California Department of Education

California Gold Ribbon Schools Program

2017 Exemplary Career Technical Education Application, Part I

Cover Page

County-District-School (CDS) Code

County Name

District Name

School Name (If your school is selected for honors, this school name will be engraved on the award plaque.)

Mailing AddressCity and Zip Code

Area Code and Phone NumberExt.Area Code and Fax Number

Principal’s E-mail Address

Alternate Contact NameArea Code and Phone NumberExt.

I certify that I have reviewed the information contained in this application and, to the best of my knowledge, it is complete and accurate. I further certify that:

  • The Office for Civil Rights does not have any outstanding findings of civil rights statute violations by the school or district that may affect the school;
  • There are no pending lawsuits by the Department of Justice against the district alleging that the school, or the district as a whole, has violated one or more of the civil rights statutes or the Constitution’s equal protection clauses; and
  • The school or district is addressing or has addressed any identified areas of noncompliance under federal or state laws and regulations.

Principal’s NamePrincipal’s SignatureDate

District Superintendent’s NameDistrict Superintendent’s SignatureDate

(or authorized designee)

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Posted on October 31, 20162017 Exemplary Career Technical Education Application, Part I

School Demographics

  1. Total school enrollment:
  1. Which category best describes where your school is located?

UrbanSuburbanRural

  1. What is your school calendar?TraditionalYear-roundModified
  1. Is your school a charter school?YesNo
  1. Number of full-time and part-time staff members in each of the categories below:

Full-time StaffPart-time Staff

Administrators

Classroom teachers

Career Technical Education (CTE)/

Regional Occupation Program (ROP) teachers

Counselors

Credentialed librarians

Nurses

Psychologists

Technology/media specialists or technicians

Paraprofessionals

Campus resource officers

Other staff (specify)

Total staff

Career Technical Education Demographics

  1. Number of CTE/ROP classrooms, labs, and program spaces (may include Business and Industry, and Community Classroom sites):

Number of

CTE/ROP Classrooms

Agriculture Education

Business and Marketing

Health Careers Education

Home Economics

Industrial and Technology Education

Arts, Media and Entertainment

Other (specify)

Other (specify)

Other (specify)

Total classrooms

  1. Number of students currently enrolled in your CTE/ROP program and schoolwide at each grade level:

Number ofNumber of

Students inStudents

CTE/ROP ProgramSchoolwide

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

Other (fifth-year seniors, etc.)

Total

  1. Percent of students in your CTE program and schoolwide by race/ethnicity based on current year data:

Percent ofPercent of

Students inStudents

CTE/ROP ProgramSchoolwide

American Indian/Alaska Native% %

Asian% %

Black or African American% %

Filipino% %

Hispanic or Latino% %

Native Hawaiian/Pacific Islander% %

White% %

Two or More Races% %

Total 100.0%100.0%

Directions to Your School

If your school is selected as a statewide nominee, the site visit team members will need directions to your school.

County

District

School

Street AddressCity and Zip Code

PrincipalArea Code and Phone NumberExt.

Name and Location of the Nearest Airport

Major Freeway Access

Provide detailed travel directions indicating the surface streets that lead to your school. Please do not submit directions or a map generated by an Internet Web site.

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Posted on October 31, 20162017 Exemplary Career Technical Education Application, Part I

Career Technical Education Synopsis

(School Name)

(CTE/ROP Vision Statement)

(CTE Synopsis Narrative - limited to this page)

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