Alabama State Department of Education Office of Career and Technical Education- 2015-2016 Workforce Development Post Office Box 302101 RECAP SHEET Montgomery, AL 36130-2101 BUSINESS AND INDUSTRY CERTIFICATION (BIC) Form COOP RECAP-Revised: 08/10/2015 WORK-BASED LEARNING: COOPERATIVE EDUCATION Form approved by Philip C. Cleveland, Deputy State Superintendent

As

School System: WFD Region: Report Filing Date: (SDE Office) School Name: Teacher:

SDE Team Member: Teacher: CTE Administrator:

Review Date: Teacher: Principal:

the SDE Team Member, I agree that Sections 1, 4, 5, and 6 have been reviewed and certify that:  all quality factors/checklist for these sections are in compliance  quality factors/checklist items in these sections listed below to be deficient

As the CTE Administrator, I agree that Sections 2 and 7 (and Section 3 if Cooperative Education Seminar/Work-Based Experience course is taught) have been reviewed and certify that:  all quality factors/checklist for these sections are in compliance  quality factors/checklist items in these sections listed below to be deficient

DEFICIENCIES (list each deficiency on a separate line, use back of this sheet to list additional deficiencies) List Deficient Describe What is Required to Clear Compliance SDE Team List Deficient Describe What is Required to Clear Compliance SDE Team Quality Factors Deficiency Date Member Initials Quality Factors Deficiency Date Member Initials

ON-SITE REVIEW TEAM COMMENTS Needs Improvement Accolades

______SDE Team Member CTE Administrator

Document Verified by: Date: BIC Administrative Assistant

Alabama State Department of Education Office of Career and Technical Education- 2015-2016 Workforce Development Post Office Box 302101 SECTION 1 – Standards/Quality Factors Checklist Montgomery, AL 36130-2101 BUSINESS AND INDUSTRY CERTIFICATION (BIC) Form COOP-Revised: 08/10/2015 WORK-BASED LEARNING: COOPERATIVE EDUCATION Form approved by Philip C. Cleveland, Deputy State Superintendent (To be conducted by SDE Team Member – Desk Audit)

School System: Teacher: Certificate: Section 1: Completed by SDE Team Member School Name: Teacher: Certificate: INSTRUCTIONAL STAFF THESDE INSTRUCTIONAL Team Member: STAFF IS TECHNICALLY COMPETENTTeacher: AND MEETS ALL STATE AND LOCALCertificate: REQUIREMENTS FOR CERTIFICATION. QUALITYReview FACTOR: Date: 1.1 Instructional Competency/CertificationTeacher: Certificate: Equity Requirements/ Indicators of Compliance Documentation Yes No N/A Status Legal Cites Teacher meets all state  Alabama Teaching Certificate Does the SDE desk audit reflect the following? Compliance teacher certification  College Transcript a) Certification held by the teacher is an approved Noncompliance requirements in the program  Exemption Status Letter Alabama certification for the program(s) being area. reviewed. Applicable only for teachers who are employed by the LEA. Not applicable for Legal Cites: teachers employed by postsecondary where Carl D. Perkins Act 2006 students are participating in Dual Enrollment. Section 124(b)(3)(E) b) Teachers who supervise Work-Based Learning: Cooperative Education hold a Class B or higher Alabama Administrative teaching certificate in Career and Technical Code Education. Applicable for all teachers who Section 290-6-1-.03(2)(f) supervise Work-Based Learning: Cooperative Section 290-6-1-.03(2)(g) Education. c) Work-Based Learning: Cooperative Education teachers have successfully completed Principles of Coordination, Functions of the Coordinator, or hold an exemption status letter issued by the Alabama State Department of Education. Applicable for all teachers who supervise Work-Based Learning: Cooperative Education. Section 1: Completed by SDE Team Member INSTRUCTION INSTRUCTION IS SYSTEMATIC AND REFLECTS PROGRAM GOALS. QUALITY FACTOR: 1.3 Program Scheduling Equity Requirements/ Indicator of Compliance Documentation Yes No N/A Status Legal Cites Teacher’s schedule has time Daily Schedule(s) for all teachers Does the Daily Schedule(s) show evidence of the Compliance for preparation and program (Prior year’s Daily Schedule(s), if following? Noncompliance development and needed to provide evidence that a) Teachers have 30 minutes or more of uninterrupted coordination time for work- an equivalent of 3 one-credit preparation time. based learning. courses have been provided over b) Work-Based Learning: Cooperative Education a two-year period.) teachers have a coordination period that meets the Class enrollment meets minimum requirement as outlined in the Alabama minimum enrollment Career and Technical Education Methods of requirements as outlined in Administration Manual. Applicable for all the Alabama Administrative teachers who supervise Work-Based Learning: Code. Cooperative Education. c) An equivalent of 3 one-credit courses are taught Legal Cites: (within a program) from the approved Alabama Carl D. Perkins Act 2006 Course of Study: Career and Technical Education Section 135(b)(1) over a two-year period. Not applicable for middle Section 135(c)(3)(A) level programs or Work-Based Learning: Section 135(c)(3)(B) Cooperative Education. X Section 122(c)(1)(A-L) A minimum of one program must be defined and fully implemented. Other course selections must Alabama Administrative align with Regional Workforce data or upon Code recommendation from system/local program Section 290-6-1-.05(3)(a-h) advisory council. Section 290-6-1-1.01(5) d) Class enrollment meets minimum enrollment requirements as outlined in the Alabama Administrative Code. Career and technical education programs will have an average class size of no less than 12 students and no more than the maximum identified class size for secondary classes. (Contact the Department’s LEA Financial Assistance Section for current class size limits.) Class size shall not exceed the safe working capacity of the facilities, equipment, and level of supervision. 2015-2016 SECTION 2 – Standards/Quality Factors Checklist BUSINESS AND INDUSTRY CERTIFICATION (BIC) WORK-BASED LEARNING: COOPERATIVE EDUCATION (To be conducted by local Career and Technical Administrator)

