ࡱ> @ B - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ?  ;bbjbjqq -Z eejX! #.#.'/'/'////0?5L/E~PS^TTTXjY<OY [E]E]E]E]E]E]E6IK*]E'/cWXcc]E#.#.TTrE˚˚˚c#.T'/T[E˚c[E˚˚*.J*T`&M/R GEE0E  LA L,**|L'/,8oY|i ˚ul F oYoYoY]E]EoYoYoYEccccLoYoYoYoYoYoYoYoYoY ,: Notice of Grant Opportunity New Jersey School Improvement Renewal Grant for SIG/COHORT 1 Continuation Year 3 of 3 12-SG05-H03 9/1/2012 8/31/2013 Christopher Cerf Acting Commissioner Penny MacCormack Chief Academic Officer/Assistant Commissioner Application Due Date: May 10, 2012 New Jersey Department of Education P.O. Box 500 Trenton, NJ 08625-0500 HYPERLINK "http://www.state.nj.us/education"http://www.state.nj.us/education NOTE: Only LEAs receiving a School Improvement Grant in 2011-2012 are eligible to apply for this renewal application. STATE BOARD OF EDUCATION ARCELIO APONTE . Middlesex President DR. RONALD K. BUTCHER . Gloucester Vice President CLAIR CHAMBERLAIN Eckert. Somerset JACK A. FORNARO Warren EDITHE FULTON . Ocean ROBERT P. HANEY Monmouth ERNEST P. LEPORE .... Hudson FLORENCE McGINN .. Hunterdon ANDREW J. MULVIHILL... Sussex ILAN PLAWKER .. Bergen J. PETER SIMON.. Morris DOROTHY S. STRICKLAND .. Essex Christopher Cerf, Acting Commissioner Secretary, State Board of Education It is a policy of the New Jersey State Board of Education and the State Department of Education that no person, on the basis of race, color, creed, national origin, age, sex, handicap or marital status, shall be subjected to discrimination in employment or be excluded from or denied benefits of any activity, program or service for which the department has responsibility. The department will comply with all state and federal laws and regulations concerning nondiscrimination. TABLE OF CONTENTS SECTION 1: GRANT PROGRAM INFORMATION ..Page 4 1.1 Description of the Grant Program ..Page 4 1.2 Eligibility to Apply ..Page 4 1.3 Federal Compliance Requirements (DUNS, CCR) ..Page 5 1.4 Statutory/Regulatory Source and Funding ..Page 5 1.5 Dissemination of This Notice ..Page 6 1.6 Technical Assistance ..Page 7 1.7 Application Submission ..Page 7 1.8 Reimbursement Request ..Page 8 1.9 Reporting Requirements ..Page 8 1.10 ARRA Reporting Requirements ..Page 9 1.11 NJDOE Oversight ..Page 9 1.12 Timelines ..Page 10 SECTION 2: PROJECT GUIDELINES ..Page 12 Project Requirements ..Page 12 Budget Requirements ..Page 13 SECTION 3: COMPLETING THE SIG APPLICATION ..Page 15 3.1 SIG Application ..Page 15 3.2 LEA Application ..Page 16 3.3 School Application ..Page 16 3.4 Application Component Checklist ..Page 19 3.5 General Instructions for Applying ..Page 20 3.6 Evaluation of Applications ..Page 21 SECTION 4: APPENDICES ..Page 22 Review Guide ..Page 23 Reporting Metrics ..Page 24 State Level Activities . ....Page 25 Resources ..Page 27 Renewal Application ..Page 29 Completing the Budget ..Page 123 SECTION 1: GRANT PROGRAM INFORMATION If we are to put an end to stubborn cycles of poverty and social failure, and put our country on track for long-term economic prosperity, we must address the needs of children who have long been ignored and marginalized in chronically low-achieving schools. Our goal is to turn around the 5,000 lowest-performing schools over the next five years, as part of our overall strategy for dramatically reducing the drop-out rate, improving high school graduation rates, and increasing the number of students who graduate prepared for success in college and the workplace. Arne Duncan, US Secretary of Education August 2009 1.1 DESCRIPTION OF THE GRANT PROGRAM School Improvement Grants (SIG), authorized under section 1003(g) of Title I of the Elementary and Secondary Education Act of 1965 (Title I of ESEA), were issued through State Educational Agencies (SEAs), to local educational agencies (LEAs) for use in Title I schools identified for improvement. These schools demonstrate the greatest need for the funds and the strongest commitment to use the funds to provide adequate resources to raise substantially the achievement of their students so as to enable the schools to make adequate yearly progress and exit improvement status. The requirements are available at HYPERLINK "http://www.ed.gov/programs/sif/index.html"http://www.ed.gov/programs/sif/index.html). School improvement funds are to be focused on each states Tier I and Tier II schools. Tier I schools are a states persistently lowest-achieving Title I schools in improvement. Tier II schools are a states persistently-lowest achieving secondary schools (grades 9-12) that are Title I served and Title I eligible for, but do not receive, Title I, Part A funds. In each of the Tier I and Tier II schools an LEA chooses to serve, the LEA was required to implement one of four federal school intervention models: turnaround model, restart model, school closure, or transformation model. Each SIG grant must be reviewed by the NJDOE on an annual basis to determine if the grant will be renewed. This Notice of Grant Opportunity serves as the method for the LEA to apply for Year 3 funds. 1.2 ELIGIBILITY TO APPLY Eligibility for this SIG program is limited to those applicants with a 2011 SIG approved application: DISTRICTSCHOOLMODEL1CamdenCramer Elementary SchoolTransformation2CamdenWiggins Elementary SchoolTransformation3Essex County Vocational SchoolsWest Caldwell CampusTransformation4Jersey City#41 The Center for the Arts MiddleTurnaround5Jersey CityHenry Snyder High SchoolTurnaround6NewarkCentral High SchoolTransformation7NewarkDayton Street ElementaryTransformation8NewarkMalcolm X Shabazz High SchoolTurnaround9NewarkNewark Vocational High SchoolTransformation10RoselleAbraham Clark High SchoolTransformation 1.3 FEDERAL COMPLIANCE REQUIREMENTS (DUNS, CCR) In accordance with the Federal Fiscal Accountability Transparency Act (FFATA), all grant recipients must have a valid DUNS number and must also be registered with the Central Contractor Registration (CCR) database. DUNS numbers are issued by Dun and Bradstreet and are available free of cost to all entities required to register under FFATA. To obtain a DUNS number, go to HYPERLINK "http://fedgov.dnb.com/webform/"http://fedgov.dnb.com/webform/ To register with the CCR database, go to HYPERLINK "http://www.ccr.gov"www.ccr.gov Applicants are required to submit their DUNS number and expiration date of their CCR registration as part of the application package and must certify that they will ensure that their CCR registration will remain active for the entire grant period. No award will be made to an applicant not in compliance with FFATA. 1.4 STATUTORY/REGULATORY SOURCE AND FUNDING The SIG program is 100% federally funded under the American Recovery and Reinvestment Act of 2009 (ARRA) and the Elementary and Secondary Education Act. There is a total of $13,993,141 available for Year 3. Awards are based on the availability of funds. The following chart specifies the funds available for each applicant for Year 3. Applicants are applying for Year 3 funds only in this continuation application. LEASCHOOLSCHOOL CODEMODELYEAR 3 CamdenCramer Elementary 07-0680-170Transformation$773,957CamdenU.S. Wiggins Elementary07-0680-320Transformation$491,603Essex County VocationalWest Caldwell Campus13-1390-080Transformation$839,848NewarkCentral High School13-3570-030Transformation$2,000,000NewarkNewark Vocational High School13-3570-045Transformation$1,725,089NewarkMalcolm X. Shabazz High School13-3570-050Turnaround$2,000,000NewarkDayton Street Elementary13-3570-370Transformation$1,648,321Jersey CityHenry Snyder High School17-2390-050Turnaround$2,000,000Jersey CityThe Center for the Arts (#41)17-2390-347Turnaround$2,000,000Roselle BoroAbraham Clark High School39-4540-010Transformation$ 514,323 The Year 3 SIG funds are available for obligation by SEAs and LEAs through August 31, 2013. Note that the total amount for Year 3 may not exceed the $2,000,000 (Year 3 plus possible Year 2 carryover). Funds not expended at the end of the second project period may be carried over into Year 3 subject to the same restrictions. The NJDOE obligated the SIG funds for the three-year project period to ensure that sufficient funds are available for the funded Tier I and Tier II schools. Continued funding is available for Year 3 subject to the states receipt of federal funds and the renewal and certification by the NJDOE of satisfactory performance by the grantee. The actual award for Year 3 will be determined at the time of pre-award revisions and subject to the NJDOE review and availability of funds. 1.5 DISSEMINATION OF THIS NOTICE The NJDOE has announced the availability of this NGO to eligible LEAs and schools. The NJDOE makes this notice available to the LEAs of eligible schools, and to the executive county superintendents of the counties in which the eligible applicants are located. Copies of the NGO are also available on the NJDOE web site at HYPERLINK "http://www.nj.gov/education/grants/discretionary/"http://www.nj.gov/education/grants/discretionary/ or by contacting the Office of Student Achievement and Accountability, New Jersey Department of Education, 100 River View Plaza, P.O. Box 500, Trenton, NJ 08625-0500. For information, email the Title I helpline at HYPERLINK "mailto:Titleone@doe.state.nj.us"Titleone@doe.state.nj.us or call (973) 727-6063. 1.6 TECHNICAL ASSISTANCE As part of the application process, the NJDOE is providing one session to eligible applicants for this grant program on Wednesday, March 28, 2012. Cohort 1-Year 3 Technical Assistance Session Date: Wednesday, March 28, 2012 Time: 1 to 4 pm PSE&G Conference Center Edison, NJ  Register on-line at HYPERLINKthe upcoming opportunities link located on the NJDOE web site at HYPERLINK "http://www.state.nj.us/education/events"http://www.state.nj.us/education/events. Registrants requiring special accommodations should identify their needs at the time of registration. Directions to the training site are provided on-line. During the pre-award revision process, further technical assistance is provided to the applicants that are selected to receive the SIG grant. This process occurs prior to issuance of the final award notice. The NJDOE works with the district to further strengthen its application (program and fiscal) to ensure that it is reasonable and has the potential for a high degree of success to support its struggling schools. 1.7 APPLICATION SUBMISSION The responsibility for a timely submission resides with the applicant. The Application Control Center (ACC) must receive an original and five copies of the complete application NO LATER THAN 4:00 PM, May 10, 2012. Without exception, the ACC will not accept, and the Office of Grants Management cannot consider for funding consideration, an application received after this deadline. Complete applications are those that include all requirements of this renewal application. Applications received by the due date and time will be screened to determine whether they are, in fact, eligible for consideration. The NJDOE reserves the right to reject any application not in conformance with the requirements of this renewal application. The original and five copies of the application must be submitted. To ensure timely delivery, applicants are encouraged to: Hand-deliver the application to 100 River View Plaza, Trenton, New Jersey, which is located next to the Mercer County Waterfront Park on Route 29, between the hours of 8:30 A.M. and 4:00 P.M., Monday through Friday (excluding state holidays); or Send the application by Certified Mail or Return Receipt; or Arrange for delivery by an overnight courier service to ensure timely delivery. The mailing and courier service addresses are listed below: Mailing AddressCourier Service AddressApplication Control Center New Jersey Department of Education 100 River View Plaza P.O. Box 500 Trenton, NJ 08625-0500Application Control Center New Jersey Department of Education 100 River View Plaza Trenton, NJ 08625 Applications submitted by fax will not be accepted under any circumstances. Complete applications are those that include all elements listed in Section 3.4, Application Component Checklist of this notice. Applications received by the due date and time will be screened to determine whether they are in fact eligible for evaluation. The NJDOE reserves the right to reject any application not in conformance with the requirements of this NGO. 1.8 REIMBURSEMENT REQUESTS Payment of grant funds is now made through a reimbursement system. Reimbursement requests for any grant funds the local project has expended are processed through the Electronic Web-Enabled Grant (EWEG) system. Requests may begin once the grantee has received the grant agreement. Grantees must submit requests at least 10 business days before the end of the month, but no later than the 15th of the month in order to receive payment the following month. You may include funds in your request that will be expended through the last calendar day of the month in which you are requesting the reimbursement. If the grantees request is approved by the NJDOE program officer, the grantee should receive payment around the 8th-10th of the following month. NOTE: Payments cannot be processed until the award has been accepted and fully executed by the NJDOE. A tutorial on reimbursement requests may be found at: HYPERLINK "http://www.nj.gov/education/grants/rrt.htm"http://www.nj.gov/education/grants/rrt.htm. 1.9 REPORTING REQUIREMENTS Grant recipients are required to submit quarterly program and fiscal progress reports. For additional information regarding post-award reporting requirements, please review the Grant Recipients Manual for Discretionary Grants (DGA), part seven, which is available online at: HYPERLINK "http://www.nj.gov/njded/grants/discretionary/management/manual.shtml"http://www.nj.gov/njded/grants/discretionary/management/manual.shtml. Reports are reviewed to ascertain the degree of the grantees progress within the scope of work appropriate to the current agreement period, and its conformance with program regulations and enabling legislation. The grantee is expected to complete all program and fiscal requirements and to make satisfactory progress toward the completion of a comprehensive plan to achieve the grant goals. Program and fiscal reports for this program are due as follows: YEAR 3 Report Quarterly Reporting Period* Due Date_____ 1st Quarter September 1, 2012 November 30, 2012 December 14, 2012 2nd Quarter September 1, 2012 February 28, 2013 March 15, 2013 3rd Quarter September 1, 2012 May 31, 2013 June 18, 2013 Final September 1, 2012 August 31, 2013 October 31, 2013 * Reporting is cumulative from the start date of each year. Reports Fiscal and Program Reports to be submitted through the EWEG System Fiscal and Program Reports include a narrative of the projects achievements and challenges, status of implementation of model components and fiscal compliance. The Final Fiscal Report will also include an equipment inventory tab to be completed as appropriate. The Final Program Report must also include a narrative of the districts/schools experience with implementing the selected model including results from the approved application section on monitoring and evaluation for each school. Implementation Status Reports The quarterly implementation status report provides an update on the SIG component implementation. The report is submitted to the Office of Student Achievement and Accountability. SIG Reporting Metrics The LEA is required to submit annual data for each served school. Baseline data has already been collected for 2010-2011 in the Year 2 application. This data will be used to compare data from one year to the next and to analyze progress and success in meeting the leading indicators of the SIG grant. The NJDOE monitors each SIG school to determine if it is meeting its student achievement goals. The leading indicators are specified in Appendix B. 1.10 AMERICAN RECOVERY AND REINVESTMENT ACT (ARRA) OF 2009 REPORTING REQUIREMENTS All recipients of ARRA SIG funds must comply with all reporting requirements specified in the American Recovery and Reinvestment Act of 2009 (ARRA). SIG reporting requirements are available in Section 1512 on the NJDOE homeroom at HYPERLINK "https://homeroom3.state.nj.us/arra_qrs/index.html"https://homeroom3.state.nj.us/arra_qrs/index.html. The LEA business administrators are familiar with the ARRA reporting requirements and thus must be alerted about accounting for the SIG funds. Other ARRA Reporting Requirements NJDOE may be required to collect and report data elements for other surveys and/or federal government agencies or designees that will require additional data collection from SIG grantees. By submitting this application, the grantee agrees to submit the information to NJDOE in the time, form, and manner requested. 