Name of Grant Program:
Massachusetts 21st Century Community Learning
Centers – Expanded Learning Time
Fund Code: 647-B1A
PART III-A – DISTRICT - Required Program Information
REMINDERS: Only one application will be accepted per district to be served. If the lead applicant is not a
school district, it must work with the district to be served to complete this document.
A. DISTRICT COVER SHEET
Lead Applicant District/Entity:
District: (if not the lead applicant)
Primary Grant Contact Name:
Title of Primary Contact:
Phone:
1a. School(s) included
in this proposal:
(List each school for which the
district/organization is applying to use
21st CCLC-ELT funds. Insert rows if needed.)
Additional Available Funds to
Support ELT
(in all proposed schools)
Email:
1b. Amount
Requested
for 9/1/13-6/30/14
1c. Amount
Requested
for 7/1/14-8/31/14
1d. Amount of
21st CCLC–ELT Funds
Requested Per School
(1b + 1c = 1d)
(1b + 1c = 1d)
(Limit= $500 x
School Enrollment.)
1e. Total 21st CCLC-ELT funds requested
(total of column 1d):
2b. Additional
2a. Total
Amount Available
Enrollment
Per Pupil ($500 per
student minimum)
2c. Total Additional
Funds Available to
Support ELT
(2a x 2b = 2c for all schools)
Existing ELT Schools (and Grades) in the District:
(Please list any schools in the district that currently offer expanded learning time. Include grades offered in the
school. Insert rows as needed.)
Total School
Hours Per Year
(for all students)
Existing 21st CCLC-OST Sites in the District (if any): (Insert rows as needed.)
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Name of Grant Program:
Massachusetts 21st Century Community Learning
Centers – Expanded Learning Time
Fund Code: 647-B1A
A. DISTRICT LEVEL SUPPORT AND STRUCTURES
Using no more than eight (8) pages, please respond to the following questions regarding district-level support
and structures for expanded learning time (ELT). Responses should be provided within this document, without
changing the format or font size, and leaving the questions above each response.
1. Explain how planning for ELT has been informed by data and builds on lessons learned in the district about
effective use of time. In particular, if applicable, include lessons learned from existing ELT schools and/or
existing 21st CCLC-OST program sites.
2. Describe how ELT fits into district-wide plans for improving student performance and engagement. In
addition, describe how ELT helps to support local implementation of the Department’s District Standards
and Indicators and Department Priorities.
3. District Structures:
Please use the table below to (a) identify specific district-level structures, personnel, and resources the
district plans to provide school(s) that will support implementation of expanded time; (b) describe how these
structures will support the implementation in each school; and (c) describe whether the structure exists or is
newly planned at the district level for FY14. (Insert rows as needed.)
If the lead applicant is not the district, also describe supports that will be provided by the lead applicant.
a. District/Lead Applicant
Structure, Personnel, Resource
b. How it Supports Each School’s
Implementation of ELT
c. New/Existing?
4. Sustaining Expanded Time: Describe the district’s long term plans for sustaining ELT in its school, and
how this grant’s proposed activities could be supported through other means after the grant cycle ends.
Indicate whether funds will be spent differently over the course of this three-year grant. (REMINDER:
continuation funding for years 2 and 3 will be provided pending appropriation and the grantee meeting all
grant requirements each year including a reapplication.)
5. Community Notification of Intent to Apply: Federal law requires that applicants for grants under the
21st CCLC program must provide the community with timely public notice of intent to file an application and
an assurance that the application will be available for public review after submission. Briefly describe the
process for notifying the community of the intent to apply and ways in which the application will be made
available for public review after submission.
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