TITLE I, ESEA, Part D, SUBPART 2

2013-2014 School Year

LOCAL SCHOOL DISTRICT APPLICATION

for the

PREVENTION AND INTERVENTION PROGRAMS

FOR CHILDREN AND YOUTH

WHO RESIDE IN INSTITUTIONS

FOR DELINQUENT STUDENTS,

OR ARE AT-RISK OF DROPPING OUT

RETURN TO:New Hampshire Department of Education

State Office Park South

101 Pleasant Street

Concord, New Hampshire03301

Attn: Deborah Fleurant

In January 2002The No Child Left Behind Act of 2001 reauthorized the Elementary and Secondary Education Act.

This application has been revised to be in compliance with the intent and purpose of the statute.

Purpose of Title I, Part D, which is entitled Prevention and Intervention Programs for Children and Youth who are Neglected, Delinquent, or At-Risk is:

•to improve educational services to children in local and State institutions for neglected or delinquent children and youth so that such children and youth have the opportunity to meet the same challenging State student performance standards that all children in the state will be expected to meet;

•to provide such children and youth the services needed to make a successful transition from institutionalization to further schooling or employment; and

•to prevent at-risk youth from dropping out of school and to provide dropouts and youths returning from institutions with a support system to ensure their continued education.

Purposeof Title I, Part D, Subpart 2 – Local Agency Programs -- is to support the operation of local educational agency programs that involve collaboration with locally operated institutions -

  1. to carry out high quality education programs to prepare children and youth for secondary school completion, training, employment, or further education;
  1. to provide activities to facilitate transition of such children and youth from correctional program to further education or employment; and
  1. to operate programs in local schools for children and youth returning from correctional facilities and other institutions, and programs which may serve at-risk children and youth.

Use of Funds- may be used, where appropriate for the following:

  • programs that serve children and youth returning to local schools from correctional facilities, to assist in the transition of such children and youth to the school environment and help them remain in school in order to complete their education;
  • dropout prevention programs which serve at-risk children and youth, including pregnant and parenting teens, children and youth who have been in contact with the juvenile justice system, children and youth at least one year behind their expected grade level, migrant youth, immigrant youth, students with limited English proficiency and gang members;
  • the coordination of health and social services for such individuals if there is a likelihood that the provision of such services, including day care, drug and alcohol counseling, and mental health services, will improve the likelihood such individuals will complete their education;
  • special programs to meet the unique academic needs of participating children and youth, including vocational and technical education, special education, career counseling, curriculum-based youth entrepreneurship education, and assistance in securing student loans or grants and postsecondary education; and
  • programs providing mentoring and peer mediation.

Local Educational Agency Applications

Each LEA must detail the following:

  1. a description of the program to be assisted;
  1. a copy of formal agreement regarding the program to be assisted between the LEA and the institutions;
  1. as appropriate, a description of how participating school will coordinate with facilities working with delinquent children and youth to ensure that such children and youth are participating in an education program comparable to one operated in the local school such youth would attend; (This applies mainly to correctional institutions that operate their own school or day programs for delinquent children and youth.)
  1. a description of the program operated by participating schools for children and youth returning from correctional facilities and, as appropriate, the types of services that such schools will provide such children and youth; (Special Rule – applies only to LEAs that serves a school operated by a correctional facility. In this case, the LEA is not required to operate a program of support for children and youth returning from such school if more than 30% of the children and youth attending the school operated by the correctional facility will reside outside the boundaries served by the LEA.)
  1. a description of the characteristics (including learning difficulties, substance abuse problems, and other special needs) of the children and youth expected to be served by the program, and a description of how the school will coordinate existing educational programs to meet the unique educational needs of such children and youth;
  1. as appropriate, a description of how schools will coordinate with existing social, health and other services to meet the needs of students served by these funds;
  1. as appropriate, a description of any partnerships with local business to develop training, curriculum-based youth entrepreneurship education, and mentoring services for participating students;
  1. as appropriate, a description of how the program(s) will involve parents in efforts to improve the educational achievement of their children, assist in dropout prevention activities and prevent the involvement of their children in delinquent activities;
  1. a description of how the program(s) under this subpart will be coordinated with other Federal, State and local program(s);
  1. if applicable, a description of how the program(s) will be coordinated with programs operated under the Juvenile Justice and Delinquency Prevention Act of 1974 and other comparable programs;
  1. as appropriate, a description of how schools will work with probation officers to assist in meeting the needs of children and youth returning from correctional facilities;
  1. as appropriate, a description of the efforts participating schools working with correctional facilities will make to ensure that all are aware of a child’s or youth’s existing individualized education programs; and
  1. as appropriate, a description of the steps participating schools will take to find alternative placements for children and youth interested in continuing their education but unable to participate in a regular public school program.