1.11 NJDOE OVERSIGHT In addition to the review of quarterly/final fiscal and program reports, the NJDOE provides oversight to the grantees using on-site visits, an evaluation as well as through reports from the schools Network Turnaround Officer. On-Site Visits The NJDOE conducts biannual on-site visits to each school receiving a SIG grant. On-site visits are conducted by NJDOE to evaluate the implementation of the SIG plan and to determine if the schools are executing the selected model with fidelity. The monitoring determines barriers to the implementation and takes action to assist the school and district in resolution to ensure the success of the project. Network Turnaround Officer The Network Turnaround Officer (NTO) is assigned by the NJDOE to the school to work for at least 50 days during the project period. The NTO assigned to the school provides oversight to the LEA and school through periodic reporting to the NJDOE. Input from the NTO is used during the decision making process regarding ongoing implementation and during the annual renewal of the grant. The NTO is a member of the Internal District Team (CSA or designee, special education director, Title I director, supervisor of curriculum, SIG principal) who will meet monthly to discuss student achievement, walkthrough trends, attendance, discipline and SIG component implementation. Input from the NTO is used during the decision making process regarding ongoing implementation and during the annual renewal of the grant. The NTO plays a critical role in turning around struggling schools. As a facilitator of reform, the NTO is responsible for assisting the LEA and school leadership in initiating improvements in classroom instruction by helping to incorporate research-based practices to identify solutions to problems with student learning. In collaboration with the school principal and LEA, the NTO helps set a clear pathway toward distributed leadership within the schools, working with a highly-capable team to build a cohesive, professional teaching culture. The NTO also mentors and coaches the principal in developing turnaround management skills. As an evaluator, the NTO monitors the schools adherence to the intervention activity plan and tracking performance metrics, including academic achievement, against the plan goals and assists the NJDOE in making decisions about the annual renewal of the SIG grant. The NTO participates in the Leadership Academy and monthly network meetings along with the LEA and school staff. The role of the NTO is to assist the LEA and school to advance the effective and efficient implementation of the SIG components with fidelity. 1.12 TIMELINES The project periods for this grant are as follows, subject to the annual renewal of the grant: Fiscal Year 2012: September 1, 2012 to August 31, 2013 The following chart outlines the timeline for Year 3 of the grant program: Fiscal Year 2013Technical AssistanceMarch 28, 2012Year 3 Project Period BeginsSeptember 2012Year 2 Final ReportOctober 2012Quarterly on-Site VisitOctober 20121st Quarterly ReportDecember 2012Quarterly On-Site VisitFebruary 20132nd Quarterly ReportMarch 2013Quarterly on-Site VisitMay 20133rd Quarterly ReportJune 2013External EvaluationJuly 2013Project EndsAugust 2013Year 3 Final ReportOctober 2013 SECTION 2: PROJECT GUIDELINES The intent of this section is to provide the applicant with the program framework within which it continues the proposed project to meet the purpose of this grant program. Before preparing applications, eligible applicants are advised to review the USDE Guidance for SIG programs at: HYPERLINK "http://www2.ed.gov/programs/sif/index.html"http://www2.ed.gov/programs/sif/index.html 2.1 PROJECT REQUIREMENTS To effect change in persistently lowest performing schools, the LEA must continue to work together with the school to conduct an annual needs assessment and determine the actions to be taken in the coming year. Continued collaboration and genuine consultation with the schools stakeholders is an important and required part of grant implementation. The project description is used to specify the Year 3 strategies and actions. A timeline is set for implementation. Realistic student achievement goals are projected. The Activity Plan and Budget is then completed to support the project. A monitoring and evaluation plan is designed to assess the level of implementation. The change process takes time. During each year of implementation, the selected model should become more fully integrated into the schools overall operations. Three years provides the time for these changes to take root. The USDE guidance (F-2) states that some component implementation may occur later in the process. However, since this is Year 3 of 3, it is expected that all components of the model will be fully implemented in the 2012-2013 project period. Additionally, the LEA has a responsibility to continue to demonstrate it has the capacity and commitment to fully implement the required actions of the selected model for the served schools during the grant period. Because funding is only available for three years, LEAs must develop a sustainability plan to fund subsequent years. Only those renewals that demonstrate efforts of successful implementation of the SIG model will continue to be funded. After an application is reviewed, the grant may be revised program and/or budget. The contents at the time of submission may change during the grant period only by request of NJDOE in accordance with the NJDOE grant amendment process. Note: The SIG plan for the approved school serves as the Title I Unified Plan which meets the federal requirements for a Title I schoolwide program and the school improvement plan. Title I Schools not renewed are required to complete a Title I Unified Plan for FY 2012-2013.  State Required Activities (See Appendix C for detailed information.) The applicant agrees to continue to participate in the following state-funded activities by signing the assurance and budgeting any associated costs accordingly. Summer Leadership Academy and Monthly Network Network Turnaround Officer Evaluation LEA Responsibilities: (See Section 3.2 for detailed description of requirements) Engage stakeholders in the SIG application process; Demonstrate LEA commitment and capacity; and Continue to implement a monitoring and accountability plan. 2.2 BUDGET REQUIREMENTS School Improvement Grant funds are provided for the purpose of developing and implementing relevant services for the implementation of the selected intervention model. The applicants budget must be well-considered, be necessary for the implementation of the project, and remain within NGO funding parameters. In compliance with federal requirements, each school application must include a budget for Year 3. The LEA may budget in each school application up to five percent (5%) for LEA administrative purposes; a separate Budget Detail for these LEA costs must be included as a part of the individual school application and included in column 4 of the Budget Summary. Note: Funds not expended at the end of the second project year may be carried over into the following year providing the applicant submits an acceptable justification to the NJDOE and the total amount does not exceed $2 million (carryover plus subsequent annual award amount). Carryover amounts will be considered when the Final Report for Year 2 is submitted. The applicant must link each cost to the specific Project Activity Plan that provide programmatic support for the proposed cost. In addition, the applicant must provide documentation and detail sufficient to support each proposed cost. The actual amount awarded is subject to the availability of funds and is contingent upon the applicant's ability to provide support for its proposed budget. The Budget consists of three sections: Year 3 Budget Amount and Narrative Budget Detail for Year 3 Budget Summary for Year 3 The Budget Detail and Budget Summary must be completed and submitted to the NJDOE as part of the renewal/continuation application for Year 3. Note: The provisions of A-5/Chapter law 53 contain additional requirements concerning prior approvals, as well as expenditures related to travel. The applicant must work with their business administrator when constructing the budget. The NJDOE applies the A-5 restrictions uniformly to all grantees. Unless otherwise specified, the following restrictions apply to all grant programs: No reimbursement for in-state overnight travel (meals and/or lodging); No reimbursement for meals during in-state travel; Mileage is capped at $.31 per mile; and The federal per diem rates must be applied to all travel outside of New Jersey. Grant funds provided through this NGO may not be expended for the following: Entertainment that has no demonstrated link to educational objectives; Costs of rental space; Items that have a personal value; and/or Costs for capital renovations or construction. The project must be designed and implemented in conformance with all applicable state and federal regulations. Supplement not Supplant These SIG grant funds are to supplement, not supplant (replace), existing federal, state and/or local funds. Federal funds cannot be used to pay for anything that a school district would normally be required to pay for with either local funds or state aid. This requirement also covers job services previously provided by a different person or job title. The exceptions are for activities and services that are not currently provided or statutorily required, and for component(s) of a job that represent an expansion or enhancement of normally provided services. The grant will not fund direct services that local school districts must provide as mandated by statute, regulation, or students IEPs. Note: If a district is already providing any of the activities or services required under this grant project, it may not cover any of the costs for those activities or services with federal funds available under this grant project.  SECTION 3: COMPLETING THE RENEWAL SIG RENEWAL An application consists of both the LEA and the school portions. If an LEA is renewing more than one eligible school under this grant program, a separate application must be prepared and submitted for each eligible school for which the LEA is applying to be considered for funding. The LEA portion of the application is completed only one time and used for each school application. All components in the application package are listed in Section 3.4. The application is submitted by the LEA and must include all components (LEA application; separate application for each school for which the LEA is applying). Schools cannot submit their own applications as a separate entity. To apply for a grant under this NGO, the district must prepare and submit a complete application to the NJDOE by the due date. LEA Section: L1. Cover page and Board Resolution L2. Statement of Assurances L3. Documentation of Federal Compliance L4. Year 3 Project Abstract L5. Schools to be Served L6. LEA Commitment and Capacity Project L7. LEA Activity Plan School Section: S1. Cover Page and School Statement of Assurances S2. Documentation of Federal Compliance S3. Year 3 Project Abstract S4 Stakeholder Participation S5. Project Update S6. Year 3 Project Description S7. Annual Student Targets S8. Year 3 Project Activity Plan S9. Budget Amounts and Narrative S10-S15. Budget Detail S16. Budget Summary The SIG grant is renewable pending receipt of federal funding and subject to certification by the NJDOE of satisfaction of prior years performance by the grantee. LEA APPLICATION The LEA is required to complete the LEA section. The LEA section is used for each schools application. L-1: Cover Page and Board Resolution to Apply L-2: Statement of Assurances L-3: Documentation of Federal Compliance L4: Year 3 Project Abstract Includes a description of the LEAs mission and vision and a summary of the proposed project and its implementation for Year 3. Indicate if the mission and vision changed from Year 2. L-5: Schools to be Served Includes information about each school to be renewed. L-6: Year 3 LEA Commitment and Capacity The LEA must demonstrate that it continues to have the capacity to support its SIG schools. See H-18 of the USDE guidance for specific examples of how the LEA can demonstrate how it can serve SIG schools. The following information must be provided for each component: Barriers of Year 2 Implementation, Year 2 Implementation Description, Year 3 Project Description and Year 3 Timeline. L-7: LEA Activity Plan An LEA Activity Plan for Year 3 only must be completed for the applicant school using the template provided. Add additional pages for other permissible activities. The LEA Activity Plan must provide a clear linkage to the Project Description. List the activities accordingly. The LEA Activity Plan must include activities to support the model implementation. The applicant should consider the following: Relationship to the results of the needs assessment. An effective and efficient management plan for increasing leadership density in operations and processes for implementing all activities proposed in the application. Supporting the full implementation of the selected model within two years. Using the activity plan forms, the applicant should clearly provide detailed information describing specific actions: The components of a SMART goalSpecific, Measurable, Achievable, Relevant, and Timely. At least two sources of effectiveness data that are specific, measurable (or observable), and rigorous. Person responsible for conducting the activities including others involved. The resources to be used in implementing the actions. The role of any external provider. (See H-19 of the USDE Guidance) 3.3. SCHOOL APPLICATION The LEA is required to complete a school sections for each SIG school application. S-1: Cover Page and School Statement of Assurances S-2: Documentation of Federal Compliance S-3: Year 3 Project Abstract Include a description of the schools mission and vision. Indicate if it is changed from Year 2. A summary of the proposed project, the alignment with the mission and vision and the implementation of the project is to be provided. S-4: Stakeholder Participation This table is to list the dates of the Stakeholder Committee meetings where the project update, needs assessment, what was done in Year 2, what will be done in Year 3, and development of the renewal application occurred and other methods and events to inform the school community about the SIG program. The District Internal Team and the assigned Network Turnaround Officer will continue to provide support and help guide this process. S-5: Project Update Provide a narrative update using multiple measures that includes the following: Student achievement outcomes and progress toward meeting goals (use best available data). Adherence to the timelines in the Year 2 Activity Plan. How the SIG school was treated differently than other schools in the district. Describe the needs assessment process and what will be done in Year 3. The assigned Network Turnaround Officer and the District Internal Team will guide the needs assessment process. S-6: Year 3 Project Description A project description is required for each applicant school. The description must describe how the model components have and will continue to be implemented and the timeline. Use the appropriate model template for the required components for the turnaround, transformation, or restart model. Use one model template only for each school. All proposed strategies selected to implement the model must include evidence that the strategies are scientifically based research practices. The template includes the selected model and its specific requirements that must be addressed. The following information must be provided for each component: Barriers of Year 2 Implementation, Year 2 Implementation Description, Year 3 Project Description and Year 3 Timeline. S-7: Annual Student Targets Provide an analysis of the achievement of the Year 2 outcomes using the best available data specifically the multiple measure outcomes and how these outcomes compare with the Year 2 goals. Examples of other measures include district or teacher developed tests, end of unit tests, student work, portfolios, and surveys. Use realistic and achievable targets for each grade or grade span. Provide Year 3 and Year 3 goals. The grant requires that schools project targets for student groups. Specific annual targets must be identified for each subgroup in the school using the annual goals for each school for student achievement on the states assessments in both reading/language arts and mathematics. Since the 2012 state assessment results are not yet available, these results will be collected during the summer of 2012. S-8: Year 3 Project Activity Plan A Project Activity Plan for Year 3 only must be completed for the applicant school using the template for the specific model being implemented - turnaround, transformation, or restart model. Add additional pages for other permissible activities. The Project Activity Plan must provide a clear linkage to the Project Description and ultimately to the budget. List the activities accordingly. The Project Activity Plan must include both LEA and school activities to support the model implementation. The applicant should consider the following: Relationship to the results of the annual needs assessment. An effective and efficient management plan for increasing leadership density in operations and processes for implementing all activities proposed in the application. Supporting the full implementation of the selected model within two years. Using the activity plan for the model, the applicant should clearly provide detailed information describing specific actions: The components of a SMART goalSpecific, Measurable, Achievable, Relevant, and Timely. At least two indicators of success that are specific, measurable (or observable), and rigorous. The name of the scientifically based research practice that will be implemented. Person responsible for conducting the activities including others involved The resources to be used in implementing the actions The role of any external provider. (See H-19 of the USDE Guidance) S-9: Budget Amounts and Narrative Budget Amounts Identify the budget amounts for Year 3. Budget Narrative Provide a narrative for Year 3 that includes the estimated carryover from Year 2. DO NOT include the estimated carryover amount in the Budget Detail. The