Mississippi Department of Education

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							         Mississippi
   Department of Education
         CONSOLIDATED
       FEDERAL PROGRAMS
     MONITORING INSTRUMENT
Dr. Tom Burnham, State Superintendent of Education




           2010-11 Monitoring Instrument

                        1
Name of LEA                                                                                                                            Monitoring Visit Date


LEA Address                                                                 City                                                       State                                  Zip Code


Phone                                                                       Fax                                                        E-mail


LEA Superintendent


LEA Title I Coordinator


LEA Title II-A (Teacher/Principal Quality) Coordinator


LEA Title II-D (Enhancing Education Through Technology – E2T2) Coordinator


LEA Title III (Language Instruction for Limited English Proficient and Immigrant Students) Coordinator


LEA Title IV-A (Safe and Drug - Free Schools) Coordinator


LEA Title IV-B (21st Century Community Learning Centers) Coordinator


LEA Title VI (Rural and Low-Income Schools) Coordinator


LEA Title X (Homeless Children and Youth) Coordinator


Program(s) Monitored (Check all that apply)
_____Title I         _____Title II-A          _____Title II-D          _____Title III        _____Title IV-A       _____Title IV-B     _____Title VI           _____Title X
Signatures of MDE Staff
Site Contact _________________________________________________________________________________                        Date______________________________________
Team Leader_________________________________________________________________________________                         Date______________________________________
Bureau Director_______________________________________________________________________________                       Date______________________________________




                      CONSOLIDATED FEDERAL PROGRAMS MONITORING INSTRUMENT
                      OFFICE OF INNOVATIVE SUPPORT




                                                                                                               2
Desired Outcomes
        1. All students have an equitable opportunity to:
           a. Obtain a high-quality education;
           b. Reach proficiency on challenging state academic content standards and state academic assessments.

        2. The Local Educational Agency (LEA) closes the achievement gap between:
            a. High and low-performing students, especially between minority and non-minority students;
            b. Disadvantaged students and their more advantaged peers.

Program Elements
   Each LEA program is reviewed using the following elements:

   I.   Administration and Finance: Policies and administration of programs meet statutory requirements. Allocation and use of funds meet statutory
        requirements for allowable expenditures.

   II. Involvement: Parents, staff, students and community members participate in developing and implementing federally funded programs.

   III. Assessment and Accountability: Programs meet state standards, are based on the assessed needs of program participants, and meet identified
        program outcomes.

   IV. Employment and Professional Development: Certified staff and paraprofessionals are recruited, trained and appropriately assigned to ensure
       program effectiveness.

   V. Equal Educational Opportunity Access: Participants have equitable access to all programs provided by the agency, as required by law.

   VI. Teaching and Learning: Promote high quality teaching standards. Provide participants appropriate program services that meet their assessed
       needs, including challenging academic standards and assessments.

   Note: The Mississippi Department of Education’s site monitoring engages in a process-based monitoring procedure based on a sample of
   documented evidence of compliance. The LEA is responsible for operating all of its federally and state funded programs in compliance with all
   applicable rules and regulations.




                                                                         3
                                                                                             TABLE OF CONTENTS

Federal Programs No Child Left Behind (NCLB) – General Cross Cutting Fiduciary ..................................................................................................................6
        A. Title I, Part A – Formula Grants Fiduciary .................................................................................................................................................................8
        B. Title I, American Recovery and Reinvestment Act (ARRA) Fiduciary .................................................................................................................... 10
        C. Title I, Part C – Migrant Education Program Fiduciary ............................................................................................................................................ 16
        D. Title I, Part D - Education of Neglected/Delinquent Children (N/D) Fiduciary.......................................................................................................... 17
        E. Title II, Part A – Teacher/Principal Quality Fiduciary ............................................................................................................................................... 18
        F. Title II, Part D – Enhancing Education Through Technology (E2T2) Fiduciary........................................................................................................ 19
        G. Title III, Part A – Language Instruction for Limited English Proficient and Immigrant Students Fiduciary ............................................................... 20
        H. Title IV, Part A - Safe and Drug - Free Schools and Communities Fiduciary .......................................................................................................... 21
         I. Title IV, Part A -21st Century Community Learning Centers (CCLC) Fiduciary ........................................................................................................ 22
        J. Title V, Part A – Innovative Programs Fiduciary ...................................................................................................................................................... 23
        K. Title VI, Part B, Subpart 2– Rural and Low-Income Schools (RLIS) Program Fiduciary.......................................................................................... 24
        L. Title X, - McKinney-Vento Education for Homeless Children and Youth Program Fiduciary ................................................................................... 25
       M. Transferability Fiscal ................................................................................................................................................................................................ 26



Federal Programs No Child Left Behind (NCLB) – Federal Equipment and General Provisions ............................................................................................... 26
        A. Title I, Part A - Schoolwide Programs (ARRA) ........................................................................................................................................................ 27
        B. Title I, Part A - Targeted Assistance Programs (ARRA).......................................................................................................................................... 32
        C. Title I, Part A - LEA Identified for School Improvement (ARRA).............................................................................................................................. 35
        D. Title I, Part A – School Improvement (ARRA) ......................................................................................................................................................... 38
        E. Title I, Part A – Parental Involvement (ARRA) ........................................................................................................................................................ 48

Title I, Part A – Qualifications for Teachers and Paraprofessionals (ARRA)............................................................................................................................... 55
Title I, Part D – Education of Neglected/Delinquent Children (ARRA) ........................................................................................................................................ 57
Title I, Part A – Participation of Children Enrolled in Private Schools (ARRA) ............................................................................................................................ 61
Title II, Part A – Teacher/Principal Quality .................................................................................................................................................................................. 66
Title II, Part D – Enhancing Education Through Technology (E2T2) ......................................................................................................................................... 69
Title III, Part A –English Language Learners ............................................................................................................................................................................. 70
Title IV, Part A – Safe and Drug - Free Schools and Communities ........................................................................................................................................... 77
Title IV, Part B – 21st Century Community Learning Centers (CCLC)......................................................................................................................................... 81
Title VI, Part B, Subpart 2 – Rural and Low-Income Schools (RLIS) Program ........................................................................................................................... 87
Title X – McKinney-Vento Education for Homeless Children and Youth Program (ARRA) ......................................................................................................... 88

                                                                                                             4
                                                      Office of Innovative Support
                                          Consolidated Federal Programs Monitoring Instrument
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                                                         General Cross Cutting
                                                                              Fiduciary
#                             Compliance Indicator                                      Evidence of Compliance                     Comments
1.    Does the LEA have records to support whether funds were obligated                    Financial Documentation     Yes   No
      and liquidated within the approved grant period?
      EDGAR Section 76.707
                                                                                           Other _________________
                                                                                                                             
2.    Has the LEA submitted amendments to request changes in the scope                     Approved Amendment          Yes   No
      of the Consolidated Federal Programs Application (CFPA)?                              Form(s)
                                                                                                                             
3.    Are federal and state guidelines related to equipment purchases and
      inventory followed?
      EDGAR Section 80.32; MS Public School Asset Management Manual
           a) Does the LEA have written policies and procedures for control                Policies                    Yes   No
               of all equipment purchased with federal funds?
      EDGAR Section 80.32(d)(3)
                                                                                        
                                                                                        
                                                                                            Procedures
                                                                                            Inventory Records                
           b) Do the LEAs policies and procedures indicate local law                       Policies                    Yes   No
                enforcement is to be notified, and a police report is to be filed
                when it is discovered equipment has been stolen?
                                                                                        
                                                                                        
                                                                                            Procedures
                                                                                            Inventory Records                
      MS Public School Asset Management Manual                                             Copies of Police Reports
4.    *Is there evidence that the LEA annually conducts a physical inventory               Physical Inventory          Yes   No
      and documentation including signatures and dates is on file confirming
      that the physical inventory of equipment was conducted and any                    
                                                                                            Observation Documentation
                                                                                            Inventory Reconciliation         
      exceptions have been accounted for?                                                   Documents
      MS Public School Asset Management Manual

 * Verified at the School Level


                                                                                    5
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                                                       General Cross Cutting
                                                                            Fiduciary
#                            Compliance Indicator                                     Evidence of Compliance                    Comments
5.    Does the LEA maintain an inventory log/database of equipment                       Inventory Records          Yes   No
      purchased with federal funds including the following identified
      evidentiary requirements:
                                                                                         Worksheets
                                                                                                                      
          a. description of the item,
          b. serial number and other identifying numbers (barcode or
                other local identifying number),
          c. acquisition cost and date,
          d. percentage of Federal participation in the cost of the
                property (funding source),
          e. physical location of property,
          f. condition,
          g. disposition data (date, method of disposition, sales price if
                applicable) when property is retired from service.

      EDGAR Section 80.32; MS Public School Asset Management Manual
6.    *After pulling a sample of items from the log/database, is there                   Physical Inventory of      Yes   No
      evidence that the items sampled can be located and the location is
      consistent with the location indicated in the log/database?
                                                                                          sampled items from
                                                                                          log/database                
7.    Does the LEA reserve an appropriate amount of Title I funds for                    Consolidated Application   Yes   No
      services to homeless children and youth who do not attend Title I
      schools?
                                                                                      
                                                                                      
                                                                                          Written Procedures
                                                                                          Budgets                     
      Section 1113(c)(3)(A)
      NOTE: Homeless children and youth must receive Title I educational
             and/or support services in non-Title I schools, shelters, or other
             facilities.
8.    Is it evident that the LEA reserved no more than the allowable 20                  Consolidated Application   Yes   No
      percent for administrative costs?                                               
                                                                                      
                                                                                          Payroll Records
                                                                                          Expenditure Reports         
 * Verified at the School Level
                                                                                  6
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                                                 Title I, Part A – Formula Grants
                                                                              Fiduciary
#                           Compliance Indicator                                        Evidence of Compliance                          Comments
9.    *In TA schools, is it evident that Title I, Part A paid personnel are                Consolidated                     Yes   No
      serving only identified eligible students?
      Section 1115(a)                                                                   
                                                                                            Application/Plan
                                                                                            List of students being served     
                                                                                           Payroll Records
                                                                                           Teacher/Aides Schedules
10.   Does the LEA ensure that Title I, Part A funds are used only to                      Summary of all evidence          Yes   No
      supplement the funds that would, in the absence of such Federal
      funds, be made available from non-Federal sources, and not to
                                                                                        
                                                                                        
                                                                                            Expenditure Reports
                                                                                            Interviews                            
      supplant such funds?                                                                 Budgets
      Section 1120A(b)(1)
11.   Is it evident that Title I, Part A budgets and expenditures are: a)                  Consolidated Application         Yes   No
      allocable; b) reasonable and necessary; c) meets the intent and
      purposes of Title I, Part A statutes and d) is aligned with the approved
                                                                                           Evidence of Expenditures
                                                                                            (purchase orders, contracts,          
      application on file at the SEA?
                                                                                            staffing, invoices, etc.)
      OMB Circular A-87
                                                                                           Corroboration of the budget
                                                                                            and plans during on-site visit
12.   If the LEA is in LEA Improvement, is there evidence that the LEA                     LEA Improvement                  Yes   No
      retains and expends 10% of their Title I, Part A funds on high-quality
      professional development related to the reasons that the LEA is in                
                                                                                            Applications/Plans
                                                                                            Budgets                               
      improvement?
      Section 1116(c)(7)(A)(iii)                                                           Expenditure Reports
                                                                                           LEA Professional
                                                                                            Development Plans
13.   *Does the LEA ensure that each Title I school in School Improvement                  School Improvement Plans         Yes   No
      under Section 1119 will spend not less than 10% of its Title I, Part A
      funds, during each school year that it is identified for improvement, for
                                                                                        
                                                                                        
                                                                                            Budgets
                                                                                            Expenditure Reports                   
      high-quality professional development for teachers and principals for
      the expressed purpose of removing the school from improvement                         Professional Development
      status?                                                                               Plans
      Note: Professional development must (1) directly meet the school’s academic
      problems and (2) meet the requirements of HQT Section 1119.
      Section 1116(b)(3)(A)(iii)
 * Verified at the School Level
                                                                                    7
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                                             Title I, Part A – Formula Grants
                                                                          Fiduciary
#                            Compliance Indicator                                   Evidence of Compliance                        Comments
14.   If the LEA has schools identified for School Improvement is there                LEA system-wide budget
      evidence that the LEA has budgeted and expended:                                 LEA Consolidated
                                                                                        Application
                                                                                       Documentation of requests
                                                                                        for school choice transfers
                                                                                        and supplemental
                                                                                        educational services
                                                                                       Documentation of related
                                                                                        decisions
                                                                                       Documentation of
                                                                                        expenditures (year to date)
             a) An amount equal to a minimum of 5% of its Title I, Part A LEA                                          Yes   No
                allocation to support the costs for transportation related to
                school choice?                                                                                              
      Section 1116(b)(10)(A)(i)
            b) An amount equal to a minimum of 5% of its Title I, Part A LEA                                           Yes   No
                allocation to support the costs for supplemental education
                services (SES)?                                                                                             
      Section 1116(b)(10)(A(ii))
            c) An amount equal to a minimum of 10% of its Title I, Part A LEA                                          Yes   No
                allocation for a combination of choice-related transportation
                and supplemental education services?                                                                        
        Section 1116(b)(10)(A)(iii)
      UNLESS, the LEA has documentation to demonstrate that all requests
      were met with a lesser amount. Section 1116(b)(10)(A)
15.   Is it evident that the LEA is using school improvement funds in                  School Improvement Plans       Yes   No
      accordance with the SEA approved application and budget?                         Evidence of expenditures
                                                                                        (purchase orders, contracts,        
                                                                                        staffing, etc.)
                                                                                       Expenditure reports, budget
                                                                                        pages, invoices, etc.
 * Verified at the School Level
                                                                                8
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                                                Title I, Part A – Formula Grants
                                                                             Fiduciary
#                            Compliance Indicator                                     Evidence of Compliance                        Comments
16.   Has the LEA ensured that set asides for transportation and                         Current Consolidated           Yes   No
      Supplemental Educational Services do not result in a reduction of
      more than 15% of the total Title I, Part A amount previously allocated          
                                                                                          Application
                                                                                          Previous years Consolidated     
      to any school identified for School Improvement?                                    Application
      Section 1116(b)(10)(D)

17.   *Is it evident that the LEA provides equitable services to eligible                Consolidated                   Yes   No
      students attending non-public schools including equitable professional
      development and parenting activities to participating non-public                
                                                                                          Application/Plan
                                                                                          Evidence of Expenditures        
      schools?                                                                            (purchase orders, contracts,
      Section 1120; Section 9501                                                          staffing, etc.)
                                                                                         Expenditure reports, budget
                                                                                          pages, invoices, etc.
                                                                                         Corroborations of the budget
                                                                                          and plans during on-site
                                                                                          visits
18.   *Is time and effort documentation available, approved, and signed by               Time and Effort Records        Yes   No
      appropriate individuals, if applicable?
      OMB Circular A-87, Attachment B.8.h.
                                                                                      
                                                                                      
                                                                                          Payroll Records
                                                                                          Work Schedules                  

19.   *Is it evident that contracts and agreements for Title I, Part A products          Review of purchases, leases,   Yes   No
      and services are made in accordance with applicable federal, state
      and local regulations and audit guidelines?                                     
                                                                                          agreements, contracts
                                                                                          Review of Audit Reports         
                                                                                         LEA Policies and Procedures

 * Verified at the School Level




                                                                                  9
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                      Title I, Part A – American Recovery and Reinvestment Act (ARRA)
                                                                  Fiduciary
 #                             Compliance Indicator                                      Evidence of Compliance                         Comments
20.     It is evident that the LEA’s internal procedures provide for the separate           ARRA Application                Yes   No
        identification and accounting required for tracking Title I, Part A ARRA
        funds?
                                                                                            Physical location of ARRA
                                                                                             documents                        
                                                                                            Expenditure Reports
                                                                                            Interviews
                                                                                            LEA Policies and Procedures
21.     Did the LEA use Title I, Part A ARRA funds to support activities that               Summary of all Evidence         Yes   No
        were previously supported with non-Federal funds without violating the
        supplement, not supplant requirement?
                                                                                         
                                                                                         
                                                                                             Expenditure Reports
                                                                                             Interviews                       
                                                                                            Budgets
                                                                                            ARRA Application
22.     Did the LEA use Title I, Part A ARRA funds consistent with ARRA                     Summary of all Evidence         Yes   No
        Guiding Principles and ARRA Performance Goals identified in the
        approved application/amendment?
                                                                                         
                                                                                         
                                                                                             Expenditure Reports
                                                                                             Budgets                          
                                                                                            ARRA Application
23.     If applicable, did the LEA apply for a waiver of the following statutory            Official Waiver Request filed
        requirements with respect to Title I, Part A ARRA funds:                             with the SEA.
                                                                                            Interviews
                                                                                            ARRA
                                                                                             Application/Amendment
            (a) If the LEA is in LEA Improvement, the LEA retains and                                                        Yes   No
        expends 10% of their Title I, Part A funds on high-quality professional
        development related to the reasons that the LEA is in improvement?                                                    
        (Section 1116(c)(7)(A)(iii)).
            (b) If the LEA has schools in improvement, the LEA has ensured                                                   Yes   No
       that those schools in School Improvement under Section 1119 will
       spend not less than 10% of its Title I, Part A funds, during each school                                               
       year that it is identified for improvement, for high-quality professional
       development for teachers and principals for the expressed purpose of
       removing the school from improvement status?                     (Section
       1116(b)(3)(A)(iii))
 * Verified at the School Level
                                                                                    10
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                    Title I, Part A – American Recovery and Reinvestment Act (ARRA)
                                                                Fiduciary
#                          Compliance Indicator                                         Evidence of Compliance                    Comments
          (c) An LEA’s obligation to spend an amount equal to at least 20                                              Yes   No
               percent of its Title I, Part A, Subpart 2 allocation on
               transportation for public school choice and on SES                                                       
      (Section 1116(b)(10)).

          (d) Calculation of the LEA’s per pupil amount for SES based on                                               Yes   No
               the LEA’s entire FY 2010 (SY 2009-2010) Title I, Part A,
               Subpart 2 allocation                                                                                     
      (Section 1116(e)(6)).

