Supplemental Educational Servicesrequest for Applications

SUPPLEMENTAL EDUCATIONAL SERVICES REQUEST FOR APPLICATIONS

Pursuant to the No Child Left Behind (NCLB) Act, Section 1116(e) For the three-year period of: 2009-2010 School Year

APPLICATIONS ARE DUE AT THE ISSUING OFFICE by 4:30 p.m., March 27, 2009

Sheila Box, SES/Choice Coordinator Alaska Department of Education & Early Development 801 W. 10th Street, Suite 200 P.O. Box 110500 Juneau, AK 99811-0500 (907) 465-8743 Fax: (907) 465-2989 E-mail: [email protected] Supplemental Educational Services Request for Applications 2009-2010 School Year

Table of Contents

1. Background Information...... page 1

2. Responsibilities...... page 2

3. SES Provisions in Alaska...... page 4

4. Application Process...... page 7

Application

Cover Page...... page 8

Section 1 – Removal from State Approved Provider Lists ...... page 11

Section 2 – Program Design/Content ...... page 11

Section 3 – Evidence of Effectiveness ...... page 12

Section 4 – Assessment of Student Progress ...... page 12

Section 5 – Communication with Parents and School ...... page 13

Section 6 – Location and Delivery of Services ...... page 13

Section 7 – Connection to Standards ...... page 14

Section 8 – Qualifications of Instructional Staff ...... page 14

Section 9 – Program Cost ...... page 14

Section 10 – Financial and Organizational Capacity ...... page 15

Appendices

Appendix A – Provider Profile ...... page 16

Appendix B – Assurances ...... page 18

Appendix C – Indication of District Contact Form ...... page 19

Appendix D – District Selection Chart ...... page 20

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page i Supplemental Educational Services Request for Applications 2009-2010 School Year 1. BACKGROUND

The No Child Left Behind Act (NCLB), signed into law by President George W. Bush January 8, 2002, aims to ensure that all students be proficient in reading, writing, and math at the end of 12 years, or 2014. Each school’s progress is measured annually, and Title I Schools that do not meet adequate yearly progress (AYP) for two consecutive school years are identified as schools in need of improvement, and are required to implement a series of measures designed to help those students most in need. One of these measures is to offer Supplemental Educational Services usually beginning in the third year of not meeting AYP, though there are some exceptions. The U.S. Department of Education defines SES as additional academic assistance occurring outside of the regular school day for low-income eligible students who attend Title I schools that did not make AYP for three or more consecutive years in the same content area. This additional academic assistance is intended to contribute to increasing the academic proficiency of students served by the providers in reading, language arts, mathematics, and science. [NCLB Section 1116(e)(12)(C)]

SES includes tutoring, remediation or other education interventions provided that such approaches are consistent with Alaska’s performance standards (grade level expectations) outlined in the booklet Content and Performance Standards for Alaska’s Students: http://www.eed.state.ak.us/standards/pdf/standards.pdf. SES must be high quality, research-based, and specifically designed to increase student academic achievement. [NCLB Section 1116(e)(12)(C)]

When SES becomes required at a particular school, the local school district must notify parents/guardians of eligible children no later than the first day of school that the opportunity for SES is available to them, and provide them with information about providers available to serve the school. Parents/guardians may select any state-approved SES provider that they feel will best meet their child’s needs. In small schools, a local parent advisory group or PTA may make a recommendation for the entire school, which parents may or may not choose to follow. The school district will sign an agreement with providers selected by parents/guardians, who will then provide services to the child and report on the child’s progress to parents/guardians and the child’s school. Schools must continue offering SES to eligible students until the school makes AYP for two consecutive years, and is therefore no longer identified for school improvement, corrective action, or restructuring.

Eligible Students Eligible students are all students from low-income families who attend Title I schools that are in their second year of school improvement, in corrective action, or in restructuring. Eligibility is not dependent on whether the student is a member of a subgroup that caused the school to not make AYP or whether the student is in a grade that takes the statewide assessments as required by NCLB. (In some cases a school may offer SES in the first year of school improvement, either because public school choice is not available or because the U.S. Department of Education has authorized a pilot program to allow a school to offer SES in the year before public school choice.) [NCLB Section 1116 (e)(12)(A)]

If the funds available are insufficient to provide SES to each eligible student whose parents/guardians requests those services, the school district must give priority to providing services to the lowest- achieving eligible students. In this situation, the school district must use objective criteria to determine the lowest-achieving students. For example, the district may focus services on the lowest-achieving eligible students in the subject area that caused the school to be identified. The services should be tailored to meet the instructional needs of eligible students to increase their academic achievement and help them attain proficiency in meeting the state’s achievement standards.

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 2 Supplemental Educational Services Request for Applications 2009-2010 School Year Funding Districts with Title I schools in school improvement status are required to spend an amount equal to 20 percent of their Title I, Part A allocation to provide or pay for transportation to a school of choice, or SES, or a combination of the two, unless a lesser amount is needed. For each student receiving SES, the district must spend either the Per Pupil Amount (PPA) as determined by the state formula used to allocate funds to districts, or the actual cost of SES services, whichever is less. Per Pupil Amounts for each school required to offer SES are listed in the SES Per Pupil Amounts, Site and District Information document found at: http://www.eed.state.ak.us/nclb/SES.html. [34CFR 200.48] (Note that Per Pupil amounts as well as schools listed and student numbers are subject to change annually).

2. RESPONSIBILITIES

State Responsibilities The Alaska Department of Education & Early Development has a number of responsibilities in ensuring that SES are available to all eligible students. The Department must approve SES providers, maintain a list of approved providers, display certain information on its Web site, monitor its districts implementation of SES, and monitor the quality and effectiveness of providers. Specifically, the Department must: 1. Consult with parents, teachers, districts, and interested members of the public to promote maximum participation by providers to ensure, to the extent practicable, that parents have as many choices as possible [Section 1116(e) (4)(A); 34 C.F.R. §200.47(a)(1)(i)]. 2. Provide and disseminate broadly, through an annual notice to potential providers, information on the opportunity to provide SES and the process for obtaining approval to be an SES provider [Section 1116(e)(4)(E); 34 C.F.R. §200.47(a)(1)(ii) 3. Develop and apply objective criteria for approving potential providers [Section 1116(e)(4)(B); 34 C.F.R. §200.47(a)(2)]. 4. Maintain an updated list of approved providers across the State, for each district, from which parents may select, and indicate which providers are able to serve students with disabilities or LEP students [Section 1116(e)(4)(C); 34 C.F.R. §200.47(a)(3)(ii)]. An SEA should also give each district a list of approved providers in its general geographic location. 5. Post on its Web site, for each district, the amount equal to 20 percent of the district’s Title I, Part A allocation available for SES and choice-related transportation (also known as the “20 percent obligation”) and the per-pupil amount available for SES [34 C.F.R. §200.47(a)(1)(ii)(B)]. 6. Develop, implement, and publicly report on standards and techniques for monitoring the quality and effectiveness of services offered by approved SES providers, and for withdrawing approval from providers that fail, for two consecutive years, to contribute to increasing the academic proficiency of students served by the providers [Section 1116(e)(4)(D); 34 C.F.R. §200.47(a)(4)]. 7. Develop, implement, and publicly report on standards and techniques for monitoring a district’s implementation of SES [34 C.F.R. §200.47(a)(4)(iii)]. 8. Monitor each district’s implementation of SES, including any district that spends less than the amount needed to meet its 20 percent obligation and chooses to spend the remainder of that obligation on other allowable activities to ensure that the LEA complies with the criteria in 34 C.F.R. §200.48(d)(2)(i) [34 C.F.R. §200.48(d)(3)]. 9. In addition to its regular monitoring, review by the beginning of the next school year any district that spends significantly less than the amount needed to meet its 20 percent obligation and has been the subject of multiple complaints, supported by credible evidence, regarding implementation of the public school choice and SES requirements [34 C.F.R. §200.48(d)(3)(ii)(A)].

