ARKANSAS DEPARTMENT OF EDUCATION
SCHOOL IMPROVEMENT AND PROFESSIONAL DEVELOPMENT
2003-2004
Application for Program Approval for Gifted/Talented Education
County______District Name______LEA Number______
NOTE: INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE DISTRICT
AUTHORIZATION: To the best of my knowledge, the information in this application is correct and reflects a district-wide philosophy. The assigned personnel responsible for directing and/or completing application activities will have the necessary support and authority for doing so and will comply with the State expectations and all application commitments.
Signature of Superintendent______Date______
Signature of GT Administrator/Coordinator ______Date______
SSN______
E-mail address ______
_____ Yes, the administrator/coordinator is licensed in gifted/talented education.
_____ No, the administrator/coordinator is not licensed but has filed an Additional Licensure Plan (ALP) with the
Office of Teacher Licensure. Please attach a copy of the ALP to this application.
*Total number of Identified students must equal number noted in Programs and Practices (A)
PROGRAM ENROLLMENT
*Total GT #______White # _____ = _____ % of GT Program
Female #_____ = _____ % of GT Program Asian or Pacific Islander # _____= _____% of GT Program
Male # ______= _____ % of GT Program Hispanic # _____= _____% of GT Program
Black # _____ = _____ % of GT Program American Indian or Alaskan Native # _____= _____% of GT Program
Free or Reduced Lunch # _____ = _____ % of GT Program
For ADE use only:
_____ Superintendent’s Signature _____ Program Enrollment _____ Evaluation Summary
_____ GT Administrator/Coordinator Signature _____ Program and Practices _____ Financial Data
_____ Licensure Verification
_____ Total District ADM Approved by:______
_____ 5% ADM Date: ______
Ann M. Biggers, Administrator
Office of Gifted and Talented - #4 Capitol Mall, Room 203-B – Little Rock, AR 72201
Phone 501-682-4224 - Fax 501-682-4220
E-mail –
PROGRAM APPROVAL APPLICATION DUE OCTOBER 15, 2003
LEA Number ______District ______
PROGRAMS AND PRACTICES (A)
2003-2004
· PROGRAMS: Place an (X) at each grade level offering the indicated program(s).
· STUDENT CONTACT TIME: Indicate the minutes per week students are served.
· CONTENT CODES: Indicate the content areas addressed.
S-Science LA-Language Art M-Math SS-Social Studies O-Other (Please list)
Program Options
/ K / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / StudentContact
Time-Minutes
Per Week / Content Area(s)
Whole Group
Enrichment
Resource Room
Self-contained
classes
Cluster Grouping
Seminar
Honors Content
Secondary
Content Classes
*Advanced
Placement / See Form A1Pre-Advanced
Placement
Mentorship
Independent
Studies
Magnet School
ASMS
Other (explain)
K / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / **TOTAL NUMBER OF IDENTIFIED G/T STUDENTS
NUMBER OF IDENTIFIED G/T STUDENTS PER GRADE
*See attached form
**Total number of Identified students must equal number noted in Program Enrollment on first page
ADVANCED PLACEMENT: What percentage of students enrolled (during the 2002-2003 school year) in College Board Advanced Placement classes participated in the AP Exams in May 2003? ______
LEA Number______District______
AP Coordinator Name______High School______
PROGRAM AND PRACTICES (A1)
2003-2004
CONTENT CODES: Place an (X) in the box(s) of the specific Advanced Placement course(s) and grade level(s) the high
school is currently offering to students (See Programs and Practices A).
