/ Wisconsin Department of Public Instruction
TITLE I PART D SUBPART 1 INSTITUTION WIDE
PROJECT APPLICATION
PI-7507 (New 11-16) / INSTRUCTIONS: Return application to:
WISCONSIN DEPARTMENT OF PUBLIC INSTRUCTION
ATTN: DIANE SCHWARTZ
TITLE I AND SCHOOL SUPPORT
PO BOX 7841

MADISON, WI 53707-7841

For questions regarding this grant, contact:
Kyle Peaden (608)266-5404
I. GENERAL INFORMATION
Facility
Facility Contact Person / Title
E-Mail Address / Phone Area/No.
Authorized Representative If other than contact person / Title
E-Mail Address / Phone Area/No.
III. INSTITUTION-WIDE PROJECT ASSURANCES
The Wisconsin Department of Corrections (DOC) at this institution shall:
  1. Ensure the eligibility of the institution is consistent with the eligibility requirements under the ESEA. Sec. 1416
  2. The applying institution is a facility or community day program that serves children and youth who are neglected or delinquent.
  3. The institution is not a foster home.
  4. The institution has an average length of stay of at least 30 days.
  5. Children and youth are enrolled at the institution are in a state-funded regular program of instruction for at least 20 hours per week.
  6. The educational program is not operated by an adult correctional institution.
  7. Provide for appropriate training for teachers and other instructional and administrative personnel to enable such teachers and personnel to carry out the project effectively. Sec. 1416 (8)
  8. Consult with experts and provide the necessary training for appropriate staff, to ensure that the planning and operation of institution-wide projects are of high quality. Sec 1414 (c)(5)

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IV. CERTIFICATION/SIGNATURES
WE, THE UNDERSIGNED, CERTIFY that the information contained in this application is complete and accurate to the best of our knowledge; that the necessary assurances of compliance with applicable state and federal statutes, rules, and regulations will be met; and, that the indicated agency designated in this application is authorized to administer this grant.
WE FURTHER CERTIFY that the assurances listed above have been satisfied and that all facts, figures, and representation in this application are correct to the best of our knowledge.
Signature of Warden/Superintendent
 / Date Signed Mo./Day/Yr.

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V. COMPREHENSIVE ASSESSMENT (cont’d)
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Need / Data to Support Identified Need / Hypothesis of Root Cause
V. COMPREHENSIVE ASSESSMENT
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Provide evidence reflective from the comprehensive assessment of the educational and related needs of all children and youth in the facility.

Need / Data to Support Identified Need / Hypothesis of Root Cause
Example: Transition to School / 45% of eligible students fail to register at a school once they’ve exited the program / Barriers and procedures that keep the student from registering.

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V. COMPREHENSIVE ASSESSMENT (cont’d)
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Need / Data to Support Identified Need / Hypothesis of Root Cause
V. COMPREHENSIVE ASSESSMENT (cont’d)
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Provide evidence reflective of the comprehensive assessment of the educational and related needs of youth 20 years old and younger that are expected to complete incarceration within a two-year period.
Need / Data to Support Identified Need / Hypothesis of Root Cause
Example: Social-Emotional / 35% of students have safety and security documented events within their first 45 days. / There is no formalized on-boarding process to recognize student social-emotional needs.

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V. COMPREHENSIVE ASSESSMENT (cont’d)
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Need / Data to Support Identified Need / Hypothesis of Root Cause
VI. SERVICES
Describe the instructional programming, specialized instructional support services, and procedures that will be used to meet the needs described in the Comprehensive Needs assessment in Section V. Include to the extent feasible the provision of mentors for the children and youth. Include to the extent feasible how relevant and appropriate academic records and plans regarding the continuation of educational services for such children or youth are shared jointly between the state agency (SA) operating the institution or program and local educational agency (LEA) in order to facilitate the transition of such children and youth between the LEA and SA.
VII. ACADEMIC PLANNING
Describe the current state of the program and how the institution plans to provide all eligible youth with the opportunity to meet the challenging state academic content and student academic achievement standards. How will this programming improve the likelihood that students will attain a regular high school diploma or its recognized equivalent, or find employment after leaving the institution?
VIII. FUNDING
How will Title I-D funds be used at this institution?
IX. ASSESSING STUDENT PROGRESS
Describe the measures and procedures that will be used to assess student progress. Include how outcomes will be measured and what student data that will be collected.
X. FACILITY TRAINING
Describe the training and professional development that the state agency will provide to appropriate staff, in order to ensure that the planning and operation of institution-wide projects are of high quality. Include any staff necessary to achieve a high quality program (instructional, support, administrative, security, other).

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V. COMPREHENSIVE ASSESSMENT (cont’d)
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Need / Data to Support Identified Need / Hypothesis of Root Cause
XI. PROGRAM EVALUATION
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In coordination with the DOC, how will the facility implement and evaluate the Institution-Wide Plan (IWP). Include consultation with facility personnel as well as relevant state education agency and state agency personnel.
In the following sections describe the needs identified earlier, potential interventions and their intended outcomes along with the data that will be used to evaluate the IWP.
Identified Need / Intervention / Innovation / Intended Outcome(s) / Data to be Collected
Example: Transition to school / Develop a plan for academic success upon exit with transition kits. Kits are for students to take once they exit and can be shared with local schools and families. / Students will develop an academic plan and have enrollment procedures completed before exiting. / Academic plan and transition kit completion rates. Follow-up surveys to measure enrollment (if applicable).

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XI. PROGRAM EVALUATION (cont’d)
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Identified Need / Intervention / Innovation / Intended Outcome(s) / Data to be Collected