# Magnet Schools

Assistance Program

Grant

Application 

# FY 201 X

**CLOSING DATE 0**  **3/01 /201**  **X**

U.S. Department of Education

Office of Innovation and Improvement

Washington, DC 20202

- 59 70 CFDA Number : 84.165A

Form Approved

OMB No. 1855

- 0011



# Expiration Date **: XX** 

**- XX** 

**- 2016** 

# 2 

# TABLE OF CONTENTS

I. LETTER TO THE APPLICANT

................................ ................................ ................................ ...... 3

II. Notice Inviting Applications

................................ ................................ ................................ ..... 4

III. The Application Process

................................ ................................ ................................ ........... 5

Application Checklist

................................ ................................ ................................ .......... 7

Instructions for ED Abstract Narrative

................................ ................................ ............... 8

Instructions for Application/Project Narrative

................................ ................................ .. 8

Instructions for Budget Narrative

................................ ................................ ...................... 9

Instructions for Other Documents & Attachments

................................ ......................... 10

IV. DESEGREGATION PLAN INFORMATION FORMS

................................ ................................ .... 12

Type of Desegregation Plan

................................ ................................ ............................. 12

Instructions for Enrollment Data

................................ ................................ ..................... 13

Table 1: Enrollment Data

- LEA Level

................................ ................................ ................. 15

Table 3: Enrollment Data

- Magnet Schools

................................ ................................ .... 17

Table 4: Feeder School

- Enrollment Data

................................ ................................ ...... 19

Table 5: Selection of Students

- Competitive Preference 3

................................ .............. 21

Table 6: Ne w or Revised Magnet School Projects

- Competitive Preference 2

................ 22

V. STANDARD FORMS & INSTRUCTIONS, ASSURANCES, AND CERTIFICATIONS **Error! Bookmark not defined.**

Application for Federal Assistance SF

- 424

.......................... **Error! Bookmark not defined.**

Instructions for SF

- 424

................................ ........................ **Error! Bookmark not defined.**

SUPPLEMENTAL INFORMATION

................................ ......... **Error! Bookmark not defined.**

Supplemental Information Instructions for SF

- 424

............ **Error! Bookmark not defined.**

Definitions for SF

- 424

................................ ......................... **Error! Bookmark not defined.**

ED SF 524 Budget Form

................................ ....................... **Error! Bookmark not defined.**

Instructions for ED 524 Budget Form

................................ . **Error! Bookmark not defined.**

Magnet Schools Assistance Program Assurances

............... **Error! Bookmark not defined.**

Certification Regarding Lobbying

................................ ........ **Error! Bookmark not defined.**

Disclosure of Lobbying Activities

................................ ........ **Error! Bookmark not defined.**

INSTRUCTIONS FOR COMPLETION OF SF

- LLL

..................... **Error! Bookmark not defined.**

Survey Ensuring Equal Opportunity for Applicants

............ **Error! Bookmark not defined.**

Instructions for Survey on Ensuring Equal Opportunit y for Applicants **Error! Bookmark not defined.**

GEPA Statement

................................ ................................ .. **Error! Bookmark not defined.**

Assurances

– Non

- Construction Programs

......................... **Erro r! Bookmark not defined.** 

VI. S UBMITTING 

# Y OUR 

# C OMPLETED 

# A PPLICATION



# ................................ ..... **Error! Bookmark not defined.**

Grants.gov Submission Procedures and Tips for Applicants **Error! Bookmark not defined.**

Instruc tions for D

- U

- N

- S Number

................................ ....... **Error! Bookmark not defined.**

VII. ADDITIONAL INFORMATION

................................ ..................... **Error! Bookmark not defined.**

Executive Order 12372

................................ ........................ **Error! Bookmark not defined.**

Paperwork Burden Statement

................................ ................................ ......................... 23

# 3 

# I. 

# L **ETTER TO THE**

**APPLICANT**

Dear Applicant:

Thank you for your interest in the Magnet Schools Assistance Program (MSAP), administered by the

Office of Innovation and Improvement, Parental Options and Information of the U.S. Department of

Education (Department). The MSAP, authorized under Title V, Part C of the Elementary and

Secondary Education Act of 1965 (ESEA), as amended, 20 U.S.C. 7231

- 7231j, provides

funding to local educational agencies interested in supporting the 

# development and

implementation of magnet schools to reduce, eliminate or prevent minority group isolation, to

assist in the achievement of systemic reforms, and to provide all students with the opport unity

to meet challenging academic content and student academic achievement standards.

Please take the time to thoroughly r eview the Notice Inviting Applications (NIA) for FY2013

published in the Federal R egister, especially the selection criteria, compet itive preference priorities,

and all of the application instructions. An application will not be evaluated for funding if the

applicant does not comply with all of the procedural rules that govern the submission of the

application or the application does not contain the information required under the program (EDGAR

§75.216 (b) and (c)).

Using FY 2013 funds, the Department expects to award approximately $96,623,036 for new grants

under this competition. We will award discretionary grants on a competitive basis for a project

period of up to 36 months. Grants are expec ted to be awarded by September 2013

.

I invite you to take advantage of this opportunity to implement magnet schools that will 

# promote

high student academic achievement ; promote diversity ; re duce, eliminate, or prevent minority

group isolation ; and

, promote a choice of curriculum delivery. Please visit our program website

at http://www2.ed.gov/programs/magnet/index.html for more in formation. If you have any

questions about the program after reviewing the application package, please contact Rosie Kelle y

by telephone at (202) 260

- 0823 or via e

- mail at Rosie.Kelley@ed.gov.

