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					               Application Package
                      for the
                   nd
               2 WV competition of
  st
21 Century Community Learning Center (21stCCLC) grants
                  with July 1st, 2004 funding


                       provided by
       The West Virginia Department of Education
               http://21stcclc.k12.wv.us/

                    with funding from
            The U.S. Department of Education
               http://www.ed.gov/21stcclc
      http://www.afterschool.gov/cgi-binh/home.pl


              APPLICATION DUE DATE

  An original application and six copies must be received
        by 3:00 p.m., Monday, March 29th, 2004
                       at the office of
                Sallie A. Harrington, Ed.S
         West Virginia Department of Education
                  Building 6, Room 230
                1900 Kanawha Blvd., East
                  Charleston, WV 25305
                       West Virginia‘s 21st Century Community Learning Centers
                                         July 1st, 2004 funding



                                        FOREWORD
I am pleased to share the attached 2004 Application Package for funding from West Virginia‘s
21st Century Community Learning Centers program. The purpose of this program is to create
local community learning centers that provide academic enrichment opportunities for children,
particularly students who attend high-poverty and low-performing schools to: (a) meet state and
local student standards in core academic subjects; (b) offer students a broad array of enrichment
activities that can complement their regular academic programs; and (c) offer literacy and other
educational services to the families of participating children. This Application Package is
designed to help WV public and private organizations successfully participate in this initiative.

The 21st Century Community Learning Centers program is authorized under Title IV, Part B, of
the Elementary and Secondary Education Act, as amended by the No Child Left Behind Act of
2001 which transferred administration of the program from the U.S. Department of Education to
state education agencies (SEAs). The West Virginia Department of Education (WVDE) will
make competitive local grants to eligible organizations to support the implementation of
community learning centers that will assist student learning and development. Eligible applicants
are public and private organizations including, but not limited to: schools and school systems,
non-profit agencies, city and county governmental agencies, faith-based organizations,
institutions of higher education, and for-profit corporations.

I encourage local communities to apply for funding to implement programs for which there is
evidence, based on rigorous research and evaluation, that they can be more effective in helping
children succeed in school. The No Child Left Behind Act of 2001 recognizes that improved
student achievement occurs when communities implement programs and strategies scientifically
proven to be effective.

   If you have questions or need further information regarding West Virginia‘s 21st Century
  Community Learning Centers program, please contact: Ms. Sallie A. Harrington or Ms. Pat
   Givens, West Virginia Department of Education, Building 6, Room 230, 1900 Kanawha
 Boulevard, East, Charleston, WV 25305, (304) 558-7881 phone, (304) 558-3946 Fax, e-mail:
 sharring@access.k12.wv.us or pgivens@access.k12.wv.us or visit the WVDE 21st Century
                              website: http://21stcclc.k12.wv.us/




                                              _________________________________
                                                          David Stewart
                                                   State Superintendent of Schools
                                        TABLE OF CONTENTS

FOREWORD ............................................................................................................2

TABLE OF CONTENTS ........................................................................................3

PRIORITIES THAT APPLY TO THIS COMPETITION .................................6

GENERAL APPLICATION GUIDELINES ........................................................6

HOW TO PREPARE AN APPLICATION FOR A 21STCCLC GRANT ..........6

REQUIRED APPLICATION INFORMATION ..................................................8

APPLICATION NARRATIVE GUIDELINES ..................................................10

FREQUENTLY ASKED QUESTIONS ABOUT 21ST CCLC PROGRAM ....18

REPORTING INFORMATION ..........................................................................31

APPENDICES ........................................................................................................32

COVER PAGE .......................................................................................................33

WV 21ST CCLC LOCAL PROGRAM SUMMARY AND ABSTRACT ..........36

WVDE – 21st CCLC GRANT BUDGET FORM ................................................38

EXAMPLE BUDGET NARRATIVE ..................................................................39

ASSURANCES .......................................................................................................41

APPLICATION CHECKLIST .............................................................................48

2004-2009 WV 21st CCLC APPLICATION RATING FORM..........................49

APPLICATION REVIEW BONUS (15 POINTS) ............................................51

21ST CCLC PROGRAM GOAL, OBJECTIVES AND INDICATORS ...........52

PRINCIPLES OF EFFECTIVENESS FOR 21ST CCLC PROGRAMS...........53
                    West Virginia‘s 21st Century Community Learning Centers
                                      July 1st, 2004 funding




                West Virginia Department of Education’s
             st
          21 Century Community Learning Center Grant Program

WHAT? The West Virginia Department of Education (WVDE) is pleased to
announce the second state 21st Century Community Learning Center
(21stCCLC) competition for grants to establish and/or expand community learning
centers that will assist learning and development for school-age children and their
families during out-of-school time. This program was formerly administered by the
U.S. Department of Education and is now administered by state educational
agencies as authorized under Title IV, Part B of the Elementary and Secondary
Education Act, H.R.-1. Allocations for each state are based upon the state‘s
student enrollment and Title I participation. West Virginia expects to receive
approximately $2.5 million (year 2) for new 21st CCLC grants.

HOW TO APPLY? Application information should be available on the WVDE
21stCCLC website http://21stcclc.k12.wv.us/ the middle of January 2004, and will
be mailed to public school superintendents and other interested persons. Each
local 21st CCLC grant application must describe information such as: the before-
school, after-school and summer-school (optional) activities to be funded; how the
activities will improve student achievement; how students will travel safely to and
from the learning center; the partnership(s) between the local county school board
and community-based public or private organizations (as appropriate); an
evaluation of the community needs; available resources for the learning center;
and other provisions requested in this application package.

HOW MANY GRANTS WILL BE AWARDED AND FOR HOW MUCH?
By federal statute a 21stCCLC grant may not be less than $50,000 per year.
WVDE anticipates awarding 10-20 three-year grants (with a possible option for
reduced funding in years four and five for successful programs) in this
competition. No matching funds are required.
                     West Virginia‘s 21st Century Community Learning Centers
                                       July 1st, 2004 funding

WHO WILL BE SERVED? Since the purpose of 21stCCLC funding is primarily
to improve the achievement of low-performing school children, competitive
priorities will be given to: applications that serve children in schools designated as
WVDE-identified low-performing and seriously-impaired schools; and joint
submissions (applications) by a local county Board of Education, and public or
private community-based organizations.

WHO CAN APPLY? Public and private organizations may apply for funding.
Examples of public and private organizations include, but are not limited to: non-
profit agencies, city and county government agencies, faith-based organizations,
institutions of higher education, and for-profit agencies.

WHEN TO APPLY? Eligible applicants must submit their original application
plus six copies before March 29, 2004 at 3 p.m. to:

                           Sallie A. Harrington, Ed.S
               Assistant Director, Office of Planning, Evaluation
                     Special Programs & Support Services
                    West Virginia Department of Education
                             Building 6, Room 230
                         1900 Kanawha Boulevard East
                            Charleston, WV 25305

HOW WILL APPLICATIONS BE REVIEWED? WVDE will conduct the
21stCCLC application review process in April 2004, and make grant-award
announcements in May 2004, with funding expected to begin July 1st, 2004.

INFORMATION A technical assistance workshop and also a Community
Education Association of West Virginia meeting will be held Friday, February
27, 2004, at the Flatwoods Days Inn Conference Center – Sutton, West Virginia to
further distribute this 21stCCLC application package, provide information about
existing programs and expectations, and respond to questions about the grants.
Participation is not required to submit an application. The meeting times are:

      9:30 a.m. to 11:30 a.m. - Community Education Association of WV

      1:00 p.m. to 4:00 p.m. – 21stCCLC Technical Assistance Workshop

For general 21stCCLC information, contact: www.ed.gov/21stcclc
For Technical Assistance Workshop (Bidder‘s Conference) registration, contact:
pgivens@access.k12.wv.us or (304) 558-7881.
                     West Virginia‘s 21st Century Community Learning Centers
                                       July 1st, 2004 funding

           PRIORITIES THAT APPLY TO THIS COMPETITION

Absolute Priority - Applications must include activities that offer significant
expanded learning opportunities for at-risk children and their families that
contribute to reduced drug use and violence.

Competitive Priorities – Applications will receive bonus points (see page 51) if
they: (a) are jointly submitted by a county board of education and public or private
organizations; (b) serve children in WVDE-identified low-performing schools
and/or seriously-impaired schools (for information regarding these schools, contact
Steve McBride at 304 558-2691 or smcbride@access.k12.wv.us ); and
(c) describe realistic ways to sustain the program after the federal funding ceases.

                   GENERAL APPLICATION GUIDELINES

Intent to apply - Applicants are asked to notify WVDE by February 2nd, 2004 of
their intent to apply for 21stCCLC funding (although it is not mandatory or binding
to do so). Please contact Pat Givens at: pgivens@access.k12.wv.us or (304) 558-
7881 phone or (304) 558-3946 fax.

Application reviewers – WVDE will use a peer review process of individuals
with diverse expertise, geographic location, gender, racial, and ethnic
representation from an array of educational and non-educational organizations to
review applications. Interested reviewers without conflicts of interest (bias in any
way regarding competition outcome) should contact Pat Givens at: (304) 558-7881
phone or (304) 558-3946 fax or pgivens@access.k12.wv.us as soon as possible
regarding serving in this capacity during the April 2004 review process.

Grant Award Decisions - WVDE reserves the right to not award all grant monies
and to negotiate specific grant amounts. All awards are subject to the availability
of federal funds. Grants are not final until the WVDE grant contract is fully
executed.

    HOW TO PREPARE AN APPLICATION FOR A 21STCCLC GRANT

Carefully read this entire Application Package before beginning to prepare an
application. This document identifies who is eligible to apply under this
competition, what applicants must propose to do, what must be contained in an
application, and what criteria will be used to evaluate applications. Applications
should address all the Sections, Selection Criteria (Application Narrative),
Conditions, Assurances, Required Forms, and Appendices described in this
                      West Virginia‘s 21st Century Community Learning Centers
                                        July 1st, 2004 funding

Application Package. To be eligible, a completed 21stCCLC application must
contain all the following Sections, in the sequence provided.

1. Cover Page (see pp. 33-35)
The applicant must provide all the contact and descriptive information requested
on the required Cover Page. These pages will comprise the first three sheets of
your application.

2. Application Checklist, appropriately checked (see page 48)

3. Program Summary and Abstract (see pp. 36-37)
The applicant must complete the required Program Summary and Abstract form.
Briefly describe the community needs being addressed (including the participants
to be served), the objectives, the activities proposed to meet the objectives, the
intended outcomes, and all other requested information.

4. Table of Contents
Include a table of contents with sections, appendices, and page numbers clearly
identifiable for the application reviewers.

