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Oregon Department of Education 2005–06 Oregon School District CIP Budget Narrative/Spending Workbook Assurances and Certifications For Small and Rural Districts Participating in REAP-Flex Che Susan Castillo, Superintendent of Public Instruction ck all programs for which the district is requesting funds (even if transferring funds to other programs or participating in a consortium). Title I-A, Improving Basic Programs Title III, Language Instruction for Limited English Proficient and Immigrant Students Title I-C, Education of Migratory Children Title IV-A, Safe and Drug Free Schools and Communities Title I-D, Prevention and Intervention Programs Title V-A, Promoting Parental Choices and for Neglected, Delinquent, or at Risk Youth Innovative Programs Title II-A, Preparing, Training, and Recruiting Title VI-B, Rural Low Income Schools High Quality Teachers and Principals Title II-D, Enhancing Education Through Technology Perkins Basic (Title I), Perkins Secondary Basic Grant (District or Consortium/Alliance) IDEA, The Individuals with Disabilities Education Act School District Name: Institution ID #: Primary Contact Person for Consolidated Plan: Name: Title: Address: E-mail Address: City: Telephone: State, Zip: Fax:

RETURN ORIGINAL CIP BUDGET NARRATIVE /SPENDING WORKBOOK AND TWO COPIES BY MAY 16, 2005 TO:

OREGON DEPARTMENT OF EDUCATION ATTN: Kayla Barstad 255 CAPITOL STREET NE SALEM, OR 97310-0203

2005-2006 CIP Budget Narrative/Spending Workbook G E N E R A L

I N Section I F O General Information R M A T I O N

Section I

2005-2006 CIP Budget Narrative/Spending Workbook Table of Contents T Section I – General Information Page Type...... Page # Table of Contents ______(Word)______3-4 A Overview and Directions ______(Word)______5-6 B Program Contacts ______(Word)______7-8 L Private School Consultation and Participation ______(Word)______9 E Section II – Budget Narrative and Spending Workbook

2005-06 Consolidated Spending Page______(Excel) ______11 o Title I-A: Improving Basic Programs ______(Word______12 f Title I-A Set Asides ______(Excel)______13-14 Title I-A Targeting Page ______(Excel)______15 Title I-A 2005-06 Spending Page ______(Excel)______16 C Title I-A 2004-05 Carryover Page ______(Excel)______17 Title I-D: Prevention and Intervention Programs for Children and Youth who are Neglected, O Delinquent or at Risk ______(Word) ______17 N Title I-D 2005-06 Spending Page ______(Excel) ______18 Title VI-B REAP Flex______(Word) ______19-20 T Title VI-B 2005-06 Spending Page ______(Excel) ______21 E Section III – Additional Pages N T Statement of Assurances for NCLB and Perkins ______(Word)______23 S Statement of Assurances for IDEA ______.....(Word)______24-29 Consortium Information Page ______.....(Word)______30 Title I-C: Certification of Consortium Membership ______(Word) ______31 Title III: Certification of Consortium Membership ______(Word) ______32 Perkins Basic: Certification of Consortium/Alliance Membership ______(Word) ______33 District Certification of Compliance School Prayer ______(Word) ______34 IDEA CSPD Survey ______(Word) ______35-36 IDEA Improvement Plan Progress Report ______(Word) ______37-38 ODE Title Program Contacts ______(Word) ______39 Section I

2005-06 CIP Budget Narrative/Spending Workbook Overview O The CIP Budget Narrative/Spending Workbook is one of the CIP plan components that Districts send to the Oregon V Department of Education. This portion of the CIP plan helps meet some of the requirements for the release of Federal E funds. Other components of the CIP plan will complete the requirements for release of Federal funding. The CIP Budget Narrative/Spending Workbook describes how Federal funds are supplementing District funds and programs. R These pages will capture how NCLB and Perkins funds will be spent to support the attainment of the Districts’ Improvement V Goals. I Districts will submit the CIP Budget Narrative/Spending Workbook by May 16, 2005, using preliminary budget figures. The E District will resubmit the CIP Budget Narrative/Spending Workbook with the rest of the CIP plan documents by W October 17, 2005. The October complete CIP plan will include the updated Budget Narrative/Spending Workbook with final Federal allocations. A Districts have until April 15, 2006, to have an approved CIP Budget Narrative/Spending Workbook to access specific N NCLB funds. If the District does not have an approved CIP Budget Narrative/Spending Workbook by this date, the funds D will be reallocated.

Districts have assured that they will submit all required data on time. ODE reserves the right to withhold specific D Federal funds until the appropriate data is submitted. I The following table is a listing of required data surveys with due dates. R Data Collection Survey Due Date Collection required for: PTE Annual program review 04-05 October 15. 2004 Perkins E Early Leavers 03-04 November 15, 2004 AYP C Technology Assessment November 15, 2004 Title IID T High School Completers 03-04 February 18, 2005 AYP I Fall Membership 04-05 March 4, 2005 AYP Spring Membership 04-05 May 20, 2005 AYP O Professional Technical Student Data 04-05 June 30, 2005 Perkins N Professional Technical School Data 04-05 June 30, 2005 Perkins S Suspensions, Expulsions, Truancy 04-05 June 30, 2005 Title IV-A IDEA Personnel Census July 1, 2005 IDEA IDEA Discipline Data July 1, 2005 IDEA NCLB Staff Survey 04-05 July 8, 2005 Title IIA Section Annual ADM 04-05 July 10, 2005 AYP I NCLB English Proficient 04-05 July 25, 2005 Title III and AYP Suspensions, Expulsions, Truancy 04-05 June 30, 2005 Title IV-A Special Education Child Count 04-05 December 1, 2005 IDEA

Directions on entering information in the CIP Budget Narrative/Spending Workbook O V This document is a combination of Word and Excel spreadsheets.  Please make sure to enter District Name, Institution Id number and date of report on all applicable pages. E  The Excel spreadsheets can be accessed by double clicking on the page, then the page will go to an Excel format. R  The Excel format includes formulas. V  When the data has been entered in the Excel Spreadsheet, return to the top of the Excel Spreadsheet and then I click outside the spreadsheet to return the document to Word.  If an Excel page disappears, go to the Undo Command and Undo all actions. E  On the Title I-A Set Asides page, when writing the description, click on the box and go to the Insert Function line W and begin to type at the end of the words that are currently in the line. Press enter to move to next cell.  On the Excel spreadsheet, do not type in the Total Column. The spreadsheet will automatically total all the A columns and rows. If you do type in the total column, it will change the formula. To correct the problem use the UNDO button. N  IF SOMETHING UNEXPECTED HAPPENS WHEN ON THE EXCEL SPREADSHEET PAGES—ALWAYS USE D THE UNDO KEY TO GO BACK. D I R E C T I O N S