GeneralSchool Directions: System: Teacher: Contract Length: School Name: Teacher: Contract Length: All pages in Section 2 must be completed online two weeks prior to the scheduled BIC on-site program review. SDE Team Member: Teacher: Contract Length: Review Date: Teacher: Contract Length: The local CTE Administrator and teacher(s) assure the Alabama State Department of Education, Office of Career and Technical Education/Workforce Development, that Section 2 was completed at the program site by the Career and Technical Administrator or the Assistant Career and Technical Administrator.

Section 2: Completed by CTE Administrator STUDENT SERVICES SYSTEMATIC INTERVIEWS, COUNSELING SERVICES, PLACEMENT, AND FOLLOW-UP PROCEDURES ARE USED. QUALITY FACTOR: 2.1 Student Records Equity Requirements/ Indicator of Documentation Yes No N/A Status Legal Cites Compliance Student records are maintained and LEA Audit Do student records show evidence of the Compliance available for the current year. Files are following? Noncompliance kept confidential. a) Records are secured and confidential.

Legal Cites: b) Electronic documentation is complete for each Verify that all Carl D. Perkins Act 2006 student enrolled for the current year, showing students have Section 135(c)(2) planned coursework to complete his/her completed Section 124(b)(6) secondary path in career and technical education records as

(e.g., Four Year Education Plan). described in Alabama Administrative Code Not applicable for middle level programs. Quality Factor Section 290-6-1-.04(b)(a-e) 2.1 Section 290-6-1-.05(1)(a-d) Section 290-6-1-.09 If no, please Section 290-6-1-.03(g) c) There is a completed interest, skill and aptitude indicate students Section 290-6-1-.04(2)(c) assessment for each student enrolled for the Section 290-6-1-.02(6)(a-e) and documents current year. missing. Not applicable for exploratory rotation classes.

d) Safety assessments (procedures checklist, rubric, written test, etc.) address the unique needs, including specific safety assessments for equipment utilized in the program.

e) Safety assessments (procedures checklist, rubric, written test, etc.) indicating 100% proficiency prior to accessing laboratory equipment is available for each student.

