Name of Grant Program: Academic Support: Partnerships for
Pathways to Success
Fund Code: 594 (School Year)
624 (Summer)
PART III – REQUIRED PROGRAM INFORMATION
Application for FY2015: Academic Support: Partnerships for Pathways to Success (Fund Code: 594/624)
THIS DOCUMENT MAY BE DOWNLOADED FROM THE DEPARTMENT OF ELEMENTARY AND
SECONDARY EDUCATION WEBSITE.
http://finance1.doe.mass.edu/grants/
I. IDENTIFICATION INFORMATION
A. This application requires the participation of two organizations, a One Stop Career Center and a
public institution of higher education. Working in collaboration with one another, the two partners
will decide together which shall serve as the Applicant, and which will serves as Lead Partner.
B.
Applicant Name (Applicant must be either a One Stop Career Center or a Massachusetts public institution
of higher education):
1.___________________________________________________
C. Lead Partner name (the Lead Partner must either be a One Stop Career Center or a Massachusetts public
institution of higher education, whichever one is not serving as the Applicant identified above)
2.____________________________________________________
D. Additional Partnering School(s)/Organization(s) – as listed on Addendum A. (See RFP under
Required Forms.) (Insert more lines or attach pages if needed.)
1. School/Org:
Contact person:
2. School/Org:
Contact person:
E. Program Coordinator:
F. Address:
G. Email Address:
H. Phone #:
I.
Fax #:
J. Total Funds Requested:$________
Provide the amount of funds to be utilized by the One Stop Career Center $_________________ and
Institution of Higher Education $_______________. (A minimum of 40% of funds must be allocated to
each partner.)
Participant cost: ________ (total funds requested divided by total number of students to be served)
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Name of Grant Program: Academic Support: Partnerships for
Pathways to Success
Fund Code: 594 (School Year)
624 (Summer)
II. GENERAL PROGRAM INFORMATION
A. Total Number of Students to be Served ________
(This should equal the sum of the unduplicated counts in charts #1-2.)
1. CLASSES OF 2003-2014 (Post-12th Graders during 2014-2015)
Number of Projected Participants by Content Area
Sending
School
District
A.
ELA
B.
Mathematics
C.
Science and
Tech/Eng.
Total
Unduplicated
Unduplicated Count
Classes of 2003-2014
2. CLASS OF 2015 and 2016 (Seniors and Juniors during 2014-2015) –
Number of Projected Participants by Content Area
Sending
School
District
A.
ELA
B.
Mathematics
C.
Science and
Tech/Eng.
Total
Unduplicated
Unduplicated Count
Class of 2015 and 2016
B. Location(s) of the program. If not the same as, or if in addition to, that are listed previously
Full address:
Full address:
Full address:
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Name of Grant Program: Academic Support: Partnerships for
Pathways to Success
Fund Code: 594 (School Year)
624 (Summer)
III. NARRATIVE: PROGRAM DESIGN AND IMPLEMENTATION
Submit a proposal answering the following questions in sections A through E using no more than eight (8)
pages.
A. PROGRAM DESIGN - INTAKE, ASSESSMENT, AND SERVICE SUPPORT
1. Service Delivery Protocol.
a. Provide an overview of all services that will be provided in the three domains supporting
college and career readiness, namely the academic, work readiness and personal/social
domains. [Note: Section C below seeks more detailed information about academic support
towards obtaining a Competency Determination]
b. What specific services will assist students access/prepare for postsecondary education?
c.
What specific services will assist students access/prepare for employment, including but not
limited to, work readiness and job search, work-based learning, career exploration, and
methods for earning credits, certificates, and other credentials at the applicants’ institutions
or at other educational settings?
d. What services will assist students overcome barriers to program participation?
e. What services will strengthen students’ personal/social skills?
2. Partners. Highlight the role each partner will play in service delivery. Describe the roles and
responsibilities of the two required partners participating in this initiative. Specific details should be
provided to include the type of higher education institution and One Stop Career Center involved.
How does this partnership expand the capacity of the required partners to promote the academic
achievement of students in the proposed service delivery region?
3. Individual student needs. Describe how the individual goals and needs of students enrolled in the
program will be identified and addressed.
4. Assessment. Describe how student progress in each of the three domains will be assessed.
5. Other supports. Describe any linkages planned between the initiative and
a. the students’ current or former high school
b. the students’ parent(s)/guardian(s)/families
6. Data management. How does the service delivery protocol use data management to monitor the
progress of student participants?
7. Rationale. Why is this program model/approach particularly well suited and likely to enhance the
academic and future success of the target population?
B. STUDENT RECRUITMENT AND RETENTION
Recruitment and Retention: Describe student recruitment and retention strategies for those most in need
of services, particularly students from the Classes of 2003-2014, students who need to make significant
progress in order to meet state and local graduation requirements, students with disabilities, English
language learners, homeless students and students with mental/behavioral health issues.
Address the following for both school year and summer programming:
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Name of Grant Program: Academic Support: Partnerships for
Pathways to Success
Fund Code: 594 (School Year)
624 (Summer)
1. Messages and outreach methods used to maximize student recruitment and retention and the role of
respective partners in those efforts, e.g., high schools, community-based organizations, faith-based
organizations, employment and training providers, employers, etc.
2. For retention of students, any plans to build a program environment that is respectful, caring and
supportive, including any efforts to address logistical challenges and/or behavioral health issues that
present themselves as barriers to learning.
3. Incentives offered, if any, including: credit and other college incentives that encourage enrolling and
persisting in higher education; participation in career awareness, exploration and immersion
opportunities; and other tangible incentives. (Please note that compensation for attendance is not
an allowable use of grant funds.)
4. The added value the partnership between the institution of higher education and the One Stop Career
Center brings to the effort to recruit and retain students.
C. ACADEMIC SUPPORT SERVICES
(The following questions address the direct academic support services for students)
1. Provide a brief summary (one to two paragraphs) of the proposed academic support services.
2. Academic Support Timeline: Provide a brief timeline of academic support services and college
transition activities that will be offered (including planning and implementation).
3. Use of Student Data:
a. Describe how student performance and other data will be used in creating programming.
Relevant student performance data may include results from the Massachusetts Comprehensive
Assessment System (MCAS), Early Warning Indicator data, English language proficiency
assessments, Accuplacer, and other student data.
b. Describe the degree to which eligible students from the classes of 2003-2016 have a significant
need for support services. What are specific academic and other needs of students to be served in
programming? The focus of this portion should be on needs that can be directly addressed by
school year or summer programming.
4. Description of Program Activities: Describe the instructional methods, materials, assessment, and
environment for the program and how it will be conducive to meeting the learning needs of the
students. This description should be based on the data presented in the previous section;
responses should include but are not limited to the following questions:

