Name of Grant Program: Supplementary Support to School Districts with High Concentrations of At-Risk Students Fund Code: 320 Part III Respond to each of the following using a maximum of one-half page per description/explanation (for a total of no more than five and one half pages). Please use 10-point Arial font and one-inch margins. Note: all of the items below will be aligned to a scoring rubric, therefore each proposal should address all of the items. 1. Describe the new initiatives and interventions and/or current initiatives and interventions for atrisk students in your school district that this grant funding will specifically support. Districts intending to use funds to maintain existing programs must provide evidence that, due to budget cuts or otherwise, current year funding is insufficient to continue quality implementation of the initiatives and interventions. 2. Explain the research or known best practices upon which your initiative(s) is/are based. 3. Describe the student population(s) you intend to serve and explain what criteria you will use to determine eligible students for this grant in your district and schools. Include in your description the number and grade levels of the students you intend to serve. Note that funds may be used at any school receiving federal Title I funds. Applicants are encouraged to consider implementing dropout prevention approaches for at-risk students at the middle school level. 4. Describe the proposed connection to or collaboration with community or other organizations as part of your proposal. If there is no proposed collaboration, please explain why this is the case. 5. Describe the role parents/guardians will play in the development of and/or implementation of your initiatives. If there is no existing or proposed role, please explain why this is the case. 6. Explain how multi-faceted efforts to address the “whole student” will be included in your grant activities. Activities may include, but are not limited to supporting physical, mental, social, health, nutritional, and fitness habits for participating students. 7. Describe what success will look like for your district and how your district will use data to determine the impact and success of this grant funding. 8. Describe the system the district will use to record student participation in activities associated with his grant and to keep track of the following: a. number of students that benefit from the grant program; b. attendance rate of students at program offerings; for example, “participation rate in after school ‘at-risk program’ was 95% as recorded in attendance sheets”; and c. other quantified ‘change rate’ of certain at-risk behaviors, such as suspensions, truancies, disciplinary hearings, etc. 9. Describe your plan for coordination and oversight of this grant at the district and/or school level. Include in your description the name and contact information for the primary point of contact. 10. Explain how the proposed grant services complement other funding and activities your district may receive or participate in, including but not limited to: MassGrad Implementation or Planning Awards, Academic Support grants, Dropout Prevention & Recovery Work Group, School Redesign grant implementation, Race to the Top grant implementation (e.g., Mass Model, MassCore), or teen pregnancy prevention grants (e.g. PREP). 11. Provide a month by month timeline for your grant implementation that includes benchmarks for implementing key activities. Assume a grant start date of March 1, 2012.