Section I

2005-2006 CIP Budget Narrative/Spending Workbook Program Contacts *Important – Please Note: The district person (s) listed below and the superintendent will be the only recipients of program information. Please ensure that the most current contact information is listed. P R ______Title Name Title O I-A ______Ext. ______G Program Telephone Fax ______R Coordinator E-mail address Mailing Address A Title ______Name Title M I-C ______Ext. ______Program Telephone Fax Coordinator ______C E-mail address Mailing Address O Title ______N Name Title I-D ______Ext. ______T Program Telephone Fax Coordinator ______A E-mail address Mailing Address C Title ______T Name Title II-A ______Ext. ______S Program Telephone Fax Coordinator ______E-mail address Mailing Address Title ______II-D Name Title Program ______Ext. ______Coordinator Telephone Fax ______E-mail address Mailing Address

Title ______III Name Title District Contact ______Ext. ______Section (not the Telephone Fax I ______Consortia lead) E-mail address Mailing Address

2005-2006 CIP Budget Narrative/Spending Workbook Program Contacts

Title ______P IV-A Name Title ______Ext. ______R Program Telephone Fax Coordinator ______O E-mail address Mailing Address G R Title ______Name Title A V-A ______Ext. ______Program Telephone Fax M ______Coordinator E-mail address Mailing Address C Title ______Name Title O VI-B ______Ext. ______Contact Telephone Fax N ______E-mail address Mailing Address T A Perkins ______Name Title C Basic ______Ext. ______T Contact Telephone Fax ______S E-mail address Mailing Address

Title ______Name Title X ______Ext. ______Homeless Liaison Telephone Fax ______(Required of E-mail address Mailing Address All LEAs) ______Administrative Contact (if different) E-mail Address

District ______Name Title Business ______Ext. ______Manager Telephone Fax Section ______I E-mail address Mailing address

2005-2006 CIP Budget Narrative/Spending Workbook Private Schools Consultation and Participation List Enrollment Does the If yes, P All Private Schools (Number of private school check each NCLB Title program the Private School Contact R Within District students in want to private school will participate in Person/Administrator Boundaries (Also list each private participate in (may be different for each school) I private schools outside school living NCLB? V district boundaries who within district I-A II-A II-D III IV-A V-A enroll your students) boundaries) A Yes No T E

S C H O O L S

Section I

Add rows as needed. Link to Private School Information: http://www.ode.state.or.us/opportunities/grants/nclb/title_v/privschsumm.doc

2005-2006 CIP Budget Narrative/Spending Workbook B U D G E T

Section II N A R R A Budget Narrative/ T I V Spending Workbook E

Section II

2005-06 CONSOLIDATED REAP SPENDING District Name & Number: Date of Report:

County:

Name of Title Program Grant Allocation

Title I-A - Improving Basic Programs Operated by LEAs (do not include Title ID Neglected/Delinquent $0.00 allocations) Title I-A - Improving Basic Programs Operated by LEAs $0.00 CARRYOVER $0.00 Title I-C - Education of Migratory Children [consortium] Title I-D - Prevention and Intervention Programs for Children and Youth Who Are Neglected, Delinquent, or $0.00 at Risk Title III - Language Instruction for Limited English $0.00 Proficient and Immigrant Students [consortium] Perkins Basic (Title I) [consortium] $0.00

REAP-Flex Applicable Funding

Name of Title Program Grant Allocation

Title II-A - Preparing, Training, and Recruiting High $0.00 Quality Teachers and Principals

Title II-D - Enhancing Education Through Technology $0.00 $0.00 Title IV-A- Safe and Drug-Free Schools and Communities Title V-A - Promoting Informed Parental Choice and $0.00 Innovative Programs Available for REAP-Flex $0.00

2005-2006 CIP Budget Narrative/Spending Workbook Title I-A: Improving Basic Programs

Purpose: The purpose of Title I Part A is: To ensure that all children have a fair, equal, and significant opportunity to obtain a high-quality education and T reach at a minimum, proficiency on challenging Oregon academic achievement standards. Title I funding is to be I used to supplement district and school resources to ensure our most needy children receive a high quality education. T Title I-A Program Activities. List the key activities supported by Title I-A funds. Include key elements of any L Targeted Assistance Programs, Schoolwide Programs, extended day programs, and district-wide activities as outlined in Set-asides. E Add additional rows as needed. Budget Narrative

Activity and Purpose Title I-A Budgeted Amount I List key activities or strategies funded by By Function Code Title I-A. Add additional rows as needed. ($$ by Function Code) P A R T

Section II

2005- 06 TITLE I-A SET-ASIDES District Title I-A Set-Aside descriptions Funds in Reserve Describe the set-aside used to support District Administration. Including FTE, roles and responsibilities

Record approved 2005-06 Indirect Rate if taken. LEA Approved Rate for 2005-06______% Describe use of Salary Equalization, if applicable:

Describe the set-aside used to support Extended Time including before and after school, extended kindergarten, and summer school programs.

Describe the set-aside for services provided to Homeless students. This is a required set-aside, for information see link below:

Homeless Education - Title X Describe the set-aside to implement effective Parent/Family Involvement: (1% set-aside required for districts with allocations of more than $500,000)

Describe any set-aside for Professional Development to improve instruction in funded schools, AND the required Professional Development set-aside to ensure staff working in Title I-A funded programs meet Highly Qualified requirements. For information about this requirement see link below:

http://www.ode.state.or.us/opportunities/grants/nclb/applicationallocations/profdevsetaside.pdf If LEA has schools in School Improvement status, or schools that could be in school improvement status in 2005-06, describe the 20% set-aside to be reserved to implement public school choice and Supplemental Educational Services. Clarify if the LEA is using funds other than Title I-A funds.

