CLSD Application Step One Form



K-12 Subgrant Step-One Application FormApplicants must submit an electronic copy of a completed application form and School Identification and Needs Assessment to clsd@k12.hi.us. Applications must be received by HIDOE by 4:00 pm HST on February 6, 2020. Note: This is Step-One of the CLSD application process. Only applicants with an approved Step-One application will be invited to submit a full proposal in Step-Two. Applicant InformationComplex Area, CSC or Consortium NameIf consortium, Complex Areas involved in consortiumIf consortium, Lead Complex AreaLead CAS or CSC NameLead CAS or CSC Phone NumberLead CAS or CSC Email AddressAlternate Contact NameAlternate Contact’s TitleAlternate Contact Email AddressAlternate Contact Phone NumberProject InformationBrief description of the proposed project (4 – 5 sentences)Number of students expected to be served by proposalNumber of teachers expected to be served by proposalPlanning Team MembersNameRoleAdd rows as neededSchool Identification and Needs AssessmentIn Table 1 below list each school interested in participating in this CLSD project, then complete Table 2 and 3. Submitting the school here indicates the principal and school leadership team are interested in and committed to participating throughout the 5-year CLSD project period. See Appendix A for 2019/20 school student count and school Free & Reduced Lunch percentage. Use LDS school reports and data to present identified literacy needs (data submitted must represent School Year 2018/19). Table 1School NameGrade BandNumber of students% Free & Reduced LunchSY18/19SBA ELA % Meet and Exceeds (each tested grade)Briefly describe the school’s identified literacy needs. Specifically addressing underserved or disadvantaged learners.(Example) Aloha ElementaryK-546532%Grade 3 = 35%Grade 4 = 30%Grade 5 = 27%Aloha elementary is struggling with basic literacy skill development in the early grades and a reduced percentage of students meeting reading standards from grade 3 to grade 5. Our EL students make up 23% of our school population and they lag between 17 and 22 percentage points behind the grade level average of students meeting ELA standards. We also struggle with English Language Proficiency and GTT for our EL students.Add rows as needed.Table 2Number of schools participatingNumber with 50% or more F&RPercent with 50% or more F&RParticipating elementary schools (grades K-5)Table 3Number of schools participatingNumber with 40% or more F&RPercent with 40% or more F&RParticipating secondary schools (grades 6-12)For schools that are combined elementary and secondary, identify in both table ................
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