DIRECTIONS FOR COMPLETING AND SUBMITTING
THE TITLE I, PART D, SUBPART 1
APPLICATION AND BUDGET
YEARLY APPLICATION FOR FUNDING
(2015-2016)
Please complete this application and budget and ensure that the budgeted
amounts and Identified Needs align properly. Final approval is contingent
upon these criteria. The State Agency (SA) should complete the items.
 A delinquent facility should submit the completed application along with
the completed signature page (top of page 3) to the SA contact person.
 The SA will review the application. If revisions are required, return the
application to the facility/institution for those revisions.
 If the application is approvable by the SA, the contact person completes the
signature page (bottom of page 3) and submits the application and agency
budget to the Colorado Department of Education by Friday, June 26, 2015.
 Carefully consider the length of time required to meet the Friday, June 26,
2015 deadline as you:
1. Complete the needs assessment
2. Consult with stakeholders concerning the needs identified in the
assessment
3. Meet with the SA to review the application
4. Revise and complete the application
5. Give the SA time to obtain signatures and submit the application and
budget to CDE
 See next page (page 2) for directions for submitting the application and
budget.
Page 1 of 9
No Child Left Behind (NCLB), Title I, Part D, Subpart 1
2015 Application (July 1, 2015 through June 30, 2016)
Colorado Department of Education
Consolidated Federal Programs
Instructions for submission:
Submit the budget as an email attachment to:
rodriguez_m@cde.state.co.us
Submit application and budget as email attachments to:
goodman_s@cde.state.co.us
Mail signature page to the address listed below:
Colorado Department of Education
Consolidated Federal Programs Unit
Attn: Stacy Goodman
1560 Broadway, Suite 1450
Denver, CO 80202
If you have questions about the application, please contact Stacy Goodman
Title I, Part D Coordinator at (303) 866-6298 or goodman_s@cde.state.co.us
If you have questions about the budget, please contact Marti Rodriguez,
Grants Fiscal Consultant (303) 866-6769 or rodriguez@cde.state.co.us
Page 2 of 9
No Child Left Behind (NCLB), Title I, Part D, Subpart 1
2015 Application (July 1, 2015 through June 30, 2016)
Colorado Department of Education
Consolidated Federal Programs
APPLICATION FOR TITILE I, PART D, SUBPART 1
STATE AGENCY PROGRAMS
Fiscal Year 2015 (July 1, 2015 through June 30, 2016)
Yearly Application for Funding
Facility/Institution
Name of Facility/Institution
Grade Span
Mailing Address
Phone of Facility/Institution
FAX
Printed Name and Title of Contact Person
Contact Person Phone
Contact Person FAX
Email of Contact Person
Printed Name of Facility/Institution Director
Signature of Facility/Institution Director or Designee
Date
State Agency
Mailing Address of State Agency
Name of State Agency Contact
FAX
Email of State Agency Contact Person
By signing below, the State Agency confirms that the Title Part D, Subpart 1 yearly application, and budget were read and
approved by the State Agency designated contact person or designee. The State Agency also agrees to work with the
neglected/delinquent facility/institution to ensure that all students at the facility/institution are receiving, to the greatest
extent possible, educational opportunities equal to that of students in traditional LEA schools.
Signature of State Agency Contact Person or Designee
Date
Page 3 of 9
No Child Left Behind (NCLB), Title I, Part D, Subpart 1
2015 Application (July 1, 2015 through June 30, 2016)
Colorado Department of Education
Consolidated Federal Programs
PROGRAM DESCRIPTION FOR TITLE I PROGRAMS
Title I periods / day
Time / day
Days / week / pupil
Grades served
No. of students to be served
No. of residential children
Number of children failing to meet state’s
student performance standards (scoring
partially proficient or unsatisfactory)
Number of children participating in the
assessments to measure performance
standards
Page 4 of 9
No Child Left Behind (NCLB), Title I, Part D, Subpart 1
2015 Application (July 1, 2015 through June 30, 2016)
Colorado Department of Education
Consolidated Federal Programs
Application for Funds (Facilities complete this page)
Facility Name:
Element #1: Identify Students
 Identify the criteria (including the name of the specific assessments) used for selecting
students for participation in the Title I, Part D targeted assistance program.
To address this point, you must clearly describe the criteria and/or process for identifying
students including a list of the specific reading and/or math assessments that are used.
Element #2: Educational Program
 Describe the additional educational assistance that provided to students identified as in
need of help to meet standards in reading and/or math.
To address this point, you must describe the program and services funded by Title ID and
include a discussion of when those services are provided and by whom.