          (e) The LEA’s ability to receive a waiver of the carryover                                                   Yes   No
               limitation more than once every three years
      (Section 1127(b)).                                                                                                

24.   Does the LEA reserve an appropriate amount of Title I, Part A ARRA                   Consolidated Application   Yes   No
      funds for services to homeless children and youth who do not attend
      Title I schools?
                                                                                        
                                                                                        
                                                                                            Written Procedures
                                                                                            Budgets                     
      Section 1113(c)(3)(A)
      NOTE: Homeless children and youth must receive Title I educational
              and/or support services in non-Title I schools, shelters, or other
              facilities.
25.   Is it evident that the LEA reserved no more than the allowable 20                    Consolidated Application   Yes   No
      percent for administrative costs?                                                 
                                                                                        
                                                                                            Payroll Records
                                                                                            Expenditure Reports         

 * Verified at the School Level



                                                                                   11
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                     Title I, Part A – American Recovery and Reinvestment Act (ARRA)
                                                                 Fiduciary
#                           Compliance Indicator                                      Evidence of Compliance                          Comments
26.   *In TA schools, is it evident that Title I, Part A paid personnel are              Consolidated                     Yes   No
      serving only identified eligible students?
      Section 1115(a)                                                                 
                                                                                          Application/Plan
                                                                                          List of students being served     
                                                                                         Payroll Records
                                                                                         Teacher/Aides Schedules
27.   Does the LEA ensure that Title I, Part A ARRA funds are used only to               Summary of all evidence          Yes   No
      supplement the funds that would, in the absence of such Federal
      funds, be made available from non-Federal sources, and not to
                                                                                      
                                                                                      
                                                                                          Expenditure Reports
                                                                                          Interviews                            
      supplant such funds?                                                               Budgets
      Section 1120A(b)(1)
28.   Is it evident that Title I, Part A ARRA budgets and expenditures are: a)           ARRA Application                 Yes   No
      allocable; b) reasonable and necessary; c) meets the intent and
      purposes of Title I, Part A statutes and d) is aligned with the approved
                                                                                         Evidence of Expenditures
                                                                                          (purchase orders, contracts,          
      application on file at the SEA?
                                                                                          staffing, invoices, etc.)
      OMB Circular A-87
                                                                                         Corroboration of the budget
                                                                                          and plans during on-site visit
                                                                                         Other __________________

29.   Do Title I, Part A ARRA expenditures meet the federal and state                    ARRA Application                 Yes   No
      requirements for procurement of goods and services with Title I, Part A
      ARRA funds?
                                                                                         Evidence of Expenditures
                                                                                          (purchase orders, contracts,          
                                                                                          staffing, invoices, etc.)
                                                                                         Other
30.   If the LEA is in LEA Improvement, is there evidence that the LEA                   LEA Improvement                  Yes   No
      retains and expends 10% of their Title I, Part A ARRA funds on high-
      quality professional development related to the reasons that the LEA is         
                                                                                          Applications/Plans
                                                                                          Budgets                               
      in improvement?
      Section 1116(c)(7)(A)(iii)                                                         Expenditure Reports
                                                                                         LEA Professional Dev. Plans

 * Verified at the School Level

                                                                                 12
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                    Title I, Part A – American Recovery and Reinvestment Act (ARRA)
                                                                Fiduciary
#                            Compliance Indicator                                      Evidence of Compliance                       Comments
31.   *Does the LEA ensure that each Title I school in School Improvement                 School Improvement Plans      Yes   No
      under Section 1119 will spend not less than 10% of its Title I, Part A
      funds, during each school year that it is identified for improvement, for
                                                                                       
                                                                                       
                                                                                           Budgets
                                                                                           Expenditure Reports                
      high-quality professional development for teachers and principals for
      the expressed purpose of removing the school from improvement                       Professional Development
      status?                                                                              Plans
      Note: Professional development must (1) directly meet the school’s
      academic problems and (2) meet the requirements of HQT Section
      1119.
      Section 1116(b)(3)(A)(iii)
32.   If the LEA has schools identified for School Improvement is there                   LEA system-wide budget        Yes   No
      evidence that the LEA has budgeted and expended:                                    LEA Consolidated
                                                                                           Application                        
                                                                                          Documentation of requests
                                                                                           for school choice transfers
                                                                                           and SES services.
                                                                                          Documentation of related
                                                                                           decisions
                                                                                          Documentation of
                                                                                           expenditures (year to date)
33.   If the LEA has schools identified for School Improvement is there                   LEA system-wide budget
      evidence that the LEA has budgeted and expended:                                    LEA Consolidated
                                                                                           Application
                                                                                          Documentation of requests
                                                                                           for school choice transfers
                                                                                           and supplemental
                                                                                           educational services
                                                                                          Documentation of related
                                                                                           decisions
                                                                                          Documentation of
                                                                                           expenditures (year to date)
 * Verified at the School Level
                                                                                  13
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                    Title I, Part A – American Recovery and Reinvestment Act (ARRA)
                                                                Fiduciary
#                            Compliance Indicator                                   Evidence of Compliance                        Comments
           a) An amount equal to a minimum of 5% of its Title I, Part A LEA                                            Yes   No
              allocation to support the costs for transportation related to
              school choice?                                                                                                
      Section 1116(b)(10)(A)(i)


          b) An amount equal to a minimum of 5% of its Title I, Part A LEA                                             Yes   No
             allocation to support the costs for supplemental education
             services (SES)?                                                                                                
      Section 1116(b)(10)(A(ii))


         c) An amount equal to a minimum of 10% of its Title I, Part A LEA                                             Yes   No
             allocation for a combination of choice-related transportation
             and supplemental education services?                                                                           
       Section 1116(b)(10)(A)(iii)
      UNLESS, the LEA has documentation to demonstrate that all requests
      were met with a lesser amount. Section 1116(b)(10)(A)
34.   Is it evident that the LEA is using school improvement funds in                  School Improvement Plans       Yes   No
           accordance
      with the SEA approved application and budget?
                                                                                       Evidence of expenditures
                                                                                        (purchase orders, contracts,        
                                                                                        staffing, etc.)
                                                                                       Expenditure reports, budget
                                                                                        pages, invoices, etc.
35.   Has the LEA ensured that set asides for transportation and                       Current Consolidated           Yes   No
      Supplemental Educational Services do not result in a reduction of
      more than 15% of the total Title I, Part A amount previously allocated        
                                                                                        Application
                                                                                        Previous years Consolidated     
      to any school identified for School Improvement?                                  Application
      Section 1116(b)(10)(D)
 * Verified at the School Level

                                                                               14
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                    Title I, Part A – American Recovery and Reinvestment Act (ARRA)
                                                                Fiduciary
#                            Compliance Indicator                                   Evidence of Compliance                        Comments
36.   *Is it evident that the LEA provides equitable services to eligible              Consolidated                   Yes   No
      students attending non-public schools including equitable professional
      development and parenting activities to participating non-public              
                                                                                        Application/Plan
                                                                                        Evidence of Expenditures        
      schools?                                                                          (purchase orders, contracts,
      Section 1120; Section 9501                                                        staffing, etc.)
                                                                                       Expenditure reports, budget
                                                                                        pages, invoices, etc.
                                                                                       Corroborations of the budget
                                                                                        and plans during on-site
                                                                                        visits
37.   *Is time and effort documentation available, approved, and signed by             Time and Effort Records        Yes   No
      appropriate individuals, if applicable?
      OMB Circular A-87, Attachment B.8.h.
                                                                                    
                                                                                    
                                                                                        Payroll Records
                                                                                        Work Schedules                  



38.   *Is it evident that contracts and agreements for Title I, Part A ARRA            Review of purchases, leases,   Yes   No
      products and services are made in accordance with applicable federal,
      state and local regulations and audit guidelines? Specifically, do            
                                                                                        agreements, contracts
                                                                                        Review of Audit Reports         
      contracts for goods and services for ARRA-funded projects have the               LEA Policies and Procedures
      required addendum of federally mandated terms and conditions
      pursuant to Title XV, Section 1512 of the ARRA?



 * Verified at the School Level
                                                                               15
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                                      Title I, Part C – Migrant Education Program
                                                                         Fiduciary
#                            Compliance Indicator                                      Evidence of Compliance                          Comments
39.   Does the LEA ensure that Title I, Part C funds are used only to                     Summary of all evidence          Yes   No
      supplement the funds that would, in the absence of such Federal
      funds, be made available from non-Federal sources, and not to
                                                                                       
                                                                                       
                                                                                           Expenditure Reports
                                                                                           Interviews                        
      supplant such funds?                                                                Budgets
      Section 1306(b)(2)
40.   Is it evident that Title I, Part C budgets and expenditures are: a)                 Migrant Applications             Yes   No
      allocable; b) reasonable and necessary; c) meets the intent and
      purposes of Title I, Part C statutes and d) is aligned with the approved
                                                                                          Evidence of Expenditures
                                                                                           (purchase orders, contracts,          
      application on file at the SEA?                                                      staffing, invoices, etc.)
      OMB Circular A-87                                                                   Corroboration of the budget
                                                                                           and plans during on-site visit
                                                                                          Other _________________
41.   *Is it evident that the LEA provides equitable services to eligible                 Consolidated                     Yes   No
      students attending non-public schools including equitable professional
      development and parenting activities to participating non-public                 
                                                                                           Application/Plan
                                                                                           Evidence of Expenditures              
      schools?                                                                             (purchase orders, contracts,
      Section 9501                                                                         staffing, invoices, etc.)
                                                                                          Corroborations of the budget
                                                                                           and plans during on-site visit

42.   *Is time and effort documentation available, approved, and signed by                Time and Effort Records          Yes   No
      appropriate individuals, if applicable?
      OMB Circular A-87, Attachment B.8.h.
                                                                                       
                                                                                       
                                                                                           Payroll Records
                                                                                           Schedules                             
43.   *Is it evident that contracts and agreements for Title I, Part C products           Review of purchases, leases,     Yes   No
      and services are made in accordance with applicable federal, state
      and local regulations and audit guidelines?                                      
                                                                                           agreements, contracts
                                                                                           Review of Audit Reports               
                                                                                          LEA Policies and Procedures

 * Verified at the School Level

                                                                                  16
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                   Title I, Part D, Subpart 2 – Education of Neglected/Delinquent Children (N/D)
                                                                      Fiduciary
#                            Compliance Indicator                                      Evidence of Compliance                          Comments
44.   Has the LEA entered into a formal agreement that outlines the                       N or D Application for funding   Yes   No
      program and services to be provided to the population with any facility
      or institution receiving assistance under Title I, Part D, Subpart 2?
                                                                                       
                                                                                       
                                                                                           Program Descriptions/Plans
                                                                                           Written, Board approved           
      Section 1423(2)                                                                      formal agreements
45.   *Does the LEA exercise administrative control and assume                            Evidence of district-level     Yes     No
      responsibility for monitoring the funded programs to ensure
      compliance with any formal agreements and applicable statutory
                                                                                           person assigned to monitor
                                                                                           the program(s)                    
      requirements?                                                                       Written records/schedules of
                                                                                           monitoring visits
                                                                                          Evaluation Reports
46.   Does the LEA ensure that Title I, Part D funds are used only to                     Summary of all evidence        Yes     No
      supplement the funds that would, in the absence of such Federal
      funds, be made available from non-Federal sources, and not to
                                                                                       
                                                                                       
                                                                                           Expenditure Reports
                                                                                           Interviews                        
      supplant such funds?                                                                Budgets
      Section 1415(b)
47.   Is it evident that Title I, Part D budgets and expenditures are: a)                 Consolidated Application         Yes   No
      allocable; b) reasonable and necessary; c) meets the intent and
      purposes of Title I, Part D statutes and d) is aligned with the approved
                                                                                          Evidence of Expenditures
                                                                                           (purchase orders, contracts,          
      application on file at the SEA?                                                      staffing, invoices, etc.)
      OMB Circular A-87                                                                   Corroboration of the budget
                                                                                           and plans during on-site visit
                                                                                          Other _________________
48.   *Is time and effort documentation available, approved, and signed by                Time and Effort Records          Yes   No
      appropriate individuals, if applicable?
      OMB Circular A-87, Attachment B.8.h.
                                                                                       
                                                                                       
                                                                                           Payroll Records
                                                                                           Work Schedules                        
49.   *Is it evident that contracts and agreements for Title I, Part D products           Review of purchases, leases,     Yes   No
      and services are made in accordance with applicable federal, state
      and local regulations and audit guidelines?                                      
                                                                                           agreements, contracts
                                                                                           Review of Audit Reports               
                                                                                          LEA Policies and Procedures
 * Verified at the School Level
                                                                                  17
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                                         Title II, Part A – Teacher/Principal Quality
                                                                           Fiduciary
#                             Compliance Indicator                                      Evidence of Compliance                          Comments
50.   *Does the LEA ensure that Title II Part A funds are used only to                     Summary of all evidence          Yes   No
      supplement the funds that would, in the absence of such Federal
      funds, be made available from non-Federal sources, and not to
                                                                                        
                                                                                        
                                                                                            Expenditure Reports
                                                                                            Interviews                        
      supplant such funds?                                                                 Budgets
      Section 2123(b)
51.   Is it evident that Title II, Part A budgets and expenditures are: a)                 Consolidated Application         Yes   No
      allocable; b) reasonable and necessary; c) meets the intent and
      purposes of Title II, Part A statutes and d) is aligned with the approved
                                                                                           Evidence of Expenditures
                                                                                            (purchase orders, contracts,          
      application on file at the SEA?                                                       staffing, invoices, etc.)
      OMB Circular A-87                                                                    Corroboration of the budget
                                                                                            and plans during on-site visit
                                                                                           Other _________________
52.   *Is it evident that the LEA provides equitable services to non-public                Consolidated                     Yes   No
      schools that expressed an interest to participate in the Title II, Part A
      program?                                                                          
                                                                                            Application/Plan
                                                                                            Evidence of Expenditures              
      Section 9501                                                                          (purchase orders, contracts,
                                                                                            staffing, invoices, etc.)
                                                                                           Corroborations of the budget
                                                                                            and plans during on-site visit
53.   *Is time and effort documentation available, approved, and signed by                 Time and Effort Records          Yes   No
      appropriate individuals, if applicable?
      OMB Circular A-87, Attachment B.8.h.
                                                                                        
                                                                                        
                                                                                            Payroll Records
                                                                                            Work Schedules                        
54.   *Is it evident that contracts and agreements for Title II, Part A products           Review of purchases, leases,     Yes   No
      and services are made in accordance with applicable federal, state
      and local regulations and audit guidelines?                                       
                                                                                            agreements, contracts
                                                                                            Review of Audit Reports               
                                                                                           LEA Policies and Procedures
55.   Is it evident that the LEA reserved no more than the allowable indirect              Consolidation Application        Yes   No
      cost rate?                                                                        
                                                                                        
                                                                                            Payroll Records
                                                                                            Expenditure Reports                   
 * Verified at the School Level

                                                                                   18
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                           Title II, Part D – Enhancing Education through Technology
                                                                    Fiduciary
#                             Compliance Indicator                                      Evidence of Compliance                          Comments
56.   *Does the LEA ensure that Title II, Part D funds are used only to                    Summary of all evidence          Yes   No
      supplement the funds that would, in the absence of such Federal
      funds, be made available from non-Federal sources, and not to
                                                                                        
                                                                                        
                                                                                            Expenditure Reports
                                                                                            Interviews                        
      supplant such funds?                                                                 Budgets
      Section 2413(b)(6)
57.   Is it evident that Title II, Part D budgets and expenditures are: a)                 Application for funding          Yes   No
      allocable; b) reasonable and necessary; c) meets the intent and
      purposes of Title II, Part D statutes and d) is aligned with the approved
                                                                                           Evidence of Expenditures
                                                                                            (purchase orders, contracts,          
      application on file at the SEA?                                                       staffing, invoices, etc.)
      OMB Circular A-87                                                                    Corroboration of the budget
                                                                                            and plans during on-site visit
                                                                                           Other _________________
58.   *Is it evident that the LEA provides equitable services to non-public                Consolidated                     Yes   No
      schools that expressed an interest to participate in the Title II, Part D
      program?                                                                          
                                                                                            Application/Plan
                                                                                            Evidence of Expenditures              
      Section 9501                                                                          (purchase orders, contracts,
                                                                                            staffing, invoices, etc.)
                                                                                           Corroborations of the budget
                                                                                            and plans during on-site visit
59.   *Is time and effort documentation available, approved, and signed by                 Time and Effort Records          Yes   No
      appropriate individuals, if applicable?
      OMB Circular A-87, Attachment B.8.h.
                                                                                        
                                                                                        
                                                                                            Payroll Records
                                                                                            Work Schedules                        
60.   *Is it evident that contracts and agreements for Title II, Part D products           Review of purchases, leases,     Yes   No
      and services are made in accordance with applicable federal, state
      and local regulations and audit guidelines?                                       
                                                                                            agreements, contracts
                                                                                            Review of Audit Reports               
                                                                                           LEA Policies and Procedures

 * Verified at the School Level


                                                                                   19
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

               Title III, Part A – Language Instruction for Limited English Proficient and Immigrant Students
                                                           Fiduciary
#                            Compliance Indicator                                 Evidence of Compliance                       Comments
61.   *Does the LEA ensure that Title III Part A funds are used only to            Summary of all evidence        Yes    No
      supplement the funds that would, in the absence of such Federal
      funds, be made available from non-Federal sources, and not to
                                                                              
                                                                              
                                                                                    Expenditure Reports
                                                                                    Interviews                       
      supplant such funds?                                                         Budgets
      Section 3115(g)
62.   Is it evident that Title III, Part A budgets and expenditures are: a)        Application for funding         Yes   No
      allocable; b) reasonable and necessary; c) meets the intent and
      purposes of Title III, Part A statutes and d) is aligned with the
                                                                                   Evidence of expenditures
                                                                                    (purchase orders, contracts,         
      approved application on file at the SEA?                                      staffing, invoices, etc.)
      OMB Circular A-87                                                            Corroboration of the budget and
                                                                                    plans during on-site visit
                                                                                   Other___________________
63.   *Is it evident that the LEA provides equitable services to eligible          Consolidated Application/Plan   Yes   No
      students attending non-public schools including equitable
      professional development and parenting activities to participating
                                                                                   Evidence of Expenditures
                                                                                    (purchase orders, contracts,         
      non-public schools?                                                           staffing, invoices, etc.)
      Section 9501                                                                 Corroborations of the budget
                                                                                    and plans during on-site visit

64.   *Is time and effort documentation available, approved, and signed            Time and Effort Records        Yes    No
      by appropriate individuals, if applicable?
      OMB Circular A-87, Attachment B.8.h.
                                                                              
                                                                              
                                                                                    Payroll Records
                                                                                    Work Schedules                       
65.   *Is it evident that contracts and agreements for Title III, Part A           Review of purchases, leases,   Yes    No
      products and services are made in accordance with applicable
      federal, state and local regulations and audit guidelines?              
                                                                                    agreements, contracts
                                                                                    Review of Audit Reports              
                                                                                   LEA Policies and Procedures
66.   Is it evident that the LEA reserved no more than the allowable 2             Consolidation Application      Yes    No
      percent for administrative costs?                                       
                                                                              
                                                                                    Payroll Records
                                                                                    Expenditure Reports                  
 * Verified at the School Level
                                                                              20
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                                      Title IV, Part A – Safe and Drug Free Schools
                                                                         Fiduciary
#                             Compliance Indicator                                  Evidence of Compliance                          Comments
67.   *Does the LEA ensure that Title IV, Part A funds are used only to                Summary of all evidence          Yes   No
      supplement the funds that would, in the absence of such Federal
      funds, be made available from non-Federal sources, and not to
                                                                                    
                                                                                    
                                                                                        Expenditure Reports
                                                                                        Interviews                        
      supplant such funds?                                                             Budgets
      Section 4115(c)(2)
68.   Is it evident that Title IV, Part A budgets and expenditures are: a)             Consolidated Application         Yes   No
      allocable; b) reasonable and necessary; c) meets the intent and
      purposes of Title IV, Part B statutes and d) is aligned with the
                                                                                       Evidence of Expenditures
                                                                                        (purchase orders, contracts,          
      approved application on file at the SEA?                                          staffing, invoices, etc.)
      OMB Circular A-87                                                                Corroboration of the budget
                                                                                        and plans during on-site visit
69.   *Is it evident that the LEA provides equitable services to eligible              Consolidated                     Yes   No
      students attending non-public schools including equitable professional
      development and parenting activities to participating non-public              
                                                                                        Application/Plan
                                                                                        Evidence of Expenditures              
      schools?                                                                          (purchase orders, contracts,
      Section 9501                                                                      staffing, invoices, etc.)
                                                                                       Corroborations of the budget
                                                                                        and plans during on-site visit

70.   *Is time and effort documentation available, approved, and signed by             Time and Effort Records          Yes   No
      appropriate individuals, if applicable?
      OMB Circular A-87, Attachment B.8.h.
                                                                                    
                                                                                    
                                                                                        Payroll Records
                                                                                        Work Schedules                        
71.   *Is it evident that contracts and agreements for Title IV, Part A                Review of purchases, leases,     Yes   No
      products and services are made in accordance with applicable federal,
      state and local regulations and audit guidelines?                             
                                                                                        agreements, contracts
                                                                                        Review of Audit Reports               
                                                                                       LEA Policies and Procedures
72.   Is it evident that the LEA reserved no more than the allowable 2                 Consolidation Application        Yes   No
      percent for administrative costs?
      Section 4114(a)(2)
                                                                                    