f) Students that receive accommodations and/or modifications have a Career and Technical Implementation Plan. Section 2: Completed by CTE Administrator INSTRUCTIONAL STAFF THE INSTRUCTIONAL STAFF IS TECHNICALLY COMPETENT AND MEETS ALL STATE AND LOCAL REQUIREMENTS FOR CERTIFICATION. QUALITY FACTOR: 2.2 Business/Industry Awareness Equity Requirements/ Indicators of Compliance Documentation Yes No N/A Status Legal Cites Teachers on extended  Attendance certificates Does the documentation show evidence of the Compliance contracts obtain sixteen  Letter from employer following? Noncompliance hours annually of new  Transcript, and/or a) * Eight hours were completed between June 1, knowledge related to administrator verification 2015, and May 31, 2016, for each teacher who has workforce and industry a nine month contract. needs. Teachers on nine- OR month contracts obtain eight b) * Sixteen hours were completed between June 1, hours annually. Work-Based 2015, and May 31, 2016, for each teacher who has Learning: Cooperative an extended contract. Education teachers must include one hour of technical c) New program content knowledge gained by teacher awareness in the area of to be taught to students is identified on the Child Labor Laws annually. documentation. d) Documentation has authorized signature. Legal Cites: Carl D. Perkins Act 2006 e) One hour of technical awareness was completed Section 124(b)(d)(D)(i) between June 1, 2015, and May 31, 2016, in the Section 135(4)(A) area of Child Labor Laws. Section 135 (5) Applicable for all teachers who supervise Work- Based Learning: Cooperative Education. Alabama Administrative Code Section 290-6-1-.03(2)(f) Section 290-6-1-.03(2)(g) Section 290-6-1-.03(2)(h)

*Business/Industry Technical Awareness-activities provide teachers with new knowledge on content, equipment, or skills related to the career and technical education program resulting in lessons taught to students.

Verify that each teacher in this program has completed his/her Business/Industry Technical Awareness hours. If no, provide the teacher or teachers name(s) below:

Teacher’s name(s): ______; ______; ______

2015-2016 SECTION 3 – Standards/Quality Factors Checklist BUSINESS AND INDUSTRY CERTIFICATION (BIC) WORK-BASED LEARNING: COOPERATIVE EDUCATION

Section 3 for Cooperative Education Seminar/Work-Based Experience courses only

(To be conducted by local Career and Technical Administrator)

Select Seminar course or courses below being reviewed: GeneralSchool Directions: System: Section School3 must Name: be completed for each course offered in the program being#400031 reviewed - Cooperative during the Education2015-2016 Seminar/Work-Based instructional year byExperience-First the local Career Credit and Technical AdministratorSDE Team Member:, Assistant Career and Technical Administrator, or the Building#400032 Principal - Cooperative. All pages Education in Section Seminar/Work-Based 3 must be completed Experience-Second online two weeks Credit prior to the scheduledReview BIC team Date: on-site program review. If the Career and Technical Administrator is a program teacher for the program being reviewed, their immediate supervisor must document the lesson plan review. (LEA Review)

Note: For the program being reviewed, each course must have a syllabus and lesson plans based on all content standards included in the Alabama Course of Study: Career and Technical Education.

Syllabus and Lesson Plans for courses from the current Alabama Course of Study: Career and Technical Education for the course(s) were reviewed by the LEA Administrator.