Sincerely,

Anna Hinton, PhD

Director

Parental Options and Information

# 4 

# II. 

# N **OTICE INVITING**

**APPLICATIONS**

Notice Inviting Applications for New Awards for Fiscal Year (FY) 201 3

Catalog of Federal Domestic Assistance (CFDA) Number: 84.165A.



# Magnet Schools Assistance Program

Dates:

Applications Available: D ecember 31 , 2012

Deadline for Transmittal of Applications: March 1 , 2013

Date of Pre

- Application Webinar: January 17 , 2013

Deadline for Notice of Intent to Apply: February 1 , 2013

Deadline for Intergovernmental Review: April 30 , 2013

**The full text of the Magnet Schools Assistance Program Notice Inviting Applications can be** 

**found on the Federal Register**  **Website**

**.**

**http://www.gpo.gov/fdsys/pkg/FR**

**- 20**  **12**

**- 12** 

**- 31/pdf/2012** 

**- 31434.pdf** 

**http://www.gpo.gov/fdsys/pkg/FR**

**- 2012** 

**- 12** 

**- 31/html/2012** 

**- 31434.htm.** 

# 5 

# III. 

# THE APPLIC **ATION**

**PROCESS**

The following is a brief overview of the application process for the Magnet Schools Assistance

Program (MSAP):

**Getting Started**

All interested applicants should first thoroughly review the Notice Inviting Applications

(NIA) for FY 20 13 publi shed in the Federal Register . The NIA will orient applicants with the

MSAP by providing the following information:

 Background information and purpose of the program;

 Eligibility requirements;

 Competitive Preference Priorities;

 Selection Criteria and assig ned points;

 Instructions on how to electronically submit the application.

Applicants should pay close attention to the Selection Criteria as applications will be

evaluated and scored against these criteria.

**Pre**

**- Application Webinar**  **Information**

The Depa rtment will hold a pre

- application webinar for prospective applicants on Thursday,

January 17, 2013 from 1:00 to 4:00 p .m. EST . The webinar will discuss the purpose of the

MSAP competitive preference priorities, selection criteria, application content, su bmission

requirements, and reporting requirements. Interested parties may obtain information

about this webinar from the program website at www.ed.gov /programs/magnet . A

recording of this webinar will be available on the website following the session.

**Completing and Submitting Your Application**

A complete application consists of the following components:

 Abstract Narrative;

 Project Narrative;

 Budget Narrative;

 Appendices; and

 Required Forms:

o Standard Forms,

o Assurances and Certifications, and

o MSAP For ms

Each component is discussed in detail in the subsequent pages of this application package.

Once the application is complete, it must be submitted electro nically using the Grants.gov

application system. A deta iled discussion of Grants.gov may also be f ound in the

subsequent pages of this application package. Applicants are encouraged to familiarize

themselves with this system and to submit their applications early.

All **MSAP** applications must be received on or before **Ma rch**  **1**

**, 201**  **X**

**.**

# 6



# It is **mandatory** for applicants to use G rants.gov . This is a different system for submitting

grant applications than was used in the past MSAP competitions. We strongly encourage

you to familia rize yourself with and r egister for the for the G rants.gov system and submit

earl y. Only applications submitted in a tim ely manner using G rants.gov will be considered

for funding. Late applications will not be accepted. The Department is required to enforce

the established deadline to ensure fairness to all applications.

We stron gly recommend that you do not wait until the last day to submit your application.

The time it takes to upload the narratives for your application will vary depending on a

number of factors including the size of the files and the speed of your Internet c onnection.

If you try to submi t your application after 4:30 p .m. EST on the deadline date, the

G rants.gov system will not accept it

.

Please note that U.S. Department of Education grant application deadlines are 4:30 p .m.

EST

. No changes or additions t o an application will be accepted after the deadline date and

time.

Note: Both the Notice Inviting Applications and this application guide refer to the MSAP

regulations and statutes.

Link to MSAP statutes: _http://www2.ed.gov/policy/elsec/leg/esea02/pg 65.html

# 7 

# Application Checklist

Use the checklist that follows as a guide to ensure that your application is complete and

includes all of the necessary forms and information.

 A project abstract (not more than one page in length)

 Application for Federal Assistance Form (SF

- 424)

 ED Supplement to the SF

- 424

 Budget forms (ED Form 524)

 Itemized budget and other budget information

 A table of contents for the program narrative

 Program narrative addressing the Competitive Preference Priority 1: Need for assistance

and Competitive Preference Prior ity 4: Promoting Science, Technology, Engineering, and

Mathematics (STEM) Education , and the MSAP selection criteria.

