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					                                           Supplemental Educational Services
                                              Provider Rubric 2011-2012
                    Company Name: ____________________________________              Reviewer Number: _________


                                A COMPLETE APPLICATION PACKET MUST INCLUDE:

             Yes     No   Completed abstract form
             Yes     No   Program narrative
             Yes     No   Signed assurances form
             Yes     No   Proof of liability insurance form or explanation of insurance for new providers (must
                          be in force before contracting with the school district).
   Must score at least a “Meets Requirements” for each component. A “Does Not Meet Requirements” on any element will
    be cause for rejection of the application.
   Each element will be scored on a scale of 0-2 and multiplied by the weight factor indicated.


Element I: Program                                                                                       (28 points possible)

Element II: Staff                                                                                        (12 points possible)

Element III: Research Base and Program Effectiveness                                                     (16 points possible)

Element IV: Evaluation/Monitoring                                                                        (12 points possible)

                                                        Total                                            (68 points possible)

Additional
Reviewer
Comments



Element I:      Program Design/Content
SES Scoring Rubric                                              1                                                 February 2011
1. PROGRAM DESCRIPTION: Provider describes the program in a concise manner that can be posted on the OSDE Web
Site for parents and potential students.
      Does Not Meet Requirements                     Meets Requirements                          Exceeds Requirements
                     0                                        1                                           2
Fails to provide an adequate description   Provides a concise (one or two                Details the instructional program offered
of the program.                            paragraphs) description of the program        by the provider in two paragraphs.

SCORE           Raw Score (0-2) _______ x Weight Factor 1
Reviewer’s Comments:




2. INSTRUCTIONAL STRATEGIES: Provider describes the instructional content and methodology of the program.
        o Provider includes an overview of the instructional strategies used.
        o Provider includes the types of instructional strategies used in the program that will improve achievement for
          children who are performing below grade level (e.g., differentiated instruction, small groups, manipulatives).

      Does Not Meet Requirements                     Meets Requirements                          Exceeds Requirements
                      0                                       1                                           2
Fails to provide an adequate description   Addresses the instructional strategies that   Describes clearly the instructional
of instructional strategies.               will be used to improve instruction for       strategies and how they will assist in
                                           children who are performing below grade       improving achievement for students
                                           level.                                        performing below grade level, including
                                                                                         IEP and ELL students.

SCORE           Raw Score (0-2) _______ x Weight Factor 2
Reviewer’s Comments:




SES Scoring Rubric                                                2                                                    February 2011
3. FOCUS OF PROGRAM: Provider describes the focus of the program including grade level(s) and subject(s) targeted.

      Does Not Meet Requirements                     Meets Requirements                        Exceeds Requirements
                     0                                        1                                         2
Fails to provide an adequate description   Describes the program focus including      Details the program focus including
of the program focus.                      grade level(s) and subject(s) targeted.    grade level(s) and subject(s) targeted as
                                                                                      well as additional information about
                                                                                      program focus.

SCORE           Raw Score (0-2) _______ x Weight Factor 1
Reviewer’s Comments:




4. PASS: Provider describes how the tutoring addresses the Oklahoma Priority Academic Student Skills (PASS) objectives
including examples to clarify exact alignment.

      Does Not Meet Requirements                     Meets Requirements                        Exceeds Requirements
                     0                                        1                                         2
Fails to provide an adequate description   Addresses how the tutoring aligns with     Describes clearly how the tutoring aligns
of how the tutoring aligns with PASS.      PASS, including specific examples and      with PASS, including specific examples
                                           provides information explaining how        and how they will assist in improving
                                           services are aligned to all grade levels   achievement for students performing
                                           served.                                    below grade level. Includes detail on
                                                                                      alignment as it relates to IEP and ELL
                                                                                      students.

SCORE            Raw Score (0-2) _______ x Weight Factor 3
Reviewer’s Comments:




SES Scoring Rubric                                                3                                                  February 2011
5. Provider should answer one of the following questions: 5A or 5B.

       5A. LOCATION OF SERVICES: Provider includes a location for tutoring sessions.

      Does Not Meet Requirements                     Meets Requirements                          Exceeds Requirements
                     0                                        1                                           2
Fails to provide an adequate description     Addresses where the tutoring will be      Describes clearly the address, phone number
of where the tutoring will be offered        offered and the location is appropriate   building and room numbers of where the
and/or the location is not appropriate for   for tutoring children.                    tutoring will be offered and the location is
tutoring children.                                                                     appropriate for tutoring children.