Final Report is due on October 31, 2012 and will determine the actual carryover amount upon approval of the Final Report. Also provide the estimated budget amount for Year 3. The budget narrative should clearly: Delineate how the project budget is tied to the Project Activity Plan Illustrate the cost basis Provide a strong justification that costs of the program are reasonable and necessary Provide evidence to clearly show that the budget is sufficient to meet the program needs Show that SIG funds are spent exclusively on costs associated with implementing the selected intervention model Illustrate that the budget and budget justification are directly tied to the activity plan and clearly show how all aspects of the activity plan will be supported Directly relate all travel expenses to the SIG program activities and provide justification Indicate the costs associated with LEA-level activities designed to support implementation of the selected school intervention models in the LEAs Tier I and Tier II schools. Explain how all available resources (federal, state and local) will be leveraged to coordinate and integrate services to support and sustain the program The following table provides examples of other funding sources and how they may be aligned with the SIG funds: ResourceAlignment with SIGTitle I, Part A - (schoolwide or targeted assistance programs) Provide support for implementing a research-based instructional program that is aligned vertically across grade levels as well as aligned to the state standards.1003(a) Statewide System of Support SIA Part a fundsAssist with improvement plan design and implementation, including high-quality, job-embedded professional development designed to assist schools in implementing the intervention model.Title II, Part A Recruit teaching staff with the skills and experience to operate effectively within the selected intervention model.Title II, Part D - Ed TechProvide staff online job-embedded professional development. Promote the continuous use of student data through electronic means.Title III, Part A- LEPProvide staff job-embedded professional development aligned to grant goals to assist them in serving English Language Learners.Title IV, Part B 21st Century Community Learning CentersProvide afterschool services and programsIDEAProvide support to the special education students, teachers and parents.State and Local FundsProvide support to implement the model S-10 to S-15: Budget Detail The budget detail is to be provided for the SIG costs for Year 3. Refer to Appendix F for specific information about budget requirements. S-16: Budget Summary The SIG Budget Summary, Year 3 of the SIG grant, must include the total of all SIG costs. The School Improvement Grant (SIG) has specific components that are required to be completed for example: Extended Learning Time and Incentives/Rewards. Please be aware that salaries and benefits for extended learning times must be for hours outside of the employees normal contract hours. Additionally, incentives/rewards may not have any personal value for the recipient. For example, disallowed costs may include but are not limited to: gift cards to restaurants or book stores, IPADS, IPods, or personal computers to mention a few. However, grants can be awarded to a teacher to buy supplies to do something different or creative in a classroom; IPADS/IPODS may be purchased by the school for staff to sign out and use but not own. Please see Appendix F. 3.4 APPLICATION COMPONENT CHECKLIST The following components are required (see Required ( Column) to be included. Failure to include a required component may result in the application being removed from consideration for funding. Use the checklist (see Included ( Column) to ensure that all required components have been completed. Required(()LocationLEA and School Checklist Included (()LEA Section (one for each LEA)(NGOL-1: Cover Page and Board Resolution (NGOL-2: Statement of Assurances (NGOL-3: Documentation of Federal Compliance (DUNS/CCR) Form (NGOL-4: Year 3 Project Abstract(NGOL5: Schools to Be Served(NGOL-6: LEA Commitment and Capacity Update(NGOL-: LEA Activity PlanSchool Section(NGOS-1: Cover Page and Statement of Assurances (NGOS-2: Documentation of Federal Compliance (DUNS/CCR) Form (NGOS-3: Year 3 Project Abstract (NGOL-4: Stakeholder Participation (NGOS-5: Project Update (NGOS-6: Year 3 Project Description (NGOS-7: Annual Student Targets(NGOS-8: Year 3 Project Activity Plan (NGOS-9 Budget Amounts and Narrative *NGOS-10: Budget Form A: Personal Services *NGOS-11: Budget Form B: Personal Services Employee Benefits *NGOS-12: Budget Form C: Purchased Professional and Technical Services *NGOS-13: Budget Form D: Supplies and Materials *NGOS-14: Budget Form E: Equipment *NGO S-15: Budget Form F: Other Costs (NGO S-16: Year 3 Budget Summary * As applicable. 3.5 GENERAL INSTRUCTIONS FOR APPLYING To apply for a grant under this NGO, a complete application must be prepared and submitted to the NJDOE. A list of the components can be found in Section 3.4 of this NGO. The application is to be responsive to Section 1: Grant Project Information of this NGO. It is to be planned, designed and developed in accordance with the program framework articulated in Section 2: Project Guidelines of this NGO. The application package must also be constructed in accordance with the guidance, instructions, and forms found in this NGO. Please be advised that in accordance with the Open Public Records Act. (P. L. 2001, c. 404), all applications for discretionary grant funds received September 1, 2003, or later, as well as the evaluation results associated with these applications, and other information regarding the competitive grants process, will become matters of public record upon the completion of the evaluation process, and will be available to members of the public upon request. 3.6 EVALUATION OF APPLICATIONS The evaluation consists of a NJDOE review. The NJDOE reviews the LEA capacity and commitment to serve the schools, the implementation of Year 2 and the proposed budget. The NJDOE uses multiple methods to evaluate the schools annual student achievement goals and progress in meeting the requirements of the SIG grant. The evaluation consists of an audit of fiscal management, the model implementation, academic growth, changes in instruction, school climate, level of stakeholder involvement and family engagement, teacher evaluations, and professional development. The review evaluates all areas of the model implementation and on progress against the quantifiable benchmarks of the intervention plan. The NJDOE uses the input of the NTO to determine if the work is proceeding according to the timelines in the approved grant. To determine district capacity, the NJDOE uses information from: Year 3 Quarterly Reports NTO Reports Onsite reviews Audits Spending levels24istrict and Principal participation in the SIG Leadership Network Implementation of the approved Year 2 SIG grant with fidelity SECTION 4: APPENDICES Review Guide for SIG Renewal Reporting Metrics State Level Activities Resources LEA & School Application Completing the Budget APPENDIX A SIG RENEWAL REVIEW GUIDE LEA : ___________________________ School: ________________________ CRITERIA STANDARDS COMMENTSWEAKAVERAGESTRONGQuality and Timeliness of Year 2 Quarterly Implementation ReportsNetwork Turnaround Officer ReportsSite reviews Funds were expended appropriately and in a timely manner SIG reimbursement levels District and Principal participation in the SIG Summer Leadership and Monthly Network Implementation of the approved SIG grant with fidelitySubmission of Plan for Non-SIG Schools Recommendation: Renew__________ Not Renewed__________ Justification  APPENDIX B REPORTING METRICS Metric2010-2011 DataSchool DataWhich intervention the school used (i.e., turnaround, restart, closure, or transformation ) AYP statusWhich AYP targets the school met and missedSchool improvement statusNumber of minutes within the school yearStudent Outcome/Academic Outcome DataPercentage of students at or above each proficiency level on state assessments in reading/language arts and mathematics (e.g., Partially Proficient, Proficient, Advanced), by grade and by student subgroupStudent participation rate on state assessments in reading/language arts and in mathematics, by student subgroupAverage scale scores on state assessments in reading/language arts and in mathematics, by grade, for the all students group, for each achievement quartile, and for each subgroupPercentage of limited English proficient students who attain English language proficiency Graduation rateDropout rateStudent attendance rateNumber and percentage of students completing advanced coursework (e.g., AP/IB), early-college high schools, or dual enrollment classesCollege enrollment ratesStudent Connection and School ClimateDiscipline incidentsTruantsTalentDistribution of teachers by performance level on LEAs teacher evaluation systemTeacher attendance rate APPENDIX C SIG STATE LEVEL ACTIVITIES State Requirements and SEA Funded State-required activities are funded by the SIG state administrative funds. LEAs must sign assurances agreeing to participation in the following activities: Leadership Academy and Network Research suggests that principals and superintendents have a greater impact on student learning than any other factor except the quality of classroom instruction. Principals can profoundly influence student achievement by working with teachers to shape a school environment that is conducive to learning; aligning instruction with a standards-based curriculum; organizing resources to improve classroom instruction and student learning; and making good decisions about hiring, professional learning, and other issues that influence the quality of teaching. Substantial and sustained professional development is necessary to refine and develop the skills that assist the principal in effecting dramatic change in the level of student achievement. Working in conjunction with those cutting-edge institutions of higher education and other educational entities that are breaking the mold to support turnaround, and with transformational school leaders, the principal and district officials participate in a leadership academy to support the SIG implementation. The academy continues throughout the summer. The academy includes intensive training on such topics as the urgency of change, the successful opening of school, effective use of curriculum and instructional tools, instructional leadership skills, fostering professional learning communities, motivating staff and students, and using data to inform management decisions. This professional-learning community serves as a resource to principals to problem-solve and share successful interventions. The academy prepares the school-turnaround principal to leverage this unprecedented operational flexibility (including flexibility regarding staffing, calendars/time, and budgeting) in ways that have been proven to build a school culture that is focused on improving the academic achievement of its students and to fill open positions in the school based on candidates qualifications. The principal is given the maximum amount of flexibility in federal, state, and local funding sources to enable the school to pursue evidence-based school improvement. The summer sessions are integrated with LEA superintendents/leadership to assure a shared vision and coherent implementation. The formal networks for both principals and district officials are to be reconvened monthly throughout the year to ensure that the collaborative network is sustained. The leadership academy and network are funded by the SIG state administrative funds. Grant costs would include travel such as mileage and possibly salary if the principal and/or district person does not work in the summer. Network Turnaround Officer The Network Turnaround Officer (NTO) is assigned by the NJDOE to the district and school to work for at least 50 days annually during the three-year project period. NJDOE conducts a selection process to find candidates who were previously principals and are outstanding and highly skilled school leaders. NJDOE has developed a NTO Job Description and notices will be posted regarding applications for the position. The NTO assignment with the LEA is renewed on an annual basis. The Network Turnaround Officer is funded by the SIG state administrative funds. The NTO works to build LEA relationships necessary for the collaborative work on behalf of the SIG school. The NJDOE evaluates the NTO on the basis of the schools success in meeting its goals, the results of the state audit report, and the implementation fidelity of school-improvement interventions. The NTO assigned to the school provides oversight to the LEA and school through periodic reporting to the NJDOE. Input from the NTO is used during the decision making process regarding ongoing implementation and during the annual renewal of the grant. The NTO is a member of the Internal District Team (CSA or designee, special education director, Title I director, supervisor of curriculum, SIG principal) who will meet monthly to discuss student achievement, walkthrough trends, attendance, discipline and SIG component implementation. The NTO plays a critical role in turning around struggling schools. As a facilitator of reform, the NTO is responsible for assisting the LEA and school leadership in initiating improvements in classroom instruction by helping to incorporate research-based practices to identify solutions to problems with student learning. In collaboration with the school principal and LEA, the NTO helps set a clear pathway toward distributed leadership within the schools, working with a highly-capable team to build a cohesive, professional teaching culture. The NTO also mentors and coaches the principal in developing turnaround management skills. As an evaluator, the NTO monitors the schools adherence to the intervention activity plan and tracking performance metrics, including academic achievement, against the plan goals and assists the NJDOE in making decisions about the annual renewal of the SIG grant. The NTO participates in the Leadership Academy and monthly network meetings along with the LEA and school staff. The role of the NTO is to assist the LEA and school to advance the effective and efficient implementation of the SIG components with fidelity. Evaluation On an annual basis, the NJDOE conducts an evaluation of model implementation, academic growth, school climate, teacher evaluations, and professional development. The evaluation addresses all areas of the model implementation and explicitly reports on progress against the quantifiable goals and indicators in the application. The evaluation of each persistently-low-performing school includes constructive feedback and recommendations for program improvements, as appropriate. The evaluation costs are funded by the SIG state administrative funds In the absence of sufficient progress or lack of implementation fidelity, the evaluation may include a recommendation for removal of the grant, school closure or restart. The results of this evaluation will be reported publicly. The evaluation is submitted to the LEA superintendent for review. A face-to-face meeting occurs with the NJDOE and each LEA superintendent to discuss the results and determine if refinement of the SIG plan for each of the served schools is necessary. The results serve to assist the NJDOE in annual SIG renewal decisions. APPENDIX D RESOURCES FEDERAL RESOURCES USDE Guidance for SIG Programs: HYPERLINK "http://www2.ed.gov/programs/sif/index.html"http://www2.ed.gov/programs/sif/index.html Clarifying Guidance for Section 1512(c) of ARRA (January 6, 2010): HYPERLINK "http://www2.ed.gov/programs/sif/index.html"http://www2.ed.gov/programs/sif/index.html To obtain a DUNS number: HYPERLINK "http://fedgov.dnb.com/webform/"http://fedgov.dnb.com/webform/ To register with the CCR database: HYPERLINK "http://www.ccr.gov"www.ccr.gov Turning Around Chronically Low-Performing Schools, Institute of Education Sciences, HYPERLINK "http://ies.gov/ncee/www/practiceguides"http://ies.gov/ncee/www/practiceguides Improving Low-Performing Schools: Lessons from Five Years of Studying School Restructuring Under NCLB, Center on Education Policy, December 2009. Available at HYPERLINK "http://www.cep-dc.org"www.cep-dc.org Does Your Child Need a Fresh Start?, describes, in plain language, the main features of the SIG program (including the four intervention models) and what parents and community members can do to help their local school districts make the most of available SIG funds. It is available in both English and Spanish. HYPERLINK "http://www2.ed.gov/programs/sif/resources.html" \l "brochure"http://www2.ed.gov/programs/sif/resources.html#brochure. NJDOE RESOURCES NJDOE Web Page: HYPERLINK "http://www.state.nj.us/education"http://www.state.nj.us/education Title I Help Line and Electronic Submission at: HYPERLINK "mailto:Titleone@doe.state.nj.us"Titleone@doe.state.nj.us. NJDOE Discretionary GrantApplication and can be downloaded at: HYPERLINK "http://www.nj.gov/njded/grants/discretionary/apps/"http://www.nj.gov/njded/grants/discretionary/apps/ Registration On-Line for Technical Assistance Session at: HYPERLINK HYPERLINK "http://www.state.nj.us/education/events"http://www.state.nj.us/education/events. Policies and Procedures for Reimbursement of Federal and Other Grant Expenditures at: HYPERLINK "http://www.nj.gov/education/grants/entitlement/"http://www.nj.gov/education/grants/entitlement/. A web tutorial may be viewed by accessing HYPERLINK "http://www.nj.gov/education/grants/rrt.htm"http://www.nj.gov/education/grants/rrt.htm. Grant Recipients Manual for Discretionary Grants, part seven, which is available online at: HYPERLINK "http://www.nj.gov/njded/grants/discretionary/management/manual.shtml"http://www.nj.gov/njded/grants/discretionary/management/manual.shtml. All recipients of SIG funds must comply with all reporting requirements specified in the American Recovery and Reinvestment Act of 2009 (ARRA). SIG reporting requirements are available in Section 1512 on the NJDOE homeroom at HYPERLINK "https://homeroom3.state.nj.us/arra_qrs/index.html"https://homeroom3.state.nj.us/arra_qrs/index.html. CAPA Teaching and Learning Tool at: HYPERLINK "http://www.nj.gov/education/capa/docs/tool4day.pdf"http://www.nj.gov/education/capa/docs/tool4day.pdf CAPA Handbook Guide at: HYPERLINK "http://www.nj.gov/education/capa/docs/visit4day.pdf"http://www.nj.gov/education/capa/docs/visit4day.pdf OTHER RESOURCES Handbook on Effective Implementation of School Improvement Grants at: HYPERLINK "http://www.centerii.org/handbook/Resources/Handbook_on_Effective_Implementation_of_School_Improvement_Grants.pdf"http://www.centerii.org/handbook/Resources/Handbook_on_Effective_Implementation_of_School_Improvement_Grants.pdf School Turnaround Leaders: Competencies for Success at: HYPERLINK "http://www.publicimpact.com/school-turnarounds/school-turnaround-leaders"http://www.publicimpact.com/school-turnarounds/school-turnaround-leaders School Turnaround Leaders: Selection Toolkit HYPERLINK "http://www.publicimpact.com/publications/Turnaround_Leader_Selection_Toolkit.pdf"http://www.publicimpact.com/publications/Turnaround_Leader_Selection_Toolkit.pdf The Interstate School Leaders Licensure Consortium Standards (ISLLC) The National Association of Elementary School Principal Standards The National Association of Secondary School Principals Standards HYPERLINK "http://www.state.nj.us/education/dsis/leadership/resources/"http://www.state.nj.us/education/dsis/leadership/resources/ School Restructuring: What Works When HYPERLINK "http://www.learningpt.org/pdfs/School_Restructuring_Guide.pdf"http://www.learningpt.org/pdfs/School_Restructuring_Guide.pdf APPENDIX E SIG School Improvement Grant RENEWAL Application LEA Section LEA Section L-1: Cover Page & Board Resolution L-2: Statement of Assurances L-3: Documentation of Federal Compliance (DUNS/CCR) Form L-4: Year 3 Project AbstractL5: Schools to Be ServedL-6: LEA Commitment and Capacity UpdateL-7: LEA Activity Plan Form L-1 NEW JERSEY DEPARTMENT OF EDUCATION NOTICE OF GRANT OPPORTUNITY - TITLE PAGE- LEA SECTION I: FY NGO# WKL TITLE OF NGO: School Improvement Grant Program (SIG) (Cohort 1 - Year 3 of 3) 12-SG05-H03 DIVISION: Student Services OFFICE: Student Achievement and Accountability SECTION II: COUNTY:  FORMCHECKBOX  FORMCHECKBOX  LEA/OTHER:  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  SCHOOL:  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  COUNTY NAME:_____________________________ APPLICANT AGENCY AGENCY ADDRESS CITY STATE ZIP ( ) ( ) AGENCY TELEPHONE NUMBER AGENCY FAX PROJECT DIRECTOR (Please print or type name): _________________________________________________________________ TELEPHONE NUMBER: (____)____________________ FAX#: (____)__________________ E-MAIL_______________________________ BUSINESS MANAGER: ________________________________ PHONE#: (____)___________ E-MAIL_____________________________ DURATION OF PROJECT: FROM: 9/1/2012 TO: 8/31/2013 YEAR 3 TOTAL AMOUNT OF FUNDS REQUESTED: $__________________________________________ APPLICATION CERTIFICATION: To the best of my knowledge and belief, the information contained in the application is true and correct. The document has been duly authorized by the governing body of this agency and we will comply with the attached assurances if funding is awarded. I further certify the following is enclosed: AGENCY TITLE PAGE SIGNED STATEMENT OF ASSURANCES BOARD RESOLUTION TO APPLY APPLICATION NARRATIVE* BUDGET SUMMARY AND BUDGET DETAIL FORMS* ORIGINAL AND FIVE COPIES OF THE COMPLETE APPLICATION PACKAGE ___________________________________________________ _________________________________________ ________________ SIGNATURE OF CHIEF SCHOOL ADMINISTRATOR TITLE DATE ___________________________________________________ (Please print or type name) *FAILURE TO INCLUDE A REQUIRED APPLICATION COMPONENT CONSTITUTES A VIOLATION OF THE NGO AND WILL RESULT IN THE APPLICATION BEING ELIMINATED FROM CONSIDERATION (See NGO Section 3.3 for itemized list). SECTION III: SEND OR DELIVER APPLICATIONS TO: APPLICATIONS MUST BE RECEIVED BY: NEW JERSEY DEPARTMENT OF EDUCATION APPLICATION CONTROL CENTER 4:00 P.M., ON 05/10/2012 RIVER VIEW EXECUTIVE PLAZA BLDG. 100, ROUTE 29 PO Box 500 TRENTON, NJ 08625-0500 Form L-1 BOARD RESOLUTION TO APPLY  FY NGO# WKL The _________________________________ Board hereby certifies that permission has been granted to apply for the discretionary grant program entitled: School Improvement Grant for the purposes described in the application, in the amount of, $___________.00, starting on _______________, and ending on _______________. The filing of this application was authorized at the Board meeting held on, _____________________________, 20__ ______________________________ Secretary of the Board __________________________20__ Date Form L-2 STATEMENT OF ASSURANCES As the duly authorized chief school administrator/chief executive officer of the applicant agency, I am aware that submission to the Department of Education of the accompanying application constitutes the creation of a public document, and I certify that the applicant: Has the legal authority to apply for the funds made available under the requirements of the NGO, and has the institutional, managerial and financial capacity (including funds sufficient to pay the non-federal/state share of project costs) to ensure proper planning, management and completion of the project described in this application. Will give the New Jersey Department of Education, or its authorized representatives, access to, and the right to examine, all records, books, papers, or documents related to the award and will establish a proper accounting system in accordance with generally accepted accounting principles (GAAP). Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes, or presents the appearance of, personal or organizational conflict of interest, or personal gain. Will implement the program in accordance with the applicable Notice of Grant Opportunity and the approved grant application. Will comply with provisions of the Public School Contracts Law: N.J.S.A. 18A:18A, and other relevant state laws and regulations. Is in compliance, for all grant awards in excess of $100,000.00, with the Byrd Anti-Lobbying amendment, incorporated at Title 31 U.S.C. 1352. This certification extends to all lower tier grantees as well. As well as its principals and subgrantees, for all grant awards in excess of $25,000.00, is not presently debarred, proposed for debarment, declared ineligible, suspended, or voluntarily excluded by any federal agency from receiving federal funds in accordance with Executive Orders 12549 and 12689. Will comply with Section 6002 of the Resource Conservation and Recovery Act (RCRA), P.L. 94-580, codified at 42 U.S.C. 6962 if the applicant is an entity of state and/or local government and will give preference to the purchase of recycled materials identified in U.S. EPA guidelines (40 CFR Part 247-254). Will comply with all federal and state statutes and regulations relating to nondiscrimination. These include, but are not limited to: (A) Title VI of the Civil Rights Act of 1964 (P.L 88-352; 34 CFR Part 100) which prohibits discrimination on the basis of race, color or national origin; (B) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 1681-1683, and 1685-1686; 34 CFR Part 106), which prohibits discrimination on the basis of sex; (C) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794; 34 CFR Part 104), which prohibits discrimination on the basis of handicaps; (D) Section 503 of the Rehabilitation Act of 1973, as amended (41 CFR Parts 61-741.5(a)), as applicable, which requires affirmative action in employment; (E) the Age Discrimination Act of 1975, as amended (42 U.S.C. 6101 et seq.; 45 CFR Part 90), which prohibits discrimination on the basis of age, and (F) the Americans With Disabilities Act of 1990, as amended (P.L. 101-336), which guarantees equal opportunity for individuals with disabilities. Will comply with Executive Order 11246, Equal Employment Opportunity, dated September 24, 1965, as amended by Executive Order 11375, dated October 13, 1967, and as supplemented by the regulations at 41 CFR Part 60. Will comply with the provisions of the Drug-Free Workplace Act of 1988, as implemented at 34 CFR Part 85, Subpart F, for grantees, as defined at 34 CFR Part 85, Sections 85.605 and 85.610. Will comply with the provisions of the Drug Free Schools and Communities Act Amendments of 1989, as implemented at 34 CFR Part 86, Subparts A-E (institutions of higher education only). Will comply with the provisions of the Federal Fiscal Accountability and Transparency Act (FFATA) and has provided in the application a correct and valid DUNS number for the applicant organization, as well as any controlling parent organization. Has a current and complete registration in the Central Contractor Registry (CCR), located at  HYPERLINK "http://www.ccr.gov/" www.ccr.gov, prior to the submission of this application, and shall maintain a current CCR registration throughout the period of the award. Use its School Improvement Grant to implement fully and effectively an intervention in each Tier I and Tier II school that the LEA commits to serve consistent with the final requirements. Establish annual goals for student achievement on the States assessments in both reading/language arts and mathematics and measure progress on the leading indicators in section III of the final requirements in order to monitor each Tier I and Tier II school that is serves with school improvement funds, and establish goals (approved by the NJDOE) to hold accountable its Tier III schools that receive school improvement funds. NOTE: LEAs are not eligible to apply for Tier III schools in this NGO. If an LEA does not serve any of its Tier I schools, it will not be eligible to apply for its Tier III schools. If it implements a restart model in a Tier I or Tier II school, include in its contract or agreement terms and provisions to hold the charter operator, charter management organization or education management organization accountable for complying with the final requirements. Report to the NJDOE the school-level data required under section III of the final requirements. ___________________________________ ___________________________________ LEA Signature: Chief School Administrator _____________________________ ___________________________________ Date Typed Name and Title Form L-3 LEA Documentation of Federal Compliance (DUNS/CCR) Form Note: this form must be completed and returned by the applicant prior to any award being made. Part I Applicant Organization Organizational Name of Applicant __________________________________ Address __________________________________ DUNS number __________________________________ Expiration Date of CCR registration __________________________________ Congressional District __________________________________ Part II Primary Place of Performance under this award City __________________________________ County __________________________________ I certify that this information is complete and correct. Furthermore, the applicant certifies that it has completed its registration on the Central Contractor Registration (CCR) website, found at HYPERLINK "http://www.ccr.gov"www.ccr.gov. and shall maintain a current registration throughout the grant period. __________________________________________ _________________________ Signature of Chief School Administrator Date _____________________________________________ Name and Title Form L-4 Date: ________________ Page ____ of ____ YEAR 3 PROJECT ABSTRACT LEA : _____________________________________________________________ MissionVision  Project Implementation Summary  Form L-5 Date: _______________________ Page ____of ____ SCHOOLS TO BE SERVED LEA : _______________________________ SCHOOLS TO BE SERVED: An LEA must include the following information with respect to the schools it will serve with a School Improvement Grant. An LEA must identify each Tier I and Tier II school the LEA commits to renew. Provide the county, LEA and School code along with the NCES ID number. Add additional rows as needed.  SCHOOL NAMECO CODELEA CODESCH CODENCES ID #TIER ITIER II Form L-6 Date: ________________ Page ____ of ____ LEA UPDATE OF COMMITMENT AND CAPACITY LEA : _____________________________________________________________ SIG Required LEA Commitment & Capacity - Provide information demonstrating the following: the LEAs commitment and capacity to manage the program, organize the work, and meet deadlines; a management plan outlining the ability to manage the program in the served schools; an outline of the process for meeting identified needs and deadlines; a clear process for making collaborative decisions; the specific and definitive roles for leaders and stakeholders in the program; the LEA activities to support the schools; and a projected plan and timeline for how the program will continue beyond the three year grant funding.Activity #1 Management of External ProvidersEvidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineRecruit, screen, and select external providers to ensure their quality: The LEA process to recruit, screen and select external providers  Management of the contracts of external providers in a timely fashionThe LEA plan to evaluate the quality of external providers Activity 1: Barriers of Year 2 Implementation  SIG Required LEA Commitment & Capacity - Provide information demonstrating the following: the LEAs commitment and capacity to manage the program, organize the work, and meet deadlines; a management plan outlining the ability to manage the program in the served schools; an outline of the process for meeting identified needs and deadlines; a clear process for making collaborative decisions; the specific and definitive roles for leaders and stakeholders in the program; the LEA activities to support the schools; and a projected plan and timeline for how the program will continue beyond the three year grant funding.Activity #2 Alignment of ResourcesEvidence of Implementation Sample IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineAlign other resources with the interventions: The clear alignment of resourcesAlignment with the NJCCCSUse the funds to accomplish the activities in the application and meet its targets, including where feasible, by coordinating, reallocating, or repurposing education funds from other Federal, State, and local sources ` Activity 2: Barriers of Year 2 Implementation   SIG Required LEA Commitment & Capacity - Provide information demonstrating the following: the LEAs commitment and capacity to manage the program, organize the work, and meet deadlines; a management plan outlining the ability to manage the program in the served schools; an outline of the process for meeting identified needs and deadlines; a clear process for making collaborative decisions; the specific and definitive roles for leaders and stakeholders in the program; the LEA activities to support the schools; and a projected plan and timeline for how the program will continue beyond the three year grant funding.Activity #3 Modification of policies and practices, district support, stakeholder involvement, decision making, grant administration and oversightEvidence of Implementation Sample IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineModify its practices or policies, if necessary, to enable it to implement the interventions fully and effectively (Teacher & Principal Evaluation) Practices and policies that will enable the leadership of the school to implement the interventions District level staff assignments to implement that the interventions Involvement of LEA stakeholders in decision makingProcess for making collaborative decisionsInvolvement of other critical stakeholders, such as the other State and local leaders (e.g., business, community, civil rights, and education association leaders); parent, student, and community organizations (e.g., parent-teacher associations, nonprofit organizations, local education foundations, and community-based organizations); and institutions of higher educationLEA plan to provide for effective and efficient operations and processes for implementing its SIG grants such areas as grant administration and oversight, budget reporting and monitoring, performance measure tracking and reporting, and fund disbursement to schools Activity 3: Barriers of Year 2 Implementation   SIG Required LEA Commitment & Capacity - Provide information demonstrating the following: the LEAs commitment and capacity to manage the program, organize the work, and meet deadlines; a management plan outlining the ability to manage the program in the served schools; an outline of the process for meeting identified needs and deadlines; a clear process for making collaborative decisions; the specific and definitive roles for leaders and stakeholders in the program; the LEA activities to support the schools; and a projected plan and timeline for how the program will continue beyond the three year grant funding.Activity #4 Internal District Team