5. Application Narrative (see pages 10-17))
Follow the guidelines to describe such things as how your activities are designed to
assist low achieving students to meet or exceed state and local standards in core
academic areas, how the public schools and community-based organizations and
agencies will collaborate, and how your project will meet the application needs.

6. Budget (see p. 38)
Complete a WVDE Budget Form for each of the first three years of your project.

7. Budget Narrative (see example pages 39-40)
Provide a detailed budget narrative with your year 1,2 & 3 budget forms that
clearly explain:
(a) the mathematical basis for estimating the costs of professional personnel
salaries, benefits, project staff travel, student transportation, materials and supplies,
consultants and subcontracts, indirect costs, and other project expenditures;
(b) how the major cost items relate to the proposed activities;
(c) the cost of evaluation; and
(d) a detailed description, as applicable, explaining in-kind support and/or
funding/resources provided by partners in the project.

8. Assurances Forms (see pp. 41-47)
Attach the properly signed and completed assurances forms.
                    West Virginia‘s 21st Century Community Learning Centers
                                      July 1st, 2004 funding

9. Appendices
Attach only the following items in your Appendix:
a) A list of collaborating partners List all project partners (organizations) with
contact persons, addresses, and year-round telephone, fax numbers, and e-mail
addresses. Letters of commitment and memoranda of understanding should be
included in this section, clearly documenting the detailed role and contribution of
each collaborating partner.
b) Evidence of previous success. A brief summary of any evaluation studies,
reports, or research that document the effectiveness or success of the collaborating
partners, or the activities/services in your narrative section of the application.
c) Equitable access and participation. A description of the steps the applicant
proposes to ensure equitable access to and participation by students, personnel,
family members, and other program beneficiaries with special needs.

Note: adding other attachments to your application may disqualify it. Reviewers
will have a limited time to review applications and will focus on the sections of
your application and the appendices listed above. Supplementary materials such as
videotapes, CD-ROMs, files on disks, publications, press clippings, testimonial
letters, etc., will not be reviewed or returned to the applicant.

                REQUIRED APPLICATION INFORMATION

Include the following information in your application:
       Before-school, after-school and/or summer recess activities to be funded;
       How students will travel safely to and from the center and home or
          schools;
       How the organization will disseminate information about the center
          (including its location) to the community in a manner that is
          understandable and accessible;
       How the activities are expected to improve student achievement;
       Federal, state, and local programs that will be combined or coordinated
          with the proposed program for the most effective use of public resources;
       How the program will address the 21st CCLC Program Goal, Objectives,
          and Indicators described on page 52.
       How the program is based on the following principles of effectiveness:
              An assessment of objective data regarding need for the before-
                 school, after-school programs, and/or summer recess activities and
                 other proposed activities in the schools and communities;
              An established set of performance measures aimed at ensuring the
                 availability of high-quality academic enrichment opportunities; and
                     West Virginia‘s 21st Century Community Learning Centers
                                       July 1st, 2004 funding

              If appropriate, scientifically based research that provides evidence
                that the program or activity will help students meet State and local
                student academic achievement standards;
         The partnership between a local educational agency, a community-based
          organization, and another public or private organization (if appropriate);
         An evaluation of the community needs and available resources for the
          community learning center and a description of how the proposed
          program in the center will address those needs (including the needs of
          working families);
         The eligible organization‘s experience, or promise of success, in
          providing educational and related activities that will complement and
          enhance the academic performance, achievement, and positive youth
          development of students; and
         How the applicant will use qualified senior citizens to serve as
          volunteers, if the applicant plans to do so.

Further, each application must contain assurances that:
       The program will take place in a safe and easily accessible facility;
       The program was developed and will be carried out in active
          collaboration with the schools the students attend;
       The program will primarily target students who attend schools eligible
          for Title I schoolwide programs and their families;
       Funds under the program will be used to increase the level of State, local
          and other non-Federal funds that would, in the absence of these Federal
          funds, be made available for authorized programs and activities, and will
          not supplant Federal, State, local, or non-Federal funds;
       The community was given notice of the applicant‘s intent to submit an
          application; and
       After the submission, the applicant will provide for public availability
          and review of the application.

The application must also include a convincing, reasonable plan for sustaining the
community learning center(s) after federal funding ends.

And applications must comply with the following conditions:
(a) The Application Narrative section must not exceed 20 typed and numbered
pages, using a 12-point font, double line spacing, with one-inch margins all
around; (b) the application must be on plain white paper (one side only) and held
together with a binder clip or stapled (no notebooks or coverings), and must not
include unsolicited designs, headings, appendices, news clippings, or other
materials; and (c) the application must respond to the exact sequence, outline form,
headings, and information requested herein.
                     West Virginia‘s 21st Century Community Learning Centers
                                       July 1st, 2004 funding

                 APPLICATION NARRATIVE GUIDELINES

In the 20-page (max) narrative of your application, respond to the ‗Required
Application Information‘ (above) and the following criteria. Each criterion is
presented in bold type followed by supporting guidance regarding how the
criterion applies to this competition.

Note: The reviewers will use these criteria to rate your application, so it is in your
best interest to follow them closely. The maximum points (total of 105) that may
be awarded in the application review are also indicated (see the Application Rating
Form, pp. 49-51).

1) Needs & Remedies (20 points total–10 for needs & 10 for remedies)

Needs of students at risk of educational failure in your community.

Applicants are advised that a local inventory of your community showing the gaps
in the services that are available may be helpful in determining your needs.

Provide a needs description of your community and the target population (needy
students and their families), including the following information.

Cite factors and data that place local students at risk of educational failure, such
as: the poverty rates in the communities to be served; the number of students in
WVDE-identified, low-performing or seriously-impaired schools; the percentage
of Title I students; the dropout rates; the literacy rates; and educational levels in
the community. Use specific and relevant data regarding the students and
community members to be served by the project and the needs of the community.

Remedies
Describe how you’re proposed project will remedy the risk factors (needs) you
have described above for your target populations. Include your measurable
objectives, activities and outcomes to be achieved by your proposed project. The
services (remedies) to be provided should be closely tied to your identified needs.

2) Quality of Project Design (25 points – 5 points per subsection)

(A) Indicate the extent to which the proposed project will provide services or
otherwise address the needs of students at risk of educational failure.
Clearly describe the activities to be provided by the project, how they are linked to
the identified needs and objectives, and how student achievement will be measured.
                     West Virginia‘s 21st Century Community Learning Centers
                                       July 1st, 2004 funding

Tailor your activities to address the specific needs of the students and their
families to achieve the desired outcomes. Explain the roles to be played by each of
the partners in carrying out the activities, describing who will do what, when, and
where, to what ends, and with what anticipated results. For example, explain how
your project will provide services and activities during extended hours that are not
currently available during the regular school day, how project staff will vary their
approaches to help meet the individual needs of students, and how staff will
collaborate with regular school day teachers to assess and measure student needs.

(B) The extent to which the design of the proposed project is appropriate to,
and addresses the needs of the target population and other identified needs.

Explain how specific activities in the project will lend themselves to assisting
students in their area(s) of need, and will improve their achievement. For instance,
merely asserting in an application that the project will assist students in meeting or
exceeding local and state standards in core academic areas does not provide the
reviewers of the application with an understanding of specifically how this will
occur. Successful applicants must also address specific activities that address the
needs of potential dropouts and students otherwise at risk of academic failure,
including students living in poverty and students with limited English proficiency.

Competitive priority will be given to applications that serve children in WVDE-
identified low-performing and seriously-impaired schools. For information
regarding these schools, contact Steve McBride at 304 558-2691 or
smcbride@access.k12.wv.us

(C) The extent to which a local county Board of Education is a collaborating
partner in the project.

The U.S. Department of Education and the West Virginia Department of
Education, strongly encourage applications that include a local county board of
education. The application reviewers will give a competitive priority to
applications that are jointly submitted by a local county board of education and
public or private organizations.

(D) The extent to which the project will establish linkages with local agencies
and organizations to provide needed services to the target population.

Letters of commitment or memoranda of understanding must be included (in the
appendix) that clearly indicate the role, capacity and contributions of each
partnering organization in the application. The quality of letters of support, with a
clear demonstration of buy-in from senior administrators of the partnering
                     West Virginia‘s 21st Century Community Learning Centers
                                       July 1st, 2004 funding

organizations, is more important than the quantity. The most successful applicants
will have involved their partners in planning and writing this grant application, as
well as in helping to implement the grant once awarded.

(E) The extent to which the project will establish additional activities/linkages
such as the following.

(i) Opportunities for students to give back to their communities through
educational service activities.
Highly successful components of K-12 programs nationally and in West Virginia
include community service ( http://learnandserve.k12.wv.us/ ) and civic
engagement as a part of academic achievement. Activities that allow students to
identify, organize and complete community projects to gain educational
proficiency, practical experience, improve their schools and communities and
build citizenship are highly desirable. These activities should be coordinated with
existing programs such as; school clubs, Boys & Girls Clubs, Learn & Serve West
Virginia programs, YMCA programs and other service organizations.

(ii) Residential learning experiences outside the local community.
Participating in summer, weekend or school-year residential learning activities
with existing organizations who have trained staff, proven track records, proper
accreditation and liability insurance can be very beneficial for students. These
activities, away from the home and local community, can provide a unique climate
for enhancing student experiences. This can be achieved through positive role
models, character and team building activities, civic responsibility, leadership skill
building, entrepreneurship and strengthened self-confidence. Local programs are
encouraged to work with organizations such as: the accredited residential
facilities at YMCA Camp Horseshoe (304 478-2481), Youth in Government,
Student Legislature and Supreme Court, Model United Nations, Institute for
IDEAS, Youth Opportunity Camps, WV’s Youth Action Council, and HI-Y.

(iii) Volunteers In Service To America (VISTA) workers.
VISTAs (budgeted at $9,120 cash per person per year) are available for full time
service for a one-year term. They should engage in project development or
resource acquisition activities rather than engage in direct service to students. For
example, they should not tutor students, but direct their efforts to recruit and train
the tutors. Local site supervision, space and support to achieve the goals and
objectives of the project must be provided. For information about VISTA projects
in your county, contact the Corporation for National and Community Service State
Office at 304/347-5246.
                     West Virginia‘s 21st Century Community Learning Centers
                                       July 1st, 2004 funding

(iv) Retired and Senior Volunteers (RSVP).
RSVP volunteers are people 55 and over who will enhance your project by
tutoring, mentoring or providing administrative support (telephoning, filing, data
collection, etc.) necessary to implement your project. For information about RSVP
projects in your county, contact the Corporation for National and Community
Service State Office at 304/347-5246.