Section 3: Completed by CTE Administrator INSTRUCTION THE INSTRUCTION IS SYSTEMATIC AND REFLECTS PROGRAM GOALS. QUALITY FACTOR: 3.1 Curriculum Equity Requirements/ Indicator of Compliance Documentation Yes No N/A Status Legal Cites Section 3: Completed by CTE Administrator QUALITYA Course FACTOR: Syllabus 3.2 isCurriculumA Course Syllabus for each Does the Syllabus show evidence of the following Compliance providedEquity to Requirements/ students by each course listed on each teacher’s information for each course on each teacher’s Daily Noncompliance Indicators of Compliance Recommendations Yes No N/A Status teacher Legal for eachCites course Daily Schedule(s) Schedule(s)? listed on his/her Daily a) Course title Each teacher provides lesson  Each teacher’s Daily Do lesson plans show evidence of the following? Schedule. plans for each course listed Schedule If NOSDE is Format marked b)a) Course descriptiontitle on his/her Daily Schedule.  Lesson plans covering all for anyCompliance indicator, Legal Cites: b) Overview/annotation Alabama Course of Study: list theNoncompliance related Carl D. Perkins Act 2006 c) Prerequisite or indicates that no prerequisite is Legal Cites: Career and Technical c) Background/preparation course name Section 124(b)(4)(A) required Carl D. Perkins Act 2006 Education content standards andLocal beside Format it Section 124(b)(4)(B) d) ProgramMaterials/equipment/technology name resources Section 124(b)(4)(A) in each course listed on write the letter of Section 124(b)(5) Compliance Section 124(b)(4)(B) each teacher’s Daily e) Procedures/activities/learning experiences the non- Section 134(b)(3) e) Course goals Noncompliance Section 124(b)(5) Schedule(s) for the full compliant Section 134(8)(A) f) Varied assessment strategies Section 134(b)(3) instructional year unless this indicator from Section 134(8)(B) f)g) EssentialProvisions question(s) for individual differences allowing all If NO is marked Section 134(8)(A) is a new teacher or a new Section 134(8)(C) students to reach their level of excellence (e.g., thefor checklist. any indicator, Section 134(8)(B) course offering. New course g) Courseaccommodations, outline modifications, enhancements, list the related Section 134(8)(C) offerings require lesson Code of Alabama remediation) course name and plans to current date plus an h) Estimated duration in minutes or hours and fractions CodeSection of 16-B-2(d)Alabama h) Culminating product(s) beside it write additional two weeks. thereof for the lesson Section 16-B-2(d)16-B-2(3)(i)(Acts the letter of the  Or locally defined lesson Do lesson plans show evidence that the following Section1995, No. 16-B-2(3)(i)(Acts 95-313, p 620, i) Assessment procedures non-compliant st plans’ requirements and areas are addressed as part of the course 1995,Section No. 2, 95-313,Act 200-312, p 620, 1 indicator from format instruction? SectionSpecial Session,2, Act 200-312, Section 1 st1) j) Grading scale the checklist. Special Session, Section 1) i) Safety instruction as an integral part of the program Alabama Administrative k) CTSO j) Teamwork activities Code Alabama Administrative Code k) Varied learning activities (e.g., project-based Section 290-6-1-.04(a)(a-e) l) Available student industry credential(s) as activities, presentations, class discussions, role Section 290-6-1-.04(2) recommended by Advisory Committee and X playing, simulations, etc.) Section 290-6-1-.04(3)(a-d) approved by SDE Section 290-6-1-.05(4)(a-b) l)Not Integratedapplicable academics for middle level programs or Work- Based Learning: Cooperative Education. m) Employability skills n) Problem solving & management skills o) Available student industry credential(s)

Not applicable for middle level programs. p) Essential question(s) q) Primary learning objective(s) r) Integrated CTSO experiences s) If live work is utilized, evidence is included of how live work supplements instructions of content standards t) Course/program culminating project u) All content standards for the course v) Evaluation/notations made by teacher indicating

need for lesson enhancement 2015-2016 SECTION 4 – Standards/Quality Factors Checklist BUSINESS AND INDUSTRY CERTIFICATION (BIC) WORK-BASED LEARNING: COOPERATIVE EDUCATION

(To be conducted by SDE Team Member)

