WV 21ST CCLC SUMMARY AND ABSTRACT FORM Student Populations to be Served (indicate number of schools in blank) ___ Elementary Schools ___ Middle Schools ___ High Schools ___ Title I schools ___ Priority Schools ___ Schools Co-applicant Partner(s) and Collaborating Organizations (indicate number in ___ National Organizations (e.g., Boys & Girl Clubs, YMCA/YWCA, Big Brothers/Big Sisters) ___ Organizations (local non- profits or foundations) ___ Libraries or Museums ___ Businesses or Municipal Agencies (e.g., police, Parks & Recreation, Social Services) or Universities ___ Faith-Based Organizations ___ Hospitals/Clinics/Health Providers ___ other __________________________ Services to be Provided (check all that apply) or Literacy Mathematics Science Art, Music, Dance, Theater Physical Education Technology, Video or Media Service Learning Cultural Activities, Social Studies Health, Nutrition Youth Development Services for Adults Homework Help Tutoring Other ___________ of Operation Before school school Summer Weekend
Page 2 -- Program Summary and Abstract Name & location of each site Days and of program operation throughout week Estimated number of students to be served annually Estimated average attendance Estimated total number or attendees 30 days or more Student Free/ Reduced % Estimated adults/ family members served Mon Tues Wed Thur Fri Sat Mon Tues Wed Thur Fri Sat Mon Tues Wed Thur Fri Sat Mon Tues Wed Thur Fri Sat Mon Tue Wed Thur Fri Sat Totals for the entire program Total estimate of students to be served ______ Total estimate of attendees 30 days or more ________ Average % of Free Reduced Lunch students ________ Total estimate of adults/ family members served ________ date of each site is no later than October 15th. Estimated number to be served does not to the total school population but to the estimated students likely to participate. Explain how that number of student and adult and/or family participants was determined: _________________________________________________________________________________________________ _________________________________________________________________________________________________
Abstract. In the below, briefly describe your program’s goals, services, activities, and planned participants. Program Summary and Abstract for Summer (if applicable) Name & location of each site Days and times of program operation throughout week Estimated number of students to be served annually Estimated average daily attendance Estimated adults/ family members served Mon Tues Wed Thur Fri Sat Mon Tues Wed Thur Fri Sat Mon Tues Wed Thur Fri Sat Mon Tues Wed Thur Fri Sat Mon Tue Wed Thur Fri Sat
Goal 1: Objectives (Specific, Measurable, Achievable, Realistic, and Time-bound) Activities (what we do to achieve objectives/goals) Inputs/Resources financial, technology, etc… resources needed for activities) Outputs (tangible and direct products of activities that lead to desired outcomes) Outcomes (short-, medium-, and long- term desired results of activities) Indicator/Data Source (indicators we look for to measure implementation, progress and success) 1.1 1.1.1 1.1.2 1.1.3 1.1.1 1.1.2 1.1.3 1.1.1 1.1.2 1.1.3 1.2 1.2.1 1.2.2 1.2.3 1.2.1 1.2.2 1.2.3 1.2.1 1.2.2 1.2.3 1.3 1.3.1 1.3.2 1.3.3 1.3.1 1.3.2 1.3.3 1.3.1 1.3.2 1.3.3 Goal 2:
Objectives (Specific, Measurable, Achievable, Realistic, and Activities (what we do to achieve objectives/goals) Inputs/Resources (human, financial, technology, etc… resources needed for activities) Outputs (tangible and direct products of activities that lead to desired outcomes) Outcomes (short-, medium-, and long- term desired results of activities) Indicator/Data Source (indicators we look for to measure implementation, progress and success) 2.1 2.1.1 2.2.2 2.1.3 2.1.1 2.2.2 2.1.3 2.1.1 2.2.2 2.1.3 2.2 2.2.1 2.2.2 2.2.1 2.2.2 2.2.1 2.2.2 2.3 2.3.1 2.3.2 2.3.1 2.3.2 2.3.1 2.3.2 2.4 2.4.1 2.4.2 2.4.1 2.4.2 2.4.1 2.4.2 Example of a Well-Completed CCLC Project Logic Model Goal 1: To increase academic achievement regular student attendees on an annual basis.