(V) West Virginia Partnerships to Assure Student Success (WV PASS)
WV PASS represents a national partnership between America's Promise and
Communities in Schools. WV Pass enables counties the opportunity to apply for
and work with an AmeriCorps Promise Fellow; an individual who receives a living
stipend and an educational award for providing 1700 hours of service in one year.
Their mission is to fulfill the Five Promises for young people: (a) ongoing
relationships with caring adults in their lives - parents, mentors, tutors, or
coaches; (b) Safe places with structured activities during non-school hours; (c)
healthy start and future; (d) marketable skills through effective education; and (f)
opportunities to give back through community service. For more information,
contact: Jack Wiseman, by phone 304 558/2440 x-21, by e-mail,
jwiseman@wvosea.org, by fax, 304 558/1311.

3) Adequacy of resources (15 points – 5 points per subsection)

(A) The adequacy of community support, including facilities, equipment,
supplies, and other resources, from the applicant organizations and other
local groups.
Show that appropriate resources and personnel have been carefully allocated for
the tasks and activities described in your application. Make sure your grant and
local budgets will adequately cover program expenses, including student
transportation. It is important to describe how you will leverage existing school
and community resources, such as computer labs, libraries, classrooms and
outdoor facilities to carry out your activities.

Budgets, which include three (3) or more sites, should fund at least one full time
project coordinator (or reasonably explain why it is not necessary).
Budgets must also include:
(a.) funding (travel, food & lodging) for at least two project staff members to
attend a 2-day training activity in West Virginia during each year of the project;
(b.) attendance at an NCCE Orientation workshop for three people: the project
director, a community-based person and a school-based person (Registration cost
is generally $300 per team plus travel, food and lodging - For more information
about NCCE training see www.nccenet.org );
                     West Virginia‘s 21st Century Community Learning Centers
                                       July 1st, 2004 funding

 (c.) attendance at a one statewide Project Directors meeting with the WVDE
involving a one day meeting and the cost of travel to Flatwoods;
 (d.) attendance at a jointly sponsored WVDE and Community Education
Association of West Virginia (CEA of WV) conference and training (The three
person team that attended the NCCE training will attend this 3 day
conference/training in West Virginia - Registration cost is approximately $200
plus travel, food and lodging and membership dues to CEA- WV are included in
the cost);
(e.) plans for on-going local training to be determined by the individual project
(Expenses may include payment of staff for time to attend the training and
hospitality); and
(f.) any cost associated with plans for ongoing staff development and training.

Provide evidence that your plans have the support of program designers, service
providers, and participants.

Grant funds cannot be used to purchase facilities or vehicles, or support
construction.

(B) The extent to which the costs are reasonable in relation to the number of
persons to be served and to the anticipated results and benefits.
Costs should be allocated (and will be judged) against the scope of your project,
and its anticipated benefits. Justify the use of all of your resources including those
that partners are contributing, such as the use of community recreational areas,
staff, supplies, transportation, funding, etc.

(C) The extent to which the project realistically establishes the ability for
sustainability of the program after the federal funding ceases
21st CCLC funding is intended as an incentive to promote the long-range
establishment of out-of-school-time community programs. So it is especially
important to specifically explain how the proposed project will be sustained when
federal funding ceases. A competitive priority will be given to applications that
substantiate the ability to sustain the program after federal funding ceases, and
application reviewers will be closely examining the degree of community
involvement and support after federal funding expires.
4) Quality of the management plan (20 points – 10 points per subsection)

(A) The adequacy of the management plan to achieve the objectives of the
project (on time and within budget), including clearly defined responsibilities,
timelines, and milestones for accomplishing project tasks.
                    West Virginia‘s 21st Century Community Learning Centers
                                      July 1st, 2004 funding

Use charts and timelines to describe the structure of your project and the
procedures for managing it. Clearly relate your objectives, events, beneficiaries,
and time of expected results.

Describe the role and responsibility of all key community and school staff (with
position descriptions for key people).

Grantees should plan on the following annual trainings:
a.) at least two project staff members to attend a 2-day training activity in West
Virginia during each year of the project;
b.) attendance at an NCCE Orientation workshop for three people ( the project
director, a community-based person and a school-based person- see
www.nccenet.org );
c.) attendance at a one day statewide Project Directors meeting with the WVDE in
Flatwoods;
d) attendance at a 3 day conference/training in West Virginia jointly sponsored by
WVDE and Community Education Association of West Virginia (CEA of WV) by
the three person team that attended the NCCE training;
e.) plans for on-going local training to be determined by the individual project;
and
f.) plans for ongoing local staff development and training.

(B) How the applicant will ensure that a diversity of perspectives is brought to
bear in the operation of the project.
Describe how you will include parents, teachers, students, the business community,
a variety of disciplinary and professional fields, recipients or beneficiaries of
services, and others (as appropriate) in planning for and operating your project.
5) Quality of Project Evaluation. (20 points)
This section will be rated according to the extent to which the methods of
evaluation include the use of the local objective performance measures that
are clearly related to the intended outcomes of the project and include the
collection of reliable and valid quantitative and qualitative data.
Submit a strong evaluation plan that will shape the development of the project
from the beginning of the grant period that includes the following:

--the program objectives and performance indicators (see page 52 ) established
under the Government Performance and Results Act (GPRA) for the 21st Century
Community Learning Centers Program;
                     West Virginia‘s 21st Century Community Learning Centers
                                       July 1st, 2004 funding

--clear benchmarks (assessed annually or more often) to monitor progress toward
specific objectives (e.g., stating how students will be involved regularly in what
activities for six months in order to reach an objective relating to improved
reading and/or math scores or grades after one year of involvement);

--outcome measures to assess impact on student learning and behavior, including
but not limited to standardized test scores, quarterly report cards; and which may
include teacher, parent, student surveys or interviews and other data collection
instruments; and

--identity of the individual or organization who will conduct the formative (on-
going) and summative (annual) evaluations, specifying whether the evaluation will
be conducted by project personnel or by an independent third party, and briefly
describe the qualifications of the individuals who will be conducting the
evaluation. Regardless of whether evaluation activities will be performed by
project personnel or an independent third party, evaluation costs should be
included in the budget and explained in the budget narrative.

The evaluation plan should also describe the evaluation design, including:
--what designs or methods will be used (e.g., participants compared to a similar
group of non-participating students, case study, pre/post assessment), avoiding
overly general statements, i.e. “Qualitative and quantitative data will be
collected”;

--what types of data will be collected (must include student reading and math
achievement data,) noting what data from project records, such as activity logs
and attendance rosters, will be utilized in the evaluation and how such data relate
to specific project objectives;

--what evaluation instruments and/or protocols will be used (name if already
developed, such as a specific survey used at another 21st CCLC site or by the WV
statewide evaluation); or will be developed, and when they will be developed;

--how the data will be analyzed (indicate appropriate examples of quantitative
and/or qualitative analysis, such as comparison of means, or content coding of
responses);
--how evaluation information will be used to monitor progress and to provide
accountability information to stakeholders about success at the project site(s); and
--a timeline of evaluation data collection and reporting activities, including what
audiences will receive reports. WVDE should be included as a recipient of
evaluation reports;
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Applicants should also review Evaluation and Accountability section on pp. 25-26.

6) Bonus Points during Application Review

Applications that are jointly submitted by a county board of education and public
or private organizations will receive 5 bonus points.

Applications that serve children in WVDE-identified low-performing schools
and/or seriously-impaired schools will receive 5 bonus points.

Applications that describe means for realistically sustaining the program after the
federal funding ceases will receive 5 bonus points.
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  FREQUENTLY ASKED QUESTIONS ABOUT 21ST CCLC PROGRAM

       Adapted from “21st Century Community Learning Centers
                 Non-Regulatory Guidance, May 2002”
US Department of Education, Office of Elementary and Secondary Education

What is the 21st Century Community Learning Centers Program?
Part B of Title IV of the Elementary and Secondary Education Act, as amended by
the No Child Left Behind Act of 2001 (Pub.L.107-110), provides opportunities for
communities to establish or expand activities in community learning centers. The
21stCCLC program seeks to create community learning centers that provide
academic enrichment opportunities for children and their families, providing a safe
environment for students when school is not in session.

The purpose of the program is to establish or expand community learning centers
that provide students with academic enrichment opportunities along with activities
designed to complement the students‘ regular academic program. Community
learning centers must also offer families of these students‘ literacy and related
educational development. Centers – which can be located in elementary, middle,
and secondary schools, or other similarly accessible facilities – must provide a
range of high-quality services to support student learning and development,
including tutoring and mentoring, homework help, academic enrichment (such as
hands-on science or technology programs), and community service opportunities,
as well as music, arts, sports and cultural activities. At the same time, centers must
help working parents by providing a safe environment for students when school is
not in session.

Authorized under Title IV, Part B, of the Elementary and Secondary Education Act
(ESEA), as amended by the No Child Left Behind Act of 2001, the law‘s specific
purposes are to: (1) provide opportunities for academic enrichment, including
providing tutorial services to help students (particularly students in high-poverty
areas and those who attend low-performing schools) meet State and local student
performance standards in core academic subjects such as reading and mathematics;
(2) offer students a broad array of additional services, programs, and activities,
such as youth development activities, drug and violence prevention programs,
counseling programs, art, music, and recreation programs, technology education
programs, and character education programs, that are designed to reinforce and
complement the regular academic program of participating students; and (3) offer
families of students served by community learning centers opportunities for
literacy and related educational development.
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How has the 21st CCLC program changed?
The No Child Left Behind Act of 2001 made several significant changes to the
USED-administered 21st CCLC program. These changes ensure that the program
focuses on helping children in high-need schools succeed academically through the
use of scientifically based practice and extended learning time. The new statute
provides additional state and local flexibility in how funds can be used to support
higher academic achievement, and dramatically expands eligibility for 21st CCLC
funding to public and private educational and youth-serving organizations.

Changes to the 21st CCLC program‘s authorizing statute include:
   Section 9501 of the No Child Left Behind statute applies to the 21st
     CCLC program. This section deals with the requirement for equitable
     participation of private school children in federally funded elementary and
     secondary school programs. Public and private school students are eligible to
     participate in 21st CCLC programs on an equitable basis. A public school or
     other public or private organization that is awarded a grant must provide
     equitable services to private school students and their families. In designing
     a program that meets this requirement, grantees must provide comparable
     opportunities for the participation of both public and private school students
     in the areas served by the grant. In other words, any child who either lives in
     or attends school in an area served by a 21st CCLC grant is eligible to
     participate in the program on an equitable basis, regardless of where the
     program is housed or who manages the grant. Furthermore, if a public
     school or district is applying, they must consult with private school officials
     during the design and the development of the 21st CCLC program on issues
     such as how the children's needs will be identified and what services will be
     offered. Services and benefits provided must be secular, neutral, and non-
     ideological.

    Implementing activities based on rigorous scientific research. For the
     first time, the new authorizing statute provides principles of effectiveness
     (see p. 56) to guide local grantees in identifying and implementing programs
     and activities that can directly enhance student learning. These activities
     must address the needs of the schools and communities, be continuously
     evaluated using performance measures, and be based on scientific research.

