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U.S. Department of Education

Office of Innovation and Improvement

### Full Service Community Schools (FSCS) Program

# PEER REVIEWER CHECKLIST

> Thank you for your interest in serving as a peer reviewer for the Full
> Service Community Schools (FSCS) Program. By using this checklist to
> ensure that your resume includes the information we need, you can
> assist us in making appropriate selections for peer review panels.

<table>
<colgroup>
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 22%" />
<col style="width: 5%" />
<col style="width: 14%" />
<col style="width: 6%" />
<col style="width: 4%" />
<col style="width: 5%" />
<col style="width: 9%" />
<col style="width: 13%" />
<col style="width: 10%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="11"></td>
</tr>
<tr class="even">
<td colspan="11"><strong>School Age Group</strong></td>
</tr>
<tr class="odd">
<td colspan="11">With what age groups have you had the <em>most</em>
experience?</td>
</tr>
<tr class="even">
<td colspan="11"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="2">All Ages</td>
<td></td>
<td colspan="3">Elementary School</td>
<td></td>
<td colspan="3">Secondary School</td>
</tr>
<tr class="even">
<td></td>
<td colspan="2">Preschool</td>
<td></td>
<td colspan="3">Middle School</td>
<td></td>
<td colspan="3">Post Secondary</td>
</tr>
<tr class="odd">
<td colspan="11"></td>
</tr>
<tr class="even">
<td colspan="11"><strong>Areas of Specialization</strong></td>
</tr>
<tr class="odd">
<td colspan="11">Please indicate <em>the number of years in major areas
of specialization in education</em>.</td>
</tr>
<tr class="even">
<td colspan="11"></td>
</tr>
<tr class="odd">
<td colspan="2"><u>     </u></td>
<td colspan="3">Early childhood education</td>
<td><u>     </u></td>
<td colspan="5"><p>Remedial education and academic enrichment</p>
<p>activities</p></td>
</tr>
<tr class="even">
<td colspan="2"><u>     </u></td>
<td colspan="3"><p>Programs that promote parental involvement and</p>
<p>family literacy activities</p></td>
<td><u>     </u></td>
<td colspan="5"><p>Mentoring and other youth development</p>
<p>programs</p></td>
</tr>
<tr class="odd">
<td colspan="2"><u>     </u></td>
<td colspan="3">Parenting education and parent leadership</td>
<td><u>     </u></td>
<td colspan="5"><p>Community service and service learning</p>
<p>opportunities</p></td>
</tr>
<tr class="even">
<td colspan="2"><u>     </u></td>
<td colspan="3"><p>Programs that provide assistance to students who</p>
<p>have been truant, suspended, or expelled</p></td>
<td><mark><u>     </u></mark></td>
<td colspan="5">Job training and career counseling services</td>
</tr>
<tr class="odd">
<td colspan="2"><u>     </u></td>
<td colspan="3">Nutrition services</td>
<td><mark><u>     </u></mark></td>
<td colspan="5">Primary health and dental care</td>
</tr>
<tr class="even">
<td colspan="2"><u>     </u></td>
<td colspan="3">Mental health counseling services</td>
<td><u>     </u></td>
<td colspan="5"><p>Adult education, including instruction of adults</p>
<p>in English as a second language</p></td>
</tr>
<tr class="odd">
<td colspan="2"><u>     </u></td>
<td colspan="3">Social work</td>
<td><u>     </u></td>
<td colspan="5">Program Evaluation</td>
</tr>
<tr class="even">
<td colspan="2"><u>     </u></td>
<td colspan="3">Grants administrator</td>
<td><u>     </u></td>
<td colspan="5">Project Director</td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="3"></td>
<td></td>
<td colspan="5"></td>
</tr>
<tr class="even">
<td colspan="11"><h4 id="section"></h4></td>
</tr>
<tr class="odd">
<td colspan="11"><h4 id="availability">Availability </h4></td>
</tr>
<tr class="even">
<td colspan="11">Please mark the times that you are available for group
conference calls?</td>
</tr>
<tr class="odd">
<td colspan="9"></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="11"> Morning Afternoon Early Evening Late Evening</td>
</tr>
</tbody>
</table>