                                                                                    
                                                                                        Payroll Records
                                                                                        Expenditure Reports                   
 * Verified at the School Level
                                                                               21
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                           Title IV, Part B – 21st Century Community Learning Centers
                                                                      Fiduciary
#                             Compliance Indicator                                     Evidence of Compliance                          Comments
73.   *Does the LEA ensure that Title IV, Part B funds are used only to                   Summary of all evidence          Yes   No
      supplement the funds that would, in the absence of such Federal
      funds, be made available from non-Federal sources, and not to
                                                                                       
                                                                                       
                                                                                           Expenditure Reports
                                                                                           Interviews                        
      supplant such funds?                                                                Budgets
      Section 4204(b)(2)(G)
74.   Is it evident that Title IV, Part B budgets and expenditures are: a)                21st CCLC applications           Yes   No
      allocable; b) reasonable and necessary; c) meets the intent and
      purposes of Title IV, Part B statutes and d) is aligned with the
                                                                                          Evidence of expenditures
                                                                                           (purchase orders, contracts,          
      approved application on file at the SEA?                                             staffing, invoices, etc.)
      OMB Circular A-87                                                                   Corroboration of the budget
                                                                                           and plans during on-site visit
                                                                                          Other _________________
75.   *Is it evident that the LEA provides equitable services to eligible                 21st CCLC applications           Yes   No
      students attending non-public schools including equitable professional
      development and parenting activities to participating non-public
                                                                                       
                                                                                       
                                                                                           Student Lists
                                                                                           Corroborations of the budget          
      schools?                                                                             and plans during on-site visit
      Section 9501
76.   *Is time and effort documentation available, approved, and signed by                Time and Effort Records          Yes   No
      appropriate individuals, if applicable?
      OMB Circular A-87, Attachment B.8.h.
                                                                                       
                                                                                       
                                                                                           Payroll Records
                                                                                           Work Schedules                        
77.   *Is it evident that contracts and agreements for Title IV, Part B                   Review of purchases, leases,     Yes   No
      products and services are made in accordance with applicable federal,
      state and local regulations and audit guidelines?                                
                                                                                           agreements, contracts
                                                                                           Review of Audit Reports               
                                                                                          LEA Policies and Procedures
78.   *Is the grantee providing daily nutritious snacks for all participants of           Daily snack log                  Yes   No
      the community learning center?                                                      Other __________________
                                                                                                                             
 * Verified at the School Level


                                                                                  22
                                                Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _____________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                                            Title V, Part A – Innovative Programs
                                                                           Fiduciary
#                             Compliance Indicator                                     Evidence of Compliance                          Comments
79.   *Does the LEA ensure that Title V, Part A funds are used only to                    Summary of all evidence          Yes   No
      supplement the funds that would, in the absence of such Federal
      funds, be made available from non-Federal sources, and not to
                                                                                       
                                                                                       
                                                                                           Expenditure Reports
                                                                                           Interviews                        
      supplant such funds?                                                                Budgets
      Section 5144
80.   Is it evident that Title V, Part A budgets and expenditures are: a)                 Consolidated Application         Yes   No
      allocable; b) reasonable and necessary; c) meets the intent and
      purposes of TitleV, Part A statutes and d) is aligned with the approved
                                                                                          Evidence of Expenditures
                                                                                           (purchase orders, contracts,          
      application on file at the SEA?                                                      staffing, invoices, etc.)
      OMB Circular A-87                                                                   Corroboration of the budget
                                                                                           and plans during on-site visit
                                                                                          Other _________________
81.   *Is it evident that the LEA provides equitable services to non-public               Consolidated                     Yes   No
      schools that expressed an interest to participate in the Title V, Part A
      program?                                                                         
                                                                                           Application/Plan
                                                                                           Evidence of Expenditures              
      Section 9501                                                                         (purchase orders, contracts,
                                                                                           staffing, invoices, etc.)
                                                                                          Corroborations of the budget
                                                                                           and plans during on-site visit
82.   *Is time and effort documentation available, approved, and signed by                Time and Effort Records          Yes   No
      appropriate individuals, if applicable?
      OMB Circular A-87, Attachment B.8.h.
                                                                                       
                                                                                       
                                                                                           Payroll Records
                                                                                           Work Schedules                        
83.   *Is it evident that contracts and agreements for Title V, Part A products           Review of purchases, leases,     Yes   No
      and services are made in accordance with applicable federal, state
      and local regulations and audit guidelines?                                      
                                                                                           agreements, contracts
                                                                                           Review of Audit Reports               
                                                                                          LEA Policies and Procedures
84.   Is it evident that the LEA reserved no more than the allowable indirect             Consolidation Application        Yes   No
      cost rate?                                                                       
                                                                                       
                                                                                           Payroll Records
                                                                                           Expenditure Reports                   
 * Verified at the School Level
                                                                                  23
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                          Title VI, Part B, Subpart 2 – Rural and Low-Income Schools
                                                                    Fiduciary
#                            Compliance Indicator                                      Evidence of Compliance                          Comments
85.   *Does the LEA ensure that Title VI, Part B funds are used only to                   Summary of all evidence          Yes   No
      supplement the funds that would, in the absence of such Federal
      funds, be made available from non-Federal sources, and not to
                                                                                       
                                                                                       
                                                                                           Expenditure Reports
                                                                                           Interviews                        
      supplant such funds?                                                                Budgets
      Section 6232
86.   Is it evident that Title VI, Part B budgets and expenditures are: a)                Application for funding          Yes   No
      allocable; b) reasonable and necessary; c) meets the intent and
      purposes of Title II, Part A statutes and d) is aligned with the approved
                                                                                          Evidence of Expenditures
                                                                                           (purchase orders, contracts,          
      application on file at the SEA?                                                      staffing, invoices, etc.)
      OMB Circular A-87                                                                   Corroboration of the budget
                                                                                           and plans during on-site visit
                                                                                          Other _________________
87.   *Is time and effort documentation available, approved, and signed by                Time and Effort Records          Yes   No
      appropriate individuals, if applicable?
      OMB Circular A-87, Attachment B.8.h.
                                                                                       
                                                                                       
                                                                                           Payroll Records
                                                                                           Work Schedules                        
88.   *Is it evident that contracts and agreements for Title VI, Part B                   Review of purchases, leases,     Yes   No
      products and services are made in accordance with applicable federal,
      state and local regulations and audit guidelines?                                
                                                                                           agreements, contracts
                                                                                           Review of Audit Reports               
                                                                                          LEA Policies and Procedures

89.   Is it evident that the LEA reserved no more than the allowable 5                    Consolidation Application        Yes   No
      percent for administrative costs?                                                
                                                                                       
                                                                                           Payroll Records
                                                                                           Expenditure Reports                   
 * Verified at the School Level




                                                                                  24
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                         Title X – McKinney-Vento Education for Homeless Children and Youth Program
                                                          Fiduciary
#                            Compliance Indicator                                    Evidence of Compliance                          Comments
90.   *Does the LEA ensure that Homeless funds are used only to                         Summary of all evidence          Yes   No
      supplement the funds that would, in the absence of such Federal
      funds, be made available from non-Federal sources, and not to
                                                                                     
                                                                                     
                                                                                         Expenditure Reports
                                                                                         Interviews                        
      supplant such funds?                                                              Budgets
      Section 723(3)
91.   Is it evident that Homeless budgets and expenditures are: a) allocable;           Homeless Application             Yes   No
      b) reasonable and necessary; c) meets the intent and purposes of Title
      V, Part A statutes and d) is aligned with the approved application on
                                                                                        Evidence of Expenditures
                                                                                         (purchase orders, contracts,          
      file at the SEA?                                                                   staffing, invoices, etc.)
      OMB Circular A-87                                                                 Corroboration of the budget
                                                                                         and plans during on-site visit
                                                                                        Other _________________
92.   *Is time and effort documentation available, approved, and signed by              Time and Effort Records          Yes   No
      appropriate individuals, if applicable?
      OMB Circular A-87, Attachment B.8.h.
                                                                                     
                                                                                     
                                                                                         Payroll Records
                                                                                         Work Schedules                        
93.   *Is it evident that contracts and agreements for products and services            Review of purchases, leases,     Yes   No
      to be used in the Homeless program are made in accordance with
      applicable federal, state and local regulations and audit guidelines?          
                                                                                         agreements, contracts
                                                                                         Review of Audit Reports               
                                                                                        LEA Policies and Procedures

94.   Is it evident that the LEA reserved no more than the allowable 5                  Consolidation Application        Yes   No
      percent for administrative costs?                                              
                                                                                     
                                                                                         Payroll Records
                                                                                         Expenditure Reports                   
 * Verified at the School Level




                                                                                25
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                                                       Transferability –Fiscal

#                      Compliance Indicator                                    Evidence of Compliance                             Comments
95.   Has the LEA transferred funds between programs?                       Approved Transferability Form             Yes   No
      (If “No”, skip to the next section.)                                  District Budget Summary
                                                                                                                        

96.   If the LEA has transferred funds among programs, is                   Approved Transferability Form             Yes   No
      documentation on file to support that the amount
      transferred did not exceed the percent allowable and does
                                                                            Copies of Notifications
                                                                                                                        
      the documenttion support that at least 30 days notification
      was provided to the MDE prior to each transfer?

97.   If the LEA has transferred funds among programs, is                   Budget Documents                          Yes   No
      documentation on file to support that all transferred
      resources have been used in accordance with the
                                                                         
                                                                         
                                                                             Purchase orders, receipts, etc.
                                                                             Other ______________                       
      allowable activities of the USDE Title program(s) into                Sign-in sheets, agendas, minutes of
      which the funds have been transferred including                        meetings
      requirements regarding set-asides and private schools?
98.   Does the LEA maintain fiscal records to track all funds               Accounting/Budget Documents               Yes   No
      transferred into program(s)?                                          Other _____________
                                                                                                                        
                                                                        Federal Programs
                                                                      NCLB General Provisions
#                      Compliance Indicator                                    Evidence of Compliance                             Comments
99.   Is there evidence that the CFPA has been developed in                 Evidence of process used to develop       Yes   No
      consultation with teachers, principals, administrators, other
      appropriate personnel, and with parents of children in
                                                                             CFPA (minutes, agendas, sign-in sheets,
                                                                             list of committee members, etc.)           
      schools served under Title I, Part A?
      Section 1112(d)(1)
 * Verified at the School Level
                                                                                26
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                                           Federal Programs
                                                                     NCLB General Provisions (ARRA)
 #                       Compliance Indicator                                      Evidence of Compliance                             Comments
100.   Is there evidence that the LEA uses state and local funds             District must have at least 2                 Yes   No
       in its schools to provide services that, taken as a whole,
       are substantially comparable to services in schools that are
                                                                             of the items below:
                                                                                Documentation of determination of
                                                                                                                            
       not receiving funds under Title I, Part A?                                comparability through records that are
                                                                                 updated at least once every year
       If all schools in the LEA are served under Title I, Part A, the LEA      Methods and worksheets used to
       must ensure that state and local funds are used to provide                determine comparability
       substantially comparable services in each of its schools.
                                                                                Equivalency policy among school
       Section 1120A(c)(1)(B)
                                                                                 curriculum and supplies; administrators
       An LEA may exclude schools with fewer than 100 students from              and staff
       its comparability determinations.                                        District-wide salary schedule
                                                                                Other __________________
       The LEA must have written procedures and dated records at the
       time of the monitoring visit to demonstrate compliance with the
       comparability requirement.




                                                         A. Title I, Part A- Schoolwide Programs (ARRA)
 #                        Compliance Indicator                                    Evidence of Compliance                              Comments
101.   Does the LEA have schools operating Title I Schoolwide
       Programs (SWP)?
            Yes
            No


       If “No,” go to the next section-“B. Title I-Targeted Assistance
       Programs.”


  * Verified at the School Level

                                                                                    27
                                                          Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                  A. Title I, Part A- Schoolwide Programs (ARRA)
 #                      Compliance Indicator                              Evidence of Compliance                              Comments
102.   *Does each school operating an SWP have a current                Copy of Board minutes with date           Yes   No
       Schoolwide Plan on file that has been approved by the
       LEA?                                                          
                                                                         Schoolwide Plan was approved
                                                                         Copy of MDE Title I Schoolwide Plan        
       Section 1114(b)(2)                                                Review Guide Sheet with “Implement”
                                                                         checked
                                                                        Other formal approval process

103.   *Is there evidence that each school participating in an SWP      Documentation supporting school has       Yes   No
       meets the intent and purposes of each program from which
       funds are combined into the Schoolwide Plan?
                                                                         met poverty eligibility requirements
                                                                                                                    
104.   Does the LEA ensure that the following components are
       included in each Schoolwide Plan and that each
       component is systematically implemented as required in
       NCLB:
        a.     *Comprehensive Needs Assessment based on                 Documentation of process used to          Yes   No
               current data?
                Section 1114(b)(1)(A)
                                                                         develop the comprehensive needs
                                                                         assessment as it relates to the            
                                                                         Schoolwide Plan
                                                                        Summary of information collected from
                                                                         needs assessment
        b.     *Schoolwide reform strategies?                           Documentation of research used to         Yes   No
                Section 1114(b)(1)(B)                                    select research based program stated in
                                                                         Schoolwide Plan                            
                                                                        Summary of prioritized needs
                                                                        List of reform strategies
  * Verified at the School Level




                                                                            28
                                                    Mississippi Department of Education
                                       Offices of Innovative Support & Federal Financial Management
School District: ____________________________                                               Date: _________________________________
School: ___________________________________                                                 Lead Evaluator: _________________________

                                                A. Title I, Part A- Schoolwide Programs (ARRA)
#                    Compliance Indicator                                Evidence of Compliance                              Comments
      c.    *Instruction by highly qualified teachers (HQT)?           Documentation of all teachers who teach   Yes   No
             Section 1114(b)(1)(C)                                      core academic subjects with class
                                                                        assignments (which must include            
                                                                        teacher license)
                                                                       Documentation of process used to
                                                                        determine HQT status
                                                                       Personnel records that verify review of
                                                                        HQT status




      d.    *High-quality and ongoing professional                     Professional Development Plan             Yes   No
            development for teachers, principals,
            paraprofessionals, and if appropriate, pupil
                                                                       Process used to determine professional
                                                                        development activities listed in the       
            services personnel, parents, and other staff to             Schoolwide Plan (which may include a
            enable all children in the school to meet the State’s       summary of needs assessment)
            student academic achievement standards?
            Section 1114(b)(1)(D)
      e.    *Strategies to attract high-quality, highly qualified      Examples of strategies listed in          Yes   No
            teachers (HQT) to high-needs schools?
            Section 1114(b)(1)(E)
                                                                        Schoolwide Plan to attract high-quality
                                                                        teachers (which may include flyers from    
                                                                        job fairs, job vacancies announcements,
                                                                        teacher incentives, etc.)




* Verified at the School Level

                                                                           29
                                                     Mississippi Department of Education
                                       Offices of Innovative Support & Federal Financial Management
School District: ____________________________                                               Date: _________________________________
School: ___________________________________                                                 Lead Evaluator: _________________________

                                               A. Title I, Part A- Schoolwide Programs (ARRA)
#                   Compliance Indicator                                Evidence of Compliance                                 Comments
      f.    *Strategies to increase parental involvement?            Strategies listed in LEA’s and school’s       Yes   No
             Section 1114(b)(1)(F)
                                                                  
                                                                      Parental Involvement Policies
                                                                      Document of implemented strategies             
                                                                      listed in LEA’s and school’s Parental
                                                                      Involvement Policies
                                                                     Documentation of implemented family
                                                                      literacy activities, (if family literacy is
                                                                      identified as a need)

      g.    *Plans for assisting preschool children in the           Documentation of activities, programs,        Yes   No
            transition from early childhood programs such as
            Head Start, Even Start, Early Reading First, or a
                                                                      etc. used to assist preschool children in
                                                                      transitioning from early childhood             
            State-run preschool program, to local elementary          programs to elementary programs
            programs?
            Section 1114(b)(1)(G)
      h.    *Measures to include teachers in the decisions           Documentation of district interventions       Yes   No
            regarding the use of academic assessments
            described in Section 1111(b)(3) in order to provide   
                                                                      used to improve student achievement
                                                                      List of programs used to allow teacher         
            information on, and to improve, the achievement of        input on student achievement and/or
            individual students and the overall instructional         instructional programs
            program?                                                 Examples of teacher involvement with
            Section 1114(b)(1)(H)                                     improvement of student achievement




* Verified at the School Level



                                                                         30
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                     A. Title I, Part A- Schoolwide Programs (ARRA)
 #                       Compliance Indicator                                 Evidence of Compliance                                Comments
        i.     *Activities to ensure that students who experience           Documentation of implemented                Yes   No
               difficulty mastering the proficient or advanced
               levels on State assessments are provided with
                                                                             activities listed in SWP of students who
                                                                             have not achieved proficient or higher       
               effective, timely additional assistance?                      in math and/or reading
                Section 1114(b)(1)(I)
        j.     *Coordination and integration of federal, state, and         List of contributing funding sources        Yes   No
               local services and programs including programs
               supported under this Act, violence prevention
                                                                         
                                                                         
                                                                             Budget pages
                                                                             Expenditure reports                          
               programs, nutrition programs, housing programs,
               Head Start, adult education, vocational and
               technical education, and job training?
               Section 1114(b)(1)(J)
105.   *Does the plan include a comprehensive list of allowable             List of combined programs in Schoolwide     Yes   No
       state, local, and federal programs, and fund sources to be
       combined in the Schoolwide Plan?                                  
                                                                             Plan
                                                                             Budget pages                                 
106.   *Does the Schoolwide Plan describe how the school will               Narrative of combined funding sources       Yes   No
       use its financial and other resources to implement the
       required components?
                                                                             for Schoolwide program
                                                                                                                          
       Section 1114(b)(2)(A)(ii)
107.   *Does the Schoolwide Plan describe how the school will               Documentation of assessment reports         Yes   No
       provide individual student academic achievement results
       and interpretation of the results to limited English proficient
                                                                             used (in other languages including
                                                                             adequate yearly progress (AYP) data          
       parents in a language they can understand?                            analysis)
       Section 1114(b)(2)(A)(iv)                                            Documentation of progress used to
                                                                             distribute information to limited English
                                                                             proficient parents

  * Verified at the School Level



                                                                                31
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                          A. Title I, Part A- Schoolwide Programs (ARRA)
 #                        Compliance Indicator                          Evidence of Compliance                          Comments
108.   *Is there evidence that the Schoolwide Plan was                     List of planning team’s          Yes   No
       developed with the involvement of parents and other
       members of the community to be served and individuals
                                                                            members by position and
                                                                            affiliation                       
       who will carry out the plan, including teachers, principals,        Documentation of the
       and LEA-level administrators of programs combined in the             process used to develop and
       plan? (This group should include students from a                     approve the plan (which may
       secondary school.)                                                   include parent surveys, etc.)
       Section 1114(b)(2)(B)(ii)
109.   *Does the plan describe how it will be reviewed and                 Description of how the plan      Yes   No
       revised as necessary?
       Section 1114(b)(2)(B)(iii)
                                                                            will be reviewed and revised
                                                                                                              
                                                         B. Title I, Part A – Targeted Assistance (ARRA)
 #                        Compliance Indicator                          Evidence of Compliance                          Comments
110.   Does the LEA have any schools that operate as Title I
       Targeted Assistance Schools?
            Yes
            No


       If “No,” go to the next section-“C. LEAs Identified for
       Improvement.”
111.   *Does each identified Targeted Assistance School conduct            Summary of survey                Yes   No
       a needs assessment to determine which eligible children
       have the greatest need?
                                                                        