TITLE I, ESEA, PART D, Subpart 2

Prevention and Intervention Programs for Children and Youth who are Neglected, Delinquent, or At-Risk of Dropping Out

Local Educational Agency Programs

APPLICATION FOR FY 2014

Applicant District:

Enclosures - please submit in this order

FORM 2012/D2, Page 1ABSTRACT

FORM 2012/D2, Page 2GOALS, OBJECTIVES and INDICATORS

FORM 2012/D2, Page 3STUDENT SELECTION

FORM 2012/D2, Page 4PARTICIPANTS & STAFFING

FORM 2012/D2, Page 5INSTRUCTIONAL SERVICES & ACTIVITIES - AT INSTITUTION

FORM 2012/D2, Page 6INSTRUCTIONAL SERVICES & ACTITIES – SCHOOL BASED

FORM 2012/D2, Page 7-8PARENT INVOLVEMENT & COORDIANTON

FORM 2012/D2, Page 8FORMAL AGREEMENT BETWEEN LEA AND INSTITUTION

FORM 2012/D2, Page 8CORRECTIONAL PROGRAMS - optional

FORM 2012/D2, Page 9BUDGET SUMMARY

Contact Person available to discuss this application:

NAME:

TITLE:

PHONE:

CERTIFICATION:

I hereby certify that the information contained in this application is correct and that theSchool District will comply with all the requirements of Title I, Part D, Subpart 2, Local Agency Programs.

______

Signature of SuperintendentDate

FORM 2014/D2

Page 1 of 9

District Name

ABSTRACT

Use this page to summarize your program of support for neglected, delinquent and at-risk children and youth in your community.

FORM 2014/D2

Page 2 of 9

District Name

GOALS, OBJECTIVES AND INDICATORS OF SUCCESS

  1. GOALS– Check all goals that apply to your project

to support identified children to meet challenging state academic standards;

to carry out high quality education programs to prepare children and youth for secondary school completion, training, employment, or further education;

to provide activities to facilitate transition of such children and youth from correctional program(s) to further education or employment; and

to operate programs in local schools for children and youth returning from correctional facilities and other institutions, and programs which may serve at-risk children and youth.

  1. OBJECTIVES -

For each goal checked above state in measurable terms the objectives of your program. What academic or other changes would you expect your students be able to demonstrate at the end of the 2013-2014 school year?

3.INDICATORS OF SUCCESS

For each of the goals identified above describe the procedures and instruments by which the effectiveness of each component of the program will be evaluated. If applicable, provide names, forms/levels of tests as appropriate to students and objectives.

FORM 2014/D2

Page 3 of 9

District Name

4.STUDENT SELECTION

The district must design a processforidentifyingthose students most in need of academic support. - At-risk students who attend local schools and those who also reside in institutions for delinquent students qualify for consideration for participation in the program. However not all children require supplemental support to the same degree as others. The most important step in selecting children who will be included in the Title I Part D, Subpart 2 program is determining if they are among the most in need of services. These students should be identified on the basis of the school district and/or separate institutional school data.

Indicate for each of your sites the qualitative measures you will use to determine which students are the most in need of services.

a.Group Home/Institution Site Program

b.At-Risk Students – School Site Program

FORM 2014/D2

Page 4 of 9

District Name

5A.PARTICIPANTS – Group Home/ Institution Based Programs

Using current data as a basis, estimate the numbers of students who will participate in the Title I program.