See section J in the Public School ChoiceNon-Regulatory Guidance See section K in the Supplem ental Educational Services Non-Regulatory Guidance http://www.ed.gov/policy/elsec/guid/edpicks.jhtml?src=ln If the district is in District Im provem ent status, or could be in District improvement status in 2005-06, describe the professional development needs of the instructional staff serving the district. The required set-aside m ust be not less than 10% of district Title I-A allocation. The 10% may include funds reserved for professional developm ent in schools identified for school improvem ent.

Other: (Please describe any additional set-asides. E.G., pre-school programs, additional support for neglected and delinquent students) TOTAL SET-ASIDES $0.00

2005-06 TITLE I-A SET-ASIDES (continued)

TOTAL SET-ASIDES ( Enter the number from bottom of previous page) $0.00

Determining Funds Available for Distribution to Schools. Process: Funds:

A. Title I-A grant allocation for 2005-2006 $0.00 B. Total anticipated Title IA Carryover from 04-05 as of 9/30/05. (for information about Title I-A carryover and waivers see: http://www.ode.state.or.us/opportunities/grants/nclb/title_i/fiscal/carryoverwaiver.doc $0.00 Sub-Total $0.00 C. Subtract Total Set-Asides (above) $0.00 D. Funds Available to Schools. Enter this amount in Funds Available to Schools on next page. $0.00

TITLE I-A 2005-06 TARGETING PAGE

Complete LEA Totals: Provide information for ALL schools in the district whether or not they receive Title I-A funds. 3. Check all that apply:

1. Indicate total number of schools in district ______Less than 1000 enrolled in the district* (Must match total # of schools listed below) ______Same per child amount for all schools 2. Schools placed in rank order by: ______Varied per child amount in rank order ______grade span, OR ______without regard to grade span 4. Check here if applicable: _____ Serving schools below 35% Note: Schools at or above 75% Free/Reduced must be funded. must apply 125% Minimum per-child allocation rule** FUNDS AVAILABLE TO SCHOOLS: $0.00 (Type in Total from previous page) # Public # Private List ALL Public Schools in Schoolwide School School Public School District in Rank order by Enter (SWP) or Target Poverty Poverty Percent of School Private School Poverty. This must include Grade Assistance Total School Student Student Poverty Per Child Allocation Reserve public charter schools. Span (TAS) or Not Enrollment Count Count (col 4/col 3) Amount (col 7x col 4) (col 7x col 5) (1) (2) Funded (NF) (3) (4) (5) (6) (7) (8) (9) #DIV/0! $0.00 $0.00 $0.00

#DIV/0! $0.00 $0.00 $0.00 #DIV/0! $0.00 $0.00 $0.00 #DIV/0! $0.00 $0.00 $0.00 #DIV/0! $0.00 $0.00 $0.00 #DIV/0! $0.00 $0.00 $0.00 #DIV/0! $0.00 $0.00 $0.00 #DIV/0! $0.00 $0.00 $0.00 #DIV/0! $0.00 $0.00 $0.00 #DIV/0! $0.00 $0.00 $0.00 TOTAL 0 0 0 #DIV/0! $0.00 $0.00 $0.00 Insert additional rows as needed Note: In column 6 - once you begin to put figures in, the (#div?o!) will go away. Column 8 Total needs to match funds available to schools dollar amount * Districts w ith less than 1000 students and/or only one building per grade span must complete this page,but are not required to target particular schools for I(A) funding. **REMINDER: If the district average of povery is below 35% and the district places funds in any building w ith a povery rate below 35%, the district must apply the 125% rule to calculate per child minimum. When applying this rule the per-child allocation must be calculated on the total allocation, prior to removing set-asides. The district must fund any school w ith 75% or greater poverty.

TITLE I-A - Improving Basic Programs Operated by LEAs 2005-2006 SPENDING District Name & Number: Date of Report: Grant Allocation: $0 Transfer In: $0 Transfer Out: Grant Amount $0

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330 Student Transportation $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Services 340 Travel (Including Food) $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 350 Com m unication $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 360 Charter School Paym ents $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 370 Tuition $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 4XX Supplies and Materials $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 540 Capital Outlay - Depreciable $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Equipm ent 550 Capital Outlay - Technology $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 6XX Other Objects $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Other - Schoolw ide $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 690 Grant Indirect 0.00% $0 Charges @ Total by Function $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

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2005-2006 CIP Budget Narrative/Spending Workbook Title I-D Preventing and Intervention Programs for Children and Youth Who are Neglected, Delinquent, or at Risk,

Purpose: The purpose of Title I, Part D is: To improve educational services for children and youth in local institutions for neglected or delinquent children and youth, to provide the students with services to make a successful transition from institutionalization to further schooling or T employment and to prevent at-risk youth from dropping out of school. (This program page is only required I of districts who have a neglected, delinquent or at-risk facility within their district boundaries, and T receive a N & D allocation.) L E Title I-D program link http://www.ode.state.or.us/opportunities/grants/nclb/title_i/d_atriskchildren/guidance03_04.doc

List all activities funded, one activity per row. Add additional rows as needed. Budget Narrative I Title I-D Budgeted Amount Activity By Function Code D List key activities or strategies funded by ($$ by Function Code) Title I-D. Add additional rows as needed. (including necessary staff development)

Section II

TITLE I -D - Prevention and Intervention Programs for Children and 2005-2006 SPENDING District Name & Number: Date of Report: Grant Allocation: $0 Grant Amount after $0

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X i v m r 0 i 0 2 v 1 u t c t e d r r r r 1 X 3 3 2 2 d g s t y s n e d e 1 P 3 3 X o s s e n a A S u S I r 4 n ( t P T ( I P 2 Object S 111 Licensed Salaries $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 112 Classified Salaries $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 113 Adm inistrators Salaries $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 12X Substitute Salaries $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 130 Additional Salary $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2XX Benefits $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 310 Instructional, Professional and Technical Services $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 320 Property Services (Repairs and Maintenance Services) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 340 Travel (Including Food) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 350 Com m unication $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 360 Charter School Paym ents $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 370 Tuition $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 390 Other General Professional and Technical Services $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 4XX Supplies and Materials $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 540 Capital Outlay - Depreciable Equipm ent $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 550 Capital Outlay - Technology $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

690 Grant Indirect Charges @ 0.00% $0.00

Total by Function $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

2005-2006 CIP Budget Narrative/Spending Workbook Title VI-B: REAP Flex

Purpose: The purpose of REAP Flex is: To provide flexibility in the use of formula grant funds to assist efforts by rural districts to meet adequate yearly progress.