SCORE           Raw Score (0-2) _______ x Weight Factor 1
Reviewer’s Comments:




       5B. DISTANCE LEARNING: If the tutoring is offered through distance learning, the distance learning provider
       includes information on the following:
              o   How and where will children access services;
              o   Supervision if accessing program outside of the home; and
              o   Internet connection fees.

     Does Not Meet Requirements                      Meets Requirements                          Exceeds Requirements
                 0                                            1                                           2
Fails to provide an adequate description     Addresses how and where children          Describes clearly how and where children
of how and where children will access        will access services; what supervision    will access services; what supervision will be
services; what supervision will be           will be provided if accessing program     provided if accessing program outside the
provided if accessing program outside        outside the home; and if there will be    home; and if there will be Internet
the home; and if there will be Internet      Internet connection fees.                 connection fees. The distance learning
connection fees.                                                                       provider also describes online support for
                                                                                       students needing additional assistance.

SCORE            Raw Score (0-2) _______ x Weight Factor 1
Reviewer’s Comments:




SES Scoring Rubric                                                  4                                                    February 2011
6. DURATION OF PROGRAM: Provider describes the duration of the program, such as length of each tutoring session,
how many sessions will be provided, and how often and when each session is held (e.g., every day after school, biweekly,
summer). Provider includes the minimum length of time needed with each child for the program to be effective.

      Does Not Meet Requirements                     Meets Requirements                         Exceeds Requirements
                     0                                        1                                          2
Fails to provide an adequate description   Provides a description of the duration of   Describes clearly the duration of the
of the duration of the program.            the program, including the length of each   program, including the length of each
                                           tutoring session, how many sessions will    tutoring session, how many sessions will
                                           be provided, how often and when each        be provided, how often and when each
                                           session is held, and the minimum length     session is held, and the minimum length
                                           of time needed with each child.             of time needed with each child. Provider
                                                                                       includes rationale for duration.

SCORE            Raw Score (0-2) _______ x Weight Factor 1
Reviewer’s Comments:




7. NUMBER OF STUDENTS: Provider indicates the minimum and maximum number of students the program is able to
serve, explains how many students are needed at each site to be administered, and indicates the expected instructor/student
ratio.

      Does Not Meet Requirements                     Meets Requirements                         Exceeds Requirements
                     0                                        1                                          2
Fails to provide the minimum and           Provides an adequate description of the     Describes clearly the minimum and
maximum number of students the             minimum and maximum number of               maximum number of students the
program is able to serve.                  students the program is able to serve,      program is able to serve, how many
                                           how many students are needed at each        students are needed at each site, and the
                                           site, and the expected instructor/student   expected instructor/student ratio.
                                           ratio.                                      Provider includes a rationale for ratio.

SCORE           Raw Score (0-2) _______ x Weight Factor 2
Reviewer’s Comments:




SES Scoring Rubric                                                5                                                  February 2011
8. COST: Provider indicates the program cost per student and what is included in the price.

      Does Not Meet Requirements                    Meets Requirements                        Exceeds Requirements
                     0                                       1                                         2
Fails to provide an adequate description   Addresses the cost per student and what    Describes clearly the cost per student and
of the cost per student and what is        is included in the price.                  provides a detailed list of what is
included in the price.                                                                included in the price.

SCORE            Raw Score (0-2) _______ x Weight Factor 1
Reviewer’s Comments:




9. SPECIAL GROUPS: Provider indicates whether the program is able to serve student with disabilities and English
language learners.

      Does Not Meet Requirements                    Meets Requirements                        Exceeds Requirements
                     0                                       1                                         2
Fails to explain whether the program is    Addresses whether the program is able to   Details clearly whether the program is
able to serve students with disabilities   serve students with disabilities and       able to serve students with disabilities
and English language learners.             English language learners. If special      and English language learners. If special
                                           groups of students are served, an          groups of students are served, a detailed
                                           explanation of accommodations is           explanation of accommodations is
                                           provided.                                  provided, including specific languages
                                                                                      spoken.

SCORE           Raw Score (0-2) _______ x Weight Factor 1
Reviewer’s Comments:




SES Scoring Rubric                                              6                                                   February 2011
10. TRANSPORTATION: Provider discusses transportation arrangements necessary in order for students to access services.

      Does Not Meet Requirements                    Meets Requirements                       Exceeds Requirements
                     0                                       1                                        2
Fails to provide an adequate description   Provides an adequate description of       Describes clearly the necessary
of transportation arrangements or does     transportation arrangements or explains   transportation arrangements or explains
not explain why they are unnecessary.      why they are unnecessary.                 why they are unnecessary.