 Desegregation plan, appropriate Tables and other information

 Dese gregation Plan Information Form and Attachments

 Enrollment Data Tables

 Table s 1 and 2

— LEA

- Level Enrollment Data and Year of Implementation

for Existing Magnet Schools included in the Project

 Table 3

— Magnet School Enrollment Data

 Table 4

— Fe eder School Enrollment Data

 Additional Tables

 Table 5

— Selection of Students

- Competitive Preference Priority 3

 Table 6

— New or Revised Magnet School Projects

- Competitive Preference

Priority 2

 Assurances and Certifications

 Magnet Sc hools Assistance Program Assurances

 Standard Assurances for Non

- Construction Programs (SF

- 424b)

 Grants.gov Lobbying Form

 Other information

 Required response to Section 427 of GEPA

 SF LLL Disclosure of Lobbying Activity

 Resu mes of key personnel

 Letters of support (optional)

 Written agreement between parties to a joint application (if applicable)

# 8



# Instructions for ED Abstract Narrative

The abstract is to be attached to the “ED Abstract Attachment Form” in the appl ication package

in Grants.gov

.

The abstract na rrative must not exceed one page and should use language that will be

understood by a range of audiences. For all projects, include the project title (if applicable),

major project goals and objectives, the n ames of the magnet schools that will participate in the

project, a brief description of the special curricular programs (e.g., Math and Science,

Montessori, Performing Arts, etc

. ) that each magnet school will implement, and the number of

students expected to participate in each magnet school program.

**Instructions for Application/**  **P roject Narrative** 

Project Narrative Attachment Form

– (f ound in the G rants.gov application package) this is

where applicants will attach their narrative responses to the selectio n criteria and the following

competitive preference priorities published in the Federal Register notice inviting applications

for this competition:

 

# Competitive Preference Priority 1

— Need for Assistance

 

# Compet iti ve Preference Priority 4

— Promoting Science, T echnology, Engineering, and

Mathematics (STEM) Education

.

This part of the application constitutes the portion of the application that is subject to the

suggested limit of 100 pages described in the Federal Register notice inviting applications for

this c ompetition

.

To facilitate the review of the your Magnet Schools Assistance Program application, we

recommend that you address the competitive preference priority for “Need for assistance”, the

competitive preference priority for “ Promoting Science, Techno logy, Engineering, and

Mathematics ( STEM ) education ”

, and then the selection criteria published in the application

notice in the order in which they appear in the Federal Register notice inviting applications for

this competition.

You will provide data ne eded to respond to the other two competitive preference priorities

—

“ Selection of students ” in Table 5 and “ New and revised magnet schools ” in Table 6 . The

information needed to respond to these priorities is not subject to the page limits that apply to

ap plication/project narrative part of the application.

Notes

 The Secretary has established six performance measures to assess progress toward meeting

the purpose of the MSAP. Four are annual measures and two are long

- term measures.

The four annual perf ormance measures are:

(a) The percentage of magnet schools whose student applicant pool reduces,

eliminates

, or prevents minority group isolation.

# 9



# (b) Percentage of magnet schools whose students from major racial and ethnic groups

meet or exceed State a nnual progress standards in reading/language arts.

(c) Percentage of magnet schools whose students from major racial and ethnic groups

meet or exceed State annual progress standards in mathematics.

(d) The cost per Student in a Magnet School.

The two long

- term performance measures are:

(e) Percentage of magnet schools that received assistance that are still operating

magnet school programs 3 years after Federal funding ends.

(f) Percentage of magnet schools that received assistance that meet State standards at

least 3 years after Federal funding ends.

 At the end of your project period, you must submit a final performance report, including

financial information, as directed by the Secretary. If you receive a multi

- year award, you

must submit an an nual performance report that provides the most current performance

and financial expenditure information as specified by the Secretary in 34 CFR 75.118. For

specific requirements on grantee reporting, please refer to the ED Performance Report

Form ED 524B at: http://www.ed.gov/fund/grant/apply/appforms/appforms.html

.

**Instructions for Budget Narrative** 

The Budget Narrative Attachment Form in the G rants.gov application package is wh ere

applicants attach budget information.

Provide an itemized budget breakdown, and justification by project year, for each budget

category listed in Sections A and B. For grant projects that will be divided into two or more

separately budgeted major acti vities or sub

- projects, show for each budget category of a

project year the breakdown of the specific expenses attributable to each sub

- project or

activity.

If applicable to this program, provide the rate and base on which fringe benefits are

calculated.

Additionally, in providing explanations and comments, applicants should identify planning

costs, which are subject to limitations under §280.41(a). Specifically, planning costs are

limited to 50% of the amount awarded for the first year of the project; 15 % for the second

year of the project; and 15% for the third year of the project. Planning costs would include,

for example, any cost incurred in the first year of a project for a magnet school that would

not begin to implement its program until the second year of the project. Applicants are

reminded that evaluation costs and professional development costs are not considered to

be planning costs.

# 10



# If you are requesting reimbursement for indirect costs on line 10, specify the estimated

amount of the ba se to which the indirect cost rate is applied and the total indirect expense.

Depending on your approved Indirect Cost Rate Agreement, some direct cost budget

categories in your grant application budget may not be included in the base and multiplied

by yo ur indirect cost rate. Please indicate which costs are included and which costs are

excluded from the base to which the indirect cost rate is applied. Provide other

explanations or comments you deem necessary.

**Instructions for Other Documents & Attachmen**  **ts**

A ll other documents needed for your application includ e the desegregation plan

information, Tables 1 through 6 that provide information about various aspects of your

project, including the enrollment data required by §280.20( f ) in the Magnet Schools

As sistance Program regulations, resumes, letters of support, and so forth. Tables 1

- 6 are

located on the MSAP website at www.ed.gov/programs/magnet . Please download the

forms, complete the forms, “save as” the table number, and upload the completed forms as

an attachment to the rest of the application in Grants.gov.