support, development and use of data systems, classroom walkthroughs, association support, BOE support, evaluation of principalEvidence of Implementation Sample IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe Internal District Team supports to the schoolLEA-level activities designed to support implementation of the selected models  Development and use of data systemsThe districts system to conduct classroom walkthroughsThe district oversight responsibilities and role of CSASupport of the Teachers UnionSupport of School Board Evaluation of Principal and level of implementation Activity 4: Barriers of Year 2 Implementation:   SIG Required LEA Commitment & Capacity - Provide information demonstrating the following: the LEAs commitment and capacity to manage the program, organize the work, and meet deadlines; a management plan outlining the ability to manage the program in the served schools; an outline of the process for meeting identified needs and deadlines; a clear process for making collaborative decisions; the specific and definitive roles for leaders and stakeholders in the program; the LEA activities to support the schools; and a projected plan and timeline for how the program will continue beyond the three year grant funding.Activity #5 - SIG Required LEA Commitment - The requirements for greater school-level autonomy and more flexibility for the leadership (principal) of the school including:Evidence of Implementation Sample IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineSelection of staffSchedulingBudgetingGreater accountability for resultsSelection of professional development services and providers Followed requirements of federal and state statute and regulations regarding bid and competitive contracting. Activity 5: Barriers of Year 2 Implementation  Form L-7 Date: ________________ Page ____ of ____ LEA ACTIVITY PLAN LEA : _____________________________________________________________ SIG Required LEA Commitment & Capacity - Provide information demonstrating the following: the LEAs commitment and capacity to manage the program, organize the work, and meet deadlines; a management plan outlining the ability to manage the program in the served schools; an outline of the process for meeting identified needs and deadlines; a clear process for making collaborative decisions; the specific and definitive roles for leaders and stakeholders in the program; the LEA activities to support the schools; and a projected plan and timeline for how the program will continue beyond the three year grant funding.Activity 1: Management of External ProvidersSMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required LEA Commitment & Capacity - Provide information demonstrating the following: the LEAs commitment and capacity to manage the program, organize the work, and meet deadlines; a management plan outlining the ability to manage the program in the served schools; an outline of the process for meeting identified needs and deadlines; a clear process for making collaborative decisions; the specific and definitive roles for leaders and stakeholders in the program; the LEA activities to support the schools; and a projected plan and timeline for how the program will continue beyond the three year grant funding.Activity #2: Alignment of ResourcesSMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required LEA Commitment & Capacity - Provide information demonstrating the following: the LEAs commitment and capacity to manage the program, organize the work, and meet deadlines; a management plan outlining the ability to manage the program in the served schools; an outline of the process for meeting identified needs and deadlines; a clear process for making collaborative decisions; the specific and definitive roles for leaders and stakeholders in the program; the LEA activities to support the schools; and a projected plan and timeline for how the program will continue beyond the three year grant funding.Activity #3: Modifications of policies and practices, district support, stakeholder involvement, decision making, grant administration and oversight. Include teacher and principal evaluation.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required LEA Commitment & Capacity - Provide information demonstrating the following: the LEAs commitment and capacity to manage the program, organize the work, and meet deadlines; a management plan outlining the ability to manage the program in the served schools; an outline of the process for meeting identified needs and deadlines; a clear process for making collaborative decisions; the specific and definitive roles for leaders and stakeholders in the program; the LEA activities to support the schools; and a projected plan and timeline for how the program will continue beyond the three year grant funding.Activity #4: Internal District Team support, development and use of data systems, classroom walkthroughs, association support, BOE support, and evaluation of principalSMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required LEA Commitment & Capacity - Provide information demonstrating the following: the LEAs commitment and capacity to manage the program, organize the work, and meet deadlines; a management plan outlining the ability to manage the program in the served schools; an outline of the process for meeting identified needs and deadlines; a clear process for making collaborative decisions; the specific and definitive roles for leaders and stakeholders in the program; the LEA activities to support the schools; and a projected plan and timeline for how the program will continue beyond the three year grant funding.Activity #5 - SIG Required LEA Commitment - The requirements call for greater school-level autonomy and more flexibility for the leadership (principal) of the school including:SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 School Section School SectionS-1: Cover Page and Statement of Assurances S-2: Documentation of Federal Compliance (DUNS/CCR) Form S-3: Year 3 Project Abstract S-6: Stakeholder Participation S-5: Project Update S-6: Project Description S-7: Annual Student TargetsS-8: Year 3 Project Activity Plan S-9 Budget Amounts and Narrative S-10: Budget Form A: Personal Services S-11: Budget Form B: Personal Services Employee Benefits S-12: Budget Form C: Purchased Professional and Technical Services S-13: Budget Form D: Supplies and Materials S-14: Budget Form E: Equipment  S-15: Budget Form F: Other Costs  S-16: Year 3 Budget Summary Form S-1 NEW JERSEY DEPARTMENT OF EDUCATIONTITLE PAGE **COHORT 1 SCHOOL APPLICATION** SECTION I: NGO#:____-______-_____Title: School Improvement GrantSECTION II, PART A: School Name School Address School City, State, Zip Grade Span of SchoolInternal use only__ __ __ __ __ ____ __ __ School Code Type Region Sequence _________________________________________________ School Principal Name Phone # School Program Director Name _________________________________________________ School Program Director Telephone _________________________________________________ School Program Director Fax/email  Total amount of funds requested for school application: Year 3 $________ Duration of the Year 3 project: 9/1/12 to 8/31/13 To the best of my knowledge and belief, the information contained in the application is true and correct. I further certify the school application information is complete. _______________________________________ ___________ Certification of Chief School Administrator Date SECTION II Part B The school application has been duly authorized by the governing body of the _____________________________ school district (county code __ __, District Code __ __ __ __, School Code _______). ________________________________________ ______________________________ ____________ Signature of Chief School Administrator Title Date Business Manager: ______________________ Phone:______________________ Fax:__________  Form S-1 SCHOOL STATEMENT OF ASSURANCES On behalf of the LEA and the applicant School, the undersigned hereby assure the New Jersey Department of Education that under this School Improvement Grant program: Each schools principal and appropriate staff agrees to participate in the Leadership Academy. The district and the school(s) will partner with the NJDOEs Network Turnaround Officer assigned to the school to facilitate the implementation of the SIG program. Each school agrees to participate in an evaluation and accountability process that includes rigorous objectives that measure the impact of the activities. Provide for greater school-level autonomy and more flexibility for the leadership (principal) of the school including but not limited to selection of staff, budgeting, scheduling, selection of professional development providers, and greater accountability for results. ___________________________________ ___________________________________ Applicant LEA Signature: Chief School Administrator ___________________________________ ___________________________________ Applicant School Signature: Principal ___________________________________ Date Form S-2 LEA Documentation of Federal Compliance (DUNS/CCR) Form Note: this form must be completed and returned by the applicant prior to any award being made. Part I Applicant Organization Organizational Name of Applicant __________________________________ Address __________________________________ DUNS number __________________________________ Expiration Date of CCR registration __________________________________ Congressional District __________________________________ Part II Primary Place of Performance under this award City __________________________________ County __________________________________ I certify that this information is complete and correct. Furthermore, the applicant certifies that it has completed its registration on the Central Contractor Registration (CCR) website, found at HYPERLINK "http://www.ccr.gov"www.ccr.gov. and shall maintain a current registration throughout the grant period. __________________________________________ _________________________ Signature of Chief School Administrator Date _____________________________________________ Name and Title Form S-3 Date: ________________ Page ____ of ____ COHORT 1 - YEAR 3 PROJECT ABSTRACT LEA : ____________________________________ Name of School: _______________________________ MissionVision Project Implementation Summary  Form S-4 Date: _______________________ Page ____of ____ STAKEHOLDER PARTICIPATION List the dates of the meetings when the Stakeholder Committee discussed the needs assessment and School Improvement Grant application. Include all stakeholders currently required under state and federal statutory and regulatory requirements. *Add rows as necessary Stakeholder MeetingsDateLocationTopicNumber AttendingAgenda on FileMinutes on File List other methods and events to inform the school community about the SIG application. (For example: public meetings, posting on website, meetings with parents and community, and other communications) Describe how stakeholders are involved in model implementation on an on-going basis.  Form S-5 Date: ________________ Page ____ of ____ PROJECT UPDATE LEA : _________________________________________________ Name of School: ______________________________________ Form S-6 Use only one model template for each school Date: ________________ Page ____ of ____ TRANSFORMATION PROJECT DESCRIPTION LEA : _________________________________________________ Name of School: __________________________ SIG Required Activity 1 Replace the principal who led the school prior to commencement of the transformation model.Implementation Guidance Establish clear criteria that describe the leadership behaviors needed to implement reform. These criteria should guide recruiting, hiring, supporting, and evaluating leaders. LEAs have the flexibility of retaining recently hired principals who have the experience and skills to successfully implement the SIG model.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe LEA identifies behaviors that leaders need to improve instruction and promote necessary school change. The LEA selects and hires a principal with the necessary competencies to be a transformation leader. The LEA establishes a pipeline of potential turnaround leaders.The LEA creates the expectation that the principal will develop staff instructional capacity and provide opportunities for sharing authority to guide the learning agenda. Barriers of Year 2 Implementation  Transformation SIG Required Activity 2 Use rigorous, transparent, and equitable evaluation systems for teachers and principals that (a) take into account data on student growth as a significant factor, as well as other factors, such as multiple observation-based assessments of performance and ongoing collections of professional practice reflective of student achievement and increased high school graduation rates; and (b) are designed and developed with teacher and principal involvement. Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe SEA and/or LEA establish a transparent system of procedures and protocols for evaluating staff growth. The LEA evaluates teacher and administrator skills and knowledge, using a variety of valid and reliable tools that can be used to guide PD, teacher support, and personnel decisions.The SEA and LEA document and provide training regarding the evaluation process.The SEA and LEA periodically assess the quality and usefulness of the evaluation process.The LEA monitors the evaluation process and reviews results.  Barriers of Year 2 Implementation  Transformation SIG Required Activity 3 Identify and reward school leaders, teachers, and other staff who, in implementing this model, have increased student achievement and high school graduation rates, and identify and remove those who have not improved their professional practice after having been afforded ample opportunity to do so. Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe SEA and/or LEA develop a valid, fair, and transparent method for deciding whether performance-based incentives have been met.  A performance-based incentive system is developed in partnership with teachers, teachers unions, and other relevant stakeholders. The SEA and LEA develop policies that facilitate performance-based dismissals. LEA hiring procedures and budget timelines support the recruitment and hiring of high-quality teachers. LEAs and schools provide targeted assistance to underperforming teachers. Barriers of Year 2 Implementation  Transformation SIG Required Activity 4 Provide staff ongoing, high-quality, job-embedded professional development (PD) that is aligned with the schools comprehensive instructional program and designed with school staff to ensure they are equipped to facilitate effective teaching and learning and have the capacity to successfully implement school reform strategies.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe LEA and school provide PD that is differentiated based on teacher experience and expertise, and student data. Professional development does not interfere with the classroom schedule.  The LEA and school provide PD that equips teachers with the competencies needed to apply evidence- and standards-based practices effectively.The LEA and school define high levels of implementation of practices and monitor changes in teacher practice and student outcomes. The LEA and school promote professional learning communities and a school culture of continuous learning. The LEA has a system to evaluate PD providers and select only those providers considered to be of high quality. The LEA provides approval oversight to PD providers selected by the school. Barriers of Year 2 Implementation  Transformation SIG Permissible Activity: A transformation model may also implement other strategies. An LEA may also implement other strategies to develop teachers and school leaders effectiveness, such as-- Providing additional compensation to attract and retain staff with the skills necessary to meet the needs of the students in a transformation school; Instituting a system for measuring changes in instructional practices resulting from professional development; or Ensuring that the school is not required to accept a teacher without the mutual consent of the teacher and principal, regardless of the teachers seniority.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 Timeline   Barriers of Year 2 Implementation   Transformation SIG Required Activity 5 Implement strategies that are designed to recruit, place, and retain staff with the skills necessary to meet the needs of the students in a transformation model. Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe SEA and LEA secure funding for long-term program sustainability.  The SEA and LEA ensure that students have equal access to high-quality teachers.The LEA has an intensive long-term investment in developing instructional leadership capacity at the school, as well as at the LEA levels. The LEA delegates leadership to principals, instructional program leaders, and administrators.The LEA provides leadership PD that is job-embedded and focused on evidence-based decision making. The LEA includes non-monetary incentives for performance. Barriers of Year 2 Implementation  Transformation SIG Required Activity 6 Comprehensive instructional reform strategies. The LEA must (a) use data to identify and implement an instructional program that is research-based and vertically aligned from one grade to the next, as well as aligned with state academic standards; and (b) promote the continuous use of student data (such as from formative, interim, classroom, and summative assessments) to inform and differentiate instruction in order to meet the academic needs of individual students.