Migrant Education
Regional Application 2017–18
Sub grantee Name: / Total Grant Amount Requested:School Readiness Grant Amount:
Type of Program: (check one)☐Centralized ☐District Reimbursement ☐Mixed
Local Educational Agency (LEA) Name: / LEA CDS Number:
LEA Address: / City: / Zip Code:
Contact Person: / Title:
Telephone: / Fax: / E-mail Address:
Resource Code / Region’s Budget / District’s Budget / Total Budget
Regular School Year (3060): / $ / $ / $
Summer/Intersession (3061): / $ / $ / $
School Readiness Regular (3110/3060) / $ / $ / $
School Readiness Summer (3110/3061) / $ / $ / $
Identification & Recruitment (3060): / $ / $ / $
Parent Advisory Council (3060): / $ / $ / $
Other Education, Health, Nutrition and Social Services (3060): / $ / $ / $
SUBTOTAL / $ / $ / $
Indirect Cost (3060/3061): / $ / $ / $
Indirect on District Subagreements / $ / $ / $
Total Budget: / $ / $ / $
CERTIFICATION: I hereby certify that all applicable state and federal rules and regulations will be observed to the best of my knowledge, that the information contained in this application is correct and complete; that the Parent Advisory Council has had active involvement in the planning, development and review of this application, and that the assurances are accepted as the basic conditions in the operation of this project/program for local participation and assistance.
Printed Name of Superintendent or Designee / Telephone Number
Superintendent or Designee Signature / Date
Printed Name of Migrant Education Program Director / Telephone Number
Migrant Education Program Director or Designee Signature / Date
Printed Name of Parent Advisory Council Representative / Telephone Number
Parent Advisory Council Representative Signature / Date
Once completed, a digital file and one hard copy (with original signature) of the Migrant Education Program Regional Application2017–18 are submitted to the California Department of Education.
Contents
Migrant Region Overview
Migrant Region Funding Factors
Region’s Districts Overview
District Overview Part I
District Overview Part II
District Overall Rating Part III
Regular School Year
ELA and Math Regular School Year
High School Graduation Regular School Year
OSY Regular School Year
Parent Involvement Regular School Year
Summer School
ELA and Math Summer School
High School Graduation Summer School
OSY Summer School
Parent Involvement Summer School
School Readiness Regular Year
School Readiness Summer
Other Education, Health, Nutrition, and Social Services
Identification and Recruitment
Parent Advisory Council
Technical Assistance and DSA/MOU Monitoring
Administration
Migrant Education Program Staff Organization Chart
Personnel Needed to Administer ALL Services Described in the Application
Administration Budget
Indirect Cost Charges
Program Evaluation
Required Documents Checklist
Migrant Region Overview
Using information from the District Service Agreements (DSAs) and Memorandum of Understanding (MOUs), complete the table below to provide the total number of migrant students by district in the region and the projected allocation for each district via a DSA or MOU.
District Name / Total Number of students / Allocation per districtMigrant Region Totals
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
Migrant Region Funding Factors
Describe the process by which the subgrantee determines the allocation to each of its districts.
1 / California Department of Education 2017–18 Migrant Education Program Regional Application FinalRegion’s Districts Overview
District Overview Part I
Provide a narrative description of the core instructional and support programs provided by the districts in the migrant region
District Core Instructional and Support ProgramsIn thenarrative description, include the following:
- Specific strategies, programs, curriculum and services designed to address the unique academic needs of English Learners (EL) and socioeconomically disadvantaged students.
- The districts’ professional development plans and/or activities designed to improve teaching for EL and migrant students.
- A summary of support services provided by the districts to address health and social well-being for all students.
- Information about how the districts have consulted with appropriate private school officials to design and develop the migrant education program.
- A description of the districts’ parent education and parent involvement components.
- What are the districts’ strategies for meeting the needs of at risk student population?
Districts Name (s):
1.
2.
3.
4.
5.
6.
Repeat as necessary
District Overview Part II
Using information from DSAs and MOUs, complete the table below for each district.