School System: Section 4: Completed by SDE Team MemberTeacher: PURPOSESchool Name: Teacher: THESDE PROGRAM Team Member: HAS CLEARLY STATED GOALS RELATED TO THE NEEDS OF WORKFORCETeacher: DEVELOPMENT. QUALITYReview FACTOR: Date: 4.4 Budget Preparation Teacher: Equity Requirements/ Indicators of Compliance Documentation Yes No N/A Status Legal Cites An annual budget is prepared by Annual Budget(s) Do the indicators provide evidence of the following? Compliance the teacher(s) and approved by a) Administrator’s signature Noncompliance the administration. Note: A multi-teacher b) State teacher allocation Legal Cites: department must combine c) Local maintenance funds ($300 + $3 per student) Title IX: 34 CFR 106.8 (b) information and provide one d) Additional revenue (donations, grants, program fees, Section 504: 34 CFR 104.7(b) consolidated budget. live work, etc.) X Title II: 28 CFR 35.107(b) Not applicable for Work-Based Learning: Cooperative Carl D. Perkins Act 2006 Education. Section 321(a)(1-4) e) Career and Technical Student Organization (DECA, Section 135(b)(1-9) FBLA, FCCLA, FFA, HOSA, SkillsUSA, and TSA) revenue (dues, fundraising revenue, etc.) X Code of Alabama Not applicable for Work-Based Learning: Cooperative Section 16-13-236 (Acts 1995, Education. No. 95-314, p 634, Section 7) g) Expenses Section 16-6B-10(b)(1-4)(Acts i) Career and Technical Student Organization (DECA, 1995, No. 95-313, p 620, Section FBLA, FCCLA, FFA, HOSA, SkillsUSA, and TSA) 10) expenses (national and state dues, fundraising Alabama Administrative Code expenses, etc.) X Section 290-6-1-.08(1)(a-c) Not applicable for Work-Based Learning: Cooperative Education. 2015-2016 SECTION 5 – Standards/Quality Factors Checklist BUSINESS AND INDUSTRY CERTIFICATION (BIC) WORK-BASED LEARNING: COOPERATIVE EDUCATION Counselor Interview

(To be conducted by SDE Team Member)

School System: Counselor: School Name: Section 5: Interview conducted by SDE Team MemberCounselor: STUDENTSDE Team Member:SUPPORT SERVICES Section 5: Interview conducted by SDE Team Member SYSTEMATICQUALITYReview FACTOR: Date: INTERVIEWS, 5.1 Student COUNSELING Assessment and SERVICES, Program PlacementPLACEMENT, (continued) AND FOLLOW-UP PROCEDURES ARE USED. Equity Requirements/ Indicator of Documentation Yes No N/A Status QUALITY FACTOR:Program: 5.1 Student Assessment and Program Placement EquityLegal Requirements/ Cites ComplianceIndicator of Documentation Yes No N/A Status Prior to enrollment,Legal Cites each ComplianceInterview Did the counselor provide a satisfactory answer to the following Compliance Priorstudent to enrollment,is assessed each to Interviewresponses Didstatements? the counselor provide a satisfactory answer to the following ComplianceNoncompliance studentdetermine is assessedinterest and to responses statements?f) Describe the provisions made for students who are economically Noncompliance determineaptitude. Results interest are and used for a) Describedisadvantaged. how the career assessments are conducted to determine aptitude.recruitment Results and appropriate are used for Comments:interest and aptitude of students and at which grade levels are they recruitmentprogram placement and appropriate of assessed. students. program placement of Comments:g) Describe provisions made for students with disabilities. students.Legal Cites: Comments: Carl D. Perkins Act 2006 Legal Cites: b) Quality Factor 5.1.b has been deleted X CarlSection D. Perkins135(c)(2) Act 2006 Section 134(3)(E) h) Describe how non-traditional students are recruited. Section 135(c)(2) c) Describe how students are selected or recruited for the first course for Section 134(3)(E)134(b)(11) Comments:the CTE program most closely aligned to their career choice offered at Section 124(b)(4) Section 134(b)(11) this school or by the local community college or university. i) Describe how enrollment priorities are given to students in Grades 10- SectionOffice of 124(b)(4) Civil Rights Comments: 12 with maximum opportunity to complete a career and technical OfficeSection of 504 Civil (IDEA) Rights 34 CFR #100.3(a) & (b) education program. Not applicable for middle level programs. Section 504 (IDEA) d) Describe the recruitment materials that have been provided to the 34 CFR #100.3(a)#106.21-23 & (b) Comments: 34 CFR #104.4(a) & (b), 33-36, guidance section for the program being reviewed. 34 CFR #106.21-23 37(a) & (b), 42-44, 47(b) Comments: 34 CFR #104.4(a) & (b), 33-36, j) Describe activities that were conducted by you and the teacher to

37(a)Alabama & (b), Administrative 42-44, 47(b) Code determine appropriate student placement of course selection. Section 290-6-1-.05(1)(a-d) e) Describe how the recruitment materials are being used for recruitment Alabama Administrative Code Comments: Section 290-6-1-.05(1)(a-d)290-6-1-.05(3)(c) and (d) by the guidance section.

