State Agency Template

State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

COLUMNS 7 & 8 AUTOMATICALLY POPULATE FOR THE ISP, ONLY USE COLUMN 5 OR 6 FOR PARTICIPATING CEP SCHOOLS ONLY (Only Mark One) FOR NEAR-ELIGIBLE, ELIGIBLE, AND (Only One Column Should Be Marked per School) PARTICIPATING CEP SCHOOLS ONLY

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Proxy Participating as part Participating as Participating in Year 4 Student Enrollment in Near-Eligible, Identified Student Percentage Currently Participating as an LEA ID LEA Name School ID School Name Identified Student Eligible to Participate Near Eligible to Participate of a Group of Part of an Entire and Eligible for a Eligible, and Participating CEP Comments (ISP) Participating Individual Site Percentage (ISP) Schools District Grace Year Schools

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 000139 Alliance Academy 00000139 Alliance Academy of Cincinnati 68.01% X X G1 572

000296 Summit Academy Columbus 00000296 Summit Academy Columbus 57.50% X X G1 40

000297 Summit Academy Dayton 00000297 Summit Academy Dayton 50.34% X X G1 145

000298 Summit Academy Secondary - Akron 00000298 Summit Academy High School Akron 43.55% X X G1 62

000300 Summit Academy Secondary - Canton 00000300 Summit Academy Secondary - Canton 41.46% X X G1 82

000301 Summit Academy - Toledo 00000301 Summit Academy - Toledo 64.06% X X G1 64

000302 Summit Academy Secondary School-Parma 00000302 Summit Academy Secondary School-Parma 44.62% X X G1 186

000303 Summit Academy High School Youngstown 00000303 Summit Academy High School Youngstown 65.54% X X G1 148

000305 Summit Academy Community School-Warren 00000305 Summit Academy Community School-Warren 74.07% X X G1 108

000306 Summit Academy Cincinnati 00000306 Summit Academy Cincinnati 59.34% X X I 91

000319 Constellation Schools Madison Community 00000319 Madison Community School 65.16% X X I 244

000320 Constellation Schools: Lorain Community Middle00000320 School Lorain Community Middle School 54.62% X X G1 130

000338 Horizon SCI Academy 00000338 Horizon Science Academy Toledo 58.46% X X G1 532

000442 Manchester Local SD 00000450 Manchester High School 33.60% X X G1 378

000442 Manchester Local SD 00000451 Manchester Elementary School 47.29% X X G1 480

000509 Whitehall Prepartory and Fitness Academy 00000509 Whitehall Prepartory and Fitness Academy 63.11% X X G1 244

000510 Springfield Preparatory and Fitness Academy 00000510 Springfield Preparatory and Fitness Academy 77.06% X X G1 170

000511 Northland Preparatory and Fitness Academy 00000511 Northland Preparatory and Fitness Academy 63.93% X X G1 305

000527 Cleveland Academy for Scholarship Technology 00000527and Leadership Cleveland Acad for Scholarship Tech Leadership 100.00% X X G1 77

000527 Cleveland Academy for Scholarship Technology 20000527and Leadership Castle High School (Annex) 58.23% X X G1 79

000527 Cleveland Academy for Scholarship Technology 30000527and Leadership CASTLE Annex 2 51.43% X X G1 70

000534 Constellation Schools: Puritas Community Middle00000534 Puritas Community Middle 41.22% X X I 131

000546 Winterfield Venture Academy 00000546 Winterfield Venture Academy 60.74% X X G1 517

000559 Orion Academy 00000559 Orion Academy 69.64% X X I 471

000560 Apex Academy 00000560 Apex Academy 73.73% X X G1 472

000575 Hope Academy Northwest Campus 00000575 Hope Academy Northwest Campus 73.73% X X G1 217

000577 Emerson Academy 00000577 Emerson Academy 64.87% X X G1 612

000609 Summit Academy School - Lorain 00000609 Summit Academy Middle School - Lorain 73.33% X X G1 90 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

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LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 000610 Summit Academy Middle School Columbus 00000610 Summit Academy Middle School Columbus 43.48% X X G1 46

000613 Heir Force Community School 00000613 Heir Force Community School 51.85% X X G1 108

000613 Heir Force Community School 20000613 Heir Force Community School Annex 48.03% X X G1 127

000614 Summit Academy Transition High School-Columbus00000614 Summit Acad Transition High Sch-Columbus 41.38% X X G1 58

000616 Summit Academy Middle School - Warren 00000616 Summit Academy Middle School - Warren 56.32% X X G1 87

000621 Summit Academy Transition High School -Dayton00000621 Summit Academy Transition High School -Dayton 44.93% X X I 138

000623 Summit Academy Middle School - Youngstown 00000623 Summit Academy Middle School - Youngstown 83.05% X X G1 177

000629 Summit Academy Community 00000629 Summit Academy Community School - Painesville 56.72% X X G1 67

000664 Life Skills Center of Columbus Southeast 00000664 Life Skills Center of Columbus Southeast 40.91% X X G1 110

000677 New Day Academy Boarding & Day School 00000677 New Day Academy Boarding & Day School 58.57% X X G1 140

000725 Zenith Academy 00000725 Zenith Academy 67.38% X X G1 610

000736 WINGS Academy 1 00000736 Wings Academy 1 99.08% X X G1 218

000779 Educational Academy for Boys & Girls 200058832 Educational Academy for Boys and Girls Annex 41.13% X X G1 124

000780 Midnimo Cross Cultural Community School 00000780 Midnimo Cross Cultural Community School 62.39% X X G1 117

000804 Horizon Science Academy-Cincinnati 00000804 Horizon Science Academy-Cincinnati 64.81% X X G1 324

000808 Horizon Science Academy-Dayton 00000808 Horizon Science Academy-Dayton 60.76% X X I 158

000813 Life Skills Center of Dayton 00000813 Life Skills Center of Dayton 41.96% X X G1 112

000825 Horizon Science Academy - Springfield 00000825 Horizon Science Academy-Springfield 63.66% X X G1 355

000838 Horizon Science Academy-Denison Middle School00000838 Horizon Science-Denison Middle 62.59% X X G1 286

000843 Bennett Venture Academy 00000843 Bennett Venture Academy 51.81% X X G1 664

000855 Stambaugh Charter Academy 00000855 Stambaugh Charter Academy 86.70% X X G1 421

000875 Westside Academy 00000875 Westside Academy 60.27% X X I 219

000905 Interactive Media & Construction 200001402 Interactive Media & Construction 79.55% X X G1 44

000938 East Bridge Academy of Excellence 00000938 East Bridge Academy of Excellence 69.44% X X I 72

000941 Par Excellence Academy 00000941 Par Excellence 44.79% X X G1 317

000951 Toledo Preparatory and Fitness Academy 00000951 Toledo Preparatory and Fitness Academy 68.67% X X G1 166

000952 Columbus Preparatory and Fitness Academy 00000952 Columbus Preparatory and Fitness Academy 54.24% X X G1 330

000953 Mt. Healthy Preparatory and Fitness Academy 00000953 Cincinnati Preparatory and Fitness Academy 54.44% X X G1 259

007984 Youngstown Academy of Excellence 00007984 Youngstown Academy of Excellence 82.44% X X G1 131

007995 Cleveland Arts and Social Sciences Academy 00007995 Cleveland Arts and Social Sciences Academy 68.34% X X G1 259

008000 Lorain Preparatory Academy 00008000 Mansfield Prep Academy 62.36% X X G1 518

008063 Life Skills Center of North Akron 00008063 Life Skills Center of North Akron 55.45% X X G1 101

008064 Monroe Preparatory Academy 00008064 Monroe Preparatory Academy 69.83% X X G1 116

008281 South Scioto Academy 00008281 South Scioto Academy 77.78% X X I 180

008282 Life Skills Center of Columbus North 00008282 Life Skills Center of Columbus North 36.63% X X G1 101

008286 Harvard Ave Community School 00008286 Harvard Ave Community School 74.20% X X G1 345

008287 Groveport Community School 00008287 Groveport Community School 43.31% X X G1 755

009122 Columbus Collegiate Academy 00009122 Columbus Collegiate Academy 50.42% X X G1 240

009148 Zanesville Community School 00009148 Zanesville Community School 63.83% X X G1 94

009149 Westside Community School of the Arts 00009149 Westside Community School of the Arts 54.00% X X G1 350 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

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LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 009164 Central Academy of Ohio 00009164 Central Academy of Ohio 57.50% X X G1 120

009171 Star Academy of Toledo 00009171 Star Academy of Toledo 59.61% X X G1 203

009181 Clay Avenue Community School 00009181 Clay Avenue Community School 80.18% X X G1 217

009181 Clay Avenue Community School 00013308 Clay Avenue Annex 63.78% X X G1 185

009192 Foundation Academy 00009192 Foundation Academy 63.28% X X G1 384

009953 Sullivant Avenue Community School 00009953 Sullivant Avenue Community School 43.02% X X G1 344

009954 Harrisburg Pike Community School 00009954 Harrisburg Pike Community School 89.30% X X G1 215

009955 Madison Avenue School of Arts 00009955 Madison Avenue School of Arts 82.97% X X G1 552

009957 Klepinger Community School 00009957 Klepinger Community School 70.09% X X G1 565

009990 Horizon Science Academy Elementary School 00009990 Horizon Science Academy Elementary 51.64% X X I 488

009997 KIPP Journey Academy 00009997 KIPP Journey Academy 47.18% X X G1 1170

010036 Cesar Chavez College Preparatory School 00010036 Cesar Chavez College Preparatory School 72.96% X X G1 318

010182 Performance Academy Eastland 00010182 Performance Academy Eastland 61.26% X X G1 333

010205 L. Hollingworth School for Talented and Gifted 00010205 L. Hollingworth School for Talented and Gifted 57.19% X X I 335

011291 Village Preparatory School 00011291 Village Preparatory School 54.35% X X G1 432

011390 Bella Academy of Excellence 00011390 Bella Academy of Excellence 57.41% X X G1 270

011439 Renaissance Academy 00011439 Renaissance Academy 82.47% X X G1 154

011468 Columbus Bilingual Academy-North 00011467 Columbus Bilingual Academy-North 62.73% X X G1 381

011507 Achieve Career Preparatory Academy 00011507 Achieve Career Preparatory Academy 65.94% X X G1 138

011533 Horizon Science Academy Lorain 00011533 Horizon Science Academy Lorain 60.90% X X G1 642

011923 Northeast Ohio College Preparatory School 00011923 Northeast Ohio College Preparatory School 54.39% X X G1 239

011923 Northeast Ohio College Preparatory School 20211923 Northeast Ohio College Prep Sch Annex 69.75% X X G1 238

011947 Imagine Akron Academy 00011947 Imagine Akron Academy 100.00% X X G1 48

011976 Horizon Science Academy Dayton Downtown 00011976 Horizon Science Academy Dayton Downtown 64.19% X X I 215

011986 Horizon Science Academy Youngstown 00011986 Horizon Science Academy Youngstown 68.77% X X I 397

012009 Zenith Academy East 00012009 Zenith Academy East 64.60% X X G1 291

012010 Cleveland College Preparatory Academy 00012010 Cleveland College Preparatory Academy 74.91% X X G1 275

012011 Columbus Performance Academy 00012011 Columbus Performance Academy 77.02% X X G1 161

012025 Constellation Schools: Stockyard Community Middle00012025 Stockyard Community Middle 59.09% X X G1 66

012029 Citizens' Leadership Academy 00012029 Citizens' Leadership Academy 47.77% X X G1 247 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

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LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 012030 Near West Intergenerational School 00012030 Near Westside Intergenerational School 34.39% X X G1 253

012031 Entrepreneurship Preparatory School - Woodland00012031 Hills Campus Entrepreneurship Prep Sch - Woodland Hills Campus 60.07% X X G1 273

012036 Regent High School 00012036 Regent High School 61.61% X X G1 198

012037 Mason Run High School 00012037 Mason Run High School 46.02% X X G1 176

012038 Old Brook High School 00012038 Old Brook High School 34.36% X X G1 259

012041 Central High School 00012041 Central High School 56.15% X X G1 130

012105 Southside Academy 00012105 Southside Academy 92.57% X X G1 148

012513 Madisonville SMART Elementary 00012513 Madisonville SMART Elementary 59.82% X X G1 112

012528 The Academy for Urban Scholars 00012528 The Academy for Urban Solutions 71.83% X X G1 284

012529 Focus North High School 00012529 Focus North High School 42.18% X X I 211

012529 Focus North High School 00142927 Focus Learning of SW Columbus 57.14% X X G1 280

012529 Focus North High School 00142935 Focus Learning of SE Columbus 51.10% X X G1 182

012541 University of Cleveland Preparatory School 00012541 Univ of Cleveland Prep School 75.00% X X G1 324

012627 STEAM Academy of Akron 00012627 STEAM Academy of Akron 87.50% X X I 160

012644 STEAM Academy of Warren 00012644 STEAM Academy of Warren 82.04% X X G1 167

012671 Constellation Schools: Eastside Arts Academy 00012671 Constellation Schools: Eastside Arts Academy 77.94% X X G1 136

012684 Broadway Academy 00012684 Broadway Academy 75.00% X X G1 156

012852 Citizens Academy East 00012852 Citizens Academy East 2 57.75% X X G1 400

012951 Columbus Collegiate Academy West 00012951 Columbus Collegiate Academy - West 57.27% X X G1 227

013034 Village Preparatory School: Woodland Hills Campus00013034 Village Preparatory School: Woodland Hills Campus 57.10% X X G1 690

013132 Lake Erie College Preparatory School 00013132 Lake Erie College Preparatory School 74.90% X X G1 247

013147 STEAM Academy of Warrensville Heights 00013147 STEAM Academy of Warrensville Heights 52.08% X X G1 192

013170 Hope Academy for Autism 00013170 Hope Academy for Autism 48.57% X X G1 35

013170 Hope Academy for Autism 200001403 Hope Academy For Autism 2 31.58% X X G1 19

013175 SunBridge Schools 00013175 SunBridge Schools 73.79% X X G1 206

013175 SunBridge Schools 90013175 SunBridge Schools-Nebraska 62.24% X X G1 98

013195 Academy of Educational Excellence 00013195 Academy of Educational Excellence 65.93% X X I 135

013249 Academy for Urban Scholars Youngstown 00013249 Academy for Urban Scholars Youngstown 70.97% X X G1 155

013253 Ohio Collegiate Academy 00013253 Ohio Collegiate Academy 64.94% X X G1 271

013254 Akron Preparatory School 00013254 Akron Preparatory School 67.20% X X G1 186

013255 Canton College Preparatory School 00013255 Canton College Preparatory School 72.68% X X G1 183

013835 Tooba Academy 00013835 Tooba Academy 65.63% X X G1 96

013864 Cincinnati Technology Academy 00013864 Cincinnati Technology Academy 68.66% X X G1 217

013892 Franklinton Preparatory Academy 00013892 Franklinton Preparatory Academy 64.65% X X G1 99

014061 Chapelside Cleveland Academy 00014061 Chapelside Cleveland Academy 64.07% X X G1 295

014063 University Academy 00014063 University Academy 76.55% X X G1 226

014064 Winton Preparatory Academy 00014064 Winton Preparatory Academy 63.29% X X G1 365

014065 Lincoln Park Academy 00014065 Lincoln Park Academy 69.31% X X G1 290

014065 Lincoln Park Academy 20014065 Lincoln Park Academy Upper 70.34% X X G1 145

014066 Main Street Preparatory Academy 00014066 Main Street Preparatory Academy 58.82% X X G1 119

014067 Ohio Construction Academy 00014067 Ohio Construction Academy 52.27% X X I 44

014121 Imagine Leadership Academy 00014121 Imagine Leadership Academy 86.14% X X G1 166

014147 East Preparatory Academy 00014147 East Preparatory Academy 68.45% X X G1 206

014149 Dayton SMART Elementary School 00014149 Dayton SMART Elementary School 62.04% X X I 108

014187 East Academy 00014187 East Academy 61.95% X X G1 297 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 014188 Discovery Academy 00014188 Discovery Academy 58.33% X X I 300

014189 West Park Academy 00014189 West Park Academy 60.09% X X G1 223

014467 United Preparatory Academy 00014467 United Preparatory Academy 54.27% X X G1 293

014825 Buckeye Preparatory Academy 00014825 Buckeye Preparatory Academy 58.65% X X G1 133

014858 Reach Academy 00014858 Reach Academy 71.43% X X G1 287

014864 Toledo SMART Elementary School 00014864 Toledo SMART Elementary School 75.00% X X G1 84

014904 T2 Honors Academy 00014904 T2 Honors Academy 41.67% X X G1 120

014913 Lakeshore Intergenerational School 00014913 Lakeshore Intergenerational School 37.14% X X G1 175

015234 Zenith Academy West 00015234 Zenith Academy West 65.70% X X G1 207

015236 Clark Preparatory Academy 00015236 Clark Preparatory Academy 66.02% X X G1 103

015237 Flex High School 00015237 FLEX High School 48.81% X X G1 252

015239 Stonebrook Montessori 00015239 Stonebrook Montessori 47.87% X X G1 188

015261 Citizens Academy Southeast 00015261 Citizens Academy Southeast 41.79% X X G1 414

015709 Beacon Academy 00015709 Beacon Academy 82.14% X X G1 168

015710 Bridge Gate Community School 00015710 Bridge Gate Community School 65.88% X X G1 85

015710 Bridge Gate Community School 10015710 Bridge Gate Community School Annex 91.93% X X G1 161

015712 Euclid Preparatory School 00015712 Euclid Preparaptory School 52.05% X X G1 244

015713 Wright Preparatory Academy 00015713 Wright Preparatory Academy 77.27% X X G1 132

015722 Village Preparatory School Willard 00001572 Village Prep Willard 61.17% X X G1 309

016837 Orchard Park Academy 00016837 Orchard Park Academy 60.78% X X G1 51

016843 Citizens Leadership Academy East 00016843 Citizens Leadership Academy East 55.03% X X G1 149

016849 Liberty High School 00016849 Liberty High School 65.00% X X G1 80

016858 United Preparatory Academy East 00016858 United Preparatory Academy East 71.43% X X I 98

043489 Akron City Schools 00000363 Akron Alternative Academy 55.94% X X D 320

043489 Akron City Schools 00001537 Barber Elementary School 69.80% X X D 298 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043489 Akron City Schools 00002634 Betty Jane CLC 44.28% X X D 463