Link to Allowable Activities: For a complete list of allowable programs and activities, please click on htt://www.ed.gov/policy/elsec/guid/reap03guidance.doc R List and describe all activities funded. Use as much space as needed. NOTE: Under REAP Flex, a district may fund E activities authorized under a Title Program even if the district does not receive an allocation under the authorizing Title. A P Budget Narrative REAP Flex Budgeted Amount F By Function Code Activity ($$ by Function Code) L List key activities or strategies funded only with the REAP-Flex money. E (Do not include Title I-A, I-C , I-D, III or Perkins Basic funds on this Page.) (Only fill in rows that have REAP-Flex funded activities/strategies) X

Title IA (Improving Basic Programs)Activities/strategies:

Title IIA (Improving teacher Quality) Activities/Strategies:

Title IID (Educational Technology)Activities/Strategies: Section II

2005-2006 CIP Budget Narrative/Spending Workbook Title VI_B: REAP Flex (Continued)

Title III (Language Instruction for LEP Students)Activities/Strategies:

R E Title IVA (Safe and Drug-Free Schools) Activities/Strategies: A P

Title IVB (21st Century Community Learning Centers) Activities/Strategies: F L E X Title VA (Innovative Programs)Activities/Strategies:

Section II

Title VI -B REAP-Flex 2005-2006 SPENDING District Name & Number: Date of Report:

Available for REAP-Flex: $0

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Object T T 111 Licensed Salaries $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 112 Classified Salaries $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 113 Administrators Salaries $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 12X Substitute Salaries $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 130 Additional Salary $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2XX Benefits $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 3XX Purchased Services $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 4XX Supplies and Materials $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 5XX Capital Outlay (Equipment and Technology) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 690 Grant Indirect Charges @ 0.00% $0.00 Total by Authorizing Title $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

2005-2006 CIP Budget Narrative/Spending Workbook A D D S I T T A O T Section III N E A M L E N P T Additional Pages A G o E f S A S S U R A N Section C III E S

2005-2006 CIP Budget Narrative/Spending Workbook Section III Page 22 Statement of Assurances for NCLB and Perkins

Assurances form a binding agreement between the local district, the Oregon Department of Education, and the U.S. Department of Education that assures all legal requirements are met in accordance with state and federal laws, regulations, and rules. These assurances apply to program activities and expenditures of funds. Compliance to general and specific S program assurances is the legal responsibility of the local district under the authorization of the local board of T education and the direction of the superintendent. A T E M The District certifies the following statements: E 1. The District understands and will comply with the provisions, regulations and rules of the No Child Left Behind Act (NCLB 2001) N and Carl Perkins Vocational and Applied Technology Act of 1998. T 2. The District will use federal funds to supplement the district’s existing programs and will not use federal funds to supplant existing or reduced general or other funds. O 3. The District will provide, on request, other data as required. F 4. The District completed the Continuous Improvement Plan with team planning and input from teachers, principals, program administrators, parents, community, and other required participants. A 5. The District understands and will comply with all applicable assurances for Federal Grant Funds. Note: These assurances can be S found on the Oregon Department of Education website at S http://www.ode.state.or.us/opportunities/grants/nclb/applicationallocations/assurances03_04.doc U R A Applicant Address: Authorized Representative: N (School District Name, Number and Mailing Address): C

(Name of Superintendent or Designee) E S

, OR Signature of Superintendent or Designee F Telephone: Ext. O R County: Date Signed I D E A

2005-2006 CIP Budget Narrative/Spending Workbook Statement of Assurances for IDEA Section Page 23 III Exhibit A

OREGON DEPARTMENT OF EDUCATION Office of Special Education Public Service Building 255 Capitol Street NE Salem, Oregon 97310-0203 To be completed annually by ALL SCHOOL DISTRICTS, ESDs/CONSORTIUM MANAGERS Project Duration: July 1, 2005-December 31, 2006 ASSURANCES (Updated Spring 2003) Due: May 16, 2005 This Assurances form must be completed and signed by an authorized representative of each and every school district, contractor, agency, consortium manager and consortium member district that receives federal funds for special education. If applicable, all signed consortium member Assurances forms should be submitted with the Consortium Application. Originals of the district-signed Assurances form must be submitted with consortium applications. In general, only one signed Assurances form is required from each school district. Each school district, contractor, agency, consortium manager and consortium member district should carefully read and review the IDEA Statute and Regulations related to this Assurances form.

I certify that the following assurances are currently met by the school district, contractor, agency, consortium manager or consortium member district identified below (hereinafter referred to as the “Agency” or the “Applicant”):