**Desegregation Plan Information Form**

Check the appropriate box to indicate whether the applicant is implementing a required

plan or a voluntary plan. The applicant must also attach copies of the appropriate

documents based on the type of desegregation plan that the applicant is implementing.

**Tables 1**

**– 4**  **Enrollment Data**

T hese tables provide current and projected enrollment data for the appli cant, the

magnet schools included in the project and schools from which students would be

drawn (feeder schools). Specific instructions for this set of tables are included with the

tables. A separate copy of Table 3 will be needed for each magnet school included in

the project. A separate copy of Table 4 will be needed for each feeder school included

in the project.

**Table 5** 

**— Selection of Students** 

**- Competitive Preference**  **Priority 3**

Provide data for each magnet school included in the project. Specific in structions for

this table are included with the table.

**Table 6** 

**— New or**  **Revised Magnet Schools Projects** 

**– Competitive Preference**  **Priority 2**

Provide data for each magnet school i dentified in Tables 1

– 5

. Specific instructions for

this table are included with the table.

# 11



# Resumes

Provide individual resumes for the proposed project directors and other key personnel

described in project narrative. Provide brief resumes or, for positions that would be

filled after a grant is awarded, job descriptio ns that include relevant qualifications for

the individual(s) that the district would seek to recruit for those positions. Each resume

should be limited to not more than three pages in length.

**Letters of Support (Optional)**

**Joint Application Information (if necessary)** 

If the application is a joint application between two or more local educational agencies

to implement an inter

- district magnet schools plan, the application must provide the

information described in 34 CFR 75.128 concerning the agency that will be designated as

the applicant and the agreement between members of the group.

**Assurances**

In addition to the standard assurances contained elsewhere in the application package,

a Magnet Schools Assistance Program application requires the inclusi on of a signed copy

of the Magnet Schools Assistance Program assurances. Download this form from the

application package, sign, and upload signed form to the narrative section tab titled

Magnet Schools Assistance Program Assurances.

# 12 

# IV. 

# DESEGREGATION P **LAN**

**INFORMATION**

**FORMS**

**Type of Desegregation Plan**

**(Check One & Attach the Appropriate Documents)**

 A Required Plan: A plan that is (1)

implemented pursuant to a final order of a

court of the United States, or a court of any

State, or any other state age ncy or official of

competent jurisdiction and (2) the order

requires the desegregation of minority group

segregated children or faculty in the

elementary and secondary schools of that

agency or those agencies.

Attach the Following Documents

 A copy of the c ourt or agency order that

demonstrated that the magnet school(s) for

which assistance is sought under the grant are

a part of the approved plan.

 Note : If the applicant is implementing a

previously approved plan that does not

include the magnet school(s) for which

assistance is requested, the plan must be

modified to include the new magnet school(s).

The applicant must obtain approval of the new

magnet schools, or any other modification to

its desegregation plan, from the court, agency

or official that or iginally approved the plan.

The date by which proof of approval of any

desegregation plan modification must be

submitted to the US Department of Education

is identified in the closing date notice.

Any desegregation plan modification should

be mailed by June 1, 2013 to:

Anna Hinton

US Department of Education

Office of Innovation & Improvement

400 Maryland Avenue SW, Rm

. 4W229

Washington, DC 20202

- 5970  A Voluntary Plan: A plan to reduce,

eliminate or prevent minority group

isolation that is being imp lemented (or

would be implemented if assistance

under the Magnet Schools Assistance

Program is made available) on either a

voluntary basis or as required under

Title VI of the Civil Rights Act of 1964.

Attach the Following Documents

 A copy of the plan

 A copy of the school board resolution

adopting and implementing the plan,

or agreeing to adopt and implement

the plan upon the award of assistance.

# 13 

# Instructions for Enrollment Data

**These instructions apply to Tables 1**

**- 4. The tables are displayed**  **in a suggested format, and**

**applicants may provide the data in a different format if they choose to do so. However**

**submitted, this data is needed for each magnet school included in the project. The tables that**

**are included in this application guide pack et are for demonstration only. The official enrollment** 

**data tables are located on the Magnet Schools Assistance Program website at**

**www.ed.gov/programs/magnet. You will need to download each PDF table, complete the table,**

**“save as” the appropriate table n ame, and upload each**  **table with your application in G rants.gov.** 

**Enrollment Data for the Local Educational Agency (LEA)**

**– Table 1** 

Provide actual enrollment data as of October 1, 2012 (or the closest date to October 1, 2012 when

the LEA’s enrollment data was collected) for the grade levels (e.g., K

- 8) affected by the project that

shows the enrollment disaggregated by race and ethnicity of students in the LEA’s schools. If the

application is a joint application, provide data for the schools of each partic ipating LEA.

Provide enrollment data for the grade levels affected by the magnet project that shows the

projected number of students as of October 1, 2013 (Project Yr

. 1: School Yr

. 2013

- 2014), October

1, 2014 (Project Yr

. 2: School Yr

. 2014

- 2015) and Oct ober 1, 2015 (Project Yr

. 3: School Yr

. 2015

- 2016).

If the project includes any magnet schools that are existing magnet schools (i.e., schools that

already implement a magnet program whether or not the magnet school or program has been

previously supported with MSAP funds), identify the school year in which the school began

implementation of a magnet program. If all of the magnet schools in the project will be new

magnet schools, check the box at the top of the appropriate table being used. Check boxes are at

the top of Table 1.