SCORE           Raw Score (0-2) _______ x Weight Factor 1
Reviewer’s Comments:




Element II:       Staff


1. INSTRUCTOR QUALIFICATIONS: Provider indicates who will be administering instruction and what is required of the
instructors with respect to previous knowledge and background.
      Does Not Meet Requirements                    Meets Requirements                       Exceeds Requirements
                     0                                       1                                        2
Fails to provide an adequate description   Addresses who will be administering       Details clearly who will be administering
of who will be administering instruction   instruction and requirements of the       instruction and what is required of the
and what is required of the instructors    instructors with respect to previous      instructors with respect to previous
with respect to previous knowledge and     knowledge and background.                 knowledge, background, experience and
background.                                                                          certification.

SCORE            Raw Score (0-2) _______ x Weight Factor 2
Reviewer’s comments:




SES Scoring Rubric                                               7                                                February 2011
2. INSTRUCTOR SUPPORT AND TRAINING: Provider includes a description of how the program ensures that instructors
receive ongoing support and training to effectively administer the program.
      Does Not Meet Requirements                     Meets Requirements                         Exceeds Requirements
                      0                                       1                                          2
Fails to provide an adequate description   Addresses how the program ensures that      Details clearly how the program ensures
of how the program ensures that            instructors receive ongoing support and     that instructors receive ongoing support
instructors receive ongoing support and    training to effectively administer the      and training to effectively administer the
training to effectively administer the     program.                                    program to all students, including those
program.                                                                               IEP and ELL students.

SCORE           Raw Score (0-2) _______ x Weight Factor 2
Reviewer’s comments:




3. INSTRUCTOR EXPERIENCE: Provider describes how instructors are capable of effectively working with students who
are performing below grade level.
     Does Not Meet Requirements                      Meets Requirements                         Exceeds Requirements
                 0                                            1                                          2
Fails to provide an adequate description of Addresses how instructors are capable of   Details clearly how instructors are
how instructors are capable of effectively effectively working with students who       capable of effectively working with
working with students who are performing are performing below grade level.             students who are performing below grade
below grade level.                                                                     level.

SCORE           Raw Score (0-2) _______ x Weight Factor 2
Reviewer’s comments:




SES Scoring Rubric                                               8                                                   February 2011
Element III:      Research Base and Program Effectiveness


1. Provider should answer one of the following questions: 1A, 1B, or 1C.
      1A. MATHEMATICS: If the program includes only mathematics, provider describes how the program integrates the
            process and content standards in PASS.
     Does Not Meet Requirements                     Meets Requirements                         Exceeds Requirements
                 0                                           1                                          2
Fails to provide an adequate description of Addresses how the program integrates      Details clearly how the program
how the program integrates the content      the content and process standards in      integrates the content and process
and process standards in PASS.              PASS.                                     standards in PASS, and has included
                                                                                      strategies that are research based for IEP
                                                                                      and ELL students.

SCORE           Raw Score (0-2) _______ x Weight Factor 3
Reviewer’s comments:




       1B. READING/LANGUAGE ARTS: If the program includes only reading, provider describes how the program
           addresses the five components of reading.
     Does Not Meet Requirements                     Meets Requirements                         Exceeds Requirements
                 0                                           1                                          2
Fails to provide an adequate description of Addresses how the program addresses the   Details clearly how the program addresses
how the program addresses the five          five components of reading.               the five components of reading, and has
components of reading.                                                                included strategies that are research based
                                                                                      for IEP and ELL students.

SCORE           Raw Score (0-2) _______ x Weight Factor 3
Reviewer’s comments:
SES Scoring Rubric                                              9                                                   February 2011
       1C. MATHEMATICS AND READING/LANGUAGE ARTS: If the program includes both mathematics and reading,
           provider describes how the program integrates the content and process standards in PASS and how the program
           addresses the five components of reading.
     Does Not Meet Requirements                        Meets Requirements                        Exceeds Requirements
                 0                                              1                                         2
Fails to provide an adequate description of   Addresses how the program integrates the   Details clearly how the program integrates
how the program integrates the content        content and process standards in PASS      the content and process standards in PASS
and process standards in PASS and how         and how the program addresses the five     and how the program addresses the five
the program addresses the five                components of reading.                     components of reading, and has included
components of reading.                                                                   strategies that are research based for IEP
                                                                                         and ELL students.