Section 290-6-1-.05(3)(c) and (d) k)Comments:Describe the process used to making students aware of articulated credit for CTE courses. Comments:

l) Describe the process used to making students aware of dual enrollment opportunities for CTE courses. Comments:

2015-2016 SECTION 6 – Standards/Quality Factors Checklist BUSINESS AND INDUSTRY CERTIFICATION (BIC) WORK-BASED LEARNING: COOPERATIVE EDUCATION

Section 6 for Cooperative Education Seminar/Work-Based Experience courses only (To be conducted by SDE Team Member)

School System: School Name: SDE Team Member: Review Date: Section 6: Completed by SDE Team Member LEARNING RESOURCES SUPPORT MATERIALS ARE CONSISTENT WITH BOTH PROGRAM GOALS AND CONTENT STANDARDS AND ARE UTILIZED BY STAFF AND STUDENTS. QUALITY FACTOR: 6.1 Supplemental Materials Equity Requirements/ Indicator of Compliance Documentation Yes No N/A Status Legal Cites Supplemental materials and Available supplemental Are the following supplemental materials available? Compliance technology are available and materials a) Program-related multimedia materials (Examples: Noncompliance utilized in the teaching/learning videos, films, CDs, DVDs, Internet or software, Apps, process by teachers and students. etc.) b) Program-related publications (hard copies or digital Legal Cites: format) (Examples: magazines, newspapers, service Carl D. Perkins Act 2006 bulletins, updates, professional journals, etc.) Section 124(b)(2) Section 124(b)(5) c) Consumable supplies

Alabama Administrative Code d) Textbooks/technology tools (adequate quantity for Section 290-6-1-.04(2)(b) enrollment) on the state-approved textbook list or Section 290-6-1-.10(2) other resources

Code of Alabama Section 16-6B-10(b)(1-4)(Act 1995, No. 95-313, p 620, Section 10, Act 98-320, p 544, Section 12

Section 6: Completed by SDE Team Member INSTRUCTION INSTRUCTION IS SYSTEMATIC AND REFLECTS PROGRAM GOALS. QUALITY FACTOR: 6.2 Safety Equity Requirements/ Indicator of Compliance Documentation Yes No N/A Status Legal Cites Safety is a vital component Facility observation by team Does the facility meet the safety standard of the Compliance of career and technical members program-related industry? Noncompliance education. Each program a) Students/teachers adhere to applicable safety must set and enforce standards associated with the career and technical standards, provide training, education program. and encourage continual b) Students/teachers are adhering to safety standards improvement in lab and associated with proper ventilation. X workplace safety. Not applicable for Work-Based Learning: Cooperative Education. Legal Cites: c) Chemicals are handled, stored, and disposed of in Alabama Administrative accordance with local, state, and federal safety and Code environmental regulations. Section 290-6-1-.05(6)(a-e) d) Material Safety Data Sheets (MSDS) are in the Section 290-6-1-.04(2)(c) laboratory. Section 290-6-1-.04(2)(d) Applicable for programs that deal with chemicals. Section 290-6-1-.02(6)(a-e)

Office of Civil Rights Section 504: 34 CFR 104 Section 6: Completed by SDE Team Member QUALITY FACTOR: 6.4 Facilities Equity Requirements/ Indicator of Compliance Documentation Yes No N/A Status Legal Cites Facilities are adequate to Facility observation by team Do facilities meet the following criteria? Compliance meet the requirements for members a) Adequate space is available for the number of Noncompliance delivering the Alabama students enrolled. Course of Study: Career b) Safety zones are clearly identified and correctly and Technical Education located. content and are safe for students/teachers. c) Safety signs are posted in highly visible locations. d) Evacuation procedures are posted in highly visible Legal Cites: locations. Alabama Administrative e) First-aid kit is in place and highly visible or Code documentation from the Superintendent that first-aid Section 290-6-1-.04(2)(c) kit is not allowed. Section 290-6-1-.04(2)(d) f) Classroom and support areas are clean and orderly. Office of Civil Rights Section g) Emergency current interruption for power equipment 504: 34 CFR 104 is properly installed. Applicable for the following clusters: Transportation, Distribution, & Logistics; X Architecture & Construction; Manufacturing; Agriculture, Food, & Natural Resources- AgriConstruction program. h) Eye wash solution is in the laboratory and is easily accessible.