List the scientifically based research instructional strategies and materials that will be
funded by Title ID to address identified needs of students. Explain how instructional
strategies and materials are chosen.
To address this point, you must clearly define the needs of students and list the researchbased instructional strategies and materials that will be used to address those needs.

Identify any items from the budget being used to support this element.
To address this point you must include exact budget amounts that must be clearly tied to
the described activities listed in the narrative test.
Page 5 of 9
No Child Left Behind (NCLB), Title I, Part D, Subpart 1
2015 Application (July 1, 2015 through June 30, 2016)
Colorado Department of Education
Consolidated Federal Programs
Element #3: Evaluation Plan
 Describe the process that is in place for monitoring the effectiveness of the program as
a whole as well as the progress of individual students in the program.
 Identify the steps taken when students are not making progress.
To address these points, you must explain how the facility will assess the effectiveness of
the Title ID program and each student receiving service through the Title ID funds.
Element #4: Professional Development (PD)
 Describe the high-quality professional development activities that implemented in
support of research-based strategies.
 Identify the specific student needs that will be addressed by the PD
To address these points, you must describe PD activities that meet the definition of high
quality and are tied to the needs identified above in Element #2.

Provide a description of any associated budget items.
To address this point you must include exact budget amounts that must be clearly tied to
the described activities listed in the narrative text.
Page 6 of 9
No Child Left Behind (NCLB), Title I, Part D, Subpart 1
2015 Application (July 1, 2015 through June 30, 2016)
Colorado Department of Education
Consolidated Federal Programs
Element #5: Parental Involvement
 Describe how effective parent involvement activities will be planned and implemented.
 Explain how these activities coordinate with and are integrated into programs
developed to address identifies student needs.
To address these points, you must describe how effective parental involvement activities
are implemented and integrated into programs developed to address identified student
needs.

Provide a description of any associated budget items.
To address this point you must include exact budget amounts that must be clearly tied to
the described activities listed in the text.
Element #6: Transition
 Describe in detail how the transition needs of students at the facility are identified.

Explain how the transition services will meet the identified transition needs.

Identify any staff members paid with Title ID funds who work on transition activities.
Include staff names.

Identify any items from the budget being used to support this element.
To address this point you must include exact budget amounts that must be clearly tied to
the described activities listed in the text. The amount of funding to be used for transition
must be 15% to 30% of the total yearly allocation.
Page 7 of 9
No Child Left Behind (NCLB), Title I, Part D, Subpart 1
2015 Application (July 1, 2015 through June 30, 2016)
Colorado Department of Education
Consolidated Federal Programs
NCLB TITLE I EQUIPMENT INVENTORY AND REQUEST FORM
(See instructions at the bottom of the page.)
Agency Name:
Date Submitted:
Official Maintaining Inventory:
Use separate sheets for each cost category.
1
2
3
4
5
6
7
8
9
10
DESCRIPTION
OF ITEM
DATE
APPROVED
BY CDE
SERIAL
NUMBER
DATE
ACQUIRED
ORIGINAL
COST
LOCATION
IN
USE
NOT
IN
USE
TYPE OF
DISPOSTION
DATE


An updated copy of the Title I Inventory containing only items purchased during the
2014-15 year must be submitted with the new application.
Requests for new equipment must be submitted on this form accompanied by a
narrative justification in Element #2.
Page 8 of 9
No Child Left Behind (NCLB), Title I, Part D, Subpart 1
2015 Application (July 1, 2015 through June 30, 2016)
Colorado Department of Education
Consolidated Federal Programs
REMINDER TO STATE AGENCY
EMAIL THE BUDGET AND APPLICATION TO STACY
GOODMAN AT GOODMAN_S@CDE.STATE.CO.US
SEND THE BUDGET TO THE GRANTS FISCAL
MANAGEMENT TEAM OF CDE TO THE ATTENTION OF
MARTI RODRIGUEZ.
IF YOU HAVE QUESTIONS ABOUT THE BUDGET, PLEASE
CONTACT MARTI RODRIGUEZ, GRANTS FISCAL
CONSULTANT (303) 866-6769 OR
RODRIGUEZ@CDE.STATE.CO.US
THANK YOU
Page 9 of 9
No Child Left Behind (NCLB), Title I, Part D, Subpart 1
2015 Application (July 1, 2015 through June 30, 2016)
Colorado Department of Education
Consolidated Federal Programs