SCORE            Raw Score (0-2) _______ x Weight Factor 3
Reviewer’s comments:




2. PROGRAM EFFECTIVENESS: Provider includes evidence of the program’s effectiveness in increasing student
achievement. (This must include documentation from Oklahoma if the program has been provided in Oklahoma. It may
include documentation from other states.)
     Does Not Meet Requirements                        Meets Requirements                        Exceeds Requirements
                 0                                              1                                         2
Fails to provide an adequate description of Provides adequate evidence of the            Provides detailed evidence of the
evidence of the program’s effectiveness.    program’s effectiveness.                     program’s effectiveness and data that
                                                                                         supports improved student achievement.

SCORE            Raw Score (0-2) _______ x Weight Factor 3
Reviewer’s comments:


SES Scoring Rubric                                                 10                                                 February 2011
3. RESEARCH BASE: Provider describes the research base that demonstrates this is an effective method to increase student
achievement with high-poverty populations.
     Does Not Meet Requirements                        Meets Requirements                          Exceeds Requirements
                 0                                              1                                           2
Fails to provide an adequate description      Provides adequate evidence the program       Provides detailed evidence that the
the program is research based in materials    is research based in materials and           program is research based in materials and
and implementation.                           implementation to meet the needs of high-    implementation to meet the needs of high-
                                              poverty populations.                         poverty populations.

SCORE            Raw Score (0-2) _______ x Weight Factor 2
Reviewer’s comments:




Element IV:        Evaluation/Monitoring


1. MONITORING: Provider describes how the program will be monitored for effectiveness and how the provider will
determine if a child is meeting the identified goals agreed upon in consultation with school and parent.
     Does Not Meet Requirements                        Meets Requirements                          Exceeds Requirements
                 0                                              1                                           2
Fails to provide an adequate description of   Provides a description of how the program    Provides a detailed description of how the
how the program will be monitored for         will be monitored for effectiveness and      Individual Student Learning Plan will be
effectiveness and how the provider will       how the provider will determine if a child   developed; how the plan will be
determine if a child is meeting the           is meeting the identified goals agreed       monitored for effectiveness; and how the
identified goals agreed upon in               upon in an Individual Student Learning       provider will determine if a child is
consultation with school and parent.          Plan and in consultation with school and     meeting the identified goals agreed upon
                                              parent.                                      in consultation with school and parent,
                                                                                           including those IEP and ELL student
                                                                                           goals.

SCORE           Raw Score (0-2) _______ x Weight Factor 2

SES Scoring Rubric                                                  11                                                  February 2011
Reviewer’s comments:

2. MEASURING PROGRESS: Provider delineates how the progress of students receiving supplemental educational services
will be measured in addition to state testing requirements. Provider includes data that supports student academic progress
toward attainment of state standards in reading/language arts and/or mathematics as measured by the state’s assessment
system.
     Does Not Meet Requirements                        Meets Requirements                         Exceeds Requirements
                 0                                              1                                          2
Fails to delineate how progress will be       Provides a description of how student       Provides a detailed description of how
measured and to include data that supports    progress will be measured and provides      student progress will be monitored,
student academic progress toward              data that supports student academic         including names or examples of
attainment of state standards in              progress toward attainment of state         assessments, and provides multiple data
reading/language arts and/or mathematics      standards in reading/language arts and/or   sources that support student academic
as measured by the state’s assessment         mathematics as measured by the state’s      progress toward attainment of state
system.                                       assessment system.                          standards in reading/language arts and/or
                                                                                          mathematics as measured by the state’s
                                                                                          assessment system.

SCORE           Raw Score (0-2) _______ x Weight Factor 2
Reviewer’s comments:




3. SCHOOL/PARENT NOTIFICATION: Provider describes how the schools and parents will be notified of the student's
progress (in their native language, if necessary, and in an understandable format). Provider includes a description of how the
parents will be involved in the program.
     Does Not Meet Requirements                        Meets Requirements                         Exceeds Requirements
                 0                                              1                                          2
Fails to provide an adequate description of    Provides a description of how the          Provides a description of multiple ways
how the schools and parents will be            schools and parents will be notified of    that schools and parents will be notified
notified of the student's progress.            the student's progress and how parents     of the student's progress and how parents
                                               will be involved in the program.           will be involved in the program.

SCORE           Raw Score (0-2) _______ x Weight Factor 2
Reviewer’s comments:

SES Scoring Rubric                                                  12                                                 February 2011
SES Scoring Rubric   13   February 2011

				
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