Assurances Regarding Implementation of the Requirements during Federall alllal year 2004- fiscal year 2005-06. The Applicant identified below, through its duly authorized representative, hereby assures and certifies that throughout the planning, management and completion of the projects, grants period of the grant award and at all times while this Contract is and programs covered by this Contract. in effect, it will comply with (as they may be amended from time to time), all applicable federal, state and local laws, 2. With respect to Federal funds received by Applicant regulations, ordinances, executive orders, administrative rules under this Contract, will comply with the cost principles and directives, including without limitation: the Individuals with determined in accordance with the provisions of OMB Circular Disabilities Education Act (IDEA), especially Parts A, B, and C (20 A-87, “Cost Principles for State, Local and Indian Tribal U.S.C. §§ 1400 et seq.); the General Education Provisions Act Governments,” and the cost- related provisions in 34 CFR Part (GEPA) (20 U.S.C. §§ 1221 et seq.); OMB Circulars A-87 and A- 76. 133; all regulations and administrative rules established pursuant to the foregoing, especially the Education Department 3. Will maintain and will permit the Department, the General Administrative Regulations (EDGAR), especially Parts 76, Oregon Secretary of State’s Audit Division, the Oregon 80, 82 and 300-303; all applicable Oregon Revised Statutes; and Department of Justice and the Comptroller General of the United all applicable Oregon Administrative Rules. States through any authorized representative, access to and the right to examine and audit all records, books, papers or Without limitation, Applicant assures and certifies that it: documents related to the awards or programs, to satisfy audit and program evaluation purposes and for all other lawful purposes; 1. Has the legal authority to apply for and receive funds, will establish a proper accounting system in accordance with including federal and state funds, under the grants and generally accepted accounting standards and directives of the programs covered by this Contract, and the institutional, Federal awarding agencies; and will cause to be performed the managerial and financial capability (including funds sufficient required financial and compliance audits in accordance with the to pay the non-federal share of project cost) to ensure proper Single Audit Act Amendments of 1996 and OMB Circular No. A-133, Page 24 “Audits of States, Local Governments, and Non-Profit 7. Will initiate and complete the work within the Organizations,” and in accordance with 34 CFR §80.42 applicable time frame after receipt of approval of the awarding agency. 4. Will not permit any person or entity to receive grant or program funds if the person or entity is listed on the non- 8. Will comply with the Intergovernmental Personnel procurement portion of the General Service Administration’s list Act of 1970 (42 U.S.C. §§4728-4763) relating to of parties excluded from federal procurement or non-procurement prescribed standards for merit systems for programs programs in accordance with Executive Order No. 12,549 and S funded under one of the 19 statutes or regulations Executive Order No. 12,689 of the President of the United States. T specified in Appendix A of OPM’s Standards for a Merit A System of Personnel Administration (5 C.F.R. 900, 5. Will comply with the following: T Subpart F). E A. No federal appropriated funds have been paid or will be 9. Will comply with all federal, state and local laws, paid, by or on behalf of applicant, to any person for influencing or M regulations, executive orders, ordinances, attempting to influence an officer or employee of any agency, a E administrative rules and directives relating to Member of Congress, an officer or employee of Congress, or any N nondiscrimination. These include but are not limited employee of a Member of Congress in connection with the T to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88- awarding of any federal contract, the making of any federal 352) which prohibits discrimination on the basis of race, grant, the making of any federal loan, the entering into of any color or national origin; (b) Title IX of the Education cooperative agreement, and the extension, continuation, O Amendments of 1972, as amended (20 u. S. C. §§1681- renewal, amendment, or modification of any federal contract, F 1683, and 1685-1686), which prohibits discrimination on grant, loan, or cooperative agreement. the basis of sex; (c) Section 504 of the Rehabilitation A Act of 1973, as amended (29 U. S. C. §794), which B. If any funds other than federal appropriated funds have S prohibits discrimination on the basis of handicaps; (d) been paid or will be paid to any person for influencing or the Age Discrimination Act of 1975, as amended (42 U. attempting to influence an officer or employee of any agency, or S S. C. §§6101-6107), which prohibits discrimination on a Member of Congress, an officer or employee of Congress, or an U the basis of age; (e) the Drug Abuse Office and employee of a Member of Congress in connection with this federal R Treatment Act of 1972 (P.L. 92-255), as amended,, contract, grant, loan, or cooperative agreement, Applicant shall A relating to nondiscrimination on the basis of drug complete and submit Standard Form-LLL, entitled “Disclosure abuse; (f) the Comprehensive Alcohol Abuse and Form to Report Lobbying,” in accordance with its instructions. N Alcoholism Prevention, Treatment and Rehabilitation C Act of 1970 (P.L. 91-616), as amended, relating to C. This certification is a material representation of fact upon E nondiscrimination on the basis of alcohol abuse or which reliance was placed when this transaction was made or S alcoholism; (g) §§523 snf 527 of the Public Health entered into. Submission of this certification is a prerequisite for Service Act of 1912 (42 U.S.C §§290 dd-3 and 290 ee-3), making or entering into this transaction imposed by 31 USC as amended, relating to confidentiality of alcohol and section 1352. Any person who fails to file the required F drug abuse patient records; (h) Title VIII of the Civil certification shall be subject to a civil penalty of not less than O Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as $10,000 and not more than $100,000 for each such failure. R amended, relating to nondiscrimination in the sale, rental, or financing of housing; (i) Executive Order No. D. The lobbying provisions of 34 CFR Part 82. I 11246 as amended by Executive Order No. 11375 of the President of the United States, and Executive Order No. E. Applicant shall require certification of the D 12086 of the President of the United States, as foregoing from all recipients of grant or program funds by E supplemented by Department of labor regulations set including it in and requiring that it be included in all A forth in 41 CFR Part 60: (j) The Vietnam Era Veteran’s contracts pursuant to which grant or program funds are Readjustment Act of 1974, as amended (38 U.S.C paid. §§4212 et seq.), which prohibits discrimination against and preserves employment opportunities and creates 6. Will establish safeguards to prohibit employees job training programs for Vietnam War veterans; (k) from using their positions for a purpose that constitutes or The Americans with Disabilities Act of 1990 (42 presents the appearance of personal or organizational U.S.C§§12131 et seq.), which protects qualified persons conflict of interest, or personal gain. with disabilities from discrimination in employment Section opportunities and imposes requirements for III Page 25 S construction, remodeling, maintenance and operation with EO 11988; (e) assurance of project consistency S of structures and facilities; (l) ORS Chapter 659, as with the approved state management program T T amended; (m) any other nondiscrimination provisions developed under the Coastal Zone Management Act of A A in the specific statute(s) under which application for 1972 (16 U.S.C §§1451 et seq.); (f) conformity of T federal assistance is being made; and, (n) the federal actions to state (Clean Air) Implementation T E requirements of any other nondiscrimination laws, Plans under Section 176(c) of the Clean Air Act of 1955, E regulations, executive orders or ordinances which may as amended (42 U.S.C. §§7401 et seq.); (g) protection M M apply to Applicant or the award or programs. of underground sources of drinking water under the E E Safe Drinking Water Act of 1974, as amended (P.L. 93- N 10. Will comply, or has already complied, with the 523); (h) protection of endangered species under the N T requirements of Titles II and III of the Uniform Relocation Endangered Species Act of 1973, as amended (P.L. 93- T Assistance and Real Property Acquisition Policies Act of 1970 205); and (i) the Federal Water Pollution Control Act, (P.L. 91-646) which provide for fair and equitable treatment of as amended (33 U.S.C. §§1251 et seq.). o O persons displaced or whose property is acquired as a result of f federal or federally-assisted programs. These requirements 15. Will comply with all applicable mandatory F apply to all interests in real property acquired for project standards and policies that relate to resource A purposes regardless of federal participation in purchases. conservation and recovery pursuant to the Resource A S Conservation and Recovery Act (codified at 42 U.S.C. S 11. Will comply, as applicable, with the provisions §§6901 et seq.) Section 6002 of that Act (codified at 42 S S of the Hatch Act (5 U.S.C. §§1501-1508 and 7324-7326) U.S.C §§6962) requires that preference be given in U U which limit the political activities of employees whose procurement programs to the purchase of specific R principal employment activities are funded in whole or products containing recycled materials identified in R A in part with federal funds, unless exempt by the Hatch guidelines developed by the Environmental Protection A N Act exclusion for individuals employed by an Agency. Current guidelines are set forth in 40 CFR N educational or research institution, establishment, Parts 247-253 C C agency, or system which is supported in whole or in E E part by a state or political subdivision thereof, or by a 16. Will comply with the Wild and Scenic Rivers Act S recognized religious, philanthropic, or cultural of 1968 (16 U.S.C §§1271 et seq.) related to protecting S organization, as provided in 5 U.S.C. §1501(4) (B). components or potential components of the national wild and scenic rivers system. F F 12. Will comply, as applicable, with the provisions O O of the Davis-Bacon Act (40 U.S.C. §§276a to 276a-7), 17. Will assist the awarding agency in assuring compliance with R the Copeland Act (40 U.S.C. §276c and 18 U.S.C. §874), Section 106 of the National Historic Preservation Act of 1966, as R and the Contract Work Hours and Safety Standards Act amended (16 U.S.C §470), EO 11593 (identification and protection I (40 U.S.C. §§327-333), regarding labor standards for of historic properties), and the Archaeological and Historic I federally-assisted construction sub agreements. Preservation Act of 1974 (16 U.S.C §§469a-1 et seq.). D D E E 13. Will comply, if applicable, with flood insurance 18. Will comply with P.L. 93-348 regarding the protection of A purchase requirements of Section 102(a) of the Flood human subjects involved in research, development, and related A Disaster Protection Act of 1973 (PL 93-234), which activities supported by this award of assistance. requires recipients in a special flood hazard area to participate in the program and to purchase flood 19. Will comply with the Laboratory Animal Welfare Act of 1966 insurance if the total cost of insurable construction and (P.L. 89-544, as amended, 7 U.S.C. §§2131 et seq.) pertaining to acquisition is $10,000 or more. the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award Section 14. Will comply with environmental standards which of assistance. Section I may be prescribed pursuant to the following: (a) III institution of environmental quality control measures 20. Will comply with the Lead-Based Paint Poisoning Prevention under the National Environmental Policy Act of 1969 Act (42 U.S.C. §§4801 et seq,) which prohibits the use of lead-based (P.L. 91-190) and Executive Order (EO) 11514; (b) paint in construction or rehabilitation of residence structures. notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) 21. Will maintain a current copy of Applicant’s applicable policies evaluation of flood hazards in floodplains in accordance and procedures on file with the Department, including without Page 26 limitation Applicant’s special education policies and procedures, H. If a human subject is used in a research project, S and Applicant will submit to the Department all proposed and final that person will be protected from physical, psychological, or T changes to the policies or procedures. social injury resulting from the project. A 22. Will comply with the provisions of the Pro-Children Act of I. If animals are used in a project, the animals will T 1994 (20 U.S.C. §§6081 et seq.), which prohibits smoking in be provided proper care and humane treatment in accordance E facilities used for education. with the Animal Welfare Act of 1970. M S E 23. Will comply with the applicable requirements of the J. The agency will comply with any federal health or N federal Health Insurance Portability and Accountability Act of T safety requirements that apply to the facilities used for a 1996 (HIPPA) (42U.S.C. §§1320d et seq.) and the implementing A project. T regulations, 45 CFR 160, which relate to health information T privacy and security and the transmission of such information E K. Applicant will administer each program and o M project in accordance with and will comply with the state plan, f 24 Will comply with the following additional requirements in the Department State Application and all applicable statutes, accordance with GEPA (12 U.S.C. §§1232e and 1232f) and EDGAR E regulations, rules, program plans and applications and will (34 CFR Parts 76 (especially Subparts F and G), 80, 82 and 300- N control and use federal funds in accordance with those statutes, A 303): T regulations, rules, plans, and applications. S S A. All applications, evaluations, periodic program plans, and O L. Applicant will use fiscal control and accounting U reports relating to each program will be available for public procedures that ensure proper disbursement of and accounting R inspection. F for federal funds. A B. No grant funds will be used for the acquisition of real A M. Applicant will obligate funds in accordance with the N property or for construction unless specifically permitted by the S timing and other requirements of 34 CFR Part 76, Subpart G. C authorizing statute or implementing regulations for the program. E S N. Applicant will furnish reports that the Department C. No grant funds will be used in violation of the U requests or that may reasonably be necessary for the S prohibitions against use of such funds for religious worship, R Department to carry out its responsibilities under the program, instruction, or proselytization. A and will furnish all annual and other reports required by F N applicable laws and regulations. O D. Tuition and fees collected from students will not be R counted toward meeting matching, cost sharing, or maintenance C O. Applicant will keep records that fully show: (1) the of effort requirements of the program E amount of funds; (2) how the funds are used; (3) the total cost S of the project; (4) the share of that cost provided from other I E. Applicant will cooperate in any evaluation of sources; and (5) other records to facilitate an effective audit. D the program by the Secretary of the United States Department F E of Education. P. Applicant will keep records to show its compliance A O with program requirements. F. Applicant has consulted and will continue to R consult with appropriate representatives of students enrolled in Q. Records will be retained for three years after private schools during all phases of the development and design I completion of the projects and Work covered by this Contract of the project covered by the application, specifically including: D and access will be provided as deemed necessary by the (1) which children will receive benefits; (2) how the children’s Department or the United States Department of Education. Section needs will be identified; (3) what benefits will be provided; (4) E how the benefits will be provided; and (5) how the project will A R. Applicant will comply with the protection of the I be evaluated. rights and privacy of parents and students in accordance with GEPA, the Family Educational Rights and Privacy Act of 1974, (20

