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FISCAL YEAR 2007

VIEWS: 6 PAGES: 4

									FISCAL YEAR 2008 ILLINOIS COMMUNITY COLLEGE BOARD Career and Technical Education - Regional Collaboration Grant

REGIONAL COLLABORATIVE CONTINUATION FORM
►This form is for established Regional Collaboratives ONLY (those formed utilizing FY 2007 RCG funds - new Regional Collaboratives must complete a Regional Collaborative Overview Form and Regional Collaborative Membership Forms). ►This form is to be completed by the Regional Collaborative Fiscal Agent. ►Only one form is submitted for each established Regional Collaborative. 1. Regional Collaborative Name & Number:

2A.

Regional Collaborative Fiscal Agent: ►Fiscal agent must be a community college
2C. Fiscal Agent Main Program Contact Information:

2B. Fiscal Agent Business Office Contact Information:

Name: Title: Phone: Email: 3. Regional Collaborative Full Member Information
3A.

Name: Title: Phone: Email:

Community College Members (add more lines if necessary)

Community College Name (Fiscal Agent)

District/College #

3B.

Tech Prep Federal Consortia Fiscal Agents (add more lines if necessary)

Tech Prep Consortia Name

Tech Prep Consortium #

4.

Membership Please attach a list of contact persons at each member institution. Include the contact’s name, institution, title, email address and phone number. FY 2008 Goals and Activities Attach the FY 2008 Regional Collaborative plan. Each Regional Collaborative plan must, at a minimum, addresses Goal #1 listed below. Once Goal #1 has been addressed, Regional Collaboratives may begin to address Goals #2 and #3. GOAL #1Develop or enhance the regional collaboration among Collaborative members in order to improve, modernize and enhance career and technical education programs at the secondary and postsecondary levels. This should include, at a minimum, regular meetings of the Regional Collaborative to share ideas, discuss issues and disseminate best practices. GOAL #2Identify model programs and disseminate best practice models among Collaborative members and/or statewide. GOAL #3Identify and support exemplary professional development opportunities for Collaborative members, and support the sharing of learned information with the Collaborative membership as a whole. Specific activities in support of theses goals must be designed and organized around the four FY 2008 postsecondary CTE Professional Development Content Strands (PDCS) listed below. Regional Collaborative Grant funds may only be expended on activities that support one more of the four FY 2008 Professional Development Content Strands. Final grant reporting will be organized around the four PDCS.

5.

5.

FY 2008 Goals and Activities (continued) FY 2008 Professional Development Content Strands (PDCS 1-4) PDCS #1Collaborations & Partnerships Activities designed to bring local and regional CTE stakeholders together for the purpose of engaging in discussions, sharing resources & best practices, and identifying & removing barriers to further cooperation, collaboration, and alignment. PDCS #2Access & Success for Special Populations Activities designed to promote the success of special populations learners enrolled in secondary and postsecondary CTE programs. This includes support for efforts to recruit special populations into CTE studies and to ensure skill instruction which will promote well-selected, satisfying, selfsufficient employment. PDCS #3Data Analysis Activities designed to promote the function and use of assessment data as a tool for CTE program improvement and CTE student success. PDCS #4Quality CTE Programming Activities designed to promote innovation and improvement along the entire continuum of secondary and postsecondary CTE programs. Fiscal Year 2008 Regional Collaborative Allocation 4A. Total number of Community College members listed in section 3A (above) 4B. Total number of Tech Prep Federal Consortia Fiscal Agent members listed in section 3B (above) 4C. Total of lines 4A and 4B 4D. Line 4C multiplied by $1,000 – This is the FY 2008 Regional Collaborative Allocation Fiscal Year 2008 Regional Collaborative Budget 5A. Meeting Expenses 5B. Travel 5C. Materials and Supplies 5D. Marketing 5E. Professional/Staff Development 5F. Other (any costs listed under “Other” must be pre-approved by the ICCB CTE Team) 5G. TOTAL

6.

$

7.