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 3 Supplemental Educational Services Request for Applications 2009-2010 School Year District Responsibilities District responsibilities focus on notifying parents/guardians about the availability of SES, arranging for the services to be provided, and monitoring the services for the purpose of improving academic achievement. Specifically, the district must: 1. Notify parents about the availability of services, at least annually [Section 1116(e)(2)(A); 34 C.F.R. §200.46(a)(1)]. 2. Help parents choose a provider, if requested [Section 1116(e)(2)(B); 34 C.F.R. §200.46(a) (2)]. 3. Apply fair and equitable procedures for serving students if not all students can be served [Section 1116(e)(2)(C); 34 C.F.R. §200.46(a)(3)]. 4. Ensure that eligible students with disabilities and LEP students receive appropriate services [34 C.F.R. §200.46(a)(4), (5)]. 5. Enter into an agreement with a provider selected by parents of an eligible student [Section 1116(e)(3); 34 C.F.R. §200.46(b)]. 6. Assist the SEA in identifying potential providers within the LEA [Section 1116(e)(4)(A); 34 C.F.R. §200.46(a)(2)]. 7. Protect the privacy of students who are eligible for or receive SES [Section 1116(e)(2)(D); 34 C.F.R. §200.46(a)(6)]. 8. Prominently display on its Web site, in a timely manner to ensure that parents have current information: (a) beginning with data for the 2007–2008 school year and for each subsequent school year, the number of students who were eligible for and the number of students who participated in SES; and (b) for the current school year, the list of providers approved by the SEA to serve in the LEA and the locations where services are provided [34 C.F.R. §200.39(c)(1)(ii), (iii)]. 9. Meet its 20 percent obligation. If an LEA spends less than the amount needed to meet its 20 percent obligation, then it must either: (a) spend the remainder of that obligation in the subsequent school year; or (b) meet the criteria in 34 C.F.R. §200.48(d)(2)(i) [34 C.F.R. §200.48(d)(1), (2)].

SES Provider Responsibilities Provider responsibilities focus on the delivery of services, and include items that are required to be included in the agreement of service between the district and the provider for each student. 1. Enabling the student to attain his or her specific achievement goals (as established by the district, in consultation with the student’s parents and the provider) [Section 1116(e)(3)(A); 34 C.F.R. §200.46(b)(2)(i)(A)]. 2. Measuring the student’s progress, and regularly informing the student’s parents and teachers of that progress [Section 1116(e)(3)(A), (B); 34 C.F.R. §200.46(b)(2)(i)(B), (ii)]. 3. Adhering to the timetable for improving the student’s achievement that is developed by the district in consultation with the student’s parents and the provider [Section 1116(e)(3)(A); 34 C.F.R. §200.46(b)(2)(i)(C)]. 4. Ensuring that it does not disclose to the public the identity of any student eligible for or receiving SES without the written permission of the student’s parents [Section 1116(e)(3)(E); 34 C.F.R. §200.46(b)(2)(v)]. 5. Providing SES consistent with applicable health, safety, and civil rights laws [Section 1116(e)(5)(C); 34 C.F.R. §200.47(b)(2)(iii)]. 6. Providing SES that are secular, neutral, and non-ideological [Section 1116(e)(5)(D); 34 C.F.R. §200.47(b)(2)(ii) (D)]. 7. Ensure that instruction and content are aligned to Alaska’s performance standards (grade level expectations) outlined in the booklet Content and Performance Standards for Alaska’s Students located at: http://www.eed.state.ak.us/standards/pdf/standards.pdf. [NCLB 1116(e)(5)(B)]

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 4 Supplemental Educational Services Request for Applications 2009-2010 School Year 3. SES PROVISIONS IN ALASKA Schools Required to Offer SES The state of Alaska has chosen to define School Improvement (SI) with the following levels [Alaska Administrative Code 4AAC 06.835].  Level 1 = NCLB Alert Status - The school has missed AYP for one year.  Level 2 = NCLB First Year SI - The school has missed AYP two consecutive years – SES only if Choice unavailable  Level 3 = NCLB Second Year SI - The school has missed AYP three consecutive years – SES Required  Level 4 = NCLB Corrective Action - The school has missed AYP four consecutive years – SES Required  Level 5 = NCLB Restructuring – The school missed AYP five consecutive years – SES Required

Many schools in Alaska are in extremely remote areas, making the Level 2 Choice provision of NCLB impractical or impossible. Because of this, the State Board of Education passed regulations requiring Alaska schools to offer Supplemental Educational Services at Level 2 if the school is unable to offer Choice because the nearest school is more than 50 miles away or there are no roads between the school in improvement and any other school that could provide Choice [Alaska Regulation 4AAC 06.855]. Providers Without an Alaska Background Due to the unique nature of providing SES in Alaska, the Department of Education & Early Development particularly encourages applications from Alaska regional and community-based entities that are familiar with the parents and students to be served and who have the capacity to provide services on a face-to-face or small group basis. Applicants from outside Alaska are also encouraged, but it is strongly recommended that outside entities wishing to apply review the district map available at http://www.eed.state.ak.us/Facilities/pdf/doe2008map.pdf and the Delivering Supplemental Educational Services in Alaska PowerPoint at http://www.eed.state.ak.us/nclb/SES.html that describes the features of some of our rural schools.

SES Program Design and Delivery SES programs in Alaska may be designed and delivered in a variety of formats such as individual tutoring, computer-assisted tutoring, small group tutoring, and delivery over the phone. Note: Providers who operate several types of programs which are markedly different from each other, (i.e. a face-to-face and an online program; or two programs that vary widely in duration) must submit separate applications for each program.

