2014 SD 21St Century Community Learning Centers Reviewer ID ____

2014 SD 21st Century Community Learning Centers Reviewer ID ____

Grant Application Rating Form

Applicant______

Yes___ No____ Will the applicant be serving a Focus or Priority school?

Yes___ No____ Is the applicant submitting an application in which there is a joint effort

demonstrated between a qualifying Local Education Agency (LEA) and at least one other organization or is this not possible in this instance because of geographic proximity?

Yes__ No____ Does the applicant currently have a grant from the South Dakota Department of Education?

General Check-off: (ALL SECTIONS REQUIRED)

_____Cover page with complete information about applicant

_____Table of contents – one page

_____Program summary

_____Site list and demographics on each site (must show that 40% of students

served qualify for free and reduced meals, or if several schools are combined,

a majority (over 50%) of the students served must qualify for free and

reduced meals, or the school/district served must be school-wide Title 1)

_____Abstract

_____Program narrative – no more than 20 pages, double spaced

_____Program Evaluation Template

_____Budget information/summary sheet must be filled out completely

a.  Must be for five years

b.  Must be for at least $50,000 per year (disqualified if for less)

c.  Must not be for more than $150,000 per year

_____Budget narrative – a brief description of categorized distribution of dollars (no equipment in years 4&5)

_____Attachment A – Signed and dated assurances

_____ Attachment B – Financial management questionnaire

_____ Attachment C – Signed and dated Affirmation of Consultation with Private School Officials (If no private

schools are affected, include form with NA written on it)

_____Attachment D – GEPA 427 information

_____Attachment E – Signed and dated Collaboration and Partnership agreements

_____Appendix (Optional)

SCORE:

Criterion 1 (10) _____

Criterion 2 (40) _____

Criterion 3 (20) _____

Criterion 4 (25) _____

Criterion 5 (10) _____

Criterion 6 (15) ______

TOTAL SCORE FOR GRANT APPLICATION (Possible 120 points) ______

CRITERION 1 – NEED FOR PROJECT (10 points)

It must be demonstrated that there is current data to support that students at the site(s) are in need of services and/or at risk of educational failure.

Are the needs of the proposed target population clearly described? Are the facts and figures sited representative of this community and not just general information?

A.  (1 point) Are the students to be served attending a Focus or Priority school? Points_____

B.  (3 points) The extent to which the students are in need of academic improvement based upon individual performance. Points_____

C.  (6 points) The extent to which the students are exposed to factors such as poverty, limited English proficiency, dropout rates, truancy, juvenile delinquency rates, or unmet child care needs, etc. that place them at risk of failing to achieve success in school. Consideration should be given to the lack of programming opportunities available.

Points_____

(Reviewers: You may use this form to keep track of needs listed and to check to see if these needs are addressed in the programming if you wish.)

Need(s) listed Need addressed:

______

______

______

______

Use complete sentences. Add page numbers from application if possible.

Strengths:______

______

______

______

______

Weaknesses:______

______

CRITERION 2 – QUALITY OF PROJECT DESIGN (40 points)

The scoring in this criterion is to address five areas:

A.  (10 points) To what extent are the goals, objectives, and outcomes to be achieved by the proposed project clearly specified, measurable?

B.  (10 points) To what extent is the design of the proposed project appropriately addressing the needs of the target populations or other identified needs such as the needs of the families and the development of a positive environment in the neighborhood/community?

C.  (10 points) To what extent does the proposed program design provide an interesting, challenging, and meaningful learning experience for the young people involved (note descriptions of typical after-school and/or summer day experiences for students)?

D.  (5 points) To what extent does this opportunity offer support to developing a positive environment in the neighborhood/community?

E.  (5 points) To what extent are policies in place/proposed regarding areas such as attendance, handling of injuries, discipline, marketing of program, and communication with parents, etc.?

Use complete sentences. Add page numbers from application if possible.

Strengths:______

______

Weaknesses:______

CRITERION 3 – ADEQUACY OF RESOURCES (20 points)

Consider the following while scoring this section:

A.  (5 points) The extent to which there is adequacy of support including facilities, personnel, training, equipment, transportation, supplies, and other resources that are adequate to carry out the program described in the grant application and to meet required state health, safety, and fire code standards.

