Name of Grant Program: Supplementary Support to School Districts with High Concentrations of At-Risk Students: Alternative Education Pathways (Competitive) Fund Code: 320-B FISCAL YEAR 2016 GRANT ASSURANCES The school district agrees to: _____ implement the grant program as proposed in the district’s grant application, unless a request is submitted and granted to change program activities and/or the grant budget; _____ participate in designated training and technical assistance events sponsored by the Department of Elementary and Secondary Education (Department); _____ participate in all grant-related program evaluations supported by the Department, including but not limited to, an end of project self-assessment; and _____ host, if requested, one on-site visit for Department staff and/or other school districts to promote the sharing of promising practices. Lead District Name: Type Superintendent’s Name: Superintendent’s Signature Date Type Project Coordinator’s Name: Project Coordinator’s Signature Date