THIS COPY OF THE APPLICATION IS INTENDED AS A WORKSHEET ONLY.

PLEASE APPLY ONLINE AT:

SCHOOL INFORMATION

Full Name of School: ______

Full Address of School: ______
(No. & Street Name)

______

City ProvincePostal Code

Grades served by your school: ______

Number of students in eligible Grade levels (K-8):______

School Board or other Affiliation: ______

What percentage of your school budget is funded by the provincial government? ______%

Schools will also be asked to provide contact details for the principal and

any other main contact.

ADDITIONAL INFORMATION

In the event that your school is selected as a 2017grant recipient, what store location would you like to be partnered with to make your in-store purchases?

Store Name & Address:______
(e.g. Chapters Point Claire, 1234 Point Claire Drive, Red Deer, Alberta)

For a list of all stores see:

Have you previously applied for a grant?  Yes  No

If yes, indicate what year(s): ______

Is your school a French speaking school:Do you have an English speaking staff member available for correspondence via phone?  Yes  No

How did you find out about the Indigo Love of Reading Foundation? (Check all that apply)

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THIS COPY OF THE APPLICATION IS INTENDED AS A WORKSHEET ONLY.

PLEASE APPLY ONLINE AT:

loveofreading.org

indigo.ca

In store

Adopt a School program

Charity Village website

Love of Reading School

School Board/Trustee

Other ______

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THIS COPY OF THE APPLICATION IS INTENDED AS A WORKSHEET ONLY.

PLEASE APPLY ONLINE AT:

SECTION A: DEMOGRAPHIC CRITERIA

  1. What is the total number of students at your school in Grades JK to 8?______
  1. What percentage of students are performing at or above the provincial standard for reading?
  2. At your school:______
  3. In your province:______

Please specify the sources that you are relying upon when answering this question.

  1. What percentage of students are performing at or above the provincial standard for writing?
  2. At your school:______
  3. In your province:______

Please specify the sources that you are relying upon when answering this question

  1. What percentage of your students live in lone-parent(also referred to as single parent) families?
  2. 0-25%
  3. 26-50%
  4. 51-75%
  5. 76-100%

Please specify the sources that you are relying upon when answering this question.

  1. What percentage of your students have aparent with a certificate, diploma, or degree (e.g. high school, trade school, college, etc)?
  2. 0-25%
  3. 26-50%
  4. 51-75%
  5. 76-100%

Please specify the sources that you are relying upon when answering this question.

  1. What percentage of your students moved from one residence to another at least once in the last year(e.g., family moved to a new apartment)?
  2. 0-25%
  3. 26-50%
  4. 51-75%
  5. 76-100%

Please specify the sources that you are relying upon when answering this question.

  1. What percentage of your students change schools at least once a year (excluding graduation points such as the end of Grade 6 or Grade 8)?
  2. 0-25%
  3. 26-50%
  4. 51-75%
  5. 76-100%

Please specify the sources that you are relying upon when answering this question.

  1. What is the average family income for your students’ families? $______

Please specify the sources that you are relying upon when answering this question

  1. What percentageof your students speak a language other than French or English at home?
  2. 0-25%
  3. 26-50%
  4. 51-75%
  5. 76-100%

Please specify the sources that you are relying upon when answering this question.

  1. At your school, what is the percentage of students that identify as Aboriginal (i.e. First Nations, North American Indian, Métis or Inuit)?
  1. 0-25%
  2. 26-50%
  3. 51-75%
  4. 76-100%

Please specify the sources that you are relying upon when answering this question.

  1. Please share any other relevant information about socio-economic data or government designations.

SECTION B: LIBRARY STATUS

Please check the box that appropriately answers the following questions on your library’s status.

  1. Does your school have a school library?
  2. Yes
  3. No

If your school has a school library, does your school have a:

  1. Librarian Full time/Part time
  2. Teacher-Librarian Full time/Part time
  3. Librarian-Technician  Full time/Part time

If your school has a school library, how many hours is your library open per week?

  1. 30 hours or more
  2. 20 to 30 hours
  3. 10 to 20 hours
  4. less than 10 hours
  1. What percentage of classrooms at your school have classroom libraries?
  2. 0-25%
  3. 26-50%
  4. 51-75%
  5. 76-100%
  1. What is your school’s total operating budget (not including salaries and capital expenditures)?
  1. What was the total library budget for books last year?
  1. What is the dollar amount spent on books per student last year?
  1. What is the average age of library books in your school?(Please refer to publication date when calculating)

SECTION C: LITERACY PROGRAMS

  1. What is your school currently doing to foster literacy? Describe at leasttwo (2) school wide programs that were put in place to encourage literacy at your school and include the following information for each of the two (2) programs:
  2. The literacy challenges the program is addressing.
  3. The Grades being impacted by the program.
  4. The successes to date and any assessment strategies used.
  1. Does your school have a literacy committee?If so, please describe the role of the committee, its activities and its membership.
  1. Provide at least one example of the principal’s leadershipin developing and advancing the school’s literacy goals and describe a recent success resulting from this leadership.
  1. Provide at least one example of the staff’s leadership in developing and advancing the school’s literacy goals and describe a recent success resulting from this leadership.

SECTION D: PROPOSED LITERACY PROGRAMS

In the event that your school is selected as a Grant Recipient, describe two (2) literacy projects that you plan to undertake with the grant funds. In your response, for each project, include the following:

Proposed Literacy Program 1

  1. A brief description of the Literacy Project and the challenges the project will address.
  2. A corresponding budget for this literacy project.
  3. A timeframe for execution for this project.
  4. An evaluation plan indicating how you will measure improvements in literacy outcomes among the students at your school (e.g. reading and literacy test scores, library circulation, student attitudes toward reading).

Proposed Literacy Program 2

  1. A brief description of the Literacy Project and the challenges the project will address.
  2. A corresponding budget for this literacy project.
  3. A timeframe for execution for thisproject.
  4. An evaluation plan indicating how you will measure improvements in literacy outcomes among the students at your school (e.g. reading and literacy test scores, library circulation, student attitudes toward reading).

SECTION E: GRANT TRACKING

Each year, we track the success of our grant recipients in the areas below.To help us in analyzing the impact of these grants, please:

  1. Survey all students and ask the question: “Do you like reading?”
  2. Total number of Students JK to 8
  3. Number of students surveyed
  4. Number of students who replied “yes”
  5. Number of students who replied “no”
  1. How many times were books from the library signed out last year?

SECTION F: CREATIVE CONTENT

There are three options for the creative project. This creative project is an opportunity to highlight your school’s need for additional funding and your vision for how the grant would support transformational change around literary at your school:

  1. A captioned photo tour of your library (a maximum of 10 pictures); OR
  2. A video that captures the spirit of your school and its commitment to literacy. As a suggestion, it can include interviews with members of your community, such as teachers, librarians, parents, students (a maximum length of 5 minutes); OR
  3. Letters from members of your community, such as teachers, librarians, parents and students that share the impact that the library has on the school and its children (a maximum of 5 letters).

Applications must be submitted by February 17, 2017 at 11:59 EST, via the application portal at: .

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