SES Services at School Sites Providers that desire to offer SES services on-site at a local Alaska school must make arrangements with the district/school to do so. While districts are not required to provide space or resources (i.e., staff, computers, copies, or facilities) they are encouraged to work cooperatively with as many SES providers as possible in order to provide maximum SES options for students. Applicants in Alaska should pay particular attention to the fact that space and resource limitations in a school may limit the number of SES providers that can be accommodated at the school site. In a contract with a provider, the district/school may require additional fees for the use of district resources, as long as those fees follow standard district policy. The provider must ensure that there will be on-site supervision of students during both on-line and face-to-face delivery of services.

Computer-Based Programs SES providers should be aware that, especially in rural Alaska, few students have computers or Internet access at home. If a rural student has Internet access, it is likely to be dial-up rather than high-speed. A few districts are piloting programs which provide computers for low-income students, or allow students to bring laptop computers home. Computer-based providers need to be aware that they may need to make arrangements for students to receive services at the school site, requiring use of the school building and staff to monitor computer labs. Providers that desire to offer SES services using school computers on-site at a local school must make

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 5 Supplemental Educational Services Request for Applications 2009-2010 School Year arrangements with the district/school to do so. While districts are not required to make school computers or labs available to SES providers, they are encouraged to work cooperatively with as many SES providers as possible in order to provide maximum SES options for students. Space and resource limitations in a school may limit the number of SES providers that can be accommodated at the school site.

There are between 2.4 and 3.3 students per instructional computer in Alaska. For Internet-connected computers, there are between 2.7 and 3.5 students per computer. Approximately 75% of schools in Alaska use Macintosh computers exclusively, and it’s likely that all computers are run with operating systems of the last two most recent versions. Internet access seems good, with 99% percent of our schools reporting they have Internet access, 90% at the classroom level, and roughly 88% with high speed Internet access. Some schools operate only on dial-up access, and many do not have land-based cable, relying on satellites, which can often delay transmission. It is strongly suggested that web-based providers limit the use of animated graphics in their online products, or provide alternatives, such as CD’s or downloadable programs.

Incentives The Alaska Department of Education & Early Development encourages fair business practices among SES providers and districts, and therefore does not allow financial or other incentives or gifts by providers to any district staff who would encourage parents to select a particular provider, or directly to parents as an incentive to enroll their children in a specific program or transfer from another program. Reasonable incentives that are inherent to the program, such as attendance incentives or a small reward upon completion of the program are acceptable. A provider may allow a student to keep a computer upon completion of the SES program only if the computer plays a primary instructional role in the program, all requirements are met by the student, and the value of the computer is nominal.

Advertising and Enrollment Providers should work closely with districts to promote SES services. The district may ask the provider for materials to distribute to the parents of eligible students, but may not give a provider a list of low income students in the school. A provider may promote their program publicly, and should work with the school to provide appropriate materials, particularly if those materials will be available at the school site. A provider may not enroll students directly. A provider may not entice parents overtly with incentives in its advertising; for example, offering a free computer in exchange for enrollment.

Approved SES Provider List Applicants who are approved in Alaska will remain on the approved provider list for the duration of the application period (three years), at which time they will be required to re-apply. In the interim, a provider may be removed for any of the following: failing to deliver services as indicated in their application; failing to provide the state with required information; failing to uphold contractual obligations with a district; failing to meet all applicable federal, state, and local health, safety, and civil rights laws; or failing for two consecutive years to increase the academic proficiency of students served as determined by the state monitoring and evaluation process. The state will require all applicants to re-apply to be SES providers at least once every three years.

Reporting Each provider in Alaska shall be required, at a minimum, to report on each student served, including the name of the student, number of hours in the program, number of hours actually attended, student progress towards goals, and pre and post test data. This data will be due to the state annually, generally at the end of August each year for programs run during the school year. Providers may be required to report more frequently as determined by the state. Summer programs will be required to submit student information within three weeks of completion of the program. Additional information may be required by the state at its discretion.

Evaluation and Monitoring

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 6 Supplemental Educational Services Request for Applications 2009-2010 School Year Providers will be evaluated on their ability to contribute to the academic achievement of students they have served. At a minimum, the state will measure student achievement on the Standards Based Assessments (SBA) for students in grades 3-10. Providers will be monitored regularly for compliance with federal and state regulations and with delivery of program services as described in the SES provider application. Providers will be required to comply with data requests made by the department in conjunction with evaluation and monitoring processes. The monitoring and evaluation form can be found on the department’s website, at http://www.eed.state.ak.us/nclb/SES.html .

4. APPLICATION PROCESS

Purpose of RFA This Request for Applications (RFA) is issued in order to select providers of supplemental services to be included on the Approved Supplemental Services Provider list for the state of Alaska. This is not a competitive grant in that as many providers can be included as meet the criteria specified below. The list of approved providers will be maintained by the Alaska Department of Education & Early Development and will indicate which SES providers offer supplemental services in each school district.

Instruction may only be provided in the areas of reading, writing, math, science, and, for LEP students, English language acquisition, and must be designed to help students achieve Alaska’s performance standards (grade level expectations) as demonstrated by improved assessment scores on the Alaska Standards Based Assessments (SBAs).

NCLB requires the state to promote maximum participation by providers to ensure, to the extent practicable, that parents have as many choices as possible. Applications will be read by a panel of reviewers composed of EED staff and other educators and scored independently using the rubric included in this RFA. An application must be deemed sufficient in all criteria by a majority of the reviewers in order to be approved

Applications submitted to the state are public records, and may be posted on the web or distributed directly to anyone who requests them. The state shall not be liable for any use or misuse of the material contained in the applications by a person or entity other than the state.