043489 Akron City Schools 00004077 Buchtel High School 66.15% X X D 839

043489 Akron City Schools 00005074 Case Elementary School 55.39% X X D 269

043489 Akron City Schools 00007864 Crouse Elementary School 77.60% X X D 375

043489 Akron City Schools 00009107 Helen Arnold Community Learning Center 79.56% X X D 274

043489 Akron City Schools 00009145 Early College High School 29.08% X D 337

043489 Akron City Schools 00009498 East High School 67.23% X X D 1013

043489 Akron City Schools 00010272 Ellet High School 32.83% X X D 1002

043489 Akron City Schools 00011130 Judith A Resnik Community Lrng Ctr 29.46% X D 370

043489 Akron City Schools 00011532 National Inventors Hall of Fame Sch, Center for STEM 22.02% X D 377

043489 Akron City Schools 00011635 Findley Elementary School 76.48% X X D 489

043489 Akron City Schools 00011692 Firestone High School 33.42% X X D 1179

043489 Akron City Schools 00011700 Firestone Park Elementary School 67.52% X X D 351

043489 Akron City Schools 00011932 Forest Hill CLC 62.70% X X D 370

043489 Akron City Schools 00013128 Garfield High School 62.16% X X D 1160

043489 Akron City Schools 00013231 Akron STEM High School 19.87% X D 312

043489 Akron City Schools 00013771 Glover Elementary School 75.00% X X D 320

043489 Akron City Schools 00015347 Harris Elementary School 65.63% X X D 515

043489 Akron City Schools 00015610 Hatton Elementary School 48.26% X X D 489

043489 Akron City Schools 00016188 Sam Salem CLC 68.79% X X D 330

043489 Akron City Schools 00016253 David Hill CLC 76.15% X X D 327

043489 Akron City Schools 00017199 I Promise School 68.78% X X D 221

043489 Akron City Schools 00017251 Hyre Middle School 42.54% X X D 764

043489 Akron City Schools 00017459 Innes Middle School 68.94% X X D 821

043489 Akron City Schools 00018259 Jennings CLC 69.18% X X D 636

043489 Akron City Schools 00019042 King Elementary School 29.89% X D 435

043489 Akron City Schools 00020115 Leggett Elementary School 80.85% X X D 376

043489 Akron City Schools 00021097 Litchfield Middle School 53.65% X X D 548

043489 Akron City Schools 00023135 Mason CLC 84.02% X X D 244

043489 Akron City Schools 00023382 Mcebright Elementary School 82.93% X X D 287 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043489 Akron City Schools 00027565 North High School 57.64% X X D 805

043489 Akron City Schools 00029801 Pfeiffer Elementary School 68.65% X X D 252

043489 Akron City Schools 00030536 Portage Path Elementary School 81.07% X X D 375

043489 Akron City Schools 00031773 Rimer Elementary School 58.20% X X D 244

043489 Akron City Schools 00031849 Ritzman Elementary School 43.96% X X D 389

043489 Akron City Schools 00032110 Robinson CLC 82.41% X X D 290

043489 Akron City Schools 00033746 Schumacher Academy Elementary School 70.85% X X D 446

043489 Akron City Schools 00033977 Seiberling Elementary School 68.96% X X D 422

043489 Akron City Schools 00035048 Miller-South Visual Perf Arts Middle School 13.85% X D 491

043489 Akron City Schools 00038505 Voris Community Learning Center 56.70% X X D 321

043489 Akron City Schools 00041699 Windemere Elementary School 36.89% X X D 309

043489 Akron City Schools 00077792 Specialized Programs 66.63% X X D 824

043497 Alliance City SD 00000463 Alliance High School 40.15% X X G1 929

043497 Alliance City SD 00029256 Parkway Elementary School 65.75% X X G1 292

043497 Alliance City SD 00033225 South Lincoln Elementary School 44.98% X X G1 518

043497 Alliance City SD 00145391 Alliance Middle School 55.50% X X G1 654

043497 Alliance City SD 00145409 Northside Elementary School 64.71% X X G1 425

043497 Alliance City SD 00145417 Rockhill Elementary School 61.06% X X G1 303

043513 Ashtabula Area City Schools 00001123 Lakeside High School 46.99% X X D 930

043513 Ashtabula Area City Schools 00004242 Ontario Primary 61.22% X X D 245

043513 Ashtabula Area City Schools 00007088 Lakeside Junior High School 49.09% X X D 497

043513 Ashtabula Area City Schools 00011518 Superior Intermediate School 55.98% X X D 552

043513 Ashtabula Area City Schools 00033670 Erie Intermediate School 52.33% X X D 514

043513 Ashtabula Area City Schools 00035873 Michigan Primary School 92.00% X X D 250

043513 Ashtabula Area City Schools 00037093 Huron Primary School 52.32% X X D 237

043513 Ashtabula Area City Schools 00045849 Ashtabula County ESC 58.24% X X D 91

043638 Bowling Green 00007773 Crim Elementary School 33.92% X X G1 572

043703 Campbell City SD 00024190 Memorial High School 54.00% X X G1 400

043703 Campbell City SD 00029579 Campbell Elementary School 69.78% X X G1 695

043711 Canton City SD 00000406 Allen Elementary School 79.52% X X D 249

043711 Canton City SD 00000859 Arts Academy @ Summit 33.90% X X D 295

043711 Canton City SD 00002097 Belden Elementary School 75.00% X X D 272

043711 Canton City SD 00005124 Cedar Elementary School 64.56% X X D 364

043711 Canton City SD 00006379 Clarendon Elementary School 63.18% X X D 296

043711 Canton City SD 00008805 Dueber Elementary School 68.75% X X D 240

043711 Canton City SD 00011197 The Aim Academy at Fairmount-Year Round 68.18% X X D 330

043711 Canton City SD 00013409 Gibbs Elementary School 73.26% X X D 258

043711 Canton City SD 00015123 Harter Elementary School 64.45% X X D 422

043711 Canton City SD 00015495 STEAMM Academy/Hartford 59.38% X X D 421

043711 Canton City SD 00019869 Compton Learning Center 59.44% X X D 249 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043711 Canton City SD 00020123 C2RA/Lehman 67.69% X X D 585

043711 Canton City SD 00023150 Mason Elementary School 51.60% X X D 188

043711 Canton City SD 00023531 McGregor Elementary School 66.67% X X D 201

043711 Canton City SD 00023846 McKinley High School 49.21% X X D 1270

043711 Canton City SD 00036194 Belle Stone Elementary School 62.17% X X D 304

043711 Canton City SD 00037267 McKinley Downtown and TECH 48.27% X X D 897

043711 Canton City SD 00041996 Barbara F Schreiber Elementary School 73.70% X X D 289

043711 Canton City SD 00042259 Worley Elementary School 52.82% X X D 248

043711 Canton City SD 00042549 Youtz Elementary School 72.06% X X D 315

043711 Canton City SD 00065508 Altitude Academy/Crenshaw 62.81% X X D 597

043745 Chillicothe City SD 00006296 Chillicothe High School 50.53% X X D 1316

043745 Chillicothe City SD 00017354 Mt Logan Early Childhood Center 39.83% X X D 118

043745 Chillicothe City SD 00025841 Chillicothe Primary School 65.02% X X D 606

043745 Chillicothe City SD 00037234 Chillicothe Intermediate School 62.80% X X D 820

043745 Chillicothe City SD 00066225 Ross County Board of MR&DD 29.90% X D 97

043745 Chillicothe City SD 00138222 Ross-Pike ESC 54.84% X X D 31

043745 Chillicothe City Sd 00000398 Allen Elementary School 55.17% X x D 638

043752 Cincinnati Public Schools 00003152 Bond Hill Academy Elementary School 84.27% X X G1 337

043752 Cincinnati Public Schools 00005025 Dater Montessori Elementary School 23.22% X G1 814

043752 Cincinnati Public Schools 00006015 Chase Elementary School 86.82% X X G1 349

043752 Cincinnati Public Schools 00006239 Cheviot Elementary School 56.30% X X G1 595

043752 Cincinnati Public Schools 00006932 College Hill Elementary School 52.11% X X G1 426

043752 Cincinnati Public Schools 00007492 Covedale Elementary School 54.59% X X G1 566

043752 Cincinnati Public Schools 00008110 Dater High School 47.10% X X G1 1257

043752 Cincinnati Public Schools 00008698 Frederick Douglass Elementary School 91.86% X X G1 344

043752 Cincinnati Public Schools 00009200 James N Gamble Montessori High School 38.53% X X G1 475

043752 Cincinnati Public Schools 00015529 Hartwell Elementary School 50.36% X X G1 562

043752 Cincinnati Public Schools 00015818 George Hays-Jennie Porter Elementary 88.61% X X G1 360

043752 Cincinnati Public Schools 00016519 Evanston Academy 82.85% X X G1 344

043752 Cincinnati Public Schools 00017111 Hughes Center High School 61.05% X X G1 937

043752 Cincinnati Public Schools 00021857 John P Parker Elementary School 78.26% X X G1 437

043752 Cincinnati Public Schools 00024612 Midway Elementary School 55.19% X X G1 645

043752 Cincinnati Public Schools 00024927 Ethel M Taylor Academy 98.40% X X G1 376

043752 Cincinnati Public Schools 00025726 Mt. Airy Elementary School 82.97% X X G1 646

043752 Cincinnati Public Schools 00025940 Mt. Washington Elementary School 56.72% X X G1 372 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043752 Cincinnati Public Schools 00026054 North Avondale Montessori Elementary School 31.41% X X G1 589

043752 Cincinnati Public Schools 00029009 Oyler Elementary School 80.70% X X G1 684

043752 Cincinnati Public Schools 00030288 Pleasant Hill Elementary School 84.00% X X G1 600

043752 Cincinnati Public Schools 00030312 Pleasant Ridge Elementary School 38.00% X X G1 679

043752 Cincinnati Public Schools 00032086 Roberts Paideia Academy 54.32% X X G1 821

043752 Cincinnati Public Schools 00032177 Rockdale Academy Elementary School 85.38% X X G1 342

043752 Cincinnati Public Schools 00032680 Roselawn Condon Elementary School 82.53% X X G1 475

043752 Cincinnati Public Schools 00032797 Rothenberg Preparatory Academy 98.28% X X G1 408

043752 Cincinnati Public Schools 00033134 South Avondale Elementary School 89.16% X X G1 415

043752 Cincinnati Public Schools 00033688 Sayler Park Elementary School 63.35% X X G1 352

043752 Cincinnati Public Schools 00034538 Shroder Paideia High School 49.68% X X G1 783

043752 Cincinnati Public Schools 00034629 Silverton Paideia Elementary School 62.40% X X G1 375

043752 Cincinnati Public Schools 00036780 William H Taft Elementary School 82.97% X X G1 317

043752 Cincinnati Public Schools 00036830 Robert A Taft Information Technology High School 80.72% X X G1 638

043752 Cincinnati Public Schools 00040865 Westwood Elementary School 84.51% X X G1 510

043752 Cincinnati Public Schools 00041855 Winton Hills Academy Elementary School 93.96% X X G1 381

043752 Cincinnati Public Schools 00041863 Parker Woods Montessori 44.44% X X G1 621

043752 Cincinnati Public Schools 00041905 Withrow Traditional High School 53.62% X X G1 1298

043752 Cincinnati Public Schools 00042325 Western Hills High School 70.72% X X G1 994

043752 Cincinnati Public Schools 00070326 Woodford Paideia Elementary School 73.39% X X G1 357

043752 Cincinnati Public Schools 00094623 Academy Of World Languages Elementary School 55.58% X X G1 538

043752 Cincinnati Public Schools 00139873 Carson Elementary School 77.41% X X G1 642

043752 Cincinnati Public Schools 00145581 Academy for Multilingual Immersion Studies 50.47% X X G1 531

043752 Cincinnati Public Schools 00145722 Riverview East Academy 67.48% X X G1 612

043752 Cincinnati Public Schools 00147280 Rees E Price Elementary 91.14% X X G1 643

043752 Cincinnati Public Schools 00147520 Woodward Tech High School 71.23% X X G1 935

043752 Cincinnati Public Schools 00147538 Aiken High School 69.58% X X G1 825

043752 Cincinnati Public Schools 00148320 Roll Hill School 83.64% X X G1 599 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043760 Circleville City SD 00006320 Circleville High School 42.06% X X I 1077

043760 Circleville City SD 00027201 Circleville Elementary School 49.14% X X I 1109

043778 Claymont City SD 00006510 Claymont Middle School 38.41% X X G1 440

043778 Claymont City SD 00006528 Claymont High School 26.01% X G1 469

043778 Claymont City SD 00009688 Claymont Elementary School 37.95% X X G1 303

043778 Claymont City SD 00027805 Claymont Intermediate School 38.38% X X G1 297

043778 Claymont City SD 00029124 Park Elementary School 30.95% X X G1 84

043778 Claymont City SD 00037473 Claymont Primary School 41.99% X X G1 281

043786 Cleveland City School District 00000224 Adlai Stevenson Elementary School 83.76% X X D 468

043786 Cleveland City School District 00000331 Alfred A Benesch Elementary School 100.00% X X D 279

043786 Cleveland City School District 00000489 Almira Elementary School 85.13% X X D 511

043786 Cleveland City School District 00000729 Andrew J Rickoff Elementary School 92.42% X X D 475

043786 Cleveland City School District 00000828 Anton Grdina Elementary School 97.34% X X D 376

043786 Cleveland City School District 00001040 Artemus Ward @ Halle 79.08% X X D 502

043786 Cleveland City School District 00002378 Benjamin Franklin Elementary School 71.54% X X D 622

043786 Cleveland City School District 00003137 Bolton Elementary School 100.00% X X D 293

043786 Cleveland City School District 00003772 Brooklawn Elementary School 62.50% X X D 264

043786 Cleveland City School District 00004234 Buhrer Elementary School 57.64% X X D 399

043786 Cleveland City School District 00004895 Carl F Shuler School 44.15% X X D 410

043786 Cleveland City School District 00005066 Case Elementary School 90.77% X X D 271

043786 Cleveland City School District 00005892 Charles A Mooney Elementary School 75.13% X X D 760

043786 Cleveland City School District 00005900 Charles Dickens Elementary School 100.00% X X D 421

043786 Cleveland City School District 00005942 Charles W Eliot Middle School 71.83% X X D 323

043786 Cleveland City School District 00006353 Clara E Westropp Elementary School 79.20% X X D 375

043786 Cleveland City School District 00006429 Clark Elementary School 87.82% X X D 591

043786 Cleveland City School District 00006940 Collinwood High School 85.41% X X D 233

043786 Cleveland City School District 00008060 Daniel E Morgan Elementary School 98.78% X X D 246

043786 Cleveland City School District 00008383 Denison Elementary School 84.33% X X D 268

043786 Cleveland City School District 00008490 Cleveland School of Arts (Dike Campus) 83.81% X X D 352

043786 Cleveland City School District 00008680 Memorial Year Round Elementary School 92.80% X X D 403

043786 Cleveland City School District 00008987 East Clark Elementary School 91.36% X X D 220

043786 Cleveland City School District 00009285 Douglas MacArthur Girls Leadership Academy 65.11% X X D 321

043786 Cleveland City School District 00009421 Ginn Academy 66.67% X X D 333

043786 Cleveland City School District 00009555 East Technical High School 87.16% X X D 444

043786 Cleveland City School District 00010200 MC2 STEM @ Nela Park 51.52% X X D 99

043786 Cleveland City School District 00010801 Euclid Park Elementary School 91.12% X X D 349

043786 Cleveland City School District 00012350 Campus International School 29.51% X D 898

043786 Cleveland City School District 00012682 Fullerton Elementary School 100.00% X X D 187

043786 Cleveland City School District 00012898 Garfield Elementary School 68.82% X X D 558

043786 Cleveland City School District 00013292 George Washington Carver Elementary School 97.32% X X D 411

043786 Cleveland City School District 00013680 Glenville High School 84.62% X X D 364

043786 Cleveland City School District 00013847 H Barbara Booker Elementary School 97.64% X X D 382

043786 Cleveland City School District 00015073 Hannah Gibbons-Nottingham Elementary School 92.95% X X D 241

043786 Cleveland City School District 00015578 Harvey Rice Elementary School 91.47% X X D 422

043786 Cleveland City School District 00017467 Iowa-Maple Elementary School 92.80% X X D 250

043786 Cleveland City School District 00017830 James Ford Rhodes High School 71.78% X X D 1148

043786 Cleveland City School District 00017863 Jane Addams Business Careers High School 87.56% X X D 217

043786 Cleveland City School District 00018325 John Adams High School 81.18% X X D 542

043786 Cleveland City School District 00018382 John F Kennedy High School 80.82% X X D 438 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043786 Cleveland City School District 00018408 John Hay Campus High School 40.26% X X D 1016