Points ______

B.  (5 points) If assessing a fee, do you feel there is an effective process for assuring families are not prevented from participating due to financial considerations. (If fees are charged the funding resulting from these fees must be spent for the program in the current fiscal year.)

Points ______

C.  (5 points) The extent to which consideration has been given to a plan for sustainability

after funding ceases.

Points ______

D.  (5 points) If using alternate sites, the consideration of whether the project location is at least as available and accessible to the students to be served as if the program were located in an elementary, middle, or secondary school and whether the applicant has addressed transportation to and from the site.

Points ______

Use complete sentences. Add page numbers from application if possible.

Strengths:______

Weaknesses:______

______

CRITERION 4 – QUALITY OF MANAGEMENT PLAN

Is there information to show that the management plan is adequate to achieve the objectives of the proposed project on time and within budget, including clearly defined responsibilities, timelines, and milestones for accomplishing the project tasks?

A.  (5 points) Has the applicant provided a detailed budget narrative that is appropriate to carrying out the project?

B.  (5 points) Do the costs seem appropriate for the number of children involved and the programming prescribed?

Points______

C.  (5 Points) Are staffing needs, qualifications and responsibilities clearly defined? Is a list of qualifications/resume for the project director included?

Points ______

D.  (5 Points) Is there a timeline, including management responsibilities and milestones for achieving clearly delineated and measurable objectives?

Points ______

E.  (5 points) Is the type, quality, and quantity of initial and ongoing staff training adequate? How will that training be provided and funded? ($2,000 minimum required for professional development)

Use complete sentences. Add page numbers from application if possible.

Strengths:______

Weaknesses:______

CRITERION 5 – COOPERATION (10 points)

Does the application demonstrate cooperation and participation with other entities in the

community and/or coordination of state and federal funds?

A.  (7 points) Has the applicant demonstrated that they have support of the appropriate school-day programs and school management teams from LEAs (Local Education Agencies) that serve the children targeted in this grant? (Signed and dated Collaboration and Partnership agreements MUST be present for each school that the targeted children are attending.)

Points______

B.  (3 points) To what extent will the proposed project stimulate development and coordination among appropriate organizations that are also serving this population? How do they plan to coordinate meaningful services to the target population and their neighborhood/community? (Signed and dated Collaboration and Partnership agreements are present for each of the partners listed.)

Use complete sentences. Add page numbers from application if possible.

Strengths:______

______

______

Weaknesses:______

______

______

______

Total points - 10______

CRITERION 6 – EVALUATION (15 points)

The scoring criterion is to address the following two areas:

A.  (8 points) Completion of Evaluation Matrix listing each overall goal and describing the details for each one:

Overall goal(s)

a.  Objectives

b.  What data/info will be collected?

c.  What standards will be used to determine if objective has been achieved?

d.  Who will analyze the data/info and determine if objective has been accomplished?

e.  What is the timeline for data collection

Points ____

B.  (7 points) Describe how the evaluation plan will be used to improve and strengthen the program and how results will be disseminated.

Points ____

Use complete sentences. Add page numbers from application if possible.

Strengths:______

______

______

Weaknesses:______

______

______

______

Total points - 15____

Scoring rubric to use in awarding points in 21st CCLC applications

Maximum Points / Poor
Barely addressed or not at all / Weak
Poorly developed Major weaknesses / Adequate Some weaknesses / Superior Strongly developed Minor weaknesses / Outstanding Fully developed
3 points / 0 / 0 / 1 / 2 / 3
5 points / 0-1 / 2 / 3 / 4 / 5
7 points / 0-1 / 2-3 / 4 / 5-6 / 7
10 points / 0-2 / 3-4 / 5-6 / 7-8 / 9-10
20 points / 0-4 / 5-8 / 9-12 / 13-16 / 17-20
50 points / 0-9 / 10-20 / 21-30 / 31-40 / 41-50

The sections labeled “Strengths” and “Weaknesses” should be used for sentences regarding strengths and weaknesses of the application on each criterion. It is critical that each reviewer provides narrative documentation under strengths and weaknesses to support the rating and recommendation for each application. These responses are important in providing feedback to applicants as well as to SD DOE program personnel. Whenever possible sentences should be supported with specific examples from the application including page numbers.

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