TITLE I, PART D, SUBPART 2
THREE-YEAR APPLICATION (July 2014-June 2017)
Instructions for Completion and Submission
Follow the procedures listed to submit the Three-Year Application for use of Title I funds at a
Subpart 2 facility serving neglected/delinquent student.
1. The neglected/delinquent facility will complete the Three-Year application addressing, with
complete detail, all areas of the program being offered.
2. The facility authorized representative needs to complete the signature page (page 2) and
provide the needed information.
3. The completed three-year application should be shared and reviewed with the Local
Education Agency (LEA) contact.
4. The LEA contact, after consultation with the facility director/representative, will:
a. Ask for revisions to the application and return it to the facility for additional work, or
b. Complete the signature page (page 3), indicating LEA approval
5. The LEA will email the completed three-year application to goodman_s@cde.state.co.us
and mail the signature pages to:
Colorado Department of Education
Office of Federal Program Administration
Attn: Stacy Goodman
1560 Broadway, Suite 1450
Denver, CO 80202
6. As needed, yearly updates to the application can be made by submitting an addendum.
7. This application will be in effect from July 1, 2014 - June 30, 2017 or until reauthorization of
the Elementary and Secondary Education Act requires changes.
8. Be sure to begin this application process early to allow sufficient time for consultation with
the LEA, needed revisions by the facility, and submittal by the LEA before the deadline of
June 30, 2014.
9. If you have questions, contact Stacy Goodman, 303-866-6298 or goodman_s@cde.state.co.us
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Office of Federal Program
Administration
Title I, Part D, Subpart 2
Three-Year Application
Application for participation in the USDE program under
TITLE I, PART D, SUBPART 2, NO CHILD LEFT BEHIND ACT OF 2001 (NCLB), P.L. 107-110
Fiscal Years 2014, 2015, 2016
July 1, 2014 through June 30, 2017
Three-Year Application
NAME OF FACILITY ______________________________________________________________
NAME OF LEA _____________________________________________________________________
FACILITY DESIGNATION: ____ Neglected or ____ Delinquent
(1) The neglected/delinquent facility with the submission of this document and its attached pages
hereby makes application for federal funds made available to the facility/institution through the
Local Education Agency from the State Education Agency. The facility/institution authorizes
________________________________________________ ________________
Facility Authorized Representative Name & Title (print/type)
______________________
Telephone Number
____________________________________________________
E-Mail Address of Authorized Representative
to act as its authorized representative, to conduct all business related to the planning,
implementation, operation, and evaluation of the grant program, to submit all required reports, and
generally conduct business related to the administration of the funds received from this grant.
In consideration of the receipt of these grant funds, the facility agrees to
 conduct and implement the program in the manner described in this application with the
understanding that the application may be revised for re-approval by the Colorado
Department of Education at any time,
 repay all funds not obligated by September 30 of the fiscal year in which the grant was
originally approved
 repay all grant funds determined to be due the federal government as a result of an audit
determination in a manner deemed to be reasonable by either the state or the federal
government.
_____________________________________________________________
____________
Signature of Facility Director
Date
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Office of Federal Program
Administration
Title I, Part D, Subpart 2
Three-Year Application
(2) Pursuant to the provisions of P.L. 107-110, Title I, Part D, Subpart 2 of NCLB, it is certified that
all records pertaining to fiscal audit program evaluation will be maintained and made available to
authorized officials of the state or federal government upon request. It is further certified that the
above-named agency has, in effect, a department salary schedule, a policy to ensure equivalence in
teacher, administrator, and auxiliary personnel, and a policy to ensure equivalence in the provision
of curriculum materials and instructional supplies in the regular education program.
By signing below, the Local Educational Agency confirms that this Title I, Part D, Subpart 2 three
year application has been read and approved by the LEA designated contact person or designee.
The LEA also agrees to work with the neglected/delinquent facility to ensure that all students at the
facility are receiving, to the greatest extent possible, educational opportunities equal to that of
students in traditional LEA schools.
__________________________________________________________ _____
LEA Authorized Representative & Title (print/type)
______________________________________________________________
Signature of Authorized Representative
__________________________________________________________ _____________________
_________________________
Address
Telephone Number
__________________________________________________________________
__________________
E-mail Address of Authorized Representative
Date
___________________________________________________________________
Contact Person Name & Title (if different than Authorized Rep) (print/type)
____________________________________________________________________
Signature of Contact Person
For CDE use only
CDE APPROVAL
This application has been reviewed and approved by the Colorado Department of Education regarding legal
and compliance issues compared with the limited information in the application, applicable laws and
regulations.
_____________________________________________________________________________________
Signature of Assigned Consultant
_______________________________
Date
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Office of Federal Program
Administration
Title I, Part D, Subpart 2
Three-Year Application
The eleven elements and all parts (see below) need to be completed by the facility requesting
participation in the use of funding for the education of students housed in facilities for neglected
and/or delinquent youth.
PROGRAM SERVICES
1. As appropriate, provide a description of the formal agreements to operate programs for
neglected/delinquent youth between the local education agency, the facility, and alternative
school programs serving youth involved with the juvenile justice system and/or social
services.
2. Provide a description of the research-based (proven to be effective) Title I educational
strategies, activities, and services designed to individualize education plans and improve
academic student achievement among children in the institution, particularly in reading and
math.
3. As appropriate, provide a description of how the program will involve parents in efforts to
improve educational achievement of their children, assist in dropout prevention, and
prevent the involvement of their children in delinquent activities.
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Office of Federal Program
Administration
Title I, Part D, Subpart 2
Three-Year Application
4. Provide a description of the efforts to ensure that facilities working with youth are aware of
a child’s existing individualized education plan.
5. As appropriate, include a description of how the facility will work with probation officers to
assist in meeting the needs of youth.
6. As appropriate, describe the steps taken to find alternative placements for youth who are
interested in continuing their education but are unable to participate in regular public school
program.
PROGRAM COORDINATION
7. As appropriate, describe how Title I services will be coordinated with existing social and
health services to meet the needs of students at risk of dropping out of school.
8. As appropriate, describe how Title I services will be coordinated with programs operated
under the Juvenile Justice and Delinquency Act of 1974.
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Office of Federal Program
Administration
Title I, Part D, Subpart 2
Three-Year Application
9. As appropriate, describe how Title I services will be coordinated with other federal, state,
and local programs such as the Job Training and Partnership Act and vocational education
programs serving at-risk youth.
10. Describe any partnerships with local businesses to develop training and mentoring
programs for participating students.
PROGRAM EVALUATION
11. Provide an evaluation plan to measure student progress and determine the program’s
impact on the ability of participants to:
a. accrue school credits that meet requirements for grade promotion and secondary
school graduation.
b. maintain and improve educational achievement toward Colorado’s content standards
as measured by the Colorado Student Assessment Program, particularly in reading
and math.
c. make the transition into a regular school program or alternative education program
operated by a local education agency.
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Office of Federal Program
Administration
Title I, Part D, Subpart 2
Three-Year Application
d. complete secondary school (or secondary school equivalent requirements) and
obtain employment or post-secondary education after leaving the institution.
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Office of Federal Program
Administration
Title I, Part D, Subpart 2
Three-Year Application