043786 Cleveland City School District 00018416 John Marshall High School 65.79% X X D 1146

043786 Cleveland City School District 00021527 Louis Agassiz Elementary School 86.39% X X D 294

043786 Cleveland City School District 00021543 Franklin D. Roosevelt Elementary School 84.05% X X D 464

043786 Cleveland City School District 00021550 Louisa May Alcott Elementary School 76.54% X X D 243

043786 Cleveland City School District 00023069 Mary B Martin Elementary School 100.00% X X D 309

043786 Cleveland City School District 00023085 Mary M Bethune Elementary School 83.66% X X D 306

043786 Cleveland City School District 00023259 Max S Hayes High School 71.38% X X D 559

043786 Cleveland City School District 00024687 Miles Elementary School 96.51% X X D 430

043786 Cleveland City School District 00024695 Miles Park @ Moses Cleaveland Elementary School 96.68% X X D 482

043786 Cleveland City School District 00024703 Michael R. White Elementary 91.75% X X D 206

043786 Cleveland City School District 00025650 Mound Elementary School 100.00% X X D 391

043786 Cleveland City School District 00026443 Nathan Hale School 93.04% X X D 546

043786 Cleveland City School District 00027102 Newton D Baker School Of Arts Elementary School 73.86% X X D 528

043786 Cleveland City School District 00028589 Oliver H Perry Elementary School 85.92% X X D 284

043786 Cleveland City School District 00028720 Orchard School Of Science Elementary School 87.04% X X D 486

043786 Cleveland City School District 00029371 Patrick Henry School 94.66% X X D 281

043786 Cleveland City School District 00029413 Paul L Dunbar Elementary School 84.96% X X D 379

043786 Cleveland City School District 00031963 Riverside Elementary School 51.31% X X D 495

043786 Cleveland City School District 00032060 Robert H Jamison Computech Elementary School 83.47% X X D 375

043786 Cleveland City School District 00032128 Robinson G Jones Foreign Lang Elementary School 81.02% X X D 490

043786 Cleveland City School District 00033902 Scranton Elementary School 81.11% X X D 503

043786 Cleveland City School District 00036475 Sunbeam Elementary School 84.87% X X D 423

043786 Cleveland City School District 00037101 Thomas Jefferson Middle School 71.79% X X D 592

043786 Cleveland City School District 00037457 Tremont Montessori School 76.02% X X D 442

043786 Cleveland City School District 00038182 Valley View Elementary School 64.93% X X D 211

043786 Cleveland City School District 00038604 William C Bryant Elementary School 68.31% X X D 445

043786 Cleveland City School District 00038927 Wade Park Elementary School 95.95% X X D 469

043786 Cleveland City School District 00039149 Walton Elementary School 89.93% X X D 278

043786 Cleveland City School District 00039206 Warner Girls Leadership Academy 72.33% X X D 430

043786 Cleveland City School District 00039685 Washington Park High School 74.09% X X D 247 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043786 Cleveland City School District 00039891 Waverly Elementary School 83.52% X X D 273

043786 Cleveland City School District 00041236 Wilbur Wright Elementary School 79.37% X X D 538

043786 Cleveland City School District 00041400 William R Harper Elementary School 59.78% X X D 184

043786 Cleveland City School District 00041517 Willow Elementary School 94.76% X X D 248

043786 Cleveland City School District 00041541 Willson Middle School 81.40% X X D 344

043786 Cleveland City School District 00062315 Lincoln-West High School 74.96% X X D 583

043786 Cleveland City School District 00062323 Whitney Young School 75.99% X X D 454

043786 Cleveland City School District 00062760 Luis Munoz Marin Middle School 82.12% X X D 537

043786 Cleveland City School District 00062778 Joseph M Gallagher School 83.22% X X D 733

043786 Cleveland City School District 00063461 Garrett Morgan Schl Of Science Middle School 87.60% X X D 242

043786 Cleveland City School District 00064576 Cleveland School Of The Arts High School 43.78% X X D 466

043786 Cleveland City School District 00065565 Marion C Seltzer Elementary School 91.90% X X D 457

043786 Cleveland City School District 00065573 Marion-Sterling Elementary School 99.09% X X D 329

043786 Cleveland City School District 00068221 Kenneth W Clement Foreign Lang Elementary School 85.28% X X D 163

043786 Cleveland City School District 00086306 Health Careers Center High School 84.98% X X D 233

043786 Cleveland City School District 00093153 Martin Luther King Jr High School 80.36% X X D 280

043786 Cleveland City School District 00138438 MC2 STEM @ Great Lakes 72.29% X X D 83

043786 Cleveland City School District 00147389 SuccessTech Academy School 71.56% X X D 422

043786 Cleveland City School District 20010200 MC2STEM @ Rhodes Tower 48.19% X X D 166

043794 Cleveland Heights-University Heights 00002352 Lauree P Gearity Elementary School 40.56% X X G1 392

043794 Cleveland Heights-University Heights 00003251 Boulevard Elementary School 58.68% X X G1 288

043794 Cleveland Heights-University Heights 00004804 Canterbury Elementary School 37.50% X X G1 392

043794 Cleveland Heights-University Heights 00010967 Fairfax Elementary School 46.75% X X G1 338

043794 Cleveland Heights-University Heights 00015842 Cleveland Heights High School 42.34% X X G1 1592

043794 Cleveland Heights-University Heights 00025411 Monticello Middle School 51.79% X X G1 558

043794 Cleveland Heights-University Heights 00027250 Noble Elementary School 65.38% X X G1 338

043794 Cleveland Heights-University Heights 00028993 Oxford Elementary School 63.51% X X G1 285

043794 Cleveland Heights-University Heights 00032839 Roxboro Elementary School 31.23% X X G1 333

043794 Cleveland Heights-University Heights 00032847 Roxboro Middle School 40.98% X X G1 615 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043802 Columbus Public Schools 00000435 Eastgate Elementary 85.02% X X D 327

043802 Columbus Public Schools 00000497 Alpine Elementary School 46.59% X X D 367

043802 Columbus Public Schools 00000513 Columbus Scioto 6-12 77.78% X X D 126

043802 Columbus Public Schools 00001396 Avondale Elementary 84.29% X X D 312

043802 Columbus Public Schools 00001925 Columbus Spanish Immersion Elementary School 51.03% X X D 341

043802 Columbus Public Schools 00001990 Columbus Gifted Academy 23.01% x D 365

043802 Columbus Public Schools 00002527 Berwick Alternative Elementary School 38.48% X X D 725

043802 Columbus Public Schools 00002733 Binns Elementary 62.19% X X D 402

043802 Columbus Public Schools 00003665 Broadleigh Elementary School 67.78% X X D 329

043802 Columbus Public Schools 00004135 Buckeye Middle School 64.97% X X D 431

043802 Columbus Public Schools 00004341 Burroughs Elementary School 79.87% X X D 457

043802 Columbus Public Schools 00005181 Cedarwood Alternative Elementary School 48.37% X X D 430

043802 Columbus Public Schools 00005827 Champion Middle School 81.23% X X D 373

043802 Columbus Public Schools 00006387 Watkins Elementary School 73.23% X X D 396

043802 Columbus Public Schools 00006692 Clinton Elementary School 16.12% X D 484

043802 Columbus Public Schools 00006874 Colerain Elementary School 46.05% X X D 228

043802 Columbus Public Schools 00007120 Como Elementary School 73.95% X X D 357

043802 Columbus Public Schools 00007567 Cranbrook Elementary School 47.14% X X D 280

043802 Columbus Public Schools 00007682 Indianola Alt K-8 @ Crestview Mid Sch 22.64% X D 711

043802 Columbus Public Schools 00008474 Devonshire Alternative Elementary School 54.74% X X D 506

043802 Columbus Public Schools 00008581 Dominion Middle School 46.75% X X D 616

043802 Columbus Public Schools 00008912 Duxberry Park Alternative Elementary School 74.23% X X D 260

043802 Columbus Public Schools 00009001 East Columbus Elementary School 78.64% X X D 398

043802 Columbus Public Schools 00009076 East Linden Elementary School 78.26% X X D 345

043802 Columbus Public Schools 00009233 Eakin Elementary School 83.33% X X D 336

043802 Columbus Public Schools 00009514 East High School 65.49% X X D 565

043802 Columbus Public Schools 00009613 Easthaven Elementary School 71.79% X X D 507

043802 Columbus Public Schools 00010876 Arts Impact Middle School (Aims) 51.45% X X D 517 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043802 Columbus Public Schools 00011189 Fairmoor Elementary School 81.42% X X D 393

043802 Columbus Public Schools 00011312 Fairwood Alternative Elementary School 82.57% X X D 373

043802 Columbus Public Schools 00011593 Hubbard Mastery School 66.17% X X D 337

043802 Columbus Public Schools 00011957 Forest Park Elementary School 62.09% X X D 459

043802 Columbus Public Schools 00011995 Columbus International High School 53.44% X X D 582

043802 Columbus Public Schools 00011996 Columbus City Preparatory School for Girls 56.54% X X D 283

043802 Columbus Public Schools 00011997 Columbus City Preparatory School for Boys 63.01% X X D 173

043802 Columbus Public Schools 00013334 Georgian Heights Alternative Elementary School 44.42% X X D 556

043802 Columbus Public Schools 00014902 Hamilton Alternative Elementary School 85.57% X X D 492

043802 Columbus Public Schools 00015723 Northgate 52.69% X X D 353

043802 Columbus Public Schools 00016038 Linden Pre-K 71.11% X X D 45

043802 Columbus Public Schools 00016113 Highland Elementary School 78.53% X X D 354

043802 Columbus Public Schools 00016386 Hilltonia Middle School 74.81% X X D 516

043802 Columbus Public Schools 00017228 Huy Elementary School 65.92% X X D 493

043802 Columbus Public Schools 00017392 Indian Springs Elementary School 32.67% X X D 404

043802 Columbus Public Schools 00018465 Johnson Park Middle School 68.35% X X D 357

043802 Columbus Public Schools 00018879 Ecole Kenwood Alternative Elementary School 30.20% X X D 298

043802 Columbus Public Schools 00020024 Leawood Elementary School @Koebel 73.10% X X D 316

043802 Columbus Public Schools 00020974 Lincoln Park Elementary School 79.84% X X D 377

043802 Columbus Public Schools 00021014 Lindbergh Elementary School 68.63% X X D 306

043802 Columbus Public Schools 00021022 Linden Elementary School 79.96% X X D 469

043802 Columbus Public Schools 00021030 Linden-Mckinley on Arcadia 80.26% X X D 623

043802 Columbus Public Schools 00021147 Livingston Elementary School @ Beck 87.28% X X D 448

043802 Columbus Public Schools 00022293 Maize Road Elementary School 60.32% X X D 310

043802 Columbus Public Schools 00022855 Marion-Franklin High School 59.33% X X D 536

043802 Columbus Public Schools 00023606 Columbus Alternative High School 32.41% X X D 790

043802 Columbus Public Schools 00024067 Medina Middle School 69.44% X X D 445

043802 Columbus Public Schools 00024653 Cassady Alternative Elementary School 73.35% X X D 394

043802 Columbus Public Schools 00024661 Mifflin High School 66.37% X X D 898

043802 Columbus Public Schools 00025163 Africentric Elementary School 67.57% X X D 700 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043802 Columbus Public Schools 00025171 Moler Elementary School 80.69% X X D 461

043802 Columbus Public Schools 00026245 North Linden Elementary School 68.25% X X D 463

043802 Columbus Public Schools 00027680 Northland High School 49.85% X X D 1015

043802 Columbus Public Schools 00027813 Northtowne Elementary School 65.93% X X D 361

043802 Columbus Public Schools 00028290 Oakland Park Alternative Elementary @ Brentnell 55.66% X X D 318

043802 Columbus Public Schools 00028316 Oakmont Elementary School 62.95% X X D 413

043802 Columbus Public Schools 00028423 Ohio Avenue Elementary School 87.05% X X D 332

043802 Columbus Public Schools 00028530 Olde Orchard Alternative Elementary School 55.56% X X D 549

043802 Columbus Public Schools 00029181 Parkmoor Urban Academy Elementary School 64.74% X X D 312

043802 Columbus Public Schools 00029355 Parsons Elementary 73.63% X X D 474

043802 Columbus Public Schools 00031740 Ridgeview Middle School 38.45% X X D 528

043802 Columbus Public Schools 00033258 South Mifflin Elementary School 75.14% X X D 346

043802 Columbus Public Schools 00033464 Salem Elementary School 62.37% X X D 372

043802 Columbus Public Schools 00033894 Scottwood Elementary School 67.25% X X D 513

043802 Columbus Public Schools 00034082 Shady Lane Elementary School 71.55% X X D 485

043802 Columbus Public Schools 00034439 Sherwood Middle School 64.44% X X D 478

043802 Columbus Public Schools 00034587 Siebert Elementary School 70.14% X X D 365

043802 Columbus Public Schools 00035063 South Urban Academy 72.52% X X D 877

043802 Columbus Public Schools 00035279 Southwood Elementary School 79.54% X X D 347

043802 Columbus Public Schools 00035824 Starling Middle School 88.33% X X D 634

043802 Columbus Public Schools 00036053 Stewart Alternative Elementary School 59.48% X X D 343

043802 Columbus Public Schools 00036392 Sullivant Elementary 90.83% X X D 338

043802 Columbus Public Schools 00037499 Trevitt Elementary School 86.85% X X D 441

043802 Columbus Public Schools 00038091 Valley Forge Elementary School 62.23% X X D 376

043802 Columbus Public Schools 00038190 Valleyview Elementary School 68.42% X X D 304 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043802 Columbus Public Schools 00038562 West Broad Elementary School 84.79% X X D 526

043802 Columbus Public Schools 00038828 West Mound 84.57% X X D 460

043802 Columbus Public Schools 00039107 Walnut Ridge High School 61.28% X X D 767

043802 Columbus Public Schools 00040162 Wedgewood Middle School 58.42% X X D 493

043802 Columbus Public Schools 00040188 Weinland Park @ Second Elementary School 79.95% X X D 369

043802 Columbus Public Schools 00040527 West High School 66.20% X X D 861

043802 Columbus Public Schools 00040725 Westgate Alternative Elementary School 54.23% X X D 343

043802 Columbus Public Schools 00040782 Westmoor Middle School 73.70% X X D 521

043802 Columbus Public Schools 00040964 Whetstone High School 40.00% X X D 950

043802 Columbus Public Schools 00041749 Windsor Academy Elementary School 77.78% X X D 432

043802 Columbus Public Schools 00041822 Winterset Elementary School 36.91% X X D 298

043802 Columbus Public Schools 00041947 Woodcrest Elementary School 57.38% X X D 366

043802 Columbus Public Schools 00042184 Woodward Park Middle School 51.98% X X D 933

043802 Columbus Public Schools 00042499 Yorktown Middle School 57.85% X X D 427

043802 Columbus Public Schools 00067728 Briggs High School 59.53% X X D 939

043802 Columbus Public Schools 00067736 Independence High School 55.22% X X D 670

043802 Columbus Public Schools 00067744 Innis Elementary School 73.88% X X D 425

043802 Columbus Public Schools 00067751 Liberty Elementary School 65.31% X X D 542

043802 Columbus Public Schools 00068239 Fort Hayes Arts and Academic HS 42.30% X X D 818

043802 Columbus Public Schools 00068528 Beechcroft High School 62.52% X X D 603

043802 Columbus Public Schools 00068536 Centennial High School 31.75% X X D 822

043802 Columbus Public Schools 00068544 Gables Elementary School 29.52% X D 420

043802 Columbus Public Schools 00070078 Mifflin Alternative Middle School 67.58% X X D 438

043802 Columbus Public Schools 00070086 Avalon Elementary School 51.75% X X D 456

043802 Columbus Public Schools 00070102 Columbus Downtown High School 17.24% X D 29

043802 Columbus Public Schools 00138099 Columbus Global Academy 53.53% X X D 624

043802 Columbus Public Schools 00138198 Eastmoor Academy 40.82% X X D 752

043828 Coshocton City SD 00007427 Coshocton High School 39.13% X X G1 690

043828 Coshocton City SD 00081810 Coshocton Elementary 51.67% X X G1 929 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043844 Dayton City SD 00000884 Charity Adams Earley Girls Academy 57.00% X X D 400

043844 Dayton City SD 00002196 Belle Haven PreK-8 School 73.17% X X D 410

043844 Dayton City SD 00002303 Belmont High School 63.69% X X D 895

043844 Dayton City SD 00004952 Louise Troy PreK-4 School 84.00% X X D 450

043844 Dayton City SD 00006643 Cleveland PreK-6 School 68.61% X X D 446

043844 Dayton City SD 00006841 Thurgood Marshall High School 61.00% X X D 618

043844 Dayton City SD 00008283 Dayton Technology Design High School 62.42% X X D 149

043844 Dayton City SD 00008299 Dayton Boys Preparatory Academy 70.89% X X D 237

043844 Dayton City SD 00008821 Dunbar Early College High School 64.04% X X D 584

043844 Dayton City SD 00009647 Eastmont PreK-8 School 61.48% X X D 405

043844 Dayton City SD 00010033 Edison PreK-8 School 80.60% X X D 433

043844 Dayton City SD 00010811 Ruskin PreK-8 School 63.78% X X D 555

043844 Dayton City SD 00011262 Fairview PreK-8 School @ FVE Commons 75.79% X X D 508

043844 Dayton City SD 00012112 River's Edge Montessori PreK-6 School 51.26% X X D 593

043844 Dayton City SD 00015038 Rosa Parks Early Learning Center 62.67% X X D 300

043844 Dayton City SD 00016840 Horace Mann PreK-8 School 57.46% X X D 456

043844 Dayton City SD 00018119 Westwood PreK-8 School 81.99% X X D 361

043844 Dayton City SD 00018671 Kemp PreK-6 School 73.14% X X D 510

043844 Dayton City SD 00023978 Meadowdale PreK-8 School 71.67% X X D 360

043844 Dayton City SD 00023986 Meadowdale High School 68.06% X X D 576

043844 Dayton City SD 00028795 Wright Brothers PreK-8 School 65.57% X X D 395

043844 Dayton City SD 00036152 Stivers School for the Arts 27.40% X D 865

043844 Dayton City SD 00038257 Edwin Joel Brown PreK-8 School 72.54% X X D 346

043844 Dayton City SD 00040121 Kiser PreK-8 School 73.91% X X D 529

043844 Dayton City SD 00041921 Wogaman 5-8 School 79.48% X X D 307

043844 Dayton City SD 00066795 David H. Ponitz Career Tech Center 52.50% X X D 739 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043844 Dayton City SD 00133603 WOW PreK-8 School @ Residence Park 81.23% X X D 341