    Focusing services on academic enrichment opportunities. Under the new
     legislation, grantees must provide academic enrichment activities to students
     in high-poverty schools to help them meet State and local standards in the
     core content areas, such as reading, math, and science. In addition,
     applicants must also provide services to the families of children who are
     served in the program. Under the previous statute, grantees provided a
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   broad array of services to children and community members. The new
   legislation allows community learning centers to serve adult family members
   of students, but not community members at large.

 Transferring program administration from the Federal to the State
  level. The new legislation turns over responsibility for administering the
  21st CCLC program to the State educational agency (SEA) in each State.
  The U.S. Department of Education (the Department) will allocate funds to
  the SEAs by formula. The SEA will manage grant competitions and award
  grants to eligible organizations for local programs. States now will be
  accountable to the Department for ensuring that all statutory requirements
  are met. Under the previous legislation, the Department managed a
  nationwide competition and directly awarded over 1,600 grants to public
  schools and school districts that worked in collaboration with other public
  and nonprofit organizations, agencies, and educational entities.

 Expanding eligibility to additional entities. The new legislation allows
  public and private organizations to receive funds directly from the State
  under this program. Under the previous authority, only public schools or
  local educational agencies could directly receive grants. The Department
  continues to strongly encourage all applicants to collaborate with other
  public and private agencies, including the local school districts, to create
  programs as comprehensive and high-quality as possible.

 Targeting services to poor and low-performing schools. The new
  legislation requires States to award grants only to applicants that will
  primarily serve students who attend schools with a high concentration of
  poor students. In addition, States must give priority to applications for
  projects that will serve children in schools designated as in need of
  improvement under Title I and that are submitted jointly by school districts
  receiving Title I funds and community-based organizations or public or
  private organizations. These priorities are new. The previous legislation
  restricted eligibility to inner-city or rural schools and strongly encouraged
  schools to collaborate with community-based organizations.

 Extending the duration of grant awards. States now have the discretion
  to award grants to local organizations for a period of three to five years. The
  previous law limited the duration of the grants to three years. WVDE will
  award three-year grants with the option for extended funding for years four
  and five based upon annual provision of evidence of program effectiveness.
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    Increasing accountability at the State and local levels. The new
     legislation requires States to develop performance indicators and
     performance measures that they can use to evaluate programs and activities.
     States must require local grantees to implement programs that meet the
     principles of effectiveness (see p.53). In addition, grantees must periodically
     evaluate their programs to assess progress toward achieving the goal of
     providing high-quality opportunities for academic enrichment.

    Expanding the range of locations in which local programs may take
     place. The new legislation provides support for services for children and
     their families in elementary or secondary schools or in any other location
     that it is at least as available and accessible as the school.

    Requiring funds to supplement and not supplant. Local grantees must
     use program funds to supplement and not supplant other Federal, State, and
     local funds.

Providing WVDE with funds to carry out administrative responsibilities.
Five percent of West Virginia‘s 21st CCLC allocation will be reserved by WVDE
for the administrative and support responsibilities associated with implementing a
quality program. These funds will be used to plan the competition, manage a
review process, award the grants, monitor progress, and strengthen the program by
providing training and technical assistance to local grantees, and conduct
evaluations.

What is the definition of a 21st Century Community Learning Center?
A community learning center offers academic, artistic, and cultural enrichment
opportunities to students and their families when school is not in session (before
school, after school, or during holidays or summer recess). According to section
4201(b)(1) of the program statute, a community learning center assists students in
meeting State and local academic achievement standards in core academic
subjects, such as reading and mathematics, by providing the students with
opportunities for academic enrichment. Centers also provide students with a broad
array of other activities – such as drug and violence prevention, counseling, art,
music, recreation, technology, and character education programs – during periods
when school is not in session. Community learning centers must also serve the
families of participating students, e.g., through family literacy programs.

What organizations are eligible to apply for 21st CCLC funds?
Any public or private organization is now eligible to apply for a 21st CCLC grant.
Examples of agencies and organizations now eligible under the 21st CCLC
program include, but are not limited to: non-profit agencies, city or county
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government agencies, faith-based organizations, institutions of higher education,
and for-profit corporations. The statute encourages eligible organizations to
collaborate with LEAs when applying for funds.

Organizations do not have to demonstrate prior experience in providing after-
school programs to be eligible to apply for a grant. However, in its application to
the WVDE, an organization that does not have such experience must demonstrate
promise of success in providing educational and related activities that will
complement and enhance the academic performance, achievement, and positive
youth development of the students.

What must a local organization include in its application to WVDE?
The application narrative guidelines are described in previous sections (pp. 10-17)
of this document. WVDE will award grants to eligible organizations on a
competitive basis in accordance with the statute.

Is collaboration a requirement for organizations eligible to apply?
The legislation contains several provisions about the importance of collaboration.
Section 4204(b)(2)(H) requires applicants for local grants to provide a description
of the partnership between a local educational agency, a community-based
organization (CBO), and/or other public or private organizations, if appropriate. If
the local applicant is another public or private organization, it must provide an
assurance that its program was developed and will be carried out in active
collaboration with the schools the students attend. In addition, Section
4204(i)(1)(B) requires that States give priority to applications submitted jointly by
an LEA receiving Title I funds and a CBO or other agency proposing to serve
students in schools in need of improvement under Section 1116. WVDE will
provide the same priority to LEAs proposing to target schools in need of
improvement but which demonstrate an inability to partner with a CBO within
reasonable geographic proximity and of sufficient quality.

By bringing together community organizations with school districts, centers can
take advantage of multiple resources in the community. Community learning
centers can offer residents in the community an opportunity to volunteer their time
and their expertise to help students achieve academic standards and master new
skills. Collaboration can also ensure that the children attending a learning center
benefit from the collective resources and expertise throughout the community.

May a community learning center be located or take place outside of a school?
Yes. WVDE may approve an application for a community learning center to be
located in a facility other than an elementary or secondary school. However, the
alternate facility must be at least as available and accessible to the participants as if
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the program were located in an elementary or secondary school. WVDE will
determine the evidence an applicant will need to demonstrate that the program will
be available and accessible. (Note: ―elementary school‖ and ―secondary school‖
are defined in ESEA as any ―nonprofit institutional day or residential school,
including a public charter school…‖)

Whether the program takes place in a school building or other facility, the
applicant must address transportation; i.e. how students will travel safely to and
from the community learning center and home, and the budget for it .

Are there any requirements for the hours of operation of a center or the
number of students a local program must serve?
No. The statute does not mention specific hours of operation or minimum or
maximum numbers of students a center (or one site of an applicant‘s center) must
serve. The statute does, however, specify that community learning centers must
offer services during non-school hours or periods when school is not in session,
including before-school, after-school, evenings, weekends and during the summer.
Each community should base its application on the needs of its students and their
families.

Can 21st CCLC program funds support services to adults?
Yes. But only adult family members of students participating in a community-
learning center may participate in educational services or activities appropriate for
adults. In particular, local programs may offer services to support parental
involvement and family literacy. Services may be provided to families of students
to advance the students‘ academic achievement. However, programs are open only
to those adults who are members of the families of participating children.
Can 21st CCLC program funds support services for pre-kindergarten
children?
Yes. Although ―students‖ are designated in statute as the intended beneficiaries of
the program, the U.S. Department of Education and WVDE believe that younger
children who will become students in the schools being served can also participate
in program activities designed to get them ready to succeed in school.
Can 21st CCLC student activities take place during the regular school day?
No. The statute specifically indicates services are to be provided outside the
regular school day, that is, before school, after school, evenings, weekends, or
summer. The program may offer services to students (during normal school hours
on days) when school is not in session, e.g., school holidays or teacher professional
development days. Activities targeting pre-kindergarten children and adult
family members may take place during regular school hours, as these times may be
the most suitable for serving these populations.
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Several civil rights laws apply to recipients of Federal grants. Do these laws
apply to private organizations that receive a grant under this program?
Yes, these laws apply to recipients of federal financial assistance, whether they are
public or private. They include Title VI of the Civil Rights Act, which bars
discrimination based on race, color, or national origin; Title IX of the Education
Amendments of 1972, which bars discrimination based on gender; Section 504 of
the Rehabilitation Act of 1973, which bars discrimination based on disability; and
the Age Discrimination Act of 1975. Section 9534 of the Elementary and
Secondary Education Act in effect provides that nothing in that Act disturbs the
application of these laws. By the same token, the Act does not alter the
applicability of other non-discrimination laws that are unrelated to the receipt of
federal funds (such as Title VII of the Civil Rights Act, which forbids employment
discrimination on the basis of race, color, religion, sex, or national origin, but also
contains certain exceptions).

Are religious organizations, including entities such as religious private
schools, eligible to receive 21st CCLC grants from the SEA?
Yes. Faith-Based Organizations (FBOs) are eligible to apply for local grants
provided they meet all statutory and regulatory requirements of this program. In
order to ensure that a local grantee, including a FBO, meets the program‘s
purposes and criteria, it should not discriminate against beneficiaries on the basis
of religion. In matters of program eligibility, WVDE will not discriminate against
grant applicants with regard to religion. Thus, faith-based and community-based
organizations are encouraged to apply for local grants on the same basis as other
applicants.

Funds shall be used solely for the purposes set forth in this grant program. No
funds provided pursuant to this program shall be expended to support religious
practices, such as religious instruction, worship, or prayer. FBOs may offer such
practices, but not as part of the program receiving assistance, and FBOs should
comply with generally applicable cost accounting requirements to ensure that
funds are not used to support these activities. For example, FBOs may wish to
keep grant funds in a separate account or accounts to ensure that they are not used
inappropriately. OMB Circulars A-21 (for educational institutions) and A-122 (for
non-profit organizations) provide further guidance regarding these accounting
requirements.

For what activities may a grantee use 21st CCLC program funds?
Each eligible organization that receives an award may use the funds to carry out a
broad array of before- and after-school activities (including during summer recess
periods) that advance student achievement. In the U.S. Department of Education‘s
view, local grantees are limited to providing activities within the following list:
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        Remedial education activities and academic enrichment learning
         programs, including providing additional assistance to students to allow
         the students to improve their academic achievement;
        Mathematics and science education activities;
        Arts and music education activities;
        Entrepreneurial education programs;
        Tutoring services (including those provided by senior citizen volunteers)
         and mentoring programs;
        Programs that provide after-school activities for limited English
         proficient students that emphasize language skills and academic
         achievement;
        Recreational activities;
        Telecommunications and technology education programs;
        Expanded library service hours;
        Programs that promote parental involvement and family literacy;
        Programs that provide assistance to students who have been truant,
         suspended, or expelled, to allow the students to improve their academic
         achievement; and
        Drug and violence prevention programs, counseling programs, and
         character education programs. (Note: Drug and violence prevention
         activities are absolute priorities.)

