SPECIAL EDUCATION PERFORMANCE GRANT 2015 - 2016
Co-Teaching Action Research Project: Getting Beyond “One Teach – One Assist”
APPLICATION
1. Title of Application/Program:
2. Funding Level Requested
Total Amount Requested (not to exceed $3,500 per LEA and $1,500 per IU):
3. IU Applicant (on behalf of Consortium)
Name of IU:
IU TaC facilitating the Co-Teaching PLC for Administrators:
Address:
Phone:
Email:
4. LEA Consortium Member Applicants (Note: If multiple administrators from the same LEA are participating, list each individual on a
separate line):
LEA
1
LEA Location
(urban, rural,
suburban)
Name and Position/Title
Administrator Participating in PLC
Mailing
Address
Work email
Phone
5. Program Proposal Background (to be completed jointly by the IU TaC and LEA Consortium Administrators):
a.
Describe the rationale for convening the PLC and conducting Action Research Projects related to co-teaching:
b. Describe the current status of co-teaching in the school sites where Action Research Projects will be conducted:
c.
Summarize the professional development related to co-teaching that has been provided in the IU and LEAs:
d.
List the outcomes that Consortium members anticipate as a result of their participation:
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6. LEA Program Commitments (Note: Each LEA listed in item 4 above must complete section 6 of the application)
Commitment Statements
6.a. The LEA’s Administrator(s)’ participating in the PLC commit to conducting an action research project in conjunction
with at least one co-teaching team for the purpose of:
1. Examining the appropriateness and efficacy of current co-teaching practices
2. Exploring and assessing options for co-teachers to implement various co-teaching models
3. Implementing varied co-teaching models based on identified student needs
4. Assessing the implementation of varied co-teaching models based on quantitative and qualitative data
6.b. The LEA’s Administrator(s)’ participating in the PLC agrees to:
1. Recruit one or more co-teaching team(s) comprised of one general and one special educator to participate in the
project
2. Develop the Co-Teaching Action Research Project Action Plan (Appendix B)
3. Submit the completed action plan, in addition to baseline data and progress notes at a mid-year interval determined
by the grantor
4. Collect, analyze, and submit, at an interval determined by the grantor, the following required data elements:
 Observational data from Administrator Walk-Throughs (sample to be provided by grantor)
 Pre- and Post- Educator Survey (sample to be provided by grantor)
 Individual Student Profile for each student in the co-taught classrooms where Action Research is
conducted (required profile form to be provided by grantor)
 Co-Teaching Student survey (sample to be provided by the grantor)
 Pre- and Post- Student achievement data (e.g., benchmark measure, engagement measure, work samples,
etc.)
5. Submit a written action research report that documents the status of each planned activity, summary and analysis of
required data elements and reflections on implementation.
3
Yes/No
6.c. School site(s) in which Action Research Projects will be conducted:
LEA
School
School Administrator Name and Title
(if different from listed in #4)
Grades
Served
# Students
enrolled
# Students
with IEPs
(insert additional rows if needed)
6.d. Budget
Include a line item budget for this project with narrative explaining projected expenditures for each budget category. Allowable expenditures
include staff salaries, substitute salaries, materials and supplies, professional development and related travel. NOTE: Equipment costs, clothing,
gift cards, out of state travel and food are not allowable expenses.
Suggested Budget Categories
131 (Salaries, Professional)
151 (Salaries, Clerical)
200 (Benefits)
320 (Professional Contracted Services)
330 (Other Professional Services)
390 (Other Purchased Professional Services)
550 (Printing and Copying)
580 (Travel & In-State Conferences)
610 (General Supplies – not to exceed 25% of the overall
budget request)
640 (Books & Periodicals)
Total:
Amount
Brief Narrative
NOTE: Total award amount for any LEA consortia member not to exceed $3,500 (November, 2015 through June, 2016), in which the following
terms apply.
1. Through March 15, 2016, the LEA is eligible to request reimbursement of expenditures attributed to this project up to half of the overall
grantee’s award contingent upon the submission of the project’s completed action plan, in addition to baseline data and progress notes (See
Application Item 6.b.3).
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2. Through June 20, 2016, the grantee is eligible to request reimbursement of expenditures attributed to the whole of the project contingent
upon the submission of the action research report that documents the status of each planned activity, summary and analysis of required data
elements and reflections on implementation (see Application Item 6.b.5) in addition to the submission of the project’s the completed action
plan, in addition to baseline data and progress notes (See Application Item 6.b.3).
6.e. Assurance Statements
The LEA’s Chief Academic Officer is required to check each statement and sign below providing assurances of conformance with the specific
provisions listed:
____
Assurance that all activities and expenditures of funds conducted in association with the program are in direct compliance with the
provisions of the funding authorities.
____
Assurance that the reporting requirement outlined in the application package will be submitted in a timely manner.
____
Assurance that program staff will participate in all required IU and PDE/PATTAN training and technical assistance activities.
____
Assurance that collaboration with appropriate partners to strengthen and extend impact will be a priority of the project.
(signature)
(Title)
5
(Date)
7. IU Program Commitments
Commitment Statements
7.a. The IU TaC(s) commit to facilitating a group of LEA Administrators to participate in the Co-Teaching PLC by:

