AFFIRMATION OF CONSULTATION
AFFIRMATION OF CONSULTATION: I am an administrator of ______________________________________ (School), a non-profit private school within attendance area boundaries of Virginia Public Schools. I hereby affirm that in a meeting on this date April 11, 2017 VPS and this private school engaged in meaningful consultation about the following federally funded programs for the 2017-18 school year (check each program the consultations have covered):
FEDERAL PROGRAMS:
❑Title I, Part A: Improving Basic Programs
❑Title II, Part A: Preparing, Training, and Recruiting High-Quality Teachers, Principals, and Other School Leaders
❑Title III, Part A: Language Instruction for English Learners and Immigrant Students
❑Title IV, Part B: 21st Century Community Learning Centers
❑ Title VI, Part B: Individuals with Disabilities Education Improvement Act.
TOPICS DISCUSSED:
❑How the division will identify student needs: _____________________________________________________________
❑What services will VPS offer: ____________________________________________________________________
❑How and when VPS will make decisions about the delivery of services:___________________________
❑How, where, and by whom VPS will provide services, including whether a third party will provide them:
______________________________________________________________________________________
❑How VPS will academically assess the services, and how VPS will use the results of that assessment to improve Title I services: _______________________________________________________________________________
❑The size and scope of the services that VPS will provide, and the proportion of funds that VPS will allocate for those services ______________________________________________________________________________________
❑How VPS will determine the number of private school children from low-income families residing in participating public school attendance areas:_____________________________________________________________________
❑The services VPS will give teachers and families of participating students: _________________________________ ______________________________________________________________________________________________
COOPERATION BY SCHOOL:
By choosing to participate in one or more of the programs listed above, _______________________ agrees to provide all information necessary to comply with program requirements including, but not limited to, the names and addresses of the eligible students enrolled in our school who reside within VPS boundaries. Additionally, _______________________ agrees to develop such plans and give such other reports as mandated by the programs in which it will participate.
SIGNATURE OF AUTHORIZED PRIVATE SCHOOL OFFICIAL
__________________________________________
DATE_____________________________________
NAME OF SCHOOL__________________________
TEL.#______________________________________