Applicant Criteria All potential providers will be held to the same criteria. Districts and schools are not automatically considered to be approved providers. Rather, they can be providers if they meet the established criteria and must go through the same approval process as all other potential providers. Title I districts and schools that are identified at AYP Level 2 and above may not become SES providers unless they are authorized under the USED pilot program. Specifically, SES providers must meet the following criteria: Section 1: Response to any removal from other state’s approved provider lists. [34 C.F.R.§ 200.47 (a)(C) (3)(i)] Section 2: Document that the instructional strategies used are high quality, based upon research and designed to increase student academic achievement. [NCLB 1116(e)(12)(C)] Provide instruction in addition to what is provided during the school day. [NCLB 1116(e)(12)(C)(i)] Section 3: Have a demonstrated record of effectiveness in improving student academic achievement. [NCLB 1116(e)(4)(B)] Section 4, 5, 6: Document that the instructional strategies used are high quality, based upon research and designed to increase student academic achievement. [NCLB 1116(e)(12)(C)] Provide instruction in addition to what is provided during the school day. [NCLB 1116(e)(12)(C)(i)]

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 7 Supplemental Educational Services Request for Applications 2009-2010 School Year Section 7: Document that services are consistent with the instructional program of the local school district, and are aligned with Alaska’s performance standards (grade level expectations) outlined in the booklet Content and Performance Standards for Alaska’s Students located at: http://www.eed.state.ak.us/standards/pdf/standards.pdf. [NCLB 1116(e)(5)(B)] Section 8: Provide evidence of an FBI-level background check for a national criminal history record for all instructional staff, in accordance with Alaska Statute. [AS 12.62.400] Section 9, 10: Provide evidence that the organization is financially sound. [NCLB 1116(e)(12)(B)]

SES providers may include any of the following entities:  Child care centers  Community-based organizations  Faith-based organizations  For-profit entities  Non-profit entities  Institutions of Higher Education  Libraries  Private Schools  Public School Systems (Schools or Districts) that are not in Title I improvement status  Public school districts in Title I Improvement status if authorized under the USED pilot program  21st Century Community Learning Centers  Regional Educational Service Agencies (RESAs)  Other individuals or groups (requires an Alaska business license)

Application Process and Timeline The Alaska Department of Education & Early Development uses a Request for Application review process that ensures objectivity and meets the intent of Title I, Part A, Section 1116(e) to develop a state-approved list of providers. Applicants that do not meet the qualifications will be notified and may reapply.  Complete all sections of the application. (maximum 30 pages, 12 point font, 1” margins) An incomplete packet will not be considered for inclusion on the state-approved list of providers.  Complete the Supplemental Educational Services Profile Sheet.  Sign and date the assurances page (Send original by mail – must be postmarked by the due date).  Attend one mandatory orientation audio conference. Please check the time difference carefully. The call- in number is 800-315-6338 and the passcode is 8743. There will be two opportunities:  9:00 a.m. Alaska Standard Time on March 4, 2009  1:00pm Alaska Standard Time on March 18, 2009  Submit completed application to arrive no later than 4:30 p.m. Alaska time, Friday, March 27, 2009  Mail: Sheila Box, SES/Choice Coordinator Alaska Department of Education & Early Development 801 West 10th Street, Suite 200 • P.O. Box 110500 Juneau, AK 99811-0500 PLEASE NOTE: Overnight mail WILL NOT work to Alaska from many parts of the states. You must send the application well in advance of the due date in order to ensure the application will be received by the deadline. OR…

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 8 Supplemental Educational Services Request for Applications 2009-2010 School Year  Email: [email protected]; and fax the signed assurances page to (907) 465-2989. Also mail the original signed assurances page postmarked no later than March 27, 2009. PLEASE NOTE: If you email an application, it must ARRIVE no later than 4:30pm Alaska Standard Time on March 27, 2009. It is highly recommended that you send the application well in advance, and request verification by phone or email that it has arrived.  Applications will be read by a panel of reviewers composed of EED staff and other educators and scored independently using the criteria included in this RFA. An application must be deemed sufficient in all criteria by a majority of the reviewers in order to be approved. Notification of approval, pending approval, or denial will be sent to all applicants no later than April 2, 2009. Applicants may be asked to submit additional information for one or more criteria prior to final approval per the request of the review team.  The approved list of Supplemental Educational Service Providers will be updated prior to the beginning of the 2009-2010 school year, and providers may be removed from the list subject to the conditions specified within evaluation, monitoring, and reporting processes.  New applications are reviewed annually. Applications must be received no later than 4:30 p.m. March 27, 2009 in order to be considered for inclusion on the state approved SES Provider list for the 2009-2010 school year.

For more information please email Sheila Box, SES/Choice Coordinator at [email protected] or call (907) 465-8743.

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 9 Supplemental Educational Services Request for Applications 2009-2010 School Year

Alaska Supplemental Educational Service Provider APPLICATION for 2009-2010 School Year

Supplemental Educational Service Provider Information

1. Service Provider Name: 2. Application Contact Person: (must be a legal representative of the SES Provider)

3. Title:

4. Address:

City: State: Zip:

5. Phone: Fax:

6. Email:

7. IRS Employer Identification Number:

Application Checklist – Cover Page (this page) Information provided for Sections 1-10 of the application Attendance at one of the MANDADORY audio conferences Appendix A – Completed SES Provider Profile Page Appendix B – Signed Assurances Page Copy of Alaska Business License, or Appendix B assurance to obtain Appendix C – Indication of District Contact – one for each district to be served (may be completed upon approval as an SES provider) Appendix D – District Selection Page – indicating which districts are to be served (will be final only when Indication of District Contact is received for each district to be served)

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 10 Supplemental Educational Services Request for Applications 2009-2010 School Year 1. Removal from State Approved Provider Lists: A. Removal from another state’s approved provider list. Has the applicant been removed from another state’s approved provider list for any reason? Yes or No. If yes, please describe the details of the removal, including the date, reason, and what corrective actions have been taken.

2. Program Design/Content: A. Provider profile –Submit a completed Supplemental Educational Service Provider Profile (Located in Appendix A) B. Description of the program - Note: Providers who operate several types of programs which are markedly different from each other, (i.e. a face-to-face and an online program; or two programs that vary widely in duration) must submit separate applications for each program. Provide a clear, detailed description of the instructional program that will be offered to students. Reviewers should be able to get a picture of what the program offers in terms of content and methodology, and what it will “look like” when being provided to students. Include all of the following:  Instruction – how the instruction is delivered to students – face-to-face, in-home, computer-based?  Curriculum and content – sample lessons, progression students would follow, materials students will use, etc.  Methodology – teaching methods and strategies.  Average group size, minimum and maximum group size.  The roles of provider and district staff, if applicable, in working with students.  How services will be offered outside of the regular school day. C. Location/duration of services - Provide information regarding the length of the program and the location. Duration of the program should be similar to the length of the program indicated in the evidence of effectiveness section. Providers should take care to note per pupil amounts in districts they wish to serve to ensure that the program offered in each district is of sufficient duration. Note what, if anything, is done to encourage consistent attendance, and/or program progress if individually paced. Provide information about where the services will be offered. A district/school is not required to provide space in the school building. A provider may contract with a district/school if the district chooses to enter into an agreement with a provider. However, a district may require additional fees for the use and the provider must ensure that there will be on-site supervision. Sections 6 and 9 require more detailed information regarding cost and location. Include all of the following:  Number of sessions in the program – if not the same as study group in evidence of effectiveness, explain.  Duration of each session.  Frequency of sessions.  Location of services – If the applicant does not have it’s own site, clear indication that the applicant has contacted districts regarding use of facilities is needed, District Contact Forms are located in Appendix C. D. Students with Disabilities – Will service be provided to students with disabilities? Yes or No. If yes, include all of the following:  Describe how the program is altered to specifically meet the special needs of these students.  Describe any special materials or processes used to meet the particular needs of these students.  Describe how the program will be coordinated specifically with the student’s IEP or 504 Plan.