student. 1.6 By spring 2014, at least 75% of all regular attendees will demonstrate improved homework completion and class participation. (As measured by homework completion matrix, teacher survey, After School Matters survey.) 1.6.1 Students are referred for CCLC support by classroom teachers, parents, and counselors. 1.6.2 CCLC Tutors develop individual progress folders for each student and outline specific unique learning goals based on each student’s needs. 1.6.3 Students will receive 1-2 hours of 1:1 homework assistance from tutors daily at each site, based on need. 1.6.4 Students attend enrichment modules and recreation based on interests 1.6.5 learning and STEAM embedded in after-school activities. Human: all CCLC staff, especially enrichment module leaders Enrichment supplies (arts and crafts, recreation, STEAM, etc.). Tutoring supplies, including technology. Busing home. Student enrichment interest surveys developed and administered. Results tabulated and shared with CCLC staff. List of potential enrichment module leaders compiled. Communication/outreach with potential enrichment modules documented (email, phone records) Background checks completed. Supplies purchased (receipts = evidence) Enrichment schedules updated. Student engagement matrices developed for classroom teachers to track daily homework completion and participation rates. Surveys developed for classroom teachers. homework completion logs show improvement. Enrichment and recreation modules boost student attendance, interest, engagement, and enthusiasm for learning. Homework completion matrix, participation survey (teacher completed), After School Matters survey.
1.7 By spring 2014 at least 75% of regular employees will demonstrate improvement in behavior. (As measured by school disciplinary records). 1.7.1 Students attending CCLC participate in enrichment and PBL activities including (1) social skill development and service learning; (2) art, music, drama, recreation; (3) entrepreneurship; and (4) other interest-based activities. 1.7.2 Students are given a voice to provide feedback into CCLC activities. Human all CCLC staff, especially enrichment module leaders Enrichment supplies (arts and crafts, recreating, etc.). Tutoring supplies, including technology. Busing Home Student enrichment interest surveys developed and administered. Results tabulated and shared with CCLC staff. List of potential enrichment module leaders compiled. Communication/outreach with potential adult enrichment modules documented (email, phone records). Background checks completed. Supplies purchased (receipts = evidence) Enrichment schedules updated. Student engagement matrices developed for classroom teachers to track daily homework completion and participation rates. Surveys developed for classroom teachers. behavior tacking shows improvement. Student referrals decrease. Out-of-school suspensions decrease. In-school suspensions decrease. Enrichment and recreation modules boost student attendance, interest, engagement, and enthusiasm for learning.
lists, brochures, mailings). Electronic medial updated (social mediate, websites). New programs developed and scheduled (instructor contracts, schedule posted via identified venues) Adult literacy rates increase. 2.2 By spring 2014 at 85% of parents will report that CCLC services are helpful, accessible, conveniently scheduled, and targeted to their needs. 2.2.1 Adult activities are scheduled based on participant feedback on convenience schedules. 2.2.2 services are designated around participant interests and needs. Human: instructors of adult programming, CCLC Director to coordinate and conduct outreach, Site supervision of extended hours Pre-and post-surveys developed and to determine areas of adult Adult at 60% of Adult
2.2.3 Surveys and focus groups are designed and administered pre and post-events. at computer labs and libraries. Financial: purchase of resources, supplies, and consumables interest and need. Existing classes identified, meeting scheduled with and partners (meeting minutes, lists) Outreach strategies analyzed and improved to increase attendance (meeting minutes, lists, brochures, mailings). Electronic media updated (social media, increases each quarter. Attendee recommendations contribute to continual improvement. Families report increased school engagement. More parents volunteering at school. More parents attending conferences and school events. More adults completing GEDs and other post-secondary coursework. Adult literacy rates increase. forms