i) Facility minimizes hazards to student safety. j) Instructional laboratory is clean, orderly, and replicates the workplace. k) Secured storage is sufficient.

l) Space is available for seat work. m) Available area is convenient for the teacher to use as an office. n) Restroom or sink area is convenient to the learning laboratory. 2015-2016 SECTION 7 – Standards/Quality Factors Checklist BUSINESS AND INDUSTRY CERTIFICATION (BIC) WORK-BASED LEARNING: COOPERATIVE EDUCATION

(To be conducted by local Career and Technical Administrator)

School System: Teacher: Contract Length: School Name: Teacher: Contract Length: SDE Team Member: General Directions: Review Date: Section 7Program: must be completed online for each Work-Based Learning: Cooperative Education program being reviewed during the 2015-2016 instructional year by the local Career and Technical Administrator two weeks prior to the scheduled BIC team on-site program review. If the Work-Based Learning: Cooperative Education teacher also serves as the Career and Technical Administrator, his/her immediate supervisor must complete Section 7.

The local Career and Technical Administrator and teacher(s) assure the Alabama Department of Education, Office of Career and Technical Education/ Workforce Development, that Section 7 was completed at the program site by the Career and Technical Administrator or the Assistant Career and Technical Administrator. Section 7: Completed by CTE Administrator COOPERATIVE EDUCATION WRITTEN POLICIES AND PROCEDURES ARE USED FOR COOPERATIVE EDUCATION TRAINING PROGRAMS. QUALITY FACTOR: 7.1 Application/Selection/Placement for Cooperative Education Equity Requirements/ Indicators of Compliance Documentation Yes No N/A Status Legal Cites Students apply for program Original student folders for each Does the indicator provide evidence of the Compliance enrollment using the formal student listed on the current year- following? Noncompliance application process and to-date R-1(s) are in secured a) Student folders are in a secured storage unit. criteria established by the storage unit containing all required b) There is a folder for each student listed on the local education agency. documentation current year-to-date R-1.  Student application Does the indicator include the Student Application Legal Cites:  Interview evaluation form for Enrollment providing evidence of the following? Carl D. Perkins Act 2006  School regulation/policy form c) Student’s name Section 135(c)(3)(A)  Teacher recommendation form d) Quality Factor 7.1.d has been deleted X e) Career objective Alabama Administrative f) Disciplinary record verified Code Section 290-6-1-.02(5)(c) g) Attendance record verified Section 290-6-1-.02(5)(b) h) Eligibility courses verified (Career Preparedness) Section 290-6-1-.04(4)(a-c) Does the interview evaluation form show evidence of the following? Title IX: 34 CFR 106.21(c) i) Discussion of possible work-based training sites Does the student folder show documentation of the Section 504: 34 CFR requirement of adherence to School 104.42(b)(4) Regulations/Policies? j) Student signature Title II: 28 CFR 35 k) Parent/guardian signature Does the Teacher Recommendation Form contain the following? l) Workplace qualities rating have been completed. m) One recommendation completed by the program