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 11 Supplemental Educational Services Request for Applications 2009-2010 School Year E. Limited English Proficient (LEP) Students – Will services be provided to Limited English Proficient (LEP) students? Yes or No. If yes, include all of the following:  Describe how the program is altered to specifically meet the special needs of these students.  Describe any special materials or processes used to meet the particular needs of these students.

3. Evidence of Effectiveness: A. Research-Based Program – Give specific research to show evidence that the major elements of instruction are of high quality, designed to improve academic achievement, and based on sound research. The strongest research would be third-party research. Program research should address:  Instructional components  Curriculum and content  Methodology and format B. Impact on Student Achievement - Provide evidence of effectiveness. The applicant must show, not tell, that the program has a positive impact on student achievement, particularly for at-risk students in the content areas to be provided. Empirical evidence using specific data and measurable assessments must be included, preferably utilizing third-party measures such as state assessments or independent evaluation. Pre and post assessment results using reliable measures must be described. This section must include all of the following elements:  Content areas of achievement studied  Measures that were used – Pre and Post assessments, program created assessments, district and state assessments  Methods of study and data collection used to gather evidence of effectiveness  Group makeup - Academically at-risk students were specifically studied.  Group size - number of students assessed pre and post in each study  Length of study for which effectiveness was measured - # of hours of service to students  Whether or not a control group was used or a third-party evaluation was completed, and the results of each, if utilized. C. Program is Viewed as Successful by Students/Parents (if available) – Provide student or parent survey results, or parent testimonials which indicate success of the program, if available. D. Potential for Effectiveness (new providers only, 3 years or less in the business) - If the applicant has been in business for three years or less, provide evidence that most of the major elements of instruction as listed in 1.A. have shown to be successful with similar populations. E. Effectiveness for Special Populations, if served - If the applicant intends to serve students with disabilities (SPED) or limited English proficient (LEP) students, provide specific evidence that indicates the program is successful in increasing the academic achievement of these subpopulations. Include all of the elements listed in 3-A and 3-B. (Evidence of effectiveness for students with disabilities and limited English proficient students required only if provider intends to serve these subpopulations.)

4. Assessment of Student Progress: A. Initial Diagnosis – Describe in detail the process used for initial diagnostic assessment of students, including the assessment instruments used and areas assessed. B. Goal Setting – Describe how initial assessment would be used to create an individualized plan of service for the student in both of these two cases: either in conjunction with district-developed goals, if used, or with provider-developed goals, if goal-setting is part of the provider’s contract with the district.

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 12 Supplemental Educational Services Request for Applications 2009-2010 School Year C. Regular Monitoring – Describe how students will be regularly monitored. Include all of the following elements:  Regular academic monitoring – How often, and what program adjustments will be made based on results? What methods will be used to encourage progress?  Regular attendance monitoring – How often, what methods will be used to encourage attendance? D. Feedback – Indicate which pre and post assessments and progress monitoring assessments will be used as indicators of program success. If these are not nationally recognized instruments, include an example.

5. Communication with Parents and School: A. Orientation – Describe the process for orientation of parents, students, and schools using the program. Include any additional skills required for parents or teachers to access provider assistance, (i.e. training to access a website, or to read program monitoring/scoring sheets) the timeline for communication, and roles of each party. B. Communication with Parents and School – Give a specific timeline for regular, ongoing communication between the applicant and the parents and school, beginning with the initial diagnosis of the student and continuing through post-assessment. Include contact points for students and parents that would be used for technical assistance, such as email and phone centers, and the times in Alaska Standard Time when they would be available to parents and students. C. Collaboration with Classroom Teacher – Describe how the applicant will actively seek to collaborate with the classroom teacher to improve the academic achievement of the student. D. Surveys and Parent Satisfaction – Describe how parent and/or student surveys will be distributed and collected, if utilized. Include a sample copy.

6. Location and Delivery of Services: A. Understanding Rural Delivery – Clearly indicate an understanding of the challenges of delivery in rural districts if services will be provided in districts other than Anchorage, Fairbanks, Juneau, or Matanuska-Susitna. Address potential challenges concerning local hire limitations and use of school buildings, and possible alternatives. Indication must be given that the provider has made contact with each district they intend to serve. A District Contact Form is available in Appendix C. B. Distance Delivery - Distance delivery or computer based providers will address specific technology requirements and indicate that they have verified with intended districts that those requirements can be met, and will indicate how they will facilitate delivery and pickup in homes where there are few home computers. Description will include all of the following elements:  Technology requirements for the program  Possible challenges specific to the technology that is typically available in Alaska (i.e. dial-up service, supervision if computers are only available at school site, not in the home)  Alternative technology options  Who is providing and paying for dial-up and other services necessary for participation, if applicable.  How parents will be notified of processes for obtaining dial-up or other services, as well as requirements to be met if a computer is to be utilized or possibly awarded at the end of the program, if applicable. C. Technical Assistance – Technical assistance or contact for parents, local staff, and schools is clearly aligned with Alaska needs (i.e. time zones) and indicates knowledge of potential local needs.

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 13 Supplemental Educational Services Request for Applications 2009-2010 School Year 7. Connection to Standards: A. Alignment to Alaska Performance Standards – Provide evidence and/or examples of program alignment to Alaska Performance Standards (grade level expectations) in each content area offered by the program. Concrete evidence or examples should demonstrate familiarity with the booklet Content and Performance Standards for Alaska’s Students located at: http://www.eed.state.ak.us/standards/pdf/standards.pdf . This could include any of the following:  A list of standards addressed by the program  Specific examples of alignment within lessons.  The method and results used to ensure alignment B. Assurances -Provide an assurance (Located in Appendix B) that the provider will provide instruction and content consistent with that which is used in districts served.

8. Qualifications of Instructional Staff: A. Staff List and Background Checks - Provide a staff list indicating that each employee working with students has the required background check, in accordance with Alaska statute AS 12.62.400, and give the date the check was performed. Describe the process for future staff to obtain the required background check. B. Hiring Standards –Clearly state the standards for hiring of staff, including teacher certification or paraprofessional levels if applicable. C. Supervisory/Key Personnel - List any supervisory staff and key personnel, and provide short resumes or biographies for each. D. Initial/Ongoing Professional Development – Describe initial training that all staff receives, if applicable, as well as ongoing professional development. How often does ongoing professional development occur? Is the ongoing professional development clearly described and designed to increase effectiveness with the program, and enhance delivery of educational instruction? If special subpopulations are served, list any specialized training for staff to increase capacity to work with special education (SPED) or limited English proficient (LEP) students.