Applicants are reminded of their obligation under section 504 of the Rehabilitation
Act to ensure that their proposed community learning centers program are
accessible to persons with disabilities.

Evaluation and Accountability - What evidence is required from the States
and local programs to determine whether 21st CCLC programs are research-
based and effective?

There are two elements to evaluation and accountability. The first element
involves basing your program on activities that have proven effectiveness
(activities proven through scientifically based research). The second element
involves evaluating the effectiveness of your program using scientific principles.
Each is explained further below.

What is scientifically based research?
Local programs must indicate how they meet the principles of effectiveness
described in the law. According to statute, programs and activities must be based
on:
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    an assessment of objective data regarding the need for before- and after-and
     summer- school programs (including summer school programs) and
     activities in schools and communities;
    an established set of performance measures aimed at ensuring high-quality
     academic enrichment opportunities; and
    scientifically based research that provides evidence that the program or
     activity will help students meet the State and local academic achievement
     standards.

Scientifically based research, as defined in Title IX of the reauthorized ESEA, is
research that involves the application of rigorous, systematic, and objective
procedures to obtain reliable and valid knowledge relevant to education activities
and programs. This means research that: (1) employs systematic, empirical
methods that draw on observation or experiment; (2) involves rigorous data
analyses that are adequate to test the stated hypotheses and justify the general
conclusions drawn; (3) relies on measurements or observational methods that
provide reliable and valid data across evaluators and observers, across multiple
measurements and observations, and across studies by the same or different
investigators; (4) is evaluated using experimental or quasi-experimental designs in
which individuals, entities, programs or activities are assigned to different
conditions and with appropriate controls to evaluate the effects of the condition of
interest, with a preference for random-assignment, experiments, or other designs to
the extent that those designs contain within-condition or across-condition controls;
(5) ensures that experimental studies are presented in sufficient detail and clarity to
allow for replication or, at a minimum, offer the opportunity to build
systematically on their findings; (6) has been accepted by a peer-reviewed journal
or approved by a panel of independent experts through a comparably rigorous,
objective, and scientific review.

For example, scientifically based reading research has identified five essential
components of effective reading instruction. To ensure that children learn to read
well, explicit and systematic instruction must be provided in these five areas:
      1. Phonemic Awareness – The ability to hear, identify and manipulate the
         individual sounds – phonemes – in spoken words. Phonemic awareness
         is the understanding that the sounds of spoken language work together to
         make words.
      2. Phonics – The understanding that there is a predictable relationship
         between phonemes – the sounds of spoken language – and graphemes –
         the letters and spellings that represent those sounds in written language.
         Readers use these relationships to recognize familiar words accurately
         and automatically and to decode unfamiliar words.
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       3. Vocabulary Development – Development of stored information about
          the meanings and pronunciation of words necessary for communication.

          There are four types of vocabulary:
             Listening vocabulary – the words needed to understand what is
                heard
             Speaking vocabulary – the words used when speaking
             Reading vocabulary – the words needed to understand what is read
             Writing vocabulary – the words used in writing

       4. Reading fluency, including oral reading skills – Fluency is the ability
          to read text accurately and quickly. It provides a bridge between word
          recognition and comprehension. Fluent readers recognize words and
          comprehend at the same time.

       5. Reading comprehension strategies – Strategies for understanding,
          remembering, and communicating with others about what has been read.
          Comprehension strategies are sets of steps that purposeful, active readers
          use to make sense of text.

What is evaluation based on scientific principles?
In addition to choosing activities for your program that are based on sound
scientifically based research, you will need to base your evaluation on scientific
principles that align with the aforementioned description of scientifically based
research. When feasible, programs should strive to use experimental or quasi-
experimental research designs to test the effectiveness of their activities in
achieving objectives. If such designs are not possible due to low enrollment or
other reasons, such reasons should be stipulated and more appropriate evaluation
methods chosen and justified. For more information on the U.S. Department of
Education‘s proposed definition of scientifically based evaluation, please visit
http://www.ed.gov/legislation/FedRegister/proprule/2003-4/110403b.html
What are the components of a high-quality after-school program?
According to the U.S. Department of Education publication Working for Children
and Families: Safe and Smart Afterschool Programs, there are eight components
that are generally present in high-quality after-school programs. These include:
~ goal setting, strong management, and sustainability
~ quality after-school staffing
~ attention to safety, health, and nutrition issues
~ effective partnerships with community-based organizations, juvenile justice
  agencies, law enforcement, and youth groups
~ strong involvement of families
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~ snacks and/or meals
~ enriching learning opportunities
~ linkages between school-day and after-school personnel
~ evaluation of program progress and effectiveness

After-School Programs and the K-8 Principal, developed by the National
Association for Elementary School Principals (NAESP), in cooperation with the
National Institute on Out of School Time, The National School-Age Care Alliance,
and the U.S. Department of Education, identifies standards for quality school-age
child care. One of the standards of excellence that specifically pertains to after-
school programming reflects a commitment to promoting knowledge, skills, and
understandings through enriching learning opportunities that complement the
school day.
Specifically, high-quality after-school programs should offer opportunities for
children to develop in the following areas:
    Communication skills in reading, writing, speaking, spelling, and listening.
    Math skills in computation, application, and problem solving.
    Scientific inquiry into the natural and physical world, as well as practical
       applications of science and technology.
    The interrelationships of people and cultures to historic, geographic and
       economic environments.
    Participation in the arts, including visual arts, music, dance, and drama.
    Development of physical fitness and motor skills through sports and other
       physical activity.
    Opportunities for problem-solving that strengthen decision-making and
       higher-level thinking skills.
    Study and time-management skills to encourage children‘s responsibility for
       their own learning.
    Personal and civic responsibility and the significance of service to others.
    Appreciation of, and respect for, differences in culture, race, and gender.
    Skill development in computer and multimedia technology.

   (Source: The National Association of Elementary School Principals. After-
   School Programs & The K-8 Principal)

   The National School-Age Care Alliance (NSACA) has developed the NSACA
   Standards for Quality School-Age Care, as a useful tool for developing and
   evaluating programs. In addition, NSACA publishes the journal School-Age
   Review, which contains developments in theory, research and practice in the
   after-school field.
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What are the evaluation requirements for local grantees?
Each grantee must budget for and conduct ongoing evaluation activities to assess
its progress toward achieving its goal of providing high-quality opportunities for
academic enrichment. The evaluation must be based on the factors included in the
principles of effectiveness. The results of the evaluation must be: (1) used to
refine, improve, and strengthen the program and to refine the performance
measures; (2) assess effectiveness of activities; (3) shared with WVDE; and (4)
made available to the public upon request. Local grantees must work with the
WVDE to evaluate the academic progress of children participating in the state‘s
21st CCLC program. Program grantees will be required to complete an Annual
Performance Report (APR) indicating locally collected data such as: number of
hours of programming; enrollment per site; achievement and grade data; regularly
participating students; etc. Grantees will also be responsible for administering a
semi-annual Teacher Survey to the regular school-day teachers of regularly
attendees of the program. The Teacher Survey will be provided by the WV 21st
CCLC statewide evaluator to all grantees; distributing and collecting the surveys is
the responsibility of the grantees and will be reported on the APR. Summaries of
Teacher Survey results will be provided to grantees, and grantees are encouraged
to use these data in their local evaluations.

What federal regulations apply to this program?
The following regulations are applicable to the 21st Century Community Learning
Centers Program: The U.S. Education Department General Administrative
Regulations (EDGAR) in 34 CFR Parts 75,77, 79,80,81,82,85, and 86, and (b) 34
CFR Part 299. The EDGAR regulations can be found on the Department's website:
http://www.ed.gov/about/offices/list/index.html?src=mr

Assistance in planning an effective afterschool program?

The publication Beyond the Bell: A Toolkit for Creating Effective Afterschool
Programs is a timely and helpful publication to assist after-school program staff to
plan and make good decisions in six critical areas: management, collaboration,
programming, integration with the traditional school day, evaluation, and
communication. While the primary utility of the Toolkit is for after-school
programs already in existence, it can be extremely valuable for those in the
planning stages. For more information, check www.ncrel.org/after/bellkit.htm .

Many other resources are available on www.ed.gov/21stcclc , the
www.afterschoolalliance.org website, the www.afterschool.gov site, the National
Center for Community Education www.nccenet.org site, the National Community
Education www.ncea.com site, and the Corporation for National & Community
Service--Learn and Serve America site www.cns.gov .
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Other useful web sites

Safe and Smart: Making the Afterschool Hours Work for Kids is downloadable
from USED at www.ed.gov/pubs/SafeandSmart

Bringing Education into the Afterschool Hours by USED can be found at
www.ed.gov/pubs/edpubs.html

A Resource Guide for Planning and Operating After-School Programs is
available from www.sedl.org/pubs/fam95/

Also useful is the National Institute on Out-of-School Time resources and
fact sheets available at www.niost.org .

The Finance Project site with good and recent research is downloadable at
www.financeproject.org

The Coalition for Community Schools is at www.communityschools.org .

The Mott Foundation is at http://www.mott.org/21/about.asp and
http://www.mott.org/publications/pdf/mifv2n3.pdf

The National School-Age Care Alliance www.nsaca.org provides online info
including standards of quality in afterschool care.
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                          REPORTING INFORMATION

What reports are required from subgrantees?

Subgrantees will be required to complete and submit a WVDE Annual Performance
Report (WVDE-APR), similar to the federal 21st CCLC APR, that describes project
(subgrantee) activities, accomplishments, and outcomes.

The two purposes of the APR information are to:

(1) demonstrate that substantial progress has been made toward meeting the
objectives of the project as outlined in the grant application, and

(2) collect data that address the performance indicators for the subgrantee 21 st
Century Community Learning Center program.

WVDE will collect descriptive and achievement data using the APR.

Descriptive data includes (a) grant-level information showing current progress
toward goals/objectives narrative, lessons learned, budget, and extent of
community collaboration; and (b) center-level data such as dates and hours of
operation, staff, ages/grades served, number of student and adult family members
participating, student demographic data, enrollment, activities, and linkages to the
regular school day.

Achievement data must be reported for regular attendees (those who have attended
for at least 30 days) during the reporting year or all students if a center has fewer
than 100 regular attendees. It includes overall grades, achievement test results,
teacher survey results, and other data sources, as requested; and achievement data
on individual target students –those regularly participating in program activities.

Descriptive data must be submitted to WVDE in June of each project year.
Achievement data must be submitted to WVDE in October of each project year.

By March of the third year of the project, a summary report of the major
challenges, and accomplishments achieved, during the initial three-year grant
period will be required. This report will be used to determine whether a fourth year
of the project will be funded, and at what (reduced) level.

