a–Planning). |

|Select the status that best describes the progress made on this element. |

| | | |

|[pic]Not Started |[pic]In Progress |[pic]Completed |

|Please describe any successes and challenges in the completion of this element. If this element is “Not Started” or “In Progress,” please |

|provide a timeline for completion and reason for the delay. Limit your response to 500 words or fewer. |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

School Improvement Grant

Implementation Readiness Self-assessment (Cont.)

|Element 3 |Identify needs as a result of planning year activities and revise goals, implementation charts, and/or budgets to |

| |support identified needs. |

|Select the status that best describes the progress made on this element. |

| | | |

|[pic]Not Started |[pic]In Progress |[pic]Completed |

|Please describe any successes and challenges in the completion of this element. If this element is “Not Started” or “In Progress,” please |

|provide a timeline for completion and reason for the delay. Limit your response to 500 words or fewer. |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

School Improvement Grant

Implementation Readiness Self-assessment (Cont.)

|Element 4 |Identify and secure needed resources and supports in order to ensure performance and progress in full implementation |

| |years. |

|Select the status that best describes the progress made on this element. |

| | | |

|[pic]Not Started |[pic]In Progress |[pic]Completed |

|Please describe any successes and challenges in the completion of this element. If this element is “Not Started” or “In Progress,” please |

|provide a timeline for completion and reason for the delay. Limit your response to 500 words or fewer. |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

| |

Revised Annual Student Performance and Progress Goals

Each participating LEA must establish clear, measurable, and challenging goals for student performance and progress on the state’s assessments in both reading/English language arts and mathematics for each of the identified schools the LEA commits to serve. The LEAs must use the goals to monitor the progress of each school that receives SIG funds. Renewal of each LEA’s SIG, with respect to a particular school, is subject to each school’s progress made toward meeting the annual goals for student performance and progress.

Instructions:

Revise the student performance and progress goals for each SIG school based on progress made and needs identified during the planning year. For each identified need, complete one table. Include as many needs and goals for each school as applicable. Add additional tables and expand as necessary.

Revised Annual Student Performance and Progress Goals:

Reading/English Language Arts

|Identified Need(s) : | |

|Goal(s) Applies to: |School: | |

| |Schoolwide; Grade Level and/or Student | |

| |Groups: | |

| |

|School Improvement Grant Established Annual Measurable Goal(s) for Full Implementation |

|Full Implementation Year 1 | |

|Full Implementation Year 2 | |

|Full Implementation Year 3 | |

|Full Implementation Year 4 | |

|Full Implementation Year 5, if applicable | |

Revised Annual Student Performance and Progress Goals:

Mathematics

|Identified Need(s) : | |

|Goal(s) Applies to: |School: | |

| |Schoolwide; Grade Level and/or Student | |

| |Groups: | |

| |

|School Improvement Grant Established Annual Measurable Goal(s) for Full Implementation |

|Full Implementation Year 1 | |

|Full Implementation Year 2 | |

|Full Implementation Year 3 | |

|Full Implementation Year 4 | |

|Full Implementation Year 5, if applicable | |

SIG Form 2––Revised Implementation Chart(s)

The LEA must revise and include the revised SIG Form 2––Implementation Chart for each SIG school reflecting all activities completed in the planning year, and all activities proposed for full implementation. Please highlight all revisions.

The Implementation Chart must include the following:

• Proposed revisions identified in the Program Evaluation of SIG Required Components

• Specific action steps completed and projected for all required components of the model

• The timeline to complete each action step, including beginning and ending implementation dates, using both month and year designations for actions to be completed in each school year of the grant period

• Person(s) responsible for ensuring that each action step is completed according to the timeline

• Documentation of evidence submitted to the CDE, upon request, to verify implementation of action steps

Attach a printed copy of the revised SIG Form 2––Implementation Chart for each SIG school. Also, include the electronic copy of the revised Implementation Chart in Microsoft Excel 2013, or later, with the electronic version of this application. Ensure that all text within the spreadsheet cells is visible in the printed and electronic versions.

