LEA/ Charter School Name:

\{\~ Lcu.N Corporation Number:

,Inadequate - 1 point, Missing one or more signatures

lhcidequate .: ,1 point Description of program goals and objectives is incomplete or vague; program goals and objectives do not align to data and prioritized needs.

,Adequa,f!. - 2 points Description of program goals and objectives is provided; goals and objectives partially align to data sources and prioritized needs.

Specific data sources Specific data sources missing; little to no provided; quantitative quantitative or qualitative and/or qualitative data data utilized; only one utilized; more than one data source included; data source included; data does not align to data may not clearly align program goals or prioritized to program goals and

.. +

- ::Excellent ~ 3 ~olnts All signatures are complete

Excellent- 3'polnts Description of program goals and objectives is clear; proposed activities clearly align to needs assessment; direct link provided from identified needs to proposed

Specific data sources provided; analysis of quantitative and qualitative data utilized; more than one data source included; data aligns to program goals

3

3

3

I,._.

Adequate - 2 rpolnts Score

Description of prioritized needs is missing: identified needs are not aligned to data sources or program goals and objectives; no description of how high­need schools will be prioritized.

Little to no evidence of consultation: only staff or internal groups were consulted. No description of consultation activities included.

Descriptions of activities are missing or do not clearly or adequately

Rationale linking needs assessment and proposed activities is missing or unclear; outcomes of proposed activities do not tie back to identified needs.

Description of prioritized needs is provided: identified needs are partially aligned to data sources or program goals and objectives; partial description of how high­need schools will be prioritized.

Evidence of consultation; staff or internal groups and external or community groups were consulted; description of consultation activities included.

All description sections are completed; some may lack clarity in describing

describe the scope of work the scope of work of of proposed programming. proposed programming.

Rationale linking needs assessment and proposed activities is somewhat clear; link between outcomes of proposed activities and identified needs.

Clear description of prioritized needs is provided; identified needs are clearly aligned to data sources and program goals and objectives; clear description of how high­need schools will be prioritized.

Evidence of extensive consultation; multiple staff or internal groups and external or community groups were consulted; clear description of consultation activities included.

All description sections are completed and clearly and adequately describe the scope of work of proposed programming.

Rationale linking needs assessment and proposed activities is clear and comprehensive; clear link between outcomes of proposed activities and identified needs.

:)

5

3

·3

l'v

Excellent - 3 points

3

3

2

3

3

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Program objectives not provided or not clear ; outcomes are not easily tracked for progress or needed improvement.

Evaluation plan is missing or unclear; no clear timeline or frequency of evaluation provided; no individuals identified as part of the evaluation process.

4 or more errors in budget totals; total budget and proposed activity totals do not match.

References to specific future funding sources are vague or missing; no clear plan to continue activities provided; little or no evidence of effective capacity building.

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

Program objectives provided; outcomes may not be easily tracked for progress or needed improvement.

Evaluation plan is vague; timelines or frequency of evaluation provided may lack clarity; single individual identified as part of the evaluation process.

1-3 errors in budget totals; total budget and proposed budgeted totals for all activity totals match.

Possible future funding sources provided but may lack specificity; plan to continue activities provided; some capacity building is evident or built into the plan.

The plan to track measurable outcomes is unclear.

Program objectives are clear and comprehensive; outcomes are able to be tracked for progress or needed improvement.

Evaluation plan is clear and effective; timelines and frequency of evaluation provided are clear and sufficient; multiple individuals identified as part of the evaluation process. Correct sums provided for

focus areas; total budget and proposed activity totals match.

Future funding sources are specific and may include assurances or evidence of future funding having been secured; clear plan to continue activities in absence of Title IV funds provided; clear focus on local capacity building is evident. There is an effective plan in place to track measurable outcomes.

1..\

Excellent-3,polnts

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

Either budget request table or detailed budget page provided; missing components within tables.

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

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

Expenditures are considered supplanting

reasonable, allowable, and necessary.

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

All componenls 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 section).

Both budget table AND detailed budget provided and all sections are completed.

All expenditures are reasonable, allowable, and necessary.

All expend iiures are aligned with the activities and goals of the grant.

Expenditures are not considered supplanting

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Narrative boxes are Narrative boxes are mostly Narrative boxes are not • ~~ Are.p... )'\I)+ ;n.dw!.Jcomplete and give greatcomplete OR gives little complete OR some detail

to how funding will be detail to how funding will J.detail to how funding will be utilized.utilized.be utilized.

Staffing section is completeStaffing section isStaffing section is not and gives great detail onsomewhat complete ORcomplete OR gives little staffing person gives some detail ondetail on staffing person 3 responsibilities.staffing person responsibilities.

responsibilities.

Budget tables contain noBudget tables contain 1-4Budget tables contain 5 or errors; budget totals align. errors; most budget totalsmore errors; budget totals 3

align.do not align. - ·-~ - ~

Total Points: @ 0(6ll1polnts possible)

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