NCLB Consolidated Application – Title I, Part A
PS3101 / 2014-2015

Part 2: Funding Requirements

Planned Reservations of Title I, Part A, Funds at the LEA Level

N/A / Activities Conducted with Reserved Funds / Amount / Percentage
a. / Districtwide Parent Involvement Activities / 1% over $500,000
b. / Title I, Part A Services to Eligible Private School Students, Not Including Administration
c. / Preschool Programs
d. / Administration of Title I, Part A, Programs (including administration of Title I, Part A program for eligible private school students and students at facilities for neglected and delinquent)
e. / Districtwide Professional Development Activities
f. / Services to Homeless Students Attending Campuses Not Served with Title I, Part A / Must set aside some funds for non-Title I Campuses
g. / Services to Students Residing in Local Facilities for the Neglected
h. / Services to Student Residing in Local Facilities for the Delinquent
i. / Other (Specifiy)
Total Reserved Funds

Professional Development to the HQ Requirements for Teachers and the Qualifications Requirements for Paraprofessionals Under Section 1119 (must be at least 5% of current entitlement and must be reflected in Line e, unless:

_____ Reserve 5% Amount ______

_____ Lesser amount is needed because other fund source is used

_____ N/A – 100% of teachers and Title I, Part A paraprofessionals already meet HQ

requirements

Part 3: Parental Involvement Consultation and Evaluation

a.  Date When Parents Were Involved in the Evaluation of the Title I, Part A, Parent Involvement Program ______

b.  Date of the most Recent Consultation Meeting with Parents ______

Part 4: Liaison for Homeless Students

Liaison’s Position______

Campus Number ______

Part 5: District Composite of Planned Title I, Part A, Activities

S – Schoolwide

T – Targeted Assistance

P – Private Non-Profit

H - Homeless

N – Neglected

D – Delinquent

S / T / P / H / N / D
Supplemental, Research-Based Reading/ELA Instruction
Supplemental, Research-Based Writing Instruction
Supplemental, Research-Based Math Instruction
Supplemental, Research-Based Social Studies Instruction
Supplemental, Research-Based Science Instruction
Supplemental, Research-Based Foreign Language Instruction
Supplemental, Campus-Based Parental Involvement
Supplemental, Campus-Based Professional Development
Supplemental, Guidance & Counseling
Supplemental, Health/Dental/Eye Care
Transition Services/Vocational Career
Other (specify)
Other (specify)

Part 6: District Composite of Planned Title I, Part A, Service Delivery Method(s)

S / T / P / H / N / D
Tutorials
Small-Group Instruction
Individualized Instruction
Computer-Aided Instruction
Extended Learning Opportunities
Other (specify)
Other (specify)

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SC5000 - Campus Selection Information: Use a consistent, auditable date for all student counts.

1. District low-income percentage _____%

Calculation: Total number of” low-income” students residing in the district ÷ Total number of students in the district

*Charter schools only - use “enrollment” instead of residing for your calculations

2. Source of low-income data _____F/R Lunch ______Direct Certification _____Other (Please specify)

______

To complete campus information, use the chart on the next page. List every campus in your district regardless of Title I status. Run additional sheets as needed. Instructions for completing the chart are listed below.

A.  List every campus in your LEA regardless of Title I status

B.  List the total campus enrollment for every campus listed in Column A

C.  List the low income percentage for each individual campus

D.  List the Basis of Eligibility for each campus. Use the choices below:

·  (N) None – no students enrolled at the campus

·  (R) Residing – the total known number of students in each attendance area who are eligible to attend the campus, including students enrolled at private schools and facilities other than the public school campus

·  (E) Enrollment – total number of students enrolled at the campus; only charter schools may use enrollment figures

·  (EFW) Ed-Flex Waiver – campuses using the waiver must provide date the waiver was granted.

·  (OYT) One Year Transition – a campus that is no longer Title I, Part A eligible, but was served last year

·  (SPY) Schoolwide from Previous Year – campus was schoolwide in the past but is no longer at or above 40% may use the percentage from a previous year. The “year” and “percentage” must be provided.

·  (FP) Feeder Pattern – a campus may use the low income percentage from its feeder campus(es)

E. List the Title I, Part A Campus Status. Use the choices below:

·  (SW) Schoolwide

·  (TA) Targeted Assistance Campus

·  (NS-E) Campus is not served but is Title I Part A Eligible. In a single attendance area or if the LEA has fewer than 1000 students, all campuses are Title I eligible regardless of the low income percentage. In a multiple attendance area, campuses are eligible if they have a low income percentage of 35% or more or if the campus low income percentage is above the district low income percentage.

·  (NS-NE) Not Served, Not Title I Part A Eligible – see eligibility criteria above

·  (SK) Skipped – The LEA has elected not to serve a campus; however, the campus is still Title I, Part A eligible. Title I, Part A Comparability requirements apply.

·  ****New 2014-2015 Direct Certification – The Campus is using the percentage from the Community Eligibility Provision

F.  List the estimated number of students who will receive services on the TA campus(es).

*The number must be less than 40% of total campus enrollment.

G.  List how you consolidate funds on your SW campus.

Answer only if you listed SW on “E.” *Disregard for TA campuses.

Use the choices below. Please note: Funds may be consolidated, but tracked to individual fund sources.

·  (TI) Title I, Part A Only – Campus does not combine funds with any other Federal, state, or local funds.

·  (FF) Federal Funds Only – Only Federal funds are combined

·  (FSL) Federal, State, Local – Campus combine federal, state and local funds to carry out programs on the SW campus

Submit to Region 10 by Friday May 30 to

Submit Google Doc at:

https://docs.google.com/forms/d/1ecrcvy4QoJ84vD12qF4XzZvEB0wCHbtsrRDd2C3pgik/viewform

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