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineSEA and LEA data systems facilitate the collection, interpretation, and use of data to drive instructional change.   SEA, LEA, and school provide access to timely data that includes disaggregated statewide assessment scores, and school performance and aggregated classroom observation data. LEA and school ensure that school aligns instruction with standards and benchmarks. LEA and school dedicate structured time for PD and staff collaboration around data interpretation.LEA and school demonstrate use of data (formative assessment) to guide instructional change, and the school defines a process where teacher and administrator teams meet to review data and plan improvement.  Barriers of Year 2 Implementation  Transformation SIG Permissible Activity: A transformation model may also implement other strategies.An LEA may also implement comprehensive instructional reform strategies, such as-- Conducting periodic reviews to ensure that the curriculum is being implemented with fidelity, is having the intended impact on student achievement, and is modified if ineffective; Implementing a schoolwide response-to-intervention model; Providing additional supports and professional development to teachers and principals in order to implement effective strategies to support students with disabilities in the least restrictive environment and to ensure that limited English proficient students acquire language skills to master academic content; Using and integrating technology-based supports and interventions as part of the instructional program; and In secondary schools-- Increasing rigor by offering opportunities for students to enroll in advanced coursework such as Advanced Placement; International Baccalaureate; or science, technology, engineering, and mathematics courses, especially those that incorporate rigorous and relevant project-, inquiry-, or design-based contextual learning opportunities), early-college high schools, dual enrollment programs, or thematic learning academies that prepare students for college and careers, including by providing appropriate supports designed to ensure that low-achieving students can take advantage of these programs and coursework; Improving student transition from middle to high school through summer transition programs or freshman academies; Increasing graduation rates through, for example, credit-recovery programs, re-engagement strategies, smaller learning communities, competency-based instruction and performance-based assessments, and acceleration of basic reading and mathematics skills; or Establishing early-warning systems to identify students who may be at risk of failing to achieve to high standards or graduate.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 Timeline Barriers of Year 2 Implementation  Transformation SIG Required Activity 7a Increasing learning time and creating community-oriented schools. The LEA must (a) establish schedules and strategies that provide increased learning time for all students Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe SEA and LEA are familiar with evidence-based practices to provide increased learning time.  The LEA identifies community needs and partnership opportunities.The LEA allocates funding for extended-learning programs. The LEA supports school leadership in developing and sustaining community partnerships.The LEA provides PD to ensure that extended-learning programs are aligned with the school curriculum. The LEA has a system of assessing the progress of the extended-learning program and using data to guide instructional changes.  Barriers of Year 2 Implementation  Transformation SIG Required Activity 7b Increasing learning time and creating community-oriented schools. The LEA must (b) provide ongoing mechanisms for family and community engagement.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe LEA ensures each school has a strong academic program, with all other services complementing the central academic mission.  The LEA supports sustainable and effective community partnerships (e.g., requires partnering organizations to designate an employee at school site to operate as a contact point for school, family, and community; and develops joint financing of facilities and programs with community and local government).Schools involve a broad representation of parents, community members, school staff, and other stakeholders in planning and implementing services offered at the school site.Schools provide PD to ensure that staff members work effectively with partnering organizations.LEA and school leaders periodically report to, and solicit input from, the school committee, staff, families, and community on school improvement  Barriers of Year 2 Implementation  Transformation SIG Permissible Activity: A transformation model may also implement other strategies.An LEA may also implement other strategies that extend learning time and create community-oriented schools, such as--Partnering with parents and parent organizations, faith- and community-based organizations, health clinics, other state or local agencies, and others to create safe school environments that meet students social, emotional, and health needs; Extending or restructuring the school day so as to add time for such strategies as advisory periods that build relationships between students, faculty, and other school staff; Implementing approaches to improve school climate and discipline, such as implementing a system of positive behavioral supports or taking steps to eliminate bullying and student harassment; or Expanding the school program to offer full-day kindergarten or pre-kindergarten.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 Timeline   Barriers of Year 2 Implementation   Transformation SIG Required Activity - 8 Providing operational flexibility and sustained support. The LEA must (a) give the school sufficient operational flexibility (such as staffing, calendars/ time, and budgeting) to implement fully a comprehensive approach to substantially improve student achievement outcomes and increase high school graduation rates; and (b) ensure that the school receives ongoing, intensive technical assistance and related support from the LEA, the SEA, or a designated external lead partner organization (such as a school turnaround organization or an EMO).Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe LEA has systems and processes for anticipating and addressing school staffing and instructional and operational needs in timely, efficient, and effective ways.   The LEA cultivates a pipeline of school transformation leaders, as well as external providers. The LEA has established annual goals for student achievement. The LEA has ongoing diagnostic programs in place to assess annual goals for student learning and effective practice. The LEA and school share student progress data with parents and students.   Barriers of Year 2 Implementation  Transformation SIG Permissible Activity: A transformation model may also implement other strategies.The LEA may also implement other strategies for providing operational flexibility and intensive support, such as-- Allowing the school to be run under a new governance arrangement, such as a turnaround division within the LEA or SEA; or Implementing a per-pupil school-based budget formula that is weighted.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 Timeline   Barriers of Year 2 Implementation  Transformation SIG Required Activity 9 Establish a system to collect data for the required leading indicators for schools receiving SIG funds. The nine metrics that constitute the leading indicators for the SIG program include (1) the number of minutes within the school year, (2) student participation rate on state assessments in reading/language arts and in mathematics by student subgroup, (3) dropout rate, (4) student attendance rate, (5) number and percentage of students completing advanced coursework (e.g., AP/IB, early-college high schools, or dual enrollment classes), (6) discipline incidents, (7) truants, (8) distribution of teachers by performance level on an LEAs evaluation system, and (9) teacher attendance rate. Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe SEA has established a process to collect and analyze data, preferably at key points during the year so the SEA may provide support to help the LEA and school make needed corrections.  The LEA and school have established a data system that can collect and report information on all nine leading indicators. Barriers of Year 2 Implementation  Form S-6 Use only one model template for each school. +Date: ________________ Page ____ of ____ TURNAROUND PROJECT DESCRIPTION LEA : _________________________________________________ Name of School: _________________________ Turnaround SIG Required Activity 1: grant the principal sufficient operational flexibility (which may include staffing, calendars/time, and budgeting) to implement fully a comprehensive approach in order to substantially improve student achievement outcomes and increase high school graduation rates.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe LEA identifies behaviors that leaders need to improve instruction and promote necessary school change.   The LEA selects and hires a principal with the necessary competencies to be a transformation leader.LEA policy allows the principal reasonable discretion to implement new programs or strategies.The LEA establishes a pipeline of potential turnaround leaders.The LEA creates the expectation that the principal will develop staff instructional capacity, and provide opportunities for sharing authority to guide the learning agenda. Barriers of Year 2 Implementation  Turnaround SIG Required Activity 2: Using locally adopted competencies to measure the effectiveness of staff who can work within the turnaround environment to meet the needs of students: (a) screen all existing staff and rehire no more than 50 percent, and (b) select new staff. The district and principal will utilize competencies, which are skills or consistent patterns of thinking, feeling, acting, or speaking that cause a person to be effective in a particular job or role, as a key predictor of how someone will perform at work. Examples of locally adopted competencies might include acting with initiative and persistence, planning ahead, flexibility, respect for and sensitivity to norms of interaction in different situations, self-confidence, team leadership, developing others, analytical thinking, and conceptual thinking.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe SEA and/or LEA establish a transparent system of procedures and protocols for evaluating staff.  The LEA evaluates teacher and administrator skills and knowledge, using a variety of valid and reliable evaluation tools that can be used to guide PD, teacher support, and personnel decisions.The SEA and LEA document the evaluation process and provide training regarding the evaluation process.The SEA and LEA periodically assess the quality and usefulness of the evaluation process.The LEA staff evaluation process takes student achievement into account as well as other indicators, such as reflection and observation. The LEA monitors the evaluation process and reviews results. Barriers of Year 2 Implementation  Turnaround SIG Required Activity 3: Implement strategies that are designed to recruit, place, and retain staff with the skills necessary to meet the needs of the students in a turnaround school.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineIf incentives are implemented, the SEA and/or LEA develop a valid, fair, and transparent method for deciding whether performance-based incentives have been met.  The SEA and LEA develop a performance-based incentive system in partnership with teachers, teachers unions, and other relevant stakeholders. The SEA and LEA develop policies that facilitate performance-based dismissals. LEA hiring procedures and budget timelines support recruitment and hiring of high-quality teachers. LEA and school provide targeted assistance to underperforming teachers. Barriers of Year 2 Implementation  Turnaround SIG Required Activity 4: Provide staff ongoing, high-quality job-embedded professional development (PD) that is aligned with the schools comprehensive instructional program and designed with school staff to ensure that they are equipped to facilitate effective teaching and learning and have the capacity to successfully implement school reform strategies.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe LEA and school provide PD that is differentiated based on teacher experience and expertise, and student data. Professional development does not interfere with the classroom schedule.  The LEA and school provide PD that equips teachers with the competencies needed to apply evidence- and standards-based practices effectively.The LEA and school define high levels of implementation of practices, and monitor changes in teacher practice and student outcomes. The LEA and school promote professional learning communities and a school culture of continuous learning. The LEA has a system to evaluate PD providers and select only those providers considered to be of high quality; the LEA provides approval oversight to PD providers selected by the school.  Barriers of Year 2 Implementation  Turnaround SIG Required Activity 5: Adopt a new governance structure or enter into a multi-year contract with the LEA or SEA to obtain added flexibility in exchange for greater accountability.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe LEA has a structure in place, such as a turnaround office or team, to direct and support SIG implementation. Senior leadership with school improvement skills leads this office or team.   The LEA allocates resources to support the turnaround office or team.LEA policies and operating procedures are reviewed and recommendations made for changes if barriers to reform are identified.The LEA has a process in place to carefully screen, select, and monitor external partners based on specific criteria closely aligned to meeting identified school needs. The LEA has a clearly articulated plan to sustain reform beyond the funding period.The LEA and school align SIG resources with other resources to sustain interventions. Barriers of Year 2 Implementation  Turnaround SIG Required Activity 6: Use data to identify and implement an instructional program that is research-based and vertically aligned from one grade to the next, as well as aligned with State academic standards.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineSEA and LEA data systems facilitate the collection, interpretation, and use of data to drive instructional change.   SEA, LEA, and school provide access to timely data that include disaggregated statewide assessment scores, school performance, and aggregated classroom observation data. LEA and school ensure that instruction is aligned with standards and benchmarks. LEA and school dedicate structured time for PD and staff collaboration around data interpretation.LEA and school demonstrate use of data to guide instructional change, and the school defines a process where teacher and administrator teams meet to review data and plan improvement. Barriers of Year 2 Implementation  Turnaround SIG Required Activity 7: Promote the continuous use of student data to inform and differentiate instruction in order to meet the academic needs of individual students. Student data should include a wide range of information from formative, interim, classroom, and summative assessments. The LEA and school must have a system to manage, report, and use these multiple measures of student achievement in a way that effectively measures student growth, and provides information on the strategies and interventions most likely to have contributed to that growth. Processes are in place to share data with parents and students in an easy-to-understand format, and in the language of the recipient. Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe SEA and LEA provide access to timely data to schools through formative, interim, classroom and summative assessments. LEA and school dedicate structured time for PD and staff collaboration around data interpretation. The LEA has established annual goals for student achievement. The LEA has ongoing diagnostic programs in place to assess annual goals for student learning and effective practice. LEA and school demonstrate use of data to guide instructional change, and the school defines a process where teacher and administrator teams meet to review data and plan improvement.  The LEA and school share student progress data with parents and students.  Barriers of Year 2 Implementation  Turnaround SIG Required Activity 8: Establish schedules and implement strategies that provide increased learning time for all students.Increased learning time means using a longer school day, week, or year schedule to significantly increase the total number of school hours to include additional time for (a) instruction in core academic subjects including English, reading or language arts, mathematics, science, foreign languages, civics and government, economics, arts, history, and geography; (b) instruction in other subjects and enrichment activities that contribute to a well-rounded education, including, for example, physical education, service learning, and experiential and work-based learning opportunities that are provided by partnering, as appropriate, with other organizations; and (c) teachers to collaborate, plan, and engage in PD within and across grades and subjects. Research supports the effectiveness of well-designed programs that expand learning time by a minimum of 300 hours per school year.