043901 East Cleveland 00004598 Caledonia Elementary School 73.98% X X D 216

043901 East Cleveland 00005793 Chambers Elementary School 73.70% X X D 267

043901 East Cleveland 00032912 Mayfair Elementary School 84.90% X X D 179

043901 East Cleveland 00034199 Shaw High School 41.08% X X D 720

043901 East Cleveland 00036533 Superior Elementary School 60.26% X X D 296

043901 East Cleveland 00038679 Heritage Middle School 62.78% X X D 217

043901 East Cleveland 00067116 Shaw Academy 62.03% X X D 42

043919 East Liverpool 00009084 East Liverpool High School 53.18% X X D 551

043919 East Liverpool 00019380 Lacroft Elementary School 53.21% X X D 436

043919 East Liverpool 00027433 North Elementary School 57.52% X X D 452

043919 East Liverpool 00040717 Westgate Complex 55.20% X X D 442

043919 East Liverpool 00040733 East Liverpool Junior High 64.20% X X D 257

043950 Euclid City SD 00000475 Bluestone Elementary School 68.26% X X D 586

043950 Euclid City SD 00010793 Euclid Central Middle School 55.21% X X D 730

043950 Euclid City SD 00010819 Euclid High School 44.28% X X D 2064

043950 Euclid City SD 00018051 Chardon Hills Elementary School 42.80% X X D 507

043950 Euclid City SD 00020719 Arbor Elementary School 64.00% X X D 575

043950 Euclid City SD 00037978 Shoreview Elementary School 65.91% X X D 528

043950 Euclid City SD 00118844 Euclid Schools Early Learning Center 57.38% X X D 298

043968 Fairborn City Schools 00011817 Fairborn Primary School 43.65% X X G1 1363

043968 Fairborn City Schools 00029041 Fairborn Intermediate School 38.86% X X G1 651

043968 Fairborn City Schools 00062422 Baker Middle School 35.01% X X G1 957

044016 Fremont City SD 00001172 Atkinson Elementary School 59.40% X X G1 266

044016 Fremont City SD 00007815 Croghan Elementary School 34.35% X X G1 262

044016 Fremont City SD 00015701 Hayes Elementary School 52.21% X X G1 249

044016 Fremont City SD 00021774 Lutz Elementary School 31.13% X X G1 257

044016 Fremont City SD 00028852 Otis Elementary School 41.21% X X G1 313

044016 Fremont City SD 00035733 Stamm Elementary School 36.36% X X G1 396

044016 Fremont City SD 00039354 Washington Elementary School 32.18% X X G1 87 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 044040 Garfield Heights 00010413 Elmwood Elementary School 63.88% X X G1 407

044040 Garfield Heights 00013144 Garfield Heights Middle School 49.63% X X G1 808

044040 Garfield Heights 00022574 Maple Leaf Intermediate Elementary School 59.32% X X G1 499

044040 Garfield Heights 00041335 William Foster Elementary School 51.80% X X G1 693

044149 Ironton City SD 00017483 Ironton Middle School 39.21% X X D 329

044149 Ironton City SD 00017491 Ironton High School 38.30% X X D 342

044149 Ironton City SD 00041186 Ironton Elementary School 54.13% X X D 654

044222 Lima City SD 00000470 Independence Elementary School 65.75% X X D 365

044222 Lima City SD 00000472 Liberty Elementary School 44.85% X X D 388

044222 Lima City SD 00005660 Lima North Middle School 69.48% X X D 403

044222 Lima City SD 00008298 LIMA SENIOR HIGH SCHOOL 56.89% X X D 951

044222 Lima City SD 00035097 Lima South Middle School 56.48% X X D 216

044222 Lima City SD 00040576 Lima West Middle School 71.20% X X D 434

044222 Lima City SD 00146035 Unity Elementary School 81.33% X X D 225

044222 Lima City SD 00146043 Freedom Elementary School 72.37% X X D 257

044222 Lima City SD 00146050 Heritage Elementary School 68.04% X X D 510

044248 Logan-Hocking Local SD 00000384 Chieftain Elementary School 38.74% X X D 382

044248 Logan-Hocking Local SD 00000385 Hocking Hills Elementary School 49.68% X X D 155

044248 Logan-Hocking Local SD 00000387 Central Elementary School 43.92% X X D 444

044248 Logan-Hocking Local SD 00014324 Green Elementary School 43.46% X X D 306

044248 Logan-Hocking Local SD 00021246 Logan-Hocking High School 33.60% X X D 1271

044248 Logan-Hocking Local SD 00065581 Union Furnace Elementary School 47.32% X X D 224

044248 Logan-Hocking Local SD 00112573 Logan-Hocking Middle School 42.74% X X D 1144

044263 Lorain City SD 00000348 Palm Elementary School 56.86% X X D 306

044263 Lorain City SD 00000676 Frank Jacinto Elementary 68.01% X X D 322

044263 Lorain City SD 00000840 General Johnnie Wilson Middle School 55.63% X X D 471

044263 Lorain City SD 00000841 Longfellow Middle School 51.09% X X D 366

044263 Lorain City SD 00008309 Lorain High-Admiral King 43.53% X X D 1923

044263 Lorain City SD 00009221 Tony Wofford Morrison Elementary 45.22% X X D 345

044263 Lorain City SD 00009222 Helen Steiner Rice Elementary 50.34% X X D 292

044263 Lorain City SD 00012335 New Beginnings Academy 56.15% X X D 130

044263 Lorain City SD 00012963 Garfield Elementary School 57.31% X X D 260

044263 Lorain City SD 00015734 Southview Middle School 56.06% X X D 437

044263 Lorain City SD 00017509 Hawthorne-Irving Ele 64.34% X X D 244

044263 Lorain City SD 00019646 Ernest J King Elementary School 59.70% X X D 330

044263 Lorain City SD 00019851 Larkmoor Elementary School 50.99% X X D 404

044263 Lorain City SD 00021659 Stevan Dohanos 66.04% X X D 321

044263 Lorain City SD 00039347 Washington Elementary School 58.02% X X D 324 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 044297 Mansfield City SD 00003624 Malabar Intermediate School 68.41% X X D 785

044297 Mansfield City SD 00010158 Mansfield Spanish Immersion School 25.99% X D 227

044297 Mansfield City SD 00015745 Springmill STEM Elementary 52.63% X X D 190

044297 Mansfield City SD 00022301 Mansfield Middle School 67.90% X X D 433

044297 Mansfield City SD 00022483 Mansfield High School 52.00% X X D 800

044297 Mansfield City SD 00030775 Prospect Elementary School 67.21% X X D 247

044297 Mansfield City SD 00034405 Sherman Elementary School 69.26% X X D 475

044297 Mansfield City SD 00041962 Woodland Elementary School 63.33% X X D 210

044305 Maple Heights 00009029 Barack Obama School 69.05% X X G1 601

044305 Maple Heights 00009030 Abraham Lincoln School 69.10% X X G1 589

044305 Maple Heights 00009031 J.F. Kennedy School 63.99% X X G1 572

044305 Maple Heights 00009522 Milkovich Middle School 65.44% X X G1 813

044305 Maple Heights 00022566 Maple Heights High School 57.60% X X G1 1066

044339 Marion City SD 00000351 Ulysses S. Grant Middle School 56.46% X X G1 859

044339 Marion City SD 00000352 William McKinley Elementary School 63.07% X X D 436

044339 Marion City SD 00011444 Rushmore Academy 49.84% X X D 317

044339 Marion City SD 00015214 Harding High School 40.92% X X D 958

044339 Marion City SD 00034611 Rutherford B. Hayes Elementary School 67.50% X X D 240

044339 Marion City SD 00039586 George Washington Elementary School 58.59% X X D 384

044339 Marion City SD 00042861 Benjamin Harrison Elementary School 44.34% X X D 424

044339 Marion City SD 00147603 William H. Taft Elementary School 72.85% X X D 442

044339 Marion City SD 00147611 James A. Garfield Elementary School 68.38% X X D 389

044354 Massillon City SD 00000737 Massillon Junior High School 47.70% X X D 1455

044354 Massillon City SD 00012245 Franklin Elementary School 66.01% X X D 562

044354 Massillon City SD 00013896 Gorrell Elementary School 49.62% X X D 397

044354 Massillon City SD 00039602 Washington High School 33.31% X X D 1198

044354 Massillon City SD 00041178 Whittier Elementary School 44.67% X X D 347

044404 Middletown City SD 00000547 Amanda Elementary School 78.30% X X D 424

044404 Middletown City SD 00005405 Central Academy Nongraded Elementary School 45.85% X X D 349

044404 Middletown City SD 00007609 Creekview Elementary School 58.97% X X D 507

044404 Middletown City SD 00008933 Rosa Parks Elementary 82.45% X X D 587

044404 Middletown City SD 00013284 Highview 6th Grade Center 59.26% X X D 459

044404 Middletown City SD 00023283 Mayfield Elementary School 55.02% X X D 498

044404 Middletown City SD 00024562 Middletown High School 46.07% X X D 1515

044404 Middletown City SD 00032664 Miller Ridge Elementary 45.84% X X D 469

044404 Middletown City SD 00041277 Wildwood Elementary School 56.41% X X D 569

044404 Middletown City SD 00064360 Middletown Middle School 59.70% X X D 861

044412 Mt Healthy 00016733 South Elementary School 68.16% X X D 892

044412 Mt Healthy 00025817 Mt Healthy High School 47.24% X X D 906

044412 Mt Healthy 00026658 North Elementary School 61.88% X X D 850

044412 Mt Healthy 00035105 South Middle School 57.14% X X D 539

044420 Mount Vernon City Schools 00008029 Dan Emmett Elementary School 60.53% X X G1 304

044420 Mount Vernon City Schools 00061465 Pleasant Street Elementary School 55.19% X X G1 395

044446 Nelsonville-York City SD 00026567 Nelsonville-York High School 30.97% X X G1 494

044446 Nelsonville-York City SD 00042440 Nelsonville-York Elementary School 48.60% X X G1 681

044461 New Boston 00013730 Glenwood High School 65.41% X X G1 159

044461 New Boston 00028159 Oak Intermediate Elementary School 81.82% X X G1 77

044461 New Boston 00035774 Stanton Primary Elementary School 66.46% X X G1 164 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 044479 New Lexington 00018564 Junction City Elementary School 31.76% X X G1 340

044479 New Lexington 00026799 New Lexington Elementary School 51.95% X X G1 410

044479 New Lexington 00026807 New Lexington Middle School 38.93% X X G1 411

044479 New Lexington 00064865 New Lexington High School 32.93% X X G1 501

044495 Niles City SD 00020735 Niles Primary School 54.58% X X G1 491

044495 Niles City SD 00039305 Niles Intermediate School 50.81% X X G1 492

044594 Oberlin City Schools 00009738 Eastwood Elementary School 36.84% X X I 228

044594 Oberlin City Schools 00030809 Prospect Elementary School 32.16% X X G1 185

044669 Portsmouth City SD 00015198 East Portsmouth Elementary 70.35% X X G1 199

044669 Portsmouth City SD 00030569 Portsmouth High School 52.43% X X G1 637

044669 Portsmouth City SD 00140350 Portsmouth Elementary 71.66% X X G1 928

044685 Ravenna City SD 00003905 Brown Middle School 51.91% X X D 470

044685 Ravenna City SD 00016147 Carlin Elementary School 53.67% X X D 259

044685 Ravenna City SD 00031104 Ravenna High School 48.22% X X D 562

044685 Ravenna City SD 00038786 West Main Elementary School 59.84% X X D 381

044685 Ravenna City SD 00038851 West Park Elementary School 51.35% X X D 185

044685 Ravenna City SD 00066514 Willyard Elementary School 49.83% X X D 289

044693 Reading Community 00005728 Central Community Elementary School 40.84% X X G1 333

044735 Salem City SD 00004119 Buckeye Elementary School 49.45% X X I 455

044743 Sandusky City SD 00000083 Sandusky Middle School 44.38% X X G1 498

044743 Sandusky City SD 00015040 Hancock Elementary School 54.18% X X G1 323

044743 Sandusky City SD 00024901 Mills Elementary School 58.36% X X G1 305

044743 Sandusky City SD 00028662 Ontario Elementary School 52.63% X X G1 399

044743 Sandusky City SD 00028829 Osborne Elementary School 47.80% X X G1 387

044743 Sandusky City SD 00033555 Sandusky High School 35.83% X X G1 829

044743 Sandusky City SD 00062000 Venice Heights Elementary School 44.56% X X G1 294

044818 Springfield City SD 00010421 Keifer Community Ctr. Alternative High 72.58% X X G1 372

044818 Springfield City SD 00011711 Clark Center 58.46% X X G1 402

044818 Springfield City SD 00012740 Fulton Elementary School 83.46% X X G1 399

044818 Springfield City SD 00015735 Hayward Middle School 68.58% X X G1 331

044818 Springfield City SD 00018820 Kenton Elementary School 56.83% X X G1 505

044818 Springfield City SD 00018895 Kenwood Elementary 72.89% X X G1 461

044818 Springfield City SD 00019430 Lagonda Elementary School 69.62% X X G1 418

044818 Springfield City SD 00020792 Lincoln Elementary School 76.63% X X G1 445

044818 Springfield City SD 00022459 Mann Elementary School 62.39% X X G1 460

044818 Springfield City SD 00029652 Perrin Woods Elementary School 70.90% X X G1 409

044818 Springfield City SD 00032540 Roosevelt Middle School 53.23% X X G1 434

044818 Springfield City SD 00033704 Schaefer Middle School 68.64% X X G1 287

044818 Springfield City SD 00034801 Snowhill Elementary School 38.74% X X G1 462

044818 Springfield City SD 00034827 Snyder Park Elementary School 72.73% X X G1 374

044818 Springfield City SD 00035527 Springfield High School 51.32% X X G1 1744

044818 Springfield City SD 00039180 Warder Park-Wayne Elementary School 67.32% X X G1 456

044826 Steubenville City SD 00004200 West Pugliese Elementary 34.55% X X G1 437

044826 Steubenville City SD 00015180 Harding Middle School 58.23% X X G1 668

044826 Steubenville City SD 00032433 East Garfield Elementary School 100.00% X X G1 401

044826 Steubenville City SD 00036020 Steubenville High School 51.77% X X G1 593

044826 Steubenville City SD 00040246 Wells Academy 31.88% X X G1 298

044859 Struthers City SD 00145870 Struthers Elementary School 55.76% X X G1 694

044909 Toledo Public Schools 00000234 Ella P. Stewart Academy for Girls 67.00% X X G1 200 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 044909 Toledo Public Schools 00000968 Arlington Elementary School 67.03% X X G1 370

044909 Toledo Public Schools 00002758 Birmingham Elementary School 79.60% X X G1 348

044909 Toledo Public Schools 00004358 Burroughs Elementary School 59.20% X X G1 348

044909 Toledo Public Schools 00006007 Chase Elementary School 86.63% X X G1 344

044909 Toledo Public Schools 00006056 Rosa Parks Elementary School 79.79% X X G1 282

044909 Toledo Public Schools 00007856 Byrndale Elementary School 46.64% X X G1 476

044909 Toledo Public Schools 00008441 DeVeaux Elementary School 48.16% X X G1 598

044909 Toledo Public Schools 00009902 Edgewater Elementary School 54.86% X X G1 175

044909 Toledo Public Schools 00012922 Garfield Elementary School 68.35% X X G1 436

044909 Toledo Public Schools 00013599 Glendale-Feilbach Elementary School 50.81% X X G1 431

044909 Toledo Public Schools 00013706 Glenwood Elementary School 78.93% X X G1 280

044909 Toledo Public Schools 00014936 Leverette Elementary School 74.94% X X G1 435

044909 Toledo Public Schools 00015545 Harvard Elementary School 42.82% X X G1 383

044909 Toledo Public Schools 00015636 Hawkins Elementary School 36.79% X X G1 405

044909 Toledo Public Schools 00018523 Samuel M. Jones at Gunckel Park Elementary School 61.49% X X G1 174

044909 Toledo Public Schools 00018952 Keyser Elementary School 64.58% X X G1 240

044909 Toledo Public Schools 00019836 Larchmont Elementary School 39.76% X X G1 508

044909 Toledo Public Schools 00021386 Longfellow Elementary School 52.75% X X G1 637

044909 Toledo Public Schools 00022970 Marshall Elementary School 79.08% X X G1 325

044909 Toledo Public Schools 00023648 McKinley Elementary School 78.72% X X G1 296

044909 Toledo Public Schools 00023929 McTigue Elementary School 55.90% X X G1 483

044909 Toledo Public Schools 00026484 Navarre Elementary School 75.21% X X G1 476

044909 Toledo Public Schools 00028258 Oakdale Elementary School 60.73% X X G1 382

044909 Toledo Public Schools 00028514 Old Orchard Elementary School 56.35% X X G1 323

044909 Toledo Public Schools 00028902 Ottawa River Elementary School 35.23% X X G1 440

044909 Toledo Public Schools 00029892 Pickett Elementary School 83.46% X X G1 272

044909 Toledo Public Schools 00031153 Raymer Elementary School 63.79% X X G1 417

044909 Toledo Public Schools 00031401 Reynolds Elementary School 65.46% X X G1 359

044909 Toledo Public Schools 00031955 Riverside Elementary School 86.19% X X G1 362

044909 Toledo Public Schools 00032102 Robinson Elementary School 73.90% X X G1 433

044909 Toledo Public Schools 00032276 Rogers High School 49.65% X X G2 717

044909 Toledo Public Schools 00032441 Martin Luther King Academy for Boys Ele School 64.46% X X G1 166

044909 Toledo Public Schools 00033886 Scott High School 70.33% X X G2 610

044909 Toledo Public Schools 00034389 Sherman Elementary School 93.36% X X G1 226

044909 Toledo Public Schools 00035352 Spring Elementary School 72.65% X X G1 245

044909 Toledo Public Schools 00038950 Waite High School 60.72% X X G2 886

044909 Toledo Public Schools 00038984 Walbridge Elementary School 79.13% X X G1 254

044909 Toledo Public Schools 00040691 Westfield Elementary School 67.94% X X G1 131

044909 Toledo Public Schools 00041137 Whittier Elementary School 59.76% X X G1 492

044909 Toledo Public Schools 00042150 Woodward High School 72.56% X X G2 616

044909 Toledo Public Schools 00068478 East Broadway Elementary School 70.91% X X G1 471

044909 Toledo Public Schools 00068486 Old West End Academy Elementary School 55.68% X X G1 264 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 044990 Warren City SD 00009108 Lincoln K-8 School 73.35% X X G1 1167