                                                                        
                                                                            Identified needs
                                                                            Priority of needs                 
       Section 1115(a)                                                     Cut-off Scores
                                                                           Rank order listing
112.   *Is there evidence that the LEA uses Title I, Part A funds          Interviews with staff            Yes   No
       only for Targeted Assistance (TA) Programs that provide
       services to eligible children identified as having the
                                                                           Review of Title I expenditures
                                                                                                              
       greatest need for special academic assistance?
       Section 1115(b)(B)
  * Verified at the School Level
                                                                               32
                                                      Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                     B. Title I, Part A- Targeted Assistance (ARRA)
 #                      Compliance Indicator                       Evidence of Compliance                          Comments
113.   Has the LEA established objective, multi-criteria for the      Multi-criterion procedural     Yes   No
       identification of eligible students?
       Section 1115(b)(B)                                          
                                                                       guidelines
                                                                       Copies of worksheets for        
                                                                       determining eligibility and
                                                                       selecting students

114.   Is there documentation to support parental refusal of          LEA procedural guidelines      Yes   No
       student’s participation of services?                           Evidence of parent
                                                                       notification                    
                                                                      Documentation of refusal for
                                                                       any student identified and
                                                                       selected, but not receiving
                                                                       services

115.   Does the LEA ensure that the following eight components        Documentation including        Yes   No
       are included in each Targeted Assistance (TA) Plan and
       that each component is systematically implemented as
                                                                       Targeted Assistance Plan
                                                                       using a comprehensive           
       required in NCLB:                                               needs assessment
       Section 1115(c)
        a. *Program resources used only to help participating         Interviews with school and     Yes   No
              children meet such State’s challenging student
              academic achievement standards?                      
                                                                       LEA staff
                                                                       Review of Targeted              
              Section 1115(c)(1)(A)                                    Assistance Plan, school
                                                                       budget, and reports of
                                                                       expenditures

        b.   *Incorporation of the Targeted Assistance Plan into      Interviews with school and     Yes   No
             existing school planning?
             Section 1115(c)(1)(B)                                 
                                                                       LEA staff
                                                                       Review of Targeted              
                                                                       Assistance Plan, school
                                                                       budget, and reports of
                                                                       expenditures
  * Verified at the School Level
                                                                          33
                                                    Mississippi Department of Education
                                       Offices of Innovative Support & Federal Financial Management
School District: ____________________________                                               Date: _________________________________
School: ___________________________________                                                 Lead Evaluator: _________________________

                                                 B. Title I, Part A – Targeted Assistance (ARRA)
#                      Compliance Indicator                          Evidence of Compliance                         Comments
      c.   *Effective methods and instructional strategies that         Documentation of process        Yes   No
           are based on scientifically-based research that
           strengthens the core academic program of the
                                                                         used to review and analyze
                                                                         programs and strategies          
           school and:                                                   based on research
                  i.    provides extended learning                      Documentation of alignment
                        opportunities;                                   of programs and strategies
                                                                         with academic needs of
                  ii.   provides accelerated curriculum; and,
                                                                         students
                 iii.   minimizes removing students from the
                        regular classroom during regular school
                        hours?
           Section 1115(c)(1)(C)
      d.   *Coordinates with the regular classroom program              TA budgets                      Yes   No
           including transitional strategies, which may include
           services to assist preschool children in the transition
                                                                     
                                                                     
                                                                         Review of expenditures
                                                                         Interview with school and        
           from early childhood programs to elementary school            LEA instructional leaders
           programs?
           Section 1115(c) (1) (D)

      e.   *Provides instruction by highly qualified teachers?          Teacher certification records   Yes   No
           Section 1115(c)(1)(E)                                        Verification of review of all
                                                                         teachers’ highly qualified       
                                                                         status




* Verified at the School Level
                                                                            34
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                     B. Title I, Part A – Targeted Assistance (ARRA)
 #                      Compliance Indicator                             Evidence of Compliance                           Comments
        f.   *Provides opportunities for high-quality ongoing               Review of LEA Professional        Yes   No
             professional development for teachers and other
             staff who work with participating children in the Title I   
                                                                             Development Plan
                                                                             Documentation of                   
             program or in the regular education program?                    professional development
             Section 1115(c)(1)(F); Section 1115(d) & Section                provided in relation to student
             1115(e)(3)                                                      and staff academic needs,
                                                                             and scientifically –based
                                                                             research instructional
                                                                             program/practices

        g.   *Provides strategies to increase parental                      Strategies listed in LEA          Yes   No
             involvement?
              Section 1115(c)(1)(G)                                      
                                                                             Parental Involvement Plan
                                                                             Strategies listed in School        
                                                                             Parental Involvement Plan

        h.   *Coordinates and integrates federal, state, and local          Review of budget and other        Yes   No
             services and programs including violence prevention
             programs, nutrition programs, housing programs,
                                                                             documentation of planning
                                                                             and program implementation         
             Head Start, adult education, vocational and technical           that provides evidence of
             education and job training?                                     coordination and integration
             Section 1115(c)(1)(H)

                                     C. Title I, Part A – LEA Identified for School Improvement (ARRA)
 #                      Compliance Indicator                             Evidence of Compliance                           Comments
116.   Has the LEA been identified for Improvement?
            Yes
            No


       If “No,” go to the next section-“D. School Improvement”


  * Verified at the School Level
                                                                                35
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                   C. Title I, Part A – LEA’s Identified for School Improvement (ARRA)
 #                      Compliance Indicator                         Evidence of Compliance                           Comments
117.   Has the LEA developed an LEA Improvement Plan (LIP)              LEA Improvement Plan             Yes    No
       that contains the following components and is there
       evidence that each component is being systematically                                                
       implemented as required in NCLB?
       Section 1116(c)(7)(A)
118.    Does the LEA incorporate scientifically-based research          Evidence of research-based        Yes   No
        strategies that will strengthen the core academic
        programs in schools served by the LEA?                       
                                                                         strategies
                                                                         Process for determining and       
        Section 1116(c)(7)(A)(i)                                         ensuring strategies are
                                                                         research-based
119.    Does the LEA identify actions that have the greatest            Resources used to determine      Yes    No
        likelihood of improving the achievement of participating
        children in meeting the State’s student academic
                                                                         actions most likely to improve
                                                                         students’ achievement and         
        achievement standards?                                           what identification process
         Section 1116(c)((7)(A)(ii)                                      entails
                                                                        Description of actions
                                                                        Process for making
                                                                         determinations
120.    Does the LEA address the professional development               Description of                   Yes    No
        needs of the instructional staff serving the agency by
        committing to spend, on professional development, not
                                                                         information/data that helped
                                                                         the LEA determine                 
        less than 10% of the Title I funds received by the LEA for       professional development
        each year in which the agency is identified for                  needs
        improvement?                                                    Meeting agendas, sign-in
         Section 1116(c)(7)(A)(iii)                                      sheets from advisory panels
                                                                         and school level planning
                                                                         committees
                                                                        Documentation of topics and
                                                                         materials/handouts used
                                                                         during meeting
  * Verified at the School Level
                                                                            36
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                   C. Title I, Part A – LEA’s Identified for School Improvement (ARRA)
 #                      Compliance Indicator                           Evidence of Compliance                         Comments
121.    Does the LEA address specific measurable achievement              LEA Improvement Plan            Yes   No
        goals and targets for each of the groups of students
        identified in the disaggregated data that caused the failure
                                                                          School Improvement Plan
                                                                                                            
        to obtain AYP?
        Section (1116)(c)(7)(iv)

122.    Does the LEA address the fundamental teaching and                 Description of how a            Yes   No
        learning needs in the school of the LEA and specific
        academic problems of low-achieving students, including a
                                                                           comprehensive needs
                                                                           assessment was conducted         
         determination of why the LEA failed to bring about               Identification of how parents
         increased student achievement?                                    of low achieving students
        Section 1116(c)(7)(A)(v)                                           can attend offered student
                                                                           support training sessions
                                                                          Meeting agendas, sign-in
                                                                           sheets, copies of surveys
                                                                           from teachers and principals

123.    Does the LEA incorporate, as appropriate, activities              LEA Improvement Plan            Yes   No
        before school, after school, during the summer, and
        during an extension of the school year?                                                             
        Section 1116(c)(7)(A)(vi)

124.    Does the plan specify the responsibilities of the SEA and         LEA Improvement Plan            Yes   No
        LEA including how technical assistance will be provided
        by the SDE and the LEA responsibilies as required under                                             
        section 1120A?
        Section 1116(c)(7)(A)(vii)

125.    Does the plan include strategies to promote effective                                              Yes   No
        parental involvement in the schools?
        Section 1116(c)(7)(A)(viii)                                                                         
  * Verified at the School Level
                                                                              37
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                         D. Title I, Part A – School Improvement (ARRA)
 #                         Compliance Indicator                             Evidence of Compliance                            Comments
126.    Does the LEA have Title I schools that have been
        identified for school improvement?
                Yes
                No
        If “No,” go to the next section-“E. Title I, Part A-Parental
        Involvement”
127.   *Is there evidence that no later than 14 days prior to the              Documentation of MDE               Yes   No
       start of the school year following initial identification and
       succeeding years of identification for improvement, that the        
                                                                                notification
                                                                                Documentation of LEA                
       LEA notified parents of all students enrolled in the                     notification to each school
       identified Title I schools of their option to transfer their            Copies of written and dated
       child/children to another public school served by the LEA                notification to parents
       that was not identified for school improvement?
       Section 1116(b)(1)(E)(i)                                        Note: Documentation must be maintained
                                                                       to demonstrate that the LEA notified
                                                                       parents of all students in a manner that
                                                                       was likely to be received and understood.
128.   Does the LEA have procedures to identify public choice                  Current documentation that         Yes   No
       options that are made available to parents? Do public
       school options include only schools in the district?
                                                                                describes the LEAs process
                                                                                and timelines for receiving,        
       Section 116(b)(1)(E)-(F); Section1116 (b)(11); 34 CFR                    processing, and
       Section 200.44)                                                          implementing transfer options
                                                                               Posting of the public school
                                                                                choice information on LEAs
                                                                                Website as follows:
                                                                               Beginning with data from the
                                                                                2007-2008 school year, and
                                                                                for each subsequent school
                                                                                year, the number of students
                                                                                who were eligible for and who
  * Verified at the School Level
                                                                                    38
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                  D. Title I, Part A – School Improvement (ARRA)
 #                      Compliance Indicator                          Evidence of Compliance                             Comments
                                                                          participated in the public
                                                                          school choice option
                                                                         For the current school year, a
                                                                          list of available schools to
                                                                          which students eligible to
                                                                          participate in public school
                                                                          choice may transfer.
129.   Does the LEA have timelines and procedures for parents to         Current documentation that          Yes   No
       follow in selecting a different school for their child and
       communicating their selection to the LEA?
                                                                          describes the LEAs process
                                                                          and timelines for receiving,         
       Section 1116(b)(1)(E)(ii); 34.CFR Section 200.44(a)(1)-(6)         processing, and
                                                                          implementing transfer options
                                                                         Posting of the public school
                                                                          choice information on LEAs
                                                                          website as follows:
                                                                         Beginning with data from the
                                                                          2007-2008 school year, and
                                                                          for each subsequent school
                                                                          year, the number of students
                                                                          who were eligible for and who
                                                                          participated in the public
                                                                          school choice option, and
                                                                         For the current school year, a
                                                                          list of available schools to
                                                                          which students eligible to
                                                                          participate in public school
                                                                          choice may transfer
130.   *If all requests for transfers could not be accommodated, is      LEA School Choice process           Yes   No
       there evidence that priority for transfers was given to the
       lowest achieving children from low-income families?
                                                                         Criteria to determine eligibility
                                                                          and to establish priority for        
       Section 1116(b)(1)(E)(ii)                                          service
                                                                         Choice Option Forms
                                                                             39
  * Verified at the School Level
                                                      Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                  D. Title I, Part A – School Improvement (ARRA)
 #                       Compliance Indicator                       Evidence of Compliance                          Comments
131.    Has the LEA met the requirement to post information about      Current documentation that       Yes   No
        public school choice on its Website? 34 C.F.R. Section
        200.39(c)(1)(i); Section 200.39(c)(1)(iv); 200.42(b)(5);
                                                                        describes the LEAs process
                                                                        and timelines for receiving,      
        200.43(b)(5); 200.43(c)(1)(iii)                                 processing, and
                                                                        implementing transfer options
                                                                       Posting of the public school
                                                                        choice information on LEAs
                                                                        website as follows:
                                                                       Beginning with data from the
                                                                        2007-2008 school year, and
                                                                        for each subsequent school
                                                                        year, the number of students
                                                                        who were eligible for and who
                                                                        participated in the public
                                                                        school choice option, and
                                                                       For the current school year, a
                                                                        list of available schools to
                                                                        which students eligible to
                                                                        participate in public school
                                                                        choice may transfer.



132.    Does each school identified by the MDE under Title I for       School Improvement Plan          Yes   No
        school improvement have a School Improvement Plan
        (SIP) that includes and ensures implementation of each                                            
        required component:
        Section 1116(b)(3)(A)



  * Verified at the School Level
                                                                           40
                                                     Mississippi Department of Education
                                       Offices of Innovative Support & Federal Financial Management
School District: ____________________________                                               Date: _________________________________
School: ___________________________________                                                 Lead Evaluator: _________________________

                                                D. Title I, Part A – School Improvement (ARRA)
#                     Compliance Indicator                          Evidence of Compliance                          Comments
      a.   *Evidence that the school incorporates scientifically-      School Improvement Plan          Yes   No
           based research strategies and effective practices
           that specifically address the academic issues that
                                                                       Documentation of plan
                                                                        development and analysis of       
           caused the school to be identified for improvement?          student assessment data
           Section 1116(b)(3)(A)(i)                                    Documentation of review of
                                                                        programs and strategies
                                                                       Alignment of programs,
                                                                        strategies, and practices with
                                                                        academic needs in the school
      b.   *A description of the policies and practices                School Improvement Plan          Yes   No
           concerning the school’s core academic subjects that
           have the greatest likelihood of ensuring that all
                                                                       Policies and Procedures
                                                                                                          
           groups of students specified in section
           1111(b)(2)(C)(v) and enrolled in the school will meet
           the state’s proficient level of achievement on the
           State academic assessment described in section
           1111(b)(3) not later than 12 years after the end of
           the 2001-2002 school year?
           Section 1116(b)(3)(A)(ii)
      c.   *Does the plan contain an assurance that the school         Budgets                          Yes   No
           will spend no less than 10% of Title I, Part A funds
           for providing high quality professional development?
                                                                       Expenditure reports
                                                                                                          
           Section 1116(b)(3)(A)(iii)
      d.   *Does the plan specify how funds will be used to            Budgets                          Yes   No
           remove the school from school improvement status?
           Section 1116(b)(3)(A)(iv)
                                                                       Expenditure reports
                                                                                                          
      e.   *Does the plan specify annual, measurable                   Documentation of plan            Yes   No
           objectives for continuous and substantial progress
           by each group of students specified in section
                                                                        development and analysis of
                                                                        student assessment data           
           1111(b)(2)(C)(v)?
           Section 1116(b)(3)(A)(v)
* Verified at the School Level
                                                                           41
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                  D. Title I, Part A – School Improvement (ARRA)
 #                      Compliance Indicator                          Evidence of Compliance                       Comments
        f.   *Does the plan describe how the school will provide         Policies and procedures for   Yes   No
             written notice about the identification to parents of
             each student enrolled in the school in a format, and     
                                                                          notifying parents
                                                                          Copies of notices              
             to the extent practicable, in a language that the
             parents can understand?
             Section 1116(b)(3)(A)(vi)
        g.   *Does the plan specify the responsibilities of the          Sign-in sheets of LEA         Yes   No
             school, the LEA, and the SDE including the technical
             assistance that will be provided by the LEA?
                                                                          personnel providing
                                                                          assistance                     
             Section 1116(b)(3)(A)(vii)                                  Interviews with schools
        h.   *Does the plan include strategies to promote                Parental Involvement Plan     Yes   No
             effective parental involvement in the school?
             Section 1116(b)(3)(A)(viii)                                                                 
        i.   *Does the plan incorporate, as appropriate, activities      Budgets                       Yes   No
             before school, after school, during the summer and
             during any extension of the school year?
                                                                      
                                                                      
                                                                          Expenditure reports
                                                                          Interviews with school         
             Section 1116(b)(3)(A)(ix)                                    personnel
        j.   *Does the plan incorporate a teacher mentoring              Mentoring Plan                Yes   No
             program?
             Section 1116(b)(3)(A)(x)
                                                                         Interviews with school
                                                                          personnel                      
133.   Has the LEA/school designed/provided teacher                      District’s process for        Yes   No
       professional development to ensure that teacher learning
       opportunities are sustained, job-embedded, collaborative,
                                                                          determining professional
                                                                          development needs              
       data-driven, and focused on student instructional needs.          Copies of the districts
       Section 1116(b)((3)(A)(iii); Section 1116(c)(7)(c); Section        professional development
       9101(34)                                                           plan
                                                                         Copies of the districts
                                                                          professional development
                                                                          calendar
  * Verified at the School Level
                                                                             42
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                   D. Title I, Part A – School Improvement (ARRA)
 #                      Compliance Indicator                           Evidence of Compliance                         Comments
134.   Do the LEA and schools use school level data to make               Current documentation that      Yes   No
       decisions about the use of 1003(a) funds for school
       improvement?
                                                                           describes the LEA’s process
                                                                           and timelines for notifying      
       Section 1003(a)                                                     parents about SES options
                                                                           and for receiving and
                                                                           processing SES enrollment
                                                                           forms
135.   *Is there evidence that the SIP was developed in                   Signatures with positions of    Yes   No
       consultation with parents, school staff, and outside experts,
       as applicable?                                                  
                                                                           committee members
                                                                           Interviews with participants     
       Section1116(b)(3)(A)

136.   Is there evidence that the SIP was approved by the LEA             Date plans were submitted       Yes   No
       and submitted to the MDE no later than 3 months after the
       LEA was identified of their school improvement status?
                                                                           and approved
                                                                                                            
137.   What is the LEA’s process for monitoring or reviewing how          Copy of the LEA’s current       Yes   No
       schools are using section 1003(a) funds to ensure the on-
       going quality of school improvement activities?
                                                                           approved section 1003(a)
                                                                           application                      
       Section 9306(a)(1)                                                 Current list of schools
                                                                           receiving section 1003(a)
                                                                           funds and the amount
                                                                           awarded per school
                                                                          Description of the LEA’s
                                                                           process for reviewing school-
                                                                           level implementation of
                                                                           section 1003(a) funds and
                                                                           any assistance the LEA has
                                                                           provided to schools as a
                                                                           result of that review
  * Verified at the School Level

                                                                              43
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                 D. Title I, Part A – School Improvement (ARRA)
 #                      Compliance Indicator                              Evidence of Compliance                               Comments
138.   *Is there evidence that the applicable LEA promptly                    Documentation of dated               Yes   No
       provided notification of academic status to parents of each
       child enrolled in a school identified for improvement and
                                                                               notification to parents
                                                                                                                     
       the notices contained the following information:              Note: Notification must be made in at
        a. the school’s status;                                      least a minimum of two ways to parents of
        b. reasons for the identification;                           all students. Such notification must include
        c. what the school will do to address the academic           each of the seven components listed in the
                                                                     compliance question.
              problems;
        d. what the LEA will do to address the problems;
        e. how the parents can help;
        f.    options to transfer to another school; and
        g. if applicable, how students may obtain Supplemental
              Educational Services?
       Section 1116(b)(6)
139.   Has the LEA entered into an agreement to provide                       Copy of agreement                    Yes   No
       Supplemental Educational Services?
       Section 1116(e)(3)(A-E)
                                                                              Process used to enter into
                                                                               the agreement                         
                                                                              Documentation of
                                                                               communications between the
                                                                               LEA and service providers
140.   Does the LEA have timelines and procedures that parents                Current documentation that           Yes   No
       must follow in selecting an SES option for their child and
       communicating that selection to the LEA?
                                                                               describes the LEA’s process
                                                                               and timelines for notifying           
       Section1116(b)(1)(E)(ii); 34 CFR Section200.46(a)(1)-(6)                parents about SES options
                                                                               and for receiving and
                                                                               processing SES enrollment
                                                                               forms
141.   Is there evidence that the LEA provided assistance upon                Documentation of requests            Yes   No
       request to parents in choosing a Supplemental Educational
       Services Provider from the state-approved list?                    
                                                                               for assistance
                                                                               Documentation of assistance           
       Section 1116(e)(2)(B)                                                   provided
  * Verified at the School Level
                                                                                   44
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                   D. Title I, Part A – School Improvement (ARRA)
 #                      Compliance Indicator                           Evidence of Compliance                          Comments
142.   If all requests for Supplemental Educational Services could        Documentation of requests        Yes   No
       not be accommodated, is there evidence that such
       services are provided at least to the lowest achieving
                                                                           for Supplemental Educational
                                                                           Services                          
       students from low-income families?                                 Identification and selection
       Section 1116(e)(2)(C)                                               criteria

