Please indicate in the section below how the

							                                  Virginia Department of Education
                                   Virginia Public School Authority
               Supplemental School Educational Technology Notes Series XII (Spring 2012)
                                             Application

Division Name:
Division Number:
School Name:

Principal Name:
Principal Email:
Principal Telephone Number (direct number):

Division Contact Name:
Division Contact Email:
Division Contact Telephone Number (direct number):

Please indicate in the section below how the $26,000 supplemental grant will be used to increase the readiness
of the school to complete on-line testing. Explain briefly how this funding will be used to strengthen the school
improvement plan. Use the guidelines on Attachment A and list below what will be purchased with these funds
and for each expenditure or group of related expenditures. Please include pricing and the application total as
indicated.

A1. Classroom Multimedia Network Computers
List of what will be purchased with these funds and the   How does this increase the readiness of the
unit price and total cost for these items.                school to complete on-line testing and strengthen
                                                          technology to meet the goals of the school’s
                                                          improvement plan?



A2. Internet Ready Local Area Network (LAN) Capability
List of what will be purchased with these funds and the How does this increase the readiness of the
unit price and total cost for these items.              school to complete on-line testing and strengthen
                                                        technology to meet the goals of the school’s
                                                        improvement plan?



A3. High Speed Access to the Internet
List of what will be purchased with these funds and the   How does this increase the readiness of the
unit price and total cost for these items.                school to complete on-line testing and strengthen
                                                          technology to meet the goals of the school’s
                                                          improvement plan?



A4. Instructional Software
List of what will be purchased with these funds and the   How does this increase the readiness of the
unit price and total cost for these items.                school to complete on-line testing and strengthen
                                                          technology to meet the goals of the school’s
                                                          improvement plan?


A5. Handheld Computing Devices.
List of what will be purchased with these funds and the   How does this increase the readiness of the
unit price and total cost for these items.                school to complete on-line testing and strengthen
                                                          technology to meet the goals of the school’s
                                                          improvement plan?
Total of all equipment (must be at least $26,000.00)

$ _______________


Signed

Principal/Date

Superintendent or Designee/Date


Department of Education Approvals:

Office of School Improvement Approver:          ___________________________________
                                                 Lynn Sodat, Accreditation Specialist/Date

Office of Educational Technology Approver: __________________________________
                                           Richard Schley, Ed Tech Specialist/Date

Office of the Superintendent of Public Instruction Approver:

                                                __________________________________
                                                 Dr. Patricia I. Wright or designee/Date
         Schools Eligible for the Supplemental VPSA Technology Grant in Series XII (Spring, 2012)