G. Students in private schools will have an U.S.C. §1232g) and 34 CFR Part 99. established place and time during the regular school day to receive benefits under the program. S. Reasonable opportunities have been and will continue to be provided for the participation of teachers, Section Page 27 III parents, and other interested agencies, organizations, and S individuals in the planning for and operation of each program. T A T. In the case of any project involving construction: T E (1) The project is not and will not be inconsistent M with overall state plans for the construction of school E facilities, and N (2) In developing plans for construction, due T consideration will be given to excellence of architecture and design and to compliance with standards prescribed by the O Secretary (of Education) under Section 504 of the F Rehabilitation Act of 1973 (29 U.S.C. §794]) in order to ensure that facilities constructed with the use of federal funds are accessible to and usable by handicapped individuals. A S U. Effective procedures have been adopted for S acquiring and disseminating to teachers and administrators U participating in each program significant information from R educational research, demonstrations, and similar projects, and for adopting, where appropriate, promising educational A practices developed through such projects. N C V. None of the funds will be used to acquire E equipment (including computer software) in any instance in which such acquisition results in a direct financial benefit to S any organization representing the interests of the purchasing entity or its employees or any affiliate of such an organization. F O 25. Will comply with all applicable requirements of all of the R foregoing and all other federal, state and local laws, regulations, ordinances, executive orders, administrative rules and directives applicable to the grants, awards, programs and I Work covered by this Contract D E A