044990 Warren City SD 00009109 Willard Avenue K-8 School 95.34% X X G1 987

044990 Warren City SD 00009112 Jefferson K-8 School 97.42% X X G1 737

044990 Warren City SD 00009113 McGuffey K-8 School 89.60% X X G1 750

044990 Warren City SD 00015222 Warren G Harding High School 83.53% X X G1 1208

045005 Warrensville Heights 00012392 Eastwood Elementary School 58.08% X X G1 198

045005 Warrensville Heights 00012394 John Dewey Elementary School 54.49% X X G1 167

045005 Warrensville Heights 00039263 Warrensville Heights High School 40.70% X X G1 484

045005 Warrensville Heights 00039271 Warrensville Heights Middle School 52.92% X X G1 308

045005 Warrensville Heights 00040899 Westwood Elementary School 54.47% X X G1 246

045021 Wellston City Schools 00005447 Wellston Middle School 48.79% X X G1 332

045021 Wellston City Schools 00006809 Wellston Intermediate School 49.72% X X G1 331

045021 Wellston City Schools 00040261 Wellston High School 36.88% X X G1 407

045021 Wellston City Schools 00062786 Bundy Elementary School 62.59% X X G1 347

045039 Wellsville Local SD 00008185 Daw Middle School 32.14% X X G1 176

045039 Wellsville Local SD 00012971 Garfield Elementary School 45.84% X X G1 277

045039 Wellsville Local SD 00040279 Wellsville High School 42.50% X X G1 315

045070 Whitehall City SD 00002048 Beechwood Elementary School 60.64% X X D 559

045070 Whitehall City SD 00010785 Etna Road Elementary School 52.92% X X D 497

045070 Whitehall City SD 00018580 Kae Avenue Elementary School 59.66% X X D 523

045070 Whitehall City SD 00032698 Rosemore Middle School 52.92% X X D 667

045070 Whitehall City SD 00041020 Whitehall Yearling High School 46.95% X X D 786

045070 Whitehall City SD 20018580 Kae Avenue Elementary North 58.45% X X D 296

045153 Xenia Community 00007542 Cox Elementary School 48.79% X X G1 373

045153 Xenia Community 00018838 Arrowood Elementary 49.72% X X G1 531

045153 Xenia Community 00023671 McKinley Elementary School 36.88% X X G1 385

045153 Xenia Community 00034249 Shawnee Elementary School 62.59% X X G1 425

045153 Xenia Community 00036970 Tecumseh Elementary School 32.14% X X G1 308

045153 Xenia Community 00040568 Warner Middle School 45.84% X X G1 853 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 045161 Youngstown City SD 00000520 Youngstown Early College 42.50% X X G1 244

045161 Youngstown City SD 00004267 Paul C Bunn Elementary School 50.00% X X G1 277

045161 Youngstown City SD 00005850 Chaney High School 65.10% X X G1 1023

045161 Youngstown City SD 00015206 Harding Elementary School 74.87% X X G1 386

045161 Youngstown City SD 00016804 Wilson Elementary School 78.85% X X G1 279

045161 Youngstown City SD 00016805 Volney Elementary School 70.27% X X G1 296

045161 Youngstown City SD 00016806 Kirkmere School 63.17% X X G1 391

045161 Youngstown City SD 00027599 M.L. King Elementary School 70.54% X X G1 353

045161 Youngstown City SD 00031138 East High School 63.68% X X G1 424

045161 Youngstown City SD 00036798 Taft Elementary School 79.23% X X G1 366

045161 Youngstown City SD 00040436 William Holmes McGuffey Elementary 73.77% X X G1 755

045161 Youngstown City SD 00041467 Williamson Elementary School 73.02% X X G1 252

045161 Youngstown City SD 00069260 Choffin Career & Technical Center 65.12% X X G1 43

045179 Zanesville City SD 00000831 National Road Elementary 68.54% X X G1 356

045179 Zanesville City SD 00025973 John McIntire Elementary 50.86% X X G1 755

045179 Zanesville City SD 00032581 Zanesville Middle School 62.47% X X G1 477

045179 Zanesville City SD 00041582 Zane Grey Elementary 78.49% X X G1 860

045179 Zanesville City SD 00042598 Zanesville High School 51.43% X X G1 733

045344 Crestline Ex Vill SD 00007617 Crestline High School 47.11% X X G1 622

045351 Crooksville Ex Vill SD 00007450 Crooksville Middle School 44.38% X X G1 721

045351 Crooksville Ex Vill SD 00007823 Crooksville High School 36.40% X X G1 250

045542 Newcomerstown Ex Vill SD 00009464 East Elementary School 42.55% X X G1 141

045666 Windham Ex Vill SD 00022558 Katherine Thomas Elementary School 57.67% X X G1 189

045666 Windham Ex Vill SD 00041723 Windham High School 55.91% X X G1 313

045781 Perry Local SD 00029686 Perry Elementary School 59.53% X X G1 467

045781 Perry Local SD 00029694 Perry High School 47.06% X X G1 340

045914 Federal Hocking 00000620 Amesville Elementary School 49.84% X X G1 313

045914 Federal Hocking 00007302 Coolville Elementary School 46.95% X X G1 311

045914 Federal Hocking 00011478 Federal Hocking High School 40.43% X X G1 423

045922 Trimble Local SD 00013755 Trimble High School 35.10% X X G1 208

045922 Trimble Local SD 00037556 Trimble Elementary School 54.96% X X G1 393

045922 Trimble Local SD 00065318 Trimble Middle School 46.05% X X G1 215 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 046136 New Miami 00026864 New Miami Elementary School 59.38% X X G1 389

046136 New Miami 00026872 New Miami Jr/Sr High School 47.71% X X G1 350

046417 Columbiana County ESC 00046417 Columbiana County ESC 42.50% X X G1 40

046441 Southern Local SD 00014830 Utica Shale 50.00% X X G1 32

046441 Southern Local SD 00036095 Southern Local Jr/Sr High School 60.59% X X I 912

047308 Rolling Hills 00004218 Brook Intermediate School 42.04% X X G1 342

047308 Rolling Hills 00004432 Byesville Elementary School 51.01% X X I 242

047308 Rolling Hills 00096396 Secrest Elementary School 38.46% X X G1 181

047365 Northwest Local School District 00030320 Pleasant Run Elementary School 45.34% X X G1 890

047365 Northwest Local School District 00036921 Taylor Elementary School 42.69% X X G1 895

047365 Northwest Local School District 00040170 Struble Elementary School 49.23% X X G1 956

047381 Southwest Local SD 00024430 Miamitown Elementary School 44.12% X X I 383

047761 Oak Hill Union Local 00000124 Oak Hill Elementary 38.65% X X G1 601

047928 Dawson-Bryant Local SD 00008219 Dawson-Bryant High School 39.47% X X G1 603

047928 Dawson-Bryant Local SD 00008284 Dawson-Bryant Elementary School 43.25% X X G1 548

047944 Rock Hill 00146464 Rock Hill Elementary School 65.27% X X G1 691

047944 Rock Hill 00146472 Rock Hill Middle School 49.70% X X G1 332

047944 Rock Hill 00146480 Rock Hill Sr High School 56.90% X X G1 348

047951 South Point 00004317 Burlington Elementary School 48.14% X X G1 349

047951 South Point 00033274 South Point Elementary School 51.14% X X G1 395

047951 South Point 00033282 South Point High School 38.71% X X G1 372

047951 South Point 00033290 South Point Middle School 48.85% X X G1 348

047969 Symmes Valley 00023143 Symmes Valley Elementary School 45.95% X X G1 555

047969 Symmes Valley 00036749 Symmes Valley High School 31.28% X X G1 195

047977 Licking County ESC 00015319 Phoenix Central 50.00% X X G1 64

048132 Clearview Local SD 00006619 Clearview High School 34.08% X X I 537

048132 Clearview Local SD 00008896 Durling Middle School 42.05% X X G1 528

048132 Clearview Local SD 00038448 Vincent Elementary School 49.59% X X G1 603

048199 ESC of Lake Erie West 00085100 Alternate Learning Center 37.25% X X G1 51

048355 Sebring Local SD 00023879 Mckinley High School 40.42% X X G1 240

048355 Sebring Local SD 00024836 B L Miller Elementary School 59.70% X X G1 263

048520 Meigs Local SD 00000105 Meigs Intermediate School 60.59% X X G1 784

048520 Meigs Local SD 00024117 Meigs High School 42.04% X X G1 540

048520 Meigs Local SD 00062307 Meigs Middle School 51.01% X X G1 398

048538 Southern Local SD 00142141 Southern Elementary School 38.46% X X G1 515

048660 Montgomery County Educational 00000672 Montgomery County ESC Learning Center 45.34% X X G1 122

048660 Montgomery County Educational 00008044 Learning Ctr-Montgomery ESC 42.69% X X G1 180 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 048686 Jefferson Township 00002824 Blairwood Elementary School 49.23% X X G1 173

048686 Jefferson Township 00018150 Jefferson High School 44.12% X X G1 165

048694 Trotwood-Madison City Schools 00009224 Madison Park Elementary 38.65% X X D 398

048694 Trotwood-Madison City Schools 00013322 Westbrooke Village Elementary 60.93% X X D 407

048694 Trotwood-Madison City Schools 00013957 Trotwood-Madison Middle School 61.65% X X D 498

048694 Trotwood-Madison City Schools 00022186 Trotwood-Madison High School 57.18% X X D 822

048694 Trotwood-Madison City Schools 00028571 Trotwood-Madison Early Learning Center 69.05% X X D 475

048702 Mad River 00003442 Brantwood Elementary School 38.46% X X G1 416

048702 Mad River 00015461 Virginia Stevenson Elementary School 45.34% X X G1 386

048702 Mad River 00033647 Saville Elementary School 42.69% X X G1 349

048736 Northridge Local SD 00013995 ESTHER DENNIS MIDDLE SCHOOL at Grafton Kennedy 62.54% X X G1 347

048736 Northridge Local SD 00025577 Morrison Elementary School 67.11% X X G1 380

048736 Northridge Local SD 00027763 Northridge High School 54.20% X X G1 655

048736 Northridge Local SD 00093146 Timberlane Learning Center 67.16% X X G1 204

048777 Morgan Local SD 00025544 Morgan High School 40.24% X X G1 507

048777 Morgan Local SD 00142158 Morgan Junior High School 39.93% X X D 278

048777 Morgan Local SD 00142166 East Elementary School 45.08% X X D 386

048777 Morgan Local SD 00142174 West Elementary School 39.51% X X D 329

048777 Morgan Local SD 00142182 South Elementary School 41.85% X X D 313

048850 Maysville Local SD 00023358 Maysville High School 34.15% X X G1 615

048850 Maysville Local SD 00062232 Maysville Middle School 40.12% X X G1 501

048850 Maysville Local SD 00145352 Maysville Elementary School 49.90% X X G1 1044

048926 Benton Carroll Salem 00014890 Graytown-North Point 51.28% X X G1 39

049064 Southern Local SD 00024851 Miller High School 55.78% X X G1 658

049122 Eastern Local SD 00009589 Eastern High School 49.15% X X G1 883

049130 Scioto Valley 00017897 Jasper Elementary School 49.23% X X G1 522

049130 Scioto Valley 00029983 Zahns Middle School 44.12% X X G1 374

049130 Scioto Valley 00029991 Piketon Jr/Sr High School 38.65% X X G1 533

049148 Waverly City SD 00009407 Waverly Primary School 40.00% X X D 435

049148 Waverly City SD 00027425 Waverly Junior High School 30.02% X X D 443

049148 Waverly City SD 00039909 Waverly High School 23.09% X D 459

049148 Waverly City SD 00040410 Waverly Intermediate School 38.44% X X D 450 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 049155 Western Local SD 00029157 Western Elementary School 54.25% X X G1 440

049155 Western Local SD 00040667 Western High School 64.16% X X G1 313

049502 Huntington Local SD 00017160 Huntington High School 45.45% X X I 1038

049510 Paint Valley 00037689 Paint Valley Elementary School 43.77% X X G1 882

049635 Northwest Local SD 00120279 Northwest Elementary School 45.28% X X G1 696

049650 Washington-Nile Local SD 00125773 Portsmouth West Elementary School 52.15% X X G1 613

049650 Washington-Nile Local SD 00125781 Portsmouth West Middle School 44.12% X X G1 471

049833 Canton Local School District 00043430 Faircrest Memorial Middle School 42.86% X X G1 576

049833 Canton Local School District 00061804 Walker Elementary School 44.35% X X G1 699

049932 Plain Local School District 00086983 Child and Adolescent Behavioral Health 70.00% X X G1 30

050393 Vinton County Local 00000455 West Elementary School 59.13% X X D 345

050393 Vinton County Local 00014878 South Elementary School 72.29% X X D 314

050393 Vinton County Local 00023374 Central Elementary School 63.99% X X D 386

050393 Vinton County Local 00038471 Vinton County High School 47.23% X X D 578

050393 Vinton County Local 00111526 Vinton County Middle School 55.43% X X D 460

050435 Kings Local SD 00021170 Lockland Elementary School 52.39% X X G1 544

050666 Wood County Educational Service Center 00000161 Wood County Alternative School 33.33% X X G1 12

050666 Wood County Educational Service Center 00050666 Wood 67.44% X X G1 43

050666 Wood County Educational Service Center 2000058664 Wood County ESC Pathe 50.00% X X G1 6

051185 Lawrence County 00051193 Lawrence County 40.11% X X G1 531

051490 Scioto County Joint Vocational School 00033795 Scioto County 51.33% X X G1 450

052522 Cleveland Catholic Diocese 00055749 Holy Name 67.43% X X G1 175

052522 Cleveland Catholic Diocese 00055822 Mary Queen of Peace School 50.31% X X G2 318

052522 Cleveland Catholic Diocese 00055913 St Adalbert Elementary 67.23% X X G1 412

052522 Cleveland Catholic Diocese 00055947 St Agatha-St Aloysius 63.86% X X G1 166

052522 Cleveland Catholic Diocese 00056010 St Francis 67.15% X X G1 207

052522 Cleveland Catholic Diocese 00056069 St Jerome 53.75% X X G1 240

052522 Cleveland Catholic Diocese 00056242 St Rocco 55.70% X X G1 158

052522 Cleveland Catholic Diocese 00056267 St Stanislaus 63.78% X X G1 185

052522 Cleveland Catholic Diocese 00056275 Metro Catholic Parish 55.58% X X G2 493

052522 Cleveland Catholic Diocese 00056283 St Thomas Aquinas 64.44% X X G1 180

052522 Cleveland Catholic Diocese 00057067 St Bernard-St Mary 54.55% X X G1 176 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 054171 Mayfair Christian School 00054171 Mayfair Christian School 59.09% X X I 88

054361 Holy Family 00054361 Holy Family 54.25% X X G1 212

054635 Resurrection Ele Sch 00054635 Resurrection Ele Sch 64.16% X X I 173

054692 St Albert The Great 00054429 Immaculate Conception 42.42% X X G1 231

054692 St Albert The Great 00054544 Our Lady Of Rosary 46.15% X X G1 195

054726 St Aloysius Educational Center 00083253 St Aloysius-Cambridge Program 54.05% X X G1 37

054726 St Aloysius Educational Center 2000058654 St. Aloysius Educational Center 65.65% X X G1 131

054999 St Francis Desales 00054999 St Francis Desales 42.79% X X G1 208

055012 St Francis Seraph 00055012 St Francis Seraph 63.01% X X G1 173

055228 St Lawrence 00055228 St Lawrence 50.57% X X G1 348

058693 CCMT Catholic School 00058693 CCMT Catholic-Rosary Cathedral 52.17% X X G1 138

058693 CCMT Catholic School 2000058586 CCMT School, Queen of Apostles Campus Annex 66.23% X X G1 154

059717 St. Peter 00059717 St Peter 44.93% X X G1 138

059733 Our Lady Of Peace 00059733 Our Lady Of Peace 56.38% X X G1 188

062067 Gallia-Jackson-Vinton Jt Voc SD 00062075 Buckeye Hills Career Center 45.45% X X G1 440

065003 Heritage Christian 00065003 Heritage Christian 47.27% X X G1 330

065680 Gallia County 00000141 Addaville Elementary School 43.77% X X G1 361

065680 Gallia County 00002683 River Valley Middle School 45.28% X X G1 360

065680 Gallia County 00004515 Southwestern Elementary School 52.15% X X G1 163

065680 Gallia County 00011708 South Gallia Middle School 44.12% X X G1 136

065680 Gallia County 00015081 Hannan Trace Elementary School 42.86% X X G1 245

065680 Gallia County 00015099 South Gallia High School 44.90% X X G1 147

065680 Gallia County 00019364 River Valley High School 36.70% X X G1 406

065680 Gallia County 00038489 Vinton Elementary School 58.26% X X G1 345

066068 Jefferson County Board of DD 00066068 Jefferson County Board of DD 46.58% X X G1 73

066274 Washington Co Bd Of DD 00096651 Ewing Voc Sch 41.90% X X I 105

066357 Muskingum County Board of DD 00066357 Muskingum County Board of DD 50.00% X X G1 78

070656 Springfield Christian School 00070656 Springfield Christian School 53.60% X X G1 125

071472 Lawrence County Board of DD 00071480 Open Door School 46.03% X X G1 63

085662 Meigs County Board of DD 00085928 Carleton School 43.75% X X I 48

086678 Yeshiva Derech Hatorah 00017030 Yeshiva Derech Hatorah High School 38.71% X X G1 93

086678 Yeshiva Derech Hatorah 00086678 Yeshiva Derech Hatorah 40.81% X X G1 272

086678 Yeshiva Derech Hatorah 00119388 Yeshiva Derech Hatorah-S Taylor 43.51% X X G1 239

120865 Emmanuel Christian Academy 00120865 Emmanuel Christian Academy 44.94% X X G1 247

125260 Gloria S Friend Christian Acad 00125260 Gloria S Friend Christian Acad 56.25% X X G1 48

132746 Summit Acdy Comm Schl for Alternative Learners00132746 of Middletown Summit Acdy for Alternative Learners Middletown 51.11% X X G1 90

