PRIVATE NONPROFIT SCHOOLS

2017–2018 INTENT TO PARTICIPATE – FEDERAL ESEA PROGRAMS

School: Telephone:

Address: Principal:

City, State, Zip: Email:

*Will your school participate? / Program Description / District Contact Person
Yes
No / Title I, Part A – Provides resources to assist students who are experiencing academic difficulty in reading and math. Schools are required to identify participating students and to provide related academic data. / Carla Lewis
713-556-6941

If you have checked “Yes,” please complete the following:
Title I, Part A, Private School Contact Person:
Name:
Phone:
Email:
Yes
No / Title I, Part C – Establishes and improves educational programs for children of migratory farm workers. Family migrant status must be authenticated by HISD personnel. / Magda Galindo
713-556-7288

If you have checked “Yes,” please complete the following:
Title I, Part C, Private School Contact Person:
Name:
Phone:
Email:
Yes
No / Title II, Part A – Provides professional development for teachers and other educational personnel to improve student achievement in the core academic areas. / Carla Lewis
713-556-6941

If you have checked “Yes,” please complete the following:
Title II, Part A, Private School Contact Person:
Name:
Phone:
Email:
Yes
No / Title III, Part A LEP/Immigrant – Provides supplemental resources to ensure that children who are English Language Learners or recent Immigrants attain English proficiency. / Dr. Randal Jones
713-556-6961

If you have checked “Yes,” please complete the following:
Title III, Part A, Private School Contact Person:
Name:
Phone:
Email:

*Submission of this form informs the district of your intent to participate in the program(s) checked “Yes.” To fulfill the requirements for participation, you must complete additional information that will be sent to you from each of the Title programs selected.

Principal’s Signature:

Return the original form no later than Monday, March 6, 2017, via US mail or hand delivery to: Carla Lewis, HISD Department of External Funding, 4400 West 18th Street; Houston, Texas 77092.

If you have questions or need additional information regarding a specific program, call or e-mail the specific District Contact Person.