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe SEA, LEA, and school are familiar with evidence-based practices to provide increased learning time.   The LEA and school identify community needs and partnership opportunities. The LEA allocates funding for extended learning programs. The LEA supports school leadership in developing and sustaining community partnerships. The LEA provides PD to ensure that extended learning programs are aligned with the school curriculum. The LEA and school have a system of assessing the progress of the extended learning program and using data to guide instructional changes.  Barriers of Year 2 Implementation  Turnaround SIG Required Activity 9: Provide appropriate social-emotional and community-oriented services and supports for students.Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe LEA ensures each school has a strong academic program, with all other services complementing the central academic mission.  The LEA supports sustainable and effective community partnerships (e.g., requires partnering organizations to designate an employee at school site to operate as a contact point for school, family, and community; develops joint financing of facilities and programs with community and local government).Schools involve a broad representation of parents, community members, school staff, and other stakeholders in planning and implementing services offered at the school site.Schools provide PD to ensure that staff members work effectively with partnering organizations.LEA and school leaders periodically report to, and solicit input from, the school committee, staff, families, and community on school improvement.  Barriers of Year 2 Implementation  Turnaround SIG Required Activity 10: Establish a system to collect data for the required leading indicators for schools receiving SIG funds.The nine metrics that constitute the leading indicators for the SIG program include (1) the number of minutes within the school year, (2) student participation rate on state assessments in reading/language arts and in mathematics by student subgroup, (3) dropout rate, (4) student attendance rate, (5) number and percentage of students completing advanced coursework (e.g., AP/IB, early-college high schools, or dual enrollment classes), (6) discipline incidents, (7) truants, (8) distribution of teachers by performance level on an LEAs evaluation system, and (9) teacher attendance rate. Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 TimelineThe SEA has established a process to collect and analyze data, preferably at key points during the year so the SEA may provide support to help the LEA and school make needed corrections.  The LEA and school have established a data system that can collect and report information on all nine leading indicators. Barriers of Year 2 Implementation  Turnaround SIG Permissible Activity 11: A turnaround model may also implement other strategies.The strategies include: Any of the required and permissible activities under the transformation model; A new school model (e.g., themed, dual language academy). Implement a high-quality preschool program that is designed to improve the health, social-emotional outcomes, and school readiness for high-need young children, or Replace a comprehensive high school with one that focuses on science, technology, engineering, and mathematics (STEM).Evidence of Implementation IndicatorsYear 2 Implementation DescriptionYear 3 Project DescriptionYear 3 Timeline   Barriers of Year 2 Implementation  Form S-7 Date: ________________ Page ____ of ____ ANNUAL STUDENT TARGETS LEA : _________________________________________________ Name of School: ___________________________ GRADE SPAN & SUBGROUPLANGUAGE ARTSMATHFor Each Grade Span: ________ Other Measure2010 Base line2011 Target2011 Out come2012 Target2013 Target Other Measure2010 Base line2011 Target 2011Out come2012 Target2013 TargetTotal StudentsStudents with DisabilitiesLimited English Proficient StudentsWhiteAfrican-AmericanAsian/Pacific IslanderAmerican Indian/Native AmericanHispanicOthersEconomically Disadvantaged Analysis of Year 2 Outcomes  Form S-8 ACTIVITY PLAN Use only one model template for each school. SIG Required Activity 2 TransformationUse rigorous, transparent, and equitable evaluation systems for teachers and principals that (a) take into account data on student growth as a significant factor, as well as other factors, such as multiple observation-based assessments of performance and ongoing collections of professional practice reflective of student achievement and increased high school graduation rates; and (b) are designed and developed with teacher and principal involvement.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 3 TransformationIdentify and reward school leaders, teachers, and other staff who, in implementing this model, have increased student achievement and high school graduation rates, and identify and remove those who have not improved their professional practice after having been afforded ample opportunity to do so. SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 4 TransformationProvide staff ongoing, high-quality, job-embedded professional development (PD) that is aligned with the schools comprehensive instructional program and designed with school staff to ensure they are equipped to facilitate effective teaching and learning and have the capacity to successfully implement school reform strategies.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 5 TransformationImplement strategies that are designed to recruit, place, and retain staff with the skills necessary to meet the needs of the students in a transformation model.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 6 TransformationComprehensive instructional reform strategies. The LEA must (a) use data to identify and implement an instructional program that is research-based and vertically aligned from one grade to the next, as well as aligned with state academic standards; and (b) promote the continuous use of student data (such as from formative, interim, classroom, and summative assessments) to inform and differentiate instruction in order to meet the academic needs of individual students.SMART Goal:Measurable Effectiveness Data: 1. 2. Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 7a TransformationIncreasing learning time and creating community-oriented schools. The LEA must (a) establish schedules and strategies that provide increased learning time for all students.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 7b TransformationIncreasing learning time and creating community-oriented schools. The LEA (b) provide ongoing mechanisms for family and community engagement.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 8 TransformationProviding operational flexibility and sustained support. The LEA must (a) give the school sufficient operational flexibility (such as staffing, calendars/ time, and budgeting) to implement fully a comprehensive approach to substantially improve student achievement outcomes and increase high school graduation rates; and (b) ensure that the school receives ongoing, intensive technical assistance and related support from the LEA, the SEA, or a designated external lead partner organization (such as a school turnaround organization or an EMO).SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 9 TransformationEstablish a system to collect data for the required leading indicators for schools receiving SIG funds.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 Form S-8 Use only one model template for each school. Date: _______________________ Page ____of ____ PROJECT ACTIVITY PLAN - TURNAROUND LEA : _________________________________________________ Name of School: ________________________________________ SIG Required Activity 1 TurnaroundGrant the principal sufficient operational flexibility (which may include staffing, calendars/time, and budgeting) to implement fully a comprehensive approach in order to substantially improve student achievement outcomes and increase high school graduation rates.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 2 TurnaroundUsing locally adopted competencies to measure the effectiveness of staff who can work within the turnaround environment to meet the needs of students: (a) screen all existing staff and rehire no more than 50 percent, and (b) select new staff.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 3 TurnaroundImplement strategies that are designed to recruit, place, and retain staff with the skills necessary to meet the needs of the students in a turnaround school.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 4 TurnaroundProvide staff ongoing, high-quality job-embedded professional development (PD) that is aligned with the schools comprehensive instructional program and designed with school staff to ensure that they are equipped to facilitate effective teaching and learning and have the capacity to successfully implement school reform strategies.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 5 TurnaroundAdopt a new governance structure or enter into a multi-year contract with the LEA or SEA to obtain added flexibility in exchange for greater accountability.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 6 TurnaroundUse data to identify and implement an instructional program that is research-based and vertically aligned from one grade to the next, as well as aligned with State academic standards.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 7 TurnaroundPromote the continuous use of student data to inform and differentiate instruction in order to meet the academic needs of individual students.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 8 TurnaroundEstablish schedules and implement strategies that provide increased learning time for all students.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 9 TurnaroundProvide appropriate social-emotional and community-oriented services and supports for students.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 SIG Required Activity 10 TurnaroundEstablish a system to collect data for the required leading indicators for schools receiving SIG funds.SMART Goal:Measurable Effectiveness Data: 1. 2.Description of Action StepsPerson(s) Responsible Resources Documentation Q1 Q2 Q3 Q412345678910 Form S-9 Date: ________________ Page ____ of ____ BUDGET AMOUNT AND NARRATIVE LEA : _________________________________________________ Name of School: ________________________________________ BUDGET NARRATIVE School Name:Year 3Approved in Original 2010-2011 Application 2011-2012 RequestedEstimated Amount To Be Carried Over from 2010-2011 LEA (5% administrative) School  Final 2011-2012 Budget Request Year 3 Estimate  BUDGET NARRATIVE Year 3 Budget Narrative including the estimated carryover  S-10 BUDGET DETAIL FORM A Personal Services - Salaries Function & Object Codes 100-100 and 200-100 NGO TITLE: School Improvement GrantSCHOOL NAME: NOTES: Copy this form. Refer to Part III, Constructing a Grant Application Budget, of the Discretionary Grant Application for instructions. Complete all columns. Use multiple lines for a single entry if necessary.  PROGRAM GOAL/ OBJECTIVE/ ACTIVITYFUNCTION & OBJECT CODE POSITION/NAMECOST CALCULATION For full-time positions: total annual salary x percent of time to the grant project = total For part-time positions: rate ($) per hour x number of hours per week x number of weeks per year = totalGRANT REQUEST AMOUNT S-11 BUDGET DETAIL FORM B Personal Services Employee Benefits Function & Object Code 200-200 NGO TITLE: School Improvement GrantSCHOOL NAME: NOTES: Copy this form. Refer to Part III, Constructing a Grant Application Budget, of the Discretionary Grant Application for instructions. Complete all columns. Use multiple lines for a single entry if necessary.  POSITION/NAMEGRANT REQUESTED SALARY AMOUNTFICA 7.65%TPAF ------------%PERS ------------%WRKRS COMP ------------ %UNEMPLY. ------------ %DISABIL. ---------- %HEALTH ----------%OTHER SPECIFY: _________ ----------%TOTAL % OF BENEFITSGRANT REQUEST AMOUNT (BENEFITS ONLY) S-12 BUDGET DETAIL FORM C Purchased Professional and Technical Services Function & Object Codes 100-300 and 200-300 NGO TITLE: School Improvement GrantSCHOOL NAME: NOTES: Copy this form. Refer to Part III, Constructing a Grant Application Budget, of the Discretionary Grant Application for instructions. Complete all columns. Use multiple lines for a single entry if necessary. PROGRAM GOAL/ OBJECTIVE/ ACTIVITYFUNCTION & OBJECT CODEDESCRIPTION/PURPOSERATE: HOURLY, DAILY, FLAT FEETIME REQUIREDGRANT REQUEST AMOUNT S-13 BUDGET DETAIL FORM D Supplies and Materials Function & Object Codes 100-600 and 200-600 NGO TITLE: School Improvement GrantSCHOOL NAME: NOTES: Copy this form. Refer to Part III, Constructing a Grant Application Budget, of the Discretionary Grant Application for instructions. Complete all columns. Use multiple lines for a single entry if necessary. PROGRAM GOAL/ OBJECTIVE/ ACTIVITYFUNCTION & OBJECT CODEITEM DESCRIPTIONUNIT COST (UC)QUANTITY (Q)GRANT REQUEST AMOUNT (GR) S-14 BUDGET DETAIL FORM E Equipment Function & Object Codes 400-731 and 400-732 NGO TITLE: School Improvement GrantSCHOOL NAME: NOTES: Copy this form. Refer to Part III, Constructing a Grant Application Budget, of the Discretionary Grant Application for instructions. Complete all columns. Use multiple lines for a single entry if necessary. PROGRAM GOAL/ OBJECTIVE/ ACTIVITYFUNCTION & OBJECT CODEITEM DESCRIPTIONUNIT COST (UC)QUANTITY (Q)GRANT REQUEST AMOUNT (GR) S-15 BUDGET DETAIL FORM F Other Purchased Services, Other Objects, Purchased Property Services, Travel, Indirect Costs, Buildings Function & Object Codes 100-500, 100-800, 200-400, 200-500, 200-580, 200-800, 200-860, 400-720 NGO TITLE: School Improvement GrantSCHOOL NAME: NOTES: Copy this form. Refer to Part III, Constructing a Grant Application Budget, of the Discretionary Grant Application for instructions. Complete all columns. Use multiple lines for a single entry if necessary. PROGRAM GOAL/ OBJECTIVE/ ACTIVITYFUNCTION & OBJECT CODEDESCRIPTION/COST CALCULATIONGRANT REQUEST AMOUNT Form S-16 NJ DEPARTMENT OF EDUCATION APPLICATION FOR FUNDS - BUDGET SUMMARY LEA Name: School Name: County/LEA/School Code: __ __ / __ __ __ __ / __ __ NGO Title: School Improvement Grant (Cohort 1 Year 3) NGO#: ___ ___ ___ ___ ___ ___ ___ ___ ___ BUDGET CATEGORY FUNCTION & OBJECT CODE GRANT FUNDS REQUESTED STATE FEDERAL SIG FUNDS FUNDS FUNDS (Column 1) (Column 2) (Column 3) SIG ADMIN COST SUMMARY (Column 4) SIG TOTAL Sum of columns 3 &4 (Column 5)INSTRUCTIONPersonal Services - Salaries100-100Purchased Professional & Technical Services100-300Other Purchased Services100-500Supplies and Materials100-600Other Objects100-800SUBTOTAL - INSTRUCTIONSUPPORT SERVICESPersonal Services - Salaries200-100Personal Services Employee Benefits200-200Purchased Professional & Technical Services200-300Subgrant Cost Summary200-320Purchased Property Services200-400Other Purchased Services200-500Travel200-580Supplies and Materials200-600Other Objects200-800Indirect Costs200-860SUBTOTAL - SUPPORT SERVICESFACILITIES ACQUISITION & CONSTR. SVCSBuildings 400-720Instructional Equipment400-731Noninstructional Equipment400-732SUBTOTAL - FACILITIESTOTAL COST_________________________________________ ___________ Business Administrator/Chief Fiscal Officer Date APPENDIX F: COMPLETING THE BUDGET INSTRUCTIONS The budget section of your grant application should be as specific and detailed as the narrative section of your application. It should reflect the estimated costs of activities outlined in your Project Activity Plan, and contain no surprises or unjustified requests. Note that grant funds provided through any discretionary grant program may not be expended for costs prohibited by federal OMB circulars A-87, A-21, or A-122, as applicable The School Improvement Grant (SIG) has specific components that are required to be completed for example: Extended Learning Time and Incentives/Rewards. Please be aware that salaries and benefits for extended learning times must be for hours outside of the employees normal contract hours. Additionally, incentives/rewards may not have any personal value for the recipient. For example, disallowed costs may include but are not limited to: gift cards to restaurants or book stores, IPADS, IPods, or personal computers to mention a few. However, grants can be awarded to a teacher to buy supplies to do something different or creative in a classroom; IPADS/IPODS may be purchased by the school for staff to sign out and use but not own. STEP 1: COMPLETING THE BUDGET DETAIL FORMS The budget detail forms are designed to link project activities to requested costs and to provide the cost basis for each estimated cost. The clearer the link between the project and a proposed expenditure, the less likely it is that the proposed expenditure will be questioned or removed from the budget. Itemization and/or detail are required to ensure that the cost is eligible generally under the Federal Cost Principles, specifically under the NGO, and that it is budgeted in the appropriate line. NOTE: The same set of forms is used for the applicant (lead) agency as for each subgrant agency where subgrant agreements are a necessary part of the budget. There is a space on each form to identify a specific subgrant agency as opposed to the