$ $ $ $ $ $ $

______________________________________________________________________________________________
Signature of Fiscal Agent Contact Person (listed on line 2A) date

FISCAL YEAR 2008 ILLINOIS COMMUNITY COLLEGE BOARD Career and Technical Education - Regional Collaboration Grant

REGIONAL COLLABORATIVE OVERVIEW FORM
►This form is for new Regional Collaboratives ONLY (established Regional Collaboratives should complete a Regional Collaborative Continuation Form). ►This form is to be completed by the Regional Collaborative Fiscal Agent. ►Only one form is submitted for each Collaborative. 1. 2A. Regional Collaborative Name: Regional Collaborative Fiscal Agent:
►Fiscal agent must be a community college 2B. Fiscal Agent Business Office Contact Information: 2C. Fiscal Agent Main Program Contact Information:

Name: Title: Phone: Email: 3. Regional Collaborative Full Member Information

Name: Title: Phone: Email:
►Each full member listed below must complete a separate Regional Collaborative Membership form. ►Full members are defined as community colleges and/or Tech Prep federal consortia fiscal agents. ►A Regional Collaborative must include at least two community colleges and two Tech Prep federal consortia fiscal agents. ►Community colleges that are also the Tech Prep federal consortia fiscal agents are eligible to complete a separate Regional Collaborative Membership form for the participation of the college and a separate form for the participation of the Tech Prep consortium. Each of these two affiliations is considered to be a separate Full Member, as defined under the FY 2008 CTE-Regional Collaboration Grant guidelines.

3A.

Community College Members (add more lines if necessary)

Community College Name (Fiscal Agent)

District/College #

3B.

Tech Prep Federal Consortia Fiscal Agents (add more lines if necessary)

Tech Prep Consortia Name

Tech Prep Consortium #

4. Fiscal Year 2008 Regional Collaborative Allocation 4A. Total number of Community College members listed in section 3A (above) 4B. Total number of Tech Prep Federal Consortia Fiscal Agent members listed in section 3B (above) 4C. Total of lines 4A and 4B 4D. Line 4C multiplied by $1,000 – This is the FY 2008 Regional Collaborative Allocation 5. Fiscal Year 2008 Regional Collaborative Budget 5A. Meeting Expenses 5B. Travel 5C. Materials and Supplies 5D. Marketing 5E. Professional/Staff Development 5F. Other (any costs listed under “Other” must be pre-approved by the ICCB CTE Team) 5G. TOTAL

$

$ $ $ $ $ $ $

_______________________________________________________________________________________________
Signature of Fiscal Agent Contact Person (listed on line 2A) date

FISCAL YEAR 2008 ILLINOIS COMMUNITY COLLEGE BOARD Career and Technical Education - Regional Collaboration Grant

REGIONAL COLLABORATIVE MEMBERSHIP FORM
►This form is for new Regional Collaboratives ONLY (established Regional Collaboratives should complete a Regional Collaborative Continuation Form). ►This form is to be completed by each of the full members identified on the Regional Collaborative Overview form. ►The identified fiscal agent should collect all completed forms and submit them to the ICCB, as a packet, as part of the Regional Collaborative grant application. 1. 2. Member Institution: Member Institution Affiliation (check only one):

 Community College Tech Prep Federal Consortium Fiscal Agent ►Community colleges that are also the Tech Prep federal consortia fiscal agents are eligible to complete a separate Regional Collaborative Membership form for the participation of the college and a separate form for the participation of the Tech Prep consortium. Each of these two affiliations is considered to be a separate Full Member, as defined under the “Grant Amount” section of the FY 2008 CTE-Regional Collaboration Grant guidelines. 3. Member Institution District/College # OR Tech Prep Consortium #:

4. Member Institution Contact Information Name: Title: Phone: Email: Fax: Mailing Address: City, State, Zip:

5. 6.

Regional Collaborative Name: Regional Collaborative Fiscal Agent:

_______________________________________________________________________________________________
Signature of Member Institution Contact Person (listed on line 4) date


								
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