Section III

New “The recipient of grant funds, pursuant to this agreement with the State of Oregon, shall S assume sole liability for recipient’s breach of the conditions of the grant, and shall, upon T recipient’s breach of grant condition that causes or requires the State of Oregon to return A funds to the grantor, hold harmless and indemnify the State of Oregon for an amount equal T to the funds which the State of Oregon is required to pay to grantor.” E M E N  A signed copy of this Assurances form must be submitted for each submitting school district, contractor, T or agency OR  In the case of a consortium, a signed copy of this Assurances form must be submitted for each O consortium manager and each consortium member district. F

SIGNATURE: (Required) A S S (Agency Name) (4 Digit Institution ID) U I have read the assurances in this form and certify that they are and will be met and complied with by R the contracting agency. A (Signature of Authorized Representative) (Date) N C E S

I D E A

Section III

2005-2006 CIP Budget Narrative/Spending Workbook CONSORTIUM INFORMATION PAGE

LEAs submitting the CIP Budget Narrative only for themselves do not complete this Consortium Information page. Consortium C managers must complete this page and indicate each member district or agency of the consortium. O N  IDEA: Districts are required to be a member of a consortium when the district grant is less than $7,500.00. By completing this form, LEAs and consortium leads fulfill IDEA consortium requirements. S O  Perkins: R  Districts are REQUIRED to be a member of a consortium when the district’s local formula allocation is less than T $15,000.00.  If the district has been releasing their total Perkins local eligibility to a Regional Consortium or Alliance, they may I continue to do so, and the Regional Consortium/Alliance manager will complete the Perkins portion of the Consolidated U Federal Funding Application on your behalf. M  Title IC and Title III consortium leads also need to fill out this form and LEAs sign certification of membership To be completed by the consortium manager I Agency/Consortium Lead______N F Contact Person______Phone: (_____)______Area Code O Title Title IDEA Perkins Participating Consortium Districts 4 Digit Name of Program 1C III Institution ID Director(s) 1

2 3 4 5 Section 6 III 7 8 9 10

2005-2006 CIP Budget Narrative/Spending Workbook Title I - C Certification of Consortium Membership

Name of Consortium Lead/Fiscal Agency: T Contact Name and Phone Number: I Address: T

TL This section to be filled in by the DISTRICT authorized representative. EI CERTIFICATION OF MEMBERSHIP T LI I hereby certify that the School District: CE 1. authorizes the above named Consortium Lead as fiscal agent for funds to support services to Consortium members C and III 2. has participated in the development and approval of the Title I-C Consortium activities. O CN OS ON R Applicant Address: Authorized Representative: S (School District Name, Number and Mailing Address): OT RI (Name of Superintendent or Designee) U T M , OR I Signature of Superintendent or Designee Telephone: Ext. U M County: Date Signed

If participating in a consortium, complete only this page for Title I-C and send a copy to your consortium lead. Section III 2005-2006 CIP Budget Narrative/Spending Workbook Title III Certification of Consortium Membership Section III Name of Consortium Lead/Fiscal Agency: Page 31 Contact Name and Phone Number: Address:

P This section to be filled in by the DISTRICT authorized representative. E R CERTIFICATION OF MEMBERSHIP K I hereby certify that the School District: I N 1. has a projected Title III allocation of $ ______, 2. authorizes the above named Consortium Lead as fiscal agent for these funds to support services to Consortium members S and 3. has participated in the development and approval of the Title III Consortium activities. B A S I Applicant Address: Authorized Representative: (School District Name, Number and Mailing C Address): (Name of Superintendent or Designee) C O

Signature of Superintendent or Designee N , OR S Telephone: Ext. Date Signed O County: R If participating in a consortium, complete only this page for Title III and send a copy to your consortium lead. T I U M 2005-2006 CIP Budget Narrative/Spending Workbook

Perkins Basic (Title I) Certification of Consortium/Alliance Membership

Name of Consortium/Alliance Lead: Section III Page 32 Contact Name and Phone Number: Address:

If your district is releasing your total Perkins local eligibility to a Regional Perkins Consortium/Alliance, complete only this page for your part of the Region’s Perkins Basic (Title I) application and send a copy to the Consortium/ Alliance Lead. C E This section to be filled in by the DISTRICT authorized representative. R CERTIFICATION OF MEMBERSHIP T I I hereby certify that the School District: F 1. has a projected Perkins Basic (Title I) allocation of $ ______, I 2. authorizes the above named Consortium/Alliance Lead as fiscal agent for these funds to support services to C Consortium/Alliance members and A 3. has participated in the development and approval of the Perkins Basic (Title I) Consortium/Alliance activities. T E Applicant Address: Authorized Representative: (School District Name, Number and Mailing o Address): f (Name of Superintendent or Designee)

C Signature of Superintendent or Designee , OR O M Telephone: Ext. Date Signed P County: L I A N 2005-2006 CIP Budget Narrative/Spending Workbook Certification of Compliance C E School Prayer Title IX section 9524

Section Page 33 III As a condition of receiving funds under this Act, the district stated below certifies in writing to the Oregon Department of Education, that no policy of the district prevents, or otherwise denies participation in, constitutionally protected prayer in public elementary and secondary schools as detailed in February 7, 2003 guidance by the US Department of Education.