143.   *Does the LEA ensure that eligible students with disabilities      Procedures for ensuring          Yes   No
       and students covered under Section 504 receive
       appropriate Supplemental Educational Services and
                                                                           students with disabilities and
                                                                           students covered under            
       accommodations in the provision of those services?                  Section 504 receive
       Section 1116(e)(3)(A), Public Law 200.47(a)(5)                      appropriate SES
                                                                          Documentation of SES
                                                                           provided to students with
                                                                           disabilities and students
                                                                           covered under Section 504

144.   *Does the LEA ensure that eligible students who are                Procedures for ensuring that     Yes   No
       English language learners receive appropriate
       Supplemental Educational Services and language
                                                                           English language learners
                                                                           (ELL) receive appropriate         
       assistance in the provision of those services?                      Supplemental Educational
                                                                           Services
145.   Does the LEA have procedures in place to ensure that it            LEA written plans and            Yes   No
       will not disclose to the public the identity of any student
       who is eligible for or receiving, Supplemental Educational      
                                                                           procedures
                                                                           Documentation of systematic       
       Services under this subsection without written permission           communication of procedures
       from the parent of the students?
       Section 1116(e)(2)(D)
  * Verified at the School Level


                                                                              45
                                                        Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                    D. Title I, Part A – School Improvement (ARRA)
 #                       Compliance Indicator                           Evidence of Compliance                         Comments
146.   If the LEA has not implemented public school choice, and            Documentation of related        Yes   No
       appropriate staff at the MDE concurs that the LEA cannot
       implement choice, has the LEA implemented Supplemental
                                                                            communications between the
                                                                            LEA and the MDE                  
       Educational Services for eligible students without regard to        Documentation of notification
       the number of years a school has been identified for                 and communication with
       improvement?                                                         parents

147.   Is there evidence that the LEA provides systematic                  Documentation of site visits    Yes   No
       oversight and monitors all activities required under Section
       1116?
                                                                           Documentation of monitoring
                                                                                                             
148.   Is there evidence that the LEA has posted on its website                                             Yes   No
       beginning with data from the 2007-2008 school year, and
       for each subsequent school year, the number of students                                               
       who were eligible for and the number of students who
       participated in SES?
       34 C.F.R. Section 200.39(c)(1)(ii); 200.42(b)(5);                   Website documentation
       200.43(b)(5); 200.43(c)(1)(iii)

149.   Is there evidence that the LEA has posted on its website                                             Yes   No
       for the current school year, a list of SES providers
       approved by the State to serve the LEA and the locations                                              
       where services are provided?
       [34 C.F.R. §§200.39(c)(1)(iii); 200.42(b)(5); 200.43(b)(5);
       200.43(c)(1)(iii)].
150.   Has the LEA prominently displayed information on student                                             Yes   No
       eligibility and participation in public school choice, and the
       list of available transfer options?                                                                   
        [34 C.F.R. §200.39(c)(2)].

  * Verified at the School
                                                                               46
                                                        Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                  D. Title I, Part A – School Improvement (ARRA)
 #                      Compliance Indicator                         Evidence of Compliance                        Comments
151.   What strategies is the LEA using with section 1003(g)            Copy of the LEA’s current      Yes   No
       funds to improve the lowest-achieving schools to meet
       goals under LEA and school improvement, corrective
                                                                         approved Section 1003(g)
                                                                         application                     
       action, and restructuring plans to schools?                      Current list of schools
       Section 1003(g)(9)                                                receiving section 1003(g)
                                                                         funds and the amount
                                                                         awarded per school
                                                                        Current written
                                                                         documentation that describes
                                                                         the LEA’s process for
                                                                         reviewing how schools use
                                                                         section 1003(g) funds and
                                                                         any assistance the LEA has
                                                                         provided schools as a result
                                                                         of that review
152.   What is the LEA’s process for reviewing or evaluating how        Copy of the LEA’s current      Yes   No
       schools are using section 1003(g) funds to ensure the on-
       going quality of school improvement activities and that the
                                                                         approved section 1003(g)
                                                                         application                     
       1003(g) funded interventions drive improved results for          Current list of schools
       students, including students in poverty, students with            receiving section 1003(g)
       disabilities, and English language learners?                      funds and the amount
       Section1003(g)(9); Section 9306(a)(1)                             awarded per school
                                                                        Current written
                                                                         documentation that describes
                                                                         the LEA’s process for
                                                                         reviewing how schools use
                                                                         section 1003(g) funds and
                                                                         any assistance the LEA has
                                                                         provided schools as a result
                                                                         of that review
  * Verified at the School


                                                                            47
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                  D. Title I, Part A – School Improvement (ARRA)
 #                      Compliance Indicator                               Evidence of Compliance                            Comments
153.   What is the process used for reviewing school level data               Copy of the LEA’s current          Yes   No
       and determining priorities to support improved student
       achievement (or program improvement)?
                                                                               approved Section 1003(g)
                                                                               application                         
                                                                              Current list of schools
                                                                               receiving section 1003(g)
                                                                               funds and the amount
                                                                               awarded per school
                                                                              Current written
                                                                               documentation that describes
                                                                               the LEA’s process for
                                                                               reviewing how schools use
                                                                               section 1003(g) funds and
                                                                               any assistance the LEA has
                                                                               provided schools as a result
                                                                               of that review
                                                  E. Title I, Part A – Parental Involvement (ARRA)
 #                      Compliance Indicator                               Evidence of Compliance                            Comments
154.   Is there evidence that each LEA Title I participating school           Copy of dated Parents Right-       Yes   No
       distributed to parents the Parents Right-to-Know letters
       that included all components as required in Section
                                                                               to-Know letter
                                                                                                                   
       1111(h)(6) and implemented the Parents Right-to-Know
       requirements in Section 1111(h)(6) as follows:
                 a. Has the LEA notified parents of each student              Dated documentation of             Yes   No
                     attending any school that received Title I,
                     Part A funds that parents may request, and
                                                                               annual notifications to
                                                                               parents of all students in Title    
                     the LEA must provide in a timely manner,                  I schools
                     information regarding the professional           Note: Documentation must describe (1)
                     qualifications of the student’s classroom        the information parents can request, (2)
                     teachers?                                        the process by which parents can make
                     Section 1111(h)(6)(A)                            requests of the LEA and (3) the process
                                                                      followed to provide the information.
  * Verified at the School Level
                                                                                   48
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                 E. Title I, Part A – Parental Involvement (ARRA)
 #                   Compliance Indicator                           Evidence of Compliance                          Comments
               b. Has the LEA informed each individual parent          Documentation that score         Yes   No
                    of the level of achievement of the parent’s
                    child in each statewide academic
                                                                        reports have been
                                                                        disseminated to parents           
                    assessment?
                    Section 1111(h)(6)(B)(i)
               c.    Has the LEA provided notification to parents      Documentation of the             Yes   No
                    of children taught for 4 or more consecutive
                    weeks by a teacher who is not highly            
                                                                        process to be followed
                                                                        Documented notification or        
                    qualified?                                          sample notification
                    Section 1111(h)(6)(B)(ii)
               d. Does the LEA present notices and                     Procedures for providing         Yes   No
                    information under the Parents Right-to-Know
                    in an understandable and uniform format, and
                                                                        notices, documentation of
                                                                        how information is                
                    to the extent practicable, in a language that       communicated
                    parents can understand?                            Parents Right-to-Know letters
                     Section 1111(h)(6)(C)                              in other languages
               e. Has the LEA informed each individual parent          Documentation that score         Yes   No
                    of the level of achievement of the parent’s
                    child in each statewide academic
                                                                        reports have been
                                                                        disseminated to parents           
                    assessment?
                    Section 1111(h)(6)(B)(i)
155.   *Does the LEA and each Title I school ensure that parents       Documentation of process         Yes   No
       have been informed and participate in the decisions how
       the 1% reservation set-a-side amount for parental
                                                                        used to inform Title I Parents
                                                                        (which may be flyers, web         
       involvement activities is used?                                  notices, newsletters,
       Section 1118(a)(3)(B) and 1118(e)(12)                            agendas, meeting minutes,
                                                                        sign-in sheets, etc)
  * Verified at the School Level



                                                                           49
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                  E. Title I, Part A – Parental Involvement (ARRA)
 #                      Compliance Indicator                        Evidence of Compliance                         Comments
156.   *Does each Title I school conduct an annual parent              Documentation of annual         Yes   No
       meeting?
       Section 1118(c)(1)
                                                                        Title I Parent Meeting (which
                                                                        may be flyers, web notices,      
                                                                        newsletters, agendas,
                                                                        meeting minutes, sign-in
                                                                        sheets, etc)


157.   *Has each Title I school developed and distributed to           Highlight description in        Yes   No
       parents a parent-student-school compact which describes
       the partnership needed for children to achieve the state’s
                                                                        compact of “partnership
                                                                        needed for children to           
       high academic standards? Have the compacts been                  achieve the state’s high
       reviewed and discussed with parents at parent/teacher            academic standards”
       parent meetings?                                                Documentation of process
       Section 1118(d)                                                  used to distribute compacts
                                                                        to parents
                                                                       Describe process used to
                                                                        review and discuss compacts
                                                                        with parents
158.   Does the LEA have a written Parental Involvement Policy
       that describes the following components, and is there
       evidence that each component is being implemented?
        a.   Does the policy describe how the LEA will involve         Highlight description in        Yes   No
             parents in the joint development of the LEA Title I
             plan and the process of school review and              
                                                                        Parental Involvement Policy
                                                                        List of LEA Planning             
             improvement under section 1116?                            Committee
              Section 11189A0(2)(A)                                    Documentation of meetings
                                                                        as it relates to the CFPA


  * Verified at the School Level

                                                                           50
                                                     Mississippi Department of Education
                                       Offices of Innovative Support & Federal Financial Management
School District: _____________________________                                              Date: _________________________________
School: ___________________________________                                                 Lead Evaluator: _________________________

                                               E. Title I, Part A – Parental Involvement (ARRA)
#                    Compliance Indicator                          Evidence of Compliance                          Comments
      b.   Does the policy describe how the LEA will provide          Highlight technical assistance   Yes   No
           coordination and technical assistance and any other
           support necessary to assist Title I schools in
                                                                       activities listed in Parental
                                                                       Involvement Policy                
           planning and implementing effective parent                 Documentation of activities
           involvement activities to improve student academic          implemented which may
           achievement and school performance?                         include topics, materials,
            Section 1118(a)(2)(B)                                      handouts, e-mails, etc.


      c.   Does the policy describe how the LEA will assist           Highlight description of         Yes   No
           schools in building capacity for strong parental
           involvement?
                                                                       activities listed in Parental
                                                                       Involvement Policy                
           Section 1118(a)(2)(C)                                      Documentation of materials
                                                                       and handouts used during
                                                                       meetings and/or handouts
                                                                       related to building capacity
                                                                       for strong parental
                                                                       involvement


      d.   Does the policy describe how the LEA will                  Highlight description of         Yes   No
           coordinate and integrate parental involvement
           strategies with parental involvement strategies under
                                                                       coordination efforts listed in
                                                                       Parental Involvement Policy       
           other programs such as Head Start, Reading First,          Documentation of materials
           Early Reading First, Even Start, Parents as                 and handouts used during
           Teachers program, Home Instruction Program for              meetings and/or workshops
           Preschool Youngsters, and State-run preschool               related to coordinating and
           programs?                                                   integrating parental
           Section 1118(a)(2)(D)                                       involvement strategies


* Verified at the School Level

                                                                          51
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: _____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                  E. Title I, Part A – Parental Involvement (ARRA)
 #                      Compliance Indicator                               Evidence of Compliance                              Comments
        e.   Does the policy describe how the LEA will conduct,                Highlight description of            Yes   No
             with the involvement of parents, an annual
             evaluation of the content and effectiveness of the
                                                                                process used to conduct
                                                                                evaluation in Parental               
             parental involvement policy and use the findings to                Involvement Policy
             design strategies for more effective parental                     Results of the evaluation
             involvement and to revise the Parental Involvement                Description of how the Policy
             Plan as necessary?                                                 will be revised as a result of
              Section 1118(a)(2)(E)                                             findings
        f.   Does the policy describe how the LEA will assist                  Highlight description of the        Yes   No
             Title I schools in developing strategies to involve
             parents in the activities at the schools?
                                                                                activities listed in the Parental
                                                                                Involvement Policy                   
              Section 1118(a)(F)                                               Materials/handouts used
                                                                                during meetings and/or
                                                                                workshops
159.   *Is there evidence that each Title I school has a Parental              Documentation of method             Yes   No
       Involvement Policy that was developed jointly with, agreed
       on with, and distributed to parents of Title I participating
                                                                                used to develop, distribute,
                                                                                review and discuss policy to         
       students?                                                                parents which may include
       Section 1118(b)(1)                                                       agendas, minutes of
                                                                                meetings, and sign-in sheets
                                                                               List of Parent Advisory
                                                                                Members
                                                                               Highlight Parental
                                                                                Involvement Plan located in
                                                                                Parent Handbook

                                                                      NOTE: The parental involvement section
                                                                      of the SW or TA Plan can be used as
                                                                      evidence if it includes all of the required
                                                                      components for the plan and is available
                                                                      in a distributable format.
  * Verified at the School Level
                                                                                    52
                                                      Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: _____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________
                                                  E. Title I, Part A – Parental Involvement (ARRA)
 #                       Compliance Indicator                         Evidence of Compliance                         Comments
160.     Does each Title I participating school ensure that the          Description in each             Yes   No
         following required components are described in its
         Parental Involvement Plan and that each component is
                                                                          components (a-h)
                                                                          highlighted in school’s          
         implemented:                                                     Parental Involvement Policy
         a. *Does the policy provide an assurance that the               Documentation of an annual      Yes   No
               school will convene an annual meeting of all parents
               of participating children, at a convenient time, to
                                                                          meeting (which can include
                                                                          flyers, newspaper                
               inform parents of Title I participation, its               announcement, newsletters,
               requirements and their right to be involved?               meeting agendas, sign-in-
                Section 1118(c)(1)                                        sheets, minutes, etc.)
         b. *Does the school offer a flexible schedule of                Schedule of meetings (which     Yes   No
               meetings, such as meetings in the morning or
               evening?
                                                                          may include flyers,
                                                                          newspaper announcements,         
                Section 1118(c)(2)                                        newsletters, meeting
                                                                          agendas, sign-in-sheets,
                                                                          minutes, etc.)
         c.   *Does the school involve parents in an organized           List of committees, with        Yes   No
              ongoing, and timely way in the planning, review and
              improvement of Title I programs including planning,
                                                                          identification of parent
                                                                          participants                     
              review and improvement of the School Parental              Meeting’s, agendas, sign-in-
              Involvement Policy?                                         sheets
               Section 1118(c)(3)
         d. *Does the school provide parents of participating            Parent packets that include     Yes   No
              children timely information about programs under
              Title I, a description and explanation of the
                                                                          information and forms
                                                                          concerning parent                
              curriculum in use, forms of academic assessment             participation opportunities
              used, and if requested by parents, opportunities for        under Title I
              regular meetings to formulate suggestions and              Documentation of parent-
              participate as appropriate, in decisions relating to        teacher conferences with list
              the education of their children?                            of topics discussed
               Section 1118(c)(4)
  * Verified at the School Level
                                                                             53
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: _____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                   E. Title I, Part A – Parental Involvement (ARRA)
 #                      Compliance Indicator                              Evidence of Compliance                          Comments
        e.   *Does the school submit comments/concerns to the                Copy of complaint process        Yes   No
             LEA if the Schoolwide Plan is not satisfactory to
             parents?
                                                                             Copies of complaint letters
                                                                              from parents and                  
             Section 1118(c)(5)                                               resolutions, if applicable

        f.   *Is the parent-student-school compact jointly                   Documentation of annual          Yes   No
             developed with parents of participating students;
             how it is used, reviewed, and updated?
                                                                              review of Title I Programs
                                                                              which include review of the       
             Section 1118(d)                                                  parent-student-school
                                                                              compacts

                                                                     NOTE: Compacts must be reviewed and
                                                                     signed annually and should be available
                                                                     in each teacher’s classroom.

        g.   *Does the school build teachers’ and parents’                   Documentation of capacity-       Yes   No
             capacity for strong parental involvement?
             Section 1118(e)
                                                                              building training for
                                                                              teachers, parents, and other      
                                                                              school staff
                                                                             Documentation of
                                                                              communications with
                                                                              parents of migrant students,
                                                                              ELL students and students
                                                                              with disabilities that relates
                                                                              to building capacity for
                                                                              strong parental involvement
161.   *Does the school, to the extent practical, provide                   Description in each school’s      Yes   No
       opportunities for the participation of parents with limited
       English proficiency, parents with disabilities, and parents       
                                                                             Parental Involvement Policy
                                                                             Copies of communications to        
       of migratory children?                                                parents in other languages
       Section 1118(f)
  * Verified at the School Level
                                                                                  54
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________
                               Title I, Part A – Qualifications for Teachers and Paraprofessionals (ARRA)
 #                      Compliance Indicator                          Evidence of Compliance                              Comments
162.   Is there evidence that the LEA has ensured that all core                                                Yes   No
       academic subject teachers who were hired after the first
       day of the 2002-2003 school year and who teach in a Title                                                
       I Schoolwide Program or are paid from Title I funds in a
       Targeted Assistance Program were “highly qualified” at the        Documentation of credentials,
       time they were hired?                                              qualifications, and date-of-hire
       Section 1119 (a)(1)                                               LEA’s Highly qualified plan
163.   Is there evidence that the LEA has ensured that all                                                     Yes   No
       paraprofessionals who were hired after January 8, 2002,
       and who work in an instructional capacity in a Title I                                                   
       Schoolwide Program or are paid from Title I funds in a
       Targeted Assistance Program were highly qualified at the
       time they were hired?
       Section 1119(c)(1)(A-C)
164.   *Does the LEA ensure that any paraprofessional working            Samples of guidance,                 Yes   No
       in a Title I school does not provide any instructional
       services to a student unless the paraprofessional is
                                                                          memoranda, training materials
                                                                          and/or agenda of meetings for         
       working under the direct supervision of a teacher who is           principals and teachers in Title I
       highly qualified?                                                  schools regarding the duties
       Section 1119(g)(3)(A)                                              and assignment of
                                                                          paraprofessionals
165.   Does the LEA use not less than 5% or more than 10% of             Documentation of number of           Yes   No
       its total allocation of Title I, Part A funds to ensure that
       teachers and paraprofessionals who are not highly
                                                                          teachers and paraprofessionals
                                                                          who are not highly qualified and      
       qualified become highly qualified?                                 the LEA ‘s Highly Qualified
       Section 1119(1)                                                    Plan for them is approved
                                                                         Documentation to show that not
                                                                          less than 5% or more than 10%
                                                                          is used for professional
                                                                          development for teachers and
                                                                          paraprofessionals who are not
                                                                          highly qualified
  * Verified at the School Level
                                                                              55
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                               Title I, Part A – Qualifications for Teachers and Paraprofessionals (ARRA)
 #                      Compliance Indicator                               Evidence of Compliance                         Comments
166.   *Is there evidence that each teacher’s actual teaching              Master schedule
       assignment matches with the teacher’s assignment                    Review of MSIS
       reported to the MDE?                                                Observations