applicant (lead) agency. General Instructions Complete all identifying information at the top of each budget detail form and complete all columns on each form. (Check the subgrantee box and enter the subgrantee name when the forms are used for subgrant partners.) Show on the budget detail forms the cost basis for each proposed expenditure. The cost basis shows how you arrived at the estimate you have provided. In most cases it includes a calculation (e.g., 50 notebooks @ $1.00 = $50.00). If any cost is unusual, you may be asked to provide documentation or an explanation to support your estimate. Itemized List: Where the instructions here and/or on the budget detail form call for an itemized list, provide the following information for each item: Item name and/or description, if the name does not readily describe the purpose or use for the item Unit cost (the cost of one unit of the item, as packaged) Quantity of the item to be purchased Total Cost (unit cost x quantity) Grant request amount for this item. Check all calculations for accuracy. Show all entries in whole dollars only. Cents will be deleted if included; therefore, your approved budget may reflect money lost through rounding errors. Link each proposed expenditure to the Project Activity Plan by entering in the Project Goal/Objective/Activity column the codes for all goals, objectives and activities that provide direct programmatic support for each proposed expenditure. Form A: Personal Services Salaries 100-100: Full-Time & Part-Time Salaries Instruction 200-100: Full-Time & Part-Time Salaries Support Services Use Form A for the salaries of all employees whose duties include grant-related activities. List separately the title of each position and the name of the staff person who holds the position, or enter vacant after the position title if the position is unfilled at the time of application. If the duties of the position are not clear from the title, enter enough information to make the duties of the staff person clear and/or the reason for requesting the funds evident. Example: Teacher/Smith for curriculum development, or 4 substitutes for teachers attending professional development workshops. If a staff member serves in more than one capacity, enter that staff member in each applicable Function & Object Code. For example, if a staff member serves as a teacher and as a counselor, enter that staff member in two separate budget lines under the appropriate Function & Object Codes, i.e., 100-100 (SalariesInstruction) for Teacher/ Murphy, and 200-100 (Salaries Support Services) for Counselor/ Murphy. Show in the Cost Calculation column how the total cost for the position was determined. Example - Part-Time Salary: 2 teachers x $75/day x 5 days each = $750 Example - Full-Time Salary: 1 math teacher at $50,000/yr annual salary x 50% time on the grant = $25,000. Enter in the Grant Request Amount column the amount of grant funds being requested for this salary. If only a portion of the salary for this position is to be paid from grant funds, enter the amount to be paid from grant funds in the Grant Request Amount column. Form B: Personal Services Employee Benefits 200-200: Personal Services - Employee Benefits Use Form B for fringe benefits for all employees whose salaries will be wholly or partially funded by the grant. Ensure that all fringe benefits calculations are based on the correct corresponding grant -requested salaries. Ensure that the percentage of an individuals fringe benefits charged to the grant does not exceed the corresponding percentage of that individuals salary charged to the grant. Example: If 25% of a staff members salary is charged to the grant project, up to 25% of his/her fringe benefits can be charged to the grant project. Complete the heading on each column by filling in the appropriate % for each fringe benefit. NOTE: The standard FICA rate is already entered on the form. Enter in the Position/Name column the title and persons name (where known) for each position. Make certain that this entry matches the Budget Detail Form A entry for the same staff position/staff member. NOTE: If a staff member has been entered more than once on Budget Detail Form A, the staff member should be entered more than once on Budget Detail Form B. Enter in the Salary Grant Request Amount column the amount of the staff members salary that is being requested from the grant. Complete each column by multiplying the total salary requested from the grant for the position by the appropriate percentage of the fringe benefit. Example: For a staff member whose salary from the grant equals $15,000: to enter requested FICA amount, multiply $15,000 x 7.65%. which equals $1,147.50. Add all the fringe benefits for the position entered in this line. Calculate the total percentage of fringe benefits by dividing the total fringe benefits by the grant-funded salary (Salary Grant Request Amount column). Enter this percentage in the Total % of Benefits column. NOTES: FICA/TPAF 7.65% has already been entered in the FICA column. This percentage includes both Social Security (6.20%) and Medicare (1.45%). For grant projects funded with federal funds, you must charge to the grant FICA and Teacher Pension and Annuity Fund (TPAF) benefits calculated on the base salary for any employee of a Local Education Agency (LEA) who holds a New Jersey teaching certificate, if grant funds are requested for the employees salary. For grant projects funded with state funds, you may not charge to the grant FICA or TPAF benefits calculated on the base salary for any employee of an LEA who holds a New Jersey teaching certificate. For grant projects funded with both state and federal funds, you must use the federal funds for FICA and TPAF costs for all full-time employees whose salaries are fully or partially funded with federal funds and who hold New Jersey teaching certificates unless otherwise instructed in the NGO. Health Benefits Health benefits are frequently determined by the coverage chosen by the employee rather than by percentage of salary. Where this is the case, enter a phrase such as Varies or Employee Choice to provide an explanation for the costs. The percentage of such benefits requested from grant funds may not exceed the percentage of the employees salary charged to the grant. Health benefits are sometimes fixed (the coverage is the same for every employee). In this case enter Fixed and the fixed amount in the column heading. Example: If your agency pays $8,000 in health benefits for each employee, you would enter Fixed: $8,000" at top of the column. The percentage of such benefits requested from grant funds may not exceed the percentage of the employees salary charged to the grant. Form C: Purchased Professional and Technical Services 100-300: Purchased Professional and Technical Services (instructional) 200-300: Purchased Professional and Technical Services (noninstructional/support) Use Form C for purchased professional and technical services, i.e., consultant costs. Consultants are paid on an hourly, daily, or flat fee basis, and are not employees of the applicant (lead) agency. Group all costs in the same Function & Object Code together. Enter the Function & Object Codes sequentially, e.g., enter all costs for 100-300 before entering costs for 200-300. Provide a description of the type(s) of consultants to be engaged (an individual and/or company) and the purpose for which the consultant(s) will be hired. Identify, where possible, the services and/or products to be purchased. Identify the rate of compensation, e.g., $10/hour or $200/workshop or $300/day. NOTE: If a flat fee is used as the cost basis, you must identify the specific products or services to be provided for that fee and an approximate number of hours or days the consultant will spend on the project. Enter the time for which you are contracting with the consultant. The time should refer to the fee basis, e.g., if the fee shown in the Rate column is $10/hour, show the number of hours (e.g., 15 hours) in the Time Required column. Form D: Supplies and Materials 100-600 Instructional Supplies and Textbooks 200-600 Noninstructional Supplies and Materials Use Budget Detail Form D for classroom/instructional supplies and materials, noninstructional supplies and materials, and textbooks. Identify the specific supplies to be purchased, e.g., paper, notebooks, printer toner cartridges, envelopes, etc. NOTE: In some cases, it may be acceptable for you to identify only the types of supplies to be purchased, rather than provide an itemized list of the supplies. However, for all entries, you must provide as much detail as necessary for the DOE to accurately determine the necessity for the proposed expenditure. In the case of textbooks, workbooks, reference or library books, software programs, etc., it is not necessary to identify the specific titles of the books or software programs to be purchased. However, it is necessary to identify the course(s) or subjects for which the books or software programs will be purchased. Where itemization is required, enter in the Unit Cost column the cost for one item as the item is priced for purchase (i.e., by individual item, by the box, case, carton, etc.). Enter the number of items (i.e., individual items, boxes, cases, cartons, etc.) in the Quantity column for each particular supply to be purchased. Form E: Equipment 400-731: Instructional Equipment 400-732: Noninstructional Equipment Use Budget Detail Form E for instructional and noninstructional equipment. An item to be purchased is categorized as equipment if it meets ALL of the following criteria: 1. It retains its original shape, appearance and character with use; 2. It does not lose its identity through fabrication or incorporation into a different or more complex unit or substance; 3. It is nonexpendable; that is, if the item is damaged or some of its parts are lost or worn out, it is more feasible to repair the item than to replace it; 4. Under normal conditions of use, including reasonable care and maintenance, the item can be expected to serve its primary purpose for at least one year; 5. The unit cost is more than $2,000. Provide a clear description in the Item Description column of the item to be purchased (e.g., the number of desktop computers, along with any peripherals that are included). Include in the Item Description column information on how and by whom the equipment will be used (e.g., for student instructional use in computer lab). This will help the reviewer to assess the appropriateness of the funds requested. You may also include any additional information that will clarify the relevance to the grant project of the proposed costs that will help the reviewer determine whether the costs have been entered into the correct Function & Object Code. Where equipment is purchased from a single vendor as a package, identify the full package price and the package components (e.g., computer packaged with software, printer, etc.). Do not show the cost of the components separately if they are not purchased separately. Form F: Other Costs 100-500 Other Purchased Services 100-800: Other Objects 200-400: Purchased Property Services 200-500: Other Purchased Services 200-580: Travel 200-800: Other Objects 200-860: Indirect Costs 400-720: Buildings Use Budget Detail Form F for all Function & Object Codes that are not properly entered on Budget Detail Forms A through E. When requesting mileage costs for staff travel, identify the staff member who will be traveling and the purpose for which the travel will be undertaken. Example: Project director round trip from Anytown to Trenton for meeting with DOE Program Officer, 100 miles round trip. Enter the description of the requested cost and the cost calculation. Both the description and the cost calculation must provide enough detail to clarify the relevance of the requested cost to the grant project and to enable the reviewer to assess the reasonableness of your request. Special Cost Considerations on Form F: Purchased Property Services For all rentals (property, vehicles, equipment) please be aware that you may be requested to provide a copy of a lease agreement or a written quote from the prospective leaser. However, it isnt necessary to provide this documentation as part of your proposed budget. Indirect Costs Many DOE discretionary grant programs do not allow grant funds to be used for indirect costs. (Indirect costs are costs incurred for support services that are not readily identifiable as direct program costs.) Check the Budget Considerations section of the NGO to determine whether indirect costs are allowable for your grant project. Where indirect costs are allowed, the Department of Education reserves the right to limit the percentage charged, in order to ensure that the majority of discretionary grant funds are allocated to direct program costs. NOTE: Local education agencies (LEAs) receive approved indirect cost rates from the NJDOE. Other agencies receive approved indirect cost rates from their cognizant federal agency. Documentation of the approved indirect cost rate must be submitted with the application. (For more information on indirect costs see http://www.ed.gov/about/offices/list/ocfo/intro.html) To calculate restricted indirect costs, multiply the total direct costs (minus equipment and subgrant costs) by the approved restricted indirect cost rate. STEP 2: COMPLETING THE APPLICATION FOR FUNDS BUDGET SUMMARY FORM The Application for Funds - Budget Summary is prepared only after all appropriate lead agency and subgrant budget detail forms have been completed. The purpose of the form is to provide a summary of all planned expenditures for the lead agency, which includes a summary of total subgrantee costs (where applicable) under line 200-320. The Application for Funds Budget Summary is for use by all applicants and shows the total of all grant funds requested. Required for All Applicants: Complete the Applicant (Lead) Agency and CO/Lead Agency Code, NGO Title and NGO # lines at the top of the form(s). Enter a total for each Function & Object Code in the appropriate column. (Refer to the Statutory/Regulatory Source and Funding section of the NGO for the correct funding source information, i.e., state, federal, other, and use the appropriate column.) Verify all figures for accuracy. Ensure that funds requested are shown on the correct Function & Object Code line, and that the amounts and assignments (by Function & Object Code) are consistent with those shown on the corresponding set of budget detail forms. Verify that the total in each line equals the sum of the amounts for that line entered on the budget detail forms. Amounts requested on the Application for Funds - Budget Summary and on the Subgrant Budget Summary must be fully supported by information provided on the corresponding set of budget detail forms. Show all entries in whole dollars only. Cents will be deleted. Required Only Where Directed by the NGO: (In addition to the above) Complete the Administrative Cost Summary Column: Enter a total for each Function & Object Code based on the grant funds requested under the Subgrant Budget Summary that represent administrative costs. Enter subtotals in the lines shaded and titled: Subtotal Support Services and Subtotal Facilities. NOTE: Instructional costs will never be considered administrative. Therefore, these rows have been blocked out so that figures are not inadvertently entered into them. Complete the Total Cost line.      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T$$If!vh55)#v#v):V l4 t 6`"06,55/ / T#$$If!vh555 5 55b55s#v#v#v #v #v#vb#v#vs:V l4  t 6`' P06,,555s5t5555/ / / / pPkd2$$Ifl4ִQ'#,/24D7st  t 6`' P06    44 lapP$$If!v h55P55 5 55b55 s#v#vP#v#v #v #v#vb#v#v s:V l[ t 6`' 0655_55s5t5555 / / / / / / kdk7$$Ifl[ 5Q'#,/24D7_st t 6`' 06$$$$44 la$$If!v h55P55 5 55b55 s#v#vP#v#v #v #v#vb#v#v s:V lI t 6`' 0655_55s5t5555 / / / / / / kd;$$IflI 5Q'#,/24D7_st t 6`' 06$$$$44 la$$If!v h55P55 5 55b55 s#v#vP#v#v #v #v#vb#v#v s:V l t 6`' 0655_55s5t5555 / / / / / / kd>$$Ifl 5Q'#,/24D7_st t 6`' 06$$$$44 la$$If!v h55P55 5 55b55 s#v#vP#v#v #v #v#vb#v#v s:V l  t 6`' 0655_55s5t5555 / / / / / / kdWB$$Ifl  5Q'#,/24D7_st t 6`' 06$$$$44 la$$If!v h55P55 5 55b55 s#v#vP#v#v #v #v#vb#v#v s:V l  t 6`' 0655_55s5t5555 / / / / / / kdE$$Ifl  5Q'#,/24D7_st t 6`' 06$$$$44 la$$If!v h55P55 5 55b55 s#v#vP#v#v #v #v#vb#v#v s:V l  t 6`' 0655_55s5t5555 / / / / / / kdI$$Ifl  5Q'#,/24D7_st t 6`' 06$$$$44 la$$If!v h55P55 5 55b55 s#v#vP#v#v #v #v#vb#v#v s:V l  t 6`' 0655_55s5t5555 / / / 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la$$If!v h55Q55 5 55b55 s#v#vQ#v#v #v #v#vb#v#v s:V l  t 6`"0655_55s5t5555 / / / / / / kdǧ$$Ifl  4Q'#,/24D7_st t 6`"06$$$$44 la$$If!v h55Q55 5 55b55 s#v#vQ#v#v #v #v#vb#v#v s:V l  t 6`"0655_55s5t5555 / / / / / / kdk$$Ifl  4Q'#,/24D7_st t 6`"06$$$$44 la$$If!v h55Q55 5 55b55 s#v#vQ#v#v #v #v#vb#v#v s:V l  t 6`"0655_55s5t5555 / / / / / / kd$$Ifl  4Q'#,/24D7_st t 6`"06$$$$44 la$$If!vh55)#v#v):V l4 t 6`"0655/ / $$If!vh55)#v#v):V l4 t 6`"0655/ / $$If!vh55)#v#v):V l4 t 6`"0655/ / #$$If!vh555 5 55b55s#v#v#v #v #v#vb#v#vs:V l4  t 6`"P06,,555s5t5555/ / / / pPkd$$Ifl4ִQ'#,/24D7st  t 6`"P06    44 lapP$$If!v h55Q55 5 55b55 s#v#vQ#v#v #v #v#vb#v#v s:V l[ t 6`"0655_55s5t5555 / / / / / / kd$$Ifl[ 4Q'#,/24D7_st t 6`"06$$$$44 la$$If!v h55Q55 5 55b55 s#v#vQ#v#v #v #v#vb#v#v s:V lI t 6`"0655_55s5t5555 / / / / / / kd_$$IflI 4Q'#,/24D7_st t 6`"06$$$$44 la$$If!v h55Q55 5 55b55 s#v#vQ#v#v #v #v#vb#v#v s:V l t 6`"0655_55s5t5555 / / / / / / kd$$Ifl 4Q'#,/24D7_st t 6`"06$$$$44 la$$If!v h55Q55 5 55b55 s#v#vQ#v#v 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