teacher. Section 7: Completed by CTE Administrator QUALITY FACTOR: 7.2 Placement in Training Stations Equity Requirements/ Indicator of Compliance Documentation Yes No N/A Status Legal Cites Students are placed in R-1(s) Does the indicator show evidence of the following? Compliance training stations for paid Noncompliance work experience to develop a) Student’s name their career objective according to the Work- Section 7: Completedb) Student’s careerby CTE objective Administrator Based Learning Manual. QUALITY FACTOR: 7.4 Credit for Work-Based Experiencec) Quality Factor 7.2.c has been deleted X LegalEquity Cites: Requirements/ Indicators of Compliance Documentation Yes No N/A Status Carl D. PerkinsLegal CitesAct 2006 d) Name of training agency SectionWork-Based 135(c)(3)(A) Learning:  Completed Training Does the indicator show evidence of the following? Compliance Cooperative Education is Agreement for each student a)e) DocumentationStudent’s job title of year-to-date hours of work Noncompliance Alabamadesigned Administrativefor students to work listed on the current R-1(s) experience an average of 15 hours per Code  Wage and Hour sheets for f)b) QualityComputation Factor of 7.2.f year-to-date has been earnings deleted X Sectionweek with 290-6-1-.04(4)(c) a minimum of 140 each student on the current Not applicable for Internships hours in paid/unpaid work R-1(s) experiences being required perQUALITY Carnegie FACTOR: unit. 7.3 Training Agreements Equity Requirements/ Legal Cites: Indicator of Compliance Documentation Yes No N/A Status Legal Cites Carl D. Perkins Act 2006 SectionAll students 135(c)(3)(A) enrolled in Completed Training Agreement Does the indicator show evidence of the following? Compliance SectionWork-Based 3(9)(A) Learning: and (B) for each student listed on the Noncompliance Cooperative Education have current R-1(s) a) Student’s name aAlabama training Administrativeagreement Code betweenSection 290-6-1-.04(4)(c) the school, b) Training station name employer, parent/guardian, QUALITYand the student FACTOR: outlining 7.5 the Individual Training Plan c) Training station address conditionsEquity ofRequirements/ employment to Indicator of Compliance Documentation Yes No N/A Status which all Legalparticipants Cites agree. d) Name of training supervisor and mentor An Individual Training Plan is Completed Individual Training Does the indicator show evidence of the following? Compliance e) Responsibilities of parent/guardian, students, cooperativelyLegal Cites: developed by Plan for each student listed on Noncompliance a) coordinator,Student’s name and employer theCarl employer D. Perkins and Act Work- 2006 the current R-1(s) Section 135(c)(3)(A) Based Learning: Cooperative b) Student’s career objective EducationSection 3(9)(A) teacher and for (B) each student and provides f) Signatures of parent/guardian, employer, student, c) Student’s job title applicationAlabama Administrative of a variety of coordinator, and school administrator skills,Code decision making, and performanceSection 290-6-1-.04(4)(c) of progressively d) Training station name more difficult tasks focused on achieving career goals. e) List of varied and progressive tasks Legal Cites: f) Tasks relate to student’s career objective Carl D. Perkins Act 2006 Section 135(b)(3) Section 3(9)(A) and (B) Alabama Administrative Code Section 290-6-1-.04(4)(c) Title IX: 34 CFR 106.21(c) Section 504:34 CFR 104.42(b)(4) Title II: 28 CFR 35 Section 7: Completed by CTE Administrator QUALITY FACTOR: 7.6 Student Visits Equity Requirements/ Indicator of Compliance Documentation Yes No N/A Status Legal Cites Work-Based Learning: Monthly training station visitation Does the indicator show evidence of the following? Compliance Cooperative Education document a) At least one contact, communication, or visit per Noncompliance teacher documents at least month to each training site listed on the R-1 one visit to the work site per month for each student that b) Contact person is enrolled in cooperative education. c) Name of the student being assisted by the visit Legal Cites: d) Purpose of visit Carl D. Perkins Act 2006 Section 135(b)(3) e) Summary of each visit Section 3(9)(A) and (B) Alabama Administrative Code Section 290-6-1-.04(4)(c)

QUALITY FACTOR: 7.7 Evaluation Equity Requirements/ Indicator of Compliance Documentation Yes No N/A Status Legal Cites Evaluation occurs based on Evaluation Forms Does the indicator show evidence of the following? Compliance the competencies outlined in a) Evaluation Forms for each grading period Noncompliance the training plan and is the joint responsibility of the b) List of varied and progressive tasks from the employer and Cooperative Training Plan. Education Teacher- Coordinator for each grading period. Legal Cites: Carl D. Perkins Act 2006 Section 135(b)(3) Section 3(9)(A) and (B) Alabama Administrative Code Section 290-6-1-.04(4)(c) Title IX: 34 CFR 106.21(c) Section 504:34 CFR 104.42(b)(4) Title II: 28 CFR 35