Title I Part D2 Regular

GRADES / READING / MATHEMATICS
1 - 5
6 - 9
10 - 12
TOTALS

5B.PARTICIPANTS – School Site Programs

Using current data as a basis, estimate the numbers of students who will participate in the Title I program.

Title I Part D2 Regular

GRADE / READING / MATHEMATICS
1 - 5
6 - 9
10 - 12
TOTALS
  1. TITLE I PART D, SUBPART 2STAFF

How many staff will be employed using these funds, their function and what certification or other qualification will be required for the position(s)? (Staff responsible for planning and implementing instructional activities and the periodic assessment of pupil progress are expected to meet appropriate teacher certification.)(Staff working in public school settings must meet HQT or HQP requirements.)

Number / FTE / Function/Job Title / Certification Or Other Qualification Required
For Position / Estimated Salary
Title I Part D2 Regular / New positions

FORM 2014/D2

Page 5 of 9

District Name

7A.INSTRUCTIONAL SERVICES AND ACTIVITIES FOR GROUP HOME/INISTITUTION SITES

Describe in sufficient detail: [1] guidelines for a teacher implementing this project and [2] to allow parents or persons acting in place of parents to understand the project. The instructional activities should be specific enough to allow visitors and application reviewers to judge the appropriateness of the activities to the objectives. Describe function of major personnel such as home/school coordinators.

FORM 2014/D2

Page 6 of 9

District Name

7B.INSTRUCTIONAL SERVICES AND ACTIVITIES FOR SCHOOL-BASED PROGRAMS

Describe in sufficient detail: [1] guidelines for a teacher implementing this project and [2] plan to allow parents or persons acting in place of parents to understand the project. The instructional activities should be specific enough to allow visitors and application reviewers to judge the appropriateness of the activities to the objectives. Describe function of major personnel such as home/school coordinators.

FORM 2014/D2

Page 7 of 9

District Name

8.PARENT/GUARDIAN INVOLVEMENT

Describe how your program(s) at all sites will, to the extent possible, involve parents/guardians in efforts to improve the educational achievement of their children, assist in dropout prevention activities and prevent the involvement of their children in delinquent activities.

FORM 2014/D2

Page 8 of 9

District Name

9.COORDINATION

a.Describe how you will coordinate with other Federal, State and local programs.

b.If applicable, describe any partnerships with local business to develop training, and mentoring services.

c.If applicable, describe how the program will coordinate with existing social/emotional, health and other services to meet the needs of students served by these funds.

d.If applicable, describe how the program will be coordinated with programs operated under the Juvenile Justice and Delinquency Prevention Act of 1994 and other comparable programs.

  1. FORMAL AGREEMENT

Attach the formal agreement regarding the program to be assisted between the LEA and the group homes and institutions. Indicate dates and times of meetings and the expectations of both parties in regards to this program. A sample MOU is listed on the NHDE Website.

Meeting Date Contact Person

11.TRANSITIONAL ACTIVITIES/ PROGRAMS FOR CORRECTIONAL INSTIUTITIONS

If you are providing services for students returning from correctional facilities:

a.describe the transitional services activities you will provide;

b.If appropriate describe your efforts to ensure that all are aware of a child’s or youth’s existing individualized education program (IEP); and

c.if appropriate, describe the steps schools will take to find alternative placements for children and youth interested in continuing their education but unable to participate in regular public school programs.

FORM 2014/D2

Page 9 of 9

District Name

School Budget Narrative-to be completed for each Title I, Part D2 institution receiving funds

Use this form to provide sufficient detail regarding proposed expenditures of Title I Part D, Subpart 2 funds.

Account Category / Budget Detail / Total Costs
Salaries and Benefits
Include title and number of employees. Include rate of pay by hour/week etc.
Contracted Services
Summarize your activities and provide breakdown of expenses.
Supplies and Materials
Detail your purchases (Ex. # @ $) Explain the connection between what you wish to purchase and the activities in your application
Books
Detail your purchases (Ex. # @ $) Explain the connection between what you wish to purchase and the activities in your application
Equipment
Attach a justification for each item you wish to purchase
Professional Development Activities
Travel
Summarize your activities including the number of days, people involved and associated costs.
Administration
Total Costs (must match Grants Online submission)