Georgia Department of Education



|[pic] |TITLE III |

| |ANNUAL REPORT |

| |NCLB Act of 2001, Title III, Part A |

| |Language Instruction for Limited English |

| |Proficient and Immigrant Students |

| |Title III, Sec. 3121 (c) |

|Name of LEA: |

|Name of LEA Title III Director: |SEI Due Date: |

| |July 1, 2017 |

|Directions |

|The Georgia Title III Annual Report fulfills LEAs’ requirement to provide the state with federally-required documentation, as described in Title III, Sec. |

|3121 (c). All Title III-recipients – including Title III Consortium LEAs - must complete this document, with the exception of those districts that were |

|monitored by Title III staff (onsite or desktop) during the current school year. Timely submission of this report is one element of the annual Title III |

|Risk Assessment which impacts the selection of districts to be monitored in the subsequent school year. |

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|If you need assistance completing the Annual Report, please contact the ESOL & Title III Unit at 404-463-0505. |

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|Please mail the completed form postmarked on or before July 1, 2017 to: Kim Lacewell, c/o ESOL & Title III Unit, Georgia Department of Education, 1854 Twin|

|Towers East, 205 Jesse Hill Jr. Drive SE, Atlanta, Georgia 30334. (We cannot accept faxed or scanned versions of this document.) |

|Assurances |

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|The authorized representatives assure the Georgia Department of Education that the information provided in this Annual Report is true and correct and |

|pertains to activities and expenditures that took place during the 2016-2017 school year. |

|Signatures of Authorized Representatives: | (For GaDOE Use: ) |

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|Superintendent _______________________________________ Date:________________________ | |

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|Title III Director _______________________________________ Date:________________________ | |

| |Date of Receipt |

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|Percentage of LEA’s ELs that are in “Monitored” status |

|(Number of EL-M ÷ number of EL-Y+M) x 100 ___________ |

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|Select the Program Delivery Model(s) utilized by the LEA |

|(State Board approved Delivery Models) or Innovative Model - Must be approved in advance by GaDOE* |

|Pull- Out (*Unless LEA is a Charter|

|or SWSS district) |

|Push- In |

|Cluster Center |

|Resource Center |

|Sheltered Content Courses |

|Scheduled English Language Acquisition Courses |

|Dual Language Immersion |

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|Describe the programs and activities conducted by the district with the Title III funds received for use during the 2015 – 16 school year. |

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|Does the district possess evidence of timely and meaningful consultation with private schools for provision YES NO N/A |

|of Title III services? (Note: Consultation often takes place in cooperation with Title I programs.) |

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|Please indicate all topics on which your school district provided professional development to |

|certified teachers and leadership teams |

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|Type of Professional Development Activity |

|YES NO |

|Instructional strategies for ELs |

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|Understanding and implementation of assessment of ELs |

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|Understanding and implementation of English Language Development (WIDA) Standards and academic content standards for ELs |

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|Alignment of curriculum in language instruction educational programs to ELD (WIDA) standards |

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|Subject matter knowledge for teachers |

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|Other (please specify): |

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|How many participants attended professional development (PD) training related to the teaching and learning of ELs? |

|If zero, place a zero in the “# Participants” box |

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|Participant Information YES |

|NO #Participants |

|Was PD Provided to Content Classroom Teachers? |

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|Was PD Provided to ESOL Classroom Teachers? |

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|Was PD Provided to Principals? |

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|Was PD Provided to Administrators Other Than Principals? |

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|Was PD Provided to Other School Personnel? |

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|Was PD Provided to Community Based Organization Personnel? |

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|Total l |

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|YES NO N/A |

|Purchased Equipment |

|All equipment purchased with Title III and State ESOL funds is properly labeled and inventoried. |

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|Expenditure of Funds |

|No more than 25% of 2016-17 Title III funds will be carried over into the 2017-18 fiscal year. |

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|Administrative Spending Cap |

|No more than 2% of the Title III award amount is spent for administration of the Title III program. |

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|Personnel Activity Report / Semi-annual Certification |

|Time and effort logs or periodic certifications are kept for all staff compensated with Title III funds. |

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|N. |

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Innovative or “Other” Model Description, for non-Charter or SWSS LEAs

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