Recruiting PLC participants and ensuring that they understand the commitments

Developing readiness to implement the co-teaching PLC utilizing the package provided by PaTTAN

Providing materials and resources necessary for participation to PLC participants

Seeking assistance/support from PaTTAN, as needed

Participating in periodic updates to PaTTAN on the PLC activities

Developing a plan for sustainability and expansion of a Co-Teaching PLC for administrators in the IU
7.b. The IU participating in the PLC agrees to support PLC participants in completing the Action Research Project, as
specified by PaTTAN, by providing technical assistance to each participant as they:

Identify co-teaching team(s) comprised of one general and one special educator to participate in the project

Develop and submit the Co-Teaching Action Research Project Action Plan (Appendix B) to PaTTAN

Collect, analyze, and submit, at an interval determined by the grantor, the required data elements:

Submit a written action research report that documents the status of each planned activity, summary and analysis of
required data elements and reflections on implementation.
7.c. The IU will participate in periodic scheduled feedback sessions with PaTTAN to report on progress of Action Research
Projects.
6
Yes/No
7. c. Budget
Include a line item budget for this project with narrative explaining projected expenditures for each budget category.
Allowable expenditures for IUs include: materials and supplies, books and printing/copying.
NOTE: Equipment costs, clothing, gift cards, out of state travel and food are not allowable expenses.
Suggested Budget Categories
550 (Printing and Copying)
610 (General Supplies – not to exceed 25% of the overall
budget request)
640 (Books & Periodicals)
Total:
Amount
Brief Narrative
The funding available to each successful grant application is not to exceed $1,500 (November, 2015 through June, 2016), in which the following
terms apply.
7.d. Assurance Statements
The IU Executive Director is required to check each statement and sign below providing assurances of conformance with the specific provisions
listed:
____
Assurance that all activities and expenditures of funds conducted in association with the program are in direct compliance with the
provisions of the funding authorities.
____
Assurance that the reporting requirement outlined in the application package will be submitted in a timely manner.
____
Assurance that program staff will participate in all required IU and PDE/PATTAN training and technical assistance activities.
____
Assurance that collaboration with appropriate partners to strengthen and extend impact will be a priority of the project.
(signature)
(Title)
7
(Date)
Proposals must be received by 3:00 p.m. Friday, November 20, 2015.
A single electronic submission of the application proposal and letters of agreement is preferred. Electronic submissions will only be accepted in Word
(file extension .doc) or in Portable Document Format (file extension .pdf). Please send all electronic proposal submissions to grants@pattanpgh.net.
Hard copy submissions may be addressed to:
James Palmiero, Ed.D.
Director
PaTTAN Pittsburgh
3190 William Pitt Way
Pittsburgh, PA 15238
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