132761 Summit Academy-Xenia 00132761 Summit Academy-Xenia 40.31% X X G1 196

132779 Summit Academy Middle School-Akron 00132779 Summit Academy Middle School-Akron 52.38% X X G1 42 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 132795 Cliff Park High School 00132795 Cliff Park High School 35.94% X X G1 192

132944 Miami Valley Academy 00132944 Miami Valley Academy 75.73% X X I 103

132951 Constellation Schools Lorain Community 00132951 Lorain Community School 55.87% X X G1 179

132985 Youthbuild Columbus Community 00132985 Youthbuild Columbus Community 99.00% X X G1 200

133264 Dohn Community High School 00133264 Dohn Community High School 30.71% X X G1 1270

133280 Washington Park Community 00133280 Washington Park Community 70.05% X X I 207

133306 Summit Academy-Canton 00133306 Summit Academy-Canton 56.69% X X G1 127

133322 Summit Academy-Lorain 00133322 Summit Academy-Lorain 66.42% X X G1 134

133348 Richard Allen Preparatory 00133348 Richard Allen Preparatory 46.80% X X G1 359

133389 Lighthouse Community Sch Inc 00133389 Lighthouse Community Sch Inc 81.03% X X I 58

133454 Dayton Leadership Academies-Dayton View Campus00133454 Dayton View Campus 73.33% X X I 405

133488 River Gate High School 00133488 River Gate High School 56.29% X X G1 167

133504 Phoenix Community Learning Ctr 00133504 Phoenix Community Learning Ctr 55.78% X X G1 441

133512 Cincinnati College Preparatory Academy 00133512 Cincinnati College Preparatory Academy 68.66% X X G1 970

133520 Citizens Academy 00133520 Citizens Academy 52.10% X X G1 405

133561 Millennium Community 00133561 Millennium Community 64.63% X X G1 557

133587 Summit Academy Community School for Alt Learners00133587 of Akron Summit Academy Community School for Alt Learners of Akron64.29% X X G1 140

133678 Riverside Academy 00133678 Riverside Academy 66.11% X X G1 180

133736 Richard Allen Academy 00133736 Richard Allen Academy 54.96% X X G1 131

133785 Life Skills Ctr Of Cincinnati 00133785 Life Skills Ctr Of Cincinnati 49.00% X X G1 100

133835 Invictus High School 00133835 Invictus High School 83.05% X X G1 118

133835 Invictus High School 20133835 Invictus Parma Heights Campus 80.65% X X G1 124

133835 Invictus High School 90133835 Invictus Lee Rd. Campus 85.57% X X G1 201

134072 Youngstown Community School 00134072 Youngstown Community School 66.08% X X G1 339

134148 Aurora Academy 00134148 Aurora Academy 59.57% X X G1 141

134213 Middlebury Academy 00134213 Middlebury Academy 74.58% X X G1 299

134247 City Day Community School 00134247 City Day Community School 100.00% X X I 159

142901 Stark High School 00142901 Stark High School 59.46% X X G1 111

142919 Life Skills Center of Elyria 00142919 Life Skills Center of Elyria 78.32% X X G1 143

142943 Focus Learning Academy of Northern Columbus00142943 Focus Learning Acad of Northern Columbus 51.80% X X I 500

142968 Hope Northcoast Academy 00142968 Hope Northcoast Academy 65.85% X X G1 287

143172 International Acad Of Columbus 00143172 International Acad Of Columbus 52.80% X X G1 286

143198 Great Western Academy 00143198 Great Western Academy 56.05% X X G1 769

143206 Trotwood Fitness & Prep Acad 00143206 Trotwood Fitness & Prep Acad 66.47% X X G1 346

143214 Middletown Fitness & Prep Acad 00143214 Middletown Fitness & Prep Acad 60.32% X X I 252

143479 Puritas Community School 00143479 Puritas Community School 50.25% X X G1 201

143487 Constellation Schools Stockyard 00143487 Stockyard Community School 69.03% X X G1 268

143529 North Dayton School Of Science & Discovery 00143529 North Dayton School Of Science & Discovery 64.09% X X G1 607

143644 Sciotoville High Sch 00143644 Sciotoville High Sch 49.78% X X G1 231

149302 Life Skills Center Of Toledo 00149302 Life Skills Center Of Toledo 60.83% X X G1 120

149328 Foxfire Center For Student Success 00149328 Foxfire Center For Student Success 70.98% X X G1 410

151183 Lake Erie International HS 00151183 Lake Erie International HS 67.18% X X G1 262

000138 Pathway School of Discovery 00000138 Pathway School of Discovery 49.18% X 730

000222 Wildwood Environmental Academy 00000222 Wildwood Environmental Elementary 45.59% X 136

000311 Bridges Community Academy 00000311 Bridges Community Academy 65.99% X 147

000476 Saint Martin de Porres High School 00000476 Saint Martin de Porres High School 49.73% X 370 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 000543 Pinnacle Academy 00000543 Pinnacle Academy 57.89% X 710

000553 Columbus Humanities, Arts and Technology Academy00000553 Columbus Humanities, Arts and Technology Academy 48.44% X 545

000557 Columbus Arts & Technology Academy 00000557 Columbus Arts & Technology Academy 46.79% X 545

000576 King Academy Community School 00000576 King Academy Community School 99.16% X 119

000634 Summit Academy Secondary School - Middletown00000634 Summit Academy Secondary School - Middletown 40.52% X 116

000858 Horizon Science Academy-Cleveland Middle School00000858 Horizon Science Academy-Cleveland Middle School 61.08% X 316

000930 Cleveland Entrepreneurship Preparatory School00000930 Cleveland Entrepreneurship Prep 42.51% X 327

009179 Horizon Science Academy Columbus Middle School00009179 Horizon Science Academy Columbus Middle 45.97% X 496

012060 Akros Middle School 00012060 Akros Middle School 54.17% X 120

013173 Imagine Hill Avenue 00013173 Imagine Hill Avenue 61.90% X 126

013232 A+ Children's Academy 00013232 A+ Children's Academy 86.79% X 106

013999 Rise & Shine Academy 00013999 Rise & Shine Academy 100.00% X 107

014090 Eastland Preparatory Academy 00014090 Eastland Preparatory Academy 47.24% X 254

014139 Imagine Columbus Primary School 00014139 Imagine Columbus Primary School 64.96% X 234

014927 UDS Steel Academy 00014927 UDS Steel Academy 56.00% X 100

015714 Urban Early College Network 00015714 Urban Early College Network 44.32% X 88

016811 Inspire Elementary 00016811 Inspire Elementary 51.22% X 41

016812 SMART Academy 00016812 SMART Academy 58.70% X 46

016850 Southwest Ohio Preparatory School 00016850 Southwest Ohio Preparatory School 64.75% X 295

017123 Horizon Science Academy Primary 00017123 Horizon Science Academy Primary 47.13% X 261

017212 Academy of Junior Scholars 00017212 Academy of Junior Scholars 44.44% X 27

017259 Montgomery Preparatory Academy 00017259 Montgomery Preparatory Academy 53.33% X 195

017270 Lorain Bilingual Preparatory Academy 00017270 Lorain Bilingual Preparatory Academy 72.45% X 98

017274 Mount Auburn Preparatory Academy 00017274 Mount Auburn Preparatory Academy 56.29% X 286

043539 Barberton City Schools 00008457 Barberton Elementary School West 61.46% X 646

043539 Barberton City Schools 00016794 Barberton Pre School 50.81% X 124

043539 Barberton City Schools 00020503 Barberton Middle School 50.18% X 1094

043539 Barberton City Schools 00030528 Barberton Elementary School East 51.23% X 652

043562 Bedford City SD 00005561 Central Primary School 47.60% X 479

043562 Bedford City SD 00007070 Columbus Intermediate School 41.96% X 367

043687 Bucyrus City 00011732 Bucyrus Elementary School 51.00% X 649

043752 Cincinnati Public Schools 00016106 Rising Stars Academy on Vine 45.10% X 204

043752 Cincinnati Public Schools 00016107 Rising Stars Academy on Harrison 57.55% X 106

043752 Cincinnati Public Schools 00016702 Carthage School 47.90% X 119

043752 Cincinnati Public Schools 00016703 LEAP Academy @ North Fairmount 64.59% X 257

043752 Cincinnati Public Schools 00016990 Rising Stars Academy Ezzard Charles 59.26% X 27

043810 Conneaut Area 00000388 Gateway Elementary School 46.51% X 387

043810 Conneaut Area 00000389 Lakeshore Primary Elementary School 50.24% X 414

043810 Conneaut Area 00007211 Conneaut High School 40.00% X 395

043810 Conneaut Area 00032813 Conneaut Middle School 43.42% X 357 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043828 Coshocton City SD 00000598 Coshocton Opportunity School 70.00% X 40

043927 East Palestine 00038844 East Palestine Middle School 48.07% X 233

043943 Elyria City SD 00007716 Crestwood Elementary School 46.36% X 440

043943 Elyria City SD 00010454 Ely Elementary School 47.88% X 401

043943 Elyria City SD 00010462 Elyria High School 41.07% X 1690

043943 Elyria City SD 00010751 Eastern Heights Junior High School 48.61% X 432

043943 Elyria City SD 00012369 Franklin Elementary School 68.65% X 453

043943 Elyria City SD 00023812 Mckinley Elementary School 48.97% X 339

043943 Elyria City SD 00027979 Northwood Junior High School 44.02% X 418

043943 Elyria City SD 00028340 Oakwood Elementary School 63.64% X 264

043943 Elyria City SD 00030783 Prospect Elementary School 41.22% X 376

043943 Elyria City SD 00064733 Westwood Junior High School 49.88% X 429

043992 Fostoria City SD 00011544 Riley Elementary School 58.27% X 266

043992 Fostoria City SD 00012039 Fostoria Junior/Senior High School 41.11% X 754

043992 Fostoria City SD 00021329 Longfellow Elementary School 50.44% X 226

043992 Fostoria City SD 00031757 Fostoria Intermediate Elementary School 52.49% X 583

044008 Franklin City SD 00013276 George H Gerke Elementary School 40.08% X 262

044008 Franklin City SD 00029595 Pennyroyal Elementary School 45.06% X 253

044024 Galion City SD 00008201 Primary Elementary School 42.32% X 475

044065 Girard City SD 00009159 Prospect Elementary School 42.58% X 944

044081 Winton Woods 00011973 Winton Woods Intermediate 42.40% X 592

044081 Winton Woods 00066787 Winton Woods Elementary 43.94% X 594

044107 Hamilton City SD 00011482 Fairwood Elementary 52.46% X 793

044107 Hamilton City SD 00011485 Bridgeport Elementary 41.94% X 732

044107 Hamilton City SD 00013102 Garfield Middle School 43.94% X 842

044107 Hamilton City SD 00015404 Riverview Elementary 64.28% X 725

044107 Hamilton City SD 00038216 Crawford Woods Elementary 57.25% X 669

044123 Hillsboro City SD 00040147 Hillsboro Ele Sch 43.38% X 1111

044198 Lakewood City SD 00009120 Harrison Elementary 48.64% X 368

044206 Lancaster City SD 00005132 Gorsuch West Elementary School 56.05% X 587

044206 Lancaster City SD 00009340 Mount Pleasant Elementary School 47.05% X 542

044206 Lancaster City SD 00036889 Tallmadge Elementary School 53.21% X 577

044321 Marietta City Schools 00015297 Harmar Elementary School 40.58% X 313

044321 Marietta City Schools 00029819 Phillips Elementary School 45.92% X 355

044321 Marietta City Schools 00039578 Washington Elementary School 53.23% X 310

044347 Martins Ferry 00010004 Anna Marie Ayers Elementary School 43.46% X 589

044396 Miamisburg City SD 00019034 Kinder Elementary School 41.74% X 357

044420 Mount Vernon City Schools 00007005 Columbia Elementary School 47.47% X 217

044453 Newark City SD 00006080 Cherry Valley Elementary School 41.21% X 461

044453 Newark City SD 00006627 John Clem Elementary School 43.51% X 478

044453 Newark City SD 00009212 Carson Elementary 67.21% X 427

044453 Newark City SD 00009213 Heritage Middle School 54.16% X 517

044453 Newark City SD 00009214 Hillview Elementary 45.45% X 462

044453 Newark City SD 00012229 Ben Franklin Elementary 76.31% X 325

044453 Newark City SD 00015184 The Learning Spectrum 100.00% X 1

044453 Newark City SD 00017325 NDA 55.10% X 441

044453 Newark City SD 00023572 McGuffey Elementary School 60.95% X 484

044453 Newark City SD 00041657 Wilson Middle School 52.76% X 398 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 044487 New Philadelphia 00040352 West Elementary School 50.50% X 301

044495 Niles City SD 00010074 Niles Middle School 46.99% X 515

044511 North College Hill City School District 00006775 North College Hill Elementary School 57.89% X 627

044511 North College Hill City School District 00026120 North College Hill High School 48.02% X 935

044511 North College Hill City School District 00044511 Goodman Headstart 100.00% X 25

044560 Norwalk City SD 00000270 Main Street School 41.68% X 475

044560 Norwalk City SD 00019968 League Elementary School 42.21% X 199

044560 Norwalk City SD 00022632 Maplehurst Elementary School 59.55% X 398

044560 Norwalk City SD 00030221 Pleasant Elementary School 42.45% X 384

044578 Norwood City School District 00028118 Norwood View Elementary School 44.12% X 374

044578 Norwood City School District 00034173 Sharpsburg Elementary School 42.06% X 233

044602 Oregon City SD 00042374 Wynn Elementary School 80.85% X 47

044628 Painesville City 00005157 Chestnut Elementary School 48.44% X 450

044628 Painesville City 00017152 Elm Street Elementary School 47.78% X 450

044628 Painesville City 00019877 Maple Elementary School 44.39% X 446

044628 Painesville City 00039099 Heritage Middle School 44.50% X 636

044651 Port Clinton 00001685 Bataan Elementary School 45.41% X 632

044719 St Bernard-Elmwood Place 00010447 Elmwood Place Elementary School 61.54% X 273

044719 St Bernard-Elmwood Place 00035584 St Bernard-Elmwood Place High School 41.49% X 376

044719 St Bernard-Elmwood Place 00037408 St Bernard Elementary School 40.94% X 254

044784 Sidney City SD 00010512 Emerson Elementary School 51.20% X 334

044784 Sidney City SD 00021337 Longfellow Elementary School 69.63% X 270

044784 Sidney City SD 00029298 Parkwood Elementary School 55.56% X 54

044784 Sidney City SD 00029306 Northwood Elementary School 50.34% X 447

044784 Sidney City SD 00041145 Whittier Elementary School 40.82% X 294

044784 Sidney City SD 00043018 Sidney Middle School 44.88% X 849

044859 Struthers City SD 00011601 Struthers Middle School 57.14% X 560

044859 Struthers City SD 00036301 Struthers High School 50.43% X 585

044917 Toronto City SD 00089631 J T Karaffa Middle School 43.60% X 500

045054 West Carrollton 00016584 C F Holliday Elementary School 42.44% X 443

045054 West Carrollton 00027219 Frank Nicholas Elementary School 47.56% X 164

045054 West Carrollton 00033027 Harry Russell Elementary School 44.50% X 373

045096 Willard City SD 00005439 Central Elementary School 41.87% X 621

045112 Wilmington City SD 00008409 Denver Place Elementary School 41.40% X 442

045112 Wilmington City SD 00009027 East End Elementary School 41.18% X 272

045112 Wilmington City SD 00016618 Roy E Holmes Elementary School 41.91% X 556

045120 Wooster City SD 00123463 Cornerstone Elementary School 62.29% X 358

045161 Youngstown City SD 00009996 Mahoning County High School 72.34% X 235

045245 Harrison Hills 00012348 Harrison East Elementary 41.86% X 559

045245 Harrison Hills 00018309 Harrison North Elementary School 51.45% X 311

045401 Greenfield Ex Vill SD 00014514 Greenfield Elementary School 50.00% X 484

045401 Greenfield Ex Vill SD 00031039 Rainsboro Elementary School 55.85% X 188 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 045450 Lisbon Ex Vill SD 00023820 Mckinley Elementary School 48.31% X 472