If invited, subgrantees are required to participate in evaluations that the U.S.
Department of Education and/or WVDE may conduct of the program.
                  West Virginia‘s 21st Century Community Learning Centers
                                    July 1st, 2004 funding

                                   APPENDICES

The following pages of this application contain your ‗Required Forms‘ and other
                            ‗Relevant Information‘.
                               West Virginia‘s 21st Century Community Learning Centers
                                                 July 1st, 2004 funding

                                                COVER PAGE

      (Note: all blanks must be completed. If you have questions, contact Pat Givens at pgivens@access.k12.wv.us ,
                                   by phone (304) 558-7881, or by fax (304) 558-3946

         WVDE 21st Century Community Learning Centers Grant Application
                             School year 2004-2009

Funds Requested _________________ County(s): _______________________________

FEIN Number _________________________ (Federal Employees Identification Number)

West Virginia Vendor Number ________________________________________________

Proposed Project Dates ____/____/____ ____/____/____
                          start date      end date
Applying Agency: ___________________________________________________________

Collaborating Community Organization(s)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

County School System (if included as a partner) __________________________________
 Schools (if included)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Local Project Title: _________________________________________________________

Lead Agency _______________________________________________________________
Contact Person: ____________________________________________________________
Phone #: ____________ Fax #: ____________ e-mail: ______________________________
Address: ___________________________________________________________________
         ___________________________________________________________________
                             West Virginia‘s 21st Century Community Learning Centers
                                               July 1st, 2004 funding

Fiscal Agency _______________________________________________________________
Contact Person: _____________________________________________________________
Phone #                Fax #:             e-mail: ____________________________
Address: ___________________________________________________________________

Number of program sites: _______

Names of Site Locations:             1.                                       2.
3.                                   4.                                       5.
6.                                   7.                                       8.
9.                                   10.                                      11.


                                                                Site Number
Expected number of Title         1         2     3       4       5       6       7     8   9   10   11
I students to be served at
each site:
  Elementary students
  Middle school students
  High school students
  Total students

Expected number of
WVDE-identified Low-
performing or Seriously-         1         2     3       4       5       6       7     8   9   10   11
impaired School students
to be served at each site:
  Elementary students
  Middle school students
  High school students
  Total students

Number of collaborating partners actively involved in the project
   Schools     Community-Based Organizations ___Faith-Based Organizations
___community/business ___Other (list) __________________________________

Estimated Cost per Title I Student served (per year) $_________

Matching (local) funds: (none required)
In-kind $___________ Cash $___________ Other (list)____________________
                              West Virginia‘s 21st Century Community Learning Centers
                                                July 1st, 2004 funding

___ Check if there is a cooperative agreement with the local county school system as a
collaborating partner

___ Check if serving WVDE low-performing students, and/or seriously-impaired school
students

___ Check if a realistic description of how the program will be sustained after the federal
funding ceases is provided and indicate the page number ___


                                                                Date: ____________________
Agency Head‘s/Superintendent‘s Signature*

Note: *Signature indicates that applicant agrees to all conditions in the proposal .
                          West Virginia‘s 21st Century Community Learning Centers
                                            July 1st, 2004 funding

             WV 21ST CCLC LOCAL PROGRAM SUMMARY AND ABSTRACT

Applicant Contact Information
Agency: _________________________ Program Contact Person Name: _________________
Address: ____________________________________________________________________
Phone:_______________ Fax:_______________ e-mail: _____________________________

Student Populations to be Served (indicate number of schools in blank)
     ___ Elementary Schools     ___ Middle Schools    ___ High Schools
     ___ Title I schools ___ Low-performing Schools ___ Seriously-impaired Schools

Community Partners      (indicate number in blank)

___ National Organizations (e.g., Boys &         ___ County or Municipal Agencies (e.g.,
    Girls Clubs, YMCA/YWCA, Big                      police, Parks & Recreation, Social
    Brothers/Big Sisters)                            Services)
___ Community-Based Organizations                ___ Colleges or Universities
    (local non- profits or foundations)          ___ Faith-Based Organizations
___ Libraries or Museums                         ___ Hospitals/Clinics/Health Providers
___ Businesses                                   ___ other __________________________

List the name of each partner with the 21st Century Community Learning Center
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Services to be Provided (check all that apply)
 Reading or Literacy        Sports or Recreation                      Health, Nutrition
 Mathematics                Technology, Video or                      Youth Development
 Science                     Media                                     Services for Adults
 Art, Music, Dance,         Community Service                         Other ___________
   Theater                   Cultural Activities, Social
                              Studies

Times of Operation
________After school ________Weekend ________Summer ________Before school
                              West Virginia‘s 21st Century Community Learning Centers
                                                July 1st, 2004 funding

  Page 2 -- Program Summary and Abstract


 Name & location      Rural or     Number            % of                                  % of      number of
 of each site that     Urban          of         Free/Reduced            % of low-      seriously-     family
  will become a         site       students      Lunch students          performing     impaired     members
       CLC             (R/U)        served          (Title I)             students       students      served




                     Total
Totals for the       Urban        Total          Average % of           Average %       Total %    Total family
entire project       ______       students       Free/Reduced           of low-         of         members
                                  served         Lunch students         performing      seriously- served
                     Total                                              students        impaired
                     Rural                                                              students
                     ______       ______           _________              _______        _____      ________

  (Note: If more space is needed to list schools and statistics, please include this chart on a separate
  piece of paper.)

  Abstract. In the space below, briefly describe your program‘s goals, services, activities, and
  planned participants.
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
                   WVDE – 21ST CCLC GRANT BUDGET FORM
                  Complete a form for the 1st, 2nd, and 3rd years of your program

County                                      Agency/School _________________________

Financial Contact Person ______________________________________________
 Complete Street Address ________________________________________
 Phone #               Fax #             E-mail ________________________

REQUEST FOR FEDERAL FUNDING (LINE ITEMS)
Salary (administrative)                                                        $ _______
  Fringe Benefits                                                              $ _______
Salary (tutors)                                                                $ _______
Supplies/consumables                                                           $ _______
Transportation                                                                 $ _______
Travel reimbursement (meetings)                                                $ _______
Training                                                                       $ _______
Evaluation                                                                     $ _______
Rental                                                                         $ _______
Indirect cost (School Board rate or 6% maximum)                                $ _______
Other (describe) _____________________________________________                 $ _______

                       TOTAL FEDERAL FUNDING REQUESTED                         $ _______

LOCAL FUNDING & CONTRIBUTIONS (LINE ITEMS)
(Cash & In-Kind costs not required, but encouraged)
Salary (administrative)                                                        $ _______
  Fringe Benefits                                                              $ _______
Salary (tutors)                                                                $ _______
Supplies/consumables                                                           $ _______
Transportation                                                                 $ _______
Travel reimbursement (meetings)                                                $ _______
Training                                                                       $ _______
Evaluation                                                                     $ _______
Rental                                                                         $ _______
Other (describe) _____________________________________________                 $ _______

                 LOCAL FUNDING CONTRIBUTIONS TOTAL                             $ _______

       TOTAL PROGRAM BUDGET (FEDERAL + LOCAL)                                  $ _______

_________________________________________________________ Date _____________
            Superintendent‘s or Agency Director‘s Signature
***************************************************************************
                                              STATE USE ONLY
       Federal Funds Approved $                      Program Code _______________
       Account # 8714-096                  Revenue Code 04511          FIMS ID _________
       have Pat check these numbers
                                                              Date_______________
       Assistant State Superintendent's Signature
***************************************************************************
                            West Virginia‘s 21st Century Community Learning Centers
                                              July 1st, 2004 funding



                             EXAMPLE BUDGET NARRATIVE

Your proposal must have a budget narrative explaining each line item on your 2004-2005
Budget Form. List each of your requested budget items, whether it is federally funded or a
local contribution, the purpose, and the math used to estimate it.

                 Funding
Budget Item       Type            Examples of Funding Purposes and Calculations
Salary            federal         1 project director x $2,500/month x 12 months = $30,000
                                    + fringe benefits = $____
                  federal         1 staff x $20/hour x 5,400 hours = $108,000
                                    + fringe benefits = $____
                  federal         2 VISTA workers x $9,000/year = $18,000
                  federal         1 aide x $10/hour x 5,400 hours = $54,000
                                    + fringe benefits = $____
                  local           1 piano instructor x $100/day x 36 days = $3,600
                                     provided by the Community Fine Arts Association
                  local           1 Americorps worker x $1,500/year = $1,500
                                     provided by the Lion‘s Club
                  local           1 Karate teacher x $100/day x 72 days = $7,200
                                     provided by the local YWCA
                  local           1 Dentist x $300/day x 72 days = $21,600
                                     provided by the local Health Clinic
                  local           half time receptionist x 180 days x $50/day = $9,000
                                     provided by the local school system
Supplies and      federal         writing materials = $2,000
Consumables       federal         computer software = $2,300 (list items)
                  local           copy paper – 1,000 reams x $6/ream = $6,000
                                     provided by the local school system
                  local           gardening tools = $500
                                     provided by the Neighborhood Garden Club
                  local           vegetable & flower seeds, plants & fertilizer = $700
                                     provided by We-Grow-Em Landscape Company
                  local           1,000 pine seedlings = $4,000
                                     Sweet Acres Nursery

Transportation    federal         Driver for field trips x $1,600/mo x 9mo = $14,400
                  local           bus home for kids x $200/day x 180 days = $36,000
                                    provided by local school system
                             West Virginia‘s 21st Century Community Learning Centers
                                               July 1st, 2004 funding

                       EXAMPLE BUDGET NARRATIVE continued:

Budget Item        Type            Examples of Funding Purposes and Calculations

Travel             federal         6 staff x 3 training sessions x $300/ trip = $5,400
                   federal         6 people x $300 workshop registration fee = $1,800

Evaluation         federal         1 consultant @ $3,000
                   local           1 staff x $20/hour x 100 hours = $2,000

Equipment          federal         6 computers/printers/monitors x $1,200 = $7,200
                   local           miscellaneous classroom equipment = $5,000
                                      provided by the Boys & Girls Club

Rental/Lease       federal         photo copier x $200/month x 12mo = $2,400
                   federal         facility utilities $.32 per KWH (use local utility rate)
                                     x 4,500-KWH x 9-months = $12,960
                   local           school computer room x 1,600 ft2 x $6.00/ft2 per month
                                    x 9 months = $86,400
                   local           school gymnasium x 2,400 ft2 x $6.00/ft2 per month
                                                    x 9 months = $129,600

Other              federal         6 Field trips x $500/trip = $3,000
                   local           tutors x 1,680-hours x $13.65 per hour = $22,932
                                      provided by the Senior Citizen‘s Auxiliary
                   local           6 craft consultants x $1,000/person = $6,000
                   local           Cash donation from Bell-Atlantic = $1,000
                   local           Cash donation from City National Bank = $5,000



Note: It is your responsibility to maintain documentation (for 5-years) to support your
expenditures.
                                    West Virginia‘s 21st Century Community Learning Centers
                                                      July 1st, 2004 funding

                                                     ASSURANCES

                            Lobbying, Debarment, Suspension, etc. form ED 80-0013

CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND
OTHER RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS

Applicants should refer to the regulations cited below to determine the certification to which they are required to attest.
Applicants should also review the instructions for certification included in the regulations before completing this form.
Signature of this form provides for compliance with certification requirements under 34 CFR Part 82, "New Restrictions
on Lobbying," and 34 CFR Part 85, "Government-wide Debarment and Suspension (Nonprocurement) and Government-
wide Requirements for Drug-Free Workplace (Grants)." The certifications shall be treated as a material representation of
fact upon which reliance will be placed when the Department of Education determines to award the covered transaction,
grant, or cooperative agreement.

