Civic Learning Award Final Score Summary (Prepared by the Administrative Office of the Courts and the California Department of Education September 15, 2016)

Evaluator:

Name of School:

Name of School District:

PROGRAM INFORMATION Name of civic learning class/club/program description

#1 SCORE:

#2 SCORE:

#3 SCORE:

Grand Total SCORE: (From page 7) Additional Comments:

Please describe any noteworthy policy in this school district that supports civic learning:

Validation visits will not be conducted for all applications. Rather, the selection committee has the right to recommend a validation visit if there are questions about the verity of the program description or the supporting materials. Please check here if you recommend that this school receive a validation visit. If recommended, please provide any further information that would assist those making a visit:

Please provide any additional information from this application that should be considered when making a final decision about an award:

– 1 – Civic Learning Award Rubric

(Based primarily on the research-based proven practices in civic education) Please use this rubric to rate each civic learning opportunity description. Score all 3 programs submitted on this sheet. Submit only 1 rubric per school.

Score for Quality of Class/Club/ Quality of Class/Club/ Quality of Class/Club/ Quality of Class/Club/ Rating Factor Program(s): Program: Program: Program: Program: No Credit #1 #2 #3 Outstanding (5 points) Excellent (3 points) Merit (2 points) Basic (1 point)

SECTION A 1. Percentage Award 10 points for Award 6 points for Award 4 points for Award 2 points for 3−25% Award no points for of students 76−100% participation. 50−75% participation. 26−49% participation. participation. less than 3% who participation. participate by the time of promotion from the school

2. Number of Award 5 points for Award 3 points for Award 2 points for Award 1 point for Award no points if years offered class/clubs/programs class/clubs/programs class/clubs/programs class/clubs/ programs in this is not checked or offered for 5 or more offered for 3−4 years. offered for 1−2 years. their first year. described on the years. application.

3. Total time Award 10 points for long- Award 6 points for Award 4 points for short- Award 2 points for 1 Award no points if students are term duration, i.e., 11 or mid-length duration, i.e., term duration, i.e., 2−5 occurrence (such as 1 this is not indicated engaged in more class periods or 6−10 class periods or the class periods or the class period or 1 event). on the application. civic learning the equivalent (such as equivalent (such as once equivalent (such as once proven once a week for a a week for 10 weeks or a week for up to 5 weeks practices semester or every class every class period for 2 or every class period for a period for a month or weeks). week). more).

4. Method of Award 5 points if 3 Award 3 points if 2 Award 2 points if 1 Award no points if no assessment assessments are checked assessments are checked assessment is checked assessments are on the application. on the application. on the application. checked on the application.

SECTION A TOTAL (items 1−4)

– 2 – Score for Quality of Class/Club/ Quality of Class/Club/ Quality of Class/Club/ Quality of Class/Club/ Rating Factor Program(s): Program: Program: Program: Program: No Credit #1 #2 #3 Outstanding (5 points) Excellent (3 points) Merit (2 points) Basic (1 point)

SECTION B 1. Proven Includes discussion of Includes discussion of Includes discussion of The description of the Not checked on Practice #1: current issues and current issues and current issues and activity provides little the application or Discuss current events with evidence of events with evidence of events with evidence of evidence of this proven described. local, national, three of the following: two of the following: one of practice. or international  Issues are local or  Issues are local or the following: issues and state. state.  Issues are local or events.  Issues are national or  Issues are national or state. international. international.  Issues are national or  Students view issues  Students view issues international. as important to their as important to their  Students view issues as lives. lives. important to their  Discussions are  Discussions are lives. carefully moderated carefully moderated  Discussions are so students are so students are carefully moderated welcome to speak welcome to speak so students are from a variety of from a variety of welcome to speak perspectives. perspectives. from a variety of  Students complete an  Students complete an perspectives. activity that activity that  Students complete an demonstrates deeper demonstrates deeper activity that learning of current learning of current demonstrates deeper issues or events. issues or events. learning of current issues or events.

– 3 – Score for Quality of Class/Club/ Quality of Class/Club/ Quality of Class/Club/ Quality of Class/Club/ Rating Factor Program(s): Program: Program: Program: Program: No Credit #1 #2 #3 Outstanding (5 points) Excellent (3 points) Merit (2 points) Basic (1 point) 2. Proven Includes service Includes service Includes service Involves only Not checked on Practice #2: learning, e.g., learning, e.g., community learning, e.g., community community-service hours the application or Perform school community service that service that has a formal service that has a formal or volunteer work that is described. or community has a formal link to the link to the classroom link to the classroom not linked to the service linked to classroom curriculum, curriculum, including two curriculum, including one curriculum. the formal including three or more of the following: of the following: curriculum and of the following:  Consciously pursues  Consciously pursues rather rather classroom  Consciously pursues civic outcomes, civic outcomes, civic outcomes, rather than seeks only to than seeks only to instruction than seeks only to improve academic improve academic (e.g., service improve academic performance or to performance or to learning). performance or to promote higher self- promote higher self- promote higher self- esteem. esteem. esteem.  Allows students to  Allows students to  Allows students to engage in meaningful engage in meaningful engage in meaningful work on serious school work on serious school work on serious school or public issues. or public issues. or public issues.  Gives students a role  Gives students a role  Gives students a role in choosing and in choosing and in choosing and designing their designing their designing their projects. projects. projects.  Students reflect on  Students reflect on the  Students reflect on the service work. service work. the service work.  Allows older students to  Allows older students to  Allows older students to pursue political or pursue political or pursue political or school policy responses school policy responses school policy responses to problems in ways that to problems in ways that to problems in ways that are consistent with laws are consistent with laws are consistent with laws that require public that require public that require public schools to be schools to be schools to be nonpartisan. nonpartisan. nonpartisan. Sees service learning as Sees service learning as Sees service learning as part of a broader part of a broader part of a broader philosophy toward philosophy toward philosophy toward education, not just a education, not just a education, not just a program that is adopted program that is adopted program that is adopted for a finite period in a for a finite period in a for a finite period in a particular class. particular class. particular class.