District: (insert name of district)Number of Migrant Students Enrolled at Each Grade Level in the District
Pre K / K / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / OSY / Total Number of students
Priority for Service (PFS)
Migrant Non-PFS
All*
Note: If a grade level does not have at least 10 migrant students (to comply with CDE data suppression requirements), combine this with another grade (or grades) to equal no fewer than 10 students.
1 / California Department of Education 2017–18 Migrant Education Program Regional Application FinalDistrict Overall Rating Part III
To be completed by Migrant Region Only
Copy and complete the table below for each district in the migrant region. Referring to the DSAs and MOUs, reflect on how well the district’s proposed services for 2017–18 meet the identified needs of the district’s students. In each of the cells below, using a scale of one (1) to three (3), rate the how wellthe proposed services meet the district’s identified need. Indicate if each item is (1 = limited; 2 = adequate; 3 = comprehensive. If the district is not proposing a service in a particular area, and if that is appropriate given the Needs, enter “N/A” for Not Applicable.District:
(Insert name here) / ELA/MATH[1] / HSG / HEALTH / OSY / PI / SR / PAC / I&R
Using the rubric scale, rate how well the services proposed meet the identified student needs
Using the rubric scale, rate how well the proposed services are clearly described (objectives, implementation, evaluation)
Using the rubric scale, rate how wellthe proposed staffing is appropriate
Using the rubric scale, rate how well the selected local measures provide evidence of effectiveness of the service
Using the rubric scale, rate how well the proposed costs are appropriate to the service provided
Describe how the migrant region will assist the district to improve any area in which the district received a “1”. If a program scored a “2” or “3” explain what is working for the district.
(Note: If there are multiple areas, describe them in order of importance.)
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
Regular School Year
For this section include any and all Regular School Year services that will be provided during the 2017–18 school year for the following components:
- English Language Arts and Mathematics (ELA and Math)
- High School Graduation
- Out of School Youth (OSY)
- Parent Involvement
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
ELA and Math Regular School Year
For this section include all ELA and Math programs for Regular School Year. If program includes both ELA and Math components, describe activities for each component under proposed services.
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
Completion of ELA and Math
Migrant regions that are requesting MEP funds will complete all parts of this section.
Summary of Number of Students Served – ELA and Math (Unduplicated Count)Total Number of eligible Migrant Students (Unduplicated count) / Total Projected Number of Migrant Students
to Be Served by Districts in2017–18 / Additional Number of Migrant Students projected
to Be Served by migrant region in 2017–18
Summary of Current Student Needs in ELA and Math
Grade Level / Need
Based on migrant region or district wide assessment data identify student needs and areas for improvement to support the identified needs. / If need is met through a Non-Migrant Program, what is the name of the non-Migrant program? / Services Provided by Non-Migrant Program
Note:The following sections are to be completed for eachELA and Math activity
1 / California Department of Education 2017–18 Migrant Education Program Regional Application FinalProposed Service for ELA/Math Regular School Year
What component is this Service for? (Check one)☐ELA ☐Math ☐Both (Include description below for each if “both” was selected)
Is this Home-based or Site/Center-based? (Check one)☐Home-based ☐Site/Center-based
When will it be provided?(Check one)☐After School ☐Before School ☐Saturday
Name of District(s) Served:
List all districts that will receive the proposed service from the region. Include the projected number of students that will be served under this program by district / District / Projected Number of Students
Served by Region / District / Projected Number of Students
Served by Region
Name of Service to be Provided:
Need for this service:
Plan selected to address the need:
Expected Outcome
Academic Focus:
Curriculum Used:
Method(s) of Instruction:
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
Proposed Schedule for Delivery of Services:Using the table below, identify the projected minutes per day, days per week, number of weeks, number of students served and approximate start and end date of this service. Provide an estimate or range if service duration varies across districts.