167.    Is there evidence that the LEA has ensured the following:



        a.   The principal of each school operating a Schoolwide           Signed copies of attestation       Yes   No
             or Targeted Assistance Program attests annually in
             writing to whether such school is in compliance with
                                                                            letters
                                                                                                                
             the Highly Qualified Requirements?
             Section 1119(h)(l)



        b.   *Copies of attestations shall be maintained at each           Signed copies of attestations at   Yes   No
             school of the LEA?        Section 1119(i)(2)(A)                the central office and at each
                                                                            school                              

        c.   Copies of attestation letters shall be available to any                                           Yes   No
             member of the general public on request?
             Section 1119(i)(2)(B)                                                                              


  * Verified at the School Level



                                                                               56
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                       Title I, Part D, Subpart 2 – Education of Neglected/Delinquent Children (N/D) (ARRA)
 #                       Compliance Indicator                              Evidence of Compliance                        Comments
168.   *If appropriate, is there evidence that participating schools       Written N/D program description   Yes   No
       are coordinating with facilities that work with delinquent
       children and youth to ensure that such children and youth
                                                                       
                                                                       
                                                                            Written agreement(s)
                                                                            On-site visits                     
       are participating in an education program comparable to
       one operated in the local school such youth would attend?
       Section 1423(3)
169.   *Is there evidence that participating schools operate               Written N/D program description   Yes   No
       programs for children and youth returning from correctional
       facilities?
                                                                           On-site visits
                                                                                                               
       Section 1423(4)
170.   *If appropriate, is there evidence that schools coordinate          Written N/D program description   Yes   No
       with existing social, health and other services to meet the
       needs of students returning from correctional facilities, at-
                                                                           Written agreement(s) of
                                                                            coordination                       
       risk children and youth, or other participating youth?              On-site visits at N/D sites.
       Section 1423(6)
171.   If appropriate, does the LEA have any partnerships with             Written N/D program description   Yes   No
       local businesses to develop training, curriculum-based
       youth entrepreneurship education and mentoring services
                                                                           Written agreement(s) with N/D
                                                                            service providers                  
       to participating students?
       Section 1423(7)
172.   If appropriate, is there evidence that the program will             Written N/D program description   Yes   No
       involve parents in efforts to improve the educational
       achievement of their children, assist in dropout prevention
                                                                       
                                                                       
                                                                            Written agreement(s)
                                                                            On-site visits at N/D sites        
       activities, and prevent the involvement of their children in
       delinquent activities?
       Section 1423(8)
173.   Is there evidence that the program coordinates with other           Written N/D program description   Yes   No
       federal, state, and local programs?
       Section 1423(9)                                                                                         
  * Verified at the School Level
                                                                               57
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                        Title I, Part D, Subpart 2 – Education of Neglected/Delinquent Children (N/D) (ARRA)
 #                        Compliance Indicator                                  Evidence of Compliance                            Comments
174.   Is there evidence that the program coordinates with                      Written N/D program description       Yes   No
       programs operated under the Juvenile Justice and
       Delinquency Prevention Act of 1974 and other comparable                                                          
       programs?
       Section 1423(10)

175.   If appropriate, is there evidence that schools work with                 Written N/D program description       Yes   No
       probation officers to assist in meeting the needs of the
       children and youth returning from correctional facilities?
                                                                            
                                                                            
                                                                                 Written agreement(s)
                                                                                 On-site visits                         
       Section 1423(11)

176.    *Is there evidence of the efforts participating schools                 Written N/D program description       Yes   No
        make to ensure correctional facilities working with children
        and youth are aware of a student’s existing Individualized
                                                                            
                                                                            
                                                                                 Written agreement(s)
                                                                                 On-site visits of service providers    
        Education Program (IEP)?                                                 for N/D
        Section 1423(12)
177.    *If appropriate, do participating schools take steps to find            Written N/D program description       Yes   No
        alternative placements for children and youth interested in
        continuing their education but unable to participate in a
                                                                                Written agreement(s) with N/D
                                                                                 service providers                      
        regular public school program?                                          On-site visits
        Section 1423(13)
178.   Are funds used to operate at least one of the following:                 Written N/D program description       Yes   No
       Section 1424                                                             Written agreement(s) with N/D
                                                                                 service providers                      
       An LEA that serves a school operated by a correctional facility is       On-site visits
       not required to provide a program of support if more than 30% of
       the students will reside outside the boundaries of the LEA after
       leaving the facility.
       Section 1422(b)

  * Verified at the School Level

                                                                                    58
                                                     Mississippi Department of Education
                                       Offices of Innovative Support & Federal Financial Management
School District: ____________________________                                               Date: _________________________________
School: ___________________________________                                                 Lead Evaluator: _________________________

                     Title I, Part D, Subpart 2 – Education of Neglected/Delinquent Children (N/D) (ARRA)
#                      Compliance Indicator                           Evidence of Compliance                       Comments
      a.    *Programs that serve children and youth returning
            to local schools from correctional facilities to assist
            in the transition of children and youth to the school
            environment and help them remain in school in
            order to complete their education?
                □ Yes
                □ No
            Section 1424(1)

      b.   *A dropout prevention program that targets at-risk
           children and youth?
               □ Yes
               □ No
           Section 1424(2)

      c.    *The coordination of health and social services for
            children and youth that will improve the likelihood
            that such individuals will complete their education?
                □ Yes
                □ No
           Section 1424(3)
      d. *Special programs to meet the unique academic
         needs of participating children and youth?
            □ Yes
            □ No
         Section 1424(4)
      e. *Programs providing mentoring and peer
         mediation?
             □ Yes
             □ No
         Section 1424(5)
* Verified at the School Level
                                                                         59
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                       Title I, Part D, Subpart 2 – Education of Neglected/Delinquent Children (N/D) (ARRA)
 #                       Compliance Indicator                            Evidence of Compliance                        Comments
179.    Is there evidence to support student counts submitted for        Working notes for selecting       Yes   No
        the annual survey?
                                                                     
                                                                          schools and/or students
                                                                          Recalculate student counts         
                                                                          reported to the MDE to ensure
                                                                          accuracy
                                                                         Annual survey
                                                                         Other __________________

180.   Is there evidence that the LEA has made a substantial             Working notes and other written   Yes   No
       effort to serve all facilities, particularly those with the
       highest number of delinquent children?
                                                                          documentation with N/D
                                                                          providers                          
181.   Does the LEA use multiple and appropriate measures of             Review of data sources and data   Yes   No
       student progress?
       Section 1431(c)
                                                                          used to measure and report
                                                                          student progress                   
182.   Does the LEA use the results of evaluations to plan and           Evidence of use of evaluation     Yes   No
       improve subsequent programs for participating children
       and youth?                                                    
                                                                          results
                                                                          On-site visits                     
       Section 1431(d)(2)




  * Verified at the School Level
                                                                             60
                                                         Mississippi Department of Education
                                           Offices of Innovative Support & Federal Financial Management
    School District: ____________________________                                               Date: _________________________________
    School: ___________________________________                                                 Lead Evaluator: _________________________

                                              Participation of Children Enrolled in Private Schools (ARRA)
   #                        Compliance Indicator                                  Evidence of Compliance                               Comments
NOTE: The following section applies to all federal fund sources regarding services to students and teachers in private schools:
    Title I, Part A – Participation of Children Enrolled in Private Schools
    Title I, Part B, Subpart 3 – Even Start Family Literacy Programs
    Title I, Part C – Education of Migratory Children
    Title II, Part A – Teacher/Principal Quality
    Title III, Part A – English Language Acquisition, Language Enhancement, and Academic Achievement Act
    Title IV, Part A – Safe and Drug-Free Schools and Communities
    Title IV, Part B – 21st Century Community Learning Centers

  183.     *Does the LEA provide timely and meaningful consultation              Written notification detailing         Yes      No
           with non-public school officials on the availability of funds
           to provide services to eligible private school students (as
                                                                                  information regarding each fund
                                                                                  source applicable for the LEA           
           appropriate)?                                                         Working notes of follow-up verbal
           Section 1120(b)(1)(A-H)(2); 9501(c) 5142                               notification and/or attempts to
                                                                                  notify
                                                                                 Private/Non-Public School
                                                                                  participation form signed by
                                                                                  Private/non-public school
                                                                                  administrator
                                                                                 Documentation of consultation
                                                                                  meeting(s)

  184.     If non-public schools do not choose to participate in                 Written notification and/or notes to   Yes      No
           federal services, is documentation available to reflect that
           schools were notified and that they elected not to
                                                                                  reflect that an appropriate private
                                                                                  school official declined to             
           participate?                                                           participate
           Section 1120(b)(4)                                                    Private/non-public school
                                                                                  participation form signed by
                                                                                  private/non-public school
                                                                                  administrator

    * Verified at the School Level
                                                                                       61
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                         Participation of Children Enrolled in Private Schools (ARRA)
 #                      Compliance Indicator                            Evidence of Compliance                             Comments
185.   *Does the LEA make private school officials aware of the         Documentation of notification of       Yes   No
       procedures to file a complaint to the MDE regarding timely
       and meaningful consultation provided by the LEA?             
                                                                         procedure
                                                                         LEA complaint policy posted on          
       (All applicable fund sources)                                     web or in school handbook
       Section 1120(b)(5)                                               Correspondence to private/non-
                                                                         public school administrator
                                                                        Interviews with private school
                                                                         officials

186.   Does the LEA maintain written affirmation(s) of the timely       Documentation of written               Yes   No
       and meaningful consultation provided to private school
       officials?
                                                                         affirmation of consultation(s)
                                                                         signed by each appropriate              
       (All applicable fund sources)                                     private school official
       Section 1120(b)(4); 9501(c)(1)                                   Agendas/sign-in sheets of
                                                                        consultation meetings

187.   *As appropriate, does the LEA ensure that participating          LEA CFPA                               Yes   No
       students and teachers in non-public schools are provided
       equitable services?
                                                                        Worksheet/related
                                                                         documentation                           
       (All applicable fund sources)                                    Review of services provided to
       Section 9501                                                      public
                                                                        Sign-in sheets/documentation of
                                                                         professional development (Title
                                                                         I, Title II, etc.)
                                                                        Sign-in sheets/documentation of
                                                                         parenting activities (Title I, Title
                                                                         II, etc.)

188.   *Has each participating school established the multiple          Procedural guidelines                  Yes   No
       criteria by which students may exit the program?                 List of exited students
                                                                                                                 
  * Verified at the School Level
                                                                             62
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                          Participation of Children Enrolled in Private Schools (ARRA)
 #                      Compliance Indicator                             Evidence of Compliance                            Comments
189.   Is there evidence that the LEA and each non-public                Interviews with non-public school     Yes   No
       school, through timely and meaningful consultation, have
       jointly developed a written Title I Plan, designed to serve   
                                                                          officials
                                                                          LEA implementation program for         
       students in non-public schools?                                    services to eligible non-public
       (All applicable fund sources)                                      school students
                                                                         Written documentation

190.   Does the LEA provide timely and meaningful consultation           Written documentation of              Yes   No
       during the design, development, and implementation for
       Title services, of the following:
                                                                          collaboration and consultation
                                                                                                                 
       Section 9501(c)(1)(A-F)


        a.   Identification of students’ needs?                          LEA’s comprehensive needs             Yes   No

                                                                     
                                                                          assessment
                                                                          Minutes/notes and sign-in sheets       
        b.   Services to be offered?                                      of meetings/consultations which       Yes   No
                                                                          reflect participation of non-public
                                                                          school officials                       
        c.   How, where, and by whom the services will be                                                       Yes   No
                                                                         Written documentation of
             provided?                                                    inclusion of non-public
                                                                          schools/students in student
                                                                                                                 
        d.   Assessment of the services provided and how the                                                    Yes   No
                                                                          achievement data
             assessment results will be used to improve services
             provided?                                                   Working notes from program             
        e.   Equitable services to be provided and proportion of          planning                              Yes   No
             funds to be allocated?
                                                                                                                 
  * Verified at the School Level




                                                                             63
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                           Participation of Children Enrolled in Private Schools (ARRA)
 #                       Compliance Indicator                              Evidence of Compliance                          Comments
191.   Is there evidence that the LEA, in conjunction with non-            Comprehensive needs                 Yes   No
       public school officials, has established criteria to identify
       eligible non-public school students that have the greatest      
                                                                            assessment or AYP data
                                                                            List of students and rank ordered    
       need for special academic assistance, and is there                   eligibility list
       evidence that students with the greatest need are                   Cut-off scores
       receiving such services?                                            Other applicable documents
                                                                           Alternate assessment tool

192.   *Are Title services provided to participating non-public            Review of services provided to      Yes   No
       school students in secular, neutral, and non-
       ideological/theological settings?                               
                                                                            non-public school students
                                                                            On-site visits                        
       Section 1120(a)(3)                                                  Interviews


193.   Does the Non-Public Plan provide services to eligible Title         Approved CFPA                       Yes   No
       I students that include and ensure implementation of all
       the following components:                                                                                 
       Section 1120(a)


        a.   Effective methods and instructional strategies that           LEA implementation plans for        Yes   No
             are based on scientifically-based research?                    services to private school
                                                                            students                             
                                                                           Documentation of scientifically-
                                                                            based research strategies
                                                                           Documentation of pre/post test
                                                                            analysis



  * Verified at the School Level

                                                                               64
                                                     Mississippi Department of Education
                                       Offices of Innovative Support & Federal Financial Management
School District: ____________________________                                               Date: _________________________________
School: ___________________________________                                                 Lead Evaluator: _________________________

                                       Participation of Children Enrolled in Private Schools (ARRA)
#                     Compliance Indicator                            Evidence of Compliance                         Comments
      b.   Coordinates with the regular classroom program?            LEA implementation plans for       Yes   No
                                                                       services to private school
                                                                       students                            
                                                                      Written documentation of
                                                                       coordination of regular programs
                                                                      Teacher interviews

      c.   Instruction by highly qualified teachers?                  Documentation of credentials of    Yes   No
                                                                       LEA personnel providing
                                                                       services                            


      d.   High-quality ongoing professional development for          LEA implementation plans for       Yes   No
           teachers and other staff who work with participating
           children in accordance with Section 1119?
                                                                       services to private school
                                                                       students                            
                                                                      Review of submission of
                                                                       professional development
                                                                       requests
                                                                      Sign-in sheets/agendas




* Verified at the School Level


                                                                          65
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                         Participation of Children Enrolled in Private Schools (ARRA)
 #                      Compliance Indicator                            Evidence of Compliance                           Comments
        e.   Strategies to increase parental involvement with           LEA implementation plans for         Yes   No
             parents of participating children in accordance with
             Section 1118.
                                                                         services to private school
                                                                         students                              
                                                                        Documentation of parental
                                                                         involvement for parents of
                                                                         participating private school
                                                                         students
                                                                        Sign-in sheets/ agendas/
                                                                         invitations/ flyers

        f.   A description of the annual assessment used to             LEA implementation plans for         Yes   No
             determine the progress of the program toward
             enabling private school participants to meet the
                                                                         services to private school
                                                                         students                              
             agreed-upon standards.                                     Documentation/analysis of
                                                                         assessment results



                                                       Title II, Part A – Teacher/Principal Quality
 #                      Compliance Indicator                            Evidence of Compliance                           Comments
194.   Does the LEA use Title II, Part A funds according to the         Compare CFPA with actual             Yes   No
       approved CFPA and the results of the Comprehensive
       Needs Assessment.
                                                                         activities evidenced by trainings,
                                                                         classes, personnel, etc.              
       Section 2122(c)                                                  Compare Comprehensive Needs
                                                                         Assessment with actual activities
                                                                         evidenced by trainings, classes,
                                                                         personnel, etc.
                                                                        Other __________________



  * Verified at the School Level
                                                                            66
                                                      Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                        Title II, Part A – Teacher/Principal Quality
 #                      Compliance Indicator                               Evidence of Compliance                          Comments
195.   Does the LEA assure that funds are targeted to schools              Comprehensive Needs                 Yes   No
       that have the lowest proportion of highly qualified teachers,
       the largest class size, or are identified for school            
                                                                            Assessment
                                                                            LEA Improvement Plan                 
       improvement?                                                        List of teacher assignments
       Section 2122(b)(3)                                                  Other __________________

196.   Does the LEA assure coordination of professional                    LEA Professional Development        Yes   No
       development activities authorized under Title II, Part A with
       professional development activities provided through other      
                                                                            Plan
                                                                            School Professional Development      
       federal, state, and local programs?                                  Plan
       Section 2122(b)(4)                                                  Other __________________

197.   *Does the LEA ensure that all class size reduction teachers         List of CSR teachers paid with      Yes   No
       paid by Title II, Part A funds are identified as highly
       qualified for the courses they are teaching and are
                                                                            Title II, Part A funds, their
                                                                            teaching assignments, and their      
       supplemental in nature?                                              highly qualified documentation
       Section 2122(b)(10)                                                 Other __________________

198.   Does the LEA ensure that funds integrated under Part A              Evidence of trainings, invoices,    Yes   No
       with funds received under Part D t used for professional
       development to train teachers to integrate technology into
                                                                            sign-in sheets, agendas, training
                                                                            materials                            
       the curricula and instruction to improve teaching, learning,        Other __________________
       and technology literacy?
       Section 2122(b)(6)




  * Verified at the School Level

                                                                               67
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                                     Title II, Part A – Teacher/Principal Quality
 #                     Compliance Indicator                             Evidence of Compliance                           Comments
199.   Does the LEA collaborate with teachers, paraprofessionals,       Sign-in sheets                       Yes   No
       principals and other relevant school personnel, and
       parents on planning of activities carried out in the CFPA?
                                                                    
                                                                    
                                                                         Agendas
                                                                         Minutes/notes from planning           
       Section 2122(b)(7)                                                meetings
                                                                        Other __________________


200.   Does the LEA meet the requirements of Section 1119 –             Review copies of teacher licenses    Yes   No
       Qualifications for Teachers and Paraprofessionals?
       Section 2122(b)(10)
                                                                        List of teachers hired after the
                                                                         NCLB Reauthorization and              
                                                                         teaching assignments
                                                                        Copy of individual teacher plans
                                                                         for non-HQ teachers
                                                                        Other __________________


201.   Does the LEA comply with Section 9501 regarding the              Letters/guidance issued to private   Yes   No
       equitable participation by private school teachers?
       Section 2122(b)(11)                                          
                                                                         schools
                                                                         Agendas                               
                                                                        Sign-in sheets
                                                                        Minutes/notes from planning
                                                                         meeting
                                                                        LEA Professional Development
                                                                         Plan
                                                                        Other __________________


  * Verified at the School Level




                                                                            68
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                    Title II, Part D - Enhancing Education Through Technology (E2T2)
 #                      Compliance Indicator                            Evidence of Compliance                         Comments
202.   Does the LEA have records to support whether funds were          Financial records                  Yes   No
       obligated and liquidated within the approved E2T2 grant
       period?
                                                                        Other __________________
                                                                                                             
203.   Has the LEA submitted amendments to request changes in           MDE approved budget request on     Yes   No
       the categories of the approved grant?                             file with original grant
                                                                                                             
204.   Does the E2T2 Grant Coordinator have an MDE approved             Copy of Evaluation and             Yes   No
       copy of the Evaluation and Implementation Plan
       (competitive funds only)?
                                                                         Implementation Plan
                                                                                                             