**Enrollment Data for the Magnet Schools Included in the Project**

**– Table 3** 

Provide actual enrollment data as of October 1, 2012 (or the closest date to October 1, 2012 when

the LEA’s enrollment data was collected) by grade that show s the number of students

disaggregated by race and ethnicity enrolled in each magnet school.

(Special Note: If a school h as no enrollment for the 2012

- 2013 school year, for example because it

is a new school, provide an estimate of the enrollment that th e schoo l would have had for the

2012

- 13 school year if it had operated as a regular school, consistent with the applicant’s policy for

assigning students to regular non

- magnet schools.)

Provide projected enrollment data by grade for each magnet school that shows the projected

number of students disaggregated by race and ethnicity as of October 1, 2013 (Project Yr

. 1:

School Yr

. 2013

- 14), October 1, 2014 (Project Yr

. 2: School Yr

. 2014

- 15) and October 1, 2015

(Project Yr

. 3: School Yr

. 2015

- 16). Projected enrollment data should show what each magnet

# 14



# school’s enrollment would be expected to be if the magnet program is successfully implemented.

**Enr ollment Data for Feeder Schools** 

**– Table 4** 

(Note: The Magnet Schools Assistance Program defines “feeder school s” as the schools from which

students are drawn, that is the schools at the same grade level as the magnet school that students

would have attended if they did not attend the magnet school.)

Provide actual enrol lment data as of October 1, 2012 (or the clo sest date to October 1, 2012 when

the LEA’s enrollment data was collected) for each feeder school that shows the number of students

disaggregated by race and ethnicity enrolled in those schools and identifies the magnet school(s)

associated with each feede r school. If the application is a joint application, provide separate data

for the feeder schools from each participating LEA.

Provide projected enrollment data for the feeder schools identified above that shows the projected

number o f students as of Oct ober 1, 2013 (Project Yr

. 1: the 2013

- 2014 School Yr

. ), October 1,

2014 (Project Yr

. 2: the 2014

- 15 School Yr

. ) and October 1, 2015 (Project Yr. 3: the 2015

- 16 School

Yr

. ). Projected enrollment data should show what enrollment of feeder schools would be expected

to be if the magnet program is successfully implemented.

If the application is a joint application, provide separate data for the schools of each participating

LEA.

# 15 

# Table 1 **: Enrollment Data**

**- LEA Level**  **OMB**

**- 1**  **855**

**- 0011** 

**- Expiration**  **XX/XX/201 6** 

 Check this box if all the magnet schools included in the program are implementing a magnet program for the first time.

Actual Enrollment Projected Enrollment

**(Current School Year**

**— Octob**  **er 1, 2012 )**  **(Year 1 of Project**

**— Oct 1, 2013**  **) G** **r a** **d e** **L e** **v e** **l**AmericanIndian/AlaskanNative(Number)AmericanIndian/AlaskanNative(%)Asian(Number)Asian(%)BlackorAfricanAmerican(Number)BlackorAfricanAmerican(%)Hispanic/Latino(Number)Hispanic/Latino(%)NativeHawaiianorOtherPacificIslander(Number)NativeHawaiianorOtherPacificIslander(%)White(Number)White(%)Twoormoreraces(Number)Twoormoreraces(%)**T o** **t a** **l S** **t u** **d e** **n t** **s G** **r a** **d e** **L e** **v e** **l**AmericanIndian/AlaskanNative(Number)AmericanIndian/AlaskanNative(%)Asian(Number)Asian(%)BlackorAfricanAmerican(Number)BlackorAfricanAmerican(%)Hispanic/Latino(Number)Hispanic/Latino(%)NativeHawaiianorOtherPacificIslander(Number)NativeHawaiianorOtherPacificIslander(%)White(Number)White(%)Twoormoreraces(Number)Twoormoreraces(%)**T o** **t a** **l S** **t u** **d e** **n t** **s**



# K **K**

**1 1** 

**2 2** 

**3 3** 

**4 4** 

**5 5** 

**6 6** 

**7 7** 

**8 8** 

**9 9** 

**10 10** 

**11 11** 

**12 12** 

**Total Total** 

**Table 2**  **: Year of Implementation for Existing Magnet Schools included in the Project**

**School Nam e**  **First School Year as a Magnet School**

# 16 

# Table 1 **(Con t**  **' d**  **): Enrollment Data**

**- LEA Level** 

 Check this box if all the magnet schools included in the program are implementing a magnet program for the first time.

