Name of Grant Program: Innovation Schools Implementation Grant
Fund Code: 157
PART III-REQUIRED PROGRAM INFORMATION-COVER PAGE
Please complete each of the fields below.
General Information
School Name:
School Type (New/Conversion/Academy):
Year Open:
School Accountability Level (if applicable):
Total Enrollment (as of September 2013):
District Name & Accountability Level:
Grades Served:
Please indicate Yes/No for priority areas 1 and 2 below.
Important note: the Department will assess whether the applicant meets priority 3 or 4 as stated
in the RFP based on a review of the approved Innovation School Plan and Strategic Change
Chart.
1. Does the applicant operate an approved Innovation School in a Level 3 or 4 district? Massachusetts’ district
and school accountability and assistance system
Indicate Yes/No:___________
2. Is the Innovation School designated as Level 3 or 4? Massachusetts’ district and school accountability and
assistance system
Indicate Yes/No: ____________
Innovation School Public Statement – Please include the public statement included in the approved
Innovation School Plan (to be used for dissemination purposes).
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Name of Grant Program: Innovation Schools Implementation Grant
Fund Code: 157
PART III-REQUIRED PROGRAM INFORMATION-NARRATIVE
Instructions: All applicants are required to complete Sections A and B. Only applicants that have been
in operation for a year or more are required to complete Section C.
Section A – Description of Fund Use
In a separate Word document that is no more than 3 pages in length, please describe how the grant
funds will be used to support the successful implementation of the approved Innovation School Plan.
Responses must describe what the intended changes that the school and district expects to occur as a
result of the grant, and how it will determine the effectiveness of the use of funds.
Section B – Strategic Change Chart*
Innovation schools operate with increased autonomies and flexibilities in six key areas (curriculum,
instruction, and assessment; schedule and calendar; staffing; professional development; district policies
and procedures; and budget) with the goal of establishing the school conditions that lead to improved
teaching and learning, and as such, all applicants are required to complete this section.
Please provide a chart that follows the format below:
1. List the areas of autonomy and flexibility authorized by the plan;
2. Describe the current district practice as it relates to each area of autonomy and flexibility;
3. If conversion, describe the former school or academy practice as it relates to each area of
autonomy and flexibility;
4. Describe the current school or academy practice as it relates to each area of autonomy and
flexibility (to be addressed by new and conversion innovation schools and academies);
5. Describe any key anticipated challenges to implementation and the existing capacity of the
school and district staff to address these challenges; and
6. Describe the expected impact on student achievement outcomes for each area of autonomy and
flexibility.
*Applicants are strongly encouraged to submit thoughtful and comprehensive charts as this section will
significantly impact the overall scores obtained.
Autonomies and
Flexibilities
Current District
Practice (as it
relates to
column 1)
Former School or
Academy Practice
Current
School or
Academy
Practice
Autonomy/Flexibility
Description of
current district
practice.
Description of
former school or
academy practice
prior to
implementing
approved
Innovation School
Plan.
Description
of current
school or
academy
practice.
Anticipated
challenges and
Capacity to
address these
Challenges
Description of the
challenges to
implementation
and capacity for
school and or
district staff to
address these
challenges.
Expected Impact on
Student Achievement
Outcomes
Description of how the
thoughtful utilization of
autonomy/flexibly is
expected to positively
impact student
achievement outcomes.
Section C – Measurable Annual Goals (MAGs)
Applicants that have operated an approved Innovation School for one year or more are required to
complete this section. In either chart form or an excel spreadsheet, please list each Measurable Annual
Goal as outlined in the Innovation School Plan and report on the school’s performance to date toward
meeting the stated goals.
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Measurable Annual Goals are required in the following seven areas*:
1) Student attendance; 2) Student safety and discipline; 3) Student promotion, graduation, and dropout
rates; 4) Student achievement on MCAS; 5) Progress in areas of academic performance; 6) Progress
among subgroups; and 7) Reduction of achievement gaps among different groups of students.
*Please note that each of the seven required MAGs are not applicable to all grade spans. Additionally,
applicants are required to report on individual school level MAGs.
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