9. Program Cost: A. Cost Structure - Clearly describe the cost structure, in terms of providing services to each student. It should be clear that the applicant has studied the list of maximum Per Pupil Amounts by district for Alaska, located in Appendix D. Note that these amounts will change each year based on Title I allocations and number of low income students in each district. Banding of costs is allowable based on group size or other indicator in order to accommodate the range of per pupil amounts from district to district. Any program adjustments made to account for variations in group size and per pupil amount in rural areas must be listed. Cost structure must include all of the following elements:  Whether the cost is per hour, per student, or per deliverable unit (CD, network link, etc.).  Minimum and maximum group size, as well as optimum group size.  Affect on program given small rural groups and PPA – will the number of hours of service be affected? The content areas offered? B. On-Site Costs – Describe how on-site personnel will be provided, if necessary, to monitor students in rural sites even if services are technology-delivered. List the potential need for on-site building or staffing costs.

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 14 Supplemental Educational Services Request for Applications 2009-2010 School Year C. Incentive Costs – Describe any incentives to be used for attendance or achievement, if applicable. Indicate what significant items, if any, are allocated to the student during the program (computers, travel, phone cards, etc.). It should be clear that the applicant recognizes that in no way are incentives to be used as enrollment incentives, either directly or overtly in advertising. Include all of the following:  Description of incentive items used for attendance or achievement  Goals which must be met to obtain incentives must be clearly described  Process for return of significant items used by the student once the program is complete if goals are not reached.  The value of any incentives (must be nominal).

10. Financial and Organizational Capacity: A. Alaska Business License – Upon approval, the applicant must hold or obtain a valid Alaska business license and provide a copy before being placed on the Approved Provider’s List. B. Ownership of Proprietary Software or Tools – If web-based tools, software, or other teaching tools or licensed property are used that the applicant does not directly own, a letter of agreement, a copy of a licensing agreement or other agreement allowing use of these items is required. C. Financial Stability - Provide evidence of financial stability, which could include any of the following for established providers:  Financial audit statements  Tax returns  Financial statements/business plan Newly formed providers may include any of the following:  Description of other funds available to support SES business  Reasonable description of the finances of the organization.

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 15 APPENDIX A SUPPLEMENTAL EDUCATIONAL SERVICE PROVIDER PROFILE

Upon approval of a provider’s application by EED, the information on this page will be transferred directly to the EED website. This information is intended for use by parents and districts to inform the public of provider contact and program information.

Program Contact Information: Name of Provider District/Parent Contact Person, Title Address – Street, City, State, Zip Phone Email Website (if available)

Type of Provider: (Check one.) Community agency College/University Public school (non-Charter) Charter school Private School Individual On-line school 21st Century Center Private Company (for profit) Non-profit Faith-based District Child Care Center/Even Start Other:

Program Description:  Number of years in business providing supplemental services:  Providing service in content areas: (Check all that apply) Language Arts Reading Mathematics Science  Grade levels in which services will be available:  Minimum number of students needed at each site in order to provide service:  Maximum number of students able to serve at each site:  Cost of services – $ Per Student $ Per Hour $ Per Unit  Specific student populations served: (Check all that apply) Low-Income students Limited English proficient (LEP) Special education students Other:  Time of service: (Check time(s) which best describe when services will be delivered) Before School After School Weekends/Holidays Summer  Mode of instructional delivery: Individual tutoring Small group instruction (3-5) Web-Based/Online tutoring Large group instruction (6 or more) On-site Computer Based tutoring Other:  Student / instructor ratio: (List the ratio of instructors to students in your program) students for every 1 instructor

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 16  Instructors/Tutors: (Check all that apply to all or most of staff working with students) Hired from local teacher staff only Hired from local paraprofessional staff only College graduates High school graduates Receive training from provider Off-site staff only  Where services will take place: (Check location(s) which best describe where services will be delivered) On school property At the provider’s facility At the student’s home Other location:  Schedule of services: (Describe how services are scheduled, e.g., 3 sessions per week, 1 hour each, etc.) Number of sessions per week Number of hours per session Number of weeks in the program (approximately, or range of weeks, depending on need)

Provider Description: In your own words, please describe your program, including details, specialties, and success rates that may assist parents in determining which program best suits their child. Maximum 3,000 characters.

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 17 APPENDIX B Alaska Supplemental Educational Services Provider Assurances and Signatures Form

As the authorized representative of the applicant provider organization/school system, in submitting this application to be included on the Alaska Department of Education & Early Development Approved Supplemental Services Provider List, I certify that: 1. The organization meets all applicable federal, state, and local health, safety, and civil rights laws. 2. All provider staff working directly with children in the program have been fingerprinted and had a national criminal history record check. 3. All instruction and content are secular, neutral, and non-ideological. 4. All qualified children whose parents request services from the organization will be served equally, without restriction. 5. The organization will not disclose to the public the identity of any student eligible for or receiving supplemental educational services without the written permission of the parent. 6. No personally identifiable student information, including names, residence, and contact information, will be sold, bartered, given, or in any way disclosed to anyone other than the individual students themselves, each student's parents or legal guardians, the relevant school and district, and the Alaska Department of Education & Early Development. 7. The organization is financially stable and will be able to complete services to the student and the school. 8. The organization will not apply additional admission criteria on eligible students. 9. The organization will insure that the instructional services are directly aligned with the Alaska performance standards (grade level expectations) and school district standards and consistent with the regular school program. 10. The organization will assist the state and district in monitoring student success by providing data and documentation of student attendance, service delivery, and contact hours. 11. The organization understands that it will be removed from the state approved list of providers in the event that it is unable to enact the elements described in the request for applications. 12. The organization assures the state that it will not attempt to enroll students directly, or to entice parents overtly with incentives in its advertising. 13. The organization assures the state that it will not attempt to provide services during the regular school day, when students would normally be receiving instruction.

Name and Title (must be a legal representative of the SES provider, should match contact on application cover page)

Signature Date

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 18 APPENDIX C Indication of District Contact

This form to document district contact is required for each district prior to a provider being placed on the approved list for that district. The purpose of the contact is to ensure that providers have taken the time to talk with districts and understand what unique challenges they may face in Alaska, prior to agreeing to provide services to those districts. This includes discussing any issues related to use of school facilities or resources, as well as local hiring possibilities. The department hopes this step will increase the likelihood of actual delivery of services to students. It also allows districts the opportunity to make suggestions to providers on delivery alternatives, and gives district officials an idea of what services may be available. The district contact form is not designed to act as a memorandum of agreement, contract, or to guarantee a provider space in district buildings, and is not to be used by the district to limit the number or type of providers available within any given district.