NOTE: FOR DISTRICTS THAT HAVE MORE THAN ONE HIGH SCHOOL, THIS FORM MUST BE FILLED OUT
FOR EACH HIGH SCHOOL
ART / 10TH grade / 11th grade / 12th gradeAP Art History
AP Studio Art: Drawing Portfolio
AP Studio Art: 2-D Design Portfolio
AP Studio Art: 3-D Design Portfolio
BIOLOGY / 10th grade / 11th grade / 12th grade
AP Biology
CALCULUS / 10TH grade / 11th grade / 12th grade
AP Calculus AB
AP Calculus BC
CHEMISTRY / 10TH grade / 11th grade / 12th grade
AP Chemistry
COMPUTER SCIENCE / 10TH grade / 11th grade / 12th grade
AP Computer Science A
AP Computer Science B
ECONOMICS / 10TH grade / 11th grade / 12th grade
AP Macroeconomics
AP Microeconomics
ENGLISH / 10TH grade / 11th grade / 12th grade
AP English Language & Composition
AP English Literature & Composition
ENVIRONMENTAL SCIENCE / 10TH grade / 11th grade / 12th grade
AP Environmental Science
FRENCH / 10TH grade / 11th grade / 12th grade
AP French Language
AP French Literature
GERMAN / 10TH grade / 11th grade / 12th grade
AP German Language
GEOGRAPHY / 10TH grade / 11th grade / 12th grade
AP Human Geography
GOVERNMENT AND POLIITICS / 10TH grade / 11th grade / 12th grade
AP Comparative Government & Politics
AP United States Government & Politics
HISTORY / 10TH grade / 11th grade / 12th grade
AP European History
AP United States History
AP World History
LATIN / 10TH grade / 11th grade / 12th grade
AP Latin Literature
AP Latin: Vergil
MUSIC / 10TH grade / 11th grade / 12th grade
AP Music Theory
PHYSICS / 10TH grade / 11th grade / 12th grade
AP Physics B
AP Physics C: Electricity & Magnetism
AP Physics C: Mechanics
PSYCHOLOGY / 10TH grade / 11th grade / 12th grade
AP Psychology
SPANISH / 10TH grade / 11th grade / 12th grade
AP Spanish Language
AP Spanish Literature
STATISTICS / 10TH grade / 11th grade / 12th grade
AP Statistics
LEA Number ______District ______
NARRATIVE DESCRIPTION: Briefly describe the extent to which the options listed on the Programs and Practices (A) page are to be used, or the way in which they are combined, for each of the following grouping of students: elementary, middle/junior high, high schools. Give specific examples of how students’ needs are being met and how the program is meeting and/or exceeding the standards for this area.
PROGRAMS AND PRACTICES (B)
2003-2004
______
ELEMENTARY (Grades ):
______
MIDDLE/JUNIOR HIGH (Grades ):
______
HIGH SCHOOL (Grades ):
LEA Number ______District ______
END OF YEAR PROGRAM EVALUATION SUMMARY (C)
2002-2003
Groups Participating inProgram Evaluation / Questionnaire / Surveys / Interviews / Other
Superintendent
Principals
Teachers, Elementary
Teachers, Middle
Teachers, Jr. High
Teachers, High School
Counselors, Support Staff
Parents
Students
Community Members
School Board Members
GT Advisory Council
Based on questionnaires and/or surveys that were distributed at the end of the last school year for the purpose of program evaluation, describe (1) how the evaluation was conducted, (2) what the results showed, and (3) the activities/strategies/objectives/goals that will be addressed for the current school year as a result of the evaluation. These may be different for various levels of the school organization due to differences in programming or they may reflect general program-wide activities/strategies/objectives/
goals.
In lieu of this section it is acceptable to attach a copy of the district’s End of the Year Program Evaluation as long as each of the three areas requested above has been adequately addressed.
______
ELEMENTARY:
LEA Number ______District ______
END OF YEAR PROGRAM EVALUATIONS SUMMARY (D)
2002-2003
(Continued)
______
MIDDLE/JUNIOR HIGH:
______
HIGH SCHOOL:
______
PROGRAM-WIDE SUMMARY:
LEA Number ______District ______
END OF YEAR FINANCIAL DATA (E)
2002-2003
The amount of money districts are required to spend for gifted and talented programs is as follows according to Act917 of 1995 (Ark. Code Ann. 6-20-310-Supp.1995):
Local school districts shall expend from state and local revenues not less than the following amounts on gifted and talented programs, in accordance with rules and regulations promulgated by the State Board of Education; the previous year's average daily membership participating in gifted and talented programs, up to five percent (5%) of the previous year's average daily membership, multiplied by fifteen hundredths (.15) times the base local revenue per student.
Briefly explain how gifted/talented program needs were met by the district’s expenditures:
Personnel: / Staff Development:Purchased and Contracted Services: / Equipment/Supplies/Materials:
Other: / Briefly explain how additional local revenue was used to enhance the program:
Advanced Placement: If you have received money for equipment/materials and/or scores for students scoring 3 or better on exams and/or teachers attending AP training, please elaborate on each occurrence.
What program development(s) would improve services to students if additional funding were to become available in gifted/talented education?