205.   Does the E2T2 Grant Coordinator have a copy of the Final         Copy of Final Closeout Form        Yes   No
       Close-out Form (competitive funds only)?
                                                                                                             
206.   Does the district have a professional development plan on        Each school site and Central       Yes   No
       file and accessible to staff members at the Central Office
       and all school sites?
                                                                         Office has a copy of district
                                                                         professional development plan.      
207.   Does equipment and instructional software purchases              Requisitions for hardware          Yes   No
       correlate with expenditures as outlined in the E2T2
       approved grant?                                              
                                                                         purchases
                                                                         Requisitions for software           
                                                                         purchases

208.   Does the professional development plan correlate with            Professional Development Plan      Yes   No
       expenditures as outlined in the E2T2 approved grant?              includes training as outlined in
                                                                         E2T2 approved grants                
                                                                        Requisitions for professional
                                                                         development training
                                                                        Sign-in sheets of participants
                                                                        Agenda
  * Verified at the School Level

                                                                            69
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                     Title III, Part A English Language Learners - LEA Policy and Procedures
 #                     Compliance Indicator                             Evidence of Compliance                          Comments
209.   Does the LEA have a policy of admitting students                 LEA Board approved policy           Yes   No
       regardless of immigrant status or English-speaking status?
       Plyler v. Doe , 457 U.S. 202 (1982, Title VI of the Civil
                                                                        Approved Local Plan
                                                                                                              
       Right Act(1964)
210.   Is there evidence that the applicable LEA policy and             Written communication and dated     Yes   No
       supporting procedures for ELL services are communicated
       systematically to all school and LEA personnel?
                                                                         documentation of dissemination of
                                                                         ELL/LEP policies and procedures      
       Section 3116                                                     Interviews with school personnel
                                                                         including principals and clerical
                                                                         staff
211.   Does the LEA have and communicate systematically to                                                   Yes   No
       appropriate personnel:
                                                                                                              
       a. a system of assigning a student number if an enrolling        Written communications and          Yes   No
          student does not have a Social Security number?
          Section 3116
                                                                         dated documentation of
                                                                         dissemination                        
       b. a procedure for enrolling a student pending receipt of                                             Yes   No
            the required record of immunizations?
            Section 3116                                                                                      
212.   Does the LEA have an approved Home Language Survey               Copy of Home Language Survey        Yes   No
       that is completed and filed in the permanent records for
       each student enrolled in the LEA?
                                                                        Procedural Guidelines for
                                                                         completing and retaining the         
       Section Office of Civil Rights Memorandum, September              survey
       1991, Lau v. Nichols
213.   Does the LEA provide high-quality ELL-related professional       Written documentation with dates,   Yes   No
       development opportunities to all school personnel
       (teachers, ELL teachers, principals, administrators)?
                                                                         topics of PD sessions, and
                                                                         attendance rosters                   
       Section 3231
  * Verified at the School Level


                                                                            70
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                Title III, Part A English Language Learners - LEA Policy and Procedures
 #                      Compliance Indicator                              Evidence of Compliance                            Comments
214.   *Does the LEA have procedures and demonstrated                     LEP/ELL Plan                          Yes   No
       practices that ensure:
       Section 3116; Section 3213(a)(2)(g);Office of Civil Rights
                                                                          Documentation of ELL students
                                                                           equitable opportunities for Title I    
       Memorandum September 1991, Lau v. Nichols                           criteria for services academically
                                                                           gifted services or other
                                                                           specialized activities or services

        1.   ELL students are not excluded from special                                                          Yes   No
             opportunity programs such as: programs for the
             academically gifted or other specialized activities
                                                                                                                  
             based on English language proficiency?

        2.   English language learners are allowed to participate                                                Yes   No
             in Title I services on the same basis as all students
             in Title I participating schools
                                                                                                                  
215.   Is there documentation to show that the LEA has assessed           Procedures/records for                Yes   No
       all language minority students, including immigrant children
       and youth, to determine LEP status using the WIDA W-           
                                                                           assessment
                                                                           Interview with person responsible      
       APT?                                                                for LEP assessment
       Section 3116                                                       Copies of W-APT on file with
                                                                           accurate and appropriate testing
                                                                           dates

216.   Has the test administrator been trained to administer the          Certificate or documentation of       Yes   No
       WIDA W-APT and access?
       Section 3116
                                                                           the WIDA access training to give
                                                                           the English Language Proficiency       
                                                                           Test

  * Verified at the School Level



                                                                              71
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                 Title III, Part A English Language Learners - LEA Policy and Procedures
 #                      Compliance Indicator                             Evidence of Compliance                            Comments
217.   Does the LEA offer to consult with private schools about          Evidence of letters sent to private   Yes   No
       services for their ELL students.
       NCLB, Title IX, Part E, Sections 9501-9506
                                                                          schools
                                                                                                                 

218.   Does the LEA have effective and timely procedures to              Policies and procedural guidelines    Yes   No
       identify and assess language minority students who have a
       primary/home language other than English?
                                                                         File copy of home language
                                                                          survey                                 
       Section 3113(b)(3)(D)


219.   Is there documentation to show that the LEA has                   Procedures/records for                Yes   No
       assessed, using the W-APT and/or ACCESS, all language
       minority students to determine LEP status?                    
                                                                          assessment
                                                                          Interview with person responsible      
       Section 3113(b)(3)(D)                                              for LEP assessment


220.   Does the LEA ensure that parents of LEP students are              Procedures/records of notification    Yes   No
       notified, in accordance with Section 3302, of their child’s
       placement in ELL services?                                    
                                                                          letters
                                                                          Dated documentation of                 
       Section 3302(a)                                                    dissemination



221.   Is there evidence that the LEA gives parents an                   Evidence of communications and        Yes   No
       opportunity to express ideas and concerns regarding the
       ELL programs in which their children participate?
                                                                          dissemination of information to
                                                                          parents                                
       Section 3302(e)(1)                                                Procedural guidelines


  * Verified at the School Level

                                                                             72
                                                       Mississippi Department of Education
                                         Offices of Innovative Support & Federal Financial Management
  School District: ____________________________                                               Date: _________________________________
  School: ___________________________________                                                 Lead Evaluator: _________________________

                                Title III, Part A English Language Learners - LEA Policy and Procedures
 #                      Compliance Indicator                          Evidence of Compliance                           Comments
222.   Does the LEA have a procedure that allows                      Procedural guidelines                Yes   No
       parents/guardians to waive English language instruction
       educational services for a child after they have been
                                                                      Copies of waiver form and/or
                                                                       approved waivers                      
       informed of the educational implications of such a
       decision?
       Section 3302(a)(8)(A)


223.   Does the LEA place LEP students in special opportunity         Documentation of LEP student         Yes   No
       programs like academically gifted and other specialized
       programs and allow them to participate in all school       
                                                                       schedules
                                                                       Numbers of LEP students in G/T,       
       activities without regard to their English proficiency?         special education, and
       Section 3115(d)(5)                                              extracurricular activities


224.   Does the LEA implement English language services by a          Documentation of certification       Yes   No
       certified teacher who has received appropriate, approved
       training for working with LEP students?
                                                                       and/or additional training
                                                                                                             
       Section 3115(c)(2)(D)


225.   Are the ELL teachers fluent in written and oral English?       Signed assurances statement          Yes   No
       Section 3116(c)                                                 from superintendent or letter from
                                                                       human resources                       

226.   Are paraprofessionals working with ELLs supervised by          Evidence of this supervision to      Yes   No
       certified teachers?
       Section 3231(a)
                                                                       include shared planning time,
                                                                       push-in/pull-out schedules, etc.      
  * Verified at the School Level

                                                                          73
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                            A. Title III, Part A English Language Learners - LEA Policy and Procedures
 #                     Compliance Indicator                             Evidence of Compliance                        Comments
227.   Does the LEA ensure coordination between the ELL                 Teacher schedules                 Yes   No
       instructors and mainstream teachers?
       Section 3231(a)
                                                                        Modified and coordinated lesson
                                                                         plans                              

228.   Has the LEA developed high-quality, age appropriate              Program design information        Yes   No
       English language instruction educational programs
       designed to meet the needs of LEP children?
                                                                    
                                                                    
                                                                         Program descriptions
                                                                         Schoolwide plans                   
       Section 3115(c)                                                  Interview school personnel


229.   Does the LEA provide a description of the programs and           Title III grant application       Yes   No
       activities conducted by the LEA with Title III funds?
       Section 3115(c)                                                                                      

                                   Title III, Part A English Language Learners - Parental Involvement
 #                     Compliance Indicator                             Evidence of Compliance                        Comments
230.   Is there evidence that the LEA:


       a. Provides reasonable, meaningful, and sufficient efforts       Documentation of parent           Yes   No
          to involve parents/guardians of students who are
          English language learners in the educational
                                                                         communications
                                                                                                            
          program?
          Section 3302(e)(1)



 * Verified at the School Level

                                                                            74
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                  Title III, Part A. English Language Learners - Parental Involvement
 #                       Compliance Indicator                           Evidence of Compliance                         Comments
       b. Provides for effective communications with parents of         Copies of parent communications    Yes   No
          language minority and LEP students?
          Section 3302(e)(1)                                                                                 

       c. Notifies LEP parents about important school                   Copies of parental                 Yes   No
          information in a format and language they can
          understand?
                                                                         communications in a language
                                                                         easily understood to non-native     
          Section 3302                                                   speakers of English
                                                                        Examples of dated and written
                                                                         notification

231.   Has the LEA provided notices to the parents of LEP               Copies of parent communication     Yes   No
       children participating in a Title III language instruction
       educational program of any failure of the program to
                                                                        Documentation of program failure
                                                                                                             
       make progress on the Annual Measurable
       Achievement Objectives (AMAOs)?
       Section 3122
                         Title III, Part A English Language Learners - Assessment/Evaluation Components
 #                       Compliance Indicator                           Evidence of Compliance                         Comments
232.   Does the LEA annually administer assessments of all four         Reports of state-approved          Yes   No
       English language proficiency skills to all LEP students?
       Section 1111(b)(1)
                                                                         assessment results
                                                                                                             
233.   Does the LEA ensure that no fewer than all LEP students          State-approved assessment          Yes   No
       in each school and in the LEA participate in required
       statewide tests for accountability purpose?                  
                                                                         reports
                                                                         Enrollment verifications            
       Section 1111(b)(1)

 * Verified at the School Level

                                                                            75
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                         Title III, Part A English Language Learners - Assessment/Evaluation Components
 #                      Compliance Indicator                             Evidence of Compliance                         Comments
234.   Have LEP students demonstrated annual increases in                Core academic subject results on   Yes   No
       core academic content knowledge?
       Section 3116(d)(4)
                                                                          MCT2, SATP and/or other
                                                                          academic assessments                

235.   Does the LEA follow student exiting criteria as outlined in       Student records                    Yes   No
       the MS Guidelines for English Language Learners?
       Mississippi Guidelines for English Language Learners
                                                                         Procedures and guidelines for
                                                                          exiting students                    

236.   Does the LEA monitor, for a minimum of two years, the             Copies of records on LEP           Yes   No
       academic progress of students that are exited from ELL
       services?                                                     
                                                                          students
                                                                          Procedures in LEA plan              
       Section 3121(a)(4)                                                Documentation of monitoring of
                                                                          students
                                                                         Minutes from review meetings

237.   Does the LEA provide:


       a. a description of LEP student progress toward learning          English learner program            Yes   No
          English, including the number and percentage of LEP
          children who                                               
                                                                          assessment
                                                                          Other data analysis evidence        
        1. are making progress in attaining English proficiency          ACCESS making progress AMAO
             based on ACCESS scores (AMAO 1); and                         target met/not met
        2. have met AMAO 2 – proficient target?                          ACCESS attaining proficiency
          Section 3122



 * Verified at the School Level

                                                                             76
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                         Title III, Part A English Language Learners - Assessment/Evaluation Components
 #                      Compliance Indicator                             Evidence of Compliance                         Comments
       b. a description of LEP student progress in meeting core-         AYP for the LEP subgroup           Yes   No
          area standards including the number and percentage
          of LEP students making AYP in core content area
                                                                          measured at the LEA level
                                                                                                              
          standards on MCT2/SATP/CPAS?
          Section 1111(b)(7), Section 3122


       c. a description of exited LEP student progress toward            List of exited students            Yes   No
          meeting core-area AYP for each of two years after exit
          from services?
                                                                     
                                                                     
                                                                          Documentation of monitoring
                                                                          Progress reports                    
          Section 3121

238.   Is there evidence that the LEA conducts an annual                 Program evaluations                Yes   No
       evaluation of the effectiveness of its English language
       instruction educational program and that program
                                                                         Documentation of program
                                                                          revisions                           
       modifications are made as needed based on the                     Minutes/notes from review
       evaluation?                                                        meetings
       Section 3121                                                      Assessment results
                                      Title IV, Part A – Safe and Drug - Free Schools and Communities
 #                      Compliance Indicator                             Evidence of Compliance                         Comments
239.   No more than 25% of Title IV, Part A funds have been              Waiver request letter and          Yes   No
       carried over from the previous year without verification of
       carryover and a written waiver of approval from MDE           
                                                                          approval
                                                                          Verification of carryover letter    
240.   *Are Title IV, Part A funds used to address needs that            Smart Track Survey Report          Yes   No
       have been identified through a needs assessment survey
       by requiring a minimum of one of the MDE approved
                                                                         PRIDE Survey District Summary
                                                                          Report                              
       needs assessment instruments, such as Smart Track or              Other/additional needs
       PRIDE Surveys as a measurement?                                    assessment (can include MSIS
       Section 4114(a)(1)(A)                                              reports, ADA reports, district
                                                                          surveys, national surveys)
 * Verified at the School Level

                                                                             77
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                     Title IV, Part A – Safe and Drug - Free Schools and Communities
 #                     Compliance Indicator                              Evidence of Compliance                           Comments
241.   *Are schools that receive Title IV, Part A funds using           Name of product selection             Yes   No
       scientifically research-based curriculum selected from at
       least one on the approved list on the MDE/USDE
                                                                     
                                                                     
                                                                         Sample of products
                                                                         MDE waiver approval using non-         
       website?                                                          evidenced based/scientifically
       Section 4114(a)(1)(C)                                             researched curriculum/programs

242.   Does the LEA conduct an annual evaluation that                   Needs assessment summary              Yes   No
       measures the effectiveness of the Title IV, Part A funds?
       Section 4114(a)(2)(A)
                                                                     
                                                                     
                                                                         Summary of dosage/activities
                                                                         Statistical data                       
                                                                        Notebooks/scrapbooks/products
                                                                        Student work samples
                                                                        Pre-test/pro-test
                                                                        Intervention delivery
                                                                        Case records

243.   Are needs assessment survey results made available to            Website print-out                     Yes   No
       parents and to the public?
       Section 4114(a)(2)(B)
                                                                     
                                                                     
                                                                         Meeting agenda/sign-in sheets
                                                                         Copy of PowerPoint presentations       
                                                                        Brochures/publications/report cards

244.   Are Title IV, Part A funds used to support programs that         Copy of application with goals and    Yes   No
       have specific performance measures with clearly stated
       goals and objectives addressing risk and protective
                                                                         objectives stated
                                                                                                                
       factors for preventing violence and drug use?
       Section 4114(d)(2)
245.   *Do the LEA and all schools have established effective           Student handbook                      Yes   No
       disciplinary policies that prohibit disorderly conduct, the
       illegal possession of weapons, and the illegal use,
                                                                        Code of the district and school
                                                                         policy                                 
       possession, distribution, and sale of tobacco, alcohol, and
       other drugs by students and staff?
       Section 4114(d)(7)(A)
 * Verified at the School Level
                                                                            78
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                      Title IV, Part A – Safe and Drug - Free Schools and Communities
 #                      Compliance Indicator                              Evidence of Compliance                          Comments
246.   *Does the LEA and all schools develop security                    Comprehensive School Safety          Yes   No
       procedures for students while at school and on the way to
       and from school?                                               
                                                                          Plan/Manual
                                                                          Campus security measures              
       Section 4114(d)(7)(B)                                             Record of drills with results
247.   *Are prevention activities designed to create and maintain        Parent Advisory Committee Meeting    Yes   No
       safe, healthy, disciplined, and drug-free environment (with
       the involvement of parents and community stakeholders)
                                                                          agenda, minutes, sign-in sheets
                                                                                                                
       and are they being implemented as approved and
       described in the CFPA?
       Section 4114(d)(7)(C)
248.   *Has the LEA developed a crisis management plan for               Crisis Management Plan of a          Yes   No
       responding to violent or traumatic incident on school
       grounds, and has it been implemented and drilled in
                                                                          randomly selected school
                                                                                                                
       conjunction with appropriate public safety officials, school
       officials, and with guidance from the school safety manual
       provided by the MDE?
       Section 4114(d)(&)(D)
249.   *Have all students and parents received a copy of the             Code of Conduct posted in schools    Yes   No
       code of conduct and disciplinary policies?
       Section 4114(d)(7)(E)                                                                                    
250.   *Are schedules for implementing prevention, curriculum,           Monthly/weekly schedules             Yes   No
       program, and activities ongoing and available for review?      
                                                                      
                                                                          Lesson plans/calendar of events
                                                                          Implementation plans/schedule from    
                                                                          product vendor
251.   *Are staff members funded with Title IV funds certified in        Needs Assessment Survey              Yes   No
       the area in which the duties are performed as indicated in
       the needs assessment?
                                                                         Copy of license/certification for
                                                                          position funded                       
 * Verified at the School Level


                                                                             79
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                      Title IV, Part A – Safe and Drug - Free Schools and Communities
 #                     Compliance Indicator                               Evidence of Compliance                             Comments
252.   *Has the LEA implemented a policy that is in compliance           LEA policy                              Yes   No
       with the federal Gun-Free Schools Act?                            Other __________________
                                                                                                                   
253.   *Do participating non-public schools understand the Title         Letter of Agreement to Participate in   Yes   No
       IV NCLB requirements are the same for non-public and
       public schools and agree to meet the requirements and          
                                                                          Title IV
                                                                          Sign-in sheets/attendance at federal     
       the principles of effectiveness?                                   program meetings/trainings for non-
                                                                          public schools
                                                                         Monitoring records of public schools

254.   Has the LEA implemented an Unsafe School Choice             ALL REQUIRED:                                  Yes   No
       Option Policy (USCP) and has the LEA insured that all
       staff, parents and students are aware of their rights and
                                                                         Copy of the District’s Board
                                                                          approved policy (JGF-1)                  
       responsibilities under the policy?                                Parent notification requirement
                                                                          provided to parents, usually in the
                                                                          student handbook
                                                                         Minutes, handouts, and memos that
                                                                          document building principals are
                                                                          aware of their responsibilities under
                                                                          USCP
                                                                         If a student was identified as a
                                                                          victim of a violent crime,
                                                                          documentation of school choice
                                                                          offered to student and family and
                                                                          copy of report submitted to the MDE
                                                                         Other __________________

 * Verified at the School Level




                                                                             80
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                      Title IV, Part A – Safe and Drug - Free Schools and Communities
 #                      Compliance Indicator                               Evidence of Compliance                            Comments
255.   *Does the LEA ensure it is In compliance with the federal     ALL REQUIRED:                                Yes   No
       Pro-Children Act of 2001 and that smoking is prohibited
       on any public or private school property, including
                                                                           “No Smoking” signs or the
                                                                            international “No Smoking” symbol      
       restrooms and bleachers at sporting events?                          shall be prominently posted on each
                                                                            main building entrance and
                                                                            displayed throughout the building
                                                                           A sign stating, “Smoking is
                                                                            prohibited by law in seating areas
                                                                            and in restrooms” shall be
                                                                            prominently posted (including each
                                                                            ticket booth) for elementary or
                                                                            secondary sporting events