Projected Enrollment Projected Enrollment

**(Year 2 of Project**

**— Oct 1, 2014**  **) (Year 3 of Project** 

**— Oct 1, 2015**  **) G** **r a** **d e** **L e** **v e** **l**AmericanIndian/AlaskanNative(Number)AmericanIndian/AlaskanNative(%)Asian(Number)Asian(%)BlackorAfricanAmerican(Number)BlackorAfricanAmerican(%)Hispanic/Latino(Number)Hispanic/Latino(%)NativeHawaiianorOtherPacificIslander(Number)NativeHawaiianorOtherPacificIslander(%)White(Number)White(%)Twoormoreraces(Number)Twoormoreraces(%)**T o** **t a** **l S** **t u** **d e** **n t** **s G** **r a** **d e** **L e** **v e** **l**AmericanIndian/AlaskanNative(Number)AmericanIndian/AlaskanNative(%)Asian(Number)Asian(%)BlackorAfricanAmerican(Number)BlackorAfricanAmerican(%)Hispanic/Latino(Number)Hispanic/Latino(%)NativeHawaiianorOtherPacificIslander(Number)NativeHawaiianorOtherPacificIslander(%)White(Number)White(%)Twoormoreraces(Number)Twoormoreraces(%)**T o** **t a** **l S** **t u** **d e** **n t** **s**



# K **K**

**1 1** 

**2 2** 

**3 3** 

**4 4** 

**5 5** 

**6 6** 

**7 7** 

**8 8** 

**9 9** 

**10 10** 

**11 11** 

**12 12** 

**Total Total** 

**Table 2 (Con**  **t '**  **d ): Year of Implementation for Existing Magnet Schools included in the Project** 

**School Nam e**  **First School Year as a Magnet School**

# 17 

# Table 3 **: Enrollment Data**

**- Magnet Schools**  **OMB**

**- 1**  **855**

**- 0011** 

**- Expiration**  **XX/XX/2016**

 U se this format (or the applicant ’ s own format) for each magnet school participating in the project.

 Provide data for all students in each grade for which the school enrolls students.

 Remember, the projected data fo r Years 1, 2 and 3 of the project should be based on projections showing the anticipated enrollment of the magnet school if t he project is

successfully implemented.

Actual Enrollment Projected Enrollment

**(Cu rrent School Year** 

**— October 1, 2012**  **) (Year 1 of P**  **roject**

**— Oct 1, 2013**  **) G** **r a** **d e** **L e** **v e** **l**AmericanIndian/AlaskanNative(Number)AmericanIndian/AlaskanNative(%)Asian(Number)Asian(%)BlackorAfricanAmerican(Number)BlackorAfricanAmerican(%)Hispanic/Latino(Number)Hispanic/Latino(%)NativeHawaiianorOtherPacificIslander(Number)NativeHawaiianorOtherPacificIslander(%)White(Number)White(%)Twoormoreraces(Number)Twoormoreraces(%)**T o** **t a** **l S** **t u** **d e** **n t** **s G** **r a** **d e** **L e** **v e** **l**AmericanIndian/AlaskanNative(Number)AmericanIndian/AlaskanNative(%)Asian(Number)Asian(%)BlackorAfricanAmerican(Number)BlackorAfricanAmerican(%)Hispanic/Latino(Number)Hispanic/Latino(%)NativeHawaiianorOtherPacificIslander(Number)NativeHawaiianorOtherPacificIslander(%)White(Number)White(%)Twoormoreraces(Number)Twoormoreraces(%)**T o** **t a** **l S** **t u** **d e** **n t** **s**



# K **K**

**1 1** 

**2 2** 

**3 3** 

**4 4** 

**5 5** 

**6 6** 

**7 7** 

**8 8** 

**9 9** 

**10 10** 

**11 11** 

**12 12** 

**Total Total** 

# 18 **Table 3 (Con**  **t '**  **d ): Enrollment Data** 

**- Magnet Schools** 

 U se this format (or the applicant ’ s own format) for each magnet school participating in the proj ect.

 Provide data for all students in each grade for which the school enrolls students.

 R em ember, the projected data for Years 1, 2 and 3 of the project should be based on projections showing the anticipated enroll me nt of the magnet school if the project is

successfully implemented.

Projected Enrollment Projected Enrollment

**(Year 2 of Project**

**— Oct 1, 2014**  **) (Year 3 of Project** 

**— Oct 1, 2015**  **) G** **r a** **d e** **L e** **v e** **l**AmericanIndian/AlaskanNative(Number)AmericanIndian/AlaskanNative(%)Asian(Number)Asian(%)BlackorAfricanAmerican(Number)BlackorAfricanAmerican(%)Hispanic/Latino(Number)Hispanic/Latino(%)NativeHawaiianorOtherPacificIslander(Number)NativeHawaiianorOtherPacificIslander(%)White(Number)White(%)Twoormoreraces(Number)Twoormoreraces(%)**T o** **t a** **l S** **t u** **d e** **n t** **s G** **r a** **d e** **L e** **v e** **l**AmericanIndian/AlaskanNative(Number)AmericanIndian/AlaskanNative(%)Asian(Number)Asian(%)BlackorAfricanAmerican(Number)BlackorAfricanAmerican(%)Hispanic/Latino(Number)Hispanic/Latino(%)NativeHawaiianorOtherPacificIslander(Number)NativeHawaiianorOtherPacificIslander(%)White(Number)White(%)Twoormoreraces(Number)Twoormoreraces(%)**T o** **t a** **l S** **t u** **d e** **n t** **s**



# K **K**

**1 1** 

**2 2** 

**3 3** 

**4 4** 

**5 5** 

**6 6** 

**7 7** 

**8 8** 

**9 9** 

**10 10** 

**11 11** 

**12 12** 

**Total Total** 

# 19 

# Table **4 : Feeder School** 

**- Enrollment**  **Data**

 For each feeder school, identify the magnet school(s) to which the feeder school w ould send students. If a feeder school w ou ld send students to all magnet

schools at a particular grade level (for example, Elementary Feeder School “X” would send stu dents to all of the elementary magnet schools participating in the

project, indicate “All” in the “Magnet” column associated with Elementary Feeder School “X”.

