APPLICATION SHEET SCHOOL IMPROVEMENT GRANTS Legal Name of Applicant: Pennsylvania Applicant’s Mailing Address: 333 Market Street Harrisburg, PA 17126-0333 State Contact for the School Improvement Grant Name: Renee A. Palakovic Position and Office: State Title I Director, Chief of the Division of Federal Programs Contact’s Mailing Address: 333 Market Street Harrisburg, PA 17126-0333 Telephone: 717-783-9161 Fax: 717-787-8634 Email address: rpalakovic@pa.gov Chief State School Officer (Printed Name): Ronald J. Tomalis Telephone: 717-783-9780 Signature of the State School Officer: X Date: The State, through its authorized representative, agrees to comply with all requirements applicable to the School Improvement Grants program, including the assurances contained herein and the conditions that apply to any waivers that the State receives through this application. FY 2011 New Awards Application Checklist
Directions: All SEAs are required to list any LEAs with one or more schools for funding under previously awarded SIG grants will not be renewed. For each such school, note the amount of unused remaining funds and explain how the SEA or LEA plans to use those funds (e.g., reallocate to other schools with SIG grants or retain for a future SIG competition). LEA Name School Name Description of how remaining funds were or will be Used Amount of Remaining Funds Total Amount of Remaining Funds: Directions: In the boxes below, provide updates to any sections, if any, the SEA elects to revise. The only section the SEA will be required to update is Section D (Part 1): Timeline. The SEA does not need to resubmit information for any section in which it elects to use the same criteria as its FY 2010 SIG application. See Appendix A for guidelines on the information required for revised sections. SECTION B: EVALUATION CRITERIA SEA is using the same information in this section as in its FY 2010 application. The SEA does not need to resubmit this section. SEA has revised the information in this section for FY 2011. Updated information listed below. [Insert updated section information here. An SEA not revising this section should write “N/A” in this space.] SECTION B-1: ADDITIONAL EVALUATION CRITERIA FOR PRE-IMPLEMENTATION SEA is using the same information in this section as in its FY 2010 application. The SEA does not need to resubmit this section. SEA has revised the information in this section for FY 2011. Updated information listed below. [Insert updated section information here. An SEA not revising this section should write “N/A” in this space.]
The LEA must describe the goals it has established (subject to approval by the SEA) in order to hold accountable its Tier III schools that receive school improvement funds. As appropriate, the LEA must consult with relevant stakeholders regarding the LEA’s application and implementation of school improvement models in its Tier I and Tier II schools. BUDGET: An LEA must include a budget that indicates the amount of school improvement funds the LEA will use each year in each Tier I, Tier II, and Tier III school it commits to serve. The LEA must provide a budget that indicates the amount of school improvement funds the LEA will use each year to— Implement the selected model in each Tier I and Tier II school it commits to serve; Conduct activities designed to support implementation of the selected school intervention models in the LEA’s Tier I and Tier II schools; and Support school improvement activities, at the school or LEA level, for each Tier III school identified in the LEA’s application. Example: