Name of Grant Program:
Massachusetts 21st Century Community Learning
Centers – Expanded Learning Time
Fund Code: 647-B1A
PART III-B – SCHOOL - Required Program Information
(REMINDER: Submit one Part III-B document for each school site proposed in the application.)
A. SCHOOL INFORMATION
District:
Lead applicant, if not the district:
School:
School-Level Grant Contact
Name and Title:
Phone:
Email:
Indicate the total number of hours each year the school:
…currently requires of all students
(in FY13):
…plans to require of all
students in FY14 (and beyond):
Is this school a current recipient of a 21st CCLC grant for out-of-school-time (OST)?
Indicate Yes/No: ____________
If yes, indicate the competitive award year:_____________
Competitive Priorities:
1. Is the school proposing to implement a year-round school model, or at least a substantial amount of time for
all students during the summer?*
Indicate Yes/No: ____________
If yes, please indicate the number of hours, days, and weeks during the summer (July 1-August 31): _______
and make sure this is clear in response to question B7.
* REMINDER: See Addendum B – Definitions and Additional Details for more information on text with asterisks.
2. Has this school been designated in 2012 as Level 3, 4, or 5 under the Massachusetts’ district and school
accountability and assistance system?
Indicate Yes/No/Not Assigned: ____________
3. This school…
Yes/No
If Yes, List Feeder/Receiving
School(s) and Grades:
a. Is a feeder* to one or more schools with expanded time?
b. Receives* students from one or more schools with expanded
time?
4. Is the application proposing grant activities that will be implemented with a strong partnership between the
school district and at least one CBO or other public or private entity?
Indicate Yes/No: ____________
If yes, please make sure to describe this in the response to question B2, and include any appropriate MOU’s
and/or letters of support as attachments to this proposal.
5. Is the application proposing the use of blended learning strategies?*
Indicate Yes/No: ____________
If yes, please make sure to describe this in the response to question B3.
6. Is the application proposing creative labor management compensation structures that help to minimize the
overall costs of implementing ELT?
Indicate Yes/No: ____________
If yes, please make sure to describe this in question B7.
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Name of Grant Program:
Massachusetts 21st Century Community Learning
Centers – Expanded Learning Time
Fund Code: 647-B1A
PART III-B – SCHOOL - Required Program Information - Continued
B. SCHOOL-LEVEL IMPLEMENTATION
Please respond to the following questions within this document, without changing the format or font size, and
leaving the questions above each response.
1. Summary of ELT and 21st CCLC-ELT Grant Proposal: (maximum 3 pages)
a. Provide a narrative that gives an overview of what the school’s redesigned and expanded day in FY14
will look like for both students and teachers. Indicate how much of this will be new versus what
currently exists.
b. Describe the specific, creative and innovative component(s) of the school’s ELT initiative to be funded
through this 21st CCLC-ELT grant. Reminder: Grant-funded activities should be aligned with the
purpose and priorities outlined for this funding opportunity, and primarily support enhanced or new
services for students.
2. Stakeholder Interest and Involvement: (maximum 2 pages)
a. Planning: Describe actions taken by the school to assess the level of interest in ELT, as well as the
specific 21st CCLC-ELT activities proposed in this grant, among the following groups: teachers,
students, families and community, and any other key stakeholders. Include a description of how these
groups were engaged in the design and development of both ELT and this application.
b. ELT-OST Coordination: Explain how the ELT initiative will coordinate and collaborate with out-ofschool time (OST) programs (including but not limited to 21st CCLC-OST programs). Also indicate any
projected impact of FY13 to FY14 school schedule changes on OST programs and/or partners.
c. Implementation: Describe how stakeholders, such as families and/or community partners, will be
actively involved with implementing ELT and grant activities.
3. Identified Needs, Strategies, and Progress Measures: (maximum 6 pages)
a. Describe the school’s needs that will be addressed in FY14 through ELT.
b. Describe the process(es) and key strategies (theory of change and action) that will be used to
address these needs. Where applicable, describe how this work will support implementation of the
Conditions for School Effectiveness.
c. Identify which of the strategies (described in “b” above) will be supported by the grant, referring
where appropriate to the grant priorities listed in the Funding Opportunity document. Note how
requested grants funds will support implementation of these strategies.
d. For one or more of the grant-supported strategies identified in “c” above:
i.
Describe how the school will assess progress towards addressing the identified needs. Note
specific measures and tools to be used, if known (these may be a part of, or in addition to the
required Department-provided evaluation tools); and
ii.
Describe how the assessment information will highlight areas of success and help inform
continuous program improvement.
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Name of Grant Program:
Massachusetts 21st Century Community Learning
Centers – Expanded Learning Time
Fund Code: 647-B1A
PART III-B – SCHOOL - Required Program Information - Continued
4. Service-Learning: (maximum 1 page)
Service-learning engages students in identifying and researching community problems; identifying and
proposing possible solutions (projects); planning and implementing these solutions (service); making
explicit connections to grade appropriate learning standards; reflecting on their service; demonstrating the
results of their project; and working with appropriate school and community organizations and individuals
to accomplish the above.
Describe how the school will implement the required service-learning component, identifying:
a. The anticipated number of teachers, and their grade-level(s) and content-area(s), who will attend the
Department-provided training on planning for and implementing service-learning.
b. The anticipated numbers of teachers and students who will engage in service-learning each year.
c. Any previous experience with service-learning, including examples of the types of projects
implemented, if applicable.
5. School Structures to Support ELT:
Please use this table to a. identify specific school-level structures, personnel, and resources that will
support the school’s implementation and evaluation of ELT; b. describe how these structures will support
the implementation of ELT; and c. describe whether it is an existing structure or newly planned at the
school level for FY14. (Insert rows as needed.)
a. School Structure, Personnel, Resource
b. How it Supports Each School’s
Implementation of ELT
c. New/Existing?
6. Consultation with Private Schools
Please provide a brief summary of the results of the school’s consultation with private school
administrators in its geographic vicinity, or indicate if there are no private schools within the geographic
vicinity to be served through this grant proposal.
7. Staffing and Scheduling
a. Briefly describe how ELT will impact staffing levels and schedules, and what flexibilities the school has in
this area to enable effective and cost-effective implementation of expanded learning time. Please
provide a description of any necessary changes that were/will be made in collective bargaining
agreements, school charters, or in other areas that affect the proposed ELT. Where applicable, schools
must include documentation of changes to collective bargaining agreements, charters, etc.
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Name of Grant Program:
Massachusetts 21st Century Community Learning
Centers – Expanded Learning Time
Fund Code: 647-B1A
PART III-B – SCHOOL - Required Program Information - Continued
7. Staffing and Scheduling - continued
b. Use the chart below to provide information about school hours (required for all students) currently in
2012-2013, and projected for 2013-2014:
SAMPLE YEAR
Date school began:
Start/End Time
8:15 – 2:15
8:15 – 12:15 (early release days)
CURRENT YEAR
(2012-2013)
Date school ends:
9/2/2011
Hours
6
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TOTALS
Date school began:
Start/End Time
# of days
170
10
180
6/19/2012
Total Hours
1020
40
1080
Date school ends:
Hours
# of days
Total Hours
[insert rows if needed]
TOTALS
PROJECTED
2013-2014
Date school begins:
Start/End Time
Date school ends:
Hours
# of days
Total Hours
[insert rows if needed]
TOTALS
c. Provide the following schedules: (please insert schedules into this document)
i. Current Student Schedule (FY13)
ii. Current Teacher Schedule (FY13)
iii. Proposed Student Schedule (FY14)
iv. Proposed Teacher Schedule (FY14)
NOTE: Applicants must clearly identify in the proposed student schedule (iii. above) a minimum of 80
hours during which 21st CCLC – ELT grant activities will occur. It should also be clear how many and
which students will be engaged (e.g., specific grades or target subgroups, etc.).
8. Transportation
Please describe how the school ensures that students travel safely to and from school, including any
changes to the transportation of students resulting from ELT.
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9. Non- 21st CCLC – ELT Grant Support for ELT
a. Use the chart below to demonstrate that the school/district has identified and made available sufficient
funds to support the school’s implementation of ELT. Funds being requested under this grant
should not be included here.
Funding Source
Total Amount
(FY14)
Fund Use (Summarize what aspects of ELT
the funds will cover.)
Federal
State
Local
Private (include
foundation grants, private
donations, etc.)
Other
Total
Non-21st CCLC
Funds to Support
ELT in FY14
b. Was this proposed site awarded an FY13 New Site 21st CCLC – OST grant?
i. Indicate Yes/No: ____________
If yes, please indicate whether, if awarded a 21st CCLC – ELT grant, the school would like to request
to use a portion of FY14 21st CCLC – OST continuation grant funds from this school site to support
21st CCLC-ELT activities. NOTE: The Department is exploring the feasibility of allowing this flexibility.
Details and parameters will be communicated once confirmed.
ii. Indicate Yes/No: ____________
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