– 4 – Score for Quality of Class/Club/ Quality of Class/Club/ Quality of Class/Club/ Quality of Class/Club/ Rating Factor Program(s): Program: Program: Program: Program: No Credit #1 #2 #3 Outstanding (5 points) Excellent (3 points) Merit (2 points) Basic (1 point) 3. Proven Includes three or more Includes two Includes one The description of the Not checked on Practice #3: extracurricular activities extracurricular activities extracurricular activity activity provides little the application or Offer that incorporates at least that incorporates at least that incorporate at least evidence of this proven described. extracurricular two of the following: two of the following: two of the following: practice. activities that  The purpose is to  The purpose is to  The purpose is to provide improve the school or improve the school or improve the school or opportunities community. community. community. for young  Students have a  Students have a  Students have a people to get significant voice in significant voice in significant voice in involved in their making decisions about making decisions making decisions what they do. schools or about what they do. about what they do. communities. The extracurricular The extracurricular activity The extracurricular activity activity is open to all is open to all students. is open to all students. students.

4. Proven Participation in classroom Participation in classroom Participation in classroom The description of the Not checked on Practice #4: and/or school governance and/or school governance and/or school governance activity provides little the application or Encourage includes evidence of three includes evidence of two includes evidence of one evidence of this proven described. participation in substantive instances of substantive instances of substantive instance of practice. classroom participating in participating in participating in and/or school management of students’ management of students’ management of students’ governance. own classroom or having a own classroom or having a own classroom or having a voice in school-wide voice in school-wide voice in school-wide decisions. decisions. decisions.

5. Proven Includes participation in Includes participation in Includes participation in The description of the Not checked on Practice #5: one long-term simulation two short-term one short-term simulation activity provides little the application or Encourage or role-play and/or three simulations or role- plays or role-play of a evidence of this proven described. student or more short-term of democratic processes, democratic process, such practice. participation in simulations or role-plays. such as a mock election as a mock election for simulations or A long-term simulation for which preparation and which preparation and role-plays of might involve students participation occurs during participation occurs during democratic researching and studying one week. one week. processes and their roles over an procedures. extended period.

– 5 – Score for Quality of Class/Club/ Quality of Class/Club/ Quality of Class/Club/ Quality of Class/Club/ Rating Factor Program(s): Program: Program: Program: Program: No Credit #1 #2 #3 Outstanding (5 points) Excellent (3 points) Merit (2 points) Basic (1 point) 6. Proven The formal instruction The formal instruction The formal instruction The description of the Not checked on Practice #6: described is part of a described is part of an described is not part of an activity provides little the application or Provide required class and elective class and includes academic class and evidence of this proven described. instruction in includes at least one of the at least one of the includes at least one of the practice. government, following: integration following: integration following: history, law, across the curriculum; a across the curriculum; a integration across the and democracy, process of civic inquiry, process of civic inquiry, curriculum; a process of beyond rote investigating causes and investigating causes and civic inquiry, investigating facts and dry solutions, engaging in civil solutions, engaging in civil causes and solutions, procedures. dialogue, communicating dialogue, communicating engaging in civil dialogue, conclusions and taking conclusions and taking communicating informed action. informed action. conclusions and taking informed action.

7.What is the Award 5 points for 4 or Award 3 points for 3 Award 2 points for 2 Award 1 point for 1 proven Award no points for no number of more proven practices. proven practices. proven practices. practice. proven practices. civic learning proven practices

8. What is the The description of the The description of the The description of the The description of the Not described on the purpose of activity includes a clear activity includes a solid activity includes a narrow activity contains only a application. the and significant civic civic learning purpose that civic learning purpose with vague civic learning class/club/ learning purpose that has a connection to a connection to students’ purpose. program? has a strong students’ learning activities learning activities and/or connection to students’ and/or outcomes. outcomes, e.g., learning to learning activities and vote. outcomes.

9. What are Award 5 points if 4 Award 3 points if 3 Award 2 points if 2 Award 1 point if 1 No evidence of the documented outcomes documented outcomes documented outcomes documented outcome is documented documented are checked on the are checked on the are checked on the checked on the outcomes are check civic learning application. application. application. application. on the application. outcomes for students?

– 6 – Score for Quality of Class/Club/ Quality of Class/Club/ Quality of Class/Club/ Quality of Class/Club/ Rating Factor Program(s): Program: Program: Program: Program: No Credit #1 #2 #3 Outstanding (5 points) Excellent (3 points) Merit (2 points) Basic (1 point) SECTION B TOTAL (items 1−9)

GRAND TOTAL (Section A + Section B): Program #1 Program #2 Program #3

– 7 –