_. -v Title IV, A SY 2017-2018 Rubric LEA/ Charter School Name:

t!t Corporation Number: Fiscal agent, if Consortium:

bt/D

Missing two or more areas of information

Inadequate - 1 point

Missing one or more signatures

Missing one area of information

Adequate - 2 points

All areas of information complete

Part 3: Assurances

Excellent - 3 points

All signatures are complete

3 Score

r Part 5: Comprehensive Needs Assessment

Inadequate - 1 point Adequate - 2 points Excellent - 3 points Score Description of program Description of program Description of program goals and objectives is goals and objectives is goals and objectives is incomplete or vague; provided; goals and clear; proposed activities program goals and objectives partially align to clearly align to needs ~ objectives do not align to data sources and assessment; direct link data and prioritized needs. prioritized needs. provided from identified

needs to proposed nr-tivitiP,

Specific data sources Specific data sources Specific data sources missing; little to no provided; quantitative provided; analysis of quantitative or qualitative and/or qualitative data quantitative and

3 data utilized; only one data utilized; more than one qualitative data utilized; source included; data data source included; more than one data does not align to program data may not clearly align source included; data goals or prioritized needs. to program goals and aligns to program goals

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NOTES

NOTES

Description of prioritized Description of prioritized Clear description of needs is missing; identified needs is provided; prioritized needs is needs are not aligned to identified needs are provided; identified needs data sources or program partially aligned to data are clearly aligned to data

J goals and objectives; no sources or program goals sources and program goals description of how high- and objectives; partial and objectives; clear need schools will be description of how high- description of how high-prioritized. need schools will be need schools will be

prioritized. prioritized.

Little to no evidence of Evidence of consultation; Evidence of extensive consultation; only staff or staff or internal groups and consultation; multiple staff internal groups were external or community or internal groups and consulted. No description groups were consulted; external or community ·;; of consultation activities description of consultation groups were consulted; included. activities included. clear description of

consultation activities included.

Part 6: Title IV, A Activities Inadequate - 1 point Adequate - 2 points Excellent - 3 points Score NOTES

Descriptions of activities All description sections are All description sections are are missing or do not completed; some may completed and clearly clearly or adequately lack clarity in describing and adequately describe describe the scope of work the scope of work of the scope of work of

3 of proposed programming. proposed programming. proposed programming.

Rationale linking needs Rationale linking needs Rationale linking needs assessment and proposed assessment and proposed assessment and proposed activities is missing or activities is somewhat activities is clear and unclear; outcomes of clear; link between comprehensive; clear link ()__ proposed activities do not outcomes of proposed between outcomes of tie back to identified activities and identified proposed activities and needs. needs. identified needs.

Prog'ram objectives not Program objectives Program objectives are provided or not clear ; provided; outcomes may clear and comprehensive; outcomes are not easily not be easily tracked for outcomes are able to be

o&J~~ /4 ~ tracked for progress or progress or needed tracked for progress or d2_ needed improvement. improvement. needed improvement.

~ Evaluation plan is missing or Evaluation plan is vague; Evaluation plan is clear unclear; no clear timeline timelines or frequency of and effective; timelines

07{/t:n~ ~ or frequency of evaluation evaluation provided may and frequency of provided; no individuals lack clarity; single evaluation provided are ~

.

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identified as part of the individual identified as part clear and sufficient; ~ 4--~ evaluation process. of the evaluation process. multiple individuals

identified as part of the ~ evaluation process.

4 or more errors in budget 1-3 errors in budget totals; Correct sums provided for L;· (Ll. C. - blO-Nl.,K_ totals; total budget and total budget and proposed budgeted totals for all

proposed activity totals do activity totals match. focus areas; total budget

~ Y.kcli - -not match. and proposed activity ~ totals match.

Part 7: Sustainability Plan lnadeauate - 1 point Adequate - 2 points Excellent - 3 points Score NOTES

References to specific Possible future funding Future funding sources are future funding sources are sources provided but may specific and may include vague or missing; no clear lack specificity; plan to assurances or evidence of plan to continue activities continue activities future funding having been provided; little or no provided; some capacity secured; clear plan to :l evidence of effective building is evident or built continue activities in capacity building. into the plan. absence of Title IV funds

provided; clear focus on local capacity building is evident.

There is no plan in place to The plan to track track effectiveness of measurable outcomes is action steps or the unclear. suggested plan does not have a clear measurable outcome.

There is an effective plan in place to track measurable outcomes.

Part 8: Non-Public Equitable Share (if applicable) Inadequate - O points

Non-public equitable share components missing; not all non-public schools in geographic location included; no evidence of consultation provided.

lnadeauate - 1 point Either budget request table or detailed budget page provided; missing components within tables.

Few or no expenditures are reasonable, allowable, or necessary.

Few, if any, expenditures are aligned with the activities and goals of the grant.

Expenditures are considered supplanting

Adequate - 2 points

Some expenditures are reasonable, allowable, and necessary.

Some expenditures are aligned with the activities and goals of the grant.

Excellent - 1 point Score All components present; all non-public schools in geographic location (if applicable) are included; \ evidence of consultation provided. (Note: public charter schools do not need to complete this - ••

Part 9: Budget Excellent - 3 points Score

Both budget table AND detailed budget provided

·3 and all sections are completed.

All expenditures are reasonable, allowable, and

3 necessary.

All expenditures are aligned with the activities and goals of the grant. 3

Expenditures are not

3 considered supplanting

NOTES

NOTES

Narrative boxes are not Narrative boxes are mostly Narrative boxes are complete OR gives little complete OR some detail complete and give great J detail to how funding will to how funding will be detail to how funding will be utilized. utilized . be utilized. Staffing section is not Staffing section is Staffing section is complete complete OR gives little somewhat complete OR and gives great detail on

2 detail on staffing person gives some detail on staffing person responsibilities. staffing person responsibilities.

ro~nr.n,;ihiliti0 ~ .

Budget tables contain 5 or Budget tables contain 1-4 Budget tables contain no

J more errors; budget totals errors; most budget totals errors; budget totals align. do not alian. alian.

Total Points: 0 ( 61 points poss!ble)