Indication of District Contact

The provider, Is aware of any potential challenges for hiring local staff, if applicable. Is aware of any potential challenges for online services, if applicable. Is aware of any unique features of the district instructional program that may need to be addressed, if applicable. Is aware of any potential challenges for building space, and what local district policies regarding building access entail, if applicable. Understands that contact does not guarantee that the provider will have access to school buildings and resources until parents have selected the provider and a contract has been signed. Will be able to provide services immediately or within a reasonable amount of time, should any parents in the district choose their services.

The district, Is aware of the basic structure of the provider’s services. Is aware of any minimum number of students needed to access provider services. Has informed the provider of fair and transparent district policies regarding the use of building space and computer labs, if applicable. Agrees that if the provider is chosen by parents, and if the provider meets criteria for building space, if applicable, the provider will be able to conduct business within the district. Will notify the provider of students whose parents have chosen their services immediately or within a reasonable amount of time, once those students are identified.

Contact was made on: by: Phone / Email / In person DATE

Between – (Signatures not required – name only)

PROVIDER CONTACT DISTRICT CONTACT

Upon completion, fax to: (907) 465-2989, or email to: [email protected].

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 19 Supplemental Educational Services Request for Applications 2009-2010 School Year APPENDIX D District Selection Chart List of School Year 2008-2009 Per Pupil Amounts and Eligible Choice/SES Schools by District

Alaska School Improvement levels are as follows: § Level 1 = NCLB Alert Status - The school has missed AYP for one year. ** Providers should be aware when selecting districts to serve that § Level 2 = NCLB First Year SI - The school has missed AYP two consecutive years. due to the rural nature of many schools in Alaska, the State Board § Level 3 = NCLB Second Year SI - The school has missed AYP three consecutive years. of Education and Early Development has passed regulation [4AAC § Level 4 = NCLB Corrective Action - The school has missed AYP four consecutive years. 06.855] requiring schools at Level 2 that are unable to offer choice § Level 5 = NCLB First year of Restructuring - The school has missed AYP five consecutive years to provide Supplemental Educational Services instead. +1 = level 5 for the second year, etc. * = the school made AYP, so is at the same level as last year

THIS CHART WILL BE UPDATED SEPTEMBER 2009 AND A NEW COPY MADE AVAILABLE ONLINE

* Provider Name: Checkif Total Percent School Per Pupil Grade Provider District School Name Enroll- of Improvement District Contact Amount Span Will Serve ment Poverty Status Alaska Gateway Schools $1,421 Mr. Todd Poage, Superintendent Gateway Correspondence PK-12 29 20.69% Level 3* P.O. Box 226 Tetlin School PK-12 19 100.00% Level 5 (+2) Tok, AK 99780-0000 Walter Northway School K-12 42 100.00% Level 5 (907) 883-5151 [email protected] Anchorage Schools $2,075 Carol Comeau, Superintendent Airport Heights Elementary K- 6 304 72.37% Level 2 P.O.Box 196614 Avail School 7-12 66 100.00% Level 5 Anchorage, AK 99519-6614 Chinook Elementary K- 5 442 59.5% Level 3* (907) 742-4312 Fairview Elementary PK- 6 365 86.58% Level 4 [email protected] Lake Otis Elementary PK- 6 383 58.75% Level 2 North Star Elementary PK- 7 415 80.24% Level 4 Nunaka Valley Elementary PK- 6 259 59.46% Level 2 Ptarmigan Elementary PK- 6 451 74.28% Level 3 Tudor Elementary K- 6 380 50.0% Level 2 Whaley School PK-12 478 72.80% Level 5 (+3) William Tyson Elementary K- 6 379 87.34% Level 5 Williwaw Elementary PK- 7 330 80.00% Level 5 Willow Crest Elementary PK-12 355 66.48% Level 5

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 20 Supplemental Educational Services Request for Applications 2009-2010 School Year Bering Strait Schools $1,617 Jim Hickerson, Superintendent Aniguiin School PK-12 76 97.37% Level 5 (+3) P.O. Box 225 Anthony A. Andrews School PK-12 146 80.14% Level 5 (+3) Unalakleet, AK 99684-0225 Diomede School K-12 32 84.38% Level 3* (907) 624-3611 Gambell School K-12 185 90.27% Level 5 (+3) [email protected] Hogarth Kingeekuk School PK-12 226 96.02% Level 5 (+5) Koyuk-Malemute School PK-12 111 95.50% Level 5 (+2) Shishmaref School PK-12 177 93.22% Level 5 Turkurngailnguq School PK-12 190 97.37% Level 5 (+5) Chatham Schools $1,392 Elaine Hopson, Superintendent Angoon School K-12 87 85.06% Level 5 (+3) P.O. Box 109 Angoon, AK 99820-0000 (907) 788-3302 [email protected] Chugach Schools $3,289 Bob Crumley, Superintendent Whittier Community School PK-12 39 53.85% Level 2* 9312 Vanguard Drive, Suite 100 Anchorage, AK 99507-5355 (907) 522-7400 [email protected] Dillingham $1,196 Darlene Triplett, Superintendent Dillingham Elementary PK-6 223 68.97% Level 4 PO Box 170 Dillingham Middle/High School 6-12 261 68.97% Level 4 Dillingham, AK 99576 (907) 842-5223 darlene @dcsd.k12.ak.us Fairbanks North Star $1,741 Nancy Wagner, Superintendent Denali Elementary PK-6 386 43.26% Level 2* 520 Fifth Avenue Hunter Elementary PK-6 318 63.52% Level 4 Fairbanks, AK 99701-4756 (907)452-2000 [email protected] Iditarod $1,676 Joe Banghart, Superintendent Blackwell School K-12 13 92.31% Level 4* PO Box 90 David-Louis School PK-12 45 97.78% Level 5 (+3) McGrath, AK 99627 Holy Cross School PK-12 49 95.92% Level 4* (907) 524-3033 ext. 221 Innoko River School PK-12 22 100.00% Level 5 (+3) [email protected] Top of the Kuskokwim School PK-12 10 100.00% Level 5