The LEA and school SIG Form 2––Implementation Chart forms are located on the CDE SIG Cohort 4 Request for Applications Web page at .

SIG Form 3––Revised Local Educational Agency and School Budget(s)

The LEA must include the revised budget(s) for the LEA and for each SIG school reflecting all proposed expenditures for each year of the grant.

• Ensure that all text within the spreadsheet cells is visible in the printed and electronic versions. Budget expenditures should align with activities outlined in the Implementation Charts.

• Please note that each budget should cover all years of implementation and be of sufficient size and scope to implement the selected school intervention model in each school that the LEA commits to serve.

Attach a printed copy of the LEA budget and a school budget for each identified SIG school. Include the electronic copy of these budgets in Microsoft Excel 2013, or later, with the electronic version of this application.

The SIG Form 3–– LEA and School Budget(s) forms are located on the CDE SIG Cohort 4 Request for Applications Web page at .

Related Documents

Partner Agreements: Include a printed copy of the following applicable agreements established during the planning year:

• Agreement with Lead Partner for schools implementing the State-determined Intervention Model (CA SDIM); and/or

• Agreement with the EMO for schools implementing the Restart Model or

CA SDIM

Financial Activity Reports: Include a printed copy of financial activity reports to date of the working budget for Resource Code 3180 that includes major and minor sub-object codes, sorted by resource and object code, and totals for each major object code.

School Improvement Grant

Renewal Application Checklist

Required Documents

The following documents must be included as part of the 2017–18 Renewal Application. Check or initial by each document, and include this form in the application package. These forms can be downloaded from the CDE SIG Cohort 4 Web page at . Please compile the application packet in the order provided below and include the completed checklist in the application packet.

______Renewal Application Cover Sheet

(Must be signed in blue ink by the LEA superintendent or designee)

______Signatures and Approvals

______Grant Contact Information

______School Improvement Grant Implementation Readiness Self-assessment

______Revised Annual Student Performance and Progress Goals: Reading/English Language Arts

______Revised Annual Student Performance and Progress Goals: Mathematics

______Revised SIG Form 2––Implementation Chart(s)

______Revised SIG Form 3––Local Educational Agency and School Budget(s)

______Partner Agreements

______Financial Activity Reports

Appendix A—General Assurances

Note: All sub-grantees are required to retain a copy of these assurances on file for their records and for audit purposes. Please download the 2016–2017 General Assurances form located on the CDE Funding Tools and Materials Web page at . Do not submit Appendix A to the CDE; retain at the LEA.

Download the following three certifications from the CDE Funding Tools and Materials

Web page at . The signature on the front of the application indicates acknowledgement of an agreement with all assurances. (Do not submit as part of the application.)

1. Drug Free Workplace

2. Lobbying

3. Debarment and Suspension

Appendix B—General Assurances, Sub-grant Conditions and Assurances, and Certifications

Sub-grant Conditions and Assurances

As a condition of the receipt of funds under this sub-grant program, the applicant agrees to comply with the following Sub-grant Conditions and Assurances.

The U.S. Department of Education requires LEAs to adhere to the following assurances:

1. Use its SIG to fully and effectively implement an intervention in each Tier I and Tier II school that the LEA commits to serve, consistent with the FY 2014 SIG final requirements.

2. Establish annual goals for student achievement on the state’s assessments in both reading/English language arts and mathematics and measure progress on the leading indicators in Section III of the FY 2014 SIG final requirements in order to monitor each Tier I and Tier II school that it serves with school improvement funds; and establish goals, approved by the state educational agency (SEA), to hold accountable its Tier III schools that receive school improvement funds.

