Name of Grant Program: Supplementary Support to School Districts with High Concentrations of At-Risk Students Fund Code: 320 EVALUATION CRITERIA SCORECARD – (FOR ESE USE ONLY) District Name: Name of Reviewer: Date: Evaluation Criteria: Score No information provided/ Information provided does not relate 0 Points Score Information is minimal 1 Point Score Information addresses all basic elements Score Information addresses all elements thoroughly 3 Points 5 Points Multiplier Points Awarded (Score x Multiplier) Maximum Points Available (5 x Multiplier) Note: The minimum qualifying score for approval is 90, or the equivalent of earning 3 raw points in each area of the scoring rubric. Districts receiving less than the minimum score may be asked to revise or elaborate upon certain areas of their grant application within a specific timeframe to be determined by the Department during the review process. 1) The applicant described how funding from this grant will support new at-risk initiatives and interventions in the school district and/or described how funding from this grant will support current at-risk initiatives and interventions in the school district. X4 20 2) The applicant explained the research or known best practices upon which initiative(s) is/are based. X3 15 3) The applicant describes the student population(s) it intends to serve and explains the criteria it will use to determine eligible students for this grant. Included in the description is the number and grade levels of students the district intends to serve. Applicant considered targeting middle school students; MassGrad grant recipients in particular focused on middle school students. X3 15 1 4) The applicant described the proposed connection to or collaboration with community or other organizations as part of the proposal. X2 10 5) The applicant described the role parents/guardians will play in the development of and/or implementation of proposed initiatives. 6) The applicant explains how multifaceted efforts to address the “wholestudent” are included in the grant activities, such as supporting and improving health, mental health, nutritional, and fitness habits for participating students 7) The applicant describes what success will look like for its district and how it will use data to determine the impact and success of this grant funding. 8) The applicant described the system the district will use to record/log student participation in activities associated with this grant and to keep track of other data. X2 10 X2 10 X2 10 X2 10 9) The applicant describes its plan for grant coordination at the district and/or school level, including the name and contact information for the primary point of contact. 10) The applicant explains how the proposed grant services complement other funding and activities the district may receive or participate in. 11) The applicant provides an appropriate month by month timeline for grant implementation that includes benchmarks for implementing key activities. Grant start dates are expected to be around March 1, 2012. The budget is filled out correctly, including numbers of staff, FTEs, stipends, rates, etc. Each line item is thoroughly explained. X2 10 X3 15 X2 10 X3 15 TOTAL Max Points = 150 2 Comments: 3