 The enrollment data projections for Years 1, 2 and 3 of the project should show what the enrol lm ent of feeder schools would be expected to be if the magnet

school or schools in the project are successfully implemented.

 Use additional sheets, if necessary.

**Schools Actual Enrollment as of October 1, 20**  **12**

**(Current School Year) Projected Enrollment**  **as of October 1, 201 3** 

**(Year 1 of Project) F** **E E** **D E** **R M** **A G** **N E** **T (** **S )** **A m** **e r** **i c** **a n** **I n** **d i** **a n** **/ A** **l a** **s k** **a n** **N a** **t i** **v e** **( N** **u m** **b e** **r )** **A m** **e r** **i c** **a n** **I n** **d i** **a n** **/ A** **l a** **s k** **a n** **N a** **t i** **v e** **( %** **) A** **s i** **a n** **( N** **u m** **b e** **r )** **A s** **i a** **n (** **% )** **B l** **a c** **k o** **r A** **f r** **i c** **a n** **- A** **m e** **r i** **c a** **n (** **N u** **m b** **e r** **) B** **l a** **c k** **o r** **A f** **r i** **c a** **n -** **A m** **e r** **i c** **a n** **( %** **) H** **i s** **p a** **n i** **c /** **L a** **t i** **n o** **( N** **u m** **b e** **r )** **H i** **s p** **a n** **i c** **/ L** **a t** **i n** **o (** **% )** **N a** **t i** **v e** **H a** **w a** **i i** **a n** **o r** **O t** **h e** **r P** **a c** **i f** **i c** **I s** **l a** **n d** **e r** **( N** **u m** **b e** **r )** **N a** **t i** **v e** **H a** **w a** **i i** **a n** **o r** **O t** **h e** **r P** **a c** **i f** **i c** **I s** **l a** **n d** **e r** **( %** **) W** **h i** **t e** **( N** **u m** **b e** **r )** **W h** **i t** **e (** **% )** **T w** **o o** **r m** **o r** **e r** **a c** **e s** **( N** **u m** **b e** **r )** **T w** **o o** **r m** **o r** **e r** **a c** **e s** **( %** **) T** **o t** **a l** **S t** **u d** **e n** **t s** **A m** **e r** **i c** **a n** **I n** **d i** **a n** **/ A** **l a** **s k** **a n** **N a** **t i** **v e** **( N** **u m** **b e** **r )** **A m** **e r** **i c** **a n** **I n** **d i** **a n** **/ A** **l a** **s k** **a n** **N a** **t i** **v e** **( %** **) A** **s i** **a n** **( N** **u m** **b e** **r )** **A s** **i a** **n (** **% )** **B l** **a c** **k o** **r A** **f r** **i c** **a n** **- A** **m e** **r i** **c a** **n (** **N u** **m b** **e r** **) B** **l a** **c k** **o r** **A f** **r i** **c a** **n -** **A m** **e r** **i c** **a n** **( %** **) H** **i s** **p a** **n i** **c /** **L a** **t i** **n o** **( N** **u m** **b e** **r )** **H i** **s p** **a n** **i c** **/ L** **a t** **i n** **o (** **% )** **N a** **t i** **v e** **H a** **w a** **i i** **a n** **o r** **O t** **h e** **r P** **a c** **i f** **i c** **I s** **l a** **n d** **e r** **( N** **u m** **b e** **r )** **N a** **t i** **v e** **H a** **w a** **i i** **a n** **o r** **O t** **h e** **r P** **a c** **i f** **i c** **I s** **l a** **n d** **e r** **( %** **) W** **h i** **t e** **( N** **u m** **b e** **r )** **W h** **i t** **e (** **% )** **T w** **o o** **r m** **o r** **e r** **a c** **e s** **( N** **u m** **b e** **r )** **T w** **o o** **r m** **o r** **e r** **a c** **e s** **( %** **) T** **o t** **a l** **S t** **u d** **e n** **t s** 

# 20 **Table 4 :**  **Feeder School**

**- Enrollm**  **ent Data (Cont’d)** 

 For each feeder school, identify the magnet school(s) to which the feeder school w ould send students. If a feeder school w ou ld send students to all magnet

schools at a particular grade level (for example, Element ary Feeder School “X” would send students to all of the elementary magnet schools participating in the

project, indicate “All” in the “Magnet” column associated with Elementary Feeder School “X”.

 The enrollment data projections for Years 1, 2 and 3 of th e project should show what the enrollment of feeder schools would be expected to be if the magnet

school or schools in the project are successfully implemented.

 Use additional sheets, if necessary.