Minutes per Day
Range / Days per Week
Range / Number of Weeks
Range / Number of Students to be Served at Each Grade Level / Start Date / End Date
Grade Level to be Served / PFS at each Grade Level / Non-PFS Migrant at each Grade Level / Total at each Grade Level
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
LocalQuantitative Measures
Local Assessments:(Complete for as many local assessments as will be administered to measure the effectiveness of this service. Add or delete columns as needed.)
Name of Local Assessment(s) / Approximate Pre Test Score Collection
Timeframe / Approximate Post Test Score Collection
Timeframe
Local Qualitative Measures:Using the table provide below, identify what qualitative data will be collected to determine the effectiveness of the service.
Method of Collection (i.e. Interviews, observations, etc.) / Description
Service Staff Development: Identify staff development necessary to support quality delivery of the service.
Need / Title / Description / Dates / Expected Outcomes
Describe the process used to identify staff development needs:
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
Direct Services
Instructional Service Staffing: Identify the staff positions needed to provide the instructionalservice described above(see Fiscal Handbook).Title / Certificated / Classified / Percent Funded by RA / Percent Funded by Other Program(s) / Name of
Other Program Funding Source
# / FTE / # / FTE
Support Service Staffing: Identify the staff positions needed to provide support for the services described above(see Fiscal Handbook).
Title / Certificated / Classified / Percent Funded by RA / Percent Funded by Other Program(s) / Name of
Other Program Funding Source
# / FTE / # / FTE
Service Budget: Identify all costs related to providing the services (instructional and support) to run the service described. Include all applicable and allowable activities (see Fiscal Handbook). Do not include administration costs in this section.
Object Code / Description
Object Code Item / Narrative
Itemize each line item / Amount
Total
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
High School Graduation Regular School Year
For this section include all High School Graduation programs for Regular School Year.
1 / California Department of Education 2017–18 Migrant Education Program Regional Application FinalCompletion of High School Graduation
Regions that are requesting MEP funds will complete all parts of this section.
Summary of Number of Students Served – High School Graduation(Unduplicated Count)Total Number of eligible Migrant Students (Unduplicated count) / Total Projected Number of Migrant Students
to Be Served by Districts in 2017–18 / Additional Number of Migrant Students projected
to Be Served by Region in 2017–18
Summary of Current Student Needs in High School Graduation
Grade Level / Need
Based on region or district wide assessment data identify student needs and areas for improvement to support the identified needs. / If Need is Met through a Non-Migrant Program, what is the Name of the Non-Migrant program? / Services Provided by Non-Migrant Program
Regions that are not requesting MEP funds for High School Graduation complete only the two tablesabove, and acknowledge by placing an “X” after the following statement “Region/ District will not offer High School Graduation services for 2017–18____”
Note:The following sections are to be completed for eachHigh School Graduation activity
Proposed Service for High School Graduation Regular School YearWhat component is this Service for? (Check one)☐ELA☐Math ☐Both(Include description below for each if “both” was selected)
Is this Home-based or Site/Center-based? (Check one)☐Home-based ☐Site/Center-based
When will it be provided?(Check one)☐After School ☐Before School ☐Saturday
Name of District(s) Served:
List all districts that will receive the proposed service from the region. Include the projected number of students that will be served under this program by district / District / Projected Number of Students
Served by Region / District / Projected Number of Students
Served by Region
Name of Service to be Provided:
Need for this service:
Plan selected to address the need:
Expected Outcome
Academic Focus:
Curriculum Used:
Method(s) of Instruction:
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
Proposed Schedule for Delivery of Services:Using the table below, identify the projected minutes per day, days per week, number of weeks, number of students served and approximate start and end date of this service. Provide an estimate or range if service duration varies across districts.
Minutes per Day
Range / Days per Week
Range / Number of Weeks
Range / Number of Students to be Served at Each Grade Level / Start Date / End Date
Grade Level to be Served / PFS at each Grade Level / Non-PFS Migrant at each Grade Level / Total at each Grade Level
9th
10th
11th
12th
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
LocalQuantitative Measures
Local Assessments:(Complete for as many local assessments as will be administered to measure the effectiveness of this service. Add or delete columns as needed.)