1. LOBBYING

As required by Section 1352, Title 31 of the U.S. Code, and implemented at 34 CFR Part 82, for persons entering into a
grant or cooperative agreement over $100,000, as defined at 34 CFR Part 82, Sections 82.105 and 82.110, the applicant
certifies that:

(a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or
employee of Congress, or an employee of a Member of Congress in connection with the making of any Federal grant, the
entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any
Federal grant or cooperative agreement;

(b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress,
or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned
shall complete and submit Standard Form - LLL, "Disclosure Form to Report Lobbying," in accordance with its
instructions;

(c) The undersigned shall require that the language of this certification be included in the award documents for all
subawards at all tiers (including subgrants, contracts under grants and cooperative agreements, and subcontracts) and that
all subrecipients shall certify and disclose accordingly.

2. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS

As required by Executive Order 12549, Debarment and Suspension, and implemented at 34 CFR Part 85, for prospective
participants in primary covered transactions, as defined at 34 CFR Part 85, Sections 85.105 and 85.110--

A. The applicant certifies that it and its principals:

(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
covered transactions by any Federal department or agency;

(b) Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered
against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or
performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or
State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records,
making false statements, or receiving stolen property;
                                   West Virginia‘s 21st Century Community Learning Centers
                                                     July 1st, 2004 funding

(c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or
local) with commission of any of the offenses enumerated in paragraph (2)(b) of this certification; and

(d) Have not within a three-year period preceding this application had one or more public transaction (Federal, State, or
local) terminated for cause or default; and

B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an
explanation to this application.

3. DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS)

As required by the Drug-Free Workplace Act of 1988, and implemented at 34 CFR Part 85, Subpart F, for grantees, as
defined at 34 CFR Part 85, Sections 85.605 and 85.610 -

A. The applicant certifies that it will or will continue to provide a drug-free workplace by:

(a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use
of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against
employees for violation of such prohibition;

(b) Establishing an on-going drug-free awareness program to inform employees about:

(1) The dangers of drug abuse in the workplace;

(2) The grantee's policy of maintaining a drug-free workplace;

(3) Any available drug counseling, rehabilitation, and employee assistance programs; and

(4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;

(c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the
statement required by paragraph (a);

(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant,
the employee will:

(1) Abide by the terms of the statement; and

(2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the
workplace no later than five calendar days after such conviction;

(e) Notifying the agency, in writing, within 10 calendar days after receiving notice under subparagraph (d)(2) from an
employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide
notice, including position title, to: Director, Grants Policy and Oversight Staff, U.S. Department of Education, 400
Maryland Avenue, S.W. (Room 3652, GSA Regional Office Building No. 3), Washington, DC 20202-4248. Notice shall
include the identification number(s) of each affected grant;

(f) Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d)(2), with
respect to any employee who is so convicted:


(1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the
requirements of the Rehabilitation Act of 1973, as amended; or
                                   West Virginia‘s 21st Century Community Learning Centers
                                                     July 1st, 2004 funding

(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for
such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;

(g) Making a good faith effort to continue to maintain a
drug-free workplace through implementation of paragraphs
 (a), (b), (c), (d), (e), and (f).

B. The grantee may insert below the site(s) for the performance of work done in connection with the specific grant: Place
of Performance (Street address. city, county, state, zip code)

Check [ ] if there are workplaces on file that are not identified here.

DRUG-FREE WORKPLACE (GRANTEES WHO ARE INDIVIDUALS)

As required by the Drug-Free Workplace Act of 1988, and implemented at 34 CFR Part 85, Subpart F, for grantees, as
defined at 34 CFR Part 85, Sections 85.605 and 85.610-

A. As a condition of the grant, I certify that I will not engage in the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance in conducting any activity with the grant; and

B. If convicted of a criminal drug offense resulting from a violation occurring during the conduct of any grant activity, I
will report the conviction, in writing, within 10 calendar days of the conviction, to: Director, Grants Policy and Oversight
Staff, Department of Education, 400 Maryland Avenue, S.W. (Room 3652, GSA Regional Office Building No. 3),
Washington, DC 20202-4248. Notice shall include the identification number(s) of each affected grant.

As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above
certifications.

 NAME OF APPLICANT                                    PROJECT NAME


 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE


 SIGNATURE                                                                 DATE

ED 80-0013                                                                                           12/98
                                       West Virginia‘s 21st Century Community Learning Centers
                                                         July 1st, 2004 funding

                                                           ASSURANCES - 2
                                            Non-Construction form SF 424B
                                                                                                       OMB Approval No. 0348-0040

                               ASSURANCES - NON-CONSTRUCTION PROGRAMS

Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0040),
Washington, DC 20503

Note:    Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
         awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If
         such is the case, you will be notified.

As the duly authorized representative of the applicant I certify that the applicant:

1.   Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds
     sufficient to pay the non-Federal share of project cost) to ensure proper planning, management, and completion of the project
     described in this application.

2.   Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized
     representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish
     a proper accounting system in accordance with generally accepted accounting standards or agency directives.

3.   Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the
     appearance of personal or organizational conflict of interest, or personal gain.

4.   Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency.

5.   Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. 004728-4763) relating to prescribed standards for
     merit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a
     Merit System of Personnel Administration (5 C.F.R. 900, Subpart F).

6.   Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil
     Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the
     Education Amendments of 1972, as amended (20 U.               -1683, and 1685-1686), which prohibits discrimination on the basis
                                                                                                                                    basis
     of handicaps; (d) the Age Discrimination Act o                                      -6107), which prohibits discrimination on the
     basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on
     the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of
     1970 (P.L. 91-
                                                           -3 and 290 ee 3), as amended, relating to confidentiality of alcohol and drug

     nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s)
     under which application for Federal assistance is being made; and (j) the requirements of any other nondiscrimination statute(s)
     which may apply to the application.

7.   Will comply, or has already complied, with the requirements of Titles II and III of the uniform Relocation Assistance and Real
     Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or
     whose property is acquired as a result of Federal or federally assisted programs. These requirements apply to all interests in real
     property acquired for project purposes regardless of Federal participation in purchases.

8.   Will comply, as applicable, with the provisions of the Hatch Act (5 U.S.C. 001501-1508 and 7324-7328) which limit the political
     activities of employees whose principal employment activities are funded in whole or in part with Federal funds.
                                       West Virginia‘s 21st Century Community Learning Centers
                                                         July 1st, 2004 funding

9.   Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. 00276a to 276a-7), the Copeland Act (40
                                                                                                          -333), regarding labor
     standards for federally assisted construction subagreements.

10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of
    1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood
    insurance if the total cost of insurable construction and acquisition is $10,000 or more.

11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental
    quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514;
    (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of
    flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State

     Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42
                                                                                                                               as
     amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L.
     93-205).

12 Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. 001721 et seq.) related to protecting components or
   potential components of the national wild and scenic rivers system.

13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as
    amended
                                             -1 et seq.).

14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related
    activities supported by this award of assistance.

15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-
    care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of
    assistance.

16. Will comply with the Lead-                                                                                                - based
    paint in construction or rehabilitation of residence structures.

17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act Amendments of
    1996 and OMB Circular No. A-                                               , and Non-

18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this
    program.


 NAME OF APPLICANT                                          PROJECT NAME


 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE


 SIGNATURE                                                                     DATE


                                                                                     Standard Form 424B (Rev. 7-97) Back
                                       West Virginia‘s 21st Century Community Learning Centers
                                                         July 1st, 2004 funding

                                                ASSURANCES - 3
                                           GEPA Equitable Access form 1890-0007
                                                                                     OMB Control No. 1890-0007 (Exp. 09/30/2004)

                                         NOTICE TO ALL APPLICANTS

The purpose of this enclosure is to inform you about a new provision in the Department of Education's General Education Provisions
Act (GEPA) that applies to applicants for new grant awards under Department programs. This provision is Section 427 of GEPA,
enacted as part of the Improving America's Schools Act of 1994 (Public Law (P.L.) 103-382).

To Whom Does This Provision Apply?

Section 427 of GEPA affects applicants for new grant awards under this program. ALL APPLICANTS FOR NEW AWARDS
MUST INCLUDE INFORMATION IN THEIR APPLICATIONS TO ADDRESS THIS NEW PROVISION IN ORDER TO
RECEIVE FUNDING UNDER THIS PROGRAM.

(If this program is a State-formula grant program, a State needs to provide this description only for projects or activities that it carries
out with funds reserved for State-level uses. In addition, local school districts or other eligible applicants that apply to the State for
funding need to provide this description in their applications to the State for funding. The State would be responsible for ensuring that
the school district or other local entity has submitted a sufficient section 427 statement as described below.)

What Does This Provision Require?

Section 427 requires each applicant for funds (other than an individual person) to include in its application a description of the steps
the applicant proposes to take to ensure equitable access to, and participation in, its Federally-assisted program for students,
teachers, and other program beneficiaries with special needs. This provision allows applicants discretion in developing the
required description. The statute highlights six types of barriers that can impede equitable access or participation: gender, race,
national origin, color, disability, or age. Based on local circumstances, you should determine whether these or other barriers may
prevent your students, teachers, etc. from such access or participation in, the Federally-funded project or activity. The description in
your application of steps to be taken to overcome these barriers need not be lengthy; you may provide a clear and succinct description
of how you plan to address those barriers that are applicable to your circumstances. In addition, the information may be provided in a
single narrative, or, if appropriate, may be discussed in connection with related topics in the application.

Section 427 is not intended to duplicate the requirements of civil rights statutes, but rather to ensure that, in designing their projects,
applicants for Federal funds address equity concerns that may affect the ability of certain potential beneficiaries to fully participate in
the project and to achieve to high standards. Consistent with program requirements and its approved application, an applicant may use
the Federal funds awarded to it to eliminate barriers it identifies.