**Schools Projected**  **Enrollment as of October 1, 20 14** 

**( Year**  **2 of Project )**  **Projected Enrollment as of October 1, 201 5** 

**(Year 3**  **of Project) F** **E E** **D E** **R M** **A G** **N E** **T (** **S )** **A m** **e r** **i c** **a n** **I n** **d i** **a n** **/ A** **l a** **s k** **a n** **N a** **t i** **v e** **( N** **u m** **b e** **r )** **A m** **e r** **i c** **a n** **I n** **d i** **a n** **/ A** **l a** **s k** **a n** **N a** **t i** **v e** **( %** **) A** **s i** **a n** **( N** **u m** **b e** **r )** **A s** **i a** **n (** **% )** **B l** **a c** **k o** **r A** **f r** **i c** **a n** **- A** **m e** **r i** **c a** **n (** **N u** **m b** **e r** **) B** **l a** **c k** **o r** **A f** **r i** **c a** **n -** **A m** **e r** **i c** **a n** **( %** **) H** **i s** **p a** **n i** **c /** **L a** **t i** **n o** **( N** **u m** **b e** **r )** **H i** **s p** **a n** **i c** **/ L** **a t** **i n** **o (** **% )** **N a** **t i** **v e** **H a** **w a** **i i** **a n** **o r** **O t** **h e** **r P** **a c** **i f** **i c** **I s** **l a** **n d** **e r** **( N** **u m** **b e** **r )** **N a** **t i** **v e** **H a** **w a** **i i** **a n** **o r** **O t** **h e** **r P** **a c** **i f** **i c** **I s** **l a** **n d** **e r** **( %** **) W** **h i** **t e** **( N** **u m** **b e** **r )** **W h** **i t** **e (** **% )** **T w** **o o** **r m** **o r** **e r** **a c** **e s** **( N** **u m** **b e** **r )** **T w** **o o** **r m** **o r** **e r** **a c** **e s** **( %** **) T** **o t** **a l** **S t** **u d** **e n** **t s** **A m** **e r** **i c** **a n** **I n** **d i** **a n** **/ A** **l a** **s k** **a n** **N a** **t i** **v e** **( N** **u m** **b e** **r )** **A m** **e r** **i c** **a n** **I n** **d i** **a n** **/ A** **l a** **s k** **a n** **N a** **t i** **v e** **( %** **) A** **s i** **a n** **( N** **u m** **b e** **r )** **A s** **i a** **n (** **% )** **B l** **a c** **k o** **r A** **f r** **i c** **a n** **- A** **m e** **r i** **c a** **n (** **N u** **m b** **e r** **) B** **l a** **c k** **o r** **A f** **r i** **c a** **n -** **A m** **e r** **i c** **a n** **( %** **) H** **i s** **p a** **n i** **c /** **L a** **t i** **n o** **( N** **u m** **b e** **r )** **H i** **s p** **a n** **i c** **/ L** **a t** **i n** **o (** **% )** **N a** **t i** **v e** **H a** **w a** **i i** **a n** **o r** **O t** **h e** **r P** **a c** **i f** **i c** **I s** **l a** **n d** **e r** **( N** **u m** **b e** **r )** **N a** **t i** **v e** **H a** **w a** **i i** **a n** **o r** **O t** **h e** **r P** **a c** **i f** **i c** **I s** **l a** **n d** **e r** **( %** **) W** **h i** **t e** **( N** **u m** **b e** **r )** **W h** **i t** **e (** **% )** **T w** **o o** **r m** **o r** **e r** **a c** **e s** **( N** **u m** **b e** **r )** **T w** **o o** **r m** **o r** **e r** **a c** **e s** **( %** **) T** **o t** **a l** **S t** **u d** **e n** **t s** 

# 21 

# Table 5 **: Selection of Students**

**- Competitive Preference 3** 

Instructions :

For each magnet school included in the project:

 Indicate whether or not academic examination is used as a factor in the selection of students for the ma gnet school and, if so, how it is used.

 Briefly describe how students are selected (e.g., weighted lottery, first come/first served, etc.). In the description, iden tify the criteria that are used, if any,

in selecting students and indicate how each of th ose criteria is used in the process.

 If the same process and use of academic criteria applies to more than one of the magnet schools included in the project, in t he “Magnet School(s)” identify

all of the schools for which the student selection process appl ies.

 Use additional sheets or space, if necessary.

 Information on the student selection processes used by other magnet schools (i.e., magnet schools that are not included in th e project) is not needed.

**Magnet School(s)** :

Check the appropriate box:

 Ac ademic examination is a criterion in the magnet school student selection process.

 Academic examination is not a criterion in the magnet school student selection process.

Describe the student selection process.

**Magnet School(s)** :

Check the appropriat e box:

 Academic examination is a criterion in the magnet school student selection process.

 Academic examination is not a criterion in the magnet school student selection process.

Describe the student selection process.

# 22 

# Table 6 **: New or**  **Revised Magn et School**  **Projects**

**- Competitive Preference**  **2**

Instructions :

For each magnet sc hool identified in Tables 1

– 5 :

 Briefly describe the nature of the change that is being made to the magnet school program at that school (for example, expans ion of program fr om within

school program serving 50 students to whole school program serving 400 students; adding medical sciences within school to com plement other within

school programs and serve greater total number of students; upgrade thematic curriculum to maintain program attractiveness; replace existing magnet

program, etc. ); and

 Explain the significance of the revision to the magnet school. Relevant information might include, for example, discussion o f diminishing effectiveness of

the existing program; what woul d be accomplished or achieved as a result of the revision to the magnet program; the expected benefits or effects that

would result from implementation of the revision; the need, if appropriate, to expand from a within school program to a whole program; et c.

 If all of the schools participating in the project are new magnet schools, indicate “No Revised Magnet Schools Participating in the Project” in the first

“Nature of Revision or Change to the Magnet School” box.

 Use additional sheets, if necessary.



# Mag **net School** :

Nature of Revision or Change to the Magnet School :

Explanation of How or Why the Revision is Significant :

# 23 

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