045567 Newton Falls 00005256 Newton Falls Middle School 41.08% X 426

045765 Bath Local SD 00045740 Allen County ESC 43.94% X 66

045856 Buckeye Local SD 00031682 Ridgeview Elementary School 52.00% X 400

046037 Eastern Local SD 00033605 Sardinia Elementary School 40.77% X 336

046078 Ripley-Union-Lewis-Huntington Local SD 00121434 Ripley Union Lewis Huntington Elementary School 47.87% X 305

046201 Triad Local School District 00037523 Triad Elementary School 41.84% X 294

046359 West Clermont 00003434 Brantner Lane Elementary School 40.63% X 480

046359 West Clermont 00089565 Holly Hill Elementary School 44.69% X 584

046482 River View 00018622 Keene Elementary School 40.16% X 254

046482 River View 00037762 Union Elementary School 43.21% X 162

046524 Wynford Local Schools 00016642 Wynford Elementary School 42.45% X 662

046532 Educational Service Center-Cuyahoga 00008100 Willowcreek 43.75% X 96

046532 Educational Service Center-Cuyahoga 00011314 Educ Alt-Willoughby 43.94% X 66

046532 Educational Service Center-Cuyahoga 00011315 Educ Alt-Brookpark 44.68% X 47

046532 Educational Service Center-Cuyahoga 00011316 Educ Alt-Elyria 42.86% X 63

046532 Educational Service Center-Cuyahoga 00115113 Greenview Day Treatment 67.11% X 76

046532 Educational Service Center-Cuyahoga 00119636 Eastwood Day Treatment Ctr 71.95% X 82

046532 Educational Service Center-Cuyahoga 00135400 PEP Phoenix 56.18% X 89

046532 Educational Service Center-Cuyahoga 00135996 Hopewell Day Treatment Cn 57.33% X 75

046532 Educational Service Center-Cuyahoga 00136002 PEP Prentiss 46.55% X 116

046722 Northeastern Local SD 00900816 Independence Education Center 70.00% X 100

046854 Berne Union 00002501 Berne Union High School 42.17% X 1034

046979 Groveport Madison 00001073 Asbury Elementary School 65.28% X 458

046979 Groveport Madison 00022046 Madison Elementary School 63.37% X 404

046979 Groveport Madison 00008888 Dunloe Elementary School 71.76% X 471

046979 Groveport Madison 00012000 Cruiser Academy 47.49% X 179

046979 Groveport Madison 00014704 Groveport Madison High School 50.92% X 1691

046979 Groveport Madison 00014712 Groveport Madison Junior High School 49.89% X 900

046979 Groveport Madison 00061549 Glendening Elementary School 57.06% X 489

046979 Groveport Madison 00061556 Sedalia Elementary 61.15% X 677

046979 Groveport Madison 00067900 Groveport Madison Middle School South 68.80% X 468

046979 Groveport Madison 00067934 Groveport Madison North Middle School 58.70% X 506 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 047001 Reynoldsburg City SD 00032631 Rose Hill Elementary School 49.38% X 403

047324 Hamilton County ESC 00047324 Learning Center at North Norwood 56.36% X 55

047365 Northwest Local School District 00006908 Colerain Middle School 42.77% X 629

047365 Northwest Local School District 00041012 White Oak Middle School 49.42% X 781

047365 Northwest Local School District 00043315 Pleasant Run Middle School 55.79% X 769

047365 Northwest Local School District 00064683 Northwest High School 41.55% X 905

047696 West Holmes 00019018 Killbuck Elementary School 44.97% X 189

047696 West Holmes 00024869 Millersburg Elementary School 45.41% X 392

047696 West Holmes 00026435 Nashville Elementary School 43.90% X 123

047696 West Holmes 00064790 West Holmes Middle School 43.16% X 512

047696 West Holmes 00068445 Clark Elementary School 40.23% X 87

047787 Buckeye Local Schools 00003590 Buckeye North Elementary School 44.58% X 323

047787 Buckeye Local Schools 00042515 Buckeye South Elementary School 46.94% X 343

047803 Indian Creek Local 00014089 Indian Creek Middle School Grades 5 & 6 43.98% X 332

047803 Indian Creek Local 00016337 Hills Elementary School 58.78% X 393

047803 Indian Creek Local 00041830 Wintersville Elementary School 52.66% X 433

048223 Springfield Local Schools 00007799 Crissey Elementary School 42.03% X 345

048264 Jonathan Alder 00025270 Monroe Elementary School 40.87% X 230

048280 Mahoning Educational Service Center 50048280 MCESC Manor Program 59.57% X 47

048298 Austintown Local SD 00039867 Austintown Elementary School 40.49% X 1030

048306 Boardman Local SD 00022921 Market Street Elementary School 44.14% X 401

048652 Switzerland Of Ohio 00001875 Beallsville Elementary School 40.31% X 196

048652 Switzerland Of Ohio 00042077 Woodsfield Elementary School 46.03% X 441

048652 Switzerland Of Ohio 20014067 Swiss Options for Success (SOS) 46.15% X 13

048843 Franklin Local School District 00032714 Roseville Elementary School 54.25% X 247

048843 Franklin Local School District 00062224 Roseville Middle School 64.77% X 88

049080 Logan Elm 00064717 Laurelville Elementary School 44.53% X 256

049452 Madison Local SD 00009704 Eastview Elementary School 58.70% X 293

049452 Madison Local SD 00022103 Madison Middle School 56.72% X 952

049452 Madison Local SD 00022152 Madison South Elementary School 72.63% X 570

049452 Madison Local SD 00022178 Madison High School 48.22% X 869

049452 Madison Local SD 00024646 Mifflin Elementary School 45.33% X 289 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 049601 Clay Local SD 00032706 Clay Elementary School 41.30% X 368

049601 Clay Local SD 00032938 Clay Middle School 47.43% X 175

049619 Green Local SD 00014373 Green High School 100.00% X 266

049619 Green Local SD 00122127 Green Primary Elementary School 100.00% X 323

049635 Northwest Local SD 00027854 Northwest High School 43.80% X 379

049635 Northwest Local SD 00120261 Northwest Middle School 55.00% X 340

049643 Valley Local School District 00038133 Valley Middle School 43.75% X 320

049726 Old Fort 00028498 Old Fort Elementary 46.48% X 327

049932 Plain Local School District 00005926 Charles L Warstler Elementary School 41.34% X 358

049932 Plain Local School District 00031070 Ransom H Barr Elementary School 46.44% X 351

049932 Plain Local School District 00041384 Robert A. Taft Elementary School 57.22% X 374

049940 Sandy Valley 00009968 Sandy Valley Elementary School 45.54% X 672

050120 Brookfield Local School District 00007906 Brookfield Elementary School 40.05% X 387

050195 Liberty Local SD 00014803 William S Guy Middle School 62.24% X 580

050195 Liberty Local SD 00020388 Liberty High School 60.52% X 423

050245 LaBrae Local SD 00001669 Bascom Elementary School 47.55% X 265

050658 Stryker Local SD 00036327 Stryker High School 44.25% X 409

050690 Lake Local SD 00019521 Lake Elementary School 40.31% X 640

050716 Northwood Local SD 00027961 Northwood High School 47.78% X 948

051375 Pike County Area 00029934 Vern Riffe Career Technology C 67.31% X 413

051375 Pike County Area 00122879 Miracle City Academy 44.44% X 36

052522 Cleveland Catholic Diocese 00053983 Cleveland Central Catholic 53.30% X 546

052522 Cleveland Catholic Diocese 00056036 Archbishop Lyke-St Henry Campus 49.08% X 163

052522 Cleveland Catholic Diocese 00056051 St Ignatius 60.90% X 266

052522 Cleveland Catholic Diocese 00056127 St Leo The Great 40.16% X 254

052522 Cleveland Catholic Diocese 00056358 St Mary Byzantine 45.93% X 172

052522 Cleveland Catholic Diocese 00056994 St Anthony Of Padua 54.94% X 162

052662 Benedictine 00052662 Benedictine High School 43.08% X 325

054031 Clifton Christian Academy 00054031 Clifton Christian Academy 90.67% X 75

054866 St Boniface 00054866 St Boniface 50.28% X 179

055038 Corryville Catholic 00055038 Corryville Catholic 86.76% X 204

057786 St Anthony 00057786 St Anthony 80.84% X 167

058503 Gesu Ele Sch 00058503 Gesu Ele Sch 85.33% X 334

058941 St Gerard 00058941 St Gerard 55.14% X 185

059626 St Joseph The Provider 00059626 St Joseph The Provider 52.12% X 165

060384 St John Lutheran 00060384 St John Lutheran 43.75% X 160 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 061903 Adams County/Ohio Valley 00029520 Peebles Elementary School 43.20% X 588

061903 Adams County/Ohio Valley 00038885 West Union Elementary School 48.03% X 735

062562 Urban Community School 00062562 Urban Community School 40.93% X 557

065912 Clermont County Board of DD 00065912 Clermont County Board of DD 48.78% X 41

065920 Columbiana County Board of DD 00065920 Columbiana County Board of DD 48.98% X 49

065979 Franklin County Board of DD 00071456 West Central 47.92% X 96

066100 Madison County Board of DD 00066100 Madison County Board of DD 41.86% X 43

068403 Valley Christian School 00068403 Valley Christian School 44.98% X 518

068403 Valley Christian School 30068403 Valley Christian Pleasant Grove Campus 65.65% X 131

070383 Lake Co Juv Justice Ctr 00070391 Juvenile Justice Center 100.00% X 30

070615 Gallia County Board of DD 00070623 Guiding Hand 57.14% X 49

082891 Flat Rock Care Center 00082891 Flat Rock Care Center 100.00% X 5

083576 Shelter Care/Safe Landing 00082545 Safe Landing Runaway Shelt 100.00% X 12

083576 Shelter Care/Safe Landing 00083576 Safe Landing Youth Shelter 100.00% X 12

083618 The Childrens Home-District 00083626 The Childrens Home School 47.19% X 178

083881 Sunshine Childrens Home 00083881 Sunshine Childrens Home 100.00% X 12

121749 Oakview Juvenile Residential Center 00121749 Oakview Juvenile Rehab Sch 100.00% X 10

132399 Golden Bridge Academy 00132399 Golden Bridge Academy 87.07% X 147

132969 Constellation Schools Elyria Community 00132969 Elyria Community Abbe Rd 40.16% X 244

132993 Constellation Schools Westpark Community 00132993 Westpark Community-Cleveland 48.71% X 310

133538 Edge Academy, The 00133538 Edge Academy, The 65.56% X 241

134197 Green Inspiration Academy 00134197 Green Inspiration Academy - Boys Campus 41.82% X 110

134197 Green Inspiration Academy 10134197 Green Inspiration Academy-Girls Campus 41.22% X 148

137364 Madison-Champaign 00017122 MAC-A-CHEEK SOUTH 56.25% X 16

140285 Van Wert Co Community Correct 00140285 Van Wert Co Community Correct 100.00% X 5

140475 Miami Valley Rehab-Greene Juv 00140467 Miami Valley Rehab-Greene Juv 100.00% X 24

143313 West Preparatory Academy 00143313 West Preparatory Academy 68.22% X 129

143644 Sciotoville High Sch 00009964 Sciotoville Elementary Academy 67.52% X 157

148239 Logan County Juvenile Det Ctr 00148247 Logan Multi County Jdc 100.00% X 100

000222 Wildwood Environmental Academy 00000222 Wildwood Environmental High School 31.22% X 221

000316 Constellation Schools: Westpark Community Middle00000316 School Westpark Community Middle School 34.56% X 217

000608 Summit Academy Transition High School-Cincinnati00000608 Summit Acad Transition High Sch-Cincinnati 31.25% X 80

007999 The Charles School at Ohio Dominican University 00007999 Charles School at Ohio Dominican 32.14% X 336

008278 Noble Academy-Cleveland 00008278 Noble Academy-Cleveland 37.82% X 431

008280 Noble Academy-Columbus 00008280 Noble Academy-Columbus 35.42% X 336

011534 Horizon Science Academy Dayton High School 00011534 Horizon Science Academy Dayton High School 39.73% X 292

011972 Graham Elementary and Middle School 00011972 Graham Expeditionary Middle School 31.81% X 415

012391 Metro Early College High School 00012391 Metro Early College High School 33.77% X 918

012924 DECA Prep, Inc. 00012924 DECA Prep, Inc. 38.29% X 914

016829 South Columbus Preparatory Academy 00016829 South Columbus Preparatory Academy 37.35% X 166

043505 Ashland City SD 00010025 Edison Elementary School 33.55% X 468

043539 Barberton City Schools 00001545 Barberton High School 38.43% X 1361

043562 Bedford City SD 00005041 Carylwood Intermediate School 36.78% X 329

043562 Bedford City SD 00013607 Glendale Primary School 35.40% X 500

043562 Bedford City SD 00015974 Heskett Middle School 35.61% X 497 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 043570 Bellaire Local SD 00142513 Bellaire Middle School 31.78% X 365

043588 Bellefontaine City Schools 00035188 Bellefontaine Elementary School 37.32% X 552

043588 Bellefontaine City Schools 00040634 Bellefontaine Intermediate School 35.14% X 555

043588 Bellefontaine City Schools 00062406 Bellefontaine Middle School 33.57% X 560

043653 Brooklyn City SD 00003814 Brooklyn Elementary School 38.49% X 491

043679 Bryan City SD 00004002 Bryan Elementary School 30.79% X 890

043687 Bucyrus City 00004184 Bucyrus High School 34.60% X 656

043752 Cincinnati Public Schools 00068619 School For Creat & Perf Arts High School 34.85% X 1320

043836 Cuyahoga Falls 00010215 Elizabeth Price Elementary School 37.72% X 334

043836 Cuyahoga Falls 00030700 Preston Elementary School 36.20% X 279

043869 Defiance City SD 00011430 Defiance Elementary School 33.31% X 1219

043877 Delaware City SD 00138065 John C Dempsey Middle School 38.04% X 460

043927 East Palestine 00004838 East Palestine Elementary School 37.43% X 382

043943 Elyria City SD 00035402 Spring Valley 35.35% X 413

043943 Elyria City SD 00041756 Windsor Elementary School 36.16% X 401

043984 Findlay City SD 00017814 Jacobs Elementary School 39.04% X 251

043984 Findlay City SD 00020701 Lincoln Elementary School 37.27% X 322

043984 Findlay City SD 00042804 Bigelow Hill Elementary School 32.26% X 248

044008 Franklin City SD 00000802 Anthony Wayne Elementary School 38.84% X 224

044024 Galion City SD 00012781 Galion Middle School 33.81% X 420

044024 Galion City SD 00031369 Intermediate Elementary School 39.62% X 424

044040 Garfield Heights 00013136 Garfield Heights High School 39.21% X 1191

044065 Girard City SD 00013482 Girard Sr High School 34.75% X 846

044081 Winton Woods 00002055 Winton Woods Primary North 37.23% X 564

044081 Winton Woods 00014548 Winton Woods Middle School 39.44% X 540

044081 Winton Woods 00019620 Winton Woods Primary South 34.27% X 534

044081 Winton Woods 00064147 Winton Woods High School 34.21% X 1108

044107 Hamilton City SD 00000116 Hamilton Freshman School 38.57% X 687

044107 Hamilton City SD 00006650 Brookwood Elementary 30.72% X 713

044107 Hamilton City SD 00011483 Linden Elementary 38.59% X 736

044107 Hamilton City SD 00011484 Ridgeway Elementary 30.44% X 900 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 044107 Hamilton City SD 00011619 Highland Elementary 39.09% X 706

044107 Hamilton City SD 00036822 Hamilton High School 33.12% X 1745

044107 Hamilton City SD 00041640 Wilson Middle School 37.14% X 622

044123 Hillsboro City SD 00016345 Hillsboro High School 31.91% X 1385

044156 Jackson City SD 00000429 Jackson Westview Elementary School 30.58% X 412

044156 Jackson City SD 00009160 Jackson Northview Elementary School 33.76% X 394

044156 Jackson City SD 00152298 Jackson Southview Elementary School 31.95% X 435

044164 Kent City SD 00005504 Davey Elementary School 33.91% X 516

044164 Kent City SD 00016535 Holden Elementary School 35.14% X 276

044172 Kenton City SD 00018853 Kenton Middle School 36.76% X 272

044198 Lakewood City SD 00009117 Garfield Middle School 31.06% X 528

044206 Lancaster City SD 00024042 Medill Elementary School 38.40% X 677

044206 Lancaster City SD 00061630 General Sherman Junior High School 38.93% X 709

044206 Lancaster City SD 00061655 Thomas Ewing Junior High School 33.92% X 734

044255 London City SD 00005348 London Middle School 39.63% X 540

044255 London City SD 00089599 London Elementary School 36.27% X 1205

044321 Marietta City Schools 00022798 Marietta High School 34.52% X 591

044347 Martins Ferry 00023036 Martins Ferry High School 34.54% X 915

044396 Miamisburg City SD 00001891 Bear Elementary School 33.01% X 209

044420 Mount Vernon City Schools 00040477 Twin Oak Elementary School 36.13% X 382

044420 Mount Vernon City Schools 00061457 Mount Vernon Middle School 30.20% X 861

044453 Newark City SD 00009216 Legend Elementary 31.00% X 542

044453 Newark City SD 00009218 Liberty Middle 33.40% X 491

044453 Newark City SD 00027011 Newark High School 33.16% X 1366

044487 New Philadelphia 00005371 Central Elementary School 37.33% X 300

044487 New Philadelphia 00009241 East Elementary School 32.26% X 310

044495 Niles City SD 00023838 McKinley High School 33.33% X 789

044560 Norwalk City SD 00028050 Norwalk Middle School 36.40% X 456

044578 Norwood City School District 00064857 Norwood Middle School 35.66% X 286

044578 Norwood City School District 00077149 Sharpsburg Primary Elementary School 36.54% X 156

044610 Orrville City SD 00027458 Orrville Elementary School 31.30% X 671

044628 Painesville City 00015560 Harvey High School 34.58% X 827

044651 Port Clinton 00030833 Port Clinton Middle School 36.87% X 415

044651 Port Clinton 00030841 Port Clinton High School 33.28% X 604

044669 Portsmouth City SD 00125484 Vern Riffe School 38.36% X 73

044776 Shelby City SD 00001222 Auburn Elementary School 37.29% X 362

044776 Shelby City SD 00008730 Dowds Elementary School 31.79% X 346

044784 Sidney City SD 00034561 Sidney High School 33.93% X 1070

044909 Toledo Public Schools 00003301 Bowsher High School 38.48% X 1102

044909 Toledo Public Schools 00035865 Start High School 37.15% X 1475

044917 Toronto City SD 00037390 Toronto High School 35.04% X 391

044925 Troy City SD 00015990 Heywood Elementary School 36.88% X 282

044925 Troy City SD 00019372 Kyle Elementary School 38.74% X 222

044941 Urbana City School District 00009423 East Elementary School 38.73% X 1056

044941 Urbana City School District 00037986 Urbana Junior High 35.43% X 460 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 044982 Wapakoneta City 00007757 Cridersville Elementary School 35.09% X 342