3. Include, in its contract or agreement with the LEA, terms and provisions to hold the Charter School Operator, Charter Management Organization, or EMO accountable for complying with the FY 2014 SIG final requirements, if implementing a Restart Model in a Tier I or Tier II school.

4. Monitor and evaluate the actions an LEA has taken, as outlined in its approved SIG application, to recruit, select, and provide oversight to external service providers to ensure their quality, and regularly review and hold accountable such providers for their performance.

5. Monitor and evaluate the actions schools have taken, as outlined in the approved SIG application, to sustain the implemented reforms after the funding period ends, and ensure that it will provide technical assistance to schools on how they can sustain progress in the absence of SIG funding.

6. Report the school-level data required under Section III of the FY 2014 SIG final requirements to the SEA, including baseline data for the year prior to SIG implementation (this may include other data requested by the CDE).

Appendix B—General Assurances, Sub-grant Conditions and Assurances, and Certifications

(Page 2 of 3)

7. Ensure that each Tier I and Tier II school the LEA commits to serve receives all of the state and local funds it would receive in the absence of the school improvement funds, and that those resources are aligned with the established interventions.

Furthermore, the CDE requires LEAs to adhere to the following additional assurances:

1. In implementing the California State-determined Intervention Model, the LEA must ensure that during the planning year it will identify and select one of the required Lead Partners and maintain the partnership throughout the grant period.

2. Ensure that the identified strategies and related activities are incorporated in the revised LEA Plan and Single Plan for Student Achievement.

3. Follow all fiscal reporting and auditing standards required by the CDE.

4. Participate in a statewide evaluation process as determined by the SEA and provide all required information in a timely manner.

5. Respond to any additional surveys or other methods of data collection that may be required for the full sub-grant period.

6. Use funds only for allowable costs during the sub-grant period.

7. Include in the application all required forms signed by the LEA Superintendent or designee.

8. Use fiscal control and fund accountability procedures to ensure proper disbursement of, and accounting for, federal funds paid under the sub-grant, including the use of the federal funds to supplement and not supplant state and local funds, and maintenance of effort (20 United States Code § 8891).

9. Hereby express its full understanding that not meeting all SIG requirements will result in the termination of SIG funding.

10. Ensure that funds are spent as indicated in the sub-grant proposal and agree that funds will be used only in the school(s) identified in the LEA’s AO-400 Sub-Grant Award Letter.

Appendix B—General Assurances, Sub-grant Conditions and Assurances, and Certifications

(Page 3 of 3)

11. All audits of financial statements will be conducted in accordance with Government Auditing Standards and with policies, procedures, and guidelines established by the Education Department General Administrative Regulations (EDGAR), Single Audit Act Amendments, and Office of Management and Budgets Circular A-133.

12. Ensure that expenditures are consistent with the federal EDGAR under Code of Federal Regulations, Title 34 on the U.S. Department of Education Web page located at .

13. Agree that the SEA has the right to intervene, renegotiate the sub-grant, and/or cancel the sub-grant, if the sub-grant recipient fails to comply with sub-grant requirements.

14. Cooperate with any site visitations conducted by representatives of the state, or regional consortia, for the purpose of monitoring sub-grant implementation and expenditures, and provide all requested documentation to SEA personnel in a timely manner.

15. Repay any funds which have been determined through a federal or state audit resolution process to have been misspent, misapplied, or otherwise not properly accounted for; and further agree to pay any collection fees that may subsequently be imposed by the federal and/or state government.

16. Administer the activities funded by this sub-grant in such a manner so as to be consistent with California’s adopted academic content standards.

17. Obligate all sub-grant funds by the end date of the sub-grant award period, or repay any funding received but not obligated, as well as any interest earned over $100 on the funds.

18. Maintain fiscal procedures to minimize the time elapsing between the transfer of the funds from the CDE and disbursement.

19. Comply with the reporting requirements and submit any required report forms by the due dates specified.

The signature on the front of this application indicates acknowledgement and agreement to all stated assurances.

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download