Name of Local Assessment(s) / Approximate Pre Test Score Collection
Timeframe / Approximate Post Test Score Collection
Timeframe
Local Qualitative Measures:Using the table provide below, identify what qualitative data will be collected to determine the effectiveness of the service.
Method of Collection (i.e. Interviews, observations, etc.) / Description
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
Service Staff Development: Identify staff development necessary to support quality delivery of the service.
Need / Title / Description / Dates / Expected Outcomes
Describe the process used to identify staff development needs:
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
Direct Services
Instructional Service Staffing: Identify the staff positions needed to provide the instructional service described above(see Fiscal Handbook).Title / Certificated / Classified / Percent Funded by RA / Percent Funded by Other Program(s) / Name of
Other Program Funding Source
# / FTE / # / FTE
Support Service Staffing: Identify the staff positions needed to provide support for the services described above(see Fiscal Handbook).
Title / Certificated / Classified / Percent Funded by RA / Percent Funded by Other Program(s) / Name of
Other Program Funding Source
# / FTE / # / FTE
Service Budget: Identify all costs related to providing the services (instructional and support) to run the service described. Include all applicable and allowable activities (see Fiscal Handbook). Do not include administration costs in this section.
Object Code / Description
Object Code Item / Narrative
Itemize each line item / Amount
Total
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
OSY Regular School Year
For this section include all OSY programs for Regular School Year.
Completion ofOSY
Regions that are requesting MEP funds will complete all parts of this section.
Summary of Number of Students Served – OSY(Unduplicated Count)Total Number of eligible OSY (Unduplicated count) / Total Projected Number of OSY
to Be Served by Districts in 2017–18 / Additional Number of OSY projected
to Be Served by Region in 2017–18
Summary of Current Student Needs in OSY
Grade Level / Need
Based on region or district wide assessment data identify student needs and areas for improvement to support the identified needs. / If Need is Met through a Non-Migrant Program, what is the Name of the Non-Migrant program? / Services Provided by Non-Migrant Program
Regions that are not requesting MEP funds for OSYcomplete only the two tablesabove, and acknowledge by placing an “X” after the following statement “Region/ District will not offer OSY services for 2017–18____”
Note:The following sections are to be completed for eachOSY activity
Proposed Service for OSYRegular School YearWhat component is this Service for? (Check one)☐ELA ☐Math ☐Both (Include description below for each if “both” was selected)
Is this Home-based or Site/Center-based? (Check one)☐Home-based ☐Site/Center-based
When will it be provided?(Check one)☐Weekdays ☐Saturday☐Other (describe):
Name of District(s) Served:
List all districts that will receive the proposed service from the region. Include the projected number of OSY that will be served under this program by district / District / Projected OSY Served by Region / District / Projected Number of OSY Served by Region
Name of Service to be Provided:
Need for this service:
Plan selected to address the need:
Expected Outcome
Academic Focus:
Curriculum Used:
Method(s) of Instruction:
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
Proposed Schedule for Delivery of Services:Using the table below, identify the projected minutes per day, days per week, number of weeks, number of OSY served and approximate start and end date of this service. Provide an estimate or range if service duration varies across districts.
Minutes per Day
Range / Days per Week
Range / Number of Weeks
Range / Number of OSY to be Served / Start Date / End Date
Approximate Age to be Served / Total
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
LocalQuantitative Measures
Local Assessments:(Complete for as many local assessments as will be administered to measure the effectiveness of this service. Add or delete columns as needed.)
Name of Local Assessment(s) / Approximate Pre Test Score Collection
Timeframe / Approximate Post Test Score Collection
Timeframe
Local Qualitative Measures:Using the table provide below, identify what qualitative data will be collected to determine the effectiveness of the service.
Method of Collection (i.e. Interviews, observations, etc.) / Description
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
Service Staff Development: Identify staff development necessary to support quality delivery of the service.
Need / Title / Description / Dates / Expected Outcomes
Describe the process used to identify staff development needs:
1 / California Department of Education 2017–18 Migrant Education Program Regional Application Final
Direct Services