045054 West Carrollton 00034074 Shade Elementary School 35.44% X 412

045054 West Carrollton 00038596 West Carrollton Middle School 32.87% X 785

045096 Willard City SD 00031559 Richmond Elementary School 39.45% X 365

045096 Willard City SD 00058933 St Francis Xavier 35.58% X 104

045104 Willoughby-Eastlake City SD 00021378 Longfellow Elementary School 33.70% X 457

045112 Wilmington City SD 00021204 Rodger O. Borror Middle School 34.69% X 640

045120 Wooster City SD 00009910 Edgewood Middle School 32.00% X 775

045120 Wooster City SD 00029249 Parkview Elementary School 36.39% X 327

045245 Harrison Hills 00004507 Harrison Central Jr./Sr. High School 33.33% X 612

045294 Chesapeake Union 00009373 Chesapeake Middle School 32.30% X 452

045294 Chesapeake Union 00040303 Chesapeake Elementary School 32.04% X 515

045302 Clyde-Green Springs 00014399 Green Springs Elementary School 31.59% X 497

045302 Clyde-Green Springs 00033241 Clyde Elementary School 30.22% X 450

045401 Greenfield Ex Vill SD 00004176 Buckskin Elementary School 39.81% X 206

045401 Greenfield Ex Vill SD 00098574 Greenfield Middle School 37.00% X 446

045419 Hicksville Ex Vill SD 00016048 Hicksville High School 34.53% X 1031

045443 Leetonia Exempted Village School District 00028746 Leetonia Middle School 38.06% X 628

045500 Milford Ex Vill SD 00003491 Brent Elementary School 34.05% X 185

045500 Milford Ex Vill SD 00040980 Whitaker Elementary School 32.84% X 405

045500 Milford Ex Vill SD 0041434 Williamsburg Elementary School 33.61% X 482

045542 Newcomerstown Ex Vill SD 00024489 Newcomerstown Middle School 36.25% X 240

045542 Newcomerstown Ex Vill SD 00040345 West Elementary School 32.69% X 364

045575 Paulding Ex Vill SD 00001255 Oakwood Elementary School 31.94% X 216

045773 Elida Local SD 00036350 Elida Elementary School 33.52% X 901

045856 Buckeye Local SD 00009936 Edgewood High School 35.57% X 506

045856 Buckeye Local SD 00009944 Wallace H Braden Junior High School 38.46% X 429

045856 Buckeye Local SD 00019125 Kingsville Elementary School 36.70% X 406

045864 Grand Valley Local 00000870 Grand Valley Elementary School 37.80% X 463

045864 Grand Valley Local 00014084 Grand Valley Middle School 31.08% X 251 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 045872 Jefferson Area Local School District 00017947 Jefferson Elementary School 31.43% X 614

046078 Ripley-Union-Lewis-Huntington Local SD 00000501 Ripley Union Lewis Huntington Middle School 36.99% X 246

046078 Ripley-Union-Lewis-Huntington Local SD 00031815 Ripley-Union-Lewis-Huntington High School 33.83% X 266

046201 Triad Local School District 00140871 Triad Middle School 39.62% X 265

046334 Felicity-Franklin Local 00011494 Felicity-Franklin Elementary K-4 36.96% X 276

046359 West Clermont 00036426 Summerside Elementary School 37.40% X 623

046359 West Clermont 00041897 Withamsville-Tobasco Elementary School 33.66% X 716

046474 Ridgewood Local SD 00038745 Ridgewood Elementary School 38.84% X 430

046474 Ridgewood Local SD 00138552 Ridgewood Middle School 35.20% X 375

046482 River View 00007187 Conesville Elementary School 37.85% X 325

046482 River View 00039289 Warsaw Elementary School 31.93% X 332

046482 River View 00084988 River View Middle School 35.95% X 306

046524 Wynford Local Schools 00042366 Wynford High School 30.83% X 545

046532 Educational Service Center-Cuyahoga 00011313 Educ Alt - Bedford 34.00% X 50

046532 Educational Service Center-Cuyahoga 00015493 Educ Alt-Ravenna 35.64% X 101

046532 Educational Service Center-Cuyahoga 00016997 Education Alternatives - Kent 36.00% X 25

046805 Margaretta Local SD 00037432 Margaretta Elementary School 32.72% X 486

046821 Vermilion Local SD 00035139 Vermilion Elementary School 39.71% X 549

046821 Vermilion Local SD 00038331 Sailorway Middle School 34.87% X 542

046904 Walnut Township 00039065 Millersport Elementary School 32.49% X 277

046946 Canal Winchester 00118158 Canal Winchester Middle School 31.01% X 1006

046946 Canal Winchester 00136911 Indian Trail Elementary School 30.27% X 826

046946 Canal Winchester 00145466 Winchester Trail Elementary School 31.24% X 1098

046953 Hamilton Local Schools 00000118 Hamilton Intermediate School 34.72% X 772

046953 Hamilton Local Schools 00014910 Hamilton Elementary School 38.39% X 982

046953 Hamilton Local Schools 00028407 Hamilton Middle School 31.03% X 435

047001 Reynoldsburg City SD 00012518 French Run Elementary School 34.52% X 507

047001 Reynoldsburg City SD 00000878 Slate Ridge Elementary School 34.06% X 593

047001 Reynoldsburg City SD 00000879 Waggoner Road Middle School 32.03% X 537

047001 Reynoldsburg City SD 00012516 Reynoldsburg High-Livingston Campus 30.38% X 948 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 047001 Reynoldsburg City SD 00024893 Herbert Mills Elementary School 39.56% X 455

047001 Reynoldsburg City SD 00031427 Hannah J Ashton Middle School 32.12% X 576

047027 Dublin City SD 00099598 Daniel Wright Elementary School 32.25% X 741

047308 Rolling Hills 00085084 Meadowbrook Middle School 33.25% X 388

047365 Northwest Local School District 00006882 Colerain Elementary School 38.74% X 617

047365 Northwest Local School District 00006890 Colerain High School 35.15% X 1909

047365 Northwest Local School District 00025205 Monfort Heights Elementary School 36.56% X 640

047431 Cory-Rawson Local SD 00007401 Cory-Rawson High School 33.79% X 515

047506 Ridgemont Local SD 00047506 Ridgemont Local Schools 35.06% X 522

047522 Upper Scioto Valley 00037960 Upper Scioto Valley High School 35.21% X 480

047613 Bright Local SD 00139477 Bright Elementary School 34.29% X 420

047639 Lynchburg-Clay Local SD 00139212 Lynchburg-Clay Elementary School 31.99% X 544

047696 West Holmes 00019679 Lakeville Elementary School 39.32% X 117

047746 Western Reserve 00146217 Western Reserve Elementary School 32.88% X 444

047761 Oak Hill Union Local 00000119 Oak Hill Middle/High School 33.86% X 694

047787 Buckeye Local Schools 00000190 Buckeye West Elementary School 39.77% X 259

047787 Buckeye Local Schools 00039214 Buckeye Local Junior High 36.93% X 241

047795 Edison Local SD 00018374 John E Gregg Elementary School 39.95% X 398

047795 Edison Local SD 00035790 Stanton Elementary School 36.51% X 430

047803 Indian Creek Local 00025098 Indian Creek Junior High School 38.92% X 334

047803 Indian Creek Local 00041848 Indian Creek High School 38.73% X 537

047845 East Knox 00009871 East Knox Elementary School 32.92% X 489

048025 North Fork 00038034 Utica Elementary School 33.98% X 462

048082 Indian Lake 00019653 Indian Lake Elementary 37.57% X 543

048157 Firelands Local SD 00011676 Firelands Elementary School 35.91% X 738

048157 Firelands Local SD 00033126 South Amherst Middle School 33.50% X 409

048165 Keystone Local SD 00029561 Keystone Elementary School 31.59% X 668

048223 Springfield Local Schools 00008649 Dorr Street Elementary School 35.05% X 485

048223 Springfield Local Schools 00035501 Springfield Middle School 34.62% X 1398

048223 Springfield Local Schools 00119792 Holloway Elementary School 31.00% X 429

048298 Austintown Local SD 00001339 Austintown Middle School 30.06% X 1058

048298 Austintown Local SD 00028480 Austintown Intermedite Sch 35.76% X 1015

048298 Austintown Local SD 90021824 Austintown Early Lrng Cn 31.82% X 22

048306 Boardman Local SD 00038539 West Boulevard Elementary School 31.83% X 399

048413 Elgin Local SD 00014316 ELGIN MIDDLE SCHOOL 30.43% X 230 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

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LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 048413 Elgin Local SD 00030825 ELGIN ELEMENTARY SCHOOL 36.59% X 511

048439 Ridgedale Local Schools 00067819 Ridgedale Elementary School 34.85% X 307

048447 River Valley 00004580 Liberty Elementary School 30.13% X 375

048538 Southern Local SD 00035220 Southern High School 31.19% X 218

048652 Switzerland Of Ohio 00001883 Beallsville High School 33.33% X 129

048652 Switzerland Of Ohio 00030643 Powhatan Elementary School 36.65% X 161

048843 Franklin Local School District 00008839 Duncan Falls Elementary School 30.51% X 744

048876 Tri-Valley Local Schools 00000117 Adamsville Elementary School 31.54% X 279

048900 Noble Local SD 00034314 Shenandoah High School 34.05% X 185

048900 Noble Local SD 00091363 Shenandoah Elementary School 30.70% X 632

049031 Wayne Trace Local 00014720 Grover Hill Elementary School 37.01% X 281

049031 Wayne Trace Local 00029462 Payne Elementary School 37.50% X 248

049031 Wayne Trace Local 00059014 Divine Mercy 30.23% X 86

049080 Logan Elm 00033514 Saltcreek Elementary School 30.00% X 280

049080 Logan Elm 00064170 George Mcdowell-Exchange Junior High School 31.34% X 268

049205 James A Garfield 00013060 James A Garfield Elementary School 35.03% X 745

049353 Leipsic Local SD 00020131 Leipsic Elementary 36.47% X 329

049460 Plymouth-Shiloh Local SD 00098731 Shiloh Elementary School 34.85% X 330

049478 Ontario Local SD 00036137 Stingel Primary Elementary School 30.37% X 968

049528 Southeastern Local 00016055 Southeastern Middle School 36.01% X 1122

049536 Union-Scioto Local SD 00000231 Unioto Elementary 35.80% X 1134

049627 Minford Local SD 00025072 Minford Primary Elementary School 32.18% X 1013

049643 Valley Local School District 00038075 Valley Elementary School 35.48% X 496

049650 Washington-Nile Local SD 00030585 Portsmouth West High School 35.28% X 530

049841 Fairless Local SD 00009488 Fairless Elementary School 30.13% X 790

049882 Marlington Local SD 00020230 Lexington Elementary School 39.52% X 415

049924 Perry Local SD 00013268 Genoa Elementary School 35.71% X 336

049932 Plain Local School District 00036848 Glenwood Middle School 34.32% X 982

049940 Sandy Valley 00033563 Sandy Valley High School 38.20% X 809

049973 Woodridge Local School District 00123034 Woodridge Elementary School 34.31% X 784

050138 Champion Local SD 00005801 Champion Central Elementary School 34.01% X 544

050245 LaBrae Local SD 00019992 LaBrae Middle School 31.36% X 287

050286 Indian Valley 00024588 Midvale Elementary School 32.71% X 428

050336 North Union 00000242 North Union Elementary School 39.03% X 743

050336 North Union 00026385 North Union Middle School 39.38% X 353

050336 North Union 00026393 North Union High School 31.37% X 408

050500 Warren Local SD 00039230 Warren Elementary School 33.16% X 374 State Agency Template Community Eligibility Provision (CEP) Annual Notification of Schools State agency: Ohio Departmentof Education SY 2019-2020 Instructions: • In columns 1-6 , enter the LEA ID, LEA name, school ID, school name, and the identified student percentage (ISP) or proxy ISP. • An “X” will appear in the appropriate column between columns 7-8 . There should only be one “X” in columns 7-8. • Place an "X" in column 9 if the school in column 4 is currently participating in CEP. • Place an "I" in column 10 if the school in column 4 is participating in CEP as an individual site. • Place a “G” in column 11 if the school in column 4 is participating in CEP as part of a CEP grouping of schools. • Place a “D” in column 12 is the school in column 4 is participating in CEP as part of a district-wide adoption of CEP. • Place an “X” in column 13 if the school in column 4 is eligible for a Grace Year. • Complete column 14 for all near-eligible, eligible, and participating CEP schools. • Provide additional comments or clarifications in column 15 . • Submit completed template to [email protected] by May 1 to publish the list of school receiving CEP eligibility notices on your website. This information will be linked to FNS’ CEP web site.

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LEA ID, as reported on the FNS- Enter the LEA name, as reported on the FNS-742, for Enter the school ID Enter the school name for all schools in all LEAs with at least one Enter the school-level ISP as of If the actual ISP is An "X" will appear in this An "X" will appear in this Place an "X" in this Place an "I" in this Place a "G" in this Place a "D" in this Place an "X" in this If the school in column 4 is currently 742, for the LEA entered in the school in column 4. All LEAs included in the tab for the school in CEP-eligible or near eligible school. All schools in the LEAs provided April 1 of the current year. ISP unavailable, enter the column if the school in column if the school in column if the school in column if the school in column if the school column if the column if the school in participating in CEP, eligible to column 2. All LEAs included in "LEA wide Notification Report" should be listed in column 4. in the 'LEA wide Notification Report' tab should be listed. = # of identified students proxy ISP, as of April 1 of column 4 is eligible to column 4 is nearly eligible to column 4 is currently column 4 is currently in column 4 is school in column 4 column 4 is currently participate or near-eligible to the tab "LEA wide Notification this column. divided by total enrollment. the current year. Proxy ISP participate in CEP. participate in CEP. participating in CEP. participating in CEP as currently is currently in the 4th year of the participate (there is an "X" in Report" should be listed in this Enter the ISP as a percentage = # of directly certified (ISP in column 5 or 6 is (ISP in column 5 or 6 is an individual site. participating in CEP participating in CEP participation and is column 7, 8 or 9), enter the total # of column. rounded to two decimals. students with SNAP >=40%) >=30% and <40%) Note: The "X" is not as part of a group of as part of a district- eligible for a Grace students enrolled at the school Ex: 62.50% divided by total case sensitive. Using Note: The "I" is not case schools. wide adoption of Year. (denominator of ISP). enrollment. Refer to any other letter or sensitive. Using any CEP. (ISP>=30% and <40%.) DO NOT INCLUDE THE 1.6 column 5 for additional icon will result in an other letter or icon will Mark this column A yellow cell in this column MULTIPLIER instructions. error and the cells will result in an error and using G1, G2, G3, Use column 11 for Note: The "X" is not indicates missing enrollment data. be highlighted red the cells will be etc. to distinguish any school in an case sensitive. Using Enter the school-level total An ISP greater than 100.00% If using column 5 for the until corrected. highlighted red until between CEP LEA that is any other letter or enrollment to clear the cell color. will result in an error and the ISP, leave this column corrected. groupings, if participating in CEP icon will result in an cells will be highlighted red blank. Entering the ISP in applicable. in all schools but error and the cells will until corrected. both columns 5 and 6 will are participating as be highlighted red result in an error Note: The "G" is not part of a group of until corrected. response. case sensitive. Using schools. any other letter or 050690 Lake Local SD 00019539 Lake High School 36.41% X 953

050815 Ashtabula County Joint 00050823 Ashtabula County 36.84% X 494

050856 Belmont-Harrison Jt Voc SD 00066399 Harrison Career Center 31.48% X 108

050880 Butler Technology & Career Development Schools00000658 Butler Tech School of the Arts 35.71% X 140

050880 Butler Technology & Career Development Schools00000659 Natural Science Center 36.03% X 136

050880 Butler Technology & Career Development Schools00015165 Bioscience Center 39.48% X 309

051128 Jefferson County 00051136 Jefferson County 33.44% X 314

051144 Knox County 00051151 Knox County Career Center 32.79% X 732

051300 Mid-East Career and Technology Centers 00051318 Zanesville Campus 30.27% X 707

051375 Pike County Area 00147181 Pike Co Early Childhood & Fmly 30.95% X 42

051607 Tri-County Career Center 00037507 Tri-County Career Center 38.64% X 440

052522 Cleveland Catholic Diocese 00056556 St Monica 30.65% X 323

052522 Cleveland Catholic Diocese 00057307 St Mary 36.79% X 106

052522 Cleveland Catholic Diocese 00057406 St Peter 30.64% X 297

052589 Cleveland Lutheran Hs Assoc 200049169 Lutheran East 34.42% X 308

054775 St Anthony 00054775 St Anthony 34.90% X 192

054890 St Catharine Of Siena 00054890 St Catharine Of Siena 31.41% X 156

055657 St William 00055657 St William 35.74% X 249

061903 Adams County/Ohio Valley 00033936 North Adams Elementary School 35.36% X 724

061903 Adams County/Ohio Valley 00038893 West Union High School 38.88% X 553

061903 Adams County/Ohio Valley 00070425 Ohio Valley Career & Technical Center 32.77% X 238

065227 Coshocton County Joint 00065235 Coshocton County Career Center 30.50% X 200

066092 Lorain County Board of DD 00066092 Lorain County Board of DD 33.61% X 119

066324 Stark County Board of DD 00066324 Stark County Board of DD 30.17% X 116

096719 Harvest Preparatory School 00096719 Harvest Preparatory School 34.31% X 615

123257 North Central Ohio 00012054 North Central Academy 33.93% X 112

133256 Parma Community 20133256 Parma Community Elementary:Pearl Road 32.74% X 226

133629 Horizon Science Acad Cleveland 00133629 Horizon Science Acad Cleveland 39.35% X 399

133660 Horizon Science Academy Columbus 00133660 Horizon Science Acad Columbus 36.83% X 486

134098 Constellation Schools: Old Brooklyn Community Elementary00134098 Old Brooklyn Community Elementary School 32.42% X 327

137364 Madison-Champaign 00016440 MAC-A-CHEEK LEARNING CENTER 39.05% X 105

147231 Schnee Learning Center 00147231 Schnee Learning Center 36.17% X 94

043604 Belpre City SD 00142240 Belpre Elementary School 34.36% X 585

013199 Cleveland Preparatory Academy 00013199 Cleveland Preparatory Academy 61.61% X X I 112

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