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 21 Supplemental Educational Services Request for Applications 2009-2010 School Year Juneau $1,573 Peggy Cowan Riverbend Elementary PK- 5 336 38.39% Level 2 10014 Crazy Horse Drive Juneau, AK 99801 (907) 523-1700 [email protected] Kashunamiut $1,706 Les Kramer, Superintendent Chevak School PK-12 336 72.92% Level 5 985 KSD Way Chevak, AK 99563 (907) 858-7713 [email protected] Ketchikan $1,161 Robert Boyle, Superintendent Ketchikan Correspondence K-12 37 100.00% Level 5 (+2)* 2417 Tongass Ave, #223 Revilla Jr/Sr High School 7-12 108 44.44% Level 5 (+2) Ketchikan, AK 99901-6278 (907) 247-2109 [email protected] Kodiak Island $1,123 Stewart McDonald, Superintendent Kodiak Middle School 6-8 363 45.18% Level 3 722 Mill Bay Road Larsen Bay School K-12 22 59.09% Level 3 Kodiak, AK 99615 (907) 481-6200 Smcdonald01 @kodiakschools.org Kuspuk $1,547 Brad Allen, Superintendent George Morgan Sr. High School 6-12 59 81.36% Level 5 (+2) PO Box 49 Jonnie John Sr. School PK-12 43 81.40% Level 5 (+2) Aniak, AK 99557-0049 (907) 675-4250 [email protected] Lake & Peninsula $1,424 John Owens, Superintendent Kokhanok School PK-12 43 86.05% Level 5 (+3) PO Box 498 Levelock School K-12 16 75.00% Level 2* King Salmon, AK 99613 Meshik School PK-12 26 76.92% Level 3* (907) 246-4280 Newhalen School PK-12 71 60.56% Level 5 jowens @lpsd.com Nondalton School PK-12 42 80.95% Level 5 (+3)

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 22 Supplemental Educational Services Request for Applications 2009-2010 School Year Lower Kuskokwim $1,489 Gary Baldwin, Superintendent Anna Tobeluk Memorial PK-12 166 90.96% Level 5 (+3) PO Box 305 Ayaprun School PK-12 119 94.96% Level 5 Bethel, AK 99559-0305 Chaptnguak School (Chefornak) PK-12 166 67.47% Level 5 (+3) (907) 543-4810 Chief Paul (Kipnuk) PK-12 211 86.26% Level 5 (+5) [email protected] Dick R. Kiunya Memorial PK-12 123 79.67% Level 5 (+3)* Ket'achik Aapaaluk (Kwethluk) PK-12 254 86.22% Level 5 (+5) Kilbuck Elementary 3-6 324 50.00% Level 5 (+2) Kuinerrarmiut Elitnaurviat PK-12 194 82.47% Level 5 (+3)* Lewis Angapak Memorial PK-12 139 81.29% Level 5 Mikelnguut Elitnaurviat (Kilbuck) PK-12 274 37.59% Level 5 (+2) Nelson Island Area School PK-12 234 74.36% Level 5 (+3) Nightmute School PK-12 84 61.90% Level 5 (+3) William Miller Memorial PK-12 89 87.64% Level 5 (+2) Z. John Williams School PK-12 149 89.93% Level 5 (+3)* Lower Yukon $1,713 John Lamont, Superintendent Alakanuk School PK-12 233 93.56% Level 5 (+3) PO Box 32089 Emmonak School PK-12 249 90.36% Level 5 (+3) Mountain Village, AK 99632-0089 Hooper Bay School PK-12 403 90.07% Level 5 (+5) (907) 591-2411 Ignatius Bean School PK-12 254 79.92% Level 5 (+2) [email protected] Kotlik School PK-12 209 82.78% Level 5 (+4)* Marshall School PK-12 130 78.46% Level 5 Scammon Bay School PK-12 217 95.39% Level 5 (+3)* Sheldon Point School PK-12 69 94.20% Level 5 (+3) Matanuska-Susitna $1,747 George Troxel, Superintendent Houston Middle School 6-8 342 50.00% Level 5 (+2)* 501 N. Gulkana MidValley High 6-12 202 70.30% Level 4 Palmer, AK 99645 (907) 746-9255 [email protected] Nome $1,116 Rick Luthi, Superintendent Nome Elementary PK-6 373 57.64% Level 5 PO Box 131 Nome, AK 99762-0131 (907) 443-2231 [email protected]

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 23 Supplemental Educational Services Request for Applications 2009-2010 School Year North Slope $1,165 Trent Blankenship, Superintendent Alak School PK-12 154 79.87% Level 5 (+2) PO Box 169 Meade River School PK-12 91 65.93% Level 5 Barrow, AK 99723-0169 (907) 852-5311 [email protected] Northwest Arctic $1,380 Norman Eck, Superintendent Aqqaluk High/Noorvik Elementary PK-12 192 92.71% Level 5 (+3) PO Box 51 Buckland School PK-12 171 88.30% Level 5 Kotzebue, AK 99752 Davis-Ramoth School (Selawik) PK-12 231 98.27% Level 5 (+5) (907) 442-3472 ext. 233 June Nelson Elementary PK-5 345 47.83% Level 4 [email protected] Kiana School PK-12 96 79.17% Level 5 (+3)* Kotzebue Middle/High School 6-12 351 47.86% Level 5 (+2) McQueen School (Kivalena) PK-12 100 79.00% Level 5 (+3) Napaaqtugmiut School PK-12 156 78.21% Level 5 Shungnak School PK-12 71 91.55% Level 5 (+3) Southwest Region $1,623 Jack Foster, Superintendent Chief Ivan Blunka School PK-12 174 88.51% Level 5 (+4) PO Box 90 Manokotak School PK-12 133 97.74% Level 5 (+3)* Dillingham, AK 99576 Togiak School PK-12 237 67.09% Level 5 (907) 842-5287 Twin Hills School PK-8 12 100.00% Level 2* [email protected] William "Sonny" Nelson School PK-12 25 68.00% Level 2* Yukon Flats $1,734 Bill Walz, Superintendent Arctic Village School PK-12 42 90.48% Level 5 PO Box 350 Circle School PK-12 28 85.71% Level 2 Ft. Yukon, AK 99740-0350 Fort Yukon School PK-12 135 64.44% Level 5 (+2) (907) 662-2515 John Fredson School PK-12 72 93.06% Level 4* [email protected] Stevens Village School PK-12 15 86.67% Level 4* Yukon/Koyukuk $1,634 Kerry Boyd, Superintendent Allakaket School PK-12 47 68.09% Level 5 (+2)* 4762 Old Airport Way Jimmy Huntington School PK-12 79 68.35% Level 4 Fairbanks, AK 99709-4456 Merreline A. Kangas PK-12 38 89.47% Level 5 (+2)* (907) 374-9417 [email protected]

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 24 Supplemental Educational Services Request for Applications 2009-2010 School Year Yupiit $1,632 Joe Slats, Interim Superintendent Akiachak School K-12 211 100.00% Level 5 (+4) PO Box 51190 Akiak School PK-12 99 100.00% Level 5 (+2) Akiachak, AK 99551-0190 Tuluksak PK-12 157 100.00% Level 5 (+4) (907) 825-3600 [email protected] $1,591 17,356 78.44% Avg PA Total % Povty Updated 8/16/07

Form # 05-09-027 Supplemental Educational Services Request For Application Alaska Department of Education & Early Development Page 25