                                   Title IV, Part B – 21st Century Community Learning Centers (CCLC)
 #                      Compliance Indicator                               Evidence of Compliance                            Comments
256.   *Does the grantee maintain a copy of the approved             ALL REQUIRED:                                Yes   No
       application, amendments, revised budgets, and needs
       assessment results?
                                                                        
                                                                        
                                                                            Grant application
                                                                            Grant sheets                           
       Section 4204(2)(n)                                                  Approved amendment(s) (If
                                                                            applicable)
                                                                           Other __________________
257.   *Did the grantee expend project funds, in their entirety,           Financial summary                     Yes   No
       within allotted timeframes?
       Section 4204(2)(n)
                                                                        
                                                                        
                                                                            Monthly draw down of funds
                                                                            Other __________________               
258.   *Does the grantee maintain a list of project-related travel         Expense voucher/report                Yes   No
       taken during the past year along with records of who
       participated in the travel?
                                                                        
                                                                        
                                                                            Training materials
                                                                            Other____________________              
       Section 4204(2)(n)

 * Verified at the School Level
                                                                               81
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                    Title IV, Part B – 21st Century Community Learning Centers (CCLC)
 #                       Compliance Indicator                            Evidence of Compliance                         Comments
259.   *Has the grantee identified and is serving students and          Participant listing                 Yes   No
       families of students as approved in the original grant
       application or amendment?
                                                                     
                                                                     
                                                                         Participant eligibility data
                                                                         Approved amendment                   
       Section 4204(2)(f)                                               Correspondence
                                                                        Other __________________


260.   *Is it evident that the grantee works to reach all eligible      Announcements                       Yes   No
       participants as approved in original grant or approved
       amendments?
                                                                     
                                                                     
                                                                         School newsletters
                                                                         Parent notifications                 
       Section 4204(2)(f)                                               Student academic data
                                                                        Other __________________


261.   *Does the grantee maintain an organizational chart listing       Organizational chart                Yes   No
       all personnel and a written job description for each
       employee for the afterschool program?
                                                                     
                                                                     
                                                                         Job descriptions
                                                                         Other __________________             
       Section 4204(2)(g)

262.   *Is there evidence of a system of accountability and             Periodic evaluation report          Yes   No
       continuous evaluation in place to support program
       improvement, ensure parent and participants’ satisfaction,
                                                                     
                                                                     
                                                                         Program modifications
                                                                         Amendment request (If applicable)    
       and identify necessary changes?                                  Evaluation report
       Section 4205(b)(2)(A)                                            Other __________________

263.   *Is there evidence that informational materials were             Program handbook                    Yes   No
       produced by the project and evidence that community was
       notified of the center in an understandable language?
                                                                     
                                                                     
                                                                         Correspondence/flyers
                                                                         Press release, exhibits              
       Section 4204(b)(A)(iii)                                          Other __________________

 * Verified at the School Level

                                                                            82
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                  Title IV, Part B – 21st Century Community Learning Centers (CCLC)
 #                      Compliance Indicator                          Evidence of Compliance                            Comments
264.   *Has the grantee established linkages with other state,           Correspondence                     Yes   No
       federal and local agencies who currently provide services
       to the target population?
                                                                      
                                                                      
                                                                          Meeting agenda/minutes
                                                                          Other __________________            
       Section 4204(b)(2)(H)

265.   *Does the grantee have certifications and qualifications for      Background checks                  Yes   No
       all key staff and evidence that the eligible entity has
       experience or promise of success in providing educational
                                                                      
                                                                      
                                                                          Teacher license
                                                                          Resumé                              
       activities?                                                       Other __________________
       Section 4204(b)(2)(J)

266.   *Is there evidence of efforts to sustain the program once         Sustainability Plan                Yes   No
       funding ends, and have efforts been made to gain other
       sources of funding or in-kind resources to maintain the
                                                                         Description of resources (e.g.
                                                                          grants, leveraged funds, and        
       same level of program services as grant support                    documented in-kind donations)
       decreases?                                                        Other __________________
       Section 4204(b)(2)(K)
267.   *Is professional development, specific to after school,           Description of training/trainers   Yes   No
       ongoing and provided to all staff?
       Section 4204 (2)(n)
                                                                      
                                                                      
                                                                          Agenda/minutes
                                                                          Calendar (professional              
                                                                          development)
                                                                         Other __________________

268.   *Are volunteers recruited, screened, and trained                  Volunteer job descriptions         Yes   No
       effectively to work in the afterschool program?
       Section 4204 (2)(n)
                                                                      
                                                                      
                                                                          Volunteer training materials
                                                                          Agenda, minutes, etc.               
                                                                         Other __________________

269.   *Has the grantee developed written policies and                   Policies/procedures                Yes   No
       procedures to promote effective management?
       Section 4204 (2)(n)
                                                                      
                                                                      
                                                                          Program handbook
                                                                          Trainings, etc.                     
                                                                          Other __________________
 * Verified at the School Level
                                                                             83
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                   Title IV, Part B – 21st Century Community Learning Centers (CCLC)
 #                      Compliance Indicator                        Evidence of Compliance                                 Comments
270.   *Is there evidence that program staff communicate               Homework logs                           Yes   No
       regularly and effectively with school day staff to
       supplement regular school educational activities and to
                                                                    
                                                                    
                                                                        Teacher class schedules
                                                                        Correspondence                           
       inform and receive information from in-school teachers on       Professional development
       students’ academic and behavioral progress?                     Classroom observations
       Section 4204 (2)(n)                                             Other __________________
271.   *Are there written agreements between grantee, schools,         Contracts and subcontracts              Yes   No
       and collaborating partners?
       Section 4204 (2)(n)
                                                                    
                                                                    
                                                                        Documentation for services/activities
                                                                        Letters of agreement                     
272.   *Is it evident that partners and/or collaborators provided      Description of services                 Yes   No
       programs and/or services in accordance with the
       approved grant?
                                                                    
                                                                    
                                                                        Written agreements
                                                                        Other __________________                 
       Section 4204 (2)(n)
273.   *Is there evidence of any form of alliance with non-profit      Recruitment tools                       Yes   No
       agencies, city or county government agencies, faith-based
       organizations, institutions of higher education, and for-
                                                                    
                                                                    
                                                                        Letters of partnerships
                                                                        Contracts or agreements                  
       profit corporations to ensure long-term commitments of          Other __________________
       resources?
       Section 4202 (i)(B)
274.   *Does the program maintain a 21st CCLC Advisory Board           Agenda, minutes                         Yes   No
       that meets at least two times per year and includes
       parents, students, and public and private community
                                                                    
                                                                    
                                                                        Sign-in sheets
                                                                        Correspondence                           
       members?                                                        Other __________________
       Section 4204 (2)(n)
275.   *Is there evidence that the grantee has evaluated the           Evaluation reports                      Yes   No
       effectiveness of the program?
       Section 4205 (2)(A)(B)
                                                                    
                                                                    
                                                                        Surveys and results
                                                                        Recommendations as a result of           
                                                                        surveys
                                                                       Other __________________
 * Verified at the School Level
                                                                           84
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                  Title IV, Part B – 21st Century Community Learning Centers (CCLC)
 #                      Compliance Indicator                        Evidence of Compliance                              Comments
276.   *Is feedback from key stakeholders, including parents,        Recommendations as a result of         Yes   No
       students, and collaborators/partners collected?
                                                                    
                                                                       surveys
                                                                        Surveys
                                                                                                              
                                                                       Correspondence
                                                                        Other __________________
277.   *Are evaluation findings regularly and effectively              Evaluation report                    Yes   No
       communicated to staff, collaborators, partners, parents,
       students, and other key stakeholders?
                                                                    
                                                                    
                                                                        Agenda/minutes
                                                                        Executive summary                     
                                                                       Newsletters/press releases
                                                                       Other __________________

278.   *Are the program’s hours, activity schedules, and               Schedule of activities               Yes   No
       locations available and accessible? Do they meet the
       needs of the target population?
                                                                    
                                                                    
                                                                        Registration information, flyers
                                                                        Other __________________              
279.   *Does the program maintain written plans for activities         Program schedule                     Yes   No
       and forms to track student participation in activities?      
                                                                    
                                                                        Description of services/activities
                                                                        Other __________________              
280.   *Is there evidence that the program has adopted clear           Student behavior contracts           Yes   No
       standards for student behavior, and are they applied
       consistently by staff? What positive techniques are used
                                                                    
                                                                    
                                                                        Incident reports
                                                                        Classroom discipline rules            
       to guide the behavior of students?                              Other __________________

281.   *Does the grantee offer a variety of academic enrichment        Curriculum materials                 Yes   No
       activities and character education activities on a daily
       basis to all students?
                                                                    
                                                                    
                                                                        Registration information
                                                                        Activity logs/descriptions            
                                                                        Other __________________
282.   *Is there evidence to support the implementation of a           Activity schedule                    Yes   No
       dropout prevention activity (for 2010 grantees forward) in
       the program?
                                                                    
                                                                    
                                                                        Copy of district dropout plan
                                                                        Incorporation of activity             
                                                                        Other __________________
 * Verified at the School Level
                                                                           85
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                   Title IV, Part B – 21st Century Community Learning Centers (CCLC)
 #                      Compliance Indicator                           Evidence of Compliance                           Comments
283.   *Is there evidence that there is a system for signing              Written policies and procedures   Yes   No
       children in and out of the after school program, for
       locating children at all times, or other evidence to indicate
                                                                       
                                                                       
                                                                           Student tracking system
                                                                           Daily attendance sign/in log       
       the safety of the students is being addressed?                     Other __________________

284.   *Is there evidence to support parent participation in the          Parent meetings                   Yes   No
       decision-making and planning of the programs operation?         
                                                                       
                                                                           Surveys
                                                                           Agenda, sign-in sheets             
                                                                          Other __________________

285.   *Is there evidence that families of students served by the         Parent event records              Yes   No
       community learning center are provided opportunities for
       literacy and related educational development?
                                                                       
                                                                       
                                                                           Correspondence
                                                                           Activities/schedules               
                                                                          Other __________________

286.   *Does the grantee have registration forms for all                  Registration forms                Yes   No
       participants that include student demographics
       (race/ethnicity, limited English proficiency, free/reduced-
                                                                       
                                                                       
                                                                           PPIC data
                                                                           Other __________________           
       price lunch, new to school), and attendance records
       broken down to 30 days or more or fewer than 30 days?

287.   *Is there evidence that the center provides safe travel to         Sign-in/out logs                  Yes   No
       activities and back home?                                       
                                                                       
                                                                           Method of transportation
                                                                           Other __________________           
288.   *Is there evidence that the program has established an             Written policy                    Yes   No
       attendance policy to encourage attendance and reduce
       absenteeism for participants?
                                                                       
                                                                       
                                                                           Program handbook
                                                                           Attendance policy                  
                                                                          Other __________________

 * Verified at the School Level

                                                                              86
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                                  Title IV, Part B – 21st Century Community Learning Centers (CCLC)
 #                      Compliance Indicator                         Evidence of Compliance                                 Comments
289.   *Is the grantee providing services in a safe and easily          Adhere to MDE Safe School               Yes   No
       accessible environment?
                                                                     
                                                                         Standards
                                                                         Emergency drill records                  
                                                                        Other __________________

290.   *Is there evidence the program has adequate security in          Written security policies               Yes   No
       place?                                                        
                                                                     
                                                                         Security officer
                                                                         Other __________________                 
                            Title VI, Part B, Subpart 2 – Rural and Low-Income Schools (RLIS) Program
 #                      Compliance Indicator                             Evidence of Compliance                             Comments
291.   *Are Title VI funds used to address needs that have been         Evidence of the process and results     Yes   No
       identified through a comprehensive needs assessment?              of the needs assessment reported in
                                                                         the NCLB CFPA related to Title VI        
292.   *Are the grant funds used to support programs that have          Title VI application                    Yes   No
       specific measurable goals and objectives to be achieved
       that increase student academic achievement and/or
                                                                        Evidence that ties the use of the
                                                                         Title VI funds to specific measurable    
       decrease student dropout rates?                                   goals and objectives determined by
       Title VI Section 6223(b)                                          the LEA
293.   If the LEA has not made adequate yearly progress (AYP)           Evidence of AYP Improvement Plan        Yes   No
       for the past three years, does the LEA use all of its funds
       for School Improvement?
                                                                         and Implementation Plan
                                                                                                                  
       Title VI Section 6224(e)
294.   *Are all teachers funded with Title VI certified and highly      List of teachers funded with Title VI   Yes   No
       qualified for the subject/area in which they teach?           
                                                                     
                                                                         Credentials of each teacher
                                                                         Highly qualified worksheet for each      
                                                                         teacher

 * Verified at the School Level
                                                                            87
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                                Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                              Title VI, Part B, Subpart 2 – Rural and Low-Income Schools (RLIS) Program
 #                       Compliance Indicator                             Evidence of Compliance                    Comments
 295.   *Does the LEA ensure that Title VI, Part B funds are used        Summary of all evidence        Yes   No
        only to supplement the funds that would, in the absence
        of such federal funds, be made available from non-federal
                                                                      
                                                                      
                                                                          Expenditure reports
                                                                          Interviews                      
        sources, and not to supplant such funds?                         Budgets
        Section 6232

296.    *Is time and effort documentation available, approved,           Time and effort records        Yes   No
        and signed by appropriate individuals, if applicable?
        OMB Circular A-87, Attachment B.8.h.
                                                                      
                                                                      
                                                                          Payroll records
                                                                          Work schedules                  
297.    *Is it evident that contracts and agreements for Title VI,       Review of purchases, leases,   Yes   No
        Part B products and services are made in accordance
        with applicable federal, state, and local regulations and     
                                                                          agreements, contracts
                                                                          Review of audit reports         
        audit guidelines?



                    Title X – McKinney-Vento Education for Homeless Children and Youth Program (ARRA)
 #                       Compliance Indicator                             Evidence of Compliance                    Comments
 298.   Does the LEA maintain a list of students served, and if so,      Sign in sheets                 Yes   No
        how many homeless students receive services?
        Section 724(h)(1)(A)
                                                                      
                                                                      
                                                                          Student enrollment list
                                                                          Other __________________        
299.    How does the district identify homeless students? If             Parent interview sheet         Yes   No
        identification is conducted by survey, what instrument is
        used, and who completes the survey?
                                                                      
                                                                      
                                                                          Enrollment form
                                                                          Other __________________        
300.    Has the LEA designated a homeless liaison?                       Name of liaison                Yes   No
        Section 722(J)(ii)
                                                                                                          
 * Verified at the School Level

                                                                             88
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                  Title X – McKinney-Vento Education for Homeless Children and Youth Program (ARRA)
 #                     Compliance Indicator                            Evidence of Compliance                          Comments
301.   Is there evidence that the LEA ensures homeless pre-           Parent interview sheet               Yes   No
       school age children have equal access to the same public
       preschool programs (Head Start, Even Start, Title I
                                                                      Other __________________
                                                                                                             
       Preschool, Pre-K, etc.) as provided for non-homeless
       children?

       Section 721(1)
302.   Is there evidence that the LEA provides the same services      Services offered                     Yes   No
       to homeless students as is offered to non-homeless
       students including transportation services?
                                                                      Documentation of homeless
                                                                       students receiving services           
       Section 721(4)                                                 Other __________________

303.   Is there evidence that the LEA reviews and revises Board       Copy of policies                     Yes   No
       policies, procedures and/or practices that may act as
       barriers to the enrollment, retention, and success of
                                                                   
                                                                   
                                                                       Copy of procedures
                                                                       Dates of revisions                    
       homeless students?
       Section 721(2)

304.   Does the LEA have a procedure for resolving disputes           Copy of dispute process              Yes   No
       regarding the enrollment and educational services of
       homeless children and youth?
                                                                      Other __________________
                                                                                                             
       Section 722(g)(3)(E)
305.   *Does the LEA have a procedure for communicating               Post information in shelters,        Yes   No
       information regarding enrollment in public schools for
       homeless families, and are schools knowledgeable of the
                                                                       community/service agencies used
                                                                       by homeless families                  
       policies and procedures?                                       Mass media (i.e. newspaper, radio,
                                                                       TV, billboards)
                                                                      PTA/PTSA Meetings
                                                                      School or district newsletters
                                                                      Interviews with school personnel
                                                                      Other __________________
 * Verified at the School Level
                                                                          89
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                   Title X – McKinney-Vento Education for Homeless Children and Youth Program (ARRA)
 #                      Compliance Indicator                             Evidence of Compliance                       Comments
 306.   Does the LEA coordinate with state and local social             Contracts and agreements          Yes   No
        service agencies and other agencies or programs
        providing services to homeless children and their families
                                                                     
                                                                     
                                                                         Documentation of meetings
                                                                         Other __________________           
        (i.e., clothes, medical, dental, shelter, etc.)?
        Section 722(f)(4)(5)
307.    Does the LEA maintain separate accounting records of            Copy of accounting records        Yes   No
        funds made available under the McKinney-Vento grant
        (these procedures will be reviewed and observed)?
                                                                     
                                                                     
                                                                         Copy of accounting procedures
                                                                         Other __________________           
308.    Has the district complied with monthly reporting                Copy of reimbursement request     Yes   No
        requirements and monthly funds reimbursement
        requests?
                                                                        Other __________________
                                                                                                            
309.    Does the LEA provide specific in-service training/staff         Meeting agenda                    Yes   No
        development for district and school personnel in meeting
        the needs of homeless students?
                                                                     
                                                                     
                                                                         Educational materials/handouts
                                                                         Interview                          
        Section 723(d)(3)                                               Sign-in sheets
                                                                        Training/staff development plan

310.    Does the LEA have a procedure for assisting homeless            Copy of procedures                Yes   No
        unaccompanied youth?
        Section 722(g)(4)
                                                                        Other __________________
                                                                                                            
311.    Are procedures in place to ensure students have access          Copy of procedures                Yes   No
        to Title I services such as: free/reduced lunch and a
        service academic services?
                                                                        Other __________________
                                                                                                            
        Section 722(g)(4)(B)

312.    Does the LEA ensure that homeless students are not              Classroom rosters                 Yes   No
        separated from the mainstream school environment?
        Section 722(e)(3)
                                                                        Other __________________
                                                                                                            
 * Verified at the School Level
                                                                            90
                                                      Mississippi Department of Education
                                        Offices of Innovative Support & Federal Financial Management
 School District: ____________________________                                               Date: _________________________________
 School: ___________________________________                                                 Lead Evaluator: _________________________

                   Title X – McKinney-Vento Education for Homeless Children and Youth Program (ARRA)
 #                      Compliance Indicator                                 Evidence of Compliance                            Comments
313.   Does the LEA collect and track academic achievement                  State assessments results              Yes   No
       data for homeless students?
       Section 722
                                                                        
                                                                        
                                                                             Progress Reports
                                                                             Other _________                         
314.   Does the LEA provide written notification to parents and             Copy of written notifications          Yes   No
       youth about placement decisions?
       Section 722(g)(3)(B)(ii)
                                                                            Other __________________
                                                                                                                     
                                                                    Note: A sample letter should exist even if no
                                                                    decisions about placement have been made.

315.   Is there evidence that the LEA Title I office collaborates           Services offered                       Yes   No
       with the homeless liaison on the uses of the Title I
       reservation?
                                                                        
                                                                        
                                                                             Meeting minutes
                                                                             Agendas                                 
                                                                            Sign-in sheets
                                                                            Emails
                                                                            Letters
                                                                            Other __________________

316.   Did the amounts expended during the grant period agree               Expenditure reports                    Yes   No
       with the approved budget narrative?                                  Purchase orders, invoices, checks,
                                                                             etc.                                    
                                                                            Other __________________

317.   Is there evidence that the LEA, with a subgrant, is                  Documentation to assess the needs      Yes   No
       operating within the scope of its homeless program as
       described in its approved Request for Proposal?                  
                                                                             of homeless students
                                                                             Documentation that addresses the        
                                                                             needs of homeless students
                                                                            Interview
                                                                            Other __________________

 * Verified at the School Level

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