What are Examples of How an Applicant Might Satisfy the Requirement of This Provision?

The following examples may help illustrate how an applicant may comply with Section 427.

    (1) An applicant that proposes to carry out an adult literacy project serving, among others, adults with limited English proficiency,
    might describe in its application how it intends to distribute a brochure about the proposed project to such potential participants in
    their native language.

    (2) An applicant that proposes to develop instructional materials for classroom use might describe how it will make the materials
    available on audio tape or in braille for students who are blind.

    (3) An applicant that proposes to carry out a model science program for secondary students and is concerned that girls may be less
    likely than boys to enroll in the course, might indicate how it intends to conduct "outreach" efforts to girls, to encourage their
    enrollment.

We recognize that many applicants may already be implementing effective steps to ensure equity of access and participation in their
grant programs, and we appreciate your cooperation in responding to the requirements of this provision.
                                     West Virginia‘s 21st Century Community Learning Centers
                                                       July 1st, 2004 funding

                               Estimated Burden Statement for GEPA Requirements
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such
collection displays a valid OMB control number. The valid OMB control number for this information collection is 1890-0007. The
time required to complete this information collection is estimated to average 1.5 hours per response, including the time to review
instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have
any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: Director,
Grants Policy and Oversight Staff, U.S. Department of Education, 400 Maryland Avenue, SW (Room 3652, GSA Regional Office
Building No. 3), Washington, DC 20202-4248.




 NAME OF APPLICANT                                       PROJECT NAME


 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE


 SIGNATURE                                                                     DATE
                            West Virginia‘s 21st Century Community Learning Centers
                                              July 1st, 2004 funding

                                  APPLICATION CHECKLIST
One original and six copies of the application are must be received by 3:00 p.m., Monday,
March 29th, 2004 at the office of Sallie A. Harrington, WVDE, Building 6, Room 230, 1900
Kanawha Blvd., East Charleston, WV 25305

A complete application must include the following in the order below.

Check each of the following items as they are completed

__ 1.) Cover Pages, fully completed with information, and signed by an authorized official.

__ 2.) Application Checklist (completed)

__ 3.) Program Summary and Abstract

__ 4.) Table of Contents

__ 5.) Program Narrative - no more than 20 pages double-spaced

__ 6.) Budget - a completed WVDE Form for years 1, 2 & 3 of requested funding

__ 7.) Budget Narrative (1st year only) - the mathematical basis for estimating the costs of
professional personnel salaries, benefits, project staff travel, materials and supplies, consultants
and subcontracts, indirect costs, and any projected expenditures

__ 8.) The required Assurances, Certifications, and Disclosure forms (must be signed by an
authorized official).
-Non-Construction Programs (Form OMB 424B)
-The certification regarding lobbying; debarment, suspension and other responsibility matters;
-Drug-free workplace requirements (Form ED-80-0013)

__ 9.) The Appendix, providing only: (a) a list of consortium members or partners and letters of
support or commitment and memoranda of understanding; (b) evidence of previous success (if
applicable); and (c) proposed steps to ensure equitable access and participation for participants
with special needs.

__ 10. A statement that the application meets the requirements of The Principles of
Effectiveness (see p.53) as required by statute.
                             West Virginia‘s 21st Century Community Learning Centers
                                               July 1st, 2004 funding

                 2004-2009 WV 21ST CCLC APPLICATION RATING FORM

Reviewer Identification Code _____________                 Points available = 105         Total Points = _____

County ______________ Agency __________________________ WVDE ID Number __________

Criteria 1 - Need & Remedies for project (20 points)

To receive a score of ten (10) points on each item below, applicant must have:

(a) Needs - cited convincing evidence (with data) that community students are at risk of
   educational failure; such as, number of Title I students, number of WVDE low
   performing students, number of seriously-impaired school students, dropout rate,
   literacy rate, educational level, and poverty rate, etc.

(b) Remedies - described how the proposed project will effectively remedy the conditions and risk
factors for students in the above categories

          Minimal/Weak                            Acceptable                           Extensive/Strong
           1234567                            8 9 10 11 12 13 14                       15 16 17 18 19 20
Comments:
______________________________________________________________________________
______________________________________________________________________________
___________________________________________________

Criteria 2 - Quality of Project Design (20 points)

To receive a score of five (5) points on each item below, applicant must have specified:

(a) clear and measurable relevant objectives, and outcomes consistent with the
    USED goals, objectives, performance indicators, and principles of effectiveness;

(b) a project design which is sufficient to meet the needs of the target population;

(c) established vital partnerships with community agencies and organizations; and

(d) established additional activities/linkages to support its effort such as: service-
   learning; experiences outside the community like Camp Horseshoe, HI-Y Youth
   in Government, or Model United Nations; WV PASS; VISTA; RSVP; or
   Americorps, etc.

          Minimal/Weak                            Acceptable                           Extensive/Strong
           1234567                            8 9 10 11 12 13 14                       15 16 17 18 19 20
                            West Virginia‘s 21st Century Community Learning Centers
                                              July 1st, 2004 funding

Comments:
______________________________________________________________________________
______________________________________________________________________________
___________________________________________________

Criteria 3 - Adequacy of resources (10 points)

To receive a score of five (5) points on each item below, applicant must have indicated:

(a) a credible amount of community support for things such as facilities, equipment,
   supplies, funding, staff, transportation, personnel development, and dissemination of
  information, etc.;

(b) reasonable costs for the number of persons served, anticipated results and
    benefits; and


          Minimal/Weak                           Acceptable                           Extensive/Strong
           1234567                           8 9 10 11 12 13 14                       15 16 17 18 19 20
Comments:
______________________________________________________________________________
______________________________________________________________

Criteria 4 - Quality of the management plan (20 points)

To receive a score of ten (10) points on each item below, applicant must have indicated:

(a) a realistically adequate management plan for achieving the objectives of the
   proposed project on time and within budget, including clearly defined
   responsibilities, timelines, and milestones for accomplishing project tasks; and

(b) how the project will ensure that a diversity of perspectives are brought to bear in
   planning and carrying out the project, including those of parents, teachers, students,
   the business community, a variety of disciplinary and professional fields, recipients
   or beneficiaries of services, and others, as appropriate.

          Minimal/Weak                           Acceptable                           Extensive/Strong
           1234567                           8 9 10 11 12 13 14                       15 16 17 18 19 20
Comments:
______________________________________________________________________________
______________________________________________________________________________
___________________________________________________
                            West Virginia‘s 21st Century Community Learning Centers
                                              July 1st, 2004 funding

Criteria 5 - Quality of Project Evaluation. (20 points)

To receive a score of twenty (20) points on the item below, the applicant must have indicated:

how performance measures will be used to insure the intended outcomes of the project, how they
will collect reliable and valid quantitative and qualitative data, and how they will realistically
verify student accomplishment.

          Minimal/Weak                           Acceptable                           Extensive/Strong
           1234567                           8 9 10 11 12 13 14                       15 16 17 18 19 20
Comments:
______________________________________________________________________________
______________________________________________________________________________
___________________________________________________

                         APPLICATION REVIEW BONUS (15 POINTS)

A cooperative agreement with the local county school system as a collaborating partner will
receive a 5-point bonus.

Serving WVDE low-performing and/or seriously-impaired will receive a 5-point bonus.

A realistic description of how the program will be sustained after the federal funding ceases will
receive a 5-point bonus.
                              West Virginia‘s 21st Century Community Learning Centers
                                                July 1st, 2004 funding

             21ST CCLC PROGRAM GOAL, OBJECTIVES AND INDICATORS
GOAL: Enable expansion of extended learning opportunities for preschool to grade twelve students through
educational, health, social service, cultural, and recreational activities in community learning centers.

Objective 1 – Participants in 21st Century Community Learning Center programs will demonstrate
educational and social benefits and exhibit positive behavioral changes.

Indicator 1.1 Achievement. Students regularly participating in the program will show continuous
improvement in achievement through measures such as test scores, grades, and/or teacher reports.

Indicator 1.2 Behavior. Students participating in the program will show improvements on measures such as
school attendance, classroom performance, and decreased disciplinary actions or other adverse behaviors.

Objective 2 – 21st Century Community Learning Centers will offer a range of high-quality educational,
developmental, and recreational services.

Indicator 2.1 Core educational services. More than 85% of Centers will offer high quality services in at least
one core academic area, e.g. reading and literacy, mathematics, and science.

Indicator 2.2 Enrichment and support activities. More than 85% of Centers will offer enrichment and
support activities such as nutrition and health, art, music, technology, and recreation.

Indicator 2.3 Community involvement. Centers will establish and maintain partnerships within the
community that increase levels of community collaboration in planning, implementing, and sustaining
programs.

Indicator 2.4 Services to parents and other adult family members. More than 85% of Centers will offer
educational services to the families of students participating in the program.

Indicator 2.5 Extended hours. More than 75% of Centers will offer services at least an average of 15 hours a
week and provide services when school is not in session, such as during the summer and holidays.

Objective 3 – 21st Century Community Learning Centers will serve children and community members
with the greatest needs for expanded learning opportunities.

Indicator 3.1 High-need communities. More than 80% of Centers are located in high poverty communities.
                           West Virginia‘s 21st Century Community Learning Centers
                                             July 1st, 2004 funding

              PRINCIPLES OF EFFECTIVENESS FOR 21ST CCLC PROGRAMS

The No Child Left Behind Act of 2001 in Section 4205 Local Activities, part b, states the
following principles of effectiveness.

(1) IN GENERAL- For a program or activity developed pursuant to this part
to meet the principles of effectiveness, such program or activity shall —

(a) be based upon an assessment of objective data regarding the need for
before and after school programs (including during summer recess periods)
and activities in the schools and communities;

(b) be based upon an established set of performance measures aimed at
ensuring the availability of high quality academic enrichment
opportunities; and

(c) if appropriate, be based upon scientifically based research that
provides evidence that the program or activity will help students meet the
State and local student academic achievement standards.

(2) PERIODIC EVALUATION

(a) IN GENERAL- The program or activity shall undergo a periodic evaluation
to assess its progress toward achieving its goal of providing high quality
opportunities for academic enrichment.

(b) USE OF RESULTS- The results of evaluations under subparagraph (a) shall be:
(i) used to refine, improve, and strengthen the program or activity, and to refine the
performance measures; and (ii) made available to the public upon request, with public
notice of such availability provided.

The following clarification of principles of effectiveness is offered in the "Evaluation of 21st
Century Community Learning Center Programs: A Guide for State Education Agencies", the
Issues and Opportunities in Out-of-School Time Evaluation brief, no. 2 April 2002 published by
the Harvard Family Research Project.

SEAs must ensure that programs: meet the principles of effectiveness based on the assessment
of objective data, an established set of performance indicators, and scientifically-based research
on helping students meet a state's high academic achievement standards.

				
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