In accordance with this provision in No Child Left Behind, as superintendent of

in (Name of district ) (County)

I certify under penalty of the law, that this district has no policy that prevents, or otherwise denies participation in, constitutionally protected prayer in public elementary and secondary schools as detailed in the constitutionally I protected school prayer guidance provided by the U.S. Department of Education, which I have reviewed. D

______Signature of Superintendent Date E

A The guidance concerning school prayer can be found at http://www.ed.gov/policy/gen/guid/religionandschools/prayer_guidance.html

Office of Special Education SURVEY OF TRAINING PRIORITIES Comprehensive System of Personnel Development (CSPD)

The CSPD is responsible for ensuring an adequate supply of qualified personnel to serve children and youth with disabilities in Oregon public schools. Oregon’s Continuous Improvement Monitoring Process (CIMP) strategies focus on improving results for students and support the state’s Performance Goals and Indicators which are (1) Increase Performance of Students with Disabilities on Assessments, (2) Decrease Drop-Out Rates of Students with Disabilities, and (3) Increase Graduation Rates of Students with Disabilities. Based on these Goals and Indicators and your district’s/program’s priorities mark the level of importance the state should consider for training on each topic below (you may elaborate on your specific training needs). The results of this survey will be used in planning CSPD activities for the coming year. Section III Page 34 Low High Low High 1 2 3 4 Procedural Safeguards 1 2 3 4 IEP Development For Students Not A Alternative Dispute Resolution K Yet of Transition Age Federal/State Regulations For Students of B L (IDEA Reauthorization/NCLB) Transition Age Specify Needs: Specify Needs:

1 2 3 4 Recruitment and Retention 1 2 3 4 Accountability (SPR/I) Data C Recruiting Service Providers M Collection/Interpre tation Retaining/Mentoring Service Improvement D N Providers Planning E Training Paraprofessionals Specify Needs: Specify Needs:

1 2 3 4 Parent Information Statewide I 1 2 3 4 Assessment System Selecting Test F Parent Training O D Options Relating Parent Involvement in Decision G P Instruction to Making Results E Specify Needs: Specify Needs:

1 2 3 4 Youth Information Effective A 1 2 3 4 Practices Specific H Self Determination/Advocacy Q Disabilities (identify below) Youth Involvement in Decision Reading I R Making Strategies Diversity/Cultural J Interagency Collaboration S Issues Specify Needs: T Team Building Specify Needs:

Pick your top five priority areas from the list above. Place one letter in each box: (Highest, next highest, etc.) What additional priorities does your district have for professional development? Section Page 35 III Special Education Required Systems Performance (Agency Name) (4 Digit Institution ID) Review &

Improvement (Signature of Authorized Official) (Date) Improvement Plan Progress Report 2005-2006 Required for all Districts/Programs In the following counties:

 Clackamas  Columbia  Coos/Curry  Clatsop  Douglas  Wasco I  Linn  Hood River  Benton  Malheur D  Lincoln  Multnomah  Tillamook  Klamath  Union  Josephine E  Baker  Jackson  Jefferson  Umatilla/Morrow A  Wallowa  Washington

DUE MAY 16, 2005

Section III Page 36 (Agency Name) (Institution ID)

Office of Special OREGON DEPARTMENT OF EDUCATION Education Public Service Building 255 Capitol Street NE Salem, Oregon 97310-0203 Special Education Improvement Plan Progress Report District: Reporting Date: d e d t d e n t e t e n n e m e e m l

m Identify Any e p l e

Improvement Plan Goals l p m p I Evidence of Efforts Current Evidence of Change Technical

& Supporting Objectives/Strategies y I l l

y (Activities/Data sources) (Expected outcomes) Assistance t l a l i (Indicate if revised) o t u r

N Needed F a P

NI PI FI Improvement Plan Goal:

Objectives/Strategies:

(Copy page as necessary.)

ODE Title Program Contact Information

Office of Education Improvement and Innovation Support To Districts Team (503) 378-3600 e-mail Extension Helen Maguire Director [email protected] 4504 Kayla Barstad Administrative Specialist [email protected] 2308

CIP Budget Narrative/Spending Workbook Questions Janet Bubl, Education Program Specialist [email protected] 2710

Title I-A Improving Basic Programs (503) 378-3600 e-mail Extension Carla Wade, Education Program Specialist [email protected] 2283 Judy Clark-Guida, Distinguished Educator [email protected] 2730 Vikki Ricks, Education Program Specialist [email protected] 2347 Ardeen Sykes, Education Program Specialist [email protected] 2720 Title I-C Education of Migratory Children (503) 378-3600 e-mail Extension Charlie Benitez, Education Program Specialist [email protected] 2706 Title I-D Prevention and Intervention Programs for Children and Youth Who are Neglected, Delinquent, or at Risk (503) 378-3600 e-mail Extension Ardeen Sykes, Education Program Specialist [email protected] 2720 Page 38 Title II-A Preparing, Training and Recruiting High Quality Teachers and Principals (503) 378-3600 e-mail Extension Bev Pratt, Education Program Specialist [email protected] 2218 Title II-D Enhancing Education Through Technology (503) 378-3600 e-mail Extension Carla Wade, Education Program Specialist [email protected] 2283 Title III Language Instruction for Limited English Proficient and Immigrant Students (503) 378-3600 e-mail Extension Carmen West, Program Education Specialist [email protected] 2716 Title IV-A Safe and Drug-Free Schools and Communities (503) 378-3600 e-mail Extension John Lenssen, Education Program Specialist [email protected] 2709 Brad Victor, Education Program Specialist [email protected] 2712 Title V-A Promoting Informed Parental Choices and Innovative Programs (503) 378-3600 e-mail Extension Ardeen Sykes, Education Program Specialist [email protected] 2720 Title VI-B Rural and Low-Income School Program (503) 378-3600 e-mail Extension Janet Bubl, Education Program Specialist [email protected] 2710 Title X McKinney-Vento- Homeless Education Dona Bolt, Homeless Education Program Specialist [email protected] 2727 Perkins Basic Perkins Professional Technical Education Basic (503) 378-3600 e-mail Extension Jim Schoelkopf, Education Program Specialist [email protected] 2227