<p> Alabama School Counselor Association Recognition of Accountability, Verification and Excellence (RAVE) 2017-18 Application Form Deadline: MUST BE EMAILED to [email protected] BY AUGUST 15, 2018.</p><p>School District/System: ______</p><p>School: ______County: ______</p><p>Applicant:______Job Title:______ALABAMA STATE PLAN /ASCA GUIDELINES for DISTRIBUTION OF COUNSELOR TIME: (Percentage rate range for each) Elementary School Middle/Jr. High High School -School Guidance Curriculum 35-45% 25-35% 15-25% -Individual Student Planning 5-10% 15-25% 25-35% -Responsive Services 30-40% 30-40% 25-35% -System Support 10-15% 10-15% 15-20% EXECUTIVE SUMMARY of American School Counselor Association(ASCA) NATIONAL MODEL and Comprehensive Counseling and Guidance Model for Alabama Public Schools: PROGRAM DELIVERY COMPONENTS (to promote state /national standards) given to coordinator, principal and superintendent.</p><p>______Principal’s signature and email address</p><p>______District Superintendent’s signature and email address </p><p>______System Counseling Coordinator’s signature and email address Members of School Counseling Student Support Team: Name Position/Job ALSCA/ALCA* Member (Yes or No) ______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______Please list any additional members on separate page. *AT LEAST ONE COUNSELOR MUST BE EMPLOYED PART-TIME IN AN ALABAMA PUBLIC OR PRIVATE SCHOOL AND BE A MEMBER OF ALSCA AND ALCA (IN GOOD STANDING) TO PARTICIPATE. For other members of the SCSST, membership is not required. </p><p>Page 1 of 2 School Level: □ Elem □ Middle/Jr.High □ High School Setting: □ Urban □ Suburban □ Rural Grades:______Number of Students ______</p><p>School’s State Senator’s name and email address:______</p><p>School’s State Representative’s name and email address:______</p><p>State School Board Member’s Name for your district and email address: ______</p><p>School Address:______City/State______</p><p>School Phone:______Fax:______</p><p>School Counselor Email:______</p><p>School Counselor Cell Phone: ______PLEASE EMAIL THE FOLLOWING ITEMS INCLUDING YOUR RAVE ENTRY (WORD Doc. FORMAT) TO: [email protected] or [email protected] 1. Your RAVE entry (both pages in one file) 2. Completed self-scored rubric of “your” RAVE entry (add your scores & rename file: Your School Name.RAVErubric) 3. Cover Letter is a one page overview of your team’s RAVE process and distribution plan, including name of applicant and publication approval and permission statement (word for word) below : This document has been approved as a public document. This RAVE accurately reflects the student support system and the efforts of the school counseling and guidance program in its design, implementation, evaluation, and coordination. This document has been proofread for typographical or grammatical errors. You have my permission to post this RAVE on the ALCA website and the ALSDE Classroom Improvement website. 4. This completed RAVE Application form with all appropriate signatures/emails. Email as a scanned document. *Make sure two handouts (ASCA Executive Summary & Program Delivery Components) are given to coordinator, principal and superintendent. APPLICATION FOR: (check one)  RAVE- Bronze (1st year or nonconsecutive year; successful completion of ALL sections)  RAVE-Silver (2nd consecutive year with ALL sections; results on “Improvement” goals)  RAVE-Gold (3rd consecutive year with ALL sections; results on “Improvement” goals)  RAVE-Bronze Star (1st year-second cycle after scoring 3 years-ALL sections)  RAVE-Silver Star (2nd year-second cycle after scoring 3 years and receiving Bronze Star)  RAVE-Diamond (successful completion of Gold requirements and receiving Silver Star) 5. Make a check out to ALSCA for $50 with RAVE on the memo line and send it to Cindy Davis, RAVE Chair 155 Murry Drive Madison, AL 35758 *After program achieves RAVE-GOLD, the award is valid for 3 years. During this time, school counselors participate on the RAVE Advisory Committee and score entries.</p><p>Page 2 of 2</p>