How will this curriculum, instruction, and assessment actively engage students in rigorous
learning standards in the Massachusetts Curriculum Frameworks in the addressed content
areas?

How will the program use data to individualize (personalize) instruction and services to best
meet student needs?

What academic and enrichment programs or activities are available that may support or
enhance student learning?

Where applicable, how will these methods address English language learners, students with
disabilities, students with behavioral health issues, and students with very low MCAS scores?
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Fund Code: 594 (School Year)
624 Summer)
Name of Grant Program: Academic Support: Partnerships for
Pathways to Success

What explicit connections are made in the program to develop workplace readiness and
personal social skills?
5. Academic Services Program Offerings and Schedule
Complete the following schedule for the types of programs offered. (For school year and summer).
Program Type
School Year
English Language Arts
Time:____ to _____
(Sept. 2014-June 2015)
Underline classes to be
served.
Post-12th (2003-2014)
2015
2016
Number of Students____
Program Type
Summer Services
(July-August 2015)
Underline classes to be
served.
Post-12th (2003-2015)
2016
Number of Students____
Mathematics
Time:____ to _____
Science and
Technology/
Engineering
Time:____ to _____
Hrs/Day___
Days/Wk___
Hrs/Day___
Days/Wk___
Hrs/Day___
Days/Wk___
Underline days program
meets.
Underline days program
meets.
Underline days program
meets.
M
Tu W Th F
Sat Sun
Total weeks: _______
Total hours: _______
Start date: _______
End date: _______
M
M
Sat Sun
Total weeks: _______
Total hours: _______
Start date: _______
End date: _______
English Language Arts
Time:____ to _____
Tu W Th F
Total weeks: _______
Total hours: _______
Start date: _______
End date: _______
Mathematics
Time:____ to _____
Tu W Th F
Sat Sun
Science and
Technology/
Engineering
Time:____ to _____
Hrs/Day___
Days/Wk___
Hrs/Day___
Days/Wk___
Hrs/Day___
Days/Wk___
Underline days program
meets.
Underline days program
meets.
Underline days program
meets.
M
Tu W Th F
Sat Sun
Total weeks: _______
Total hours: _______
Start date: _______
End date: _______
M
Tu W Th F
Sat Sun
Total weeks: _______
Total hours: _______
Start date: _______
End date: _______
M
Tu W Th F
Sat Sun
Total weeks: _______
Total hours: _______
Start date: _______
End date: _______
D. STAFFING
1. Provide a timeline for recruitment of staff for the program and indicate the number and their
qualifications. (Please note that recipients of these grants must agree to provide staff that have
subject matter knowledge in the subjects they are teaching. Also, the programs must have
some staff available with training or education that address working with English language
learners or students with disabilities.)
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2. Briefly describe any professional development activities, orientation activities, and/or common planning
time to be provided to staff prior to the beginning of the program, during the program, and/or after the
program concludes.
Name of Grant Program: Academic Support: Partnerships for
Pathways to Success
Fund Code:
594 (School Year)
624 (Summer)
E. PERFORMANCE MEASURES
1. Describe the program’s anticipated improvements for students that will be a result of proposed
activities noted in this application.
2. Use the chart below to present performance measures that the program will track. These
outcomes may include “process” metrics that may not have an explicit objective measure (i.e.
not necessarily an exam or test). These metrics will be used in potential applications for
continuation funding in FY2016.
Anticipated
Outcome
How will it be
measured?
Baseline # and/or %
Target # and/or
%
By When?
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