  Div                             School                                                         Grant
Number         Division Name      Number                      School Name                      Expiration
 001      ACCOMACK                 0070    NANDUA HIGH                                          FY 2014
 002      ALBEMARLE                1060    ALBEMARLE COUNTY COMMUNITY PUBLIC CHARTER            FY 2013
 007      ARLINGTON                0450    WAKEFIELD HIGH                                       FY 2014
 013      BRUNSWICK                0650    BRUNSWICK HIGH                                       FY 2014
 021      CHESTERFIELD             0030    CHESTERFIELD COMMUNITY HIGH                          FY 2014
 021      CHESTERFIELD             0580    MEADOWBROOK HIGH                                     FY 2014
 026      DICKENSON                0840    ERVINTON HIGH                                        FY 2014
 027      DINWIDDIE                0471    DINWIDDIE MIDDLE                                     FY 2014
 029      FAIRFAX COUNTY           0190    WOODSON ADULT HIGH                                   FY 2014
 029      FAIRFAX COUNTY           1420    HYBLA VALLEY ELEM                                    FY 2013
 035      GILES                    0461    GILES HIGH                                           FY 2014
 043      HENRICO                  0190    HIGHLAND SPRINGS HIGH                                FY 2014
 043      HENRICO                  0250    L. DOUGLAS WILDER MIDDLE                             FY 2014
 043      HENRICO                  0610    HENRICO HIGH                                         FY 2014
 043      HENRICO                  0640    HIGHLAND SPRINGS ELEM.                               FY 2013
 049      KING QUEEN               0280    CENTRAL HIGH                                         FY 2014
 055      LUNENBURG                0560    CENTRAL HIGH                                         FY 2014
 065      NORTHAMPTON              0452    KIPTOPEKE ELEM.                                      FY 2013
 066      NORTHUMBERLAND           0040    NORTHUMBERLAND HIGH                                  FY 2014
 069      PAGE                     0390    PAGE COUNTY MIDDLE                                   FY 2013
 073      PRINCE EDWARD            0400    PRINCE EDWARD COUNTY HIGH                            FY 2014
 075      PRINCE WILLIAM           0300    FREEDOM HIGH                                         FY 2014
 075      PRINCE WILLIAM           0690    GAR-FIELD HIGH                                       FY 2014
 091      SUSSEX                   0050    ELLEN W. CHAMBLISS ELEM.                             FY 2013
 092      TAZEWELL                 0821    RICHLANDS HIGH                                       FY 2014
 092      TAZEWELL                 0890    TAZEWELL HIGH                                        FY 2014
 095      WESTMORELAND             0120    WASHINGTON & LEE HIGH                                FY 2014
 101      ALEXANDRIA               0090    JEFFERSON-HOUSTON ELEM                               FY 2013
 101      ALEXANDRIA               0210    TC WILLIAMS HIGH                                     FY 2014
 107      COVINGTON                0350    COVINGTON HIGH                                       FY 2014
 108      DANVILLE                 0139    LANGSTON FOCUS SCHOOL                                FY 2013
 112      HAMPTON                  0160    ABERDEEN ELEM.                                       FY 2014
 112      HAMPTON                  0250    JANE H. BRYAN ELEM.                                  FY 2014
 112      HAMPTON                  0270    JOHN B. CARY ELEM.                                   FY 2013
 114      HOPEWELL                 0120    HOPEWELL HIGH                                        FY 2014
 115      LYNCHBURG                0340    SANDUSKY MIDDLE                                      FY 2014
 117      NEWPORT NEWS             0250    SEDGEFIELD ELEM.                                     FY 2014
 117      NEWPORT NEWS             0320    WILLIS A. JENKINS ELEM.                              FY 2014
 117      NEWPORT NEWS             1070    WARWICK HIGH                                         FY 2014
 117      NEWPORT NEWS             1120    NEWSOME PARK ELEM.                                   FY 2014
 118      NORFOLK                  0010    MAURY HIGH                                           FY 2014
 118      NORFOLK                  0030    RUFFNER MIDDLE                                       FY 2013
118   NORFOLK          0180   LAFAYETTE-WINONA MIDDLE     FY 2013
118   NORFOLK          0390   GRANBY HIGH                 FY 2014
118   NORFOLK          0520   LINDENWOOD ELEM.            FY 2013
118   NORFOLK          0770   CAMPOSTELLA ELEM.           FY 2014
118   NORFOLK          0780   TIDEWATER PARK ELEM.        FY 2014
118   NORFOLK          0790   LAKE TAYLOR MIDDLE          FY 2014
118   NORFOLK          0840   LAKE TAYLOR HIGH            FY 2014
118   NORFOLK          0880   B. T. WASHINGTON HIGH       FY 2014
120   PETERSBURG       0110   A.P. HILL ELEM.             FY 2013
120   PETERSBURG       0121   PEABODY MIDDLE              FY 2013
120   PETERSBURG       0180   J.E.B. STUART ELEM.         FY 2013
120   PETERSBURG       0200   PETERSBURG HIGH             FY 2014
120   PETERSBURG       0211   VERNON JOHNS JR. HIGH       FY 2014
121   PORTSMOUTH       0240   I.C. NORCOM HIGH            FY 2014
121   PORTSMOUTH       1660   WOODROW WILSON HIGH         FY 2014
121   PORTSMOUTH       1766   BRIGHTON ELEM.              FY 2013
123   RICHMOND CITY    0480   THOMAS C. BOUSHALL MIDDLE   FY 2014
123   RICHMOND CITY    0730   JOHN MARSHALL HIGH          FY 2014
123   RICHMOND CITY    0741   GEORGE WYTHE HIGH           FY 2014
123   RICHMOND CITY    0850   ARMSTRONG HIGH              FY 2014
123   RICHMOND CITY    1630   FRED D. THOMPSON MIDDLE     FY 2014
124   ROANOKE CITY     0340   LINCOLN TERRACE ELEM.       FY 2013
124   ROANOKE CITY     0350   WESTSIDE ELEM.              FY 2013
124   ROANOKE CITY     0400   WILLIAM FLEMING HIGH        FY 2013
127   SUFFOLK          0300   LAKELAND HIGH               FY 2014
127   SUFFOLK          0395   KING`S FORK HIGH            FY 2014
128   VIRGINIA BEACH   0700   BAYSIDE MIDDLE              FY 2014
143   MANASSAS CITY    0370   OSBOURN HIGH                FY 2014